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Children on holiday may worry that adoptive parents will give them up, and there will be no one to care for them. Some may develop feelings that are too much to handle. All these intense feelings may account for the fact that adopted children on average begin to show psychological and mood problems in the elementary school years. In the case of open adoptions, children may know much more about their biological parents but still have some questions about the need for adoption and still retain feelings of being different from other children. When children become teenagers, their questions about adoption may focus on identity issues.