Medically Reviewed by Dr. Bryon McQuirt
October 6, 2025
Substance use disorder affects millions of Americans every year, yet many people struggle to understand what it truly means or how to recognize it in themselves or loved ones.
At Peachtree Detox, we believe that education is a powerful first step toward healing. Understanding substance use disorder—its causes, symptoms, and treatment options—can help break down the stigma and open pathways to recovery.
Learn more about our Georgia detox programs or call us now at 470-613-7881.
Substance Use Disorder (SUD) is a medical condition characterized by the inability to control or stop using substances despite harmful consequences.
It’s a complex brain disorder that affects a person’s behavior, judgment, and physical health. The substances involved can range from alcohol and prescription medications to illicit drugs like heroin or methamphetamine.
SUD is recognized by medical professionals as a chronic disease, similar to diabetes or heart disease.
It changes the way the brain functions, particularly in areas related to reward, motivation, memory, and self-control. These changes can persist long after the substance use has stopped, which is why recovery is often a lifelong journey requiring ongoing support and treatment.
The condition exists on a spectrum, ranging from mild to severe, and is diagnosed based on specific criteria outlined in the Diagnostic and Statistical Manual of Mental Disorders (DSM-5). It’s important to understand that SUD is not a moral failing or a lack of willpower—it’s a legitimate medical condition that requires professional treatment.
While the terms “substance use disorder” and “substance abuse” are often used interchangeably, there are important distinctions between them.
Substance Abuse is an older term that was previously used to describe the harmful or hazardous use of substances, including alcohol and drugs.
It focused primarily on the behavioral consequences of using substances, such as failing to fulfill work or family obligations, legal problems, or continued use despite social difficulties.
Substance Use Disorder is the current clinical term that represents a more comprehensive and nuanced understanding of addiction.
The term was adopted in the DSM-5 to better reflect the complexity of the condition. Rather than categorizing people into rigid groups of “abuse” or “dependence,” SUD exists on a continuum with varying levels of severity.
The shift from “substance abuse” to “substance use disorder” also reflects a move away from stigmatizing language.
The word “abuse” can imply intentional misuse and personal blame, while “disorder” acknowledges that this is a medical condition requiring treatment and compassion. This change in terminology helps reduce shame and encourages more people to seek the help they need.
At Peachtree Detox, we embrace this person-centered approach, treating each individual with dignity and respect as we help them navigate their recovery journey.
Substance use disorders can involve virtually any substance that affects the brain’s reward system. Here are the most common types:
Alcohol Use Disorder (AUD) is one of the most prevalent SUDs, affecting millions of Americans. It ranges from mild to severe and can lead to serious health complications including liver disease, heart problems, and neurological damage.
Opioid Use Disorder involves the misuse of prescription pain relievers (like oxycodone or hydrocodone), heroin, or synthetic opioids (like fentanyl). The opioid epidemic has become a national crisis, with overdose deaths reaching alarming levels in recent years.
Stimulant Use Disorder includes substances like cocaine, methamphetamine, and prescription stimulants (such as Adderall or Ritalin). These drugs increase alertness and energy but can lead to serious cardiovascular problems and psychological issues.
Cannabis Use Disorder involves the problematic use of marijuana. While many view cannabis as harmless, some individuals develop a dependence that interferes with their daily functioning and well-being.
Sedative, Hypnotic, or Anxiolytic Use Disorder encompasses benzodiazepines (like Xanax or Valium) and sleep medications. These substances are often prescribed for anxiety or insomnia but can lead to physical dependence and dangerous withdrawal symptoms.
Hallucinogen Use Disorder involves drugs like LSD, psilocybin, or MDMA (ecstasy). While less common than other SUDs, hallucinogen use can still lead to psychological dependence and risky behaviors.
Inhalant Use Disorder involves breathing in chemical vapors to achieve a high. This is particularly dangerous and can cause immediate death or long-term organ damage.
Many individuals struggle with polysubstance use, meaning they use multiple substances simultaneously or interchangeably. This complicates both the diagnosis and treatment process, but specialized detox centers like Peachtree Detox are equipped to handle these complex cases.
