The Hidden Epidemic: Unpacking the Mental Health Factors Behind Overdose
When we hear about overdoses, we often think about drugs, emergency rooms, and tragic headlines. But behind every overdose is a person—a patient, a story, and a struggle that runs deeper than just substance abuse. Overdose isn’t just about the substance. It’s about mental health, emotion, and the human need to escape pain.
Many people who overdose aren’t trying to get high. They’re trying to feel okay, or feel nothing at all. Addiction often starts as a way to cope with mental distress, trauma, or the weight of everyday struggles. But without help, this way of coping turns dangerous.
According to the Morbidity and Mortality Weekly Report, overdose deaths continue to rise, showing that this is not just a drug problem—it’s a public health crisis tied closely to mental health. People aren’t just battling substances; they’re battling their minds, their pasts, and the world around them.
Understanding overdose means looking beyond the numbers. It means recognizing the psychology behind the behavior and how untreated mental health challenges can lead someone down this path.
How does trauma lead to addiction?
Trauma can lead to addiction by disrupting the brain’s stress and emotion systems, causing individuals to seek relief through substance use as a way to cope with unresolved emotional pain.
For many people, addiction doesn’t begin with the first sip, pill, or hit. It begins with trauma, often deep, painful experiences that leave lasting emotional wounds. These experiences are sometimes called adverse childhood experiences, or ACEs. They can include things like childhood trauma, domestic violence, sexual abuse and assault, physical abuse, neglect, or bullying.
When someone grows up surrounded by violence, fear, or emotional pain, their brain and body adapt in ways that help them survive—but those changes can have long-term effects. The central nervous system, which controls how we react to danger and stress, can become overly sensitive. This is called hypervigilance—always being on edge, waiting for something bad to happen. It’s a common symptom of post-traumatic stress.
Trauma also affects memory, emotion, and behavior. People who’ve experienced abuse or other forms of adversity may struggle with anger, sadness, or grief, and may not feel safe in their own bodies. They may feel disconnected or numb—this is called dissociation. Over time, they may turn to drugs or alcohol as a way to feel something, or to feel nothing.
Neuroscience shows that trauma can physically change the brain, especially in areas linked to emotions and decision-making. These changes can make it harder to manage stress, cope with mental distress, or think clearly in difficult moments. As a result, substances may feel like the only escape.
Sadly, society often doesn’t see this side of addiction. People judge the behavior without understanding the pain behind it. But when we look deeper, we find that trauma and addiction are tightly connected. Healing from addiction means healing the wounds that came long before the substance ever entered the picture. It means offering support, compassion, and a path forward for those who’ve been hurt the most.
Why do people engage in self-medication?
People engage in self-medication to relieve emotional pain, stress, or mental health symptoms like anxiety and depression when they lack access to healthy coping tools or professional support.
Living with mental disorders like depression, anxiety, or bipolar disorder is not just about having bad days. These are serious illnesses that can affect how a person thinks, feels, and functions in everyday life. For someone struggling with major depressive disorder, the world can feel hopeless and heavy. For someone with generalized anxiety disorder or frequent panic attacks, every moment can feel like a crisis. Add the deep ups and downs of bipolar disorder, and life can feel like an emotional rollercoaster with no brakes.
When people, including teens, can’t get the help they need, many turn to self-medication. This means using alcohol, drugs, or prescription medications—not to party, but to numb the pain, calm the mind, or feel “normal” for a little while. People may use alcohol as self-medication to dull feelings of sadness, fear, or shame. Others may misuse stimulants like methamphetamine or narcotics like fentanyl, oxycodone, methadone, or morphine, trying to find moments of euphoria or peace. But these short-term fixes often lead to substance dependence, drug interaction issues, and a higher risk of overdose.
From a psychology standpoint, these substances boost chemicals like dopamine and serotonin—the same chemicals our brains need to feel happy and calm. But over time, the brain stops making them naturally. The person then needs more of the substance just to feel okay. This dangerous cycle can spiral out of control, especially if they’re binge drinking or mixing substances.
Worse yet, stigma often stops people from getting help. They may feel too ashamed to talk about their struggles, even to a mental health professional. That’s why understanding, empathy, and real support are so important. Everyone deserves help—not judgment—when they’re hurting. By recognizing the signs of distress and offering care instead of criticism, we can help break the cycle of self-medication and save lives.
