Extreme circumstances of substance abuse may include what?

Extreme circumstances of substance abuse often manifest in severe and harmful behaviors, one of which is violence and abuse. When individuals are in the throes of substance abuse, they may exhibit dangerous behaviors that can lead to harm not only for themselves but also for others. This can include acts of aggression, emotional or physical abuse towards family members, friends, or even strangers, fueled by the influence of substances.

In contrast, physical exercise, social gatherings, and regular hobby activities generally do not embody extreme circumstances of substance use. These activities are typically associated with positive health behaviors and socialization and would not inherently lead to the same level of risk or danger as those involving violence and abuse. Thus, focusing on the circumstances that can escalate to extreme harmful outcomes, violence and abuse stand out as a critical aspect of substance abuse scenarios.