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Jealousy anxiety depression


SAMHSA’s National Helpline | SAMHSA

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  • SAMHSA’s National Helpline is a free, confidential, 24/7, 365-day-a-year treatment referral and information service (in English and Spanish) for individuals and families facing mental and/or substance use disorders.

    Also visit the online treatment locator.

SAMHSA’s National Helpline, 1-800-662-HELP (4357) (also known as the Treatment Referral Routing Service), or TTY: 1-800-487-4889 is a confidential, free, 24-hour-a-day, 365-day-a-year, information service, in English and Spanish, for individuals and family members facing mental and/or substance use disorders. This service provides referrals to local treatment facilities, support groups, and community-based organizations.

Also visit the online treatment locator, or send your zip code via text message: 435748 (HELP4U) to find help near you. Read more about the HELP4U text messaging service.

The service is open 24/7, 365 days a year.

English and Spanish are available if you select the option to speak with a national representative. Currently, the 435748 (HELP4U) text messaging service is only available in English.

In 2020, the Helpline received 833,598 calls. This is a 27 percent increase from 2019, when the Helpline received a total of 656,953 calls for the year.

The referral service is free of charge. If you have no insurance or are underinsured, we will refer you to your state office, which is responsible for state-funded treatment programs. In addition, we can often refer you to facilities that charge on a sliding fee scale or accept Medicare or Medicaid. If you have health insurance, you are encouraged to contact your insurer for a list of participating health care providers and facilities.

The service is confidential. We will not ask you for any personal information. We may ask for your zip code or other pertinent geographic information in order to track calls being routed to other offices or to accurately identify the local resources appropriate to your needs.

No, we do not provide counseling. Trained information specialists answer calls, transfer callers to state services or other appropriate intake centers in their states, and connect them with local assistance and support.

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Last Updated: 08/30/2022

Alcohol, Tobacco, and Other Drugs

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Misusing alcohol, tobacco, and other drugs can have both immediate and long-term health effects.

The misuse and abuse of alcohol, tobacco, illicit drugs, and prescription medications affect the health and well-being of millions of Americans. NSDUH estimates allow researchers, clinicians, policymakers, and the general public to better understand and improve the nation’s behavioral health. These reports and detailed tables present estimates from the 2021 National Survey on Drug Use and Health (NSDUH).

Alcohol

Data:

  • Among the 133.1 million current alcohol users aged 12 or older in 2021, 60.0 million people (or 45.1%) were past month binge drinkers. The percentage of people who were past month binge drinkers was highest among young adults aged 18 to 25 (29.2% or 9.8 million people), followed by adults aged 26 or older (22.4% or 49.3 million people), then by adolescents aged 12 to 17 (3.8% or 995,000 people). (2021 NSDUH)
  • Among people aged 12 to 20 in 2021, 15.1% (or 5.9 million people) were past month alcohol users. Estimates of binge alcohol use and heavy alcohol use in the past month among underage people were 8.3% (or 3.2 million people) and 1.6% (or 613,000 people), respectively. (2021 NSDUH)
  • In 2020, 50.0% of people aged 12 or older (or 138.5 million people) used alcohol in the past month (i.e., current alcohol users) (2020 NSDUH)
  • Among the 138.5 million people who were current alcohol users, 61.6 million people (or 44. 4%) were classified as binge drinkers and 17.7 million people (28.8% of current binge drinkers and 12.8% of current alcohol users) were classified as heavy drinkers (2020 NSDUH)
  • The percentage of people who were past month binge alcohol users was highest among young adults aged 18 to 25 (31.4%) compared with 22.9% of adults aged 26 or older and 4.1% of adolescents aged 12 to 17 (2020 NSDUH)
  • Excessive alcohol use can increase a person’s risk of stroke, liver cirrhosis, alcoholic hepatitis, cancer, and other serious health conditions
  • Excessive alcohol use can also lead to risk-taking behavior, including driving while impaired. The Centers for Disease Control and Prevention reports that 29 people in the United States die in motor vehicle crashes that involve an alcohol-impaired driver daily

Programs/Initiatives:

