Vim & Vigor - Winter 2019 - CH - 42

QUIZ BY LEXI DWYER

FREAK OUT
OR CHILL OUT?
If your child is going through the whirlwind
of puberty, you might feel overwhelmed, too.
Here's how to know when to see a doctor
and when to just breathe deeply

42

W IN TER 2019

Q

My 8-year-old daughter has just
a single, tender lump under
one nipple.
Is it possible to just have a single
breast bud at first (rather than two),
or is it some kind of cyst or growth?
IT'S LIKELY A BREAST BUD. These are
one of the first signs of puberty for girls,
and they can show up as early as age 8. It's
also common for one side to develop first.
"Sometimes it's tender, and it can be more
so if a kid plays with it a lot, but this is well
within the range of normal," Trent says.

Q

My preteen has become so
moody-the smallest problems
can turn into huge dramas with
almost no warning. This morning, she
couldn't find her favorite earrings and
sobbed in her room.
Does this mean it's time to see
a psychologist?
NOT NECESSARILY. "Some moodiness, a little bit of attitude, mixed in with
bright, overflowing joy from one day

to the next is common during adolescence," Trent says. After all, not only can
surging hormones cause mood swings,
but preteen and teen brains are also
developing and, as Trent says, "there's
a lot happening with identity, self-image
and relationships with friends."
But if your child is exhibiting signs
such as isolation, thoughts of self-harm,
a drop in grades or waning interest in
things previously enjoyed, start with a
pediatrician visit. "We can speak to them

PHOTO BY GETTY IMAGES

Pimples, mood swings,
body odor and that first
period: There's a lot going
on when your tween or teen hits
puberty. This multiyear process of
sexual, physical and emotional maturation can start anywhere from ages
8 to 13 in girls and about one year
later in boys. Not only might you be
having your own teen flashbacks, but
you also may not be sure of what's
normal medically.
"Puberty is a transitional process that I see as a quite beautiful
time period, one in which a young
person grows tremendously-the
only time they grow more is during
their first year of life," says pediatrician and research scientist Maria
Trent, MD, MPH, president of the
board of directors of the Society
for Adolescent Health and section
chair on adolescent health for the
American Academy of Pediatrics.
Along with her positive outlook, Trent
offers suggestions about when to call
the doctor and when to relax.



