Behavioral Health Updates

Substances and Behaviors

A guide to gambling, alcohol, and prescription drug misuse, covering how each shows up, why it hides, and how people find effective treatment.

Addiction does not always look like what people expect. It can show up as a phone app that never gets closed, a nightly habit of drinks that quietly grows, or a medication cabinet that becomes a source of relief in ways a doctor never intended. These behaviors and substances are common, often legal, and easy to normalize, which is exactly why problems with them can go unnoticed for so long.

This topic brings together articles on problem gambling, alcohol use disorder, and prescription drug misuse. Each one looks at how the pattern develops, what separates ordinary use from a disorder, and what treatment actually involves. If you are worried about your own habits or someone else's, you will find plain language here to help you understand what you are seeing and what to do next.

Articles on substances and behaviors

Substances and Behaviors

Alcohol Use Disorder: When Social Drinking Becomes Something More

Alcohol is so normalized that the line into a disorder is easy to miss. Alcohol use disorder is diagnosed by two or more clinical symptoms in twelve months, not by daily drinking or hitting bottom. Here is where social drinking ends, what treatment actually involves, and how to take the first step safely.

Michael J. Wilson Jr., CIP, CFI ·
Substances and Behaviors

Problem Gambling and Sports Betting: A Fast-Growing Addiction in New England

Legal sports betting put a casino in everyone's pocket. Massachusetts surveillance data show problem gambling rising alongside it. Here is what the numbers show, how to recognize the warning signs, and why gambling disorder is treated with the same clinical seriousness as other addictions.

Michael J. Wilson Jr., CIP, CFI ·
Substances and Behaviors

Prescription Drug Misuse in Massachusetts: Signs, Risks, and Where to Turn

Prescription drug misuse looks different from street-drug addiction, which is part of why it hides so well. This guide covers what counts as misuse, the warning signs in opioids, benzodiazepines, and stimulants, overdose response, Massachusetts helplines, and the levels of care that help people and families move toward treatment and recovery.

Michael J. Wilson Jr., CIP, CFI ·

Common questions

How do I know if my drinking or gambling is a problem, not just a habit?

A useful marker is whether the behavior is causing trouble in your life, such as conflict with family, money problems, missed work, or failed attempts to cut back, and whether you keep doing it anyway. Needing more to get the same effect, or feeling unable to stop even when you want to, are also signs. A doctor or addiction counselor can help you sort out where you stand.

Is problem gambling really an addiction like drugs or alcohol?

Yes. Problem gambling is recognized as a behavioral addiction because it can create similar patterns in the brain's reward system as substances do, including cravings, tolerance, and loss of control. It is treated with many of the same approaches used for substance addiction, including therapy, support groups, and sometimes medication for co-occurring conditions.

Can you be addicted to a medication your doctor prescribed?

Yes. Misuse can develop even when a medication was prescribed appropriately, especially with drugs like opioids, benzodiazepines, or stimulants. This can happen gradually, through taking more than prescribed, using it longer than needed, or relying on it to cope with stress. If you notice this pattern, talk to your prescriber rather than adjusting the dose on your own.

What does treatment for alcohol use disorder actually involve?

Treatment is not one size fits all. It can include medical support to manage withdrawal safely, counseling or therapy to address the thoughts and situations that drive drinking, support groups, and sometimes medication that reduces cravings. Many people move through different levels of care over time. A primary care doctor or addiction specialist can help map out the right starting point.

Where can I get help if someone is in crisis over a gambling, alcohol, or drug problem?

If there is any risk of overdose, self-harm, or suicide, call or text 988, the Suicide and Crisis Lifeline, right away. For non-crisis situations, a primary care doctor, a licensed addiction counselor, or a local treatment center can assess the situation and point you toward the right level of care.

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