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Substance Use Disorder and Addiction: Symptoms, Treatment & Resources

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She also has written 14 science chapter books and numerous teacher resource books for the elementary classroom.</p>\n"},"avatar":{"title":"","width":400,"height":400,"src":"https://post.psychcentral.com/wp-content/uploads/sites/4/2021/04/Traci_Pedersen.png"}}],"medicalReviewers":[{"id":4948,"name":{"display":"Jeffrey Ditzell, DO","first":"Jeffrey","last":"Ditzell, DO"},"userLogin":"jditzell","links":{"website":"https://jeffditzellpsychiatry.com/","facebook":"https://www.facebook.com/drdpsychiatry","linkedin":"https://www.linkedin.com/company/dr-ditzell-psychiatry-pllc","twitter":"https://twitter.com/drdpsychiatry","instagram":"https://instagram.com/jeffditzellpsychiatry","tiktok":""},"link":"/reviewers/jeffrey-ditzell-do","type":{"value":"medical_reviewer","label":"Medical Advisor"},"nid":"164726","specialties":[],"guestTitle":"","bio":{"text":"<p><!-- wp:paragraph --></p>\n<p><em>This individual is no longer a medical reviewer in our network. The credentials and contact information reflected here may not be current.</em></p>\n<p><span style=\"font-weight: 400;\">Dr. Jeffrey Ditzell is an adult ADHD and general psychiatrist with a private practice in New York City. He has been the chief of an inpatient dual diagnosis unit, the lead attending in two psychiatric emergency rooms, and the lead physician of an assisted community treatment team. 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Connect with Morgan on <a href=\"https://twitter.com/morganmandriota\">Twitter </a>and <a href=\"https://www.instagram.com/morganmandriota/\">Instagram </a>or visit her website <a href=\"https://www.morganmandriota.com/\">here </a>to learn more.</p>\n"},"avatar":{"title":"","width":200,"height":200,"src":"https://post.psychcentral.com/wp-content/uploads/sites/4/2021/08/Morgan-Mandriota-500x500-Bio-e1646236698904.png"}}],"reviewedByHeader":"Medically reviewed by"},{"title":["What Is DMT?"],"text":["DMT is an illegal substance that can cause hallucinations and intense trips. 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data-testid="byline"><section data-testid="byline" class="css-eoj89x"><div class="css-1q67gt9"><div class="css-xc63cd"><img src="//i0.wp.com/post.psychcentral.com/wp-content/uploads/2022/01/Jeffrey-Ditzell-New-Headshot-500x500-Bio.png?w=105&amp;h=105" alt=""/></div></div><div><span><span>Medically reviewed by <a class="css-150s69f css-130mbve" href="https://www.psychcentral.com/reviewers/jeffrey-ditzell-do">Jeffrey Ditzell, DO</a></span></span> — <span><span><span><span>Written by <a class="css-150s69f css-130mbve" href="https://www.psychcentral.com/authors/traci-pedersen">Traci Pedersen</a></span></span></span></span> — <span> Updated on April 26, 2021</span></div></section></div><div><nav id="tab-bar-0" data-testid="tab-bar" class="css-7u7i0a"><ul class="css-17ztj4b"><li class="css-t753mo"><a href="#what-is-sud" class="css-yn6ido">What is SUD?</a></li><li class="css-t753mo"><a href="#causes" class="css-yn6ido">Causes</a></li><li class="css-t753mo"><a href="#symptoms" class="css-yn6ido">Symptoms</a></li><li class="css-t753mo"><a href="#treatment" class="css-yn6ido">Treatment</a></li><li class="css-t753mo"><a href="#living-with-management" class="css-yn6ido">Living with &amp; management</a></li><li class="css-t753mo"><a href="#helping-someone-with-sud" class="css-yn6ido">Helping someone with SUD</a></li><li class="css-t753mo"><a href="#getting-help" class="css-yn6ido">Getting help</a></li><li class="css-t753mo"><a href="#takeaway" class="css-yn6ido">Takeaway</a></li></ul></nav><article class="article-body css-d2znx6 undefined"><div class="css-12va8w7"><span style="font-size:0;line-height:0"></span><span style="font-size:0;line-height:0"></span><div><div><p class="css-w2pt6r">Substance use disorder (SUD) and addictions are complex and challenging conditions. But recovery is possible with the right treatment plan.</p></div></div><div><div><figure class="css-yhe8zq"><span class="css-rwmw5v"><span class="css-mjp0j9"><picture class="css-16pk1is"><source srcSet="https://media.post.rvohealth.io/wp-content/uploads/sites/4/2021/04/addiction-blue-blurry-portrait-1296x728-header-1024x575.jpg 750w" media="(min-width: 1190px)"/><source srcSet="https://media.post.rvohealth.io/wp-content/uploads/sites/4/2021/04/addiction-blue-blurry-portrait-1296x728-header-1024x575.jpg 750w" media="(min-width: 990px)"/><source srcSet="https://media.post.rvohealth.io/wp-content/uploads/sites/4/2021/04/addiction-blue-blurry-portrait-1296x728-header-1024x575.jpg 879w" media="(min-width: 768px)"/><img src="https://media.post.rvohealth.io/wp-content/uploads/sites/4/2021/04/addiction-blue-blurry-portrait-1296x728-header-1024x575.jpg" alt="addiction blue blurry portrait" class="css-1jytyml"/></picture></span><hl-share-overlay class="css-18moxll"><a class="icon-hl-pinterest css-gehydw" target="_blank" rel="noopener noreferrer nofollow" data-event="Any Page|Image Pinterest Click|Icon Clicked" data-element-event="OPEN|CONTENTBLOCK|Any Page|Article Body|BUTTON|Image Widget Pinterest Click|" href="https://www.pinterest.com/pin/create/button/?url=https%3A%2F%2Fpsychcentral.com%2Faddictions%2Faddictions&media=https%3A%2F%2Fmedia.post.rvohealth.io%2Fwp-content%2Fuploads%2Fsites%2F4%2F2021%2F04%2Faddiction-blue-blurry-portrait-1296x728-header-1024x575.jpg&description=Substance%20Use%20Disorder%20and%20Addiction%3A%20Symptoms%2C%20Treatment%20%26%20Resources" title="Share on Pinterest" data-pin-custom="true" data-share-url="https://media.post.rvohealth.io/wp-content/uploads/sites/4/2021/04/addiction-blue-blurry-portrait-1296x728-header-1024x575.jpg"><span class="css-8yl26h">Share on Pinterest</span></a></hl-share-overlay></span><figcaption class="css-dp2i9r">Anna Berkut/Stocksy United</figcaption></figure></div></div><div><div id="widget_call_out_3ab61efe-c974-4b1d-ae3e-9fe0c29c3f60" class="css-ubcbi5"><span style="font-size:0;line-height:0"></span><div class="css-14hk5xp"><div class="css-xqvouu"><div class="css-1hpp2pt"><p class="standout--body">Ready to start therapy? Our <a href="https://www.healthline.com/find-care/specialty/mental-health?&utm_source=pc&utm_medium=editorial&utm_campaign=mentalwellbeing&utm_content=textwidget&utm_term=addictions" target="_blank" rel="noopener noreferrer" class="content-link css-150s69f">Find a Therapist</a> resource may help.</p></div></div></div><div class="css-1uwjw6e"><div></div><div></div></div></div></div><div><div data-preamp="serena-chatbot"></div></div><div><p>Substance use disorder (SUD) and addiction affect all people, independent of their age, gender, or economic or social status — no population is above it. </p></div><div><p>In fact, <a href="https://www.samhsa.gov/data/sites/default/files/cbhsq-reports/NSDUHNationalFindingsReport2018/NSDUHNationalFindingsReport2018.pdf" target="_blank" rel="noopener noreferrer" class="content-link css-150s69f">more than 20 million</a> Americans ages 12 and older had a SUD in 2018. </p></div><div><p>You may know someone who started taking pain relievers like opioids they were prescribed after an injury. Then, as their body experienced dependence, efforts to cut back or quit on their own proved to be extremely painful — or next to impossible.</p></div><div><p>Regardless of how substance use begins, recovery is possible. Most people with moderate to severe addiction need additional help, however, as it’s not easily overcome on your own.<a name="symptoms"></a></p></div><div class="css-20w1gi"><aside class="css-0 css-0" data-testid="sticky-inline-ad" data-sticky="false"><div><div data-empty="true" class="css-1sq15os"><div class="css-1hjaa0k"><span class="css-zya54r"></span></div><div id="inline2__slot" data-adbridg-ad-class="inline2__slot" data-ad="true" class="css-1t05dkn"></div></div></div></aside></div></div><div class="css-1avyp1d"><span style="font-size:0;line-height:0"></span><div><h2><div><a class="chartbeat-section" name="what-is-sud">What is substance use disorder?</a></div></h2></div><span style="font-size:0;line-height:0"></span><div><p>Substance use disorder is a complex condition stemming from the recurrent use of alcohol or other substances despite the harmful life and health consequences it may cause.</p></div><div><p>A SUD can be mild, moderate, or severe.</p></div><div><p>Addiction often occurs when the substance overactivates the brain’s reward center, which involves an abnormally high release of the neurotransmitter dopamine. </p></div><div><p>Continued use of the substance results in changes to the brain’s function and structure, which eventually leads to cravings, tolerance, and withdrawal symptoms when the substance isn’t used.</p></div><div><h3>What are the different types of SUD?</h3></div><div><p>Substances for which a person may form a SUD include:</p></div><div><ul><li><a href="http://psychcentral.com/lib/frequently-asked-questions-about-alcoholism" class="content-link css-150s69f">alcohol</a></li><li>cannabis</li><li>hallucinogens (including LSD and PCP)</li><li>inhalants</li><li><a href="https://psychcentral.com/addictions/opioid-use-disorder-symptoms" class="content-link css-150s69f">opioids</a> (including heroin and prescription medication)</li><li>sedatives, hypnotics (sleep meds), or anxiolytics (anti-anxiety meds)</li><li>stimulants (like amphetamines or cocaine)</li><li><a href="https://www.healthline.com/health/addiction/tobacco" target="_blank" rel="noopener noreferrer" class="content-link css-150s69f">tobacco</a></li></ul></div><div><h3>Is addiction and SUD the same?</h3></div><div><p>An addiction is the compulsive and repeated use of a substance, or any behavior or activity that a person feels helpless to stop. </p></div><div><p>Addictions that don’t involve drugs or alcohol may include:</p></div><div><ul><li><a href="https://psychcentral.com/lib/treatment-for-gambling-addiction" class="content-link css-150s69f">gambling</a></li><li><a href="https://psychcentral.com/lib/what-is-sexual-addiction" class="content-link css-150s69f">sex</a> or pornography</li><li>internet or social media</li><li>shopping</li><li><a href="https://psychcentral.com/addictions/gaming-disorder" class="content-link css-150s69f">video games</a></li><li>food </li></ul></div><div><p>Note that of these, only gambling disorder and internet gaming disorder are recognized behavioral addictions in the <hl-trusted-source source="PubMed Central" rationale="Highly respected database from the National Institutes of Health"><a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3767415/" target="_blank" rel="noopener noreferrer" class="content-link css-150s69f">Diagnostic and Statistical Manual of Mental Disorders (DSM-5)</a></hl-trusted-source>.</p></div><div><p>Still, even though they’re not recognized diagnoses in the DSM-5, these other behaviors — like sex, social media, and shopping — many cause problems when done in excess or compulsively. No matter your concern, it’s valid and you can seek professional help to address it.</p></div><div><p>Substance use disorder is an addiction that involves a habit-forming substance. This can include alcohol or any prescription or illegal drug.</p></div><span class="css-zya54r"></span></div><div class="css-1avyp1d"><span style="font-size:0;line-height:0"></span><div><h2><div><a class="chartbeat-section" name="causes">What causes substance use disorder?</a></div></h2></div><span style="font-size:0;line-height:0"></span><div><p>The exact causes of SUD are unknown. Some influencing factors include:</p></div><div><ul><li>genetics</li><li>personality traits</li><li>stress</li><li>the substance’s action</li><li>family history of use</li><li>peer pressure</li><li>mental health conditions, such as anxiety, depression, and <a href="https://psychcentral.com/adhd/attention-deficit-hyperactivity-disorder-fact-sheet" class="content-link css-150s69f">attention deficit hyperactivity disorder (ADHD)</a></li></ul></div><div><p>Exposure to trauma, especially in childhood, is strongly associated with substance use as well. In fact, SUDs are commonly seen in people with <a href="https://psychcentral.com/ptsd" class="content-link css-150s69f">post-traumatic stress disorder (PTSD)</a>. </p></div><div><p>Among veterans getting first-time care within the Veterans Health Administration (VHA) system, nearly <hl-trusted-source source="National Institute on Drug Abuse" rationale="Governmental authority"><a href="https://www.drugabuse.gov/publications/drugfacts/substance-use-military-life" target="_blank" rel="noopener noreferrer" class="content-link css-150s69f">11%</a></hl-trusted-source> meet criteria for a SUD diagnosis.</p></div><div><p>Studies with twins and families have shown that both genetic and environmental factors play a role in developing SUD. </p></div><div><p><hl-trusted-source source="PubMed Central" rationale="Highly respected database from the National Institutes of Health"><a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3661209/" target="_blank" rel="noopener noreferrer" class="content-link css-150s69f">Research in twins</a></hl-trusted-source> found that environmental factors play a larger role than genetics when it comes to <a href="https://psychcentral.com/lib/teen-drinking-limits-vs-punishment" class="content-link css-150s69f">adolescent alcohol use</a>. But by early adulthood, the role of genetics on drinking patterns increases significantly.