Three facts about teenage brains all neuroscientists agree on.

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Biology determines the beginning of adolescence.

The tick-tick-tick of the hypothalamic clock signals the beginning of the transition from girl to woman. But the end of adolescence has no clear biological demarcation. When exactly do girls become adults? When they’re physically able to have a baby? Or when they actually have a baby? When they turn eighteen? Finish school? Leave home? Get their first fulltime job? Buy a house? Get married?

With puberty starting earlier than it used to and the traditional cultural markers of adulthood somewhat irrelevant, ‘adolescence’ could last decades!

Despite its current unclear cultural or social endpoint, adolescence is a distinct period of brain development. It’s when brain becomes particularly vulnerable to reorganisation by sex hormones and when the cognitive, emotional and social circuits refine and mature. Tracking alongside the brain changes are the stereotypical changes to the thoughts, emotions and behaviours of the brain’s teenage owners.

Adolescence is a significant neurological transition

Most scholars agree on three facts about the teenage brain

  1. Brain structures continue to change between childhood and adulthood. Grey matter volume peaks at puberty then declines throughout adolescence and into the twenties. White matter volume increases throughout childhood, adolescence and into adulthood.
  2. Girls’ brains mature slightly faster than boys’. But boys catch up. This sex difference in brain development is in sync with physical development where, on average, girls enter puberty a year or two before boys, who then quickly catch up.
  3. Different brain regions mature at different rates. Development of the limbic system, which drives emotions, speeds up at puberty, but the PFC, which is involved in thinking and judgement, doesn’t mature until our twenties. This causes a ‘developmental mismatch’ between emotion and reward processing, and thinking and judgement. The mismatch determines aspects of teenage behaviour such as being overly emotional, impulsive and hypersensitive to social situations.

Grey matter thins as connections are refined

The prefrontal cortex (PFC), as its name suggests, sits at the front of the brain and is sometimes called the brain’s CEO because it acts as an experienced decision-maker. The PFC is involved direction attention, judgement calls, emotion regulation, strategy, impulse control, working memory and social cognition – navigating complex social relationships such as discerning friend from ‘frenemy’ from foe.

During childhood, PFC grey matter thickens as neurons make new connections or synapses. Much like a tree growing extra branches, twigs and roots.

However, during the teens, the PFC gets thinner.

Loss or ‘thinning’ of grey matter always sounds unhealthy, but as is often the case with the brain, less is more.

PFC thinning is due to pruning away of unwanted neural connections (‘twigs and branches’) which partly depends on experience in a ‘use it or lose it’ manner. Connections that are being used are strengthened, and those that aren’t used are pruned away.

Think of grey matter thinning as “refinement” or “streamlining” the brain as it matures.

More white matter enables faster communication

MRI scans have revealed ever-increasing volumes of white matter in the tracts leading to and from the PFC during adolescence. Recall that axons are insulated by myelin, which speeds up signalling between brain regions. Myelinated axons transmit impulses up to 100 times faster than unmyelinated axons, and faster transmission means faster mental processing.

Jay Giedd, a neuroscientist at the University of California, San Diego, has found that increased white matter means the connections between brain regions become stronger and more numerous. The brain matures by becoming more interconnected and more specialised.

To use Giedd’s metaphor, brain maturation is not so much a matter of adding new letters to the alphabet but one of combining existing letters into words, words into sentences and sentences into paragraphs.

“These changes ultimately help the brain to specialise in everything from complex thinking to being socially adept.”

Subcortical brain areas shrink, and some grow

Changes to white and grey matter structure are not restricted to the PFC.

Subcortical brain structures start to mature right around puberty, and development is more or less complete by the mid-teenage years.

Subcortical brain regions are those deep inside the brain under (‘sub’) the cortex in the frontal and temporal lobes. They include the limbic system (hippocampus and amygdala), and the corpus striatum, which is made up of four parts: nucleus accumbens, caudate, putamen and globus pallidus. They’re connected to the PFC and to each other by bundles of axons.

In teens, the amygdala and hippocampus get bigger during puberty. At the same time, the four structures making up the corpus striatum all shrink. Maturation of subcortical structures is fastest in late childhood and early adolescence but the rate of growth or shrinkage slows right down after age sixteen.

Teenage girls can be very emotional (no kidding!).

