**11. Substance abuse**

Social distancing, quarantine, limited travels are the measures used to prevent COVID 19 transmission however these measures resulted in negative emotions, boredome, worthlessness in many and specially those trying to abstain from the substance abuse. Outbreak resulted in relapse in many long-term abstainers due to missing of counselling and treatment sessions. Many suffered intolerable and life-threatening withdrawal symptoms. Due to lack of medical services to address the issues or inability to reach the facilities many found it difficult to cope with the situation resulting in increased relapse, irritability, domestic violence and suicidal attempts [16].
