Adolescent Substance Use and the Brain: Behavioral, Cognitive and Neuroimaging Correlates PMC


teen drug abuse

If you think your teen is using drugs, there are teen addiction treatment options available. Experimenting with drugs or alcohol is tempting for teenagers because they may not know or understand the dangers of using substances—even just once. Academic pressure, low self-esteem, and peer pressure are just a few factors that increase their risk of substance use. The 2023 NSDUH report includes selected estimates by race, ethnicity and age group. The report is accompanied by two infographics offering visually packaged highlight data as well as visual data by race and ethnicity. Around 10.2% of adolescents and adults (28.9 million people) reported drinking to the point where they met the criteria of alcohol use disorder.

Mind Matters: The Body’s Response to K2/Spice

And it highlights, too, that even for those seeking help for a substance use or mental health disorder, treatment is often unavailable. Rates of mental illness and substance use remained largely stable in 2023, according to federal data, underscoring the severity of the long-running U.S. mental health crisis and worst-in-the-world rates of illicit drug use. SAMHSA officials said they saw the increase as a positive development, citing efforts to normalize and destigmatize seeking out mental health treatment. The dangers of prescription drug abuse can be even worse if people take drugs in a way they weren’t intended to be used. Ritalin may seem harmless because it’s prescribed even for little kids with ADHD.

teen drug abuse

Reported drug use among adolescents continued to hold below pre-pandemic levels in 2023

teen drug abuse

Rates of adolescents getting mental health treatment has increased virtually every year since 2009 in SAMHSA’s survey results, though the agency has cautioned against directly comparing against results from before 2021 due to changes in how the survey was done. Teenage drug use impacts the impulse control part of the developing, not-yet-mature brain. Due to the immaturity of the adolescent brain, individuals who begin using substances as teenagers are at greater risk of becoming addicted compared to those who begin substance use as adults.

Withdrawal Symptoms

The teenage brain is vulnerable to the harmful effects of nicotine, including anxiety and addiction. Around 11.7% of people vaping nicotine were underage, similar to last year’s results. Other federal surveys have reported finding that e-cigarette use in high school students could be declining significantly, but levels in middle school students have not.

Percentage of adolescents reporting drug use decreased significantly in 2021 as the COVID-19 pandemic endured

The means of getting a prescription drug for illicit use also has changed over time, with signs indicating it’s gotten harder for teens to find these pills, researchers report. The percentage of seniors who say they’ve misused prescription drugs in the past year has dropped to 2% in 2022, down from 11% back in 2009, researchers reported July 24 in the Journal of the American Medical Association. But rates of alcohol abuse were virtually unchanged in 2023, at 21.7% reporting binge phencyclidine wikipedia drinking and 5.8% reporting “heavy alcohol use,” defined as binge drinking for at least five days a month. In 2023, 47.5% of adults and adolescents — about 134.7 million Americans — reported drinking alcohol in the past month, down from 48.7% in 2022. The most common mode of using marijuana was smoking, at 77% of those adolescents and adults who have used marijuana in the past year. Close to half of users said they had consumed edible or beverage products containing it.

At the same time, make sure that you reassure your teen that you love them and that you want to help. There are serious health risks to misusing OTC cold and cough products, including increased blood pressure, loss of consciousness, and overdose. There can also be legal issues if a teen is using someone else’s prescriptions.

Risk factors for teen substance use include low levels of parental supervision and/or communication, family conflicts, inconsistent or severe parental discipline, and a family history of substance use disorder (SUD). Individual risk factors include difficulties handling impulses, emotional instability, thrill-seeking behaviors, and underestimating the consequences of using. Risk of SUD also increases during times of transition, such as changing schools, moving, or parent divorce. Societal risk factors for teenagers include peer pressure and the portrayal of teenage drinking in the media, including social media and advertising which promotes drinking behaviors in teenagers.

Recovering from a drug or alcohol addiction doesn’t end with a 6-week treatment program. You’ll meet people who have gone through the same experiences, and you can have real-life pregabalin abuse in combination with other drugs discussions about drugs that you won’t hear in your school’s health class. The majority of adults with an addiction first experimented with drugs before they turned 21.

Overall, 17.1% of the population, or 48.5 million people, met the criteria for a substance use disorder at some point in the past year. Yet fewer than 1 in 4 classified as requiring addiction treatment received medical care relating to their substance use. The survey, released Tuesday by the Substance Abuse and Mental Health Services Administration, serves as a reminder of the severity of the nation’s ongoing substance use and mental health crises.

Together, these findings suggest that neural vulnerabilities in regions implicated in inhibitory control predict alcohol use, and heavy drinking subsequently may lead to additional alterations. Similarly, Squeglia et al. (2014) have reported a bidirectional relationship with smaller cingulate and rostral ACC volumes at baseline predicting later transition to heavy drinking, vanderburgh house and heavy drinking, in turn, predicting greater volume reductions in the left inferior/middle temporal gyrus and left caudate. Another study has demonstrated the reverse relationship between alcohol use and morphological differences, whereby smaller left dorsal and rostral paralimbic ACC volumes predicted later alcohol-related problems (Cheetham et al., 2014).

  1. Common symptoms of withdrawal are diarrhea, shaking, and generally feeling awful.
  2. A study showed that 60% of teens in a community-based substance use treatment program were also diagnosed with a mental health disorder.
  3. Emerging substance use behaviors (i.e., nicotine and cannabis vaping) are highlighted by a red box.
  4. Some of these behavioral characteristics, in turn, contribute to a greater likelihood of initiating substance use (Lisdahl et al., 2018).

Δ9-tetrahydrocannabinol, the primary psychoactive ingredient of cannabis, acts primarily as a partial agonist at the cannabinoid type 1 receptor. Given that cannabinoid type 1 receptors are widely expressed throughout the brain, structural and functional consequences of cannabis exposure are a subject of interest (Pertwee, 1997). Herein, we review the possible consequences of cannabis use during adolescence related to cognition, psychopathology, and future substance use risk, and studies investigating these associations are summarized in Supplementary Table S3.


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