Ask Lemmy
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I suspect we all have mental problems. Most people are not assessed and are high-functioning, yet we're not meant to work forty hours a week and live in nuclear families, let alone struggle in precarity. Mental illness is and family dysfunction are intergenerational and have been through the twentieth century, if not through the common era.
While there are recreational uses for drugs, I suspect most drug users self medicate, which is to say the drugs they take unpresribed are used to cope with symptoms of stress and existential horror, the same way we take drugs to cope with migraines or allergies, or chronic symptoms.
Does that mean they're uncool? Not at all. Self aware people, deep thinkers, philosophers, artists, scientists and engineers all often drink, smoke, binge on edibles or engage in street chemistries in order to cope, and the ones who are self-aware are able to recognize it's a thing they need right now, and that others who are addicted are not to be blamed or judged by whatever gets them by, night after night.