Addictions and addicts are still largely perceived by sober society as being products of weak willpower and/or moral crime. At the same time, pharmaceutical corporations have intentionally pushed their own very addictive and profitable opiate resulting in immense suffering and overdose death numbers — indeed the actual moral crime! — and got off relatively lightly and only through civil litigation. 

There are many ‘sober’ people who still believe that addiction often originates from a bout of boredom or simple recklessness, where a person consumed recreationally but became heavily hooked on a substance that eventually destroyed their life and by extension even the lives of loved-ones. 

In the book (WHAT HAPPENED TO YOU?: Conversations on Trauma, Resilience and Healing) he co-authored with Oprah Winfrey, Dr. Bruce D. Perry (M.D., Ph.D.) writes in regards to self-medicating trauma, substance abuse and addiction:

“But here’s what’s interesting about drug use: For people who are pretty well-regulated, whose basic needs have been met, who have other healthy forms of reward, taking a drug will have some impact, but the pull to come back and use again and again is not as powerful. It may be a pleasurable feeling, but you’re not necessarily going to become addicted. 

“Addiction is complex. But I believe that many people who struggle with drug and alcohol abuse are actually trying to self-medicate due to their developmental histories of adversity and trauma.” 

Decades ago, I, while always sympathetic, looked down on those who had ‘allowed’ themselves to become addicted to hard drugs or alcohol. Yet, I myself have suffered enough unrelenting PTSD symptoms to have known, enjoyed and appreciated the great release upon consuming alcohol or THC. 

The unfortunate fact about self-medicating is: the greater the induced euphoria or escape one attains from it, the more one wants to repeat the experience; and the more intolerable one finds their non-self-medicating reality, the more pleasurable that escape will likely be perceived. In other words: the greater one’s mental pain or trauma while not self-medicating, the greater the need for escape from one's reality — all the more addictive the euphoric escape-form will likely be.

When substance abuse is due to past formidable mental trauma, the lasting solitarily-suffered turmoil can readily make each day an ordeal unless the traumatized mind is medicated. (Not surprising, many chronically addicted people won’t miss this world if they never wake up.) 

Societally neglecting, rejecting and therefore failing people struggling with crippling addiction should never be an acceptable or preferable political, economic or religious/morality option. They definitely should not be consciously or subconsciously perceived by sober society as somehow being disposable. Too often the worth(lessness) of the substance abuser is measured basically by their ‘productivity’ or lack thereof. They may then begin perceiving themselves as worthless and accordingly live and self-medicate their daily lives more haphazardly.