Substance Abuse Disorder Quotes

Society. The same society, I might add, that dictates that little girls should always be sugar and spice and everything nice, which encourages them not to be assertive. And that, in turn, then leads to low self-esteem, which can lead to eating disorders and increased tolerance and acceptance of domestic, sexual, and substance abuse." "You get all that from a pink Onesie?" Leah said after a moment.

She's a baby," Maggie told me. "Babies wear pastels." "Says who?" I asked. ... "Society. The same society, I might add, that dictates that little girls should always be sugar and spice and everything nice, which engourages them to not be assertive. And that, in turn, then leads to low self-esteem, which can lead to eating disorders and increased tolerance and acceptance of domestic, sexual, and substance abuse.

Chronic trauma (according to the meaning I propose) that occurs early in life has profound effects on personality development and can lead to the development of dissociative identity disorder (DID), other dissociative disorders, personality disorders, psychotic thinking, and a host of symptoms such as anxiety, depression, eating disorders, and substance abuse. In my view, DID is simply an extreme version of the dissociative structure of the psyche that characterizes us all.

The disorder is more common in women." Note the construction of that sentence. They did not write, "The disorder is more common in women." It would still be suspect, but they didn't bother trying to cover their tracks. Many disorders, judging by the hospital population, were more commonly diagnosed in women. Take, for example, "compulsive promiscuity." How many girls do you think a seventeen-year-old boy would have to screw to earn the label "compulsively promiscuous"? Three? No, not enough. Six? Doubtful. Ten? That seems more likely. Probably in the fifteen-to-twenty range, would be my guess - if they ever put that label on boys, which I don't recall their doing.... In the list of six "potentially self-damaging" activities favored by the borderline personality, three are commonly associated with women (shopping sprees, shoplifting, and eating binges) and one with men (reckless driving). One is not "gender specific," as they say these days (psychoactive substance abuse). And the definition of the other (casual sex) is in the eye of the beholder.

Do not be blind in love and try not to suffer in silence. -Alba Castillo

Ninety-six per cent of juvenile prostitutes are fugitives from abusive domestic situations; 66 per cent began working before they turned 16. (Prostitution is their only perceived means of survival.) Millions of children work as prostitutes around the world. A third are male. One study revealed that over 50 per cent of prostitutes are the children of alcoholics or substance abusers, and 90 per cent are deflowered through incest or rape. Ninety-one per cent of prostitutes do not speak of the abuse. (The truth of life is told through the language of behavior.) Abused children suffer Post-Traumatic Stress Disorder, guilt, self-destructive impulses, suspicion, fear. Seventy-five per cent of prostitutes attempt suicide. (Imagine their scrapbook of memories.)

Self-harm or substance abuse being common ways in which BPD sufferers tend to block their unwanted emotions; this is not weakness but simply that the condition makes it so difficult to regulate your reactions.

Privileged women continue the tradition of compensating for their authority to men through affectations of disablement – from dieting and other disorders to substance abuse, institutionalised detachment from their children, and so on.

Because of media portrayals, clinicians may believe that dissociative identity disorder presents with dramatic, florid alternate identities with obvious state transitions (switching). These florid presentations occur in only about 5% of patients with dissociative identity disorder.(20) How ever, the vast majority of these patients have subtle presentations characterized by a mixture of dissociative and PTSD symptoms embedded with other symptoms, such as post-traumatic depression, substance abuse, somatoform symptoms, eating disorders, and self-destructive and impulsive behaviors.(2,10)

Psychological symptoms are God’s way of letting us know that something is wrong. Depression, anxiety, eating disorders, substance abuse, and compulsive behaviors are all symptoms of a deeper problem.

Instead of showing visibly distinct alternate identities, the typical DID patient presents a polysymptomatic mixture of dissociative and posttraumatic stressdisorder (PTSD) symptoms that are embedded in a matrix of ostensibly non-trauma-related symptoms (e.g., depression, panic attacks, substance abuse,somatoform symptoms, eating-disordered symptoms). The prominence of these latter, highly familiar symptoms often leads clinicians to diagnose only these comorbid conditions. When this happens, the undiagnosed DID patient may undergo a long and frequently unsuccessful treatment for these other conditions. - Guidelines for Treating Dissociative Identity Disorder in Adults, Third Revision, p5

DID may be underdiagnosed. The image derived from classic textbooks of a florid, dramatic disorder with overt switching characterizes about 5% of the DID clinical population. The more typical presentation is of a covert disorder with dissociative symptoms embedded among affective, anxiety, pseudo-psychotic, dyscontrol, and self-destructive symptoms, and others (Loewenstein, 1991). The typical DID patient averages 6 to 12 years in the mental health system, receiving an average of 3 to 4 prior diagnoses. DID is often found in cases that were labeled as "treatment failures" because the patient did not respond to typical treatments for mood, anxiety, psychotic, somatoform, substance abuse, and eating disorders, among others. Rapid mood shifts (within minutes or hours), impulsivity, self-destructiveness, and/or apparent hallucinations lead to misdiagnosis of cyclic mood disorders (e.g., bipolar disorder) or psychotic disorders (e.g., schizophrenia).

