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Drugs are appealing for many different reasons. People may use drugs to feel good, self-medicate uncomfortable emotions, enhance performance, or to simply experiment. Regardless of the reason, many drugs and alcohol affect dopamine levels in the brain, which can cause repeated use and lead to addiction. Not everyone who uses drugs becomes addicted. While drugs and alcohol may feel pleasurable, these effects are often overshadowed by the risks and consequences. Still, people turn to alcohol and other drugs to change the way they think, feel, or act. Unfortunately, for some people, substance use can lead to serious problems like addiction. Keep reading to learn about why people use drugs and the effect of drug use on the brain. There are many different reasons why people may start using drugs and alcohol. In the beginning, substance use is typically enjoyable. But over time it often leads to more problems. Most people start using drugs and alcohol for five basic reasons :. One of the main reasons that people use drugs and alcohol is to feel good. Some drugs can make you feel good by:. Other drugs, such as benzodiazepines and opioids, may cause you to feel:. And other drugs, such as cannabis or psychedelics, may cause you to feel more creative or to have interesting mind-altering experiences. The pleasurable experience of being under the influence of drugs or alcohol is short-lived. While drugs and alcohol can temporarily make you feel good, they usually cause more problems in the long run. Feeling better is another common reason that people may turn to drugs and alcohol. Self-medication refers to taking substances to alleviate physical or emotional pain. People may turn to drugs and alcohol to cope with a range of feelings, including depression, anxiety, and stress. There are two major problems with self-medication. First, it only temporarily makes you feel better. Once the drug wears off, the symptoms will return. In some cases, the symptoms may get worse. Second, substance use can cause added problems that can make life more stressful. Even though feeling better is a common reason that people turn to drugs and alcohol, it often does more harm than good. A large number of people with substance use disorders also have a mental illness. This is referred to as having a co-occurring disorder. Self-medication is common among people with co-occurring disorders. The following mental health disorders commonly co-occur with substance use disorders:. Post-traumatic stress disorder PTSD. People with mental health issues are more vulnerable to the effects of substances on the brain. This puts them at greater risk of addiction. Certain drugs are known to enhance physical and mental performance. They are known to boost energy, attention, and self-esteem. For this reason, people may use them to study, complete demanding tasks, and play sports. Common stimulants people misuse to enhance performance include:. Anabolic steroids are another class of drugs that are used to enhance performance. Like the other reasons for using drugs, stimulants and anabolic steroids may work temporarily to do better on an exam or on the athletic field. But over time, substance use can lead to consequences that negatively affect your physical and mental performance. The final common reason for using drugs involves a desire to experiment or fit in. Peer pressure plays a significant role in why people do or do not use drugs. This is especially true for teens and young adults. Having family and friends who use drugs and alcohol can make drugs and alcohol seem attractive. Humans are social creatures, so when other people in a group are experimenting, it is normal to want to share in the experience. You may want to feel the same effects or fit in with the group. The problem with using drugs or alcohol for any reason is that in some cases, any substance use can lead to addiction. Whether you use drugs and alcohol to feel pleasure, self-medicate, enhance performance, or fit in, there is a chance that it can lead to problems over time. Each person has a set of traits and experiences that make them more likely or less likely to become addicted to drugs. These are called risk and protective factors. Risk factors are linked to a greater likelihood of developing an addiction, while protective factors lower the risk. Risk factors fall into two main categories: your biology and environment. Genetics, developmental stage, biological sex, and ethnicity are examples of biological factors that can affect your risk of developing an addiction. Your family, school, and community environment also play a critical role in your risk of addiction. Environmental risk factors linked to addiction include:. Issues at work, school, or with relationships. Biological and environmental factors also influence one another. This is called epigenetics. For example, a person with a genetic predisposition to addiction may develop a problem after experimenting with peers. Keep in mind that not everyone who uses drugs becomes addicted — even if you are at higher risk. But why do people continue using alcohol and other substances, especially when they see all of the negative effects? A brain chemical called dopamine is the main culprit. Dopamine is a messenger in the brain that helps you remember rewarding and pleasant experiences. Whenever you have sex, eat delicious food, or spend time with loved ones, your brain releases a bit of dopamine to remind you to repeat these pleasurable activities. Rather than delivering small amounts of the