The Most Commonly Abused Substances in New Jersey and How We're Fighting Back

February 4, 2026
Addiction Recovery, Substance Abuse

The Substance Use Crisis in New Jersey

Substance abuse continues to be a growing concern across the United States, and New Jersey is no exception. Urban hubs like Newark and many surrounding communities harbor residents who are facing increased exposure to substance abuse from alcohol, opioids, and synthetic drugs. The availability of these substances and the complex social challenges tied to addiction mean that treatment providers must adapt with urgency and compassion.

At Greater Essex Counseling Services (GECS), we see firsthand the impact substance use has on individuals, families, and communities. Our mission is to provide effective, personalized treatment that helps people break free from addiction and rebuild their lives.

Alcohol: The Silent Epidemic

What was once a brushed-off illness has in recent times become a much more widely accepted and infamous epidemic.

Although legal, alcohol remains the most commonly abused substance in the state. Many individuals struggling with alcohol misuse do not realize the extent of their dependence until it begins interfering with their health, work, or relationships. Binge drinking and alcohol-related hospitalizations are especially prevalent in Essex and Hudson counties.

At GECS, our alcohol rehab in Newark and Union City offers both individual and group counseling, relapse prevention strategies, and medication assisted treatment (MAT) options when appropriate.

Opioids and Fentanyl: A Deadly Surge

Opioids have long been at the center of America’s addiction crisis. In New Jersey, the opioid epidemic has evolved with the introduction of synthetic opioids like fentanyl, a drug 50 to 100 times more potent than another deadly cousin in the opioid family, morphine. According to state data, fentanyl is now involved in the vast majority of overdose deaths.

Our programs provide addiction treatment that addresses opioid dependency through structured outpatient care, counseling, and medical coordination. For many clients, Vivitrol or Suboxone may be used under supervision as part of a MAT plan.

Cocaine: A Historical Problem

While the national spotlight often falls on opioids, cocaine use continues to be a serious issue, especially in urban centers like Newark. As a powerful stimulant, cocaine can quickly lead to physical and psychological dependence, often co-occurring with other substance use or mental health conditions.

Our clinicians offer drug rehab in Newark NJ tailored to each individual, integrating cognitive behavioral therapy, relapse prevention planning, and support groups.

Benzodiazepines and Prescription Drugs: Medicine Gone Bad

Medications like Xanax, Ativan, and Valium are prescribed for anxiety or sleep disorders but are sometimes habit-forming when misused. Many everyday individuals find themselves dependent on these drugs following an injury or other initial prescription, finding it difficult to wean off. These drugs are particularly dangerous when combined with alcohol or opioids, raising the risk of fatal overdose.

GECS provides substance abuse treatment with a dual diagnosis approach, helping clients manage both dependency and the underlying conditions that contribute to misuse.

Marijuana and Synthetic Drugs: Newly legal Problems

While recreational marijuana is legal in New Jersey, it remains a common substance of misuse for those with underlying mental health disorders. Some clients report increased anxiety or paranoia related to heavy cannabis use.

We also treat individuals exposed to synthetic substances often described as “Party drugs” like MDMA and PCP, which carry serious health risks especially when coupled with legal drugs like alcohol or marijuana.

A Whole Approach to Recovery

GECS believes in treating the whole person, not just the addiction. Our services include:

Outpatient and Intensive Outpatient Programs (OP/IOP)
Medication Assisted Treatment
Medication monitoring
Individual, group, and family counseling
Case management and community support

Our team works closely with clients to identify the best path forward, offering coordinated care between therapists, case managers, and medical providers.

Ready to Take the First Step?

Whether you or a loved one is struggling with alcohol, opioids, cocaine, or another substance, help is available. GECS offers expert, compassionate care in Newark and Union City designed to support lasting recovery.