Holiday stress adds risks for Ohioans with addiction

By Farah Siddiqi

The holiday season is often described as a joyful time to gather with loved ones but for many Ohioans managing substance use disorders, it can bring added stress and risk.

While state health data show alcohol-related deaths and overdose rates are declining in Ohio, clinicians warn the holidays can intensify isolation and trigger relapse.

Cooper Zelnick, CEO of the recovery provider Groups Recover Together, said people facing addiction often experience the holidays as emotionally overwhelming, especially when financial strain and family conflict are added into the mix. He stressed social support is one of the most important buffers.

"This is a disease of isolation," Zelnick explained. "The disease makes you think and feel that you're the only person who's ever had this experience. You're not. So, reaching out, being honest about what you're going through and asking for help is the best suggestion for folks who are struggling."

According to a 2023 report from the Ohio Department of Health, 4,452 Ohioans died from unintentional drug overdoses, marking the second consecutive year of declining deaths. State officials said preliminary 2024 data indicate the downward trend is continuing.

Clinicians said physical risks from long-term alcohol misuse also intensify with age. Nancy, a registered nurse at the Ohio State University East Talbot Hall Detox Unit, said many patients arrive when daily functioning becomes too difficult to maintain.

"When people have been drinking for a really, really long time, they almost get to a state called Wernicke's, and it's like dementia, or hallucinating, all wrapped into one," she outlined. "Your brain just doesn't work the same anymore."

Nancy acknowledged the holidays can add emotional and family pressures to an already difficult struggle and urged people to seek support before symptoms escalate. Providers emphasized early intervention, social connection, and access to care are key to preventing relapse during the season.