The Carlat Psychiatry Podcast Teen Substance Use: Choosing the Right Care
Jun 2, 2025
Determining the best treatment for teens facing substance use can be complex. The discussion covers outpatient therapy versus intensive programs based on severity and family support. Challenges like marijuana addiction and the risks of fentanyl are explored, emphasizing the need for innovative treatment approaches. The role of Partial Hospitalization and Intensive Outpatient Programs is examined, alongside the importance of teen communication and involvement in treatment. Effective strategies for aligning teen behaviors with their values are highlighted, showcasing motivational interviewing techniques.
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Start Mild Cases Outpatient
- Start outpatient care for teens with mild substance use and strong family support.
- Use weekly therapy, family involvement, and medications for co-occurring conditions or cravings.
Long-Term Marijuana Struggle
- Many teens resist stopping marijuana despite family concerns and lifestyle disruption.
- Long-term motivational interviewing can eventually lead to quitting, but it requires patience and persistence.
IOPs Support Teens and Families
- Intensive Outpatient Programs (IOPs) help teens stay in school and home while receiving treatment several times a week.
- IOPs relieve some pressure on clinicians and support families during treatment.