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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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.

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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.

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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.

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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

How Climate Anxiety & Eco-Grief Are Driving Substance Use in Younger Generations

Young people today are growing up in a world filled with uncertainty. Climate change is no longer a distant threat—it’s a reality shaping their present and future. They see rising temperatures, extreme weather, and environmental destruction happening in real-time. Every day, they are bombarded with news about wildfires, floods, and species extinction. Social media amplifies these concerns, making it impossible to ignore the crisis.

For many, the reality of global warming feels overwhelming. The constant fear of what’s coming next can turn into sadness, hopelessness, or despair. And these emotions affect daily life, relationships, and mental health. Some people experience panic attacks. Others struggle with motivation, feeling like their efforts won’t make a difference. And for many, the weight of climate anxiety pushes them toward unhealthy coping mechanisms—like alcohol or illegal drugs.

Substance use disorders are on the rise, and public health experts are starting to see a link. When young people feel powerless about the future, they may look for anything that offers relief. But the more they rely on substances to escape, the harder it becomes to face reality without them.

What Is Climate Anxiety?

Climate anxiety is the chronic fear, worry, or distress about climate change and its effects on the planet and future generations. It’s a growing mental health concern, especially among young adults who feel the weight of environmental destruction, extreme weather events, and political inaction.

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Young adults experiencing climate anxiety often struggle with:

What Is Eco-Grief?

Eco-grief, or ecological grief, is the deep sadness and mourning people feel when they witness or anticipate environmental destruction. Unlike climate anxiety, which is rooted in fear of the future, eco-grief is often tied to a current loss—whether it’s the extinction of species, the destruction of forests, or the disappearance of places that once felt like home.

The Link Between Climate Anxiety and Alcohol Abuse

Alcohol is one of the most commonly used substances for stress relief. Many young adults drink to cope with climate-related anxiety, even if they have never had issues with substance use before. What starts as an occasional drink to relax can quickly turn into a cycle. The more alcohol is used as a coping mechanism, the harder it becomes to manage emotions without it. This increases the risk of alcohol abuse and dependency, making it even more difficult to address the underlying anxiety.

The Rise of Illegal Drug Use

Some young adults turn to illegal drugs as a way to deal with their emotions. Marijuana, psychedelics, and opioids are often used to either escape reality or explore feelings related to climate change. Psychedelics, in particular, have gained popularity among those looking for deeper emotional insights. However, self-medicating is risky. It can lead to addiction, worsen mental health problems, and create long-term consequences that are difficult to reverse.

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Most young adults abuse drugs to:

Escape Reality

Climate anxiety is different from other types of stress because it doesn’t have a clear resolution. Unlike personal losses, where grief eventually settles, climate change is an ongoing crisis. The uncertainty of whether things will improve or worsen can feel overwhelming. For some young adults, alcohol or drugs offer a temporary way to escape the relentless worry about the planet’s future.

Numb the Fear

Substances like alcohol and drugs can dull intense emotions. After drinking or using certain substances, fear and anxiety may seem distant, at least for a while. This temporary relief makes it tempting to keep using them to cope. But over time, this pattern can turn into dependence. Instead of addressing climate anxiety in healthy ways, young adults may start relying on substances to manage stress, leading to substance use disorders.

A Form of Rebellion

Some young adults see substance use as an act of defiance. If they believe that governments and corporations are failing to protect the planet, they might wonder, “Why should I care about my health?” This mindset can lead to risky behaviors, including excessive drinking or experimenting with illegal drugs. While it may feel like taking control at the moment, this kind of self-destructive response can lead to long-term mental health struggles and addiction.

The Social Media Impact on Eco-Anxiety

Social media raises awareness about environmental issues and fuels climate anxiety. Platforms like Twitter, Instagram, and TikTok constantly expose young adults to:

Healthier Ways to Manage Climate Anxiety

If you struggle with climate anxiety, you don’t have to turn to substances. Here are healthier coping strategies:

1. Find a Support System

Talk to friends, family, or a therapist who understands your concerns. Join support groups focused on mental health and environmental action.

