Parenting a teenager can be challenging. With so many changes happening at once—physically, emotionally, and socially—it’s no wonder that the teenage years can be turbulent. On top of that, studies show that teen drug use and mental health challenges aren’t uncommon among teens. The CDC reports that roughly 40% of high school students have felt sad or hopeless, and around 15% have used an illegal drug in the past year.1 That’s why it’s so important to stay aware of what’s happening with your teen, especially regarding their emotional health and behavior.2
So, how do you know if your teen is using drugs or just struggling with emotional issues? Some signs of drug use and emotional issues can overlap—like mood swings, changes in behavior, or isolation. But there are some key differences to watch for. Drug use might come with physical changes like bloodshot eyes, sudden weight loss or gain, or hygiene neglect. Emotional issues, on the other hand, might show up as ongoing sadness, anxiety, or pulling away from things they used to enjoy. The most important thing is to stay tuned in to their habits and talk to them if something feels off.3
If you’re feeling unsure or overwhelmed, Guardian Recovery can help. Our team understands the challenges of parenting through these tough times and offers professional support for both teens and parents. Reach out today for guidance on identifying what’s really going on and getting the help your teen may need.
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Normal Adolescent Development vs. Concerning Changes
Teens go through a lot of changes as they grow, and most of them are totally normal. But some changes can be more concerning. Knowing what’s typical versus a red flag is important. Here are a few examples of normal development versus signs that something could be wrong:4| Normal: | Concerning: |
| Mood swings due to hormones | Extreme irritability or aggression |
| Wanting more independence from family | Complete withdrawal from family and friends |
| Changes in interests and hobbies | Loss of interest in things they once loved, along with constant sadness or anxiety |
| Testing boundaries and pushing limits | Risky behaviors, like drug use or skipping school |
Distinguishing Between Drug Effects & Emotional Problems
It can be hard to tell whether your teen is dealing with drug misuse or emotional problems since some of the signs can look similar. But there are certain clues that can help you figure out what’s going on. While each child is different, the following symptoms may help you distinguish between the two:5 Drug effects:- Physical signs like red eyes, slurred speech, or strange smells
- Sudden drop in grades or skipping school
- Money or items going missing without a reason
- Constant sadness, anxiety, or irritability
- Issues with sleeping—either too much or too little
- Pulling away from friends, family, or things they used to enjoy
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Common Triggers for Behavioral Shifts in Teens Signs of Drug Use in Teenagers
Many things can trigger changes in a teen’s behavior, and sometimes, it’s hard to know what’s causing the shift 6 Stress from school, peer pressure, and even issues at home can all play a role. Big life changes like moving, divorce, or a loss in the family can also lead to emotional struggles. It’s completely normal for teens to have their ups and downs, but if the changes seem extreme or last for a considerable length of time, it’s time to pay close attention. When it comes to substance use, the signs are usually physical or behavioral. You might notice red or glassy eyes, changes in their appetite, or strange smells on their clothes. Teens using substances tend to become more secretive, or they might start skipping school or hanging out with new friends who encourage risky behavior. If they’re suddenly asking for money or things around the house are going missing, that’s a red flag too. Recognizing these signs early on can help you step in before things get worse.7Symptoms of Depression & Anxiety in Adolescents
Teens can experience depression and anxiety in ways that might not always be obvious. Common symptoms include persistent sadness, irritability, and changes in sleep patterns—like sleeping too much or not enough. They may also lose interest in activities they once enjoyed, have trouble concentrating, or show physical signs like headaches or stomach aches. According to the 2022 National Healthcare Quality and Disparities Report, nearly 20% of teens experience a mental health disorder, so it’s important to stay aware of these symptoms and seek help if they seem to linger.8Warning Signs of Other Mental Health Concerns
Aside from depression and anxiety, other mental health issues can affect teens. Watch for warning signs like extreme mood swings, changes in appetite or weight, and withdrawal from friends and family. If your teen starts to express feelings of hopelessness or talks about self-harm, it’s crucial to take those statements seriously. The Centers for Disease Control and Prevention highlights that suicide is the second leading cause of death among youth ages 10 to 24, emphasizing the need for parents to be vigilant and proactive in seeking support when needed.9How Substance Use & Mental Health Issues Intersect