</p></div><div><p>For example, genetics played a role in first-time alcohol use in <hl-trusted-source source="PubMed Central" rationale="Highly respected database from the National Institutes of Health"><a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3661209/" target="_blank" rel="noopener noreferrer" class="content-link css-150s69f">18%</a></hl-trusted-source> of girls (but 0% of boys) at age 14. That number increased to 33% for both sexes by age 16 and 50% by age 18.</p></div><div><p>The results of another review of twin studies also suggests that addiction runs in the family, with <hl-trusted-source source="PubMed Central" rationale="Highly respected database from the National Institutes of Health"><a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3661209/" target="_blank" rel="noopener noreferrer" class="content-link css-150s69f">40% to 60%</a></hl-trusted-source> heritability.</p></div><div class="css-20w1gi"><aside class="css-0 css-0" data-testid="sticky-inline-ad" data-sticky="false"><div><div data-empty="true" class="css-1sq15os"><div class="css-1hjaa0k"><span class="css-zya54r"></span></div><div id="inline7__slot" data-adbridg-ad-class="inline7__slot" data-ad="true" class="css-1t05dkn"></div></div></div></aside></div></div><div class="css-1avyp1d"><span style="font-size:0;line-height:0"></span><div><h2><div><a class="chartbeat-section" name="symptoms">What are the signs and symptoms of substance use disorder and addiction?</a></div></h2></div><span style="font-size:0;line-height:0"></span><div><p>Signs and symptoms of substance use and addiction vary widely from person to person and depend on:</p></div><div><ul><li>the substance or behavior</li><li>the length and severity of use</li><li>the user’s personality</li></ul></div><div><p>Below are the general symptoms of substance use and addiction:</p></div><div><ul><li>continued use even though it may affect health, relationships, or other aspects of life negatively</li><li>craving the substance or behavior</li><li>regular overconsumption </li><li>worrying about overuse </li><li>using in situations that may not be safe, such as driving under the influence, using a syringe that’s not sterile, or having sex without condoms or other barrier methods</li><li>giving up previously enjoyed activities due to use</li><li>spending a lot of time using or trying to use and recovering</li><li>neglecting responsibilities at home, work, or school</li><li>building up a tolerance</li><li>experiencing withdrawal symptoms when trying to quit</li></ul></div><div><div id="widget_call_out_cf82df13-73e9-4015-81c5-6a05eba463fe" class="css-ubcbi5"><span style="font-size:0;line-height:0"></span><div class="css-14hk5xp"><div class="css-xqvouu"><h3 class="css-9zytxy"><div><span class="css-14sy2z4">Learn more about symptoms of</span></div></h3><div class="css-slwzda"><ul id="block-d9cafb14-435c-445b-b02d-b7b17153f2c6"><li><a href="https://psychcentral.com/addictions/substance-use-disorder-symptoms" class="content-link css-150s69f">substance use disorder</a></li><li><a href="https://psychcentral.com/addictions/opioid-use-disorder-symptoms" class="content-link css-150s69f">opioid use disorder</a></li><li><a href="https://psychcentral.com/lib/symptoms-of-alcoholism#1" class="content-link css-150s69f">alcohol use disorder</a></li><li><a href="https://psychcentral.com/addictions/gaming-disorder" class="content-link css-150s69f">gaming disorder</a></li><li><a href="https://psychcentral.com/disorders/pathological-gambling-symptoms#1" class="content-link css-150s69f">gambling disorder</a></li><li><a href="https://psychcentral.com/addictions/symptoms-of-teen-substance-abuse" class="content-link css-150s69f">teen substance use</a></li></ul></div></div></div><div class="css-1uwjw6e"><div></div><div></div></div></div></div><div><h3>How is SUD diagnosed?</h3></div><div><p>Most clinicians use the following <a href="https://www.addictionpolicy.org/post/dsm-5-facts-and-figures" target="_blank" rel="noopener noreferrer" class="content-link css-150s69f">DSM-5 criteria</a> when diagnosing a substance use disorder:</p></div><div><ul><li>feeling like you have to use the substance on a regular basis (daily or several times per day) and more than originally planned</li><li>spending a large amount of time seeking, using, and recovering from the substance</li><li>craving the substance</li><li>needing more of the substance to get the same effect</li><li>experiencing withdrawal symptoms when you don’t use the substance</li><li>neglecting responsibilities at home, work, or school </li><li>recurring thoughts of quitting but being unable to accomplish this goal </li><li>continuing to use despite problems it may cause in relationships</li><li>continuing to use despite mental or physical health problems caused or worsened by it</li><li>giving up or cutting back in social or recreational activities due to substance use</li><li>using the substance under conditions that may not be safe</li></ul></div><div><p>Depending on how many of these symptoms a person shows within a 12-month period, a SUD can be diagnosed as:</p></div><div><ul><li><strong>Mild:</strong> 2–3 symptoms</li><li><strong>Moderate:</strong> 4–5 symptoms</li><li><strong>Severe:</strong> 6 or more symptoms<a name="treatment"></a></li></ul></div><span class="css-zya54r"></span></div><div class="css-1avyp1d"><span style="font-size:0;line-height:0"></span><div><h2><div><a class="chartbeat-section" name="treatment">How is substance use disorder treated?</a></div></h2></div><span style="font-size:0;line-height:0"></span><div><p>Treatment for SUD may be delivered in two basic settings — <a href="https://psychcentral.com/lib/differences-between-outpatient-and-inpatient-treatment-programs#1" class="content-link css-150s69f">inpatient and outpatient</a>.</p></div><div><p>The main goal is to place people in the most effective — but least restrictive — environment needed to begin the process and then move them along a <a href="https://psychcentral.com/lib/levels-of-treatment-for-substance-abuse" class="content-link css-150s69f">continuum of care</a>.</p></div><div><p>From most intensive to least, this continuum of care includes:</p></div><div><ul><li>inpatient hospitalization</li><li>residential treatment</li><li>intensive outpatient treatment</li><li>outpatient treatment</li></ul></div><div><p>Various SUD treatment programs stem from three basic models:</p></div><div><ul><li><strong>Medical model.</strong> This approach emphasizes the biological, genetic, or physiological causes of the SUD. It requires treatment by a physician and using medication to relieve symptoms.</li><li><strong>Psychological model.</strong> This approach focuses on the person’s potentially harmful motivations or emotional dysfunction as the primary cause of the SUD. It may include psychotherapy or behavioral therapy.</li><li><strong>Sociocultural model.</strong> This approach addresses any deficiencies in the person’s social and cultural environment that can be improved by altering your physical and social environment, including the use of self-help or spiritual activities. Treatment is often facilitated by people with personal experience with addiction and who are also in recovery.</li></ul></div><div><p>Most substance use treatment is centered around talk therapy. The psychological therapies most commonly used in treating substance use disorder include: </p></div><div><ul><li><strong>Motivational interviewing (MI).</strong> This refers to client-centered counseling developed to help the person find the internal motivation to quit. </li><li><strong>Motivational enhancement therapy.</strong> This approach combines the style of motivational interviewing with psychological counseling, and presents a new way of thinking to people who may be fearful or defensive.</li><li><strong>Prize-based contingency therapy.</strong> This approach uses positive reinforcement (monetary or other) for drug abstinence. However, <hl-trusted-source source="PubMed Central" rationale="Highly respected database from the National Institutes of Health"><a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4203362/" target="_blank" rel="noopener noreferrer" class="content-link css-150s69f">research</a></hl-trusted-source> indicates that it may not be effective long term.</li><li><strong>Seeking Safety.</strong> This approach, which is based on cognitive behavioral therapy (CBT), was developed for people with both SUD and PTSD. <hl-trusted-source source="PubMed Central" rationale="Highly respected database from the National Institutes of Health"><a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6383607/" target="_blank" rel="noopener noreferrer" class="content-link css-150s69f">Research indicates</a></hl-trusted-source> it may be more effective for improving symptoms of PTSD compared with SUD, and that it’s most helpful when combined with other treatment methods.</li><li><strong>Guided self-change.</strong> This approach combines CBT with motivational counseling. Some <hl-trusted-source source="PubMed Central" rationale="Highly respected database from the National Institutes of Health"><a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4757436/" target="_blank" rel="noopener noreferrer" class="content-link css-150s69f">research suggests</a></hl-trusted-source> it may be beneficial as an early intervention for teens with SUD.</li><li>Other behavioral and cognitive behavioral-based techniques.</li></ul></div><div><p>It’s important to note that many inpatient rehab centers are modeled around what your insurance company will pay for — not necessarily the best treatment outcome for each person. </p></div><div><p>For most people, an outpatient treatment approach will be just as effective and much more affordable than inpatient therapy.</p></div><div><p>For some people, the well-known 12-step programs, such as <a href="https://www.aa.org/" target="_blank" rel="noopener noreferrer" class="content-link css-150s69f">Alcoholics Anonymous</a> and <a href="https://na.org/" target="_blank" rel="noopener noreferrer" class="content-link css-150s69f">Narcotics Anonymous</a>, act as a helpful addition to treatment, especially for the social support these programs offer.</p></div><div><p>Still, keep in mind that <a href="https://psychcentral.com/lib/12-step-programs-for-addiction-not-for-everyone/" class="content-link css-150s69f">12-step programs aren’t for everyone</a>.</p></div><div><div id="widget_call_out_c59cb108-26d3-4c9c-8540-0c135227a0d5" class="css-ubcbi5"><span style="font-size:0;line-height:0"></span><div class="css-14hk5xp"><div class="css-xqvouu"><h3 class="css-9zytxy"><div><span class="css-14sy2z4">To learn more</span></div></h3><div class="css-slwzda"><ul id="block-44feaf43-8f08-4d99-aeea-bc98771dde71"><li><a href="https://psychcentral.com/addictions/substance-use-disorders-treatment/" class="content-link css-150s69f">How is SUD treated?</a></li><li><a href="https://psychcentral.com/lib/levels-of-treatment-for-substance-abuse/" class="content-link css-150s69f">What are the ASAM levels of treatment for SUD?</a></li><li><a href="https://psychcentral.com/lib/treatment-of-alcoholism/" class="content-link css-150s69f">How is alcohol use disorder treated?</a></li></ul></div></div></div><div class="css-1uwjw6e"><div></div><div></div></div></div></div><div><p><a name="living-with"></a></p></div><div class="css-20w1gi"><aside class="css-0 css-0" data-testid="sticky-inline-ad" data-sticky="false"><div><div data-empty="true" class="css-1sq15os"><div class="css-1hjaa0k"><span class="css-zya54r"></span></div><div id="inline12__slot" data-adbridg-ad-class="inline12__slot" data-ad="true" class="css-1t05dkn"></div></div></div></aside></div></div><div class="css-1avyp1d"><span style="font-size:0;line-height:0"></span><div><h2><div><a class="chartbeat-section" name="living-with-management">Living with and managing life with addiction</a></div></h2></div><span style="font-size:0;line-height:0"></span><div><p>Living with and managing an addiction and substance use is a marathon, not a sprint. </p></div><div><p>One helpful measure is turning toward healthy activities you love. Scientific evidence suggests that <hl-trusted-source source="PubMed Central" rationale="Highly respected database from the National Institutes of Health"><a href="https://pubmed.ncbi.nlm.nih.gov/20529968/" target="_blank" rel="noopener noreferrer" class="content-link css-150s69f">exercise</a></hl-trusted-source> and <a href="https://www.sciencedirect.com/science/article/pii/S0376871616001174" target="_blank" rel="noopener noreferrer" class="content-link css-150s69f">mindfulness meditation</a> may help in substance use recovery, though more research is needed. </p></div><div><p>There are also many resources and coping skills you can turn to for help living with this condition.</p></div><div><div id="widget_call_out_848338a9-666a-4d1e-bbd1-bff556d7a6b3" class="css-ubcbi5"><span style="font-size:0;line-height:0"></span><div class="css-14hk5xp"><div class="css-xqvouu"><h3 class="css-9zytxy"><div><span class="css-14sy2z4">To learn more</span></div></h3><div class="css-slwzda"><ul><li><a href="https://psychcentral.com/lib/substance-abuse-the-power-of-acceptance" class="content-link css-150s69f">The power of accepting substance use</a></li><li><a href="https://psychcentral.com/lib/relapse-prevention#1" class="content-link css-150s69f">How to prevent recurrence of a SUD</a></li></ul></div></div></div><div class="css-1uwjw6e"><div></div><div></div></div></div></div><div><p><a name="family"></a></p></div><span class="css-zya54r"></span></div><div class="css-1avyp1d"><span style="font-size:0;line-height:0"></span><div><h2><div><a class="chartbeat-section" name="helping-someone-with-sud">Helping someone with SUD or addiction</a></div></h2></div><span style="font-size:0;line-height:0"></span><div><p>It’s challenging to watch someone you care about develop or live with addiction. What can make it even harder is when it seems your loved one doesn’t want help. </p></div><div><p>Some people may find it very difficult to see or acknowledge that they have a SUD, even when co-workers, friends, and family believe it’s true. They may also be ashamed or afraid to come forward or ask for help. </p></div><div><p>It’s important to remember that the person with the addiction needs to be the one who seeks treatment. </p></div><div><p>Insisting that your loved one stops using is rarely going to bring about positive change. Instead, family members and friends should reach out to the person, offer emotional support, and let them know about available resources.