on tuesday i had the honour of hosting the #mhsm (mental health and social media) chat. that’s a weekly one-hour conversation about mental health on twitter. the topic we discussed was mental health and addictions. it was very lively, and perhaps the biggest topic was self medication, a topic that sprung up within the first few seconds and just kept coming back. here are some of the things that were said. the categories i chose are not mutually exclusive – they just make it a bit easies to see some of the patterns.
self medication to deal with life’s stressors
1:02 am floridlymad: [addiction is a] coping mechanism to life’s stressors gone wrong…
1:03 am floridlymad: @JoyFull_deb YES. a girl i know w/crack addiction once told me it’s her only joy left in life…
1:04 am GermanInAlabama: From my uneducated view I would say oftentimes attempt at self-‘medicating’ and means of forgetting about probloems
1:48 am twitertwotter: If addicts r using drugs 2 self-medicate we need to find out why and help them learn to cope with it and move forward from past trauma
1:06 am NAMIMass: Sometimes people don’t want to take prescribed medications but think it’s ok to drink or take illicit drugs to feel better
1:18 am twitertwotter: I think an important thing that gets missed in addiction is in many cases the underlying trauma
self medication to deal with mental health issues
1:02 am JoyFull_deb: Yes !! Addiction (whatever kind) can be used to self medicate mental illness.
1:04 am petequily: @moritherapy society often doesn’t take mental health seriously & pays the cost in self medication / addictions & other MH conditions
1:05 am EatsShootsEdits: I used to self medicate before I came to understand my illness and get stable on meds
1:08 am hollymclennan: @moritherapy i see the conx btwn mental health + addiction when ppl don’t get the help they need + self-medicate.
1:08 am floridlymad: addiction to certain substances can trigger (or worsen preexisting) psychosis, which may or may not persist even after *quitting*.
1:17 am perthtones: We now know cannabis is effective on a range of depressive disorders, ketamine being trialled for bipolar – legal/illegal is abritrary
1:47 am icantican: My hx of drinking problem w/ alcohol was directly related to self medicating my symptoms of depression, blips of mania, anxiety, ADHD
1:08 am EatsShootsEdits: at lot of people self medicate long before they know they have a mental illness. our minds seek comfort sometimes it is drugs first
1:23 am twitertwotter: Many addicts use marijuana and other drugs to medicate their hyperarousal, that can be a result of PTSD or overactive flight/fight
1:26 am twitertwotter: Treatment definitely needs to address mental health issues, coping mechanisms, affect regulation and self-soothing techniques
1:51 am twitertwotter: People who drugs to feel better, or to forget, or to escape. That is self-medication. They do not know how to self-soothe.
1:53 am NAMIMass: @twitertwotter Not all addiction is about self soothing. We’ve talked about self-medicating substance abuse for #mentalhealth issues
1:46 am moritherapy: if addiction is about self soothing, then it doesn’t matter that much what the substance/behaviour is
1:57 am NAMIMass: @moritherapy I’m not sure I do agree. I’m not thinking of them at same level. I think of self soothing as less than self medicating
1:54 am moritherapy: @NAMIMass self soothing and self medicating very similar, wouldn’t you say?
1:56 am moritherapy: @NAMIMass but if you talk to health care ppl, self soothing/medication will NOT be #1 for them
self medication and ADHD
1:08 am petequily: Smallest # of addicts with #ADHD in clinical journals I’ve seen is 20%. But only 5% of pop. has ADHD http://bit.ly/7cXP8
1:10 am petequily: Study 35% of Cocaine Abusers had #ADHD http://bit.ly/4vRuoi #selfmedicate #mentalhealth
1:25 am petequily: I know of people who had undiagnosed #ADHD & self medicated w/ one addiction, stopped it & started & stopped multiple other addictions
1:44 am petequily: Study 33% of Alcoholics had #ADHD 65% of Drug Users Had ADHD http://bit.ly/b4EwqG #addiction
1:47 am petequily: @unxpctdblessing well by telling other people about how he self medicated his #ADHD w/ pot you may save others from same exp.
1:54 am asdquefty: With ADHD or depression, substance abuse can be obtaining artificial motivation.
stories of self medication
1:03 am JoyFull_deb: I watched my sister “self medicate” for many, many years….
1:16 am MelissaMashburn: my brother is a vet and almost lost his license because he was self medicating with xanex and writing his own scrips.
1:39 am MelissaMashburn: I used internet games to self medicate
1:40 am unxpctdblessing: @petequily I agree. He had been self medicating since he was 14 years old. I knew he used when I met him but had no idea the extent.
1:44 am MelissaMashburn: For me the addiction to an internet browser game, was away for me to self isolate, and self medicate