<p>Talk to your child about the dangers of tobacco, alcohol, and drugs. Knowing the facts will help your child make healthy choices.</p><h4>What do I need to say?</h4><p>When you talk to your child about tobacco, alcohol, and drugs:</p><ul><li>Find out what they already know</li><li>Teach them the facts</li><li>Be prepared to answer your child’s questions</li><li>Give them clear rules</li><li>Talk with them about how to say “no"</li></ul>

The Basics: Overview

<h4>When should I start talking with my child?</h4><p>Start early. By preschool, most children have seen adults smoking cigarettes or drinking alcohol, either in real life, on TV, or online.</p><p>Make sure your child knows right from the start that you think it’s important to stay safe and avoid drugs.</p><p>Here are more reasons to start the conversation early:</p><ul><li>Almost 9 out of 10 people who smoke start smoking before they turn 18</li><li>By the time they're in 8th grade, about 4 in 10 kids say alcohol is easy to get</li><li>At age 12, some kids are already using drugs like marijuana or prescription pain relievers</li></ul><h5>What if my child is older?</h5><p>It’s never too late to start the conversation about avoiding drugs. Even if your teen may have tried tobacco, alcohol, or drugs, you can still talk about making healthy choices and how to say “no” next time.</p><p>Get more tips to&nbsp;<a href="https://odphp.health.gov/myhealthfinder/api/outlink/topicsearch.json/http/www.mayoclinic.org/healthy-lifestyle/tween-and-teen-health/in-depth/teen-drug-abuse/art-20045921?p=1&_label_=help+your+teen+stay+away+from+drugs" id="anch_41">help your teen stay away from drugs</a>.</p>

The Basics: When to Start

<h4>What do I need to know about prescriptions and other medicines?</h4><p>When you talk to your child about the dangers of drugs, don’t forget about drugs that may already be in your home, like prescription or over-the-counter (OTC) medicines.</p><p>Prescription or OTC drug misuse is when a person uses a drug to get high, or use them differently than they’re supposed to. People might misuse drugs by:</p><ul><li>Taking too much of a prescription or OTC drug</li><li>Taking&nbsp;a prescription drug prescribed to someone else</li></ul><p>When you don’t take them safely, prescription and OTC medicines can be just as addictive and dangerous as other drugs.</p><p>Commonly misused prescription or OTC drugs include:</p><ul><li>Opioid pain medicines, like Vicodin, OxyContin, or codeine</li><li>Medicines for anxiety or sleep problems, like Valium or Xanax</li><li>Medicines that treat ADHD (attention deficit hyperactivity disorder), like Adderall or Ritalin</li></ul><p>Make sure to talk to your child about the dangers of prescription drug misuse. <a href="https://odphp.health.gov/myhealthfinder/api/outlink/topicsearch.json/https/nida.nih.gov/research-topics/parents-educators/conversation-starters?_label_=Get+tips+for+talking+about+drug+misuse+with+your+child">Get tips for talking about drug misuse with your child</a>.</p><p>Set a good example:</p><ul><li>Never take someone else’s prescription medicine or give yours to anyone else</li><li>Keep track of the medicines in your home, and store them in a locked cabinet</li><li>Get rid of unused medicines safely</li></ul>

The Basics: Medicine Misuse

<h4>Why do I need to talk to my child?</h4><p>Research shows that kids do listen to their parents. Children who learn about drug risks from their parents are less likely to start using drugs.</p><p>When kids choose not to use alcohol or drugs, they're also less likely&nbsp;to:</p><ul><li>Have serious trouble in school</li><li>Get hurt in a car accident</li><li>Be a victim of crime</li><li>Have a problem with addiction as an adult</li></ul><p>If you don't talk about it, your child may think it’s okay to use alcohol and other&nbsp;drugs.</p>

The Basics: Why It Matters

<p>Talk with your child about tobacco, alcohol, and drugs today — and keep the conversation going.</p><h4>Talk with your child early and often.</h4><p>Start conversations about your values and expectations while your child is young. Your child will get used to sharing information and opinions with you. This will make it easier for you to continue talking as they get older.</p><p>Here are some tips&nbsp;for talking with your child about tobacco, alcohol, and drugs:</p><ul><li>Use everyday events to start a conversation. For example, if you see a group of kids smoking, talk about how tobacco harms the body.</li><li>Give your child your full attention. Turn off your TV, radio, cell phone, and computer&nbsp;— and really listen.</li><li>Try not to “talk at” your child. Encourage your child to ask questions. If you don’t know the answer to a question, look it up together.</li><li><a href="https://odphp.health.gov/myhealthfinder/api/outlink/topicsearch.json/http/kidshealth.org/parent/positive/talk/talk_about_drugs.html?_label_=Find+age-appropriate+ways+to+talk+to+your+child+about+drugs" id="anch_49">Find age-appropriate ways to talk to your child about drugs</a>.&nbsp;</li><li><a href="https://odphp.health.gov/myhealthfinder/api/outlink/topicsearch.json/https/www.samhsa.gov/talk-they-hear-you/parent-resources/answering-your-childs-tough-questions?_label_=Get+more+tips+on+how+to+have+a+conversation+with+your+child" id="anch_50">Get more tips on how to have a conversation with your child</a>.</li></ul>

Take Action: Start Talking

<h4>Teach your child the facts.</h4><p>Your child needs to know how drugs can harm the brain, affect the body,&nbsp;and cause problems at home and in school. Kids who know the facts are more likely to make good choices.&nbsp;Here are some facts you can share with your child:</p><ul><li>If your child likes sports, focus on how smoking can affect athletic performance. You can also tell them how it affects their appearance, like causing bad breath and yellow teeth. <a href="https://odphp.health.gov/myhealthfinder/api/outlink/topicsearch.json/https/www.cdc.gov/tobacco/php/data-statistics/youth-data-tobacco?_label_=Get+the+facts+on+tobacco">Get the facts on tobacco</a>.</li><li>Remind your child that alcohol is a powerful drug that slows down the body and brain. <a href="https://odphp.health.gov/myhealthfinder/api/outlink/topicsearch.json/http/pubs.niaaa.nih.gov/publications/MakeADiff_HTML/makediff.htm?_hash_=Talkingwith&_label_=Get+the+facts+on+alcohol">Get the facts on alcohol</a>.</li><li>Tell your child how other drugs — like steroids, marijuana, and prescription medicines — affect the brain and body. <a href="https://odphp.health.gov/myhealthfinder/api/outlink/topicsearch.json/http/teens.drugabuse.gov/facts/index.php?_label_=Get+the+facts+on+other+drugs">Get the facts on other drugs</a>.<br>&nbsp;</li></ul><p><a href="https://odphp.health.gov/myhealthfinder/api/outlink/topicsearch.json/https/nida.nih.gov/research-topics/alcohol/national-drug-alcohol-iq-challenge?_label_=Take+this+quiz+about+drug+facts%26nbsp%3Bwith+your+child">Take this quiz about drug facts&nbsp;with your child</a>.</p>

