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Alcohol and drug use
When drinking or using stops being a way to relax and starts being a way to cope.
Alcohol, tramadol, cannabis and other substances can feel like a way to switch off. Over time they usually make low mood, anxiety and anger worse, and can damage health, work and family life.

Signs it may be a problem
Using to cope
You drink or use to sleep, to calm down or to face the day.
Needing more
You need larger amounts to get the same effect.
Cannot cut down
You have tried to stop or reduce and could not.
Damage to life
It is affecting your work, money, health or relationships, and you keep going anyway.
Hiding it
You hide how much you use, or feel ashamed and defensive when asked.
Getting support
- 1
Be honest with one person
Shame keeps this hidden. Telling someone you trust takes some of its power away.
- 2
Do not stop suddenly on your own
Stopping heavy alcohol or certain drugs suddenly can be dangerous. Speak to a doctor or the Mental Health Authority first.
- 3
Look for treatment
Public psychiatric hospitals and some clinics offer substance use treatment and counselling.
- 4
Treat the cause too
Often there is stress, trauma or depression underneath. Treating that helps the recovery last.
Talk to someone
National Mental Health and Suicide Prevention Helpline
0800 678 678Run by the Mental Health Authority. Toll-free.
Free to call
National Emergency Line
112Police, ambulance and fire. Use it if someone is in immediate danger.
Free to call
Keep reading
Signs you need help
Changes in mood, body, habits and thinking that mean it is time to talk to someone.
ReadSigns you work in a toxic environment
How to tell the difference between a demanding job and one that is harming your health.
ReadSigns you are in a toxic relationship
Recognising control, disrespect and abuse, and finding a safe way forward.
Read