Mental Health Worries: Why Might Adolescence Be A Stressful Time For Many Teenagers?

Medically reviewed by Nikki Ciletti, M.Ed, LPC
Updated March 4th, 2025 by BetterHelp Editorial Team

Adolescence is a transitional period between childhood and adulthood characterized by rapid physical, cognitive, social, and emotional development. It typically occurs between 10 and 19 years of age; however, not everyone fits into that range. Some people experience puberty earlier, some later. Others experience delays in the traditional “transition” from adolescence to young adulthood, prompting some experts to suggest changing the label of adolescence to encompass ages 10 to 24

The rapid changes teens experience during adolescence can lead them to be particularly vulnerable to the effects of stress, significantly impacting their mental and physical health and potentially leading to long-term consequences in adulthood if not appropriately addressed. With early intervention and support, adolescents can learn healthy coping mechanisms for managing stress throughout their lives. This article outlines the developmental, social, and emotional changes young people experience during adolescence. It also provides suggestions for coping with some of the stressors associated with these changes. 

A group of teens sit outside on a step while looking at their phones with neutral facial expressions
Getty/JackF
Adolescence can be stressful for teens and their parents

Stress and physical changes during adolescent development

Even typical developmental challenges can seem overwhelming during adolescence. The maturing brain's heightened stress response can impact development and mental health in some cases. If not managed effectively, the impacts of adolescent stress can lead to various behavioral and emotional challenges.

Hormonal changes and adolescent health

Although hormones aren't responsible for all of the changes that occur during adolescence, hormonal changes are perhaps among the most dramatic. They trigger significant physical and brain development, particularly in areas related to decision-making and emotional regulation. Some individuals may also experience hormonal imbalances that can complicate these changes. 

Biological changes 

At the beginning of puberty, the brain usually releases gonadotropin-releasing hormone (GnRH), triggering the pituitary gland to secrete follicle-stimulating hormone (FSH) and luteinizing hormone (LH) into the bloodstream. Such hormones are responsible for several developmental changes in adolescence. Individuals typically experience a growth spurt in weight and height, as well as the development of secondary sexual characteristics, such as breast growth in girls and facial hair growth in boys. While they're entirely normal during puberty, such physical changes can lead to body image concerns and insecurity for young people. 

Adolescent development in cognition

Cognitive changes in adolescence are also heavily related to hormonal shifts. During puberty, individuals tend to shift more toward abstract thinking and self-awareness. As they mature, kids often gain more responsibility for aspects of their lives like school performance and social behavior. Adolescent brain development during this time generally accommodates this increase in decision-making responsibilities. The brain areas responsible for decision-making continue to mature into the early twenties

Social changes, parents, and stress  

Adolescent changes in physical and cognitive development also contribute to a shift in focus toward relationships and self-awareness. Such developments in socio-emotional learning can create potential conflict and misunderstanding within family and peer relationships, as well as with authority figures. The stress associated with such changes can manifest as more time spent with friends, increased arguments with parents, and heightened sensitivity to peer acceptance or rejection.

Peer relationships and mental health

Healthy relationships tend to be critical to mental health in all stages of life, but the quality of an adolescent’s relationships plays a significant role in shaping mental health. Positive peer connections can foster a sense of belonging, support self-esteem, and promote healthy coping mechanisms. 

On the other hand, negative peer interactions can contribute to anxiety disorders, depression, and other mental health conditions. Adolescents, teens, and young adults often face different social challenges than their older counterparts. For example, cyberbullying is a common experience for many adolescents that can significantly harm their self-esteem and mental health. 

In addition, pressure to engage in risky behaviors like substance use can arise from negative peer influences. Frequent conflicts or aggressive interactions with peers can contribute to stress and mental health challenges. These issues can contribute to safety concerns as well as being emotionally distressing.

Parents and family dynamics 

During adolescence, individuals may seek more autonomy and increased independence, leading to potential conflict as they strive to establish their own identities. This often results in less time spent with parents and a more equal dynamic in their interactions than in childhood, during which the parent may have held much more authority. This shift may also result in more meaningful conversations and a stronger emotional bond with parents based on mutual respect and understanding.

A girl in a black jacket with a neutral facial expression hugs another girl In a pink top
Getty/FatCamera

Academic and future pressures 

Growth spurts, body image concerns, and hormonal fluctuations can lead to mood swings, fatigue, and difficulty focusing in class. While an adolescent’s developing brain allows for abstract thinking and complex problem-solving, it can also lead to impulsivity, risk-taking behavior, and challenges with decision-making, potentially affecting study habits and time management skills. Additionally, an increased focus on peer relationships, social acceptance, and fitting in can sometimes contribute to pressure to prioritize social activities over studying. 

