Xylazine Crisis: Why ‘Tranq’ Is Making Street Drugs Even More Dangerous

Xylazine is appearing in street drugs across the US, and it’s raising serious alarms. Nicknamed the “zombie drug,” it’s a veterinary tranquilizer that isn’t safe for humans. Even small amounts can slow your heart, drop your blood pressure, and slow breathing without warning.

Even more alarming is how fast it’s spreading. In just a few years, labs across the country have found more and more street drugs contaminated with xylazine. The biggest jumps were in the South, but it’s showing up everywhere. In one multi-city review, xylazine was almost nonexistent in overdose deaths back in 2015, under 1%. By 2020, it was involved in nearly 7% of cases.

Local testing shows even higher numbers. In Maryland, almost 8 out of 10 drug samples that contained opioids also had xylazine. And in Philadelphia, Pennsylvania recent reports found it in roughly a third of heroin or fentanyl overdose deaths.

What is Xylazine, and Why is it So Dangerous?

Xylazine is an animal tranquilizer and sedative used in veterinary medicine. For animals, it works safely under supervision. For humans, even small amounts can have profound effects. It slows the central nervous system, reduces heart rate and blood pressure, and causes extreme drowsiness.

When mixed with synthetic opioids like fentanyl, the combination is hazardous. The opioid slows breathing, and xylazine adds extra respiratory system suppression. Together, they can cause slowed breathing, drug-induced coma, or even death.

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The problem is that people using street drugs usually don’t know xylazine is present. It’s often added without warning. And unlike opioids, naloxone alone may not reverse the effects of xylazine. That’s why overdoses with xylazine are harder to treat and more deadly.

The Health Risks of Xylazine

Xylazine is not your typical street drug. It’s a veterinary tranquilizer designed to sedate large animals. That’s the first red flag, it was never meant for human bodies. When people take it, whether intentionally or unknowingly, the effects can spiral out of control quickly. Here’s what can happen:

Slowed Breathing

Xylazine slows the central nervous system, which means your breathing can become dangerously slow. Combine it with opioids like fentanyl, and the risk of life-threatening respiratory depression skyrockets. Breathing may get so slow that oxygen can’t reach your brain correctly, which can lead to a drug-induced coma or death.

Tranq Wounds

Xylazine can cause tranq wounds, deep, slow-healing ulcers at injection sites. They can appear even if the drug touches the skin without injection. These wounds are prone to severe infection, and untreated infections can become life-threatening.

Extreme Sedation (“Zombie Effect”)

Users may become extremely drowsy or move and speak very slowly, which is why people call it the “zombie drug.” In this state, it’s hard to stay safe, communicate needs, or respond in an emergency.

Polysubstance Risks

Xylazine rarely appears alone. It’s often mixed with synthetic opioids, cocaine, or other addictive drugs. Using multiple substances at once (polysubstance abuse) makes overdoses harder to treat, which greatly increases the chance of drug poisoning.

Overdose Risk and Naloxone Limitations

Even if naloxone is administered for an opioid overdose, it won’t reverse xylazine. That means someone could still experience slowed breathing, heart problems, or a drug-induced coma. Medical attention is critical, calling 911 can save a life.

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Signs of Xylazine Exposure

Here are some common signs that you need to watch out for:

Why Naloxone Isn’t Always Enough

Naloxone is a life-saving antidote for opioid overdoses. But xylazine is not an opioid, so naloxone won’t reverse its effects. A person may still experience severe sedation, slowed breathing, or heart rate collapse even after receiving naloxone.

Harm-reduction experts emphasize getting immediate medical attention. CPR, oxygen support, and rapid transport to the hospital may be required alongside naloxone.

Harm Reduction and Overdose Awareness

The safest and healthiest choice is to avoid street drugs entirely. They are unpredictable, often mixed with substances like fentanyl or xylazine, and can cause serious harm or death. If someone is struggling with substance use, professional treatment is the best way forward.

Still, we know some people continue to use. In those cases, there are a few things that can help prevent tragedy and protect lives:

1. Recognize the Risk of Fentanyl and Xylazine

Street drugs are often contaminated with dangerous additives. Fentanyl and xylazine are two of the most common, and both can cause rapid overdose. Because there’s no way to be certain what’s in a street drug, every single use carries serious risks.

2. Don’t Isolate

Overdoses are more deadly when no one is there to help. Having someone nearby who can call 911 or get medical attention can mean the difference between life and death.

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3. Watch for Overdose Warning Signs

Shallow breathing, slowed heart rate, or unresponsiveness are medical emergencies. Don’t wait! Call 911 immediately if these symptoms appear.

4. Be Prepared for Emergencies

Naloxone (Narcan) can reverse many opioid overdoses, though it won’t work on xylazine. Even so, it can save lives if opioids are involved. CPR and calling emergency services right away are also critical steps.

5. Take Health Concerns Seriously

Wounds, infections, or other complications from drug use should never be ignored. These can quickly become life-threatening without proper medical care.

6. Understand the Dangers of Unknown Ingredients

Street drugs are unpredictable and often far more dangerous than they appear. Fentanyl, xylazine, and other synthetic additives can be mixed in without warning. That means every dose is potentially life-threatening, even if it looks familiar. Treating street drugs as “unknown and unsafe” is the only realistic way to approach them.

7. Remember That Treatment Is the Safest Path

While awareness and emergency measures can reduce risks, they don’t eliminate them. The only true way to avoid overdose and long-term harm is to stop using. Professional treatment provides medical support, safety, and the tools needed to break free from addiction. Recovery is possible, and help is available.

Get Help and Treatment

If you’re struggling with xylazine or other street drugs, the safest and most effective way forward is professional treatment. Some people try to quit on their own, but with xylazine, the risks are high and the worst could happen even with small amounts.

Treatment gives you support, guidance, and safety. In a professional program, you don’t just detox. You get help for polysubstance abuse, medical care for tranq wounds, and learn strategies to avoid relapse. You also learn how to recognize and manage the dangers of addictive drugs in a way that’s impossible to do alone.

You have options: you can try to quit yourself, but professional help dramatically increases your chances of staying safe and truly recovering. Drug rehab programs like More Than Rehab specialize in xylazine addiction treatment, helping people safely detox, heal, and rebuild their lives.

If xylazine is part of your drug use, don’t wait another day. Getting treatment now could save your life. Contact More Than Rehab to start your journey toward recovery.

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How Gratitude Can Strengthen Your Addiction Recovery Journey

Gratitude may not be the first thing on your mind as you work through recovery. Most days, you might focus more on managing cravings, coping with stress, or simply making it through daily life. Yet gratitude can be one of the most powerful tools to help you stay grounded and steady on this journey.

Research shows that practicing gratitude brings measurable benefits. One meta-analysis found that people who practiced gratitude experienced a 7.76% decrease in anxiety and a 6.5% reduction in depressive symptoms. Gratitude has also been linked to better sleep, stronger relationships, and higher resilience.

Why Gratitude Matters in Addiction Recovery

Gratitude might seem like a small thing, but in recovery, it can make a big difference. Here are some ways gratitude can help you in addiction recovery:

Shifts Your Mindset

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Recovery often comes with regret, cravings, or negative thoughts. Gratitude gives you a way to shift your mindset and reframe these challenges. Instead of focusing on what you’ve lost, you begin to see opportunities for growth in your daily life. This shift, rooted in positive psychology, helps reduce self-blame and helps you build a more positive outlook on sobriety.

Builds Emotional Resilience

Relapse triggers, stress, and anxiety are common obstacles in recovery. Gratitude keeps you grounded and strengthens your emotional resilience. When you can pause and recognize aspects of life worth appreciating (even something as small as a meal, a safe place to sleep, or the support of a family member), you build emotional strength to face setbacks without returning to harmful habits.

