When first starting school, there are a lot of rewarding and exciting things college students encounter: roommates, new surroundings, tough classes, making friends. But students should also be aware of drug and alcohol culture on campus. Use of alcohol and drugs, including prescription drugs, is not as taboo as it used to be, and the casual attitude toward substance use can make drugs and alcohol seem less risky. Use this guide to prepare for experiences involving drugs or alcohol in college, recognize substance abuse and seek help and learn about the myths and realities of campus drinking and drug culture to navigate through college in a fun and healthy way.
Many students get their first real experiences with substance use and abuse when they begin college. The freedom and ease of experimentation during college can be both exciting and scary, and there are plenty of myths and stereotypes surrounding substance use to make sense of. Getting familiar with some common warnings and situations-and the realities behind them-can help students make smarter choices about substance use.
You might feel pressured, but you don’t have to say yes. There are plenty of students who participate in social activities and go to parties without drinking or taking drugs. If you feel like you need to partake to have fun, this particular party or group of friends may not be a good fit for you.
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Offer to be the designated driver. However, it’s not always that easy to dodge social pressure. Take a look at some other tips for saying “No” that are realistic for students.
You might feel prepared beforehand, but in the moment it can be a different story. You might wonder if you’re overreacting in what seems like an unsafe situation, like seeing an unconscious stranger, and the influence of alcohol or drugs can keep you from acting or speaking up. Don’t let your setting, state of mind or friends deter you from taking action.
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It’s easy to freeze up when a situation you prepared for actually takes place. If you see something that seems potentially dangerous and you aren’t sure what to do, don’t wait. Find someone sober and tell them what’s going on. You’ll have strength in numbers and they can help you act.
This could happen, but it doesn’t have to. Suspecting you may have had sex that you or your partner would not have consented to while sober is not a good feeling, and could lead to serious consequences like legal charges and health issues, both mental and physical.
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Someone can’t legally consent if they’re drunk or high, but consent isn’t just “no means no” or “yes means yes”. Get to know what consent really means, and know you can ALWAYS change your mind. If the person you are with is too intoxicated to be in complete, enthusiastic control, stop.
Alcohol and many drugs are depressants and can effectively “loosen people up.” However, despite the friendliness you might adopt while under the influence, depressants actually slow down the central nervous system, meaning the more you consume the worse you will physically feel and possibly act.
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If you have social anxiety that keeps you from participating without being under the influence, you’re not alone. Make your room a safe and comfortable space, and start by going to the campus library—a place you can be around a lot of people where you don’t have to be social. Learning from the personal experiences of others with social anxiety can help give you some other ideas for overcoming anxiety that don’t involve unhealthy substance use.
Especially for students trying to stick with a group or a friend, leaving an unsafe situation when someone else wants to stay can be tricky. However, it’s important to trust your judgement.
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Don’t be afraid to be an active bystander. Be honest, take your friend aside and talk to them alone. It can be easier to express uneasiness to someone you know when there aren’t other people around. Or make up an excuse — the Ask for Angela campaign was created as a way to discreetly get help if you feel unsafe. If drugs or alcohol are making it difficult to convince a friend to leave, try these tips for looking out for your friends.
Both bingeing and self-medicating can seem totally fine for a while, but developing habits around substance use can quickly turn into substance abuse, because you’re allowing a substance to become a regular, relied-upon element in your life. Tolerance build-up is another risk, which causes people to use more and more of a given substance to achieve the same result.
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Monitor your intake and how your substance use affects your mood and academic performance, or ask a friend you trust to be honest with you about your usage. The line between safe consumption and substance abuse is not always easy one to see. The tools later in this guide can help students track their substance use habits and make positive lifestyle changes.
Students will likely find both legal and illegal substances around campus. Many schools have policies for acceptable substance use on campus, protocols for drug testing routines and consequences for possessing, using or abusing drugs as a student. Here’s an outline of the legal and illegal substances students could encounter.
Legal (when used as prescribed)
Common uses around campus
Students may use these to offset lack of sleep and they’re often abused as study drugs to help students focus or pull all-nighters.
Legal, with age restrictions; not necessarily allowed on campus
Common uses around campus
Used as a relaxant. Reduces inhibitions and increases confidence, making it extremely common around campus parties.
