Team - Holistic Mental Health | BrighterDay

Reviewed by Yehuda Roberts

February 22, 2024

Which Drugs Make You More Aggressive?

Explore which drugs make you more aggressive and the science behind drug-induced aggression.

Which Drugs Make You More Aggressive?

Understanding Drug-Induced Aggression

Before delving into the topic of "which drugs make you more aggressive?", it's important to first understand what drug-induced aggression is and the factors that may contribute to its occurrence.

Defining Drug-Induced Aggression

Drug-induced aggression is a term used to describe a heightened state of hostility or violence that can occur as a side effect of certain substances. These can range from prescription medications to illicit drugs and alcohol. The association between alcohol- and drug-use and intimate partner violence (IPV) has seen especially strong support in the literature [1].

In a study assessing men who use drugs, certain aggression-related personality variables were studied along with their drug use and the occurrence of violence in their close relationships. A latent aggression factor and recent amphetamine use were the only variables found to be significantly associated with violence. No other drug use variables were found to be associated with violence.

The Role of Genetics and Environment

It's important to note that drug-induced aggression doesn't occur in isolation. Both genetic and environmental factors play a crucial role in influencing drug abuse (DA), which can subsequently lead to aggression.

A large-scale adoption study in Sweden found that the risk for DA was significantly elevated in the adopted offspring of biological parents with DA, biological full and half siblings of adopted children with DA, and adoptive siblings of adopted children with DA.

A genetic risk index and an environmental risk index both strongly predicted the risk for DA. The genetic risk index included biological parental or sibling history of DA, criminal activity, and psychiatric or alcohol problems. The environmental risk index included adoptive parental history of divorce, death, criminal activity, and alcohol problems, as well as an adoptive sibling history of DA and psychiatric or alcohol problems.

These findings suggest that both inherited traits and environmental circumstances can contribute to the likelihood of drug abuse, and by extension, drug-induced aggression. It underscores the importance of understanding and addressing both genetic and environmental risk factors in efforts to mitigate the risk of drug-induced aggression.

Common Drugs Linked to Aggression

When probing into which drugs make you more aggressive, several substances stand out due to their potential to incite aggressive behavior. Certain drugs, like steroids, opioids, cannabis, cocaine, and amphetamines, have been highlighted in research for their links to aggression.

Steroids and Aggression

The use of steroids has been associated with heightened aggression, often referred to as "roid rage" Narconon. Steroids are commonly used by athletes and bodybuilders for performance enhancement, but they can have severe psychological effects. Aggression is one of the most prominent side effects, which can lead to violent behaviors and strained relationships.

Opioids and Aggression

Opioids, including prescription painkillers and heroin, have also been linked to aggression. While opioids themselves may not directly incite aggression, the behavioral changes that accompany addiction and withdrawal can lead to aggressive behaviors Narconon. As individuals become reliant on these substances, they may become aggressive in their efforts to obtain more, especially during periods of withdrawal.

Cannabis, Cocaine, Amphetamines

Despite its reputation as a mellowing drug, cannabis can also lead to irritability, aggression, and anger, particularly when used in large amounts Narconon.

Stimulant drugs, such as amphetamines and cocaine, are known to induce aggressive behavior, particularly when consumed in high doses or for prolonged periods University of Connecticut. These substances increase the levels of certain neurotransmitters in the brain, leading to increased energy, hyperactivity, and potentially aggression.

Drug Aggressive Behavior
Steroids Yes
Opioids Indirectly
Cannabis When used in large amounts
Cocaine Yes
Amphetamines Yes

It's important to note that alcohol, while not a drug in the traditional sense, can also contribute to aggressive behavior. Alcohol impairs judgment and reduces inhibitions, potentially leading to violent tendencies when consumed in excess University of Connecticut.

Understanding the links between these substances and aggressive behavior can help individuals make informed decisions about drug use and seek help when needed. Treatment and recovery are crucial for mitigating the risk of drug-induced aggression and for overall mental health.

The Science Behind Drug-Induced Aggression

To comprehend the relationship between certain substances and heightened aggression, it's critical to delve into the science of how these substances interact with the brain's circuitry and processes.