Supports Long-Term Sobriety

Sobriety isn’t just about avoiding alcohol or substances; it’s about creating a healthier, more meaningful life. Gratitude supports this by improving sleep, reducing stress, and helping regulate emotions. These improvements give you the stability you need to maintain recovery and continue personal growth at a higher level.

The Link Between Gratitude and Mental Health

Mental health plays a central role in addiction recovery, and gratitude directly supports it. Scientific studies show that gratitude reshapes the brain, improves mood, and strengthens resilience against the emotional challenges that often fuel relapse. These benefits can be seen most clearly in these key areas.

Reducing Stress and Anxiety

Stress and anxiety are two of the strongest triggers for relapse in addiction recovery. Research in positive psychology shows that gratitude can lower cortisol and activate brain regions linked to emotional regulation. People who consistently practice gratitude report lower stress and anxiety levels, partly because their attention shifts away from negative thoughts and toward more balanced, hopeful perspectives. This shift makes it easier to manage challenges in daily life without turning back to substance abuse.

Combating Depression and Isolation

Depression and loneliness often linger long after alcohol addiction or substance abuse ends. Gratitude helps interrupt these cycles by strengthening social bonds and increasing feelings of connection. Studies suggest that people who regularly express gratitude experience higher levels of serotonin and dopamine, the same “feel-good” brain chemicals that promote motivation and joy.

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Physical Health Benefits

Gratitude supports physical well-being, too. Evidence links regular gratitude practices with lower blood pressure, reduced inflammation, and stronger immunity. Better sleep quality is one of the most consistent findings; people who write in a gratitude journal before bed often fall asleep faster and feel more rested. In addiction recovery, these physical improvements are critical because they reinforce emotional stability, reduce cravings, and give you the energy needed to continue your personal growth at a higher level.

Creating a Positive Mindset Together

Practicing gratitude in groups creates a shared positive outlook. When people in recovery celebrate milestones together, it builds motivation and hope. Gratitude becomes a collective force that keeps everyone focused on growth and healing.

How Gratitude Strengthens Connections With Others

Addiction often leaves relationships strained, but gratitude can act as a bridge to repair and deepen those connections. Expressing appreciation to a family member or friend group shows acknowledgment of their support, while also helping rebuild trust over time.

Within support groups, gratitude fosters a higher level of community by creating an atmosphere where encouragement and accountability naturally thrive. When gratitude becomes part of your daily routine, it strengthens social bonds, reduces feelings of isolation, and supports a positive mindset that reinforces long-term addiction recovery.

Simple Ways to Practice Gratitude Every Day

You can start with:

Gratitude Journaling

One of the most effective tools is gratitude journaling. Write down three to five aspects of life you are grateful for each day. They don’t have to be big. Sometimes, it’s the small things that shift your mindset, like a good night’s rest, a call from a loved one, or a warm meal. Over time, these lists create a record of hope and progress in your recovery journey.

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Gratitude Meditation

Spending a few minutes daily in gratitude meditation can calm the mind and reduce stress and anxiety. Sit quietly, close your eyes, and reflect on aspects of life you appreciate. This practice relaxes your body and strengthens your ability to focus on the positive, even during difficult moments.

Sharing Appreciation With Others

Gratitude grows stronger when it’s shared. Tell a family member, friend group, or support group what they mean to you. A simple “thank you” or acknowledgment of someone’s support can rebuild trust and strengthen bonds. This also reminds you that recovery is not a journey you take alone.

Incorporating Gratitude Into Your Daily Routine

Weave gratitude into your routine to make it part of your daily life. You could start a gratitude jar, writing down one positive moment each day and revisiting them later. Or you could add a quick reflection to your morning or bedtime routine. These simple habits make gratitude feel natural and help you stay consistent.

How to Overcome Challenges to Practicing Gratitude

Still, one of the hardest parts of gratitude is keeping it alive when life feels heavy.

When Negative Thoughts Take Over

Recovery is not free of struggle. You may feel weighed down by regret, cravings, or negative thoughts. Gratitude does not erase pain, but it gives you balance. When you choose to notice something good, no matter how small, you give yourself the strength to keep moving forward.

Stay Consistent in Daily Life

Like any new habit, gratitude takes effort. You might start a journal or try meditation for a few days, then stop. To stay consistent, keep it simple. Leave a sticky note on your mirror, jot one word in a notebook, or link gratitude to something you already do, such as your morning coffee. Small cues make it easier to keep gratitude part of your daily routine.

See Gratitude as an Opportunity for Growth

Gratitude does not mean ignoring difficulties. It means choosing to see opportunities for growth within them. This shift in perspective helps you face recovery challenges with a stronger mindset. Each time you practice gratitude, you strengthen resilience and move closer to the higher level of personal growth you are working toward.

Your recovery journey is not about perfection; it’s about progress. Each time you practice gratitude, you give yourself hope and resilience. At More Than Rehab, we’re here to walk beside you as you build those daily practices that make sobriety sustainable.

Start small. Notice one thing you are grateful for today. That single shift in perspective can keep you grounded, open the door to growth opportunities, and support a positive outlook for lasting recovery.

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The Impact of Inflation & Economic Stress on Substance Use Rates

Prices are going up fast. In June, the Federal Reserve’s go-to inflation gauge—the Personal Consumption Expenditures (PCE) index—rose 2.6% compared to last year. That’s up from 2.4% in May. When you take out food and energy costs (which bounce around more), prices still jumped 2.8%. Experts say part of the spike comes from tariffs and ongoing trade pressures.

Now, what does this have to do with substance use?

A lot, actually. When the cost of living climbs and the paycheck doesn't stretch like it used to, economic stress starts creeping in. Rent, food, gas, school fees, and more. It all adds up. Then pile on job insecurity, growing debt, and the psychological distress of it all, and one is left feeling stuck, anxious, and maybe even hopeless.

And when that stress becomes too much to carry, many people turn to alcohol, prescription drugs, or even illegal drugs to cope.

The Connection Between Economic Stress and Addiction

History and research show a clear link between unemployment and alcohol abuse. During recessions or periods of high unemployment, more people turn to alcohol and drugs, and existing users often intensify their use. Financial crises are correlated with increased rates of drug and alcohol abuse across society.

One reason is that unemployment and poverty (typical features of a recession) are known risk factors for substance misuse and addiction. The stress of losing a job or falling into debt can act as a trigger for drug use, and those who were already in recovery may be at high risk of relapse when faced with sudden economic instability.

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There is compelling data illustrating this relationship. Research suggests that for each one-point increase in a state’s unemployment rate, there is about a 9% increase in admissions to treatment for opioid addiction, with similar rises in treatment admissions for other substances like alcohol, cocaine, and marijuana. In other words, when layoffs and job losses mount, more people end up needing help for substance use disorders.

Another longitudinal study spanning 17 states found that opioid overdose deaths were heavily concentrated in economically disadvantaged areas. These are places with higher poverty, unemployment, and lower incomes. These findings reinforce that economic hardships (like job search or loss and financial insecurity) can fuel deadly increases in drug abuse and overdose deaths. Public health experts have even described surging deaths from drugs, alcohol, and suicide in hard-hit communities as “deaths of despair,” driven by long-term social and economic decline.

Different substances tend to surge during tough times. For instance, opioids (such as prescription painkillers or heroin) and synthetic opioids like fentanyl often see increased use in economically depressed periods. Fentanyl, a cheap and extremely potent illegal opioid, has become more prevalent in recent years, especially among people who may have lost access to prescription opioids or cannot afford treatment. Tragically, fentanyl has been a major driver of overdose deaths.