  • STOP Underage Drinking interagency portal - Interagency Coordinating Committee on the Prevention of Underage Drinking
  • Interagency Coordinating Committee on the Prevention of Underage Drinking
  • Talk. They Hear You.
  • Underage Drinking: Myths vs. Facts
  • Talking with your College-Bound Young Adult About Alcohol

Relevant links:

  • National Association of State Alcohol and Drug Abuse Directors
  • Department of Transportation Office of Drug & Alcohol Policy & Compliance
  • Alcohol Policy Information Systems Database (APIS)
  • National Institute on Alcohol Abuse and Alcoholism

Tobacco

Data:

  • In 2020, 20.7% of people aged 12 or older (or 57.3 million people) used nicotine products (i.e., used tobacco products or vaped nicotine) in the past month (2020 NSDUH)
  • Among past month users of nicotine products, nearly two thirds of adolescents aged 12 to 17 (63.1%) vaped nicotine but did not use tobacco products. In contrast, 88.9% of past month nicotine product users aged 26 or older used only tobacco products (2020 NSDUH)
  • Tobacco use is the leading cause of preventable death, often leading to lung cancer, respiratory disorders, heart disease, stroke, and other serious illnesses. The CDC reports that cigarette smoking causes more than 480,000 deaths each year in the United States
  • The CDC’s Office on Smoking and Health reports that more than 16 million Americans are living with a disease caused by smoking cigarettes

Electronic cigarette (e-cigarette) use data:

  • In 2021, 13.2 million people aged 12 or older (or 4.7%) used an e-cigarette or other vaping device to vape nicotine in the past month. The percentage of people who vaped nicotine was highest among young adults aged 18 to 25 (14.1% or 4.7 million people), followed by adolescents aged 12 to 17 (5.2% or 1.4 million people), then by adults aged 26 or older (3.2% or 7.1 million people).
  • Among people aged 12 to 20 in 2021, 11.0% (or 4.3 million people) used tobacco products or used an e-cigarette or other vaping device to vape nicotine in the past month. Among people in this age group, 8.1% (or 3.1 million people) vaped nicotine, 5.4% (or 2.1 million people) used tobacco products, and 3. 4% (or 1.3 million people) smoked cigarettes in the past month. (2021 NSDUH)
  • Data from the Centers for Disease Control and Prevention’s 2020 National Youth Tobacco Survey. Among both middle and high school students, current use of e-cigarettes declined from 2019 to 2020, reversing previous trends and returning current e-cigarette use to levels similar to those observed in 2018
  • E-cigarettes are not safe for youth, young adults, or pregnant women, especially because they contain nicotine and other chemicals

Resources:

  • Tips for Teens: Tobacco
  • Tips for Teens: E-cigarettes
  • Implementing Tobacco Cessation Programs in Substance Use Disorder Treatment Settings
  • Synar Amendment Program

Links:

  • Truth Initiative
  • FDA Center for Tobacco Products
  • CDC Office on Smoking and Health
  • National Institute on Drug Abuse: Tobacco, Nicotine, and E-Cigarettes
  • National Institute on Drug Abuse: E-Cigarettes

Opioids

Data:

  • Among people aged 12 or older in 2021, 3. 3% (or 9.2 million people) misused opioids (heroin or prescription pain relievers) in the past year. Among the 9.2 million people who misused opioids in the past year, 8.7 million people misused prescription pain relievers compared with 1.1 million people who used heroin. These numbers include 574,000 people who both misused prescription pain relievers and used heroin in the past year. (2021 NSDUH)
  • Among people aged 12 or older in 2020, 3.4% (or 9.5 million people) misused opioids in the past year. Among the 9.5 million people who misused opioids in the past year, 9.3 million people misused prescription pain relievers and 902,000 people used heroin (2020 NSDUH)
  • According to the Centers for Disease Control and Prevention’s Understanding the Epidemic, an average of 128 Americans die every day from an opioid overdose

Resources:

