Winter Blues or Relapse Warning? Navigating Seasonal Depression in Recovery

The holidays are over. The decorations are packed away, the family has gone home, and the "New Year, New Me" excitement is starting to wear off. Now, we are left with the gray skies, cold winds, and short days of January and February that for many, lead to the "winter blues".

For many people in recovery, this specific time of the year is dangerous. You might feel heavy, unmotivated, or irritable. You might tell yourself, "I'm just having a bad week," but if these feelings persist, you might be dealing with seasonal affective disorder (SAD).

Understanding the link between SAD and addiction is vital because, for us, "winter blues" aren't just annoying—they are a direct relapse trigger. If left unchecked, this condition can jeopardize your sobriety, making it crucial to recognize the signs and have a solid plan in place.

What is Seasonal Affective Disorder?

Many people joke about the "winter blues," but seasonal affective disorder is a clinically recognized condition. It is a specific type of depression that follows a seasonal pattern, typically starting in late fall and peaking in January and February.

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It is not just about "being sad about the weather." It is a biological response to a lack of sunlight, which disrupts your body’s circadian rhythm and serotonin levels. Unlike typical depression, which might cause insomnia or a loss of appetite, SAD often presents itself with unique symptoms that can feel physical:

The Addiction Connection: Why We "Self-Medicate"

For someone with a history of drug addiction or alcoholism, these symptoms are terrifyingly familiar. The lethargy and low mood caused by SAD can feel exactly like the onset of withdrawal or deep depression.

When your brain is low on serotonin (the "feel-good" chemical), it starts looking for a quick fix. In the past, that fix was substances. This is where the danger lies: people often begin self-medicating to combat the winter gloom without realizing they are battling a chemical imbalance caused by the season.

You might think, "I'm sober, so why do I feel this miserable?" That thought process is a trap. It leads to the lie that drugs or alcohol were the only things that made you feel "normal." Recognizing that your mental health is being affected by the season—not a failure of your program—is the first step in staying safe.

Dual Diagnosis Seasonal Affective Disorder

At More Than Rehab, we treat addiction as a dual diagnosis issue. This means we don't just look at the substance abuse; we look at the underlying mental health conditions driving it.

Dual diagnosis with seasonal affective disorder is more common than you might think. Studies suggest that people with SAD are significantly more likely to struggle with substance abuse than the general population. If you treat the addiction but ignore the seasonal depression, you are leaving a back door open for relapse.

Effective treatment requires addressing both. You cannot simply "white knuckle" your way through seasonal depression. Just as you wouldn't ignore a broken leg, you shouldn't ignore a brain chemistry imbalance just because the calendar says it's January.

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Building Your Winter Sobriety Tips & Action Plan

Surviving the winter slump requires more than just willpower; it requires strategy. Here are some practical winter sobriety tips to help you stay on track.

1. Update Your Relapse Prevention Plan

A relapse prevention plan is a living document. What worked for you in July might not work in January. Sit down with your sponsor or therapist and specifically map out how you will handle the next two months.

2. Prioritize Light and Movement

Since SAD is triggered by a lack of light, fight back with lumens. Light therapy (using a 10,000 lux lamp) is a proven treatment for this type of depression. Even 20 minutes a day can trick your brain into producing more serotonin.

Additionally, regulate your sleep patterns by waking up at the same time every day, even if it’s dark. Exercise is also non-negotiable, as it releases natural endorphins that combat the lethargy associated with addiction and winter blues.

3. Lean Into the Social Model

SAD makes you want to isolate. It tells you to stay in bed, cancel plans, and avoid people. In our social model of addiction recovery, we know that isolation is the enemy. You have to move a muscle to change a thought. Go to meetings. Stay late for coffee. If you are struggling with weight gain or fatigue, talk about it. You will likely find half the room is feeling the exact same way.

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Frequently Asked Questions

Q: Can Vitamin D help with SAD and cravings?

A: Vitamin D deficiency is incredibly common in the winter and mimics symptoms of depression. While it won't stop addiction cravings instantly, correcting a deficiency can drastically improve your overall mental health and resilience against triggers.

Q: Is SAD really different from regular depression?

A: Yes. The key difference is the timing. If your depression consistently appears in late fall and resolves in the spring, it is classified as Major Depressive Disorder with Seasonal Pattern. This distinction matters because treatments like light therapy are specifically effective for this type of depression.

Q: How do I know if I'm self-medicating or just enjoying the holidays?

A: If you are using a substance (or even food/behavior) to change the way you feel because you can't tolerate your natural emotions, you are self-medicating. In recovery, we learn to sit with discomfort rather than numbing it.

Q: Should I change my recovery meetings in the winter?

A: It might be a good idea. If you usually go to evening meetings but find the dark drives depressing, try switching to a noon meeting or a morning group. Adapting your schedule to support your mental health is a smart move.

Are you or a loved one struggling to navigate the winter months sober? Don't let the season dictate your recovery. If you suspect dual diagnosis seasonal affective disorder is impacting your life, reach out for professional help.

Call More Than Rehab 24/7:

888-249-2191

Legal Doesn’t Mean Safe: The Hidden Trap of "Gas Station Highs"

You’ve likely seen them at the counter of your local smoke shop or gas station here in Texas. Brightly colored bottles of "dietary supplements" that promise anxiety relief, flavored canisters of "culinary gas," or packages labeled as incense.

For someone in recovery (or anyone just trying to get through a stressful day) these products often look like a harmless loophole. They are accessible, affordable, and sold right next to energy drinks and candy bars. How dangerous could they be if they aren't illegal?

The answer is: extremely.

As we move further into 2026, the market for legal highs has exploded, creating a minefield for recovering addicts. These substances occupy a legal gray area, but their impact on your physical health and mental health is often just as devastating as the illicit drugs they mimic.

