What you need to know
Individuals with SCD are small for age and have delayed sexual maturation. Puberty in individuals with SCD tends to occur later and last longer. This can affect self-esteem and body image. It is important to reassure individuals that although it may take longer they will complete puberty and that most adults with SCD are of normal height.
Individuals may be perceived as younger due to their size.
What you can do
Stress management support may be helpful. A guidance counselor and/or psychologist may be supportive to child and/or family. Children who have SCD may also benefit from support for developing positive self-esteem.