Alcohol and drug use with psychosis

Many people either didn’t talk about – or use – alcohol or illegal drugs. In fact, some people talked about avoiding alcohol and/or drugs altogether because they feared harm to their mental health. Annie said that when she was in her teens people thought she was ‘doing drugs,’ when she was actually just becoming mentally ill.
However, others talked about using alcohol and illegal drugs. Many spoke of cannabis use, fewer about their using LSD (acid), amphetamine (speed), methamphetamine (crystal meth), heroin or pills (e.g. ecstasy). People used drugs and alcohol for all kinds of reasons, e.g. to get high or cope with emotional and mental problems.
People described different experiences of alcohol and drug use, both positive and negative. Several believed that alcohol/drugs had caused their mental distress, or at least made their distress harder to cope with. A few people had drunk alcohol with their medication and felt drowsy.

Cannabis use

Cannabis use was common among people we talked to. They smoked it for various reasons: to feel more relaxed, to deal with their emotions, for religious reasons, to relieve pain and as a social activity with friends and partners.

Andrew describes how his pain was badly managed after he lost a limb, so he self-medicated with…

Age at interview 59

Gender Male

Age at diagnosis 24

View profile

Nada hadnt learnt how to cope with her thoughts without smoking cannabis.

Age at interview 26

Gender Female

Age at diagnosis 22

View profile

Many people initially believed that cannabis relaxed them. But they later felt that cannabis actually worsened their mental state, or for one person created ‘a living hell’. Some even felt that cannabis had caused their mental problems.

Janey has no idea whether cannabis messed up [her] brain, and stopped it because it was hard to…

Age at interview 52

Gender Female

Age at diagnosis 29

View profile

People talked about smoking weed and skunk (a strong variety of cannabis containing more THC), believing that the strong varieties were particularly dangerous for them. A few people said they had smoked too much, particularly at university.
A few people smoked with friends and hadn’t noticed how much they were smoking over time. Using cannabis with friends could make it hard to give up when friends continued to smoke it. A few mentioned the paranoia they experienced as a result of using cannabis.

Green Lettuce had felt paranoid and explained to his friends why he hadnt been out.

Age at interview 25

Gender Male

Age at diagnosis 20

View profile

However one person described ‘seeking out’ psychosis through smoking weed as a way of distancing himself from reality.

David liked the emotional distance produced by smoking weed.

Age at interview 31

Gender Male

Age at diagnosis 17

View profile

Escapism and getting ‘out of control’
Several participants described heavy use of alcohol and non-prescribed substances at certain times in their lives. Some people began to use alcohol or drugs to escape past abuse, traumatic events, first hearing voices, or as a way of coping with stress in their lives. Some of them thought this kind of escapism was useful in coping at the time, but later concluded that drug use could be destructive in the long run, as well as very expensive. Metamphetamine (crystal meth) was singled out as particularly dangerous.

After the first time Ron heard voices he got completely drunk.

Age at interview 51

Gender Male

Age at diagnosis 23

View profile

Jenni says with drugs and alcohol you can just get so out of your depth.

Age at interview 30

Gender Female

Age at diagnosis 26

View profile

Mary’s son had got into drugs when his father left and another two drank heavily after a relationship breakdown. Simon had been drinking when he was depressed and taking psychiatric medication, leading him to fall asleep in a pub. A few people talked about the frightening effect drugs had on them. Two people talked about several sleepless periods directly caused by taking drugs, impairing their mental health and having ‘racing thoughts’. However Robert said that taking heroin made him ‘not care’ about the voices in his head.

Simon had some bad trips and thinks that LSD was the beginning of [his] schizophrenia.

Age at interview 61

Gender Male

Age at diagnosis 20

View profile

Robert’s mental health deteriorated dramatically when he started talking methamphetamine.

Age at interview 45

Gender Male

Age at diagnosis 43

View profile

Nada lost control and she didnt know what to do about finishing university.

Age at interview 26

Gender Female

Age at diagnosis 22

View profile

Aside from frightening experiences and worsening mental health, a couple of people said they’d been concerned about their behaviour whilst under the influence of alcohol and/or drugs.

Kirstys problem with alcohol led her to being promiscuous which she now feels is a form of self…

Age at interview 40

Gender Female

Age at diagnosis 24

View profile

Green Lettuce had extreme and confusing reactions to smoking weed and drinking alcohol.

Age at interview 25

Gender Male

Age at diagnosis 20

View profile

Well-being and recovery
Many people who had misused alcohol and drugs in the past were now reducing their use of them or even avoiding them altogether. Several talked about their struggles to change their habits, and avoid particular people or stressful situations, e.g. certain friends, or going to pubs. A few people said that finding other things to do (e.g. sport) or moving to another city helped reduce their drug use.

Jenni can now cope with people doing drugs around her.

Age at interview 30

Gender Female

Age at diagnosis 26

View profile

Simon gave up alcohol, LSD and cannabis but still smokes cigarettes.

Age at interview 61

Gender Male

Age at diagnosis 20

View profile

Mary says her son finds it hard not to socialise without drinking too much when on psychiatric…

Age at interview 61

Gender Female

View profile

Psychosis

In this section you can find out about the experience of living with psychosis by seeing and hearing people share their personal stories on film....