Staying Committed to Sobriety: Practical Tips for Success

Sobriety is an ongoing commitment. You’ll face successes, setbacks, growth, and joy along your journey. They’re all part of the process and work to serve the greater goal of a healthier, happier you.

Addiction touches many parts of life, but you can claim them back. And people do recover. Sobriety gives your body the chance to heal. Your relationships can come out stronger, your self-esteem better, and you may find a new sense of purpose. 

Sobriety requires embracing a new way of life, and change comes with challenges. However, you can make the journey smoother. These 9 tips show you how to stay committed to sobriety. 

Set Clear Sobriety Goals

Clear sobriety goals let you envision where you want to be and track the progress you’ve made. They offer a reminder of your journey’s purpose and promote recovery in many ways: 

  • They enhance motivation. 
  • You increase your focus. 
  • You can track your achievements and celebrate the wins.

Several rehab programs and therapists recommend setting SMART recovery goals. SMART stands for Specific, Measurable, Attainable, Relevant, and Timely. These goals are focused and broken down into small, manageable steps. When you reach each milestone, you’ll feel a sense of accomplishment, boosting self-confidence and overall well-being.1  

These are examples of goals to support sobriety:

  • Stay sober for 60 days.
  • Join support group meetings once a month. 
  • Go on a 30-minute walk 3 times a week for one month. 

You’ll set sobriety goals with your therapist or care team during treatment. As you transition back to daily life, you’ll revisit and readjust them to align with your evolving needs. 

Seek Professional Support

Professional care helps you commit to sobriety after treatment. It’s especially effective when combined with tailored therapies. Many treatment types are available: 

  • Mindfulness-based relapse prevention (MBRP) combines mindfulness practices and cognitive-behavioral therapy (CBT). One study found that people who received MBRP for alcohol addiction had a lower relapse rate2 than those who didn’t receive treatment. 
  • Virtual therapy is equally effective as in-person treatment.

Whether or not you’re in a formal rehab program, you can turn to therapists, counselors, addiction specialists, and sober coaches for addiction recovery. They all offer a safe space for you to do the vulnerable work of healing. Some people use their titles interchangeably, but they have slightly different roles from each other: 

  • Therapists have training on connecting with clients. Many therapy positions require a master’s degree.
  • Counselors draw from their experiences to connect with clients. 
  • A Certified Addiction Specialist (CAS) might specialize in a certain field of addiction, like adolescent addiction.
  • Sober coaches offer non-clinical assistance to support long-term recovery from substance use disorders.3

Experts make sobriety more achievable by offering valuable advice, holding you accountable to your goals, and helping you feel less isolated.

Build a Support Network

Recovery may feel isolating, but you don’t have to do it alone. Support networks offer a group of people who share your experience. Peers in support groups motivate each other’s sobriety,4 exchange stories, and provide emotional support. They also decrease the risk of relapse. 

You can find support groups for different needs:

  • Alcoholics Anonymous (AA)
  • Cocaine Anonymous
  • Narcotics Anonymous
  • SMART Recovery

A strong community can be life-changing. Studies show that people who feel supported by their network are more motivated to stay in recovery.5

Identify and Manage Triggers

A trigger is a stimulus that causes a craving response. In some cases, triggers lead to addiction relapse. Relapse is normal in recovery. However, you can plan around it by understanding your triggers. The beauty of the healing journey is that you get to know yourself better, including your triggers.

Some triggers are common and can affect anyone: 

Triggers are a part of life. In recovery, you’ll learn to manage them, rather than eliminate them. Tools for managing triggers may include the phone number of a support person, a comfort object, a calming mantra, and other healthy coping strategies. 

Develop Healthy Coping Strategies

Many people turn to substances to cope with difficult or stressful life situations. Stress isn’t always bad—avoiding it altogether is unrealistic. You can learn healthy ways to manage stress. 

Healthy coping strategies may include a mix of movement, creative outlets, and other hobbies. You may find that you enjoy certain group activities, like rock climbing or yoga. Other healthy habits include art workshops, gardening, cooking, reading, and more. 

Craving management is another coping skill that supports sobriety. It teaches you to control impulses and work through urges so that you don’t fall back into harmful patterns.

A toolbox of healthy coping mechanisms can improve your quality of life. 

Practice Mindfulness

Mindfulness techniques reduce cravings7 and improve overall well-being. Mindfulness means being aware of your thoughts, bodily sensations, feelings, and environment in the moment. It involves noticing the here and now with gentle acceptance. 

There are several mindfulness techniques taught in both group settings and one-on-one: 

  • Meditation is a tool to stay focused on the present moment. You have many different ways to meditate, whether through a class or guided podcast. 
  • Yoga is an ancient practice that focuses on breath and movement. Several studies show that yoga reduces substance cravings.8 
  • Mindfulness walks involve focusing on sensations as you walk slowly. You may notice the ground beneath your feet, the way the breeze feels, and more. 

Mindfulness techniques help you stay sober by giving you healthy ways to cope and manage your thoughts and emotions. Some practices, like yoga, also provide community.

Celebrate Sobriety Milestones

In recovery, it’s important to celebrate the big and small wins. Acknowledging your achievements is a way to honor all your efforts and progress. Plus, positive reinforcement motivates people9 to commit to a substance-free life.

For some, planning milestone celebrations can be just as exciting as the experience. These milestone celebration ideas show you just how rewarding it can be:

  • Connect with nature. Planning a trip to your favorite scenic spot, like the beach or a hiking trail.
  • Treat yourself to a spa day with massages, facials, and pure relaxation.
  • Join a new exercise or crafts class you’ve always wanted to try. 
  • Explore a new restaurant or cook a special meal at home.
  • Share your accomplishments with loved ones who have supported you.
  • Update your milestone journal and send a kind message to your future self. 

Celebrating successes boosts motivation. Each time you celebrate, your brain releases dopamine, the feel-good neurotransmitter.10 This creates a positive association with milestones and drives you to want to achieve more. 

Practice Self-Compassion

We don’t always show ourselves the compassion that we deserve. This may have led to substance use in the first place. Learning to love yourself again is a significant part of the healing journey. For many, it’s one of the most profound parts of what happens when you get sober.  

Sobriety itself is an act of self-compassion. You can supplement it with other ways to show yourself that you care:

  • Talk to yourself with kindness like you would with a friend.
  • Acknowledge your thoughts without judgment.
  • Treat yourself to activities that spark joy, like hikes, art classes, or relaxing quiet time.

It’s easy to show self-kindness when everything’s going great. True self-love shines in how we treat ourselves in tough times. Setbacks are frustrating, but they serve as opportunities for growth. They don’t define your progress, and how you respond to them matters. Be patient with yourself during this time. 

Avoid Overconfidence

You should feel proud of how far you’ve come. At the same time, it’s important to recognize potential concerns of overconfidence. Overconfidence, or feeling invulnerable, can lead to complacency. And you may not be ready to loosen the rules around your sobriety just yet. 

Avoid overconfidence by developing a balanced perspective. With practice, you can strengthen your ability to maintain that balance: 

  • Reflect on your journey. For some, keeping a sobriety journal helps. Others may prefer to talk about their recovery. 
  • Stay connected. Your support network can help you identify biases and stay grounded.
  • Adjust your goals. Make sure they’re aligned with your current situation. 
  • Lean on professional help when you need it. 

Find Meaning and Purpose

When drug addiction takes over, it’s easy to lose sight of life’s meaning. Sobriety is a chance to rediscover your sense of purpose. 

Finding purpose is a personal journey. Certain things can guide the process. Kendall Bronk,11 a researcher on purpose at Claremont Graduate University Kelly, suggests 7 ways to find purpose12 in UC Berkeley’s Greater Good Magazine

  1. Point out what matters to you.
  2. Reflect on your values to clarify your purpose.
  3. Identify your strengths.
  4. Give back. Many people in recovery find purpose through volunteering. 
  5. Imagine what your best self looks like. 
  6. Cultivate awe and gratitude.
  7. Look to people you admire. 

Whether you rediscover old passions or try something new, take time to explore what truly matters to you. Finding meaning can make your experiences that much richer and your life in recovery that much more joyful.


Frequently Asked Questions About How to Stay Committed to Sobriety

What are some tips for staying committed to sobriety?

Here are some tips for staying committed to sobriety:

Set clear sobriety goals.
Seek professional addiction treatment.
Build a support network.
Identify and manage triggers.
Develop healthy coping strategies.
Practice mindfulness.
Celebrate sobriety milestones.
Practice self-compassion.
Avoid overconfidence.

How can I find a support network for sobriety?

There are many ways to find a support network for sobriety. Here are a few ideas:

Attend support group meetings, such as Alcoholics Anonymous, Narcotics Anonymous, or SMART Recovery.
Join an online sobriety community.
Talk to your therapist or counselor about finding community.
Connect with other people in recovery. Support groups can be a good place to start.

What are some common triggers for relapse?

Common triggers for relapse include stress; difficult emotions such as anger or sadness; people, places, or things associated with past drug or alcohol use; certain social situations, such as parties or bars; exposure to drugs or alcohol; and boredom. Being aware of your triggers allows you to develop a plan for dealing with them healthily. 

What Is a Speedball?

A speedball is a combination of 2 powerful drugs, heroin and cocaine, usually taken intravenously or through other means of ingestion. Also known as a “powerball,” “ball,” or “Belushi” (in reference to the late comedian John Belushi, who died from a speedball overdose), this mixture creates an intense high that combines heroin’s sedative effects with the stimulating effects of cocaine. Despite their potentially fatal consequences, people who use speedballs seek out the simultaneous rush of euphoria and energy they provide. 

