Muir Wood therapist, David Laing

Substance Use & Addiction with Underlying Trauma

Substance Use & Addiction with Underlying Trauma

When teens struggle with substance use, there’s a deeper story beneath the surface—often one of pain, trauma, and an attempt to cope with overwhelming emotions. Examining how substance use, addiction, and trauma are interconnected is the first step toward helping teens find healing. For many parents, recognizing this connection can be eye-opening, paving the way toward effective recovery. 

What Is Childhood Trauma?

Childhood trauma encompasses a range of distressing experiences that overwhelm a young person’s ability to mentally and emotionally cope. These experiences can include: 

  • Abuse, whether physical, sexual, verbal, or emotional
  • Neglect, whether physical or emotional 
  • Significant life changes or family transitions
  • Intense social or academic pressures
  • Witnessing violence or conflict
  • Loss of a loved one
  • Chronic stress or instability
  • Experiencing bullying or social strife

These experiences feel especially intense to young people still learning to process complex emotions. Because of this, the long-term impact of trauma on mental health can be far-reaching. Unresolved trauma can manifest through mental health conditions, behavioral health issues, PTSD, or struggles with identity. It’s not uncommon for traumatized children to struggle in school or have difficulty forming healthy relationships. 

Remember, all difficult experiences matter, but how deeply something affects an individual varies. Just as some children are more physically sensitive than others, some process emotional experiences more intensely. 

The Connection Between Trauma and Addiction

Studies show children who have experienced a traumatic event are three times more likely to develop substance use issues. As many as 54% of adolescents with substance use disorders also experience PTSD. The severity of substance use typically correlates with the number of trauma symptoms. 

Brain Development and Vulnerability

Early challenges impact the developing brain in numerous ways, often compromising its stress response mechanisms, natural reward systems, and emotional regulation abilities. These changes can make some teens more vulnerable to addictive behaviors. An altered stress response system may lead them to seek relief through substances, while changes in the brain’s reward systems can make it harder to stop using once they start. This pattern can intensify during adolescence when awareness and exposure to traumatic events typically peak. 

The teenage brain is still developing, making adolescents more susceptible to risky decisions and peer pressure. When trauma accompanies this vulnerability, some teens may turn to substances as a way to cope. This can create the conditions for substance use habits to form. 

The Pathway to Substance Use

The relationship between addiction and childhood trauma often reveals itself through patterns of substance use. When teens carry the weight of difficult experiences, they may turn to substances to cope with overwhelming emotions. For some teens, substances offer a temporary escape from painful memories or flashbacks. For others, they offer relief from intense feelings and create a sense of control over their experience. 

Many teens first use substances to try to feel better. However, this form of self-medication can evolve into substance use issues as the brain begins to associate these temporary escapes with ultimate relief. A teen may simply be trying to cope with childhood trauma and unintentionally develop alcoholism or another addiction as a result. 

How Parents Can Help Their Teen Overcome Trauma and Addiction

Supporting a teen through recovery requires understanding, patience, and the right professional support. Parents play a crucial role in their teen’s healing journey. Still, professional help is essential for addressing both addiction and underlying trauma effectively.

Watch for these signs that professional intervention may be needed:

  • Changes in behavior or personality
  • Declining school performance
  • Withdrawal from family and friends
  • Sleep disturbances or nightmares
  • Substance use despite consequences
  • Intense emotional reactions
  • Other risk-taking behaviors

Learning about trauma and addiction is the first step. Parents can further support their teen’s recovery by maintaining open, non-judgmental communication, participating in family therapy, and setting healthy boundaries. A safe, supportive home environment can be a powerful foundation for healing. 

Supporting Your Teen’s Recovery

Remember that recovery is a journey, not a destination. Your teen needs your support, understanding, and patience throughout the process. Professional treatment provides the structure and expertise needed, while your involvement helps create the foundation for lasting healing. 

Keep in mind that a substance use problem does not have to be severe before seeking help. Even seemingly limited substance use impacts your teen’s health and emotional well-being, particularly when trauma is part of the picture. Addressing challenges early gives your teen the best chance at lasting recovery. 

How Muir Wood Treats Trauma and Addiction in Teens

Rather than focus solely on teen substance use, effective treatment addresses both immediate behaviors and underlying emotional wounds, infusing treatment with a necessary sense of understanding and validation for what teens have experienced. When teens receive treatment for both childhood trauma and addiction, they create a more solid foundation for lasting recovery. 

At Muir Wood, we understand that effective treatment requires addressing the full scope of a teen’s struggles. Given how often trauma and addiction occur together (known as comorbidity), our comprehensive, dual-diagnosis treatment helps teens understand substance use in the context of their experiences. Through trauma-informed care, we help teens build more complete recovery skills by acknowledging both challenges simultaneously.

Individualized Trauma Treatment Plans

Each treatment plan is carefully personalized to account for the teen’s specific trauma history, current substance use patterns, and family dynamics. We consider individual strengths and challenges to create a course of treatment that resonates with each teen’s needs and their particular choice of substance. For example, a teen experiencing PTSD and alcohol dependence may require different support than another receiving treatment for marijuana and childhood trauma. 

Key Therapies at Muir Wood

Our various therapeutic modalities help teens process trauma and build confidence. 

Experiential Therapy: From adventure therapy to expressive arts, teens find healing beyond traditional talk therapy. Movement-based interventions help teens develop crucial emotional regulation skills in non-verbal ways. 

Family Therapy: Through guided sessions, families learn to co-create supportive environments that nurture lasting change—healing family trauma patterns while improving communication and establishing healthy boundaries. 

12-Step Program Exposure: Connecting with others in recovery provides vital tools for ongoing sobriety. We introduce teens to supportive recovery communities, helping them build relationships that extend beyond their time at Muir Wood. 

Take the First Step Toward Healing

If you’ve noticed changes in your teen’s behavior or suspect they might be struggling with trauma and addiction or substance use, reaching out for help is a sign of strength, not weakness. At Muir Wood, we’re here to guide you toward effective treatment for your teen. Reach out today and learn how our dual-diagnosis treatment programs for teen boys and teen girls can help your family begin healing.