Is it possible nevertheless that our consumer culture does make good on its promises, or could do so? Might these, if fulfilled, lead to a more satisfying life? When I put the question to renowned psychologist Tim Krasser, professor emeritus of psychology at Knox College, his response was unequivocal. "Research consistently shows," he told me, "that the more people value materialistic aspirations as goals, the lower their happiness and life satisfaction and the fewer pleasant emotions they experience day to day. Depression, anxiety, and substance abuse also tend to be higher among people who value the aims encouraged by consumer society." He points to four central principles of what he calls ACC — American corporate capitalism: it "fosters and encourages a set of values based on self-interest, a strong desire for financial success, high levels of consumption, and interpersonal styles based on competition." There is a seesaw oscillation, Tim found, between materialistic concerns on the one hand and prosocial values like empathy, generosity, and cooperation on the other: the more the former are elevated, the lower the latter descend. For example, when people strongly endorse money, image, and status as prime concerns, they are less likely to engage in ecologically beneficial activities and the emptier and more insecure they will experience themselves to be. They will have also lower-quality interpersonal relationships. In turn, the more insecure people feel, the more they focus on material things. As materialism promises satisfaction but, instead, yields hollow dissatisfaction, it creates more craving. This massive and self-perpetuating addictive spiral is one of the mechanisms by which consumer society preserves itself by exploiting the very insecurities it generates. Disconnection in all its guises — alienation, loneliness, loss of meaning, and dislocation — is becoming our culture's most plentiful product. No wonder we are more addicted, chronically ill, and mentally disordered than ever before, enfeebled as we are by such malnourishment of mind, body and soul.

Barkley’s comment that ADD is more impairing than any syndrome in all mental health that is treated on an outpatient basis. More impairing than anxiety, more impairing than depression, more impairing than substance abuse. The “morbidity” of untreated ADD is profound.

...the vast majority of these [dissociative identity disorder] patients have subtle presentations characterized by a mixture of dissociative and PTSD symptoms embedded with other symptoms, such as posttraumatic depression, substance abuse, somatoform symptoms, eating disorders, and self-destructive and impulsive behaviors.2,10 A history of multiple treatment providers, hospitalizations, and good medication trials, many of which result in only partial or no benefit, is often an indicator of dissociative identity disorder or another form of complex PTSD.

If your boundaries have been injured, you may find that when you are in conflict with someone, you shut down without even being aware of it. This isolates us from love, and keeps us from taking in safe people. Kate had been quite controlled by her overprotective mother. She’d always been warned that she was sickly, would get hit by cars, and didn’t know how to care for herself well. So she fulfilled all those prophecies. Having no sense of strong boundaries, Kate had great difficulty taking risks and connecting with people. The only safe people were at her home. Finally, however, with a supportive church group, Kate set limits on her time with her mom, made friends in her singles’ group, and stayed connected to her new spiritual family. People who have trouble with boundaries may exhibit the following symptoms: blaming others, codependency, depression, difficulties with being alone, disorganization and lack of direction, extreme dependency, feelings of being let down, feelings of obligation, generalized anxiety, identity confusion, impulsiveness, inability to say no, isolation, masochism, overresponsibility and guilt, panic, passive-aggressive behavior, procrastination and inability to follow through, resentment, substance abuse and eating disorders, thought problems and obsessive-compulsive problems, underresponsibility, and victim mentality.

This produces teen vulnerability to peer pressure and emotional contagion. Moreover, such pressure is typically “deviance training,” increasing the odds of violence, substance abuse, crime, unsafe sex, and poor health habits (few teen gangs pressure kids to join them in tooth flossing followed by random acts of kindness). For example, in college dorms the excessive drinker is more likely to influence the teetotaling roommate than the reverse. The incidence of eating disorders in adolescents spreads among peers with a pattern resembling viral contagion. The same occurs with depression among female adolescents, reflecting their tendency to “co-ruminate” on problems, reinforcing one another’s negative affect.

