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What is a Substance Use Disorder? 

June 2, 2023 by Carter Peterson LPC

When we think of substance abuse, we may picture someone who’s a so-called “addict:” life completely ruined, poor health, can’t hold a job, etc. However, this is not always the case. Maybe the person who struggles with alcohol or drug abuse/misuse is your friend, a coworker, or someone you interact with in the community. Oftentimes, we may not realize that others, or even ourselves, have a problem with drugs or alcohol. The Diagnostic and Statistical Manual of Mental Disorders no longer uses the term “addiction” due to the negative connotations associated with this word. We now classify someone who struggles with drugs or alcohol as having a substance use disorder. However, some individuals who struggle with substance use disorders find it to be helpful to identify as an addict as they relate to others who may have similar experiences. 

How do I know if I have a substance use disorder? Substance use disorders are divided into three different levels of severity: mild, moderate, and severe. The following criteria may help you to determine whether you struggle with a substance use disorder: 

1. The substance is often taken in larger amounts or over a longer period than was intended. 

2. There is a persistent desire or unsuccessful effort to cut down or control use of the substance. 

3. A great deal of time is spent to obtain, consume and recover from a substance. 

4. Craving, or a strong desire or urge to use the substance, occurs. 

5. Continued use of the substance results in a failure to fulfill major role responsibilities at work, school or home. 

6. Use of the substance is contributing to relationship problems. 

7. Important social, occupational or recreational activities are given up or reduced because of the use of the substance. 

8. Use of the substance is recurrent in situations in which it is physically hazardous (e.g., driving while intoxicated). 

9. Continuing to use the substance despite knowing that it has an impact on physical or psychological problems likely caused by the substance (e.g., drinking with a liver condition or using opioids when depressed or anxious). 

10. Tolerance, which means that the person needs more of a substance to get a desired effect, or the same amount of a substance doesn’t produce the desired effect any longer. 

11. Withdrawal, such that when the substance is not taken, a person experiences substance-specific withdrawal symptom. 

If you identify with 2 or more of these statements over a 12-month period, you may have a substance use disorder. For an accurate diagnosis, please meet with a licensed mental health professional, who will be able to help assist you in determining the next steps in your recovery journey. 

Source: 

https://www.centeronaddiction.org/addiction-treatment/signs-of-addiction

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February 12, 2024

Ray has been an extremely effective therapist utilizing a multitude of different techniques, including talk therapy and EMDR. He is very intuitive, kind, and sensitive to his patient's needs. Cannot recommend him enough.

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I love this place. Office is super helpful for scheduling and payments. I do all my appointments online. My counselor Raymund Begaye is always professional and helpful, and offers different therapies including talk therapy and EMDR. Counseling with Ray has improved my quality of life and ability to handle, and enjoy (!), my life.

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February 9, 2024

I have dealt with 2 therapists in the past, and I can tell you from experience that Raymund Begaye is world class. He has all the wisdom, grace and savvy of Hannibal Lector without the cannibalistic tendencies. Always selfless, supportive, and non judgemental, meeting Raymund has been a huge blessing in my life. I know from the bottom of my heart that he got into this business because he cares about people and the human element. He also thinks outside of the box. His knowledge and ability to conduct EMDR sessions have been pure gold. I was skeptical at first about EMDR, but after several sessions with Raymund I can honestly say past traumatic experiences that have kept me in a state of bondage, are not as intense as they once were. Raymund is a true American hero in many ways. He saved many lives fighting for our great country, and he continues to save lives by providing hope to the hopeless.

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February 9, 2024

I've been seeing Ray for over 3 years now. He has helped me work through so much of my trauma. We started with talk therapy and it was a big help. As we opened up through my past traumas, we utilized the EMDR therapy, and let me tell you, it works wonders. I'm not sure of the exact science behind why EMDR works but I promise it does. I've come along way from the start of my therapy journey. Ray is very patient, understanding, and even when you think he doesn't get it, he does. He's always been very reassuring and has let me ease into dealing with my past. I think I found my therapist for life because before him, I had gone through several therapists that never made me feel like I'm being heard. I would recommend the EMDR therapy to anyone. Thanks InMindOut for employing such a wonderful therapist. Please don't let him go anywhere lol.

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February 8, 2024

My therapist has been Ray B since fall of 2021. I was diagnosed with PTSD after the death of my husband. We were together 24 years and have a son. I know I'm alive today thanks to God and Ray. His techniques, patience, experience, care, effort, ideas and many more I can't think of, have been amazing. Ray is a blessing in my life.

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I saw your video on FailArmy. Sorry your beautiful ferns got stolen. If I ever make it to your area I’ll have to stop by and check it out. Looks like a cool place!

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