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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 • 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 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 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 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 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, 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, 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 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 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 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 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 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, 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, 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 • 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 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 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 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, 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 • 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.