Illegal
Common uses around campus
Often used recreationally at parties as a stimulant. Causes an “awake” feeling and general euphoria.
Illegal
Common uses around campus
Generally used as a party drug. Increases empathy and awareness of physical sensations, so users may find music, dancing, touching and other expressions of affection more pleasurable.
Legal in some states, but usually not allowed on campus
Common uses around campus
Used casually and at parties. Students tend to use marijuana in its various forms to relax or feel a light euphoria.
Legal (when used as prescribed)
Common uses around campus
Prescribed as painkillers but often misused as relaxants.
Legal (when used as prescribed)
Common uses around campus
Prescription medications used as relaxants, antidepressants and stress-relievers.
The following are different designations that may be in force on a college campus:
Among many students, drugs and alcohol are very accepted and often seen as a natural part of everyday life and the college experience. Because many colleges don’t want to mar their reputations, they handle drug and alcohol abuse situations internally. The increasing ease of access to and destigmatization of drugs-particularly marijuana-and alcohol use contributes to college “tolerance culture.” There is, however, a growing number and variety of resources to help students stay above the casual attitude toward substance use on campus.
Collegiate Recovery Programs (CRP) and Collegiate Recovery Centers (CRC)
ARHE Collegiate Recovery Programs
Institutionally supported programs for students recovering from drug and alcohol addiction while in school. They often have counseling, peer-to-peer support and social activities.
Sober/Clean-Living Residence Halls
Some of these types of dorms are for recovering students in particular, but many are simply substance-free residence halls for any student who prefers to avoid drugs or alcohol.
Sober Greek Life
Sober fraternities and sororities work to make recovery less ostracized and more integrated with mainstream college life.
Safe Dances and Parties
Drugs are usually a significant part of music festival, rave and party culture, but students who want to dance and without the risk can look for substance-free events or visit a DanceSafe booth for harm reduction services like free water, condoms and drug information.
Safe-Consumption Spaces
Safe-consumption spaces allow those in recovery to consume drugs under the supervision of medical professionals to help them wean off drugs without putting their bodies into shock, risking overdose or getting arrested.
Campus Counselors
University of Connecticut Counseling Services
Even counselors whose expertise isn’t specific to substance abuse can help students figure out their habits and point them to additional resources.
There are many different drug-related terms commonly used around campus, and hearing an unfamiliar phrase can be awkward, at best. An uncomfortable situation can be made much worse if students decide to partake without knowing what they’re about to do. The following list includes just a few of the terms you might hear around campus. Getting familiar with them can help less-experienced students become more aware of their surroundings and the types of substances and circumstances they may encounter.
A unit of measure, usually used to describe 1/8th of an ounce of cocaine or meth.
Short for benzodiazepines, which are typically anti-anxiety medications.
Refers to the bowl of a glass smoking pipe often used to smoke weed. A bowl can also refer to a unit of measurement. Ex. “I smoked a whole bowl last night.”
Cocaine. “I can’t feel my face” typically refers to being high on cocaine.
Dabs are concentrated doses of marijuana, usually in oil or wax form, that are made by using butane or carbon dioxide to extract THC and other cannabinoids. Dabs can be heated and smoked by using a dab rig, which looks like an elaborate bong.
Foods infused or baked with marijuana, marijuana butter, oil, etc.
Short for hydrocodone, the generic name for a class of opioid painkillers.
Short for joint, or marijuana ground up and rolled in cigarette paper.
A drink made from codeine (cough syrup), soda and candy.
The active ingredient in ecstasy. It may be sold in pressed pill form with different logos, where it is commonly laced with other drugs like methamphetamine (meth).
Supposedly a pure form of MDMA, the active ingredient in ecstasy. Molly is usually a powder, either loose in a bag or in a gel capsule, unlike ecstasy, which is usually pressed into a pill or tablet.
Actual mushrooms that produce a psychedelic effect when consumed.
The experience of being high on opioids.
Short for oxycodone, the generic name for another class of opioid painkillers.
The last few centimeters or remains of a rolled cigarette or joint after it is smoked.
A nickname for the tranquilizer Rohypnol, but also used for similar date rape drugs like GHB.
The high from being on ecstasy. Ex “Rolling on molly.” “Rolling on X.” “She partied so hard last night that she was still rolling in class this morning.”
