Substance use disorder treatment for teens and adults

Yes. Substance use disorder is classified as a chronic medical condition, not a moral failing or a matter of willpower. It involves real changes in the brain that affect behavior, decision-making, and self-control, and like other chronic conditions, it responds to evidence-based treatment.

"Substance abuse" is an older term that's mostly been replaced in clinical practice. In 2013, the DSM-5 combined substance abuse and substance dependence into a single diagnosis — Substance Use Disorder — with mild, moderate, and severe classifications.

Substance use concerns exist on a spectrum, and some people may experience more significant challenges over time. As substance use becomes increasingly difficult to reduce or stop and begins to have a greater impact on a person's health, relationships, or daily life, it may be described as addiction. While these terms are sometimes used interchangeably in everyday conversation, substance use disorder is the clinical diagnosis used by healthcare professionals.

Yes. Genetics can play a role in the development of a substance use disorder, but they are only one part of the picture. Family history may increase a person's risk, while factors such as mental health, environment, life experiences, and access to support also influence whether someone develops a substance use disorder.

Substance use disorder is classified as a psychiatric disorder in the DSM-5, and it's often diagnosed alongside other mental health conditions like depression, anxiety, or trauma. At Charlie Health, our Clinical Team treats substance use disorder and co-occurring mental health conditions together.

Repeated substance use changes how the brain functions, especially in areas tied to judgment, decision-making, memory, and impulse control. These changes are part of why substance use disorder involves intense cravings and can make stopping feel outside of a person's control, even when they want to quit. Some of these brain changes can improve over time with sustained treatment and recovery. If you're ready to seek help, connect with our Clinical Team today.

Start with an honest and judgment-free conversation about what you're noticing and why you're concerned. Avoid ultimatums or shame, which tend to increase secrecy rather than openness. Encourage them to talk to a doctor or clinician, and let them know treatment options — like Charlie Health's virtual IOP — exist for people at every stage of readiness to change.

An Intensive Outpatient Program (IOP) is a level of behavioral healthcare for people who need more support than traditional weekly therapy but don't require inpatient care. The goal is to help people manage mental health and substance use challenges while maintaining their daily routines and responsibilities. Our IOP is delivered to clients directly at home through a virtual platform. Each program runs 9–12 weeks and includes 10+ hours of care per week. That time is split across individual therapy and group sessions, with family therapy and psychiatry available when clinically indicated. Scheduling is flexible, with morning, afternoon, and evening options to fit around school, work, and other commitments.

Charlie Health is in-network with more than 600 insurance plans nationwide, including most major commercial plans, TRICARE, and Medicaid in select states. Most clients (60%) pay $0 out-of-pocket. To verify coverage, contact the Admissions Team directly or fill out the online intake form.