| Growth and Development, Ages 6 to 10 Years
		
			| Growth and Development, Ages 6 to 10 YearsSkip to the navigationTopic OverviewWhat kinds of development occur between ages 6 and 10?Children ages 6 to 10 are more independent and physically active than
			 they were in the preschool years. They also are more involved with friends and
			 are learning to think in more complex ways.  Progress in the major
			 areas of development-physical, intellectual, emotional, and social-is gradual.
			 But the changes you will see in your child from one year to the next can be
			 dramatic.  How will my child change physically?Strength and
			 muscle coordination improve rapidly in these years. Many children learn to
			 throw, hit a baseball, or kick a soccer ball. Some children may even develop
			 skills in more complex activities, such as playing basketball or dancing.
			  How will my child change intellectually?From ages
			 6 to 10, your child develops a more mature and logical way of thinking. He or
			 she gradually becomes able to consider several parts to a problem or situation.
			 This is a change from the simplistic thinking of a preschooler. Even though their thinking becomes more complex, children in this age
			 group still think in concrete terms. This means they are most concerned with
			 things that are "real" rather than with ideas. In general, these things are
			 those that can be identified with the senses. For example, actually touching
			 the soft fur of a rabbit is more meaningful to a child than being told that an
			 object is "soft like a rabbit." Because they still can mostly consider only one
			 part of a situation or perspective at a time, children of this age have
			 difficulty fully understanding how things are connected. How will my child change emotionally and socially?When children enter school, they leave the security of home and family.
			 They become players on the larger stage of school and friends. Here, they learn
			 some crucial skills-including how to make friends-that they can use for the
			 rest of their lives.  Children's self-esteem, which is their sense
			 of worth and belonging, is fragile and can change rapidly depending on what is
			 happening around them. At times, children of this age seem like little adults
			 as they march off to school with backpacks full of responsibilities. But at
			 other times, they can be as unreasonable as toddlers. How can I manage this active time? Parents often
			 overestimate their children's ability to make good decisions. Children of this
			 age need firm and consistent rules that are explained clearly and
			 compassionately. Effective parents are able to give their children enough
			 independence to learn from their successes and failures and at the same time
			 provide consistent direction and unconditional support. Try to check in with your child every day. Ask him or her about the good and bad things that happened. And help your child learn from those experiences. Frequently Asked Questions| Learning about growth and development in children ages 6 to 10 years: |  |  | Seeing a doctor: |  |  | Ongoing concerns: |  | 
What to ExpectAlthough children from ages 6 to 10
		  display a similar range of physical abilities, mental strengths, and social
		  behaviors, they develop at their own pace. Even within families, differences
		  between children can be extreme. One sibling may be outgoing and popular, while
		  another is shy and awkward. Some children make progress in one area, such as
		  reading and writing, while making little or no progress in another skill, such
		  as math. Focus on helping your child enjoy and learn from activities rather
		  than on measuring the outcome. General development from ages 6 to 10You can
			 expect children in this age group to progress in five major areas: Physical development. Children ages 6
				to 10 usually grow in spurts, averaging about
				7 lb (3 kg) and
				2.5 in. (6 cm) each year. Your
				child will also lose about four baby teeth each year. These  are replaced by
				permanent teeth.Cognitive development. Thinking and reasoning skills, called cognitive skills,
				mature rapidly between ages 6 and 10. As these skills develop, so does a
				child's ability to solve problems. But reasoning remains simple in that most
				children only understand concepts as they relate to the here and now. Concepts
				such as the distant past are usually too abstract for children at this age to
				grasp.Emotional and social development. Children ages 6 to
				10 are developing friendships.
				Self-esteem, which is a person's sense of worth and
				belonging, becomes increasingly important as your child interacts more with
				people outside of his or her immediate family. Children this age also compare
				themselves to others.Language development. At age 6, most
				children know the meanings of about 13,000 words. From ages 6 to 10, they
				gradually think in more complex ways. For example, children advance from
				understanding simple sentences to being able to interpret complicated content
				within a paragraph. They grow from writing a few words at a time to composing
				complex stories and reports. Sensory and motor development. Children between ages 6 and 10 make major gains in muscle
				strength and coordination. Most children within this age range develop basic
				motor skills, such as kicking, catching, and throwing. Gradually, children
				become more skilled at more complex activities, such as dancing, shooting a
				basketball, or playing the piano.