A synthetic “sister” drug to molly or ecstasy.
Usually some combination of tobacco and marijuana, rolled into a cigarette.
Bits of blotting paper laced with LSD.
The high from being on psychedelics.
Plant-form of marijuana.
Short for vaporizer. Vapes can be used to smoke tobacco and marijuana (in plant or oil form) and are intended to provide a cleaner, more pleasant smoking experience.
Xanax, a popular prescription benzo.
Whether it’s binge drinking on weekends, using study drugs to stay on top of a heavy workload or getting stoned to relieve stress after class, substance use is common among college students. It can be difficult to tell when safe use becomes abuse, though, especially when it seems like everyone is doing it. The process is often gradual and can sneak up quickly. About 38 percent of full-time college students aged 18-22 reported binge drinking within the past month according to the National Institute on Alcohol Abuse and Alcoholism. According to a national survey on drug use by the National Institute on Drug Abuse, daily marijuana consumption among college students was at a 30-year-high in 2015. Between 1993 and 2005, a Columbia University study on college substance abuse showed the proportion of students who abuse prescription painkillers rose 343 percent.
It’s important for college students to be mindful of their habits to avoid substance dependence or addiction. Substance abuse can get out of hand quickly, leading to physical and mental health problems, failed classes and personal and professional troubles. Many consequences of substance abuse can be avoided or fixed if students can recognize the signs of a problem and address it quickly. Take this quiz to help gauge your substance use habits:
These interactive tools, games and worksheets can help students learn more about their habits and make positive changes where needed.
Decisions That Matter – An Interactive Experience
This interactive narrative game allows students to see the direct results of the choices they make in certain scenarios.
Rethinking Drinking: Interactive Worksheets and More
The multiple tools on this page can help students track their drinking habits, determine whether they have a problem and keep control over their drinking.
Rethinking Drinking: Calculators
Number-minded students may find that the cost of alcohol, calorie intake, drink size equivalency and cocktail content calculators are great motivators to curb excessive drinking habits.
SMART Recovery Tool Chest and Homework
SMART provides a plethora of worksheets, interactive tools, activities and information pages that students can use to help with substance abuse prevention or recovery.
Recognizing substance abuse in someone else can be conflicting and emotionally taxing. Approaching a friend or loved one about their consumption habits is a delicate matter, and the thought of losing a friend can prevent people of ever addressing the issue. But careful planning and knowing some dos and don’ts can help you effectively communicate concerns to a friend without causing a huge blow-out, and could help you save a life.
Sources: Hazelden Betty Ford Foundation, BreakTheCycle.org, DrugAbuse.gov 2016
Students who recognize their problem and want to seek help for their addiction should know that recovering while attending school is not easy, but it is possible. There is an array of resources students can use to help them stay on track with both their recovery and their studies.
Recovery is also difficult for those supporting someone with a substance abuse problem. These tips and resources can help supporters prepare for and navigate through the recovery process.
Recovery looks different for everyone and largely depends on the type of substance abused along with how long and how often the abuse took place. Factors like family history, mental health and the method of consumption can also affect recovery times and withdrawal symptoms. The following table provides a general rundown of what those in recovery-and their supporters-can expect from withdrawal and recovery from different types of substances.
Withdrawal
Withdrawal symptoms begin within eight hours to a few days after the last drink. Symptoms range in severity, from feeling hungover to delirium tremens, which can be fatal if left unaddressed.
Common withdrawal symptoms:
What to expect from recovery…
Withdrawal
There are generally two phases of opioid/opiate withdrawal: early and late. Withdrawal begins as soon as the drug is no longer active in the bloodstream.
Common early withdrawal symptoms:
Common late withdrawal symptoms:
What to expect from recovery…
Withdrawal
Withdrawal symptoms from benzodiazepines can be mild or very serious and generally begin within 24 hours of last consumption.
Common withdrawal symptoms:
Serious withdrawal symptoms:
What to expect from recovery…
Withdrawal
Cocaine withdrawal comes with very few physical withdrawal symptoms, but psychological symptoms kick in quickly, usually within 90 minutes of taking the last dose.
Common withdrawal symptoms:
What to expect from recovery…
Method & Desired Outcomes
The first step in many in-patient rehabilitation programs, includes round-the-clock supervision and care for the physical and emotional needs of a person going through withdrawal.