</p></div><div><div id="widget_call_out_3478c4e9-c6b4-4967-b515-4e053a73298b" class="css-ubcbi5"><span style="font-size:0;line-height:0"></span><div class="css-14hk5xp"><div class="css-xqvouu"><h3 class="css-9zytxy"><div><span class="css-14sy2z4">To learn more</span></div></h3><div class="css-slwzda"><ul><li><a href="https://psychcentral.com/blog/addiction-recovery/2012/03/help-the-addict-doesnt-want-help#1" class="content-link css-150s69f">How to help someone with addiction who doesn’t seem to want help</a></li><li><a href="https://psychcentral.com/lib/family-involvement-is-important-in-substance-abuse-treatment" class="content-link css-150s69f">Why family involvement is important in treating SUD</a></li><li><a href="https://psychcentral.com/pro/the-familys-role-in-addiction-and-recovery#1" class="content-link css-150s69f">The family’s role in addiction and recovery</a></li></ul></div></div></div><div class="css-1uwjw6e"><div></div><div></div></div></div></div><div><p><a name="help"></a></p></div></div><div class="css-1avyp1d"><span style="font-size:0;line-height:0"></span><div><h2><div><a class="chartbeat-section" name="getting-help">Getting help</a></div></h2></div><span style="font-size:0;line-height:0"></span><div><p>Recovery from substance use is <em>very</em> possible but requires strong commitment.</p></div><div><p>Many people begin their journey to recovery by discussing their addiction with a <a href="https://www.healthgrades.com/right-care/substance-abuse-and-addiction/addiction-psychiatrist-your-expert-in-substance-abuse-treatment" target="_blank" rel="noopener noreferrer" class="content-link css-150s69f">trusted doctor</a>.</p></div><div><p>An initial screening may be used to detect a person’s risk for SUD. Then, it may be followed by a comprehensive evaluation and referral to an addiction specialist who can further explain the various treatment options. </p></div><div><p>The specialist can recommend an approach based on the severity of the addiction and resources available in your local community.</p></div><div><p>Importantly, treatment for substance use disorder is not a one-size-fits-all solution. Every person who enters treatment for SUD has unique needs. </p></div><div><p>For some people, intensive inpatient care may be the way to go, while others may benefit from part-time outpatient support. Plus, people may need different types of treatment at different times.</p></div><div><p>Many people want to do their own research or find a support group before deciding on a specific treatment approach.</p></div><div><p>Here are some resources worth checking out:</p></div><div><ul id="block-f151126a-c833-41cc-a751-1dc955c9d18a"><li><strong>SAMHSA.</strong> The <a href="https://www.samhsa.gov/find-help/national-helpline" target="_blank" rel="noopener noreferrer" class="content-link css-150s69f">Substance Abuse and Mental Health Services and Administration’s (SAMHSA)</a> national helpline (1-800-662-4357) is a free and confidential 24-hour referral and information service (in English and Spanish) for individuals and families facing mental health or substance use disorders.</li><li><strong>AA and NA.</strong> <a href="http://www.aa.org/" target="_blank" rel="noopener noreferrer" class="content-link css-150s69f">Alcoholics Anonymous</a> and <a href="https://www.na.org/" target="_blank" rel="noopener noreferrer" class="content-link css-150s69f">Narcotics Anonymous</a> are well-known 12-step groups for individuals recovering from alcohol or drug addiction. </li><li><strong>Double Trouble in Recovery.</strong> This is a <a href="http://www.bhevolution.org/public/doubletroubleinrecovery.page" target="_blank" rel="noopener noreferrer" class="content-link css-150s69f">12-step fellowship</a> for people managing both a mental illness and substance use disorder.</li><li><strong>Drugs and Me.</strong> Created by a group of scientists, educators, and analysts, the site <a href="https://www.drugsand.me/en/" target="_blank" rel="noopener noreferrer" class="content-link css-150s69f">Drugs and Me</a> offers an extensive list of educational materials for various types of substance use. </li><li><strong>NHRC.</strong> The <a href="https://harmreduction.org/" target="_blank" rel="noopener noreferrer" class="content-link css-150s69f">National Harm Reduction Coalition</a> is an advocacy group for people with SUD.</li></ul></div><div id="hl-incontent-video-ad" data-adbridg-ad-class="hl-incontent" class="css-pp6cpn"></div><div id="div-gpt-ad-out-of-page"></div></div><div class="css-1avyp1d"><span style="font-size:0;line-height:0"></span><div><h2><div><a class="chartbeat-section" name="takeaway">Next steps</a></div></h2></div><span style="font-size:0;line-height:0"></span><div><p>Substance use disorder can affect anyone.</p></div><div><p>Behavioral addictions like gambling disorder, gaming disorder, or internet addiction are also somewhat common, though <hl-trusted-source source="PubMed Central" rationale="Highly respected database from the National Institutes of Health"><a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4458066/" target="_blank" rel="noopener noreferrer" class="content-link css-150s69f">research indicates</a></hl-trusted-source> that it’s difficult to determine the exact prevalence because diagnostic criteria may not be as standardized.</p></div><div><p>Though SUD and addiction are challenging, recovery is possible with the right treatment plan and a support network by your side.</p></div><div><p>If you find your substance use or certain behavioral habits are hard to control, consider reaching out to a trusted healthcare professional or to one of the many resources and support groups available.</p></div><div><p></p></div></div></article><span class="css-zya54r"></span></div><div><div class="css-w9ag5x"><div class="css-1xn3edc"><div aria-expanded="false" aria-controls="article-resources" class="css-1l48sh1" role="button"><p class="css-1dxissy"><span class="css-1p6d3md icon-hlvideo-minus"></span><span class="css-1p6d3md icon-hlvideo-plus"></span> <span class="css-1xdhyk6">12 sources</span><span class="sro">collapsed</span></p></div><div id="article-resources" role="region" class="css-1ugaz02"><ul class="css-1vedeqe"><li class="css-f6pdvi"><cite><span>Benishek LA, et al. (2014). Prize-based contingency management for the treatment of substance abusers: A meta-analysis.</span><br/><a class="css-150s69f css-138ocmy" target="_blank" rel="noopener noreferrer" href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4203362/">https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4203362/</a></cite></li><li class="css-f6pdvi"><cite><span>DSM-5 criteria for addiction simplified. (2020).</span><br/><a class="css-150s69f css-138ocmy" target="_blank" rel="noopener noreferrer" href="https://www.addictionpolicy.org/post/dsm-5-facts-and-figures">https://www.addictionpolicy.org/post/dsm-5-facts-and-figures</a></cite></li><li class="css-f6pdvi"><cite><span>Hasin DS, et al. (2013). DSM-5 criteria for substance use disorders: Recommendations and rationale.</span><br/><a class="css-150s69f css-138ocmy" target="_blank" rel="noopener noreferrer" href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3767415/">https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3767415/</a></cite></li><li class="css-f6pdvi"><cite><span>Key substance use and mental health indicators in the United States: Results from the 2018 National Survey on Drug Use and Health. (2019).</span><br/><a class="css-150s69f css-138ocmy" target="_blank" rel="noopener noreferrer" href="https://www.samhsa.gov/data/sites/default/files/cbhsq-reports/NSDUHNationalFindingsReport2018/NSDUHNationalFindingsReport2018.pdf">https://www.samhsa.gov/data/sites/default/files/cbhsq-reports/NSDUHNationalFindingsReport2018/NSDUHNationalFindingsReport2018.pdf</a></cite></li><li class="css-f6pdvi"><cite><span>Meyers JL, et al. (2013). Genetic and environmental risk factors for adolescent-onset substance use disorders.</span><br/><a class="css-150s69f css-138ocmy" target="_blank" rel="noopener noreferrer" href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3661209/">https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3661209/</a></cite></li><li class="css-f6pdvi"><cite><span>Roessler KK. (2010). Exercise treatment for drug abuse &mdash; a Danish pilot study.</span><br/><a class="css-150s69f css-138ocmy" target="_blank" rel="noopener noreferrer" href="https://pubmed.ncbi.nlm.nih.gov/20529968/">https://pubmed.ncbi.nlm.nih.gov/20529968/</a></cite></li><li class="css-f6pdvi"><cite><span>Sch&auml;fer I, et al. (2019). A multisite randomized controlled trial of Seeking Safety vs. Relapse Prevention Training for women with co-occurring posttraumatic stress disorder and substance use disorders.</span><br/><a class="css-150s69f css-138ocmy" target="_blank" rel="noopener noreferrer" href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6383607/">https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6383607/</a></cite></li><li class="css-f6pdvi"><cite><span>Substance use and military life drug facts. (2019).</span><br/><a class="css-150s69f css-138ocmy" target="_blank" rel="noopener noreferrer" href="https://www.drugabuse.gov/publications/drugfacts/substance-use-military-life">https://www.drugabuse.gov/publications/drugfacts/substance-use-military-life</a></cite></li><li class="css-f6pdvi"><cite><span>Surgeon General issues landmark report on alcohol, drugs and health. (2016).</span><br/><a class="css-150s69f css-138ocmy" target="_blank" rel="noopener noreferrer" href="https://www.niaaa.nih.gov/news-events/news-noteworthy/surgeon-general-issues-landmark-report-alcohol-drugs-and-health">https://www.niaaa.nih.gov/news-events/news-noteworthy/surgeon-general-issues-landmark-report-alcohol-drugs-and-health</a></cite></li><li class="css-f6pdvi"><cite><span>Tang Y-Y, et al. (2016). Mindfulness meditation improves emotion regulation and reduces drug abuse.</span><br/><a class="css-150s69f css-138ocmy" target="_blank" rel="noopener noreferrer" href="https://www.sciencedirect.com/science/article/pii/S0376871616001174">https://www.sciencedirect.com/science/article/pii/S0376871616001174</a></cite></li><li class="css-f6pdvi"><cite><span>Wagner EF, et al. (2014). A randomized controlled trial of guided self-change with minority adolescents.</span><br/><a class="css-150s69f css-138ocmy" target="_blank" rel="noopener noreferrer" href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4757436/">https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4757436/</a></cite></li><li class="css-f6pdvi"><cite><span>Yau YHC, et al. (2015). Gambling disorder and other behavioral addictions: Recognition and treatment.</span><br/><a class="css-150s69f css-138ocmy" target="_blank" rel="noopener noreferrer" href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4458066/">https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4458066/</a></cite></li></ul></div></div><div class="css-1wkzy2"><div class="css-1ytasfq"><div class="button-wrapper print"><a class="css-1uhtj6l print button icon icon-hl-print" target="_blank" title="Print this page"></a></div><div class="button-wrapper facebook"><a class="css-1uhtj6l facebook button icon icon-hl-facebook" href="https://www.facebook.com/sharer/sharer.php?u=https%3A%2F%2Fpsychcentral.com%2Faddictions%2Faddictions%3Futm_medium%3Dsocial%26utm_source%3Dfacebook%26utm_campaign%3Dsocial-sharebar-referred-desktop" rel="noopener noreferrer nofollow" target="_blank" title="Share on Facebook"></a></div><div class="button-wrapper twitter"><a class="css-1uhtj6l twitter button icon icon-hl-twitter" 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aria-label="image-link" data-ga4="Read Next button clicks" data-testid="image-link" aria-hidden="true" tabindex="-1"><div class="css-79elbk"><span class="css-rwmw5v css-1pf0x3y"><span class="css-1767n2d"><lazy-image alt="What Are the Signs and Symptoms of Substance Use Disorder?" src="https://media.post.rvohealth.io/wp-content/uploads/sites/4/2021/03/PC_Male_Friends_Hugging_732x549-thumbnail.jpg" srcSet="https://media.post.rvohealth.io/wp-content/uploads/sites/4/2021/03/PC_Male_Friends_Hugging_732x549-thumbnail.jpg 200w" className="css-1lyqwde"></lazy-image></span></span><span class="css-1fb1nmp"><span class="css-a10gts"></span></span></div></a></figure><div class="css-h0zs0i"><a class="css-11ivwxm" data-event="engagement|bottom page content promo click|/addictions/substance-use-disorder-symptoms;engagement|bottom page content promo click index|1" data-element-event="INTERNAL LINK|FOOTER|Any Page|Read This Next|LINK|What Are the Signs and Symptoms of Substance Use Disorder?|rn0" 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data-event="engagement|bottom page content promo click|/addictions/alcohol-use-disorder-psychosocial-treatments;engagement|bottom page content promo click index|2" data-element-event="INTERNAL LINK|FOOTER|Any Page|Read This Next|LINK|Psychosocial Treatments for Alcohol Use Disorder|rn1" href="https://www.psychcentral.com/addictions/alcohol-use-disorder-psychosocial-treatments?utm_source=ReadNext" data-testid="text-link" data-ga4="Read Next button clicks" aria-hidden="true" tabindex="-1">Psychosocial treatments are a multimodal approach to alcohol use disorder and can include therapy, education, training, and more.