Nursing and Midwifery Health Program Victoria

Struggling with alcohol and substance use?

If you are struggling with your use of alcohol or substances, we can help. Find out about our confidential one-on-one support.

We know that anywhere from 10 to 20% of the general population will have a problem with substance use (AIHW, 2024).

Coping with the demands of the job

Our work is often high-pressure with a risk of occupational violence, bullying and complex work dynamics. These emotional and physical demands are exacerbated by the impact of shift work on sleep, diet and exercise. To cope with all of this, some nurses and midwives are at risk of developing problematic relationships with alcohol and other substances. Others develop addictive behaviours such as gambling.

Dealing with our emotions and experiences

Our jobs can expose us to human suffering. We are often highly sensitive and empathetic, and many of us have a personal history of trauma. We are often faced with navigating complex emotions like grief and loss and the vicarious trauma that comes with it. 

We are trained to ease discomfort and suffering with medication, so it makes sense that we would use substances to ease our own discomfort. This coping strategy skill can rapidly escalate into dependence.

“No one can touch fire and not feel its heat; in the same way, no one can witness pain and loss and remain untouched” - anonymous.

Barriers to seeking help

Self-judgment, shame, stigma, fear of notification to Ahpra or the impact on professional reputation and livelihood can prevent us from seeking support.

Problematic substance use or addiction has for a long time been regarded as a moral failing rather than a health issue, something to be ashamed of or hidden. Shame and stigma become a major barrier to seeking help, reinforcing the isolation felt by substance users.

Stigma of seeking support and treatment

Addiction to illicit drugs is the most and alcohol dependence the fourth most stigmatised health condition, according to the World Health Organization. 

Some people see nurses and midwives as role models of health and wellbeing. We are expected to be resilient and lead by example, while being exposed to human suffering regularly. These high standards can make it difficult to acknowledge that you have a problem. 

Seeking help takes courage. It also requires trust that the system will support and not judge, and that you will be met with understanding and empathy.

Help – one-on-one - for you

We offer one-on-one free confidential support from nurses and midwives who understand the unique challenges of the role. 

We’re here to support you

You are not alone—we’re here with you every step of the way. We offer a safe, confidential space where you can talk through what you’re feeling with someone who understands. If you’d like support, and to speak with an experienced nurse or midwife.

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