Substance Use Disorder
💭 Behavioral Health
Force Field Fact Sheet · Substance Use Disorder

Build Your Force Field for Substance Use Disorder

A one-page primer with sixteen squares of essential knowledge, skills, and supports. Written with the modern, non-stigmatizing language of medicine — because that’s what works. Treatment is real. Recovery is real. The brain heals.

Tell Me So I Can Understand

If you ever need to explain in 30 seconds — to a coworker, a partner, a teacher, a coach, a stranger who’s with you when something happens — start with this.

“I’m in treatment for substance use. It’s a medical condition — my brain learned to lean on a substance, and now I’m working with my care team to unlearn that. I wanted you to know because if I look different, act different, or need to step away from something we used to do together, that’s part of the work, not a failure. And if something ever looks really wrong — if I’m not waking up or my breathing is off — please call 911 and ask for naloxone.”

That’s the four-beat structure of every good disclosure: name it · explain it in one plain sentence · why you’re sharing · what you want them to do. Use your own words — it’s a starting line, not a script. Three pocket versions for specific people are at the bottom of this page.

🎯Three Content Types · One Force Field

Every square belongs to one of three content types — not three levels you climb. They tell you what kind of square you’re reading: a concept to understand, a habit to live, or a way to share what you’ve learned. Where you actually track personal progress is your Prepared Patient Course (modules completed) and the Skills Lab (skills signed off).

📘 Learn It Content type

The Learn It squares are concepts to absorb — what SUD actually is, why MAT works, what overdose looks like, what stigma costs.

Concepts
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🛠 Live It Content type

The Live It squares are daily skills and habits — MAT adherence, craving response, naloxone-at-home, the people you call.

SkillsActions
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🛡️Your Force Field — 16 Squares

Read each square. The deeper detail for each will live in the Prepared Patient · SUD course (next build).

Learn ItKnowledge & Self-UnderstandingSquares 1–5
1🧠

What SUD Actually Is

A medical condition of brain reward circuits. Not weakness. Not a choice once it sets in.

Learn It
2🧬

Why MAT Works

Medication-Assisted Treatment (buprenorphine, methadone, naltrexone) is the modern, evidence-based playbook.

Learn It
3🚨

Spot an Overdose

Unresponsive · slow or stopped breathing · blue/grey lips. Naloxone now. 911. Recovery position.

Learn It
4🌀

Triggers & the Craving Loop

People · places · emotions · HALT (Hungry/Angry/Lonely/Tired). Knowing yours is half the battle.

Learn It
5⚖️

Stigma & the Language of Recovery

“Person in recovery” not “addict.” “Return to use” not “relapse.” Words shape outcomes.

Learn It
Live ItDaily Skills & System LiteracySquares 6–13
6💊

MAT Adherence

Take it as prescribed. Don’t skip. Don’t double. Call your team before you stop.

Live It
7🆘

Craving Response — the 5 minutes

Cravings are waves, not floors. Tools: call sponsor · cold water · walk · HALT check.

Live It
8💉

Naloxone at Home

Two doses, where everyone in your house can find them. One trusted person knows how to use it.

Live It
9🩺

Make Every Visit Count

Use the Prepared Visit Tool. Talk MAT dose, cravings, slips, sleep, stressors.

Live It
10🤝

Your Care Team

SUD specialist or PCP, behavioral health, peer recovery, social worker, sometimes pharmacist.

Live It
11📱

Telehealth & Apps

MAT via telemedicine is real and effective. Phone meetings count. Recovery apps work for some.

Live It
12💳

Insurance & Cost

MAT is covered by most insurance. Naloxone is often free. Don’t suffer in silence about cost.

Live It
13🛡️

Your Rights — ADA, FMLA, Housing, Workplace

SUD in recovery is a protected condition. Know your rights at work, in housing, and around your kids.

Live It
Share ItAdvocacy & AmbassadorshipSquares 14–16
14🎓

Teach & Mentor

Be the one who explains naloxone to a friend. Mentor someone newly in recovery.

15📣

Fight the Stigma You Encounter

Correct “junkie” or “clean” in your circle. Tell your story when it’s safe. Share what works.

16🔬

Research, Trials & Policy Voice

Decriminalization, harm reduction, MAT access, supervised use sites — the science moves faster with patient voices.

💉

Naloxone at home is non-negotiable — and it can be free.

Pharmacies dispense it without a prescription in most U.S. states. State Good Samaritan programs cover it. Community harm-reduction orgs hand it out. Your health plan likely covers it as a benefit. Two doses, kept where they can be found in the dark, by someone other than you. Naloxone is a Foundation skill in the FFH Skills Lab — get signed off and teach a trusted person.

Open the Skills Lab →
How to Talk to Your Care Team

Three things to learn before you actually need them: when to use which door, how to describe a craving or a slip, and what good questions look like.

This is the teaching. The fillable forms, editable question lists, printable summaries, and post-visit teach-back live in the Prepared Visit Tool. Trackers (cravings, MAT doses, sleep, mood) live in your Prepared Patient Course.

When something happens — which door do I use?

Recovery is not linear and not every wobble is an emergency. The four-step ladder helps you pick the right response.

1

Handle at home

  • A craving you can ride out (most craving waves last 5–20 minutes)
  • A hard day at a meeting or a hard memory surfacing
  • Sleep was rough for a night — recover with hydration + early bedtime
  • A single emotional trigger you have a tool for (sponsor · cold water · walk)

Log it. Use your tools. If it’s not breaking, move up the ladder.

