Alcohol and drugs can become an easy escape that youth use to hide from their problems or numb and silence the thoughts and feelings associated with their problems. Alcohol and drugs are easily accessible and very addicting. Most youth know that substance abuse is wrong and unhealthy, but struggle to find appropriate outlets for the challenges they face and may believe it is their only resource. Mental health issues, family or peer problems and other factors may contribute to a youth’s decision to use substances. Some of the signs and symptoms of substance abuse include dropping grades, low or poor school attendance, significant changes in mood or behavior, social isolation from family, changes in dress and other habits and legal problems. Group treatment is always the preferred treatment as it provides a support system that youth can rely on in order to develop sobriety and recovery. However, addictions generally have a deeper root and depending on the severity of the substance abuse, individual and/or family counseling may also be necessary to help the youth have a complete recovery. Without the support of the family in treatment, a youth’s ability to avoid relapse may be limited. It is important that youth work to develop a comprehensive relapse prevention plan that they can practice every day to help them maintain their recovery. We provide adolescent substance abuse groups that youth can feel supported and understood in and work to understand the process of their addiction and develop the skills for achieving and maintaining sobriety and recovery.