patient engagement

Drug Use in Teens: A Guide for Pediatricians

In today's society, drug use among teenagers has become a pressing concern. Pediatricians have an important role: to address this issue and equip parents with the necessary knowledge and tools to detect and prevent drug use in their children. This blog will explore the topic of drug use in teens, drawing upon valuable insights from the Patient Education online library from the American Academy of Pediatrics.

Understanding the Scope of the Problem

Teenagers experimenting with drugs is not a new phenomenon, but the types of drugs available and their accessibility have increased significantly in recent years. While it is important to address all forms of drug use, it is essential to highlight the specific dangers associated with drug use in teens. Drug use always has negative side effects, which can severely impact a teenager's physical and mental health, including stunted growth, hypertension, liver damage, aggression, and mood swings. Pediatricians must educate both parents and teenagers about the risks involved in using drugs and alcohol, and emphasize the importance of avoiding them altogether, as well as building a support system for teens to turn to.

Promoting Healthy Alternatives

Some teens may be motivated to experiment with ‘performance-enhancing’ drugs such as steroids. Instead, teens should focus on utilizing a holistic approach to improve their athletic performance and overall well-being. Encouraging a healthy diet, adequate sleep, and maintaining a consistent healthcare plan are crucial in supporting teenagers' physical and mental development. Parents, coaches, and pediatricians should work together to provide guidance and support in implementing these lifestyle choices. A balanced diet consisting of nutrient-rich foods ensures proper nourishment and helps optimize athletic performance. Sufficient sleep is equally important, as it aids in muscle recovery, cognitive functioning, and overall health. By establishing a healthcare plan, teens can receive regular check-ups, screenings, and guidance from their pediatrician, ensuring their well-being is prioritized.

The Dangers of Other Performance-Enhancing Drugs

While steroid use poses significant risks, it is important to note that other performance-enhancing drugs can also have negative health effects. Substances such as 'andro,' creatine, and protein powders are commonly used by athletes and teenagers seeking to enhance their physical performance. However, it is crucial to understand that these substances may have potential side effects and can be banned by collegiate sports institutions. 'Andro' is a synthetic steroid precursor that can lead to hormonal imbalances.

Alcohol and Marijuana Use

Parents are role models for their children when it comes to the use of legal substances, including alcohol and marijuana use (as of January 2024, marijuana is legal for recreational use in 24 U.S. states). When children observe their parents turning to these substances in times of distress, they may internalize this behavior and believe that it is an acceptable way to handle similar situations. Additionally, parents who regularly consume alcohol or marijuana in front of their children may inadvertently normalize its use, making it seem like a typical and acceptable part of daily life. It is important for parents to be mindful of their own consumption patterns and to model healthy coping strategies for their children.

Guiding Parents Through Evaluating Their Child for Drug Use

It is important to equip parents with the necessary knowledge and guidance to evaluate their child for drug use. By observing changes in behavior and school or activity performance, parents can be proactive in identifying potential drug-related concerns. Here are some key points to consider when counseling parents in this regard:

  1. Changes in Behavior: Encourage parents to keep a close eye on any significant alterations in their child's behavior. This includes sudden mood swings, withdrawal from family and friends, increased secrecy, or uncharacteristic irritability.
  2. School or Activity Performance: Parents should monitor their child's academic and extracurricular performance for any sudden decline in grades, absenteeism, or loss of interest in previously enjoyed activities. These changes may indicate potential drug use. It is important for parents to maintain open communication with their child's teachers and coaches to stay informed about any concerning changes in behavior or performance.
  3. Risky Behavior: Highlight the importance of recognizing risky behavior such as stealing, lying, or getting into fights. These behaviors can be red flags for potential drug-related issues and should not be dismissed.

In addition, “home” drug testing kits may not always be reliable, and teens may resent parents requiring them to test for drugs. Safe, consensual drug tests can be performed at the child’s medical home to ensure the necessity of such tests, as well as to offer support for the patient and family.

By addressing drug use in teens and promoting healthy alternatives, we can make a significant impact on their overall well-being and future success. Pediatricians’ roles extend beyond well visits; there are consistent opportunities to educate, guide, and support parents and teenagers in navigating this challenging landscape. Together, parents and pediatricians can create a healthier and safer environment for teens to thrive.

Allie Squires

Allie Squires is PCC's Marketing Content Writer and editor of The Independent Pediatrician. She holds a master's in Professional Writing from NYU.