Recognizing the symptoms of SUD is crucial for early intervention. According to the DSM-5, a diagnosis is based on meeting at least two of eleven criteria within a twelve-month period. Here are the key symptoms to watch for:
The severity of SUD is determined by the number of criteria met: two to three criteria indicate mild SUD, four to five indicate moderate SUD, and six or more indicate severe SUD. If you recognize these symptoms in yourself or a loved one, it’s time to seek professional help.
Polysubstance abuse presents unique challenges, but recovery is absolutely possible with the right treatment approach. At Peachtree Detox, our experienced team understands the complexities of multiple substance dependencies and provides the specialized care necessary for lasting recovery.
Don’t let the complexity of polysubstance abuse prevent you from seeking help. Our comprehensive treatment programs are designed specifically to address multiple substance dependencies safely and effectively. We provide medical detoxification, individualized treatment planning, and ongoing support to help you reclaim your life from addiction.
Verify your insurance now or call us at the number below.
Substance use disorders don’t develop in a vacuum. Multiple factors can increase someone’s vulnerability to developing SUD:
Genetics and Family History play a significant role, with research suggesting that genetics account for approximately 40-60% of a person’s risk for addiction. If you have close relatives with SUD, your risk is considerably higher.
Early Exposure to substances significantly increases risk. The earlier someone begins using drugs or alcohol, the more likely they are to develop SUD later in life. The adolescent brain is particularly vulnerable to the effects of substances.
Mental Health Conditions such as depression, anxiety, PTSD, or ADHD often co-occur with SUD. Many people use substances as a form of self-medication to cope with uncomfortable emotions or symptoms.
Trauma and Adverse Childhood Experiences including abuse, neglect, or household dysfunction can increase vulnerability to SUD. Unresolved trauma often underlies substance use as individuals seek ways to numb emotional pain.
Environmental Factors like peer pressure, easy access to substances, community attitudes toward drug use, and socioeconomic stress can all contribute to the development of SUD.
Chronic Stress from work, relationships, financial difficulties, or other sources can drive people toward substances as a coping mechanism.
Method and Frequency of Use also matters. Substances that are smoked or injected reach the brain more quickly and are generally more addictive than those that are swallowed.
Understanding these risk factors helps us approach SUD with compassion rather than judgment. No one chooses to develop a substance use disorder, but everyone deserves the opportunity to recover.
A proper diagnosis of substance use disorder requires a comprehensive evaluation by a qualified healthcare professional, such as a physician, psychiatrist, psychologist, or licensed addiction counselor.
The diagnostic process typically includes several components:
Clinical Interview: The healthcare provider will conduct an in-depth conversation about your substance use history, including what substances you use, how often, how much, and for how long. They’ll also ask about any attempts you’ve made to cut down or quit.
Medical History: A thorough review of your overall health, including any physical or mental health conditions, medications you’re taking, and past medical treatments.
Mental Health Assessment: Since mental health disorders often co-occur with SUD, your provider will screen for conditions like depression, anxiety, bipolar disorder, or PTSD.
Physical Examination: A medical exam can reveal physical signs of substance use and help identify any health complications that need to be addressed.
Laboratory Tests: Blood tests, urine drug screens, or other lab work may be ordered to confirm substance use and assess organ function.
DSM-5 Criteria Evaluation: The provider will systematically assess whether you meet the specific criteria outlined in the DSM-5 for substance use disorder.
Functional Assessment: Understanding how substance use impacts your daily life, relationships, work, and overall functioning is crucial for developing an effective treatment plan.
At Peachtree Detox, our team of experienced clinicians conducts thorough assessments to ensure accurate diagnosis and personalized treatment planning. We understand that every person’s journey is unique, and we take the time to understand your specific circumstances, challenges, and goals.
Getting an accurate diagnosis is the first step toward effective treatment. If you’re concerned about your substance use, don’t wait—reach out for a professional assessment today.
The good news is that substance use disorder is treatable. With the right combination of interventions, many people achieve long-term recovery and go on to lead fulfilling lives. Effective treatment typically involves multiple components:
Medical Detoxification is often the first step in treatment, especially for substances like alcohol, opioids, or benzodiazepines that produce dangerous withdrawal symptoms. At Peachtree Detox, we provide medically supervised detox in a safe, comfortable environment. Our medical team monitors your vital signs around the clock and administers medications to ease withdrawal symptoms and reduce cravings.