2

Call the office / message the portal

  • Persistent cravings that won’t quit — days, not hours
  • Missed one or more MAT doses or ran out
  • Sleep destroyed for several nights
  • Mood dropping or anxiety spiking
  • New medication from another doctor (some interact with MAT)

Same day. Most SUD teams have urgent slots. Don’t wait until your next monthly appointment.

3

Urgent / Acute care

  • A slip / return to use without overdose — tell someone within 24 hours
  • Withdrawal symptoms getting worse (shakes, vomiting, can’t keep fluids down)
  • A pain problem you’re afraid to treat at home
  • An infection at any injection site

Bring your MAT med list. Tell the urgent care team you’re in MAT — it changes their pain-control approach.

4

ER NOW / call 911

  • Overdose — theirs or yours. Give naloxone, call 911, recovery position. Stay.
  • Anyone unresponsive, not breathing normally, blue lips, gurgling
  • Seizure
  • Chest pain or stroke signs
  • Suicidal thoughts with a plan or means

Good Samaritan laws in most states protect the person calling 911 from minor drug-possession charges. Call.

How to tell your team about a craving or slip in 30 seconds

The same six questions clinicians use for any new symptom work for cravings and slips. Give all six and your team can act faster.

1
What is it?

Craving · slip · withdrawal · emotional spike · sleep collapse.

2
How bad?

0–10. Compare to your worst week if 0–10 isn’t enough.

3
When did it start?

Day, time, what was happening. Often there’s a trigger right before.

4
What made it worse?

People · places · emotions · sleep loss · an event.

5
What helped?

Sponsor call · meeting · walk · meal · HALT check · MAT dose.

6
What else was new?

New medication · new stressor · missed MAT dose · new person · new place. The thing you almost forget is often what shifted the wave.

Worked example

“The craving started Wednesday after I ran into someone from my old life, it’s been a 6 most of the day, sleep was bad last night which made it worse, calling my sponsor brought it down to a 3, and I’ve been skipping meals all week.” That sentence gives your clinician everything.

Questions worth asking — what good questions look like

Examples to learn from. When you’re actually preparing for a visit, the Prepared Visit Tool lets you check the ones you want, write your own, and print or send them to the portal.

Four that apply to every patient, every condition, every visit:

  1. “Could this be a side effect of one of my medications, a supplement, or something else I’m doing — and should we change that?”
  2. “Would any non-drug therapy help — physical therapy, meditation, rest, ice or heat?”
  3. “If I can’t afford this medication or this test, can we talk about samples, alternatives, or a social worker who can help?”
  4. “What should I be watching for between now and my next visit — and when do I handle it myself, when do I call your office, when do I go to urgent care, and when do I go to the ER?”

Questions specifically for SUD & recovery:

  1. “Is my MAT dose still right for where I am, or should we adjust?”
  2. “What’s the plan if I slip — who do I call first, and what happens next?”
  3. “Are there any medications I should know interact with my MAT — sleep aids, cold medicines, anything from another doctor?”
  4. “Naloxone — do I have enough, does my [family / partner / roommate] know where it is and how to use it, and how do I refill?”
  5. “Are there peer recovery groups, sober-curious communities, or recovery housing options I should know about in my area?”
Workflow lives next door

Use these tools when you’re actually preparing for a visit

The fillable Pre-Appointment Checklist, the editable question lists, the printable summary, and the post-visit teach-back — those are workflow, and they live in the Prepared Visit Tool. This Fact Sheet teaches you the concepts; the Visit Tool walks you through doing it.

What to Tell People in Your Life

Three pocket versions of your “Tell Me So I Can Understand” — for specific people, specific moments.

Same four beats: name it · explain it · why you’re sharing · what you want them to do. Tuned for who you’re talking to.

💼

For a coworker, boss, or new manager

“I’m in treatment for substance use, and I don’t drink. You don’t need to change anything about your nights for me, but please don’t take it personally if I skip the bar. If you ever notice me looking off — really off, not just tired — check on me. ADA protects this and my care team can document it for HR if anything comes up.”
👫

For a new partner, friend, or housemate

“I want to tell you about my recovery. I’m in treatment for substance use — it’s a medical condition and I’m doing the work. I’m not contagious. Some days are easier than others. I’d love your help with two things: don’t pour me a drink, and if you ever see something that worries you, tell me directly. I’ll show you where my naloxone is and teach you how to use it — not because I think I’ll need it, but because the cost of you knowing is zero.”
🚑

For a first responder, ER team, or carry as a card

“I’m in MAT for opioid use disorder. My current medication is [buprenorphine / methadone / naltrexone, dose]. My SUD specialist is at [name · clinic · phone]. My pharmacy is [pharmacy · phone]. I’m allergic to [allergies]. If I’m unresponsive and not breathing normally, please give naloxone — it’s in my [bag / pocket / car]. My emergency contact is [name · phone].”

Tip: keep this on your phone’s medical ID screen and in your wallet.

📋 Want this card built for you — with your medications, allergies, and care team already filled in? Take the Prepared Patient · Substance Use Disorder course and we’ll build you a personalized Emergency Card — print-ready, phone-ready, wallet-sized. Carry it. Save it to your phone’s medical ID. Give one to the person you live with.