</a></p><a class="css-1culwpr css-2dy712" data-event="engagement|bottom page content promo click|/addictions/alcohol-use-disorder-psychosocial-treatments;engagement|bottom page content promo click index|2" data-element-event="INTERNAL LINK|FOOTER|Any Page|Read This Next|LINK|Psychosocial Treatments for Alcohol Use Disorder|rn1" 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Learn about physical, psychological, and behavioral symptoms of OUD.</a></p><a class="css-1culwpr css-2dy712" data-event="engagement|bottom page content promo click|/addictions/opioid-use-disorder-symptoms;engagement|bottom page content promo click index|5" data-element-event="INTERNAL LINK|FOOTER|Any Page|Read This Next|LINK|What Are the Signs and Symptoms of Opioid Use Disorder?|rn4" href="https://www.psychcentral.com/addictions/opioid-use-disorder-symptoms?utm_source=ReadNext" data-ga4="Read Next button clicks">READ MORE<span class="icon-hl-arrow-right-bold selector css-2kgwd5"></span></a></div></div></div><section class="css-82r5pg css-1ub4i5m"></section></div></div></li><li class="css-12weawj"><div class="css-m260rd"><div class="css-1h1rean"><div class="css-1r7frvz"><div class="css-lm0pdr"><span style="font-size:0;line-height:0"></span><figure class="css-1e4ja14 css-f0t0lw"><a class="css-1uhtj6l" data-event="engagement|bottom page content promo click|/addictions/alcohol-abuse-dependence-treatment;engagement|bottom page content promo click index|6" data-element-event="INTERNAL LINK|FOOTER|Any Page|Read This Next|LINK|Alcohol Use Disorder: Medical Treatment|rn5" href="https://www.psychcentral.com/addictions/alcohol-abuse-dependence-treatment?utm_source=ReadNext" aria-label="image-link" data-ga4="Read Next button clicks" data-testid="image-link" aria-hidden="true" tabindex="-1"><div class="css-79elbk"><span class="css-rwmw5v css-1pf0x3y"><span class="css-1767n2d"><lazy-image alt="Alcohol Use Disorder: Medical Treatment" src="https://media.post.rvohealth.io/wp-content/uploads/2024/03/HL_Generic-Thumb.jpeg" srcSet="https://media.post.rvohealth.io/wp-content/uploads/2024/03/HL_Generic-Thumb.jpeg 200w" className="css-1lyqwde"></lazy-image></span></span><span class="css-1fb1nmp"><span class="css-a10gts"></span></span></div></a></figure><div class="css-h0zs0i"><a class="css-11ivwxm" data-event="engagement|bottom page content promo click|/addictions/alcohol-abuse-dependence-treatment;engagement|bottom page content promo click index|6" data-element-event="INTERNAL LINK|FOOTER|Any Page|Read This Next|LINK|Alcohol Use Disorder: Medical Treatment|rn5" href="https://www.psychcentral.com/addictions/alcohol-abuse-dependence-treatment?utm_source=ReadNext" data-testid="title-link" data-ga4="Read Next button clicks">Alcohol Use Disorder: Medical Treatment</a><p class=""><a class="css-onvglr" data-event="engagement|bottom page content promo click|/addictions/alcohol-abuse-dependence-treatment;engagement|bottom page content promo click index|6" data-element-event="INTERNAL LINK|FOOTER|Any Page|Read This Next|LINK|Alcohol Use Disorder: Medical Treatment|rn5" href="https://www.psychcentral.com/addictions/alcohol-abuse-dependence-treatment?utm_source=ReadNext" data-testid="text-link" data-ga4="Read Next button clicks" aria-hidden="true" tabindex="-1">The type of medical treatment you receive for your alcohol use disorder (AUD) will depend on the severity of y</a></p><a class="css-1culwpr css-2dy712" data-event="engagement|bottom page content promo click|/addictions/alcohol-abuse-dependence-treatment;engagement|bottom page content promo click index|6" data-element-event="INTERNAL LINK|FOOTER|Any Page|Read This Next|LINK|Alcohol Use Disorder: Medical Treatment|rn5" href="https://www.psychcentral.com/addictions/alcohol-abuse-dependence-treatment?utm_source=ReadNext" data-ga4="Read Next button clicks">READ MORE<span class="icon-hl-arrow-right-bold selector css-2kgwd5"></span></a></div></div></div><section class="css-82r5pg css-1ub4i5m"></section></div></div></li><li class="css-12weawj"><div class="css-m260rd"><div class="css-1h1rean"><div class="css-1r7frvz"><div class="css-lm0pdr"><span style="font-size:0;line-height:0"></span><figure class="css-1e4ja14 css-f0t0lw"><a class="css-1uhtj6l" data-event="engagement|bottom page content promo click|/addictions/symptoms-of-teen-substance-abuse;engagement|bottom page 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data-event="engagement|bottom page content promo click|/addictions/symptoms-of-teen-substance-abuse;engagement|bottom page content promo click index|7" data-element-event="INTERNAL LINK|FOOTER|Any Page|Read This Next|LINK|How Can I Tell If My Teenager Is Using Drugs or Other Substances?|rn6" href="https://www.psychcentral.com/addictions/symptoms-of-teen-substance-abuse?utm_source=ReadNext" data-testid="title-link" data-ga4="Read Next button clicks">How Can I Tell If My Teenager Is Using Drugs or Other Substances?</a><section data-testid="byline" class="css-ymf4ha"><div class="css-1pz7193"><div class="css-xc63cd"><lazy-image alt="" src="//i0.wp.com/post.psychcentral.com/wp-content/uploads/2022/01/Akilah-Reynolds-500x500-Bio.png?w=73&amp;h=73"></lazy-image></div></div><div><span><span>Medically reviewed by <a class="css-150s69f css-130mbve" href="https://www.psychcentral.com/medical-team">Akilah Reynolds, PhD</a></span></span></div></section><p class=""><a class="css-onvglr" data-event="engagement|bottom page content promo click|/addictions/symptoms-of-teen-substance-abuse;engagement|bottom page content promo click index|7" data-element-event="INTERNAL LINK|FOOTER|Any Page|Read This Next|LINK|How Can I Tell If My Teenager Is Using Drugs or Other Substances?|rn6" href="https://www.psychcentral.com/addictions/symptoms-of-teen-substance-abuse?utm_source=ReadNext" data-testid="text-link" data-ga4="Read Next button clicks" aria-hidden="true" tabindex="-1">Sudden changes in your teen&#x27;s behavior can be worrisome. Learn about signs of teen substance use, and how you can help.</a></p><a class="css-1culwpr css-2dy712" data-event="engagement|bottom page content promo click|/addictions/symptoms-of-teen-substance-abuse;engagement|bottom page content promo click index|7" data-element-event="INTERNAL LINK|FOOTER|Any Page|Read This Next|LINK|How Can I Tell If My Teenager Is Using Drugs or Other Substances?|rn6" href="https://www.psychcentral.com/addictions/symptoms-of-teen-substance-abuse?utm_source=ReadNext" data-ga4="Read Next button clicks">READ MORE<span class="icon-hl-arrow-right-bold selector css-2kgwd5"></span></a></div></div></div><section class="css-82r5pg css-1ub4i5m"></section></div></div></li><li class="css-12weawj"><div class="css-m260rd"><div class="css-1h1rean"><div class="css-1r7frvz"><div class="css-lm0pdr"><span style="font-size:0;line-height:0"></span><figure class="css-1e4ja14 css-f0t0lw"><a class="css-1uhtj6l" data-event="engagement|bottom page content promo click|/lib/levels-of-treatment-for-substance-abuse;engagement|bottom page content promo click index|8" data-element-event="INTERNAL LINK|FOOTER|Any Page|Read This Next|LINK|What Are the ASAM Levels of Care for Substance Use Disorder?|rn7" href="https://www.psychcentral.com/lib/levels-of-treatment-for-substance-abuse?utm_source=ReadNext" aria-label="image-link" data-ga4="Read Next button clicks" data-testid="image-link" aria-hidden="true" tabindex="-1"><div class="css-79elbk"><span class="css-rwmw5v css-1pf0x3y"><span class="css-1767n2d"><lazy-image alt="What Are the ASAM Levels of Care for Substance Use Disorder?" src="https://media.post.rvohealth.io/wp-content/uploads/sites/4/2021/03/PC_Male_Group_Therapy_732x549-thumbnail.jpg" srcSet="https://media.post.rvohealth.io/wp-content/uploads/sites/4/2021/03/PC_Male_Group_Therapy_732x549-thumbnail.jpg 200w" className="css-1lyqwde"></lazy-image></span></span><span class="css-1fb1nmp"><span class="css-a10gts"></span></span></div></a></figure><div class="css-h0zs0i"><a class="css-11ivwxm" data-event="engagement|bottom page content promo click|/lib/levels-of-treatment-for-substance-abuse;engagement|bottom page content promo click index|8" data-element-event="INTERNAL LINK|FOOTER|Any Page|Read This Next|LINK|What Are the ASAM Levels of Care for Substance Use Disorder?|rn7" href="https://www.psychcentral.com/lib/levels-of-treatment-for-substance-abuse?utm_source=ReadNext" data-testid="title-link" data-ga4="Read Next button clicks">What Are the ASAM Levels of Care for Substance Use Disorder?</a><section data-testid="byline" class="css-ymf4ha"><div class="css-1pz7193"><div class="css-xc63cd"><lazy-image alt="" src="//i0.wp.com/post.psychcentral.com/wp-content/uploads/2022/01/Alyssa-Peckham-500x500-Bio.png?w=73&amp;h=73"></lazy-image></div></div><div><span><span>Medically reviewed by <a class="css-150s69f css-130mbve" href="https://www.psychcentral.com/medical-team">Alyssa Peckham, PharmD, BCPP</a></span></span></div></section><p class=""><a class="css-onvglr" data-event="engagement|bottom page content promo click|/lib/levels-of-treatment-for-substance-abuse;engagement|bottom page content promo click index|8" data-element-event="INTERNAL LINK|FOOTER|Any Page|Read This Next|LINK|What Are the ASAM Levels of Care for Substance Use Disorder?|rn7" href="https://www.psychcentral.com/lib/levels-of-treatment-for-substance-abuse?utm_source=ReadNext" data-testid="text-link" data-ga4="Read Next button clicks" aria-hidden="true" tabindex="-1">Treatment for substance use disorder isn&#x27;t one-size-fits-all. The ASAM levels of care allow people to receive the treatment most suitable to their…</a></p><a class="css-1culwpr css-2dy712" data-event="engagement|bottom page content promo click|/lib/levels-of-treatment-for-substance-abuse;engagement|bottom page content promo click index|8" data-element-event="INTERNAL LINK|FOOTER|Any Page|Read This Next|LINK|What Are the ASAM Levels of Care for Substance Use Disorder?|rn7" href="https://www.psychcentral.com/lib/levels-of-treatment-for-substance-abuse?utm_source=ReadNext" data-ga4="Read Next button clicks">READ MORE<span class="icon-hl-arrow-right-bold selector css-2kgwd5"></span></a></div></div></div><section class="css-82r5pg css-1ub4i5m"></section></div></div></li><li class="css-12weawj"><div class="css-m260rd"><div class="css-1h1rean"><div class="css-1r7frvz"><div class="css-lm0pdr"><span style="font-size:0;line-height:0"></span><figure class="css-1e4ja14 css-f0t0lw"><a class="css-1uhtj6l" data-event="engagement|bottom page content promo click|/addictions/gaming-disorder;engagement|bottom page content promo click index|9" data-element-event="INTERNAL LINK|FOOTER|Any Page|Read This Next|LINK|All About Gaming Disorder|rn8" href="https://www.psychcentral.com/addictions/gaming-disorder?utm_source=ReadNext" aria-label="image-link" data-ga4="Read Next button clicks" data-testid="image-link" aria-hidden="true" tabindex="-1"><div class="css-79elbk"><span class="css-rwmw5v css-1pf0x3y"><span class="css-1767n2d"><lazy-image alt="All About Gaming Disorder" src="https://media.post.rvohealth.io/wp-content/uploads/sites/4/2021/08/asian-man-playing-computer-video-games-headset-night-732x549-thumbnail-732x549.jpg" srcSet="https://media.post.rvohealth.io/wp-content/uploads/sites/4/2021/08/asian-man-playing-computer-video-games-headset-night-732x549-thumbnail-732x549.jpg 200w" className="css-1lyqwde"></lazy-image></span></span><span class="css-1fb1nmp"><span class="css-a10gts"></span></span></div></a></figure><div class="css-h0zs0i"><a class="css-11ivwxm" data-event="engagement|bottom page content promo click|/addictions/gaming-disorder;engagement|bottom page content promo click index|9" data-element-event="INTERNAL LINK|FOOTER|Any Page|Read This Next|LINK|All About Gaming Disorder|rn8" href="https://www.psychcentral.com/addictions/gaming-disorder?utm_source=ReadNext" data-testid="title-link" data-ga4="Read Next button clicks">All About Gaming Disorder</a><section data-testid="byline" class="css-ymf4ha"><div class="css-1pz7193"><div class="css-xc63cd"><lazy-image alt="" src="//i0.wp.com/post.psychcentral.com/wp-content/uploads/2022/01/Karin-Gepp-500x500-Bio.png?w=73&amp;h=73"></lazy-image></div></div><div><span><span>Medically reviewed by <a class="css-150s69f css-130mbve" href="https://www.psychcentral.com/medical-team">Karin Gepp, PsyD</a></span></span></div></section><p class=""><a class="css-onvglr" data-event="engagement|bottom page content promo click|/addictions/gaming-disorder;engagement|bottom page content promo click index|9" data-element-event="INTERNAL LINK|FOOTER|Any Page|Read This Next|LINK|All About Gaming Disorder|rn8" href="https://www.psychcentral.com/addictions/gaming-disorder?utm_source=ReadNext" data-testid="text-link" data-ga4="Read Next button clicks" aria-hidden="true" tabindex="-1">The World Health Organization (WHO) recognizes internet gaming disorder (IDG) as a mental health condition. We discuss symptoms, effects, and…</a></p><a class="css-1culwpr css-2dy712" data-event="engagement|bottom page content promo click|/addictions/gaming-disorder;engagement|bottom page content promo click index|9" data-element-event="INTERNAL LINK|FOOTER|Any Page|Read This Next|LINK|All About Gaming Disorder|rn8" href="https://www.psychcentral.com/addictions/gaming-disorder?utm_source=ReadNext" data-ga4="Read Next button clicks">READ MORE<span class="icon-hl-arrow-right-bold selector css-2kgwd5"></span></a></div></div></div><section class="css-82r5pg css-1ub4i5m"></section></div></div></li><li class="css-12weawj"><div class="css-m260rd"><div class="css-1h1rean"><div class="css-1r7frvz"><div class="css-lm0pdr"><span style="font-size:0;line-height:0"></span><figure class="css-1e4ja14 css-f0t0lw"><a class="css-1uhtj6l" data-event="engagement|bottom page content promo click|/drugs/what-is-dmt;engagement|bottom page content promo click index|10" data-element-event="INTERNAL LINK|FOOTER|Any Page|Read This Next|LINK|What Is DMT?