Medication-Assisted Treatment (MAT) combines FDA-approved medications with counseling and behavioral therapies. For opioid use disorder, medications like buprenorphine, methadone, or naltrexone can significantly improve outcomes. For alcohol use disorder, medications such as naltrexone, acamprosate, or disulfiram may be prescribed. These medications help normalize brain chemistry, reduce cravings, and prevent relapse.
Behavioral Therapies are the cornerstone of addiction treatment. Cognitive Behavioral Therapy (CBT) helps you identify and change negative thought patterns and behaviors related to substance use. Motivational Enhancement Therapy increases your motivation to change. Contingency Management provides positive reinforcement for maintaining sobriety. Family therapy addresses relationship dynamics and builds a supportive home environment.
Individual Counseling provides one-on-one support where you can explore the underlying causes of your substance use, develop coping strategies, and work through personal challenges in a confidential setting.
Group Therapy connects you with others facing similar struggles. Sharing experiences, challenges, and successes with peers creates a sense of community and reduces feelings of isolation.
Dual Diagnosis Treatment addresses co-occurring mental health disorders alongside SUD. Integrated treatment that tackles both conditions simultaneously produces better outcomes than treating each separately.
Holistic Therapies such as yoga, meditation, art therapy, equine therapy, or acupuncture can complement traditional treatments and support overall wellness.
Aftercare Planning ensures continuity of care after initial treatment. This may include outpatient therapy, sober living arrangements, 12-step programs like Alcoholics Anonymous or Narcotics Anonymous, and ongoing medication management.
Recovery is not a one-size-fits-all process. At Peachtree Detox, we create individualized treatment plans tailored to your specific needs, preferences, and circumstances. Our compassionate team is committed to supporting you every step of the way.
Recovery from substance use disorder is a lifelong journey, not a destination. Learning to live with SUD in recovery means developing new habits, coping mechanisms, and support systems that sustain sobriety over the long term.
Building a Support Network is essential. This may include family members, friends, therapists, support groups, sponsors, and others in recovery. Having people you can call when cravings strike or when you’re struggling emotionally can make all the difference.
Developing Healthy Coping Skills helps you manage stress, emotions, and triggers without turning to substances. This might include exercise, mindfulness practices, creative outlets, or talking through problems with trusted individuals.
Avoiding Triggers means identifying people, places, or situations that increase your risk of relapse and making a plan to avoid them or manage them safely. This might mean avoiding certain social situations, changing your route home to bypass a liquor store, or ending relationships with people who still use substances.
Maintaining Physical Health supports recovery. Regular exercise, nutritious eating, adequate sleep, and routine medical care help your body heal from the effects of substance use and improve your overall well-being.
Continuing Therapy and Treatment even after initial recovery is crucial. Many people benefit from ongoing individual or group therapy, medication management, or participation in support groups for years after achieving sobriety.
Being Patient with Yourself is important. Recovery involves setbacks, and relapse is a common part of the journey for many people. If relapse occurs, it doesn’t mean failure—it means you need to adjust your treatment plan and try again.
Finding Purpose and Meaning through work, education, volunteering, hobbies, or spiritual practices can provide motivation and fulfillment in recovery. Many people find that helping others who are struggling with SUD gives their recovery deeper meaning.
Celebrating Milestones whether it’s one day, one month, or ten years of sobriety, acknowledging your progress reinforces your commitment to recovery and reminds you how far you’ve come.
Living with substance use disorder requires courage, commitment, and compassion for yourself. At Peachtree Detox, we don’t just help you get sober—we equip you with the tools and support you need to build a life worth living in recovery.
If you or someone you love is struggling with substance use disorder, numerous resources are available:
National Helplines:
Support Groups:
Online Resources:
Treatment Locators:
Remember that seeking help is a sign of strength, not weakness. Recovery is possible, and you don’t have to do it alone.
If you’re ready to break free from substance use disorder, Peachtree Detox is here to help. Our compassionate, experienced team provides evidence-based treatment in a safe, supportive environment designed to give you the best possible chance at lasting recovery.
Contact Peachtree Detox today to learn more about our programs and take the first step toward a healthier, substance-free life. Your recovery starts here.
Don’t wait another day. The life you deserve is within reach. Call us now or visit our website to get started. Recovery is possible, and we’re here to walk alongside you every step of the way.
Skip to content