  • Medication-Assisted Treatment
  • Opioid Overdose Prevention Toolkit
  • TIP 63: Medications for Opioid Use Disorder
  • Use of Medication-Assisted Treatment for Opioid Use Disorder in Criminal Justice Settings
  • Opioid Use Disorder and Pregnancy
  • Clinical Guidance for Treating Pregnant and Parenting Women With Opioid Use Disorder and Their Infants
  • The Facts about Buprenorphine for Treatment of Opioid Addiction
  • Pregnancy Planning for Women Being Treated for Opioid Use Disorder
  • Tips for Teens: Opioids
  • Rural Opioid Technical Assistance Grants
  • Tribal Opioid Response Grants
  • Provider’s Clinical Support System - Medication Assisted Treatment Grant Program

Links:

  • National Institute on Drug Abuse: Opioids
  • National Institute on Drug Abuse: Heroin
  • HHS Prevent Opioid Abuse
  • Community Anti-Drug Coalitions of America
  • Addiction Technology Transfer Center (ATTC) Network
  • Prevention Technology Transfer Center (PTTC) Network

Marijuana

Data:

  • In 2021, marijuana was the most commonly used illicit drug, with 18. 7% of people aged 12 or older (or 52.5 million people) using it in the past year. The percentage was highest among young adults aged 18 to 25 (35.4% or 11.8 million people), followed by adults aged 26 or older (17.2% or 37.9 million people), then by adolescents aged 12 to 17 (10.5% or 2.7 million people).
  • The percentage of people who used marijuana in the past year was highest among young adults aged 18 to 25 (34.5%) compared with 16.3% of adults aged 26 or older and 10.1% of adolescents aged 12 to 17 (2020 NSDUH)
  • Marijuana can impair judgment and distort perception in the short term and can lead to memory impairment in the long term
  • Marijuana can have significant health effects on youth and pregnant women.

Resources:

  • Know the Risks of Marijuana
  • Marijuana and Pregnancy
  • Tips for Teens: Marijuana

Relevant links:

  • National Institute on Drug Abuse: Marijuana
  • Addiction Technology Transfer Centers on Marijuana
  • CDC Marijuana and Public Health

Emerging Trends in Substance Misuse:

  • Methamphetamine—In 2019, NSDUH data show that approximately 2 million people used methamphetamine in the past year. Approximately 1 million people had a methamphetamine use disorder, which was higher than the percentage in 2016, but similar to the percentages in 2015 and 2018. The National Institute on Drug Abuse Data shows that overdose death rates involving methamphetamine have quadrupled from 2011 to 2017. Frequent meth use is associated with mood disturbances, hallucinations, and paranoia.
  • Cocaine—In 2019, NSDUH data show an estimated 5.5 million people aged 12 or older were past users of cocaine, including about 778,000 users of crack. The CDC reports that overdose deaths involving have increased by one-third from 2016 to 2017. In the short term, cocaine use can result in increased blood pressure, restlessness, and irritability. In the long term, severe medical complications of cocaine use include heart attacks, seizures, and abdominal pain.
  • Kratom—In 2019, NSDUH data show that about 825,000 people had used Kratom in the past month. Kratom is a tropical plant that grows naturally in Southeast Asia with leaves that can have psychotropic effects by affecting opioid brain receptors. It is currently unregulated and has risk of abuse and dependence. The National Institute on Drug Abuse reports that health effects of Kratom can include nausea, itching, seizures, and hallucinations.

Resources:

  • Tips for Teens: Methamphetamine
  • Tips for Teens: Cocaine
  • National Institute on Drug Abuse

More SAMHSA publications on substance use prevention and treatment.

Last Updated: 01/05/2023

Defeating jealousy

Defeating jealousy

If we try to define the nature of jealousy, then this is just a fear of losing the object of passion, and not at all an expression of love. Confirmation is, in particular, the fact that the physiological reactions that accompany feelings of jealousy and fear are the same.

The delusion that jealousy is a manifestation of love is common to a huge number of people. In fact, as practice shows, most often the opposite is true. These examples are so eloquent that they do not even require comments.

