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Kathryn DeVinney's avatar

I only have a 6 year old so I'm not there yet in my personal life, but I am a mental health therapist at a university and see a lot of students whose substance use started in their teen years.

A question that I think can be very helpful is, "what would it look like if you were worried about your use?" Engaging the kid in a proactive discussion of what it might mean for them to have a "problem" with whatever substance they're using, and then talk about what kind of help you could provide (or facilitate for them) can be great for both parent and kid to figure out where the boundaries are, especially if you want to create an environment in which the basic fact of "he's smoking pot" is not a problem on its face. Then you can say, "well, we talked about how if you were starting to fall behind on your homework/miss out on expectations/break other rules in the house then we might want to revisit the weed, what do you think we should do about it now?" and focus on behaviors stemming from use rather than just the fact of use itself.

I am also a HUGE advocate for Narcan and I love the parent above who said "please don't buy pills from Snapchat". Please make sure that kids/teens are aware that a lot of the pills circulating are pressed pills (i.e. powder that has been compressed to look like a pill) that contain fentanyl and I know I sound like a DARE rep when I say this but it only takes one, especially for kids whose nervous systems do not regularly process opioids. Many states have Narcan available at your local pharmacy without a prescription, so you can keep one in your car or your medicine cabinet because you never know when you are going to need it--and kids should carry it too if there is any sign that they are using themselves or hanging out with people who use. Plus Narcan has zero risk--it has no effect on someone who is not experiencing an opioid overdose. Pills are on a whole other level!!!!!!

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Natasha Castro's avatar

As a teacher, I had a handful of 24/7 high kids. Our discussions were different because I wasn’t their mom, but I typically found it productive to discuss the 24/7 piece over the drug piece. We’d be concerned if a kid was drinking 24/7, or even doing “positive” things like exercising or studying 24/7. It makes me wonder, what’s going on that you want to be altered all the time? I never got an answer right away- just an invitation to reflect on it. Also, an invitation, what if you didn’t smoke weed before school one day? What might that be like? Usually within a few weeks of having this (and other) conversations, the teen would either cut back or identify what’s bothering them so we could seek out helpful resources. Again- not their mom so way easier to play it cool and calm.

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