Take Action: Teach the Facts

<h4>Set clear rules for your child.</h4><p>Not wanting to upset their parents is the number one reason kids give for not using drugs. Your child will be less tempted to use tobacco, alcohol, and drugs if you explain your rules clearly.</p><p>Here are some things to keep in mind when you talk to your child:</p><ul><li>Explain that you set rules to keep your child safe</li><li>Tell your child you expect them not to use tobacco, alcohol, or drugs</li><li>Let your child know what will happen if they break&nbsp;the rules — and follow through if they do</li><li>Praise your child for good behavior</li></ul><h4>Help your child learn how to say “no.”</h4><p>Kids say they use alcohol and other drugs to fit in with other kids. That’s why it’s important for parents to help children build the confidence to make a healthy choice when someone offers tobacco, drugs, or alcohol.&nbsp;<a href="https://odphp.health.gov/myhealthfinder/api/outlink/topicsearch.json/https/drugfree.org/article/prevention-tips-for-every-age/?_label_=Find+tips+for+preventing+drug+use+at+every+age" id="anch_59">Find tips for preventing drug use at every age</a>.&nbsp;</p><p>And check out these strategies to help you&nbsp;<a href="https://odphp.health.gov/myhealthfinder/api/outlink/topicsearch.json/https/www.samhsa.gov/talk-they-hear-you/parent-resources?_label_=talk+with+your+kids+about+staying+healthy+and+drug+free" id="anch_60">talk with your kids about staying healthy and drug free</a>.</p>

Take Action: Set Rules

<h4>Set a good example.</h4><p>Here are a few steps you can take to set a good example for your child:</p><ul><li>If you smoke,&nbsp;<a href="https://odphp.health.gov/myhealthfinder/api/outlink/topicsearch.json/myhealthfinder/topics/health-conditions/diabetes/quit-smoking?_label_=make+a+plan+to+quit">make a plan to quit</a></li><li>If you drink alcohol,&nbsp;<a href="https://odphp.health.gov/myhealthfinder/api/outlink/topicsearch.json/myhealthfinder/topics/health-conditions/heart-health/drink-alcohol-only-moderation?_label_=don%E2%80%99t+drink+too+much+or+too+often">don’t drink too much or too often</a></li><li>If you misuse drugs,&nbsp;<a href="https://odphp.health.gov/myhealthfinder/api/outlink/topicsearch.json/myhealthfinder/topics/talk-your-doctor-about-drug-misuse?_label_=%3Cspan%3Etalk+with+your+doctor+about+getting+treatment%3C%2Fspan%3E"><span>talk with your doctor about getting treatment</span></a></li><li><a href="https://odphp.health.gov/myhealthfinder/api/outlink/topicsearch.json/myhealthfinder/topics/everyday-healthy-living/safety/use-medicines-safely?_label_=Use+prescription+and+OTC%26nbsp%3Bmedicines+safely">Use prescription and OTC&nbsp;medicines safely</a></li><li>Never drink or use drugs and drive</li></ul><h5>What if I’ve used drugs in the past?</h5><p>Be honest with your child, but don’t give a lot of details. Do your best to make it a 2-way conversation — ask your child what they’re thinking and if they have any questions for you. Talk to your pediatrician if you’d like more tips for telling your child about your past drug use.</p>

Take Action: Set an Example

<h4>Get help if you need it.</h4><p>If you think your child may be using drugs or alcohol, get help. Don’t wait. Getting treatment early can make a difference.&nbsp;<a href="https://odphp.health.gov/myhealthfinder/api/outlink/topicsearch.json/https/drugfree.org/article/prepare-to-take-action/?_label_=Follow+these+steps+if+you+think+your+child+is+using+drugs+or+alcohol" id="anch_70">Follow these steps if you think your child is using drugs or alcohol</a>.</p><h5>What about cost?</h5><p>Under the Affordable Care Act, insurance plans must cover alcohol, tobacco, and drug use assessments for teens. Depending on your insurance plan, your child may be able to get an assessment at no cost to you. Check with your insurance company to find out more.</p><p>If you don't have insurance, your child may still be able to get free or low-cost assessments. <a href="https://odphp.health.gov/myhealthfinder/api/outlink/topicsearch.json/https/findahealthcenter.hrsa.gov/?_label_=Find+a+health+center+near+you+and+ask+about+assessments+for+your+child">Find a health center near you and ask about assessments for your child</a>.</p><p>To learn more, check out these resources:</p><ul><li><a href="https://odphp.health.gov/myhealthfinder/api/outlink/topicsearch.json/https/www.healthcare.gov/preventive-care-children/?_label_=Free+preventive+care+for+children+covered+by+the+Affordable+Care+Act%26nbsp%3B">Free preventive care for children covered by the Affordable Care Act&nbsp;</a></li><li><a href="https://odphp.health.gov/myhealthfinder/api/outlink/topicsearch.json/https/www.healthcare.gov/health-care-law-protections/?_label_=How+the+Affordable+Care+Act+protects+you%26nbsp%3B">How the Affordable Care Act protects you&nbsp;</a></li><li><a href="https://odphp.health.gov/myhealthfinder/api/outlink/topicsearch.json/https/www.cms.gov/files/document/roadmap-better-care-english.pdf-0?_label_=Understanding+your+health+insurance+and+how+to+use+it+%5BPDF+%E2%80%93+1.9+MB%5D">Understanding your health insurance and how to use it [PDF – 1.9 MB]</a></li></ul>

Take Action: Get Help

Talk to Your Kids About Tobacco, Alcohol, and Drugs

<p>If you don’t drink alcohol, there’s no reason to start. If you choose to drink, having only a moderate (limited) amount can lower your risk for health problems caused by drinking. Some people shouldn’t drink at all, like people younger than 21 years, people who are pregnant or might be pregnant, and people with certain health conditions.</p><h4>What is a moderate amount of alcohol?</h4><p>A moderate amount of alcohol means:</p><ul><li>1 drink or less in a day for women</li><li>2 drinks or less in a day for men</li></ul><p>Remember that <strong>drinking less is always better for your health</strong> than drinking more. Even moderate drinking can have health risks.</p><h4>What is 1 drink equal to?</h4><p>Different types of beer, wine, and liquor have different amounts of alcohol. In general, 1 standard drink is equal to a:</p><ul><li>Bottle or can of regular beer (12 ounces)</li><li>Glass of wine (5 ounces)</li><li>Shot of distilled spirits, such as gin, rum, or vodka (1.5 ounces)</li></ul><p>Keep in mind that the size of the drink and the percent of alcohol makes a difference. For example, many beers are about 5% alcohol, but some have higher percentages of alcohol. And some beers are sold in bigger sizes than the standard 12 ounces.&nbsp;</p><p>Different drinks have different amounts of calories, too. These calories add up — and getting more calories than you need can make it harder to stay at a healthy weight. For example, a 12-ounce bottle of beer has about 150 calories.&nbsp;</p><ul><li><a href="https://odphp.health.gov/myhealthfinder/api/outlink/topicsearch.json/https/www.rethinkingdrinking.niaaa.nih.gov/How-much-is-too-much/What-counts-as-a-drink/Whats-A-Standard-Drink.aspx?_label_=Learn+more+about+the+amount+of+alcohol+in+different+drinks">Learn more about the amount of alcohol in different drinks</a></li><li><a href="https://odphp.health.gov/myhealthfinder/api/outlink/topicsearch.json/https/www.rethinkingdrinking.niaaa.nih.gov/tools/calculators/drink-size-calculator.aspx?_label_=Calculate+how+many+standard+drinks+are+in+different+alcoholic+beverages">Calculate how many standard drinks are in different alcoholic beverages</a></li><li><a href="https://odphp.health.gov/myhealthfinder/api/outlink/topicsearch.json/https/www.rethinkingdrinking.niaaa.nih.gov/tools/calculators/calorie-calculator.aspx?_label_=Find+out+how+many+calories+are+in+a+drink">Find out how many calories are in a drink</a></li></ul>