Substance use and mental health issues often go hand in hand. Many teens use drugs or alcohol as a way to cope with feelings of sadness, anxiety, or stress. Research shows that teens with mental health challenges are more likely to engage in substance use, creating a dangerous cycle. For instance, one study found that nearly 60% of teens with substance use disorders also had a mental health disorder. Understanding this intersection can help parents recognize that both issues must be addressed for their teen to find the right support and healing.10 As specialists in adolescent behavioral and mental health care, Guardian Recovery offers highly tailored treatment for co-occurring conditions. Plus, our holistic approach empowers teens to identify and address the underlying causes of their behavioral concerns.Approaching Your Teen with Concerns
When you’re talking to your teen about your concerns, it’s important to stay calm and remain open. Start by letting them know you’re there to support them, not to judge or get upset. Instead of pointing fingers, try asking something like, “I’ve noticed some changes recently—can we talk about what’s going on?” This helps create a safe space where they feel comfortable opening up. Additionally, teens are more likely to open up when they don’t feel like they’re being blamed or attacked. Listen to what they have to say, and try to be patient. The goal is to keep the conversation going and show them that you’re there to help, not to punish.Effective Conversation Strategies for Parents
When talking to your teen, it’s all about creating a safe, judgment-free space. Start by choosing the right time—catching them when they’re relaxed is key. Keep your tone calm and don’t rush the conversation. Open-ended questions work best, like “How are you really feeling?” or “Is there anything that’s been bothering you lately?” This shows you’re listening and gives them room to share. Avoid lecturing or jumping to conclusions. Instead, focus on understanding and validating their feelings, which will help keep the lines of communication open.When to Consult a Mental Health Professional
It’s normal for teens to have tough days. But if you notice ongoing mood changes, withdrawal from friends, or extreme behaviors, it might be time to get professional help. If your teen’s grades are dropping, they’re having trouble sleeping, or you see signs of self-harm, those are major red flags. Trust your gut. If something feels off for a while, it’s better to consult with a mental health professional sooner rather than later. They can provide an outside perspective and offer the support your teen needs.Finding the Right Treatment Options for Your Teen
Finding the right treatment for your teen can feel overwhelming, but there are a lot of options out there. Start by talking to a healthcare provider who specializes in adolescent mental health. Depending on your teen’s needs, they might suggest therapy, counseling, or even a combination of treatments. It’s important to explore options like individual therapy, group therapy, or family counseling. Stay involved in the process and don’t hesitate to ask questions to make sure you find what works best for your teen’s situation.Our Locations
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Is your teen struggling with mental health issues, behavioral concerns, or substance use? Are they exhibiting problem behaviors such as disinterest, isolation, hostility, etc.?
You and your teen are not alone. At Guardian Recovery, we understand your challenges and are committed to providing a safe and supportive treatment plan that provides whole-person healing. We work closely with parents and guardians to help teens overcome current obstacles and empower them to develop the skills necessary to thrive well into the future. Integrating academics and family involvement every step of the way, we empower your teen and your family to step into a bright new future.
Ready to take the next step?
Contact our experienced treatment advisors, who can answer your questions, discuss treatment options, and verify your insurance. Additionally, staff can offer an initial assessment to determine if treatment might be beneficial and, if so, which level of care may be most suited for your teen. The call is free and confidential, and you’re not obligated to enter treatment with us.
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Disclaimer: Does not guarantee specific treatment outcomes, as individual results may vary. Our services are not a substitute for professional medical advice or diagnosis; please consult a qualified healthcare provider for such matters.
- Centers for Disease Control and Prevention. (2024). CDC Data Show Improvements in Youth Mental Health but Need for Safer and More Supportive Schools.
- Centers for Disease Control and Prevention. (2022). High Risk Substance Use Among Youth.
- Partnership to End Addiction. (2024). Signs of Drug Use in Teens.
- Partnership to End Addiction. (2024). Is Teen Substance Use Normal?
- American Academy of Pediatrics. (2021). Drug Abuse Prevention Starts with Parents.
- Sheidow AJ, Henry DB, Tolan PH, Strachan MK. The Role of Stress Exposure and Family Functioning in Internalizing Outcomes of Urban Families. J Child Fam Stud. 2014 Nov;23(8):1351-1365. doi: 10.1007/s10826-013-9793-3. PMID: 25601821; PMCID: PMC4296577.
- Mayo Clinic. (2023). Teen drug abuse: Help your teen avoid drugs.
- 2022 National Healthcare Quality and Disparities Report [Internet]. Rockville (MD): Agency for Healthcare Research and Quality (US); 2022 Oct. CHILD AND ADOLESCENT MENTAL HEALTH.
- Centers for Disease Control and Prevention. (2024). Health Disparities in Suicide.
- National Institute on Drug Abuse. (2020). Common Comorbidities with Substance Use Disorders Research Report.