The synergy between these 2 potent and dangerous drugs creates a highly unpredictable experience. Speedballs pose serious risks to users’ physical and psychological health. And the use of speedballs despite their obvious dangers signals an urgent need for intervention and treatment. 

So what is a speedball, and what are its effects? Let’s look at how this drug combination works, its risks—including overdose—and how to get help for speedball addiction. 

What’s in a Speedball?

A speedball is a combination of 2 strong and potentially lethal substances: heroin and cocaine. This deadly mix of uppers and downers is often prepared by mixing powdered cocaine, a stimulant derived from the coca plant, with heroin, a semi-synthetic opioid derived from the opium poppy. This heroin and cocaine mix carries a high risk of life-threatening consequences—which is why it’s crucial for those struggling with this kind of drug abuse to get professional help.

What Are the Effects of a Speedball?

Heroin works by binding to opioid receptors1 in the brain, producing dopamine, which causes its euphoric effects. Cocaine, a stimulant, makes users feel energetic and alert. The interaction between these 2 substances produces a complex and unpredictable physiological response that alters users’ mood, behavior, and overall perception. The combined effects of heroin and cocaine create a euphoric high that’s often accompanied by a profound sense of relaxation. 

Stimulating and depressing your central nervous system at the same time can have immediate, life-threatening consequences. According to the Florida Alcohol & Drug Abuse Administration,

Taking stimulants with opioids2 can cause negative side effects typically associated with the abuse of either one individually, such as a state of general confusion, incoherence, blurred vision, stupor, drowsiness, paranoia, and mental impairment because of lack of sleep. The combination can also result in uncontrolled and uncoordinated motor skills, and also the risk of death from stroke, heart attack, aneurysm, or respiratory failure.

The interaction between these contrasting substances can also result in a range of long-term health impacts.

What Occurs During a Speedball Overdose? 

The simultaneous use of heroin and cocaine in a speedball carries a significant and potentially fatal overdose risk. The combined effects of these substances on the central nervous and cardiovascular systems can trigger a range of severe symptoms that may indicate an overdose:

  • Extreme drowsiness
  • Confusion
  • Difficulty breathing
  • Irregular or slowed heartbeat
  • Severe chest pain
  • Seizures
  • Loss of consciousness

In some cases, a speedball drug overdose can result in respiratory failure, cardiac arrest, and ultimately, death. A speedball overdose is a critical emergency that requires immediate medical attention.

What Are the Risks and Dangers of Speedballs?

Speedballs pose a grave danger due to their high risk of life-threatening outcomes. People who use this deadly drug combination face several serious risks:

Heart Attack

Speedballs significantly increase the risk of heart attack due to the intense stimulation of the cardiovascular system caused by the combined effects of heroin and cocaine.

Stroke

Speedballs increase the risk of stroke, as the combination of these substances can elevate blood pressure to dangerous levels.

Respiratory Failure

Speedballs can cause respiratory depression, increasing the risk of breathing difficulties and potential respiratory failure.

Overdose

Combining heroin and cocaine in a speedball can increase the risk of overdose, as users may miscalculate the dosage or underestimate the potency of the mixture.

Cardiac Arrest

The simultaneous use of heroin and cocaine in a speedball can trigger cardiac arrest, especially in those with underlying heart conditions or a history of cardiovascular issues.

Seizures

Speedballs increase the likelihood of seizures, as the combination of heroin and cocaine can disrupt the brain’s electrical activity and lead to convulsions.

Increased Risk of Addiction

The potent effects of speedballs can quickly lead to addiction, as the intense euphoria and stimulation produced by this mixture can create a powerful psychological and physical dependence.

Mental Health Complications

Prolonged use of speedballs can lead to severe mental health issues including anxiety, depression, paranoia, and psychosis.

Treatment Options for Speedball Addiction 

Opioids like heroin quickly create a strong physical dependence.3 According to the National Institute on Drug Abuse, 

“Heroin… produces profound degrees of tolerance and physical dependence. Tolerance occurs when more and more of the drug is required to achieve the same effects. With physical dependence, the body adapts to the presence of the drug, and withdrawal symptoms occur if use is reduced abruptly.”

As such, it’s important to detox from speedballs in a medically supervised setting. It’s also important to remember that detox is only the first step and should be followed by a comprehensive opioid treatment program.

Addiction rehab is available in a range of formats. In addition to inpatient treatment, you may also choose to attend a partial hospitalization program, where you’ll spend your days at a treatment facility and return home at night, or an intensive outpatient program, where you’ll attend intensive programming on a part-time basis. 

Get Help Today

If you or someone you know is struggling with the devastating effects of speedball addiction, it’s essential to get professional help as soon as possible. Medical detox, followed by quality care in an addiction treatment program, can help you safely recover from the effects of speedballs and get on track toward a healthier and more fulfilling life.


Frequently Asked Questions About Speedball Addiction

What are the risks and dangers of using speedballs?

Speedballs, a combination of heroin and cocaine, pose severe risks including heart attack, stroke, respiratory failure, cardiac arrest, seizures, addiction, and mental health complications. The simultaneous use of these substances heightens the chances of life-threatening outcomes, making immediate intervention and addiction treatment crucial.

What happens during a speedball overdose?

A speedball overdose (a result of combining heroin and cocaine) is often marked by extreme drowsiness, confusion, difficulty breathing, irregular heartbeat, chest pain, seizures, and loss of consciousness. It can escalate to respiratory failure, cardiac arrest, and in critical cases, death. Urgent medical attention is critical if someone shows these signs.

What’s involved in speedball addiction treatment?

Treatment for speedball addiction usually starts with medically supervised detox, which is crucial for managing withdrawal symptoms. But detox is just the beginning. Following detox, comprehensive addiction treatment is necessary to address underlying issues and aid long-term recovery. This can be done via an inpatient, partial hospitalization, or intensive outpatient program.

What Is Gray Area Drinking? Signs, Risks, and Treatment

Gray area drinking is alcohol consumption that’s not considered to be heavy drinking, but is still above the recommended guidelines. Gray area drinkers often drink alcohol daily, but not to the point of intoxication. 

Gray area drinking is a common and growing problem. While gray area drinkers may not experience the same immediate consequences as those with alcohol use disorder, they’re still at risk for a number of long-term health problems including cancer, heart disease, and liver disease.

We’ll explore the characteristics of gray area drinking, the risks it carries, and potential treatment options. 

What Is Gray Area Drinking?

Gray area drinking is defined as consuming more than the recommended guidelines for moderate drinking,1 but less than the criteria for heavy drinking. For men, this means consuming more than 4 drinks daily, or more than 14 per week. For women, this means consuming more than 3 drinks daily, or more than 7 per week.

Differences Between Gray Area Drinking, Social Drinking, and Alcohol Dependence

  • Social drinking2 is defined as consuming alcohol in moderation. Social drinkers only drink occasionally and are able to control their drinking. (Note that no level of alcohol consumption is safe in the long run.)3
  • Gray area drinkers consume more alcohol than social drinkers, but not as much as people with alcohol dependence. They may drink daily, but not usually to the point of intoxication. Gray area drinkers may incur some negative consequences from their drinking, like hangovers, poor sleep quality, or problems at work.
  • People with alcohol dependence4 have a physical or psychological reliance on alcohol. They’re unable to stop drinking without experiencing withdrawals.

Gray area drinkers often struggle to define their relationship with alcohol. They may not realize that they’re drinking more than the recommended guidelines. While they might feel guilty about their drinking, they may be reluctant to seek help because they don’t believe they have a serious problem.

Recognizing Characteristics of Gray Area Drinking

Gray area drinking (also known as high-functioning alcoholism) looks different for different people, but there are some common behaviors:

  • Drinking more than the recommended guidelines
  • Drinking daily, but not to the point of intoxication
  • Starting to experience negative consequences of drinking
  • Struggling to define their relationship with alcohol

Gray area drinkers may also downplay their drinking habits.5 These are some common strategies:

  • Rationalizing their drinking: Gray area drinkers may tell themselves that their drinking is justified, or that it’s not as bad as it could be. They may say, for example, that they only drink wine with dinner or drink only on weekends.
  • Comparing themselves to others: They may compare themselves to people who drink more than they do and conclude that their drinking is not a problem.
  • Minimizing their drinking: They may downplay how much, or how often, they drink.
  • Hiding their drinking: They may try to hide their drinking by getting rid of empty bottles or drinking in secret.

Here are some signs that you may be engaging in gray area drinking:6

  • You drink more than you intend to.
  • You have a hard time controlling your drinking.
  • You experience negative consequences from your drinking, such as hangovers that interfere with your responsibilities.
  • You experience hangover anxiety or “hangxiety.”
  • You spend a lot of time thinking about alcohol or planning your next drink.
  • You have to drink more alcohol to feel the same effect.
  • You hide your drinking from view or lie about how much you drink.

The Risks and Consequences

Gray area drinking carries a range of short- and long-term risks.7

Health Risks

  • Liver disease
  • Heart disease
  • Cancer
  • Stroke
  • High blood pressure
  • Obesity
  • Pancreatitis
  • Anxiety and depression
  • Sleep problems
  • Cognitive impairment
  • Increased risk of accidents and injuries
  • Increased risk of developing a full-blown alcohol addiction

Social Risks 

  • Social isolation
  • Relationship problems
  • Neglecting relationship responsibilities or plans with friends
  • Avoiding social activities
  • Becoming irritable and argumentative
  • Losing interest in your hobbies and activities
  • Damaging your reputation

Gray area drinking can also lead to social anxiety and depression, which can further impair social functioning.

