Drunk Teenagers: Prevention Strategies That Can Help Teens Feel Supported

Medically reviewed by Melissa Guarnaccia, LCSW
Updated March 10th, 2025 by BetterHelp Editorial Team

Underage drinking is highly prevalent in the United States, and it can have serious repercussions for teens’ physical and mental health. In 2023, it was reported that approximately 3.3 million young people between the ages of 12 to 20 reported having engaged in binge drinking at least once over the past 30 days. Despite years of public programming about the dangers of alcohol for teens, many teens continue to drink at dangerous levels. In some cases, this may be related to ineffective messaging that turns teens away instead of making them feel supported. Here, we’ll explore the dangers of teenage drinking and discuss prevention strategies that may make teens feel both supported and adequately informed. 

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Drunk teenagers: Underage drinking statistics

The following are some statistics related to teen drinking in the United States: 

The dangers of drinking alcohol for teens and young adults

Alcohol can have serious health effects on people of all ages, but teens may be at particular risk given their phase of development. Teens typically undergo significant intellectual and cognitive changes in this time of life, and early drinking may affect these processes. According to the National Institute on Alcohol Abuse and Alcoholism, “More and more research suggests that drinking alcohol in adolescence may have significant effects on brain function. The earlier people start drinking alcohol, the more likely they are to experience a measurable impact on cognitive functions, memory, and school performance over time—perhaps even into adulthood.”

Alcohol can also affect the liver, and the earlier a person begins drinking, the greater their risk of liver problems tends to be. Other organs and systems that can be affected by alcohol consumption include the pancreas, the heart, the lungs, the gastrointestinal system, and the immune system.   

Adolescent binge drinking—or drinking large amounts of alcohol over a short period of time—can be especially dangerous. When teens engage in binge drinking, they may be at risk of alcohol poisoning, which typically requires urgent treatment as it can be fatal in some cases.  

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How can drinking affect teen mental health?

Alcohol can also have an impact on a teenager’s mental health. While many people believe that alcohol relieves stress and anxiety, this effect tends to be temporary. Alcohol can actually worsen anxiety when consumed in large quantities, an effect some people refer to as “hangxiety.” This may lead teens to feel nervous or jittery the day(s) after a heavy drinking session. Alcohol can also lead to poorer sleep quality, which could increase anxiety too. Plus, if teens drink frequently, they may also be at risk of developing alcohol use disorder (formerly referred to as alcohol abuse disorder). 

Also, alcohol can lead to problems with relationships. Both teens and adults sometimes regret things they said or did while under the influence of alcohol. Some people also might not remember what happened while they were drinking, which can increase anxiety and lead to conflict.

Also, teens who are already living with a mental health condition may experience more symptoms when they drink alcohol. Note as well that alcohol may interact with some medications that a teen might be taking for a mental illness, leading to potentially serious complications. 

Drinking-prevention strategies that may resonate with teens

For many years, parents and educators have provided teens with information on the dangers of alcohol. However, many teens continue to consume alcohol at dangerous levels. One reason is that sometimes, messaging about alcohol prevention may not resonate with young people. They might find it to be judgmental and unrealistic, especially given that many teens have parents who drink alcohol. 

Parents and educators might find that they can get through to teens more effectively if they communicate with transparency. Parents who drink alcohol might try having an open conversation with their teens about their own drinking. Also, parents might find that their teens are more receptive if they ask them to call or text them for a ride if they ever feel in danger because they or someone else has been drinking. This strategy may help teens understand that their parents are not trying to be controlling or judgmental but are truly concerned for their safety. 

Therapy to help parents of teenagers 

Given the many potential stressors of caregiving for an adolescent, parents of teens may benefit from connecting with a licensed mental health professional. A therapist may be able to offer strategies for communicating with teens about alcohol and other substances in a way that doesn’t make them feel judged. Therapists can also typically address parental stress and any mental health conditions that caregivers may experience. 

Online therapy for parents

Some parents of teens might not have time to regularly commute to and from traditional in-person therapy. Others might prefer to speak with a therapist from outside their local community. In such cases, parents may benefit from using an online therapy platform. 

With BetterHelp, parents can be matched with a therapist from anywhere in the country. They can also communicate with their therapist in a way that’s comfortable for them, such as via phone call, video call, live chat, or a combination of these modalities. With BetterHelp, parents also have the option of reaching out to their therapist at any time through in-app messaging, and their therapist will respond as soon as they’re able to. Research suggests that online therapy can often be as effective as in-person therapy.

Two teenagers sit together at a table, both looking at the same tablet screen.
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Takeaway 

Teen drinking can have serious repercussions for physical and mental health. Parents might be able to protect their teens from the dangers of alcohol by having open conversations about drinking in a way that makes them feel supported. If you’re a parent of a teenager, you may benefit from speaking with a therapist about strategies to prevent alcohol misuse in your child or to manage your own stress levels or mental health.

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