The Oakland Press

DANGEROUS COMBINATIO­N

Pandemic provided perfect storm for substance use and abuse

- By Dr.William Beecroft William Beecroft, M.D., is a Distinguis­hed Life Fellow of the American Psychiatri­c Associatio­n and medical director of behavioral health at Blue Cross Blue Shield of Michigan. Visit MIBluesPer­spectives.com.

The stress of the pandemic, coupled with the increased isolation from others and disruption to daily routines, provided a perfect storm for substance use and abuse. While government­s enacted policies aimed at protecting public health like stay-at-home orders and social distancing requiremen­ts, there were psychologi­cal impacts — including fear, anxiety, depression and post-traumatic stress.

A recent survey found 13% of respondent­s either started or increased substance use to cope with the stress and emotions related to COVID-19.

For individual­s already struggling with substance use or abuse issues — or for those in recovery — these new hurdles were difficult to overcome, especially as alternativ­e outlets like gyms and in-person meetings and other social events became difficult to access. As restrictio­ns ease and people begin to return to social activities, it’s important to understand how substance abuse has been affected by the pandemic and how to find help.

Substance rise during pandemic

Substance use and abuse increased across the board during the pandemic. Here are some examples.

• Illicit drugs: Drug overdose deaths increased during the pandemic. More than 90,000 people died in the 12 months from September 2019 to September 2020 — 20,000 more individual­s than the same time period the year before. Specifical­ly, overdose deaths related to synthetic opioids like fentanyl spiked by an unpreceden­ted 55% during that same time period, according to preliminar­y data released by the U.S. Centers for Disease Control and Prevention.

• Medicinal cannabis: Medical cannabis users were also impacted by the pandemic. More than half of medical cannabis users surveyed in 2020 said they either started using medication­s or substances because of the pandemic — typically alcohol and sleep aids. Part of that

was due to issues with access to medicinal cannabis.

• Alcohol: Adults drank 14% more during the pandemic, partially due to isolation and social distancing efforts. This could be fueling recent upticks in cases of alcohol-related conditions, including alcoholic hepatitis and liver failure.

Impacts of substance use and abuse

There are short-term and longterm effects on the body from misusing

drugs and other substances.

Short-term effects include changes in:

• appetite

• blood pressure

• heart rate and

• wakefulnes­s

It also includes increased risk of:

• early death

• heart attack

• overdose and

• psychosis

Long-term effects of substance use and abuse can include:

• addiction

• cancer

• hepatitis

• HIV/AIDS

• lung disease and

• mental illness

Seeking help

Help is available for individual­s confrontin­g substance use and abuse issues.

For emergency mental health support that’s not life threatenin­g, call the National Suicide Prevention Lifeline for support at 800273-8255.

For emergency help to prevent death or serious harm, seek help at the nearest emergency room or call 911.

Anyone seeking help for alcohol dependency should start with their primary care provider or a mental health provider. For those in need of a substance use and recovery facility, primary care providers or mental health providers can also provide a referral or an individual’s insurance company can provide a list of options as well.

 ?? PHOTO BY KATHEIRNE HITT ?? Rates of marijuana use and also the use of other mood-altering substances rose during the COVID-19pandemic.
PHOTO BY KATHEIRNE HITT Rates of marijuana use and also the use of other mood-altering substances rose during the COVID-19pandemic.

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