What are borderline personalities?” she asked him. “It’s a psychiatric disorder involving problems of identity and intimacy—difficulty connecting with other people. Borderlines have higher-than-average rates of clinical depression and they’re more likely to get involved in substance abuse. Females tend to punish themselves but male borderlines can get aggressive.

LEVELS OF EMOTIONAL FUNCTIONING IN BORDERLINE PERSONALITY 1. Depressed, bored, and lonely 2. Angry, controlling, paranoid, and manipulative behaviors in response to anticipated loss of attachment 3. Nihilistic dissociation and raging fights, often fueled by the disinhibiting effects of alcohol or substance abuse —JOHN GUNDERSON, Borderline Personality Disorder: A Clinical Guide

In the Judeo-Christian view--and thus, the dominant Western view--to die by suicide is a sinful, selfish act. This perception has been slow to fade, though the science is clear that suicide has root causes in diagnosable mental disorders and substance abuse. ("Sin" does not qualify for the DSM-5.) The cultural meaning of suicide in Japan is different. It's viewed as a selfless, even honorable act... Outsiders say that the Japanese romanticize suicide, and that Japan has a "suicide culture." But the reality is more complicated. The Japanese view of self-inflicted death as altruistic is more about wanting not to be a burden, rather than fascination with mortality itself.

Criteria for Diagnosing Borderline Personality Disorder 1. Frantic efforts to avoid being or feeling abandoned by loved ones. 2. Instability in relationships, including a tendency to idealize and then become disillusioned with relationships. 3. Problems with an unstable sense of self, self-image, or identity. 4. Impulsivity in at least two areas (other than suicidal behavior) that are potentially damaging, such as excessive spending, risky sex, substance abuse, or binge eating. 5. Recurrent suicidal behavior, including thoughts, attempts, or threats of suicide, as well as intentional self-harm that may or may not be life-threatening. 6. Mood swings, including intense negative mood, irritability, and anxiety. Moods usually last a few hours and rarely more than a few days. 7. Chronic feelings of emptiness. 8. Problems controlling intense anger and angry behavior. 9. Transient, stress-related paranoid thoughts or severe dissociation.

In studies of first-episode bipolar patients, investigators at McLean Hospital, the University of Pittsburgh, and the University of Cincinnati Hospital found that at least one-third had used marijuana or some other illegal drug prior to their first manic or psychotic episode.10 This substance abuse, the University of Cincinnati investigators concluded, may “initiate progressively more severe affective responses, culminating in manic or depressive episodes, that then become self-perpetuating.”11 Even the one-third figure may be low; in 2008, researchers at Mt. Sinai Medical School reported that nearly two-thirds of the bipolar patients hospitalized at Silver Hill Hospital in Connecticut in 2005 and 2006 experienced their first bout of “mood instability” after they had abused illicit drugs.12 Stimulants, cocaine, marijuana, and hallucinogens were common culprits. In 2007, Dutch investigators reported that marijuana use “is associated with a fivefold increase in the risk of a first diagnosis of bipolar disorder” and that one-third of new bipolar cases in the Netherlands resulted from it.13

What this suggests is that ‘widely used’ obstetric and infant drugs such as phenobarbital dysregulate the infant’s dopaminergic (dopamine-activating) system, permanently reducing his potential for pleasure and creating an imbalance he later seeks to redress through dopaminergic compulsions – substance-use disorders involving drugs such as cannabis, heroin, or LSD, say. Or sexual addiction. And, while the nature of pornography is determined by the culturally sanctioned birth abuses of mothers and babies, the impact of pornography is determined by the susceptibility created by drugs given to mothers and children.

We don’t learn about the dangers of codependency, or how dangerous it is to base our wellbeing on another person. We don’t learn that sleeping around, hooking up, and breaking up damage our ability to produce oxytocin at optimal levels, or how oxytocin is significantly related to our social bonding, social salience, stress and pain regulation, and that low levels of it have been related to mood disorders, substance abuse, and our ability to create healthy bonds.