|rn9" href="https://www.psychcentral.com/drugs/what-is-dmt?utm_source=ReadNext" aria-label="image-link" data-ga4="Read Next button clicks" data-testid="image-link" aria-hidden="true" tabindex="-1"><div class="css-79elbk"><span class="css-rwmw5v css-1pf0x3y"><span class="css-1767n2d"><lazy-image alt="What Is DMT?" src="https://media.post.rvohealth.io/wp-content/uploads/sites/4/2022/09/psychedelic-colorful-drugs-medicine-pill-bottle-732x549-thumbnail-732x549.jpg" srcSet="https://media.post.rvohealth.io/wp-content/uploads/sites/4/2022/09/psychedelic-colorful-drugs-medicine-pill-bottle-732x549-thumbnail-732x549.jpg 200w" className="css-1lyqwde"></lazy-image></span></span><span class="css-1fb1nmp"><span class="css-a10gts"></span></span></div></a></figure><div class="css-h0zs0i"><a class="css-11ivwxm" data-event="engagement|bottom page content promo click|/drugs/what-is-dmt;engagement|bottom page content promo click index|10" data-element-event="INTERNAL LINK|FOOTER|Any Page|Read This Next|LINK|What Is DMT?|rn9" href="https://www.psychcentral.com/drugs/what-is-dmt?utm_source=ReadNext" data-testid="title-link" data-ga4="Read Next button clicks">What Is DMT?</a><p class=""><a class="css-onvglr" data-event="engagement|bottom page content promo click|/drugs/what-is-dmt;engagement|bottom page content promo click index|10" data-element-event="INTERNAL LINK|FOOTER|Any Page|Read This Next|LINK|What Is DMT?|rn9" href="https://www.psychcentral.com/drugs/what-is-dmt?utm_source=ReadNext" data-testid="text-link" data-ga4="Read Next button clicks" aria-hidden="true" tabindex="-1">DMT is an illegal substance that can cause hallucinations and intense trips. </a></p><a class="css-1culwpr css-2dy712" data-event="engagement|bottom page content promo click|/drugs/what-is-dmt;engagement|bottom page content promo click index|10" data-element-event="INTERNAL LINK|FOOTER|Any Page|Read This Next|LINK|What Is DMT?|rn9" 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The credentials and contact information reflected here may not be current. Dr. Jeffrey Ditzell…"]}}],"editors":[{"role":"Editor","name":{"display":"Susanne Arthur"}}],"pinterestImage":{"path":"https://media.post.rvohealth.io/wp-content/uploads/sites/4/2021/04/addiction-blue-blurry-portrait-732x549-thumbnail.jpg"},"hideFeedback":false,"isMedicare":false,"isBlog":false,"publishSource":"wordpress","isAmpSupported":false,"categories":[{"name":"Uncategorized","slug":"uncategorized","link":"/uncategorized","children":[]}],"language":{"en":"https://psychcentral.com/addictions/addictions/","x-default":"https://psychcentral.com/addictions/addictions/","current":"en"},"lang":"en","links":[],"colorScheme":"default","isContentSeries":false,"brandCTAs":[],"clusterNavLinks":[],"clusterUrls":[],"clusterLinks":{},"pathingTilesData":{},"pathingCardsData":{},"inArticlePathingCardsData":[],"quantitativeTrustData":{},"isPrependRecipeH2":false,"recipes":[],"hideTabs":false,"tabs":[{"id":"_noHeaderPrefixedContent","title":null,"header":null,"body":[{"tagName":"div","source":"\u003cp class=\"css-w2pt6r\"\u003eSubstance use disorder (SUD) and addictions are complex and challenging conditions. But recovery is possible with the right treatment plan.\u003c/p\u003e"},{"tagName":"div","source":"\u003cfigure class=\"css-yhe8zq\"\u003e\u003cspan class=\"css-rwmw5v\"\u003e\u003cspan class=\"css-mjp0j9\"\u003e\u003cpicture class=\"css-16pk1is\"\u003e\u003csource srcSet=\"https://media.post.rvohealth.io/wp-content/uploads/sites/4/2021/04/addiction-blue-blurry-portrait-1296x728-header-1024x575.jpg 750w\" media=\"(min-width: 1190px)\"/\u003e\u003csource srcSet=\"https://media.post.rvohealth.io/wp-content/uploads/sites/4/2021/04/addiction-blue-blurry-portrait-1296x728-header-1024x575.jpg 750w\" media=\"(min-width: 990px)\"/\u003e\u003csource srcSet=\"https://media.post.rvohealth.io/wp-content/uploads/sites/4/2021/04/addiction-blue-blurry-portrait-1296x728-header-1024x575.jpg 879w\" media=\"(min-width: 768px)\"/\u003e\u003cimg src=\"https://media.post.rvohealth.io/wp-content/uploads/sites/4/2021/04/addiction-blue-blurry-portrait-1296x728-header-1024x575.jpg\" alt=\"addiction blue blurry portrait\" class=\"css-1jytyml\"/\u003e\u003c/picture\u003e\u003c/span\u003e\u003chl-share-overlay class=\"css-18moxll\"\u003e\u003ca class=\"icon-hl-pinterest css-gehydw\" target=\"_blank\" rel=\"noopener noreferrer nofollow\" data-event=\"Any Page|Image Pinterest Click|Icon Clicked\" data-element-event=\"OPEN|CONTENTBLOCK|Any Page|Article Body|BUTTON|Image Widget Pinterest Click|\" href=\"https://www.pinterest.com/pin/create/button/?url=https%3A%2F%2Fpsychcentral.com%2Faddictions%2Faddictions\u0026media=https%3A%2F%2Fmedia.post.rvohealth.io%2Fwp-content%2Fuploads%2Fsites%2F4%2F2021%2F04%2Faddiction-blue-blurry-portrait-1296x728-header-1024x575.jpg\u0026description=Substance%20Use%20Disorder%20and%20Addiction%3A%20Symptoms%2C%20Treatment%20%26%20Resources\" title=\"Share on Pinterest\" data-pin-custom=\"true\" data-share-url=\"https://media.post.rvohealth.io/wp-content/uploads/sites/4/2021/04/addiction-blue-blurry-portrait-1296x728-header-1024x575.jpg\"\u003e\u003cspan class=\"css-8yl26h\"\u003eShare on Pinterest\u003c/span\u003e\u003c/a\u003e\u003c/hl-share-overlay\u003e\u003c/span\u003e\u003cfigcaption class=\"css-dp2i9r\"\u003eAnna Berkut/Stocksy United\u003c/figcaption\u003e\u003c/figure\u003e"},{"widget":{"widgetFormat":"widget-call-out","items":[{"content":[{"tagName":"p","attributes":{"className":"standout--body"},"source":"Ready to start therapy? Our \u003ca href=\"https://www.healthline.com/find-care/specialty/mental-health?\u0026utm_source=pc\u0026utm_medium=editorial\u0026utm_campaign=mentalwellbeing\u0026utm_content=textwidget\u0026utm_term=addictions\" target=\"_blank\" rel=\"noopener noreferrer\" class=\"content-link css-150s69f\"\u003eFind a Therapist\u003c/a\u003e resource may help."}]}]},"brandPage":{}},{"tagName":"div","attributes":{"data-preamp":"serena-chatbot"},"source":""},{"tagName":"p","source":"Substance use disorder (SUD) and addiction affect all people, independent of their age, gender, or economic or social status — no population is above it. "},{"tagName":"p","source":"In fact, \u003ca href=\"https://www.samhsa.gov/data/sites/default/files/cbhsq-reports/NSDUHNationalFindingsReport2018/NSDUHNationalFindingsReport2018.pdf\" target=\"_blank\" rel=\"noopener noreferrer\" class=\"content-link css-150s69f\"\u003emore than 20 million\u003c/a\u003e Americans ages 12 and older had a SUD in 2018. "},{"tagName":"p","source":"You may know someone who started taking pain relievers like opioids they were prescribed after an injury. Then, as their body experienced dependence, efforts to cut back or quit on their own proved to be extremely painful — or next to impossible."},{"tagName":"p","source":"Regardless of how substance use begins, recovery is possible. Most people with moderate to severe addiction need additional help, however, as it’s not easily overcome on your own.\u003ca name=\"symptoms\"\u003e\u003c/a\u003e"}]},{"id":"what-is-sud","title":"What is SUD?","isCollapsable":false,"header":["What is substance use disorder?"],"body":[{"tagName":"p","source":"Substance use disorder is a complex condition stemming from the recurrent use of alcohol or other substances despite the harmful life and health consequences it may cause."},{"tagName":"p","source":"A SUD can be mild, moderate, or severe."},{"tagName":"p","source":"Addiction often occurs when the substance overactivates the brain’s reward center, which involves an abnormally high release of the neurotransmitter dopamine. "},{"tagName":"p","source":"Continued use of the substance results in changes to the brain’s function and structure, which eventually leads to cravings, tolerance, and withdrawal symptoms when the substance isn’t used."},{"tagName":"h3","source":"What are the different types of SUD?"},{"tagName":"p","source":"Substances for which a person may form a SUD include:"},{"tagName":"ul","source":"\u003cli\u003e\u003ca href=\"http://psychcentral.com/lib/frequently-asked-questions-about-alcoholism\" class=\"content-link css-150s69f\"\u003ealcohol\u003c/a\u003e\u003c/li\u003e\u003cli\u003ecannabis\u003c/li\u003e\u003cli\u003ehallucinogens (including LSD and PCP)\u003c/li\u003e\u003cli\u003einhalants\u003c/li\u003e\u003cli\u003e\u003ca href=\"https://psychcentral.com/addictions/opioid-use-disorder-symptoms\" class=\"content-link css-150s69f\"\u003eopioids\u003c/a\u003e (including heroin and prescription medication)\u003c/li\u003e\u003cli\u003esedatives, hypnotics (sleep meds), or anxiolytics (anti-anxiety meds)\u003c/li\u003e\u003cli\u003estimulants (like amphetamines or cocaine)\u003c/li\u003e\u003cli\u003e\u003ca href=\"https://www.healthline.com/health/addiction/tobacco\" target=\"_blank\" rel=\"noopener noreferrer\" class=\"content-link css-150s69f\"\u003etobacco\u003c/a\u003e\u003c/li\u003e"},{"tagName":"h3","source":"Is addiction and SUD the same?"},{"tagName":"p","source":"An addiction is the compulsive and repeated use of a substance, or any behavior or activity that a person feels helpless to stop. "},{"tagName":"p","source":"Addictions that don’t involve drugs or alcohol may include:"},{"tagName":"ul","source":"\u003cli\u003e\u003ca href=\"https://psychcentral.com/lib/treatment-for-gambling-addiction\" class=\"content-link css-150s69f\"\u003egambling\u003c/a\u003e\u003c/li\u003e\u003cli\u003e\u003ca href=\"https://psychcentral.com/lib/what-is-sexual-addiction\" class=\"content-link css-150s69f\"\u003esex\u003c/a\u003e or pornography\u003c/li\u003e\u003cli\u003einternet or social media\u003c/li\u003e\u003cli\u003eshopping\u003c/li\u003e\u003cli\u003e\u003ca href=\"https://psychcentral.com/addictions/gaming-disorder\" class=\"content-link css-150s69f\"\u003evideo games\u003c/a\u003e\u003c/li\u003e\u003cli\u003efood \u003c/li\u003e"},{"tagName":"p","source":"Note that of these, only gambling disorder and internet gaming disorder are recognized behavioral addictions in the \u003chl-trusted-source source=\"PubMed Central\" rationale=\"Highly respected database from the National Institutes of Health\"\u003e\u003ca href=\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3767415/\" target=\"_blank\" rel=\"noopener noreferrer\" class=\"content-link css-150s69f\"\u003eDiagnostic and Statistical Manual of Mental Disorders (DSM-5)\u003c/a\u003e\u003c/hl-trusted-source\u003e."},{"tagName":"p","source":"Still, even though they’re not recognized diagnoses in the DSM-5, these other behaviors — like sex, social media, and shopping — many cause problems when done in excess or compulsively. No matter your concern, it’s valid and you can seek professional help to address it."},{"tagName":"p","source":"Substance use disorder is an addiction that involves a habit-forming substance. This can include alcohol or any prescription or illegal drug."}]},{"id":"causes","title":"Causes","isCollapsable":false,"header":["What causes substance use disorder?"],"body":[{"tagName":"p","source":"The exact causes of SUD are unknown. Some influencing factors include:"},{"tagName":"ul","source":"\u003cli\u003egenetics\u003c/li\u003e\u003cli\u003epersonality traits\u003c/li\u003e\u003cli\u003estress\u003c/li\u003e\u003cli\u003ethe substance’s action\u003c/li\u003e\u003cli\u003efamily history of use\u003c/li\u003e\u003cli\u003epeer pressure\u003c/li\u003e\u003cli\u003emental health conditions, such as anxiety, depression, and \u003ca href=\"https://psychcentral.com/adhd/attention-deficit-hyperactivity-disorder-fact-sheet\" class=\"content-link css-150s69f\"\u003eattention deficit hyperactivity disorder (ADHD)\u003c/a\u003e\u003c/li\u003e"},{"tagName":"p","source":"Exposure to trauma, especially in childhood, is strongly associated with substance use as well. In fact, SUDs are commonly seen in people with \u003ca href=\"https://psychcentral.com/ptsd\" class=\"content-link css-150s69f\"\u003epost-traumatic stress disorder (PTSD)\u003c/a\u003e. "},{"tagName":"p","source":"Among veterans getting first-time care within the Veterans Health Administration (VHA) system, nearly \u003chl-trusted-source source=\"National Institute on Drug Abuse\" rationale=\"Governmental authority\"\u003e\u003ca href=\"https://www.drugabuse.gov/publications/drugfacts/substance-use-military-life\" target=\"_blank\" rel=\"noopener noreferrer\" class=\"content-link css-150s69f\"\u003e11%\u003c/a\u003e\u003c/hl-trusted-source\u003e meet criteria for a SUD diagnosis."},{"tagName":"p","source":"Studies with twins and families have shown that both genetic and environmental factors play a role in developing SUD. "},{"tagName":"p","source":"\u003chl-trusted-source source=\"PubMed Central\" rationale=\"Highly respected database from the National Institutes of Health\"\u003e\u003ca href=\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3661209/\" target=\"_blank\" rel=\"noopener noreferrer\" class=\"content-link css-150s69f\"\u003eResearch in twins\u003c/a\u003e\u003c/hl-trusted-source\u003e found that environmental factors play a larger role than genetics when it comes to \u003ca href=\"https://psychcentral.com/lib/teen-drinking-limits-vs-punishment\" class=\"content-link css-150s69f\"\u003eadolescent alcohol use\u003c/a\u003e. But by early adulthood, the role of genetics on drinking patterns increases significantly."