US overdose fatalities hit a record high of 106,699 deaths in 2021, a massive jump from about 73,000 in 2020. This is mainly due to the proliferation of fentanyl and other synthetic opioids during the COVID-era economic turmoil. Stresses from the pandemic like job losses, housing instability, and isolation exacerbated opioid abuse, illustrating just how quickly economic stress can translate into higher addiction and death rates.

Alcohol abuse also tends to climb when economic conditions worsen. Many people increase their alcohol consumption to cope with financial worries or unemployment. During the recent pandemic recession, for example, alcohol-related deaths spiked by about 25.5% in the US from 2019 to 2020. The dramatic increase is attributed to young adults drinking more heavily under pandemic stress and economic uncertainty.

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Economic recessions in the past have likewise seen upticks in problematic drinking as people use alcohol to manage stress, boredom, or depression. Unfortunately, what might start as “a few extra drinks” to calm nerves can progress to habitual heavy drinking or binge drinking, with long-term health consequences. Higher alcohol use in hard times can lead to more alcohol dependence, liver disease, and other related problems down the road.

Another pattern during recessions is that people may switch to cheaper or more readily available intoxicants. Financial strain forces some people to change their substance of choice based on cost. For example, someone struggling to afford prescription anxiety medications might turn to illicit drugs like methamphetamine, fentanyl, or even alcohol. 

Unfortunately, these cheaper substances are often more dangerous. The rise of fentanyl, which is less expensive and far more potent than heroin, exemplifies this trend. Economic and supply factors made fentanyl ubiquitous, and people in desperate situations have gravitated toward it, with deadly outcomes.

Barriers to Treatment During Tough Times

Paradoxically, just as economic stress causes substance abuse to rise, it also makes getting help more difficult. During financial downturns, individuals struggling with addiction face greater barriers in accessing treatment or recovery resources.

One major issue is reduced access to healthcare. Someone who loses their job often loses their health insurance, making professional treatment for substance use disorder harder to afford. With money tight, people may prioritize basic needs (rent, food, utilities) over paying for rehab or counseling.

Even transportation costs to attend support meetings or therapy can be a hurdle when gas and living expenses are high. In short, financial stress can trap people in addiction by cutting off the very resources that are designed to help them get better.

This dynamic is evident in the statistics: even in normal times, only about 10% of Americans with a drug or alcohol use disorder receive treatment for it. That treatment gap can widen during recessions, especially for the uninsured and poor. Public programs and charities may become overburdened right when demand increases. This is especially troublesome in rural areas of the United States.

Additionally, government budget cuts in a weak economy can reduce funding for mental health and addiction services, exactly when communities need them most. The result is that many people who develop addiction during an economic crisis do not get timely help, increasing the risk of long-term health consequences or even fatal overdose.

Financial strain also worsens other risk factors that make recovery harder. Homelessness and housing instability often rise during recessions (e.g., due to evictions or inability to pay mortgages), and homelessness is strongly associated with higher overdose risk.

People lacking stable housing or income find it extremely challenging to maintain a treatment regimen or long-term recovery plan. They may also face greater stigma and social marginalization. Social support networks can fray when someone is out of work. For instance, the shame of unemployment might lead individuals to withdraw from friends or family when they need support the most.

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All of these factors create a perfect storm where addiction becomes more deadly during times of widespread economic hardship.

Support and Resources

Given the increased addiction risks and treatment barriers during economic downturns, it is critical to bolster support and resources for those affected. Strong support systems can make the difference between someone spiraling deeper into substance abuse and finding help and hope.

Community and family support are especially vital during these times. Simply having someone to talk to (support group, sponsor, caring family member) can alleviate feelings of isolation and despair that feed addiction. Programs like 12-step groups (AA, NA) or other peer support meetings are free and widely available, providing a non-judgmental space for people to share and cope.

Public health officials emphasize the need for proactive strategies to address substance use during recessions. Effective responses include community outreach programs, education and awareness campaigns about coping with stress, and easily accessible treatment services. For example, local health departments may increase promotion of mental health hotlines or crisis text lines during an economic crisis, knowing that more people are in emotional pain.

On an individual level, those struggling should be encouraged to seek out any available resources. Many organizations offer free or low-cost addiction treatment options, especially for the unemployed or uninsured. State-funded rehab programs, nonprofit clinics, and support groups can provide help regardless of ability to pay.

Online resources and telehealth therapy have also expanded, making it easier to get counseling or join recovery meetings from home. Human resources departments in the workplace can also play a role by sharing support tools with employees during difficult financial times.

If you or someone you love is struggling with drug or alcohol use due to financial strain or any other reason, don’t hesitate to seek support. Affordable rehab options and professional help are available even during tough times.

More Than Rehab (MTR) is one example of a treatment center committed to providing effective, affordable care to those in need, helping clients achieve lasting recovery regardless of economic circumstances. At More Than Rehab, we understand the unique challenges that financial stress can add to addiction, and we are here to help you navigate them.

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More Than Just Addiction: Why Dual Diagnosis Care is Essential

Dual diagnosis is more common than most people realize. In fact, research finds that roughly half of all people with a mental illness will also struggle with addiction at some point. Among adolescents in addiction programs, over 60% meet the criteria for another psychiatric condition. In the US, about 21.5 million adults have a co-occurring disorder.

The most frequently linked mental health conditions include anxiety disorders, major depression, bipolar disorder, post-traumatic stress disorder (PTSD), attention-deficit/hyperactivity disorder (ADHD), and other psychiatric disorders. These mental health issues often fuel substance abuse (as people try to self-medicate painful symptoms), and vice versa – drugs and alcohol can trigger or worsen psychiatric symptoms.

Why Do Co-Occurring Disorders Happen?

Researchers explain that dual diagnosis arises partly from shared risk factors:

In other words, there’s nothing mysterious preventing someone from having both kinds of disorders. For example, some people with depression or PTSD may turn to alcohol or drugs to cope, while certain substances (like stimulants or alcohol) can mimic or worsen symptoms of anxiety, depression, or psychosis.

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As SAMHSA notes, “the coexistence of both a mental health disorder and a substance use disorder… is referred to as co-occurring disorders.” People with mental health conditions are at higher risk of developing addiction, and those with addictions are vulnerable to psychiatric illness.

The result is a vicious cycle: if one condition flares up, the other often does too. In fact, experts observe that untreated anxiety or depression tends to intensify substance use, and vice versa. In a nutshell, these co-occurring issues feel like playing “whack-a-mole” – you treat one problem and the other pops back up.

What Are the Signs and Symptoms of Co-Occurring Disorders?

Warning signs of co-occurring disorders often include symptoms of both addiction and mental health issues. For substance abuse, red flags can include:

Likewise, untreated mental health conditions can manifest as persistent anxiety, deep depression, irritability, or sudden bursts of anger, often driving a person toward alcohol or drugs in an attempt to feel better. These overlapping symptoms underscore the need to consider both sides of the problem.

The Myth: “Get Sober First”

A dangerous myth is that someone must “get sober first” before addressing any mental health issues. In reality, experts warn this approach often fails. Simply staying clean doesn’t automatically resolve underlying psychiatric issues. Without integrated care, the untreated disorder usually resurfaces and drives a relapse.

What Integrated Dual Diagnosis Care Looks Like

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Dual diagnosis treatment typically involves one-on-one counseling and integrated therapies that address both addiction and mental health. Integrated care brings therapists and counselors together so that every treatment plan is tailored to the whole person, not just the addiction or just the depression.

For instance, dual diagnosis programs generally begin with a comprehensive psychiatric and substance abuse evaluation. This helps clinicians identify conditions like anxiety disorders, PTSD, bipolar disorder, or others alongside any substance use issues. Treatment often proceeds with a combination of behavioral therapies (such as cognitive-behavioral therapy or dialectical behavior therapy) and medication management, all in a coordinated way.

