Mental illness looks different on everyone.
The stigma surrounding substance use disorders and mental health conditions has long dominated how both issues are discussed, and how those who experience these issues are seen. Because substance use disorders and mental illness frequently co-occur, meaning individuals experience both at the same time, increased stigma and stereotypical associations of one condition with the other have coloured people’s views of both.
Understanding why the two conditions often co-occur relates to recognizing that substance use disorder is a mental health condition, influenced by many of the same factors as other mental illnesses like depression and schizophrenia. Genetics, experiences with trauma or violence, environmental conditions, and many other factors impact how and why substance use disorders and other mental health conditions occur.
Family history can influence mental health risk factors Over the last couple of decades, scientists have increasingly come to recognize the influence of genetics on mental illness. Most research indicates that while there is no one specific gene responsible for mental health conditions, thousands of gene variants can have small impacts on mental health.
Stress and trauma can be contributing factors for developing mental health disorders Traumatic experiences, as well as acute stress, have been shown to have the capacity to alter the brain, particularly the amygdala, hippocampus, and prefrontal cortex . But environmental factors like trauma and stress also have the potential to change genetic expression, bringing out some genetic material that may have previously been dormant.
Psychoactive substances can also bring on symptoms similar to those caused by mental illness, including psychosis, paranoia, hallucinations, altered sleep patterns, mood swings, and increased risk-taking behavior. And if substance use begins before the onset of mental illness, it can increase the risk of developing a mental health condition in predisposed individuals.
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