<p>Drinking more than a moderate amount of alcohol can put you at risk for personal and health problems, including alcohol use disorder.&nbsp;</p><h4>What are the risks of drinking too much?</h4><p>Drinking too much raises your risk for many health problems, including serious conditions that can lead to death. Some examples of alcohol-related health problems include:</p><ul><li>Alcohol use disorder</li><li>Liver disease</li><li>Heart disease</li><li>High blood pressure</li><li>7 types of cancer</li><li>Depression and anxiety</li><li>Stroke</li></ul><p>Even moderate drinking may raise your risk for some types of heart disease and cancer. For example, the risk of breast cancer increases even at low levels of drinking (for example, less than 1 drink in a day).&nbsp;</p><p>Alcohol can also change your behavior. Drinking too much can put you and others at risk for:</p><ul><li>Accidents, violence, and injuries</li><li>Unplanned pregnancy or STIs (sexually transmitted infections) from unprotected sex</li></ul><p><a href="https://odphp.health.gov/myhealthfinder/api/outlink/topicsearch.json/https/www.rethinkingdrinking.niaaa.nih.gov/How-much-is-too-much/Whats-the-harm/What-Are-The-Risks.aspx?_label_=Learn+more+about+the+risks+of+drinking+too+much">Learn more about the risks of drinking too much</a>.&nbsp;</p><h4>What is alcohol&nbsp;use disorder?</h4><p>If drinking causes problems in your life, you may have alcohol use disorder (also called alcoholism).&nbsp;</p><p>You may have alcohol use disorder if any of these things are true:</p><ul><li>You can’t control how much or how often you drink</li><li>You need to drink more and more to feel the effects</li><li>You feel anxious, irritable, or stressed when you aren’t drinking</li><li>You find yourself thinking a lot about when you can drink next&nbsp;</li><li>Alcohol is causing problems with your work, relationships, or health</li></ul><p>Certain health problems — like depression or anxiety, sleep problems, and chronic pain — can put you at a higher risk for alcohol use disorder.</p><p>Talk with your doctor right away if you have signs of alcohol use disorder — even if you don’t think they’re causing any problems in your life. There are treatments that can help. <a href="https://odphp.health.gov/myhealthfinder/api/outlink/topicsearch.json/https/www.rethinkingdrinking.niaaa.nih.gov/How-much-is-too-much/whats-the-harm/what-Are-Symptoms-Of-alcohol-Use-Disorder.aspx?_label_=See+more+signs+of+alcohol+use+disorder">See more signs of alcohol use disorder</a>.&nbsp;</p>

The Basics: Health Risks

<h4>Who shouldn't drink at all?</h4><p>Don’t drink at all if you:</p><ul><li>Are pregnant or might be pregnant — alcohol can harm a developing baby</li><li>Are younger than 21 years</li><li>Take certain over-the-counter or prescription medicines — check medicine labels or ask your doctor or pharmacist if it’s safe to drink while taking your medicines&nbsp;</li><li>Are recovering from alcohol use disorder or can’t control how much you drink</li><li>Have a health condition that can be made worse by drinking (such as liver disease or HIV)</li><li>Plan to drive or do other activities that require skill, coordination, and alertness (like using sharp tools or cooking on a stove)</li></ul>

The Basics: Don't Drink If...

<p>Here are some strategies to help you cut back or stop drinking.</p><h4>Keep track of your drinking.</h4><p>Keeping track of each drink may help you drink less overall. <a href="https://odphp.health.gov/myhealthfinder/api/outlink/topicsearch.json/http/rethinkingdrinking.niaaa.nih.gov/ToolsResources/DrinkingTrackerCards.asp?_label_=These+drinking+tracker+cards+can+help">These drinking tracker cards can help</a>. You can also make notes in your smartphone to keep track of your drinks.</p><h5>Set goals.</h5><p>Decide how many days a week you'll drink and how much you'll drink on those days. For men, &nbsp;try not to have more than 2 drinks a day. For women, try not to have more than 1 drink a day. It’s also a good idea to have some days when you don’t drink at all.</p><p>Remember, drinking less is better for your health than drinking more.</p>

Take Action: Set Limits

<h4>Learn new skills to help you change your drinking habits.</h4><p>Planning ahead can help you manage situations when you might be tempted to drink too much. Think ahead about how to say “no” if someone offers you a drink.</p><p>Read about skills that can help you limit or avoid drinking:</p><ul><li><a href="https://odphp.health.gov/myhealthfinder/api/outlink/topicsearch.json/https/www.rethinkingdrinking.niaaa.nih.gov/tools/Interactive-worksheets-and-more/Stay-in-control/drink-Refusal-Skills.aspx?_label_=Learn+how+to+resist+social+pressure+to+drink" id="anch_50">Learn how to resist social pressure to drink</a></li><li><a href="https://odphp.health.gov/myhealthfinder/api/outlink/topicsearch.json/http/rethinkingdrinking.niaaa.nih.gov/ToolsResources/CopingWithUrgesToDrink.asp?_label_=Practice+these+strategies+to+handle+an+urge+to+drink" id="anch_51">Practice these strategies to handle an urge to drink</a></li></ul><h4>Find healthy ways to manage stress.</h4><p>If you have a bad day or are feeling angry, don’t reach for a drink. Try taking a walk, calling a friend, or seeing a movie.&nbsp;<a href="https://odphp.health.gov/myhealthfinder/api/outlink/topicsearch.json/myhealthfinder/topics/health-conditions/heart-health/manage-stress?_label_=Get+tips+to+help+you+manage+stress" id="anch_52">Get tips to help you manage stress</a>.</p><h4>Avoid places where people drink a lot.</h4><p>Stay away from bars and other places that may make you want to drink.</p><h4>Limit the amount of alcohol you keep at home.</h4><p>If you keep a lot of alcohol around, you may be tempted to go over the drinking limit you set for yourself when you’re at home.</p><h4>Make a list of reasons not to drink.</h4><p><a href="https://odphp.health.gov/myhealthfinder/api/outlink/topicsearch.json/http/rethinkingdrinking.niaaa.nih.gov/ItsUpToYou/ProsAndConsCheckboxes.asp?_label_=Make+a+list+of+reasons+to+drink+less+or+quit" id="anch_53">Make a list of reasons to drink less or quit</a>. Keep this list in your wallet, on your fridge, or in an app on your phone. Look at it when you have an urge to drink.</p><p>If you want to lose weight or save money, use these calculators to:</p><ul><li><a href="https://odphp.health.gov/myhealthfinder/api/outlink/topicsearch.json/http/rethinkingdrinking.niaaa.nih.gov/ToolsResources/CalorieCalculator.asp?_label_=See+how+many+calories+are+in+your+drinks" id="anch_54">See how many calories are in your drinks</a></li><li><a href="https://odphp.health.gov/myhealthfinder/api/outlink/topicsearch.json/http/rethinkingdrinking.niaaa.nih.gov/ToolsResources/AlcoholSpendingCalculator.asp?_label_=Find+out+how+much+money+you+are+spending+on+alcohol" id="anch_55">Find out how much money you are spending on alcohol</a></li></ul>