chemical, drugs flood the brain with dopamine. The pleasure you feel from this dopamine rush cannot compete with other activities, like spending time with loved ones. These chemical changes make it so everyday activities seem painfully dull and boring. Only drugs can then create the desired results. At this point, you are not actively choosing to do drugs. This can lead you to prioritize drugs over everything else in your life. When you are addicted, your thoughts, feelings, and behaviors will all center around getting and using drugs. You can recognize an addiction or substance use disorder by asking:. Have drugs affected how I do at work or school? Do I get in fights with people about drugs? Am I continuing to use drugs even though they negatively affect my health and relationships? Remember, you can become addicted to many substances, even ones that are legal or prescribed by a doctor. Anyone who shows signs of a substance use disorder can benefit from addiction treatment. A substance use disorder is a diagnosis given to someone who continues to use drugs and alcohol despite having problems. If you or someone you know has any of the following symptoms, then treatment may be recommended:. Taking more of a substance or taking a substance for a longer period of time than intended. Giving up activities or hobbies because of substance use. Failure to keep up with responsibilities at home, work, or school. Spending large amounts of time getting, using, or recovering from substances. Needing more of a substance to feel the same effects over time. Only a professional can diagnose a substance use disorder. If you suspect that you or someone you know may have a problem, reach out to a healthcare provider or treatment center. Treatment for addiction may include medications, therapy, and support groups. The recommended type of treatment and level of care depends on the severity of your addiction and the type of drug s being used. To find help for drug use and addiction you can:. Contact your health insurance company for a list of in-network providers and facilities. Search the online treatment locator tool to find treatment options in your area. People with addictions can also benefit from self-help groups. These groups are free and typically led by a peer in recovery. They are available online and in-person. Popular addiction self-help groups include:. Alcoholics Anonymous. Narcotics Anonymous. People may start using drugs for many reasons and keep using because of the effect of drugs on the brain. Certain risk factors can raise the chances that some people who use drugs develop an addiction. The good news is that drug use and addiction can be treated. Professional treatment, including therapy and medications can help you recover from addiction. If you or someone you know struggles with substance use, help is available. American Psychiatric Association. What is a substance use disorder? American Psychological Association. Genes matter in addiction. Drug fact sheet. Keyzers, A. Peer pressure and substance use in emerging adulthood: A latent profile analysis. Leeies, M. The use of alcohol and drugs to self-medicate symptoms of posttraumatic stress disorder. Depression and Anxiety. National Institute on Drug Abuse. How to recognize a substance use disorder. Can addiction be treated successfully? Common comorbidities with substance use disorders research report: Why is there comorbidity between substance use disorders and mental illnesses? Commonly used drugs charts. Drugs, brains, and behavior: The science of addiction. Introducing the human brain. The science of drug use: A resource for the justice sector. What is drug addiction? Start a conversation: 10 questions teens ask about drugs and health. Anabolic steroids and other appearance and performance enhancing drugs APEDs. Turner, S. Self-medication with alcohol or drugs for mood and anxiety disorders: A narrative review of the epidemiological literature. Risk and protective factors. Navigation sidebar menu for GoodRx. Get a free prescription savings card by mail. Key takeaways: Drugs are appealing for many different reasons. Read more like this Explore these related articles, suggested for readers like you. View more. The bottom line People may start using drugs for many reasons and keep using because of the effect of drugs on the brain. Why trust our experts? Written by:. Emily Guarnotta, PsyD, is a licensed clinical psychologist and certified perinatal mental health professional with over 10 years of clinical experience. Edited by:. Reviewed by:. She is a licensed clinical psychologist in Indiana and Illinois with treatment experience in individual, couples, family, and group therapy modalities. Our editorial standards. Meet our experts. References American Psychiatric Association. View All References GoodRx Health has strict sourcing policies and relies on primary sources such as medical organizations, governmental agencies, academic institutions, and peer-reviewed scientific journals. Learn more about how we ensure our content is accurate, thorough, and unbiased by reading our editorial guidelines. Was this page helpful? Subscribe and save. Get prescription saving tips and more from GoodRx Health. Enter your email to sign up. Email address. I would also like to sign up for a free GoodRx account. Related Articles. See more about Substance Use. Written By Katie E. Golden, MD Updated 3 days ago. Quiz: Am I an Alcoholic? Written By Amy B. Written By Nicole E. Golden, MD Updated on Aug 12, Written By N. What Are the Signs of a Cocaine Overdose? Does Weed Make You Lazy?