Psychological risks 

  • Anxiety
  • Depression
  • Guilt
  • Shame
  • Low self-esteem
  • Impaired cognitive function
  • Difficulty concentrating
  • Impulsivity
  • Irritability
  • Mood swings

It’s important to note that gray area drinking can hurt your mental health, even if it doesn’t lead to a diagnosed alcohol use disorder.

The Impact of Gray Area Drinking on Relationships and Daily Life

Gray area drinkers may experience more conflict in relationships.8 That’s because alcohol impairs judgment and decision-making, which can lead to impulsive behaviors. Gray area drinkers might also withdraw from their loved ones and neglect their responsibilities, further damaging trust. 

What Causes Gray Area Drinking?

Several factors contribute to gray area drinking:

  • Stress: Stress is one of the most common reasons people turn to alcohol. It can be hard to cope with stress, and alcohol offers temporary relief. However, drinking to cope with stress causes more problems than it’s worth. 
  • Peer pressure: If your friends are drinking heavily, you might feel pressured to do the same. This is especially true for young people, who are more likely to conform to peer pressure.
  • Lifestyle: Some lifestyles are more conducive to drinking. For example, people who work long hours or who have demanding jobs may be more likely to drink to de-stress. People who socialize often or who attend a lot of parties may be more likely to drink heavily in these settings.
  • Genetics and family history: People with a family history of alcohol abuse are more likely to develop alcohol problems themselves. Also, people with certain genetic traits may derive more pleasure from alcohol, causing them to drink more.
  • Underlying causes: It’s important to note that gray area drinking is often a way of coping with an underlying problem, such as stress, anxiety, depression, or trauma. Addressing the root cause is essential to break free from this pattern.

The Importance of Seeking Help

Gray area drinking is a serious problem that can significantly impact your physical and mental health, your relationships, and your career. It’s important to recognize and address this type of drinking early on, before it turns into a more serious alcohol use disorder.

Thankfully, getting help works. 

Therapy can help you to understand the root causes of your drinking and develop healthy coping mechanisms. Support groups can provide you with a safe and supportive space to share your experiences and learn from others. And self-help resources can teach you how to reduce your drinking and live a healthier lifestyle.

Here are some resources that can help:

Therapy

Therapy can be a very effective way to address gray area drinking. A therapist can help you to recognize and change your behaviors:

  • Understand the root causes of your drinking
  • Develop healthy coping mechanisms
  • Set goals for reducing your alcohol consumption
  • Learn how to manage triggers
  • Develop relapse prevention strategies

Support Groups

Support groups can be a hugely helpful resource for gray area drinkers. They provide a safe space to share your experiences, learn from others, and get support for your journey to recovery. Support groups are widely available, and often free:

Self-Help Resources

Self-help resources can teach you how to reduce your drinking and live a healthier lifestyle:

Strategies for Managing Gray Area Drinking

If you’re looking to reduce or moderate your drinking, several strategies can help. Your therapist can also help you implement these:

  • Set limits. Decide how many drinks you’ll allow yourself to have each day or week and stick to it. It may be helpful to write this down or share it with a trusted friend or family member.
  • Be mindful of your triggers. What are the people, places, and situations that trigger your drinking? Once you know your triggers, you can develop strategies for avoiding them or managing them in a healthy way.
  • Find other ways to cope with stress and difficult emotions. Exercise, relaxation techniques, and spending time outdoors or with loved ones can help relieve stress. Experiment with different coping techniques to find what works best for you.
  • Challenge your beliefs about alcohol. Do you believe you need alcohol to relax, have fun, or socialize? These beliefs are often inaccurate and can lead to unhealthy drinking habits. Practices like journaling, daily affirmations, and CBT techniques can help you challenge your negative thoughts and replace them with more positive, realistic ones.

Awareness and Self-Care 

Self-awareness and self-care are key when you’re making lifestyle changes. Pay attention to your physical and emotional state and be mindful of the signs that you’re at risk for drinking too much. If you’re feeling stressed, anxious, or depressed, carve out some time to relax and de-stress.

If you don’t intend to quit drinking entirely, it’s important to create a healthier relationship with alcohol. This starts by being mindful of why you drink, when you drink, and how much you drink. It also means finding other ways to cope with your emotions and learning how to relax without alcohol.

Self-care starts with the essentials:

  • Get adequate sleep.
  • Eat a healthy diet.
  • Exercise regularly.
  • Spend time with supportive loved ones.
  • Do things you enjoy.
  • Explore relaxation techniques like yoga or meditation.

If you’re struggling to manage your drinking on your own, it may be time to seek professional help. See our list of alcohol addiction treatment centers to search for programs that meet your needs and reach out to admissions teams directly.


Frequently Asked Questions About Gray Area Drinking

What are the differences between gray area drinking, social drinking, and alcohol dependence?

Gray area drinking exceeds moderate guidelines but is less severe than alcohol dependence. Social drinkers consume alcohol moderately without negative consequences. Those with alcohol dependence have a physical or psychological reliance on alcohol and are unable to quit without withdrawal symptoms.

What are the risks and consequences associated with gray area drinking?

Gray area drinking poses various health risks such as heart disease, liver issues, and increased risk of alcohol addiction. It can lead to social isolation, relationship problems, and psychological effects like anxiety, depression, and cognitive impairment. Identifying and addressing gray area drinking early can prevent it from developing into a more serious alcohol use disorder.

What causes gray area drinking?

Gray area drinking is influenced by stress, peer pressure, lifestyle, genetics, and underlying problems like anxiety, depression, or trauma. Stress, peer influence, and genetic predisposition often play a role. Addressing underlying issues via comprehensive treatment is vital to break free from this pattern.

Why Is Fentanyl So Dangerous and Hard to Spot?

Why is fentanyl so dangerous? 

This powerful opioid can be lethal even in small doses. It’s also hard to detect and is often mixed with other drugs, unbeknownst to the user. 

Let’s look at the risks involved in taking fentanyl, the challenges in reducing the harm it causes, and what you can do if you or someone you know is addicted to opioids. 

Fentanyl Is an Extremely Potent Opioid

This synthetic opioid is incredibly potent compared to other opioids. Fentanyl is up to 100 times stronger than morphine1 and 50 times stronger than heroin. This means that a very small amount can produce a powerful effect—and that a very small amount can be fatal. It’s often mixed with other drugs, such as heroin and cocaine, without the user’s knowledge. This can easily lead to accidental overdoses. According to the DEA, 

“There is significant risk that illegal drugs have been intentionally contaminated with fentanyl.  Because of its potency and low cost, drug dealers have been mixing fentanyl with other drugs2 including heroin, methamphetamine, and cocaine, increasing the likelihood of a fatal interaction.”

Fentanyl’s extreme potency makes it very dangerous and increases the risk of overdose. 

It Acts Quickly on the Body

Fentanyl is a fast-acting opioid:3 it enters the bloodstream quickly and reaches the brain within minutes. This also heightens its addictive properties. People who use fentanyl quickly develop a tolerance to it, meaning they need to take more of it to achieve the same effect. This can lead people to use more fentanyl than they can handle, increasing their likelihood of overdose.

Inconsistent Quality and Purity

Illicit fentanyl production has become increasingly common4 in the U.S., as fentanyl is cheap to produce and easy to transport. It can also be used to produce other synthetic opioids, like carfentanil,5 which is even more potent.

Counterfeit fentanyl is often produced in clandestine laboratories with little to no quality control. As such, the quality and purity of illicit fentanyl can vary widely from batch to batch. And because of its strength, even small variations can be deadly. An especially strong batch of fentanyl can lead to widespread overdoses. The Red Pheasant Cree Nation in Canada, for example, declared a state of emergency after 8 fentanyl overdoses6 in one weekend—a scenario that’s unfortunately all too common. 


Illegal fentanyl is often mixed with other drugs7 like heroin, cocaine, meth, and MDMA without the user’s knowledge. This vastly increases the risk of overdose and adverse reactions for people who don’t even intend to take fentanyl. 

Fentanyl Is Hard to Dose

Fentanyl’s extreme potency makes it very hard to dose accurately. Even a small mistake can lead to overdose.

Just 2 milligrams of fentanyl can be fatal. If someone is using a scale to measure fentanyl, but the scale is slightly off, they could easily take too much. Likewise, if someone injects fentanyl using their normal dose, but the product they’re using varies in potency from the last time, they could overdose. 

People who are new to using the drug can have a hard time gauging their dosage. But even experienced drug users can easily make fatal mistakes when dosing fentanyl. 

Tips for Avoiding Fentanyl Overdose

  • Never use drugs alone.
  • With any new drug, start with a small amount and wait at least 30 minutes before using more.
  • Be aware of the signs of overdose, such as loss of consciousness, slow or shallow breathing, and blue lips or fingernails.
  • If you suspect an overdose, call 911 immediately and administer naloxone if you have it.

Using Naloxone (Narcan) for Fentanyl Overdose 

Fentanyl overdose can happen quickly,8 even after a single use. They can also be hard to reverse, even with naloxone,9 a medication that’s commonly used to reverse opioid overdoses. People who overdose on fentanyl may need multiple doses of naloxone to be revived, and likely need to be hospitalized.

What to Do if You Suspect a Fentanyl Overdose

If you suspect that someone is overdosing on fentanyl, call 911 immediately. Administer naloxone if you have it available, but don’t wait for naloxone to arrive before calling 911.

