In order to understand the links between disability and addiction, it’s important to first think about what disability means. According to Disability Rights UK, there is no single definition of use in the UK. A broad definition, however, includes physical, sensory or mental impairments that have substantial and long-term adverse effects on the ability to carry out normal day-to-day activities.

Disabilities can lead to issues including emotional distress, chronic pain and social isolation, which may increase the risk of substance misuse. One US study found individuals with disabilities had a higher risk of drug misuse, including prescription drugs. Another found that adults with disabilities were more likely to have a drug or alcohol use disorder.

Substance misuse can also sometimes lead to disability. Alcohol misuse, for example, is the biggest risk factor for death, ill health and disability among 15-49-year-olds in the UK and the fifth most significant risk factor across all ages.

Why Are People with Disabilities More Vulnerable to Addiction?

People with disabilities may be more vulnerable to substance misuse and addiction due to a number of reasons, including:

1. Chronic Pain Management

People with certain physical disabilities may experience chronic pain. They may rely on strong prescription painkillers to manage this pain, which can carry risks of dependency. All opioids, for example, are known to carry a serious risk of addiction, especially with long-term use.

Dependency can develop even when prescription medicines are used as directed. Substance misuse – including using higher doses or taking prescription medicines more frequently than directed – can carry even greater risks. Misusing strong painkillers like morphine, tramadol and codeine to cope with pain can also carry other risks, such as overdose.

2. Mental Health Struggles

There is evidence that mental health conditions, including depression and anxiety, tend to be higher in people with disabilities compared to the general population.

There are also established links between mental health disorders and substance misuse, as many people attempt to ‘self-medicate’ with alcohol or drugs as a form of escape. This can be surprisingly common. Dual diagnosis is when co-occurring mental health and substance abuse disorders exist at the same time, and it is estimated to be present in nearly a fifth of people with either type of disorder.

3. Social Isolation and Loneliness

For some people, issues including reduced mobility, communication barriers or discrimination can result in isolation and feelings of rejection. Loneliness may lead to substance abuse as a coping mechanism, and this can easily slide into dependency and addiction.

4. Barriers to Support and Accessibility

A lack of accessible rehab facilities and tailored treatment programmes can serve as barriers to preventing disabled individuals from seeking help. This can lead to developing problems going unchecked and getting worse over time. While unjustified, there may also be a sense of stigma surrounding disability and addiction, which may discourage people from asking for support.

The Impact of Addiction on Disability

While some people may turn to drugs or alcohol as a coping mechanism, substance abuse and addiction can ultimately make many of the impacts of disability worse. Substance misuse can lead to a decline in physical health, with potential risks including an increased risk of infections, liver damage and weakened immunity.

It can also affect mental health, with issues such as depression, anxiety, paranoia, or cognitive impairment. For those with a dual diagnosis, this can become a vicious cycle with substance misuse fuelling mental health decline and vice versa. Some people with disabilities may face additional mobility challenges when misusing certain substances, which can lead to impaired coordination and increased accident risks. Substance misuse can also interfere with medications or disability rehabilitation plans, further complicating recovery or improvement.

Recognising the Signs of Addiction in Disabled Individuals

There are a number of signs that may start to show, indicating substance misuse and a potential slide into addiction.

These could include:

  • Witnessing substance misuse firsthand
  • Secrecy and defensiveness about drinking or drug use
  • Mood swings
  • Slurred speech
  • Drowsiness
  • Erratic behaviour
  • Depression
  • Anxiety
  • Social withdrawal
  • Neglecting responsibilities
  • Missing appointments
  • Neglecting hygiene

If you suspect a loved one is in danger of addiction, it is important to address the person with empathy and understanding.

Treatment Options for Addiction and Disability

There are a number of approaches to addiction treatment in general but for people with disabilities, it is important to adopt a tailored approach that takes into account any potential impacts and complications that may be associated with their disability.

1. Medical Detox Programmes

Detoxification can be a challenging process for anyone, as it may be accompanied by strong cravings and – depending on the substance and other factors – a wide range of physical and mental withdrawal symptoms. Supervised medical detox can make the process as safe and comfortable as possible and, where clinically appropriate, medicines may help to alleviate some of the symptoms and cravings.

2. Counselling and Therapy

It is important to address the root causes and psychological aspects of addiction as well as any physical dependency. Techniques such as cognitive behavioural therapy (CBT), group therapy and individual counselling can all help with this.

3. Physical Rehabilitation and Holistic Therapies

Physiotherapy and pain management techniques may help those with mobility issues or chronic pain. Holistic approaches incorporating techniques like yoga, meditation and art therapy can also promote relaxation and emotional healing.

4. Dual Diagnosis Treatment

Where addiction and mental health issues co-exist, it is important to treat both elements, otherwise relapse is far more likely. Techniques such as medication-assisted therapy (MAT) and psychological counselling can work together for better outcomes.

5. Accessible Rehab Facilities

Asana Lodge provides both accessible facilities and tailored treatment programmes for individuals with disabilities. These include features such as wheelchair access, specialised mobility support and customised therapy plans.

How Asana Lodge Supports Recovery for Disabled Individuals

Addiction treatment for disabled individuals should take into account any special requirements and Asana Lodge has expertise and experience in treating addiction among individuals with physical or mental disabilities. Our treatment includes individualised recovery programmes based on each client’s needs, round-the-clock medical care for safety and comfort and comprehensive aftercare programmes to ensure long-term recovery.

Hope for Healing and Recovery

The links between substance abuse and disability can throw up unique challenges but addiction can always be successfully treated with the right support. It’s important to seek professional help early to prevent further complications so, if you are worried about yourself or a loved one, contact Asana Lodge today for confidential advice, assessments and tailored treatment programmes.

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