Majority of abused drugs generate intense sensation of satisfaction and gratification. The initial feeling of euphoria is followed by other effects, which differ with the type of drug used. For example, with stimulants such as cocaine, the “high” is followed by feelings of power, self-confidence, and increased energy. In contrast, the euphoria caused by opiates such as heroin is followed by feelings of relaxation and satisfaction. Some people who suffer from social anxiety, stress-related disorders, and depression begin abusing drugs in an attempt to lessen feelings of distress. Stress can play the major role in beginning drug use, continuing drug abuse, or relapse in patients recovering from addiction. Many parents that use drugs for gratification abuse will treat their families differently on various occasions depending on their level of sobriety. Often the mood swings and changes in parenting that these parents exhibit will confuse the child or make them insecure. Inconsistent care by a parent can lead to a child that either has to grow up quickly and assume adult responsibilities, or one that rebels and gives up trying to do well in school or life. Children in these homes need to constantly be prepared for a parent that is high or drunk, one that is irrational and unable to provide the care that a child needs. Families that suffer from substance abuse are more at risk for domestic violence, mental illness, divorce, and sexual and physical abuse than other families. These issues are very detrimental and can lead to children with depression, anxiety, and suicidal thoughts. Children in these situations may be withdrawn and have trouble bonding with others. Often they feel that the problems of the family are their fault or that it is their job to conceal the problem, and this can lead to low self-esteem, lack of desire to perform well in school, or fear of failure. It would be difficult for these children to make friends because of the fear that someone in the outside world will find out about their secret, or will witness the chaos firsthand.