Substance Abuse in Adolescents

A Major Health Problem in the U.S.

          Substance abuse is a major health problem in the United States.  Drug abuse has increased significantly in the adolescent age group since 1990, particularly among those in grades 8 to 12.  About 20% of youth admit to drinking alcohol before age 13.  Approximately one third of teenagers admit to binge drinking.  Drinking and driving is one of the reasons why motor vehicle accidents are the major cause of death in this age group in the United States.

Marijuana is the Most Commonly Abused Drug

          While marijuana is the most commonly used illicit drug in the adolescent age group, other abused substances include ecstasy, hallucinogens such as LSD, opioids, cocaine, and stimulants.  Even over-the-counter medications like the cough suppressant dextromethorphan can be abused.  Drugs intended to treat Attention Deficit / Hyperactivity Disorder (ADHD) are used by a significant number of teens to boost their school performance, although there is no evidence that they make any difference.

Risk Factors for Drug Abuse

          There are a number of factors that may contribute to determining whether a child will abuse drugs or not.  The presence of a mood disorder, criminal activity or a family history of drug abuse are all risk factors for drug abuse in children.  On the other hand, children who have close parental supervision, a good relationship with their parents, good self-esteem, and involvement in social and religious activities are less likely to abuse drugs. 

Getting Help

          It is important to recognize drug abuse in adolescents and to get help for these individuals, starting with a visit to your primary care physician.  You should suspect drug abuse when there is a change in mood or behavior (including changes in sleeping and eating habits), academic difficulties, increased family conflict or the presence of risky behaviors.  A urine drug screen can be useful in confirming drug use.  More information on treatment referral is available at:  http://www.Drug-Rehab.org. 

1 thought on “Substance Abuse in Adolescents”

  1. Substance abuse in all age groups is a serious problem. It’s good to hear a doctor emphasize this.

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