Condition : Substance misuse
What is substance misuse?
Substance misuse, also known as substance abuse or drug abuse, is when you use a substance in a way that is harmful to your health and/or causing problems in daily life.
Substance misuse can involve legal, prescription-only, and illegal drugs, including alcohol, stimulants (such as ADHD medication or ‘laughing gas’), marijuana, cocaine, and opiates like codeine and heroin.
Substance misuse can lead to a range of problems, including:
- dependence, which is when you experience withdrawal symptoms if you suddenly stop using it (withdrawal is not the same as a hangover – it may last several days or longer and can be life-threatening without medical management)
- addiction (intense urges to take the drugs that make it difficult to think about other things)
- overdose (taking a toxic amount or combination of drugs)
- mental health problems
- infectious diseases, such as hepatitis or HIV and AIDS, due to using contaminated needles or substances
- organ damage or disease
- stroke, seizures, and neurological damage
- injuries due to not feeling pain properly or misjudging risks (for example, when driving)
- hyperthermia (overheating) and/or dehydration
- changes in behaviour, such as poor performance at school or work, avoiding people, neglecting your personal appearance, and stopping activities you previously enjoyed
- money issues due to spending more than you can afford to fund your supply
- criminal acts, such as stealing, to get access to substances or money
What causes substance misuse?
Mental health problems, such as depression or post-traumatic stress disorder (PTSD), are often a factor in substance misuse as some people may use drugs to cope with difficult emotions. It can be a form of self-harm.
A family history of addiction and peer pressure can also influence substance misuse.
If you start taking drugs at an early age, you are more likely to become addicted as some drugs can cause changes in the developing brain. Even taking drugs that are seen as less addictive can start you on the pathway to addiction and substance misuse.
Next steps
Browse our recommended external support resources to learn more about your condition and ways to manage it.
If you need further support or have concerns, a Healthcare Professional is here to help. Reach out for professional medical advice tailored to you.
Discover services and support options available to help you with your health and wellbeing.
Managing your health
There are a number of national and local organisations who can support you and help you manage health conditions at home.
Related services
Mental Health Integrated Community Service
- Adults
Specialised support, focusing on recovery and resilience, for adults with a significant mental illness or difficult circumstances.
Mental Health Integrated Community Service: Go to servicePsychological Medicine Services
- Adults
Urgent mental health assessment for over-18s referred by an Emergency Department or acute hospital ward.
Psychological Medicine Services: Go to serviceMental health service for children and young people (CAMHS)
Mental health service for children and young people (CAMHS): Go to serviceTalking Therapies
- Adults
A free and confidential service offering effective treatment for common mental health problems such as low mood, stress or worry.
Talking Therapies: Go to serviceLiaison and Diversion Service
- Adults
- Children & young people
Extra support for people with a disability or mental health problem who have been arrested or charged, or are leaving prison.
Liaison and Diversion Service: Go to serviceHealth Outreach Liaison Team
- Adults
Clinics for people who are homeless or living in a hostel or emergency housing and find it difficult to access mainstream health services.
Health Outreach Liaison Team: Go to serviceExternal support
Further information on the NHS UK website
Harmless
Support and information for people who self-harm and their friends and family

