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- 23 - accessHealthNews.net December 2021 Volume 8 | Issue No. 52 "As someone who has lost a family member to substance use, I constantly questioned why someone would continue to put themselves and others through the pain of addiction and its consequences and eventually assumed it to be personal. Unlearning the stigmas I knew surrounding substance use and addiction, particularly opioid use in my experience, was necessary to my own grieving and healing process as well as eventually assisting others in their recovery. This article was originally published in May 2021. E arly months of the COVID-19 pandemic brought an 18% increase nationwide in substance use overdoses compared with the same months in 2019. A year after the initial outbreak, substance use has continued to increase due to pandemic-related stress including financial instability, job loss, homelessness, and isolation. The Centers for Disease Control and Prevention (CDC) found 13% of Americans reported starting or increasing substance use to cope with stress or emotions related to COVID-19. A WalletHub study examining national drug abuse, rehab, and arrest data scored Missouri with the overall worst drug problem. The study considered 22 metrics and focused on three main data categories: drug use and addiction, law enforcement issues, and drug health issues and rehab. In these areas, Missouri scored 18th in drug use and addiction, 1st in law enforcement issues, and 16th in lack of health support and rehab opportunities. The Pitch KC has a breakdown of the study here. Along with substance use concerns, Missouri has seen a rise in symptoms of anxiety and depressive disorder in adults. In October 2020, 38.6% of adults in Missouri reported these symptoms compared to 37.7% of adults nationally. These Missouri adults (27.3%) also reported needing counseling or therapy but not receiving it within the last month, compared to the U.S. average (22.5%). As Americans nationwide are desperately searching for mental health services and emotional relief, providers are becoming overwhelmed and are struggling to keep up with demand. The rise of substance use and the opioid epidemic, as well as increased reports of mental health symptoms, are national health concerns. However, these sensitive topics carry stigmas which can interfere with the motivation to seek or receive treatment. Individuals struggling with substance use disorder (SUD) and addiction face negative judgements regarding their circumstance, behavior, or appearance. However, these factors are often a product of or influenced by their struggle with substances. SUD and addiction also co-occur with mental health issues; if someone needs treatment for one, they will likely require treatment for the other. For people who use substances or face mental health issues, harsh judgements or assumptions from family, peers, providers, and others can cause shame and distrust and may prevent someone from seeking help or continuing treatment. Understanding substance use and addiction as a disease, rather than a personal failure, is necessary to breaking down stigmas surrounding substance use in health care. THE TOLL SUBSTANCE USE TAKES I lost my oldest sister to complications from opioid use seven years ago. Because of the stigma surrounding drug use in our rural hometown and the strains put on our family due to her addiction, I have only just begun to grapple with my grief surrounding her loss.

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