Teens 8 13

Teens 8 13




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Sleep research suggests that a teenager needs between eight and 10 hours of sleep every night. This is more than the amount a child or an adult needs. Yet most adolescents only get about 6.5 – 7.5 hours sleep per night, and some get less. 
Regularly not getting enough sleep leads to chronic sleep deprivation. This can have dramatic effects on a teenager’s life, impacting their mental wellbeing, increasing their risk of depression, anxiety and low self-esteem. It can also affect academic performance at school. 
Some of the reasons why many teenagers regularly do not get enough sleep include:
The developing brain of a teenager needs between eight and 10 hours of sleep every night. The effects of chronic (ongoing) sleep deprivation may include:
Try not to argue with your teenager about bedtime. Instead, discuss the issue with them. Together, brainstorm ways to increase their nightly quota of sleep. Suggestions include:
The typical teenage brain wants to go to bed late and sleep late the following morning, which is usually hard to manage. You may be able to adjust your body clock but it takes time. Suggestions include:
If lack of sleep is still a problem despite your best efforts, suggestions include:
Sleep and mental wellbeing, 2018, VicHealth, Victorian Government.
Aussie teens forgo sleep for screens, 2018, VicHealth, Victorian Government.
Teenage sleep, 2011, Sleep Health Foundation, NSW.
Alcohol is responsible for most drug-related deaths in the teenage population.
It is helpful to imagine assertiveness as the middle ground between aggression and passivity.
Asthma affects about one in ten teenagers in Australia.
Bisexuality is when a person finds men and women physically, sexually or emotionally attractive.
Your body image is how you think and feel about your body. Body image involves your thoughts, perceptions, imagination and emotions. It may have little to do with your actual appearance. Although body image issues have traditionally been thought of as a women's health concern, they can affect people of all ages and genders.
This page has been produced in consultation with and approved by:
Alcohol is responsible for most drug-related deaths in the teenage population.
It is helpful to imagine assertiveness as the middle ground between aggression and passivity.
Asthma affects about one in ten teenagers in Australia.
Bisexuality is when a person finds men and women physically, sexually or emotionally attractive.
Your body image is how you think and feel about your body. Body image involves your thoughts, perceptions, imagination and emotions. It may have little to do with your actual appearance. Although body image issues have traditionally been thought of as a women's health concern, they can affect people of all ages and genders.
This page has been produced in consultation with and approved by:
Content on this website is provided for information purposes only. Information about a therapy, service, product or treatment does not in any way endorse or support such therapy, service, product or treatment and is not intended to replace advice from your doctor or other registered health professional. The information and materials contained on this website are not intended to constitute a comprehensive guide concerning all aspects of the therapy, product or treatment described on the website. All users are urged to always seek advice from a registered health care professional for diagnosis and answers to their medical questions and to ascertain whether the particular therapy, service, product or treatment described on the website is suitable in their circumstances. The State of Victoria and the Department of Health shall not bear any liability for reliance by any user on the materials contained on this website.
The Victorian Government acknowledges Aboriginal and Torres Strait Islander people as the Traditional Custodians of the land and acknowledges and pays respect to their Elders, past and present.
Privacy statement: https://www.betterhealth.vic.gov.au/about/privacy
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This web site is managed and authorised by the Department of Health, State Government of Victoria, Australia © Copyright State of Victoria 2020.

