children s health issues
Behavioral Problems in Adolescents
Introduction
Adolescence is a time for developing independence. Typically, adolescents exercise their independence by questioning or challenging, and sometimes breaking, rules. Parents and doctors must distinguish occasional errors of judgment, which are typical and expected of this age group, from a pattern of misbehavior that requires professional intervention. The severity and frequency of infractions are guides. For example, regular drinking, frequent episodes of fighting, absenteeism from school without permission (truancy), and theft are much more significant than isolated episodes of the same activities. Other warning signs of a possible behavioral disorder include deterioration of performance at school and running away from home. Of particular concern are adolescents who cause serious injury to themselves or others or who use a weapon in a fight. Because adolescents are much more independent and mobile than they were as children, they are often out of the direct physical control of adults. In these circumstances, adolescents' behavior is determined by their own decision-making, which is not yet mature. Parents guide rather than directly control their adolescents' actions. Adolescents who feel warmth and support from their parents and whose parents convey clear expectations regarding their children’s behavior and show consistent limit setting and monitoring are less likely to develop serious problems. Authoritative parentingis a parenting style in which children participate in establishing family expectations and rules. This style of parenting involves limit setting, which is important for healthy adolescent development. Authoritative parenting, as opposed to authoritarian-style parenting (in which parents make decisions with minimal input from their children) or permissive parenting (in which parents set few limits) is most likely to promote mature behaviors. Authoritative parenting uses a system of graduated privileges, in which adolescents initially are given small bits of responsibility, such as caring for a pet, doing household chores, purchasing clothing, decorating their room, or managing an allowance. If adolescents handle a responsibility or privilege well over a period of time, more responsibilities and more privileges, such as going out with friends without parents and driving, are granted. By contrast, poor judgment or lack of responsibility leads to loss of privileges. Each new privilege requires close monitoring by parents to make sure adolescents comply with the agreed-upon rules. Some parents and their adolescents clash over almost everything. In these situations, the core issue is really control. Adolescents want to feel they can make or contribute to decisions about their lives, and parents are afraid to allow their children to make bad decisions. In these situations, everyone may benefit from the parents picking their battles and focusing their efforts on the adolescent's actions (such as attending school and complying with household responsibilities) rather than on expressions (such as dress, hairstyle, and preferred entertainment). Adolescents whose behavior is dangerous or otherwise unacceptable despite their parents' best efforts may need professional intervention. Substance use is a common trigger of behavioral problems, and Substance Use in Adolescents require specific treatment. Behavioral problems also may be symptoms of (See also Introduction to Problems in Adolescents .) 