pediatric-behavioral
You Found Cannabis in Your Teen's Things: What to Do
Pause before reacting. Choose a calm, private moment, lead with concern over punishment, ask open questions, and bring it to your teen's pediatrician for a confidential, validated screen.
Talk to a clinician
Dr. Elena Sorokin, MD — Pediatrician
Confidential adolescent substance-use assessment with the CRAFFT, ruling out underlying anxiety or depression, brief intervention, and school coordination when functioning has slipped. Gale can match you with a licensed clinician for a visit.
Find care →First, slow down
Discovering cannabis is jarring, and the strongest instinct — to confront immediately — is usually the least helpful. A reaction driven by fear or anger tends to shut your teen down and turn the moment into a fight about you rather than a conversation about them. Give yourself an hour, or a day, to settle. Nothing about the situation gets worse because you waited to respond thoughtfully, and almost everything about the conversation gets better.
How to have the conversation
Pick a private, unhurried moment — a car ride or a walk can work better than a face-to-face interrogation. Name what you found plainly and without a speech: 'I found this, and I want to understand what's going on.' Then ask open questions and actually listen. The story matters: trying it once at a party, using regularly to cope with stress, and holding it for a friend are very different situations that call for very different responses. Stay focused on their safety and your relationship rather than on winning. Curiosity keeps the door open; an ultimatum often closes it.
Why a clinical screen comes next
After the conversation, the most useful step is a visit to your teen's pediatrician. Clinicians use brief, validated tools to size up what you can't size up at home. The CRAFFT was developed and validated as a screen for adolescent drug problems 1Ref 1Knight JR, Shrier LA, Bravender TD, Farrell M, Vander Bilt J, Shaffer HJ (1999).A new brief screen for adolescent substance abuse.The CRAFFT was developed and validated as a brief, developmentally appropriate screen for adolescent drug problems., and a score of 2 or higher is the established cut point that flags a likely problem worth deeper attention 2Ref 2Knight JR, Sherritt L, Shrier LA, Harris SK, Chang G (2002).Validity of the CRAFFT substance abuse screening test among adolescent clinic patients.A CRAFFT score of 2 or higher is the optimal cut point for identifying substance-related problems in adolescents.. The AAP recommends that pediatricians screen adolescents and deliver brief intervention or referral to treatment as routine care 3Ref 3Levy SJL, Williams JF, AAP Committee on Substance Use and Prevention (2016).Substance Use Screening, Brief Intervention, and Referral to Treatment.The AAP recommends pediatricians routinely screen adolescents and deliver SBIRT as part of preventive care. — so this is a normal, expected request, not an escalation. Adolescence is the key window when substance use problems take hold, which is exactly why a calm, early assessment is worth doing 4Ref 4National Institute on Drug Abuse (NIDA) (2014).Principles of Adolescent Substance Use Disorder Treatment: A Research-Based Guide.Adolescence is a key developmental window for substance use disorders, and adolescent treatment should be developmentally tailored..
When a clinician helps
A pediatrician adds what a parent cannot. They can administer a validated screen like the CRAFFT to distinguish a one-time experiment from a developing problem 1Ref 1Knight JR, Shrier LA, Bravender TD, Farrell M, Vander Bilt J, Shaffer HJ (1999).A new brief screen for adolescent substance abuse.The CRAFFT was developed and validated as a brief, developmentally appropriate screen for adolescent drug problems.2Ref 2Knight JR, Sherritt L, Shrier LA, Harris SK, Chang G (2002).Validity of the CRAFFT substance abuse screening test among adolescent clinic patients.A CRAFFT score of 2 or higher is the optimal cut point for identifying substance-related problems in adolescents.. They can rule out underlying anxiety, depression, or stress that the teen may be self-medicating. They can meet your teen confidentially, which often surfaces an honest picture, and then deliver evidence-based brief intervention or connect to treatment designed specifically for adolescents, which differs from adult treatment 3Ref 3Levy SJL, Williams JF, AAP Committee on Substance Use and Prevention (2016).Substance Use Screening, Brief Intervention, and Referral to Treatment.The AAP recommends pediatricians routinely screen adolescents and deliver SBIRT as part of preventive care.4Ref 4National Institute on Drug Abuse (NIDA) (2014).Principles of Adolescent Substance Use Disorder Treatment: A Research-Based Guide.Adolescence is a key developmental window for substance use disorders, and adolescent treatment should be developmentally tailored.. They can also coordinate with school if functioning has slipped. This turns a frightening discovery into a structured, supported plan.
