Signs of Substance Abuse in Minors: What Parents and Caregivers Should Look For
By Chakib Khoury
(Medical Student at University of Balamand-Lebanon)
Introduction
Addiction can appear to one’s self as harmless habits; imagine how well it can go unnoticed to other people.
Substance abuse among minors is a growing public health concern that affects not only the individuals involved but also their families and environment. Behaviors like substance abuse often get established during adolescence, thus early detection and intervention are crucial.
Parents and caregivers play a vital role in recognizing the early signs of substance abuse, which can lead to timely support. This article aims to provide an overview of key warning signs of substance abuse in minors, and practical steps that parents and caregivers can take to address them.
Understanding the Context
Early detection trumps intensive treatment, especially in regards to mental health illnesses and drug dependency. Literature around substance abuse focuses on preventive and harm-reduction methods for a good reason.
Signs of substance abuse can be categorized as behavioral, physical, and psychological.
Behavioral and Psychological Signs of Substance Abuse
Teens involved in substance use may exhibit significant personality changes, most noticeably apathy, low morale, aggressive behavior, and poor interactions with family, friends, and the community. More serious cases may also exhibit increased deception and lying about actions, whereabouts, and associations.
Attempts by parents or guardians to address these behaviors are often met with strong resistance, as teens may perceive them as unwanted intrusions or violations of their privacy. Victims can become more defensive or confrontational when questioned about their change.
Furthermore, signs of mental health struggles, such as depression, mood swings, and emotional instability, can also be red flags for substance use. These changes in behavior are often a cry for help and warrant further investigation.
Psychological changes, such as an increase in risk-taking behaviors, may also point toward substance abuse. These behaviors can include reckless driving, getting into legal trouble, or experimenting with multiple substances. Emotional instability, characterized by drastic shifts in mood, paranoia, or extreme apathy, is another significant warning sign.
Physical Signs of Substance Abuse
In addition to behavioral changes, there are several physical signs that parents and oeers should be aware of. Unexplained fluctuations in weight, whether sudden loss or gain, can be indicative of substance use. Poor hygiene, particularly oral hygiene, may also signal a problem.
Moreover, the possession of drug paraphernalia (meaning accompanying items) is a strong indicator of substance use. Items such as tin foil, weight scales, smoking pipes, butane torches, bongs, ziplock bags, folded paper envelopes (bindles), cigarette lighters, small bowls, hypodermic needles, balloons, mirrors, metal surfaces, short straws, glass pipes, capsules, and vials are often associated with drug use. If these items are found among a teen’s belongings, it may be time to seek professional help.
Academic and Extracurricular Changes
A decline in academic performance is another key indicator of potential substance use. Sudden drops in grades, frequent truancy, or a noticeable lack of concentration can be signs that a minor is struggling with substance use.
Additionally, if a child or teenager suddenly loses interest in hobbies or extracurricular activities that they once enjoyed, this may also be a cause for concern.
Treatment Approaches for Adolescent Substance Use
Addressing substance abuse in minors involves multiple approaches, including motivational enhancement therapy (MET), cognitive behavioral therapy (CBT), family-based treatments, and, in some cases, pharmacotherapy.
MET is designed to enhance a young person’s intrinsic motivation for behavioral change through client-centered therapy. While MET has not shown a significant effect on preventing problematic alcohol use or alcohol-related harms, it can still be a valuable part of a broader treatment plan, and is often used in conjunction with CBT.
CBT, on the other hand, has been effective in increasing abstinence and reducing substance use among individuals of all ages. This therapy helps individuals understand the relationship between their thoughts, feelings, and behaviors, enabling them to develop healthier coping mechanisms while eliminating problematic patterns.
Family-based treatments and multisystemic therapy have shown some success in reducing alcohol use among young people with alcohol use disorders. These interventions involve the whole family and focus on improving communication, establishing healthy boundaries, and creating a supportive environment for the young person.
While pharmacotherapy for substance dependence has proven effective in adults, particularly with medications like naltrexone and acamprosate, there is limited evidence supporting its use in minors. Most studies have targeted substance use disorders secondary to psychiatric conditions, suggesting that further research is needed in this area.
What to Do If You Suspect Substance Abuse
If you suspect that a minor in your care is using substances, it is crucial to approach the situation with care and empathy. Start by having an open and non-judgmental conversation with them, expressing your concerns without accusing them. Listen actively to their side of the story and offer support rather than punishment. It is important to approach the situation with empathy and understanding, as aggressive confrontation may push the teenager further away.
If necessary, seek professional help from pediatricians, psychologists, or addiction specialists who can provide guidance on the best course of action. Support groups and community resources can also offer valuable assistance and a network of support for both the minor and their family.
Final Thoughts
Recognizing the signs of substance abuse in minors is the first step toward addressing the issue and providing the necessary support. By staying vigilant and maintaining open lines of communication, one can play a crucial role in early detection and intervention. Substance abuse is a complex issue, but with the right approach, it can be managed, and young people can be guided toward healthier, dependent-free futures.
References:
- Stockings, E., Hall, W. D., Lynskey, M., Morley, K. I., Reavley, N., Strang, J., Patton, G., & Degenhardt, L. (2016). Prevention, early intervention, harm reduction, and treatment of substance use in young people. The lancet. Psychiatry, 3(3), 280–296. https://doi.org/10.1016/S2215-0366(16)00002-X
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Fadus, M. C., Squeglia, L. M., Valadez, E. A., Tomko, R. L., Bryant, B. E., & Gray, K. M. (2019). Adolescent Substance Use Disorder Treatment: an Update on Evidence-Based Strategies. Current psychiatry reports, 21(10), 96. https://doi.org/10.1007/s11920-019-1086-0