Take Action: Make a Plan

<h4>If you think you might be drinking too much, ask for help.</h4><p>Ask your friends and loved ones to support you. Talk with a doctor or nurse if you’re having a hard time cutting back on your drinking.</p><h5>Get treatment.</h5><p>There are effective treatments for alcohol use disorder. Doctors can treat it with talk therapy, medicine, or both. <a href="https://odphp.health.gov/myhealthfinder/api/outlink/topicsearch.json/https/alcoholtreatment.niaaa.nih.gov/what-to-know/types-of-alcohol-treatment?_label_=Learn+about+different+treatments+for+alcohol+use+disorder">Learn about different treatments for alcohol use disorder</a>.</p><p>If one type of treatment doesn’t work for you, you can try another. Don’t give up!</p><p>To get help with alcohol use disorder:</p><ul><li><a href="https://odphp.health.gov/myhealthfinder/api/outlink/topicsearch.json/https/findtreatment.gov/?_label_=Find+a+doctor+or+treatment+program+near+you">Find a doctor or treatment program near you</a></li><li>Call 1-800-662-HELP (1-800-662-4357) for information about treatment</li><li><a href="https://odphp.health.gov/myhealthfinder/api/outlink/topicsearch.json/https/alcoholtreatment.niaaa.nih.gov/?_label_=Use+this+tool+to+explore+treatment+options">Use this tool to explore treatment options</a></li></ul><h5>What about cost?</h5><p>Under the Affordable Care Act, insurance plans must cover alcohol misuse screening and counseling. Depending on your insurance plan, you may be able to get these services at no cost to you. Check with your insurance company to find out more. &nbsp;</p><p>Medicare may also cover alcohol-related services at no cost. If you have Medicare, <a href="https://odphp.health.gov/myhealthfinder/api/outlink/topicsearch.json/https/www.medicare.gov/coverage/alcohol-misuse-screenings-counseling?_label_=learn+about+Medicare+coverage+for+alcohol+misuse+screening+and+counseling">learn about Medicare coverage for alcohol misuse screening and counseling</a>.&nbsp;</p><p>If you don't have insurance, you may still be able to get free or low-cost help for alcohol misuse. <a href="https://odphp.health.gov/myhealthfinder/api/outlink/topicsearch.json/https/findahealthcenter.hrsa.gov/?_label_=Find+a+health+center+near+you+and+ask+about+alcohol+misuse+screening+and+counseling">Find a health center near you and ask about alcohol misuse screening and counseling</a>.</p><p>To learn more, check out these resources:</p><ul><li><a href="https://odphp.health.gov/myhealthfinder/api/outlink/topicsearch.json/https/www.healthcare.gov/preventive-care-adults/?_label_=Free+preventive+care+for+adults+covered+by+the+Affordable+Care+Act">Free preventive care for adults covered by the Affordable Care Act</a></li><li><a href="https://odphp.health.gov/myhealthfinder/api/outlink/topicsearch.json/https/www.healthcare.gov/health-care-law-protections/?_label_=How+the+Affordable+Care+Act+protects+you">How the Affordable Care Act protects you</a></li><li><a href="https://odphp.health.gov/myhealthfinder/api/outlink/topicsearch.json/https/marketplace.cms.gov/technical-assistance-resources/c2c-roadmap.pdf?_label_=Understanding+your+health+insurance+and+how+to+use+it+%5BPDF+-+698+KB%5D">Understanding your health insurance and how to use it [PDF - 698 KB]</a></li><li><a href="https://odphp.health.gov/myhealthfinder/api/outlink/topicsearch.json/https/alcoholtreatment.niaaa.nih.gov/what-to-know/costs-and-insurance?_label_=Costs+and+insurance+for+alcohol+misuse+treatment">Costs and insurance for alcohol misuse treatment</a></li></ul><h5>Are you worried about a loved one’s drinking?</h5><p>Use these tips to&nbsp;<a href="https://odphp.health.gov/myhealthfinder/api/outlink/topicsearch.json/myhealthfinder/topics/everyday-healthy-living/mental-health-and-relationships/alcohol-use?_label_=talk+with+someone+about+cutting+back+or+quitting+drinking" id="anch_62">talk with someone about cutting back or quitting drinking</a>.</p>

Drink Alcohol Only in Moderation

<p>Most people who smoke want to quit. Support from a family member or friend can make all the difference. Use these tips to start a conversation about quitting smoking.</p>

<h2>Be positive.</h2>

<p>You can say:</p>

<ul>
	<li>“You're important to me. I want you to live a long, healthy life.”</li>
	<li>“Your body will start to heal&nbsp;right away once you quit.”</li>
	<li>“After a few months, you’ll breathe easier and have more energy.”</li>
	<li>“Food and drinks will start to taste better!”</li>
	<li>“Think about how much money you’ll save.”</li>
</ul>

<h2>Share steps for quitting.</h2>

<p>For example, you can say:</p>

<ul>
	<li>“Write down your reasons for quitting. Keep the list where you’ll see it often.”</li>
	<li>“Set a date to quit. Give yourself up to 2 weeks to make a quit plan.”</li>
	<li>“Talk to your doctor about counseling, medicines, and other resources that can help you quit.”</li>
	<li>“Call 1-800-QUIT-NOW (1-800-784-8669) for free support and coaching to help you quit.”</li>
	<li>“Throw away your cigarettes, lighters, and ashtrays — at home, in the car, and at work.”</li>
	<li>"Visit&nbsp;<a href="http://smokefree.gov/" id="anch_31">Smokefree.gov</a>&nbsp;for more quit tips and tools."</li>
</ul>

<h2>Offer support.</h2>

<p>You can say:</p>

<ul>
	<li>“I'm so proud of you for trying to quit. How can&nbsp;I help you?”</li>
	<li>“Quitting is tough. If you slip up, I can help you get back on track.”</li>
	<li>“Let’s do something relaxing, like go for a walk or watch a movie.”</li>
	<li>“Let’s plan&nbsp;how to celebrate after you’ve been smoke-free for a week and a month.”</li>
	<li>“If you find yourself reaching for a cigarette, you can call me instead.”</li>
</ul>


Quitting Smoking: Conversation Starters

<p><span>It takes courage to talk to a family member or friend about their alcohol use. These tips can help you start the conversation.&nbsp;</span></p><h2><span>Be prepared.</span></h2><p>Get ready for the conversation:</p><ul><li><span>Before you talk, take some time to accept your own feelings. It’s normal to feel nervous or upset.</span></li><li><span>Practice what you’ll say. Try writing a script or roleplaying the conversation with a friend ahead of time.</span></li><li><span>Plan to keep it brief. Try focusing on just 1 change that could help your loved one.</span></li><li><span>Find a good time and place to talk. Wait until you’re both feeling calm and you can focus on the conversation without distractions</span></li></ul><h2>Keep it positive.</h2><p>Try to:</p><ul><li><span>Use positive language and avoid judging. Instead of “I wish you wouldn’t drink every night,” try “How about trying a few alcohol-free nights each week?”</span></li><li><span>Focus on the benefits of making a change. For example, you can say: “It would be great to spend more time together as a family.”</span></li><li><span>Emphasize that quitting drinking or drinking less is possible. You can say: “Lots of people have struggled with alcohol. You’re not alone, and it can get better.”</span></li></ul><h2>Get specific.</h2><p>For example, you can:</p><ul><li>Give specific reasons for your concerns based on what you see and feel. You can say, “I’m worried about your drinking because I’ve noticed you’ve been missing work.”</li><li>Make specific suggestions. Try saying: “Let’s do things that don’t involve drinking. How about seeing a movie?”</li></ul><h2><span>Offer support.</span></h2><p>Try to:</p><ul><li><span>Show that you understand. Say: “I know that drinking less is hard for you. How can I support you?”</span></li><li><span>Be available for your loved one. You can say: “Talk to me when you want a drink. Whenever you feel the urge to drink, you can call or text me instead.”</span></li><li><span>Take a break and give your loved one space if the conversation isn’t productive. You can say: “I can see that you’re not ready to talk about this yet. I’m here for you whenever you <strong>are</strong> ready.”</span></li></ul><h2><span>Make a plan together.</span></h2><p>You and your loved one can:</p><ul><li>Work together to make a list of goals. Choose 1 goal as a first step — like taking 2 nights off from drinking each week. Make sure it’s something you can measure easily.</li><li>Set a date to talk again and see how it’s going. Offer encouragement if it’s going well, and set different goals if it’s not working.</li></ul><h2><span>Get help.</span></h2><p>You can:</p><ul><li>Encourage your loved one to visit the doctor. Offer to make the appointment and go along for support.</li><li><a href="https://alcoholtreatment.niaaa.nih.gov/">Use this tool to explore alcohol treatment options together</a> if your loved one is ready to get treatment.</li></ul>

