ABSTRACT
This chapter reviews adaptations of dialectical behavior therapy (DBT) for adolescents who struggle with substance use disorders (SUD). In DBT for substance use, there are three additional states of mind—clear mind, clean mind, and addict mind. Addict mind represents the state of mind the adolescents are in when they are actively using substances—their thoughts and behaviors are consumed by their substance use. Adaptive denial is a skill that involves helping the adolescent change his or her thoughts about substance use. In addition to the traditional treatment team members, there may be a few additional ancillary treatment team members for adolescents with SUDs. The Substance Abuse Subtle Screening Inventory—Adolescent was designed to screen for the presence of a substance use disorder in adolescents. The name of the skill is actually a metaphor for intentionally ending relationships with people who facilitated the adolescent's substance use.
