Substance Abuse

Understanding Substance Abuse: Signs, Causes, and Paths to Recovery

Substance abuse is a serious but treatable condition that affects people from all walks of life. Whether it involves alcohol, prescription medications, or illicit drugs, substance abuse can impact physical health, mental well-being, relationships, and overall quality of life.

At our practice, we understand the stigma and shame that can surround substance use struggles. We believe in meeting people where they are—with compassion, respect, and a commitment to helping them take the next step toward recovery.

What Is Substance Abuse?

Substance abuse—also known as substance use disorder (SUD)—occurs when the repeated use of alcohol or drugs causes significant impairment in daily functioning. This may include problems at work, school, or home; legal or financial issues; or ongoing health problems related to use¹.

Common signs and symptoms may include:

• Using substances in larger amounts or for longer than intended

• Unsuccessful attempts to cut down or stop

• Spending a lot of time obtaining, using, or recovering from use

• Cravings or strong urges to use

• Neglecting responsibilities or activities once enjoyed

• Continuing to use despite physical or emotional harm

• Developing tolerance (needing more to achieve the same effect)

• Experiencing withdrawal symptoms when not using¹²

  
  

Why Does Substance Abuse Happen?

There is no single cause of substance abuse—it often results from a combination of factors, including:

• Genetics and family history

• Environmental influences such as peer pressure, stress, or exposure to substance use

• Mental health conditions such as depression, anxiety, or trauma

• Chronic pain or medical conditions that lead to prescription drug misuse

• Social and economic stressors like unemployment or unstable housing²³

It’s important to note that substance abuse is not a moral failing—it is a medical condition that can be managed and treated.

The Connection Between Substance Abuse and Mental Health

Substance use disorders frequently co-occur with mental health conditions such as anxiety, depression, PTSD, or bipolar disorder. This is known as a co-occurring disorder or dual diagnosis. Treating both the mental health condition and the substance use at the same time greatly increases the chances of long-term recovery³.

Treatment and Recovery Options

Recovery is possible—and it often starts with reaching out for help. Effective treatment may include:

• Individual counseling to address the root causes of use

• Group therapy or support groups to build a recovery community

• Medication-assisted treatment (MAT) for certain substance use disorders

• Behavioral therapies such as Cognitive Behavioral Therapy (CBT) or Motivational Interviewing

• Family therapy to strengthen support systems

• Relapse prevention planning to build long-term coping strategies¹²

At our practice, we tailor treatment plans to each individual’s needs—whether they are just beginning their recovery journey or have experienced setbacks along the way.

Hope and Healing Are Possible

If you or someone you care about is struggling with substance abuse, you are not alone—and help is available. Every step toward recovery is a step toward a healthier, more fulfilling life.

Contact us today to learn more about our counseling services for substance use and co-occurring mental health concerns. We’re here to support you without judgment, at your pace, and with your goals in mind.

Sources

1. National Institute on Drug Abuse. (2020). Understanding Drug Use and Addiction. https://nida.nih.gov/publications/drugfacts/understanding-drug-use-addiction ↩ ↩² ↩³

2. Substance Abuse and Mental Health Services Administration (SAMHSA). (2023). Substance Use Disorders. https://www.samhsa.gov/substance-use ↩ ↩² ↩³

3. National Institute on Drug Abuse. (2020). Common Comorbidities with Substance Use Disorders. https://www.ncbi.nlm.nih.gov/books/NBK571451/ ↩ ↩²