What are the underlying causes of substance abuse?
 1. A lack of family and social support.
2. A hidden psychiatric disorder:
• depression,
• phobias,
• obsessive compulsive disorder,
• traumatic stress disorder,
• personality disorders.
3. Another addiction.
4. Sexual Trauma.
5. Unresolved loss or grieving issues.
6. Relationships:
• smothering,
• abusive,
• abandonment,
• addictive.
7. Criminal thinking.
8. Overwhelmed by powerful negative emotions.
• feelings of uselessness,
• worthlessness, helplessness.
• negative self talk "I'm a no good addict, loser, dope fiend."
9. Life lacks meaning.
10. More addicted to the drug culture / gang lifestyle than the drug.
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