Let's Be Clear:Understanding Substance Misuse

It’s important to remember that a wide variety of people use substances and that different levels of use may cause different levels of concern. Using the right terminology also helps reduce stigmas and, if necessary, removes barriers to positive change.

People diagnosed with a substance use disorder often:

• Use in larger amounts than intended
• Feel cravings and withdrawal symptoms when they aren’t using
• Want to cut down or stop using, but aren’t able to
• Continue to use, even when it causes problems in relationships, puts them in danger, or worsens physical and psychological problems

People misuse substances for many reasons. Some do it for the stimulating or relaxing effects, while others misuse to cope with anxiety, stress or depression. For many, especially young people, curiosity or peer pressure plays a big role.

Over time, what may start as occasional use has the potential to evolve into misuse or even become a substance use disorder. When misused frequently or for a long time, substances alter your brain chemistry making it harder to stop.

Recognizing the signs of SUD early can make a big difference. Look for:

Common situations and challenges can increase the chances of someone turning to substances or alcohol. Here’s a breakdown:

Peer Pressure: It’s tough to say no when everyone else is saying yes. Especially for teens and young adults, the influence of friends or social circles can be huge.

Stress and Pressure: Whether it’s work stress, school demands or personal issues, sometimes life gets overwhelming. Substances can seem like a quick escape or coping mechanism.

Grief, Loss and Life Changes: The loss of a loved one or significant life changes like divorce, a serious illness or loss of a job can trigger substance misuse.

Mental Health Struggles: Anxiety, depression, past trauma — these are heavy burdens to carry, and substances can appear to offer temporary relief, even though they often make things worse in the long run.

Family History: If there’s a history of substance use disorder in the family, the risk goes up. Genetics and environment both play a role.

Accessibility: Sometimes, it’s as simple as availability. When substances are easy to get, the temptation can be stronger.

Let’s be clear: substance use disorders don’t discriminate. They can affect anyone — your family, your friends, even your favorite athlete.

Unfortunately, the stigma surrounding SUD often prevents people from seeking the help they need. By understanding that SUD is a medical condition, we can help those struggling and encourage a healthier, more supportive South Dakota.

The words we use matter. And by saying “substance use disorder” instead of “addiction,” you’re emphasizing that it’s a chronic — and treatable — disease. Help reduce stigma and make it easier for people to seek treatment by talking openly with your family.