Alcohol use disorders in adolescents has been a major health and social concern across the globe demanding timely intervention in order to prevent the great deal of morbidity and mortality that are often associated with maladaptive pattern of substance use. Understanding the causation, maintenance and progression of alcohol use disorder is of utmost importance in formulating strategies for its treatment and prevention. There has been a major paradigm shift in understanding of the complex phenomenon of alcohol use in the form of application of concept of network theory. In this review a sincere attempt has been made to give insight into the various issues related to alcohol use disorders in adolescents.