High vs. Drunk: Health Risks, Behaviors, and Consequences

Cannabis and alcohol are two of the most commonly used substances among teens and young adults. Many young people are seeing these things more often in music, media, and social culture. This makes them curious or feel pressured to try them.

Being high and being drunk may seem like fun, but each has its risks. These risks can seriously affect your health, behavior, and future. Understanding the differences and consequences is a critical step toward making informed, safe decisions.

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High vs Drunk


Alcohol and cannabis are both commonly used substances, creating quite different experiences. Understanding how being high or drunk affects your brain and body is important. It helps you make better choices about using substances, especially for young adults.

If you are curious, worried, or want to know more, understanding how these states are different can help you. It can help you see the signs, stay safe, and make choices that protect your health and well-being.

Being High

Getting “high” typically refers to the effects of cannabis, a plant that contains the psychoactive compound THC (tetrahydrocannabinol). THC interacts with receptors in the brain, altering mood, perception, and physical coordination.

Common methods of use may include:

  • Smoking (joints, bongs, pipes)
  • Vaping THC oils or concentrates )
  • Edibles (brownies, gummies, drinks)
  • Dabbing (highly potent THC extracts)

The feeling of being high from the use of cannabis can be different depending on the person, the dose, and the setting.

  • Mental Effects. A sense of euphoria, uncontrollable laughter, distorted perception of time, heightened senses, or paranoia.
  • Physical Effects: You may have red or bloodshot eyes. You might also have a dry mouth, often called cottonmouth. Your coordination may slow down, making simple tasks harder. You may experience increased hunger which people often call “the munchies.”

Some users feel more creative, calm, or happy. However, others may feel anxious, have panic

attacks, or feel out of control. Overall, being high is a mixed bag. While some enjoy the ride, others may find it unsettling.

The effects of being high can last for 5 to 30 minutes. This depends on the method used. For edibles, the effects can last from 2 to 6 hours.

Being Drunk

 Being “drunk” refers to the effects of alcohol (ethanol) on the brain and body in noticeable ways. Alcohol is a depressant, meaning it slows down your central nervous system.

Common Types of Alcohol Include:

  • Beer
  • Wine
  • Spirits (vodka, whiskey, tequila, etc.)

Drinking Patterns vary between:

  • Social drinking: 1–2 drinks in a relaxed setting
  • Binge drinking: 4+ drinks for women or 5+ for men in under 2 hours
  • Heavy drinking: Frequent binge drinking or daily use

A rise in blood alcohol levels, when drunk, can have long-term effects, including:

  • Impaired decision-making
  • Loss of coordination and balance
  • Slurred speech
  • Lowered inhibition
  • Aggression or emotional outburst
  • Nausea and vomiting
  • Blackouts (forgetting previous events)

Some people drink to feel more social or confident. However, being drunk can also lead to accidents, risky behavior, and emotional outbursts. Effects begin within 10–30 minutes and vary depending on body size, food intake, and drinking pace.

Health Risks: High vs. Drunk

When comparing the health risks of being high and being drunk, it is important to know how each substance affects the body. Alcohol and cannabis may seem harmless in social situations. However, they have different risks that can affect your physical and mental health.

  • High Driving vs Drunk Driving. The ability to drive when high is impaired, and causes poor focus. Driving while drunk has a high crash risk because of poor judgment and slow reflexes.
  • Overdose Risk. Rare but possible to experience panic attacks or psychosis because of an overdose of drugs. An overdose of alcohol can cause alcohol poisoning, unconsciousness, and even death.
  • Accidents. Increased risk of accidents occurs when high levels of alcohol are present because of impaired coordination. You are always prone to falls, fights, and injuries when drunk.
  • Sexual Health. Poor judgment, when high, may lead to unsafe sex. High risk of risky sex or sex with no consent is highly possible when you are drunk.
  • Health Risks. While both high vs drunk come with risks, the type and severity of those risks vary. Alcohol can quickly cause physical harm or dangerous situations. In contrast, cannabis usually leads to longer-term mental and behavioral health issues.

Being high or drunk can affect brain development in young people. It can also raise the risk of long-term addiction. However, the health consequences of being high vs being drunk vary from person to person.

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Behavioral Consequences: High vs Drunk

While both being high and being drunk can alter your behavior, they often lead to different outcomes.