Alcohol Use: Conversation Starters

<p>Quitting smoking is one of the most important things you can do for your health. The sooner you quit, the sooner your body can start to heal.&nbsp;You'll feel better and have more energy to be active with your family and friends.</p>

<h4>Smoking hurts almost every part of the body.</h4>

<p>Smoking tobacco is the leading cause of preventable death and disease in the United States.</p>

<p>For example, smoking cigarettes (which have tobacco in them) causes:</p>

<ul>
	<li>Lung cancer, colorectal cancer, and many other types of cancer</li>
	<li>Heart disease and stroke</li>
	<li>COPD (chronic obstructive pulmonary disease)</li>
	<li>Pregnancy problems</li>
	<li>Gum disease</li>
	<li>Type 2 diabetes&nbsp;</li>
	<li>Vision loss</li>
	<li>Rheumatoid arthritis</li>
</ul>

<p>Learn more about&nbsp;<a href="https://odphp.health.gov/myhealthfinder/api/outlink/topicsearch.json/https/smokefree.gov/quit-smoking/why-you-should-quit/health-effects?_label_=how+smoking+affects+different+parts+of+the+body" id="anch_42">how smoking affects different parts of the body</a>.</p>


<h4>Smoking hurts other people, too.</h4>

<p>Secondhand smoke is a mix of the smoke that you breathe out and the smoke that comes from your cigarette. Secondhand smoke is dangerous and can cause health problems for the people around you.</p>

<p>In babies and children, breathing in secondhand smoke can cause:</p>

<ul>
	<li>Sudden infant death syndrome (SIDS)</li>
	<li>Pneumonia</li>
	<li>Bronchitis</li>
	<li>Severe asthma attacks</li>
	<li>Ear infections</li>
</ul>

<p>In adults, breathing in secondhand smoke can cause:</p>

<ul>
	<li>Heart disease</li>
	<li>Stroke</li>
	<li>Lung cancer</li>
</ul>


The Basics: Secondhand Smoke

<p>E-cigarettes (sometimes called “vapes”) work by heating a liquid to make an aerosol that people breathe in. E-cigarette aerosol is not harmless. It can have harmful — and possibly harmful — substances, like heavy metals and chemicals that can cause cancer. Most e-cigarettes also have nicotine (the addictive drug found in tobacco products).</p>

<p>The U.S. Food and Drug Administration (FDA) has not approved e-cigarettes as a quit-smoking aid.</p>

<p><a href="https://odphp.health.gov/myhealthfinder/api/outlink/topicsearch.json/https/www.cdc.gov/tobacco/basic_information/e-cigarettes/about-e-cigarettes.html?_label_=Learn+about+e-cigarettes">Learn about e-cigarettes</a> and how they affect your health.</p>


The Basics: E-cigarettes

<h4>You can quit smoking.</h4>

<p>Quitting smoking is hard, but millions of people have done it successfully. In fact, more than half of Americans who&nbsp;ever smoked have quit. You could be one of them! It often takes people several tries to quit smoking, but don't get discouraged — every attempt to quit means you're one step closer to quitting for good.</p>

<p>Nicotine — the drug found in all tobacco products — is as addictive as heroin or cocaine. It’s the nicotine in cigarettes that causes cravings, or the strong feeling that you want to smoke. Remember — quitting isn’t easy, but it is possible!</p>

<p>Take these steps&nbsp;to help you quit:</p>

<ul>
	<li><a href="https://odphp.health.gov/myhealthfinder/api/outlink/topicsearch.json/https/smokefree.gov/quit-smoking/why-you-should-quit/why-do-you-want-to-quit?_label_=Make+a+list+of+the+reasons+you+want+to+quit" id="anch_46">Make a list of the reasons you want to quit</a></li>
	<li>Set a quit date and make a plan to deal with cravings</li>
	<li>Ask your family, friends, and co-workers for support</li>
	<li>Talk to your doctor about counseling and medicines&nbsp;that can help you quit</li>
	<li>Call 1-800-QUIT-NOW (1-800-784-8669) or <a href="https://odphp.health.gov/myhealthfinder/api/outlink/topicsearch.json/http/smokefree.gov/?_label_=visit%26nbsp%3BSmokefree.gov">visit&nbsp;Smokefree.gov</a>&nbsp;for free help</li>
	<li>Text QUITNOW to 333888 or <a href="https://odphp.health.gov/myhealthfinder/api/outlink/topicsearch.json/https/smokefree.gov/tools-tips/text-programs/quit-for-good/smokefreetxt?_label_=visit+SmokefreeTXT">visit SmokefreeTXT</a> to enroll in a texting program for support with quitting</li>
	<li><a href="https://odphp.health.gov/myhealthfinder/api/outlink/topicsearch.json/https/smokefree.gov/tools-tips/apps?_label_=Download+a+free+app">Download a free app</a> for 24/7 support and encouragement</li>
</ul>

<p>Find out more about&nbsp;<a href="https://odphp.health.gov/myhealthfinder/api/outlink/topicsearch.json/https/smokefree.gov/quit-smoking/getting-started/prepare-to-quit?_label_=steps+you+can+take+as+you+get+ready+to+quit+smoking">steps you can take as you get ready to quit smoking</a>.</p>


The Basics: How Can I Quit?

<h4>You'll feel better after you quit.</h4>

<p>Your body begins to heal as soon as you quit smoking. Here are some ways you'll feel better:</p>

<ul>
	<li>You’ll breathe more easily</li>
	<li>You’ll cough and wheeze less</li>
	<li>Your senses of taste and smell will improve</li>
	<li>You’ll have more energy</li>
	<li>Your lungs will become stronger, making it easier for you to be active</li>
</ul>

<p>Find out more about&nbsp;<a href="https://odphp.health.gov/myhealthfinder/api/outlink/topicsearch.json/https/www.cdc.gov/tobacco/quit_smoking/how_to_quit/benefits/?_label_=how+quitting+smoking+will+help+your+health">how quitting smoking will help your health</a>.</p>

<h4>Quitting smoking will help you live a longer, healthier life.</h4>

<p>After you quit smoking:</p>

<ul>
	<li>Your risk of having a heart attack or stroke goes down</li>
	<li>Your risk of getting cancer goes down</li>
	<li>The levels of oxygen and carbon monoxide in your blood return to normal</li>
</ul>

<p>If you have children, you can also help them be healthier if you quit smoking. Children whose parents smoke around them are at higher risk for lung problems, ear infections, and other health problems.&nbsp;</p>

<p><a href="https://odphp.health.gov/myhealthfinder/api/outlink/topicsearch.json/https/www.cdc.gov/tobacco/campaign/tips/about/index.html?_label_=Check+out+these+real+stories">Check out these real stories</a> of people living with serious health effects from smoking.</p>


The Basics: Health Benefits

<h4>Will quitting make me gain weight?</h4>

<p>Some people worry about gaining weight when they quit smoking. It's true that some people gain weight after quitting — but remember that not smoking is one of the best things you can do for your health.</p>

<p>You can help prevent weight gain by making healthy choices. For example:</p>

<ul>
	<li>Get active — aim for 150 minutes a week of moderate-intensity aerobic activity, like walking fast or dancing. <a href="https://odphp.health.gov/myhealthfinder/api/outlink/topicsearch.json/https/health.gov/moveyourway/activity-planner?_label_=Use+this+tool+to+get+ideas+for+moving+more">Use this tool to get ideas for moving more</a>.</li>
	<li>Eat healthy snacks, like vegetables or fruit. <a href="https://odphp.health.gov/myhealthfinder/api/outlink/topicsearch.json/https/health.gov/myhealthfinder/topics/health-conditions/diabetes/eat-healthy?_label_=Get+more+tips+for+eating+healthy">Get more tips for eating healthy</a>.&nbsp;</li>
	<li>Talk with your doctor about ways to control your weight. <a href="https://odphp.health.gov/myhealthfinder/api/outlink/topicsearch.json/https/health.gov/myhealthfinder/topics/health-conditions/diabetes/watch-your-weight?_label_=Learn+how+to+stay+at+a+healthy+weight">Learn how to stay at a healthy weight</a>.</li>
</ul>