Tips for Administering Naloxone

  • If the person is unconscious, roll them onto their back and give them one dose of naloxone in the nose.
  • If they’re still unconscious after 2-3 minutes, give them a second dose of naloxone.
  • Continue to give naloxone every 2-3 minutes until they becomes responsive or help arrives.
  • Stay with them until help arrives. Monitor their breathing and keep them warm.

Nalaxone Challenges

Naloxone is an effective medication for reversing opioid overdoses, but there are some challenges in using it with fentanyl.

Fentanyl is so potent that it can take multiple doses of naloxone to reverse the overdose. And because the effects of naloxone don’t last as long as the effects of fentanyl, people who overdose on fentanyl may need repeated doses of naloxone to stay alive.

Another challenge is that, because fentanyl is often mixed with other drugs, it’s difficult to know how much fentanyl is in someone’s system and how much naloxone they need.

There can also be delays in administering naloxone if the person is overdosing alone or if it takes time for help to arrive. Any delay in administering naloxone to someone who overdoses on fentanyl can reduce their chances of survival. 

“Though naloxone can block fentanyl’s effects, there is evidence to suggest that there is less time to save someone from a fentanyl-related overdose, in comparison to other opioids,” says Associate Professor of Clinical Neurobiology Jermaine Jones, PhD. That’s because fentanyl can cause respiratory depression and death very quickly.

Fentanyl Slows Breathing

Fentanyl depresses the central nervous system10—particularly the respiratory centers—meaning it slows down breathing and can even stop it altogether. 

Fentanyl binds to opioid receptors in the brain, which regulate pain, pleasure, and mood. This is how it produces its euphoric effect. But opioid receptors also regulate breathing. Respiratory depression is the main cause of death in fentanyl overdoses.11 

Prevalence and Overdose Statistics

Fentanyl is responsible for a growing number of overdose deaths12 in the U.S.: 

  • The DEA has found counterfeit fentanyl pills containing up to 5.1 milligrams of fentanyl, which is over twice the lethal dose.
  • Fatal overdoses from synthetic opioids—mainly fentanyl—rose 55.6% from 2020 to 2021.
  • Fentanyl is the leading cause of fatal overdose in the U.S.

Fentanyl plays a significant role in the opioid epidemic, and the number of fentanyl-related deaths continues to rise. The need to address this epidemic is urgent—and it starts with recovery from opioid use

If you’re using fentanyl or struggling with opioid dependence, getting help is crucial. Medically supervised detox can help you safely stop opioid use. And comprehensive addiction treatment can help you address the root causes of opioid use disorder, so you can start your journey toward a better life.

By addressing fentanyl addiction, we can save lives and reduce the impact of the opioid epidemic on our families and communities.


Frequently Asked Questions About Why Fentanyl Is So Dangerous

What makes fentanyl so dangerous?

Fentanyl’s extreme potency (up to 100 times stronger than morphine) and its presence in various street drugs, significantly heightens its lethality. Often laced without users’ awareness, even small doses of fentanyl can lead to fatal overdoses.

How does fentanyl impact the body and why is it hard to dose?

Fentanyl is fast-acting, entering the bloodstream quickly and creating a rapid tolerance in users, leading to higher consumption and overdose risks. Its potency makes it challenging to dose accurately. Even small errors in dosage measurement or variations in product strength can be fatal.

What are the challenges of using naloxone to reverse fentanyl overdoses?

Naloxone is generally effective in reversing opioid overdose, but is harder to use for fentanyl overdose. Due to fentanyl’s potency and the duration of its effects, multiple doses of naloxone may be required. Delays in administering naloxone can also reduce the chances of survival.

What to Know Before Dating Someone in Addiction Recovery

Recovery is a life-changing journey and an admirable undertaking. It also comes with significant challenges that can impact how someone shows up in a relationship. If you’re dating someone in recovery, anticipating and learning how to navigate these challenges—and taking care of yourself in the process—is key.

Here’s what you can expect, and how to ensure the relationship is healthy for everyone involved. 

Understanding Addiction Recovery

Recovery is a transformative journey that people take on when overcoming addiction and its underlying causes. It’s not just about abstaining from a substance, but also a deeply personal healing process. People in recovery often undergo profound transformation, rediscovering their sense of self-worth and purpose in life. They learn to cope with past traumas, unmask what drives their addiction, and learn new coping skills. For most people, recovery is a lifelong endeavor that involves continuous self-improvement.

It’s helpful for loved ones of those in recovery to understand this process, both to establish healthy boundaries for themselves and to be supportive to their partners. 

Dating in Early Recovery 

Addiction experts generally advise against dating in early recovery. That’s because this stage—the first year of sobriety—is a vulnerable time in which people are processing traumas and going through changes. It’s a good time to focus on introspection and healing. 

It may also take some time before the dust settles enough to see relationship patterns clearly. One man in recovery, Chris Boutte, explains how he used women to fill the same void he filled with drugs and alcohol:1 

As with my moment of clarity about drugs and alcohol, I had to sit back and think about what else I was using to fill this void, and the answer was women…I then realized that I wasn’t only dependent to drugs and alcohol, but I was dependent to relationships.

People can get addicted to sex and love just as they can to substances. But true happiness comes from within, and much of the work of early recovery has to do with cultivating happiness without the use of addictive behaviors.

Disclosure and Communication

In any relationship, honest communication is the key to trust and intimacy. This is especially true when dating someone in addiction recovery. To foster this, you can create a safe space for candid discussions about recovery, including past addiction issues. 

This vulnerable sharing can bring couples closer. But addictions are rooted in trauma, which is a sensitive subject. Remember that your partner has a right to open up about their past if and when they’re ready. Talking through it can be healing, but pressuring someone to disclose their trauma2 is often triggering and counterproductive. 

When you do enter these conversations, practice listening actively and without judgment. That means not only hearing the words your partner says but also understanding their feelings, concerns, and needs. By being non-judgmental, you create an environment where your partner can open up without fear of criticism.

Emotional Ups and Downs

The journey of recovery involves ebbs and flows. As your partner progresses through their healing process, they’ll run into challenges. Past traumas may surface unpredictably as they venture into parts of themselves they previously avoided. They may be elated at times as they feel newly empowered or connect with joys they didn’t feel during addiction. 

It helps to know that processing the past can influence your partner’s present emotional state. And while you can provide safe space and a listening ear, it’s not your job to soothe their negative feelings. These emotional shifts are a natural part of recovery, and their own experience of this journey—even when unpleasant—is important.

Triggers and Relapse Concerns

The world is not a trigger-free place, and while your partner should learn to manage triggers, it’s also a good idea to avoid them if they’re feeling especially vulnerable. Relapse triggers3 can be environmental, emotional, or social.

  • Environmental triggers include being in places associated with past substance use.
  • Emotional triggers can stem from stress, anxiety, or unresolved trauma. 
  • Social triggers can arise from peer pressure or interactions with friends who still use substances. 

Recognizing these triggers is the first step to minimizing their impact. 

Responding to Signs of Potential Relapse 

Understanding signs of relapse can help you proactively avoid it: 

  • Sudden changes in behavior
  • Secrecy
  • Mood swings
  • Social withdrawal 

If you notice these signs, address them early on with compassion and care. Be prepared to act quickly and seek professional help if the risk of relapse becomes imminent. If your partner does relapse, remember that backsliding is part of the recovery process for some and doesn’t mean total failure. Reconnecting with professional and social support can be a great opportunity to recommit to sobriety.

Keeping lines of communication open and allowing your partner to discuss their concerns freely, as well as encouraging habits that support their sobriety, can go a long way in empowering their recovery. 

Creating Healthy Boundaries

Boundaries are a cornerstone of any healthy relationship, but are especially important to prioritize when dating someone in addiction recovery. This protective framework ensures the relationship remains healthy and supportive for both of you. By setting, respecting (and when necessary, reinforcing) boundaries, you create an environment of safety and trust.

Your boundaries may require adjustment as your needs change over time. As your partner progresses in their recovery journey, situations or topics that were initially off-limits may become acceptable as they feel less activated. Be willing to engage in conversations about modifying boundaries so they reflect the evolving needs of both partners. 

Supporting Recovery Efforts

Your partner is taking on a huge endeavor. You can be a source of encouragement and belief in their ability to overcome challenges. But it’s crucial to understand the difference between support and control. Your partner’s recovery journey is their own. Trust your judgment and avoid enabling behaviors4 that could hinder their progress and lead to a dysfunctional dynamic.

Attending Support Groups or Therapy Together

Joining your partner in support groups or therapy sessions can be a transformative experience. Attending therapy together allows you to gain an understanding of their journey, learn effective communication strategies, and address shared challenges. These experiences strengthen your connection and provide guidance for discussing issues you may not feel confident navigating on your own. It’s not just about your partner’s recovery; relationships are a shared opportunity for growth and healing.

Creating a Safe, Substance-Free Environment

Maintaining a substance-free environment is critical for the success of your partner’s recovery. Remove any substances from your spaces and communicate your expectations for your household. By creating an environment that prioritizes sobriety, you foster mutual respect and shared aspirations for a healthy, substance-free life together.

Self-Care for Partners

As a partner of someone in addiction recovery, it’s easy to focus all your energy and attention on their well-being. Keep in mind that your own self-care is not a luxury, but a necessity. The emotional demands of supporting someone through their recovery can be taxing, and neglecting your own well-being can lead to burnout. Self-care isn’t selfish; it’s an investment in your ability to show up as your best self.

