Early Onset Alcoholism

by Mark L. Willenbring, M.D.

1. Heavy drinking and alcoholism are more likely to occur when a parent has a similar problem. A family history of alcohol dependence increases risk of alcohol dependence four-fold.
2. Other early risk factors include serious childhood behavior problems requiring treatment, such as attention deficit hyperactivity disorder (ADHD), depression or anxiety, and health problems such as asthma. Talk about this with your teens and let them know how important it is not to drink. Let them know you will help if they need assistance.
3. Often, early onset alcoholism results in serious problems such as emergency room visits, injuries, fights or declining school performance. These serious problems may occur very early, even the first time teens drink on their own. If these occur, obtain an evaluation from a professional.
4. If drinking problems develop early, be sure that any treatment includes a thorough evaluation of other possible disorders such as ADHD, depression or anxiety. Treatment of coexisting disorders helps with recovery from alcoholism. Also, teens that drink heavily often use other drugs, especially marijuana. Be sure to have this evaluated as well.
5. If an older child begins drinking a lot, younger siblings are more likely to do so as well. Be especially vigilant as your younger children grow.