Anticipatory Guidance Adolescence: Mental Health

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Anticipatory GuidanceAdolescence Mental Health
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Early Adolescence11-14 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.

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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 adolescents
  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.

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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.

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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.

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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 adolescentsneed for privacy
• Spend time with youradolescent.

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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.

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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.

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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.

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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.

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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.

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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.

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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.

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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.

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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 adolescentsneed for privacy.
• Fathers Relax and let yourdaughters (and sons)
  come to you.
• Know your childs friends andtheir parents.

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Late Adolescence18-21 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.

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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

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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.

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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.

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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.

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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.