5 reasons why climate change may see more harmful than others

Climate change will affect every aspect of our health and wellbeing. But its potential harms go beyond the body’s ability to handle extreme heat, important as this is.

Extreme weather events, such as floods, droughts, storms and wildfires, are becoming more frequent and severe. These affect our mental health in a multitude of ways.

Coping with climate change can be overwhelming. Sometimes, the best someone can do is to seek refuge in alcohol, tobacco, over-the-counter and prescription drugs, or other psychoactive substances. This is understandable, but dangerous, and can have serious consequences.

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We outline five ways climate change could increase the risk of harmful substance use.

1. Mental health is harmed

Perhaps the most obvious way climate change can be linked to harmful substance use is by damaging mental health. This increases the risk of new or worsened substance use.

People with a mental disorder are at high risk of also having a substance-use disorder. This often precedes their mental health problems. Climate change-related increases in the number and nature of extreme events, in turn, are escalating risks to mental health.

For example, extreme heat is linked to increased distress across the whole population. In extreme heat, more people go to the emergency department for psychiatric problems, including for alcohol and substance use generally. This is even true for a single very hot day.

Post-traumatic stress disorder, depression, anxiety and other mental health problems are common at the time of extreme weather events and can persist for months, even years afterwards, especially if people are exposed to multiple events. This can increase the likelihood of using substances as a way to cope.

2. Worry increases

 

 

With increasing public awareness of how climate change is endangering wellbeing, people are increasingly worried about what will happen if it remains unchecked.

Worrying isn’t the same as meeting the criteria for a mental disorder. But surveys show climate change generates complex emotional responses, especially in children. As well as feelings of worry, there is anxiety, fear, guilt, anger, grief and helplessness.

Some emotional states, such as sadness, are linked with long-term tobacco use and also make substance use relapse more likely.

3. Physical injuries hurt us in many ways

Physical injuries caused by extreme weather events – such as smoke inhalation, burns and flood-related cuts and infections – increase the risk of harmful substance use. That’s partly because they increase the risk of psychological distress. If injuries cause long-term illness or disability, consequent feelings of hopelessness and depression can dispose some people to self-medicate with alcohol or other drugs.

Substance use itself can also generate long-term physiological harm, disabilities or other chronic health problems. These are linked with higher rates of harmful substance use.

4. Our day-to-day lives change

 

 

A single catastrophic event, such as a storm or flood, can devastate lives overnight and change the way we live. So, too, can the more subtle changes in climate and day-to-day weather. Both can disrupt behaviour and routines in ways that risk new or worsened substance use, for example, using stimulants to cope with fatigue.

Take, for example, hotter temperatures, which disrupt sleep, undermine academic performance, reduce physical activity, and promote hostile language and violent behaviour.

 

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