A thoughtful teenage girl sitting indoors, representing the challenges and emotional struggles associated with teens and substance use.

Teens and Substance Use: How to Have The Conversation


Talking to your teen about substance use can be challenging, but it’s one of the most important conversations you can have as a parent or caregiver. Dr. Karin Ryan, a licensed psychologist with Nystrom & Associates, shares practical advice on approaching this topic with empathy, clarity, and confidence. 

Related: Social Media and Teens: More Harm Than Good? 

Start Early and Normalize the Conversation 

“Substance use often starts as early as middle school,” Dr. Ryan explains. She encourages parents to consider discussing substance use with teens early and keep them ongoing. 

Start by sharing straightforward information. For example, explain that “a 12-ounce beer equals a 5-ounce glass of wine, which equals a 1.5-ounce shot of hard alcohol.” Dr. Ryan also highlights the importance of discussing newer trends, like THC gummies and vaping, and their potential risks. These honest conversations can make teens feel informed rather than judged. 

Related: How to Help a Loved One With Addiction Recovery 

How to Spot Subtle Signs of Teens and Substance Use 

Substance use doesn’t always come with glaring warning signs. Dr. Ryan suggests parents watch for subtle changes, such as: 

  • Mood swings or irritability 
  • Changes in hygiene or sleep patterns 
  • A shift in peer groups 
  • Decreased interest in sports or extracurricular activities 
  • Declining grades or increased school absences 

These “yellow flags” can indicate the need for closer attention and open conversations with your teen about substance use. 

Related: Graduation: Adjusting to an Older Sibling’s Leaving for College 

Create a Safe Space for Discussion 

Rather than lecturing, Dr. Ryan recommends asking open-ended questions and listening without judgment. For example: 

  • “How are things going at school?” 
  • “Have you heard your friends talking about alcohol or drugs?” 
  • “What do you think about vaping or gummies?” 

This approach helps teens feel supported and more likely to share their thoughts and experiences about substance use. 

Related: Suicide Prevention Month 

Be Clear About Risks 

Fentanyl-laced substances are a growing concern, and even one experiment can lead to fatal consequences. Dr. Ryan emphasizes the importance of teaching teens not to take anything from anyone, even if it’s labeled as a prescription. “You don’t know where it came from or what it might be laced with,” she warns. This is crucial to ensuring the safety of teens regarding substance use. 

Related: Does Vaping Cause Anxiety? 

Treatment Options for Teens Struggling with Substance Use 

If you notice signs of substance use or suspect your teen may need help, resources are available. Dr. Ryan highlights the importance of school counselors and interventionists as well as structured treatment programs like Nystrom & Associates’ adolescent substance use program. 

This program provides individual counseling, family support, and group therapy tailored to meet teens where they are. “Help is out there,” Dr. Ryan assures parents who are concerned about teens and substance use. 

Related: Am I Addicted? Symptoms and Treatment Options 

Dr. Karin Ryan on Teens and Substance Use  

Watch Dr. Karin Ryan on Twin Cities Live as she discusses how to talk to your teens about substance use. 

Dr. Karin Ryan on TCL discussing how to talk to your teens about substance use

Final Thoughts 

Addressing substance use with your teenager may feel overwhelming, but open communication and the right resources can make a significant impact. Start the conversation early, watch for changes in behavior, and seek professional support if needed to help navigate teens and substance use. 

For more information or to connect with a provider, contact us at 1-844-NYSTROM or request an appointment online

Related: PTSD & Substance Use: Is There a Connection? 


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