Key Components of Dual Diagnosis Treatment

A core goal of dual diagnosis care is to teach healthier coping skills for the negative emotions and stressors that contribute to both problems. Therapy sessions (individual and group) help clients learn to recognize triggers for cravings and anxiety, and to practice skills like emotion regulation and relaxation.

Medical interventions, such as antidepressants or anti-anxiety medications, may be used alongside addiction medications (for example, buprenorphine or naltrexone) to stabilize brain chemistry. Importantly, medical detoxification is provided when needed: withdrawal from alcohol or sedatives can be dangerous, so patients are monitored 24/7 until they’re safely through the worst symptoms. This careful approach means clients can start treatment on solid footing rather than dropping out or relapsing due to unmanaged withdrawal symptoms or untreated depression.

What Dual Diagnosis Treatment Includes

Experienced programs use evidence-based behavioral therapies to treat both issues at once. Clients might attend group and family therapy sessions to build support, meet one-on-one with counselors, and work on relapse prevention planning.

Typical components include psychiatric care and medications to stabilize mood or anxiety, behavioral therapy (like CBT or motivational interviewing) to develop coping strategies, and support groups (such as AA/NA or SMART Recovery) for ongoing peer support. Patients and therapists also create a personalized relapse-prevention plan, focusing on how to handle triggers and distress without resorting to substances. Each plan emphasizes long-term recovery and teaches coping skills to deal with negative emotions in a healthy way.

Why Integrated Dual Diagnosis Care Works

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The “gold standard” is to treat both disorders simultaneously in the same program. Integrated dual diagnosis care leads to better outcomes: studies find that clients who address mental health and addiction together use fewer substances over time and have fewer hospitalizations than those who treat only one disorder. By contrast, if only the drug or alcohol use disorder is treated, any lurking depression or PTSD will likely derail sobriety.

Integrated treatment avoids this trap. For example, specialized therapies like Integrated Group Therapy (IGT) for people with addiction and bipolar disorder or combined exposure/relapse-prevention therapies for PTSD and substance abuse have proven very effective. While more research continues, clinicians know that helping a person manage all their symptoms at once is far more successful than tackling issues in isolation.

Support and Aftercare

Recovery doesn’t end at discharge. Effective dual diagnosis programs often transition clients to outpatient support, sober living communities, or ongoing therapy to maintain gains. Peer support groups (AA, NA, SMART Recovery, etc.) and support from family play a lasting role. Education about warning signs and cravings helps patients activate coping strategies early.

For instance, relapse prevention plans might include identifying triggering negative emotions (like extreme stress or loneliness) and having ready alternatives (such as exercise, counseling, or 12-step meetings) to manage them. Patients also learn to recognize any warning signs of recurring mental health problems (for example, worsening sleep or mood), so they can seek help promptly. This comprehensive approach – combining medication, therapy, community support, and skills training – gives individuals the best chance for sustained, long-term recovery.

Take the Next Step with More Than Rehab

At More Than Rehab, we understand that dual diagnosis care is about healing the whole person. Our Texas-based programs treat mental health conditions and addiction together, with a warm, personalized approach. We offer evidence-based behavioral therapies, medical treatment for co-occurring disorders, family support, and peer groups to guide you through recovery.

If you or a family member has been dealing with substance abuse and an underlying psychiatric issue, our skilled team can help you build a relapse prevention plan and teach coping skills to regain control of your life. Call More Than Rehab (888-249-2191) or visit our website to learn about our integrated dual diagnosis programs. Recovery from both addiction and mental health issues is possible, and you don’t have to face it alone.

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The Role of Sleep Disorders in Addiction & Mental Health

Sleep is essential for maintaining emotional stability, enhancing memory, and promoting brain recovery. But if you're in addiction recovery, you might find it challenging to catch a good night sleep because of withdrawal symptoms, nutrient deficiencies, and the effects of past substance use on the body's natural sleep-wake cycle. Sleep disorders are another common concern in addiction recovery.

In fact, the impacts of addiction on the natural sleep regulation process have been thought to cause or exacerbate sleep disorders. And the relationship is bidirectional. Sleep disorders, too, can lead to addiction and mental and physical health issues. The three are closely intertwined, with studies showing that one increases the risk of the other.

The Bidirectional Relationship Between Sleep Disorders and Addiction

Sleep disorders and substance use disorders are closely linked through complex neurobiological mechanisms. Each condition can both contribute to and exacerbate the other, creating a cycle that is difficult to break without integrated care.

How Sleep Disorders Can Contribute to Addiction

Sleep disorders such as restless leg syndrome, circadian rhythm disruptions, and obstructive sleep apnea can increase the risk of substance use. The underlying science points to several key mechanisms:

1. Altered Reward Processing

Chronic sleep deprivation affects the brain’s reward circuitry, particularly the dopaminergic system. Lack of sleep causes the brain to become more sensitive to rewards, which can heighten cravings and impulsivity. This heightened sensitivity can increase the likelihood of using substances—such as alcohol, cannabis, or sedatives—as a means of achieving short-term relief or pleasure.

2. Impaired Emotional Regulation

Sleep is essential for regulating mood and managing stress. Inadequate sleep diminishes the function of the prefrontal cortex (responsible for decision-making and self-control) while increasing amygdala reactivity (associated with stress and emotional responses). This imbalance contributes to mood swings, anxiety, and poor judgment—factors commonly associated with increased substance use and relapse risk.

3. Activation of the Stress Response System

Persistent insomnia and other sleep disorders activate the hypothalamic-pituitary-adrenal (HPA) axis, the body’s central stress response system. Chronic activation leads to elevated cortisol levels, which are associated with higher rates of depression, anxiety, and subsequent self-medication with substances.

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How Substance Use Contributes to Sleep Disorders

Substance use can directly impair sleep quality and disrupt the brain’s natural sleep architecture. These effects may continue well into recovery, particularly during post-acute withdrawal.

1. Circadian Rhythm Disruption

Many substances—including alcohol, stimulants, and opioids—interfere with the suprachiasmatic nucleus (SCN), which governs circadian rhythms. Disruption of this internal clock leads to irregular sleep-wake cycles, delayed sleep onset, and daytime fatigue.

2. Neurotransmitter Imbalances

Substances affect key neurotransmitters that regulate sleep:

3. Long-Term Impact on Sleep Architecture

Substance use can cause lasting alterations in sleep structure. Reduced slow-wave (deep) sleep and REM sleep lead to non-restorative sleep, memory impairment, and emotional instability. These disruptions often persist during early recovery, contributing to post-acute withdrawal syndrome (PAWS)—a set of lingering symptoms including insomnia, irritability, and poor concentration.

The Cycle of Sleep Disruption and Substance Use

Together, these factors create a bidirectional and self-reinforcing cycle:

This cycle not only impairs quality of life but also undermines recovery efforts if not properly addressed.

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Why Sleep Matters in Recovery

Quality sleep is essential for rebuilding emotional and cognitive balance during recovery. Sleep supports key functions like emotional regulation, impulse control, and decision-making—skills that are often challenged in early sobriety.

When sleep is disrupted, the brain’s ability to manage stress and resist cravings declines, increasing the risk of relapse. Sleep disturbances can also worsen symptoms of post-acute withdrawal, such as anxiety, mood swings, and low energy.

Structured routines are critical in recovery, but disorders like insomnia or circadian rhythm disruptions can make consistency difficult. Poor sleep undermines progress, making it harder to stay engaged in therapy, maintain relationships, and follow recovery plans.

Healing Your Sleep

Left unaddressed, chronic sleep disturbances can push you to self-medicate in an effort to feel “normal” again. But using substances to cope with sleep loss only restarts the cycle, making both sleep and recovery harder to maintain.

