A Guide for Treating Teens with Addiction and Substance Abuse Issues

Few things are as nightmarish for parents as discovering that their teen has been abusing drugs. Individuals who experiment with drugs and alcohol in adolescence are at increased risk of becoming addicted to substances as adults. For parents, it’s critical that they understand the signs and symptoms of drug or alcohol abuse in their teenager. Knowing how best to confront a teen about substance abuse, and where to go for help can significantly decrease the risk of a teenager becoming addicted as they age. This guide will show parents the symptoms to look for if they suspect a child is using drugs or alcohol, how to intervene, where to find a treatment center for teens, and what happens during treatment for addiction.

Parents Guide to Teen Treatment

Why do teenagers abuse drugs or alcohol?

Drugs and alcohol impact the brain and the body in numerous ways. It doesn’t matter what risk factors a person does or does not have. Drugs and alcohol affect humans in the same way, but not everyone will become addicted. The path to addiction is different for everyone, and a person can have all of the known risk factors for drug or alcohol addiction, and won’t become addicted. Likewise, a teenager can have no risk factors for drugs, and become addicted after trying them for the first time.

While it’s impossible to predict whether or not someone will become addicted, several known risk factors can increase the chances of addiction. Plus, certain risk factors are inherent to adolescence that can raise rates of addiction in vulnerable populations.

For instance, the teen years are when most people with mental health disorders will begin to experience symptoms. Teens often don’t know what’s happening to them, and they may turn to drugs or alcohol to alleviate distressing symptoms of depression, anxiety, or another mental health disorder. Estimates show that up to half of all people who enter drug and alcohol rehab have a comorbid mental health condition that has either triggered their addiction disorder or has worsened from substance abuse. It’s imperative that parents get their teen into treatment so they can be thoroughly evaluated and treated for an underlying mental health disorder.

Risk Factors for Teen Substance Abuse:

  • Early aggressive behavior
  • Lack of parental supervision
  • Poor social skills
  • Substance abuse within the peer group
  • Easy access to drugs or alcohol either at home, school, or within the peer group
  • Poverty
  • Instability at home
  • Abuse
  • Academic failure or difficulties
  • Having a parent or caregiver who abuses drugs or alcohol
  • Believing that drug use and drinking aren’t dangerous

Research has found that the most significant risk factor for teenage drug abuse is the availability of drugs within the adolescent’s peer group, combined with a lack of parental supervision. Research has also found that the riskiest time in a teens life is during significant transitional periods when they are most likely to try drugs or alcohol. Divorce or separation, moving, the death of a friend or relative, and transitioning from elementary school to middle school, high school, and to college, are the riskiest times for teens to try drugs or alcohol.

However, there are protective factors that can mitigate these risks. A strong parental bond, academic competence, self-control, strong neighborhood attachment, and parental supervision can lessen these risk factors and keep teens safe from drugs and alcohol.

What are the signs that a teenager is abusing drugs or alcohol?

Despite a parent’s best efforts and intentions, some teenagers may still fall prey to drug abuse and addiction within the community. When this happens, it is imperative that parents and guardians do not hesitate to get their teen into a treatment center. Parents should also be aware of the signs of drug or alcohol abuse in teens. Many parents will make the mistake of thinking that a teenager’s change in behavior is “teen angst.” The longer a person abuses drugs or alcohol, the more difficult the detox and withdrawal period will be for them.

What are the most common drugs that teens abuse?

  • Alcohol
  • Marijuana
  • Prescription drugs (pain killers, Adderall, and Ritalin)
  • Ecstasy
  • Cocaine
  • Synthetic marijuana

Every drug will have a slightly different set of symptoms when it comes to recognizing abuse, but there are overlapping drug abuse symptoms that are present no matter what substance a person is taking.

