The subject is still a touchy one when it comes to Hollywood. There is a fine line between glamorizing alcohol and drugs while at the same time conveying the moral and legal ramifications associated with using them. There are a handful of movies that show the real side of substance abuse without the glitz and glamour, yet are stylized enough to be popular and profitable. I chose the following movies because of my love of movies and because of the various addictions I have struggled with over the years. Every time I see one of these movies it reminds me of where I have been and where I could have ended up had I not managed to defeat my personal demons. With that I have compiled the 10 Best Movies about Substance Abuse.
Edward Jessup (William Hurt in his film debut) is a university professor who, while studying schizophrenia begins to think that “our other states of consciousness are as real as our waking states.” Jessup begins experimenting with sensory-depravation using a flotation tank. The professor then enhances the effects of his experiments by injecting a “mushroom cocktail” he brought back from Mexico. In the flotation tank he undergoes a series of increasingly drastic psychological and physical transformations. The 1980 film is an adaption of a novel by the same name by playwright and screenwriter Paddy Chayefsky. It was the only novel that Chayefsky ever wrote, as well as his final film. Both the novel and the film are based on John C. Lilly’s sensory depravation research conducted in isolation tanks under the influence of psychoactives like ketamine and LSD. This is a favorite movie of mine because of it’s artsy, wildly hallucinogenic drug scenes.
Also titled Tell Your Children, this 1936 cult classic was intended to be shown to parents as a morality tale attempting to teach them about the dangers of cannabis use. However, soon after the film was shot, it was purchased by producer Dwain Esper, who re-cut the film for distribution on the exploitation film circuit. In 1971, Reefer Madness was discovered in the Library of Congress archives by National Organization for Marijuana Reform Laws founder Keith Stroup, who bought a print for $297, and made it the darling of pot smokers and college campuses. For this modern audience, the poor production values and overacting create an uproarious comedy. Stroup is also responsible for the notion that the film was originally created as a propaganda piece. Distributing Reefer Madness to college campuses of the 1970s helped bankroll the burgeoning film company New Line Cinema.
In 2004, 20th Century Fox, in collaboration with Legend Films, released a colorized version of the film on DVD. The original release date was April 20, 2004 (4/20/2004) , a reference to the marijuana slang term “420.” Also during the film, the number “4″ and then “20″ is flashed very quickly (as a joke on subliminal messages), which is an effect added by Legend Films. The color version features intentionally unrealistic color schemes that add to the film’s unintentionally campy humor. The smoke from the “marijuana” was made to appear green, blue, orange, and purple, each person’s colored smoke representing their mood and the different “levels of ‘addiction’”.
This is an often overlooked but powerful portrait of how a recreational drug user (James Woods) got hooked on coke and ruined his entire life. He got his wife hooked, lost a high powered job, his home, friends and even his unborn child. It was a tragic yet realistic story that was brought to life by the fantastic acting of Woods. It also featured a scene with actress Agnes Moorehead free basing. It was the first time I ever saw crack smoking on screen.
A group of disaffected Scottish youths turn to heroin to escape the banalities of modern-day existence. Then, they begin to suffer the consequences and discover that there are no easy solutions to the inherent loneliness and pain of life. Its release sparked some controversy in some countries, including the UK, Australia and the United States, as to whether it promoted drug use or not. U.S. Senator Bob Dole accused it of moral depravity and glorifying drug use during the 1996 US Presidential Campaign, although he later admitted that he had not actually seen the film. The Academy Award nominated script featured a classic scene in which one of the addicts in the midst of a heroin induced high is searching for the “perfect toilet” in which to take a crap. It is descriptive, highly visual and ultimately one of the most disgusting scenes captured on film.
Card shark, musician and ex-con Frankie (Frank Sinatra) battles to curb his heroin addiction while dealing with the needs of his wheelchair bound wife and his true love, Molly (Kim Novak). The film was controversial for its time; the Motion Picture Association of America refused to certify the film because it showed drug addiction. The film was released without the MPAA’s seal of approval. This sparked a change in production codes, allowing movies more freedom to more deeply explore taboo subjects such drug abuse, kidnapping, abortion and prostitution.
Frank Sinatra , who jumped at a chance to star in the film before reading the entire script – spent time at drug rehabilitation clinics observing addicts going cold turkey. The script was given to Marlon Brando around the same time as Sinatra, who still harbored some anger at Brando since he had beaten out Sinatra for the lead role in On The Waterfront. Directed by Otto Preminger, it was nominated for three Academy Awards including Sinatra for Best Actor.
