ALCOHOL AND DRUG ABUSE

 Experimentation with alcohol and drugs during adolescence is common. Unfortunately, teenagers often don't see the link between their actions today and tomorrow's consequences. They also tend to feel indestructible and immune to the problems that others experience.

Both legal and illegal drugs have chemicals that can change how your body and mind work. They can give you a pleasurable “high,” ease your stress or help you avoid problems in your life. Alcohol use and abuse of drugs and alcohol by teens are very common and can have serious consequences. In the 15-24 year age range, 50% of deaths (from accidents, homicides, suicides) involve alcohol or drug abuse. Drugs and alcohol also contribute to physical and sexual aggression such as assault or rape. Possible stages of teenage experience with alcohol and drugs include abstinence (non-use), experimentation, regular use (both recreational and compensatory for other problems), abuse, and dependency. Repeated and regular recreational use can lead to other problems like anxiety and depression. Some teenagers regularly use drugs or alcohol to compensate for anxiety, depression, or a lack of positive social skills. Teen use of tobacco and alcohol should not be minimized because they can be “gateway drugs” for other drugs (marijuana, cocaine, hallucinogens, inhalants, and heroin). The combination of teenagers’ curiosity, risk-taking behavior, and social pressure makes it difficult to say no. This leads most teenagers to the question: “Will it hurt to try one?”

A teenager with a family history of alcohol or drug abuse and a lack of pro-social skills can move rapidly from experimentation to patterns of serious abuse or dependency. Some other teenagers with no family history of abuse who experiment may also progress to abuse or dependency. Therefore, there is a good chance that “one” will hurt you. Teenagers with a family history of alcohol or drug abuse are particularly advised to abstain and not an experiment. No one can predict for sure who will abuse or become dependent on drugs except to say the non-user never will.

Warning signs of teenage alcohol and drug use may include:

Physical: Fatigue, repeated health complaints, red and glazed eyes, and a lasting cough.

Emotional: personality change, sudden mood changes, irritability, irresponsible behavior, low self-esteem, poor judgment, depression, and a general lack of interest.

Family: starting arguments, breaking the rules, or withdrawing from the family.

School: decreased interest, negative attitude, grades dropped, many absences, truancy, and discipline problems.

Social problems: new friends who are less interested in standard home and school activities, problems with the law, and changes to less conventional styles in dress and music.

Some of the warning signs listed above can also be signs of other problems. Parents may recognize signs of trouble and possible use of alcohol and other drugs with their teenagers. If you have concerns you may want to consult a physician to rule out physical causes of the warning signs. This should often be followed or accompanied by a comprehensive evaluation by a child and adolescent psychiatrist or mental health professional.

- Written by B MANOGNA REDDY


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