<p>To learn more ways to watch your weight after quitting,&nbsp;<a href="https://odphp.health.gov/myhealthfinder/api/outlink/topicsearch.json/https/smokefree.gov/challenges-when-quitting/weight-gain-appetite/dealing-with-weight-gain?_label_=check+out+these+tips" id="anch_59">check out these tips</a>.</p>


The Basics: Weight Control

<p>Take these steps to create your plan to quit smoking.</p>

<h4>Write down your reasons to quit.</h4>

<p>Make a list of all the reasons you want to quit. For example, maybe you want to set a healthy example for your children and save money. Keep the list with you to remind yourself why quitting is worth it.</p>

<h4>Set a quit date.</h4>

<ul>
	<li>Pick a date that gives you enough time to get ready to quit — but make sure it’s soon enough that you don’t lose your motivation</li>
	<li>Tell your family, friends, and coworkers about your quit date so they can support you</li>
</ul>

<h4>Make a quit plan.</h4>

<ul>
	<li>Think about situations that might trigger you to smoke and plan how you’ll handle them without smoking</li>
	<li>Right before your quit date, go through your house, car, and workplace to get rid of anything that has to do with smoking — throw away all your cigarettes, ashtrays, lighters, and matches</li>
	<li>Clean your clothes so they don’t smell like smoke</li>
</ul>

<p><a href="https://odphp.health.gov/myhealthfinder/api/outlink/topicsearch.json/https/smokefree.gov/build-your-quit-plan?_label_=Check+out+this+online+quit+plan+tool" id="anch_62">Check out this online quit plan tool</a>&nbsp;or&nbsp;call 1-800-QUIT-NOW (1-800-784-8669) for free support and help setting up your quit plan.</p>


<h4>Switch up your daily routine.</h4>

<p>Changing your routine on&nbsp;your quit date and afterward can help you avoid smoking triggers. For example, you can:</p>

<ul>
	<li>Take&nbsp;a different route to work</li>
	<li>Avoid&nbsp;activities and places you connect with smoking — at least for the first few weeks</li>
	<li>Spend time in places where smoking isn't allowed</li>
	<li>Make&nbsp;getting active and eating healthy part of your quit plan — eat healthy snacks, go for walks, and drink lots of water</li>
</ul>

<h4>Break the connection between eating and smoking.&nbsp;</h4>

<p>Many people like to smoke when they finish a meal. Here are some ways to break the connection:</p>

<ul>
	<li>Get up from the table as soon as you're done eating</li>
	<li>Brush your teeth and think about the fresh, clean feeling in your mouth</li>
	<li>Go&nbsp;for a walk after meals</li>
</ul>


Take Action: Change Routines

<h4>Deal with stress.</h4>

<p>Some people smoke to deal with stress. But there are ways to deal with stress without smoking.&nbsp;</p>

<p>Manage stress&nbsp;by creating peaceful times in your daily schedule. Try relaxation methods like deep breathing, short walks, and meditation.&nbsp;<a href="https://odphp.health.gov/myhealthfinder/api/outlink/topicsearch.json/https/health.gov/myhealthfinder/topics/health-conditions/heart-health/manage-stress?_label_=Learn+more+about+managing+stress">Learn more about managing stress</a>.&nbsp;</p>

<p>You can also check out these <a href="https://odphp.health.gov/myhealthfinder/api/outlink/topicsearch.json/https/smokefree.gov/challenges-when-quitting/stress?_label_=tips+for+dealing+with+stress+as+you+quit">tips for dealing with stress as you quit</a>.</p>

<h4>Manage cravings and withdrawal.</h4>

<p>When you quit smoking, your body and brain have to get used to not having nicotine. This can cause cravings — or urges — to smoke. You may also have symptoms of nicotine withdrawal. For example, you may:</p>

<ul>
	<li>Feel irritable or restless</li>
	<li>Have trouble sleeping</li>
	<li>Be hungrier than usual</li>
</ul>

<p>The good news is that, over time, cravings and withdrawal symptoms will fade as long as you do not smoke again.&nbsp;</p>

<p>Here are some ways to manage&nbsp;cravings and withdrawal:</p>

<ul>
	<li>Keep your hands busy — try brushing your teeth, washing your hands, sorting the mail, or doing the dishes</li>
	<li>Have healthy snacks ready — like baby carrots, apples, or whole-grain crackers</li>
	<li>Distract yourself with a new activity — try playing a game on your phone, reading a book, or doing crosswords or other puzzles</li>
	<li>Get active — go for a walk, do some yard work, or try a workout class</li>
	<li>Take several deep breaths to help you relax</li>
	<li>Write down or read your list of reasons for quitting</li>
	<li>Connect with others — reach out to friends and loved ones who support your efforts to quit</li>
</ul>

<p>Want to learn more about managing cravings and withdrawal?&nbsp;<a href="https://odphp.health.gov/myhealthfinder/api/outlink/topicsearch.json/https/www.cdc.gov/tobacco/campaign/tips/quit-smoking/7-common-withdrawal-symptoms/index.html?_label_=Check+out+these+tips">Check out these tips</a>.&nbsp;</p>


Take Action: Stress, Cravings, and Withdrawal

<h4>Talk with a doctor, nurse, or pharmacist.</h4>

<p>Ask about:</p>

<ul>
	<li>Strategies for quitting smoking that are likely to work best for you</li>
	<li>Medicines that can improve your chances of quitting — and how to use these medicines the right way</li>
</ul>

<p>When you stop smoking, your body goes through withdrawal from nicotine. This means you&nbsp;may feel irritable, anxious, restless, or hungry. You may even have trouble concentrating or sleeping.&nbsp;<a href="https://odphp.health.gov/myhealthfinder/api/outlink/topicsearch.json/https/smokefree.gov/tools-tips/how-to-quit/using-nicotine-replacement-therapy?_label_=Find+out+about+medicines+that+can+help+with+withdrawal">Find out about medicines that can help with withdrawal</a>.</p>

<h5>What about cost?</h5>

<p>Under the Affordable Care Act, most insurance plans must cover services to help people quit smoking. Depending on your insurance, you may be able to get these services at no cost to you. Check with your insurance company to find out more.&nbsp;</p>

<p>Medicare may also cover services to help people quit smoking at no cost. If you have Medicare, <a href="https://odphp.health.gov/myhealthfinder/api/outlink/topicsearch.json/https/www.medicare.gov/coverage/counseling-to-prevent-tobacco-use-tobacco-caused-disease?_label_=learn+about+Medicare+coverage+for+services+to+quit+smoking">learn about Medicare coverage for services to quit smoking</a>.&nbsp;</p>

<p>If you don’t have insurance, you may still be able to get free or low-cost services to quit smoking. <a href="https://odphp.health.gov/myhealthfinder/api/outlink/topicsearch.json/https/findahealthcenter.hrsa.gov/?_label_=Find+a+health+center+near+you+and+ask+about+help+to+quit+smoking">Find a health center near you and ask about help to quit smoking</a>.&nbsp;</p>

