How do Cognitive Distortions Influence Drug Use

Gil Weiss • June 7, 2021

How do Cognitive Distortions influence drug use?

“Cognitive Distortions.” What an intimidating, negative sounding term. The reality is that all of us have had them, and many of us have behaved in maladaptive ways as a result. A cognitive distortion is a pattern of thinking that is inaccurate, harmful and is reinforced through our interaction with the environment. For a chronic drinker, maybe their distortion is the idea that alcohol has helped them function better in social settings, or has led them to being more well-liked. Is this true? Maybe. But it is also too simplistic. This belief leaves little room for consideration of other factors leading to positive social interactions. The more an individual is validated through positive interactions while under the influence of alcohol and other drugs, the more an individual may be inclined to use drugs or become dependent.


Telling yourself, “I need alcohol in order to have a social life” is a harmful cognitive distortion that can lead to maladaptive behaviors. Since our behavior is largely directed by our beliefs, the more we tell ourselves “You will fit in better tonight if you drink”, the more the thought is tested and proven, and the more we act in accordance to our distortion. An expression often used in Rational Emotive Behavioral Therapy states,  “How we think, influences how we feel, which influences how we act.”


Our Language Matters


Modifying vocabulary can help modify beliefs.  As a sober person in a social setting where alcohol is present, you may tell yourself  “My craving to drink is unbearable, I don’t think I can resist.” Let’s question this belief. Is it difficult to resist? Sure. Unbearable? It might feel that way, but in reality, you can bear it. How you choose to bear or cope is the difference between maintaining sobriety and relapse. The reality is that you have been in difficult or stressful situations before and have managed to abstain from drinking through a variety of coping skills. Over time, the coping skill became drinking alcohol. This was a coping skill, although a harmful one. In recovery, it is vital to find coping skills that work for you, and do away with the maladaptive beliefs and behaviors that influenced drug use. Engaging in positive self talk and acknowledging that sobriety may not always be easy but is an achievable task is a rational and  beneficial belief. Instead of using all or nothing words to describe urges to use such as “unbearable” or “insufferable”, try using “uncomfortable” or “unpleasant.”


How to Improve Cognitive Distortions


There are a variety of modes of therapy/self help groups geared around the idea of cognitive distortions. One can engage in Cognitive Behavioral Therapy (CBT) in an individual or group therapy setting or attend SMART Recovery meetings. SMART Recovery is a self help group for individuals seeking recovery from addictions. A major component of SMART  is the importance of managing thoughts and feelings in efforts to maintain recovery.


By Jason Ertrachter February 4, 2025
With over a decade of alcohol and drug abuse, it became clear I could not drink responsibly or consume in moderation. Upon further review, I came to understand I was never able to drink responsibly and was predisposed to consume in excess. Moderation is a construct I still don’t understand. Alcohol, drugs, sugar, ego, all things I love to indulge in. At 25 years old, weeks before the pandemic, I found myself being escorted by security from my beloved office in a sought-after industry in a glamorous part of Los Angeles. Pursuing a career in talent management, the late nights, weekly drinking, daily drug use culminated in the unavoidable fear, anxiety and sense of calamity that led me to recovery. I asked myself, “What was the common denominator between lost jobs, friends lost, arrests, hurt feelings and selfishness?” People, places, things were always changing, but the one constant in my story was me with drugs and alcohol. Walking into the West Hollywood Recovery Center on Monday February 5th, 2020 at noon was not my first meeting. It was, however, the first meeting at which I listened and actually took suggestions. Meetings as a teenager, and again in college when my drug use got bad, were simply to get people off my back. As I look back, I understand that I actually needed to get out of my own way, not have those who loved me off of my back. I am grateful to have gotten sober during a time when the world shut down and so many struggled. I had nowhere to go, no outside distractions to challenge my commitment. I fully emerged myself in meetings and all that AA had to offer for young people. There were thousands of virtual meetings at every hour of the day, but more importantly, rooms and outdoor meetings in LA that never missed a beat. There was an underground community of meeting makers that continued to go to in-person meetings, masks on, hugs and fellowship. I found that the work of early recovery far outweighed the isolation. I left the entertainment industry with two years of sobriety. New career opportunities opened up pretty quickly for me. Transitioning into the startup and tech sales world, I was able to move back home to New York and be closer to my family. As my sobriety continued, new career paths continued to present themselves. When I was introduced to Matt and AJ, I was immediately impressed with their mission and welcomed the opportunity to join the team. I am confident that the combination of my personal and professional success, as well as my CARC, CRPA certification, made my decision the perfect one for me. Having hit my stride in my own recovery, I now see that that my purpose is to help others. It is a purpose I do not take lightly. I bring the same energy and focus that has helped me to get where I am today to other individuals and families alike looking for a better way.
By Stephanie Myers, CPRS January 29, 2025
My name is Stephanie Myers, and I am excited to be part of the incredible team at You Are Accountable . As difficult as my journey prior to recovery was, I am grateful for every step along the way. My recovery journey began five years ago through what I believe was divine intervention. At my lowest point—mentally, physically, and spiritually—I was led to a 12-step recovery program. Most of my life was spent seeking relief from my internal and external struggles. During my teenage years, I thought I had found a solution, but my addiction only progressed, leading me to the depths of despair. My addiction compromised my morals, diminished my integrity, and left me with a profound sense of hopelessness. Overwhelmed by guilt and shame, I realized that everything in my life had to change. I became willing to do whatever it took to shift the trajectory of my life. Gradually, I connected with others who understood my pain and had found their way to recovery. I dedicated myself to internal work and began to fill the spiritual void that I had been attempting to fill with substances. Today, my life is filled with purpose, love, and more beauty than I could have ever imagined five years ago. It is my passion to help others realize that there is hope on the other side of addiction. As a Certified Peer Recovery Specialist, I strive to help plant the seed of recovery and help others grow along their path to recovery.
By Brittany Pealer, CRPS January 28, 2025
My name is Brittany, and I’m honored to be part of the team at You Are Accountable . My journey to recovery has been filled with struggles, lessons, and, ultimately, transformation. For years, I lived in the utter hopelessness of addiction, believing there was no way out. A "normal" life felt completely out of reach, and even as a child, I never felt like I had a true purpose. Throughout my active addiction, I found myself trapped in a relentless cycle. I would put one substance down—whether through treatment or court-ordered intervention—but almost immediately, I would pick up another. Each time, I restarted the same painful, destructive cycle, convinced that I could never break free. It wasn’t until I realized that recovery is an inside job that things began to change. Changing people, places, and things (and substances) can only do so much for so long; true recovery requires doing the hard work within. My turning point came when I became pregnant with my first daughter. For the first time in my life, I found a reason to fight for something greater than myself. That moment marked the beginning of my journey to recovery, and through that journey, I discovered the life I never thought was possible. Today, I’m blessed with an amazing job, a beautiful family with two incredible daughters, and an active role in my recovery community. As a Certified Peer Recovery Specialist (CPRS) and Recovery Coach, I am passionate about helping others find hope and healing. I understand the challenges of breaking free from addiction, and I’m living proof that it’s possible to create a life filled with purpose, joy, and connection. Recovery has given me everything I once believed was out of reach, and I’m honored to walk alongside others as they embark on their own journeys to freedom.
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