Once upon a time, I was very fond of spouting “treatment, not incarceration”. Then I had an opportunity to put my money where my mouth was and landed a job at a drug rehab clinic.
I’m still very pro-treatment for drug abuse. But I’m a little wiser now.
No, not everyone who uses drugs is an “idiot”, although frequently when smart people do drugs they do incredibly fucking stupid shit.
Why do people do drugs? Well, lots of reasons could be found, but I think most of them distill down to one thing:
They’re in pain.
Not physical pain. See, physical pain is something our society recognizes. If you break your leg and bone shards are sticking out of your skin no one doubts you are feeling bad. There will be some focus on fixing the problem, and you’ll get a lot of attention, and so forth.
If you’re in MENTAL pain, however, the situation is much, much different. Can’t point to a broken emotion. I saw literally thousands of addicts in my four years at the clinic, using a wide variety of substances. The common thread seemed to be emotional pain. Sexual abuse, despair, depresssion, being so unpopular you have NO friends…
Why do people use drugs? Here’s the dirty secret: People use drugs because they work. For a little while. For a time. They take the pain away, at least some of the pain, during the high.
Then there comes a day when the drugs don’t work anymore - your job, your family, your home is gone. You’ve “hit bottom”. And yes, it does prompt some people to turn their lives around. But a lot of others just take more drugs, to take that pain away. They learn to love the drugs because the drugs make them feel better, if only for a little while.
The ONLY people I’ve seen get off drugs and stay off drugs for any length of time (and yes, some do achieve this) are those who find another way to ease the pain. Sometimes it’s religion. Sometimes it’s the group support of a 12-step program. Hell, I twice saw a hardened, decades-long heroin addicts walk into the door of the clinic and say “don’t put me on methadone - I’m done with drugs, do me cold turkey and help me stay off”. And seen it work. Know what both of those guys said when we explained that cold turkey usually don’t work and more people have better success with metadone? I swear to god, both of them said “I’m done with drugs because they aren’t doing the job no more - they don’t work for me no more. I’m gonna try something different”.
Part of the reason people do drugs - I’m talking addiction here, not casual use, not social drinking - is because our society has no good remedy for mental pain. Folks are told “well, I wasn’t popular in high school either” or “suck it up, life is tough” but it doesn’t address the fact that some folks are in mental agony. We don’t tell diabetics to “get a better attitude” about sugar, we recognize that, for whatever reason, their bodies can’t handle sugar like most people’s. Likewise, it doesn’t matter if person A can handle horrific disasters, person B just might not have the ability to cope to the same extent. Person C might not have the coping ability to handle what we consider the normal stress of life. We can berate them for being weak, or we can try to help them cope better - which choice do you think is more likely to wind up with drug addiction?
Yes, the young man who killed himself on webcam was a troubled soul. Perhaps brilliant, smart, funny, generous - but also obviously in some sort of inner pain. Was it truly suicide, or an attempt to end the pain? Mental agony can be every bit as horrible as physical suffering. We don’t wonder at someone with terminal bone cancer screaming in agony and begging to die just so the pain would end – why is there no understanding that someone genuinely suicidal is in similar pain, even if we can’t point to a disease? That doesn’t mean we should encourage suicide, just recognize that yes, really, the person is hurting so bad that death is starting to look real attractive. It is REAL pain, not imaginary. We wouldn’t dream of abandoning someone with multiple broken bones, or cancer, or anything else like that, or not even trying to ease their suffering - we need to treat mental distress the same way. We don’t stigmatize people with physical illness, we shouldn’t do that to mental illness, either. Because it IS real paiin. And it should be treated.