Vim & Vigor - Winter 2019 - CH

Table of Contents for the Digital Edition of Vim & Vigor - Winter 2019 - CH

Contents
Vim & Vigor - Winter 2019 - CH - Cover1
Vim & Vigor - Winter 2019 - CH - Cover2
Vim & Vigor - Winter 2019 - CH - Contents
Vim & Vigor - Winter 2019 - CH - 2
Vim & Vigor - Winter 2019 - CH - 3
Vim & Vigor - Winter 2019 - CH - 4
Vim & Vigor - Winter 2019 - CH - 5
Vim & Vigor - Winter 2019 - CH - 6
Vim & Vigor - Winter 2019 - CH - 7
Vim & Vigor - Winter 2019 - CH - 8
Vim & Vigor - Winter 2019 - CH - 9
Vim & Vigor - Winter 2019 - CH - 10
Vim & Vigor - Winter 2019 - CH - 11
Vim & Vigor - Winter 2019 - CH - 12
Vim & Vigor - Winter 2019 - CH - 13
Vim & Vigor - Winter 2019 - CH - 14
Vim & Vigor - Winter 2019 - CH - 15
Vim & Vigor - Winter 2019 - CH - 16
Vim & Vigor - Winter 2019 - CH - 17
Vim & Vigor - Winter 2019 - CH - 18
Vim & Vigor - Winter 2019 - CH - 19
Vim & Vigor - Winter 2019 - CH - 20
Vim & Vigor - Winter 2019 - CH - 21
Vim & Vigor - Winter 2019 - CH - 22
Vim & Vigor - Winter 2019 - CH - 23
Vim & Vigor - Winter 2019 - CH - 24
Vim & Vigor - Winter 2019 - CH - 25
Vim & Vigor - Winter 2019 - CH - 26
Vim & Vigor - Winter 2019 - CH - 27
Vim & Vigor - Winter 2019 - CH - 28
Vim & Vigor - Winter 2019 - CH - 29
Vim & Vigor - Winter 2019 - CH - 30
Vim & Vigor - Winter 2019 - CH - 31
Vim & Vigor - Winter 2019 - CH - 32
Vim & Vigor - Winter 2019 - CH - 33
Vim & Vigor - Winter 2019 - CH - 34
Vim & Vigor - Winter 2019 - CH - 35
Vim & Vigor - Winter 2019 - CH - 36
Vim & Vigor - Winter 2019 - CH - 37
Vim & Vigor - Winter 2019 - CH - 38
Vim & Vigor - Winter 2019 - CH - 39
Vim & Vigor - Winter 2019 - CH - 40
Vim & Vigor - Winter 2019 - CH - 41
Vim & Vigor - Winter 2019 - CH - 42
Vim & Vigor - Winter 2019 - CH - 43
Vim & Vigor - Winter 2019 - CH - 44
Vim & Vigor - Winter 2019 - CH - 45
Vim & Vigor - Winter 2019 - CH - 46
Vim & Vigor - Winter 2019 - CH - 47
Vim & Vigor - Winter 2019 - CH - 48
Vim & Vigor - Winter 2019 - CH - 49
Vim & Vigor - Winter 2019 - CH - 50
Vim & Vigor - Winter 2019 - CH - 51
Vim & Vigor - Winter 2019 - CH - 52
Vim & Vigor - Winter 2019 - CH - 53
Vim & Vigor - Winter 2019 - CH - 54
Vim & Vigor - Winter 2019 - CH - 55
Vim & Vigor - Winter 2019 - CH - 56
Vim & Vigor - Winter 2019 - CH - Cover3
Vim & Vigor - Winter 2019 - CH - Cover4
https://www.nxtbook.com/nxtbooks/manifest/vimvigor_2020summer-ch
https://www.nxtbook.com/nxtbooks/manifest/vimvigor_2020spring-ch
https://www.nxtbook.com/nxtbooks/manifest/vimvigor_2019winter-ch
https://www.nxtbook.com/nxtbooks/manifest/vimvigor_2019fall-ch
https://www.nxtbook.com/nxtbooks/manifest/vimvigor_2019summer-ch
https://www.nxtbook.com/nxtbooks/manifest/vimvigor_2019spring-ch
https://www.nxtbook.com/nxtbooks/manifest/vimvigor_2018winter-ch
https://www.nxtbook.com/nxtbooks/manifest/vimvigor_2018fall-ch
https://www.nxtbook.com/nxtbooks/manifest/vimvigor_2018summer-ch
https://www.nxtbook.com/nxtbooks/manifest/vimvigor_2018spring-ch
https://www.nxtbook.com/nxtbooks/manifest/vimvigor_2017winter-ch
https://www.nxtbook.com/nxtbooks/manifest/vimvigor_2017fall-ch
https://www.nxtbook.com/nxtbooks/manifest/vimvigor_2017summer-ch
https://www.nxtbook.com/nxtbooks/manifest/vimvigor_2017spring-ch
https://www.nxtbook.com/nxtbooks/manifest/vimvigor_2016winter-ch
https://www.nxtbook.com/nxtbooks/manifest/vimvigor_2016fall-ch
https://www.nxtbook.com/nxtbooks/manifest/vimvigor_2016summer-ch
https://www.nxtbook.com/nxtbooks/mcmurry/vimvigor_2016spring-ch
https://www.nxtbook.com/nxtbooks/mcmurry/vimvigor_2015winter-ch
https://www.nxtbook.com/nxtbooks/mcmurry/vimvigor_2015fall-ch
https://www.nxtbook.com/nxtbooks/mcmurry/vimvigor_2015summer-ch
https://www.nxtbook.com/nxtbooks/mcmurry/vimvigor_2015spring-ch
https://www.nxtbook.com/nxtbooks/mcmurry/vimvigor_2014winter-ch
https://www.nxtbook.com/nxtbooks/mcmurry/vimvigor_2014fall-ch
https://www.nxtbook.com/nxtbooks/mcmurry/vimvigor_2014summer-ch
https://www.nxtbook.com/nxtbooks/mcmurry/vimvigor_2014spring-ch
https://www.nxtbook.com/nxtbooks/mcmurry/vimvigor_2013winter-ch
https://www.nxtbook.com/nxtbooks/mcmurry/vimvigor_2013fall-ch
https://www.nxtbook.com/nxtbooks/mcmurry/vimvigor_2013summer-ch
https://www.nxtbook.com/nxtbooks/mcmurry/vimvigor_2013spring-ch
https://www.nxtbook.com/nxtbooks/mcmurry/vimvigor_2012winter-ch
https://www.nxtbook.com/nxtbooks/mcmurry/vimvigor_2012fall-ch
https://www.nxtbook.com/nxtbooks/mcmurry/vimvigor_2012summer-ch
https://www.nxtbook.com/nxtbooks/mcmurry/vimvigor_2012spring-ch
https://www.nxtbook.com/nxtbooks/mcmurry/vimvigor_2011winter-ch
https://www.nxtbook.com/nxtbooks/mcmurry/vimvigor_2011fall-ch
https://www.nxtbook.com/nxtbooks/mcmurry/vimvigor_2011summer-ch
https://www.nxtbook.com/nxtbooks/mcmurry/vimvigor_2011spring-ch
https://www.nxtbook.com/nxtbooks/mcmurry/vimvigor_2010winter-ch
https://www.nxtbook.com/nxtbooks/mcmurry/vimvigor_2010fall-ch
https://www.nxtbook.com/nxtbooks/mcmurry/vimvigor_2010summer-ch
https://www.nxtbook.com/nxtbooks/mcmurry/vimvigor_2010spring-ch
https://www.nxtbookmedia.com