Suffering in Silence Pt 2: Substance Abuse or Use?

Though all humans can suffer from substance abuse, males abuse drugs at higher rates than females. The 2013 National Survey on Drug Use and Health indicated that almost 12 % of American males were currently using illegal drugs, compared with just over 7.3 percent of females. While I could write a whole blog about this topic alone (maybe I will!), I want to focus on how to differentiate between abusing a substance and using substances recreationally. 

For the sake of clarity, in this blog “substances” are classified as any type of intoxicant (alcohol, marijuana, nicotine, caffeine, opiates, narcotics, prescription meds, hallucinogens, etc). 

The use of substances has been a part of human culture for centuries. However, the way in which individuals engage with these substances varies widely. It’s crucial to differentiate between the abuse of substances and using substances for recreational purposes. Abusing substances comes with a major impact on lives, health and wellbeing. Therefore, it is important to discuss how to differentiate.

Substance abuse refers to the excessive and harmful consumption of a chosen substance. It’s characterized by a loss of control over use, a preoccupation with obtaining and using the substance, and continued use despite adverse consequences. The statements below give a good idea of how substance abuse may appear.

  • You feel you have to use a particular drug regularly, up to several times a day.
  • You obsess about getting the substance, to the point that all other thoughts about work, school, relationships or responsibilities seem to diminish in priority.
  • You have to use more of the substance than you once did to achieve the same effects that smaller amounts used to give you.
  • You feel the need to cover up, hide or lie about what or how much you’re using, even to those closest to you.
  • You’re suffering financial or vocational consequences because of your substance use: money problems, reprimands by your employers, failed urine drug screens or other consequences.
  • Your efforts to cut back or stop your using result in failure. No matter how many times you construct a strict schedule to dictate what and how much you use, you often find yourself “moving the goalposts,” so to speak — rationalizing and justifying why you should indulge until those boundaries are meaningless.
  • You lose control of your ability to self-regulate after the first one, meaning that you’re unable to do “just one,” or you add additional drugs and alcohol to the mix, until what began as a noble intention to get a slight buzz ends with you getting completely wasted.
  • You experience withdrawal symptoms when you go for long periods without using, ranging from mild (mood swings and irritability) to severe (gastrointestinal distress, leg cramps, insomnia, restlessness).
  • Your life seems to hold little meaning outside of using the substance: The things that once brought you enjoyment, and the interests you once pursued passionately, fall by the wayside or seem utterly pointless if you can’t use drugs while taking part in them.
  • You’ve suffered legal or health problems because of your substance use: an arrest, an overdose, the contraction of a drug-related disease or other consequences, and yet they weren’t enough to lead you to decide to stop.

If you relate to 1 or more of these statements, it may be time for professional help.  We have resources available here.

Recreational use, on the other hand, implies responsible and controlled consumption of substances for the purpose of relaxation, socializing, or leisure without causing harm to oneself or others. Men who engage in recreational use are capable of setting boundaries and adhering to them. The phrase, “recreational drugs,” refers to chemical substances that are used without medical direction or supervision. These substances are typically used for enjoyment, for relaxation, or for social reasons, rather than taken for health purposes.  

The line between recreational drug use and addiction can be blurry. Some people who start out using drugs recreationally may eventually develop a tolerance, and over time, a habit. The risk of addiction varies depending on the substance, the individual, and the circumstances. 

At the heart of addiction lies a fascinating neurological interplay. Dopamine, often referred to as the brain’s “feel-good” chemical, assumes a pivotal role. Substances hijack the brain’s reward system by inducing an intense surge of dopamine. Unlike natural rewards like food or social interaction, addictive substances flood the brain with dopamine, creating a powerful and lasting memory of pleasure.

Drawing a line between recreational use and abuse balances on differentiating between  wanting and craving. The desire for a pleasurable experience or feeling, like in recreational use, is very different from the relentless cravings that characterize addiction. With consistent substance use, these cravings intensify, gradually overshadowing the desire for other activities and leading to a cycle of dependency. 

Recognizing the signs of addiction can provide important insights into the progression from recreational use to abuse. The symptoms can vary widely, from subtle indicators like anxiety, irritability, and depression, to more severe manifestations such as flu-like symptoms, including nausea, vomiting, and muscle spasms.

Understanding the difference between substance abuse and recreational use in men is crucial for personal well-being, relationships, and overall life satisfaction. While recreational use can be a manageable and even beneficial part of some men’s lives, it’s essential to remain vigilant and self-aware, as substance abuse can easily develop when boundaries are blurred. Seek help and support if you or someone you know is struggling with substance abuse, as early intervention is key to preventing long-term harm.