
The increasing prevalence of drug and substance abuse in Ladakh has emerged as one of the most pressing social concerns of our time. Even two decades back, the idea of widespread drug use among Ladakhi youth was almost unimaginable. Ladakh has long been recognised for its close-knit communities, strong family values, rich cultural traditions, and a way of life deeply rooted in mutual respect and social responsibility. Today, however, the region stands at a critical juncture.
Rapid modernisation, expanding tourism, globalisation, easy access to the internet and the growing influence of social media has transformed Ladakh’s social landscape. While these developments have created opportunities for education and economic growth, they have also exposed young people to new lifestyles, trends, and influences that challenge the region’s traditional social fabric. The resulting identity struggles, changing aspirations, peer pressure, unemployment, and increasing availability of intoxicants have contributed to a worrying rise in drug and substance abuse among sections of the youth.
Adding to these concerns, the recent case where the body of a young woman was recovered near Khardung-la in Leh has further intensified public anxiety. As investigations continue, the possibility of a drug-related crime has prompted serious public discussion about the current state of affairs in Ladakh. At the same time, the newly-announced Excise Policy, which proposes improved access to different kinds of liquor and the opening of new outlets in Ladakh, has also generated widespread public debate. The administration has presented the policy as an effort to address drug abuse and a source of revenue. However, many people have expressed concern that greater accessibility to alcohol could further aggravate existing challenges related to addiction, especially among the youth. It is in this context that we decided to speak with different people with relevant experience to help us understand the drug issue and the Excise Policy.
Mental health professionals in Ladakh emphasise that substance abuse is a multifaceted issue that cannot be attributed to a single cause. They explain that it emerges from the complex interaction of psychological, social, and biological factors. Psychological contributors include poor stress management, ineffective coping mechanisms, depression, anxiety, trauma, loneliness, unresolved emotional distress, low self-esteem, hopelessness, and difficulties in emotional regulation. Social factors such as peer pressure, the desire to fit in, adolescent curiosity, thrill-seeking behaviour, family conflict, neglect, abuse, lack of parental supervision, academic and employment-related stress, uncertainty about the future, and easy access of substances, including inhalants, further increase vulnerability. Mental health professionals also note that genetic predisposition and a family history of addiction or mental illness can elevate the risk of substance dependence. They also expressed concern over the increasing number of broken families and divorces as children from emotionally unstable family environments are more susceptible to substance abuse. They therefore stress the importance of recognising and treating underlying mental health conditions at an early stage.
When asked about the impact of substance abuse, mental health professionals identified consequences for mental, physical and social wellbeing. In the short term, they may cause mood swings, anxiety, irritability, impaired judgement, poor concentration, memory difficulties, sleep disturbances, behavioural changes, panic attacks, aggression, psychotic symptoms, seizures, and increased risk of accidents, self-harm, and suicide. Prolonged substance use can result in dependence and addiction, depression, anxiety disorders, persistent cognitive impairment, psychotic disorders in susceptible individuals, declining academic and occupational performance, strained family relationships, financial and legal problems, infertility, higher risk of Hepatitis B and suicide.
Families, they argue, play a crucial role in identifying early warning signs. Sudden behavioural changes, changes in peer groups or daily routines, declining academic or work performance, social withdrawal, loss of interest in previously enjoyed activities, secrecy, dishonesty, unexplained financial expenses, disturbed sleep or appetite, poor personal hygiene, mood instability, aggression, emotional detachment, red eyes, slurred speech, tremors, repeated intoxication, and frequent absenteeism from school or work may all warrant professional attention. At the same time, mental health professionals caution that these symptoms are not exclusive to substance abuse and may also indicate underlying psychiatric conditions. Consequently, professional assessment is essential before drawing conclusions.
“There is currently insufficient epidemiological evidence to conclude that increasing regulated access to alcohol would reduce the consumption of drugs. From a clinical standpoint, alcohol itself is a highly addictive substance and it is also associated with significant physical and psychiatric complications.”