But not all teenagers experience ‘storm and stress’. When I was seventeen, my levels of anxiety during final-year high-school exams were so out of control I ended up at the family GP being treated for panic attacks. But the vast majority of my teen years were joyful, empowering and a whole lot of fun.

Sarah Whittle is an associate professor of psychiatry at the University of Melbourne, where she specialises in adolescent brain development and resilience. Whittle explained to me that the emotional lives of teenage girls differ from adults because of the ‘developmental mismatch’ between their ‘rational PFC’ and ‘emotional limbic brain’.

“It’s still only a theory, but the evidence is stacking up that hyperactivity of the limbic system is responsible for heightened emotional reactivity in adolescents. As the PFC matures, its ability to regulate the activity in subcortical structures improves.”

Learning to regulate emotions is a vital skill to learn in adolescence

Being able to calmly assess and keep emotions in check is a crucial life skill. Emotional regulation lets us navigate changing social landscapes and foster mental wellbeing. One of the most effective ways to regulate your emotions is a technique called cognitive reappraisal. Cognitive reappraisal changes the way you interpret a situation, which in turn calms your hot-headed response.

Imagine you’re fourteen and walking up to the front door of a party. Inside you can hear all your girlfriends laughing hysterically. Your appraisal of the situation might be, ‘OMG! They’re laughing about me behind my back.’ That appraisal (correct or not) will likely trigger intense feelings of sadness and rejection, and might quickly be followed by the thought, ‘They hate me. I’m going home!’

A different way of thinking about the situation – the reappraisal – might be, ‘Sure, they’re laughing. Perhaps someone told a funny joke. Maybe I should go inside and find out.’ The reappraisal (correct or not) encourages you to consider different perspectives and leads to a way of thinking that keeps a lid on emotional distress.

Adults are much better at cognitive reappraisal than children and teens.

We’re more experienced with a range of social situations and better at deploying the thinking skills required.

The neural basis of cognitive reappraisal is studied by eliciting negative emotions with provocative or distressing photos comprised of images that range from neutral (furniture or landscapes) to horrific or exciting scenes (mutilated bodies or erotic nudes).

Whittle’s research shows that teenage girls find the photos much more emotionally disturbing or arousing than adults. In her lab, fMRI shows that deploying the skill of cognitive reappraisal activates a distributed cortical network including the PFC, which in turn down-regulates excitability in the limbic system.

Emotional regulation skills don’t always magically appear as we mature, but they can be formally taught.

Whittle coaches her teenage volunteers in cognitive reappraisal by encouraging them to think, ‘This isn’t real, it’s a scene from a movie’, or, ‘The situation looks worse than it is’, or, ‘It could be a lot worse’, or, ‘At least it is not me in that situation’.

Is mental illness emotional development gone wrong?

One theme in adolescent brain research can be summed up by the phrase ‘moving parts get broken’. Because the teenage brain is undergoing such extensive remodelling, it’s thought that it’s easy for the wiring to go awry, predisposing girls to depression, anxiety and eating disorders.

The emotional life of teenage girls is complex both inside and out. It’s clear that ‘inside’ hormones are fluctuating and neural networks are fine-tuning. But we tend to forget the dynamic shifts taking place ‘outside’.

Many emotions teens experience are novel

Especially those taking place in new social contexts. There is a first time for everything and that includes your first crush (especially if it’s unrequited), experience of jealousy, being left off the party invite list, and getting likes on Instagram. The newness of these experiences heightens their emotional impact. Sometimes this is positive – falling in love for the first time is pretty wonderful! Sometimes this is negative – being rejected by your first love is rather painful.

Girls’ preference for emotional intimacy increases during their early teenage years.

Intense ‘bosom buddy’ friendships form around the same time girls ‘break up’ with their families. This leaves girls potentially vulnerable if those friendships break down or are less than ideal. Loss of friendship is a significant and overlooked potential cause of stress.

While the ‘wrong’ friendships can lead teens astray, the ‘right’ kinds of friends are powerful and protective. I had one such dear friend all through high school (we’re still close now and I’ve called on her psychiatric training to inform sections of this book). While writing this chapter we talked about how our devoted friendship buffered us from the tumult so many of our peers experienced. We know the happiest teens aren’t the ones who have the most ‘friends’ on Instagram but the ones who have a few close supportive friendships, and sometimes that means having one terrific friend.