Given the strong interplay between sleep and substance use disorders, treating sleep disturbances should be a core component of addiction recovery. These evidence-based interventions can help restore sleep health and support long-term recovery outcomes:

1. Cognitive Behavioral Therapy for Insomnia (CBT-I)

CBT-I is a non-medication therapy widely recommended for sleep issues in addiction recovery. It targets the root causes of insomnia through:

CBT-I helps you sleep better without the risk of developing a dependency on a new substance. This is huge if you’re in recovery.

2. Sleep Hygiene Habits

Practicing good sleep hygiene helps reinforce your body’s natural rhythms and reduce sleep latency (the time it takes to fall asleep). Some useful habits include:

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These changes may seem small, but they can greatly improve your sleep quality and mental clarity.

3. Medication-Assisted Treatment (MAT) and Sleep

If you're receiving addiction treatment programs involving MAT (e.g., methadone or buprenorphine), your medication could be affecting your sleep. It's worth discussing any sleep issues with your provider. They may adjust your dosage or suggest timing changes to minimize impact.

Non-habit-forming medications, such as trazodone, gabapentin, or melatonin, may be used temporarily under supervision. These options can offer relief from insomnia symptoms without the risks of traditional sleeping pills.

Always avoid over-the-counter sleep aids unless approved by your healthcare provider, especially during recovery. Many OTC sleep aids contain antihistamines, which can lead to next-day drowsiness and long-term tolerance. It is also essential to follow the instructions provided when using the sleep aids.

Sleep As a Recovery Tool

Sleep is not a luxury but rather a necessary part of the work, especially as you progress through your recovery journey.

If you’re struggling with sleep, don’t ignore it. Addressing it can make everything else a little easier. Consult with your provider, explore available support options, and take it seriously. It will help you get the rest you need at night and stay on track during the day. Set one small sleep goal tonight. That’s a real step forward.

Need help navigating recovery and sleep? Reach out to More Than Rehab today. We are here to support your healing every step of the way.

888-249-2191

Political Anxiety: How Hopelessness Leads to Substance Abuse

Let’s be honest. It’s hard to stay hopeful when everything feels like it’s falling apart. You open your phone, and it’s politics. You turn on the TV, and it’s worse. Your social media feeds are a constant doomscroll of fights and emotional responses — friends, family members, strangers yelling into the void. Everyone’s angry, everyone’s scared, and you’re just trying to hold it together. But between inflation, political polarization, and whatever new crisis just dropped, for many, it feels like the world is spiraling out of control.

But, you keep it moving during the day. You go to work, you pay bills, and you show up again the next day. But at night, when it’s quiet, the anxiety starts to creep in. What happens if the “wrong” person wins the next presidential election? What if policies change and your community suffers? What if your voice, your vote, doesn’t seem to matter anymore? This is political anxiety. And it’s a much bigger issue than most people think.

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This Isn’t Just About Politics—It’s Personal

When the side you support loses, it doesn’t just feel like a policy shift. It feels like you lost. Like your values, your beliefs, your place in this country suddenly don’t count. It can be exhausting – especially for people living in swing states. Every ad feels like it’s targeting you. The pressure feels constant. Everyone wants something; your vote, your support, your attention, and you seemingly never get a break from it all.

Now add financial stress, economic hardship, climate grief, or just trying to raise a family in this chaos — and it can be a lot. You start to feel like you’re just surviving. Waiting for the next hit. That helplessness? That’s what drives people toward the edge. Not because they’re weak, but because they’re tired.

How Hopelessness, Stress and Anxiety Causes Substance Abuse

The cycle of political anxiety can mess with your brain in ways you don’t always notice right away. Your nervous system doesn’t know the difference between a real physical threat and constant mental stress, so it stays activated. Your body keeps pumping out stress hormones like cortisol, which, over time, messes with how you sleep, how you focus, and how you feel.

Self-Medicating With Drugs and Alcohol

Eventually, your brain stops regulating itself properly. You feel disconnected, flat, and worn down. And when nothing feels good anymore, your brain looks for something... anything, to bring relief. Drugs and alcohol often feel like the fastest way to escape the tension, albiet briefly. According to one study, 21.9% to 24.1% of people with anxiety disorder report self-medication with alcohol and drugs.

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Tolerance Builds Up

Once substances enter the picture, the relief is fast but temporary. You may feel calmer, lighter, maybe even numb. That escape can become addictive, both chemically and emotionally. Your brain floods with dopamine, and you start associating that high with safety, control, and peace. But eventually, your brain starts to adapt. It notices that dopamine is being supplied artificially, so it reduces its own natural production.

Over time, this leads to dopamine depletion, which makes it harder for you to feel pleasure from everyday things like food, music, conversation, or even rest. Your reward system gets thrown off balance, and now the only thing that gives you a sense of relief is the substance itself. Tolerance kicks in when your brain becomes less sensitive to the same amount of the substance, so you need more of it to get the same effect.

Meanwhile, the parts of the brain responsible for judgment, impulse control, and emotional regulation—especially the prefrontal cortex—start to weaken. You may act impulsively, struggle with focus, or react more intensely to stress. The substance that once gave you a break from anxiety now amplifies it when you’re not using.

Substance Abuse and Addiction

During this process, the body begins to depend on the substance just to maintain balance. This is physical and psychological dependence. Without the substance, withdrawal symptoms set in: irritability, restlessness, insomnia, and even panic. At this stage, you're no longer using to feel good. You're using it to avoid feeling worse. And because the root issue—election anxiety, hopelessness, and chronic stress—remains unresolved, the cycle deepens.

Healthier Ways to Process Political Disappointment

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No, you can’t control election results. You can’t fix every policy. You can’t change the political climate overnight. But you can learn to protect your mental health and handle political disappointment in a healthier way.

1. Unplug intentionally

Politics is one of the primary sources of depression and anxiety in today's society. It’s okay to disconnect – even from participating in a healthy political discussion. Take breaks from the news and social media every once in awhile. Not because you’re avoiding reality but because your brain needs recovery time. Boundaries aren’t ignorance. They’re survival.

2. Move your body

Stress lives in your nervous system. Physical movement, walks, yoga, stretching, helps release it. You don’t need a gym. Just move.

3. Reconnect with people you trust

Political tension breaks relationships, but healing starts with honest conversations. Talk to friends or family members who feel safe. You don’t need to agree on everything; you just need to feel heard.

4. Invest in self-care, even if it feels small

Eat. Hydrate. Sleep. These basics sound simple, but they rebuild resilience. Caring for your body creates the foundation your mind needs to recover.

5. Channel your energy into action

Hopelessness shrinks when you do something. Volunteer. Organize. Support a cause that matters. Even small actions within your own community can help build back your sense of purpose.

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When It’s Time to Get Help

Sometimes, it’s deeper than a rough week or a bad election cycle. If you’ve been using substances to numb out, if you’re noticing a pattern that’s hard to break, or if you just feel like you’re not okay anymore, please don’t wait for it to get worse.

Reaching out for help doesn’t mean you’re broken. It means you’re ready to feel better. Therapy helps you unpack the pressure you’ve been carrying. It gives you tools to deal with stress and manage anxiety without needing to self-medicate with alcohol, illicit drugs or controlled substances.

Support groups are also critical as they allow you to connect with like-minded individuals. If you’re dealing with a substance use disorder, treatment options range from outpatient care to detox and structured support.

The first step? Say something. Even if it’s just, “I need help.”

Talk to Us

At More Than Rehab (MTR), we understand how deeply political anxiety and chronic stress affect your mental health. We also know how easy it is to fall into unhealthy patterns when hope feels out of reach. Whether you’re struggling with anxiety, substance use disorders, or just feel stuck, you’re not alone—and you don’t have to figure it out on your own.

