Actually, there IS a difference - and I am a bit burned out by it.
Adolescents, bless 'em, who have been traumatised, tend to slash and mutilate and make frequent suicide attempts, or be suicidal for long periods, and generally have you on the edge of your seat, biting your nails, sweating and sending your hair gray - because, as well as caring like hell about the little blighters, you know who will get the blame if one of them actually does it. Mostly, they don't want to - but they are always likely to kill themselves by accident, poor little things.
16 years of it (despite its rewards) has left me a husk of my former self!
And I'm only 35!