🚫 Self-Medicating with Alcohol, Cannabis, or Tobacco – Why It Hurts More Than It Helps

Stress, heartbreak, anxiety, loneliness — everyone goes through pain.
Some people reach for a drink, a cigarette, or a joint to cope. It may feel like relief at first… the mind slows down, worries fade, sleep comes faster.

But there’s a problem:
These substances don’t heal pain — they numb it temporarily and deepen it over time. This is why doctors call it self-medication, and why it often leads to dependence, health damage, and worsening mental health.

⚠️ Why Self-Medication Is Dangerous

1️⃣ It Treats Symptoms — Not the Cause

  • Alcohol may silence anxiety for a few hours, but the anxiety returns stronger.

  • Cannabis may distract from sadness, but doesn’t heal trauma or depression.

  • Tobacco calms stress because it fixes the stress it caused in the first place — a nicotine withdrawal cycle.

2️⃣ It Changes the Brain — Making You Need More

All three substances interfere with dopamine (reward) and GABA/glutamate (stress control).
Over time:

  • The brain reduces natural calming chemicals

  • You need more to feel the same effect → Tolerance

  • Without it, you feel worse → Dependence

3️⃣ It Makes Mental Health Worse

Substance Short-Term Relief Long-Term Effect on Mind
Alcohol Relaxation, sleepiness Depression, irritability, memory problems
Cannabis Calm, “escape”, creativity Anxiety, paranoia, panic, amotivation
Tobacco/Nicotine Instant calming Increases anxiety baseline, mood swings

Self-medication creates the illness you were trying to treat.

💔 The Hidden Cost: Relationships, Work, and Self-Respect

  • Drinking to forget leads to forgetfulness, fights, guilt

  • Cannabis to relax leads to procrastination, disconnection, low drive

  • Cigarettes for stress slowly damage lungs, skin, fertility — while never solving stress

Over time, people often say:
“I don’t even know when I stopped using it for fun and started depending on it just to feel normal.”

⚖️ Self-Medication vs Treatment – What’s the Difference?

Aspect Self-Medication (Alcohol, Weed, Cigarettes) Professional Treatment
Goal Escape Heal
Understanding Suppresses pain Finds the cause
Safety Organ damage, addiction Medically supervised
Tools Bottle, joint, cigarette Therapy, medication, lifestyle work
Result Short relief → deeper pain Long-term stability, self-control

Why Choosing Treatment Is a Sign of Strength — Not Weakness

Professional help offers what substances cannot:

Safe Detoxification – managing withdrawal without seizures, panic, or relapse
Medications that heal, not numb – antidepressants, anti-anxiety meds, naltrexone, acamprosate
Therapies that build skills – CBT, trauma therapy, mindfulness, relapse prevention
Support systems – family counselling, AA/NA groups, peer support
Restoration of self-control and dignity – the ability to cope sober

🌱 Healing Is Not About Stopping Something — It’s About Starting Life Again

Quitting alcohol, cannabis, or tobacco is not just about subtraction. It is about addition:

  • Adding clarity

  • Adding emotional strength

  • Adding healthy relationships

  • Adding purpose, sleep, energy, peace

📌 Final Thought

Self-medication may feel like relief, but it silently writes a prescription — for dependence, illness, and regret. Seeking treatment writes a different story — one of recovery, courage, and real healing.

👨‍⚕️ About the Author

Dr. Srinivas Rajkumar T
Consultant Psychiatrist – Mind & Memory Clinic
Apollo Clinic (Opp. Phoenix MarketCity), Velachery, Chennai – 600042
📞 +91-8595155808 | 🌐 www.srinivasaiims.com

Leave a Reply

Your email address will not be published. Required fields are marked *