We offer comprehensive care that meets you where you are. No shame. No judgment. Just a path forward. You deserve to feel like yourself again. Let’s take the next step together.

888-249-2191

The Connection Between Chronic Pain, Opioid Use, & Mental Health

Chronic pain is more common and more misunderstood than many people realize. In the United States, nearly 50 million adults live with chronic pain. That’s one in five people waking up daily with discomfort that doesn’t go away.

If that’s you, you know it’s not “just pain.” It affects all aspects of your life – from sleep and energy to the ability to work, connect, and actually enjoy your life. It wears you down, physically and emotionally. And too often, the only solution offered by your doctor is a prescription drug.

For many, that prescription is an opioid. In the beginning, it helps. You might feel some relief, but over time, it stops working the same way. You may need a higher dose. You may start depending on it just to function. And slowly, without even realizing it, you're no longer managing pain – you’re managing your mind and body's dependence on the drug.

Understand Chronic Pain

Chronic pain is pain that doesn’t go away, even when doctors say you should be healed. It can show up after surgery, injury, or a health condition. Sometimes, there’s no clear reason. No test explains it. No scan shows it. And that can leave you frustrated and dismissed for months or even years.

The pain might be in your back, your neck, your joints, or deep in your nerves. It might stay in one spot or move around. Some days are better than others. But the hard days – the ones that steal your energy, focus, and joy, can pile up. It’s draining and a huge reason why most people with chronic pain also suffer from emotional issues.

Chronic Pain’s Impact on Mental Health

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When you’re in pain for a long time, your nervous system stays in constant stress. The brain keeps receiving pain signals—even when the injury has healed, or there’s no clear reason for the pain. This continuous signal disrupts how your brain regulates mood, focus, and emotion.

Studies show that long-term pain alters the structure of the brain. It affects areas like the amygdala (which processes fear and anxiety), the prefrontal cortex (responsible for decision-making), and the hippocampus (which handles memory and emotional balance). These changes can lead to symptoms of depression, anxiety, and emotional numbness. You might notice you feel more anxious than usual. Or that it’s harder to stay motivated, focus, or find joy in things you used to love.

There’s also the hormonal side. Chronic pain activates your body’s stress system—the HPA axis. This leads to an increase in cortisol, your stress hormone. Elevated cortisol over time can worsen inflammation, disrupt your sleep, and lower your mood. It also reduces your body’s ability to manage pain naturally.

That’s why emotional struggles often go hand in hand with chronic pain. Research shows that depression is up to four times more likely in people with long-term pain. Anxiety disorders are also far more common.

And then there’s the social impact. Pain can interrupt your ability to work, stay active, or maintain relationships. That isolation creates more emotional strain. Many people living with chronic pain feel like they have to prove their experience. That lack of validation can add to emotional distress.

The Link Between Pain, Opioids, and Dependence

Opioids are often prescribed for chronic pain because they work fast. They block pain signals and release dopamine, a chemical that helps you feel calm and relaxed. For a while, you might feel like yourself again. But over time, your brain adapts.

It stops responding the same way. You build tolerance, meaning you need more of the drug to get the same relief. If you’ve been on opioids for a while, you might notice the dose that once worked doesn’t help much anymore. So you might need higher doses just to take the edge off.

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But with higher doses come more side effects like constipation, brain fog, mood swings, and hormone issues. You may also notice that your pain doesn’t go away. It just gets masked for a little while. Then there’s the risk of opioid dependence, where your body starts to rely on the drug to function. If you skip a dose or try to stop, you might face withdrawal symptoms like anxiety, chills, or insomnia.

For some people, this leads to opioid misuse, even when the original goal was just to find relief. And the longer you’re on opioids, the greater the risk of accidental overdose, especially if you mix them with other medications or alcohol or if your health changes.

Research shows that 64.4% of people diagnosed with opioid use disorder (OUD) also live with chronic pain. And for most (about 61.8%), the pain comes first. Opioid use commonly begins as a treatment, but somewhere along the way, the drug ends up becoming the bigger problem. This is why long-term opioid therapy is no longer recommended as a first choice for most chronic pain. Not because your pain isn’t real. But because there are safer, more effective ways to manage it.

Stigma and Opioid Abuse

In the United States health care system, many people fear the label “drug-seeking” if they ask for stronger pain medication. Others worry they will be judged if they admit to feeling low or depressed. This stigma can prevent you from speaking openly with doctors, family, or friends. It can also keep you from finding the mental health services you need.

Stigma exists in two directions:

  1. Self-Stigma: Feeling ashamed of needing help for pain or mental health.
  2. Social Stigma: Others may label you as “addicted to painkillers” or weak if you use opioids or if you struggle with mood issues.

Breaking down stigma involves honest conversations with healthcare providers about pain management, potential opioid overdose prevention methods, and alternative therapies. It also involves acknowledging that chronic pain is real and deserves proper treatment.

Alternative Strategies for Pain Management

Chronic pain can be managed without over-relying on opioids. Approaches like physical therapy, gentle exercise, non-opioid medications, and cognitive-behavioral therapy (CBT) can reduce pain and improve your ability to cope.

Other options such as mindfulness, nerve blocks, and simple lifestyle changes can help calm the nervous system and restore a sense of control. These strategies focus on long-term relief without the risks of dependence, making them safer and more sustainable tools for daily life.

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The Role of Integrated Care

If you’re managing both chronic pain and signs of substance abuse, integrated care brings everything together. You work with a team—doctors, mental health professionals, pain specialists—who create a plan tailored to your needs. This may include medication-assisted treatment (MAT) to reduce cravings, therapy to process emotional pain, and regular check-ins to track your progress. Integrated care treats your whole self—not just your symptoms—so you can break the cycle of pain, dependence, and isolation.

Opioid Addiction Treatment at MTR

At More Than Rehab, you’ll find comprehensive, whole-person opioid addiction treatment that honors your pain and helps you heal physically and emotionally. Whether you're seeking alternatives to opioids or support with addiction recovery, our team is here to guide you. Reach out to More Than Rehab today and take your next step toward lasting relief and recovery.

 888-249-2191

The Stigma of Seeking Help: Why Do Veterans Avoid Addiction Treatment?

If you care about a veteran in your life, you may have noticed them struggling with the invisible wounds of military service. They might be drinking alcohol more frequently, using illicit drugs to cope, or withdrawing from loved ones due to stigma. You want to help, but when you bring up addiction treatment or mental health services, they shut down or push back.

This is a common challenge. Many veterans avoid seeking help for addiction and mental health issues due to fear, shame, and the stigma surrounding mental health. They may worry about being judged, appearing weak, or jeopardizing their career or VA benefits. Others simply don’t know where to turn or feel overwhelmed by the process.

The Reality of Addiction Among Veterans

Veterans face unique challenges that can increase their risk of addiction. Many struggle with post-traumatic stress disorder (PTSD), depression, or moral injury—a deep sense of guilt or shame related to their actions during military service. These issues can make the transition to civilian life incredibly difficult, leading some veterans to turn to drugs and alcohol as a way to cope.

What begins as occasional drinking alcohol to relax or using illicit drugs to escape can quickly spiral into a more serious problem. Without access to proper mental health services, these struggles can worsen over time, affecting not only the veteran but also their families and communities.

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The Department of Veterans Affairs (VA) and the Department of Defense (DoD) offer a range of addiction treatment and mental health services, but many veterans do not take advantage of these resources. The stigma surrounding mental health and addiction often prevents them from seeking the help they need.

