What are the most common drug addictions in Europe?

Feb 8, 2022

Last updated: October, 2025

Drug addiction is one of Europe’s most persistent public health challenges. Across the continent, millions of people use substances that affect mood, perception, and behaviour. Sometimes recreationally, sometimes as a way to cope with stress, pain, or trauma.

Understanding which drugs are most commonly used and why they become addictive is the first step toward prevention and recovery. At Hacienda Paradiso, we help individuals overcome substance dependence through medically supervised detox and personalised therapy in a restorative natural setting.

The most common drugs addictions in Europe today

Drugs are substances that alter brain function, influencing thoughts, emotions, and physical sensations. They may act as stimulants, increasing alertness and energy, or as depressants, slowing down body processes. Some alter perception and consciousness entirely.

The level of harm caused by any drug depends on several factors: the substance itself, how often it’s used, the environment where it’s consumed, and the psychological makeup of the person using it.

In Europe, the most commonly used and addictive substances include cannabis, MDMA (ecstasy), cocaine, heroin, nicotine, and alcohol. Although usage patterns vary between countries, the underlying issue (dependency) remains widespread.

1. Cannabis

Cannabis is the most commonly used illicit drug in Europe. It’s particularly prevalent among young adults in countries like France, the United Kingdom, the Czech Republic, Ireland, and Switzerland.

While cannabis is often seen as a “soft” drug, long-term use can lead to psychological dependence, impaired concentration, and motivation problems. High-THC strains can also trigger anxiety, paranoia, or worsen existing mental health issues.

Because of its widespread availability and growing social acceptance, cannabis addiction often goes unnoticed until it begins to impact work, studies, or relationships.

2. MDMA (Ecstasy)

Ecstasy, or MDMA, ranks second in popularity across Europe, especially in nightlife settings. Most of the world’s MDMA seized by law enforcement originates from Western Europe, particularly the Netherlands and Belgium, where production is highest.

MDMA acts as both a stimulant and a hallucinogen, releasing large amounts of serotonin, dopamine, and norepinephrine in the brain. This produces intense euphoria and emotional warmth but also leads to serotonin depletion — causing fatigue, anxiety, and depression after use.

With regular consumption, tolerance builds quickly, and users may seek higher doses or mix substances, increasing the risk of dependence and long-term cognitive damage.

3. Cocaine

Cocaine use has grown steadily across Europe, especially in Spain, the UK, Ireland, Denmark, and Italy. It’s often associated with professional or social environments, which can mask the early signs of addiction.

Cocaine boosts dopamine levels dramatically, creating feelings of confidence, energy, and control. However, when the effects wear off, users often feel anxious or depressed, leading to compulsive re-use.

According to addiction experts, about one in five people who try cocaine will develop dependence at some point in their lives. Crack cocaine, the smokable version, is even more addictive due to its faster and more intense effect on the brain’s reward system.

4. Heroin

Heroin remains one of the most dangerous and addictive drugs in the world. Though overall use has declined in Western Europe, it continues to cause significant harm, especially in Eastern Europe, the UK, and Italy.

As an opioid, heroin floods the brain with dopamine, creating powerful euphoria and deep relaxation. Dependence forms rapidly, and withdrawal symptoms (including pain, nausea, and severe anxiety) make quitting extremely difficult without professional treatment.

Heroin addiction often leads to serious health complications such as collapsed veins, infections, and a high risk of overdose.

5. Nicotine

Nicotine, the primary addictive substance in tobacco, remains one of Europe’s most widespread addictions. Despite public health campaigns and smoking bans, millions of Europeans continue to smoke daily.

Nicotine reaches the brain within seconds, triggering a dopamine release that temporarily reduces stress and increases focus. However, it also creates one of the strongest psychological dependencies of any substance.

Long-term use is linked to heart disease, lung cancer, and chronic respiratory problems, making it one of the deadliest addictions globally, even though it’s legal and socially accepted.

6. Alcohol

Although legal, alcohol is one of Europe’s most abused substances and causes immense harm to both individuals and society. It’s deeply embedded in European culture, making dependency harder to identify.

Alcohol increases dopamine levels in the brain’s reward system and acts as both a stimulant and a depressant. While moderate drinking may seem harmless, habitual heavy consumption leads to tolerance, physical dependence, and severe withdrawal symptoms when stopped.

