Puberty begins the transformation from child to adult through hormonal and physical changes over 3 to 5 years. It starts with growth spurts and development of primary and secondary sex characteristics. While these changes are normal, some adolescents experience problems like early sexual activity, teenage pregnancy, STIs, sexual abuse, or drug use. Nutrition and stress can also impact pubertal development. The brain continues developing into the mid-20s, which may explain some risky behaviors due to an immature prefrontal cortex regulating impulses.