The Teen Brain: Still Under Construction

Scott Carroll
Scott CarrollPediatric Neuropsychiatrist
The Teen Brain –
Or Why Adolescents are not Adults…
Scott Carroll, MD
Founder, Ayni Neuroscience Institute
www.scottcarrollmd,com
The Teen Brain…
Brain Anatomy and Function
Brain Anatomy – Limbic System
Neurons and Axons
Gray Matter vs. White Matter
White Matter Tracks
White Matter Tracks – Frontal View
Piaget – Cognitive Development
Neurons – Early Development
Neurons – Changes with Puberty
• Between 7 and 11
massive increase in
connections occur
• Intense pruning of
connections occur
between 12 and 14
• At 15 pruning slows and
myelination of the long
white matter tracks begin
Myelinated versus Unmyelinated
Local vs. Optimal Processing
Myelination – Last Phase of Growth
• Most myelination occurs
between 18 and 24 years
old
• The frontal lobes are the
last area to myelinate
• Judgment, emotional
stability and impulse
control become possible
around 25yo (car
insurance)
Psychosocial Development
• Eric Erikson described 8
stages of development
• Identity versus Role
Diffusion - 12 to early 20’s
• Teens shift between
different roles, eventually
settling on clear identity or
search endlessly
Biopsychosocial Development
• Increased peer focus
may do anything to be
different from parents and
accepted by peers
• Drive for independence
flip between being distant
and rejecting versus being
childlike and needy
What Does This All Mean?
• Teens frequently have “black/white” or “all or
nothing” thinking, which misses complexity and
pitfalls of a situation, problem or solution
• Teens can be very rational when calm or thinking
hypothetically, but under stress become confused and
overwhelmed by emotions and impulses
• Under stress their mental processes can regress to
“child-like” or even “preschool” thought patterns,
such as “magical thinking” or even fantasy.
Common Situations with Teens
• They often have (unrealistic) expectations of life or
believe they are (magically) protected from danger
• They may (magically) deny a problem exists and
avoid help, because “I just wanted to pretend …”
• Overwhelmed teens do have a back up plan and go
to a trusted adult and say, “Just tell me what to do!”
Techniques for Stressed Teens
• Slow down and use simple, concrete examples
• Be neutral, non-reactive and respectful of autonomy
• Try playing “Colombo”
• Try visualization or guided imagery
Follow Dr. Scott on:
 Twitter @ScottCarrollMD
 Facebook at Scott Carroll, MD
 And soon at
www.scottcarrollmd.com
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The Teen Brain: Still Under Construction

  • 1. The Teen Brain – Or Why Adolescents are not Adults… Scott Carroll, MD Founder, Ayni Neuroscience Institute www.scottcarrollmd,com
  • 3. Brain Anatomy and Function
  • 4. Brain Anatomy – Limbic System
  • 6. Gray Matter vs. White Matter
  • 8. White Matter Tracks – Frontal View
  • 9. Piaget – Cognitive Development
  • 10. Neurons – Early Development
  • 11. Neurons – Changes with Puberty • Between 7 and 11 massive increase in connections occur • Intense pruning of connections occur between 12 and 14 • At 15 pruning slows and myelination of the long white matter tracks begin
  • 13. Local vs. Optimal Processing
  • 14. Myelination – Last Phase of Growth • Most myelination occurs between 18 and 24 years old • The frontal lobes are the last area to myelinate • Judgment, emotional stability and impulse control become possible around 25yo (car insurance)
  • 15. Psychosocial Development • Eric Erikson described 8 stages of development • Identity versus Role Diffusion - 12 to early 20’s • Teens shift between different roles, eventually settling on clear identity or search endlessly
  • 16. Biopsychosocial Development • Increased peer focus may do anything to be different from parents and accepted by peers • Drive for independence flip between being distant and rejecting versus being childlike and needy
  • 17. What Does This All Mean? • Teens frequently have “black/white” or “all or nothing” thinking, which misses complexity and pitfalls of a situation, problem or solution • Teens can be very rational when calm or thinking hypothetically, but under stress become confused and overwhelmed by emotions and impulses • Under stress their mental processes can regress to “child-like” or even “preschool” thought patterns, such as “magical thinking” or even fantasy.
  • 18. Common Situations with Teens • They often have (unrealistic) expectations of life or believe they are (magically) protected from danger • They may (magically) deny a problem exists and avoid help, because “I just wanted to pretend …” • Overwhelmed teens do have a back up plan and go to a trusted adult and say, “Just tell me what to do!”
  • 19. Techniques for Stressed Teens • Slow down and use simple, concrete examples • Be neutral, non-reactive and respectful of autonomy • Try playing “Colombo” • Try visualization or guided imagery
  • 20. Follow Dr. Scott on:  Twitter @ScottCarrollMD  Facebook at Scott Carroll, MD  And soon at www.scottcarrollmd.com