Healthy Coping Strategies

Incorporate self-care strategies into your daily routine. This could include setting aside time for relaxation and activities you enjoy. Exercise, creative expression, and mindfulness practices are powerful stress relievers. Maintain boundaries to prevent your partner’s challenges from overwhelming you, and remember it’s okay to ask for help or take breaks when you need to. Staying close to your own social support network is also key. Surround yourself with friends and family who understand your situation and can provide emotional support when you need it.

Seeking Support or Therapy When Dealing With Unique Challenges

Therapy or support groups are invaluable for partners dealing with the unique challenges of supporting someone in recovery. These resources offer a safe, confidential space to share your feelings, receive guidance, and gain tools for coping. Therapy can help you navigate your role in your partner’s recovery, manage your own stress and anxiety, and address any codependency issues that may have developed. 

Prioritizing your own emotional well-being and personal growth makes for a healthier, more balanced relationship with your partner in recovery. 

Navigating Relationship Challenges

One common hurdle when dating someone in addiction recovery is miscommunication due to differing expectations or past issues. Past traumatic experiences5 can sometimes cause mistrust or insecurity, which can show up as hurtful behaviors. It’s helpful to anticipate these challenges and address them as they arise. With patience, understanding, and mutual effort, you can build a resilient partnership with someone in recovery.

Resources and Support

Thankfully, plenty of resources can help you understand addiction and how to navigate your relationship with someone in recovery:

Books

Websites

Support Groups

Professional Help

Sometimes, complex challenges require professional help. Couples therapy or counseling can provide a structured, supportive environment to address issues and build a healthier partnership. Trained therapists or counselors can help you navigate the intricacies of dating someone in recovery and provide tools to strengthen your relationship. You can also attend therapy on your own

It’s Okay to Reach Out

Remember that you’re not alone in this journey and don’t hesitate to seek support when you need it. Reach out to your own support network for advice or simply a listening ear. Seeking assistance is a sign of strength, and it can make a huge difference in how you navigate the challenges of dating someone in recovery. Prioritize self-care and your emotional well-being, and never underestimate the power of community and professional help when facing these complex challenges.

Bipolar Disorder I vs. II: Understanding the Difference

Bipolar disorder is a mental health condition characterized by extreme mood swings that impact your energy levels and activity patterns. There are 2 primary subtypes: bipolar I and bipolar II, each with its distinct characteristics. Understanding the differences between bipolar I vs. bipolar II is crucial for effectively diagnosing and managing this disorder so you can find a path to stability and emotional well-being. 

Let’s look at the differences between these 2 subtypes: their symptoms, effects on daily life, and treatment options. 

Types of Bipolar Disorder

Bipolar disorder is a complex mental health condition characterized by extreme shifts in mood, energy, and activity levels. While there are several types of bipolar disorder, each shares the common feature of these mood swings. 

Here’s a general overview of the most common types:

Bipolar I Disorder

Bipolar I disorder entails manic episodes,1 which are periods of heightened energy, intense euphoria, and impulsive behavior. These episodes of mania often alternate with depressive episodes, which are marked by overwhelming sadness, fatigue, and a loss of interest in activities your normally enjoy. People with bipolar I disorder may experience severe manic episodes that can lead to psychosis, during which they lose touch with reality. 

The swings between manic and depressive states can be dramatic and disruptive to daily life. If you’re concerned that you might have bipolar, it’s important to get an accurate diagnosis so you can start to treat it effectively. 

Bipolar II Disorder

Bipolar II disorder differs from bipolar I in the severity and duration of manic episodes. In bipolar II, people experience hypomanic episodes,2 which are less extreme than full-blown manic episodes. While hypomania may include increased energy and creativity, it’s typically less disruptive and intense than mania. People with bipolar II tend to be depressed more often, which can cause emotional distress and impair your ability to function. Accurate diagnosis and treatment are essential for managing the cycle between hypomania and periods of depression. Untreated bipolar II can significantly impact your day-to-day life.

Cyclothymic Disorder

Cyclothymic disorder is a milder form of bipolar disorder3 marked by chronic mood disturbances. Unlike bipolar I and II, cyclothymia involves less severe mood swings. But it is chronic, and usually lasts for at least 2 years in adults. People with cyclothymia cycle through recurrent periods of hypomania and depressive symptoms. And while the mood swings in cyclothymia aren’t as extreme as in other forms of bipolar, they can still disrupt your daily life and relationships. It’s important to note that cyclothymic disorder can progress into bipolar I or II if left untreated,4 making early intervention and treatment vital for long-term well-being.

Is Bipolar Disorder I More Severe Than Bipolar Disorder II?

One of the common questions people have about bipolar disorder I vs. II is which type is more severe. 

The distinction between these 2 disorders has to do with the intensity of manic episodes. People with bipolar disorder I experience full-blown manic episodes,5 which can be more extreme, disruptive, and potentially lead to psychosis, making it crucial to receive timely treatment. While bipolar disorder II is sometimes considered a milder form of bipolar, it can still significantly impact your life due to the frequency of major depressive episodes. The severity of either disorder depends on a number of factors, including your specific experiences and the degree to which your symptoms interfere with your daily functioning.

Both bipolar I and II can cause significant challenges in managing emotions, relationships, and daily life. What matters most is that you receive the right treatment to address your specific needs—whether it’s mood stabilization, therapy, medication, or a combination of approaches. With quality care and support, people with any type of bipolar disorder can achieve stability, manage their symptoms, and lead fulfilling lives.

What Is the Difference Between Bipolar I and Bipolar II?

Bipolar I and bipolar II are distinct subtypes of bipolar disorder. While they share similarities, they differ in critical ways. 

Mania vs. Hypomania

One of the primary distinctions is the nature of manic and hypomanic episodes. In bipolar 1 disorder, people experience manic episodes of intense euphoria, impulsivity, and heightened energy. These episodes are often severe, disruptive, and can even lead to psychosis in some cases, which requires hospitalization. 

Bipolar II disorder features hypomanic episodes, which are milder and shorter than mania. While hypomania also involves increased energy, it’s generally less intense and disruptive to daily life. Hospitalization due to hypomania is rare. In fact, according to the DSM-5 criteria for hypomanic episodes,6

“The episode is not severe enough to cause marked impairment in social or occupational functioning or to necessitate hospitalization. If there are psychotic symptoms, the episode is, by definition, manic.”

Impact on Daily Life

The impact on daily life also varies between these 2 subtypes. Bipolar I tends to have a more significant impact because of the severity of manic episodes, which can lead to reckless behavior and seriously impair functioning. The depressive episodes that follow can be equally debilitating. 

In bipolar II, the impact on daily life stems from more prevalent and longer-lasting depressive episodes. Although people with hypomania may behave impulsively, it’s typically less disruptive than full mania. 

Differences in Bipolar Disorder Symptoms: I vs. II

Bipolar disorders I have some symptoms in common, like depressive episodes. But their main distinction is the severity and nature of manic or hypomanic symptoms. In bipolar I disorder, people experience full-blown manic episodes which are often followed by profound depressive episodes. Bipolar II disorder features hypomanic episodes and more frequent depressive episodes.

The main distinction between bipolar disorder I vs. II is the presence of either mania or hypomania:7 

Mania Symptoms

  • Elevated or irritable mood
  • Racing thoughts
  • Less need for sleep
  • Heightened energy and restlessness
  • Impulsivity and poor judgment
  • Grandiosity or inflated self-esteem
  • Engaging in risky behaviors (e.g. excessive spending or substance abuse)
  • Talkativeness and rapid speech
  • Difficulty focusing
  • Agitation and irritability
  • Hallucinations or delusions (in severe cases)
  • Disorganized thinking and behavior

Hypomania Symptoms

  • Elevated mood or increased happiness
  • Increased creativity and productivity
  • Enhanced energy and motivation
  • Reduced need for sleep without feeling fatigued
  • Increased talkativeness and sociability
  • Heightened self-confidence and self-esteem
  • Mild impulsivity (usually without severe consequences)
  • Improved focus and attention
  • A sense of optimism and positivity
  • Increased goal-directed activity
  • More engagement in pleasurable activities
  • Generally less severe and disruptive than full manic symptoms

Bipolar I vs. II Treatment

While bipolar disorder 1 and 2 share certain treatment approaches, they also have different considerations based on the nature of manic or hypomanic episodes. Both subtypes of the disorder usually involve a combination of medication and talk therapy8 to manage symptoms and promote stability.

Medication

In general, treatment for both bipolar I and II includes mood stabilizers, such as lithium, anticonvulsants, or atypical antipsychotic medications, to help regulate mood swings. Bipolar I may require more intensive medication management and monitoring due to the severity of manic episodes and the potential for psychosis. 

Talk Therapy 

Psychotherapy plays a crucial role in teaching people living with bipolar disorder coping skills, how to recognize triggers, and strategies to manage mood episodes. Mental health professionals often use approaches like cognitive behavioral therapy (CBT) and psychoeducation with this disorder.

Lifestyle Changes

Changes to daily routines, like maintaining a regular sleep schedule, reducing stress, and avoiding alcohol and drug use, are also essential to recovery.

While treatment approaches for both bipolar type 1 and 2 have similarities, it’s essential that your provider tailors your care to your specific symptoms and needs. Accurate diagnosis and an individualized treatment for bipolar disorder plan can help you effectively manage your bipolar disorder—and, ultimately, help you enjoy life.