Here are a few fragments from the correspondence with doctors of site visitors:

“...I love my husband very much, but the relationship does not work out. He is jealous of everyone I meet without the slightest reason. If after work I meet with my friends, he picks me up. If we meet one of my male acquaintances, my husband almost throws himself at them with his fists. He literally won't let me take a step. And if he notices something "suspicious", he makes a scene. It would never have occurred to me to change! But he doesn't believe. How to be? "

Psychotherapist's answer. “The first reaction to your letter is “never say never!” Perhaps you are not aware of your secret desires that cannot be realized in marriage. This is not necessarily a desire to cheat on her husband, but, for example, a desire for thrills. Pay attention to the phrases “I love my husband very much” and “without the slightest reason” - with these emotional words you seem to be trying to convince yourself. And this is worth thinking about. Now let's talk about your husband. First of all, I would advise you to consult a doctor with clinical experience to rule out mental disorders. In psychiatry, there is a special disorder that requires treatment - a condition called "delusions of jealousy." When communicating with your husband, I recommend that you adhere to the following line of conduct: do not confirm, but do not refute his fears either. Try not to make excuses and not lose your temper. And one more thing: think about whether your husband really loves you so much or just struggles with a sense of his own inferiority?

Here is another life story:
“... I got married a second time, having an adult daughter. The older she gets, the more I begin to be jealous of her husband. It's not that I don't believe him. He is a decent person, and I am sure that nothing bad can happen. But I became suspicious, I watch how he looks in her direction, I try not to leave them alone. Deep down inside, I am terribly ashamed. I love them both and I feel that my suspicion only prevents us all from becoming a truly complete family. But I can't help myself."
Answer: “As far as I can judge from your letter, you have no objective reasons for concern.
Jealousy is the tip of the iceberg, the base of which is usually formed in childhood.
The reasons for jealousy can be different. For example, the appearance of another child in the family, to whom parents began to pay more attention. Or, perhaps, a previous marriage left a negative mark on your soul, so now you are waiting for trouble in a new family.
Jealousy is a manifestation not so much of love as of a sense of one's own inferiority and the desire to possess another person associated with it. A jealous person can completely unconsciously attribute to his spouse his own feelings and aspirations, which he does not want to recognize in himself, as he is afraid of public condemnation. You need to understand the "shadow sides" of your personality with the help of a psychotherapist. If this is not possible, start working on the problem yourself. Keep a diary and try to write down every time you feel jealous. Analyze these notes from time to time and learn to evaluate each situation in the context of what you had to experience in the past, as they say, "from a young age." Get used to accepting your past with love, no matter how difficult it may seem to you at first.

And here is an illustration of feelings of jealousy that are not related to love relationships.
“... I work in an advertising agency, and many employees, including the boss, stay in the office until late at night. I have two children, and such a work schedule is completely unacceptable for me. I schedule the day literally by the minute so that I can do everything. For example, I spend no more than 15 minutes on lunch, and even quit smoking so as not to be distracted. About six months have passed since then, and I have never given the management a reason to complain. But the problem is that colleagues think that I am in some kind of privileged position and look askance. Recently, I noticed that they began to communicate with me less. I feel isolated. What should I do?"

“You are a very busy successful woman. Are you fantasizing too actively on the topic of "looking askance" colleagues? And does it matter to you what they think? Don't forget that very often "energy follows thought". In other words, you plant images in your mind, which then become reality.
Indeed, the world is far from perfect, people are envious. But, if you look at it, does it really interfere with your life? Try to watch yourself. To begin with, I suggest that you try to answer the following questions in different situations. What is happening to me now?
Let's say you once again caught an unfriendly look from a colleague.
What do you feel about it? What are you thinking about? What do you remember? How do you breathe? What do I really want now? Are you trying, for example, to get some hidden benefit from playing the role of a victim? And if so, what do you want to prove and to whom?
Record your impressions in a notepad or create a separate file for this on your computer. Reread your notes, looking for patterns. Learn to manage your fantasies, because if you let things take their course, they can play a cruel joke on you.

How to deal with jealousy: advice from a psychologist in the capital

Jealousy is one of the most common reasons women turn to psychologists. Many women tend to experience a constant painful state of inner fear, fear of losing an object that is significant to them. According to experts, to one degree or another, jealousy is present in everyone. We can be jealous of friends, colleagues, family members, it all depends on the degree of emotional closeness. What is jealousy and where does it come from, says Nina Kizrina, a psychologist at the Hope branch of the Crisis Center for Women and Children.

Bring peace to the family

32-year-old Tatyana turned to the Crisis Center for Women and Children. She has been married to Mikhail for 12 years, her husband holds a managerial position and spends a lot of time at work.

