What are signs that you might have a drug problem?
Using any type of recreational drug – be it nicotine, alcohol or a street drug – can be a problem if it changes the way you act (less motivated, irritable, anxious, aggressive), the way you live your life (not getting on with people, not having enough money, finding it hard to keep living in the same house, getting in trouble with the law) or even the way you look (losing or gaining weight, for example).

Do drug problems cause mental illness or does mental illness cause drug problems?
In many cases, it is hard to tell which problem came first – the drugs or the mental illness. Having a mental illness can make a person more likely to abuse drugs, to make their symptoms feel better – if only in the short-term. Some people have drug problems that may trigger symptoms of mental illness. Some drugs can cause a condition called drug-induced psychosis which usually passes after a few days. If someone has a predisposition to a psychotic illness such as schizophrenia, however, these drugs may trigger the first episode in what can be a lifelong mental illness. Using drugs in the long term can also make mental illnesses worse and make treatment less effective.

How common are drug problems among people who have mental illnesses?
People with mental illnesses often have drug problems. Statistics show that: Around 64 per cent of people in psychiatric in-patient wards have or have had a drug problem.
Around 75 per cent of people with drug problems may have a mental illness. About 90 per cent of males with schizophrenia may have a drug problem.

What kind of help can I get?
There are a number of ways that you can go about getting help for your drug problem. These include:

-Withdrawal programs
These programs involve detoxifying the person of the drug and can be run at a residential centre or in the community.

-Self help
Sharing experiences and providing support for each other can be a good way of finding ways of dealing with drug use.

The main type of self-help treatments are mental illness support groups run through community support agencies and Narcotics or Alcoholics Anonymous.

-Controlled use
This type of treatment can help you use drugs in a safer way. This is usually offered by a community support agency who can provide information, accommodation, help with finding suitable work and housing as well as training and education.

-Counselling
Counselling can help rechannel damaging thoughts about taking drugs and develop different ways of coping with these thoughts.

-Medication
Certain medications can help ease the cravings that can make it hard to stop using some drugs.

How do I find out more?
It is important to ask your doctor about any concerns you have.
SANE Australia also produces a range of easy-to-read publications and multimedia resources on mental illness.

For more information about this topic see:
'The SANE Guide to Drugs'
Use the Order Form which came with this Factsheet or visit the SANE Bookshop at www.sane.org

SANE Australia . . . Drugs and mental illness

©SANE Factsheet 6
This Factsheet may be freely downloaded, copied and distributed on condition no change is made to the contents. SANE Australia is not responsible for any actions taken as a result of information or opinions contained in the Factsheet. SANE Australia is a business name of Schizophrenia Australia Foundation.
[Version English, 2004]