2. Take Meaningful Action

Feeling powerless? Channel your energy into positive change:

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3. Set Boundaries with Social Media

Social media fuels eco-anxiety. Limit your exposure to negative news and follow accounts that promote climate solutions instead of just problems.

4. Practice Mindfulness and Stress Reduction

Calm your mind with:

5. Seek Professional Help if Needed

If climate anxiety is leading to substance use, professional help is available. Many mental health professionals specialize in eco-anxiety and can provide personalized coping skills.

You Are Not Alone

Climate anxiety is real, and it affects people around the world. It is okay to feel worried about global warming and the future. But you don’t have to face it alone, and you don’t need substances to cope.

Instead, focus on healthy coping skills, support groups, and positive action. You are part of a generation that cares deeply about the planet; your voice and actions matter. But it's essential to take care of your mental health so you can stay strong in the fight for a better future.

Drug rehabilitation facilities like More Than Rehab now offer therapies specifically designed to address climate anxiety and eco-grief. These programs recognize the connection between environmental distress and substance use, providing support for both addiction and mental health struggles.

If climate anxiety is affecting your well-being, reach out to MTR today. Help is available, and recovery starts with the proper support.

 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

Understanding Fentanyl: Why It’s So Dangerous & How to Stay Safe

The growing reports of opioid overdose deaths are overwhelming. And the rising numbers don’t make it any easier. If you’re feeling worried—about yourself, your family, or someone close to you—you’re not alone. According to the CDC, fentanyl is now involved in about 76% of opioid overdose deaths in the United States, a statistic that underscores just how serious this crisis has become.

What makes it even more frightening is how often fentanyl is mixed into other drugs without anyone realizing it. It’s understandable to feel concerned, even helpless, in the face of these risks. But understanding fentanyl, its dangers, and how to stay safe can help you take meaningful steps to protect yourself and those you care about.

What Is Fentanyl?

Fentanyl is a synthetic opioid that can be up to 50 times stronger than heroin. Doctors sometimes prescribe it to treat severe pain, especially after surgery. It is often used in hospitals under close supervision. However, fentanyl is now found more often in illegal drug markets. People sometimes buy what they believe to be prescription opioids or other drugs, only to end up with substances laced with fentanyl.

When misused or without medical supervision, fentanyl can be very harmful. Because it is so powerful, even a minimal amount can be life-threatening. This risk becomes worse when fentanyl gets mixed with other substances like cocaine or ecstasy. Sometimes, people do not even know they are taking fentanyl. That is one reason authorities are saying "one pill can kill" as so many recent overdose deaths have been attributed to unexpected fentanyl contamination in other drugs.

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Why Is Fentanyl So Dangerous?

The main danger lies in its strength. Small doses can slow your breathing so much that your body shuts down, leading to an opioid overdose. This can happen before you even realize you are in trouble. When fentanyl is mixed with other drugs, it becomes even more unpredictable. People might think they are taking one substance but receive a much stronger opioid.

This often leads to a dangerous situation where just one pill or one dose can be enough to cause an overdose. As a result, the number of deaths from fentanyl overdoses continues to grow. Public health experts warn that using any non-prescribed pill is now a high-risk activity, especially if it might contain fentanyl.

How Fentanyl Can Appear in Other Drugs

Part of the reason fentanyl is dangerous is its invisibility. You can’t see, smell, or taste it, which means you cannot know if it’s there without testing the drug.

Drug dealers and drug cartels frequently lace substances with fentanyl because it’s inexpensive to produce and dramatically increases the potency of their products. This practice puts unsuspecting users at extreme risk. Fentanyl has been found in pills disguised as prescription opioids like oxycodone, in fake pills made to look like medications, and even mixed with drugs like cocaine and ecstasy.

How to Stay Safe and Reduce Risks

1. Avoid Drug Use Altogether

The safest option is to avoid using drugs entirely. This might sound simple, but it can be challenging if you or someone you care about struggles with substance use disorder. If that is the case, please know help is available. You do not have to face this alone.

