Substance Use Disorder Treatments

There's no single "cure" for substance use disorder, but there are treatments with real evidence behind them — and knowing the options makes it much less overwhelming to take the first step.

Quick Answer: What Treatment Options Actually Work?

The strongest outcomes come from combining behavioral therapy, medication when appropriate, and ongoing peer or family support — matched to the person's specific substance, severity, and circumstances, rather than a one-size-fits-all program. Treatment works, but only about 7.6% of people with alcohol use disorder receive it in a given year, so knowing the options and lowering the barrier to asking for help matters as much as the treatment itself.

What Are the Main Levels of Care?

• Inpatient/residential treatment. 24/7 structured care, typically for more severe cases or when a safe home environment isn't available.

• Outpatient treatment. Regular therapy and support while continuing to live at home and, often, work or attend school.

• Medication-assisted treatment (MAT). FDA-approved medications that reduce cravings and withdrawal symptoms, particularly effective for opioid and alcohol use disorders.

• Peer support groups. AA, NA, SMART Recovery, and similar groups provide free, ongoing accountability and community.

What Does Behavioral Therapy Actually Involve?

Approaches like cognitive behavioral therapy (CBT) help identify the thoughts and situations that trigger substance use and build practical coping strategies. Motivational interviewing helps people work through ambivalence about change at their own pace. Family therapy addresses how substance use affects — and is affected by — the people closest to someone.

How Do You Know Which Level of Care Is Right?

A professional assessment — through a doctor, therapist, or addiction specialist — evaluates severity, safety, and personal circumstances to recommend the right starting point. It's common to move between levels of care over time as needs change, and that's a normal part of recovery, not a sign of failure.

Get Support in the Piedmont Region

• Download our free resource guide for local treatment providers and support groups.

• Join the coalition to help expand access to treatment across the region.

Frequently Asked Questions

Is medication-assisted treatment just replacing one drug with another?

No. MAT medications are prescribed and monitored to reduce cravings and withdrawal, and decades of research show they significantly improve treatment retention and reduce overdose risk compared to abstinence-only approaches.

How long does treatment usually take?

It varies widely by person and substance — some complete an initial program in weeks, while ongoing support and periodic check-ins often continue for years as part of sustained recovery.

Key Takeaways

• Effective treatment combines behavioral therapy, medication when appropriate, and ongoing support.

• Levels of care range from inpatient treatment to outpatient therapy to peer support groups.

• Only about 7.6% of people with alcohol use disorder receive treatment in a given year — asking for help is the biggest step.

• A professional assessment helps match the right level of care to each person's needs.