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hi iamp;#39;m dr shelly greenfield iamp;#39;m the chief academic officer and also the director of the alcohol drugs and addiction health services research and education program at mclean hospital and these are the answers to some of the most frequently asked questions about substance use disorders what is substance abuse so substance abuse is a very commonly used term but we donamp;#39;t use it as frequently medically anymore the reason is that we know that substance use disorders are highly stigmatized conditions and what weamp;#39;ve learned through research is that the term substance abuse carries with it a high level of stigma instead we talk about substance problems and substance use disorders substance use disorders are a medical condition diagnosed like other medical conditions by a constellation of symptoms across several different domains what are the characteristics of substance use disorders so we diagnose substance use disorders using five categories five categories are