Understanding Teen Drug Addiction and Recovery

Guess blog by Amy Wacholz From Steps to Recovery.

dating violence among teensMany teens experiment with drugs and around half of twelfth graders have used drugs recreationally on at least one occasion. While marijuana is usually the drug of choice among adolescents, prescription medications are also popular owing to their ease of access and their perceived safety, though some teens also experiment with street drugs such as heroin, cocaine, crystal meth and amphetamines. Even though for the majority of youngsters drug taking remains an occasional activity, owing to the addictive nature of illicit drugs it is easy for them to become a habit, which is not only damaging to physical and mental health, but can harm all aspects of a teen’s life. Thankfully, for young adults who find themselves in the grip of a drug addiction, specialist help is available to aid their recovery.

Predisposition to Drug Addiction

As not all teens who start taking drugs become hooked, there are certain factors that can predict whether or not addiction is more likely. For instance, young people with a history of mental health problems are more likely to turn to drugs to boost their mood, confidence or self-esteem, with repeated use for these purposes increasing the likelihood of addiction. A family history of substance abuse also makes us more vulnerable to develop similar habits. However, factors in the environment are just as important as biological traits in predicting drug dependency. Good connections with family and friends, feeling part of the local community, achieving well at school, having outside interests and appropriate parental supervision are just some of the protective environmental factors when it comes to preventing drug misuse.

Understanding Drug Addiction

Addiction is able to occur because taking drugs enhances dopamine production and a rush of this feel-good chemical messenger encourages us to repeat the same behavior. The dopamine reward system is also activated by enjoyable activities such as eating, exercise and sex, but over time with repeated exposure to drugs the brain does not respond in the same way to everyday activities. As a result we lose interest in other things and prioritize drug taking. This isn’t the only impact that drug abuse has on our brain though, as it changes brain circuits that control memory and behavior, leading to cravings and an inability to control the desire to take drugs.

Effective Treatments for Drug Addiction

Although specialist addiction programs are available to successfully help those with a dependency on drugs to free themselves from their habit, figures show that less than 10% of addicts receive the treatment they need. While a drug detox is an important first step during the recovery process, a medically supervised withdrawal followed by a structured program of counseling is essential to achieve lasting abstinence. This is because addiction is complex and multi-component treatment for drug abuse that addresses all needs is usually most effective, particularly when individually tailored to the requirements of each person. Treatment typically includes a combination of individual and group therapy, as well as medication to manage withdrawal symptoms and reduce the risk of relapse in opiate addiction. It is essential that during the recovery process any underlying problems that affect mental wellness are identified, as diagnosis and management of co-existing conditions improves the chance of successfully kicking a drug habit for good.

During a detox from drugs, treatments are available to make the process more comfortable. Medications also play an active part in the treatment of opiate abuse, with methadone and buprenorphine helping to relieve cravings and withdrawal symptoms by binding to the same sites in the brain as heroin and prescription opiates. Following opiate withdrawal, naltrexone is also an option, as by blocking the brain sites where opiates bind, drug taking doesn’t offer the same high, helping to promote abstinence.

Whether receiving addiction treatment on an inpatient or outpatient basis, a range of behavioral therapies are available. The benefits of cognitive behavioral therapy in substance misuse is well recognized and is designed to help people change their thoughts and behaviors so they can avoid or better manage situations when they may be tempted to use drugs. However, before someone begins CBT, motivational interviewing is a helpful strategy to ensure addicts entering rehab are ready to change their behaviors. Motivational incentives can meanwhile help to keep people on track during recovery, as rewards encourage continued abstinence. Finally, multi-dimensional family therapy, which was created with adolescents in mind, helps to address factors that influence drug taking and improves the way that family members connect with one another.

For more helpful information and articles about teen addiction and recovery please visit the website Steps to Recovery.