By: Brittany Allen, MD, FAAP & Helen Waterman, DO
Adolescence is the period of transition between childhood and adulthood. It includes some big changes—to the body, and to the way a young person relates to the world.
The many physical, sexual, cognitive, social, and emotional changes that happen during this time can bring anticipation and anxiety for both children and their families. Understanding what to expect at different stages can promote healthy development throughout adolescence and into early adulthood. 
During this stage, children often start to grow more quickly. They also begin notice other body changes, including hair growth under the arms and near the genitals, breast development in females and enlargement of the testicles in males. They usually start a year or two earlier in girls than boys, and it can be normal for some changes to start as early as age 8 for females and age 9 for males. Many girls may start their period at around age 12, on average 2-3 years after the onset of breast development.
These body changes can inspire curiosity and anxiety in some―especially if they do not know what to expect or what is normal. Some children may also question their gender identity at this time, and the onset of puberty can be a difficult time for transgender children. 
Early adolescents have concrete, black-and-white thinking. Things are either right or wrong, great or terrible, without much room in between. It is normal at this stage for young people to center their thinking on themselves (called "egocentrism"). As part of this, preteens and early teens are often self-conscious about their appearance and feel as though they are always being judged by their peers.
Pre-teens feel an increased need for privacy. They may start to explore ways of being independent from their family. In this process, they may push boundaries and may react strongly if parents or guardians reinforce limits.
Physical changes from puberty continue during middle adolescence. Most males will have started their growth spurt, and puberty-related changes continue. They may have some voice cracking, for example, as their voices lower. Some develop acne. Physical changes may be nearly complete for females, and most girls now have regular periods.
At this age, many teens become interested in romantic and sexual relationships. They may question and explore their sexual identity―which may be stressful if they do not have support from peers, family, or community. Another typical way of exploring sex and sexuality for teens of all genders is self-stimulation, also called masturbation.
Many middle adolescents have more arguments with their parents as they struggle for more independence. They may spend less time with family and more time with friends. They are very concerned about their appearance, and peer pressure may peak at this age.   
The brain continues to change and mature in this stage, but there are still many differences in how a normal middle adolescent thinks compared to an adult. Much of this is because the frontal lobes are the last areas of the brain to mature―development is not complete until a person is well into their 20s! The frontal lobes play a big role in coordinating complex decision making, impulse control, and being able to consider multiple options and consequences. Middle adolescents are more able to think abstractly and consider "the big picture," but they still may lack the ability to apply it in the moment. For example, in certain situations, kids in middle adolescence may find themselves thinking things like:
"I'm doing well enough in math and I really want to see this movie… one night of skipping studying won't matter."
Do I really have to wear a condom during sex if my girlfriend takes the pill?"
"Marijuana is legal now, so it can't be that bad."
While they may be able to walk through the logic of avoiding risks outside of these situations, strong emotions often continue to drive their decisions when impulses come into play.
Late adolescents generally have completed physical development and grown to their full adult height. They usually have more impulse control by now and may be better able to gauge risks and rewards accurately. In comparison to middle adolescents, youth in late adolescence might find themselves thinking:
"While I do love Paul Rudd movies, I need to study for my final."
"I should wear a condom…even though my girlfriend is on birth control, that's not 100% in preventing pregnancy."
"Even though marijuana is legal, I'm worried about how it might affect my mood and work/school performance."
Teens entering early adulthood have a stronger sense of their own individuality now and can identify their own values. They may become more focused on the future and base decisions on their hopes and ideals. Friendships and romantic relationships become more stable. They become more emotionally and physically separated from their family. However, many reestablish an "adult" relationship with their parents, considering them more an equal from whom to ask advice and discuss mature topics with, rather than an authority figure. 
Children and their parents often struggle with changing dynamics of family relationships during adolescence. But parents are still a critical support throughout this time.
Help your child anticipate changes in his or her body. Learn about puberty and explain what's ahead. Reassure them that physical changes and emerging sexuality is part of normal, healthy development. Leave room for questions and allow children to ask them at their own pace. Talk to your pediatrician when needed!
Start early conversations about other important topics. Maintain open communication about healthy relationships, sex, sexuality, consent, and safety (such as how to prevent sexually transmitted infection and pregnancy, and substance use). Starting these conversations during early adolescence will help build a good framework for discussions later. 
Keep conversations with your child positive. Point out strengths. Celebrate successes. 
Be supportive and set clear limits with high (but reasonable) expectations. Communicate clear, reasonable expectations for curfews, school engagement, media use, and behavior, for example. At the same time, gradually expanding opportunities for more independence over time as your child takes on responsibility. Youth with parents that aim for this balance have been shown to have lower rates of depression and drug use.
Discuss risky behaviors (such as sexual activity and substance use) and their consequences. Be sure to set a positive example yourself. This can help teens consider or rehearse decision-making ahead of time and prepare for when situations arise.
Honor independence and individuality. This is all part of moving into early adulthood. Always remind your child you are there to help when needed.
The adolescent years can feel like riding a roller coaster. By maintaining positive and respectful parent-child relationships during this period, your family can (try to) enjoy the ride!

Brittany Allen, MD, FAAP, is a board-certified general pediatrician and provides specialty care to transgender and gender nonconforming youth. She is an Assistant Professor of Pediatrics at the University of Wisconsin School of Medicine and Public Health. She is a member of American Academy of Pediatrics Section on Section on Lesbian, Gay, Bisexual, and Transgender Health and Wellness and the Wisconsin Chapter.
Helen Waterman, DO is a resident physician in pediatrics at the University of Wisconsin. Within the American Academy of Pediatrics, she is a member of the Section on Pediatric Trainees and the Section on Osteopathic Pediatricians. 

The information contained on this Web site should not be used as a substitute for the medical care and advice of your pediatrician. There may be variations in treatment that your pediatrician may recommend based on individual facts and circumstances.

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