Here is why "legal" definitely doesn’t mean safe, and the specific substances you need to be aware of right now.

The "Gas Station Heroin" Epidemic: Tianeptine and 7-OH

If there is one category of substances causing the most havoc in the Texas recovery community right now, it is the unregulated market of "gas station heroin." While Tianeptine has been the primary culprit, a new and equally dangerous player causes additional concern: 7-Hydroxymitragynine, commonly marketed as 7-OH or 7-Hydro.

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You will often see these products sold side-by-side at smoke shops and gas stations. Tianeptine is usually found under brand names like ZaZa, Tianaa, or Neptune’s Fix, while the new 7-Hydroxymitragynine products are sold as 7-OH, 7-Hydro, 7-Tabz, or Hydroxie.

Here is why this combination is a nightmare for recovery:

The real nightmare begins when you try to stop. Tianeptine withdrawal is widely considered by addiction specialists to be worse than heroin withdrawal because it combines the physical agony of opioid detox with the severe mental instability of suddenly stopping a tricyclic antidepressant. Similarly, 7-OH builds tolerance rapidly, leading users to consume expensive, high-dose extracts that result in a crippling physical dependence.

Consumers are often told these are "natural" or "safe" supplements to help with pain or mood, only to find themselves trapped in a cycle of addiction that can rival the effects of illicit opioids.

The "Not For Human Consumption" Loophole

To understand why dangerous drugs are sold legally, you have to look at the packaging. You will often see fine print that says "Not for human consumption" or labeled as "potpourri," "incense," or "glass cleaner."

This is a legal trick that manufacturers use to bypass FDA regulations. It allows them to sell dangerous psychoactive chemicals over the counter by pretending they aren't food or drugs. We saw this years ago with the rise of bath salts (synthetic cathinones) and synthetic cannabinoids (often called Spice or K2).

While legislation has cracked down on some specific formulas, underground chemists constantly tweak the molecules to stay one step ahead of the law.

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The Rise of "Galaxy Gas" (Nitrous Oxide)

A trending threat in 2026 is the sale of massive, flavored canisters of nitrous oxide, often marketed as "Galaxy Gas." While nitrous oxide has been around for decades, these new products are sold as "culinary chargers" to avoid scrutiny.

This isn’t harmless fun. Heavy use of nitrous oxide depletes Vitamin B12, which creates a cascade of physical health problems. We are seeing patients with severe nerve damage, numbness in their limbs, and even the inability to walk due to spinal cord degeneration - all from a product you can buy at a smoke shop.

Kratom: The "Natural" Trap

Kratom is often marketed as a safe, herbal solution for pain or anxiety. While it is a plant, it interacts with the same opioid receptors in the brain as morphine.

The danger with Kratom in 2026 is the concentration. We aren't just talking about tea leaves anymore; shops are selling highly concentrated extracts that are significantly more potent. For an addict in recovery, Kratom is often a backdoor to relapse. It keeps the opioid receptors primed and hungry, often leading the user back to Fentanyl, or other opioids.

Why "Legal Highs" Destroy Recovery

The biggest danger of legal highs isn't just the chemical effect; it's the behavior. When you reach for a pill, a shot, or a vape to "change the way you feel," you are feeding the cycle of addiction.

In the Social Model of addiction recovery we practice at More Than Rehab, we emphasize that true freedom comes from living comfortably in your own skin, not just finding a legal substitute to numb the world around you.

Frequently Asked Questions

Are "legal highs" undetectable on drug tests?

Not necessarily. While standard 5-panel tests might miss them, specialized tests for synthetic cannabinoids, Kratom, and Tianeptine exist. Many sober living homes and rehabs (including MTR) now test for them specifically.

Can legal drugs really hurt my mental health?

Absolutely. Substances like bath salts and high-dose Tianeptine can trigger psychosis, panic attacks, and severe depression that may last long after the drug leaves your system.

Is it illegal to use products labeled "not for human consumption"?

Technically, using these products to get high can be prosecuted under the Federal Analogue Act in some cases, but the real risk is to your life, not just your criminal record. These products have zero quality control, and many of them can be deadly.

What should I do if a loved one is using these products?

Treat it as seriously as any other addiction. Because withdrawal from substances like Tianeptine can be medically dangerous (seizure risk), a professional medical detox is often required. Call More Than Rehab to discuss safe detox options.

888-249-2191

The Deadliest Night of the Year: Why New Year's Eve Spells Disaster for Routine Users

For most of the world, New Year’s Eve is a time of celebration, fireworks, and looking forward to a fresh start. But for those of us in the recovery community, and for those still actively struggling with substance use, we know it by a different name: "Amateur Night."

It is the one night of the year when the entire world decides to party to excess. Friends or family who usually have a single glass of wine are suddenly doing multiple shots. The bars are packed shoulder-to-shoulder, and the streets are flooded with erratic drivers.

For someone currently battling addiction, NYE celebrations aren't just a party; they are a minefield. The pressure to "go big" often leads to risky behaviors that can end in tragedy. At More Than Rehab, we want to be blunt about the reality of the streets on December 31st. The drug supply is more toxic than ever, the roads are heavily policed, and the risks of mixing alcohol and cocaine or other substances are at an all-time high.

If you are thinking about going out this year, we urge you to reconsider. Here is why staying alcohol free and safe at home might be the best decision you'll ever make.

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The Supply Chain is Toxic: Fentanyl in Party Drugs

The most terrifying aspect of the modern drug landscape is the utter lack of quality control. On New Year's Eve, demand for illicit substances skyrockets. To meet this demand, dealers often "stomp on" (dilute) their supply to stretch it further, or they clear out their old, low-quality inventory on unsuspecting "holiday partiers."

