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Stages of Substance Abuse

Substance Use Substance Abuse Chemical Dependency
Sometimes referred to as a "social or recreational user" Person begins experiencing negative consequences due to their substance usage Sometimes referred to as an "addict"
Person uses drugs or alcohol without the experience of negative consequences Person begins experiencing negative outcomes in major life areas (work, school, financial, legal, family, friends) due to or related to resulting behaviors because of the substance abuse Person continues to experience negative outcomes but appears not to care
Family members/friends of the person DO NOT express concern about the person's usage Family members/friends of the person begin to express concern about the person's usage Family members/friends will sometimes begin to leave the person because they are unwilling/unable to deal with the person's usage and resulting behaviors
Use is usually limited to responsible use on primarily social occasions Use begins to be the focus of social occasions instead of a part of the social occasion

Drug or alcohol use is compulsive and is originated by physical cravings/triggers

Example: A student experiments with alcohol at a party but does not drive home. Use is limited to a few occasions, no addition cycle begins. Use is for "fun" not for "effect." Example: A student skips class to drink, returns to school and is suspended (i.e. usage begins to interfere with everyday life). Use is not social, but is for effect or to escape. Example: A person (usually not an adolescent) will continue to drink/use and becomes physically addicted. Continued use can result in death if not treated. Most adolescents are not chemically dependent.
  • Chemical dependency is recognized by the American Medical Association as a disease and is 100% treatable!
  • Some adolescents might qualify for a diagnosis of substance abuse, but most adolescents are not physically/chemically dependent.

 

 

Updated: September 2, 2011
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