Some parents would like to give in to that enemy in hiding, denial, and turn a blind eye to the possibility of psychoactive (mood and mind-altering) substance use in their teenager’s life. However, I believe it best to admit that this is a drug-filled world in which today’s adolescents are growing up and so merits continual vigilance and discussion. What follows are some thoughts about this unwelcome topic: the Reality that exists, the Risks to beware, the Precautions to advise should use begin, and when parents might consider seeking Help.