45. Highs and Lows: Substance Use in the Modern Era
In Highs & Lows: Substance Use in the Modern Era 🎙️✨, we’re taking a clear-eyed, non-judgmental look at what “substance use” really means today.
From the 1990s prescription opioid boom 💊 to the 2020s rise of synthetic drugs like fentanyl ⚠️, we trace how the landscape has shifted and why the risks can look so different now.
We also dig into the generational changes: why Gen Z is drinking less 🍷⬇️, why vaping is up 🚬⬆️, and how mental health awareness 🧠 and digital life 📱 are reshaping choices and behaviors.
Along the way, we cover:
* Definitions: use vs misuse vs substance use disorder (SUD) ✅
* What’s changing in legal, prescription, illicit, and emerging substances 🌍
* The real physical, psychological, and social risks 🧩
* Cultural shifts like “sober curious” 🥤, wellness alternatives 🌿, and new therapy research 🔬
If you or someone you know needs support, we’ve included resources below
Resources ❤️
If in immediate danger call your local emergency number:
* EU 112;
* Austria Ö3 Kummernummer 116 123,
* Rat auf Draht (for young people) 147,
* Suchthilfe Wien https://suchthilfe.wien [https://suchthilfe.wien/],
* Gesundheit Österreich: Suchtberatung directory https://www.gesundheit.gv.at/leben/sucht/suchtberatung [https://www.gesundheit.gv.at/leben/sucht/suchtberatung];
* International SAMHSA National Helpline (US) 1-800-662-HELP https://www.samhsa.gov/find-help/national-helpline [https://www.samhsa.gov/find-help/national-helpline],
* FindTreatment.gov [http://findtreatment.gov/] https://findtreatment.gov [https://findtreatment.gov/],
* UK FRANK https://www.talktofrank.com [https://www.talktofrank.com/] and NHS services https://www.nhs.uk/live-well/addiction-support [https://www.nhs.uk/live-well/addiction-support],
* Canada https://www.canada.ca/en/health-canada/services/substance-use.html [https://www.canada.ca/en/health-canada/services/substance-use.html],
* Narcotics Anonymous https://www.na.org [https://www.na.org/],
* Alcoholics Anonymous https://www.aa.org [https://www.aa.org/],
* SMART Recovery https://www.smartrecovery.org [https://www.smartrecovery.org/].
🔗 References
* American Psychiatric Association (DSM-5 criteria for SUD)
* Centers for Disease Control and Prevention (CDC) – overdose statistics
* Monitoring the Future Study (University of Michigan)
* National Institute on Drug Abuse (NIDA)
* World Health Organization (WHO) reports on substance use
* Volkow, N. et al. (2021–2024). Trends in opioid and stimulant use
* Twenge, J. (2017–2023). Generational behavioral research
* Patrick, M. E., & Schulenberg, J. (2020). Adolescent substance trends
* Johns Hopkins Psychedelic Research Unit publications