Full Breakdown
The Struggles of Addiction Among Ukrainian Soldiers
4/19/2026, 8:41:45 AM
The Impact of War on Soldier Well-being
As the war in Ukraine continues, the psychological toll on soldiers has become increasingly evident, particularly regarding addiction issues. Oleksandr, a soldier who had been clean for seven years, relapsed into opioid addiction after being prescribed painkillers for a shoulder injury sustained in combat. He described his experience as fighting "two wars – one inside myself and one with Russia." This dual struggle highlights the challenges faced by many soldiers who turn to substances to cope with the stresses of warfare.
The Scale of Addiction in the Military
The extent of addiction among Ukrainian soldiers is difficult to quantify, as the military does not disclose specific data on mental health or substance abuse issues. Oleh Olishevskiy, who runs a rehabilitation clinic in Kyiv, noted that a 2024 study by the Ukrainian charity 100% Life found that over a third of 1,000 surveyed soldiers had used amphetamines at least once a month, while one in five reported using prescription drugs like pregabalin. Additionally, around 15% admitted to using synthetic cathinones and opioids. The clinic treats about 25 patients at a time, aiming to prepare them for a return to military service.
Changing Attitudes Towards Treatment
Despite the stigma surrounding addiction, there is a gradual shift in attitudes among military commanders regarding treatment. Medics report that more soldiers are being sent for rehabilitation, although the level of support still heavily depends on individual superiors. Petro, a counselor at the clinic, emphasized that understanding is improving, but challenges remain. He noted that addiction and war trauma are intertwined, with untreated PTSD often leading to substance abuse.
The Nature of Substance Use
Soldiers like Dmytro, who is undergoing rehabilitation for synthetic stimulant addiction, described the ease of obtaining drugs through postal services or hidden stashes. The psychological effects of addiction can be severe, leading to paranoia and disconnection from reality. Dmytro recounted experiences of feeling threatened even in safe environments, illustrating the profound impact of both addiction and combat experiences on mental health.
Rehabilitation Efforts and Challenges
The rehabilitation process at the Kyiv clinic includes structured daily routines with therapy and physical activities. Olishevskiy maintains contact with specialists in Western countries to incorporate the latest treatment methods, including promising trials using ketamine for PTSD. However, the acute manpower shortages in the Ukrainian military create pressure to return soldiers to duty before they are fully recovered, complicating the rehabilitation efforts.
Voices from the Frontlines
Anton, another soldier who developed a severe addiction before joining the army, expressed a desire to return to the frontlines after treatment. He acknowledged that his addiction was evident during his enlistment medical examination and emphasized the importance of rehabilitation in giving him a second chance. “This clinic gave me another chance at life. I want to give something back,” he stated, reflecting the determination of many soldiers to overcome their struggles.
Conclusion
The addiction crisis among Ukrainian soldiers underscores the need for comprehensive mental health support and rehabilitation services. As the war continues, addressing these issues will be crucial for the well-being of soldiers and the overall effectiveness of the military.
