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Substance use and abuse by adolescents remain critical problems because of the common use of psychoactive substances by youth, the ensuing consequences, and the persistence into adulthood of pathology related to substance use. Clinicians seeking to understand the risk for substance use and abuse, the acquisition of use behaviors, and their development into substance use disorders (SUDs) should consider neurobiology, all aspects of development, and the characteristics of the individual adolescent. The treatment should focus on specific substance use behaviors, risk factors that have a role in the onset and maintenance of SUDs, and inclusion of the family.
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