- Table of Contents
Misperceptions
Click the play button below to hear this page read aloud.

MYTH: Addiction is a voluntary behavior and people just don’t feel like quitting.
✔ FACT: The initial decision to use a substance may be voluntary, but individuals do not choose to have a substance use disorder. Using substances changes brain chemistry and individuals develop tolerance (needing to use more of a substance to feel the same effects) and dependence (using a substance to feel ‘normal, regular, or stable’).
MYTH: Addiction is a character flaw.
✔ FACT: Substance use disorders are brain disorders. Substance use changes brain functioning, and this can impact all aspects of an individual’s behavior including prioritizing substance use over anything else.
MYTH: Addiction typically affects ‘certain types’ of people.
✔ FACT: Substance use disorders do not discriminate and can affect anyone regardless of age, socioeconomic status, gender, race/ethnicity, etc.
MYTH: People have to ‘hit rock bottom’ before they will seek treatment or get well.
✔ FACT: This is not true. Individuals can seek treatment at any time, whether their SUD is mild, moderate, or severe. The longer a person waits to get help, the sicker they will likely get, and the sooner someone gets help the better.
MYTH: If someone relapses, they are a lost cause.
✔ FACT: Returning to use is a recurrence of symptoms for substance use disorders. SUD’s require lifelong management and getting well is a process that involves changing deeply embedded behaviors. This takes time and effort, and there may be setbacks.
Stigma
Stigma is a set of negative, and often unfair, beliefs that people have about something. Many of the above misperceptions create stigma about people with substance use disorders.

Stigma can lead to:
- Stereotypes - thoughts about a certain group of people
- Prejudices - feelings about a certain group of people
- Discrimination -behaviors towards a certain group of people
Stigma is complex, and external stigma may create self-stigma among individuals with substance use disorders.
✔ Reflection:
Are there any misperceptions that you had about substance use disorders or recovery? Write them below and consider how they have been challenged.