Teen Drug Crisis Explained with Dr. Katie Held & John Lieberman: Fentanyl, Vaping & Recovery

On this episode of We’re Out Of Time, host Richard Taite sits down with Dr. Katie Held, Chief Clinical Officer, and John Lieberman, CEO of Visions Teen Treatment Center, to expose the harsh realities adolescents face in today’s drug crisis. Drawing from frontline experience treating teens with substance use disorders, they break down what parents, educators, and clinicians urgently need to understand.

The conversation begins with a sobering look at how adolescents are unknowingly using fentanyl, often without realizing it’s present in the substances they consume. Dr. Held and Lieberman explain what they’re seeing inside teen treatment centers and why fentanyl exposure has become increasingly common. They then explore how high-potency THC and cannabis extracts are triggering psychosis in teens, particularly among young brains that are still developing.

Toxicology data reveals the scope of the problem, with 10–15% of teen admissions testing positive for fentanyl, a number that continues to climb. The discussion moves into the dangers of street vape cartridges and counterfeit products, highlighting how teens casually pick up unknown carts with potentially lethal consequences.Beyond substances, the episode confronts human trafficking risks tied to drug access, including real cases where teens normalize dangerous situations just to obtain drugs. The emotional weight deepens with stories of parents receiving hospital calls after overdoses—one father worrying about school while his son fights for his life, and another asking, “Can help get here fast enough to save my son?”

Dr. Held and Lieberman address parental responsibility, denial, and fear, unpacking common misconceptions teens and families have about drugs. They examine the post-COVID and social media impact on adolescent mental health, emphasizing the urgent need for resilience-building. The episode also explores what it’s like to seek treatment for your own child while running a treatment center, the critical role of family support, and the key differences between treating adolescents versus adults.

The conversation closes with a powerful reflection on why they choose to work with adolescents—because early intervention can change the trajectory of an entire life.