A chronic disturbance in which at least twelve of the following are present: 1. A sense of underachievement, of not meeting one’s goals (regardless of how much one has actually accomplished). 2. Difficulty getting organized. 3. Chronic procrastination or trouble getting started. 4. Many projects going simultaneously; trouble with follow-through. 5. A tendency to say what comes to mind without necessarily considering the timing or appropriateness of the remark. 6. A frequent search for high stimulation. 7. An intolerance of boredom. 8. Easy distractibility, trouble focusing attention, tendency to tune out or drift away in the middle of a page or a conversation, often coupled with an ability to hyperfocus at times. 9. Often creative, intuitive, highly intelligent. 10. Trouble in going through established channels, following “proper” procedure. 11. Impatient; low tolerance of frustration. 12. Impulsive, either verbally or in action, as in impulsive spending of money, changing plans, enacting new schemes or career plans, and the like; hot-tempered. 13. A tendency to worry needlessly, endlessly; a tendency to scan the horizon looking for something to worry about, alternating with inattention to or disregard for actual dangers. 14. A sense of insecurity. 15. Mood swings, mood lability, especially when disengaged from a person or a project. 16. Physical or cognitive restlessness. 17. A tendency toward addictive behavior. 18. Chronic problems with self-esteem. 19. Inaccurate self-observation. 20. Family history of ADD or manic-depressive illness or depression or substance abuse or other disorders of impulse control or mood. B. Childhood history of ADD. (It may not have been formally diagnosed, but in reviewing the history, one sees that the signs and symptoms were there.) C. Situation not explained by other medical or psychiatric condition.

First things first: studies show policing is hard. At a minimum, they prove many LEO’s struggle to cope with what they are exposed to. For example, research indicates that while 8.2% of the general population suffers from an active alcohol or substance abuse addiction, up to 23% of public safety personnel, including law enforcement officers, are engaged in the same struggle. Furthermore, due to the constant exposure to violence, conflict, death, pain and suffering, coupled with the extremely stressful and draining nature of their work, police run a significant risk of experiencing Post-Traumatic Stress Injuries (PTSI)/Post-Traumatic Stress Disorder (PTSD). Lastly, research by Dr. John Violanti in 2004 indicates a combination of alcohol use and PTSD produces a tenfold increase in the risk of suicide. This small snapshot of research paints a grim picture on how policing can negatively impact those that take up its calling.

It’s a common practice in the mental health world to treat substance abuse as a distinct entity from other mental illnesses, such as severe depression, bipolar disorder, or schizophrenia, although drug use frequently overlaps with these disorders. “So what about

Indeed, in early 2024 the government expanded MAID to allow Canadians to be killed for exclusively mental health reasons, including substance abuse disorders.13 Plans are in the works eventually to offer euthanasia to “mature minors,” which means Canada would join Belgium and the Netherlands in a triumvirate of the most liberal suicide regimes on the planet.

In studies of first-episode bipolar patients, investigators at McLean Hospital, the University of Pittsburgh, and the University of Cincinnati Hospital found that at least one-third had used marijuana or some other illegal drug prior to their first manic or psychotic episode.10 This substance abuse, the University of Cincinnati investigators concluded, may “initiate progressively more severe affective responses, culminating in manic or depressive episodes, that then become self-perpetuating.”11 Even the one-third figure may be low; in 2008, researchers at Mt. Sinai Medical School reported that nearly two-thirds of the bipolar patients hospitalized at Silver Hill Hospital in Connecticut in 2005 and 2006 experienced their first bout of “mood instability” after they had abused illicit drugs.12 Stimulants, cocaine, marijuana, and hallucinogens were common culprits. In 2007, Dutch investigators reported that marijuana use “is associated with a fivefold increase in the risk of a first diagnosis of bipolar disorder” and that one-third of new bipolar cases in the Netherlands resulted from it.13 Antidepressants have also led many people into the bipolar camp, and to understand why, all we have to do is return to the discovery of this class of drugs. We see tuberculosis patients treated with iproniazid dancing in the wards, and while that magazine report was probably a bit exaggerated, it told of lethargic patients suddenly behaving in a manic way. In 1956, George Crane published the first report of antidepressant-induced mania, and this problem has remained present in the scientific literature ever since.14 In 1985, Swiss investigators tracking changes in the patient mix at Burghölzli psychiatric hospital in Zurich reported that the percentage with manic symptoms jumped dramatically following the introduction of antidepressants. “Bipolar disorders increased; more patients were admitted with frequent episodes,” they wrote.15 In a 1993 practice guide to depression, the APA confessed that “all anti-depressant treatments, including ECT [electroconvulsive therapy], may provoke manic or hypomanic episodes.”16

…adolescence is not necessarily an especially stressful time. Rather, it is a time when the brain is more vulnerable to the effects of sustained stressors, which can tilt the adolescent into mental disorders such as generalized anxiety disorder, depression, eating disorders, and substance abuse.

There are many reasons a child may not be adequately mirrored: parents who lack empathy, who are more concerned with their own validation, who are distracted by life stressors or simply their own interests; parental narcissism; or mental illnesses such as depression, substance abuse, or other personality disorders that may pull a parent away from parenting if those disorders are untreated.

