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If you or someone you know is experiencing mental health-related distress, suicide crisis or substance use concerns, find help here.

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Recovery is Possible

Understanding Substance Use

Substance use disorder (SUD) is a medical condition that’s diagnosed when the use of one or more substances causes significant impairment in someone’s daily life. This can include alcohol, prescription medications (like opioids or stimulants) and illicit drugs. SUD affects how your brain functions, making it hard to stop using – even when it causes harm.

The more we understand about substance use disorder, the more we can help. Across South Dakota, trained professionals are here to help identify warning signs, provide treatment, and support you or a loved one with the recovery journey.

Do you need substance use support or more information? Call, text or chat 988 or take a quick quiz.

0%
of South Dakota high schoolers have taken Rx drugs without a prescription in 2023.
0%
of overdose deaths in South Dakota involved opioids between 2020 and 2023.
0 out of 10
pills seized in the U.S. by the DEA contain a lethal dose of fentanyl.
0%
of South Dakotans 18-25 have engaged in binge alcohol use in the past month.
Stop the Stigma
Stop the Stigma

Substance use disorder is a disease.

Substance use disorders can affect anyone, including our relatives, neighbors and friends. It’s not a moral failing or a choice. In fact, science has shown that SUD is a chronic disease that leaves lasting changes in the brain and body.

Stopping stigma around substance use starts with recognizing our own bias and educating ourselves. The way we talk about substance use and the words we choose matter. Read this language guide to learn what terms to avoid and how to approach substance use in an open, nonjudgmental way.
NIDA Language Guide

Types of Substance Use Disorders

Alcohol

Continued use of alcohol despite wanting to stop and experiencing negative impacts.





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Stimulants & Methamphetamine

Misuse of substances that speed up the body’s systems include prescription medications such as Adderall and Ritalin – as well as illegal substances like methamphetamine and cocaine. 

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Opioids

Misuse of opioids including prescription medications like oxycodone, hydrocodone, morphine and fentanyl. 




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Cannabis

Continued use of cannabis despite experiencing negative impacts and consequences.





Learn More

Signs & Symptoms to Look For

Someone living with a substance use disorder may show different signs and symptoms depending on the individual and the substance(s) they may be using. Science shows that some people may have a greater genetic predisposition to substance misuse. Other factors may also contribute such as environmental factors, trauma and interpersonal relationships.

 

As a close family member or friend, you may see warning signs before others do.

  • Changes in Behavior: Mood swings, secrecy, having grandiose beliefs, withdrawal or not actively engaging with loved ones.
  • Physical Symptoms: Weight loss, changes in sleep patterns or unexplained injuries.
  • Neglecting Responsibilities or their Appearance: Skipping work, school, or other important commitments, or neglecting basic self-care such as laundry or hygiene.
  • Disinterest in Hobbies: Individuals may have little or no interest in activities they previously enjoyed.
  • Financial Problems: Unexplained spending or borrowing money frequently.
Support Someone

How to Start the Conversation

Talking to a loved one about substance use may feel intimidating or cause uncertainty due to the unknown. Start the conversation by remaining judgment free and focusing on how much you care. Remember, the reasons behind substance misuse are complex and support is essential for someone to begin their recovery journey.

 

Begin with phrases like:

  • I care about you.
  • Can we talk?
  • I’ve noticed you’re not yourself lately.
  • I’m concerned about you and want to help.
  • I want to help support you.
  • You’re not alone.
  • Recovery is possible, no matter what.

Are you concerned about a loved one’s substance use?

988 is a support for anyone going through emotional distress, thoughts of suicide or substance use concerns. Call, text or chat 988 to connect with locally trained professionals at the Helpline Center. It’s free, confidential and available 24/7, 365.

Find Help Here

Treatment & Recovery Resources

For substance use concerns, you can contact 988 for immediate support. South Dakota Behavioral Health contracts with community-based substance use treatment and recovery providers across the state, connecting you to treatment and recovery options to help in your healing journey.

Substance Use Treatment

Substance Use Treatment

Find a substance use treatment provider in your area that you can schedule with to talk.



Peer Support

Peer
Support

Find one-on-one support that provides a safe space to share experiences, find encouragement and receive guidance from someone who’s been in your shoes.

Recovery Housing

Recovery Housing

Find recovery housing options where groups of recovering individuals live together in a supportive and sober environment.


Recovering Mothers

Recovering Mothers

Find recovery housing options where groups of recovering mothers live together in a supportive and sober environment before and after the birth of their baby.