This is an excerpt from The Women’s Brain Book. The neuroscience of health, hormones and happiness. (Hachette 2018).

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  1. fitnesshealthforever on May 21, 2019 at 6:47 am

    Hey, very nice blog. I came across this on Google, and I am stoked that I did. I will definitely be coming back here more often. Wish I could add to the conversation and bring a bit more to the table, but am just taking in as much info as I can at the moment. Thanks for sharing.

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  2. Anita on May 21, 2019 at 11:32 am

    This is so enlightening, I have learnt so much here.

  3. Alison Clarke on June 1, 2019 at 8:27 am

    I wish more parents were aware of the changes that are happening to their daughters brains. I am a trainer in schools of confidence and resilience and so often it is the parents who pull the children out due to anxiety, rather than allowing me to help them to rewrite their problems.

    • Sarah McKay on June 1, 2019 at 9:41 pm

      That sounds like a challenge. Do you have the opportunity to offer parent info sessions or workshops? Often when I’m working with schools we take a 3-pronged approach – students teachers parents. x

  4. Jackeline Medina on June 5, 2019 at 11:55 pm

    Y como funciona el cerebro de los adolescentes varones, habla mayormente de las niñas.

  5. Marianne Laney on June 6, 2019 at 12:45 am

    Great post! As a parent with a “tween” (12years of age) with ASD as well as a Professor of Human Development, I wish more people knew about neurodiversity including the “typical” or normative processes we all go through to some degree. I also appreciate your 3-pronged approach you mentioned in your reply to the above comment. I find more often than not, the person who really is off the mark is the ADULT(s), not the child. After all, if the child is going through a “normal” phase (albeit challenging), why is it such a surprise to those who have already experienced a version of it? Didn’t we all just want to be heard and understood? THAT is the real challenge – to get the ADULTS in a state of collaboration and understanding! Thanks again!

  6. Alexandra van Beek on June 6, 2019 at 1:38 am

    Thanks Sarah. I always enjoy your blogs. You couldn’t pay me enough money to be a teenager again! I’ll look up Sarah Whittle’s work – we’re working on the topic of the social and emotional wellbeing of Indigenous Australian children and teenagers, and the more information the better.

    • Sarah McKay on June 6, 2019 at 1:42 am

      Not sure if I’d like to go back or not. My teens were a pretty positive time, but there are a few decisions I’d like to re-make!!!

  7. Bharathi goud on June 6, 2019 at 7:23 am

    thanks for sharing

  8. Ira on June 6, 2019 at 12:51 pm

    Anything about the boy’s brains?

    • Sarah McKay on June 11, 2019 at 12:20 am

      Do you mean, is there ‘anything’ in my book, or any info in general?
      This post and my book are focussed on the brains of girls and women… but I do have a deep interest in boy’s brains too being the mother of sons.
      By and large, brain development is slightly ahead in girls than boys, mostly because girls enter puberty earlier than boys. But boys catch up.

    • Kirsten on October 14, 2021 at 1:29 pm

      Yes, I’d like to hear that too.

  9. sarah wade on February 20, 2020 at 5:09 pm

    Great read Sarah.
    As the mother of a teen boy and a preteen girl that grey area is my life. Would love some recommended reading material on the elusive high matter that is the boy brain if you know of any, please and thank you!

  10. Ivan on April 16, 2020 at 2:02 am

    The information you provide is very accurate, especially it’s at this stage of their life where adolescents must be helped the most so that they don’t develop different disorders and diseases such as depression, providing more support and contention. I want to share with you a TMS treatment I find really interesting and effective. I recommend having a chat with the Dr.Woo. He’s a really nice man and I know he’ll be pleased to answer the questions you could have about how to fight depression. Good luck!

  11. Kimberly Scott on May 8, 2020 at 12:28 pm

    I recently read that the grey matter in teenage brains actually becomes more dense versus thinning.

    • Sarah McKay on May 11, 2020 at 9:50 am

      Let me know the reference. Sometimes it comes down to semantics. Teen brains do reduce in grey matter volume, with a reduction in volume comes an increase in density. White matter density also increases.

  12. Krishnan on April 8, 2021 at 5:10 pm

    Great , i love this one

  13. تمريض منزلي on October 12, 2021 at 8:27 pm

    i like this article so much, it has a lot of info i need to know, thanks for sharing

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