 Growth and development milestones are roughly grouped
		  by year of age. Use age-specific guidelines as one of many tools to assess your
		  child's overall development. Many things, such as inherited genetic traits,
		  health, personality and
		  temperament, cultural norms, and home environment,
		  influence a child's pace at reaching milestones.  Milestones by ageBy
			 6 years of age, most children:  Have gained enough muscle strength and
				coordination to hop and skip, and they can catch a ball.Begin to
				understand cause-and-effect relationships. "Magical thinking"
				typical of preschoolers quickly fades around this age. But your child keeps an
				active imagination. Focus on only one issue at a time when solving
				problems. Begin to understand how combinations of letters and
				sounds form words. They recognize some written words and may even have started
				reading simple text. Become increasingly social with their peers.
				But they depend on caregivers for most personal interaction.
 By
			 7 years of age, most children: Begin to show a preference for a certain
				learning style, such as hands-on or quiet reflection.Develop
				friendships, usually with other children of the same gender.Like
				to be involved in some group play but need time alone too.Enjoy
				arts and crafts and physically active play. 
 By
			 8 years of age, most children: Generally think of things as "either-or."
				Things are either great or awful, ugly or beautiful, right or wrong. Children
				focus on one part of an issue at a time, which makes it hard for them to
				understand complexities. Are reading.Enjoy being
				around their friends. Some enjoy group activities, such as team
				sports.Have rapidly changing emotions. Angry outbursts are common.
				Many children of this age are critical of others, especially of their parents.
				They may seem dramatic and sometimes rude.Have well-developed
				speech and use correct grammar most of the time. Many children have
				well-developed conversation skills.
 By
			 9 years of age, most children: Think more independently and are developing
				good decision-making skills. This reflects their increasing critical-thinking
				skills and ability to consider more than one perspective at a
				time.Have caring, solid friendships.Have gained a
				strong sense of empathy, which is understanding and being sensitive to the
				feelings of others.Are curious about relationships between boys
				and girls. Few will admit to this interest. Speak well and pronounce words
				clearly. Become increasingly interested in team
				sports.Like to draw, paint, make jewelry, build models, or try
				other activities that use fine motor skills.
 By
			 10 years of age, most children: Know the complete date (day of the week, day
				of the month, month, and year).Enjoy being with friends and often
				have a "best" friend of the same gender.Continue to enjoy team and
				group activities.Continue to insist that they are not interested
				in children of the opposite sex. But they may show off, tease, or act silly as a way of
				interacting with them. Have speech patterns that are nearly at an
				adult level.Sometimes seek out magazines and books in subjects of
				special interest.Have good control of large and small muscles.
				Some children enjoy activities that use all these skills, such as basketball,
				dancing, and soccer.
Common Concerns A lot is happening within the
		  brains and bodies of children ages 6 to 10. Along with growing stronger and
		  more social, most children gradually gain critical thinking skills and a basic
		  understanding of complex issues. Also, children are becoming more aware of
		  their bodies and appearance. This is a time of trial and error.
		  Children in this age group are figuring out how the world works and what their
		  place is in it. It is easy for parents to be alarmed when their child has
		  occasional lapses in appropriate behavior or judgment.  Try to encourage
		  your child's independence while you demonstrate your unconditional love. A child
		  who feels he or she has a strong safety net at home is better equipped to try
		  new things and to grow and develop in healthy ways.  Common
		  concerns of parents usually relate to physical growth and development,
		  difficulties in school, and social situations. Issues related to physical appearance and skillsThe rate of growth varies a lot among individual children. Some
			 children are small for their age, and others are large. It can be hard for a
			 child who falls outside the range of "normal." A small child may find it hard
			 to succeed in sports. Children who are tall for their age may have problems
			 when people think they are older and expect them to act that way. Also, some
			 children, particularly girls, are "early bloomers" and may enter
			 puberty before their peers. This can lead to
			 self-consciousness and embarrassment.  Help your child understand
			 that everyone grows at his or her own pace. Assure your child that he or she
			 can handle difficulties related to size, appearance, or athletic skill. Also, encourage and model
			 healthy eating and
			 physical activity habits for your child. Staying at a
			 healthy weight and eating healthy foods helps children to feel their best not
			 only physically but also mentally and emotionally. Difficulties in school Children ages 6 to 10 develop at different rates not only physically but
		  also intellectually. If your child seems to be struggling in certain subjects
		  and is not meeting general
		  cognitive development or
		  language development milestones, talk to your doctor.
