Drugs and Alcohol: Their Use and Effect on Psychological Well-being

Ghulam Murtaza
3 min readJun 24, 2024

Alcohol and drug dependence is one of the significant factors contributing to mental health all over the world today. Substance abuse results in the manifestation of mental health disorders worsen pre-existing conditions and triggers a vicious cycle involving substance dependence and mental ill-health. Evaluation of substance use on mental health is essential to realize prevalence for course and treatment.

Impact on Mental Health

1.Development of Mental Health Disorders:

Chemical dependence may lead to the development of mental illnesses and diseases. Drugs and alcohol have a psychoactive action on the body; hence, conditions like depression, anxiety and psychosis are not uncommon. For instance, alcoholism in the long term can result in depressive disorders, while such stimulants as cocaine or methamphetamine induce fear and paranoia.

2. Exacerbation of Existing Conditions:

Many mental disorders predict vulnerability to substance abuse, especially those with a previous history of mental disorders. Self-treatment by using and relying on drugs and alcohol can exacerbate the symptoms and make treatment even more complicated. For instance, a person who is diagnosed with anxiety will initially notice that drinking helps to calm the stress, and this gradually results in fear as well as dependency on alcohol.

3. Co-occurring Disorders:

Dual diagnosis, when both substance abuse and mental health disorders are present, is also quite prevalent. Diseases like bipolar disorder, schizophrenia, and PTSD often accompany individuals with substance use disorders. This makes dual diagnosis challenging since both substance use and a mental health disorder require intervention and treatment.

4. Cognitive Impairments:

Long-term use of substances also has negative impacts on the brain and results in poor memory, lack of focus, and poor decision-making skills. These cognitive impairments can remain long after the Substance dependence has ceased and limit a client’s capacity to participate in and derive benefit from treatment.

5. Increased Risk of Suicide:

Specifically, substance abuse boosts the chances of suicidal ideation and attempts. Depressants combined with the likelihood of engaging in risky behaviours while under the influence of substances make it extremely dangerous for persons with substance use disorder and mental illness.

Treatment and Prevention

1. Integrated Treatment Approaches:

Substance abuse and mental health disorders must be treated under the umbrella of an integrated treatment plan that targets both problems at the same time. This might involve the administration of drugs, counselling, and group sessions with fellow patients. It is worth mentioning that CBT and DBT are the most useful in treating patients with dual diagnosis.

2. Early Intervention:

Substance use and its relation to mental health can significantly be minimized when the earliest signs of abuse are detected and addressed. Referral between mental health and substance use services is thus mutually beneficial as it will help in early identification and effective intervention.

3. Support Systems:

Patient support groups with families, friends, and other recovering patients are also sources of essential support. They offer emotional support, promote adherence to treatment regimens, and enable people to remain actively involved in the treatment processes.

4. Education and Awareness:

Disseminating information to the public regarding substance use and the adverse effects it has on mental health may help prevent and intervene in pre-symptomatic cases. This is because awareness creation campaigns and school programmes must be employed to eliminate the stigma of seeking help.

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