In recent years, we have seen a massive spike in fentanyl in party drugs. It is no longer just heroin users who need to be afraid. Fentanyl is being pressed into fake prescription pills (like Xanax, or Adderall) and cut into cocaine and MDMA (ecstasy, or "molly"). As we have noted before, even "innocent" looking powders can be deadly; cocaine is frequently cut with fentanyl, a powerful opioid that can be fatal even in very small amounts.

On a night like New Year's Eve, when judgment is impaired and consumption is high, you simply cannot trust what you are buying. You are not just rolling the dice on a "good time"; you could be rolling the dice on your life.

The Danger of Polysubstance Abuse

Another major risk on New Year's Eve is the tendency to mix substances. You might start with a few drinks, then someone offers you something else to "wake up" or "keep the party going."

The risks of mixing alcohol and cocaine are particularly severe. Many people combine these to counteract the drowsiness of alcohol, but this combination creates a unique chemical in the liver called cocaethylene. This compound is far more toxic to the heart than either drug alone and significantly increases the risk of sudden cardiac arrest.

Furthermore, mixing depressants (like alcohol) with stimulants masks the effects of the alcohol, leading you to drink far more than your body can handle, which can result in accidental overdose and death.

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The same applies to other combinations common at bar crawls or house parties. Mixing alcohol with MDMA (Ecstasy/Molly) can lead to severe dehydration and overheating , while mixing alcohol with prescription opioids or benzodiazepines can cause your respiratory system to shut down completely.

NYE DUI Checkpoints Texas: The Law is Watching

If the health risks aren't enough to make you pause, the legal ones should be. New Year's Eve is the "Super Bowl" for law enforcement. Police departments across Texas step up their patrols, and NYE DUI checkpoints Texas becomes a top trending search term for a reason.

Officers are on high alert for any sign of impairment. Even if you think you are a "safe" driver or have a high tolerance, the chaos of the night works against you. Other drivers are unpredictable, and a minor fender bender caused by someone else can turn into a life-altering felony for you if you have drugs or alcohol in your system, or in your possession.

Is one night of partying worth a permanent criminal record, thousands of dollars in legal fees, or the guilt of injuring another innocent person?

Why "Designated Drivers" Aren't Always Enough

We often hear the advice to just get a designated driver or use a rideshare app. While this keeps you from driving, it doesn't protect you from the other dangers of the night.

How to Ring in the New Year Safely

The safest way to survive New Year's Eve is to opt out of the madness entirely. We know the Fear Of Missing Out (FOMO) is real, but waking up on January 1st without a hangover, a court date, or a hospital bill is a feeling that beats any party.

Here is how to have a fulfilling, alcohol free night:

Glad You Stayed Sober? Keep It Going.

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If you wake up on January 1st feeling clear-headed and healthy, hold onto that feeling. It is a stark contrast to the shame and sickness that usually follows a NYE bender.

However, if you find that you couldn't stay sober, or if the holidays have highlighted a dependency you can no longer ignore, More Than Rehab is always here to help you. We understand the unique pressures of the holiday season and the grip of fentanyl in party drugs and other substances.

We offer comprehensive addiction treatment programs, including medical detox and dual diagnosis care, to help you break the cycle. You don't have to wait for a resolution to change your life.

Frequently Asked Questions

Q: Are overdose rates really higher on New Year's Eve?

A: Yes. New Year's Eve overdose statistics consistently show a spike in drug and alcohol-related emergencies. The combination of binge drinking, the prevalence of adulterated drugs (like fentanyl), and the "amateur" nature of the holiday creates a perfect storm for medical crises.

Q: I suspect my family member is using drugs. Should I confront them on NYE?

A: It is generally unsafe to confront someone while they are intoxicated or under the influence, especially in a high-stress environment like a New Year's Eve party. It is better to ensure their immediate physical safety (like taking their keys) and wait until they are sober to have a conversation about addiction treatment.

Q: What makes mixing alcohol and cocaine so dangerous?

A: Mixing alcohol with cocaine creates cocaethylene in the liver, which is highly toxic to the heart. Additionally, cocaine is a stimulant that masks the depressant effects of alcohol, leading users to drink dangerous amounts of alcohol without realizing they are approaching alcohol poisoning.

Q: How can I find a sober event for New Year's Eve in Texas?

A: Many local AA/NA chapters and community centers host alcohol-free "Alkathons" or parties. A quick search for "sober NYE events near me" or contacting a local addiction treatment center for recommendations is a great way to find a safe community to ring in the new year safely.

Do not let one night of partying cost you your future. If you are struggling with substance abuse, call More Than Rehab today. We are available 24/7 to help you start your journey to recovery. 

888-249-2191

Silent Night, Secret Stash: Identifying High-Functioning Addiction During the Holidays

The holiday season is often portrayed as a time of joy, connection, and relaxation. But for millions of families, it is a pressure cooker of stress, unspoken tension, and hidden struggles. While we’re busy wrapping gifts and planning holiday parties, a silent crisis may be unfolding right in the living room.

For those struggling with high-functioning alcoholism, the holidays aren't just a celebration; they are a gauntlet of triggers and a convenient mask for their addiction. The abundance of alcoholic drinks at every gathering provides the perfect camouflage for a problem that runs much deeper than festive cheer.

At More Than Rehab, we know that addiction doesn't always look like the stereotypes we see in movies. It often looks like the successful professional, the "super mom," or the beloved uncle who just seems a little too into the eggnog. Recognizing the hidden addiction signs during this time can be the difference between another year of suffering and the start of a life-changing recovery.

The Myth of the High-Functioning Alcoholic

There is a dangerous misconception that an alcoholic is someone who has lost everything - their job, their home, or their family. This stereotype keeps many people in denial. A high-functioning alcoholic is someone who maintains their external life: holding down a job, paying bills, attending family events, all while secretly battling a severe dependency on alcohol.

