Autism and Puberty: Preparing Your Child for Adolescence
A comprehensive guide for parents on supporting autistic children through puberty, including physical changes, emotional development, hygiene, relationships, and safety.
Puberty brings significant changes for all children, but autistic adolescents often face unique challenges navigating this transition. The Autism Speaks organization emphasizes that early preparation is key to a smoother transition.
When to Start Preparing for Puberty
For autistic children, preparation for puberty should begin earlier than you might expect - ideally 1-2 years before physical changes are anticipated.
Signs Puberty May Be Approaching
- Growth spurts and changes in body shape
- Body odor changes requiring new hygiene routines
- Mood fluctuations and emotional intensity
- Increased awareness of peers and social dynamics
- Early breast development or testicular growth
- Changes in skin (acne)
Teaching About Physical Changes
Key Topics to Cover
- Body parts and their functions using accurate terminology
- What physical changes to expect and when
- Why bodies change (hormones, growing up)
- That everyone's body is different
- Menstruation for those who will experience it
- Erections and wet dreams for those who will experience them
Building Hygiene Routines
Hygiene Skills to Develop
- Daily showering or bathing with appropriate products
- Using deodorant consistently and correctly
- Facial care for acne prevention and treatment
- Proper handwashing, especially after bathroom use
- Menstrual product use and changing schedules
- Wearing clean clothes daily
Managing Emotional Changes
Emotional Support Strategies
- Teach recognition and naming of emotions
- Develop a toolkit of calming strategies
- Create safe spaces for emotional regulation
- Maintain predictable routines when possible
- Normalize that emotional changes are part of puberty
- Monitor for signs of depression or anxiety
Social Relationships and Boundaries
Important Social Topics
- Public vs. private behaviors and body parts
- Personal space and physical boundaries
- Understanding and giving consent
- Recognizing appropriate vs. inappropriate touch
- Navigating changing friendships
- Online safety and appropriate online behavior
Expert Insight from Jennifer Harbour, M.S., BCBA
"Puberty is challenging for any child, but for autistic adolescents, it requires extra preparation and support," explains Jennifer Harbour, Clinical Director at Buzz ABA with expertise in Early Childhood Development and Special Education. "With visual supports, task analysis, and consistent practice, teens can master hygiene routines and navigate the social complexities of adolescence. Starting early and taking it step by step makes all the difference."
Start Your Child's Journey Today
Buzz ABA provides comprehensive, evidence-based ABA therapy in Concord, Manchester, Nashua, and surrounding NH communities. Our neurodiversity-affirming approach helps children thrive.
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