},{"tagName":"p","source":"For example, genetics played a role in first-time alcohol use in \u003chl-trusted-source source=\"PubMed Central\" rationale=\"Highly respected database from the National Institutes of Health\"\u003e\u003ca href=\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3661209/\" target=\"_blank\" rel=\"noopener noreferrer\" class=\"content-link css-150s69f\"\u003e18%\u003c/a\u003e\u003c/hl-trusted-source\u003e of girls (but 0% of boys) at age 14. That number increased to 33% for both sexes by age 16 and 50% by age 18."},{"tagName":"p","source":"The results of another review of twin studies also suggests that addiction runs in the family, with \u003chl-trusted-source source=\"PubMed Central\" rationale=\"Highly respected database from the National Institutes of Health\"\u003e\u003ca href=\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3661209/\" target=\"_blank\" rel=\"noopener noreferrer\" class=\"content-link css-150s69f\"\u003e40% to 60%\u003c/a\u003e\u003c/hl-trusted-source\u003e heritability."}]},{"id":"symptoms","title":"Symptoms","isCollapsable":false,"header":["What are the signs and symptoms of substance use disorder and addiction?"],"body":[{"tagName":"p","source":"Signs and symptoms of substance use and addiction vary widely from person to person and depend on:"},{"tagName":"ul","source":"\u003cli\u003ethe substance or behavior\u003c/li\u003e\u003cli\u003ethe length and severity of use\u003c/li\u003e\u003cli\u003ethe user’s personality\u003c/li\u003e"},{"tagName":"p","source":"Below are the general symptoms of substance use and addiction:"},{"tagName":"ul","source":"\u003cli\u003econtinued use even though it may affect health, relationships, or other aspects of life negatively\u003c/li\u003e\u003cli\u003ecraving the substance or behavior\u003c/li\u003e\u003cli\u003eregular overconsumption \u003c/li\u003e\u003cli\u003eworrying about overuse \u003c/li\u003e\u003cli\u003eusing in situations that may not be safe, such as driving under the influence, using a syringe that’s not sterile, or having sex without condoms or other barrier methods\u003c/li\u003e\u003cli\u003egiving up previously enjoyed activities due to use\u003c/li\u003e\u003cli\u003espending a lot of time using or trying to use and recovering\u003c/li\u003e\u003cli\u003eneglecting responsibilities at home, work, or school\u003c/li\u003e\u003cli\u003ebuilding up a tolerance\u003c/li\u003e\u003cli\u003eexperiencing withdrawal symptoms when trying to quit\u003c/li\u003e"},{"widget":{"widgetFormat":"widget-call-out","items":[{"isBullets":true,"list":true,"headerTitle":["Learn more about symptoms of"],"content":[{"tagName":"ul","attributes":{"id":"block-d9cafb14-435c-445b-b02d-b7b17153f2c6"},"source":"\u003cli\u003e\u003ca href=\"https://psychcentral.com/addictions/substance-use-disorder-symptoms\" class=\"content-link css-150s69f\"\u003esubstance use disorder\u003c/a\u003e\u003c/li\u003e\u003cli\u003e\u003ca href=\"https://psychcentral.com/addictions/opioid-use-disorder-symptoms\" class=\"content-link css-150s69f\"\u003eopioid use disorder\u003c/a\u003e\u003c/li\u003e\u003cli\u003e\u003ca href=\"https://psychcentral.com/lib/symptoms-of-alcoholism#1\" class=\"content-link css-150s69f\"\u003ealcohol use disorder\u003c/a\u003e\u003c/li\u003e\u003cli\u003e\u003ca href=\"https://psychcentral.com/addictions/gaming-disorder\" class=\"content-link css-150s69f\"\u003egaming disorder\u003c/a\u003e\u003c/li\u003e\u003cli\u003e\u003ca href=\"https://psychcentral.com/disorders/pathological-gambling-symptoms#1\" class=\"content-link css-150s69f\"\u003egambling disorder\u003c/a\u003e\u003c/li\u003e\u003cli\u003e\u003ca href=\"https://psychcentral.com/addictions/symptoms-of-teen-substance-abuse\" class=\"content-link css-150s69f\"\u003eteen substance use\u003c/a\u003e\u003c/li\u003e"}]}]},"brandPage":{}},{"tagName":"h3","source":"How is SUD diagnosed?"},{"tagName":"p","source":"Most clinicians use the following \u003ca href=\"https://www.addictionpolicy.org/post/dsm-5-facts-and-figures\" target=\"_blank\" rel=\"noopener noreferrer\" class=\"content-link css-150s69f\"\u003eDSM-5 criteria\u003c/a\u003e when diagnosing a substance use disorder:"},{"tagName":"ul","source":"\u003cli\u003efeeling like you have to use the substance on a regular basis (daily or several times per day) and more than originally planned\u003c/li\u003e\u003cli\u003espending a large amount of time seeking, using, and recovering from the substance\u003c/li\u003e\u003cli\u003ecraving the substance\u003c/li\u003e\u003cli\u003eneeding more of the substance to get the same effect\u003c/li\u003e\u003cli\u003eexperiencing withdrawal symptoms when you don’t use the substance\u003c/li\u003e\u003cli\u003eneglecting responsibilities at home, work, or school \u003c/li\u003e\u003cli\u003erecurring thoughts of quitting but being unable to accomplish this goal \u003c/li\u003e\u003cli\u003econtinuing to use despite problems it may cause in relationships\u003c/li\u003e\u003cli\u003econtinuing to use despite mental or physical health problems caused or worsened by it\u003c/li\u003e\u003cli\u003egiving up or cutting back in social or recreational activities due to substance use\u003c/li\u003e\u003cli\u003eusing the substance under conditions that may not be safe\u003c/li\u003e"},{"tagName":"p","source":"Depending on how many of these symptoms a person shows within a 12-month period, a SUD can be diagnosed as:"},{"tagName":"ul","source":"\u003cli\u003e\u003cstrong\u003eMild:\u003c/strong\u003e 2–3 symptoms\u003c/li\u003e\u003cli\u003e\u003cstrong\u003eModerate:\u003c/strong\u003e 4–5 symptoms\u003c/li\u003e\u003cli\u003e\u003cstrong\u003eSevere:\u003c/strong\u003e 6 or more symptoms\u003ca name=\"treatment\"\u003e\u003c/a\u003e\u003c/li\u003e"}]},{"id":"treatment","title":"Treatment","isCollapsable":false,"header":["How is substance use disorder treated?"],"body":[{"tagName":"p","source":"Treatment for SUD may be delivered in two basic settings — \u003ca href=\"https://psychcentral.com/lib/differences-between-outpatient-and-inpatient-treatment-programs#1\" class=\"content-link css-150s69f\"\u003einpatient and outpatient\u003c/a\u003e."},{"tagName":"p","source":"The main goal is to place people in the most effective — but least restrictive — environment needed to begin the process and then move them along a \u003ca href=\"https://psychcentral.com/lib/levels-of-treatment-for-substance-abuse\" class=\"content-link css-150s69f\"\u003econtinuum of care\u003c/a\u003e."},{"tagName":"p","source":"From most intensive to least, this continuum of care includes:"},{"tagName":"ul","source":"\u003cli\u003einpatient hospitalization\u003c/li\u003e\u003cli\u003eresidential treatment\u003c/li\u003e\u003cli\u003eintensive outpatient treatment\u003c/li\u003e\u003cli\u003eoutpatient treatment\u003c/li\u003e"},{"tagName":"p","source":"Various SUD treatment programs stem from three basic models:"},{"tagName":"ul","source":"\u003cli\u003e\u003cstrong\u003eMedical model.\u003c/strong\u003e This approach emphasizes the biological, genetic, or physiological causes of the SUD. It requires treatment by a physician and using medication to relieve symptoms.\u003c/li\u003e\u003cli\u003e\u003cstrong\u003ePsychological model.\u003c/strong\u003e This approach focuses on the person’s potentially harmful motivations or emotional dysfunction as the primary cause of the SUD. It may include psychotherapy or behavioral therapy.\u003c/li\u003e\u003cli\u003e\u003cstrong\u003eSociocultural model.\u003c/strong\u003e This approach addresses any deficiencies in the person’s social and cultural environment that can be improved by altering your physical and social environment, including the use of self-help or spiritual activities. Treatment is often facilitated by people with personal experience with addiction and who are also in recovery.\u003c/li\u003e"},{"tagName":"p","source":"Most substance use treatment is centered around talk therapy. The psychological therapies most commonly used in treating substance use disorder include: "},{"tagName":"ul","source":"\u003cli\u003e\u003cstrong\u003eMotivational interviewing (MI).\u003c/strong\u003e This refers to client-centered counseling developed to help the person find the internal motivation to quit. \u003c/li\u003e\u003cli\u003e\u003cstrong\u003eMotivational enhancement therapy.\u003c/strong\u003e This approach combines the style of motivational interviewing with psychological counseling, and presents a new way of thinking to people who may be fearful or defensive.\u003c/li\u003e\u003cli\u003e\u003cstrong\u003ePrize-based contingency therapy.\u003c/strong\u003e This approach uses positive reinforcement (monetary or other) for drug abstinence. However, \u003chl-trusted-source source=\"PubMed Central\" rationale=\"Highly respected database from the National Institutes of Health\"\u003e\u003ca href=\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4203362/\" target=\"_blank\" rel=\"noopener noreferrer\" class=\"content-link css-150s69f\"\u003eresearch\u003c/a\u003e\u003c/hl-trusted-source\u003e indicates that it may not be effective long term.\u003c/li\u003e\u003cli\u003e\u003cstrong\u003eSeeking Safety.\u003c/strong\u003e This approach, which is based on cognitive behavioral therapy (CBT), was developed for people with both SUD and PTSD. \u003chl-trusted-source source=\"PubMed Central\" rationale=\"Highly respected database from the National Institutes of Health\"\u003e\u003ca href=\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6383607/\" target=\"_blank\" rel=\"noopener noreferrer\" class=\"content-link css-150s69f\"\u003eResearch indicates\u003c/a\u003e\u003c/hl-trusted-source\u003e it may be more effective for improving symptoms of PTSD compared with SUD, and that it’s most helpful when combined with other treatment methods.\u003c/li\u003e\u003cli\u003e\u003cstrong\u003eGuided self-change.\u003c/strong\u003e This approach combines CBT with motivational counseling. Some \u003chl-trusted-source source=\"PubMed Central\" rationale=\"Highly respected database from the National Institutes of Health\"\u003e\u003ca href=\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4757436/\" target=\"_blank\" rel=\"noopener noreferrer\" class=\"content-link css-150s69f\"\u003eresearch suggests\u003c/a\u003e\u003c/hl-trusted-source\u003e it may be beneficial as an early intervention for teens with SUD.\u003c/li\u003e\u003cli\u003eOther behavioral and cognitive behavioral-based techniques.\u003c/li\u003e"},{"tagName":"p","source":"It’s important to note that many inpatient rehab centers are modeled around what your insurance company will pay for — not necessarily the best treatment outcome for each person. "},{"tagName":"p","source":"For most people, an outpatient treatment approach will be just as effective and much more affordable than inpatient therapy."},{"tagName":"p","source":"For some people, the well-known 12-step programs, such as \u003ca href=\"https://www.aa.org/\" target=\"_blank\" rel=\"noopener noreferrer\" class=\"content-link css-150s69f\"\u003eAlcoholics Anonymous\u003c/a\u003e and \u003ca href=\"https://na.org/\" target=\"_blank\" rel=\"noopener noreferrer\" class=\"content-link css-150s69f\"\u003eNarcotics Anonymous\u003c/a\u003e, act as a helpful addition to treatment, especially for the social support these programs offer."},{"tagName":"p","source":"Still, keep in mind that \u003ca href=\"https://psychcentral.com/lib/12-step-programs-for-addiction-not-for-everyone/\" class=\"content-link css-150s69f\"\u003e12-step programs aren’t for everyone\u003c/a\u003e."},{"widget":{"widgetFormat":"widget-call-out","items":[{"isBullets":true,"list":true,"headerTitle":["To learn more"],"content":[{"tagName":"ul","attributes":{"id":"block-44feaf43-8f08-4d99-aeea-bc98771dde71"},"source":"\u003cli\u003e\u003ca href=\"https://psychcentral.com/addictions/substance-use-disorders-treatment/\" class=\"content-link css-150s69f\"\u003eHow is SUD treated?\u003c/a\u003e\u003c/li\u003e\u003cli\u003e\u003ca href=\"https://psychcentral.com/lib/levels-of-treatment-for-substance-abuse/\" class=\"content-link css-150s69f\"\u003eWhat are the ASAM levels of treatment for SUD?\u003c/a\u003e\u003c/li\u003e\u003cli\u003e\u003ca href=\"https://psychcentral.com/lib/treatment-of-alcoholism/\" class=\"content-link css-150s69f\"\u003eHow is alcohol use disorder treated?\u003c/a\u003e\u003c/li\u003e"}]}]},"brandPage":{}},{"tagName":"p","source":"\u003ca name=\"living-with\"\u003e\u003c/a\u003e"}]},{"id":"living-with-management","title":"Living with \u0026 management","isCollapsable":false,"header":["Living with and managing life with addiction"],"body":[{"tagName":"p","source":"Living with and managing an addiction and substance use is a marathon, not a sprint. "},{"tagName":"p","source":"One helpful measure is turning toward healthy activities you love. Scientific evidence suggests that \u003chl-trusted-source source=\"PubMed Central\" rationale=\"Highly respected database from the National Institutes of Health\"\u003e\u003ca href=\"https://pubmed.ncbi.nlm.nih.gov/20529968/\" target=\"_blank\" rel=\"noopener noreferrer\" class=\"content-link css-150s69f\"\u003eexercise\u003c/a\u003e\u003c/hl-trusted-source\u003e and \u003ca href=\"https://www.sciencedirect.com/science/article/pii/S0376871616001174\" target=\"_blank\" rel=\"noopener noreferrer\" class=\"content-link css-150s69f\"\u003emindfulness meditation\u003c/a\u003e may help in substance use recovery, though more research is needed. "},{"tagName":"p","source":"There are also many resources and coping skills you can turn to for help living with this condition."