Substance Use Disorders: Signs, Symptoms, and When to Seek Help

We Substance Use Disorders (SUDs) are a category of conditions outlined in the Diagnostic and Statistical Manual of Mental Disorders and involve the recurrent use of alcohol and/or drugs despite harmful consequences. At Rosewood Recovery, we understand that substance use disorders affect every aspect of a person’s life—but recovery is possible with the right support.

Scroll to top

What is Substance Use Disorder?

What Is a Substance Use Disorder?

A substance use disorder is diagnosed when a person’s pattern of substance use leads to clinically significant impairment or distress.
This can impact physical health, mental well-being, relationships, and daily functioning at work, school, or home.

Common Signs and Symptoms of Substance Use Disorders

Substance use disorders can present in many ways. Common symptoms include:
- Using more of a substance than intended
- Wanting to cut down or stop but being unable to do so
- Spending a significant amount of time obtaining, using, or recovering from substances
- Experiencing strong cravings or urges to use
- Difficulty meeting responsibilities at work, school, or home
- Continuing to use despite relationship or social problems
- Giving up important activities in favor of substance use
- Using substances in physically dangerous situations
- Continuing use despite awareness of physical or psychological harm
- Developing tolerance (needing more to achieve the same effect)
- Experiencing withdrawal symptoms when not using

How Is a Substance Use Disorder Diagnosed?

A diagnosis does not require all symptoms to be present. According to clinical criteria, the presence of two or more symptoms within a 12-month period
may indicate a substance use disorder. Severity is determined based on the number of symptoms present.

When to Seek Treatment

If substance use is interfering with your life or the life of someone you love, it may be time to seek help. Early intervention can prevent further consequences
and support long-term recovery. Rosewood Recovery's substance use disorder program in Newtown, PA, we provide compassionate, individualized care to help
individuals understand their substance use,  build coping skills, and move toward lasting recovery.

Start Your Recovery Journey Today

You don’t have to navigate this alone. If you or a loved one is experiencing signs of a substance use disorder, reach out to Rosewood Recovery to learn more
about our programs and how we can help.

Get Started Today

Alcohol Use Disorder

Alcohol Use Disorder (AUD) involves a pattern of problematic alcohol use that can negatively affect a person’s physical health, emotional well-being, relationships, and ability to function day to day. Because alcohol is widely available and socially accepted, changes in drinking patterns can develop gradually and may go unnoticed until significant consequences arise.

For individuals in Bucks County, PA alcohol misuse is one of the most common reasons people seek support through structured treatment services.

Alcohol misuse can affect nearly every area of life. Over time, it may contribute to physical health concerns such as liver strain, sleep disruption, and cardiovascular issues. It can also worsen symptoms of anxiety, depression, and trauma-related conditions, and may lead to increased conflict in relationships or difficulties at work and home.

Opioid Use Disorder

Opioid Use Disorder involves the problematic use of substances that act on the brain’s opioid receptors, including heroin, fentanyl, prescription pain medications (such as oxycodone or hydrocodone), and in some cases kratom. This form of substance use disorder carries a high risk of dependence and overdose, particularly with potent synthetic opioids like fentanyl.

In Pennsylvania, opioid-related addiction remains a significant public health concern, with many individuals developing dependence after legitimate medical use or through exposure to illicit substances.

Opioid use carries a heightened risk of physical dependence and overdose, particularly when tolerance develops quickly or when substances are combined with alcohol or benzodiazepines. Synthetic opioids such as fentanyl significantly increase overdose risk due to their potency and unpredictability.Long-term opioid misuse can also impact mood regulation, sleep patterns, motivation, and overall emotional stability.

Xylazine is a non-opioid sedative increasingly found in the illicit drug supply, often in combination with opioids such as fentanyl. While not an opioid itself, it can produce profound sedation and has been associated with severe withdrawal symptoms, skin complications, and increased overdose risk. Because xylazine is not an approved human medication, exposure typically occurs unknowingly through contaminated street drugs, making it particularly dangerous and difficult to detect without testing.

Benzodiazepine Use Disorder

Benzodiazepine Use Disorder involves the problematic use of prescription sedative medications such as alprazolam (Xanax), clonazepam (Klonopin), and diazepam (Valium). These medications are commonly prescribed for anxiety, panic disorders, and sleep difficulties, but prolonged or unsupervised use can lead to physical dependence and significant withdrawal risk.

In Newtown, PA benzodiazepine misuse is often seen alongside other substance use, particularly opioids and alcohol, increasing both clinical complexity and risk.

Long-term benzodiazepine use can impact cognitive functioning, coordination, and emotional regulation. Dependence can develop even when medications are taken as prescribed over time, and withdrawal can be medically serious if not properly managed.

Risks increase significantly when benzodiazepines are combined with other central nervous system depressants such as alcohol or opioids, raising the potential for respiratory suppression and overdose.

Rosewood RecoveryAddiction Treatment Center In Pennsylvania

EMDR

Eye Movement Desensitization and Reprocessing (EMDR) is a therapeutic approach designed to help individuals process and heal from traumatic experiences and emotional distress. EMDR involves the use of bilateral stimulation, typically through guided eye movements, to facilitate the processing of distressing memories. At Rosewood Recovery, staff have been trained in EMDR to support clients in healing from trauma and achieving their recovery goals

Cocaine and Crack Use

Substance useinvolving cocaine and crack cocaine is characterized by a pattern of use that increases energy, alertness, and confidence—but often at significant cost to a person’s physical and mental health. Cocaine (typically snorted or injected) and crack cocaine (a smokable form) produce intense but short-lived effects, which can lead to repeated use in a short period of time.

