Myths About Substance Use Disorders
MYTH: Willpower is all one needs to beat addiction.
TRUTH: Substance use disorder is a diagnosed medical condition which is treatable. Many people are able to achieve long-term recovery through evidence-based care, such as therapy and medication or a combination of both.
There are multiple ways to treat substance use disorder. Effective recovery typically requires a combination of:
- Behavioral therapy
- Medications (for some substances)
- Peer Support and community
- Addressing co-occurring mental health conditions
- Traditional, spiritual, or heritage healing practices
MYTH: Those with substance use disorders (SUD) have to hit "rock bottom" before they can get help.
TRUTH: Treatment and recovery can begin at any time. Get help early rather than holding out for a low point.
MYTH: Severe Substance Use Disorder is a disease; there's nothing you can do about it.
TRUTH: Most experts agree that SUD is brain-based, but that doesn't mean that one is a helpless victim. The brain changes related to SUD can be treated through therapy, medication, exercise, and other treatments. As with any behavioral change, a personal commitment to change comes from within and requires a commitment to focus on the treatment plan.
MYTH: Addiction is lifelong.
TRUTH: SUD is different in every person. The ultimate goal is that long-term recovery allows people to lead healthy and productive lives.
MYTH: People can't force someone into treatment; if treatment is forced, it will fail.
TRUTH: Deciding to enter treatment can be scary, however when people are encouraged to enter treatment and they are supported by their family, employer, and the community, it can help build motivation and willingness to change.
Many AI/AN communities have long histories of sobriety, balance, and natural wellness. Substance misuse is a result of historical and intergenerational trauma, including colonization, forced relocation, boarding schools, and systemic racism.
Resources
Understanding Drug Use and Addiction (revised June 2018) - National Institute on Drug Abuse
Drugs, Brains, and Behavior: The Science of Addiction - NIDA
