The use of various substances increased during the pandemic, which is not over, nor are the long-term effects of it. How do we know substance use becomes an issue? People use the term denial a lot but most people know when they have an issue. If we seek to understand rather than judge it can help people to begin to explore their relationship with the substance and decide if they would like to make any changes. Here is a perspective to consider: https://news.harvard.edu/gazette/story/2022/06/harvard-specialists-sift-damage-of-pandemic-era-drinking/?fbclid=IwAR3PnxfOmKB4UUiQUUsWn9gUEEhZ-DATV9TFEXJinZuy5SBOqJK8EVuczj0&utm_source=facebook&utm_campaign=hu-facebook-general&utm_medium=social