<p>To learn more, check out these resources:</p>

<ul>
	<li><a href="https://odphp.health.gov/myhealthfinder/api/outlink/topicsearch.json/https/www.healthcare.gov/preventive-care-adults/?_label_=Free+preventive+care+for+adults+covered+by+the+Affordable+Care+Act">Free preventive care for adults covered by the Affordable Care Act</a></li>
	<li><a href="https://odphp.health.gov/myhealthfinder/api/outlink/topicsearch.json/https/www.healthcare.gov/health-care-law-protections/?_label_=Health+coverage+rights+and+protections">Health coverage rights and protections</a></li>
	<li><a href="https://odphp.health.gov/myhealthfinder/api/outlink/topicsearch.json/https/marketplace.cms.gov/technical-assistance-resources/c2c-roadmap.pdf?_label_=Understanding+your+health+insurance+and+how+to+use+it+%5BPDF+-+698+KB%5D">Understanding your health insurance and how to use it [PDF - 698 KB]</a></li>
</ul>

<p>You can also get free help with quitting by calling 1-800-QUIT-NOW (1-800-784-8669) and by visiting <a href="https://odphp.health.gov/myhealthfinder/api/outlink/topicsearch.json/http/www.smokefree.gov/?_label_=Smokefree.gov">Smokefree.gov</a>.&nbsp;</p>


<h4>Don’t give up!</h4>

<p>It takes time to overcome addiction. Many people try to quit several times before they succeed. And it's normal to have setbacks — especially in the first 3 months after quitting.</p>

<p>If you slip up and have a cigarette, don't be hard on yourself — instead, get right back to trying to quit for good. Remember, quitting is one of the most important things you can do to protect your health.</p>

<p><a href="https://odphp.health.gov/myhealthfinder/api/outlink/topicsearch.json/http/smokefree.gov/staying-smokefree?_label_=Check+out+these+tips+for+staying+smoke-free">Check out these tips for staying smoke-free</a>.</p>

<h4>Learn from the past.</h4>

<p>If you’ve tried to quit before, think about what worked for you and what didn’t. For example, being around other people who smoke can make it harder to quit. So can drinking alcohol.</p>

<p>If you’re having a hard time staying smoke-free, talk with your doctor about what types of counseling or medicines might help you.&nbsp;</p>


Take Action: Stick with It

Quit Smoking

<p><span>If you’re worried about your drug use, talk with a doctor about getting help.</span></p><h4>What is drug misuse?</h4><p><span>Drug misuse includes:</span></p><ul><li><span>Using illegal drugs, like heroin or cocaine</span></li><li><span>Using prescription or over-the-counter (OTC) drugs to get high, or using them differently than you’re supposed to</span></li></ul><p><span>Misusing drugs can lead to substance use disorder. Substance use disorder is a mental health condition that affects millions of people in the United States every year.</span></p><p><span>The good news is that you can get treatment for drug misuse and substance use disorder. Getting help is the best thing you can do for yourself and your loved ones.</span></p>

<p>Substance use disorder is 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.</p><p>Using drugs affects the brain. Drugs can change how you think, feel, and behave — and some of these changes can last a long time.</p><p><a href="https://odphp.health.gov/myhealthfinder/api/outlink/topicsearch.json/https/nida.nih.gov/publications/drugs-brains-behavior-science-addiction/drugs-brain?_label_=%3Cspan%3ELearn+more+about+how+drugs+affect+the+brain%3C%2Fspan%3E"><span>Learn more about how drugs affect the brain</span></a><span>.</span></p><p>Substance use disorder is a chronic disease — it may never go away completely. People with substance use disorder who stop taking drugs can relapse (start taking drugs again) along the road to recovery. But treatment can help them manage substance use disorder and live a longer, healthier life.</p>

The Basics: What is Substance Use Disorder?

<h4>How can I tell if I’m at risk for substance use disorder?</h4><p><span>Any amount of drug misuse can put you at risk for substance use disorder. Some drugs are more addictive (more likely to lead to misuse or substance use disorder) &nbsp;than other drugs. And some people develop substance use disorder more easily than other people. But it’s impossible to know who will develop substance use disorder and who won’t.</span></p><p><span>You may have substance use disorder if you misuse drugs and any of these things are true:</span></p><ul><li><span>You can’t control how often you use drugs</span></li><li><span>Drug use causes problems with your relationships, school, or work</span></li><li><span>You feel anxious, stressed, or sick when you aren’t using drugs</span></li></ul><p><a href="https://odphp.health.gov/myhealthfinder/api/outlink/topicsearch.json/https/www.drugabuse.gov/publications/step-by-step-guides-to-finding-treatment-drug-use-disorders/if-you-have-problem-drugs-adults/how-to-recognize-substance-use-disorder?_label_=%3Cspan%3EUse+these+questions+to+see+if+you+have+signs+of+substance+use+disorder%3C%2Fspan%3E"><span>Use these questions to see if you have signs of substance use disorder</span></a><span>. If you think you might have a substance use disorder, it’s important to see a doctor right away.</span></p><h4>What could happen if I misuse drugs?</h4><p><span>The risks can depend on which drugs you misuse.</span></p><p><span>One of the most serious risks is an overdose, which can lead to death. You don’t need to have a substance use disorder to have an overdose. It can happen from using some drugs — like heroin or meth — just 1 time.</span></p><p><span>Overdoses are very common with certain drugs, like opioids. Opioids are a very addictive type of drug that includes prescription pain medicines like OxyContin and Vicodin, as well as illegal drugs like heroin and fentanyl. Tens of thousands of people die from opioid overdoses in the United States each year.</span></p><p><span>Drug misuse can also increase your risk for many other health problems, including:</span></p><ul><li><span>Heart disease</span></li><li><span>Hepatitis</span></li><li><span>HIV and other STIs (sexually transmitted infections), also called STDs (sexually transmitted diseases)</span></li></ul><p><span>Drug misuse can also put you at risk for injury and violence.</span></p><p><a href="https://odphp.health.gov/myhealthfinder/api/outlink/topicsearch.json/https/www.drugabuse.gov/drug-topics/publications/drug-facts?_label_=%3Cspan%3ELearn+more+about+different+drugs%3C%2Fspan%3E"><span>Learn more about different drugs</span></a><span> and their health risks.</span></p>

The Basics: Am I at Risk?

<p><span>The easiest way to prevent substance use disorder is to not misuse drugs. It’s especially important to not misuse drugs if you’re pregnant or trying to get pregnant.</span></p><p><span>Remember, some prescription and over-the-counter (OTC) medicines can lead to substance use disorder, too. If you take medicine for a health condition, </span><a href="https://odphp.health.gov/myhealthfinder/api/outlink/topicsearch.json/myhealthfinder/healthy-living/safety/use-medicines-safely?_label_=%3Cspan%3Elearn+how+to+use+medicines+safely%3C%2Fspan%3E"><span>learn how to use medicines safely</span></a><span>.</span></p><h4>What if my doctor prescribes an addictive medicine?</h4><p><span>Some prescription medicines —&nbsp;for example, opioid pain medicines like OxyContin or Vicodin — are very addictive. If your doctor prescribes opioids, ask about the risks and benefits. There may be a pain medicine with a lower risk of leading to substance use disorder you can try.</span></p>

