Self-help groups and peer educators can help addicts

I am a 14year old boy experiencing several changes related to my physical health. I find myself helpless and unaware about various adolescentrelated sexual health issues. I also feel very uncomfortable in discussing these concerns with my parents but want to know more about these issues. I am also keen to understand how could I deal with my concerns. Adolescence is seen as a phase of transition from childhood to adulthood where a person experiences various changes physiologically which, in turn, impacts our physical and mental health.

It is worth appreciation that you want to be responsible and aware about the challenges of this fascinating phase of life. Apart from the various physical and psychological transformations, teenagers also get mixed signals from the society often resulting in confusion, frustration and risk-taking behaviour.

Awareness regarding adolescent reproductive and sexual health helps in inculcating in young people like you responsible attitudes and awareness of the many aspects of sexuality, gender, abuse as well as personal hygiene.

There are many myths and misconceptions associated and young people should be able to distinguish between myths and facts. Some may feel guilty, afraid or shy about seeking information from reliable sources like teachers or counsellors. Most parents also may be hesitant and feel that they lack adequate knowledge to lead any discussion related to this topic. Therefore, many teenagers turn to peers and media as a source which may lead to incorrect information resulting in confusion. These issues have a major impact subsequently on our adult lives as this is the phase in which our thoughts and opinions get crystallised. So I would suggest you to walk up to your parents, trusted teachers or a counsellor and seek awareness to your queries in this regard. My brother is 17years old and has recently started attending a lot of parties and most of these are organised in places where alcohol is available freely. He is gradually getting addicted and becoming secretive about his drinking even at home. As a sister, I am very worried as I can see him getting into a vicious cycle of addiction with a lot of behavioural difficulties. I feel helpless. What can I do to help him?

In these times when alcohol and other substances are so freely available and socially acceptable, many youngsters get into early and heavy drinking completely ignorant of the dangerous consequences of their actions. In most instances, addiction-like conditions begin from social drinking and eventually become an intractable habit. It is indeed the right time to speak to your brother.

Make sure the timing and the mood is right. Be patient, consistent and polite but firm. Do not make accusatory statements and don’t use labels like ‘substance abuser’, but do express your concerns

Emphasise that you are keen on his well-being and want him to be aware of and responsible about his actions.It is important to let him know that you are caring, understanding and truly empathetic. And yes, be prepared for resistance and anger.

When confronted, he will defend himself and blame others for the problem, or give excuses for the need to experiment. Enhancing social skills will resist the social pressures to drink and indulge in drugs.

You can take your brother to supports like the self-help groups or peer educators, where you can learn more about other people’s alcohol and associated problems. If the intervention starts early, he will soon be responsible with your care and support. Seeking help of a professional counsellor will be very useful. The author is a senior psychiatrist and in charge, Institute of Life Skills and Mental Health Promotion, Moolchand Med City, New Delhi. Send him an email at hteducation@hindustantimes.com, marked Dr Nagpal