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Glossary

Plain-language definitions of terms you'll find across GAREP.

Abstinence
Not using a substance or engaging in a behavior at all.
Ambivalence
Wanting to change and not wanting to change at the same time — a normal part of the process.
Buprenorphine
A medication for opioid use disorder that reduces craving and withdrawal. Learn more
Co-occurring disorders
Having a substance use disorder and another mental health condition at the same time. Learn more
Contingency management
A treatment that provides rewards for verified progress, such as drug-free tests. Learn more
Craving
A strong urge to use or engage in a behavior, often triggered by cues. Learn more
Cue
A person, place, feeling, or object that has become linked with use and can trigger craving.
Delirium tremens
A severe, potentially life-threatening form of alcohol withdrawal involving confusion and agitation. Learn more
Detox (withdrawal management)
Medical support through withdrawal. A first step, not complete treatment.
Dopamine
A brain chemical involved in motivation, learning, and movement — not simply pleasure. Learn more
DSM-5-TR
The American Psychiatric Association's diagnostic manual, fifth edition, text revision.
Gambler's fallacy
The false belief that a win is "due" after a run of losses. Learn more
Harm reduction
Practical strategies that reduce the harms of use, such as naloxone and sterile supplies.
House edge
The built-in mathematical advantage that makes a gambling game pay back less than is wagered over time. Learn more
ICD-11
The World Health Organization's International Classification of Diseases, 11th revision.
Methadone
A long-acting medication for opioid use disorder, dispensed in the U.S. through certified programs. Learn more
Mutual-help group
A peer-led group, such as AA, NA, SMART Recovery, or Gamblers Anonymous.
Naloxone
A medicine that can reverse an opioid overdose. Available without a prescription in the U.S. Learn more
Near miss
A gambling loss that looks close to a win, which can increase the urge to keep playing. Learn more
Physical dependence
When the body has adapted to a substance and withdrawal occurs if it's stopped. Learn more
Return to use (relapse)
Using again after a period of not using. Learn more
Self-exclusion
A voluntary program to ban yourself from gambling venues or sites. Learn more
Substance use disorder
A clinical diagnosis for problematic use that is hard to control and continues despite harm. Learn more
Tolerance
Needing more of a substance to get the same effect. Learn more
Withdrawal
Symptoms that occur when a substance someone depends on is reduced or stopped. Learn more