Physical Changes: Growing Up

Puberty marks the beginning of significant physical changes in adolescents. Their bodies are transforming into adult bodies, which includes changes like the growth of body hair, deepening of the voice, and, for girls, the onset of menstruation. These changes can make adolescents feel uncomfortable or self-conscious, especially when their bodies develop at different rates compared to their peers.

My Advice:
I always make it a point to speak to my patients about these physical changes with understanding. But I make sure they understand that these changes are a part of growing up, saying, “Look, I know this can feel strange, and it’s easy to compare yourself to others, but you have to understand—everyone’s body develops differently. Don’t rush or worry about how others are progressing. It’s your own journey, and I want you to embrace it fully, even if it feels awkward sometimes.”

2. Emotional and Mental Health Issues

Adolescence brings about emotional turmoil, often due to hormonal changes. Teens may feel confused, sad, anxious, or angry without fully understanding why. Pressure from school, friendships, and finding their identity can add to their emotional struggles.At times, emotional struggles such as anxiety or depression may emerge.

My Advice:
I always address their emotional health with compassion, but with a sense of urgency. I tell them, “I get it—it’s tough. But if you keep bottling up your feelings, they will get worse, and I’m not going to let that happen. It’s okay to feel overwhelmed, but you need to talk about it. Expressing yourself isn’t a weakness—it’s a strength. And don’t ignore the things that make you anxious or sad. We need to tackle them head-on, not let them control you.”

3. Social and Peer Pressure

Adolescents are highly influenced by their peers, and the pressure to fit in can lead them to make poor decisions—like experimenting with smoking, drinking, or engaging in other risky behaviors. Bullying and social rejection are also common struggles, especially with the rise of social media.

My Advice:
When it comes to peer pressure, I take a firm yet caring stance: “You can’t let others dictate your decisions. I know you want to fit in, but you have to remember—what’s important is sticking to your values, not just doing what everyone else is doing. If your friends encourage you to do things that don’t align with your values, it may be time to rethink those friendships. I want you to be strong and make decisions based on what feels right for you.”

4. Academic and Career Pressure

As teens grow older, the pressure to succeed in school and to start thinking about their careers can become overwhelming. Concerns about academics, exams, and the future can create stress, anxiety, and even exhaustion.

My Advice:
I always try to balance encouragement with a firm reminder of the importance of managing pressure. “Yes, your future is important, but it’s not the end of the world if you don’t have everything figured out right now. Don’t let academic stress take over your life. Take it one step at a time. You don’t need to be perfect, you just need to give your best. But don’t you dare forget to take care of yourself. If I catch you burning out, we’re going to talk about finding balance, because your mental health matters more than any grade.”

5. Sexuality and Relationships

As adolescents mature, they begin to explore their sexuality and may have romantic or sexual relationships. This period can be confusing, especially with the influence of media and peer pressure. Issues surrounding sexual identity, gender identity, and relationships can create feelings of uncertainty.

My Advice:
I make sure to provide clear, non-judgmental guidance while also holding them accountable. “Listen to me carefully—this is your journey, and it’s okay to be confused, but you must never rush into anything you’re not ready for. Make informed choices, stay cautious, and ask for help if you’re uncertain about something. Don’t let peer pressure define your decisions. You get to decide when you’re ready. Your body, your rules.”

6. Substance Abuse and Risk-Taking Behaviors

Experimenting with alcohol, drugs, or smoking due to stress or peer influence can be harmful, and reckless behavior may have lasting consequences.

My Advice:
I speak to my patients firmly, but out of care and concern. “You’re not going to get away with pretending that these things are harmless. Alcohol, drugs, smoking—these things can mess you up in ways you can’t even imagine. You’re smarter than that. If I find out that you’re doing these things, we’ll have a serious talk. I want you to make decisions you can be proud of, and not just follow the crowd.”

7. Family Dynamics and Relationships

The need for independence grows in teens, which can sometimes lead to disagreements with parents as they assert themselves. Issues like family problems, financial struggles, or divorce can also affect their emotional well-being.

My Advice:
I always encourage open communication, but with an insistence on respect and understanding. “I know you want independence, but you can’t throw respect out the window while you’re claiming it. Talk to your parents, communicate your needs, and understand theirs. I know it can be hard, but you have to try harder to navigate these relationships. I’m not saying it’s easy, but being stubborn won’t get you anywhere.”

8. Digital and Social Media Influence

Social media is a big part of teen life, keeping them connected but also influencing their mental well-being. Constant online comparisons can affect self-worth and confidence.

My Advice:
I give my patients a direct, honest talk about social media. “You are not your online profile. You are so much more than what you post or what people say online. Stop comparing yourself to others—do you hear me? If you allow social media to dictate your happiness, you might lose sight of the truly important things in life. Get off that screen when you start feeling less than, and spend time with people who lift you up.”

9. Developing Independence and Autonomy

As teens grow, they strive for independence and may resist authority. This can sometimes lead to defiance, but it’s an important part of their development.

My Advice:
While I support their desire for independence, I remind them with a caring but firm approach: “You want independence? Great, but with independence comes responsibility. You can’t just make decisions without thinking about the consequences. I’ll give you the space you need, but when you mess up, you have to own it. And I’ll be right here to guide you, whether you like it or not.”

10. Self-Esteem and Body Image Issues

Teens often struggle with their body image, worrying about how they look, especially in the age of social media. Society’s standards of beauty can lead to feelings of insecurity and self-doubt.

My Advice:
With love, but a bit of tough love, I tell my patients: “Stop worrying so much about what others think about your looks. You are so much more than that. Your character, your intelligence, your kindness—that’s what makes you truly beautiful. Don’t let anyone make you feel otherwise. Take care of your body, but don’t let your appearance define you.”