Being high on cannabis tends to produce more inward or subdued behavior. While cannabis usually doesn’t provoke aggressive behavior. Some people may feel socially withdrawn, anxious, or paranoid while high, leading them to avoid interaction altogether. Others might act abnormally simply because they are less aware of their surroundings.

When someone is drunk, their behavior is typically louder, bolder, and more impulsive. Alcohol lowers inhibitions and impairs judgment. Slurred speech, poor coordination, and emotional outbursts (like sudden anger or sadness) are also common. This lack of control can result in damaged relationships, legal trouble, or physical harm.

Ultimately, both being high and being drunk affect how you act, respond, and relate to others. Knowing how drug or alcohol behavior can help you stay in control and avoid situations that put your health, safety, or future at risk. Substance use doesn’t just affect your body; it changes how you act and how others perceive you.

 Behavioral Risks While High or Drunk:

  •  Engaging in unsafe or illegal behaviors
  • Saying or doing things you later regret
  • Trouble in school, sports, or work
  • Social withdrawal or losing important relationships
  • Frequent use leading to habits that are hard to break

Many people don’t see how fast substance use can lead to problems. It can affect goals, health, and happiness.

The Dangers of Driving High vs Driving Drunk

Driving high vs driving drunk, is dangerous and illegal. Cannabis and alcohol affect the brain in different ways. But both impair judgement toward driving safely and, therefore, put lives at risk.

Driving High

 Cannabis can impair your ability to drive in different ways. THC—the active ingredient in marijuana—slows reaction time, affects coordination, and alters perception of time and distance. High drivers may struggle to focus, have trouble staying in their lane, and be slower to respond to sudden hazards. The effects can last for several hours, especially with edibles.

Driving Drunk

Alcohol affects motor skills, reaction time, vision, and decision-making. Drunk drivers are more likely to speed, drift between lanes, or miss stop signs and signals. Even small amounts of alcohol can slow your reflexes and cloud your judgment.

Blood alcohol concentration (BAC) levels of 0.08% or higher are illegal in most states. But impairment often begins well before reaching that limit.

The Myth

Many believe driving high is safer than driving drunk. While the type of impairment may differ in high vs drunk, both reduce your ability to drive safely.

Legal Consequences

Driving while high or drunk can result in DUI charges, license suspension, fines, and even jail time. You don’t have to be over the legal limit if law enforcement observes signs of impairment.

Driving under the influence, whether high vs drunk, is not just illegal; it is deadly. If you are planning to drink or use cannabis, always arrange for a sober ride. You might save your life or someone else’s.

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Recognizing the Problem

Not everyone who becomes high vs. drunk, to cope with emotions or pressure, will develop a problem. But it is crucial to recognize when the influence of marijuana and alcohol starts to interfere with daily life.

The signs of trouble may look different depending on whether someone is getting high vs drunk. But the underlying issue is the same. Using substances in a way that harms your health, relationships, or goals.

People who drink heavily may start to black out, get into fights, make risky decisions, or struggle with school, work, or friendships. Drinking as a way to cope with stress or to escape emotions can quickly lead to dependency or addiction.

With cannabis, the signs might be subtler, like loss of motivation, increased anxiety, memory issues, or becoming more withdrawn. Some people use weed to relax or avoid uncomfortable feelings. But over time, it can interfere with focus, drive, and emotional stability.

If you find yourself needing to be high vs drunk just to feel “normal” or to get through the day, it may be time to pause and reflect.

 Signs of a Substance Problem:

  • Needing to use to have fun or relax
  • Using more often or in larger amounts over time
  • Missing classes or skipping responsibilities to get high or drunk
  • Feeling guilty, hiding your use, or lying to friends/family
  • Getting into frequent trouble or arguments when under the influence

Seeking help does not mean you have failed. It means you are paying attention to your well-being. You can get support by talking to a trusted adult, therapist, or health professional. Help is available—and taking that first step could change everything.

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Take Control- Seek Help

Understanding how high vs drunk affects your body and brain gives you the power to protect yourself and your future. You don’t have to go along with the crowd.

Struggling with alcohol or marijuana can lead to risky behavior, poor judgement, and long-term health consequences. Being drunor high may feel different, but both can trap you in cycles of dependence and isolation.

If you or someone you love is battling addiction, now is the time to take control. The Hope House offers compassionate, expert-led care to help you break free and build a life of clarity and purpose.

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