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A 39-year-old member asked:

Could all people that have substances abuse issues have some underlining issue that triggers substance abuse?

1 doctor answer2 doctors weighed in
Dr. Alan Wartenberg
A Verified Doctoranswered
Addiction Medicine 50 years experience
Most, not all: Many people with substance abuse issues have underlying psychiatric and emotional problems. In women, early life trauma (physical, emotional and sexual) is extremely common, and it is not uncommon in men as well. Many have personality disorders, particularly borderline, narcissistic and antisocial. Even those without such problems develop personality changes as result of addiction.

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Last updated Aug 27, 2015

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