The Brain's Reward Circuitry

Drugs can significantly alter vital brain areas responsible for life-sustaining functions, leading to compulsive drug use associated with addiction. One such region is the basal ganglia, which forms an integral part of the brain's reward circuitry [3]. Substances like stimulants can cause changes in this reward circuitry, leading to compulsive seeking and use of these substances despite adverse consequences.

Drugs trigger an intense euphoria much greater than the pleasure derived from healthy activities due to surges of natural opioids and neurotransmitters in the basal ganglia. This intense pleasure or 'high' can lead the brain to prioritize drug consumption over healthier pursuits, reinforcing the connection between drug use and pleasure [3].

Neurotoxic Effects on Brain Processes

Prolonged exposure to drugs such as cocaine or methamphetamine can cause harmful effects on the brain. Some evidence suggests that long-term stimulant exposure can even result in persistent brain damage [4].

To counter the surge of neurotransmitters caused by drug use, the brain may respond by producing fewer neurotransmitters or reducing the number of receptors that can receive signals. This leads to a decrease in the ability to experience pleasure from natural rewards and reinforces the need for the individual to continue taking drugs to feel even a normal level of reward, creating a vicious cycle.

Drug Influence on Neurotransmitters

Substances like stimulants influence neurotransmitters such as dopamine, which regulate pleasure, movement, cognition, motivation, and reward. They also affect the release of norepinephrine and serotonin, which play roles in mood, attention, learning, memory, and arousal.

Certain drugs have been directly linked to aggressive behavior. For instance, a study found that individuals who received a high dose of cocaine were more aggressive than those who received a placebo. Similarly, some benzodiazepines, such as diazepam, have the potential to elicit aggressive behavior under controlled laboratory conditions [5].

These scientific insights into the brain's reward circuitry, the neurotoxic effects of drugs on brain processes, and the influence of drugs on neurotransmitters provide a deeper understanding of drug-induced aggression. These factors can help in identifying and treating individuals who are at risk, potentially preventing harm to themselves and others.

Alcohol and Aggression

Despite its legal status and widespread use, alcohol is among the substances most strongly associated with aggression. Understanding its effects, especially on the brain, can help explain its role as a catalyst for violence.

Alcohol's Effect on the Prefrontal Cortex

Alcohol, classified as a depressant, can paradoxically lead to aggression due to its effects on the prefrontal cortex. This region of the brain plays a critical role in controlling impulses, regulating behavior, and making decisions.

When alcohol is consumed, it impairs the function of the prefrontal cortex, leading to decreased inhibitions, impaired judgment, and increased impulsivity. As a result, individuals under the influence of alcohol may be more prone to aggressive behavior as their ability to think clearly and make rational decisions is compromised. This nuanced relationship between alcohol and aggression is supported by numerous studies, including those from the University of Connecticut.

Alcohol as a Catalyst for Violence

The connection between alcohol and violence is well-documented. Numerous cases exist where alcohol has fueled violent behavior, underscoring its potential role as a catalyst for aggression.

However, it's important to note that while the relationship between increased substance use and violent behavior is widely accepted, it is only partially supported within certain populations. Not everyone who consumes alcohol will become violent. Factors such as an individual's genetic predisposition, environment, and mental health status can also play a significant role [1].

In conclusion, while alcohol can lead to increased aggression and violent behavior in some individuals, it is only one piece of a complex puzzle. Understanding this can help in the development of strategies to mitigate the risk of alcohol-induced aggression, and underline the importance of treatment and recovery for those struggling with alcohol abuse.

The Dangers of Mixing Drugs and Alcohol

Combining drugs and alcohol can have serious consequences, particularly when it comes to the risk of violent behavior. This combination can amplify the effects of each substance, leading to erratic behavior and increasing the potential for violence.

The Risk of Violent Behavior

There is a significant association between substance use, including alcohol and drugs, and violent behavior, specifically intimate partner violence (IPV) NCBI. This correlation is particularly strong when certain drugs are involved. For instance, common substances like steroids, opiates, amphetamines, cannabis, and alcohol can all contribute to causing aggression or anger in individuals Narconon.

