Developmentally, puberty is accompanied by major physical and emotional changes that alter a young person’s relationships and patterns of interaction with others. The transition into adolescence begins the move toward independence from parents and the need to establish one’s own values, personal and sexual identity, and the skills and competencies needed to compete in adult society. Independence requires troubled teens home to re-negotiate family rules and degree of supervision by parents, a process that can generate conflict and withdrawal from parents. At the same time, social networks expand, and relationships with peers and adults in new social contexts equal or exceed in importance the relationships with parents. The criteria for success and acceptance among peers and adults change.

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