"Substance Abuse is Contraindicated
Self-medication with substances is contra-indicated for survivors of
trauma. Use of alcohol, tobacco, street drugs or a mis-use of
prescription drugs is a negative coping mechanism. (SIDRAN
Institute, Presentation at Syracuse Regional Conference, June 6, 2003).
While it seems to provide some immediate relief from either anxiety or
pain, in reality it complicates and confounds the healing and recovery
process:
- it only provides temporary relief, if any at all;
- it often blocks necessary psychological processing and can prevent
or delay the natural completion of the grieving process;
- it often results in lower functioning capacity resulting in poor
choices and poor decisions and even behavioral dysfunction;
- rather than calming nerves, alcohol and other drugs can actually
increase both anxiety and fears, they intensify and exaggerate
emotions so they come out drug-affected... and long term use can
even cause emotional stagnation;
- they can disrupt sleep, especially stage four or deep sleep, and they
can increase nightmares and make them more vivid and believable;
Even the most minor use of these substances, unless by physician’s
prescription and under a strict medical protocol, can actually make the
symptoms of trauma - especially the more severe symptoms associated
with PTSD -- much more serious."
(Source Link:
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Actually, people with PTSD are more often than not victims of trauma, so you're right PTSD is not an excuse to see oneself as a victim but it is a reason.
Stress is has been found to be the significant factor between substance abuse. There's a whole lot of other worthwhile stuff in that link.
"Stress is considered a major contributor to substance abuse initiation,
continuation, and relapse (Brady & Sonne, 1999). Studies have
consistently shown that there is a greater likelihood of alcohol and
drug abuse when stress is high (Dawes et al, 2000; Sinha, Fuse, Aubin
& O’Malley, 2000; Khantzian, 1985; Kosten, Rousaville, & Kleber,
1986).
Because trauma causes increased stress, it is reasonable to assume that
trauma is also related to substance abuse initiation, continuation and
relapse. Treatment and prevention professionals must also be aware
that PTSD frequently co-occurs with anxiety disorders, depression, and
alcohol or other substance abuse.
Research in the area of stress and substance abuse demonstrates:
That stress increases risk for substance abuse and relapse.
Addicts identify stress and distress as reasons for abusing
substances and for relapse
There are similar body neurological reactions to drugs and
stress
PTSD may develop following exposure to a severe traumatic
event. (NIDA)" (Same source)