Substance abuse can harm the body, but did you know it can also have a serious effect on your mental health?
This follows an announcement by the Gauteng Department of Health (GDH), which stated it has seen an increase in substance-induced psychosis among young people, reports Randfontein Herald.

The growing link between substance abuse and psychosis

GDH spokesperson Steve Mabona said health professionals have observed that many patients diagnosed with psychosis also struggle with drug addiction, with substance-induced psychotic disorders becoming increasingly common.

“These observations highlight the growing relationship between substance abuse and mental illness and underscore the importance of early intervention, treatment and community awareness.”

“Substance-induced psychosis is a serious mental health condition that occurs when alcohol or drugs directly affect the functioning of the brain, causing individuals to lose touch with reality. During an episode, a person may hear voices, see things that are not there, develop false beliefs, experience confused thinking or display unusual behaviour,” he explained.

While some people recover after treatment and reducing or stopping substance use, Mabona said others continue to experience symptoms even after the substances have left their system. In some cases, this can progress to long-term psychiatric disorders such as schizophrenia.

“We warn you that the risk of developing substance-induced psychosis is influenced by several factors, including the type of substance used, early initiation of substance use, family history of mental illness, previous trauma, severe stress and certain medical conditions. In some cases, substances such as cannabis, methamphetamine, cocaine, alcohol and other illicit drugs have been associated with an increased risk of psychosis,” he continued.

Warning signs communities should not ignore

He encouraged residents to look out for the following symptoms of psychosis:

• Seeing or hearing things that other people do not
• Having false and unrealistic beliefs
• Thinking in a confused or disorganised manner
• Withdrawing socially and losing interest in daily activities
• Neglecting personal hygiene and self-care
• Sudden changes in behaviour, sleep patterns or daily functioning

“Psychosis commonly develops during late adolescence and early adulthood, with young people particularly vulnerable to substance-related mental health conditions. Early diagnosis and treatment can significantly improve recovery outcomes and reduce the risk of long-term mental illness,” Mabona said.

Early treatment and community support are key

The GDH provides mental health services for residents.

According to Mabona, treatment includes medical care to manage psychotic symptoms, psychological support, assessment and treatment of substance use disorders, as well as referrals to inpatient and outpatient rehabilitation programmes.

“Families and communities also have an important role to play by supporting affected individuals and encouraging them to seek professional help. Recognising the warning signs early and accessing treatment promptly can help prevent complications and improve long-term health outcomes,” he said.

He also encouraged communities to continue speaking openly about substance abuse and mental health.

“Substance abuse does not only affect physical health; it can also have devastating consequences for mental wellbeing. If you are experiencing symptoms of psychosis or struggling with substance abuse, we encourage you to visit your nearest clinic, community health centre or hospital for assessment and appropriate care,” he concluded.

If you have a substance abuse problem and need more information and help, contact the South African National Council on Alcoholism and Drug Dependence on 011 892 3829.

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