Addiction Coping and Recovery Overcoming Addiction Using Drugs Can Make Emotional Pain Even Worse By Elizabeth Hartney, BSc, MSc, MA, PhD Elizabeth Hartney, BSc, MSc, MA, PhD Elizabeth Hartney, BSc, MSc, MA, PhD is a psychologist, professor, and Director of the Centre for Health Leadership and Research at Royal Roads University, Canada. Learn about our editorial process Updated on May 11, 2022 Medically reviewed Verywell Mind articles are reviewed by board-certified physicians and mental healthcare professionals. Medical Reviewers confirm the content is thorough and accurate, reflecting the latest evidence-based research. Content is reviewed before publication and upon substantial updates. Learn more. by Daniel B. Block, MD Medically reviewed by Daniel B. Block, MD LinkedIn Twitter Daniel B. Block, MD, is an award-winning, board-certified psychiatrist who operates a private practice in Pennsylvania. Learn about our Medical Review Board Print One of the reasons that many people use drugs is to numb the pain, whether that pain is physical or emotional (or both). Wanting to numb the pain means that someone doesn't want to experience undesirable feelings—they'd rather feel nothing at all. At times when emotional pain is overwhelming, all you can think of is, "How can I stop hurting?" At these times, drugs such as marijuana, painkillers, alcohol, and opiate-based drugs can seem to be effective in reducing emotional pain. However, there are several reasons that using drugs for numbing the pain that you feel is a risky and potentially dangerous idea. The Rebound Effect EMS-Forster-Productions / Getty Images Surprisingly enough, painkillers can actually make pain worse. By trying to numb the pain through the use of drugs, you are setting yourself up for needing more of the drug once the effect has worn off—a phenomenon known as the rebound effect. Drugs that numb emotional pain (as well as physical pain) tend to be addictive. You may develop a physical dependence on them. Many drugs that people use to numb the pain have unpleasant withdrawal effects as well. After using the drug consistently, you may even experience anxiety and depression as a result of withdrawal. In fact, learning how to deal with your true feelings, no matter how unpleasant they seem, is a key component of overcoming addiction. Why Drugs Worsen Emotions Numbing the pain with drugs instead of dealing with your feelings means that your problems will tend to get worse rather than better. Take shame, for example. If you feel bad about something you did or didn’t do, and then you get drunk to suppress those feelings of shame, there is a good chance you will feel more shame for something embarrassing or ill-judged that you did while you were under the influence of alcohol, doubling the shame you feel the next day. In contrast, facing up to your embarrassment, and resolving to understand what you did and why you did it, will help you develop more compassion for yourself, so you beat yourself up less. It will also make it less likely that you will make the same mistake again—especially if your judgment is not impaired by drugs, so your embarrassment will probably decrease over time. Facing Emotional Pain Although a drink or dose of opiates might seem to relieve your pain almost instantly, the effect will only last as long as you are under the influence. As soon as the drink or drug wears off, the emotional pain will come back, possibly worse than it was before. People can go for years cycling through the vicious cycle of pain, shame, disappointment, and more pain, before finally realizing the effect will always wear off, and you will be left with the feelings underneath. Some people never discover this. Although escaping the pain through taking drugs might seem like the answer, the only way of truly escaping is by facing your emotional pain and working through it. Coping With Your Emotions The best thing you can do to avoid developing or worsening an addiction when you are struggling with pain is to deal directly with the emotions that burden you. There are many strategies that you can use for doing this on your own, including: Join a mindfulness, yoga, or meditation class, at your local community college or through meditation and yoga groups. Read self-help books. If you can't afford or don't want to see a therapist, go to the library or bookstore and find a book to help guide you. Books on mindfulness work for any kind of emotional pain. Two good examples: "Managing Pain Before it Manages You" by M. Caudill, and "Pain Relief Without Drugs: A Self-Help Guide for Chronic Pain and Trauma" by J. Sadler. See a therapist or counselor, who can help you uncover and deal with the emotions underlying your addiction. Getting the Right Medication While many people wonder how to numb emotional pain, the more effective question to ask is: How can you better understand what is causing these emotions and address them appropriately? Sometimes emotional and physical pain is caused by a related condition, such as depression or an anxiety disorder. A number of physical conditions can also cause emotional symptoms, such as low mood, fatigue, and irritability, which can mirror those of depression. These symptoms can be effectively treated with therapy and/or medications if properly identified. Antidepressant medications are not usually addictive, although anti-anxiety medications can be, and all should only be taken as and when prescribed. While antidepressants are not usually addictive, they should not be stopped abruptly because of the risk of withdrawal symptoms and relapse. Talk to a doctor if you don't feel you can manage your emotions effectively on your own, and they will be able to advise you about whether another kind of medication is right for you. This is much safer and more effective than self-medicating with drugs. If you or a loved one are struggling with substance use or addiction, contact the Substance Abuse and Mental Health Services Administration (SAMHSA) National Helpline at 1-800-662-4357 for information on support and treatment facilities in your area. For more mental health resources, see our National Helpline Database. 6 Sources Verywell Mind uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read our editorial process to learn more about how we fact-check and keep our content accurate, reliable, and trustworthy. Kaneria, Anshuni. Opioid-induced hyperalgesia: When pain killers make pain worse. BMJ Case Rep. 2014. doi:10.1136/bcr-2014-204551 Henssler J, Heinz A, Brandt L, Bschor T. Antidepressant withdrawal and rebound phenomena. Dtsch Arztebl Int. 2019;116(20):355-361. doi:10.3238/arztebl.2019.0355 Koob GF. The dark side of emotion: The addiction perspective. Eur J Pharmacol. 2015;753:73-87. doi:10.1016/j.ejphar.2014.11.044 Edwards, E. The role of complementary, alternative, and integrative medicine in personalized health care. Neuropsychopharmacology. 2012;37(1):293-295. doi:10.1038/npp.2011.92 Trivedi MH. The link between depression and physical symptoms. Prim Care Companion J Clin Psychiatry. 2004;6(Suppl 1):12-6. PMID:16001092 Haddad, P. Do antidepressants have any potential to cause addiction?. J Psychopharmacol. 1999;13(3):300-7. doi:10.1177/026988119901300321 Additional Reading Caudill M. Managing Pain Before It Manages You. Third Edition. New York: Guildford; 2009. Garland EL, Black DS. Mindfulness for chronic pain and prescription opioid misuse: Novel mechanisms and unresolved issues. Subst Use Misuse. 2014;49(5):608-11. doi:10.3109/10826084.2014.852801 Matta M, Porter J, Chintakrindi S, Cosby A. Addictive behaviors and chronic pain in a high-risk population. J Drug Issues. 2016;46(2):135-147. doi:10.1177/0022042615623984 Sadler, J. Pain Relief Without Drugs: A Self-Help Guide for Chronic Pain and Trauma. Third Edition. Rochester, Vermont: Healing Arts Press; 2007. By Elizabeth Hartney, BSc, MSc, MA, PhD Elizabeth Hartney, BSc, MSc, MA, PhD is a psychologist, professor, and Director of the Centre for Health Leadership and Research at Royal Roads University, Canada. See Our Editorial Process Meet Our Review Board Share Feedback Was this page helpful? Thanks for your feedback! What is your feedback? 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