The Dangers of Self-Medicating

Studies have shown that more than 23 million American adults have had a substance use disorder; that’s roughly 10% of our population. Whether it’s through food, cigarettes or even hardcore drugs like heroin, many people rely on some sorf of self-medication 1. Substances likes these produce a chemical reaction to manage emotional and physical pain.

Would you like to learn about self-medicating, the reasons behind it, and how to treat it to change your life for the better? Read on for all the information you will need about the dangers of self-medication.

What Is Self-Medicating?

Self-medicating is described as using substances or activities to cope with various problems in your life. All types of people use self-medication as a way to get through the day. Even those who are completely aware of their issues may have self-medicating problems.

Many forms of self-medication are rooted in addiction. Engaging in addictive behaviors more often will only exacerbate the problem. Most people think of alcohol and drugs as the only forms of self-medication. However, there are also lots of other substances and habits that qualify.

self-medicating in public

Why Do People Self-Medicate?

Most of the time the root cause of self-medication is too much stress or pain in life. Because of this, the addict is unable to find effective ways to manage it. There can be one cause or a combination of factors that push someone to cope through self-medication.

Targeting the reason someone self-medicates is one of the keys to treating the behavior. It also helps to find other methods of coping.

Below are some of the most common reasons that people become addicted to using substances.

Anxiety, Depression, and Other Mental Disorders

Anxiety affects about 40 million adults in the United States alone 2. It is one of the most common mental disorders. Unfortunately, it is also one of the main causes of self-medication. Substances can numb feelings of anxiousness and stress caused by the chemical imbalance in the brain from anxiety disorders.

For those who have depression, drugs are often used as a way to take the edge off of feelings of despair and loneliness. People with depression will also take drugs that increase chemicals like serotonin and dopamine. Their brains have trouble making the chemicals on their own.

Anxiety and depression are two of the mental disorders that are most talked about when it comes to addiction. Self-medication is also common even with problems like bipolar disorder and schizophrenia. For instance, someone with bipolar disorder may try to use substances to level out when going through intense periods of mania or depression.

Outside Stressors

One of the most common reasons for people to self-medicate is due to stressors from outside of themselves that affect their life. When the stress is too much to function at a normal level, people will turn to substances to help manage it.

Sometimes a difficult job or working long hours can also be a reason to self-medicate. For instance, truck drivers who work long and grueling hours will often take amphetamines and other stimulants. These substances can help them to stay awake during nights on the road.

Another external stressor can be a life event like moving, changing jobs, having a baby, or getting a divorce. When you go through a major transition, your body will often go into survival mode. Survival mode can cause chemical imbalances that can prompt rash decisions.

Suffering from Abuse

Victims of abuse are one of the most susceptible groups to self-medication. Abuse can cause a great deal of mental and emotional stress. Because abuse often happens on a regular basis in the home environment, it can be difficult to escape it.

If someone experiences ongoing abuse, such as sexual abuse, then taking drugs can be a coping mechanism. It might dull the trauma in order for the victim to handle it emotionally. They may also self-medicate when away from their abuser to feel more normal.

Even if someone removes themselves from an abusive situation, they may still have problems with self-medication. When you become addicted to a substance, the habits are ingrained. It may be difficult to stop addictive behaviors that helped the victim get through the abuse.

Coping with Earlier Trauma

People who suffer from trauma in their childhood or early life often have problems with self-medication. Even if it has been years since the time of the traumatic event, it can still cause emotional pain for victims.

Substances can help with conditions like post-traumatic stress disorder. Self-medication may ease the pain of flashbacks and aggressive behavior. People with post-traumatic stress disorder are 14 times more likely to use substances to cope 3.

Self-medication methods, especially drugs or alcohol, can be a form of escapism for trauma victims. Even if they get a prescription from a medical professional, it can be all too easy to keep using. A simple prescription can lead to addiction.

