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High School
14–18 years of age

During the high school years, teens are working towards identity formation and independence. Puberty, hormonal changes, and brain development towards an adult body and brain are underway. Reasoning skills and emotional intelligence are progressing. Peer relationships are important and teens might begin to explore romantic relationships during this time.

Developmental Milestones
Cultivating Communities for Change
The following milestones, including cognitive, social/emotional, and physical domains, are markers of a child’s development from infancy on into adolescence. They are used to help determine if a child is undergoing typical development and/or if support may be helpful for them.
Milestones
What is happening cognitively?
Cognitive skills continue to expand during adolescence. Teen’s brains have started the process of strengthening connections that are used often while pruning away those that are used less often. This process of cognitive pruning starts at the back of the brain and moves to the front, where decision-making happens. Teenagers might make impulsive decisions or take risks due to an increase in dopamine in their brains. However, they are better able to learn from these risks and are also developing their ability to think logically, understand emotional cues, see the world from different perspectives, and have a clearer view of their future.
What is happening cognitively?
Typically children at this developmental stage can:
  • take risks and learn from them
  • express strong emotions
  • follow routines on their own
  • juggle the responsibilities of home, school, extracurricular activities, social engagements, and/or work
  • set goals for the future and enact plans to achieve them
  • reason/anticipate in advance the consequence of choices and make adjustments accordingly (e.g., to avoid getting in trouble)
  • increase their problem-solving abilities
  • think about abstract issues such as morals, values, religion, and political or social justice issues
  • question or challenge rules
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Milestones
What is happening socially and emotionally?
In high school, youth continue working towards independence. Youth are developing their identity, which can involve trying out new activities, hobbies, and interests along with forming their own personal set of values. Teens continue to spend more time with friends and may have a close friend group. The time teens spend with family and caregivers decreases. Teens are also likely to show interest in or enter into romantic relationships during this period.
What is happening socially and emotionally?
Typically at this developmental stage teens:
  • develop their identity
  • spend more time with friends and develop close friendships
  • are better able to resist peer pressure
  • form their own personal values
  • want more privacy from family
  • spend less time with caregivers
  • have an increased ability to express their emotions and show that they care
  • experience Intense emotions
  • have increasing knowledge about romantic relationships and sex
  • might masturbate in private
  • might show physical affection or be physically intimate with a same-age peer
  • might enter romantic relationship with peer
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Milestones
What is happening physically?
During high school, youth continue to develop with puberty finishing for most girls during this period. Hormone levels will continue to change, height and weight might increase, body hair appears, sweat production increases, and acne is often seen. During high school, many boys will start to grow facial hair. For a child between 14 and 18 years old, fine motor skills will have mostly developed in relation to feeding, and adolescents will be developing and fine-tuning motor skills through activities such as competitive sports, learning to drive a vehicle, or playing musical instruments. 
What is happening physically?
Typically at this developmental stage:
  • girls’ growth spurt slows around 16 and they finish puberty between 15 and 17
  • breasts develop fully between ages 12 and 18
  • boys' growth spurt peaks around age 13 ½ and slows around age 18
  • pubic hair growth, as well as armpit, leg, chest, and facial hair, begins in boys at about age 12, and reaches adult patterns at about 17 to 18 years
  • girls body fat and boys muscle mass increases
  • both boys and girls voices lower, with the boys voices lowering much more
  • sweat glands become more active
  • hormonal changes may cause acne
  • boys may begin to notice that their penis, testicles, and scrotum grow as early as age 9; by 17 or 18, their genitals are usually at their adult size and shape
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Mind the Signs

MISSING CONTENT

  • Body development (early or late)
  • Peer relationships and fitting in
  • Peer influence
  • Parties
  • Bullying
  • Risk-taking
  • Crushes and romantic relationships
  • School stress – more responsibility, plans for the future
  • Increased need for privacy
  • Social media
  • Cell phone usage
  • Mental health
  • Sexual activity
  • Consent
  • Sexual and gender identity
  • Sudden changes in behavior
  • Dressing differently
  • Sudden fears (of certain places, of certain people, of being touched)
  • Sudden change in friend groups or trouble maintaining relationships
  • Avoiding activities they used to enjoy
  • Changes in schoolwork or grades
  • Changes in appetite or sleep habits
  • Nightmares
  • Headaches or stomach aches with no apparent physical cause
  • Spending lots of time online or is secretive about their online activities
  • Substance use
  • Delinquency
  • Self-harm
  • Sudden risk-taking behaviors (for example, driving erratically, risky sex)
  • Compulsive masturbation
  • Romantic or sexual relationship with someone older
  • Coercive sexual activity
  • Sharing sexually explicit pictures or videos without consent
  • Signs of a sexually transmitted infection or a urinary tract infection
  • Missed period
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