In When Usage becomes Abusage (see below) we looked at the enormous emotional and financial cost of substance abuse. But how do you know when someone is really abusing rather than using a substance such as tobacco, alcohol or other recreational drugs? How do you know when the person you love is in trouble? Fortunately the American Psychiatric Association lists the criteria for substance abuse in an attempt to better distinguish those who are in control of the drugs in their life and those who have crossed the line. The guidelines are as follows: A. A maladaptive pattern of substance … Continue reading →