ADOLESCENCE
DR . SANJAY PIPALWA
M.B.B.S.,D.G.O.
(OBSTETRICIAN & GYNAECOLOGIST,
LAPAROSCOPIC SURGEON)
KALRAV HOSPITAL & MATERNITY HOME,
SARTHANA, SURAT.
ADOLESCENCE
Transition period of life from childhood to
adult
Starting from 10 to be completed by 19
years of age
Meaning- ‘ to grow up’ or ‘to mature’
Synonyms- TARUNAWASTHA,
KISHORAWASTHA, PUBERTY, TEENAGE
CHANGES in body
Occur in both girls and boys, a year or two
earlier in girls than boys.
They are because of the hormonal changes.
Physical
Emotional and behavioural
Psychological
social
Physical changes
boys girls
Growth spurt Growth spurt
Oily skin Oily skin
Deepning of voice Breast devlopment
Prominent musculature Widening of pelvis (hip)
Axillary and pubic hair Axillary and pubic hair
appearance Enlargement of genitals
Moustache and beard Menstruation
appearance Sexual desire
Enlargement of genitals
Sexual desire
Emotional and behavioural changes
Emotional instability
Preoccupied with body image
Frequent mood changes
Curiosity and experimentation
Concerns and worries about the body changes
Conflicts with family/elders over control
Attraction towards opposite sex
Day dreaming and fantasizing
Relationships tend to be oriented from parents to
peers.
Psychlogical thinking
Concrete thinking (10-14 yrs)
Long term implications of actions not perceived
Thinking is more abstract(15-17yrs)
• Capable of long range thinking but Reverts to
concrete thinking when under stress
Established abstract thinking(18-19yrs)
Future oriented
Perceives long range options
Acceptance of social institutions and cultural
traditions
Social changes
Curiosity and experimentation
Adolescents are curious, innovative, exploring and
experimenting. Fascinated by “adult” behaviours;
they are motivated to try out forbidden activities
like rash driving, physical abuse, smoking and
experiments with drugs.
Peer influence outweighs parental affection
Adolescents need frequent validation by others and
they desperately seek peer acceptance. They are
fiercely loyal to peer group values and peers’
opinions become most influential and guide the
flow of their life.
Social changes
Desire for independence and prove their
identity
Anxiously searching for identity, adolescents
attach great importance to status symbols, as
reflected by their possessions and clothing.
• Idealism and confrontation with religion,
traditions and moral value
Adolescents are idealistic and have strong sense
of fairness. They criticize, challenge and
confront moral values and ask frequent,
ambiguous questions about the meaning of life.
Why this session?
Adolescence is like fireball
Full of anger , instability and uncertainity
YET has tremendous amount of energy,
infinite innovative ideas and strong desire of
achieving lots of goals
So, guiding the FIRE in right way at the right
time can lead to a wonderful human adult at
the end.
Long way 10….. To…….19 years
So it’s a session to be continued till then…
PROBLEMS & SOLUTIONS
A. DIETARY
BINGE EATING>>>proper eating habits,
healthy nutritious food, avoiding fast food,
ALWAYS healthy breakfast
ANOREXIA NERVOSA> counselling
PHOBIA OF GETTING FATTY> because of
self body perception---counselling
PROBLEMS & SOLUTIONS
B) Emotional and behavioural problems
Constant communication by parents and teachers
Always clear your curiosities by asking your teachers ,
parents , elder siblings or GOOD FRIENDS
Solve your conflicts soon with anybody in a positive
way
Respect your elders always
Learn to respect opposite gender equally
Never bully anyone
PROBLEMS & SOLUTIONS
C) Social problems
indulgence in forbidden activities like
smoking ,rash driving,physical abuse to
opposite gender or experiments with drugs can
be prevented by
Avoiding trust on strangers
Always respect girls as they can be your family
members too
Always stay away from bad company
Focus on study, innovative recreational activity
and enjoy them with good company of friends
PROBLEMS & SOLUTIONS
D) Desire of independence and of being
status symbol
-yes it is their right but many a times it is
not with their parents acceptance.
AT THE END
WHAT DO WE WANT?
--An adolescent transformed into an adult who is
• Physically fit and healthy
• Educationally sound
• Emotionally stable
• Respectable to his/her younger ones
• Kind hearted and obedient
• Desirable by society
• Cheerfull and loving
HUMAN BEING
WHO CAN LIVE HIS/HER LIFE WITH ETERNAL JOY.
Factors For A Healthy Adolescence
Maintain a habit of
A supportive home Have a good circle of health,nutrition &
friends
enviroment exercise
Constructive feedback Open discussions about Faster positive engogament
media & soccial networking &responsibility
from teachers