Pediatrician-approved guidance for parents: Learn how to talk to teens about alcohol, recognize signs of teen drinking and empower your teen with safe strategies.

Published: October 27, 2025

Estimated reading time: 3 minutes

For many parents, the thought of their teenager experimenting with alcohol can be unsettling. Yet research shows that most teens will be exposed to drinking, whether through peers, social media or even at family gatherings. Knowing how to talk to teens about alcohol in an open, honest way can help protect them from serious risks.

Why alcohol is risky for teens

In addition to safety concerns such as sexual assault or driving under the influence, alcohol poses health risks because teen brains are still developing until about age 25. Drinking at this stage affects memory, decision-making and impulse control.

Compared with adults, teens who drink are more likely to:

• Develop long-term health issues such as addiction, liver disease or high blood pressure.
• Struggle with grades, motivation or attendance at school.
• Experience mental health challenges, such as depression or anxiety.
• Engage in risky behaviors, including unsafe driving, unprotected sex or physical fights.

Even occasional drinking during the teen years can make alcohol use a habit that is hard to break. Starting younger increases the chances of alcohol dependence later in life.

Signs parents should watch for

It’s not always easy to know if a teen is drinking. Some warning signs may include:

• Sudden changes in mood, friends or activities
• Slipping grades or less interest in schoolwork
• Smelling alcohol on breath or clothing
• Secretive behavior, sneaking out or frequently asking for money
• Unexplained injuries or accidents

While these signs don’t always mean a teen is drinking, they are worth paying attention to and discussing openly.

Helping teens say no to alcohol

Even if your child understands the risks, peer pressure can be tough. Encourage strategies such as:

• Practicing refusal phrases like, “No thanks, I don’t drink.”
• Using an excuse: “I can’t. My parents would know,” or “I’ve got practice tomorrow.”
• Offering alternatives, such as suggesting a soda or another activity
• Having an exit plan, like calling or texting you for a ride anytime, no questions asked

Role-playing these scenarios can help your teen feel prepared and more confident in real-life situations.

When to talk to a doctor

If you notice signs of teen drinking or your child admits to trying alcohol, it may be time to talk to your pediatrician. Doctors can screen for risks, provide resources and have confidential conversations with teens that sometimes feel too difficult at home.

“Parents should never hesitate to bring up concerns about alcohol use with their child’s provider,” said Patrick K. Hynes, M.D., pediatrician with Norton Children’s Medical Group. “Pediatricians can talk privately with teens during visits, giving them a safe space to ask questions and discuss their experiences.”

When it comes to talking to teens about alcohol, the key is not one “big talk” but many small conversations over time. Keep discussions calm, nonjudgmental and focused on safety. Ask your teen what they see or hear among friends and listen without overreacting. By building trust, you give them the confidence to come to you if they feel pressured or unsafe. You don’t have to have all the answers. What matters most is creating an environment where your teen feels respected and supported as they navigate the difficult choices that come with growing into a young adult.