Alcohol addiction contributes to millions of premature deaths each year, as well as domestic violence, mental illness, and workplace accidents.

At Hacienda Paradiso, alcohol detox and rehabilitation focus on breaking this cycle through medical stabilization, emotional support, and lifestyle re-education.

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How to Overcome Addiction

Whatever the substance, recovery always begins with one decision: seeking help. Addiction affects the brain’s chemistry, but with the right treatment, healing is possible.

At Hacienda Paradiso, we offer personalized rehab programs for alcohol, drug, and medication addiction. Treatment begins with safe, medically supervised detox, followed by therapy to address the emotional and psychological roots of dependence.

Our holistic approach integrates traditional psychotherapy with mindfulness, fitness, and nutrition — helping individuals rebuild their health and confidence.

Choosing rehab abroad can make recovery more effective by removing triggers and distractions. Being away from environments associated with drug use — friends who consume, familiar places, or stress-inducing routines — allows the mind to reset and focus on healing.

A New Start at Hacienda Paradiso

Nestled in the natural beauty of southern Spain, Hacienda Paradiso combines expert medical care with the serenity of nature. As the world’s first eco-rehab, it provides evidence-based treatment in a sustainable, restorative setting.

Here, recovery is not only about detoxification but about rediscovering purpose and peace of mind. With compassionate guidance, professional supervision, and long-term aftercare, change becomes both realistic and lasting.

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FAQ — Common Addictions in Europe

What is the most commonly used drug in Europe?

Cannabis remains the most widely used illicit substance across Europe, especially among young adults.

Which drugs cause the most addiction?

Heroin, cocaine, nicotine, and alcohol are among the most addictive substances, both physically and psychologically.

Is alcohol considered a drug?

Yes. Alcohol is a psychoactive substance that alters brain function and can cause dependence, even though it’s legal.

Are drug addiction rates increasing in Europe?

While opioid use has declined, cocaine and MDMA consumption have risen in recent years, particularly among younger populations.

How can addiction be treated effectively?

The most effective treatment combines medical detox, therapy, and holistic care to address both physical dependence and emotional recovery.

Our addiction treatments

Detox @ Purify™

Detox, the first stage of becoming free from drug and alcohol dependency, is both physically and psychologically uncomfortable. Purify™ by Hacienda Paradiso was created to ease this discomfort. Restoring the body and mind in safe and comfortable surroundings, under medical supervision. The detox process will be complete within seven to ten days, with many clients beginning a successful programme of recovery after the detox process is complete.

Alcohol Addiction

Hacienda Paradiso is an award-winning alcohol treatment facility where the process of treating addiction is grounded in care, compassion and recovery. The process of treating alcohol addiction usually goes through four stages: admission, detox, rehab, and lasting recovery. We adopt an approach that is discreet, non-judgmental and individual. Our priority is to look beyond the symptoms of alcoholism and treat the causes of the condition, delivering successful lasting recovery and remission.

Bipolar Disorders & Depression

Childhood trauma, stress, grief, structural brain changes, hormonal imbalances and other neurological indicators have a proven link to Bipolar Disorder & Depression. Treatment at Hacienda Paradiso is highly effective and helps sufferers gain valuable insight and increased control over mood swings and other symptoms. It is essential to seek treatment as early as possible.

At Hacienda Paradiso, you will meet our Consultant Psychiatrist on admission. They will help you describe the symptoms you have experienced, and together with the exceptional therapeutic team, will create a treatment plan with you. If you have been using alcohol or substances, we will help you to safely detox in comfort, while we assess your care plan and recovery.

Our addiction treatments

Detox @ Purify™

Detox, the first stage of becoming free from drug and alcohol dependency, is both physically and psychologically uncomfortable. Purify™ by Hacienda Paradiso was created to ease this discomfort. Restoring the body and mind in safe and comfortable surroundings, under medical supervision. The detox process will be complete within seven to ten days, with many clients beginning a successful programme of recovery after the detox process is complete.

Depression

Hacienda Paradiso luxury residential depression clinic takes an individualized deep dive with clients on a therapeutic led journey of recovery. The World Class treatment teams deliver long term remission from all forms of depression, depressive episodes and previously treatment resistant cases of major depressive disorder. Award-winning therapists and psychiatrists at the Hacienda work with clients to identify and treat and heal underlying problems. If the causes of depression are not identified, treated and healed, sufferers of can continue to experience symptoms throughout their lives.

