Category: Q&As

How Can I Recognise Alcohol Misuse in Teenagers?

Published : Aug 08, 2025
By Dr. Ana Aznar

How can I recognize and address alcohol misuse or abuse in teenagers, and what steps can I take to help prevent alcoholism or addiction during adolescence? I’m trying to support my daughter while she’s in rehab by taking care of her teens, but I want to keep an eye out for alcohol issues in them before they can get bad (she drank badly around them, maybe it rubbed off?). 

Your grandkids are very lucky to have you. We are all worried about our teenagers drinking alcohol and it is normal that because of your daughter, you are even more worried. There is evidence suggesting that addiction runs in families. Children learn mostly by observing their parents and other adults in their life. I am not saying this to put blame or more pressure on your daughter, I am just saying this to make you aware of it. It is important that you model a good behaviour regarding alcohol to your grandkids. And talk about it with them, teenagers really value honesty, even if sometimes conversations are tough.  

Close up shot of teenagers drinking alcohol, hands toasting with beer bottles at home party with pizza

Here are a few tips you may find useful:  

  • Talk about alcohol with them: it is not about lecturing them but about asking their opinions, learning how they feel about their mum’s addiction, learning what they think and feel about alcohol…Teenagers who have a warm and open relationship with their caregivers are less likely to engage in risky behaviours, such as drinking alcohol  
  • Establish clear rules and consequences: set up family rules, discuss them with them, and explain the consequences if rules are broken. Always enforce the consequences.  
  • Set a good example 
  • Know their friends: if their friends drink alcohol, your grandkids will feel the pressure to drink. Help them to resist peer pressure. For example, you could role play their reactions if their friends pressure them to have a drink.  
  • Know what they are doing, who with, and where they go: it is not about controlling them but about knowing what is going on in their lives. It is about them noticing that you care about them from a non-judgemental place. This way they will feel that you care about them, you will be close with them, and you will be more likely to notice if something is not quite right with them.  
  • If you think any of your grandkids is drinking, act fast.  

I urge to watch this masterclass with Dr Paula Corcoran. She provides excellent information about how to discuss about drugs with our teenagers: How to Talk about Drugs  

I wish your daughter a speedy recovery and all the very best to your grandkids. And please, remember to take care of yourself. You have a lot on your plate! Do get in touch with me if you need more support or information.  

Love,  

Ana 

Dr Ana Aznar 

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Comments
Cristo
2025-07-29 12:20:59
Amazing, thank you so much for this blog.
Pia Satrustegui
2025-04-25 07:23:36
Hola Ana,
Qué fantástico artículo y que buenos consejos. Ha sido de una gran ayuda. Un abrazo muy fuerte
Dr. Ana Aznar
2025-03-31 19:41:20
Qué ilusión tu mensaje, Pia! Gracias a tí por leernos.
Pia Satrustegui
2025-03-28 10:13:56
Querida Ana,
Maravilloso artículo sobre la serie Adolescentes y consejos de gran ayuda en una etapa tan complicada de nuestros hijos , tan desprotegidos frente a las nuevas tecnologías.Es una ayuda tremenda para nosotros. Muchas gracias
Armani
2025-03-06 09:31:35
This is ethically wrong and I don't think it's worth the damage it will ultimately cause to the relationship. And the issues it will cause for the one being spied on. Just don't do it.
Meghan
2025-02-07 21:26:19
Is there a printable version of the article? I am a school based mental health professional and would like to share it with parents.
J
2025-02-03 10:52:04
This is such a great writeup. I think too often we get caught in a rutt of trying to categorise everything. Our daily lives are kind of dictated by categories and labels, certainly in a digital world.

I'd imagine this is quite deteremental for a childs development in the long run as nothing stays the same forever, and we shouldn't really be making these categorisations, especially towards our children.

Just live life, sometimes you'll have to be the parent that's the shoulder to cry on. The week after you may have to raise your voice a little when everyone is in a rush and you're trying to get your children's shoes on.

Just balance it all out, don't be too self critical and pick up on what your child wants and needs.

Again, great writeup!
Dr. Ana Aznar
2024-09-13 12:51:46
Dear Robert,
Thank you so much for your comment. I totally get what you mean. It is always difficult to have kids living with you, wanting to support them and their parents but at the same time not wanting to step in anyone's toes. If there's anything we can do to support you and your family, please do not hesitate to get in touch with us.

Ana
Robert Eisenbart
2024-09-10 00:43:07
Great Article! I'm a retired FNP. Years ago I taught a STEP program to parents via family court cases. I now have a daughter and her man disciplining three children 4, 8, and 10. The 10 year old has ADHD and my personal diagnosis is she's also Oppositional/Defiant. I believe the OD came from harsh discipline. All they seem to do is punish and threaten physical punishment. They say positive reinforcement didn't work however they tried it for about 2 months and then went back to punishment. I can't reason with them as "they are the parents"!! is all I hear. They all live with me and have since the oldest was about 2. Sadly I can see the other 2 developing issues like anxiety and aggression as well. Trying to show them another side of adult supervision when I have them but frustrating.
Dr. Ana Aznar
2024-09-02 20:48:07
Really glad you found it useful! Thank you for being here and for your comment.

Ana
Dr. Ana Aznar
2024-05-17 09:55:58
Hi Donna,
sO great to have you here! Totally agree that Zara is great! What other topics would you like us to discuss?
Ana
Donna
2024-05-17 09:49:36
Love Zara’s ways of teaching for both parents & kids! Also so helpful. We want more!! (Please!) :D
Ana Aznar
2024-05-08 07:24:31
We are glad you found the content useful! Many thanks for being here.
Ana
Cristoj
2024-04-09 18:20:19
Great article!!!
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