Common Substances Used to Self-Medicate

Almost any substance or activity can have an effect to combat physical or emotional stress. Some are chemical solutions, such as alcohol or prescription drugs. Other behaviors like binge eating and too much exercise are also considered forms of self-medicating 4.

For some people, food is their substance of choice when looking for a way to de-stress from their problems. Emotional eating occurs when someone uses food for a purpose other than satiating hunger. This is more commonly known as comfort or binge eating.

Sometimes comfort food can be a good idea if you are grieving or going through a finite emotional state. It can become a problem when used as a coping mechanism. This type of behavior can often lead to conditions like binge eating disorder.

When you want to binge eat to treat an emotion rather than hunger, you’re also less likely to reach for healthy, nutrient-rich options. Instead, foods with high amounts of sugar, salt, grease, and fat will provide temporary boosts to the dopamine in the brain. These boosts can increase feelings of pleasure and satisfaction.

Although not discussed as much in the context of self-medication, some people use exercise as a way to self-medicate. These cases often fly under the radar because our society sees exercising and over-exerting oneself as a good thing. Too much exercise, like anything else, can be a sign of a problem.

For those who have an eating disorder like anorexia, over-exercising is a way to burn as many calories as possible and maintain control. It can also relieve feelings of guilt from eating too many calories or not meeting weight goals.

Exercise in moderation is great, as it can help keep your body healthy. It also releases endorphins, which are natural mood enhancers. Too much of it can be a sign that you are trying to suppress something. Too much exercise can actually cause many more problems with your mental health.

Studies have shown that nearly six percent of adults in the United States have some type of alcohol use disorder 5. Many people become addicted to alcohol through the prevalence of it in American culture. Alcohol is a popular way to self-medicate because it is socially acceptable.

One of the reasons that alcohol is so accessible to the general population is its availability. The only bar for buying alcohol is age. For someone under the age of 21, it is all too easy to convince an older person to buy alcohol on their behalf. You can buy alcohol at almost any grocery or convenience store.

Alcohol is classified as a depressant, and many people use it to mask or dull feelings of pain and trauma. A glass of wine or a drink can be a good way to relax with friends or have a drink with dinner. However, it can often be the beginning of a slippery slope towards addiction.

Even if someone who uses alcohol only does so moderately, it can be dangerous when combined with other substances. Doctors advise against consuming alcohol with any types of opioids or antidepressants. The effects of combining them can be detrimental or even deadly.

Marijuana, more commonly known as weed, is one of the less harmful substances that can help treat many problems. It can still lead to addiction through self-medication. Even though you cannot become physically addicted to marijuana, psychological addiction is possible 6.

People who suffer from anxiety can use cannabis to help ease tension and worry. It can also be used to cope with situations that give them anxious feelings. Jumping at it as the first solution to any uncomfortable feeling can lead to psychological dependence on marijuana.

If you find yourself needing marijuana to function, then you could have a problem with self-medicating. You can also develop a tolerance to it that builds up over time. Users often end up spending much more in the long run to achieve the same high they got when they first started smoking.

Heroin is one of the most popular street drugs that can be incredibly addictive. Many forms of heroin today are also laced with fentanyl. Fentanyl is an artificial chemical that is much more powerful than pure heroin. It can be even more dangerous when combined with other drugs or alcohol.

Many sellers also have connections to get prescription drugs. They sell these drugs on the street for those who are unable to get a prescription from their doctor. That way, the addict can continue to self-medicate without having to worry about running out of their prescription.

Stimulants like cocaine, crystal meth, and speed are also options for people who suffer from depression. Amphetamines can help users have more energy. They can produce a sense of euphoria while also separating the user from reality. Like opioids, they are also highly addictive.

Addiction to street drugs can lead to many other problems. Addicts will often commit crimes in order to purchase more drugs. Failure to pay dealers can also have consequences. This can compound into a lifestyle that involves activities like robbery and even prostitution.

