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Adolescent Decision-Making: Why Teenagers Make Risky Choices—and How to Help Them Make Better Ones

Adolescents don't take risks because they're ignorant of the consequences. They take risks because the developmental balance between reward-seeking and impulse control tilts toward reward. Prevention must work with this developmental reality.

The adolescent brain is not a broken adult brain. It's a brain in development—with a limbic system (reward) maturing earlier than the prefrontal cortex (control). The adolescent doesn't take risks because they don't know better. They take risks because the immediate reward outweighs the distant consequence. **Prevention that treats adolescents as adults who need more information is ineffective. Prevention that works with adolescent development—leveraging social rewards, building self-regulation skills, respecting autonomy—is effective.**

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