Perfectionism and Protection- A Teen’s Story of Addiction and Control

 She’s a petite 17-year-old girl, with little makeup and a kind smile. She is an only child. She has good relationships with her friends and loves to talk with them about boys, school stress, and gossip. She would never talk specifically about struggle she’s dealing with at home, but she will hint about them indirectly with her friends. She doesn’t talk to any of her friends about serious issues that she’s dealing with nor does she talk to her parents. I innocently asked, who’s there for you?  Her response,“that’s why I now have a therapist.”  She explained how when she was 16 years old she had everything bottled up inside her and struggled with depression, extreme mood swings and sought solace in drugs and alcohol. She talked about how her depression hit an all-time low at one point and she overdosed. Her drug of choice ecstasy and alcohol of choice vodka. Once this happened she had to come clean to her parents and tell them about the depression and obviously the drugs and alcohol. She was extremely scared because she had never opened up to them about “anything” before. When she told her parents about the drug issue her mom cried and her dad was sad. She was surprised by how open and comforting they were about her situation and sent her to rehab. The thing she feels the worse about is that by coming clean to her parents, she’s basically admitting to them that they don’t know her. She’s been lying to them. Lying about who she is and what she does. This truly bothered her the most. She said that time heals all when talking about going into treatment for her drug and alcohol issues. She then tells me that on top of the drug and alcohol issues and the depression, she also had an eating disorder. She had become anorexic for a period of time as a form of control over her life. She felt hiding the eating disorder was very easy to do. She stressed to me that it had nothing to do with body image at all, it was all about control.

 

The 20% Teens Don’t Tell Their Parents

I have to say, one of my favorite questions to ask a teens is “What percentage of information do you not share with your parents?”  I get a lot of surprised looks from teens when I ask this question, but none of them refuse to answer. If fact, just the opposite. They want to tell me. Usually they take a moment, and with a smirk on their face…..they say “20%”.  Now this 20% usually relates to one of more of the following areas, so parents take note.

1) Friends– Do you know all of your teen’s friends? Probably not, but I’m sure you are aware of the ones getting good grades and playing on the soccer team. What about the other friends…. the ones smoking, getting kicked out of school or passing out at the party. These are the friends that your teen knows you wouldn’t approve of and so they don’t tell you about them. However, these friends are highly influential with your teen.

2) Drinking/alcohol- I have yet to hear one story from a teen where alcohol was NOT at the party.  Your teen may or may not choose to drink, but the alcohol is ever present.  They are usually attending the parties because that is what one does to be “popular” in high school.  If they don’t want to drink, the smart ones designate themselves as the driver, so they don’t get peer pressured into a drinking game or a bottle of beer.

3) Stress/anxiety- Kids today are stressed out.  I’m not really sure how or when this happened, but they are all constantly talking about how stressed out they are. Their anxiety usually relates to school and getting good grades if college is on their mind. Or it’s related to  being well liked by their peers and socially accepted by those in class or on their team. Plainly put….being popular. This anxiety occupies a lot of their time.

4) Boys- Girls worry or “wonder” about boys. It’s a fact. Having a boyfriend, not having a boyfriend and the expectations from boys these days. Many girls are seeking advice, but don’t know where to go.  Even if your teen tells you that they don’t care, trust me…it’s on their mind.

5) Body image– I’d say at least 90% of the girls I have spoken with, wish they were thinner.  At least 50% of those same girls also have experienced eating disorders at one time. Many feel a silent pressure from media, friends, and/or family about being disciplined, staying thin and not over indulging.

Teens today don’t want to bother their parents with these issues. They see their parents as too busy, stressed out, working late and don’t want to burden them.  So, they are constantly saying that “everything is fine” when in fact, it’s not.  They are worrying about a lot of things on the inside, but you would never know it. Why? Because they don’t want you to see it.  In the words of one 16 yr. old teen that I interviewed, “you can hide a lot behind a smile.”

Parents, take the time to sit down with your teen and talk to them. Don’t let them off the hook so easily when they say “everything is fine.” Let them see that you care about this 20% and that you are there for them.