Barriers Preventing Veterans from Seeking Help

Several factors can prevent veterans from accessing treatment programs, including:

1. The Stigma Surrounding Mental Health

Military culture emphasizes strength, discipline, and self-reliance. Many service members are taught to handle challenges on their own, which can make asking for help feel like a failure. This mindset often persists even after leaving the military.

Additionally, veterans may encounter stigmatizing language about addiction and mental health. Terms like “junkie” or “broken” can deepen feelings of shame and discourage them from seeking treatment. They may fear being labeled or treated differently if they admit to struggling with PTSD, depression, or substance use.

2. Fear of Judgment

Many veterans worry about how others will see them if they seek treatment. They do not want to be judged by their peers, family, or community. Some fear they will lose the respect of fellow veterans who believe in staying strong no matter what.

In some cases, veterans fear judgment from employers. They believe that admitting to PTSD and depression or a history of drug and alcohol use may hurt their job prospects. They might worry that employers will view them differently if they disclose a history of mental health issues or addiction.

3. Concerns about Career and VA Benefits

Some veterans believe that seeking mental health services or addiction treatment could negatively impact their military career or VA benefits. They may fear that reaching out for help could lead to a dishonorable discharge or limit future opportunities.

In reality, VA benefits include coverage for addiction treatment and mental health services. The Department of Veterans Affairs actively encourages veterans to seek help, but many are unaware of these resources or distrust the system.

4. Lack of Awareness About Treatment Programs

Many veterans simply don’t know where to find help. They may be unaware of the outpatient programs, peer support groups, and veteran-specific treatment programs available to them. Without clear guidance, they may feel lost and choose to avoid treatment altogether.

The Importance of Veteran-Specific Treatment Programs

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Veterans need treatment programs that understand the unique challenges of military service. Issues like PTSD, depression, moral injury, and the difficulties of transitioning to civilian life require specialized care. A one-size-fits-all approach to addiction treatment often falls short because it fails to address the root causes of substance use in veterans.

Veteran-specific programs are designed to meet these needs. They go beyond treating addiction by addressing the underlying mental and emotional wounds that often contribute to substance use. These programs offer evidence-based therapies for PTSD, trauma counseling, and support for co-occurring conditions like depression and anxiety. They also provide a sense of camaraderie by connecting veterans with peers who share similar experiences, creating a supportive environment where they can heal together.

Additionally, veteran-specific programs often collaborate with the Department of Veterans Affairs (VA) and the Department of Defense (DoD) to ensure veterans receive the benefits and specialized care they deserve. Whether through inpatient or outpatient programs, these services are tailored to fit the unique needs of veterans.

How Families and Communities Can Help

If you’re concerned about a veteran in your life, there are several ways you can support them:

1. Encourage Open Conversations

Talking openly about mental health and addiction can help break the stigma. Let veterans know that seeking help is a sign of strength, not weakness. Encourage them to share their feelings and experiences without fear of judgment.

2. Share Available Resources

Many veterans are unaware of the resources available to them. Help them navigate VA benefits, local treatment programs, and peer support groups. Providing clear, actionable information can make it easier for them to take the first step toward recovery.

3. Avoid Stigmatizing Language

The words we use matter. Avoid labels like “addict” or “alcoholic,” which can reinforce shame. Instead, use person-first language like “someone struggling with addiction” or “a veteran in recovery.” This small shift can make a huge difference in how veterans perceive themselves and their willingness to seek help.

4. Offer Support Without Judgment: Start the Conversation

Talking about mental health helps reduce stigma. Let your loved one know you’re there for them, but avoid pressuring them into treatment. Sometimes, simply listening and showing unconditional support can encourage them to take the next step when they’re ready.

5. Educate Yourself

Learn about the challenges veterans face, including PTSD, depression, and moral injury. Understanding these issues can help you provide more compassionate and informed support.

6. Provide Information About Resources

Many veterans do not know where to start when seeking help. You can guide them by sharing information about VA benefits, local treatment programs, and peer support groups. Look into addiction treatment options together and help them find the right program for their needs.

7. Be There Without Pressure

Support without judgment is key. Let your loved one know you are there for them, but do not force them into treatment. Sometimes, just having someone listen and show care encourages them to take the next step when they are ready.

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We Support Veterans on the Path to Recovery

At More Than Rehab, we are committed to supporting veterans on their path to recovery. Our veteran-specific treatment programs are tailored to address the impact of PTSD, depression, and the difficulties of transitioning to civilian life. We provide real solutions, not just temporary fixes, and work closely within VA and DoD guidelines to ensure veterans receive the care they deserve.

Recovery is possible, and no one has to face these challenges alone. Together, we can break the stigma and help veterans find the treatment and support they need to heal. Reach out to us today.

888-249-2191

The Link Between ADHD and Substance Use: Untreated Diagnosis in Adults

Many people think of ADHD as a childhood issue. In reality, it affects millions of adults too. Studies estimate that over 15 million adults in the US —about 5% of the population—have ADHD symptoms. Yet less than 20% of those know it. Even among those who know, only about a quarter receive treatment. That leaves millions struggling with symptoms that affect work, relationships, and daily life.

If ADHD goes untreated, people often look for ways to cope. Some turn to alcohol, nicotine, or illicit drugs—not necessarily to get high, but to feel more in control. It’s not about making bad choices. It’s about trying to quiet the mental chaos.

Research confirms this connection. A study published by the National Institute of Health found that adults with ADHD are nearly 3.10 times more likely to develop a substance use disorder compared to controls. Another study found children to be at risk, too. The risk factors for SUD were twice as high among those with ADHD and four times higher for those with comorbid conduct disorder.

If you’ve been using substances to manage ADHD symptoms, it’s not a sign of failure. It’s a sign that your brain is looking for relief. Below, we’ll show you better ways to manage ADHD, ones that help in the long term.

ADHD Symptoms and the Risk of Substance Use

ADHD is a neurodevelopmental disorder that affects the brain’s executive functions, including impulse control, attention regulation, and emotional processing. These functions are primarily influenced by neurotransmitters, particularly dopamine and norepinephrine, which play a critical role in motivation, reward processing, and focus.

People with ADHD often have lower baseline levels of dopamine activity in key areas of the brain, including the prefrontal cortex and striatum. Dopamine is responsible for reinforcing pleasurable behaviors, regulating motivation, and sustaining attention. Because ADHD brains struggle to use dopamine efficiently, they often seek out external stimuli to compensate.

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This biological drive for stimulation can make substances particularly appealing. Stimulants like nicotine and cocaine artificially increase dopamine levels, providing a temporary sense of focus and motivation. Depressants like alcohol and cannabis can dull hyperactivity and impulsivity, creating a sense of calm. The problem is that these effects are short-lived, and over time, they disrupt the brain’s natural dopamine regulation, increasing the risk of tolerance, dependence, and addiction.

The Connection Between Adderall Misuse and ADHD

ADHD makes it hard for the brain to regulate dopamine. When dopamine levels are too low, tasks that require sustained attention feel impossible. This is why ADHD can cause:

Stimulant medications like Adderall (a mix of amphetamine and dextroamphetamine) help increase dopamine levels in a controlled way. For people with ADHD, this makes it easier to concentrate, stay organized, and manage impulses. When prescribed, doctors carefully adjust the dose to ensure the brain gets the right amount—enough to improve symptoms without unwanted side effects.

Why Some People Misuse Adderall

Not everyone with ADHD gets diagnosed early. Many adults struggle with focus, productivity, and mental fatigue without realizing why. When they try Adderall—often borrowed from a friend or taken for school or work—they suddenly feel “normal” for the first time.

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This can be eye-opening but also risky. Without medical advice, people may take more than their brain needs, leading to misuse and dependency.

