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Early prevention of teen drug use for stress, anxiety & depression

Updated: Apr 8

lighthouse guiding a vessel

CDC report finds teens use drugs often alone to ease stress and anxiety

Teenagers with suspected substance use problems say they turn to drugs because of a crushing need to relax and escape worries, according to research published Thursday by the Centers for Disease Control and Prevention.

The new findings follow reports of rising anxiety and depression among the nation's youth, including unprecedented levels of hopelessness.

Because those conditions are often linked to substance use in adolescence, said Sarah Connolly, lead author of the new report and an epidemic intelligence service officer within the CDC's Division of Overdose Prevention, "it might make sense that teens are looking for ways to reduce stress and anxiety."

Connolly's study, the first of its kind, expands on limited research previously done on why kids use drugs. It is based on data from the National Addictions Vigilance Intervention and Prevention Program. It includes self-assessments from 15,963 teenagers, ages 13 to 18, who answered questions online about their motivations for drug and alcohol use from 2014 through 2022.

The findings do not reflect why teenagers might experiment with drugs for the first time; all were flagged for substance use disorder and subsequent treatment.

Nearly three-quarters — 73% — said they used "to feel mellow, calm or relaxed." Forty-four percent used drugs, such as marijuana, as sleep aides.

The same percentage cited drug use as a way to "stop worrying about a problem or forget bad memories." And 40% said they used to cope with depression or anxiety.

Dr. Leslie Walker-Harding, chief academic officer and senior vice president at Seattle Children's Hospital, said that 75% of young people with a substance use disorder also have a mental health condition.

"We know that the two go together," she said. "If you have a kid who you think might not be using very much, but say they're using to feel less depressed or to stop worrying, that's a really big warning sign" that they need help.

The findings are consistent with previous research and point to an ongoing need for mental health services that target kids.

It's important to understand why teens use or misuse drugs, so the right resources and education can help them, Dr. Nora Volkow, director of the National Institute on Drug Abuse, wrote in an email.

"Early prevention interventions are crucial to support teens who may turn to drug use to cope with stress, anxiety or depression," Volkow said. Neither Volkow nor Walker-Harding were involved with the new research.

The majority — 84% — used a form of marijuana. This comes amid growing evidence linking cannabis use and psychotic disorders.

Less than half (49%) said they drank alcohol and 19% of surveyed teens reported misusing prescription drugs like pain relievers and sedatives.

"We worry about kids using cannabis, alcohol and nicotine because we know long term, it's going to take a toll on their mental health and their physical health," said Dr. Sharon Levy, chief of the Division of Addiction Medicine at Boston Children's Hospital. "What's really scary is the opioids, because the consequences of opioid use are immediate and can be fatal." Levy was not involved with the CDC report.

Half of the teens said they did drugs by themselves, without anyone else around — greatly increasing their risk for deadly overdoses, "especially given the proliferation of counterfeit pills resembling prescription drugs and containing illegal drugs," the study authors wrote.

"Parents need to know this," Walker-Harding said. "A lot of kids, when they die and overdose in their home, they're in their room and nobody saw it happening."(NBC News)

teen looking out the window

Early prevention interventions are crucial to support teens who may turn to drug use to cope with stress, anxiety or depression

Addiction experts, including those at the CDC, urge parents and caregivers to educate kids about the risks of using drugs alone. That includes providing naloxone to reverse opioid overdoses.

"Sometimes people perceive that this is a hard conversation. It's only hard because of our own internal difficulty with it," Walker-Harding said. "Kids will talk if they think somebody's willing to listen." Often times, kids aren't as comfortable talking to their parents about these kind of hard conversations. That is why a counselor or a therapist can help teens share and communicate these difficult conversations. Like how it was mentioned above "early prevention interventions are crucial to support teens who may turn to drug use to cope with stress, anxiety or depression," because the first coping experiences lead to habitual coping mechanism that becomes difficult to change. Some changes in behavior which are normal for teens as they grow and expand their world, but parents need to be alert to sudden changes that may signal that your teen is suffering from depression or anxiety. These may include changes in appetite, too much sleep or lack of sleep, or lower grades. Teens who are struggling with depression or anxiety may attempt to self-medicate by drinking, taking drugs, or even engaging in self-harm behaviors, like cutting.

They say "prevention is better than cure" for a reason because nobody wants to get to the point of having to need a cure from sickness. However, everybody gets sick many times in their life. During the adolescents stage, many teens go through all kinds of emotional stress, anxiety and even depression. Teens just needs to find a productive way to cope with stress, anxiety and depression. There are simple everyday options like sports activities to arts and music. However, when kids are already under stress, anxiety or depression, the options become limited because the motive is not there. The option of going to a therapist might sound even more farfetched to a teen that is not willing to do anything. However, if you introduce to a teen a virtual counselor over a video chat or even through a text, that may sound less intrusive and more comfortable. Once teens find out that counselors are there to listen and help them to cope with their issues, these counseling sessions become their main outlet for their stress, anxiety, or even depression. The help is readily available online with virtual counselors that are able to communicate and help teens that are struggling everyday.


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