People with schizophrenia can face constant confusion and chaos, and they may feel their substance use isn’t the real issue. Unfortunately, substances have the power to add another level of difficulty and danger to living with schizophrenia by strengthening symptoms, increasing the chances of missing treatments or appointments, and leading to more frequent hospitalizations.Â
For schizophrenic family members near Middleton or Waukesha, finding relief from delusions, hallucinations, paranoia, and chaotic thoughts or speech might seem impossible without drugs or alcohol. But we know that our patients can learn not only to manage schizophrenia sober—but to thrive despite addiction and tough diagnoses.Â
Miramont Behavioral Health can provide compassionate care that simultaneously and effectively treats both schizophrenia and substance use disorder. Keep reading to learn which substances people with schizophrenia commonly use to try and manage their symptoms and how it can complicate treatment and recovery.Â
The Link Between Schizophrenia and Substance Use or Misuse
People with schizophrenia commonly struggle with substance use disorders (SUDs). This connection isn’t random and stems from several overlapping factors like genetics, brain chemistry, and how the brain’s reward system functions. Traumatic experiences and abuse may also push someone with schizophrenia further down the path to addiction. Whatever the specific factors are for each individual, the draw to mind-altering substances in battling symptoms might seem clearer now.Â
Some of the substances most misused by people suffering from schizophrenia include:
- Cocaine
- Nicotine and tobacco
- Alcohol
- Marijuana
Because the link between substance misuse and mental illness can impact so many areas of life for someone with schizophrenia, starting with Middleton-based inpatient care may work best. There, you or your family member can get the support you need to get a handle on sobriety and symptoms:
- Therapy
- Medication management
- 24-hour supervision  Â
After completing inpatient treatment, a gradual movement to intensive outpatient care in Waukesha may then help patients build on their inpatient foundation with family therapy, social skills, and strategies to thrive at work and in their community.Â
Understanding How Addiction Impacts Schizophrenia Symptoms
While all of the following drugs generally worsen schizophrenia management, cocaine may be the most dangerous. However, cannabis, nicotine, tobacco, and alcohol all pose serious threats. Â
Cocaine and Schizophrenia
Using a highly addictive substance like cocaine can feel like a quick fix, offering moments of energy or motivation for people with schizophrenia. Unfortunately, these moments can come at a steep cost. Cocaine can heighten suicide risks rather than bringing relief and it may make psychotic symptoms much worse, trapping people in a destructive cycle.
Alcohol and Schizophrenia
For individuals with schizophrenia, alcohol may seem like a way to unwind or dull intrusive thoughts. But over time, alcohol can ramp up paranoia and hallucination symptoms, making it harder to stay on track with treatments and life goals. The combination of schizophrenia and alcohol abuse can quickly lead to greater instability and harm, making the need for support and intervention more dire.
Nicotine and Schizophrenia
Nicotine addiction is very common among people with schizophrenia, with smoking rates reaching as high as 90%. Many might turn to tobacco as a coping mechanism, feeling that it eases stress or improves focus. While nicotine might provide brief relief, the long-term effects—including cancer, heart disease, and financial strain—can be devastating.
Cannabis and Schizophrenia
Using cannabis—also commonly called marijuana—is often seen as harmless, but cannabis consumption can have serious consequences for people with schizophrenia. What might start as a way to relax can quickly turn into a major trigger for relapse, paranoia, and hallucinations. Young adults who use cannabis heavily are more likely to develop psychotic disorders later in life, and for those already diagnosed, marijuana can aggravate symptoms and the need for hospitalization.Â
A Key Take Away For Understanding Substance Misuse and Schizophrenia
Substance use — and misuse — can increase the likelihood of a schizophrenia diagnosis. Be sure to monitor your own substance use and that of any younger adults in your household. Educating yourself further on substances may also help you understand how to support your mental health best.Â
Finding Help for Co-Occurring Disorders in Wisconsin
Miramont Behavioral Health specializes in treating schizophrenia and substance use disorders together—from offering evidence-based therapies like cognitive behavioral therapy (CBT) and medication management, to support groups that address the challenges of dual diagnoses. Our programs include resources for quitting smoking, managing cravings, and building healthier habits to support long-term recovery.
If you or someone you care about is struggling, we’re here to help. Recovery is possible, contact us today at Miramont Behavioral Health, and let us guide you toward a healthier, more stable future.