		  Keep an open mind about having your child evaluated instead of waiting for him
		  or her to "grow out of it." Of course, be mindful that there is a fine line
		  between being concerned and over-reacting. Talk to your child's teacher and
		  other school staff about your child's strengths and weaknesses. Keep a friendly
		  and supportive relationship with your child's teachers to help build your
		  child's confidence. Working as a team also is likely to result in a more
		  consistent approach. A child is more likely to know what to expect and be more
		  assured when parents and teachers are helping each other.  Work on
		  ways to
		  strengthen your child's self-esteem. Help your child
		  recognize and nurture his or her own talents. Children in this age group
		  often experience a wide range of emotions that can change very quickly
		  depending on what is happening around them. Try to show your child how to see
		  the big picture. Talk about all the successes he or she has had, such as doing
		  well on a test, learning new spelling words, or making an impressive art
		  project. SocializationThe
		  ages between 6 and 10 are a confusing and exciting time for children. They make
		  new friends frequently. Most children in this age group are
		  beginning to understand and be sensitive to the feelings of others-a trait
		  known as empathy. But they are still self-centered. Their feelings are easily
		  hurt. Likewise, they can casually hurt others' feelings. You can help your
		  child learn how to be more empathetic and to understand the importance of
		  healthy friendships. Talk about and list the qualities that make a good friend.
		  Talk about how your child can work on developing these qualities.  Bullying may start to become a problem
		  for some children near age 10 years. Take an active role in preventing and
		  educating your child about ways to deal with this type of behavior.  Equip your child with ways to deal with
			 and avoid being bullied.If your child engages in bullying
			 behavior,
			 address the problem right away. Talk about how his or
			 her words and actions affect other people. You play an important role in making
			 your child aware of others' feelings.Involve parents and other
			 adults who are around where the problems occur. For example, talk to staff and
			 teachers at your child's school in situations that include classmates.
  For more information about bullying, see the topic
		  Bullying.Promoting Healthy Growth and DevelopmentAlthough
		  your child between the ages of 6 and 10 may seem very independent at times, he
		  or she still needs your constant guidance. Being present is the most important
		  thing you can do to help your child grow in healthy ways. Knowing that you are
		  "around" and available provides him or her with a sense of security. Although
		  your child's world is expanding, you remain his or her primary influence.
		   You can do many things to help your child grow and
		  develop. Promote physical development by
			 encouraging and modeling healthy eating habits. Also,
			 foster a healthy body image by talking about and showing how it is important to
			 accept people of all colors, shapes, and sizes. For more information, see the topic Healthy Habits for Kids.Promote cognitive
			 development-thinking and reasoning skills-by being involved in your child's
			 school. Volunteer if possible, cultivate good relationships with teachers and
			 other staff members, and show your interest in what your child is learning.
			 Also, work on skills at home, such as simple math problems, money handling,
			 reading, and writing. Age-appropriate workbooks are widely available. But be careful not to pressure your child. Simply spending
			 time with him or her is an important part of setting a foundation for cognitive
			 growth.Promote language development by reading to your child every
			 day. Make reading a routine, even as he or she gets older and seems to lose
			 interest. Set aside time that you and your child can look forward to and talk
			 about stories, words, and ideas. Visit your local library and try finding books
			 with new subjects that you think might interest your child.Promote social and emotional
			 development by
			 being aware of sibling rivalry, which can become a problem around this age.
