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Substance use is apart of humankind’s history. We have turned to substances as a means to alter our states of consciousness since the beginning of our time. Substances have been used for healing, spiritual ceremonies, scientific discoveries, and so much more. So where does experimentation with substances cross the line to problematic use? With legalization and decriminalization of marijuana, and use of psychedelics to treat depression and PTSD this question may become harder to answer for some. Exploring the reasons why we use substances can ultimately illuminate whether or not our use has crossed over into the realm of problematic use, abuse, or addiction.

So, why do you use? Some reasons may include:

• Enjoyment or relaxation

• Cope with daily problems

• Connect with others

• Experimentation or curiosity

• Avoid physical or psychological pain

No one uses substances to feel worse. It’s no wonder why Dr. Stefan Klein, in his book The Science of Happiness (2002), defines addiction as “an accident that happens in the course of the human search for happiness.” We are innately drawn to pleasure, to the desire to feel good.

Treating substance abuse isn’t about assigning judgment or labels, bur rather identifying how your use has interfered with your relationships, work life, and overall functioning. For some, treatment may focus on harm reduction, finding and implementing strategies to use substances in moderation and decrease negative consequences. For others, exploring the world of abstinence may be a more effective model in eliminating substances from your life all together. This can often be accompanied by the support and community created through 12 step programs, such as AA or NA meetings.

Whichever path you decide to take will also be accompanied by the use of mindfulness practices and Cognitive Behavioral Therapy (CBT) skills to understand the origins of your use, your triggers, and to learn how to cope more effectively.