Journal of Adolescent Research 1–31 © The Author(s) 2016 Reprints and permissions: sagepub.com/journalsPermissions.nav DOI: 10.1177/0743558416670990 jar.sagepub.com Article Having It All? A Qualitative Examination of Affluent Adolescent Girls’ Perceptions of Stress and Their Quests for Success Renée Spencer 1 , Jill Walsh 1 , Belle Liang 2 , Angela M. Desilva Mousseau 3 , and Terese J. Lund 4 Abstract This study sought to better understand the relationship between affluence and elevated risk for psychosocial distress among adolescent girls. In-depth qualitative interviews at two time points with three cohorts of girls (sixth-, eighth-, and 10th grade; T1 n = 57, T2 n = 58) from two independent girls schools Grades 6 to 12, along with their parents, and their teachers were conducted. Through narrative thematic analysis, four overarching sources of significant stress were identified: (a) pervasive experiences of pressures to perform, (b) narrow constructions of success, (c) peer competition, and (d) misalignments in expectations between some girls and their parents. These pressures were even more heightened among the older girls. Although all of the girls reported experiencing these stressors, those girls who reported a 1 Boston University, MA, USA 2 Boston College, Chestnut Hill, MA, USA 3 Rivier University, Nashua, NH, USA 4 Wingate University, NC, USA Corresponding Author: Renée Spencer, School of Social Work, Boston University, 264 Bay State Rd., Boston, MA 02215, USA. Email: rspenc@bu.edu 670990JAR XX X 10.1177/0743558416670990Journal of Adolescent ResearchSpencer et al. research-article 2016