GHB Addiction

GHB emerged as the most seized sedative worldwide, surpassing even benzodiazepines and barbiturates, according to the 2021 World Drug Report. The substance was notably intercepted significantly across many countries including the United States, New Zealand, Canada and China. This surge in seizures highlights the growing concern over GHB’s prevalence and the need for increased awareness of its addictive potential and associated risks.

GHB liquide in a glass

What is GHB?

GHB or Gamma-Hydroxybutyrate, is a substance that affects the central nervous system by acting as a depressant. Some people use it recreationally because it can create feelings of euphoria and relaxation, making it popular in social scenes. However, these effects also make it dangerous, as GHB has become known as a ‘club drug’ and even a ‘date rape drug’ due to its ability to impair judgment and incapacitate individuals.

Usually, GHB comes in the form of a clear liquid, white powder or pill and it’s typically taken orally. While a small dose might make someone feel more social or at ease, it’s easy to cross the line into more serious effects, like dizziness, nausea or even unconsciousness. In extreme cases, it can be life-threatening.

GHB is also used medically under the name Xyrem to help people with narcolepsy manage symptoms like excessive daytime sleepiness. But outside of this controlled medical use, GHB is illegal in many places because of how dangerous it can be when abused.

Is GHB addictive?

Yes, GHB can be addictive. Although GHB use disorder isn’t officially recognised in DSM-V, chronic recreational use can lead to tolerance, dependence and withdrawal symptoms, meeting the criteria for Substance Use Disorder (SUD).

While its prevalence is challenging to define due to the lack of formal recognition, the number of people seeking treatment for GHB addiction offers insight. In 2017-2018, 0.2% of drug treatment episodes in the UK were related to GHB, affecting 450-500 individuals, with even higher numbers in the Netherlands. This data underscores the potential for addiction and the need for treatment.

What are the signs of GHB addiction?

Recognising GHB addiction involves identifying psychological, behavioural and physical signs. Here’s what to look for in each category:

Psychological signs

  • Intense cravings: A strong, often uncontrollable desire to use GHB regularly.
  • Mood swings: Rapid changes in mood, ranging from euphoria when using the drug to depression or irritability when not.
  • Anxiety and paranoia: Increased feelings of nervousness, fear or paranoia, especially when unable to access GHB.
  • Memory problems: Difficulty recalling events, particularly those that happened while under the influence of GHB.

Behavioural signs

  • Secretive behaviour: Hiding GHB use from others, being deceptive about activities or frequently disappearing to use the drug.
  • Neglect of responsibilities: Failing to meet obligations at work, school or home due to GHB use.
  • Increased risk-taking: Engaging in dangerous activities, such as driving under the influence or taking higher doses than intended.

Physical signs

  • Drowsiness and confusion: Regular episodes of excessive sleepiness or a dazed state, especially following GHB use.
  • Frequent nausea and vomiting: Physical discomfort, including nausea, often related to GHB’s effects on the body.
  • Impaired coordination: Trouble with balance and motor skills, making simple movements difficult.

How can a GHB addiction begin?

GHB addiction often starts innocuously, particularly within the party scene, due to its euphoric and sociable effects. People might first encounter GHB at clubs or raves, using it to enhance the experience, increase sociability and feel more connected to others. It’s popular in these environments because, at low doses, GHB can lower inhibitions and create a sense of euphoria.

However, the appeal of GHB in the party scene isn’t without its risks. The line between a recreational dose and an overdose is alarmingly thin, leading to a high potential for misuse. Regular use can quickly lead to dependence as the body adapts to the drug, requiring more to achieve the same effects. Once addiction sets in, users often find themselves needing GHB not just to enjoy a night out but to function normally in everyday life

Another avenue through which GHB addiction can develop is through the practice of Chem Sex. In the context of Chem Sex, GHB is often used alongside other substances like methamphetamine or mephedrone to intensify sexual experiences. The drug’s ability to enhance physical sensations and lower inhibitions makes it appealing for these purposes but it also increases the risk of addiction.

Regular use in such settings can lead to a dangerous cycle of dependency, as the intense experiences facilitated by GHB become harder to replicate without the drug.

As the addiction deepens, individuals may find themselves using GHB more frequently, eventually losing control over their use. What began as a way to enhance social or sexual experiences can quickly spiral into a debilitating addiction, requiring professional intervention to overcome.