2. Use Fentanyl Test Strips

If you or a loved one does feel at risk of encountering fentanyl, fentanyl test strips can detect whether the drug is present in a powder or a crushed pill. They are not foolproof, but they do lower the risk of an unexpected overdose. Remember, a negative result does not guarantee total safety, so caution is still necessary.

3. Recognize Overdose Signs

An overdose can happen suddenly. If you see someone who has very slow or stopped breathing, is unconscious, or has bluish lips or fingertips, treat that as an emergency and call 911 right away. You should also give naloxone (often known by the brand name Narcan) if it is available. Naloxone reverses opioid overdose by blocking the opioid’s effect on the brain, and it can save a life.

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4. Carry Narcan (Naloxone)

Naloxone kits are available at many pharmacies and community organizations. You do not need a prescription in most places. Having a kit on hand can make the difference between life and death if an overdose occurs. Public health agencies often provide Narcan at low or no cost, so you can ask about free programs in your area.

5. Harm Reduction Approaches

Some communities focus on harm reduction to lower the risk of infection, overdose, and other health issues. Harm reduction programs often offer clean syringes, naloxone training, and information about safer use practices. Their goal is to support people who use drugs and to prevent further harm. They also serve as a point of contact for people to enter drug addiction treatment programs or other forms of help.

Mental Health Care and Fentanyl Use

Many people who develop a substance use disorder are also dealing with emotional pain or stress. Mental health care can address underlying issues like anxiety, depression, or unresolved childhood trauma. Counseling or therapy helps you learn healthier ways to cope. You also gain support that can help you move away from drug use.

Remember, you do not have to handle everything on your own. A licensed therapist, psychiatrist, or counselor is there to guide and support you. They help you work on a treatment plan for your needs and challenges. This plan often includes therapy, medication, and group support.

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Finding Treatment for Substance Use Disorder

1. Drug Addiction Treatment Programs

Drug addiction treatment programs offer structured help through inpatient or outpatient settings. They often include detox services, counseling, and medication-assisted treatment. These programs give you the tools to stop drug use and maintain long-term health.

2. Support Groups

Groups like Narcotics Anonymous or other community support groups can provide a sense of connection. They let you share experiences with people who understand your challenges. They also offer encouragement to stay on track. Support from peers makes a big difference in your addiction recovery journey.

3. Family Involvement

Family members can play an essential role in recovery. They often notice changes in behavior before anyone else. When a family learns how to support a loved one and set healthy boundaries, it creates a more stable environment for healing. Encourage open, non-judgmental communication. Offer to help with finding resources or simply be there to listen.

If you or someone you care about has a substance use disorder, please remember that help is available. A treatment plan can involve drug addiction treatment programs, therapy, and support groups like Narcotics Anonymous. You also have the option of including family members who want to help. All these resources work together to keep you or your loved one safe and supported.

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From Stigma to Support: Changing the Narrative Around Relapse

Addiction is a disease, but not everyone understands that. Unfortunately, some people still view it as a weakness or a failure, which can make things tougher when you’re working so hard to heal. For those struggling with substance use disorders (SUDs), this stigma hurts emotionally and can also create real barriers to getting the help they need.

Stigma is a serious issue in both the general public and among healthcare professionals who interact with people in recovery. When stigma seeps into healthcare settings, it can lead to judgment, bias, or even outright dismissal of a person’s needs. This often discourages people from seeking treatment, even when they’re ready to take that critical step.

Without care, the risk of relapse increases, and the consequences can be deadly. Opioid overdose deaths are at crisis levels, and every barrier to drug addiction treatment worsens this public health emergency.

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Relapse Stigma

Relapse is a normal part of recovery from drugs or alcohol, but it’s often misunderstood. Many people feel shame or frustration when it happens, but relapse is not a failure. In fact, 40 to 60% of people relapse within the first year of treatment—a rate that is similar to other chronic conditions like diabetes or asthma.