One of the most popular methods of self-medication is through prescription drugs. Opioids are one of the most common prescription drugs. Many people have a perception that street drugs are the largest drug problem. However, doctors prescribing powerful pain medications account for much of the drug problem in the United States.

Doctors will often prescribe opioid painkillers after a patient has had a medical procedure like surgery. An injury that causes a significant amount of pain may also need opioids. People can get easily addicted to these because they have euphoric effects.

Some of the most abused prescription painkillers include codeine, oxycodone, and morphine. They are readily available with a prescription or purchase through the black market and street dealers. Users addicted to prescription painkillers will sometimes move onto harder street drugs, like fentanyl.

Another type of medication that people use to cope with problems is anxiety medication. Even these types of medications can be powerful. Daily antidepressants are a great way to treat anxiety. Medicine that quickly reduces anxiety symptoms can become addictive.

Xanax is often prescribed for immediate relief of anxiety. It may help when the patient begins to have a panic attack. Classified as a sedative, it can produce feelings of relaxation. Xanax is one of the most abused prescription drugs.

Similar to Xanax, Klonopin is another anti-anxiety prescription that has similar effects. Klonopin blocks nerve receptors in your brain that respond to feelings of anxiety and panic. The biggest side effect from Klonopin is extreme drowsiness.

These drugs have the potential to become highly addictive and users will often build up a tolerance. As time goes on, the user needs more of the drug to get high. This can lead to larger doses that can be fatal if the body cannot handle the amount of drug in the system.

Although cigarette use has reduced drastically in the past few decades, it is still a common way for users to self-medicate. Like alcohol, cigarettes are easy to buy, with the minimum age ranging from 18 to 21 in most states.

Nicotine can be overly dangerous in a vehicle like a cigarette, chewing tobacco, or a vape pen. With the traditional cigarette dying off, options to get youth hooked on nicotine have risen in popularity with flavored vape liquids.

Many of the chemicals from nicotine devices can cause permanent damage to the lungs, heart, and other vital organs. Even if someone stops smoking, it can take decades to undo the damage caused by their addiction to nicotine-based substances.

It is easy for cigarette addicts to get their fix, even in public spaces, because smoking is not illegal and still widely accepted. A smoke break for five minutes can deliver a quick burst of nicotine to the brain, which will hold the smoker over until their next cigarette. The longer you smoke, the more you need to generate the same feelings in your brain that respond to the nicotine.

Treatments for Self-Medicating

For people who self-medicate, there are a variety of different treatment options available. These depend on the price range, the level of intervention needed, and the willingness of the addict to take charge of his or her own life.

Inpatient or Outpatient Rehabilitation

For people who have serious self-medicating problems, rehabilitation may be the best option to break free from addiction and start fresh. These types of programs often combine detoxing, therapy, and learning how to manage triggers with healthy coping mechanisms.

Inpatient rehabilitation is a common preference for people who have drug and alcohol addiction. It is the only option if they have to go through a supervised detox process. For those who have less serious self-medication problems, outpatient rehab can achieve the same results.

Rehabilitation is often ordered through the court system as an alternative punishment. It is a great option for someone who needs a supervised and intensive method to break free from addiction and self-medicating.

Support Groups

Many types of support groups exist for people who use substances to self-medicate 7. Often, talking to others who share the same problems can be an effective way of helping the recovery process. It is also a private setting to share experiences without judgment.

The most prevalent support group is for alcoholics, called Alcoholics Anonymous. There are branches of Alcoholics Anonymous all over the world, and even versions that you can call into by phone if you are unable to show up in person.

For opioid and narcotics addicts, a similar version exists, known as Narcotics Anonymous. There are also versions for binge eaters, cigarette addicts, and other common self-medicating methods. You can even go to a support group for shopping or spending too much money.

Support groups can be helpful for people who feel lonely or isolated in their addiction. They might need to be around people who know what they are going through. Most support groups have a program similar to sponsorship, where a more experienced member can mentor a newer one.

