While the initial use of any mood altering substance could be argued that it was driven by choice the ensuing progression of the addiction is most definetly not by choice. What drives an individual to continue to use inspite of the progressive negative consequences other than an alteration to the individual's cognitive process. The adolescent addict has long posed a challenge to those of use working with them and their family due to the fact that htere is a great deal of, in most cases, familial support/enabling which could slow down the progression. The best indicator of the possible progression of the adolescent's addiction can best be determined by the family history. This is simular to other Chronic illnesses such as Diabetes and Cancer to name only two. As an addict in recovery and a Diabetic I have been able to mange, for the most part my two illnesses through the same process. Cognitive Restructuring, that is I had to change my thinking which led to a change in attitude and consequently a change in behavior.