When asked about the recently announced Excise Policy, the mental health professionals spoke on the condition of anonymity. One of them explained, “There is currently insufficient epidemiological evidence to conclude that increasing regulated access to alcohol would reduce the consumption of drugs. From a clinical standpoint, alcohol itself is a highly addictive substance and it is also associated with significant physical and psychiatric complications. Long-term alcohol use can lead to alcohol dependence, alcohol-induced psychotic disorders, hallucinosis, anxiety, depression, and severe withdrawal symptoms.” They point out that individuals with established alcohol dependence who abruptly discontinue drinking may develop withdrawal seizures or Delirium Tremens (DT), a potentially life-threatening medical emergency. Cases of DT have also been observed in Ladakh among individuals who regularly consume alcohol outside and experienced severe withdrawal after arriving in areas where alcohol was not readily available. They added, “Thus, alcohol dependence should itself be recognised as a major public health concern rather than viewed as a substitute for other addictive substances.”
They further emphasised that addiction should be understood as a treatable health condition rather than a moral and criminal issue. “It requires a comprehensive strategy centred on prevention, early intervention, accessible treatment, rehabilitation, and sustained community support. We also need to strengthen life-skills education and drug-prevention programmes in schools and colleges, expanding access to psychological counselling and de-addiction services, identifying and supporting vulnerable youth, empowering families through awareness and parenting education, reducing the stigma associated with seeking mental health care, creating greater educational, employment, sporting, cultural, and recreational opportunities for young people.” There is also an urgent need to train teachers, healthcare workers, and community leaders to recognise early signs of substance abuse, improving rehabilitation services with long-term follow-up and relapse prevention, strengthening collaboration among health, education, law enforcement, religious institutions, and local communities, establishing AIIMS-supported Addiction Treatment Facilities (ATFs) in district hospitals, and increasing the trained workforce dedicated to mental health and de-addiction services. Finally, they argued that while law enforcement and regulation are important, lasting solutions to substance abuse depends on strengthening mental healthcare, community awareness, family support, and evidence-based rehabilitation programmes.
This was echoed by Physician, Dr Suhail Ahsan who explained that drug abuse includes the harmful or non-medical use of psychoactive substances as well as the misuse of prescription medications. He said, “While immediate effects include euphoria, impaired judgment, anxiety, hallucinations, mood swings, poor concentration, increased heart rate, nausea, dizziness, and respiratory depression, prolonged substance abuse can have devastating consequences. Long-term drug use may result in depression, psychosis, suicidal thoughts, liver and kidney damage, chronic lung disease, weakened immunity, and the transmission of infectious diseases such as Hepatitis B and C, and HIV. Addiction is a significant public health concern.” He stressed the importance of timely intervention by families and communities. He advised people to remain vigilant for sudden personality changes, declining academic or professional performance, loss of interest in daily activities, unexplained financial demands, poor personal hygiene, secretive behaviour, and signs of intoxication or withdrawal, including shaking, sweating, nausea, and agitation.
When asked if alcohol can serve as a safer alternative to drugs, Dr Ahsan said, “Scientific evidence does not support the claim that increasing alcohol availability reduces drug abuse. Instead, alcohol and illicit drugs are often consumed together. Alcohol itself can encourage risky behaviour and experimentation with other substances. Alcohol carries serious health risks, including addiction, liver disease, cardiovascular disorders, mental health problems, and impaired judgment.”

We also spoke to teachers are various colleges in Ladakh about the UT Administration’s claim that the Excise Policy is meant to address drug addiction. Assistant Professor at Government Degree College (GDC), Kargil, Nasir Khafi said that replacing one intoxicating substance with another cannot be regarded as a meaningful solution. He added, “Instead of this, we need a long-term vision to make Ladakh drug- and alcohol-free, which is in line with the objective of a Nasha Mukt Bharat. Ladakh should promote itself as a destination for nature-based healing and naturopathy, encouraging healthy lifestyles, wellness tourism, and preventive approaches rather than dependence on intoxicating substances.”
