"If they're not drinking every day, it's not a real problem."
Binge drinkers often go weeks between episodes — infrequency doesn't mean it's safe. It's a myth that only daily drinkers have an alcohol problem.
The four stages, defined simply
These are the actual terminology categories professionals use — a ladder, not a light switch.
Drug Use
Taking a substance for its intended purpose, appropriately — like a prescribed medication, taken as directed.
Drug Misuse
Unintentional or inappropriate use (wrong dose, wrong timing) that ends up causing harm.
Drug Abuse
A pattern causing real consequences: missed classes, legal trouble, risky situations.
Drug Dependence
Now called substance use disorder — continued use despite serious consequences, needing more to get the same effect, feeling unwell without it.
A single misuse incident calls for a conversation. Signs of dependence call for professional help. Treating both the same way helps no one.