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Given their shorter histories of using drugs (as well as parental protection), adolescents may have experienced relatively few adverse consequences from their drug use; their incentive to change or engage in treatment may correspond to the number of such consequences they have experienced.15 Also, adolescents may have more difficulty than adults seeing their own behavior patterns (including causes and consequences of their actions) with enough detachment to tell they need help. Niederhofer, H.; and Staffen, W. Substance Abuse and Mental Health Services Administration. Treatment of anabolic-androgenic steroid dependence: Emerging evidence and its implications. Predictors of abstinence: National Institute on Drug Abuse multisite buprenorphine/naloxone treatment trial in opioid-dependent youth. Robertson, E.B.; David, S.L.; and Rao, S.A. Quantity and frequency of alcohol use among underage drinkers. For example, 15.2 percent of people who start drinking by age 14 eventually develop alcohol abuse or dependence (as compared to just 2.1 percent of those who wait until they are 21 or older),8 and 25 percent of those who begin abusing prescription drugs at age 13 or younger develop a substance use disorder at some time in their lives.9 Tobacco, alcohol, and marijuana are the first addictive substances most people try. When substance use disorders are identified and treated in adolescenceespecially if they are mild or moderatethey frequently give way to abstinence from drugs with no further problems. Drug use has compromised the very parts of the brain that make it possible to say no.

Liddle (eds.), Adolescent substance abuse: Research and clinical advances. Safety and efficacy of the nicotine patch and gum for the treatment of adolescent tobacco addiction. Baltimore, MD: Johns Hopkins University Press, pp. Lambert, E.Y.; Normand, JL.; and Volkow, N.D. Washington, DC: U.S. Chronic marijuana use in adolescence, for example, has been shown to lead to a loss of IQ that is not recovered even if the individual quits using in adulthood.11 Impaired memory or thinking ability and other problems caused by drug use can derail a young persons social and educational development and hold him or her back in life. Rockville, MD: Substance Abuse and Mental Health Services Administration, 2013. Hser, Y.; Grella, C.E.; Hubbard, R.L.; Hsieh, S.C.; Fletcher, B.W.; Brown, B.S.; and Anglin, M.D. This is why, despite popular belief, willpower alone is often insufficient to overcome an addiction.

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