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so substance misuse is really the use of any substance in any way any frequency any man or any quantity that can cause harm to the person using it or to the person around them to their environment and it can lead to addiction because it can lead to substance use disorder you know repeated misuse of substances causes changes in the brain which lead to substance use disorder and the most extreme form of substance use disorder is what we call addiction so at that point it really becomes a medical illness of the brain that is relapsing and is effectively lifelong but has the potential for remission and recovery with the right treatment you
