Substance Use & Recovery
Understand your options and find the right path forward
Where to Start
Not sure which path is right? Use this guide to help determine your next step based on your situation.
If you are unsure about severity or next steps
Start with a consultation to understand your options and get personalized guidance.
If symptoms are mild (occasional use, early concerns)
Consider outpatient counseling, peer support groups, or educational resources.
If symptoms are moderate (regular use affecting daily life)
Look into intensive outpatient programs (IOP) or structured outpatient treatment.
If symptoms are severe or withdrawal is a concern
Prioritize inpatient treatment, medical detox, or medication-assisted treatment.
This May Be Relevant If...
- You or someone you care about is using alcohol or drugs in ways that feel out of control
- Tolerance has increased — needing more to feel the same effect
- Withdrawal symptoms appear when not using
- Daily responsibilities like work, school, or relationships are being affected
- There have been unsuccessful attempts to cut back or stop
- Continued use despite knowing it is causing problems
- Spending significant time obtaining, using, or recovering from substances
When to Seek Help
Common signs that support may help:
- Use has become difficult to control despite wanting to cut back
- Health problems or relationship issues are appearing
- Work, finances, or legal issues are affected
- You are concerned enough to be reading this page
When to escalate to urgent care:
- Experiencing severe withdrawal symptoms (shaking, seizures, hallucinations)
- Thoughts of self-harm or suicide
- Overdose risk or recent overdose
- Unable to function safely day-to-day
Earlier intervention often leads to better outcomes, but it is never too late to seek help.
Quick Understanding
Mild Use Disorder
2-3 symptoms present. May benefit from outpatient counseling, peer support, or self-guided resources.
Moderate Use Disorder
4-5 symptoms present. Often benefits from structured outpatient programs or intensive outpatient care.
Severe Use Disorder
6 or more symptoms. May require inpatient detox, residential treatment, or medication-assisted treatment.
Your Options
Outpatient Programs
Flexible treatment while maintaining daily responsibilities. Ranges from standard outpatient (few hours/week) to intensive outpatient (9-20 hours/week).
Explore ResourcesInpatient / Residential
24/7 care in a structured environment. Includes medical detox for safe withdrawal and intensive therapy. Typically 28-90 days.
Explore ResourcesMedical Detox
Medically supervised withdrawal management. Necessary for alcohol or benzodiazepine dependence where withdrawal can be dangerous.
Explore ResourcesMedication-Assisted Treatment (MAT)
FDA-approved medications like Suboxone, Methadone, or Vivitrol combined with counseling. Effective for opioid and alcohol dependence.
Explore ResourcesTherapy & Counseling
Individual or group sessions to address underlying causes, build coping skills, and support recovery. Can be used alone or with other treatment.
Explore ResourcesPeer Support Groups
Free, ongoing support from others in recovery. Options include AA, NA, SMART Recovery, and other community-based programs.
Explore ResourcesTrusted Resources
Carefully selected resources to help you take the next step.
SAMHSA Treatment Locator
DirectoryAnyone seeking licensed treatment centers
Government-maintained, includes over 13,000 facilities nationwide.
Visit ResourceSAMHSA National Helpline
HotlineThose needing immediate guidance or support
Available 24/7, free, confidential, and available in English and Spanish.
Visit ResourceSAMHSA Treatment Locator
The most comprehensive national database of substance use and mental health treatment facilities. Search by location, service type, and payment options.
Best for
Anyone seeking licensed treatment centers
Use if
You want to find treatment options near you
Government-maintained, includes over 13,000 facilities nationwide.
SAMHSA National Helpline
Free, confidential, 24/7 treatment referral and information service for individuals and families facing substance use disorders.
Best for
Those needing immediate guidance or support
Use if
You want to speak with someone right now
Available 24/7, free, confidential, and available in English and Spanish.
Alcoholics Anonymous (AA)
International fellowship of people who have had a drinking problem. Meetings available in-person and online worldwide.
Best for
Those seeking peer support for alcohol recovery
Use if
You want free, ongoing community support
Proven track record helping millions recover since 1935.
Narcotics Anonymous (NA)
Community-based support for people recovering from drug addiction. Meetings available locally and virtually.
Best for
Those seeking peer support for drug recovery
Use if
You want connection with others who understand
Non-judgmental environment focused on recovery, not specific substances.
SMART Recovery
Science-based mutual support program using cognitive behavioral techniques. Alternative to traditional 12-step programs.
Best for
Those preferring evidence-based, non-spiritual approach
Use if
You want tools and strategies alongside peer support
Self-empowering approach with practical tools you can use immediately.
National Institute on Drug Abuse (NIDA)
Comprehensive, science-based information about drugs, addiction, and treatment approaches.
Best for
Those wanting to understand the science of addiction
Use if
You want reliable education before making decisions
Authoritative information backed by research.
In the Rooms
Free online recovery community with live meetings for various addictions. Available 24/7.
Best for
Those who prefer online meetings or need flexible schedules
Use if
You cannot attend in-person meetings or want additional support
Access to meetings any time, from anywhere.
How to Think About Next Steps
Outpatient makes sense when
You have a stable living situation, mild to moderate symptoms, strong motivation, and can maintain some daily routines while in treatment
Intensive outpatient fits when
You need more structure than weekly therapy but can still live at home. Good for those stepping down from residential or needing more support
Inpatient or residential is needed when
Withdrawal symptoms may be dangerous, previous outpatient attempts were unsuccessful, home environment is not supportive, or there are co-occurring medical/psychiatric issues
Medical detox is essential when
Stopping alcohol or benzodiazepines after heavy use — withdrawal from these can be medically dangerous. Also helpful for severe opioid dependence
Start with consultation when
You are unsure of severity, want professional assessment, need help understanding insurance coverage, or want guidance navigating the system
What to Do Next
You have explored your options. Now choose the path that feels right for you.
Explore Resources
Browse curated tools, directories, and organizations vetted for quality.
Browse ResourcesYour privacy is protected. Information shared through this site is confidential.