A woman using a cigarette

Substance Use in Teens: Early Warning Signs Parents Often Miss

Teen substance use rarely starts as “addiction.” Most of the time, it starts as coping—trying to numb anxiety, sadness, stress, or social pressure.

The earlier substance use is addressed, the more successful recovery tends to be.

Early Warning Signs of Teen Substance Use

  • Mood swings and irritability
  • Sudden changes in friends
  • Declining grades or skipping school
  • Secretiveness and lying
  • Changes in sleep patterns
  • Smell of alcohol or smoke
  • Missing money or valuables
  • Loss of interest in usual activities

Why Teens Turn to Substances

Common reasons include:

  • Anxiety and depression
  • Trauma and emotional pain
  • Peer pressure
  • Low self-esteem
  • Curiosity and impulsivity
  • Family stress or instability

How Counseling Helps

Support often includes:

  • Substance use counseling
  • Coping skills training
  • Family involvement and repair
  • Safety planning and relapse prevention
  • Long-term emotional support