Аннотация: Work with adolescents at risk, with one-off episodes of use or drug addiction should be organized systematically and involve a wide range of specialists. Psychological counseling for adolescents is the most important type of work that allows you to establish the true motives and factors of consumption, influencing which you can achieve a positive effect. Great attention must be paid to preventive measures, primary prevention aimed at preserving physical and mental health, at forming a stable attitude about the benefits of a healthy lifestyle, at preventing the impact of destructive environmental factors, the formation of such personality traits, values that will prevent a teenager from becoming involved in narcotic psychoactive substances. It is primary prevention, and not radical treatment, that guarantees a greater effect.