Top Drugs Used by Teens: Trends, Statistics, and Prevention

Gaia Bistulfi
Dr. Jennie Stanford
Written by Gaia Bistulfi on 09 April 2025
Medically reviewed by Dr. Jennie Stanford on 15 April 2025

Teen substance use remains a significant public health concern, with millions of young people experimenting with drugs each year. Recent data from the Substance Abuse and Mental Health Services Administration’s 2023 National Survey on Drug Use and Health sheds light on some alarming trends.  

While some teens may see experimentation as a part of growing up, the risks associated with early drug use—including addiction, impaired brain development, and long-term health consequences—are too great to ignore.

a photo of teenagers partying

Current statistics on teen drug use

According to the latest findings, nearly 3.7 million teenagers in the United States have reported using some form of illicit drugs in the past two years.

Most commonly used substances by teens

Marijuana remains the most frequently used substance among young people, with 2.9 million teens having used it in recent years.

Interestingly, more teen girls (1.6 million) have reported marijuana use than teen boys (1.3 million), a trend that may reflect shifting societal attitudes and increased accessibility. Yet, marijuana use among teenagers has remained somewhat steady in 2023 as compared to 2022.

However, opioids have emerged as a major concern, with over 1 million teenagers between the ages of 12 and 17 reporting use, and most importantly, a marked increase in use from 2022 to 2023. Within this category, prescription painkillers and heroin are particularly concerning, especially among teen girls (650,000 users compared to 508,500 teen boys).

Stimulants, including methamphetamine, cocaine, and prescription ADHD medications like Adderall and Ritalin, rank third among the most commonly used substances in 2023 and are also on the rise compared to the previous year.

More than 1.07 million teens have used stimulants in recent years, with slightly higher usage rates among boys (571,500) compared to girls (499,000) and a marked increase in 2023 compared to 2022.

Other substances frequently abused by teens include:

Several factors might contribute to the current trends of substance use among teenagers:

  • Accessibility to prescription drugs: Many opioids and stimulants are obtained from family medicine cabinets, making them easy to misuse.
  • Mental health struggles: Anxiety, depression, and trauma, which have been on the rise since the COVID-19 pandemic, can drive young people to self-medicate with drugs.
  • Polysubstance use on the rise: Illicit drugs are often mixed with no awareness from the buyer. This might result in teenagers unwittingly consuming and becoming addicted to opioids or stimulants.
  • Household availability: Inhalants, while not traditionally considered "drugs," are widely accessible and pose serious risks when misused.

Prevention and intervention strategies

Intervention efforts to prevent teen drug abuse should be tailored to reach teenagers where they are—at home, in schools, and in healthcare settings.

For parents

  • Open communication: Regularly discuss the dangers of drug use and encourage honest conversations.
  • Secure medications: Lock up prescription drugs and properly dispose of unused medications.
  • Monitor behavior: Be aware of changes in mood, social circles, and academic performance.
  • Lead by example: Demonstrate responsible behavior when it comes to substance use.

For educators

For healthcare professionals

Conclusion

Teen drug use remains a pressing issue, with millions of young people being at risk of serious health and social consequences. While some experimentation may be common during adolescence, the rising use of opioids and stimulants presents an urgent challenge. Early intervention, education, and community support are crucial in helping teenagers make informed choices and break the cycle of substance abuse.

Resources:

  1. State Data Tables and Reports from the 2022-2023 NSDUH | CBHSQ Data. (2022). Samhsa.gov. Retrieved March 31, 2025 from
  2. ‌Nath, A., Choudhari, S. G., Dakhode, S. U., Rannaware, A., & Gaidhane, A. M. (2022). Substance Abuse Amongst Adolescents: An Issue of Public Health Significance. Cureus, 14(11), e31193.
  3. Jiang, X., Govoni, T. D., Illg, Z., Connolly, S., Green, J. L., & Guy, G. P., Jr (2024). Sources of nonmedically used prescription psychotherapeutic drugs using real-world data from adolescents and adults assessed for substance use treatment--2014-2022. Research in social & administrative pharmacy : RSAP, 20(2), 209–214.
  4. ‌Matsumoto, N., Kadowaki, T., Takanaga, S., Shigeyasu, Y., Okada, A., & Yorifuji, T. (2023). Longitudinal impact of the COVID-19 pandemic on the development of mental disorders in preadolescents and adolescents. BMC public health, 23(1), 1308.
  5. ‌Ciccarone D. (2021). The rise of illicit fentanyls, stimulants and the fourth wave of the opioid overdose crisis. Current opinion in psychiatry, 34(4), 344–350.
  6. Hashemi, R., & Vogel, E. A. (2024). Adolescents' perceptions of substance use messaging in the age of social media: resolving cognitive dissonance. Health education research, 39(1), 1–11.
  7. Evans, W., Andrade, E., Pratt, M., Mottern, A., Chavez, S., Calzetta-Raymond, A., & Gu, J. (2020). Peer-to-Peer Social Media as an Effective Prevention Strategy: Quasi-Experimental Evaluation. JMIR mHealth and uHealth, 8(5), e16207.

Activity History - Last updated: 15 April 2025, Published date:


Reviewer

Dr. Jennie Stanford

MD, FAAFP, DipABOM

Jennie Stanford, MD, FAAFP, DipABOM is a dual board-certified physician in both family medicine and obesity medicine. She has a wide range of clinical experiences, ranging from years of traditional clinic practice to hospitalist care to performing peer quality review to ensure optimal patient care.

Activity History - Medically Reviewed on 09 April 2025 and last checked on 15 April 2025

Medically reviewed by
Dr. Jennie Stanford

Dr. Jennie Stanford

MD, FAAFP, DipABOM

Reviewer

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