Neurodivergent Teens and Puberty: Understanding Emotional and Sensory Shifts

4–6 minutes

Puberty is a major developmental transition for all adolescents. For neurodivergent teens, including those with ADHD, autism, PDA profiles, and sensory processing differences, this phase can feel especially intense.

Many parents and educators notice sudden emotional volatility, increased sensory sensitivities, resistance to daily routines, or behaviours that seem out of character. What often gets labelled as “attitude” or “regression” is more accurately a nervous system responding to rapid biological and environmental change.

This article explores what is happening beneath the surface and how adults can offer support that is regulating, respectful, and effective.


Why Puberty Feels Different for Neurodivergent Teens

During puberty, hormonal changes significantly impact brain development. Emotional centres become more reactive while executive functioning skills like planning, impulse control, and emotional regulation are still under construction.

For neurodivergent teens, these systems were already working harder. Puberty adds extra load to areas such as:

  • Executive functioning and task initiation
  • Emotional regulation and stress tolerance
  • Sensory processing across sound, touch, smell, and texture
  • Interoception, or awareness of internal body signals
  • Rejection sensitivity and social perception

As a result, everyday expectations can suddenly feel overwhelming. Small stressors may trigger big emotional responses. This is not misbehaviour. It is a nervous system under pressure.


Emotional Shifts Parents Commonly Notice

Many families report emotional changes that feel sudden and confusing. These may include:

  • Intense mood swings with no obvious trigger
  • Increased anxiety, especially around school or social situations
  • Withdrawal, shutdowns, or frequent emotional outbursts
  • Heightened sensitivity to feedback or correction
  • Exhaustion from masking or trying to meet expectations

For some teens, demand avoidance increases during this stage. Tasks that were once manageable may now feel impossible. Avoidance is often a protective response to overwhelm, not a refusal to cooperate.

When we reframe these moments as communication rather than defiance, our responses become calmer and more supportive.


Sensory and Body Changes During Puberty

Puberty is a sensory experience. Bodies change rapidly, and sensations intensify.

Neurodivergent teens may experience:

  • Increased sensitivity to clothing, tags, seams, or fabrics
  • Strong reactions to smells, sweat, or hygiene products
  • Resistance to bathing, hair washing, or grooming routines
  • Difficulty adjusting to body shape changes or new physical sensations

For teens who menstruate, periods can introduce pain, unpredictability, and loss of bodily control. This can be especially distressing for teens with PDA profiles or high anxiety.

Instead of asking why something is “such a big deal,” it helps to ask what the body is finding unsafe or overwhelming.


Practical Ways to Support Neurodivergent Teens Through Puberty

Support during this phase works best when it focuses on regulation rather than compliance.

Reduce Unnecessary Demands

During high-stress periods, prioritise essentials. Not every routine needs to be enforced at full capacity all the time.

Externalise Executive Functioning

Use visual schedules, written reminders, or shared planners to reduce verbal pressure and working memory load.

Co-Regulate Before Problem Solving

Connection comes before correction. Sitting nearby, lowering your voice, and offering reassurance helps the nervous system settle.

Helpful phrases include:

  • “I am here with you.”
  • “We can figure this out together.”
  • “You are not in trouble.”

Support Body Awareness Gently

Invite curiosity about the body without pressure. Simple check-ins like “Does your body feel tired, hungry, or tense?” help build awareness over time.

Know When to Seek Extra Support

If anxiety, shutdowns, school refusal, or distress are escalating, working with a neurodiversity-affirming professional can be an important step.


Expressive Arts Activities That Can Help

Some teens process best without words. Expressive arts offer low-pressure ways to externalise internal experiences.

Emotion Body Mapping
Draw a body outline and invite your teen to colour where they feel different sensations or emotions. There is no right or wrong outcome.

Safe Sensory Collage
Create a collage using colours, textures, or images that represent comfort and safety. This can guide future sensory supports.

These are invitations, not expectations. A “no” is also valid communication.


Watch the Full Video Episode

This blog is based on Episode 16 of Educateable:
Neurodivergent Teens and Puberty – Emotional and Sensory Shifts

🎥 Watch the full YouTube episode here:

The video expands on these ideas with real-life examples and parent-friendly language.


Recommended Amazon Products for Puberty Support

You may consider exploring these supportive tools.

These products are not fixes, but they can reduce daily friction and sensory load.


Ways to Work With Educateable

If you would like personalised support, you can explore the following options:

Subscribe to @educateable on YouTube
For ongoing neurodiversity-affirming education and parent support.

Book a Counselling and Emotional Wellness Session
A 60-minute expressive arts based 1:1 session for children, teens, or adults.

Shadow Teacher Toolkit and Mentoring
A 60-minute strategy and mentoring session for shadow teachers and inclusion assistants.

Professional Courses in Inclusive Education


Final Note

Puberty does not mean something has gone wrong. It means your teen’s nervous system is adapting to rapid change.

With understanding, flexibility, and the right supports, this phase can become less about control and more about connection.

You are not alone in this.