During the holidays, the "functional" mask often slips. The disruption of routine, combined with the stress of hosting or traveling, makes it harder to maintain the facade. If you are noticing that a loved one’s alcohol consumption seems to be the central focus of their holiday experience, it might be time to take a closer look.

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Why the Holidays Are the Perfect Cover

Addiction thrives in the shadows, but it also hides in plain sight. Holiday traditions often revolve around food and drink, making binge drinking socially acceptable in many circles.

Signs of High Functioning Alcoholic Behavior to Watch For

If you are worried about a loved one, you don't need to be a detective, but you do need to be observant. High-functioning addicts are often masters of deception, but the cracks usually show in the details.

1. Pre-Gaming and Hiding Supply

One of the most telling signs is drinking before the event starts. If a family member arrives at the party already smelling of distilled spirits or seems buzzed before the first toast, they may be "pre-gaming" to steady their nerves or avoid withdrawal symptoms.

You might also notice them sneaking off to the garage, their car, or a specific room frequently. As we’ve discussed in previous articles, addicts are incredibly ingenious at hiding their stash, using everything from water bottles to coffee mugs to conceal vodka or gin.

2. Mood Swings and Irritability

Alcohol withdrawal doesn't always look like the shakes; in high-functioning drinkers, it often looks like irritability. If a loved one becomes snappy, anxious, or agitated when alcohol isn't available, and then suddenly transforms into a charming, relaxed person once they have a drink in hand, that is a major red flag. This reliance on a substance to regulate mental health and mood is a hallmark of dependency.

3. "Just Tired" or "Not Feeling Well"

Alcohol disrupts the body’s natural sleep cycles, leading to poor quality rest. You might notice your loved one nodding off on the couch in the middle of the day, or complaining of constant fatigue. They may use the excuse of "holiday exhaustion," but if they are passing out rather than falling asleep, or experiencing "micro-awakenings" and confusing behavior at night, it could be alcohol-induced.

4. Excessive Focus on the Alcohol Supply

Does your loved one seem overly concerned with whether there will be enough booze? Do they volunteer to make the drink run? If the holiday parties run dry and they panic or insist on leaving immediately to get more, their physical dependency could be driving the bus.

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Spotting Drug Abuse During Holidays

While alcohol is the most visible culprit, the holidays are also a time when drug abuse can spike. The stress of the season leads many to self-medicate with stimulants (to keep up with the busy schedule) or depressants (to numb the anxiety).

Watch for physical changes like:

The Dangers of Ignoring the Signs

It is tempting to "keep the peace" and ignore these behaviors to avoid ruining the holiday mood. However, ignoring the problem increases the risk of tragic consequences.

A Family Intervention Guide for the Holidays

If you recognize these signs, you may feel compelled to act. However, the middle of Christmas dinner is not the time for a confrontation. Here is a brief guide on how to handle it:

  1. Don't Confront While They Are Intoxicated: You cannot reason with compromised brain chemistry. Wait for a calm, sober moment.
  2. Come from a Place of Love: Focus on your concern for their health and happiness, not their behavior. Use "I" statements like, "I am worried because I noticed..." rather than accusatory "You" statements like "You ruined the Christmas party."
  3. Set Boundaries: It is okay to say, "We would love to have you over, but we are keeping this a dry event."
  4. Offer a Solution, Not Just Criticism: Have the number of an addiction treatment center like More Than Rehab handy. Offer to make the call with them.

Start the New Year with a Clean Slate

The holidays should be about presence, not presents (or pints). If friends and family members are concerned about your drinking, or if you find yourself unable to navigate the holiday season without a drink in your hand, it may be time to ask for help.

At More Than Rehab, we believe in a social model of recovery. We don't just treat the addiction; we treat the person. We help you rebuild the connections and life skills that addiction has stolen. Whether it’s managing mental health disorders that fuel the addiction or undergoing a safe medical detox from alcoholic drinks and drugs, we are here to help you get your life back.

Don't wait for a New Year's Resolution. If you are struggling, the best gift you can give yourself and your family is the decision to get help.

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Frequently Asked Questions

Q: How can I tell the difference between "festive drinking" and a drinking problem?

A: The key difference usually lies in control and consequences. Festive drinking is situational and stops when the party ends. Problem drinking often involves alcohol consumption that continues after the party, drinking in secret, an inability to stop once started, or drinking despite negative consequences (like arguments or hangovers affecting work and family obligations).

Q: Is it safe to stop drinking cold turkey after the holidays?

A: For heavy or long-term drinkers, stopping alcohol abruptly (or going cold turkey) can be dangerous and even life-threatening due to withdrawal symptoms like seizures or delirium tremens. It is highly recommended to seek professional help from an addiction treatment center to detox safely under medical supervision.

Q: What should I do if a family member gets drunk and belligerent at a holiday party?

A: Safety comes first. Do not engage in an argument or try to reason with them while they are intoxicated. Ensure they do not drive. If they become violent or unsafe, you may need to ask them to leave or call for help. The next day, when they are sober, have a serious conversation about their behavior and set boundaries for future gatherings.

Q: Can high-functioning alcoholics really benefit from rehab?

A: Absolutely. High-functioning alcoholics often have a lot to lose, which can be a strong motivator for recovery. However, their denial is often stronger because they haven't "hit rock bottom" yet. A specialized program that addresses the underlying stressors, like career pressure or family dynamics, is often a very effective motivator for this demographic.

If you or a loved one are struggling with addiction this holiday season, you don’t have to face it alone. More Than Rehab is here to help you navigate the season safely. Call us today. We are available 24/7, 365 days a year: 

888-249-2191

The Hunger Games: How Stimulants & Other Drugs Kill Your Appetite

You might have noticed your loved one isn’t eating much lately. Maybe they skip meals or push food around their plate, claiming they’re not hungry. They might be losing weight fast, their mood might seem off, and somewhere deep down, you can’t shake the feeling that something’s wrong. You've heard that illicit drugs kill your appetite, but is that what's going on here?

