Signs and Symptoms of a Substance Use Disorder
Substance use can begin for many reasons—stress relief, social bonding, curiosity, or coping with emotional pain. But when does occasional use become a concern? If you've found yourself wondering, “Do I have a substance use disorder?”—you're not alone. It's a courageous question, and the answer isn't always black and white. At Silver Lining, we work with individuals at all stages of this journey—those who are unsure, those who are struggling, and those who are ready to make a change.
What Is a Substance Use Disorder?
A Substance Use Disorder (SUD) is a medical condition characterized by the recurrent use of alcohol or drugs that causes significant impairment, including health problems, disability, and failure to meet responsibilities at work, school, or home. It exists on a spectrum from mild to severe, and it affects people from all walks of life.
According to the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), a substance use disorder is diagnosed when an individual meets at least two of the following 11 criteria within a 12-month period:
Using more of the substance or using it longer than intended.
Wanting to cut down or stop using but not being able to.
Spending a lot of time getting, using, or recovering from the substance.
Cravings and urges to use.
Not managing responsibilities due to use.
Continuing use despite relationship problems.
Giving up important activities because of use.
Using in situations where it’s dangerous (e.g., driving).
Continuing despite knowing it’s causing physical or mental harm.
Developing tolerance (needing more for the same effect).
Experiencing withdrawal symptoms when not using.
Meeting 2-3 criteria indicates a mild disorder, 4-5 moderate, and 6 or more is considered severe.
Signs You Might Be Struggling with Substance Use
It can be hard to recognize a problem—especially when substance use is normalized in your environment. But here are some common warning signs that may suggest it's time to take a closer look:
You’ve started to feel guilty or ashamed about your use.
You hide your usage or minimize it when talking to others.
Friends or family have expressed concern about your behavior.
You’ve tried to quit or cut back and found it difficult or impossible.
You rely on the substance to relax, sleep, socialize, or get through the day.
You notice your physical or emotional health declining.
Many people delay seeking help because their use doesn’t “look like” addiction. Maybe you’re holding down a job, raising a family, or keeping up appearances. But substance use disorders don’t always follow a stereotypical pattern. You don’t have to hit “rock bottom” to get support.
The Role of Denial and Stigma
Denial is a powerful force. It’s not always a conscious decision—it’s a coping mechanism that protects us from painful truths. It can sound like:
“Everyone drinks like this.”
“I only use on weekends.”
“I have it under control.”
“I can stop anytime I want to.”
Complicating this is the stigma around addiction, which can make people feel ashamed or afraid to reach out. But substance use disorders are not moral failings or signs of weakness—they are medical conditions that are treatable with the right support.
What Causes a Substance Use Disorder?
There is no single cause. SUDs often develop from a complex mix of biological, psychological, and environmental factors, including:
Genetics: A family history of addiction increases risk.
Trauma: Early childhood trauma or chronic stress can lead to self-medicating behaviors.
Mental health: Anxiety, depression, PTSD, and other conditions frequently co-occur with substance use.
Environment: Exposure to substances, peer influence, and access all play a role.
This is why effective treatment must take a holistic, trauma-informed approach that addresses the whole person—not just the substance.
When to Seek Help
If you're reading this, chances are you’ve had at least a flicker of concern. Whether you meet the formal criteria for a substance use disorder or not, what matters most is how your use is affecting your life. If it's causing distress, interfering with your goals, or keeping you stuck in painful cycles—it’s worth exploring.
You might consider reaching out if:
You’re worried about how much you’re drinking or using.
Your relationships are suffering.
You’re experiencing anxiety, depression, or mood swings.
You’ve tried to quit before without success.
You feel isolated or disconnected.
What Therapy for Substance Use Can Look Like
At our practice, we understand that reaching out is a big step—and we meet every client with compassion, not judgment. We offer individualized, evidence-based support that honors your unique path.
Some of the approaches we may use include:
Motivational Interviewing – to help you explore ambivalence and identify your personal reasons for change.
Cognitive Behavioral Therapy (CBT) – to address the thoughts, triggers, and patterns driving your use.
Trauma-Informed Therapy – especially important if your substance use is rooted in past pain or survival strategies.
Relapse Prevention – building coping skills and support networks for sustainable recovery.
Co-Occurring Disorder Treatment – for those navigating both mental health and substance use concerns.
Recovery Is Possible—And It Looks Different for Everyone
Recovery isn’t always about total abstinence—though for many, that’s an important goal. It may begin with harm reduction, cutting back, or simply getting curious about your relationship with substances. It might look like building new coping skills, setting boundaries, or healing underlying trauma.
Whatever recovery means to you, we’re here to walk alongside you. It’s not about judgment—it’s about support, healing, and reclaiming your life.
Final Thoughts
If you’re asking, “Do I have a substance use disorder?”, that question alone is a sign of self-awareness and bravery. You don’t have to have all the answers right now. You just need a safe place to explore them.
Silver Lining is here to help—whether you’re just starting to question your substance use, navigating early recovery, or seeking ongoing support. We believe in compassionate, person-centered care that empowers you to take the next right step—whatever that may be.
If you're ready to take the first step, we invite you to reach out today. You deserve support, and healing is possible. Click on the "Start Today" button below to complete the google form and we will be in touch!