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The Difference Between Substance Abuse and Addiction?

October 24, 2017
Harmony Place Team

Many people mistakenly believe that “substance abuse” and “addiction” mean the same thing, when in reality they describe two different sets of behaviors. A big part of substance abuse recovery is for the patient to understand his or her relationship to a substance and recognize the effects that relationship has had in his or her life.

At Harmony Place, we want potential clients and our readers to know the difference between substance abuse and addiction, so they can better understand the treatment options available for these two stages. It’s also important to understand the links between substance abuse and addiction. Often, the former will lead to the latter.

Understanding Substance Abuse: What is the Difference Between Abuse and Addiction?

“Substance abuse” simply describes ongoing drug use despite negative consequences. A person who is abusing a substance can still withstand withdrawal and go for an extended time without another dose. Some substance abusers don’t feel withdrawal symptoms, at least not during the earliest stages of substance abuse.

Substance abuse often occurs when an individual feels as though a substance doesn’t have the same harmful and addictive effects for them as it does for the rest of the world. Everyone may process and respond to drugs differently, but there are common threads for any substance that affect everyone. A person entrenched in substance abuse may not display outward symptoms to friends and family but may cause destruction in other ways.

Signs Of Substance Abuse

Substance abuse can negatively manifest in several ways. In many cases, the destructive effects of a substance abuse problem can be the last push a person needs to enter substance abuse treatment, but this isn’t always the case. When substance abuse leads to destruction, injury, medical emergencies, or legal trouble, it’s time for the friends and family of the person causing these issues to speak up about their concerns and encourage him or her to enter rehab.

Substance abuse can lead to serious injuries for both the abuser and the people around him or her. People who abuse different substances may cause car accidents, lash out violently, or begin suffering negative health effects from their habits. Additionally, some drugs can cause psychological disorders or exacerbate existing ones, potentially leading to self-harm and straining social ties with other people.

Legal And Financial Ruin

One of the biggest risks of any type of substance abuse is the economic fallout it can cause. A person with a substance abuse problem may allow his or her work quality to suffer, miss deadlines, shirk important responsibilities at work, or otherwise interfere with career and job opportunities.

Over time, substance abuse worsens and may propel an individual with a habit to engage in illegal or dangerous behaviors to secure additional doses. It’s also important to remember that many addictive substances, such as cocaine, heroin, and methamphetamine, are illegal. Possessing one of these substances – even a small amount – is enough to lead to serious legal ramifications like jail time, fines, and loss of privileges such as a driver’s license or child visitation rights.

The Next Stage: Addiction

Addiction is essentially the next stage following substance abuse. The major difference between abuse and addiction is that addiction entails dependency. While a person struggling with substance abuse may be able to withstand a few days or longer without another dose, a person with an addiction feels entirely consumed by the idea of the next dose. For a person with an addiction, using drugs is the top priority, and the pursuit of this goal takes precedence over every other obligation. Work, family bonds, friendships, and other relationships all take a backseat to the pursuit of the next dose.

Addiction Is A Process

It’s important to remember that a person doesn’t simply struggle with a substance abuse problem and then suddenly become addicted. Addiction takes time, but that time varies by substance. Some drugs can lead to addiction much more quickly than others. A person who has tried to quit several times and failed every time is most likely contending with an addiction rather than a substance abuse issue.

People with addictions tend to feel hopeless. Their addictions take control of their lives and they don’t feel like the same person anymore. This sense of detachment is dangerous and feeds into patterns of addictive behavior. Another key difference between addiction and substance abuse is withdrawal. A person with an addiction will feel withdrawal symptoms more acutely than a person with a less advanced substance abuse problem. While a person with a substance abuse problem may eke out productive days without using, a person with an addiction will start feeling withdrawal symptoms often within hours of taking the most recent dose.

Chemical Dependency

Some addictions can progress to an advanced stage known as a chemical dependency. A person in this situation needs regular doses of his or her drug of choice to function in everyday life. The body has grown so dependent on the drug that the absence of it causes extreme discomfort and, in some cases, puts the person’s life at risk.

As a person uses a drug over time, he or she will inevitably start to build a tolerance for the substance, causing the effects of the same dose to diminish over time. This means that the person requires increasingly larger doses to achieve the desired results, and this process greatly contributes to chemical dependency. Eventually, tolerance builds to a point where the person must use on a consistent basis to avoid withdrawal.

The Stages Of Substance Abuse In Recovery

It’s crucial to remember that recovery is always possible with the right tools and motivation. Even severe cases of chemical dependency are treatable. The first step is acknowledging the problem exists and making a concentrated effort to address it in healthy, meaningful ways. It’s important to note that the earlier a person enters treatment, the more likely he or she will be to complete rehab and achieve sobriety. However, more advanced addictions and chemical dependencies are still treatable with medical assistance, comprehensive addiction counseling, and individualized treatment plans.