Despite being a normal part of recovery, relapse is often judged harshly. Addiction relapse stigma is far greater than what people experience with other chronic conditions, even though the science shows addiction is a medical issue, not a personal failing. This stigma creates barriers to seeking help, especially for those with alcohol use disorder or other substance use challenges.

The Science Behind Relapse and Recovery

Addiction changes the way your brain works. Drugs or alcohol interfere with the brain’s reward system, which is responsible for feelings of pleasure and motivation. Over time, your brain starts relying on substances to feel good—or even normal.

The brain regions involved in decision-making and impulse control also take a hit. This means cravings or high-risk situations, like stress or being around triggers, can feel overwhelming. Even after you stop using, your brain needs time to heal. This is why cravings can show up long after you’ve started recovery.

Why Relapse Happens

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Relapse often happens when certain triggers activate cravings or make it harder to stick to recovery goals. These triggers might include:

Your body and brain also play a role. For example, a systematic review of addiction research shows that even when you’ve stopped using, your brain may still respond to triggers as if you had never quit. This is because the pathways created by addiction don’t disappear overnight—they take time to rewire.

Recovery is a Process

Recovery isn’t just about stopping drug or alcohol use; it’s about learning new ways to handle life. Developing skills, like practicing mindful meditation or creating a relapse prevention plan, helps you respond to stress and triggers more effectively.

Medical treatment is also an essential part of recovery. For example, treatments for alcohol use disorder or opioid use disorder often include medications that reduce cravings or block the effects of substances. These treatments are backed by science and help many people stay on track.

Recovery also requires support. Whether it’s from healthcare professionals, support groups, or loved ones, having a team around you makes a huge difference. Seeking help is never a weakness—it’s a sign of strength and commitment to your well-being.

How Stigma Can Lead to Relapse

Stigma makes recovery harder. If you’ve ever felt judged, misunderstood, or unsure about asking for help, you’re not alone. Many people in recovery feel the same way. Stigma creates barriers that leave you feeling isolated and ashamed, making it even tougher to focus on healing.

In healthcare settings, stigma shows up as bias or judgment. Some health care professionals still believe in outdated ideas about addiction. You might feel they are stereotyping you, mistreating you, or using hurtful language. This affects the quality of care you get and often makes people stop treatment early. When care is interrupted, it increases the chances of relapse, creating a cycle that feels hard to break.

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Stigma also affects your relationships. Friends, coworkers, or even family might distance themselves, leaving you feeling alone at a time when support matters most. Society’s negative messages can make you feel ashamed or unworthy of recovery, weighing heavily on your progress. Even the loved ones who stay by your side might face judgment, which adds strain to your relationships and family dynamic.

Relapse as an Opportunity

Relapse is not the end of the road; it’s part of the journey. Think of it as your body and mind signaling that something needs attention. Maybe stress levels are too high, or your relapse prevention plan needs tweaking. These moments are chances to learn what works for you and recommit to recovery.

Recovery is about progress, not perfection. Every step you take, even after a setback, moves you closer to a healthier and happier life.

Addiction is a chronic condition that affects the brain and body in complex ways, and setbacks are often part of the journey. What matters most is how you respond. Every relapse is an opportunity to learn, adjust, and grow stronger in your commitment to recovery.

You deserve care, compassion, and a support system that empowers you to move forward. With the right tools, medical treatment, and understanding, recovery is not just possible—it’s achievable.

Get Stigma-Free Care at More Than Rehab

At More Than Rehab, we’re here to walk with you through every step of your recovery journey. Whether you’re just starting or working to overcome a setback, our drug addiction treatment and recovery programs are designed with your unique needs in mind.

We know that stigma can make recovery even harder, so we’ve built a judgment-free space where you are treated with respect and understanding. At MTR, we use person-first language because you are more than your addiction. We see your strength, potential, and ability to heal, and we’re here to support you in building the life you deserve.

Recovery isn’t easy, but you don’t have to do it alone. Let us help you take the next step toward lasting change. At MTR, you’ll find the care, support, and encouragement to move forward confidently. Contact us today!

888-249-2191