Skip to content

Psychiatry

Substance & Alcohol Use Disorder: symptoms, causes & treatment in Nigeria

Also known as drug addiction, alcohol problem.

This page is general health information, not a diagnosis. Always consult a licensed clinician about your own health.

Overview

Substance use disorder means a person has lost reliable control over alcohol, cannabis, tramadol, codeine or other substances despite harm to health, work or family — a recognised medical condition, not simply weak will. Opioid misuse (tramadol, codeine syrup) is a growing problem among young Nigerians. Treatment works, and earlier is easier.

Symptoms

  • Strong cravings and failed attempts to cut down
  • Needing more of the substance for the same effect
  • Withdrawal symptoms — shaking, sweating, anxiety — when stopping
  • Neglecting work, school or family responsibilities
  • Continuing use despite obvious harm
  • Hiding or lying about use
  • Spending beyond means to obtain the substance

Causes & risk factors

  • Brain reward-system changes with repeated use
  • Genetic vulnerability and family history
  • Stress, trauma and untreated mental illness
  • Peer pressure and easy availability

Treatment & self-care

Treatment combines medically supervised detox where needed, medicines that ease withdrawal and cravings, and structured counselling or rehabilitation; relapse is part of the illness, not proof treatment failed. Family support and treating underlying depression or anxiety improve outcomes. Confidential help is available — including by telehealth.

See a doctor urgently if

  • You cannot stop despite wanting to
  • Withdrawal symptoms when you try to stop
  • Blackouts, overdose or injecting use
  • Substance use harming your job, studies or family
  • Thoughts of self-harm

Frequently asked questions

What are the first signs of Substance & Alcohol Use Disorder?
Early signs often include strong cravings and failed attempts to cut down, needing more of the substance for the same effect, withdrawal symptoms — shaking, sweating, anxiety — when stopping. Symptoms vary from person to person, so a proper assessment by a doctor is the only way to be sure.
Can Substance & Alcohol Use Disorder be treated?
Treatment combines medically supervised detox where needed, medicines that ease withdrawal and cravings, and structured counselling or rehabilitation; relapse is part of the illness, not proof treatment failed. Family support and treating underlying depression or anxiety improve outcomes. Confidential help is available — including by telehealth.
When should I see a doctor about Substance & Alcohol Use Disorder?
See a doctor promptly if you notice: you cannot stop despite wanting to; withdrawal symptoms when you try to stop; blackouts, overdose or injecting use; substance use harming your job, studies or family; thoughts of self-harm.

Talk to the right specialist

Substance & Alcohol Use Disorder is usually handled by psychiatry. See an online psychiatry doctor in minutes on GoDoctor.

Related conditions

Lab tests that may help