Find Bipolar Disorder Treatment Centers

Living with bipolar disorder is challenging, but a comprehensive treatment program and ongoing support can help you do so in the best way possible. Finding the right provider is the first step towards a better life: search for bipolar disorder treatment centers that match your criteria, including location, insurance accepted, and more. 


Frequently Asked Questions About Bipolar Disorder I vs. II

What are the common types of bipolar disorder?

Bipolar disorder includes several types, with bipolar I and bipolar II being the most common. Bipolar I features full manic and depressive episodes, while bipolar II involves less severe hypomanic episodes and depressive episodes. There’s also cyclothymic disorder, which is milder but chronic.

What are the key differences in symptoms between bipolar disorder I and bipolar disorder II?

The main difference lies in the nature of manic or hypomanic symptoms. Bipolar I involves full-blown mania with severe symptoms, while bipolar II features hypomania, which is less intense. Depressive episodes are also more frequent in bipolar II. Both subtypes usually require mood stabilization medication and psychotherapy.

How is bipolar disorder I vs. bipolar disorder II treated?

Treatment for both bipolar I and bipolar II often includes mood-stabilizing medication and talk therapy. Working with a treatment team to get an accurate diagnosis and create an individualized treatment plan is crucial for managing bipolar so you can live a healthy fulfilling life.

How Long Do Drug Cravings Last?

Cravings are an intense urge to use a substance. They’re a normal part of early addiction recovery. Several factors influence how long drug cravings last. These include the type of substance, length of use, and relapse history. 

A cue-driven craving episode1 lasts anywhere between a few minutes to 30 minutes. They’re usually stronger and more frequent in the early stages of recovery, especially in the first 2 weeks after quitting a substance. Cravings become less intense over time.2 You may experience them sporadically for months or years after quitting a substance. But you can learn to manage cravings with proven coping techniques so they’re less intense.

What Causes Drug Cravings?

Complex interactions between your brain and a range of factors cause drug cravings. These factors include your environment, social setting—even your beliefs and values.

Drugs and alcohol influence the brain’s reward system.3 Specifically, substances alter your levels of dopamine, a neurotransmitter responsible for pleasure, reward, and motivation. During addiction, your brain makes positive connections between substances and feelings of pleasure. Over time, your body needs more of a substance to feel the same effects. This is what builds tolerance and eventually leads to addiction. 

When you stop using a substance, your body and brain experience withdrawal. As this happens, your brain will try to restore balance. Cravings are a result of your brain adjusting its chemical levels.4 

Internal and external cues also come into play. Certain people, places, situations, and sensations that remind you of the substance can elicit a dopamine response. As your brain fires dopamine, it urges you to act. The result is intense cravings.    

Factors Influencing Drug Craving Duration

Type of Drug

Different substances affect the brain and body differently, influencing craving levels. 

Certain drugs, like opioids, cocaine, methamphetamine, and nicotine, have an intense and immediate effect on your brain’s reward system. This leads to stronger, more frequent cravings. They also cause more severe withdrawal symptoms, which can trigger cravings as a way to seek relief. 

For example, nicotine produces intense cravings. People experience a nicotine high within 10 seconds5 of inhaling. But the effect fades just as fast, driving people to smoke more. Withdrawal symptoms appear as early as a few hours after the last cigarette and can motivate cravings. According to the National Institute on Drug Abuse, just 6% of smokers are able to quit6 each year. Smoking cessation treatment programs show promise for managing nicotine cravings and quitting smoking.7

Other drugs, like marijuana, alcohol, and benzodiazepines, affect the brain more gradually and subtly. You can still develop tolerance to them, which amplifies cravings. 

Some drugs may produce longer-term cravings compared to others. For example, cocaine cravings peak several days after quitting8 and can last years. Meanwhile, nicotine cravings peak within 24 hours after you’ve quit smoking. They usually last a few weeks but can persist for months. 

Duration of Use

The duration of substance use impacts the timeline of cravings. In general, the longer you use a substance, the likelier you’ll be to experience cravings after you quit. Chronic substance use changes brain structure and function, especially in the brain’s reward circuit. You can become more sensitive to triggers and less responsive to natural dopamine rewards, like exercise. 

Long-term drug use damages areas of the brain responsible for decision-making, impulse control, and judgment. As a result, you might find it harder to manage negative emotions or cravings. 

Relapse History 

Relapse is commonly a part of recovery.9 Your history of relapse can influence the duration of drug and alcohol cravings. 

Experts are still researching the impact of relapse history on cravings. Some studies suggest that relapse increases cravings by reinforcing positive associations between drug use and reward. Others suggest that relapse can reduce the anticipation of a drug’s effects,10 thus decreasing the severity of cravings. 

While the debate is ongoing, there’s a clear relationship between cravings and relapse. Understanding this is an important part of relapse prevention. 

Do Drug Cravings Disappear Entirely?

Many people who struggle with addiction wonder, “How long do drug cravings last?” The answer isn’t so simple—cravings are unique to each individual. But through addiction treatment and a commitment to your long-term recovery, cravings eventually fade. 

Managing cravings is important to recovery, and it takes awareness, self-care, and support. Group therapy can be a good place to learn what craving management tools work for others. You may pick up some techniques to apply to your recovery too. Over time, as your brain recalibrates, your cravings will decrease.

Find Professional Help for Drug Cravings

Because cravings are a predictor of relapse,11 strategies for dealing with cravings are key to relapse prevention. These might include learning to recognize triggers, distraction techniques, substituting substance use with healthy behaviors, and most importantly, support. Support from family members and others in your sober community helps reduce isolation, provides emotional and informational guidance, and motivates you to stick with your recovery. 

Addiction treatment programs teach you how to manage cravings in a safe environment. They can also teach your loved ones how to better support you. Craving management is an important part of relapse prevention planning that can serve you well into long-term recovery.


Frequently Asked Questions About How Long Drug Cravings Last

How long do cravings last for drugs?

The duration of drug cravings varies depending on factors like the type of drug, length of use, and relapse history. Cravings are most intense in the early stages of recovery, up to 2 weeks after quitting. Some people experience cravings for months or years after quitting a substance. With effective addiction treatment, you can manage cravings so they’re less intense over time.

Why do some drugs produce stronger cravings than others?

The type of drug a person uses can influence the intensity and frequency of cravings. Drugs that have a strong and immediate effect on the brain’s reward system, such as opioids, cocaine, and methamphetamine, are more likely to produce intense cravings. These drugs also cause more severe withdrawal symptoms, which can trigger cravings as a form of relief.

What is the difference between cravings and withdrawal?

Cravings are an intense urge to use a substance. Meanwhile, withdrawal is a set of physical and psychological symptoms that occur when someone stops using a substance. Withdrawal symptoms are uncomfortable and sometimes even dangerous, but they’re often temporary. Cravings, on the other hand, can persist for a longer time, even after withdrawal symptoms have subsided.

How Alcohol Destroys Relationships

Alcohol abuse doesn’t just affect you; it can also profoundly affect people around you—especially a romantic partner. Even if you aren’t addicted to alcohol, it can bring out behaviors that aren’t aligned with who you really are. You may not even realize that your loved ones are incurring the consequences of your drinking until it’s too late. 

While relationships don’t fail overnight, alcohol can chip away at their foundation over time. In general, alcohol is linked to relationship dissatisfaction.1

9 Signs Alcohol Is Ruining Your Relationship

Drinking rocks the stability of relationships by causing communication breakdowns, neglect, secretive behavior, and escalating conflicts. 

1. You Experience Frequent Communication Breakdowns 

Communication breakdowns are an early warning sign of damaged relationships. It’s hard to have a conversation with someone under the influence. Alcohol disrupts areas of the brain that control speech and judgment. Intoxication makes it hard to express your emotions2 or understand how others feel. And because alcohol impairs judgment, it may cause you to say or do things you regret.

It’s normal for people to disagree at times, but frequent communication issues hurt relationships. Alcohol use disorder can have long-term effects on your ability to communicate. One study suggests that people with alcohol addiction have trouble expressing emotions3 months after they’ve quit drinking. 

2. Neglected Responsibilities Pile Up

Alcohol abuse leads to neglectful behavior, harming relationships. It’s easy to lose track of time when you’re drinking. Hangovers are exhausting4 and ruin motivation. Ignored responsibilities can accumulate over time. 

Acts of neglect might start out small, like missing an appointment or skipping chores one day. But with alcohol addiction, this rarely happens just once. Neglecting responsibilities usually means your partner takes on more, and unequal work in a relationship can lead to resentment. Each time you break a promise, you break your partner’s trust. Over time, this damages the integrity of your dynamic.

3. You Notice an Impact on Your Sex Drive

Another way alcohol ruins relationships is by lowering sex drive.5 Alcohol triggers the feel-good chemicals in your brain that allow you to experience pleasure. Over time, your brain learns to associate pleasure with alcohol. As that happens, you can lose interest in other things, including sex and intimacy. Heavy, long-term drinking also causes physiological changes that lower sex drive. For example, alcohol abuse reduces testosterone levels in men.6 Physical intimacy and emotional connection are important aspects of a healthy relationship.

4. You Neglect Your Personal Well-Being

When we think of how alcohol destroys relationships, we tend to look at its impact on others. But neglecting yourself can also hurt your relationship with your partner. 

Neglect can be physical, like eating unhealthily or not taking care of your hygiene. But ignoring your mental health is also a form of neglect. Many people self-soothe with alcohol when they feel bad, but in the long run, drinking to cope makes your mood less stable and your emotional state worse. When you spend so much time drinking, you also lose out on quality time with loved ones. The resulting isolation can worsen your mental health and increase your risk of addiction.  