Set in Detroit, 2 heroin addicts (Tupac Shakur and Tim Roth) decide to kick their habit after their best friend and band mate, Cookie, overdoses on her first hit. Throughout a disastrous day, the two addicts dodge police and local criminals while struggling with an apathetic government bureaucracy that bars their entrance into a rehabilitation clinic. Gridlock’d marked the directorial debut of actor Vondie Curtis-Hall. He wrote the screenplay in 1993 and based it on actual life experience as a junkie during the 1970′s. Much like the characters in the film, Hall and a friend sought treatment for their addiction only to be told that it would take weeks to get admitted into rehab.. The film paid tribute to star Tupac Shakur who had been murdered several months before the film’s release.
The story follows Bob Hughes (Matt Dillon) and his “family” of drug addicts as they travel across the US Pacific Northwest in the early 1970′s, supporting their habit by robbing pharmacies and hospitals. A highlight of the film is an appearance by recovering addict William Burroughs as Tom, a defrocked priest who lectures Bob on the dangers of temptation. After a tragedy strikes the “family” , Bob decides to try to go straight but finds that there is more to extricating himself from the drug user’s lifestyle than just giving up drugs. It was a breakout performance by Matt Dillion that helped solidify his career and the success of the movie.
Because his wife left him and took his son with her, screenwriter Ben Anderson (Nicolas Cage) has started drinking….a lot. When he gets fired, he decides to leave everything behind and move to Las Vegas and drink himself to death. In Las Vegas he meets Sera, (Elisabeth Shue)a prostitute with some problems as well who he moves in with. Mike Figgis masterminded the film, not only directing but writing the script and composing the score. In April 1994, shortly before preproduction of the film began, John O’Brien, author of the semi-autobiographical novel this film is based on, committed suicide. As a result, the production was stopped temporarily. Throughout production, Figgis had problems because permits were not issued for some street scenes. This caused him to film some scenes in one shot to avoid any police contact.
Cage researched his character by binge drinking in Dublin for two weeks and had a friend to videotape him under the influence so he could study his speech patterns. He later admitted that “it was one of the most enjoyable pieces of research I’ve ever had to do for a part.” Nicolas Cage received an Academy Award for Best Actor for his work in this film. Elisabeth Shue was nominated for the Academy Award for Best Actress and the film also received nominations for Best Screenplay and Best Director.
This classic film depicts the subtle, insidious nature of alcohol addiction. It follows the downward spiral of two average Americans who succumb to alcoholism and attempt to deal with their problem. Joe is a former social drinker who turns alcoholic due to pressures at work. He meets his future wife Kirsten at a party, and they both slowly become full-blown alcoholics and lose everything. Joe’s crazy and frenzied smash up of the contents of his in-laws greenhouse while looking for a bottle of booze he had hidden there highlights the characters descent into madness.
Director Blake Edwards became a non-drinker a year after completing the film and went into substance recovery. He said that he and Jack Lemmon were heavy drinkers while making the film. Both Lemmon and actress Lee Remick sought help from Alcoholics Anonymous long after they had completed the film. The film had a lasting effect in helping alcoholics deal with their problem. Today Days of Wine and Roses is required viewing in many alcoholic and drug rehabilitation clinics across America.
This is probably the grittiest, dirtiest, saddest yet most realistic portrayal of drug users ever put on film. This movie exposes four paralleled individuals and their menacing addiction to heroin, cocaine, and diet pills (speed). Taking place in Brooklyn amidst the decaying Coney Island, the drugs are very easily obtained and keep each main character in its cycle of dependence. Watching the addicts spiral out of control, we bear witness to the ugliest portions of the underworld addicts reside in. Ellen Burstyn was nominated for an Academy Award for her role as Sara Goldfarb, the mother of one of the addicts.
This article is licensed under the GFDL because it contains quotations from Wikipedia. Some synopses are courtesy of IMDB, the Internet Movie Database.
Contributor: MT






























Naked Lunch, now there’s a crazy film. I think if anybody does a ‘WTF is going on in this film’ list or a ‘directors who have substance issues ‘ list, Naked Lunch would be there.