			 Also help your child learn
			 social skills, such as by showing your acceptance of
			 others and not gossiping or saying mean things about other
			 people.Promote sensory and motor skill development by encouraging
			 exercise every day. It doesn't have to be highly
			 structured: the main point is to move around and limit TV time and other screen time. Practicing somersaults, playing
			 catch, going to the park, or riding a bike are all helpful in developing
			 muscular skill and endurance. Also, encourage your child to create art
			 projects, such as drawing, cutting with safety scissors, gluing, and stringing
			 beads. These and similar activities help improve eye-hand coordination and fine
			 motor skills. For more information, see the topic Physical Activity for Children and Teens.
 Also, you can help your child in other general ways. Deal with fears. Understand that your
			 child may become extremely interested in scary subjects or images as a way to
			 overcome fears about them. Help your child as much as you can by answering questions and
			 providing reassurance as needed.Discourage physical violence and show your child ways to deal with anger without being violent.  Protect your child from violent media as much as you can. Some TV programs, movies, video games, and websites show a lot of violent acts. Children who watch a lot of this violence may come to believe that such behavior is okay.  This can make them more likely to act violently themselves. It can also lead to nightmares, aggression, or fears of being harmed.footnote 1 
Music lyrics affect children's behavior and emotions, too.footnote 2 Monitor the type of music that your child is exposed to, and be aware
of the music your child buys.Establish limits.
			 Set limits for your children to show them that you love and care about them.
			 Make sure your rules are reasonable and that your child understands them. It is
			 important to follow through on any consequences you have established for
			 failing to follow rules.Recognize and develop special talents.
			 Help your child discover interests and practice skills. For example, kick a
			 soccer ball around the yard with your child or help him or her practice
			 printing letters. Recognize his or her
			 curiosity about the body and sexuality. You can help
			 your child gain basic knowledge and a healthy attitude toward these issues by
			 showing a willingness to listen and discuss them.Before your child
			 starts middle school, teach him or her
			 how to resist using tobacco and other drugs.
 You can also help your child through each stage of
		  development by evaluating your relationship from time to time. In many ways,
		  you have to "get to know" your child over and over again. Think about: What do I like most about my
			 child?What could be triggering difficult behavior? Are any of these new
			 triggers? What new skills has my child developed within the past
			 year? Six months? Three months?What tasks can I encourage my child
			 to do for himself or herself? How can I encourage him or her?When
			 am I happy about how I treat my child?What don't I like about some
			 of our interactions? When do these episodes tend to occur?
  As a parent or caregiver of children, it is also important
		  for you to: Learn and use effective
			 parenting and discipline techniques and avoid the use
			 of corporal punishment. Parenting classes are offered in
			 most communities. Ask your doctor or call a local hospital for more
			 information.Learn healthy techniques to resolve conflicts and
			 
			 manage stress. For more information, see the topic
			 Stress Management.Ask for help when you
			 need it. Call a family member or friend to give you a break if you feel
			 overwhelmed. Find out about community resources that are available to help you
			 with child care or other necessary services. Call a doctor or local hospital to
			 find out about a place to start. Some communities have respite care facilities
			 for children, which provide temporary child care during times when you need a
			 break. 
When to Call a DoctorTalk to your child's doctor if
		  you are concerned that your child:  Is not meeting growth or development milestones
			 for his or her age. Has signs that he or she is entering
			 puberty at a very early age (before 8 for girls, and 9
			 for boys).Exhibits unusually aggressive behavior or shows signs of
			 bullying others. Boys, especially, may behave
			 aggressively when they are faced with a difficult situation. Girls are more
			 likely to shun other girls and gossip about others.Struggles to understand or use
			 spoken or written language. Having learning problems in school could be a sign
			 of a
			 learning disability or a vision problem.Shows signs of
			 attention deficit hyperactivity disorder (ADHD), such
			 as inattention, impulsivity, and/or
			 hyperactivity, that are causing problems at home or
			 school.Seems withdrawn or
			 depressed. Girls are more likely than boys to react to
			 problems quietly. This behavior can make it hard for parents and teachers to
			 recognize that they are troubled. A child who loses interest in friends or activities that he or she liked in the past may be
			 depressed.