Stimulants like cocaine, amphetamines, and methamphetamine can lead to increased aggression and violent behavior, often due to the way these drugs affect the brain's neurotransmitters and overall function Narconon.

Moreover, alcohol's relationship with aggression is well-documented, with a significant number of cases where alcohol has fueled violent behavior Narconon.

Polydrug Use and Increased Violence Risk

Substance use does not always directly lead to increases in violent behavior. However, it was found that a latent aggression factor and recent amphetamine use were significantly associated with violence. No other drug use variables were found to be associated with violence NCBI.

This emphasizes the risk of polydrug use, or the use of more than one type of drug, which can increase the likelihood of violent behavior. Aggressive personality traits, rather than drug use per se, may be a better indicator of susceptibility to violence NCBI.

Drugs can disrupt vital brain areas like the brain stem, responsible for controlling basic life functions such as heart rate, breathing, and sleeping. Overdoses can lead to depressed breathing and death due to this interference NIDA. Drugs can also alter essential brain areas responsible for life-sustaining functions and drive compulsive drug use linked to addiction NIDA.

The combination of drugs and alcohol can have a compounding effect on the likelihood of violent behavior. Recognizing these risks and seeking help are critical steps in mitigating the risk of drug-induced aggression, especially when alcohol is involved.

Mitigating the Risk of Drug-Induced Aggression

The risk of drug-induced aggression, a grave concern under the umbrella of drug abuse, can be mitigated by effectively identifying risk factors and emphasizing the importance of treatment and recovery.

Identifying Risk Factors

Some key risk factors associated with drug-induced aggression include the type of drug used, the individual's genetic disposition, and the environmental influences. It has been found that a latent aggression factor and recent amphetamine use are significantly associated with violence, although no other drug use variables were found to have a similar association.

Moreover, genetics and familial environmental factors also play a significant role in drug abuse (DA). A study conducted in Sweden found that the risk of DA was considerably elevated in the adopted offspring of biological parents with a history of DA. The genetic risk index included biological parental or sibling history of DA, criminal activity, and psychiatric or alcohol problems.

Environmentally, the risk of DA increases with adoptive parental history of divorce, death, criminal activity, and alcohol problems, as well as an adoptive sibling history of DA and psychiatric or alcohol problems.

A significant positive interaction has been observed between genetic and environmental risk indices in predicting the risk for DA. This implies that adverse environmental effects on DA are more pathogenic in individuals with high levels of genetic risk [2].

The Importance of Treatment and Recovery

Addressing drug-induced aggression necessitates a focus on treatment and recovery. It's crucial to understand that drug abuse is an etiologically complex syndrome, influenced by a diverse set of genetic risk factors and a range of environmental factors.

Therefore, treatments should be individualized, taking into account the person's genetic predisposition, the type of drug used, and the influence of environmental factors. Treatments may include medication, therapy, and support groups, among others. Recovery can be a long process, and it's essential to have a strong support system in place.

Furthermore, a systematic review identified a strong link between individual drug categories and violent outcomes among individuals with drug use disorders. The review included data from 591,411 individuals and found that the odds ratios for the risk of violence in different categories of drug use disorders ranged from 0.8 to 25.0, with generally higher odds ratios among individuals with polydrug use disorders.

This underscores the importance of addressing polydrug use in treatment programs. Enhancing awareness about the potential risks of mixing drugs, particularly those linked with increased aggression, is also crucial. Through comprehensive and targeted interventions, the risk of drug-induced aggression can be effectively mitigated, contributing to safer communities and improved health outcomes for those struggling with drug abuse.

References

[1]: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3001760/[2]: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3556483/[3]: https://nida.nih.gov/publications/drugs-brains-behavior-science-addiction/drugs-brain[4]: https://www.ncbi.nlm.nih.gov/books/NBK576548/[5]: https://www.psychologytoday.com/us/blog/why-bad-looks-good/202107/which-drugs-make-people-aggressive[6]: https://www.narconon.org/blog/drug-addiction/the-most-common-drugs-that-make-a-person-aggressive-or-angry/[7]: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7879597/

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