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Home > Mental Health Information > Brochures and Fact Sheets

1. The brain reaches its biggest size in early adolescence.

2. The brain continues to mature even after it is done growing.

3. The teen brain is ready to learn and adapt.

4. Many mental disorders may begin to appear during adolescence.

5. Teen brains may be more vulnerable to stress.

6. Teens need more sleep than children and adults.

7. The teen brain is resilient.

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Did you know that big and important changes are happening in the brain during adolescence? Here are 7 things to know about the teen brain:
For girls, the brain reaches its biggest size around 11 years old. For boys, the brain reaches its biggest size around age 14. But this difference does not mean either boys or girls are smarter than one another!
Though the brain may be done growing in size, it does not finish developing and maturing until the mid- to late 20s. The front part of the brain, called the prefrontal cortex, is one of the last brain regions to mature. This area is responsible for skills like planning, prioritizing, and controlling impulses. Because these skills are still developing, teens are more likely to engage in risky behaviors without considering the potential results of their decisions.
The teen brain has lots of plasticity, which means it can change, adapt, and respond to its environment. Challenging academics or mental activities, exercise, and creative activities such as art can help the brain mature and learn.
Ongoing changes in the brain, along with physical, emotional, and social changes, can make teens vulnerable to mental health problems. All the big changes the brain is experiencing may explain why adolescence is a time when many mental disorders—such as schizophrenia, anxiety, depression, bipolar disorder, and eating disorders—can emerge.
Because the teen brain is still developing, teens may respond to stress differently than adults, which could lead to stress-related mental disorders such as anxiety and depression. Mindfulness, which is a psychological process of actively paying attention to the present moment, may help teens cope with and reduce stress. More information on managing stress is available in the National Institute of Mental Health’s fact sheet, I'm So Stressed Out .
Research shows that melatonin (the “sleep hormone”) levels in the blood are naturally higher later at night and drop later in the morning in teens than in most children and adults. This difference may explain why many teens stay up late and struggle with getting up in the morning. Teens should get about 9 to 10 hours of sleep a night, but most teens do not get enough sleep. A lack of sleep can make it difficult to pay attention, may increase impulsivity, and may increase the risk for irritability or depression.
Although adolescence is a vulnerable time for the brain and for teenagers in general, most teens go on to become healthy adults. Some changes in the brain during this important phase of development actually may help protect against long-term mental disorders.
If you or someone you know has a mental illness, is struggling emotionally, or has concerns about their mental health, there are ways to get help .
Communicating well with your doctor or other health care provider can improve your care and help you both make good choices about your health. Find tips to help prepare and get the most out of your visit .
If you are in immediate distress or are thinking about hurting yourself, call the National Suicide Prevention Lifeline toll-free at 1‑800‑273‑TALK (8255). You also can text the Crisis Text Line (HELLO to 741741) or use the Lifeline Chat on the National Suicide Prevention Lifeline website.
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Verywell Health's content is for informational and educational purposes only. Our website is not intended to be a substitute for professional medical advice, diagnosis, or treatment.

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Barbara Poncelet, CRNP, is a certified pediatric nurse practitioner specializing in teen health.

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Huma Sheikh, MD, is a board-certified neurologist, specializing in migraine and stroke, and affiliated with Mount Sinai of New York.

Headaches and migraines in teens are one of the most common health complaints. By the age of 15, roughly 75% of children have reported having a significant headache. 1 Usually, headaches are just a pain, but sometimes they can mean that something more serious is happening.

Not every headache is caused by the same problem in the body. There are many possible causes of headaches and they're typically classified into two types: primary and secondary.

Primary headaches occur by themselves, with no other medical condition contributing to their manifestation. These include migraines , tension-type headaches , and much less commonly, cluster headaches . The causes of these headaches are unknown and are still being studied. From dysfunction of neurons in the brain to changes in the vessels supplying the brain with blood, there are thought to be a number of mechanisms that contribute to primary headaches.

Secondary headaches occur as a symptom of another issue in the body. The most common cause of these headaches in teens is a severe infection such as influenza, sinusitis, or an upper respiratory infection. Secondary headaches can also be caused by medication use or overuse, meningitis , head injury, high blood pressure , stroke, increased pressure in the head, an abscess, a brain tumor, or a brain hemorrhage. These headaches happen with far less frequency than primary headaches.

If your teen has headaches or has just gotten his or her first one, it's helpful to know how to classify it. This can help you determine if it needs immediate attention or not, as well as be beneficial to you when you discuss your teen's headaches with his or her healthcare provider.

Headaches happen in a variety of patterns, but there are four common ones:

Chronic progressive headache is one of the most concerning types, and you should take your teen to a healthcare provider right away if you suspect it.

Migraine is a neurological disorder that involves acute, recurrent headaches with moderate to severe pain. The two main types are migraine without aura (occurs in 85% of children and adolescents) and migraine with aura (occurs in 15% to 30%). 2

As a parent or teen with headaches, you might be worried that the headaches are migraines. Part of the problem is that people think migraines are horrible and unmanageable. Although they can be unpleasant and disruptive, migraines don't have to be debilitating.

Symptoms of a migraine include: 2

An aura is a symptom or a few symptoms that occur right before a migraine. It can be flashes of light with or without loss of vision, numbness or tingling in a part of the body, weakness, or even altered consciousness.

This is just a quick summary of when a headache might be a migraine, but it's helpful to have an idea of whether or not your teen's headache is truly a migraine.

If you have a family history of migraine , it's more likely that your teen's headaches are migraines. 3

Headaches are painful and disruptive, and they can sometimes be a sign of a serious problem. Some signs that a headache may indicate that there's a bigger medical issue include:

If your teen has any of the above symptoms, contact his or her healthcare provider immediately. If your provider cannot see your teen right away, or the headache gets worse, a trip to the emergency room might be in order.

As always, your healthcare provider knows you and your family best, so consult him or her with your questions or concerns.

Emergency cases aside, to diagnose a headache disorder, your teen's practitioner will do a physical examination, a neurological examination, and get a detailed history of your teen's headaches.

It's helpful if you can keep a headache diary for at least a month before your teen's appointment so your healthcare provider can look at factors like the time of day the headaches occur, how severe they are, where the head pain is, other symptoms that occur, and what might have triggered them, such as stress, not getting enough sleep, or missing a meal.

Another way to help your teen's practitioner understand your teen's headaches is by using the PedMIDAS scale. 4 This short quiz was adapted for children between the ages of 4 and 18 years from the MIDAS scale , which is used for adults. It can help you explain to your provider how severe and/or debilitating the headaches are for your teen. Between the PedMIDAS scale and headache diaries, your teen's healthcare provider will likely appreciate the extra help at his or her next appointment.

If your practitioner suspects from the neurological exam that your teen's headaches are a secondary type, your teen may have further testing to rule out other conditions that could be causing the headaches. Depending on what the healthcare provider is looking for, these tests might include brain imaging, blood tests, or a lumbar puncture (spinal tap). 2

There are several options to treat headaches and migraines.

Over-the-counter analgesic (pain) medications like Tylenol (acetaminophen) or Motrin/Advil (ibuprofen) can be effective for some teens. The recommended dose for your son or daughter will be on the bottle, or you can ask your pediatrician about an appropriate dose.

The best time to take one of these medicines is at the beginning of a headache, when it isn't as painful. If the medication is taken after a headache has come on and gotten worse, it's harder to t
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