  • A sudden change in personality
  • Moodiness, increased aggression
  • A complete change in peer group
  • Increased sleepiness and fatigue, dozing off at inappropriate times
  • Strange smells either on their clothing or coming from their bedroom
  • Becoming withdrawn or secretive
  • Staying up all night and sleeping most of the day
  • A drastic change in appearance, either in their clothing choices or experiencing abrupt weight gain or loss
  • Pinprick or large pupils
  • Finding drug paraphernalia on their person or in their room
  • Sudden lack of interest in activities they usually enjoyed

Why is treatment important?

While it’s true that drugs and alcohol affect numerous bodily systems, they primarily affect the brain, and an adolescent’s brain is developing and going through many changes. Introducing substances in the teen years can permanently damage a teen’s cognitive functioning and other physiological systems.

  • Drugs can deplete the brain of serotonin and dopamine, leading to depression and other mental health issues.
  • Drug and alcohol abuse during the adolescent years will harm a teen’s academic abilities and achievements which can haunt them for the rest of their life.
  • Abusing drugs and alcohol can lead to emotional issues and difficulties regulating emotions as a teen grows.
  • Alcohol abuse in teens can cause memory problems in high schoolers.
  • Children who start drinking before the age of 15 are up to 6 times more likely to become alcoholics as adults than people who wait to drink until they turn 21.
  • Boys who smoke marijuana in high school can stunt their growth.

How should parents respond if they suspect their teen is using drugs or alcohol?

Before confronting a teenager about suspected drug use or alcohol addiction, it’s critical that parents reach out to a qualified drug addiction counselor, who is experienced with treating teens, first. A counselor can help parents emotionally prepare for the conversation they are about to have with their teen. They can help the family set realistic goals, and answer any questions and concerns they may have about rehabilitation treatment for adolescent patients. Having this type of conversation with an adolescent will rarely go as smoothly as the parents hope, but a counselor can show parents the best way to open up the dialogue and how to use de-escalation techniques to keep the conversation heading in the right direction.

When people who are addicted to drugs or alcohol are confronted with the possibility that they will lose access to the substance, they may panic, lash out, and become unreasonable. Losing access to an addictive substance will cause the person to go through withdrawals, which are often painful and distressing. It’s critical that parents are fully prepared with a plan for rehab for their teenager. In rehab, patients have access to doctors and medical professionals who can treat them for painful withdrawal symptoms. If a teenager knows they will not have to go through withdrawals cold turkey, it can make the prospect of attending rehab less overwhelming and stressful.

What does rehab for teens look like?

Drug and alcohol rehabilitation for teenagers is similar to how adult patients are treated for substance abuse. Usually, a teenager will need to undergo a medical detox, so withdrawals are not as painful. It is during the withdrawal timeline that people are most at risk of retaking drugs to alleviate the withdrawal symptoms. By staying in a rehab center during the withdrawal timeline, teenagers are kept in an environment where they do not have access to drugs or alcohol. They are also in contact with medical professionals and counselors who are trained to help them get through the withdrawal phase with minimal pain and distress.

In most cases, teenagers attend an outpatient rehab facility after the withdrawal period. Outpatient rehab lets teens stay in school, at least part-time, so they can either finish out the school year on time or graduate on time. But in some cases where addiction is severe, or the teen is also suffering from a comorbid mental health condition, they may need to attend a more intensive, inpatient program. After a teen finishes outpatient or inpatient rehab, they will need to continue with ongoing counseling, twelve-step programs, or other forms of counseling to avoid relapse and maintain sobriety.

Addition and drug abuse affect millions of people in the U.S. every year. Despite the commonality of substance abuse disorder, it affects people in different ways, and treatment methods must be tailored and customized to the individual. For parents who suspect their teenager is abusing drugs, it’s critical that they speak to an experienced drug abuse counselor immediately. A counselor who is experienced with treating teenagers can guide parents on the most effective way to talk to their teenager, where to look for help, and a counselor can also help parents navigate this emotional minefield.


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