It’s hard to imagine that drugs could be behind something as basic as appetite loss. But for many people using stimulants or other substances, this is one of the first visible warning signs. Appetite suppression, weight loss, and malnutrition often reveal what words don’t, that your loved one’s body and mind are under intense strain.

Let’s talk about why this happens, what it looks like, and how you can approach it with care and understanding.

Why Drugs Can Destroy the Desire to Eat

Your body is built to maintain balance. Hunger signals, hormones, and metabolism all work together to ensure you eat when you need fuel. But certain drugs hijack that system.

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Stimulants, like cocaine, methamphetamine, and some drugs used to treat ADHD, increase dopamine and norepinephrine in the brain. These chemicals boost alertness, focus, and energy. But they also shut down hunger cues. That’s why people using stimulants and other drugs that suppress appetite can often go for hours or even days without eating.

Substances like psychedelics and some prescription medications can alter appetite as well. They change how the brain interprets hunger and fullness, and can even trigger nausea or vomiting after small meals. Over time, it becomes a dangerous cycle that affects every system in the body.

How do Stimulants Cause Weight Loss?

Stimulants speed everything up, from the heart rate to blood pressure to metabolism and how quickly your body burns through nutrients. They also interfere with the brain’s hunger signals and slow down the gastrointestinal system, which makes food seem less appealing. When that happens, your loved one may go hours or even days without eating, often without realizing it.

When someone uses illicit drugs like cocaine or methamphetamine, their body goes into overdrive. These drugs flood the brain with dopamine, the chemical responsible for pleasure and reward. That rush of energy and euphoria suppresses appetite, increases calorie burn, and disrupts normal digestion.

The body starts consuming stored fat and muscle tissue to keep up with the constant energy demand. That’s why cocaine and weight loss are often linked, and why methamphetamine abuse can lead to severe malnutrition and weakness.

Even ADHD medications such as Adderall or Ritalin, which are designed to help people with Attention Deficit Hyperactivity Disorder (ADHD), can cause appetite loss when taken as prescribed. But when misused, they act like street stimulants. The brain becomes overstimulated, food feels unnecessary, and the risk of Adderall addiction increases.

Psychedelics and Appetite Loss

Psychedelics, such as LSD, psilocybin (magic mushrooms), and MDMA, affect the brain in a very different way from stimulants, but they can also lead to appetite loss. These drugs alter how the brain processes perception, mood, and sensory input. In that state, basic needs like hunger, thirst, or even sleep can feel distant or unimportant.

When your loved one uses psychedelics, the brain’s serotonin system is overstimulated. Serotonin influences mood, digestion, and how full or hungry a person feels. A sudden surge of serotonin can suppress appetite, slow down the gastrointestinal system, and sometimes cause nausea and vomiting.

During the experience, food may seem unappealing or irrelevant, leading to long periods without eating or drinking. This decrease in appetite can become a life threatening medical condition in certain situations.

While some people think psychedelics are harmless because they are not as physically addictive as stimulants, repeated use can still have severe consequences. Prolonged appetite suppression can lead to nutrient deficiencies and unintentional weight loss. In some cases, psychedelics can also worsen underlying mental health issues like depression and anxiety once the effects wear off.

How to Tell if Someone is on Drugs and Not Eating

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It’s not always easy to tell if someone is struggling with drug use, especially when appetite loss is the main clue. Sometimes that could be due to an eating disorder or other underlying conditions. But there are some tell-tale signs to watch out for:

You might also see classic signs of drug use, like dilated pupils, dry mouth, excessive talking, or bursts of high energy followed by long crashes. They may also show signs of withdrawal, like fatigue, irritability, intense hunger, or depression when the drugs wear off.

The Physical Dangers of Appetite Suppression

When your loved one stops eating because of drug use, the body doesn’t just lose weight. It begins to shut down vital functions. Here’s what long-term appetite loss and stimulant use can do:

What to Do if a Loved One Loses Weight from Drugs

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If you suspect drug use, it’s natural to feel scared or unsure of what to say. You might worry about pushing them away or saying the wrong thing. The truth is, your concern matters more than you realize. That’s because it might be the one thing that breaks the silence.

When someone is using drugs and losing weight, they often don’t see the danger, or they convince themselves they have it under control. Hearing genuine concern from someone they trust can be the first step toward recognizing a problem.

Your compassion reminds them they’re not alone. Addiction thrives in secrecy, and when you speak up with care, you interrupt that isolation. You’re showing that you see them and still believe in their ability to improve.

Even if your loved one isn’t ready to talk, knowing that you’re watching out for them plants a seed. It tells them help is available, and recovery is possible. That concern can truly be the lifeline that leads them toward getting the treatment they need.

Finding the Right Support

With the proper care, your loved one can regain control of their life. Recovery is not just about quitting drugs; it is about healing the mind, restoring the body, and rebuilding a sense of purpose. The sooner they get help, the better their chances of reversing the effects of appetite loss, malnutrition, and emotional distress.

At More Than Rehab, we provide comprehensive treatment for individuals struggling with drug use and its physical and mental health effects. Our programs combine medical support, nutritional therapy, and counseling to help your loved one recover safely and fully. Whether it is stimulant misuse, Adderall addiction, or the side effects of street drugs, our team is here to guide them every step of the way.

If you have noticed your loved one losing weight, skipping meals, or showing other signs of drug use, do not wait. Reach out to MTR today and help them take the first step toward a healthier, more stable future.

888-249-2191

How to Talk to a Loved One About Their Addiction Without Pushing Them Away

If you’ve noticed your loved one struggling with alcohol or drug addiction, you may feel torn. On one hand, you want to protect them. Conversely, you’re scared of saying the wrong thing and pushing them away. That tension is what makes conversations about addiction so overwhelming for family members and friends.

