Country music has more drug references in songs than any other genre—even heavy metal. Possible reasons for why drug misuse and alcoholism are so common among musicians have been examined for decades, and experts think there are several related causes.

• Stress and emotional turmoil.
  Music is the most stressful artistic career. Success hinges upon the whims of an audience. Bands often consist of three or more artists, each with their own emotional challenges. Finding work in a music-heavy town like Nashville adds more pressure. The strain of coping with these emotional tides can lead to substance abuse.
  
  
• Uncertain schedules.
  Whether established or just getting started, musicians lead chaotic, fast-paced lives. They must be able to perform at peak energy during the evening hours when most people are relaxing—but still find time to work, rehearse and carry out other activities during normal daylight hours. Once a band begins touring, this issue is exacerbated.
  
  
• Misconceptions about creativity.
  The persistent myth that drugs open a “window in the mind” has been around for centuries. Some types of drugs, especially alcohol and psychedelics, can temporarily create a state that seems free of emotional restrictions. However, that does not last and is not worth the lifelong damage caused by substance abuse.
  
  
• Symptoms of mental illness.
  Those with undiagnosed mental illness may attempt to use illegal drugs to treat their illnesses. The best way to handle mental illness is through proper diagnosis and treatment.

Musicians in recovery have reported most of these issues along with a few others, which include immaturity, large amounts of cash and a party environment on tour. However, the number of sober musicians shows that it is possible to be a musician and avoid substance use disorder.