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First drink and your brain: Young people abuse alcohol more than any other substance. US: 11-20 y.o. consume 11% of all alcohol. By 15 – 35% of teens have had a drink. By 18 – 65% of teens have had a drink. 90% consume alcohol by binge drinking. Attraction of alcohol lies in enduring cellular changes: Attraction =perceived, euphoric ‘high’ that it induces. Activates neurons in the dopamine pathways. Dopamine = goal-oriented and reward-based behaviors. Memory registers and stores the perceived benefits of alcohol from the very first time a person drinks. Devastating impacts of fetal alcohol syndrome: Anxiety Depression Aggression Delinquency Diminished learning capacity 3 Main kinds of behavioral problems with FASD: Internalizing Behaviors: anxiety, withdrawal, depression Externalizing Behaviors: aggression or delinquency Other: social skills, thought processing and attention. Fetal Alcohol Syndrome: Tragic result of alcohol use in pregnancy. Causes birth defects and neurodevelopmental problems. Recommendation: no alcohol use during pregnancy. Support is needed for these children.