Substance Use
A careful clinical evaluation provides insight and clarity on substance use. Diagnosis and treatment depend on a thorough understanding of your history, biology, and environment. We emphasize an evidence-based approach to finding sustainable relief.
Overview
Substance use exists on a spectrum — from occasional use with no apparent consequences to a chronic, recurring condition in which the use of alcohol, cannabis, stimulants, opioids, or other substances significantly disrupts daily life, relationships, health, and safety. SUD is not a character flaw or moral failing.
How it's diagnosed
A formal diagnosis of SUD is made by a licensed clinician through a structured clinical evaluation. Validated screening tools such as the AUDIT, DAST-10, and CAGE questionnaire are commonly used to identify who may benefit from a fuller evaluation.
Non-medication strategies
Psychosocial interventions are central to SUD treatment. Motivational Interviewing (MI), Cognitive Behavioral Therapy (CBT), Contingency Management (CM), and 12-Step Facilitation or mutual aid programs are foundational approaches.
Medication strategies
Medication strategies require careful consideration. For Alcohol Use Disorder, FDA-approved medications include Naltrexone, Acamprosate, and Disulfiram. For Opioid Use Disorder, Medications for Opioid Use Disorder (MOUD) like Buprenorphine and Methadone are standard of care. There are currently no FDA-approved medications specifically for stimulant use disorder.
Get clarity on your symptoms
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Selected Sources & Clinical Disclaimer
These pages are educational only and are not a diagnosis, medical advice, or a substitute for a clinician’s evaluation. Diagnosis and treatment depend on history, symptom duration, impairment, safety risk, medical factors, medications, substances, and clinician judgment. If someone is in crisis, they should call 911, 988, or go to the nearest emergency room.
Information informed by guidelines and literature from:
• SAMHSA National Survey on Drug Use and Health (NSDUH)
• NIDA: The Science of Drug Use and Addiction
• NIAAA: Alcohol Use Disorder Overview
• ASAM Clinical Practice Guideline on the Management of Stimulant Use Disorder