Types

Substance abuse and traumatic brain injury

Choose a preferred language

A traumatic brain injury (TBI) is a shock or blow to your head that changes the way your brain works. A TBI can change the way you think, feel, and act. Substance abuse is using a substance, like alcohol or a drug, in an uncontrolled way that hurts you or those around you. Many people with a TBI also have problems with substance abuse.

Substance abuse can lead to a TBI. Studies show that at least 3 in 10 people hospitalized for a TBI have a history of substance abuse. This relationship can work in the opposite way, as well. Having a TBI can lead to substance abuse, even if you haven’t had a problem with substance abuse in the past. Alcohol is the most common type of substance abuse problem seen in people with a TBI. 


Why substance abuse leads to TBI

Just like a TBI, substance abuse changes the way you think, act, and feel. Being intoxicated affects your vision, coordination, and judgment. This can lead to risky behavior and poor decisions that cause TBI accidents and injuries.


Why TBI leads to substance abuse

Symptoms of a TBI include slowed thinking, mood swings, depression, anxiety, and headaches. Living with these symptoms can be very frustrating. Some people try to ease their problems with alcohol or drugs. This is very dangerous. A TBI may make your brain more easily affected by alcohol and drugs.  


The dangers of misusing alcohol or drugs after a TBI

If you've been diagnosed with a TBI, you need to know how dangerous it is to try to ease your symptoms with alcohol or drugs. Mixing a TBI with misuse of alcohol or drugs raises your risk for:

  • Slower recovery

  • TBI symptoms getting worse

  • Making bad decisions

  • Having another TBI

  • Seizures

  • Family and job problems

  • Suicide


What to do

Knowing the dangers of substance abuse after TBI is the first step. Many people who've had a substance abuse problem in the past actually stop using drugs and alcohol after a TBI because they understand the dangers. Here are key steps to take:

  • Be honest with your healthcare team. Let them know if you're having problems with alcohol or drugs.

  • Stick with your treatment program. People in supervised treatment are less likely to have substance abuse problems.

  • Don’t spend too much time alone. Have friends and family take part in your recovery.

  • Join a support group. Ask your healthcare provider if you need help finding one.

  • Don’t get discouraged. Knowing that the symptoms of TBI usually go away in time will help you have a successful recovery.

It may be tempting to ease the symptoms and frustration of recovering from a TBI by drinking alcohol or taking drugs. But this only makes things worse. Be patient with your brain. It takes time to heal. Remember that most people do recover.

Author: Iliades, E. Christopher

Online Medical Reviewer: Anne Fetterman RN BSN

Online Medical Reviewer: Heather M Trevino BSN RNC

Online Medical Reviewer: Mahammad Juber MD

Date Last Reviewed: 09/01/2024

© 2000-2026 The StayWell Company, LLC. All rights reserved. This information is not intended as a substitute for professional medical care. Always follow your healthcare professional's instructions.
Suitcase Icon

Learn More About Health Services at PIH Health

Expert care for every stage of life. Explore the comprehensive services offered at PIH Health.

Explore Services
Newspaper Icon

Get Health Tips & Updates

Sign up for helpful health information, wellness tips and news from PIH Health, delivered straight to your inbox.

Subscribe
Related Articles
Read article
Brain Health
Cranial Neuropathies

Cranial neuropathy is a disorder that causes nerve damage in the nerves that arise from the brain and brainstem. This disorder can affect the ability of the face and eyes to feel and move.

Read article
Brain Health
What is a Focal Seizure (Partial Seizure)?

Seizures can be caused by irritation or damage to the brain from trauma, scar formation, tumors, stroke, or infection. Usually the cause is unknown. However, most partial seizures can be successfully treated. With treatment, most people with seizures lead normal, fulfilling lives.

Read article
Brain Health
Status Epilepticus

A seizure that lasts at least 30 minutes is called status epilepticus, or a prolonged seizure. This is a medical emergency that may lead to lasting brain damage or death. Read this to learn more about status epilepticus.

Read article
Brain Health
Encephalitis

Encephalitis is a viral infection of the brain. It may cause headache, stiff neck, irritability, fever, drowsiness, nausea and vomiting.

Stethoscope Icon

Personalized Care Starts with the Right Provider

Search by specialty, location, and more.

Find A Doctor
Appointments Icon

Make an Appointment

Your health can't always wait. Schedule an appointment with a PIH Health provider.

Schedule an Appointment
Cross Icon

Find a PIH Health Urgent Care Location

Need care today?. Find the nearest PIH Health Urgent Care location.

Find Urgent Care