But the truth is, it’s not always about having the “perfect” talk. It’s about choosing the right time, using the right tone, and showing up patiently. Addiction is a disease, and like any health condition, the way we talk about it can either open a door, or shut it completely.

Let’s walk through, step by step, how to talk to a loved one in a supportive, nonjudgmental way.

Pick the Right Time and Place

Timing matters more than you think. Trying to talk when drinking becomes a problem, or during a heated argument, usually ends badly. Instead, aim for a calm, private moment.

Think of it this way: if you were about to share something vulnerable, you’d want to feel safe and unhurried. Your loved one deserves the same.

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 Try saying:

Studies in mental health communication show that people are more receptive when they don’t feel cornered or attacked. A quiet living room on a Sunday afternoon will go further than a crowded kitchen after dinner.

Use Person-First Language

Words matter. Labels like “addict” or “alcoholic” may feel convenient, but they reduce someone’s identity to their struggle with addiction. Instead, use person-first language, putting your loved one before the disorder. Recent studies show that person-first language lowers stigma and makes people more willing to consider treatment facilities or support groups.

Try saying:

Listen More Than You Speak

Here’s where most family and friends trip up: they talk too much. Your role isn’t to fix everything in one conversation. It’s to listen carefully, so your loved one feels heard. Active listening signals: “You matter. I hear you.” That connection often opens the door to talking about treatment programs later.

Practical tip: Aim for 70% listening and 30% talking. Nod, reflect back on what you hear, and avoid rushing to solutions.

Try saying:

Watch Out for Words That Hurt

Some phrases, even unintentional ones, can make your loved one shut down. And that can hinder a successful intervention process. Basically, when you approach the conversation, you should avoid saying things like:

❌ “Why can’t you just stop?”

❌ “You’re ruining this family.”

❌ “If you loved me, you’d quit.”

Instead, reframe the conversation around care, not blame.

Try saying:

family-therapy-successful-intervention-process-treatment-facilities-alcohol-use-disorder-drinking-becomes-a-problem-More-Than-Rehab-Texas-treatment-facility-mental-health

Set Healthy Boundaries

Loving someone with a substance use disorder doesn’t mean saying yes to everything. Boundaries protect both of you and stop enabling behaviors, like lending them money that goes to alcohol or drugs.

Try saying:

Boundaries aren’t punishment. They’re a way of saying: “I care about you, but I also need to take care of myself.” Family therapy often helps relatives learn how to set these boundaries together.

Encourage Treatment Without Ultimatums

It’s natural to want your loved one in an addiction treatment center as soon as possible. But pressure or ultimatums often backfire in these situations. Instead, gently share options and let them feel some control. According to the National Institute on Alcohol Abuse and Alcoholism, people who choose their own path to recovery are more likely to stay committed long term.

Types of treatment programs include:

Try saying:

long-term-struggle-with-addiction-how-to-approach-the-conversation-listen-carefully-family-and-friends

Don’t Forget Your Own Support

It’s easy to put all of your energy into the person who’s struggling with addiction and forget about your own needs. But your well-being matters just as much. When you’re exhausted, burned out, or carrying everything on your own, it becomes harder to show up with the patience and stability your loved one needs.

That’s why support for families is so important. Groups like Al-Anon, Nar-Anon, or SMART Recovery exist so you don’t have to carry this alone. They give you a place to speak openly, connect with others who understand, and learn practical ways to cope.

Taking care of yourself is essential. When you have a support system around you, you gain the clarity and strength to manage the ups and downs of your loved one’s recovery. That stability allows you to show up fully, without losing sight of your needs.

Be Patient. Recovery Takes Time

Addiction recovery is rarely linear. Relapse happens, and it doesn’t mean failure. Like other chronic conditions, progress is often measured in small steps, not overnight changes.

Try saying:

The key is consistency: staying calm, sticking to boundaries, and keeping the door open. Long-term recovery is possible, especially when family and friends remain engaged with love and patience.

These conversations are never simple, but they can be meaningful. Even if your loved one isn’t ready to accept help today, your words can plant a seed for tomorrow. What matters most is that you show up with honesty, patience, and respect, because those things break through walls far better than judgment ever could.

And when the time comes for your loved one to reach for support, you don’t have to figure it all out on your own. More Than Rehab is here to guide both individuals and families through the recovery journey with care and expertise. If you need help, give us a call today. We are available 24/7, 365 days a year.

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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.

888-249-2191

How Nitrous Oxide (Whippets) Became a Fixture at Music Festivals

Nitrous oxide (N₂O), commonly known as laughing gas, has a long history as both a medical anesthetic and a party drug. In 1799, English chemist Humphry Davy famously hosted “laughing gas” soirees, where aristocrats inhaled N₂O for its euphoric, giggly buzz. For more than 200 years, it’s been used in dentistry and medicine, often with oxygen, to safely relieve pain.

But today, nitrous oxide has taken on a new life at concerts and music festivals. Young people inhale it from whipped-cream canisters (“whippits”) or balloons for a brief high, and many assume it’s harmless. In reality, the party drug reputation hides its serious health risks.

By the latest estimates, nitrous oxide has become one of the most popular party drugs among teens and young adults. A Home Office survey in the UK found that 350,000 young people used “hippie crack,” aka: laughing gas, in one year. Annual figures on drug misuse show that 6% of all 16 to 24-year-olds had tried it. This makes it the most popular drug among teens and young adults, after cannabis.

The gas is cheap and legal to possess, and it produces uncontrollable laughter and light hallucinations. These facts have turned N₂O into a festival staple. Discarded nitrous balloons and empty canisters litter music festival fields – a scene all too common.

