How to Monitor Your Daughter’s Physical and Emotional Health During Puberty

Breast development (starts between ages 8-13)

Growth spurts – She may grow several inches quickly

Hips widening – A normal part of puberty

Body hair growth – Underarm and pubic hair will appear

What to do

• Track height and weight yearly

• Ensure a balanced diet for healthy growth

• Reassure her that everyone develops at their own pace

Periods may be irregular at first but should stabilise within 2 years

Look for severe pain, heavy bleeding, or very irregular cycles

What to do

• Encourage her to track her periods (use an app or journal)

• Teach her how to manage periods with good hygiene

• Watch for signs that may need medical attention

Acne and oily skin – Common due to hormonal changes

Hair texture may change

What to do

• Encourage a gentle skincare routine

• Consult a doctor if acne is severe

• Reassure her that changes are normal

Puberty can disrupt sleep due to hormonal shifts

She needs 8-10 hours of sleep per night

What to do

• Set a consistent sleep schedule

• Reduce screen time before bed

• Create a calming bedtime routine

Her body needs more calcium, iron, and protein

Watch for low energy or dizziness (possible vitamin deficiency)

What to do

• Encourage healthy eating habits

• Ensure she gets enough iron, protein, and essential vitamins

• Address any nutritional gaps with professional advice

Mood swings are normal but extreme emotional distress is not

She may feel more sensitive, irritable, or anxious

What to do

• Be patient and supportive

• Encourage open conversations about her feelings

• Teach her healthy coping strategies (journaling, exercise, mindfulness)

She may compare herself to others or feel insecure

Social media and peer pressure can affect her confidence

What to do

• Reinforce that everyone develops differently

• Focus on her talents, skills, and personality

• Watch for negative self-talk or obsession with weight

School, friendships, and body changes can increase stress

Signs of anxiety: trouble sleeping, loss of interest in activities, withdrawal

What to do:

• Encourage relaxation techniques (deep breathing, hobbies)

• Offer emotional support and reassurance

• Seek professional help if anxiety becomes severe

She may drift from old friends and form new social circles

Peer pressure can influence her decisions

What to do

• Ask about her friends and how she feels about them

• Teach her to recognize healthy vs. toxic friendships

• Ensure she feels comfortable setting boundaries

Red flags that need attention:

Constant sadness or withdrawal from activities she used to enjoy

Major changes in eating or sleeping habits

Self-harm or talk of feeling hopeless

What to do

• Don’t ignore signs of distress

• Offer emotional support and let her know she’s not alone

• Seek professional help if needed

Create a safe space for open conversation

Be honest about puberty, periods, and emotional changes

Encourage healthy habits (good nutrition, exercise, sleep)

Monitor without hovering – Observe, but give her independence

Lead by example – Show positive self-care and resilience

Puberty can be a challenging time, but with your support, your daughter can navigate it with confidence. By monitoring her physical and emotional health, keeping communication open, and reassuring her, you’re helping her grow into a strong, self-assured young woman.