Adolescent Substance Use and Abuse

A detailed Summary of Adolescent Substance Use and Abuse


Using the readings as reference, discuss the developmental issues that would influence how you as a counselor would work with adolescents in the following categories:

Early Adolescence 12-14 years old (approx.)

How would you design your treatment given where an adolescent is developmentally?

Early Adolescence 12-14 years old (approx.)

Adolescents biologically experience the onset of puberty and the development of secondary sexual characteristics; cognitive changes that include the capacity to think abstractly, reason logically, and to develop metacognitive which leads to introspection.

Socially, early adolescents increase peer prominence, with some residual parental reliance, often seeking out older peers as models for behavior and values; begin to determine personal interests and skills; shift from childlike ways of interacting toward adult behaviors; and with success increase their self-esteem and confidence.

Early adolescents should spend more time in individual counseling than in group counseling sessions. Programs for reinforcement should include parental involvement, but the adolescent should have the bulk of responsibility. Positive


The physical distinctions of approaching adulthood require numerous psychological adjustments; in particular the development of how one views self in relation to others. The vast majority of adolescents attain their adult size and physical characteristics by the age of eighteen and the earlier differences between early and late bloomers are no longer evident. The process of abstract thinking changes along with physical development, becoming more complex and refined. Late adolescents are less bound by concrete thinking. A sense of time emerges where the individual can recognize the difference between past, present and future. They can adopt a future orientation that leads to the capacity to delay gratification. The individual develops a sense of equality with adults.

Self-certainty and an internal structure develop while teen's experiment with different roles. By age nineteen, most adolescents are considering occupational choices and have begun to develop intimate relationships.

Middle Adolescence 14 to 16 (approx)

peer experiences should be a part of the program including peer counseling and peer feedback programs, when appropriate. Social skills training with adolescents having difficulty forming peer association is recommended and as peer involveme

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Approximate Word count = 852
Approximate Pages = 3 (250 words per page double spaced)

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