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Why Choose Harmony Place

At Harmony Place, decades of clinical expertise meet genuine compassion and individualized care, because recovery isn’t just about sobriety; it’s about rediscovering who you are. Founded by a therapist who has seen addiction’s toll firsthand and refused to give up, Harmony Place is a sanctuary where evidence-based treatment and real human connection come together to create lasting change.

  • Therapist-founded care
  • Physicians specializing in addiction care
  • 24/7 on-site nurses
  • Evidence-based treatment programs
  • Dual diagnosis expertise
  • Exclusive 12-bed program
  • A gourmet chef
  • Accepts many insurances
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Comprehensive & Accredited Rehab

At Harmony Place, our goal is to be among the best rehab centers in Los Angeles, California, through compassionate and expert care with an emphasis on treating each individual with dignity.

Harmony Place is a California state-licensed treatment facility and a leader in evidence-based treatment for co-occurring mental health and substance use disorders. We offer an integrated program that maximizes clinical service and education.

Professional Treatment Team

Our professional addiction treatment and recovery care team includes:

  • Contracted physicians specializing in addiction care
  • Contracted addiction psychiatrist, who utilizes a holistic approach
  • Licensed counselors and therapists
  • Licensed vocational nurses, on site 24/7
  • Support staff specially trained in understanding & caring for our clients
  • A gourmet chef
  • Specialists in psychodrama, EMDR, DBT, somatic therapies & art therapy
  • Specially trained admissions specialists and discharge coordinators
Real Patient Reviews

Read stories from real people who found hope and healing at Harmony Place.

