These triggers can be amplified when the physical place and the people in it are both associated with alcohol or drug abuse. When behaviors are repeated, they can be conditioned to a particular place or situation and these learned habits can be hard to break. From attending a pub for "after-work drinks" to your kitchen bench while home alone, to a particular social hangout, these places can be associated with cravings. For people with addiction, the physical environment can also create a whole host of triggers. Oftentimes, we see that problematic behavior develops as a direct response in rebellion against such norms. The same is true for any other cultural norms that are strong enough to sway behavior, especially if they are widely adopted and everyone is exposed to them early.
Some cultures are accepting of male drinking but not of female drinking and therefore have substantially different rates of alcohol abuse by gender. There are many cultural and religious-based triggers for addiction such as the geographical area in which you grow up, religious beliefs prevalent in your culture, early experiences and teachings related to shame, participation in (or exclusion from) cultural or religious activities. This has been shown to be true for advertising as well as programmatic content. Nevertheless, there is no question that shows like Mad Men create very different masculine ideals for viewers than This Is Us and that any information absorbed can impact behavior. We have to be careful here to avoid the over-demonization of media portrayals as they both impact and reflect the changing norms in society. From displays of substance use and other behavior that border (or cross into) glorification to the fantasy creation of unrealistic goals and wishes, media portrayal of relationships, violence, sex and more can encourage younger viewers to develop worldviews that are self-critical and unhealthy. People’s behaviors are also influenced by other media avenues such as video games, movies and television shows. Unfortunately, it is very unlikely that this trend will shift in the near future although a number of groups and influencers are beginning to rise who put their imperfections and difficulties front and center in efforts to fight stigma and shame. There is growing evidence that increased social media use can exacerbate the mental health struggles of those already susceptible to them. When an individual struggling with emotional problems sees other people online who appear to be happy, attractive, and enjoying life, it can make them feel further socially isolated, damage their self-esteem, and exacerbate feelings of shame. While social media has many social benefits, there are also many social downfalls. Research has shown that individuals with more permissive and less critical views of drug use are more likely to engage in such use (obviously) and that earlier use and exposure are typically associated with more likelihood of later problems. The habits and behavior patterns of friends will invariably affect that of everyone in the group as they experience peer pressure. This is one of the main mechanisms that affected my own substance use and that of many of the individuals I see. The sense of belonging and feeling connected to like-minded people is a strong factor in the maintenance of addiction. When an individual’s social interactions rely heavily on associating with individuals who display potential alcohol or drug problems, then it can be very difficult to exorcise yourself from similarly displaying such problematic behaviors.
Authoritarian and avoidant parenting, exposure to physical/emotional/ sexual abuse, and divorce have all been associated with an increased likelihood of substance use problems later in life. This means that in adolescence or adulthood, these internal triggers are activated by external factors. When these strategies are maladaptive (due to a need to survive in the face of adversity), they can lead to risky or self-destructive behaviors. In our early years of life, we develop strategies to cope with stress. Family interactions, parenting styles, and levels of supervision play a pivotal role in the development of later mental health difficulties, including substance use. One of the strongest external factors shown to influence addictive behavior is early life experiences. 6 environmental factors that influence addiction
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