You may have heard the term ‘high-functioning addict.’ It’s used to describe someone who, despite struggling with substance use, appears to be maintaining their responsibilities and daily life. But as a college professor researching addiction in student populations, it’s clear that this term is more of a myth than reality. It can be particularly misleading, and even harmful, when we’re talking about students.

On the surface, a so-called ‘high-functioning’ addict seems to have it all under control. They’re attending classes, submitting assignments, and even acing exams. They may hold leadership positions in student organizations or excel in sports. But beneath this façade of functionality, they’re wrestling with a serious, potentially life-threatening issue: addiction.

The danger in labeling someone as a ‘high-functioning’ addict lies in the illusion it creates. It suggests that addiction is manageable, even sustainable, without severe repercussions. This perception can lead to delayed help-seeking behavior and allow the substance use to escalate unnoticed. After all, if you’re keeping up with your responsibilities, how bad can it be?

But let’s dispel this myth right now. Substance use disorder, whether visibly destructive or seemingly contained, is a serious condition that requires professional treatment. Even if you’re able to maintain certain aspects of your life, the physical and psychological toll of addiction remains.

Here’s a lesser-known fact:
substance use can impact cognitive function and academic performance in subtle ways that may not be immediately visible. This can range from difficulty concentrating and impaired memory, to reduced critical thinking skills and decreased motivation. These effects can accumulate over time, potentially derailing your academic and professional future.

Furthermore, the term ‘high-functioning’ neglects the emotional and psychological suffering often experienced by those with substance use disorders. Mental health issues like anxiety, depression, and feelings of isolation are common. No amount of outward ‘functioning’ can negate these internal struggles.

In the South African context, the ‘high-functioning’ addict myth can be particularly damaging. Substance use is a pressing issue among students, and the belief that one can ‘function’ despite addiction can delay necessary treatment. If you find yourself or a friend in this situation, it’s crucial to seek help immediately.

So, let’s retire the term ‘high-functioning addict’ from our vocabulary. Instead, let’s recognize addiction for what it truly is—a complex health issue that doesn’t discriminate based on outward appearances of success or functionality. It’s time to acknowledge that any form of substance use disorder, visible or not, warrants prompt attention and compassionate care.

There’s a crucial need to understand and dispel the myth of the ‘high-functioning’ addict, especially within the student population. It’s important to explore the reasons why this myth persists, its implications, and how we can challenge it to foster healthier, more supportive environments.

In the academic environment, the myth of the ‘high-functioning’ addict is particularly insidious.

Here’s why it persists:

• Academic Pressure: Students often face immense pressure to excel academically and socially, leading them to mask their struggles with substance use.
• Social Acceptance: Substance use is often normalized or even glamorized in college, making it harder to recognize when it becomes a problem.
• Lack of Awareness: Many people don’t understand the subtle ways in which substance use can affect cognition and performance.

Here are the key facts about substance use and ‘high-functioning’ addicts that often go overlooked:

• Substance use, even if it seems ‘under control,’ can impact mental health, academic performance, and physical wellbeing.
• The ability to ‘function’ does not negate the harm caused by substance use.
• Recognizing and addressing substance use early on is essential for successful treatment and recovery.

To better understand this issue, consider the following Frequently Asked Questions:

1. How can someone be an addict and still function well academically or professionally? While some individuals may seem to manage their substance use while maintaining certain responsibilities, this doesn’t negate the harm of addiction. It’s often a precarious balance that can quickly unravel, leading to severe consequences.

2. Isn’t the term ‘high-functioning’ addict just a way to describe someone who’s managing their addiction? The term is misleading. It can minimize the severity of addiction and delay necessary help and intervention. Addiction, whether apparent or hidden, is a serious health issue that requires professional treatment.

3. How can I help someone I suspect is a ‘high-functioning’ addict? It’s important to approach the person with concern and understanding, avoiding judgment or accusations. Encourage them to seek professional help.

Substance Use Statistics in South Africa:

Statistic	Value
Students who consume alcohol	58.5%
Students who binge drink	49.2%
Students who use cannabis	13.3%
Students who use other drugs	9.2%

The perception of the ‘high-functioning’ addict as someone who can handle their substance use without significant negative repercussions is not only misleading, but dangerous. This belief can delay the necessary intervention and treatment, allowing the substance use to escalate and the associated physical, mental, and emotional toll to accumulate.

Substance use disorders are serious health issues that require professional help, regardless of how well someone may seem to be managing their responsibilities. As a college professor studying addiction, I encourage you to look beyond the illusion of high-functioning addiction and take substance use seriously, recognizing its potential to cause harm even if it’s not immediately visible.

By understanding the myth of the ‘high-functioning’ addict, you can play a crucial role in creating a more supportive and understanding environment. Remember, it’s essential to look beyond outward appearances of functionality and success, to recognize the subtle signs of struggle, and to offer help and support when it’s needed. By doing this, we can work together to address the problem of substance use among students in South Africa effectively.

Understand the true nature of addiction and the subtle ways it can affect students. If you or someone you know is struggling, remember that help is available. Despite the challenges of this condition, recovery is possible with the right support and treatment. Let’s strive to cultivate an environment that fosters understanding, support, and recovery—free from harmful myths and misconceptions.