Substance Abuse
I am becoming someone I don’t know.
I tell myself never again, until next time.
I do dangerous things.
I am sick, miserable and in pain when I don’t use.
I don’t want to stop using.
I am secretive and lie to people.
I don’t think my substance use is as bad as everyone says it is.
I don’t believe I could quit.
Drinking or using is the only way I can escape my emotional pain.
I still have a job and take care of my bills so it can’t be that bad.
I love being high or drunk more than anything else.
I feel controlled by my cravings and urges.
Access to substances such as alcohol, marijuana and street or prescription drugs has become less limited in recent years. Sometimes substances are prescribed, but more often than not, they are sought out and used to self-medicate, relax or enhance one’s recreational pursuits. When a substance is taken more frequently, in larger amounts or for longer periods of time than expected – in spite of severe consequences – a substance use disorder or addiction may be present. Addictions take hold of our biology, dictate our decision-making and leave us with less control over our lives. Acknowledging that there may be a better way to live is usually the first step. It is possible to overcome what is underlying the behavior and build a meaningful life, one day at a time, with support, accountability and structure.
What are some common substance use disorders?
Alcohol Use Disorder
Cannabis Use Disorder
Opioid Use Disorder
Stimulant Use Disorder
Sedative, Hypnotic, or Anxiolytic Use Disorder
What are some general symptoms of substance use disorders?
Feeling the need to use the substance daily or multiple times per day
Persistent desire or unsuccessful efforts to cut down or control use
Taking the substance in larger amounts or over a longer period than was intended
Spending significant time obtaining, using or recovering from the substance
Cravings or strong urges to use the substance
Failure to fulfill major role obligations at work, school or home
Continued use despite persistent or recurrent physical, psychological and/or interpersonal problems
Giving up or reducing important activities due to substance use
Recurrent substance use in situations that are physically hazardous
Need for increased amounts of the substance to achieve desired effect
Markedly diminished effect with continued use of same amount of the substance
Withdrawal symptoms without the substance or using to avoid withdrawal
What are some general signs of dating issues?
In therapy you will gain awareness of how depression is presenting in and impacting your life. Therapy will help you understand what may be causing and exacerbating your symptoms as well as any problematic habits or tendencies that have developed in response to your symptoms. You will also learn how to cope more effectively so you experience less symptoms and feel more confident, productive and in control.
Your therapist will complete an assessment, develop a personalized treatment plan and treat your symptoms using a combination of proven therapeutic methods. Start addressing your symptoms by scheduling your first session today.
Resources: DSM 5 and Mayo Clinic