Supporting mental health doesn’t stop at a fixed age it evolves as a person grows. One common question families face is when a young person should move from pediatric/adolescent psychiatry into adult mental health care. This transition isn’t automatic at 18; it’s a gradual process that depends on readiness, developmental progress, and continuity of care. Wiley Online Library

Understanding the Transition

There isn’t a universal “transition date.” While legal adulthood starts at 18, emotional, cognitive, and social maturity varies widely. For some individuals, managing adult-level responsibilities such as booking appointments, handling prescriptions, understanding insurance, and articulating their own health history happens earlier; for others, it takes more time.

That means the shift to adult-focused psychiatric care should be intentional and planned, not rushed. Experts often recommend starting transition conversations 1–2 years before the expected change, so the young person can gradually take ownership of their treatment and build practical self-management skills. AIHTA Repository

How to Prepare

Before changing providers or care settings:

• Build responsibility: Let the teen lead portions of discussions with clinicians.
• Educate on systems: Teach them how appointments, medications, and insurance work.
• Strengthen communication: Practice explaining symptoms, needs, and goals to others.

These steps help reduce anxiety and improve confidence in navigating adult psychiatric services.

Continuity Matters

One of the biggest advantages of a smoothly managed transition is continuity of care. If a young person can remain with clinicians familiar with their history and needs rather than starting anew with unfamiliar providers outcomes are generally better and relationships more stable. For practices that serve all ages, this transition can be more seamless.