Pre-teen and young teen years begin a child’s work towards identity formation and independence. Puberty and hormonal changes that may have emerged in late childhood increase in intensity. Pre-teens and young teens undergo many rapid changes in their thinking, their bodies, and their social interactions. As they begin to consider others’ perspectives, brain development and increased emotional intelligence leads pre-teens to make decisions with more nuanced reasoning. Alongside these new developments come changes in emotional state as they begin to assert their independence from parents and focus their attention on navigating through peer social groups at school.
Middle School (ages 11-13)

Pre-teens and young teens often make impulsive decisions or take risks due to changes in brain structure, function, organization, and chemical activity which may lead to blending strong emotions with logical thinking as they develop their own sense of right and wrong. Because of this, parents can anticipate receiving pushback from their children as they look to take on more responsibilities, experience mood swings, and engage in impulsive or risky behaviors.
At the same time, children grow more considerate as they begin to empathize with other perspectives, understand complex problems using abstract reasoning, and realize the consequences of their actions for themselves and other people. Pre-teens and early teens are also beginning to learn from these risks and develop their ability to think more logically, understand emotional cues, and see the world from different perspectives.
- take primary responsibility for their school assignments and daily living
- reason through/anticipate the consequence of choices and make adjustments accordingly (e.g., to avoid getting in trouble)
- increase their problem-solving abilities
- take on different perspectives
- challenge the reasoning behind rules and societal standards
- push back against caregivers and assert independence
- think further into the future and create plans for future achievements
- understand and use sarcasm or idioms
- engage in more impulsive and risky behaviors
- develop their own morals, values, and sense of justice
- envision how others perceive them
- blend logic and emotion in their decision making
- increase their desire for independence
- work on finding a friend group where they feel they belong
- try different clothing styles and hobbies
- question who they are and what values matter to them
- become invested in different subcultures
- explore sexual orientation, gender identity, and gender presentation
- want more privacy from family/expresses boundaries
- experience fluctuations in mood/mood swings
- develop increasing knowledge about and experience with romantic relationships and sex
- masturbate in private
- show affection (e.g., hugging or kissing) to peers their age
- take “sexy” photos of themselves while clothed
- be self-conscious and experience conflict with self-image/self-confidence
- understand and replicate social or emotional cues
- hormonal changes leading to physical development/puberty
- increased importance of hygiene becomes as sweat production and body odors increase
- increases in overall muscle mass and strength
- changes in sleep patterns with teens requiring 8-10 hours of sleep
- clumsiness as they adjust to their body’s rapid changes
- changes in voice with some deepening more than others
- acne
- increases in body hair
- development of secondary sexual characteristics, resulting in the budding of breasts, descent of the testes, and other similar changes
- menarche, with menstrual cycles becoming more regular in frequency

Mind the Signs
Adults and caregivers in a child’s life can keep an eye out for the following concerns that caregivers or children might have. Items under typical worries, such as separation anxiety or fear of the bath, are expected in infants and toddlers and are likely to go away with time. Items under warning signs, such as withdrawing from certain people or showing little interest in playing, might be a sign that something more serious is going on in a child’s life. If your child is exhibiting a behavior under the warning signs category and you are concerned, you should contact your child’s pediatrician or a professional of your choice for guidance.

Typical or Expected Worries:
- Being self-conscious about their body developing or starting their period
- Fitting in with their peer group
- Comparison on social media
- Having the same level of independence as their peers
- Whether to engage in parties, drinking, or smoking
- Taking risks
- Being bullied at school or online
- Crushes and romantic relationships
- Getting homework done
- Being safe at school
- Death and dying
- Not having enough privacy
- Whether they will be accepted for their sexuality or gender identity
Warning Signs
- Acting younger than their age
- Withdrawing from their social groups, both gradually and suddenly
- Sudden change in clothing, sleep habits, appetite, activities, or school work
- Actively and persistently avoiding certain activities, places, or people
- Spending lots of time online or is secretive about their online activities
- Risky sexual behaviors such as unprotected sexual activity, public sexual activity, or sexual activity that results in self-harm
- Fixation on sex (can be seen in language, persistent questions, drawings, etc.) or masturbation to the extent that it impacts other aspects of their life
- Signs of a sexually transmitted infection or urinary tract infection; missed period
- Engage in sexually inappropriate behavior that violates the consent of others
- Spend large amounts of time with older peers or people to the point where they become isolated from peers their age
- Experience physical symptoms such as nausea or pain they can’t explain well

Safe Haven is a Grand Rapids-based organization dedicated to the prevention and response of multiple forms of violence.
The Children’s Advocacy Center (CAC) of Kent County is a multidisciplinary organization dedicated to supporting children.
The Grand Rapids Public Library (GRPL) is key to a dynamic, creative, livable city where people come together to learn and be heard.
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