},{"widget":{"widgetFormat":"widget-call-out","items":[{"isBullets":true,"list":true,"headerTitle":["To learn more"],"content":[{"tagName":"ul","source":"\u003cli\u003e\u003ca href=\"https://psychcentral.com/lib/substance-abuse-the-power-of-acceptance\" class=\"content-link css-150s69f\"\u003eThe power of accepting substance use\u003c/a\u003e\u003c/li\u003e\u003cli\u003e\u003ca href=\"https://psychcentral.com/lib/relapse-prevention#1\" class=\"content-link css-150s69f\"\u003eHow to prevent recurrence of a SUD\u003c/a\u003e\u003c/li\u003e"}]}]},"brandPage":{}},{"tagName":"p","source":"\u003ca name=\"family\"\u003e\u003c/a\u003e"}]},{"id":"helping-someone-with-sud","title":"Helping someone with SUD","isCollapsable":false,"header":["Helping someone with SUD or addiction"],"body":[{"tagName":"p","source":"It’s challenging to watch someone you care about develop or live with addiction. What can make it even harder is when it seems your loved one doesn’t want help. "},{"tagName":"p","source":"Some people may find it very difficult to see or acknowledge that they have a SUD, even when co-workers, friends, and family believe it’s true. They may also be ashamed or afraid to come forward or ask for help. "},{"tagName":"p","source":"It’s important to remember that the person with the addiction needs to be the one who seeks treatment. "},{"tagName":"p","source":"Insisting that your loved one stops using is rarely going to bring about positive change. Instead, family members and friends should reach out to the person, offer emotional support, and let them know about available resources."},{"widget":{"widgetFormat":"widget-call-out","items":[{"isBullets":true,"list":true,"headerTitle":["To learn more"],"content":[{"tagName":"ul","source":"\u003cli\u003e\u003ca href=\"https://psychcentral.com/blog/addiction-recovery/2012/03/help-the-addict-doesnt-want-help#1\" class=\"content-link css-150s69f\"\u003eHow to help someone with addiction who doesn’t seem to want help\u003c/a\u003e\u003c/li\u003e\u003cli\u003e\u003ca href=\"https://psychcentral.com/lib/family-involvement-is-important-in-substance-abuse-treatment\" class=\"content-link css-150s69f\"\u003eWhy family involvement is important in treating SUD\u003c/a\u003e\u003c/li\u003e\u003cli\u003e\u003ca href=\"https://psychcentral.com/pro/the-familys-role-in-addiction-and-recovery#1\" class=\"content-link css-150s69f\"\u003eThe family’s role in addiction and recovery\u003c/a\u003e\u003c/li\u003e"}]}]},"brandPage":{}},{"tagName":"p","source":"\u003ca name=\"help\"\u003e\u003c/a\u003e"}]},{"id":"getting-help","title":"Getting help","isCollapsable":false,"header":["Getting help"],"body":[{"tagName":"p","source":"Recovery from substance use is \u003cem\u003every\u003c/em\u003e possible but requires strong commitment."},{"tagName":"p","source":"Many people begin their journey to recovery by discussing their addiction with a \u003ca href=\"https://www.healthgrades.com/right-care/substance-abuse-and-addiction/addiction-psychiatrist-your-expert-in-substance-abuse-treatment\" target=\"_blank\" rel=\"noopener noreferrer\" class=\"content-link css-150s69f\"\u003etrusted doctor\u003c/a\u003e."},{"tagName":"p","source":"An initial screening may be used to detect a person’s risk for SUD. Then, it may be followed by a comprehensive evaluation and referral to an addiction specialist who can further explain the various treatment options. "},{"tagName":"p","source":"The specialist can recommend an approach based on the severity of the addiction and resources available in your local community."},{"tagName":"p","source":"Importantly, treatment for substance use disorder is not a one-size-fits-all solution. Every person who enters treatment for SUD has unique needs. "},{"tagName":"p","source":"For some people, intensive inpatient care may be the way to go, while others may benefit from part-time outpatient support. Plus, people may need different types of treatment at different times."},{"tagName":"p","source":"Many people want to do their own research or find a support group before deciding on a specific treatment approach."},{"tagName":"p","source":"Here are some resources worth checking out:"},{"tagName":"ul","attributes":{"id":"block-f151126a-c833-41cc-a751-1dc955c9d18a"},"source":"\u003cli\u003e\u003cstrong\u003eSAMHSA.\u003c/strong\u003e The \u003ca href=\"https://www.samhsa.gov/find-help/national-helpline\" target=\"_blank\" rel=\"noopener noreferrer\" class=\"content-link css-150s69f\"\u003eSubstance Abuse and Mental Health Services and Administration’s (SAMHSA)\u003c/a\u003e national helpline (1-800-662-4357) is a free and confidential 24-hour referral and information service (in English and Spanish) for individuals and families facing mental health or substance use disorders.\u003c/li\u003e\u003cli\u003e\u003cstrong\u003eAA and NA.\u003c/strong\u003e \u003ca href=\"http://www.aa.org/\" target=\"_blank\" rel=\"noopener noreferrer\" class=\"content-link css-150s69f\"\u003eAlcoholics Anonymous\u003c/a\u003e and \u003ca href=\"https://www.na.org/\" target=\"_blank\" rel=\"noopener noreferrer\" class=\"content-link css-150s69f\"\u003eNarcotics Anonymous\u003c/a\u003e are well-known 12-step groups for individuals recovering from alcohol or drug addiction. \u003c/li\u003e\u003cli\u003e\u003cstrong\u003eDouble Trouble in Recovery.\u003c/strong\u003e This is a \u003ca href=\"http://www.bhevolution.org/public/doubletroubleinrecovery.page\" target=\"_blank\" rel=\"noopener noreferrer\" class=\"content-link css-150s69f\"\u003e12-step fellowship\u003c/a\u003e for people managing both a mental illness and substance use disorder.\u003c/li\u003e\u003cli\u003e\u003cstrong\u003eDrugs and Me.\u003c/strong\u003e Created by a group of scientists, educators, and analysts, the site \u003ca href=\"https://www.drugsand.me/en/\" target=\"_blank\" rel=\"noopener noreferrer\" class=\"content-link css-150s69f\"\u003eDrugs and Me\u003c/a\u003e offers an extensive list of educational materials for various types of substance use. \u003c/li\u003e\u003cli\u003e\u003cstrong\u003eNHRC.\u003c/strong\u003e The \u003ca href=\"https://harmreduction.org/\" target=\"_blank\" rel=\"noopener noreferrer\" class=\"content-link css-150s69f\"\u003eNational Harm Reduction Coalition\u003c/a\u003e is an advocacy group for people with SUD.\u003c/li\u003e"}]},{"id":"takeaway","title":"Takeaway","isCollapsable":false,"header":["Next steps"],"body":[{"tagName":"p","source":"Substance use disorder can affect anyone."},{"tagName":"p","source":"Behavioral addictions like gambling disorder, gaming disorder, or internet addiction are also somewhat common, though \u003chl-trusted-source source=\"PubMed Central\" rationale=\"Highly respected database from the National Institutes of Health\"\u003e\u003ca href=\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4458066/\" target=\"_blank\" rel=\"noopener noreferrer\" class=\"content-link css-150s69f\"\u003eresearch indicates\u003c/a\u003e\u003c/hl-trusted-source\u003e that it’s difficult to determine the exact prevalence because diagnostic criteria may not be as standardized."},{"tagName":"p","source":"Though SUD and addiction are challenging, recovery is possible with the right treatment plan and a support network by your side."},{"tagName":"p","source":"If you find your substance use or certain behavioral habits are hard to control, consider reaching out to a trusted healthcare professional or to one of the many resources and support groups available."},{"tagName":"p"}]}],"hasAffiliateLinks":false,"affiliates":[],"propsFor":{"articleResources":[{"displayLink":"ncbi.nlm.nih.gov/pmc/articles/PMC4203362/","link":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4203362/","title":{"tagName":"span","source":"Benishek LA, et al. (2014). Prize-based contingency management for the treatment of substance abusers: A meta-analysis."}},{"displayLink":"addictionpolicy.org/post/dsm-5-facts-and-figures","link":"https://www.addictionpolicy.org/post/dsm-5-facts-and-figures","title":{"tagName":"span","source":"DSM-5 criteria for addiction simplified. (2020)."}},{"displayLink":"ncbi.nlm.nih.gov/pmc/articles/PMC3767415/","link":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3767415/","title":{"tagName":"span","source":"Hasin DS, et al. (2013). DSM-5 criteria for substance use disorders: Recommendations and rationale."}},{"displayLink":"samhsa.gov/data/sites/default/files/cbhsq-reports/NSDUHNationalFindingsReport2018/NSDUHNationalFindingsReport2018.pdf","link":"https://www.samhsa.gov/data/sites/default/files/cbhsq-reports/NSDUHNationalFindingsReport2018/NSDUHNationalFindingsReport2018.pdf","title":{"tagName":"span","source":"Key substance use and mental health indicators in the United States: Results from the 2018 National Survey on Drug Use and Health. (2019)."}},{"displayLink":"ncbi.nlm.nih.gov/pmc/articles/PMC3661209/","link":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3661209/","title":{"tagName":"span","source":"Meyers JL, et al. (2013). Genetic and environmental risk factors for adolescent-onset substance use disorders."}},{"displayLink":"pubmed.ncbi.nlm.nih.gov/20529968","link":"https://pubmed.ncbi.nlm.nih.gov/20529968/","title":{"tagName":"span","source":"Roessler KK. (2010). Exercise treatment for drug abuse \u0026mdash; a Danish pilot study."}},{"displayLink":"ncbi.nlm.nih.gov/pmc/articles/PMC6383607/","link":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6383607/","title":{"tagName":"span","source":"Sch\u0026auml;fer I, et al. (2019). A multisite randomized controlled trial of Seeking Safety vs. Relapse Prevention Training for women with co-occurring posttraumatic stress disorder and substance use disorders."}},{"displayLink":"drugabuse.gov/publications/drugfacts/substance-use-military-life","link":"https://www.drugabuse.gov/publications/drugfacts/substance-use-military-life","title":{"tagName":"span","source":"Substance use and military life drug facts. (2019)."}},{"displayLink":"niaaa.nih.gov/news-events/news-noteworthy/surgeon-general-issues-landmark-report-alcohol-drugs-and-health","link":"https://www.niaaa.nih.gov/news-events/news-noteworthy/surgeon-general-issues-landmark-report-alcohol-drugs-and-health","title":{"tagName":"span","source":"Surgeon General issues landmark report on alcohol, drugs and health. (2016)."}},{"displayLink":"sciencedirect.com/science/article/pii/S0376871616001174","link":"https://www.sciencedirect.com/science/article/pii/S0376871616001174","title":{"tagName":"span","source":"Tang Y-Y, et al. (2016). Mindfulness meditation improves emotion regulation and reduces drug abuse."}},{"displayLink":"ncbi.nlm.nih.gov/pmc/articles/PMC4757436/","link":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4757436/","title":{"tagName":"span","source":"Wagner EF, et al. (2014). A randomized controlled trial of guided self-change with minority adolescents."}},{"displayLink":"ncbi.nlm.nih.gov/pmc/articles/PMC4458066/","link":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4458066/","title":{"tagName":"span","source":"Yau YHC, et al. (2015). Gambling disorder and other behavioral addictions: Recognition and treatment."}}],"byline":{"authors":[{"id":4529,"name":{"display":"Traci Pedersen","first":"Traci","last":"Pedersen"},"link":"/authors/traci-pedersen","type":{"value":"author","label":"Author"},"nid":"","specialties":[],"guestTitle":"","bio":{"text":"\u003cp\u003eTraci Pedersen is a freelance author with more than 15 years’ experience writing on themes of psychology, science, and alternative health for a variety of publications. She also has written 14 science chapter books and numerous teacher resource books for the elementary classroom.\u003c/p\u003e\n"},"avatar":{"title":"","width":400,"height":400,"src":"https://post.psychcentral.com/wp-content/uploads/sites/4/2021/04/Traci_Pedersen.png"}}],"medicalReviewers":[{"id":4948,"name":{"display":"Jeffrey Ditzell, DO","first":"Jeffrey","last":"Ditzell, DO"},"userLogin":"jditzell","links":{"website":"https://jeffditzellpsychiatry.com/","facebook":"https://www.facebook.com/drdpsychiatry","linkedin":"https://www.linkedin.com/company/dr-ditzell-psychiatry-pllc","twitter":"https://twitter.com/drdpsychiatry","instagram":"https://instagram.com/jeffditzellpsychiatry","tiktok":""},"link":"/reviewers/jeffrey-ditzell-do","type":{"value":"medical_reviewer","label":"Medical Advisor"},"nid":"164726","specialties":[],"guestTitle":"","bio":{"text":"\u003cp\u003e\u003c!-- wp:paragraph --\u003e\u003c/p\u003e\n\u003cp\u003e\u003cem\u003eThis individual is no longer a medical reviewer in our network. The credentials and contact information reflected here may not be current.\u003c/em\u003e\u003c/p\u003e\n\u003cp\u003e\u003cspan style=\"font-weight: 400;\"\u003eDr. Jeffrey Ditzell is an adult ADHD and general psychiatrist with a private practice in New York City. He has been the chief of an inpatient dual diagnosis unit, the lead attending in two psychiatric emergency rooms, and the lead physician of an assisted community treatment team. Additionally, Dr. Ditzell has served in the United States Army for more than 20 years, having attained the rank of lieutenant colonel.\u003c/span\u003e\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eEducation\u003c/strong\u003e\u003c/p\u003e\n\u003cul\u003e\n\u003cli style=\"font-weight: 400;\" aria-level=\"1\"\u003e\u003cspan style=\"font-weight: 400;\"\u003eDes Moines University College of Osteopathic Medicine, DO\u003c/span\u003e\u003c/li\u003e\n\u003c/ul\u003e\n\u003cp\u003e\u003cstrong\u003eProfessional Accomplishments\u003c/strong\u003e\u003c/p\u003e\n\u003cul\u003e\n\u003cli style=\"font-weight: 400;\" aria-level=\"1\"\u003e\u003cspan style=\"font-weight: 400;\"\u003eAwarded the Army Commendation Medal, having served as the Division Psychiatrist in Tikrit, Iraq, during deployment in 2005\u003c/span\u003e\u003c/li\u003e\n\u003cli style=\"font-weight: 400;\" aria-level=\"1\"\u003e\u003cspan style=\"font-weight: 400;\"\u003eServed as medical officer for a community-based warrior transition unit at Rock Island Arsenal, assisting soldiers and their families in making the oftentimes difficult transition from overseas deployment to home\u003c/span\u003e\u003c/li\u003e\n\u003c/ul\u003e\n\u003cp\u003e\u003c!