The Basics: Prevention

<h4>How is substance use disorder treated?</h4><p><span>There’s no cure for substance use disorder — but there are effective treatments that can help you manage it. You can manage substance use disorder with medicine, talk therapy, or both.</span></p><p><span>Treatment options depend on which drugs you’re misusing — and if you use other substances, like alcohol or tobacco, too. You can get treatment for substance use disorder at a hospital or rehab center where you stay overnight — or you can get treatment during the day while you’re living at home.</span></p><p><a href="https://odphp.health.gov/myhealthfinder/api/outlink/topicsearch.json/https/findtreatment.gov/locator?_label_=%3Cspan%3ELearn+more+about+treatment+for+substance+use+disorder%3C%2Fspan%3E"><span>Learn more about treatment for substance use disorder</span></a><span>.</span></p><h4>Medicines for substance use disorder</h4><p><span>Doctors can prescribe medicines to ease symptoms of withdrawal (feeling sick when you stop taking certain drugs).</span></p><p><span>If you misuse opioids — like fentanyl or prescription opioid pain medicines — doctors can prescribe medicines to help you stop taking them. Some of these medicines work by reducing cravings, and some work by blocking the high you get from the drug.</span></p><p><a href="https://odphp.health.gov/myhealthfinder/api/outlink/topicsearch.json/https/www.cdc.gov/overdose-prevention/treatment/opioid-use-disorder.html?_label_=%3Cspan%3ELearn+about+medicines+to+treat+opioid+use+disorder%3C%2Fspan%3E"><span>Learn about medicines to treat opioid use disorder</span></a><span>.</span></p><h4>Therapy for substance use disorder</h4><p>A type of therapy called behavioral therapy can help you learn healthy ways to cope with stress and challenges in your life. Therapy can be useful to help you stay in treatment and avoid misusing drugs.</p>

The Basics: Treatment

<p>Substance use disorder is a disease, and people who have it need treatment just like people with any other disease. If you’re worried about drug misuse or substance use disorder, tell your doctor.</p><h4>Talk to a doctor about what’s going on.</h4><p>Get a medical checkup. Ask to see a doctor or nurse who can screen you for substance use disorder.</p><p>The doctor or nurse may also check to see if you have any other health conditions (like depression) that can make it harder to stop misusing drugs. Getting help for other health problems can make it easier for you to treat your substance use disorder.</p><p>If you’ve injected drugs, talk with the doctor or nurse about getting tested for HIV and hepatitis. Injecting drugs can put you at risk for these conditions.</p>

Take Action: See a Doctor

<h4>Get treatment for substance use disorder.</h4><p>When you misuse drugs or have substance use disorder, getting help is the best thing you can do.</p><p>You can:</p><ul><li>Ask your doctor for a referral to a substance use disorder specialist or treatment program</li><li><a href="https://odphp.health.gov/myhealthfinder/api/outlink/topicsearch.json/https/findtreatment.gov/?_label_=Find+a+doctor+or+treatment+program+near+you">Find a doctor or treatment program near you</a></li><li>Call 1-800-662-HELP (1-800-662-4357) for information about treatment</li></ul><p>And if one type of treatment doesn’t work for you, you can try another. Don’t give up!</p><p>Remember, substance use disorder is an illness — and having this illness isn't your fault. Asking for help may seem scary, but it's the first step toward getting your substance use disorder under control.</p><h5>What about cost?</h5><p><span>Under the Affordable Care Act, insurance plans must cover mental health and substance use disorder treatment. Depending on your insurance plan, you may be able to get treatment at no cost to you. Check with your insurance company to find out more.</span></p><p><span>Medicare may also cover certain services related to substance use disorder at no cost. If you have Medicare, </span><a href="https://odphp.health.gov/myhealthfinder/api/outlink/topicsearch.json/https/www.medicare.gov/coverage/mental-health-substance-use-disorder?_label_=%3Cspan%3Elearn+about+Medicare+coverage+for+mental+health+and+substance+use+disorder+services%3C%2Fspan%3E"><span>learn about Medicare coverage for mental health and substance use disorder services</span></a><span>.</span></p><p><span>If you don’t have insurance, you may still be able to get free or low-cost mental health and substance use disorder treatment. </span><a href="https://odphp.health.gov/myhealthfinder/api/outlink/topicsearch.json/https/www.medicare.gov/coverage/mental-health-substance-use-disorder?_label_=%3Cspan%3EFind+a+health+center+near+you%3C%2Fspan%3E"><span>Find a health center near you</span></a><span> that offers mental health and substance use disorder treatment and make an appointment.</span></p>

Take Action: Get Treatment

<h4>Get support for substance use disorder.</h4><p><span>You don’t have to face your drug problem alone. Ask your friends and loved ones to support you as you get treatment.</span></p><p><span>Support groups for people with drug addiction can also help you stick with your treatment plan. </span><a href="https://odphp.health.gov/myhealthfinder/api/outlink/topicsearch.json/https/www.samhsa.gov/find-support/health-care-or-support/support-group-or-local-program?_label_=%3Cspan%3ELearn+more+about+support+groups+for+mental+health%2C+drugs%2C+or+alcohol%3C%2Fspan%3E"><span>Learn more about support groups for mental health, drugs, or alcohol</span></a><span>.</span></p><h4>If someone you care about misuses drugs, get help.</h4><p><span>If you think a friend or family member is misusing drugs, </span><a href="https://odphp.health.gov/myhealthfinder/api/outlink/topicsearch.json/myhealthfinder/healthy-living/mental-health-and-relationships/drug-misuse-conversation-starters?_label_=%3Cspan%3Echeck+out+these+tips+on+how+to+talk+to+a+loved+one+about+drug+misuse%3C%2Fspan%3E"><span>check out these tips on how to talk to a loved one about drug misuse</span></a><span>.</span></p>

Take Action: Get Support

<h4>Ask your doctor about medicine to reverse an overdose.</h4><p><span>If you misuse opioids, you’re at risk for an opioid overdose. While there's no way to make misusing opioids safe for you, a medicine called naloxone may be able to reverse an overdose and save your life. Naloxone (often known by its brand name, Narcan) only works if you take it soon after an overdose. If you or someone you know misuses opioids, make sure you have naloxone on hand and know how to use it.</span></p><p>Doctors can prescribe naloxone to people who misuse opioids — but naloxone is also available over-the-counter. &nbsp;Consider talking to your pharmacist or contacting your local health department to find out how to get free or low-cost naloxone.</p><p><a href="https://odphp.health.gov/myhealthfinder/api/outlink/topicsearch.json/https/www.fda.gov/consumers/consumer-updates/having-naloxone-hand-can-save-life-during-opioid-overdose?_label_=%3Cspan%3ELearn+more+about+using+naloxone+for+an+overdose%3C%2Fspan%3E"><span>Learn more about using naloxone for an overdose</span></a><span>.</span></p>

Take Action: Prepare for an Opioid Overdose

Talk with Your Doctor About Drug Misuse and Substance Use Disorder

<p><span>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. &nbsp;&nbsp;</span></p><p><span>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.</span></p><h2><span>Be honest about how you feel.</span></h2><p>You can say:</p><ul><li><span>“You’re very important to me.”</span></li><li><span>“I’m worried about your drug use. It puts you at risk for an overdose, which can be very dangerous.”</span></li><li><span>“Your drug use is affecting our relationship.”</span></li></ul><h2><span>Remind them things can get better.</span></h2><p>You can say:</p><ul><li><span>“Millions of people struggle with drug use — it’s nothing to be ashamed of. You're not alone.”</span></li><li><span>“Dealing with drug misuse is hard, but it’s possible. Many people have stopped using drugs, and you can be one of them.”</span></li><li><span>“Substance use disorder is an illness, and you can get treatment for it.”</span></li><li><span>“There are different ways to treat drug misuse and substance use disorder, including medicine, talk therapy, or both.”</span></li></ul><h2><span>Offer to help.</span></h2><p>You can say:</p><ul><li><span>“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.”</span></li><li><span>“There are support groups for people who misuse drugs — I can help you find one.”</span></li><li><span>&nbsp;“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.”</span></li></ul><p><span>You can also </span><a href="https://www.samhsa.gov/find-help"><span>check out this resource to get support</span></a><span>.</span></p>

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