Assistant Professor at Eliezer Joldan Memorial College, Leh, Dr Tsetan Dolkar said that the issue is complex as it is driven by multiple factors. She said, “Easy accessibility of drugs is a major concern. In my opinion, psychological distress, anxiety, depression, unresolved childhood trauma, and unstable family environments often make young people more vulnerable to substance abuse. In addition, inadequate parental supervision, curiosity, and peer pressure too encourage experimentation with drugs.”
She added that the normalisation of alcohol consumption in some households, especially affluent families where home bars and liquor collections are increasingly becoming common, may unintentionally influence children’s attitudes towards substance use. She said, “While alcohol is distinct from illicit drugs, such early exposure can reduce the perceived risks associated with addictive substances. When this is combined with peer pressure and emotional vulnerability, it may lead to experimentation. We can attribute the rise in drug abuse to broader social factors, including unemployment, limited recreational and career opportunities, economic uncertainty, weak social support systems, and growing aspirations among youth.”
When asked about the Excise Policy, Dr Dolkar acknowledged that a regulated liquor policy may help curb the sale of illicit alcohol and improve regulatory oversight. However, she added, it should not be regarded as a solution to drug abuse. She said, “There is no clear evidence that increasing the availability of regulated alcohol reduces the demand for illicit drugs. Addiction is a complex issue rooted in psychological, social, and economic realities. Improving access to alcohol without adequate safeguards could create new public health and social challenges. We should also consider the commercial interests in this discussion.”
She further added that educational institutions and society have an important role to play in addressing these issues. Dr Dolkar emphasised that many young people today appear disengaged and uncertain about their future. She said, “Schools, colleges, and community organisations must provide greater opportunities for students to participate in sports, arts, music, entrepreneurship, volunteering, and other constructive activities that foster confidence, purpose, and a sense of belonging. We have seen this with NCC cadets at EJM College wherein students engaged in meaningful pursuits often demonstrate greater discipline and overall development than their peers.”
She said that we should periodically celebrate young achievers as positive role models and encourage them through greater recognition and institutional support. “Drug abuse should not be viewed merely as a law-and-order problem but as a public health and social challenge. It needs coordinated efforts from families, educational institutions, healthcare professionals, communities, and the government. Awareness among parents and youth coupled with open family communication and early recognition of emotional distress remains some of the most effective ways to prevent substance abuse,” she concluded
This was also mentioned by Assistant Professor at GDC, Drass, Archo Fatima Nissa, who said that drug abuse among Ladakh’s youth is acomplex issue. She added, “Unemployment and uncertainty about the future are major factors that increase vulnerability to substance abuse. This is worsened by easy access to drugs, the influence of social media, peer pressure, and changing lifestyles. Psychological distress, anxiety, depression, unstable family environments, and inadequate parental supervision further increase the risk of addiction. The normalisation of alcohol consumption in some households may inadvertently reduce young people’s perception of the risks associated with addictive substances. Drug abuse is a virus infecting society.”
When asked about the Excise Policy, she responded that the focus should be on prevention rather than substitution. She added, “There is no evidence confirming that improved access to alcohol will reduce drug abuse. On the contrary, alcohol is an addictive substance and cannot be regarded as a safer alternative to illicit drugs. Addressing one harmful substance by promoting another is not a solution and may create new public health and social challenges in the future. The administration should prioritise preventive measures, including youth engagement programmes, skill development initiatives, mental health and counselling services, de-addiction facilities, and stronger action against drug trafficking networks.”
She added that colleges interact with one of the most vulnerable age groups during which students navigate the transition from adolescence to adulthood and face academic pressures, career uncertainty, and peer influence.
