Taking the First Step, S3 Ep5

Taking the First Step

When we think about substance use, many of us hold onto a specific image or stereotype of what substance use disorder looks like. We often imagine someone whose life has visibly unraveled. But for millions of adults, the reality of substance use is much quieter, and hidden beneath the surface of everyday responsibilities, careers, and family life. In Season 3, Episode 5 of Let’s Talk About It With OhioGuidestone, Seana Todd Fortune, LPCC-S, LICDC-CS, LSW, Director of Recovery Services at OhioGuidestone, explores the realities of adult substance use, why asking for help can feel so difficult, and how recovery can begin.

Substance Use Doesn’t Discriminate

Substance use disorder affects adults across all walks of life regardless of profession, background, or income level. Substance use disorder often takes life over silently. For many “high-functioning” adults, on the outside they appear fine. Career success, family involvement, and daily routines can appear intact, while privately they are fighting a battle that is becoming increasingly unmanageable. Children and family members may notice the subtle shifts in behavior. Recognizing that substance use is affecting loved ones can be a powerful turning point for individuals considering change. 

Treating Substance Use Disorder Like Any Other Health Condition

One of the largest hurdles adults face when seeking help is the belief that they should be able to handle it on their own, or the fear that treatment will disrupt their daily lives and responsibilities. Substance use disorder is a chronic brain disease, not a moral failing or a lack of willpower. Just like heart disease, diabetes, or cancer, substance use disorder requires professional care and treatment to manage and overcome. Without support, progressive conditions only worsen over time. Framing substance use disorder as a medical condition helps reduce guilt and opens the door for meaningful conversations about support.

Co-Occurring Mental Health Concerns and Self-Medicating

Substance use rarely exists in isolation. Many adults struggling with substance use disorder are also navigating underlying mental health challenges, such as anxiety, depression, or trauma. In these situations, substances are often used as a way to self-medicate, providing temporary relief from overwhelming emotions, social anxiety, or stress. However, as the brain adapts to the substance, natural sources of joy and coping mechanisms can become less effective, creating a cycle that makes it difficult to stop without guidance. Effective recovery addresses both substance use and any co-occurring mental health conditions simultaneously, equipping individuals with healthier tools for long-term well-being. 

Safe Support and Taking the First Step

For those who are ready to make a change, knowing where to start can feel overwhelming. Depending on the substance and the duration of use, stopping abruptly without medical guidance can sometimes be unsafe. Professional evaluations help determine the right level of care, whether that includes medical detox, residential treatment, intensive outpatient care, or standard outpatient therapy.

Taking the first step toward recovery doesn’t require having all the answers right away. It simply begins with reaching out for support.

Listen to Season 3, Episode 5 of Let’s Talk About It With OhioGuidestone in the audio or video players below, or wherever you stream your podcasts.

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If you or a loved one are trying to reduce the use of substances, help is available. OhioGuidestone provides comprehensive substance use and mental health services tailored to support adults and families at every step of their journey.