What Is Substance Use Disorder, And How Is It Diagnosed

Substance Use Disorder (SUD) is a complex condition characterized by an uncontrolled use of a substance despite harmful consequences. Individuals with SUD have an intense focus on using a certain substance(s), such as alcohol, tobacco, or illicit drugs, to the point where it takes over their life. They keep using the substance even when they know it causes harm. SUD affects a person’s brain and behavior and leads to an inability to control the use of the substance. 

The diagnosis of Substance Use Disorder is based on a set of criteria outlined in the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5), published by the American Psychiatric Association. The criteria include a pattern of behaviors that typically occur over a 12-month period, including: 

  • Using the substance in larger amounts or for longer than intended. 
  • Wanting to cut down or stop using the substance but not managing to. 
  • Spending a lot of time getting, using, or recovering from use of the substance. 
  • Cravings and urges to use the substance. Not managing to do what you should at work, home, or school because of substance use. 
  • Continuing to use, even when it causes problems in relationships. 
  • Giving up important social, occupational, or recreational activities because of substance use. 
  • Using substances again and again, even when it puts you in danger. 
  • Continuing to use, even when you know you have a physical or psychological problem that could have been caused or made worse by the substance. 
  • Needing more of the substance to get the effect you want (tolerance). 
  • Development of withdrawal symptoms, which can be relieved by taking more of the substance. 

The presence of at least two of these symptoms indicates a Substance Use Disorder. The severity of SUD is determined by the number of criteria met: mild (2-3 criteria), moderate (4-5 criteria), and severe (6 or more criteria). 

The most common type of Substance Use Disorder (SUD) in the United States is related to alcohol use, known as Alcohol Use Disorder (AUD). This finding is supported by research and data from leading health organizations. Alcohol Use Disorder is a medical condition characterized by an impaired ability to stop or control alcohol use despite adverse social, occupational, or health consequences. It encompasses a range of behaviors from mild to severe addiction and is distinguished by patterns of excessive drinking that often result in significant impairment or distress. 

According to the National Institute on Drug Abuse (NIDA), alcohol use disorder is not only the most prevalent form of substance use disorder but also encompasses a wide spectrum of issues resulting from alcohol consumption. This includes health problems such as liver disease, cardiovascular issues, and neurological damage, as well as social and occupational impairments. The widespread availability of alcohol and its social acceptance makes it one of the most challenging substances to regulate and treat for misuse and dependence. 

Following Alcohol Use Disorder (AUD), the next most common type of Substance Use Disorder (SUD) in the United States is related to tobacco use, with Marijuana Use Disorder closely following as the most-used illicit drug. This information aligns with current trends and data from reputable sources such as the National Institute on Drug Abuse (NIDA) and the Substance Abuse and Mental Health Services Administration (SAMHSA). 

Tobacco Use Disorder is characterized by a problematic pattern of tobacco use leading to clinically significant impairment or distress. It includes both smoking and smokeless tobacco products. The addictive component of tobacco, nicotine, makes quitting tobacco use particularly challenging for many individuals, despite its well-documented health risks, including heart disease, stroke, and various types of cancer. 

Marijuana Use Disorder, meanwhile, has gained attention in recent years due to changing legal statuses and perceptions of marijuana use across various states. Despite the growing acceptance of marijuana for medical and recreational use, it can lead to problems in daily life or distress, indicating a disorder. Symptoms can include tolerance, withdrawal, using larger amounts over a longer period than intended, and persistent desire or unsuccessful efforts to cut down or control use. 

Our organization is dedicated to addressing the complexities of Substance Use Disorders, including those related to alcohol, tobacco, and marijuana, among other SUDs. We understand the unique challenges that individuals facing these disorders encounter, including the societal and personal implications of their substance use. Our comprehensive treatment approach is tailored to meet the individual needs of each client, incorporating a range of therapeutic modalities to support recovery. These may include behavioral therapies, medication-assisted treatment, counseling, and support groups, all aimed at helping individuals achieve and maintain sobriety. 

We believe that recovery is a journey that requires support, understanding, and compassion. Our team of professionals is committed to providing the highest level of care to assist individuals in overcoming addiction and reclaiming their lives. If you or someone you know is struggling with a Substance Use Disorder, we encourage you to reach out for help. Recovery is possible, and we are here to support you every step of the way. 

For more information on our addiction treatment programs or to get started on the path to recovery, please visit our Treatments & Services Page or contact us directly at 855-245-6350. Together, we can overcome addiction and build a brighter future. 

Sources: 

  • National Institute on Drug Abuse (NIDA): https://nida.nih.gov/research-topics/alcohol 
  • Substance Abuse and Mental Health Services Administration (SAMHSA): https://www.samhsa.gov/data/sites/default/files/report_2790/ShortReport-2790.html 

For further reading on substance use disorders and their treatment, reputable sources such as the National Institute on Drug Abuse (NIDA) and the Substance Abuse and Mental Health Services Administration (SAMHSA) offer valuable insights and data on the prevalence and management of these conditions.It’s crucial for individuals who exhibit signs of SUD to seek professional help. At Intensive Treatment Systems, we offer a comprehensive approach to addiction treatment that includes assessment, individualized treatment planning, evidence-based therapies (like Medication Assisted Treatment), and ongoing support to address the complexities of SUD. Our dedicated team is committed to providing compassionate care and helping individuals on their journey to recovery.