Drug Misuse and Substance Use Disorder: Conversation Starters

Drug misuse is when a person uses drugs to get high or uses them differently than you’re supposed to. This includes illegal drugs (like heroin or cocaine), prescription drugs, and over-the-counter (OTC) drugs. Drug misuse can lead to a mental health condition called substance use disorder — when a person continues to use drugs despite negative effects on their health, activities, and relationships. Having substance use disorder makes it very hard for a person to stop using drugs.   

It can be hard to talk to someone you love about drug misuse or substance use disorder. But having a conversation about getting help can make a big difference. Use these tips to get started.

Be honest about how you feel.

You can say:

• “You’re very important to me.”
• “I’m worried about your drug use. It puts you at risk for an overdose, which can be very dangerous.”
• “Your drug use is affecting our relationship.”

Remind them things can get better.

You can say:

• “Millions of people struggle with drug use — it’s nothing to be ashamed of. You're not alone.”
• “Dealing with drug misuse is hard, but it’s possible. Many people have stopped using drugs, and you can be one of them.”
• “Substance use disorder is an illness, and you can get treatment for it.”
• “There are different ways to treat drug misuse and substance use disorder, including medicine, talk therapy, or both.”

Offer to help.

You can say:

• “To get treatment for drug misuse or substance use disorder, you can make an appointment with your doctor. Or I can help you find someone else to talk to, like a therapist or social worker.”
• “There are support groups for people who misuse drugs — I can help you find one.”
•  “I’m here for you. You can call or text me at any time if you need support — or if you just want to talk.”

You can also check out this resource to get support.