The link between addiction and chronic pain
Chronic pain can take over a person’s life. It’s not just about a sore back or the occasional headache—it’s about ongoing pain that lasts for weeks, months, or even years. Conditions like back pain, migraine, joint problems, rheumatoid arthritis, a spinal cord injury, or complications from surgery can cause lasting damage to tissue, muscle, nerve, or bone. Over time, this kind of pain doesn’t just wear down the body—it affects the mind, too.
People with chronic pain often experience fatigue, poor sleep, and mental distress. Many also live with comorbidities like depression, anxiety, or even cancer. When pain starts to control your life, it’s easy to feel hopeless or desperate for relief.
Doctors often prescribe opioids, muscle relaxants, or narcotics to help manage this pain. Medicines like morphine, codeine, methadone, naproxen, or ibuprofen can help in the short term, but over time, the dose may need to increase. Some people end up using these medications not just for physical relief, but for the emotional pain that comes with being in constant discomfort. This is where addiction can begin.
How chronic pain affects the central nervous system
Because pain also impacts the central nervous system, it can affect mood, focus, and even personality. This connection between physical pain and mental health makes it harder to tell where one problem ends and another begins. Without the right pain management and physical therapy, someone may become dependent on medicine just to function.
The rise of the opioid epidemic shows what happens when people try to fix long-term pain with quick fixes. Sedatives, injections, or pills may bring short-term comfort, but they don’t heal the root problem, and they can lead to addiction if not used carefully.
The truth is, people in pain need more than just medicine. They need support, safe options like physical activity, and better ways to manage both physical and emotional pain. Healing is possible, but it has to treat the whole person, not just the symptom.
What are maladaptive coping strategies, and why do people use them?
Maladaptive coping strategies are unhealthy behaviors like substance use, emotional eating, or binge drinking that people use to escape emotional pain, stress, or trauma when healthy support systems are lacking.
When life feels overwhelming, everyone looks for ways to cope. But not all ways of coping are healthy. Some people turn to maladaptive coping strategies—habits that may bring short-term relief but cause more harm in the long run.
Instead of talking to someone or getting help, many people bottle up their emotions. Over time, anxiety, fear, sadness, and anger can build up. If someone doesn’t have a healthy support system or access to mental health care, they may turn to substance abuse, emotional eating, pornography addiction, or binge drinking to escape the pain. Others may engage in risky sexual behavior, hoping to feel wanted or to fill an emotional void.
These behaviors can quickly become habits. What starts as a way to feel better can lead to addiction, relapse, or even overdose. People may feel deep shame afterward, which only adds to their emotional burden. It becomes a cycle—pain leads to unhealthy behavior, which leads to more pain.
In many cases, this kind of dysfunction stems from past trauma or abuse. When someone grows up without feeling safe or loved, it affects their cognition, emotion, and behavior. The brain gets used to high stress and becomes desensitized to danger or unhealthy choices. Without help, those old wounds can turn into serious mental health struggles, including suicidal ideation.
Unfortunately, stigma still stops many people from asking for help. They fear being judged or misunderstood. That’s why understanding, compassion, and open conversations are so important. If we want to prevent addiction and overdose, we need to look at the full picture, because maladaptive coping is not weakness. It’s a sign someone is hurting and needs support.
Understanding dual diagnosis
Dual diagnosis happens when someone struggles with both a mental health disorder and a substance use problem at the same time. This is more common than many people realize, especially among youth dealing with emotional challenges and tough life experiences.
Mental health conditions like borderline personality disorder or social anxiety disorder can increase the chance of someone turning to drugs or an alcoholic beverage to cope. These habits might start small but can lead to serious problems, especially when used as a way to avoid dealing with deep emotions. These are known as maladaptive behaviors—quick fixes that end up doing more harm than good.
When healthy stress management tools aren’t taught or available, people are at a higher risk of developing addiction. This makes mental illness a major risk factor for substance use. The emergence of addiction often begins with attempts to handle emotional pain in unhealthy ways.
Changing your lifestyle, getting the right support, and finding healthier ways to cope can make a huge difference. Recovery is possible—and it starts with understanding what’s really going on beneath the surface.
Who is at risk for addiction?
Addiction doesn’t look the same for everyone, but it often begins in the same place—the brain. Inside our brains, chemicals like dopamine and serotonin help us feel pleasure, motivation, and calm. But when someone uses stimulants, sedatives, or narcotics, those chemicals can spike unnaturally. Over time, the brain begins to rely on these substances to feel “normal,” and natural balance is lost. This is how substance dependence can take hold.