Young girl hands holding drug pills skull

Do I have a GHB addiction?

If you’re engaging in GHB use, it’s crucial to keep tabs on your usage. GHB is a potent substance with a high potential for addiction, and the line between recreational use and dependency can blur quickly. Regularly assessing your relationship with GHB can help you recognise early signs of addiction, allowing you to take action before things escalate. One way to do this is by asking yourself the following questions:

  • Do you find yourself using GHB more frequently or in higher doses than you initially intended?
  • Have you ever tried to cut down or stop using GHB but found it difficult or impossible to do so?
  • Do you experience strong cravings or urges to use GHB, even when you’re not at a party or Chem Sex event?
  • Have you noticed that you need to take GHB just to feel “normal” or to get through the day?
  • Are you continuing to use GHB despite negative consequences, such as relationship issues, work problems or health concerns?
  • Do you often prioritise GHB use over other activities or responsibilities, such as work, social events or personal hobbies?

If you answered ‘yes’ to any of these questions, it could be an indication that GHB has become more than just a recreational drug in your life. Recognising these signs early on is key to getting the help you may need.

Where can I find help for a GHB addiction?

At Banbury Lodge, we understand how challenging it can be to face a GHB addiction, and we’re here to support you every step of the way. Our dedicated GHB addiction programme begins with a thorough initial assessment, where we take the time to understand your unique situation. This assessment helps us create a personalised treatment plan tailored to your specific needs.

Detox is the next crucial step in your recovery journey. Under medical monitoring, we help you safely manage withdrawal symptoms, ensuring your comfort and well-being throughout the process. Detox is essential because it clears your body of GHB, allowing you to start therapy with a clear mind.

Therapy is the heart of our programme, where you’ll explore the underlying reasons for your addiction and develop healthier coping strategies. Our compassionate therapists use a variety of therapeutic approaches to help you rebuild your life.

Finally, aftercare ensures that you have the ongoing support you need to maintain your recovery long after you leave Banbury Lodge.

If you or a loved one are struggling with GHB addiction, it’s crucial to reach out for help. At Banbury Lodge, our experienced and professional team members are ready and waiting for your call. Start the road to recovery from GHB today with Banbury Lodge.

Frequently Asked Questions

Can you die from a GHB overdose?
Yes, it is possible to die from a GHB overdose. GHB is a central nervous system depressant, and taking it in high doses can cause severe respiratory depression, unconsciousness, coma, and death. The risk of overdose increases when GHB is mixed with other substances, particularly alcohol or other depressants, as this combination can severely depress respiratory function.
What causes GHB addiction?
GHB addiction can develop due to the drug’s effects on the brain. GHB affects neurotransmitters, particularly GABA (gamma-aminobutyric acid), which plays a role in regulating mood, anxiety, and sleep. When used repeatedly, GHB can alter brain chemistry, leading to dependence. Over time, the brain may require GHB to function normally, and individuals might experience withdrawal symptoms when they stop using the drug.
Other names for GHB
GHB (gamma-hydroxybutyrate) is known by various names, particularly in recreational and illegal contexts. Some of the common alternative names include:

  • Liquid Ecstasy
  • Georgia Home Boy
  • Grievous Bodily Harm
  • G
  • Gina
  • Liquid X
  • Fantasy

(Click here to see works cited)

  • Tay E, Lo WKW, Murnion B. Current Insights on the Impact of Gamma-Hydroxybutyrate (GHB) Abuse. Subst Abuse Rehabil. 2022 Feb 9;13:13-23. doi: 10.2147/SAR.S315720. PMID: 35173515; PMCID: PMC8843350.
  • Substance Abuse and Mental Health Services Administration (US); Office of the Surgeon General (US). Facing Addiction in America: The Surgeon General’s Report on Alcohol, Drugs, and Health [Internet]. Washington (DC): US Department of Health and Human Services; 2016 Nov. [Table], GHB (gamma-hydroxybutyric acid) Available from: https://www.ncbi.nlm.nih.gov/books/NBK424847/table/appd.t3/
  • Ramos JC, Dolengevich H, Romerosa MAM, Pascual EM. Chemsex drugs: More than ghb, mephedrone and methamphetamine? Eur Psychiatry. 2021 Aug 13;64(Suppl 1):S573. doi: 10.1192/j.eurpsy.2021.1528. PMCID: PMC9479883.
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