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Chris P profile picture
Chris P
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I've been to 12 rehabs over the last 20 years and NO other place has touch like Harmony Place! From the owner right down to the cleaning lady, everyone here is kinda and warm. God has blessed this place and I feel privileged to have come through here. I recommend anyone who is going through their struggle with mental health or substance abuse to pick up the phone and come! You won't regret it!
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Joseph S profile picture
Joseph S
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This place is incredible, kind, loving, patient, rigorous, educative, caring and the best place for recovery. Ill be part of the alumni crew
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Monica G profile picture
Monica G
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I had very good experience at Harmony Place From first day I came, staff was very kind and make me feel welcome and safe. Everyone was friendly and always try to help me. The therapists are very good and caring. They listen to me and help me understand my problems better. I learn many things from them and feel stronger because of their support. The nurses also very nice and professional. They always check on me and make sure I am okay. Food was good and facilities were clean and comfortable. It help me feel more relaxed and focus on my recovery. Management also doing very good job. Everything was organized and you can see they really care about patients. I am very thankful for this place and all the people who work here. I recommend this center to anyone who needs help.
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Denton profile picture
Denton
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Awesome place great people u want to check this place out most definitely 😜
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Tyler profile picture
Tyler
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A treatment center where the owners truly care about your recovery and after care.. cannot recommend enough
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Jodana S profile picture
Jodana S
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If you want to detox painlessly this is the place! The staff is A1. They truly care about us. The groups are awesome . Residential is crazy awesome! You live in a mansion. With a private chef who makes the best food. Community meeting that gets results fast, they care about your opinions. Pool and Jacuzzi are beautiful. If your struggling with addiction this is the house you should come to. I LOVE HARMONY PLACE!!!!! Thank you to all the staff they go above and beyond to make this experience comfortable therapeutic. Don't spend another day in your addiction come to Harmony Place right now!
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Cass profile picture
Cass
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I’ve been to 4 treatment centers before Harmony Place, and I can tell you without a single doubt that this is the absolute best by FAR. The past ones were luxury Residential Treatment centers that just treated every single client the same not tailoring to each individual, and were basically just in it for the money, dropping the ball each time. I can also tell you that I’ve never met the CEOs, but here, David comes to the facility almost every single day, and makes sure he get to know every individual here. He is incredibly kind, and was even willing to transfer me to another facility with a higher level of trauma therapy due to me having a lifetime of trauma and PTSD that just is going to take a long time to tackle. He truly cares about all of the clients having all of the tools that we need before getting released to the real world. No more of other CEO would ever be willing to miss an opportunity at making more money and even paired with my IMPECCABLE case manager to find a different facility that was more trauma based. My case manager, Sam, goes absolutely above and beyond in every single aspect. She makes sure you have a smooth transition into aftercare, provides out of this world advice when it comes to sobriety, and takes the time out of her day to make sure that FMLA and short-term disability are completely taken care of during your stay. I’ve never met a case manager that could ever compare to Sam. Ever. I feel lucky to have met her, genuinely. Marissa, my therapist, is SO SWEET, actually listens to you, and provides advice and therapy tailored to each individual’s experience. She’s handled every mood I’ve been in, never judged me, and allowed me to feel safe enough to tell her things I’ve never told any person or therapist in my 29 years of life. I’ve been going to therapy for the past 15 years, and none of those therapists even come close to how amazing she is. I’ve been to 4 other treatment centers in my life and none even come close to Harmony Place. The facility is clean, organized, and high-end. I would recommend Harmony place to my family, friends, and anyone seeking treatment. I feel SO BLESSED to have landed in their hands. THANK YOU TO EVERYONE IN THE CLINICAL STAFF BEYOND WORDS. I love you guys ❤️❤️❤️❤️❤️❤️. I feel more confident than ever in my Recovery.
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Gabe H profile picture
Gabe H
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Where to begin.. Harmony is a place that will forever be a part of my story as the first step in my recovery journey. I’m so grateful for this program. The staff is very friendly, and many of them understand what addiction is like, for they themselves have recovery stories of their own. They have an awesome team of therapists, group facilitators, nurses, RA technicians, medical and health professionals, a wonderful case manager for aftercare that cares deeply for your next steps; making sure you are set up for success. They have a wonderful admissions team (shoutout to Marielle who was so kind and understanding of my messed up situation). Everyone is very relatable and friendly. They invest heavily in the importance of diet and nutrition too - there’s a full time professional chef. I gained all the weight I lost and wanted back in the first two weeks lol. On top of the intensive programming they do throughout the day, they take us out to experience various kinds of outside groups to get a taste of the real world, and also take us on social outings during the weekend. If you’re serious about getting better this place will meet you where you’re at and prepare you to launch with a renewed mind and heart.
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Monica P profile picture
Monica P
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I can't begin to explain just how amazing Harmony Place is. In fact, when we sit down with the owner, Jeff, and clinical director, David, on Monday mornings to have a house meeting, they ask us what they could be doing better. A bigger blender for smoothies is the ONLY thing we could come up with. Let me begin by addressing some negative reviews. If you notice many of them are from people, or are referring to people who have been asked to leave. It is because of harmony places protection of their clients that provide ideal conditions for healing and progress. There is a screening process that it is implemented where they make sure the clients they admit are ready to start a life of sobriety. Some people slip through the cracks. Some people find out a few days or weeks in that they've changed their minds. Some are inappropriate and break rules. It happens. When Harmony Place ask people to leave, It's because they are protecting the people who are here that want treatment. In effect, they're providing exactly what I needed for a genuine start to recovery. When I began my search for a treatment center, my requirements were that the facility's provide an environment in which its residents all want to be there and that it is ethically ran. I got that and so much more at Harmony Place. As well as a structured routine, they also provide a confidential and nurturing environment where one feels safe and where profound healing can begin. Their program offers a sound foundation where further progress in sober living is almost guaranteed. In group meetings, we enjoy getting to know ourselves again and with deeper understanding about why we are the way we are. We are provided with skills to handle real life. Its here that I've come to understand that its not addiction that has driven me to make a mess of my life. It is the trauma that I endured and not processing it correctly that lead to poor thinking patterns that opened the door to addiction resulting in poor life management. So we start at the bottom. Trauma. They help us understand that trauma has led to our own toxicity, what that trauma looks like and how to get out of our own way. Process groups help us learn how to take accountability and foster healthier relationships. I learned here that changing the way I think is absolutely possible and imperative to the healing process. Harmony Place offered me hope when I previously felt I was unfixable and a support team that truly loves me. Even after I leave here, I have contacts that almost demand I keep in touch and an alumni meeting where I can return to the facility on Thursday nights. I wasn't a 12 stepper when I came here but my first experience with it was not one where I was ready to stop using. I understand now that the steps will work for me. It's certainly is not the only modality that they teach. In one group, we are provided an opportunity to sit with a recently retired medical doctor to just ask questions. Another is with a nutritionist. There are a handful of people IN recovery that come to lead groups that are all accredited highly specialized where I felt understood and not judged. The knowledge I have gained here is life changing. It is also versatile and relatable for all types of people. my favorite group was dialectical behavioral therapy. There are breathing classes and sound bath groups and I started doing yoga in the morning. There's a dharma meeting they take you offsite that focuses on Buddhist values. A fantastic onsight chef provides three meals and you can have special requests. We facilitated our own Movie nights during free time. I cant forget to mention you get your own one on one meetings with your assigned primary therapist and there is comprehensive medical support complete with 24/7 nurses and a doctor that shows up throughout the week. If this is what you need to recover and you have mediCAL, cancel your mediCAL and get insurance Harmony Place accepts if you can. There are people to help you with that as well. Just call. Many, many thanks to the staff. ✔️Another life changed.🙏
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Cody B profile picture
Cody B
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This is such an amazing place truly changed my life. I would recommend this place to anybody if they’re looking for a strong recovery house that truly cares about your recovery and not about just money So if you’re ready to change your life, don’t miss out on the greatness of harmony because this place is where it’s at
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