Adolescence is a tumultuous period of rapid but uneven biological, emotional, physical, and cognitive changes that create confusion and feelings of awkwardness in young people. It is also a time where identity issues become salient and important. Part of the adolescent turmoil is the inner conflict of values, beliefs, and self-concepts that are being clarified and negotiated during a precarious stage of life. Due to the intense self-consciousness of this period, social reactions to the youngster may have an acute effect on self-esteem. Achieving a stable and positive identity and consequent feelings of self-worth are major challenges to adolescent development.