diff --git a/public/en/managed-dysphoria.md b/public/en/managed-dysphoria.md
index d94794b..e397534 100644
--- a/public/en/managed-dysphoria.md
+++ b/public/en/managed-dysphoria.md
@@ -83,3 +83,5 @@ Finally, another very common coping mechanism is to find means of escape or ment
 - Obsessively cleaning one's living space.
 
 - Sleeping. Lots and lots of sleeping.
+
+- Drug and alcohol use.