1. Above All Else Services Brandi Shinn President

2. Definition: the condition of being or the period of becoming first capable of reproducing sexually marked by maturing of the genital organs, development of secondary sex characteristics, and in the human and in higher primates by the first occurrence of menstruation in the female – Merriam- Webster.com.

5. Stage 1Age: 8-11  Ovaries enlarge  Hormone production starts  External development not visible Stage 2Age: 8-14  External sign is breast development; pubic hair  Height & weight increase  Body gets rounder & curvier Stage 3Age: 9-15 Breast growth continues Menarche begins Stage 4Age: 10-16  Ovulation occurs  Areas become darker and more adult like Stage 5Age:12-19  Final stage of development  Full height is reached  Ovulating regularly  Pubic hair complete  Breasts developed fully

6.  Stage 1Age 9-12  No visible signs of development  Hormones become active  Growth spurt can occur  Stage 2Age 9-15  Height increases  Shape of body changes  Muscle and fat develop  External Signs include darkening of the aureole and nipple  Testicles and scrotum grow- penis does not  Pubic hair develops  Stage 3Age 11-16  Penis begins growing in length  Hair growth where legs meet torso  Continued growth in height  Face begins to look mature  Shoulders broaden; hips appear smaller  Muscle tissue increases  Voice begins to deepen  Facial hair begins on lip

7.  Stage 4Age: 11-17  Penis begins to grow in width  Growth continues in penis and scrotum  Underarm and facial hair increases in growth  Skin becomes oiler  Voice continues to deepen  Stage 5Age:14-18  MOST Reach their final height; others continue till 20’s  Genitals are adult like  Facial shaving becomes necessary

9.  What to ASK? ◦ What they know ◦ Where they go for answers  What to ASSES? ◦ Developmental stage ◦ Diagnosis ◦ Parental involvement ◦ Prior knowledge and exposure  What to SAY? ◦ Assurance changes are NORMAL ◦ Use scientifically correct terms ◦ Explain stages and what to expect

10.  What to DO? ◦ Review information as needed ◦ Show little emotion; especially shock or disappointment ◦ Emphasize Dangers  What to PROVIDE? ◦ Age appropriate materials  Social Stories  Illustrated books  Visuals (flap books, vocabulary, sequence books) ◦ Boundaries; Rules & Consequences; Regulations ◦ Support ◦ HONESTY ◦ Availability

11.  Interventions  Q & A  Closing

12. Brandi Shinn 501-679-5677 brandi@aboveallelseservices.com Above All Else Educational Services www.aboveallelseservices.com @AboveAllElseES www.pinterest.com/brandishinn/