May is National Mental Health Awareness month. Regardless of age, people often use alcohol and other drugs to self-medicate for other mental health problems, including depression, anxiety, and other mental health disorders. Nelba Chavez, Ph.D., SAMHSA administrator stated that, “Parents need to know that alcohol use can also be a warning sign or a cry for help that something is seriously wrong in a child’s life” (verywellmind.com, 2018). Though illegal, it is easy for underage persons to obtain alcohol either from asking family members, older friends, or even strangers to buy alcohol for them. Understanding the prevalence of underage drinking, the commonalities of it, and the underlying causes can help prevent alcohol abuse and provide needed mental health treatment.