Understanding and Engaging Adolescents in Substance Abuse Treatment: A Compassionate Approach for Parents

Lauro Amezcua-Patino, MD, FAPA.
5 min readJun 22, 2023

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By Lauro Amezcua-Patino, MD, FAPA

As a seasoned psychiatrist, I fully comprehend the complexity and sensitivity surrounding the topic of adolescent substance abuse. It’s a reality that can leave many parents feeling helpless, frustrated, and unsure about the best course of action. However, it’s crucial to remember that you are not alone in this struggle and that professional help is readily available. This article aims to provide guidance and understanding on how to engage your adolescent child effectively and empathetically in substance abuse treatment.

Don’t Panic

It’s only natural for parents to experience a sense of panic when they discover their adolescent child is struggling with substance abuse. Fear, confusion, and helplessness are frequently the driving forces behind this panic. However, it’s essential to understand that such heightened emotional states can unintentionally exacerbate the situation.

When parents react panickedly, it often results in tense interactions, which might push the adolescent further into their shell or even encourage more defiant behavior as a form of rebellion. It can also create a highly stressful environment that hinders open communication, making adolescents less likely to seek help or share their feelings. Therefore, parents must manage their emotions effectively, responding calmly, compassionately, and understanding. This helps foster a more supportive environment for the child and models healthy emotional regulation, a skill that’s invaluable for their recovery journey.

Foster Open Communication

The first step in engaging your teenager in treatment is creating an environment where open and honest communication is encouraged. Adolescents are more likely to respond positively when they feel heard and understood, so listening empathetically and without judgment is vital. Discuss their substance use in a caring, supportive manner, emphasizing your concern for their well-being rather than expressing anger or disappointment.

Normalize Their Feelings

Adolescence is a time of tumultuous changes and intense emotions. It’s essential to validate your child’s feelings and struggles, reminding them that sometimes it’s normal to feel overwhelmed or uncertain. Assure them that substance use is not a viable solution to their problems and that healthier coping strategies exist. By normalizing their feelings, you can help reduce the shame or guilt they might be experiencing, which can often be a barrier to seeking help.

Seek Professional Support

Once a trusting communication line has been established, seeking professional help is critical. A psychiatrist or a qualified mental health professional can evaluate your child and provide a comprehensive treatment plan that addresses the substance use and any underlying mental health issues, such as anxiety or depression, which may be contributing to the problem.

Involve Your Child in the Treatment Process

Involving your child in the treatment process can foster a sense of ownership and commitment. Discuss the available treatment options, potential benefits, and challenges with them, and allow them to contribute to the decision-making process. This involvement can increase their motivation and engagement in the treatment process.

Provide Consistent Support

Substance abuse treatment is a journey that often includes setbacks. It’s essential to provide consistent emotional support throughout this process. Celebrate your child’s successes, no matter how small, and reassure them during tough times that setbacks are a part of the recovery process, not a sign of failure.

Educate Yourself

Understanding the nature of substance abuse, its causes, effects, and treatment strategies can help you provide better support for your child. Participate in family therapy sessions, attend educational seminars, and stay informed about the latest research and developments in addiction.

Practice Self-Care

Last but certainly not least, remember to take care of your mental and physical health. Dealing with a child’s substance abuse can be emotionally taxing, and it’s vital to ensure that you are also receiving the support and care you need. Remember, you can’t pour it from an empty cup.

Engaging your adolescent in substance abuse treatment is challenging, but with empathy, understanding, and professional help, recovery is achievable. Remember, this journey is not a sprint but a marathon. Patience, persistence, and compassion will be your allies along the way.

In the end, the goal is to help your child regain control over their life, and with your unwavering support, they will be better equipped to confront and overcome their struggle with substance abuse.

Stay strong, dear parents. Your love, understanding, and guidance are the beacon of hope your child needs in these challenging times.

FAQs about Engaging Adolescents in Substance Abuse Treatment

How do I approach my child about their substance abuse without pushing them away?

It’s crucial to approach this conversation with empathy and understanding. Ensure that the chat is private, non-confrontational and that your primary message is one of concern and love. Use “I” statements to express your feelings, such as “I feel worried about your wellbeing when I see…” rather than accusatory “You” statements like “You are always…”. Ensure your child knows you are on their side and want to support them through their recovery.

What if my child denies having a problem or refuses treatment?

Denial is a common reaction in individuals struggling with substance abuse. If your child denies the problem or refuses treatment, remaining patient and supportive is essential. Avoid arguing with them or forcing them into treatment. Instead, continue to express your concerns calmly and consistently. Seek advice from a mental health professional who can guide you on the best steps.

How can I support my child during the treatment process?

Consistent emotional support is key during the treatment process. Be there for your child — listen to their fears and concerns, celebrate their successes, and reassure them during tough times. Stay involved in their treatment plan, communicate regularly with their healthcare provider, and educate yourself about substance abuse and recovery.

Should I involve other family members in the treatment process?

Yes, involving other family members can provide additional support and understanding for the adolescent during recovery. Family therapy can be a practical part of treatment, as it addresses the family dynamics that may contribute to substance abuse or impede recovery. However, it’s essential to respect your child’s privacy and only involve those who will be supportive and helpful in their recovery journey.

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Lauro Amezcua-Patino, MD, FAPA.
Lauro Amezcua-Patino, MD, FAPA.

Written by Lauro Amezcua-Patino, MD, FAPA.

Dr. Lauro Amezcua-Patiño: Bilingual psychiatrist, podcaster, clinical leader, educator, and researcher. Expert in forensic medicine and mental health issues.

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