Substance use disorder, formerly known as substance abuse, and colloquially known as simply addiction, is a mental health condition formally outlined in the Diagnostic and Statistical Manual of Mental Disorders. Its causes and effects are wide ranging and varied, but one thing all those diagnosed with this disorder have in common is that their substance use has formed a problematic pattern that affects their physical and mental health as well as their ability to function day to day in normal life.

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Signs of substance use disorder include the following:

• Taking the substance in larger amounts and for a longer amount of time than you’re meant to if it’s a prescription.

• Having a strong desire or urge to use the substance.

• Having unsuccessful efforts to cut down on or manage substance use.

• Spending a lot of time obtaining or using the substance or recovering from its effects.

• Having issues fulfilling responsibilities at work, school or home due to substance use.

• Continuing to use the substance, even when it causes problems in relationships.

• Giving up social, occupational or recreational activities because of substance use.

• Using substances again and again, even when it puts you in danger.

• Continuing substance use despite an ongoing physical or psychological problem that’s likely caused or worsened by the substance.

• Developing tolerance (need for increased amounts to get the same effect).

• Experiencing withdrawal symptoms, which can be relieved by taking more of the substance.

Source: Cleveland Clinic

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In the year 2023, data analyzed by the Office of Addiction Services and Supports indicated that 2.8 million New Yorkers aged 12 and up had a SUD in the past year. Approximately 6,000 residents died from a drug overdose and approximately 2,000 died from alcohol related causes. The most common primary substances of choice in 2022 were alcohol (45.9%) and heroin (23.9%).

Source: OASAS

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Effective management of substance use disorder is possible. Treatment should always be tailored to the individual patient's needs and interests, and should be re-evaluated and updated by the client-clinician team on a continuing basis. Medication assisted behavioral therapy has been proven to be extremely effectatious in treating substance use disorder.

Source: SAMHSA