The brain is also shaped by neuroplasticity, which means it changes based on experience. If someone uses a drug often, their brain rewires to expect it. This impacts cognition, emotion, and behavior—the very way a person thinks and feels. The central nervous system and peripheral nervous system, which help manage stress, emotion, and physical reactions, are also affected.
Some people are more likely to develop addiction because of genetic predisposition, or because they also live with mental illnesses like depression or anxiety. This mix of conditions is called comorbidity, and it’s why psychology and psychiatry both play big roles in addiction treatment.
But biology isn’t the only factor. Social conditions matter too. Poverty, homelessness, and discrimination make it harder for people to get help. Someone’s gender, ethnicity, or background can affect how they’re treated and whether they have access to insurance, therapy, or a safe space for healing.
In many communities, people face bias, shame, and a lack of support. These barriers, along with unequal education, unfair policy, and outdated regulations, make it even harder to break the cycle of addiction. According to the World Health Organization and the Centers for Disease Control and Prevention, addressing these social factors is key to improving public health.
Addiction is not a sign of weakness. It’s a health condition made worse by pain, isolation, and lack of support. Healing means treating the person—not just the substance—and building stronger, more caring communities around them.
What is the best way to overcome addiction?
There’s no one-size-fits-all solution for addiction. Everyone’s journey is different, and so is the path to healing. The good news is that there are many evidence-based treatments that really work, backed by research, statistics, and real-life success stories.
One of the most effective ways to start is through therapy. Talking with a mental health professional can help people understand the root of their addiction and develop better coping skills. Cognitive behavioral therapy (CBT) teaches people how to change harmful thoughts and behaviors, while art therapy and meditation help reduce chronic stress and improve emotional balance.
Some people benefit from SUD (substance use disorder) treatment programs, where they can receive peer support, group sessions, and even medication like antidepressants or other tools to help manage cravings. These programs can happen in a clinic, with help from a physician, psychiatrist, or licensed therapist.
Other important tools include physical therapy, exercise, breathing techniques, and relaxation strategies that improve pain management and sleep. These help people build a healthier life, both mentally and physically.
Harm reduction programs focus on keeping people safe, offering clean supplies, overdose prevention tools, or safe places to recover, especially for those not ready for complete sobriety or abstinence. These programs are about compassion, not judgment.
Most importantly, recovery requires understanding, empathy, and the right education. No two people are the same. What works for one may not work for another. That’s why treatment should be flexible, supportive, and rooted in psychology, not shame.
With the right mix of care, community, and support, healing is always possible. And it often starts with one simple step: asking for help.
When to seek help for addiction
Addiction is not about being weak or broken. It’s a sign that someone is hurting and needs support. Many people who struggle with addiction are carrying heavy emotional wounds—trauma, mental health struggles, or life adversity that haven’t been addressed. An overdose isn’t just about drugs—it’s often a cry for help, and a symptom of deeper pain.
In the field of psychology, we now understand that addiction is closely linked to emotion, past experiences, and even how the brain responds to stress. It’s not a moral failure. It’s a public health concern, made worse by stigma, silence, and lack of support from society.
If you or someone you know is showing signs of addiction, it’s okay to reach out. There is no shame in asking for help. In fact, that’s where healing begins.
Here are some common signs of addiction:
- Needing more of a substance to feel the same effect
- Feeling unable to stop using, even when you want to
- Using drugs or alcohol to escape emotions like sadness, anger, or fear
- Withdrawing from family, friends, or things you used to enjoy
- Changes in mood, behavior, or sleep patterns
- Lying about use or hiding it
- Feeling hopeless, trapped, or stuck
At Pacific Health Group, we understand that addiction is complex and deeply personal. That’s why we offer trauma-informed counseling that helps uncover the root causes behind substance use, providing the insight needed for true healing. Our experienced therapists offer individual therapy, family therapy, and couples counseling—all carefully tailored to your unique needs. We also offer telehealth options. We believe in compassion, understanding, and building lasting resilience together.
Whether you’re just starting to notice signs or have been struggling for a while, you are not alone. We’re here to walk this journey with you. Call 1-877-811-1217 or visit www.mypacifichealth.com to learn more or schedule an appointment today.