Emotional changes and mental health challenges 

The interplay of physical changes, social pressures, and identity development during adolescence can lead to significant emotional changes. These might include increased mood swings, irritability, sensitivity, and fluctuations in self-esteem. When unaddressed, such emotional changes can sometimes manifest as mental health challenges like anxiety, depression, eating disorders, and behavioral issues.

Identity formation

During adolescence, individuals often question and explore different aspects of themselves, including their values, beliefs, interests, and social roles. This process may eventually lead to a deeper understanding of who one is and how one fits into the world, but it can also create struggles with self-concept and self-esteem. Sensitivity to peer feedback and a desire to establish a rooted sense of self can lead to pressures in establishing a personal identity. 

Emotional regulation

Adolescence is a time when many individuals actively develop their emotional regulation abilities, learning to identify emotions, assess situations, and choose appropriate responses. Brain changes and hormonal fluctuations can amplify emotional intensity, making managing strong feelings like anger, sadness, and excitement more difficult. When teenagers struggle to navigate complex social situations with peers and family, it can add to emotional regulation challenges and increase stress and anxiety.

Social media and adolescent health

While social media can facilitate positive social interactions and foster connectedness, it may be harmful when the use becomes excessive or involves negative comparisons and interactions. Research indicates that spending significant time on social media can double the risk of experiencing adverse mental health outcomes in teenagers. Depression and anxiety, poor body image, disrupted sleep patterns, increased social comparison, and exposure to cyberbullying are typical examples of mental health challenges adolescents may face in response to the influence of social media. 

Strategies to manage stress

The challenges adolescents face can seem overwhelming at times. However, it is possible to cope with the stress associated with adolescence and thrive. Some stress-management strategies include the following:

  • Prioritizing healthy habits like regular exercise, sufficient sleep, and balanced meals
  • Participating in activities that nourish and bring joy
  • Practicing relaxation techniques like deep breathing, meditation, yoga, and progressive muscle relaxation
  • Limiting screen time
  • Establishing healthy boundaries with others
  • Developing time management skills  

Manage stress with support from others

Support from friends, family, teachers, mentors, and peers can significantly affect how an individual copes with adolescent life. Research also shows the quality of such support can substantially impact an individual’s ability to develop strong relationships and healthy self-esteem later in life

How can older adults support adolescents in their growth and help them cope with stress? Studies reveal that communication between adolescents and their caregivers can be essential. Extracurricular activities and community involvement can be positive outlets, especially with the participation of mentors and community leaders. Additionally, adolescents are often influenced by the behaviors of the older adults around them. Modeling behaviors like healthy lifestyle habits can show adolescents how to care for their mental health while feeling safe and supported.

A girl in a green shirt with a neutral expression sits on a chair while talking to a woman in a white shirt holding a tablet
Getty/SDI Productions
Adolescence can be stressful for teens and their parents

Getting professional help

Self-care and resilience-building strategies can help young people and their families navigate the challenges of adolescence. Sometimes, however, those challenges may seem too overwhelming to handle alone. In such cases, therapy can be a valuable tool. Studies show that therapy for adolescents, particularly evidence-based modalities like cognitive behavioral therapy (CBT), can effectively reduce symptoms, improve functioning, and teach coping skills

Research also shows that family engagement in the therapeutic process can dramatically increase positive outcomes, although updated research may be needed. Still, some obstacles to treatment may deter families from seeking help. Accessibility issues, trouble with coordinating schedules, affordability, and stigma associated with mental health treatment are a few common examples. 

Virtual therapy can provide solutions for parents and teens experiencing such treatment barriers. Online therapy platforms frequently offer flexible scheduling options, as well as access to a broader pool of mental health professionals. Some people appreciate the convenience of attending sessions at home, particularly if they're concerned about stigma and judgment from others. In addition, online therapy is often more affordable than conventional treatment without insurance, and many platforms offer financial assistance for qualifying individuals. 

Research indicates that internet-delivered mental health treatment can be as effective as conventional, in-person treatment. According to a 2024 systematic review and meta-analysis, online therapy for adolescents typically led to improvements in depression, anxiety, and social function.

Takeaway

Physical changes, social challenges, relationship dynamics, and struggles with emotion regulation are a few examples of the difficulties faced by many adolescents. Parents, educators, and mentors can foster a supportive environment for young people to grow and cultivate better mental health. If you or a young person you know needs support, early intervention is often the key to success. Online therapy can be an accessible and convenient way to connect with a licensed mental health professional.
Learn to cope with the challenges of adolescence
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