Alcohol use in adolescents is influenced by various hereditary, environmental, social, and psychological factors. This period is critical for brain development, with changes in the reward system leading to increased novelty-seeking and risk-taking behaviors. Early initiation of alcohol use can lead to long-term consequences, including addiction, comorbid psychiatric disorders, academic problems, and social issues. Risk factors include a family history of substance use, male gender, traumatic experiences, and weak parental control. Despite lower substance use rates compared to Europe, alcohol use in Turkey is rising. Effective interventions include early prevention, psychosocial treatments, and complementary therapies like music and animal-assisted therapy.