Thursday, May 23, 2019

Drug-Seeking


As a bit of a content warning, I would like to say that this essay contains frank descriptions of drug use. It may be triggering to some people, myself included. Drugs are commonly used and abused by people suffering from mental illnesses, sometimes as a reprieve from the symptoms of their illness, and other times as self-punishment for unwanted thoughts and behaviours. This means that drug use can be motivated by anything from self-medication to self-harm. For me, it was both.

At a young age, I never considered that I would use drugs. The war on drugs was loud. It wasn't until symptoms of schizophrenia appeared that I questioned the establishment view on drug use. It was a bit of an embarrassment for the established view that even the most cursory examination of the actual, unbiased literature on intoxicants – from people who used the substances they talked about (chemists like Aldous Huxley, psychonauts, and shamans) – showed the drug war to be extremely misleading. It was not based on facts, but politics.

This isn't to say drugs are safe. For someone suffering from schizophrenia (a class of people most susceptible to the use of artificial stimulants), they are certain to lead to a full-blown psychotic episode. But for most people, the average person, light and moderate use of drugs is not abuse, and the mind and body rebound after the person outgrows the habit.

My poison was crystal methamphetamine, also known simply as “speed”. Relatively safer amphetamines, such as Dexedrine, are uncommonly used to treat Attention Deficit Hyperactive Disorder. Dexedrine was also used by pilots to remain focused on long flights; metamphetamine was used by factory workers in Hitler's Germany to increase production. A white powder that dissolves into a steaming glassy puddle when heated, methamphetamine is inhaled as a gas, injected, or snorted up into the nostril. It causes the heart to race, the attention to be hyper-focused, and removes exhaustion. I know someone who was awake for three weeks straight due to his constant abuse of meth.

Although highly addictive, meth is less addictive than nicotine. Once I started coughing up blood from overuse, it was easy to cut the habit. Unlike cigarettes, it is easy to pair the specific health effects to the use of the drug.

A few months later, I was institutionalized; because I was forthright about my drug use, my initial diagnosis was drug-induced psychosis. However, it is clear to me that my drug use was a symptom of the psychosis, not the cause. I suffer from schizophrenia and thus I used drugs, not the other way around.

Talking to others with schizophrenia, I learned that drug use and abuse is common among those living with psychotic symptoms. It is a common opinion that drugs – even those as seemingly benign as marijuana – can cause a psychotic break. However, my unsubstantiated opinion is that a psychotic break can just as easily be the trigger for the drug-seeking behaviour.