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Back to Hepatitis C. You can become infected with hepatitis C if you come into contact with the blood of an infected person. Other bodily fluids can also contain the virus, but blood contains the highest level of it. Just a small trace of blood can cause an infection. At room temperature, it's thought the virus may be able survive outside the body in patches of dried blood on surfaces for up to several weeks. The main ways you can become infected with the hepatitis C virus are described here. People who inject drugs, including illegal recreational drugs and performance-enhancing drugs such as anabolic steroids , are at the highest risk of becoming infected with hepatitis C. It's estimated around half of the people in the UK who inject drugs have been infected with the virus. The infection can be spread by sharing needles and associated equipment. Injecting yourself with just one contaminated needle may be enough to become infected. It's also possible to get the infection by sharing other equipment used to prepare or take drugs — such as spoons, filters, pipes and straws — that have been contaminated with infected blood. Hepatitis C may be transmitted during sex without using a condom unprotected sex , although this risk is considered very low. The risk of transmission through sex may be higher among men who have sex with men. The risk is also increased if there are genital sores or ulcers from a sexually transmitted infection , or if either person also has HIV. The best way to prevent transmission of hepatitis C through sex is to use a male condom or female condom. However, as the risk is very low for couples in a long-term relationship, many choose not to use a condom. If you received a blood transfusion or blood products before , there's a chance you may have been infected with hepatitis C. If you have a blood transfusion or medical or dental treatment overseas where medical equipment is not sterilised properly, you may become infected with hepatitis C. The virus can survive in traces of blood left on equipment. There's a potential risk that hepatitis C may be passed on through sharing items such as toothbrushes, razors and scissors, as they can become contaminated with infected blood. Equipment used by hairdressers, such as scissors and clippers, can pose a risk if it has been contaminated with infected blood and not sterilised or cleaned between customers. However, most salons operate to high standards, so this risk is low. There is a risk that hepatitis C may be passed on by using tattooing or body piercing equipment that has not been properly sterilised. However, most tattoo and body piercing parlours in the UK operate to high standards and are regulated by law, so this risk is low. There is a small chance that a mother who is infected with the hepatitis C virus will pass the infection on to her baby. It's not thought that the virus can be passed on by a mother to her baby in her breast milk. There's a small — approximately 1 in 50 — risk of getting hepatitis C if your skin is accidentally punctured by a needle used by someone with hepatitis C. Healthcare workers, nurses and laboratory technicians are at increased risk because they are in regular close contact with blood and bodily fluids that may contain blood. Page last reviewed: 27 October Next review due: 27 October Injecting drugs People who inject drugs, including illegal recreational drugs and performance-enhancing drugs such as anabolic steroids , are at the highest risk of becoming infected with hepatitis C. Less common causes Unprotected sex Hepatitis C may be transmitted during sex without using a condom unprotected sex , although this risk is considered very low. If your partner has hepatitis C, you should be tested for the condition. Hepatitis C from infected blood before If you received a blood transfusion or blood products before , there's a chance you may have been infected with hepatitis C. Blood transfusions and treatment abroad If you have a blood transfusion or medical or dental treatment overseas where medical equipment is not sterilised properly, you may become infected with hepatitis C. Sharing toothbrushes, scissors and razors There's a potential risk that hepatitis C may be passed on through sharing items such as toothbrushes, razors and scissors, as they can become contaminated with infected blood. Tattooing and body piercing There is a risk that hepatitis C may be passed on by using tattooing or body piercing equipment that has not been properly sterilised. Mother to child There is a small chance that a mother who is infected with the hepatitis C virus will pass the infection on to her baby. Needlestick injury There's a small — approximately 1 in 50 — risk of getting hepatitis C if your skin is accidentally punctured by a needle used by someone with hepatitis C. How hepatitis C isn't spread You can't catch hepatitis C from: kissing social contact, such as hugging sharing kitchen utensils toilet seats Page last reviewed: 27 October Next review due: 27 October

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