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Anticipatory Guidance Adolescence: Mental Health. Early Adolescence: 11-14 Years. Dramatic Physical Changes Profound biological and hormonal changes. Feelings of vulnerability and sensitivity to physical appearance. Egocentric: “How do I look?” Needs

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early adolescence 11 14 years
Early Adolescence:11-14 Years
  • Dramatic Physical Changes
    • Profound biological and hormonal changes.
    • Feelings of vulnerability and sensitivity to physical appearance.
    • Egocentric: “How do I look?”
  • Needs
    • Reassurance aboutgrowth and development.
    • Privacy.
11 14 years social emotional development
11-14 YearsSocial & Emotional Development
  • Social &Emotional Development
    • Intense Changes in Emotion
      • Families need to continue supervising the adolescent and setting appropriate limits.
      • Families need to confirm their adolescent’s growing self-efficacy and promote skills/confidence in decision making.
    • Parents Remain ImportantRole Models
      • Serve as a consistent, stabilizinginfluence.
      • Family members need support indealing with feelings of confusionand anxiety.
11 14 years anticipatory guidance
11-14 YearsAnticipatory Guidance
  • Anticipatory Guidance
    • Take on new challenges that will increase self-confidence.
    • Continue learning about yourself, what you believe in, what is important to you.
    • Recognize that you are growing and changing.
    • Learn to feel good about yourself,what your strengths are.
    • Listen to what good friends and valued adults say about you.
11 14 years anticipatory guidance5
11-14 Years...Anticipatory Guidance
  • Anticipatory Guidance for the Early Adolescent
    • Talk with the health professional oranother trusted adult if you are oftensad or nervous or feel that things arenot going right.
    • Learn to recognize and deal withstress.
    • Understand the importance of your spiritual needs and try to fulfillthem.
11 14 years anticipatory guidance parents
11-14 YearsAnticipatory Guidance, Parents
  • Anticipatory Guidance for the Parent(s)
    • Importance of showing affection, praising positive behavior, recognizing efforts and achievement.
    • Continue to affirm and model family values, such as respect for self and others.
    • Respect your adolescent’sneed for privacy
    • Spend time with youradolescent.
11 14 years anticipatory guidance parents7
11-14 Years...Anticipatory Guidance, Parents
  • …Anticipatory Guidancefor the Parent(s)
    • Decide with your adolescent whathe/she can do independently,including stayingat home alone.
    • Establish realistic expectations forfamily rules, giving increasingautonomy and responsibility.Your children need clear limits.
    • Establish and communicate consistentlimits and consequences for breaking rules.
11 14 years anticipatory guidance parents8
11-14 Years….Anticipatory Guidance, Parents
  • ...Anticipatory Guidance for the Parent(s)
    • Minimize criticism and avoid nagging, derogatory commentsor any belittling or demeaning messages.
    • Understand that your adolescentmay be unwilling to participate insome family activities and maysuddenly challenge parental authority.
15 17 years challenges creative energy
15-17 YearsChallenges, Creative Energy
  • Challenging new experiences.
    • Ex: Dating, Driving
  • Unparalleled potential andcreative energy.
  • Begin to probe more deeply to discover individual identities.
    • Sort out values and beliefs in their quest for a clearer sense of self.
15 17 years social emotional development
15-17 YearsSocial & Emotional Development
  • Social/Emotional Development
    • Extremely sensitive to the socialnorms of the peer group.
      • Including choices in dress, hairstyle,language, music, and behavior.
    • Friends become very important
      • Adolescents tend to have a small group of friends who share similar values, interests, and activities.
    • Tend to seek privacy and time alone.
    • Affection and respectful communication.
15 17 years anticipatory guidance
15-17 YearsAnticipatory Guidance
  • Anticipatory Guidance for theMiddle Adolescent
    • Take on new challenges that will increase self-confidence.
    • Continue to develop sense of identity,clarifying your values and beliefs.
    • Accept who you are and enjoy both the child and adult in you.
    • Trust you own feelings, listen to theideas of good friends and valued adults.
15 17 years anticipatory guidance12
15-17 Years...Anticipatory Guidance
  • ...Anticipatory Guidance for theMiddle Adolescent
    • Seek help if you often feel angry,depressed, or hopeless.
    • Learn how to deal with stress.
    • Set reasonable but challenginggoals.
    • Understand the importance ofyour spiritual needs and try tofulfill them.
15 17 years anticipatory guidance parents
15-17 YearsAnticipatory Guidance, Parents
  • Anticipatory Guidance for the Parent(s)
    • Establish realistic expectations for family rules, giving increasing autonomy and responsibility.
    • Reach agreement about limits,consequences for breaking rules,and independent decision-making.
    • Enhance self-esteem by showaffection, praising positivebehavior, and recognizing effortsand achievements.
15 17 years anticipatory guidance parents14
15-17 Years...Anticipatory Guidance, Parents
  • ...Anticipatory Guidance for the Parent(s)
    • Continue to affirm and model familyvalues: e.g., respect for self and others.
    • Your children need and respect limits.
    • Minimize and avoid nagging,derogatory commends andother belittling or demeaningmessages.
15 17 years anticipatory guidance parents15
15-17 Years….Anticipatory Guidance, Parents
  • ...Anticipatory Guidance for the Parent(s)
    • Spend time with your adolescentand continue show interest inhis/her plans and activities.
    • Respect your adolescent’sneed for privacy.
    • Fathers: Relax and let yourdaughters (and sons) come to you.
    • Know your child’s friends andtheir parents.
late adolescence 18 21 years
Late Adolescence:18-21 Years
  • Reach the “Age of Majority.”
    • Legally responsible for themselves.
  • Key Developmental Tasks
    • Focusing on achievingindependence.
    • Creating an adult sense of self.
    • Developing capacity for matureemotional intimacy, whilemaintaining emotional ties to the family.
18 21 years anticipatory guidance
18-21 YearsAnticipatory Guidance
  • Anticipatory Guidancefor the Late Adolescent
    • Take on new challenges that increase self confidence.
    • Continue to develop your identity,clarifying values and beliefs.
    • Accept who you are and enjoy boththe child and adult in you.
    • Trust you own feelings, listen to the ideas of good friends and valued adults
18 21 years anticipatory guidance18
18-21 Years...Anticipatory Guidance
  • ...Anticipatory Guidancefor the Late Adolescent
    • Seek help if you often feel angry,depressed, or hopeless.
    • Learn how to deal with stress.
    • Set reasonable but challenginggoals.
    • Understand the importance ofyour spiritual needs and try tofulfill them.
18 21 years anticipatory guidance parents
18-21 YearsAnticipatory Guidance, Parents
  • Anticipatory Guidancefor the Parent(s)
    • Encourage independentdecision-making.
    • Spend time with your children.
    • Respect their need for privacy.
    • Enhance self-esteem by showing affection,praising positive behavior, and recognizing efforts and achievements.
    • Establish joint expectations regarding family rules and responsibilities.
18 21 years anticipatory guidance parents20
18-21 Years...Anticipatory Guidance, Parents
  • ...Anticipatory Guidancefor the Parent(s)
    • Minimize criticism and avoidnagging, derogatory comments
    • Avoid belittling or demeaningmessages.
    • Talk with him/her about their plansfor independent living.
      • Ex: Money management, health care, food preparation, education, job or career.
bright futures in practice mental health
Bright Futures in Practice: Mental Health
  • Guidelines for mental health promotion and substance abuse prevention as integral parts of child health supervision.
  • Bright Futures in Practice: Mental Health will be published summer 2001.