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Parenting Tips and Information Links for Parents Maine Juvenile Treatment Network Day One

Signs and Symptoms-Levels of Use for Teenagers


Level 1:Non-Use

  • No experience with chemicals


  • Level 2:Use

  • First experience with alcohol or other drugs
  • Lack of parental knowledge (either alone or with friends)
  • Low tolerance
  • First episode of chemical high
  • First hangover


  • Level 3: Misuse

  • Tolerance increases
  • Pattern of use begins to develop
  • Starts devising reasons for using (to impress friends, to relax, to socialize)
  • Weeknight use is exception


  • Level 4: Abuse

  • Tolerance continues to increase
  • Rituals for using are established
  • Begins to acquire and use drug paraphanelia
  • Starts anticipating and planning chemical use
  • Becomes more ingenious about hiding use
  • Begins solitary use
  • Modifies self-imposed rules
  • Makes repeated promises to quit or cut down
  • Daily use is exception
  • Blackouts begin


  • Level 5: Addiction

  • Tolerance continues to increase until late stages,
  • Withdrawal symptoms occur
  • Can no longer predict how much or the outcome once use begins
  • Establish more rituals which are more rigid (a.m., before school, lunch period, etc.)
  • Binge use occurs-high for 2 or more days
  • Exhibits grandiose and aggressive behavior
  • Obsessed with chemicals and constant supply
  • Becomes more careless about hiding drugs and paraphernalia
  • Solitary use increases
  • Abandons self-imposed rules
  • Makes repeated efforts to control or reduce excessive use
  • Suicide plans or thoughts
  • Criminal behavior is common

  • Maine Juvenile Treatment Network · 525 Main St. · South Portland, ME 04106