Hey 20. downhighway61
I think Requiem for a Dream was by far one of the worst movies I have EVER seen. It was god awful and disgusting. “A55 to A55 Maide Marien” are you freakin kidding me, absolute trash” It belongs with the other movies that are made specifically for the “Shock” effect, and they take it too far. I was very disappointed that Jennifer Connolly chose to be in such a piece of Sh** movie. Like when she did the first hulk movie….why…just why.
What about the movie BLOW? He loses his house, wife, and child. Plus he goes to jail. I think it deserves number 2 spot
I agree Cedestra, in that case I recommend two of my favorite movies that include drug abuse:
- Jacob´s Ladder
- Adaptation
120. Cedestra -
39. Cyn -
the ass crack spamtroll has been removed. so some comments from legitimate LVers may seem bit off. anyway…. lame ass vampire hunter persona has been vanquished.
~
thankfully this kinda blatant ‘spamtrolling’ doesn’t come up too often, so i don’t think there’s a need to edit those kinda comments w/ a disclaimer about it being edited due to asshattery
nor do i think it necessary to give the username anymore play so a deletion w/ the occasional follow up comment ..in the case of excessive comments and/or commentor interaction should suffice.
I almost hate to say it, but you missed “A Clockwork Orange” – this is a truly disturbing movie that included significant quantities of drugs, drug therapy and whatnot. I actually had nightmares the first time I saw the movie…
How can you possibly leave Fear and Loathing out of a list on substance abuse movies?
Just an observation. People who love Fear and Loathing in Las Vegas (the movie) are drug addled nitwits.
The Lost Weekend is a classic movie about alcoholism.
The more I read this site, the more convinced I am that everyone who puts these lists together is 15. Requiem for a Dream is a *****ty, *****ty movie.
MT-Not to be critical but Reefer Madness is pure camp comedy although the folks who made it probably dont think so.Just my opinion.Isn`t that Obi-Wan-Knobi with that bottle of hooch in Trainspotting ? Nice list,i`ve seen some of these movies and probably need to see the rest.
Oh Cmon?!?!?!?! Fear and Loathing in Las Vegas?!?!?!?! Its bat country man!!!!
interesting read
Great list, would have included Fear and Loathing, Rush, Blow, Pulp Fiction, Spun, Friday, Drug Store Cowboy, and Jesus’ Son to it, but great list nonetheless.
How about “Whose afraid of Virginia Woolfe?” Great film dealing with alcoholism.
What about “Long Day’s Journey Into Night,” by Eugene O’Neill starring Ralph Richardson and Katherine Hepburn? It should at least get an Honorable Mention.
Naked lunch..you need to abuse the substance to be able to watch this piece
such a good number one choice. Requiem made me feel physically ill the first time i saw it
I know it was mentioned a few times before, but for a comedic character actor such as Michael Keaton to pull off a fantastic portrayal of a man going through substance withdrawal was the highlight of Clean and Sober. Most definitely anyone who has seen the film will agree it should have been listed.
Fear and Loathing definitely should be on this list. Addiction and abuse, though sometimes go hand in hand, are two different things, and this list is about substance abuse. There aren’t too many movies out there where a larger array of drugs are abused! Just take a look into their briefcase! and i love the scene when they try to do coke in a convertible. No disrespect to MT, this is a great list.
Candy should be on there, and what about When a man loves a women, and Basketball diaries.
Sounds like you need to make another list.
Reefer Madness is the most overrated piece of garbage. It’s not funny for it’s overacting, it’s pathetic. You exempted good movies for this pothead novelty film. For shame.
The Basketball Diaries, Half Nelson, Spun, and Fear and Loathing all needed to be on here…switch it up to the top 15 and throw A Scanner Darkly on there too….then its a complete list.
Candy &
Little Fish
for sure
In no way is Fear and Loathing a film that centers on drug use. Every movie on the list revolves around drugs as the plot and the centerpiece. Fear and Loathing does in fact, involve drugs, but they are simply there to compliment the plot, which is, in HST’s own words, the pursuit of the American Dream. A twisted version, perhaps, but nonetheless, F&L does not belong here.
While I agree RFAD should be #1, a close second, IMHO, would be “Who’s Afraid of Virginia Woolf?”
Richard Burton & Liz Taylor with Sandy Dennis & George Segal (outside of two very small cameos, the 4 are the only characters and all 4 actors were nominated for Academy Awards; picture won 7 total in 1966, adapted quite true from Edward Albee’s play of the same name).
Gritty re: booze but more involved with *****, lies, and “the establishment.”
