Drug addiction requires support, not judgement – SADAG
Health experts say stigma remains one of the biggest barriers to recovery, preventing many people struggling with addiction from seeking the help they need.
Far from being a simple matter of choice or willpower, addiction is a complex medical condition that affects the brain and can make it extremely difficult for people to stop using substances without professional support.
As South Africa observes South African National Council on Alcoholism and Drug Dependence (SANCA) Drug Awareness Week from June 22 to 27, health experts are urging communities to rethink how they view addiction.
According to Affinity Health CEO Murray Hewlett, misconceptions about addiction continue to fuel stigma, leaving many people too afraid to seek treatment.
“Many people still think it’s simply a choice, but it’s far more complex than that. Over time, drugs can affect how the brain works, especially the parts that control reward, decision-making and self-control. It is for this reason that stopping isn’t just about willpower alone,” he said.
Health experts recognise substance use disorders as a medical condition closely linked to mental health, meaning people need care, treatment and support rather than judgment.
As drug use continues, changes in the brain can make recovery increasingly difficult without intervention. Healthcare professionals, counselling and treatment programmes can play a critical role in helping people regain control of their lives.
Depending on the substance used, effects may include:
• damage to organs like the heart and liver
• respiratory issues and weakened immune function
• anxiety, depression and other mental health challenges
• cognitive impairment, including memory and concentration issues
• increased risk of overdose and long-term complications
Recovery is possible
Recovery is not a quick fix. It is a process that often requires time, commitment, and ongoing care. Relapse can occur, but it should be understood as part of the recovery journey rather than failure.
Effective treatment may include:
• medical care and monitoring
• counselling and behavioural therapies
• mental health support
• family and peer support systems
Research shows that with the right combination of treatment and support, long-term recovery is achievable.
Recognise the warning signs
Addiction doesn’t look the same for everyone, but certain changes shouldn’t be ignored. These changes can include mood swings, shifts in behaviour, withdrawal from friends and family, being secretive, changes in sleep, struggling at work or school or ongoing health issues that don’t have a clear cause. These signs don’t always point to substance use, but if they continue over time, it’s worth paying attention. A simple, calm conversation, without judgement, can be the first step in helping someone feel supported.
Creating a supportive environment
Hewlett said changing the way we respond to addiction can make a real difference. It starts with simple things: Speaking with empathy, avoiding placing blame, and being open about mental health.
The support someone receives from family, friends, workplaces, and their wider community can determine whether they feel safe enough to reach out and seek help. When people feel understood instead of judged, they are much more likely to ask for help and begin their recovery journey.
If you are supporting someone affected by substance use or need guidance on how to help a loved one, friend, or learner, SADAG offers confidential counselling, information, and referral services across South Africa. Trained counsellors are available to provide support, listen without judgement, and connect individuals with appropriate resources and treatment options.
• Call: 0800 12 13 14 (available 24/7)
• WhatsApp: 087 163 2025 (available daily from 08:00 to 17:00)
• SMS: 32312 (available 24/7)
