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A special section on adolescent substance abuse highlights Volume 29 of Adolescent Psychiatry. Contributions range from an examination of brain myelination in relation to onset of addictive disorders (Bartzokis) to the screening instruments used to detect substance use disorders (Rosner) to practical aspects of psychiatric assessment and management of substance abusing adolescents (Havivi). Topical studies focus on the changing patterns of use and health risks of the "designer drug" Ecstasy (Grob); the club drugs gamma-hydroxybutyrate and ketamine (Miotto et al.); and adolescent pathological gambling, a behavioral disorder with strikingly addictive features. Taken together, these illuminating essays converge in an appreciation of adolescent substance abuse and
addiction in all their biopsychosocial complexity.
Lois T Flaherty, M.D., is a child and adolescent psychiatrist on the teaching faculty of Harvard University and the University of Maryland School of Medicine. A past president of the American Society for Adolescent Psychiatry and a consultant to the Center for School Mental Health Assistance in Baltimore, Dr. Flaherty remains active in school-based mental health programs and community psychiatry.
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