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Addiction to drugs and alcohol in India is a growing concern fueled by multiple causes. Urbanization and lifestyle stress often lead individuals to substance abuse as a coping mechanism. Peer pressure among youth and unemployment further exacerbate the problem. In rural areas, traditional use of intoxicants sometimes transitions into chronic addiction. The lack of mental health awareness and stigmatization often delays treatment. Exploring these causes helps in tailoring targeted prevention and treatment programs. Effective awareness campaigns, community support, and mental health interventions are vital to combat this crisis. Understanding the root causes is the first step toward creating a substance-free and healthier India.