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A Quick High: Euphoria and Dissociation

When inhaled, nitrous oxide causes an immediate, short-lived high. Users report a head-rush of euphoria, tingling sensations, light-headedness, and a fit of giggles. (This is why it’s called laughing gas.) Like a mini-anesthetic, N₂O disrupts brain neurotransmitters for a few seconds to a minute, producing dizziness, auditory and visual distortions, and a feeling of floating outside one’s body.

The high is that brief, which explains why many festivalgoers cycle through one balloon after another. Users may inhale directly from a whipped cream canister or fill a balloon or mask. Many prefer balloons so they can continue breathing air between shots of gas.

Medical experts warn that while nitrous oxide feels easy and playful at first, it can quickly cause serious acute effects. Inhaling pure nitrous oxide displaces oxygen in the lungs, so a person can easily suffocate if they pass out. “If somebody straps on nitrous oxide with a mask and loses consciousness, their oxygen level isn’t being monitored,” explains an LA County health official, “and they’re breathing N₂O, and now they’re anesthetized. People can die from suffocation”.

Frequent Use and Cumulative Harms

Nitrous oxide may look like an easy addition to a live-music vibe, but its effects on the nervous system snowball quickly. Because the high is so short-lived, many young adults keep taking balloon after balloon, and that’s where the real damage starts.

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Vitamin B12 Crash → Nerve & Spinal Injury

Every inhale oxidizes vitamin B12, spikes methylmalonic acid, and starves nerves of a critical co-factor. Over weeks or months, users can slip into subacute combined degeneration: numb hands and feet, wobbly gait, brain fog, and, in severe cases, paralysis. Extra B12 won’t fix it while the gas keeps flowing; the only remedy is to stop using hippie crack altogether.

Hypoxia & Cardiovascular Stress

Pure N₂O pushes oxygen out of the lungs. Repeated hits can lead to hypoxia, seizures, irregular (tachycardic) heartbeat, and even deep-vein thrombosis. In other words, a few minutes of “laughing gas” can strain the heart and brain long after the music fades.

Freeze Burns, Aspiration & Sudden Death

Dragging gas straight from a whipped-cream charger can drop temperatures low enough to freeze airway tissue. Add alcohol or opioids, and the risk of vomiting (and then inhaling that vomit) rises sharply, a lethal combo that EMTs at Phish concerts know too well.

Mental-Health Fallout

Chronic use can amplify anxiety, depression, and dissociation, which are issues many festivalgoers already battle. When fun begins to start to feel like self-medication, that’s a red flag for escalating substance abuse.

Festivals, “Whipped-Cream” Canisters and the Nitrous Mafia

The music-festival setting uniquely encourages nitrous use and even overlooks it. Many concert organizers ban aerosol sprays and mask kits, but dealers still smuggle in bags of charged canisters. Journalists have dubbed the syndicates running festival nitrous supply “the Nitrous Mafia”. In one report, undercover buyers witnessed organized dealers selling dozens of balloons per minute outside concerts.

At multi-day campsites (like jam-band or EDM festivals), these crews might burn through hundreds of tanks, filling up to 350 balloons from each steel cylinder. For customers, it’s dirt cheap: one tank yields many 5 or 10-dollar balloons that go fast in a long set. But after a festival, security guards find balloons littered like spent bullet shells across campsites every dawn. The scene signals how deeply nitrous is woven into the current music festival culture.

Many fans have fond memories of the “old days” when someone would casually pass around a baloon as part of a communal vibe. But heavier commercialization means the drug is no longer a mellow pastime; it’s now pushed aggressively. Some musicians and crew openly complain that nitrous sales are out of control at shows.

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Festivals also provide peer pressure and cues that normalize nitrous use. Among young audiences, pulling out a whipped-cream canister or balloons is almost a rite of passage. Social media amplifies this: TikTok videos and influencers often show “galaxy gas” or colored whippets as fun tricks or life hacks. Some big-name artists even glamorize it.

Rapper Kanye West publicly joked about using nitrous oxide to relieve stress. Another rapper (Lil Uzi Vert) rapped about being on “that NOS” (a slang term) on stage. These public figures make it look common and low-risk, but health experts worry this glamorization conceals the hidden harm.

Warning Signs and What Parents Should Watch For

Here’s what parents and guardians should watch for:

What to Look ForWhy It Matters
Balloons & whipped-cream chargers tucked into backpacks, glove boxes, or bedroom drawersA clear sign of nitrous access—dealers known as the nitrous mafia sell these for quick, short-lived highs
Dizzy or giggly spells after parties or live music eventsSudden euphoria followed by confusion is classic nitrous exposure
Sweet or metallic breath odorInhaling N₂O leaves a telltale scent on clothes and skin
Dilated pupils, wobbling gait, numb or tingling hands/feetEarly nerve stress from rising methylmalonic acid and looming vitamin B12 deficiency
Headaches, chest tightness, mood swings, or new anxiety/depressionOxygen depletion + B12 loss can damage the nervous system and overall mental health

From Party Drug to Public-Health Alarm

What started as a quirky balloon hit at music festivals is now a fast-moving public health issue across the United States. As alcohol and pills lose their shine for some young adults, “legal highs” like nitrous oxide, ketamine, and psychedelics are filling the gap, reinforced by nitrous mafia on every concert's shakedown street. Because N₂O is still legal for culinary “whipped-cream” use, smoke shops and online stores make it look safe, yet poison-control data show nitrous-related ER visits are on the rise.

No matter how harmless “hippie crack” seems in the glow of live-music lights, every refill edges closer to real substance abuse. If you, or someone you love, has crossed that line, More Than Rehab (MTR) is here to help with evidence-based inhalant and polysubstance abuse treatment. Reach out today, before a few balloons become a lifelong battle.