During the depersonalisation or derealisation experiences, reality testing remains intact. C. The symptoms cause clinically significant distress or impairment in social, occupational, or other important areas of functioning. D. The disturbance is not attributable to the physiological effects of a substance (e.g., a drug of abuse, medication) or other medical condition (e.g., seizures). E. The disturbance is not better explained by another mental disorder, such as schizophrenia, panic disorder, major depressive disorder, acute stress disorder, posttraumatic stress disorder, or another dissociative disorder.

Addictive Personalities. When a person is struggling with addiction, they will frequently lie, deny, exploit, manipulate, threaten, and do everything in their power to make sure their addiction gets fed. It can be difficult to tell if their problematic behavior is a result of their addiction or if it's their true personality. In order to be able for you or a mental health clinician to be able to determine this, the person with the addiction would need to be sober for at least eighteen months. However, a person can have both a personality disorder and a substance use disorder. It's also possible for a person to become emotionally stunted at whatever age they first began abusing a substance.

On the other hand, when we are chronically made to feel like we don’t matter, when we are abused, ignored, or made to feel marginalized, we can behave in ways that force others to take notice of us—whether that’s obsessing over a perfect image, overworking, developing an eating disorder, or acting out in extreme ways (a school shooter being among the most visible and tragic examples). A lack of mattering is a strong predictor of depression, anxiety, substance abuse, and suicide. When we don’t feel like we matter, we can turn inward: we give up, drink to escape, and even self-harm. People low on mattering tend to overgeneralize and catastrophize their thoughts, said Flett, convincing themselves that they don’t matter now and will never matter in the future. Flett’s research suggests that as many as one-third of adolescents in the United States and Canada do not believe they matter to others in their communities.

So why do people tend to have mental health problems in more unequal places? Psycholigst and journalist Oliver James uses an analogy with infectious disease to explain the link. The 'affluenza' virus, according to James, is a 'set of vlaues which increase our vulnterably to emotional distress' which he believes is more common in affluent societies. It entails placing a high value on acquiring money and possestion, looking good in the eyes of others and wanting to be famous. These kinds of values place us at greater risk of depression, anxiet, substance abuse and personality disorder...

So why do people tend to have mental health problems in more unequal places? Psychologist and journalist Oliver James uses an analogy with infectious disease to explain the link. The 'affluenza' virus, according to James, is a 'set of vlaues which increase our vulnerability to emotional distress' which he believes is more common in affluent societies. It entails placing a high value on acquiring money and possessions, looking good in the eyes of others and wanting to be famous. These kinds of values place us at greater risk of depression, anxiety, substance abuse and personality disorder...

persons with a history of substance abuse, cognitive disorders, renal disease, hepatic disease, porphyria, central nervous system (CNS) depression, or myasthenia gravis.

In those early days at the VA, we labeled our veterans with all sorts of diagnoses—alcoholism, substance abuse, depression, mood disorder, even schizophrenia—and we tried every treatment in our textbooks. But for all our efforts it became clear that we were actually accomplishing very little. The powerful drugs we prescribed often left the men in such a fog that they could barely function. When we encouraged them to talk about the precise details of a traumatic event, we often inadvertently triggered a full-blown flashback, rather than helping them resolve the issue. Many of them dropped out of treatment because we were not only failing to help but also sometimes making things worse. A turning point arrived in 1980, when a group of Vietnam veterans, aided by the New York psychoanalysts Chaim Shatan and Robert J. Lifton, successfully lobbied the American Psychiatric Association to create a new diagnosis: posttraumatic stress disorder (PTSD), which described a cluster of symptoms that was common, to a greater or lesser extent, to all of our veterans. Systematically identifying the symptoms and grouping them together into a disorder finally gave a name to the suffering of people who were overwhelmed by horror and helplessness. With the conceptual framework of PTSD in place, the stage was set for a radical change in our understanding of our patients. This eventually led to an explosion of research and attempts at finding effective treatments

advantages, they experience among the highest rates of depression, substance abuse, anxiety disorders, somatic complaints, and unhappiness of any group of children in this country.2

real incest symptoms include bulimia (to shrink from sight), obesity, wearing baggy clothing or many layers of clothing (in an attempt to cover up from peering eyes and to provide protection by appearing larger), eating disorders, substance abuse, perfectionism (an attempt to overcompensate for feelings of worthlessness), depression, suicidal ideation, promiscuity, prostitution, self-harm, phobias, homosexuality, and more.

When substance use progresses to the point of addiction, a person no longer chooses to use drugs or alcohol; they are compelled despite the consequences