She added that colleges interact with one of the most vulnerable age groups during which students navigate the transition from adolescence to adulthood and face academic pressures, career uncertainty, and peer influence. “In this regard, these institutions should move beyond classroom teaching by strengthening awareness programmes, counselling, mentorship, life-skills education, and opportunities for meaningful engagement through skill-based courses, career guidance, entrepreneurship, sports, arts, and community participation. Such initiatives help young people develop confidence, purpose, and resilience and reduce their vulnerability to substance abuse,” she concluded.
Finally, we spoke with Assistant Professor at GDC, Padum, Dr Jamphel Sheyan about addiction and the Excise Policy. He said that Chang (traditional alcoholic beverage) has long been a part of Ladakh’s social and cultural life. “It has historically been prepared for household use during festivals, religious ceremonies, and family gatherings. However, the situation has changed significantly with modernisation, tourism, improved connectivity, and the introduction of commercial varieties of liquor. I have reservations about the argument that increasing licensed liquor outlets will help reduce drug abuse. This is not supported by any evidence. Instead, alcohol and drugs often coexist, making substitution an unreliable public health strategy. Instead, we need a comprehensive approach including awareness, rehabilitation, counselling, quality education, employment opportunities, mental health support, and youth engagement,” he explained.
However, Dr Jamphel highlighted that many regions such as Zangskar have licensed bars but not retail outlets for liquor. “This forces consumers to purchase alcohol at significantly higher prices during family functions. Since alcohol is already legally available through bars and CSD outlets, it is possible that establishing a few regulated shops may improve transparency and affordability instead of substantially increasing accessibility. That said, the debate should move beyond the number of liquor shops and focus on responsible regulation. The challenge is to strike a balance between public health, cultural values, administrative regulation, and economic realities. Any long-term solution must involve coordinated efforts by all stakeholders to promote awareness, responsible consumption, rehabilitation, and preventive education.”
“The challenge is to strike a balance between public health, cultural values, administrative regulation, and economic realities.”
In addition, we discussed these issues with a lawyer to understand this from a legal perspective. Kargil-based Adv Syed Rohollah said that offences related to drugs are governed by the Narcotic Drugs and Psychotropic Substances Act, 1985 (NDPS Act), which is one of India’s strictest laws. He added, “The law itself is sufficiently stringent. However, the greater challenge lies in its implementation through professional investigation, timely prosecution, judicial efficiency, and stronger preventive measures.” When asked about the new excise policy, he rejected the proposition for legal and public health reasons. He added, “Alcohol and narcotic drugs are psychoactive substances, and replacing one form of addiction with another cannot be a sustainable solution. Public policy should be guided by evidence, constitutional principles, and the objective of protecting public health rather than the assumption that alcohol can substitute illicit drugs. Instead, we need stronger enforcement against drug trafficking, improved de-addiction and rehabilitation services, public awareness, and measures to address the underlying social and economic causes of substance abuse.”
Adv. Rohollah explained that while the government has the legal authority to frame and implement excise regulations, these decisions must remain fair, transparent, reasonable, and consistent with constitutional principles. He said, “Policies about alcohol should balance administrative and economic considerations with public health, social harmony, and concerns of local communities. Public apprehensions should be addressed through meaningful dialogue and evidence-based policymaking rather than being ignored.” In this regard he said that legal remedies are available by affected groups to approach the courts if they can demonstrate that a policy violates constitutional or legal rights. However, he added, “The courts generally do not interfere with government policies due to public disagreement. Judicial intervention is usually warranted only where a policy is shown to be arbitrary, discriminatory, mala fide (in bad faith), disproportionate, or inconsistent with constitutional or statutory provisions.”

Finally, we also spoke with youth from Leh and Kargil. They identified peer pressure, unemployment, stress, curiosity, lack of awareness, and easy access to intoxicating substances as major factors contributing to the problem. They observed that many young people resort to drugs to cope with personal difficulties, loneliness, family issues, and uncertainty. They also highlighted the influence of social media, changing lifestyles, and the lack of recreational opportunities as factors that increase the vulnerability of youth to substance abuse.
