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Adolescents are the healthiest cohort in the population in terms of organic disease but, at the same time, they experience relatively high rates of mortality and morbidity due to their behavior, including the use of alcohol.  Across many species including humans, adolescence is a time of heightened risk-taking and for many young people in our society, some of that risk-taking involves alcohol use.  Further, adolescence is a period of increasing socialization often involving alcohol.  For some, the increased social demands of adolescence may be accompanied by increased anxiety heightening the risk for alcohol use.  In this way, alcohol use has become intertwined with the normal developmental processes of adolescence.  And alcohol use both affects development and is affected by developmental processes.