What not to do
Try to avoid a few common traps: confronting while angry, delivering punishments before you understand the situation, dismissing it as 'just weed' and doing nothing, or turning a single conversation into ongoing surveillance that erodes trust. The goal is an honest, ongoing dialogue plus a professional assessment — not a one-time crackdown.
Common questions
Should I punish my teen right away?
Lead with understanding first. Consequences may have a place, but reacting with punishment before you know the story (experiment, regular use, or holding it for a friend) usually closes the conversation and teaches concealment. Understand first, then decide together with guidance from a clinician.
Do I need to take my teen to a doctor for this?
A confidential pediatric visit is the most useful next step. The AAP recommends routine adolescent screening, so it's a normal request. A validated screen can tell experimentation from a developing problem far better than you can at home.
What if my teen says it belongs to a friend?
That may be true, and it's still worth a calm conversation and a clinical screen. The screen isn't about catching anyone — it's about understanding risk and keeping your teen safe, whatever the backstory turns out to be.
Talk to a clinician
Dr. Elena Sorokin, MD — Pediatrician
Confidential adolescent substance-use assessment with the CRAFFT, ruling out underlying anxiety or depression, brief intervention, and school coordination when functioning has slipped. Gale can match you with a licensed clinician for a visit.
Find care →When to seek care sooner
- —Signs your teen is currently intoxicated and confused, vomiting, or hard to wake
- —Any talk of self-harm, hopelessness, or not wanting to be here
- —Evidence of substances beyond cannabis, or anything that could be laced
- —Use combined with driving, or a steep, sudden drop in school or daily functioning
If your teen is in immediate danger or talking about suicide, call or text 988 (Suicide & Crisis Lifeline) or call 911. You can also text HOME to the Crisis Text Line at 741741.
This article is educational and not a diagnosis; please consult your teen's clinician about your specific situation.
References
- 1.Knight JR, Shrier LA, Bravender TD, Farrell M, Vander Bilt J, Shaffer HJ (1999). A new brief screen for adolescent substance abuse. Archives of Pediatrics & Adolescent Medicine. doi:10.1001/archpedi.153.6.591 ✓The CRAFFT was developed and validated as a brief, developmentally appropriate screen for adolescent drug problems.
- 2.Knight JR, Sherritt L, Shrier LA, Harris SK, Chang G (2002). Validity of the CRAFFT substance abuse screening test among adolescent clinic patients. Archives of Pediatrics & Adolescent Medicine. doi:10.1001/archpedi.156.6.607 ✓A CRAFFT score of 2 or higher is the optimal cut point for identifying substance-related problems in adolescents.
- 3.Levy SJL, Williams JF, AAP Committee on Substance Use and Prevention (2016). Substance Use Screening, Brief Intervention, and Referral to Treatment. Pediatrics. doi:10.1542/peds.2016-1211 ✓The AAP recommends pediatricians routinely screen adolescents and deliver SBIRT as part of preventive care.
- 4.National Institute on Drug Abuse (NIDA) (2014). Principles of Adolescent Substance Use Disorder Treatment: A Research-Based Guide. National Institute on Drug Abuse (NIH). link ✓Adolescence is a key developmental window for substance use disorders, and adolescent treatment should be developmentally tailored.
4 sources, numbered by first appearance. General health information, not medical advice — synthetic demonstration content.