Suboxone Clinics

For opioid or hard drug users, a more aggressive option involves switching to an alternative that can help break the addiction. Users can take substances like Suboxone to help block the opioid chemicals from activating brain receptors.

Over time, this method of therapy will eventually lead to breaking the addiction to opioids. Through regular visits to a Suboxone clinic, the patient can ease away from their addiction without suffering through the harsh and sometimes fatal effects of opioid withdrawal.

Suboxone is usually paired with Sublocade, known generically as buprenorphine. When an addict takes Suboxone, it is often combined with Sublocade, which will deliver a small stimulus to the brain receptors that react to opioids. This prevents withdrawal symptoms.

Suboxone is different from methadone, another popular drug used to break opioid addiction. Suboxone is much less habit-forming, so users do not have to worry about struggling with a new addiction. Patients can also take Suboxone in their own homes. That way, they do not have to worry about going to a clinic every time they need another dose.

Coping Techniques Through Therapy

While ceasing to use an addictive substance is the primary goal of those who self-medicate, they also need to have other ways of dealing with triggers. Coping mechanisms can help them avoid going back to the same destructive behaviors to manage difficult feelings.

Therapists can often help patients develop new perspectives on these habits and work with them to find effective methods. Sometimes going to therapy can uncover the root issue, whether it be past trauma, ongoing abuse, or outside stressors.

Mindfulness and meditation can be a good way to avoid using substances every time someone feels overwhelmed. This involves working to be at peace with your thoughts, as well as actively working to turn negative thoughts or feelings into positive ones.

Another coping technique is forming new, healthier habits to replace self-medicating. For example, if someone used to have a cigarette every time they felt stressed, they can instead go for a brisk walk to get the same release of chemicals from the brain.

There Is Help for Self-Medicating

If you or a loved one is self-medicating, you should not be afraid to seek help if you feel you have to. There are many resources and support systems available if you need assistance or resources for your journey to end self-medicating.

Would you like to know more about self-medicating and how to prevent or stop it? Contact us today, or visit a clinic to get answers to all of your questions and concerns, and get started on your treatment journey today.

Sources

  1. National Institutes of Health. (2015, November 18). 10 percent of US adults have drug use disorder at some point in their lives. Retrieved from https://www.nih.gov/news-events/news-releases/10-percent-us-adults-have-drug-use-disorder-some-point-their-lives
  2. Anxiety and Depression Association of America. (n.d.). Facts & Statistics. Retrieved January 26, 2021, from https://adaa.org/about-adaa/press-room/facts-statistics
  3. Mccauley JL, Killeen T, Gros DF, Brady KT, Back SE. Posttraumatic stress disorder and co-occurring substance use disorders: advances in assessment and treatment. Clin Psychol (New York). 2012;19(3). doi:10.1111/cpsp.12006
  4. Binge eating disorder. National Institute of Diabetes and Digestive and Kidney Diseases. https://www.niddk.nih.gov/health-information/weight-management/binge-eating-disorder. Accessed Jan. 25, 2018.
  5. National Institute on Alcohol Abuse and Alcoholism. Alcohol Facts and Statistics. Updated February 2020.
  6. Paul, M. |. (2014, April 16). Casual Marijuana Use Linked to Brain Abnormalities. Retrieved from https://news.northwestern.edu/stories/2014/04/casual-marijuana-use-linked-to-brain-abnormalities-in-students
  7. Delisle, Vanessa & Gumuchian, Stephanie & Kloda, Lorie & Boruff, Jill & El-Baalbaki, Ghassan & Körner, Annett & Malcarne, Vanessa & Thombs, Brett. (2016). Effect of support group peer facilitator training programmes on peer facilitator and support group member outcomes: A systematic review. BMJ Open. 6. e013325. 10.1136/bmjopen-2016-013325.