July 1, 2025

When Use Becomes Misuse

A guide to substance abuse disorder

Substance Use Disorder (SUD) is a medical condition where a person loses control over their use of alcohol, drugs, or medications, despite harmful consequences. It is NOT a moral failing, lack of willpower, or simply a “bad habit.” With professional treatment, people can recover and lead healthier lives.

What are the warning signs?

Frequent cravings, increased tolerance, withdrawal symptoms, neglecting responsibilities, and continued use despite negative consequences in relationships, work, or health.

What are the health risks?

Serious issues such as liver disease, heart problems, and mental health disorders can happen. Long-term use can damage brain function and emotional regulation.

Who is at risk?

Anyone can develop SUD, but risk factors include genetics, trauma, mental health disorders, early exposure to substances, and social environment.

How does therapy help?

Therapy provides tools to understand triggers, build healthy coping strategies, and manage cravings.

When should someone get help?

If substance use interferes with daily life, causes distress, or puts health at risk, it’s time to seek help. Your benefits give you options for both outpatient (no deductible required) and inpatient (with preauthorization) SUD treatment.

  • Talk with your doctor or a behavioral health provider. Go to regence.com to find an in-network provider or view your options (click Resources then Behavioral Health). Not sure what care is right for you? Log in to chat online or call the number on the back of your ID card.
  • Regence partners with Hazelden Betty Ford and Boulder Care to offer access to world-class virtual treatment for SUD. These experts offer online drug and alcohol rehab programs, mental health counseling, and recovery coaching.
    - Hazelden Betty Ford: Call (844) 259-0554 or go to hazeldenbettyford.org.
    - Boulder Care: Call (866) 901-4860 or go to boulder.care.
  • Talk to a therapist on MDLIVE at no cost to you. Go to mdlive.com/regence-or, download the app on your smartphone, or call (888) 725-3097. There’s no cost to you. (Therapy for those with SUD in active medical detox is not provided.)
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