Substance Use Problems in Adolescents and Young Adults

We begin with an evaluation to better understand your child’s interests, strengths, and aspirations as well as the challenges they face at school or work, in social settings, and at home. We explore reasons behind their substance use, other mental health concerns, their current substance use patterns, and the effects of their drug or alcohol use. 

In some cases, drug testing allows us to better understand and measure substance use. These tests can help reinforce behavior change and guide treatment. 

The type and frequency of outpatient treatments differ based on your child’s needs. For example, they may participate in frequent group therapy sessions after residential treatment or hospitalization. Others may take part in one-on-one and family counseling. The goals of out-patient treatment include:

• Educating young adults and their families about the effects of substance use
• Helping teens and young adults deal with distress and strong emotions, navigate relationships, and plan for situations that include alcohol or substance use
• Improving individual and family function and wellbeing
• Preparing youth for a fulfilling life free of risk and harm
• Teaching parents and caregivers to help family members dealing with substance use problems and addiction

We use evidence-based approaches -- treatments that have been studied and are found to be effective -- including motivational enhancement therapy, cognitive-behavioral relapse prevention, mindfulness-based approaches, dialectical-behavior therapy, and trauma-focused cognitive behavioral therapy. 

As a patient at Duke, your child has access to other Duke mental health providers who specialize in anxiety, depression, suicidal thoughts and behaviors, and more. 

If your child needs care beyond our program or as a continuation of our services, we can connect you with a network of trusted contacts to help them get the best possible care for long-term success.