Too much Adderall can overload the brain with dopamine, causing:

Since Adderall activates the brain’s reward system, it’s easy to develop a reliance on it, mainly when used without a prescription. That’s why the DEA classifies Adderall as a Schedule II controlled substance—it’s medically useful but highly addictive when misused.

Adderall Misuse in Adults with ADHD

Even those with a prescription can struggle with Adderall misuse. Studies show that up to 25% of adults prescribed stimulants take more than they should, hoping for better focus or energy. This often happens with immediate-release (IR) Adderall, which wears off faster, making people tempted to take extra doses.

Some research suggests that extended-release (XR) Adderall is harder to abuse because it enters the bloodstream more slowly. But misuse can still happen, especially if someone builds a tolerance and starts increasing their dose without medical guidance.

ADHD, Adderall, and Substance Use Risk

People with ADHD are almost three times more likely to develop a substance use disorder (SUD) than those without ADHD. Stimulant misuse can also lead to polysubstance use, where individuals start experimenting with other gateway drugs like opioids or cocaine to maintain the same feeling of focus or energy.

This is why proper diagnosis and treatment matter. When ADHD is treated correctly, with the proper medication, therapy, and support groups, the need to self-medicate decreases. Adderall can be life-changing when used the right way—but without medical oversight, it can lead to more harm than good.

If you think you have ADHD and have been using Adderall without a prescription, talking to a doctor can help you find a safer, long-term solution. ADHD is manageable, and you don’t have to rely on self-medicating to feel in control.

Barriers to Diagnosis and Treatment in Adults

Many adults with ADHD go undiagnosed because their symptoms don’t match the childhood stereotype of hyperactivity. Instead of bouncing off the walls, they might struggle with difficulty focusing, organization, emotional regulation, or chronic procrastination. Because of this, ADHD is often mistaken for anxiety, depression, or other mental health disorders, making it harder for people to get the right diagnosis and treatment.

Stigma and misconceptions also play a role. Many adults hesitate to seek help because they worry they won’t be taken seriously or have been told that ADHD is just an excuse. Women, in particular, are often overlooked because their symptoms tend to be more internal—like overthinking, forgetfulness, or feeling overwhelmed. Even when people recognize their symptoms, getting an ADHD diagnosis can be difficult due to long wait times, expensive evaluations, and a lack of trained specialists.

Breaking the Cycle with Proper ADHD Treatment

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The good news is that effective ADHD treatment reduces the risk of substance use disorder. Studies indicate that early diagnosis and treatment—especially with stimulant medications prescribed under medical advice—significantly lower the likelihood of developing addiction. This is because ADHD medications help regulate dopamine levels in a controlled way, reducing the brain’s need to seek external stimulation.

Other interventions, such as cognitive behavioral therapy (CBT), structured routines, family therapy, and lifestyle modifications, further support the long-term management of ADHD symptoms without the risks associated with illicit drugs.

Get Help at More Than Rehab

If ADHD and addiction have been controlling your life, there is a way out. More Than Rehab (MTR) takes a dual diagnosis approach, meaning we treat ADHD and substance use disorder together—because when both conditions are addressed, real recovery happens. Our team provides evidence-based therapies, medical support, and long-term strategies to help you manage ADHD effectively without turning to substances.

If you or your family members need help, don’t wait. Support groups, therapy, and addiction treatment can make all the difference. Reach out today and take the first step toward lasting recovery.

888-249-2191

Breaking the Cycle: How Addiction Affects Future Generations

You’ve probably heard people say, “The apple doesn’t fall far from the tree.” It’s often about physical traits or quirks—like having your mom’s smile or your dad’s stubborn streak. But it also applies to things we don’t always talk about, like how addiction affects future generations.

Addiction often has deep roots in a family’s history. If your family history includes substance use disorders, you’re at a higher risk of developing them yourself. Why? It’s partly genetic and partly environmental.

On the genetic side, research shows that some people are more vulnerable to drug addiction due to inherited traits that affect how their brain responds to substances. But it’s not just biology—what you see growing up also plays a huge role. If your family members struggled with substance use disorders, you might have grown up in an environment where drug or alcohol use seemed “normal” or even as a legitimate way to cope with stress.

When these patterns go unaddressed, they don’t just affect you—they affect future generations.

Family Dynamics and Emotional Patterns

Your family dynamics shape your understanding of emotions, relationships, and challenges. If addiction was part of your family environment, it likely caused emotional instability or even trauma. For example:

These learned behaviors often follow a generational cycle of addiction, where emotional wounds and unhealthy habits are unintentionally passed down to children.

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Environmental Factors and Addiction’s Impact on Families

It’s not just genetics or behavior—it’s also about the environment you grew up in. Living in a household where addiction is present creates stress and unpredictability. Children in these homes often experience neglect, anxiety, or even abuse, which increases their risk of mental health disorders or substance use disorders later in life.

The pressure to keep the family functioning often falls unevenly on different age groups. For example, older siblings might take on a caretaker role, while younger ones may act out to seek attention. These dynamics reinforce unhealthy roles that can persist into adulthood, further contributing to the history of substance abuse in the family.

Inherited Behavioral Patterns Across Generations

Behavioral patterns, like how you handle stress or conflict, are often modeled by parents and caregivers. If addiction was part of your family’s story, you may have learned these patterns without even realizing it. For instance:

Over time, these inherited behaviors create a ripple effect. They don’t just impact you; they shape how future generations navigate life. Without intervention, these cycles can continue indefinitely.

Breaking the Cycle of Addiction with Evidence-Based Treatments

The good news is that with the right support and evidence-based treatments, it’s absolutely possible to break the cycle of addiction and create a healthier future for yourself and your family.

How CBT Helps Break the Cycle

Cognitive Behavioral Therapy (CBT) is one of the most effective tools for treating substance use disorders. Why? Because it focuses on changing the thought patterns and behaviors that keep addiction alive.

Here’s how it works:

  1. Identifies triggers: CBT helps you recognize the situations, emotions, or environmental factors that lead to substance use. For example, if stress at work or unresolved family conflict is a trigger, CBT helps you develop healthier ways to cope.
  2. Builds healthy coping mechanisms: Addiction often develops as a way to deal with pain or stress. CBT teaches practical tools for handling these challenges without turning to drugs or alcohol.
  3. Prevents relapse: One of the biggest benefits of CBT is its focus on preventing relapse. You’ll learn strategies to stay on track even when life gets tough, like how to manage cravings or avoid high-risk situations.
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The Role of Family Therapy in Addiction Treatment

Addiction doesn’t happen in isolation—it affects the entire family. That’s where family therapy comes in. This treatment focuses on improving communication, resolving conflicts, and addressing the underlying issues that contribute to addiction.

Here’s what makes family therapy so powerful:

Why Community Support is Critical

While therapies like CBT and family therapy are essential, recovery doesn’t end there. A strong support network is just as important. Groups like Narcotics Anonymous provide a space to connect with others who understand what you’re going through.

NA meetings offer:

Combining evidence-based therapies with community support is a powerful way to stay committed to your recovery and prevent relapse.

Why Evidence-Based Treatment Works for All Age Groups

One of the best things about these addiction treatment approaches is that they can work for anyone, no matter their age or background. Whether you’re a young adult trying to overcome early substance use or a parent wanting to break the cycle for future generations, these treatments meet you where you are.

By focusing on both the individual and their environment, evidence-based treatments help you address the root causes of addiction while equipping you with the tools to build a healthier life.

Ready to Break the Cycle?

Addiction is tough, but it doesn’t have to define your family’s story. With evidence-based approaches and support from groups, you can overcome the challenges of addiction and have a brighter future for you and your loved ones.

If you’re ready to take that first step, More Than Rehab is here to help. We can help you break intergenerational trauma and addiction so you can heal and thrive.  

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