Heroin addicts often seem normal
Visibility and “Functioning” Addiction
- Many report opioid/heroin users can appear normal, especially early on or when “maintaining” to avoid withdrawal.
- Signs are easier to spot after exposure; without it, use is often missed.
- Some ask “if they seem normal, what’s the problem?” Replies cite high mortality risk, escalating costs, and legal peril.
Comparisons to Everyday Drug Use
- Debate over what counts as “normal” substances (coffee, nicotine, amphetamines, sugar, nootropics).
- Personal accounts: caffeine withdrawal can feel severe; prescribed opioids for weeks were easier for some than quitting caffeine, but others had minimal caffeine withdrawal.
- Arguments over historical “normalcy” (coffee vs. opioids) and addiction intensity; sugar vs. cocaine claims disputed.
Supply and Fentanyl Contamination
- Several claim street “heroin” is often fentanyl (sometimes xylazine). Safety concerns dominate.
- Extent of heroin’s scarcity is asserted but not universally confirmed in the thread (unclear).
Legalization vs. Punishment
- Harm-reduction advocates argue regulated supply, testing, and supervised dosing would cut overdoses, crime, and unsafe adulterants; point to Swiss heroin-assisted treatment.
- Counterarguments: legalization could normalize use (comparisons to gambling), increase advertising/availability, and raise addiction rates.
- East Asia cited as having few visible users under severe penalties; others note such policies are incompatible with Western norms.
- A punitive stance (life sentences) appears; most responses condemn it as cruel and counterproductive.
Pathways, Self‑Medication, and Treatment
- Stories of self-medicating pain or mental health (e.g., dystonia with alcohol); some recover after correct diagnosis.
- Trajectories: prescriptions to pills to heroin/fentanyl; or early trauma leading to visible, crime-driven addiction.
- Therapy experiences mixed: some see years-long benefit; others report ineffectiveness and perverse incentives. Consensus that change is slow and patient-driven.
Families, CPS, and Hidden Prevalence
- Policy concerns: proposals to remove children based solely on opioid use risk overwhelming foster systems and punishing functional-but-dependent parents.
- CPS is meant to assess neglect/abuse, not poverty; misuse against disliked groups is alleged.
Historical Context
- Opium and diamorphine (heroin) once prescribed; some argue legal, consistent supply historically supported functional use for many, while acknowledging severe harms for others.