
What to Know About Teen Substance Use
Experimenting with alcohol, marijuana, tobacco, and other substances isn’t uncommon during adolescence — but that doesn’t mean that parents don’t, or shouldn’t, have concerns about it. On this episode of Thriving Kids, Dr. Dave Anderson is joined by two experts from Partnerships to End Addiction, clinical psychologist Dr. Aaron Hogue and licensed clinical social worker Molly Bobek, for a practical conversation about preventing teen substance use, recognizing the warning signs of substance use problem, and helping young people make safer decisions. They explain why the relationship parents build with their kids may be one of their most powerful prevention tools. And they discuss how to talk about drugs and alcohol without exaggerating the risks or losing credibility, what parents should know about the connection between substance use and mental health, and how to respond when a teenager comes home after drinking or doing drugs. They also offer guidance on when to seek treatment, what effective treatment should look like, and why it’s important for families to be involved in the recovery process. In this episode, they cover: • How to distinguish typical experimentation from more concerning patterns of substance use • Why mental health challenges can make teens more vulnerable to misusing substances • How parents can balance family values, consequences, safety, and open communication Key takeaways • Relationships are a powerful prevention tool. Staying calm, curious, and connected — Dr. Hogue’s “three C’s” — can offer teens somewhere to turn when they encounter substances or difficult situations. • Don’t feel like you have to exaggerate the risks of substances to be heard. Scare tactics can backfire, undermining parents’ credibility. Accurate, age-appropriate information can help teens understand real risks while preserving trust. • Think in terms of many small conversations, as opposed to one “big talk” about drinking and drugs. You can create an ongoing dialogue about peer pressure, family values, mental health, and safety. • Prioritize safety when something happens. If your teen has used a substance, beginning with curiosity about what happened and whether they’re safe preserves an open line of communication that can help them make better decisions in the future. • If a teen does need treatment, it should be framed as a form of support, not a punishment. Parents can approach counseling as something the family can work on together rather than evidence that the teen has failed or needs to be “fixed.” • Effective treatment should address the whole child. For adolescents, that often means addressing co-occurring mental health challenges and meaningfully involving parents and families in care. Further reading How to Talk to Your Teen About Substance Use – Child Mind Institute Complete Guide to Substance Use + Mental Health – Child Mind Institute
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