TABLE 1.

Typical features of puberty.

Physical changes	Mental/Emotional changes
Breast, penis, testicle development	Mood swings – aggression, emotional surges, bouts of crying
Body hair – appearance in armpits and pubic area	Changes in sleep patterns and fatigue
Growth spurts and weight gain	Changes in social behavior
Menstruation and menstrual symptoms – nausea, cramps, bloating, diarrhea, aching in upper thighs, headache, backache, stomach ache	Menstrual symptoms – changes in appetite
Widening of the hips/shoulders	Risk-taking/novelty-seeking behaviors
Increased subcutaneous fat distribution/muscle development	Cognitive development

Typical physical and mental/emotional changes are shown. Adapted from Larson et al. (1980),Wheeler (1991), and Viner and Christie (2005).