In Pennsylvania, cocaine use remains a concern, particularly as it is increasingly found mixed with other substances, including fentanyl, which raises the risk of overdose.

Because the effects of cocaine are short-lived, individuals may use repeatedly to maintain the desired high, increasing the risk of binge patterns and loss of control. Crack cocaine, in particular, is associated with rapid onset and higher addiction potential due to how quickly it reaches the brain.

Cocaine use can also place significant strain on the cardiovascular system, increasing the risk of heart attack, stroke, and other serious complications. In addition, the growing presence of fentanyl in stimulants has made overdose a risk even for those who do not intentionally use opioids.

Methamphetamine & Amphetamine Use Disorders

Stimulant Use Disorder involving methamphetamine and amphetamines is marked by a pattern of use that significantly increases energy, focus, and alertness—often followed by depletion, mood instability, and difficulty functioning without the substance. This category includes illicit stimulants like methamphetamine as well as the misuse of prescription medications such as Adderall or Dexedrine.

In Bucks County, PA stimulant misuse can present differently than other substances, often tied to productivity, performance, or weight loss before progressing into more compulsive patterns of use.

Stimulants can place significant strain on both the brain and body. Over time, use may contribute to anxiety disorders, mood instability, and stimulant-induced paranoia or psychosis. Methamphetamine, in particular, is associated with longer-lasting effects and more pronounced changes in cognition, behavior, and physical health.

Because stimulants impact dopamine levels, individuals may experience intense cravings and difficulty feeling pleasure or motivation without the substance, especially during early recovery.

Cannabis Use Disorder

Cannabis Use Disorder involves a pattern of marijuana or THC use that begins to interfere with daily functioning, emotional well-being, and overall quality of life. While cannabis is often perceived as low-risk or socially acceptable, regular or high-potency THC use can lead to dependence and difficulty reducing or stopping use over time.

In Newtown, PA, increased access to cannabis products (including high-THC flower, vapes, and edibles) has contributed to a rise in individuals seeking support for problematic use.

Higher concentrations of THC can increase the likelihood of anxiety, panic symptoms, and, in some cases, paranoia. For some individuals, frequent cannabis use may worsen underlying mental health conditions, including depression or trauma-related disorders.

Regular use can also impact attention, learning, and motivation, particularly when use begins at a younger age or becomes a primary coping strategy.

Hallucinogen Use Disorder & Club Drugs

Hallucinogen Use Disorder involves the recurrent use of substances that alter perception, mood, and cognition. This category includes drugs such as PCP (phencyclidine), LSD (lysergic acid diethylamide), and psilocybin (commonly referred to as “mushrooms”). While these substances are not always associated with daily use, they can still lead to risky behaviors, psychological distress, and functional impairment.

MDMA (commonly known as ecstasy or molly) is often grouped with hallucinogens due to its effects on perception and mood, though it also has stimulant properties. Its use is commonly associated with social or nightlife settings and can carry risks related to dehydration, overheating, and mood instability.

In Bucks County, PA hallucinogen use is often seen in social or recreational settings but can become problematic when use is unpredictable, frequent, or used as a means of coping.

Hallucinogens can significantly alter perception of reality, which may lead to impaired judgment and increased risk of harm. Some individuals experience intense anxiety, panic reactions, or paranoia during use, sometimes referred to as “bad trips.”Substances like PCP carry additional risks, including dissociation, agitation, and unpredictable or aggressive behavior. In some cases, individuals may experience lingering perceptual disturbances or worsening of underlying mental health conditions.

Inhalant Use Disorder

Inhalant Use Disorder involves the intentional inhalation of fumes or gases to achieve a mind-altering effect. Common inhalants include household and industrial products such as aerosol sprays, paint thinners, cleaning fluids, glue, and gases like nitrous oxide. Because these substances are often easily accessible, inhalant use can begin early and progress quickly into dangerous patterns.

In Newtown, PA inhalant use is less frequently discussed but carries significant and immediate health risks, even with short-term use.

Inhalants can have rapid and unpredictable effects on the brain and body. One of the most serious risks is “sudden sniffing death,” which can occur even with a single use due to cardiac arrhythmia.

Longer-term use may result in damage to the brain, liver, kidneys, and nervous system. Cognitive impairment, memory difficulties, and mood changes are also common with repeated exposure.

Because inhalants deprive the brain of oxygen, they can cause lasting neurological effects even after relatively short periods of use.

Polysubstance Use Disorder

Polysubstance Use Disorder refers to the use of multiple substances—either at the same time or over a period of time—in a way that increases risk and complicates both physical and mental health. Rather than involving a single substance, this pattern reflects overlapping use, often with different effects (e.g., stimulants and depressants), which can make symptoms and recovery more complex.

In Newtown, PA, polysubstance use is increasingly common, particularly with the presence of substances like fentanyl and other additives in the drug supply.

Combining substances significantly increases the risk of overdose, especially when central nervous system depressants like alcohol, opioids, and benzodiazepines are used together. The presence of synthetic substances in the drug supply can further increase unpredictability and danger.

Polysubstance use can also make diagnosis and treatment more complex, as individuals may experience overlapping withdrawal symptoms and co-occurring mental health concerns.

Recovery Begins Here

Click below to get in touch and schedule a consult call with our team to begin your journey towards happiness and freedom.

Rosewood Recovery does not discrimate against any person because of the race, color, religious creed, ancestry, age, sex, sexual orientation, gender identity, national origin, handicap or disability or the use of a guide or support animal because of the blindness, deafness or physical handicap.