Overdose doesn’t happen because someone is careless. It happens because drugs are unpredictable — potency changes, tolerance drops, and bodies react differently. Harm reduction is about staying alive. Here are the most effective ways to reduce overdose risk: 1️⃣ Don’t use alone If something goes wrong, another person can act. If you are alone, use a check-in system or an overdose prevention line where available. 2️⃣ Start low, go slow Especially with a new batch or after a break. Your tolerance drops faster than you think. 3️⃣ Avoid mixing substances The biggest overdose risk comes from combining drugs — especially: Opioids + benzos Opioids + alcohol Stimulants + depressants 4️⃣ Carry naloxone (Narcan) If opioids are involved at all, naloxone saves lives. Learn how to use it. Tell others where it is. 5️⃣ Test what you’re using Drug checking strips (fentanyl, xylazine) reduce unknown risk. “Trusted source” does not equal “safe.” 6️⃣ Look out for each other Overdose prevention is community care. If someone seems too sedated, slow breathing, blue lips, or unresponsive — act immediately. 7️⃣ After a break = highest risk Detox, hospital stays, incarceration, or illness all lower tolerance. This is when most fatal overdoses happen.

Trauma and addiction are deeply connected — not because trauma causes addiction, but because the brain learns how to survive. Many people don’t use drugs to feel good. They use them to feel less bad. 🧠 1️⃣ Trauma changes the nervous system Trauma can leave the body stuck in: Fight Flight Freeze Shutdown This can look like: Constant anxiety or hypervigilance Emotional numbness Panic, anger, or dissociation Trouble sleeping or feeling safe Drugs can temporarily quiet these states — and the brain remembers that. 🔁 2️⃣ Substances become coping tools When something reliably: Reduces fear Numbs emotional pain Slows racing thoughts Creates relief or control …the brain logs it as useful for survival. This is how substance use shifts from choice → habit → compulsion. Not because someone is weak — but because it worked. 📉 3️⃣ Trauma lowers tolerance for distress Trauma makes everyday stress feel overwhelming. When distress tolerance is low: Cravings hit harder Relapse risk increases “White-knuckling” sobriety becomes exhausting This is why shame-based approaches fail — they increase stress, which increases use. ⚠️ 4️⃣ Stopping use can worsen trauma symptoms For many people: Anxiety spikes Flashbacks intensify Emotions feel unmanageable This is often mistaken for “failure,” when it’s actually the nervous system losing its coping strategy. This is why harm reduction matters. 🧩 5️⃣ Safety comes before healing You can’t heal trauma in survival mode. Harm reduction helps by: Reducing risk Creating stability Supporting the nervous system Keeping people alive long enough to heal Healing doesn’t require abstinence first. It requires safety first. ❗ The truth Trauma-informed care asks: “What happened to you?” not “What’s wrong with you?” Addiction is often an adaptation to pain — not a failure of character. Harm reduction gives people: Time. Breathing room. Choice. And that’s where real change becomes possible.

Addiction isn’t a lack of willpower. It’s a brain adaptation — and understanding that changes everything. 🧠 1️⃣ The reward system gets hijacked Drugs flood the brain with dopamine — the chemical linked to motivation and survival. Over time, the brain learns: This substance = relief / safety / reward Natural rewards (food, connection, rest) stop registering the same way. This isn’t a moral failure — it’s conditioning. 🔁 2️⃣ The brain rewires for survival The brain’s job is to keep you alive. When a substance repeatedly reduces pain, stress, or emotional overload, the brain prioritises it — even when consequences appear. This is why people: Crave despite knowing the risks Relapse after long breaks Feel “pulled” back even when they don’t want to The brain is choosing what it thinks is survival. 📉 3️⃣ Tolerance increases, pleasure decreases With repeated use: Dopamine receptors become less sensitive You need more for the same effect Relief replaces pleasure At this point, people often aren’t chasing a high — they’re avoiding feeling worse. ⚠️ 4️⃣ Stress and impulse control are affected Chronic substance use impacts areas responsible for: Decision-making Emotional regulation Impulse control This makes stopping feel impossible — especially under stress, trauma, or exhaustion. This isn’t because someone “doesn’t care.” It’s because their brain is under pressure. 🧩 5️⃣ The brain can heal — but it takes time The good news: The brain is plastic Pathways can weaken New ones can form But healing doesn’t happen instantly — and it doesn’t require perfection. Safety, stability, reduced harm, and support all help the brain recover. ❗ The most important truth Addiction is not a character flaw. It’s not a failure of values. It’s a learned survival response that outlives its usefulness. Harm reduction works with the brain — not against it. Stay alive first. Reduce risk. Create space for change.

I want to be honest here — not polished, not inspirational, just real. I didn’t use drugs because I didn’t care about my life. I used them because, at times, they felt like the only thing that made life tolerable. Addiction wasn’t a single bad choice. It was a pattern that built slowly — coping, escaping, numbing, surviving. There were moments where I thought I had control. And moments where it was clear I didn’t. What addiction really looked like for me: Knowing the risks and still taking them Promising “this will be the last time” and believing it Shame that kept me silent Fear of judgment that stopped me asking for help Wanting relief more than consequences Harm reduction entered my life before recovery ever did. It didn’t ask me to be ready. It didn’t shame me for not stopping. It just said: stay alive. Carry naloxone. Don’t use alone. Start lower. Check substances. Look out for each other. Those things mattered. They still do. I’m sharing this because addiction doesn’t mean someone is weak, careless, or beyond help. It means they’re human — often dealing with pain, trauma, or unmet needs. Harm reduction gave me breathing room. Time. Safety. And eventually, choice. If you’re still struggling, you’re not broken. If you’re not ready to stop, you still deserve safety. If you’re trying again — that counts. This space exists because survival comes first.

A lot of people hesitate to call for help because they don’t know what will happen next. Fear grows in the unknown — so let’s make it clear. Here’s what usually happens when emergency services arrive at an overdose. 🚑 First priority: breathing and life The focus is immediate and simple: Are they breathing? Do they have a pulse? Do they need oxygen or naloxone? Nothing else matters until the person is stable. 💉 Medical care comes first They may: Give oxygen Give naloxone (if opioids are suspected) Monitor heart rate and breathing Help with seizures, overheating, or unconsciousness This is medical treatment — not an interrogation. 🗣️ They may ask basic questions Typical questions: What substances might be involved? When were they last conscious? Did anyone give naloxone? You can answer honestly or keep it minimal. You are not required to give details beyond what helps medically. 🚨 Police involvement is usually secondary In most overdose situations: Medical care is the priority Police are not focused on arresting people for possession The goal is safety, not punishment Fear of consequences stops people calling — and that’s where the real danger is. 🏥 They may recommend hospital care Even if the person wakes up: Naloxone can wear off Overdose symptoms can return Monitoring saves lives Refusing transport is sometimes possible, but medical advice matters. 🧠 If the person is upset or confused Naloxone can cause sudden withdrawal: Confusion Agitation Anger This does not mean help was wrong. It means the overdose was reversed. ❗ The truth Emergency services are there to: ✔️ Keep people alive ✔️ Stabilise medical emergencies ✔️ Prevent death They are not there to judge, shame, or punish. Calling early gives someone a chance they might not otherwise have. Harm reduction includes knowing that help is safer than silence.