The title of this blog post was the title of a book I was supposed to write in 2007 but didn’t. It would have been my second book but I asked the publisher to pull the contract due to me only having enough content for a chapter and not a book! However I have a lot of content in this space from a lived experience perspective rather than an academic one.
Between 1995 and 2004 I had a big problem with illicit drugs. I used mostly marijuana to self-medicate in a world which was confusing and frightening. Some people can do drugs their whole life without it affecting their mental health. Sadly I am not one of those people. In 1995 I smoked cannabis pretty much non-stop. This resulted in my first psychotic episode. I am still prone to psychosis over 25 years later which is not OK. At the time I was in complete denial about my sensitivity to mental ill health related to drug use. I also used amphetamines and LSD as well – not good for psychotic illnesses either!
It took me almost ten years and several hospital and prison stays to realise that drug use was largely the cause of my mental health issues. I am happy to say I have not used any illicit drugs since 2004 and I never will again. These days I am trying to avoid psychosis, not encourage it!
In 2003 I moved into public housing. This was a time where I had few friends and was desperate to be socially accepted. I had over 100 neighbours, most of whom were alcoholics or drug users. I made friends with the drinkers and so effectively became an alcoholic myself. I was at university at the time and lived a double life. I often went to university classes very hung over and cranky! I knew I was drinking too much but found myself at a different neighbour’s house each night drinking to excess. I didn’t want to drink so much but to be socially accepted by alcoholics it is pretty much a given that you need to drink heavily. While I was definitely a drug addict in every sense of the word I was not really an alcoholic. I drank excessively to be socially accepted. When I moved to Canberra to take up a professional role in 2007 I stopped drinking excessively.
I know the stereotype of an autistic person is someone who follows all the rules and doesn’t get involved in drug use or alcoholism. In fact a lot of autistic people have issues with substance abuse for a number of reasons. For me the drug use was about numbing the trauma I had experienced as a child and young adult. For some it is about being socially accepted or being better able to socialise with neurotypical folks. What can happen for some autistic people is that when they are under the influence of drugs or alcohol they are better able to connect with neurotypical / allistic people who are also under the influence. Another reason is that emotions can be very confusing and uncertain. However when you are under the influence of drugs or alcohol you feel drunk or high which is a reliable feeling. When I used to smoke cannabis I knew what feeling stoned was like. It was a consistent feeling and there was no uncertainty. Some drugs and alcohol can help with anxiety as well and many autistic people have severe struggles with anxiety meaning it is tempting to take drugs or alcohol for a sense of certainty and to address anxiety.
Drugs and alcohol are not necessarily all dreadful. Many people use cannabis for pain and other medical conditions and find it helps a lot. Alcohol in moderation can be a lovely thing. I myself occasionally drink wine or my signature drink, a gin and tonic – and in moderation it is very pleasant. Situations where drugs and alcohol are a problem include if someone needs to have them constantly just to live their ordinary life, if it is getting in the way of work, parenting or relationships, if it affecting mental or physical health negatively or if someone is spending all their money on drugs and alcohol and may be stealing or committing fraud to support their habit.
I can tell you it is possible to overcome drug and alcohol addiction because I did but it can be a difficult thing to do and can take a lot of time and effort. Accessing helpful support is essential in overcoming drug and alcohol addiction as is accepting that you have a problem and wanting to change. Autistic folks can have issues with drugs and alcohol just like anyone else does. It is not a reason for judgement or blame, more a reason for kindness and support.










