Substance Use Disorders
A clear, compassionate guide for individuals, families, and our community
FAQ
What is a Substance Use Disorder?
A Substance Use Disorder (SUD) is a medical condition that affects a person’s brain and behavior, making it difficult to control the use of substances such as alcohol, prescription medications, or other drugs. SUDs exist on a spectrum—from mild to severe—and recovery is possible at every stage.
SUDs are not a moral failing or a lack of willpower. They are treatable health conditions, and support makes a real difference.
What are some signs or symptoms of SUD?
It’s important to note that SUDs vary widely and can look very different from person to person. Here are some common signs:
- Changes in sleep, appetite, or energy
- Withdrawal symptoms when not using
- Frequent illness or unexplained health issues
- Missing work, school, or family obligations
- Mood changes, anxiety, or depression
- Loss of interest in activities once enjoyed
- Feelings of shame, guilt, or hopelessness
- Using or drinking larger amounts or over longer periods of time than planned
- Cravings or strong desires to use drugs or alcohol
- Risky behaviors, such as sexual risks, driving under the influence
- Unexplained changes in financial situation
For people using substances like drugs and alcohol, it can be hard to know when to worry about SUD. Here are some symptoms to look for:
- Feeling like you have to use the substance regularly, such as daily or several times a day
- Intense cravings that block out other thoughts
- Continually using drugs or alcohol even though it is causing or adding to physical or psychological problems
- Needing more drugs or alcohol to achived the same effect
- Having withdrawal symptoms when not using drugs or alcohol
- Spending money on the substances, even when you can’t afford it
- Doint things you wouldn’t ordinarily do in order to get the substance
Why do Substance Use Disorders Happen?
There is no single cause. SUDs often develop due to a combination of factors, including:
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Genetics and family history
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Trauma or chronic stress
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Mental health conditions
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Early exposure to substances
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Social and environmental influences
Genetics account for about half of a person’s risk for developing an SUD, according to SAMHSA.
Repeated use of substances can cause physical changes in the brain.
Can Substance Use Disorders be treated?
Absolutely. Recovery is always possible.
Many people with SUD go on to live healthy, fulfilling lives. Recovery looks different for everyone and may include treatment, peer support, medication, therapy, or a combination of approaches.
At RACSB, we believe in treatment that meets your unique needs. So, we offer a variety of options, including:
- Project LINK for parenting and pregnant mothers impacted by SUD
- Office-Based Opioid Treatment combines medication and intensive therapy
- Mobile Recovery Unit brings OBOT on the road for people in outlying counties who can’t make it to our Fredericksburg clinic
- Outpatient Therapy includes counseling and support groups
- Specialty Dockets help individuals whose SUD has resulted in legal charges
- Peer Support Services offer care from people with lived experience
- REVIVE! trains people to reverse opioid overdoses using naloxone
Can Substance Use Disorders be prevented?
Substance abuse can often be prevented. SAMHSA says, “Education and outreach programs that involve families, schools, and communities are effective. When young people understand the risks of drug use, they are less likely to start. Parents, teachers, and healthcare providers play a critical role in educating youth and preventing drug use.”
You can check out our prevention services here.
How could I support someone who has a Substance Use Disorder?
Some ways to offer support include:
- Learning about Substance Use Disorders
- Remind them that they are not alone
- Encourage them to seek help
- Support their recovery by offering practical help like rides to treatment services
Helpful Tips
If you’re concerned about your own use
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Reflect on how substance use is affecting your health, relationships, or daily life
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Talk with a trusted person or healthcare provider
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Start with small, realistic changes
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Seek professional support—asking for help is a strength
Treatment and Support Options
Treatment may include:
- Outpatient or residential treatment
- Office-Based Opioid Treatment (OBOT)
- Individual or group counseling
- Peer recovery support services
- Family education and support
Many people benefit from ongoing support, even after formal treatment ends.
You can find our substance use disorder services here.
You don’t have to face this alone. Help and hope are available.
If You’re Concerned About Someone Else
- Lead with compassion, not judgment
- Choose a calm time to talk
- Focus on specific behaviors and impacts, not labels
- Encourage professional help and offer to support next steps
- Take care of yourself, too
Helpful Links
Hope on the Road
Our Mobile Recovery Unit takes medication-assisted treatment for Opioid Use Disorders into the counties of Caroline, King George, Spotsylvania, and Stafford to bring life-saving care into the community.
Office-Based Opioid Treatment
Our comprehensive approach combines medication and intensive therapy in a supportive outpatient setting, providing a holistic pathway to recovery.
Recovery on the Road
When it comes to recovery, sometimes the hardest part is getting there. Our Mobile Recovery Unit brings medication for opioid use disorders into the community to help overcome barriers to treatment.
REVIVE! training
This essential training teaches you how to recognize and respond to an opioid overdose using naloxone. Get the knowledge and confidence to make a difference in an emergency.