Drug addiction

Drug addiction is a very complex, multi-faceted disorder. Major indications of drug addiction include cravings, withdrawal and unsuccessful previous attempts to stop or reduce use. The drug addiction experts at Hacienda Paradiso treat all forms of addiction including cocaine, cannabis and prescription medication. Hacienda Paradiso takes a pragmatic and highly individualized approach to drug addiction by treating the underlying factors and any co-existing mental health issues. The team at Hacienda Paradiso has been recognized internationally for their success and dedication to long term successful recovery.

Dual Diagnosis Treatment
Dual diagnosis is a term when a mental illness and substance misuse disorder coexist simultaneously. Often depression and anxiety may lead to alcohol and drug addiction and vice versa. The complexities of Dual Diagnosis is to establish the specific order of coexisting conditions to effectively treat the underlying causes to create successful, lasting and long term recovery from addiction and remission from coexisting mental health conditions.
Anxiety Disorders

Anxiety is an emotion that is okay to feel. Experiencing it occasionally is common and normal. However, anxiety disorders are much different to feeling the occasional bout of anxiety. Anxiety disorders can be paralyzing to those who experience them. They can leave a person feeling unable to cope with life.

Residential treatment at Hacienda Paradiso Clinic allows you to live, learn, and understand your anxiety disorder. Often clients experience significant and rapid reduction in anxiety and in many cases complete remission from a debilitating condition.

Gambling Addiction

The World Class team at Hacienda Paradiso are experts at treating pathological gambling addiction. Our unique and highly individualized programme of recovery equips you with the tools to break the cycle of addiction. We will create a unique treatment plan to heal the symptoms and address your own specific root-causes.

Gambling addiction often coexists with other addictions or mental health issues so it’s imperative to assess any dual diagnosis concerns that may have previously been undiagnosed.

Gaming Addiction
Video game addiction is a very real mental health condition impacting many millions of people around the world, across all ages. The most addicting games include Fortnite, League of Legends, PUBG, Minecraft and other household names. This is because video games are designed to be addictive.

Gaming addicts may experience significant impairment in personal, family, social, educational, occupational or other important areas of functioning. Gaming disorder is a process addiction and help is available from the team at Hacienda Paradiso. The friendly, non-judgmental therapeutic help develop a healthy relationship with technology and devise ways to ensure long term recovery and remission from video game addiction.

Sex Addiction
Dr Ruth Arenas leads our award-winning residential sex and love addiction clinic. Hacienda Paradiso is the only treatment center in Europe to separate love and sex addiction. While we recognize the similarities, we identify and treat each as standalone unique issues that may be triggering compounded emotional distress.

Dr Ruth is one of the Worlds foremost authorities in compulsive sexual disorder and hypersexuality. Residential treatment at Hacienda Paradiso boosts self-esteem and rebuilds mechanisms to increase resilience. Our World Class professionals help clients achieve freedom from destructive, compulsive and obsessive behaviors.

Prescription Medication Addiction
If you or a loved one has developed a prescription drug addiction, help is available. At Hacienda Paradiso our prescription drug addiction treatment is focused on complete and lasting long-term recovery. Our approach is non-judgmental and highly therapeutic. Our medical experts and clinicians will design a treatment plan specific for your situation, and the nature of your prescription drug addiction.

The exact treatment depends on the specific prescription medications, while at same time identifying and addressing the issues and reasons underlying the addiction.

DNA Testing for Addiction
The clinical team at Hacienda Paradiso are able to use cutting edge DNA testing to identify which drugs would be safer and more effective for use in a client’s recovery. As one of the only treatment clinics in Europe to offer DNA testing the team are able to quickly find which medically assisted treatment works best in each unique and individual case. This groundbreaking approach reduces the potential for uncomfortable side effects and greatly speeds a client’s recovery.
Transcranial direct current stimulation (TDCS)
Transcranial direct current stimulation is a non-invasive procedure that uses magnetic fields to stimulate nerve cells in the brain. TDCS is successfully used in the treatment of depression, PTSD, anxiety and other persistent psychological issues. Transcranial direct current stimulation at Hacienda Paradiso is particularly successful when a client presents with treatment resistant depression.