 Sometimes school counselors or teachers identify children
		  who are having difficulties doing schoolwork, participating in gym classes, or
		  socializing with other children. They can recommend a course of action that may
		  involve a
		  family doctor or
		  pediatrician. As your child becomes more
		  involved at school and with friends, sports, and other activities, your skills
		  as a parent will be tested. You may want to talk with your doctor if you feel
		  overwhelmed. Also, classes that are often offered by schools, churches, or
		  community groups can help you learn valuable parenting skills.Routine CheckupsRoutine checkups (usually once a year) allow your child's doctor to keep a close eye on your child's general health and development. You also can discuss any concerns you have at these appointments. Routine dental care is important for your child too.  During the
		  well-child visit, the doctor typically:  Measures your child's weight and height. These
			 measurements are plotted on a growth chart and are compared to previous and
			 later markings to make sure the child is growing as expected.
			 Checks your child's body mass index, blood pressure, hearing, and vision, and
			 examines your child for any visible problems.Reviews your child's immunization record. Needed immunizations are given or scheduled. For more information, see the topics:Talks
			 with your child. For example, the doctor may ask about his or her friends,
			 favorite activities, and most interesting school subjects. From this
			 conversation, the doctor will briefly assess your child's language skills and
			 hearing and also perhaps his or her social skills and other developmental
			 issues. Observes how you and your child interact, to assess
			 emotional and social development. The doctor will ask you questions about your
			 child's behavior, school performance, how your child handles difficulties, and
			 what activities your child is involved in, among others.
 Routine checkups are a good time for you to ask about what
		  to expect. Ask your doctor about your child's health, growth, development, or
		  behavior. It may help you to go to your child's checkup with a prepared
		  list of questions(What is a PDF document?). 
		   Sometimes it may be appropriate to have your child spend part of the
		  visit alone with the doctor. This can give your child a chance to talk about
		  issues that he or she has difficulty discussing with the doctor if you are present.Other Places To Get HelpOrganizations
						HealthyChildren.org (U.S.) www.healthychildren.orgEunice Kennedy Shriver National Institute of Child Health and Human Development (U.S.) 1-888-320-6942 www.nichd.nih.gov
						ReferencesCitationsCouncil on Communications and Media, American Academy of Pediatrics (2009). Policy statement: Media violence. Pediatrics, 124(5): 1495-1503. American Academy of Pediatrics (2009). Policy statement: Impact of music, music lyrics, and music videos on children and youth. Pediatrics, 124(5): 1488-1494.
 Other Works ConsultedAmerican Academy of Pediatrics (2001, reaffirmed 2005). Sexuality education for children and adolescents. Pediatrics, 108(2): 498-502.Feigelman S (2011). Middle childhood. In RM Kliegman et al., eds., Nelson Textbook of Pediatrics, 19th ed., pp. 36-39. Philadelphia: Saunders.Kaplowitz P, et al. (2016). Evaluation and referral of children with signs of early puberty. Pediatrics, 137(1): 1-6. DOI: 10.1542/peds.2015-3732. Accessed January 11, 2016.Newman BM, Newman PR (2012). Middle childhood (6 to 11 years). In Development Through Life: A Psychosocial Approach, 11th ed., pp. 288-332. Belmont, CA: Wadsworth Cengage Learning.Rappley MD, Kallman JR (2009). Middle childhood. In WB Carey et al., eds., Developmental-Behavioral Pediatrics, 4th ed., pp. 50-61. Philadelphia: Saunders Elsevier.Strasburger VC, et al. (2010). Health effects of media on children and adolescents. Pediatrics, 125(4): 756-767.U.S. Preventive Services Task Force (2013). Screening for primary hypertension in children and adolescents. http://www.uspreventiveservicestaskforce.org/uspstf/uspshypechld.htm. Accessed January 11, 2014.
CreditsByHealthwise StaffPrimary Medical ReviewerJohn Pope, MD - Pediatrics
 Kathleen Romito, MD - Family Medicine
 Specialist Medical ReviewerLouis Pellegrino, MD - Developmental Pediatrics
 Susan C. Kim, MD - Pediatrics
Current as of:
                May 4, 2017Council on Communications and Media, American Academy of Pediatrics (2009). Policy statement: Media violence. Pediatrics, 124(5): 1495-1503.  American Academy of Pediatrics (2009). Policy statement: Impact of music, music lyrics, and music videos on children and youth. Pediatrics, 124(5): 1488-1494. Last modified on: 8 September 2017  |  |