Substance abuse recovery for young people is not the same as it is for adults. A common misconception is that a program designed for adults can be delivered to young people in an effective manner. There are numerous problems with this belief. People will often assume that a young person has the same sense of urgency as someone who has been drinking or using for several years. This rarely happens. There are several reasons why this is the case.The combination of years of abuse, brain development, and life experience create a much different perspective for adults than for adolescents.
The Adolescent Brain
One significant factor in the difference between adults and young people in recovery is brain development. When a young person starts using drugs or drinking alcohol he or she is at a point in life when the brain is going through significant changes. In his book Sacred Connections, Dr. Steven Jaffe gives a great explanation of how the brain is affected in recovery. Dr. Jaffe explains: “The nucleus accumbens is the pleasure and reward system; it is responsible for drug seeking behaviors. The prefrontal cortex helps to regulate impulses and make informed and smart decisions. Unfortunately, this area of the brain does not fully develop until a person’s mid-twenties.” (Jaffe, 72) This clarifies why an adolescent struggles to make better decisions in recovery, even after abstinence. The drug abuser’s brain has been compromised and it takes time to create better decision making skills.
Healing Takes Time
Recovery doesn’t happen quickly. It is a process. In an enthusiastic sobriety program the combination of fun and engaging activities with strong counseling is key. Twelve step recovery involves physical, emotional, and spiritual healing. This has to be attractive to an adolescent so he or she can maintain motivation. Fear will not inspire long term change in a young person. He or she needs a loving, safe, and fun environment along with supportive relationships. As the addict forms a strong foundation in recovery, he or she will practice better ways of thinking as his or brain develops. All adolescents experience periods of emotional instability. This is exacerbated when a young person is using drugs and drinking. It takes an extended period of sobriety for emotional and mental health to internalize.