888-249-2191

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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Cocaine and the Heart: The Underrated Physical Dangers of Stimulant Abuse

Cocaine's psychological effects are widely known, but its impact on the heart is often dangerously underestimated. This potent stimulant places immense strain on the cardiovascular system, even in young adults with no prior history of heart disease. Cocaine use can trigger heart attacks, aortic dissection, and fatal arrhythmias. 

Let’s explore how cocaine harms the heart, the science behind its toxic effects, and why cardiac screening is essential in managing substance use disorders.

How Cocaine Affects the Cardiovascular System

Cocaine is a stimulant drug. It’s derived from the coca plant and is known for producing intense feelings of energy, alertness, and euphoria. 

People use it as a recreational drug - and it acts by blocking the reuptake of norepinephrine, dopamine, and serotonin. This leads to prolonged stimulation of the sympathetic nervous system. This “fight or flight” state results in vasoconstriction, leading to high blood pressure and reduced oxygen delivery to vital organs, especially the heart. 

Excessive stimulation also increases heart rate and myocardial oxygen demand, further stressing the cardiac system. This results in a perfect storm for cardiovascular emergencies as stated below:

Vasoconstriction and Hypertension

When blood vessels constrict, the heart must work harder to pump blood through narrowed arteries. This increases blood pressure (hypertension), a known risk factor for heart failure and coronary artery disease. Unlike gradual-onset hypertension, cocaine-induced spikes are abrupt and extreme. This sudden increase in pressure can rupture blood vessels, including the aorta, causing aortic dissection, a life-threatening emergency where the inner layer of the aorta tears.

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Case Study: Cocaine-Induced Aortic Dissection

A 48-year-old man with recent cocaine use was presented with chest pain and back pain. Further tests revealed a Type-A aortic dissection. Despite emergency surgery, he succumbed to these complications. Diagnostic imaging confirmed an acute aortic dissection. Toxicology results were positive for recent cocaine use. Notably, he had no conventional cardiovascular risk factors. 

Cocaine and Myocardial Infarction (Heart Attack)

Cocaine can cause myocardial infarction (MI), or heart attack, by inducing coronary artery vasospasm. Unlike typical MIs caused by plaque buildup, cocaine-related MIs often occur in arteries that appear otherwise normal. The intense vasospasm restricts blood flow, depriving the heart tissue of oxygen, resulting in damage or death of cardiac muscle cells.

A study summarized by the American College of Cardiology found that 25% of patients under age 30 presenting with acute coronary syndrome admitted to recent cocaine use. Alarmingly, many had no traditional cardiovascular risk factors like diabetes, smoking, or high cholesterol.

Accelerated Atherosclerosis and Long-Term Side Effects

Chronic cocaine use contributes to the buildup of plaque in the arteries (accelerated atherosclerosis). This narrows the coronary vessels, increasing the risk of coronary artery disease and heart failure over time. Additionally, cocaine-induced oxidative stress damages the endothelium (the inner lining of blood vessels), fostering inflammation and plaque formation.

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Cocaine-Induced Cardiomyopathy

Cardiomyopathy is a disease of the heart muscle that reduces its ability to pump blood effectively. Cocaine can cause both acute and chronic cardiomyopathy. Repeated use weakens the heart muscle, lowering the ejection fraction (the percentage of blood the heart pumps with each beat). This leads to symptoms such as shortness of breath, fatigue, and fluid retention.

Case Study: Dilated Cardiomyopathy in a Young Man with Cocaine Use

A young adult male presented with symptoms of heart failure, including extreme fatigue and shortness of breath. Cardiac imaging revealed a severely reduced ejection fraction of 25%, consistent with dilated cardiomyopathy. He had no history of hypertension, diabetes, or coronary artery disease. Further evaluation confirmed recent cocaine use. With no other identifiable cause, his condition was attributed to cocaine-induced cardiomyopathy.

Arrhythmias and Sudden Cardiac Arrest

Cocaine disrupts the heart’s electrical system, increasing the risk of arrhythmias (abnormal heart rhythms). These can range from palpitations to life-threatening ventricular fibrillation, where the heart quivers instead of pumping. In some cases, this leads to sudden cardiac arrest, which is fatal if not treated immediately.

Electrolyte imbalances and increased myocardial oxygen demand from stimulant use further exacerbate these risks. Even minor lapses in rhythm can be deadly in the presence of underlying congenital heart disease or structural heart changes.

The Risk of Mixing Cocaine and Alcohol

When cocaine and alcohol are used together, the liver metabolizes both substances simultaneously. During this process, instead of breaking each down separately, the body forms cocaethylene, a unique and toxic metabolite that remains in the bloodstream much longer than cocaine. While cocaine’s effects may wear off within an hour or two, cocaethylene can persist for several hours, exerting prolonged and intensified pressure on the cardiovascular system.

Why Is Cocaethylene So Dangerous?

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Cocaethylene is more cardiotoxic than cocaine. That means it damages the heart muscle and blood vessels more aggressively. Several studies have shown that cocaethylene toxicity increases the risk of:

It also lowers the threshold for fatal arrhythmias, especially ventricular fibrillation, a condition where the heart's electrical activity becomes disorganized and ineffective, leading to cardiac arrest if not immediately reversed.

The Need for Cardiac Screening in Addiction Treatment

The effects of cocaine can be silent until a serious event occurs. Therefore, people with substance use disorders, especially those who combine cocaine and alcohol, should undergo routine cardiac evaluation as part of their recovery process.

Recommended cardiac screenings include:

Early screening, even in those who are asymptomatic, can identify heart conditions that may be reversible with early intervention and sustained abstinence. A proactive approach, especially for those with a history of stimulant use, can make the difference between recovery and a silent tragedy.

If you need help getting off of cocaine, we can help. Our team has extensive experience in cocaine use treatment and can help you regain control of your life.

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