-- /wp:paragraph --\u003e\u003c/p\u003e\n"},"avatar":{"title":"","width":500,"height":500,"src":"https://post.psychcentral.com/wp-content/uploads/2022/01/Jeffrey-Ditzell-New-Headshot-500x500-Bio.png"}}],"id":"psy-26805","updateReason":[],"editor":"Susanne Arthur","factCheckedBy":"","factCheckers":[],"articleHistory":{"2016-08-29":{"updateReason":[],"authors":"John M. Grohol, Psy.D.","medicallyReviewedBy":"Scientific Advisory Board"},"2021-04-26":{"updateReason":[],"authors":"Traci Pedersen","editor":"Susanne Arthur","copyEditor":"Jamie Elmer","medicallyReviewedBy":"Jeffrey Ditzell, DO"}},"articleDates":{"factChecked":{"date":null,"display":""},"medicallyReviewed":{"date":1619395200,"display":"April 26, 2021"},"published":{"date":1472488883,"display":"August 29, 2016"},"lastUpdates":{"date":1619395200,"display":"April 26, 2021"},"modified":{"date":1691503821,"display":"August 8, 2023"}},"type":"healthfeature","language":"en"},"isCorp":false,"isReference":false,"isPremiumVideo":false,"isStandaloneVideo":false,"isStandaloneRecipe":false,"schemaObj":{"@context":"https://schema.org","publisher":{"@type":"Organization","name":"Psych Central","logo":{"@type":"ImageObject","url":"https://images-prod.healthline.com/hlcmsresource/images/frontend-static/psychcentral-logo@2x.png"}},"@type":"MedicalWebPage","headline":"Substance Use Disorder and Addiction","description":"Substance use disorder and addiction affect many people. Here's a guide to symptoms, treatment options, and resources for different types of addiction.","keywords":"","author":{"@type":"Person","name":"Traci Pedersen"},"lastReviewed":"2021-04-26T00:00:00Z","url":"https://psychcentral.com/addictions/addictions","datePublished":"2016-08-29T16:41:23Z","dateModified":"2021-04-26T00:00:00Z","articleSection":"Uncategorized","correction":{"@type":"CorrectionComment","text":"","datePublished":"2021-04-26"},"reviewedBy":"Jeffrey Ditzell, DO","primaryImageOfPage":["https://media.post.rvohealth.io/wp-content/uploads/sites/4/2021/04/addiction-blue-blurry-portrait-1296x728-header-1024x575.jpg"],"thumbnail":["https://media.post.rvohealth.io/wp-content/uploads/sites/4/2021/04/addiction-blue-blurry-portrait-732x549-thumbnail-732x549.jpg"]},"hero":{}}},"ampLibs":{},"scrollArticles":[{"title":["What Are the Signs and Symptoms of Substance Use Disorder?"],"text":["If you're worried that you or someone you know may have substance use disorder, recognizing the signs and symptoms may be the first step toward…"],"link":"/addictions/substance-use-disorder-symptoms","imageAlt":"What Are the Signs and Symptoms of Substance Use Disorder?","thumbnail":"https://media.post.rvohealth.io/wp-content/uploads/sites/4/2021/03/PC_Male_Friends_Hugging_732x549-thumbnail.jpg","medicallyReviewedBy":{"reviewerName":"Nicole Washington, DO, MPH","reviewerImage":{"path":"https://post.psychcentral.com/wp-content/uploads/2022/01/Nicole-Washington-500x500-Bio.png","width":200,"height":200,"altText":""}},"isNutrition":false,"authors":[{"id":4529,"name":{"display":"Traci Pedersen","first":"Traci","last":"Pedersen"},"userLogin":"tpedersen","links":{"website":"","facebook":"","linkedin":"","twitter":"","instagram":"","tiktok":""},"link":"/authors/traci-pedersen","type":{"value":"author","label":"Author"},"nid":"","specialties":[],"guestTitle":"","bio":{"text":"\u003cp\u003eTraci Pedersen is a freelance author with more than 15 years’ experience writing on themes of psychology, science, and alternative health for a variety of publications. She also has written 14 science chapter books and numerous teacher resource books for the elementary classroom.\u003c/p\u003e\n"},"avatar":{"title":"","width":400,"height":400,"src":"https://post.psychcentral.com/wp-content/uploads/sites/4/2021/04/Traci_Pedersen.png"}}],"reviewedByHeader":"Medically reviewed by"},{"title":["Psychosocial Treatments for Alcohol Use Disorder"],"text":["Psychosocial treatments are a multimodal approach to alcohol use disorder and can include therapy, education, training, and more."],"link":"/addictions/alcohol-use-disorder-psychosocial-treatments","imageAlt":"Psychosocial Treatments for Alcohol Use Disorder","thumbnail":"https://media.post.rvohealth.io/wp-content/uploads/sites/4/2021/10/man-talking-to-coworker-employee-office-working-732x549-thumbnail-732x549.jpg","medicallyReviewedBy":{"reviewerName":"Alyssa Peckham, PharmD, BCPP","reviewerImage":{"path":"https://post.psychcentral.com/wp-content/uploads/2022/01/Alyssa-Peckham-500x500-Bio.png","width":200,"height":200,"altText":""}},"isNutrition":false,"authors":[{"id":4970,"name":{"display":"Zuri White-Gibson","first":"Zuri","last":"White-Gibson"},"userLogin":"twhite","links":{"website":"https://taneashawhite.com/","facebook":"","linkedin":"","twitter":"","instagram":"","tiktok":""},"link":"/authors/taneasha-white","type":{"value":"author","label":"Author"},"nid":"","specialties":[],"guestTitle":"","bio":{"text":"\u003cp data-pm-slice=\"1 1 []\"\u003eZuri White-Gibson (she/her), a graduate of English and Gender, Sexuality, and Women’s Studies, is a Black, Queer lover of words, inquisition, and community. She has used her role within both literary and organizational spaces to make room for folks who are often cast aside, silenced, or overlooked. In addition to mental health, her other writing, editing, and sensitivity consulting work covers topics related to the intersections of Blackness, fatness, \u0026amp; Queerness, activism, and reproductive justice. Zuri is excited to continue this work of amplifying marginalized voices, centering intersectionality, and destigmatizing mental health. You can learn more at her \u003ca class=\"ProsemirrorEditor-link\" href=\"https://www.zuriwhitegibson.com/\"\u003ewebsite\u003c/a\u003e.\u003c/p\u003e\n"},"avatar":{"title":"","width":500,"height":500,"src":"https://post.psychcentral.com/wp-content/uploads/sites/4/2024/03/Zuri-White-Gibson-500x500-Bio.png"}}],"reviewedByHeader":"Medically reviewed by"},{"title":["What Are the Symptoms of Opioid Withdrawal?"],"text":["Most people who stop taking opioids will experience withdrawal symptoms. Learn more about opioid withdrawal symptoms and how to minimize them."],"link":"/addictions/opioid-withdrawal-symptoms","imageAlt":"What Are the Symptoms of Opioid Withdrawal?","thumbnail":"https://media.post.rvohealth.io/wp-content/uploads/sites/4/2021/03/therapy-therapist-732x549-thumbnail.jpg","medicallyReviewedBy":{"reviewerName":"Nicole Washington, DO, MPH","reviewerImage":{"path":"https://post.psychcentral.com/wp-content/uploads/2022/01/Nicole-Washington-500x500-Bio.png","width":200,"height":200,"altText":""}},"isNutrition":false,"authors":[{"id":671,"name":{"display":"Gia Miller","first":"Gia","last":"Miller"},"userLogin":"gmiller","links":{"website":"http://www.giamillerwrites.com","facebook":"","linkedin":"","twitter":"","instagram":"","tiktok":""},"link":"/authors/gia-miller","type":{"value":"author","label":"Author"},"nid":"","specialties":[],"guestTitle":"","bio":{"text":"\u003cp\u003eGia Miller is an award-winning, New York-based journalist who covers health, mental health and parenting. Growing up with ADHD and now raising two children with ADHD, Gia is passionate about breaking down the stigmas that surround mental health conditions. Through her writing, Gia hopes to provide readers with informative, evidence-based content that creates understanding, starts conversations and leads to a world where we can accept, and even celebrate, neurodiversity. Gia is a member of the American Society of Journalists and Authors (ASJA), and her work has been featured in numerous national publications, including Healthline, Well+Good, SELF, Parents, The Washington Post and more. You can find her on \u003ca class=\"waffle-rich-text-link\" href=\"https://www.linkedin.com/in/giamiller/\"\u003eLinkedIn\u003c/a\u003e and \u003ca class=\"waffle-rich-text-link\" href=\"https://twitter.com/giamiller79?lang=en\"\u003eTwitter\u003c/a\u003e.\u003c/p\u003e\n"},"avatar":{"title":"","width":400,"height":401,"src":"https://post.psychcentral.com/wp-content/uploads/sites/4/2021/04/Gia-Miller-headshot-2.jpg"}}],"reviewedByHeader":"Medically reviewed by"},{"title":["What Are Signs of Opioid Overdose (Intoxication)?"],"text":["Opioid intoxication, or overdose, can be life threatening. Learn how to recognize opioid intoxication symptoms and what to do if they show up. 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You can find her on \u003ca class=\"waffle-rich-text-link\" href=\"https://www.linkedin.com/in/giamiller/\"\u003eLinkedIn\u003c/a\u003e and \u003ca class=\"waffle-rich-text-link\" href=\"https://twitter.com/giamiller79?lang=en\"\u003eTwitter\u003c/a\u003e.\u003c/p\u003e\n"},"avatar":{"title":"","width":400,"height":401,"src":"https://post.psychcentral.com/wp-content/uploads/sites/4/2021/04/Gia-Miller-headshot-2.jpg"}}],"reviewedByHeader":"Medically reviewed by"},{"title":["What Are the ASAM Levels of Care for Substance Use Disorder?"],"text":["Treatment for substance use disorder isn't one-size-fits-all. The ASAM levels of care allow people to receive the treatment most suitable to their…"],"link":"/lib/levels-of-treatment-for-substance-abuse","imageAlt":"What Are the ASAM Levels of Care for Substance Use Disorder?","thumbnail":"https://media.post.rvohealth.io/wp-content/uploads/sites/4/2021/03/PC_Male_Group_Therapy_732x549-thumbnail.jpg","medicallyReviewedBy":{"reviewerName":"Alyssa Peckham, PharmD, BCPP","reviewerImage":{"path":"https://post.psychcentral.com/wp-content/uploads/2022/01/Alyssa-Peckham-500x500-Bio.png","width":200,"height":200,"altText":""}},"isNutrition":false,"authors":[{"id":4529,"name":{"display":"Traci Pedersen","first":"Traci","last":"Pedersen"},"userLogin":"tpedersen","links":{"website":"","facebook":"","linkedin":"","twitter":"","instagram":"","tiktok":""},"link":"/authors/traci-pedersen","type":{"value":"author","label":"Author"},"nid":"","specialties":[],"guestTitle":"","bio":{"text":"\u003cp\u003eTraci Pedersen is a freelance author with more than 15 years’ experience writing on themes of psychology, science, and alternative health for a variety of publications. 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Growing up with ADHD and now raising two children with ADHD, Gia is passionate about breaking down the stigmas that surround mental health conditions. Through her writing, Gia hopes to provide readers with informative, evidence-based content that creates understanding, starts conversations and leads to a world where we can accept, and even celebrate, neurodiversity. Gia is a member of the American Society of Journalists and Authors (ASJA), and her work has been featured in numerous national publications, including Healthline, Well+Good, SELF, Parents, The Washington Post and more. 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She currently works as a staff writer with Psych Central where she specializes in creating content about sex, relationships, mental health, and alternative approaches to wellness. Her work has been published in notable publications, including Betches, Bumble, Bustle, Cosmopolitan, Health, mindbodygreen, Shape, Tinder, Verywell Mind, and Well+Good. In her free time, she enjoys chasing sunsets, playing video games, spending time in nature, swimming in a sea of CBD salve, trying different therapy practices, and working on her passion project \u003ca href=\"https://highlyuntamed.com/\"\u003eHighly Untamed\u003c/a\u003e. Connect with Morgan on \u003ca href=\"https://twitter.com/morganmandriota\"\u003eTwitter \u003c/a\u003eand \u003ca href=\"https://www.instagram.com/morganmandriota/\"\u003eInstagram \u003c/a\u003eor visit her website \u003ca href=\"https://www.morganmandriota.com/\"\u003ehere \u003c/a\u003eto learn more.\u003c/p\u003e\n"},"avatar":{"title":"","width":200,"height":200,"src":"https://post.psychcentral.com/wp-content/uploads/sites/4/2021/08/Morgan-Mandriota-500x500-Bio-e1646236698904.png"}}],"reviewedByHeader":"Medically reviewed by"},{"title":["What Is DMT?"],"text":["DMT is an illegal substance that can cause hallucinations and intense trips. "],"link":"/drugs/what-is-dmt","imageAlt":"What Is DMT?","thumbnail":"https://media.post.rvohealth.io/wp-content/uploads/sites/4/2022/09/psychedelic-colorful-drugs-medicine-pill-bottle-732x549-thumbnail-732x549.jpg","isNutrition":false,"authors":[{"id":4529,"name":{"display":"Traci Pedersen","first":"Traci","last":"Pedersen"},"userLogin":"tpedersen","links":{"website":"","facebook":"","linkedin":"","twitter":"","instagram":"","tiktok":""},"link":"/authors/traci-pedersen","type":{"value":"author","label":"Author"},"nid":"","specialties":[],"guestTitle":"","bio":{"text":"\u003cp\u003eTraci Pedersen is a freelance author with more than 15 years’ experience writing on themes of psychology, science, and alternative health for a variety of publications. She also has written 14 science chapter books and numerous teacher resource books for the elementary classroom.\u003c/p\u003e\n"},"avatar":{"title":"","width":400,"height":400,"src":"https://post.psychcentral.com/wp-content/uploads/sites/4/2021/04/Traci_Pedersen.png"}}],"reviewedByHeader":"Medically reviewed 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