What causes substance abuse/chemical dependence?
Cultural and societal norms influence acceptable standards of substance use. Public laws determine the legal use of substances. The question of whether there is a normative pattern of substance use in adolescence remains controversial. Substance-related disorders in adolescence are caused by multiple factors including genetic vulnerability, environmental stressors, social pressures, individual personality characteristics, and psychiatric problems. However, determining which of these factors are primary and which are secondary in adolescent populations has not been determined. Most of the knowledge available regarding substance use and abuse comes from studying adult populations. A lack of research studying youthful substance use and abuse leaves questions concerning how it differs from substance abuse in other age groups unanswered.
Stimulants: Use Among Young People (mp3)
What substances are most often abused by adolescents? Substances frequently abused by adolescents include, but are not limited to, the following:
Who is affected by substance abuse/chemical dependence? Parental and peer substance use are considered two of the more common factors contributing to youthful decisions regarding substance use. Alcohol use among adolescents has increased during the last 10 years.
Some adolescents are more at risk of developing substance-related disorders, including adolescents with one or more of the following conditions present:
Children of substance abusers
Adolescents who are victims of physical, sexual, or psychological abuse
Adolescents with mental health problems, especially depressed and suicidal teens
Physically disabled adolescents
What are the symptoms of substance abuse/chemical dependence? The following are the most common behaviors that indicate an adolescent is having a problem with substance abuse. However, each adolescent may experience symptoms differently. Symptoms may include:
Getting high on drugs or getting intoxicated (drunk) on a regular basis
Lying, especially about how much they are using or drinking
Avoiding friends and family members
Giving up activities they used to enjoy such as sports or spending time with non-using friends
Talking a lot about using drugs or alcohol
Believing they need to use or drink in order to have fun
Pressuring others to use or drink
Getting in trouble with the law
Taking risks, such as sexual risks or driving under the influence of a substance
Suspension from school for a substance-related incident
Missing school due to substance use
Depressed, hopeless, or suicidal feelings
The symptoms of substance abuse may resemble other medical problems or psychiatric conditions. Always consult your child's physician for a diagnosis.
How is substance abuse/chemical dependence diagnosed?
A pediatrician, psychiatrist, or qualified mental health professional usually diagnoses substance abuse in adolescents. However, adolescent substance abuse is believed by some to be the most commonly missed pediatric diagnosis. Adolescents who use drugs are most likely to visit a physician's office with no obvious physical findings. Substance abuse problems are more likely to be discovered by physicians when adolescents are injured in accidents occurring while under the influence, or when they are brought for medical services because of intentional efforts to hurt themselves. Clinical findings often depend on the substance abused, the frequency of use, and the length of time since last used, and may include the following:
Little concern for hygiene
Prevention of substance abuse/chemical dependence There are three major approaches frequently used to prevent adolescent substance use and abuse, including the following:
School-based prevention programs
School-based prevention programs usually provide drug and alcohol education and interpersonal and behavior skills training.
Community-based prevention programs
Community-based prevention programs usually involve the media and are aimed for parents and community groups. Programs such as Mothers Against Drunk Driving (MADD) and Students Against Drunk Driving (SADD) are the most well known community-based programs.
Family-focused prevention programs
Family-focused prevention programs involve parent training, family skills training, children's social skills training, and family self-help groups. Research literature available suggests that components of family-focused prevention programs have decreased the use of alcohol and drugs in older children and improved effectiveness of parenting skills that favorably affected their children's risk factors.
Treatment for substance abuse/chemical dependence Specific treatment for substance abuse/chemical dependence will be determined by your child's physician based on:
Your child's age, overall health, and medical history
Extent of your child's symptoms
Extent of your child's dependence
The substance abused
Your child's tolerance for specific medications or therapies
Expectations for the course of the condition
Your opinion or preference
A variety of treatment programs for substance abuse are available on an inpatient or outpatient basis. Programs considered are usually based on the type of substance abused. Detoxification (if needed, based on the substance abused) and long-term follow-up management are important features of successful treatment. Long-term follow-up management usually includes formalized group meetings and developmentally age-appropriate psychosocial support systems, as well as continued medical supervision. Individual and family psychotherapy are often recommended to address the developmental, psychosocial, and family issues that may have contributed to and resulted from the development of a substance abuse disorder.
Adolescent Substance use Skills Education Training The Adolescent Substance use Skills Education Training (ASSET) is a comprehensive treatment program designed for adolescents (age 13-17) with substance use concerns, and their families. This program is approved by the Charleston School District and can also be used to satisfy Pretrial Intervention (PTI) requirements. ASSET is found on evidence-based interventions for teens who suffer from substance use. Upon a comprehensive evaluation, an individualized treatment plan is created utilizing group and/or individual and family therapy. Medication management as well as routine drug and alcohol screens are available. ASSET groups consist of the following teaching objectives: 1) substance use education about physical and psychological effects of drugs and alcohol, 2) enhancement of decision-making skills and increasing motivation for abstinence, 3) coping skills, such as drug refusal skills, emotional regulation skills, and relaxation skills. In addition, adolescents and their families may participate in weekly, bi-weekly, or monthly individual and family sessions focusing on preventing relapse, as well as other related concerns, such as anger management, depression, and anxiety.
For information or to make an appointment, please call (843) 792-5200 Location: We are located at the Medical University of South Carolina, 67 President street, in the Institute of Psychiatry on 4-North We accept all major insurances, including Medicaid
Center for Drug & Alcohol Programs
67 President Street
Information within this site is solely intended for educating the site's visitors on issues surrounding alcohol and drug abuse. If you or someone you know needs help due to substance abuse, please contact our CDAP clinical facility, a primary care physician, or another substance abuse facility of your choosing.