Use of cocaine or other stimulants to mask depression can be threatening to a person's life functioning. These drugs are addictive and lead to serious impairments in health, relationships, and professional activities. Stimulants not only medicate fatigue but also temporarily boost self-esteem by providing a sense of grandiosity and an expanded feeling of self-confidence.
Stimulants also can increase depressed people's ability to concentrate, allowing them to continue to function through a depression. Nicotine has psychological effects that are similar to those of stimulants. Cigarettes are actually the most dangerous of all depression-masking drugs, because they are the most common and can also be lethal.
There is a large occurrence of cigarette smoking in depression; 70 percent of men and 80 percent of women with a history of major depression are estimated to have a smoking habit.
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