Addiction in Autism and BPD

Addiction is very common among people with both borderline personality disorder (BPD) and autism. It gets talked about a lot with BPD, but not as much with autism. It is very true in both diagnoses. About 78% of people with BPD obtain a substance abuse disorder eventually and up to 36% of people with autism eventually abuse drugs or alcohol. It may seem like a large difference, but in general this is high.

People with BPD can develop several different addictions. It does not have to be substances. The most common is substances; however, it could also be sex, money, eating, etc. Addiction in general is common because we want to regulate our emotions and that is the easiest way to feel better. We often get depressed or just feel empty. When we get addicted to something, it feels like we are living for something; even if it isn't healthy. It can also be an impulse issue where we impulsively buy stuff or use substances. Those are just two examples, but it could be the same for any addiction in BPD. Our emotions can get so out of control that this can feel like the only option to feel better.

People do not talk about addiction in autism as much, but it can happen in autism too. Again, the most common is substance abuse, but it can be any of the addictions I listed for BPD as well. In autism this happens more due to anxiety or sensory overload. It can also be due to regulating mood, but not always. A lot of people with autism also feel very alone due to the lack of support. This can lead to any form of addiction because there is something to depend on. When things feel overwhelming, it is easier to abuse something than deal with the actual stress for a lot of us.

I have personally struggled with addictions in the past. For the most part, I have it under control now, but people who are addicts can always relapse. Addiction is more than just what you see on the streets. It is not just substance abuse. There are hidden addictions as well. We don't always know who is struggling and who isn't, so be careful about judging people. It is important to find support for those who are addicts.

I want to remind everyone that I am not a therapist and this is just my experience with addiction and what I have seen around me. I am here to support anyone who may need help and is scared to express it to the public. Feel free to reach out. I really appreciate those of you who read this. Thank you!