Commonly Asked Questions about Addiction and Treatment
Is substance abuse higher in the lgbtq+ community?
Yes, studies have indicated that rates of substance use and substance use disorders are indeed higher in the LGBTQ+ (lesbian, gay, bisexual, transgender, queer, and others) community compared to the general population. This disparity is believed to be related to a variety of factors, including the stress and stigma associated with identifying as LGBTQ+.
Here's a closer look at some of the related factors and statistics:
- Minority Stress: Minority stress refers to the chronic stress faced by members of a marginalized group, such as the LGBTQ+ community. This includes dealing with prejudice, societal stigma, discrimination, and the process of coming out. This added stress can increase the risk of substance use as a coping mechanism.
- Mental Health: There are higher rates of mental health disorders, such as depression and anxiety, among LGBTQ+ individuals, often as a result of minority stress. Mental health disorders are a known risk factor for substance use and substance use disorders.
- Social Environment: Substance use is often more normalized in some LGBTQ+ social settings, such as bars and clubs, which can increase the likelihood of substance use and addiction.
- Access to Care: LGBTQ+ individuals may face barriers to receiving substance use treatment, such as discrimination, lack of LGBTQ+ inclusive treatment programs, and fear of stigma.
According to the Substance Abuse and Mental Health Services Administration (SAMHSA), adults who identify as lesbian, gay, or bisexual were more than twice as likely as heterosexual adults to have used illicit drugs in the past year. Transgender individuals also experience higher rates of substance use and substance use disorders compared to their cisgender peers.
It is important to note that while substance use is a significant issue within the LGBTQ+ community, not all individuals within this community use substances or struggle with substance use disorders. A comprehensive, culturally competent approach is needed to address substance use in the LGBTQ+ community, which includes providing LGBTQ+ inclusive prevention and treatment programs, addressing the underlying issues like discrimination and stigma, and improving access to mental health care.
What is smart recovery?
SMART Recovery (Self-Management and Recovery Training) is a global community of mutual-support groups that provide a structured, scientifically grounded program to help people manage their recovery from any type of addictive behavior, including substance abuse and behavioral addictions.
SMART Recovery's approach is different from other recovery programs like Alcoholics Anonymous or Narcotics Anonymous, which are based on the 12-step model. Instead of focusing on the concept of "powerlessness" over addiction, SMART Recovery emphasizes self-empowerment and self-reliance. It promotes the ability of individuals to change their own thoughts and behaviors to overcome addiction.
The SMART Recovery program is based on principles of cognitive-behavioral therapy (CBT) and motivational interviewing. It is designed around a 4-point program:
- Building and maintaining motivation: This helps individuals to build their motivation to change and avoid relapsing.
- Coping with urges: This gives individuals the skills to deal with urges or cravings as they arise.
- Managing thoughts, feelings, and behaviors: This is about developing healthy thoughts, emotions, and actions in place of the destructive ones that can lead to addictive behaviors.
- Living a balanced life: This involves individuals identifying what they truly value in life and building their lives around those values, leading to satisfaction and fulfillment beyond their addiction.
SMART Recovery meetings, both in-person and online, are facilitated by trained volunteers and are free to attend, though donations are appreciated. The program also offers a variety of tools and techniques for self-empowerment and self-directed change, available in various formats such as handbooks, worksheets, and online resources.
How can I tell if I am an enabler?
"Enabling is a behavior often seen in the relationships of individuals struggling with addiction. An enabler, often without realizing it, may protect the individual with addiction from the consequences of their behavior, thus indirectly encouraging continued substance use. If you're unsure whether you might be enabling someone's addiction, consider the following signs:
- Rescuing: If you frequently find yourself covering up or making excuses for the individual's substance use or its consequences - like calling in sick to their job for them, paying their bills, or lying to others to conceal their addiction - this could be enabling.
- Denying: If you downplay the severity of their addiction, dismiss the negative impact it has, or avoid discussing it entirely, you may be enabling.
- Avoiding Conflict: If you consistently avoid confrontations or difficult conversations about their substance use out of fear it may cause tension or lead them to use more, this can be a form of enabling.
- Taking on Their Responsibilities: If you've taken on their duties - like household chores, parenting responsibilities, or work commitments - to compensate for their inability or unwillingness to fulfill them due to their addiction, you could be enabling.
- Providing Financial Support: If you're frequently giving them money, which they could be using to support their addiction, or bailing them out of financial problems caused by their substance use, this is often a clear sign of enabling.
- Ignoring Damaging Behaviors: If you tend to overlook or dismiss destructive or harmful behaviors associated with their addiction, you may be enabling.