What to Say (and Not Say) About Substance Use

⏱️ 2 min read 📚 Chapter 4 of 7

Communication about substance use requires careful balance between expressing concern, setting clear expectations, and maintaining open dialogue. How parents approach these conversations can significantly impact their teenager's willingness to be honest about substance use.

What TO Say:

Preventive Conversations: - "I want to talk about alcohol and drugs because I care about your safety and health." - "If you're ever in a situation where you've used substances and need help, call me. Your safety is more important than any consequences." - "I trust you to make good decisions, and I want to make sure you have accurate information." - "What questions do you have about alcohol and drugs that I can help answer?"

When You Suspect Use: - "I've noticed some changes in your behavior, and I'm concerned about your wellbeing." - "I love you no matter what, and I want to make sure you're safe and healthy." - "If you're using substances, I want to understand why and how I can help." - "Substance use can be dangerous for developing brains, and I want to protect your future." Addressing Confirmed Use: - "I'm disappointed in this choice, but I love you and we'll work through this together." - "Let's talk about what led to this decision and how we can address those underlying issues." - "Substance use is a health issue, and we need to focus on getting you healthy and safe." - "There will be consequences, but the most important thing is preventing this from happening again."

What NOT to Say:

Shame-Based or Judgmental Responses: - "You're an addict" or "You're just like [negative family member]" - "How could you be so stupid/selfish/disappointing?" - "You've ruined your life/our family" - "I can't believe I raised someone who would do this" Threats Without Follow-Through: - "You're grounded forever" - "I'm sending you away to military school" - "You can never see your friends again" - "If you do this again, you're out of this house" Minimizing or Denial-Enabling: - "Everyone experiments in high school" - "I did the same thing when I was your age" - "At least it wasn't [harder drug]" - "As long as your grades don't suffer..."

Conversation Starters for Different Situations:

Preventive Education: "I know you're going to be in situations where alcohol and drugs are available. I want to make sure you understand the risks and that you know you can always call me if you need help, no matter what." When Friends Are Using: "I know some of your friends might be experimenting with substances. It's normal to be curious, but I want to talk about why it's particularly risky for teenagers and what you can do if you feel pressured." After Discovering Use: "I found [evidence of substance use], and we need to talk about this. I'm not going to yell or punish you right now—I want to understand what's happening and make sure you're safe." Following Treatment or Consequences: "We've been through a difficult time with your substance use, and I want to check in about how you're feeling and what support you might need moving forward."

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