Also like “Days of Wine and Roses” Woolf has a haunting & beautiful score with the title song sung by Bobby Darin (not in the movie, just a note).
Im sure lots of these movies have partners that cuddle up close to each.
Great list! Thanks & keep em coming!
~Chicago
everyone check out the movie “broken vessels”
i was going to say that you should have put the movie KIDS in this since it revolves around using drugs but that is not the main point of the movie so i guess you are correct, i believe that fear and loathing in las vegas should be here because the purpose of the movie is to deliver goods, the whole time they are doing drugs and are hooked, they do not have a sober moment in that movie while on the trip.
Some additional consideration needs given to:
Blow (mentioned many times here);
Fear and Loathing (likewise mentioned);
The Basketball Diaries (how more harrowing can it get than the Jim Carroll Story?);
Boogie Nights (while not centering on drug addiction, the movie delves into it with Dirk’s transformation into a coke head).
BTW…It was great to see Drugstore Cowboy get it’s props here. That movie was phenomenal.
“fear of loathing in las vegas” i would think that to be the number 1 movie in this regard.
Ah…I don’t know about the others, but I agree with the first. I knew soon as I saw this list that Requiem for a Dream would be first.
Trainspotting should at least be #2..
Great list.was happy to see leaving las Vegas so high on the list.as a former drunk,that movie has and always will hold a special place in my heart.on another note,I agree that fear and loathing does NOT have a proper place anywhere on this list.I do believe however that BLOW should have been included but,hey,you can only do so much,you know? GREAT JOB I say
Party Monster
what about Candy? Aussie film with Heath ledger & Abbie Cornish… its such a realistic story and so sad how so many ppls lifes become that… you should add that to your list!
plus its australian
candy is good
what about the nightstalker
or spun!!!!
is there already a list on the 10 best books about substance abuse? With that list suggestion I suggest “A Teenager’s Journey” by Richard Pelzer.
How the f*** could we have forgotten
“Pulp Fiction”
What about Spun???
Great list, Fear and Loathing shouldn’t be there as drugs is just the subplot, there is a narrative which uses drugs to simply elevate the plot, sort of an adrenaline shot…If you work on those principals then films such as One Flew Over should be included, even though drugs are just present in the subplot.
No I totally disagree paro…Fear and Loathing was about two guys on a drug frenzy In Las Vegas…the “sub plot” is all the craziness that comes from them doing drugs. Every scene is effected by there drug use. It should be on the List.
Yes…fear and loathing in las vegas most be in the top of them all.. End Pulp fiction…
Panic in Needle Park, has to be one of the most realistic drug movies ever made. While Fear and Loat…, Pulp Fiction, Requim…, Blow ect,great movies all, try to make drugs look COOL. Panic in Needle Park attempts no such farce. A young Alpacino at his best! has to be on this list.
did the writer of this list not see “blow”?
“Affliction”?
i absolutely love requiem for a dream. i have the movie on my computer. its so sad!!
Hey, where’s Human Traffic and Fear and Loathing in Las Vegas!?!?!?
Trainspotting- one of the characters is locked in his room by his parents I believe and he is going through very bad withdrawls effects. Also he has bad hallucinations of his girlfriends baby who died of neglect coming to haunt him. What a dramatic movie it is!
Where is Half-Baked? You know Dave Chappelle right?
Alice in Wonderland……think about it.
Are you sure that was Agnes Moorehead (Endora/Bewitched) in The Boost? Did you mean Amanda Blake (Kitty/Gunsmoke)?
NAKED LUNCH!
My only comment is to add Fear and Loathing, in which drugs ARE are a major player in the plot. Pulp Fiction only contained references to drug use, none of which monumentally changed the plot as I recall, except for a drug dealer being a major character. Overall, great list, need to check out that Jack Lemmon one
BLOW! come on!
hello? where is Less Than Zero? it’s the movie that started Robert Downey Jr’s real-life downward spiral into drug addiction. and one of the first films in America to really put a drug addicts deadly habits so transparently on film. it’s an amazing movie, and RDJr is such a dedicated actor that he made one of the biggest mistakes of his life just to make his performance in the film believable.
Gia is a pretty good one too.
I agree, Fear and Loathing needs some recognition. However, I should also mention Candy starring the late Heath Ledger. The scenes where he and his girlfriend undergo withdrawls are terrific.
At Ron (8) and yes I realize that comment was published a long time ago. I dont think you really understood Fear and Loathing in Las Vegas. It definitley needed to be on this list