Until June 2020, the woman had no idea that her husband could cheat on her. But after the long-term and happy marriage of her best friend collapsed before our eyes due to infidelity, Tatyana was seriously worried. In just a few weeks, she worked herself up so that she could not close her eyes. It began to seem to the woman that Mikhail had been deceiving her for a long time. Thus began endless surveillance of her husband, and over time this led to frequent conflicts in the family, which had not happened before. Tatyana realized that unreasonable jealousy would not lead to good, and turned to professional psychologists for help.

“The psychologist has developed a plan for individual interviews. Meetings with Tatyana were held once or twice a week for three months. In the process of work, it was possible to restore the emotional background, remove obsessive and disturbing thoughts, harmonize the relationship between the spouses and return peace to the family, ”says the specialist .

What is jealousy like

Jealousy is a vivid, negative, emotional sense of possessiveness, reinforced by selfishness, the desire to completely control another person, which is usually expressed in distrust, suspicion, in painful doubts about loyalty and love.

Psychologists distinguish three types of jealousy: rational, irrational, delusional jealousy.

  • Rational jealousy arises when there is really a real threat to lose the object of love.
  • Irrational jealousy is not connected with reality and is based mainly on imagination and fantasy. It occurs in people with a vivid imagination who suffer from inferiority complexes, who have suffered mental trauma in childhood.
  • Delusions of jealousy - inadequate, unreasonable jealousy, reaching the point of mental pathology. Basically, this type of jealousy occurs in people with mental disorders (schizophrenia, paranoid disorder, alcoholism, drug addiction).

How jealousy is born

The feeling of jealousy is formed in the period from one to three years. In the family, the child learns how to interact with each other, what should be the relationship of parents. The kid sees how mom and dad communicate, take care of each other, solve problems.

As a rule, a jealous woman in most cases chooses a man for her husband who will stimulate this feeling. The origins of the causes of jealousy come from parent-child relationships - lack of love in childhood, physical or sexual abuse, genetic predisposition, childhood psychological trauma. Growing up, a jealous woman on an unconscious level begins to play her scenario from childhood - the psychological trauma of rejection, fearing its repetition. Later, this behavior acts as a form of betrayal prevention.

« Jealousy may be caused by competition between siblings who claim special status from their parents; identification with the deceived parent when the other parent is cheating; dysfunctional relationships in the parental family - alcoholism, physical abuse, infidelity of the parent of the opposite sex , ”says the specialist.

Causes of jealousy at an older age are self-doubt, low self-esteem in sexual terms, the presence of an inferiority complex, uselessness, underestimation of one's own abilities and capabilities. Also, the causes of jealousy can be emotional dependence, fear of losing an object of love or loneliness, an excessive sense of ownership, an unlimited right to possess another person.

One of the manifestations of jealousy is sadomasochism. The experiences of jealousy here are closely connected with self-torment, with manifestations of masochistic tendencies.

“ The jealous one gets a kind of pleasure from the torment experienced during constant surveillance, looking for evidence of a partner’s betrayal”, - Svetlana notes.

An important cause of jealousy is the neurotic need for control. If a jealous woman misses the opportunity to control her partner, then she begins to panic, jealousy increases significantly.

Another reason for jealousy is the partner's provocative behavior. In this case, the partner unconsciously provokes jealousy in order to get "proof of love", focusing on the formula "jealous means love." Therefore, such women always have a dramatic relationship with a partner, she constantly needs confirmation of love. This indicates a high degree of codependency.

“If there is silence at home, there are no manifestations from the husband, declarations of love, scandals and manifestations of jealousy, then she becomes unbearable - she needs an emotional shake-up, a release that she is used to receiving in a dysfunctional parental family,” says psychologist.

How to get rid of jealousy

  1. If you decide to fight this negative and destructive feeling, then always proceed from the thought that your partner is faithful to you. By continuing to think that he is cheating on you, you will never be able to cope with jealousy.
  2. Realize that the reason for your jealousy lies not in the actions of your partner, but in your own fears of the horrors that your imagination draws: betrayal, betrayal, loneliness.
    Learn more