Can be both in-patient or outpatient, uses medically administered detox drugs to minimize cravings or withdrawal symptoms.
Patient is directed to use non-addictive, over the counter medications like ibuprofen, nausea or insomnia medications to help lessen cravings or withdrawal symptoms.
Used in recovery from…
Method & Desired Outcomes
Used for more severe or co-occurring issues and can include structured, 24-hour care. Safe housing and medical attention may be used to help a person develop healthy life skills and alter behaviors toward drugs.
Individuals meet with a counselor on a regular basis. Visits may be more frequent at first. Individual and group counseling may also occur to help a person make positive cognitive changes.
Used in recovery from…
Method & Desired Outcomes
Medication can be used to assist people with withdrawal symptoms, co-occurring conditions and relapse prevention.
Used in recovery from…
Method & Desired Outcomes
A model of self-help program that involves group counseling and self-realization through 12 steps and, often, looking to a higher power for guidance. These programs provide strong peer-to-peer support.
Used in recovery from…
For parents, preparing kids to leave the nest and head off to college is an exciting, sad and proud occasion. Parents have to face the realities that come with a change of environment, and this means not shying away from the prevalence and risks of substance use and abuse on campus. It can be difficult not to veer too far into overprotection, but there are ways parents can be proactive about substance use and abuse while still allowing their children to engage in college culture and develop as individuals.
Parker Horveath
Parker is currently the Digital Marketing Coordinator at Ambrosia Treatment Center in Palm Beach Gardens, Florida. His pragmatic yet introspective take on substance abuse recovery bridges the gap between science and firsthand experience. Professionally he aims to reach the struggling and the recovering addict through his writing and communication skills.
Once drugs and alcohol took over my life, everything else came second. Being successful in college requires dedication of both time and effort to academics and extracurricular activities, and I almost completely threw my education away when my priorities shifted to accommodate my drug use. Once I crossed that line from recreational use to full-blown addiction, there was no way I was going to be successful getting my degree. As my friends realized the extent of my problem, many began to distance themselves. I became increasingly dependent on substances to function. I was isolated and miserable and apathetic towards life in general. My attitude towards my education and my future was no exception.
On the other hand, I spent the latter half of my college career in recovery. Going through college while maintaining sobriety was both challenging and rewarding. Many times, my friends would go out on a Friday night somewhere I felt out of place being sober, or uncomfortable because I knew I would be tempted to drink or use drugs. I had to decline and make other plans for the night. There were many sacrifices I had to make to stay sober, but good friends will always understand and respect your decision to live a sober life.
I only got help when I realized I had no other choice. The last thing I wanted to do was reach out to someone else and admit that I had a problem. Fortunately, I had a very supportive family that made that decision for me.
I entered treatment three years into college with no desire to be sober but recognizing that I had a problem. There, I learned about the disease of addiction and how much better life in recovery was than the way I was living. It was then that I decided to follow simple suggestions that I learned from those who got sober before me.
First and foremost, support from my friends and family has been the most helpful resource I have when it comes to recovery. I still rely on them every day to get me through the tough times and encourage me to stay on the right path.
Once I was in recovery, I had two separate groups of friends, those who were also in recovery and those who drank responsibly but supported my decision to stay clean and limited their drinking when I was around. These were the friends that had no problem going to the movies on a Friday night instead of a party. I started going to 12-step meetings and met many great friends there that I still have to this day.
If you are struggling with substance abuse in college, my best advice would be to reach out and get help sooner rather than later. In my opinion, the best way to get sober would be to go through a residential treatment program. It’s well worth it to put a semester on hold to get a foundation for recovery.
Find a group of supportive, sober people and stick with them. A vital part of any sober support group, whether 12-step based or not, is fellowship. Hanging out with people before and after the meeting allowed me to find people who were doing the same thing that I was: staying sober in a college environment.
Whether you are in sobriety, currently struggling with substance abuse or just a typical college student, you are who you associate with. If you hang around people who are abusing drugs, your chances of participating in the same behavior go up. On the other hand, if you associate with people who are doing the right thing, you tend to join them. If you choose your friends wisely, you can become a part of the solution instead of a part of the problem.
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