5. Financial Problems Arise

Alcohol addiction is expensive. Heavy drinking can lead to irresponsible spending, mounting debt, and financial instability. Drinking alcohol also affects your work.7 Hangovers and bad sleep make it hard to focus. Poor performance can eventually put your job security at risk, which in turn impacts your family. 

Financial issues hurt relationships—so much so that financial arguments are a top indicator of divorce.8 One study found that financial issues increase the risk of divorce by 15%.9 

Financial tension impacts other family members too, including kids. Children in families with significant debt are more likely to face mental health disorders10 like depression.

There are ways to repair the damage. Many addiction treatment programs teach skills for life in recovery, and some include financial management. 

6. Alcohol Is More Important Than Your Relationship

As drinking takes center stage, everything else fades into the background. This doesn’t just fracture relationships; it signals a more serious issue. Prioritizing alcohol is one sign of alcohol addiction,11 along with others:

  • The inability to control how much you drink
  • Thinking about alcohol obsessively
  • Continued drinking despite negative consequences

When you’re ready to heal, you might think you can just quit cold-turkey. But depending on your drinking history, quitting on your own can be dangerous. Alcohol withdrawal symptoms can include delirium tremens (DTs), a potentially life-threatening condition. To recover safely, it’s important to detox under medical supervision. Seeking professional support is often the first step toward reclaiming your life and healing your relationships. 

7. Drinking Alcohol Triggers Secretive Behavior

Many people with alcohol addiction try to hide their drinking problem. You might do this in hopes of protecting the people you love. Sometimes people keep up appearances for awhile, but that doesn’t usually last. It’s only a matter of time before other issues, like financial infidelity or problems at work, bubble to the surface. 

Secrets undermine the integrity of any relationship. When your partner realizes the truth, they’ll likely feel betrayed. And once that happens, trust can be hard to reestablish.12 

8. You Start More Arguments

Alcohol contributes to aggression13 because it affects the areas of the brain responsible for decision-making, judgment, and impulse control. People under the influence may show aggression without even feeling angry.14 When you struggle with decision-making, you can’t weigh the pros and cons of your actions. It’s easier to misread situations you can’t properly judge. And impulsive people are more likely to be aggressive.15 These factors all play a role in escalating conflicts. 

Alcohol-induced conflicts harm relationships—and they can escalate into more seriously concerning behavior.

9. Conflicts Escalate Into Physical Abuse

If you or someone in your life is experiencing domestic violence, you can call the National Domestic Violence Hotline at 1-800-799-SAFE (7233) to get immediate support. 

Drinking-related aggression can turn into a dangerous situation. A staggering 40% to 60% of reported domestic violence cases involve alcohol.16 Alcohol makes people likelier to act on violent tendencies. They may struggle to control their anger and impulses. These outcomes are even likelier the longer someone uses alcohol. That’s because sustained drinking causes permanent damage to parts of the brain responsible for impulse control.

It’s important to note that while there is a correlation between domestic abuse and alcohol, alcohol abuse doesn’t cause physical violence. Most people who are considered heavy drinkers don’t abuse their partners. And most physical abuse incidents don’t involve alcohol.

Some people blame their actions on alcohol, but using alcohol as a scapegoat absolves the abuser of responsibility. Ultimately, this prevents them from getting the help they need.  

If you’re experiencing abuse, the most important step is to get yourself to safety as soon as possible. When you can, seek professional support from a trauma-informed therapist and lean into your support network of family and friends.

Find an Alcohol Treatment Program

If you’re experiencing the damaging effects of alcohol on your relationships, you don’t have to live in this pattern forever. Professional support is available, designed to help people address struggles exactly like yours. Remember: getting help is a sign of strength, not weakness.

Explore alcohol addiction treatment centers to learn about their program offerings, pricing, insurance coverage, and more.


Frequently Asked Questions About How Alcohol Ruins Relationships

What are the signs that alcohol is ruining my relationship?

Common signs that alcohol is threatening your relationship include frequent communication problems, neglected responsibilities, not taking care of your personal well-being, alcohol-related financial issues, and more.

What are the long-term effects of alcohol abuse on relationships?

Alcohol abuse can have lasting negative effects on a relationship. It can break trust—the foundation of a healthy relationship. If you prioritize drinking over quality time with your partner or family, or neglect your responsibilities, your partner may start to feel resentful.

What can I do to repair the damage caused by alcohol abuse?

If addiction is at the root of your relationship issues, treatment can help. Treatment options include inpatient rehab, therapy, support groups, and more. Most alcohol addiction treatment programs offer family therapy or couples counseling, where you learn how to work through problems and rebuild your relationships. Communication helps rebuild trust. Be honest with your partner about your drinking concerns and get the professional support you need.

What Does Making Amends Mean?

Making amends involves acknowledging and correcting past behaviors. It’s a transformational part of addiction recovery that takes courage, self-awareness, and a willingness to change. 

Making amends helps repair relationship problems caused by addiction. While the process may seem daunting at first, you can make amends in a way that’s sincere and respectful. This can be a powerful way to move your healing journey forward. 

What Are Amends?

When you make amends, you acknowledge and take responsibility for your actions that have hurt others. They take different forms, including direct amends, indirect amends, and living amends.

Direct Amends

A direct amend entails taking ownership of your actions and confronting the person you’ve harmed in person. Here are some examples of direct amends: 

  • Offering a loved one a sincere apology, face to face
  • Settling financial debts that came up during addiction
  • Replacing property you’ve damaged 

Indirect Amends 

Direct amends aren’t the best approach when they end up doing you or the other person more harm than good. Instead, you can make an indirect amend, which involves changing behaviors that led to the relationship damage. There are different ways to make indirect amends:

  • Learning healthy communication in therapy
  • Writing a letter to apologize to someone you hurt emotionally 
  • Volunteering to support people affected by addiction

Living Amends

Living amends are lifestyle changes you make for the better. These actions show your commitment to long-term recovery:

  • Attending an addiction treatment program
  • Learning how to manage your emotions in therapy
  • Mentoring young people in your local community

What Step in AA Is Making Amends?

Step 9 of the Alcoholics Anonymous (A.A.) 12-Step program is about making direct amends1 to people whenever possible. The only exception is when it harms you or the other person. (Step 8 is to make a list of all the people you may have harmed during addiction.)

Many people find that the support they receive from AA meetings helps them prepare to make amends. Talking with your sober community about your history with drugs or alcohol can help you identify what you need to make amends for. 

What’s the Difference Between Making Amends and an Apology?

An apology is expressing regret or saying sorry for causing harm to someone. Amends often include apologies, but they go beyond words. Making an amend means taking accountability and action to repair any damages done. Through these restorative actions, you demonstrate your commitment to change.

What Are Challenges With Making Amends?

Making amends is hard. It’s common to struggle with feelings of guilt or shame. And it can be intimidating to be uncertain about how the other person will react. 

It’s possible to be too early in the healing journey to start making amends. If you’re actively using drugs or alcohol, making amends can seem like an empty gesture to the other person. While you may genuinely want to repair your relationships, it’s a good idea to focus on your sobriety first. This looks different for different people. For example, some people may require medically supervised detox as a first step, followed by residential alcohol treatment.  

As challenging as making amends may seem, remember: you’re human. We make mistakes from time to time. Owning past mistakes and taking action to correct them shows huge growth. 

How to Make Amends

Amends are personal—there’s no right or wrong way to do them. If you aren’t sure where to start, you can apply these general steps to your own process:

1. Acknowledge What Happened

Recognize and acknowledge your behaviors that caused harm to someone else. 

2. Take Responsibility

Accept responsibility for the impact of your actions on others.

3. Make a List

You may have a list of people you want to make amends to personally. If you’re following the 12 Steps, making a list is Step 8.

4. Express Remorse

Apologize for the hurt you caused. Keep in mind that sincerity goes a long way; apologizing for the sake of it can backfire. 

5. Take Action

Take action to correct past mistakes—for example, paying someone back.

6. Commit to Change

Show that you take growth seriously by changing harmful behaviors.

7. Be Patient and Understanding

Be willing to listen to the other person’s point of view. They might not forgive you right away, and that’s okay.

Making Amends Examples

Here are some examples of what making amends can look like: 

Apologizing for the Way You Behaved

You may have damaged a relationship by saying things you didn’t mean while under the influence. In this scenario, you can start by acknowledging your past behavior. You could reach out to the other person and ask them if they’re open to talking to you. If they are, making amends might include apologizing in person, acknowledging the harm caused, and outlining steps to rebuild your trust. (This is an example of a direct amend.)

Committing to Family Therapy 

Substance abuse hurts the people around us, especially family members. In this case, you may have strained family relationships. Making amends involves opening up a conversation with your family member again and demonstrating your dedication to staying sober. You could commit to family therapy, where you’ll learn to rebuild healthy connections. (This is an example of a direct and living amend.) 

When Not to Make Amends

Making amends can help you repair your relationships. However, there are situations where it might not be appropriate. If approaching the other person opens up old wounds or re-traumatizes them, making amends isn’t advisable. If interacting with someone re-traumatizes you, or increases your risk of relapse, you might want to reconsider approaching them. 

How to Respond to Someone Who Makes Amends

It’s hard to find the right response to someone making amends. You likely have a lot of emotions surrounding the situation. That’s normal, and you don’t have to respond right away. It takes time and courage to listen with an open heart. 