When asked about the Excise Policy, many of them expressed concern that increasing the number of liquor outlets could adversely affect the youth. They acknowledged that the policy may help regulate alcohol sales and generate revenue but expressed concern that greater accessibility could encourage higher alcohol consumption and increase the risk of addiction, particularly among vulnerable youth. They therefore stressed the importance of strict regulation, effective age verification, and sustained public awareness if the policy is implemented.
One of them said, “Regulated alcohol sales may curb black-market activities to an extent but expanding alcohol access will not address drug addiction. It could led to additional challenges, including alcohol dependence, health complications, family conflicts, and road accidents. Drug abuse requires a collective effort from society with regular awareness programmes, counselling and mental health support, sports and cultural activities, skill development initiatives, and greater employment opportunities for young people.
There is widespread consensus that addiction is not merely a law-and-order issue but a complex public health challenge. The solutions too need to be multi-pronged and combine prevention, early intervention, accessible mental healthcare, rehabilitation, family support, and community participation. With timely action and sustained collaboration among all stakeholders, Ladakh can build a more resilient society where young people are supported, addiction is treated with compassion and evidence-based care, and recovery remains an achievable reality.
Personal account: Struggle with addiction
We spoke to a youth who was addicted to drugs and has successfully overcome it. He said, “My addiction started with curiosity and the influence of my friends. I used to spend time with friends who would regularly use drugs. They often described the experience as a way to feel numb and temporarily escape their problems. After listening to their conversations, I became curious, and I eventually decided to experiment with drugs. What started as a single trial gradually developed into a habit and eventually into addiction.” He explained that he never purchased drugs himself or knew where they came from. Whenever his friends invited him, he would join them without questioning the source or availability of the substances. Looking back, he realised how easily casual social interactions can lead someone into substance dependence.
When he eventually decided to quit, he discovered that overcoming addiction involved more than resisting the substance itself. He said, “One of the greatest obstacles was the social environment surrounding me. Instead of encouraging my decision, some friends would mock my attempts to stop, tell me that I would never succeed and would inevitably return to drug use. Such discouragement weakened my confidence and, on several occasions, contributed to relapse.”
Reflecting on his recovery, he emphasised that people struggling with addiction need support rather than condemnation. He said that many individuals avoid seeking professional help because they fear being judged or stigmatised by society. He added that encouragement from family members, friends, and the community can play a decisive role in helping individuals overcome addiction.
When asked about drug-control policies, he said that strict restrictions alone may not be sufficient to address the problem and argued that prohibition can sometimes increase curiosity among young people. In his opinion, governments should study the approaches adopted by countries that have successfully reduced drug dependence and place greater emphasis on public awareness, preventive education, counselling, rehabilitation, and long-term support for those affected by addiction. He said that a regulated approach to less harmful substances, combined with education, counselling, and medical support, may be more effective than relying solely on prohibition.
Describing his recovery process, he explained that the process to quit was gradual. He reduced his drug consumption step by step until he was eventually able to stop completely. Whenever cravings became intense, he would consciously remind himself of his reasons to quit and deliberately avoided the people and environments that had previously encouraged his drug use. The turning point was when he started noticing the severe effects of addiction on his physical health. He was losing weight, becoming physically weak, and realised that continued drug use was seriously damaging his body. These health concerns strengthened his determination to overcome his addiction. He believes that addiction can affect anyone, regardless of background, but recovery is possible with determination, appropriate treatment, and sustained social support. He stressed that public policy should balance enforcement with rehabilitation, ensuring that individuals struggling with addiction receive hope, counselling, psychiatric care, and opportunities for reintegration into society. He concluded by emphasising that addiction is a treatable condition and that people should be encouraged—not judged—to seek help, as recovery is achievable with the right support system.
By Towha Yaseen and Thupstan Tsewang
Towha Yaseen and Thupstan Tsewang are a part of the editorial team at Stawa.