When you’re ready to receive someone’s amends, certain practices can make the process smoother: 

  • Listen with an open mind.
  • Take your time.
  • Be honest about your feelings.
  • Set clear boundaries. 
  • Be open to forgiving the other person. 
  • Focus on your own healing.

How Making Amends Benefits Your Recovery

Substance abuse ruins our relationship2 with ourselves and others. Making amends empowers you to start repairing that damage, and benefits your healing journey in many ways: 

  • Repairing trust takes time, but can lead to an even stronger relationship. 
  • Taking responsibility for past mistakes grows your personal accountability.
  • Taking action shows your commitment to change. 
  • Addressing your past wrongs can relieve feelings of guilt or shame. 
  • You may find closure by addressing unresolved issues. 
  • Making amends enhances your empathy and understanding. 

Find Support and Connect With Others

Making amends is challenging, but the outcome can be one of the most rewarding parts of recovery. After all, connection is the cornerstone of healing.

When you’re ready to make amends, you can find support to guide you through the process. Connect with 12-Step treatment programs to start planning your recovery.


What is making amends in addiction recovery?

Making amends is the process of acknowledging and repairing harm you caused to others as a result of addiction. It can involve apologizing, returning stolen property, or paying someone back. Making amends helps restore trust, rebuild relationships, and shows commitment to change. This process can help your recovery by allowing you to move forward with your life.  

What are the different types of amends?

Direct amends involve apologizing to the person you have harmed and taking action to repair the damage. For example, you pay back money you stole from someone. Indirect amends involve changing behaviors without directly contacting the person you’ve harmed. Living amends involve making lifestyle changes that embody your commitment to recovery. For example, if you’ve been struggling with alcohol addiction, you could make a living amend by attending AA and staying sober.

How do I make amends?

The best way to make amends is to be sincere and do the right thing for you and the other person. You can start by acknowledging your mistakes, accepting responsibility for your actions, sincerely apologizing, and making plans to repair the damage. Be patient and understanding; it may take time for the other person to forgive you.

Addiction and Arrested Development: How Substance Use Impacts Personal Growth

Addiction and arrested development often feed into each other. Someone with arrested development might start using substances as a coping mechanism. In turn, substance abuse can hinder emotional, social, and cognitive development. While this often feels discouraging, it’s a cycle you can break out of. Rehab for addiction and mental health treatment may be a good place to start.

Defining Arrested Development

Arrested development happens when something prevents your ability to mature1 emotionally, socially, or cognitively at the expected rate. It’s often the result of early trauma or neglect. That’s why an adult experiencing arrested development might overreact to a situation, using coping mechanisms they learned as a child. 

Substance abuse can also impede how we’d normally mature. Personal development is a natural progression. As life changes, we learn about ourselves and the world around us. And as a result, we adapt. Addiction disrupts this process. It hinders key growth areas, including decision-making abilities, impulse control, and maturity. It can also leave you feeling very isolated.

The Relationship Between Addiction and Arrested Development

Substance use often starts during adolescence2—a crucial period for emotional, cognitive, and social growth. It’s common for adolescents with addiction to struggle to transition into adulthood.3 

One of the most important changes during adolescence is brain development. The prefrontal cortex—the part of the brain responsible for rational thinking, impulse control, decision-making, and emotional regulation—develops greatly from adolescence until age 25. Our brain is especially vulnerable to the effects of substances during these years. Marijuana use impairs the development of the hippocampus,4 which plays a crucial role in memory and learning. Meanwhile, heavy alcohol consumption during adolescence disrupts the development of the prefrontal cortex.5 These disruptions can lead to long-lasting cognitive defects. 

Continued substance use prolongs arrested development, especially for teens. Many teens experiencing addiction struggle to reach important life milestones. They might prioritize substances over other important life areas like relationships and education, for example. 

How Addiction and Arrested Development Impact Emotional Well-Being

Arrested development can affect your emotional well-being. It’s normal to struggle with managing your emotions from time to time. However, arrested development impairs your ability to regulate emotions.6 This can heighten stress and anxiety—known risk factors for substance abuse.7 

Often, people stuck in these heightened emotional states use substances to cope. One study found that 41% of U.S. adults use alcohol to manage their mental health,8 even though 80% viewed it as unhealthy behavior. This dynamic between addiction and arrested development can persist indefinitely without treatment and healthy coping tools.

The Social Implications of Arrested Development

Someone with arrested development might struggle to maintain a healthy social life. There’s a strong link between arrested development, emotional detachment,9 and impaired social skills. Without emotional connection, it’s hard to form close bonds. This can put a strain on your relationships. It can also make social interactions feel challenging or daunting. As a result, you might feel even more socially isolated.

Aside from being emotionally distressing, social isolation can lead to substance abuse10 and other high-risk behaviors. This is one way addiction and arrested development feed into each other. 

How Addiction Affects Cognitive Functioning and Academic Performance

Substance use negatively impacts academic achievement.11 The teen brain is highly sensitive to experiences. Abusing substances during these years disrupts important brain maturation processes. This can cause symptoms like poor concentration, memory loss, and problem-solving issues. One study found that alcohol-dependent teens recalled 10% less information12 than their peers, even after 3 weeks of abstinence. 

On top of cognitive disruptions, addiction changes priorities. Teens who use drugs are less likely to enroll in college.13 This limits long-term educational and career prospects. Treatment can help you shift your focus back to your personal growth and life goals. 

Addressing Dual Diagnosis

Arrested development often co-occurs with other mental health disorders: 

Because addiction and arrested development are so intertwined, finding treatment that addresses both is key. An integrated approach combines rehabilitation for addiction and mental health support, focusing on the underlying causes of each concern. Specialized treatment for co-occurring disorders is more effective14 than addressing each issue separately. 

Breaking the Cycle of Addiction and Arrested Development

It’s possible to break the cycle of addiction and arrested development, and many people do. What you’re going through now doesn’t define your future. Personal growth can happen at any age. 

Neuroplasticity, or the brain’s ability to change, means we can rewire the brain from addiction. Comprehensive treatment doesn’t just address addiction; it also fosters personal development. Many rehabs offer a combination of treatments to address different aspects of healing.

Inpatient Rehab

If you’re struggling with substance abuse, you might consider an inpatient rehab. In this type of program, you’ll live onsite in a protected environment with daily care. You’ll follow a daily schedule that includes therapy and other recovery activities. And if you’re looking to treat more than one concern, several rehabs treat co-occurring disorders

Outpatient Programs

Outpatient programs offer similar care to inpatient rehab. A key difference is that you live at home. Treatment is tailored to your needs, but keep in mind that it can be nearly as intensive as inpatient rehab. 

Therapy 

Psychotherapy, or talk therapy, offers a safe space to work through difficult emotions and learn new coping methods. There are many different forms of therapy. Cognitive behavioral therapy (CBT) is among the most common and widely recognized. It teaches you to challenge and change unhelpful thoughts and behaviors. One study found the success rate of CBT is 60%15 among patients with cocaine dependence. 

Counseling

Counseling is considered a short-term, goal-oriented treatment.16 Meanwhile, psychotherapy addresses a wider range of issues. In counseling, you’ll work with a trained mental health professional toward specific goals. These can include new coping skills, academic growth, and more. 

Support Groups

Arrested development can feel isolating. It’s comforting to find a community of others going through similar experiences. Support groups offer just that. In these social networks, people in recovery help each other stay accountable, share coping strategies, and encourage each other’s growth.

Developing Coping Skills and Resilience

Recovery is all about learning healthy coping skills and emotional resilience. Challenges are a natural part of life, but we are in control of how we respond to them. Therapy plays a key role in this process. It offers a structured environment to explore underlying triggers, manage stress, and confront challenges in a healthy way. Therapy can give you insight into your own patterns and behaviors. As part of your recovery journey, you’ll learn to change what no longer serves you.

Self-care practices can promote personal responsibility and growth. They remind us that it feels good to take care of ourselves. There are plenty of self-care tools that nourish the mind, body, and soul: 

  • Exercise
  • Meditation
  • Adequate sleep
  • Journaling
  • Maintaining a healthy diet

These practices show us there is joy in healing. Consistently practicing healthy habits builds your resilience, empowering you to better handle future challenges. 

Long-Term Recovery Can Ignite Personal Growth 

Recovery itself is growth. Pursuing life goals and seeing progress is one of the joys of healing.

If you’re looking for recovery from addiction and arrested development, rehab can be a great place to find it. Reputable centers are committed to their clients’ long-term recovery. In addition to primary treatment, they often provide aftercare and alumni programs, and can put you in touch with resources for ongoing support. 

Search addiction treatment centers to learn more about the recovery process and connect directly with admissions teams.


Frequently Asked Questions About Addiction and Arrested Development

Can addiction disrupt personal development?

Yes, addiction hinders personal development by interrupting emotional, social, and cognitive growth. Substance use often starts during adolescence, a crucial period for personal development. Substance abuse can impede decision-making, impulse control, and maturity, creating a cycle that stunts personal development.

How can someone cope with both addiction and arrested development?

Coping with both addiction and arrested development involves integrated treatment. Getting to the root cause of both issues can be more effective than treating them separately. Treatment often includes therapy and support groups. Therapy helps you explore underlying emotional triggers and develop healthier coping mechanisms, while support groups provide a sense of community and shared experience.

How can long-term recovery impact personal growth?

Long-term recovery can advance personal growth. Healing from addiction lets you resume your journey towards personal growth, and find renewed purpose in pursuing life goals. Therapy, support groups, and positive lifestyle changes can support ongoing recovery and personal growth.