MMA’s Catch-22 Drug Trap: Why So Many Fighters Fall Into Addiction


(MMA competition can provide the stability necessary for a person to beat addiction. It can also create the physical and emotional chaos that leads to drugs in the first place.)

By Santino DeFranco

For months I’ve wanted to get started on an article discussing drug use among MMA athletes, but just haven’t gotten my fingers to the keyboard. For some reason, after seeing Dennis Siver’s positive test for HCG recently — probably the least worrisome drug I’ve ever seen someone test positive for — I’ve decided to get going with it.

In addition to the positive tests for performance enhancing substances that we’ve seen dozens of times in this sport, there has been an alarming number of positive drug tests for recreational and prescription drugs as well. We’ve also seen countless fighters wage personal battles with substance abuse outside of the ring/cage, with several ending in death — accidental as well as suicide. It’s the recreational drugs and prescription painkillers that have caught my attention as something that may need to be addressed.

After seeing so many fighters struggle with drug abuse over the years like Joe Riggs, Drew Fickett, Karo Parisyan, along with those that have passed away from drug-related circumstances like Shane Del Rosario and Shelby Walker, I started to wonder: Is MMA leading athletes to become addicted to drugs, or are people who are more prone to drug use entering the world of mixed martial arts?

What I found out is that the answer to both previous questions is yes. Those more prone to use drugs do enter MMA, and MMA in return, leads those to use drugs and subsequently become addicted to them. It’s a hell of a lot more complex than that, but simply put, MMA fighters, as well as boxers, are kind of screwed.


(MMA competition can provide the stability necessary for a person to beat addiction. It can also create the physical and emotional chaos that leads to drugs in the first place.)

By Santino DeFranco

For months I’ve wanted to get started on an article discussing drug use among MMA athletes, but just haven’t gotten my fingers to the keyboard. For some reason, after seeing Dennis Siver’s positive test for HCG recently — probably the least worrisome drug I’ve ever seen someone test positive for — I’ve decided to get going with it.

In addition to the positive tests for performance enhancing substances that we’ve seen dozens of times in this sport, there has been an alarming number of positive drug tests for recreational and prescription drugs as well. We’ve also seen countless fighters wage personal battles with substance abuse outside of the ring/cage, with several ending in death — accidental as well as suicide. It’s the recreational drugs and prescription painkillers that have caught my attention as something that may need to be addressed.

After seeing so many fighters struggle with drug abuse over the years like Joe Riggs, Drew Fickett, Karo Parisyan, along with those that have passed away from drug-related circumstances like Shane Del Rosario and Shelby Walker, I started to wonder: Is MMA leading athletes to become addicted to drugs, or are people who are more prone to drug use entering the world of mixed martial arts?

What I found out is that the answer to both previous questions is yes. Those more prone to use drugs do enter MMA, and MMA in return, leads those to use drugs and subsequently become addicted to them. It’s a hell of a lot more complex than that, but simply put, MMA fighters, as well as boxers, are kind of screwed.

First, lets take a look at the “those prone to drug abuse enter MMA” concept. In a 2009 article for the Dana Foundation, Brenda Patoine wrote,  “There is a well-established relationship between high sensation-seeking and drug use.” Virtually every expert on the subject agrees that there is a relationship between “thrill seeking” — whether that be sex, drugs, bungee jumping or trying new things — and drug abuse. It sure makes sense, doesn’t it? If you’re searching for adrenaline you go to a high spot, jump off of it, and pull a parachute. You land, are filled with endorphins, dopamine and serotonin and feel damn good. But, then you want that feeling again. So you go to the same elevated spot and repeat the process, but this time it’s not the same; it doesn’t feel quite as good. So, you find a higher spot or crazier landing strip or whatever you need to do to make the jump more exciting to replicate the same feeling of euphoria as before.

Sounds kind of like the beginnings of any drug addiction, huh? Well, that’s because it is. Not only just the process, but the chemicals as well. And considering that both drug-addiction and thrill-seeking behavior increase activity in the insular cortex, and both are highly dependent upon dopamine, it’s hard not to see the similarities. Since our brains are pushing us in the direction of thrill-seeking behavior, in the form of jumping into a cage and fighting another human behind a closed chain-linked fence, we are already predisposed to the types of behaviors that lead to drug abuse.

This is where the real fun begins.

Now that the thrill-seeking, predisposed, drug-addict is training and competing in MMA he or she sustains countless injuries, and is prescribed what? That’s right, painkillers — opiates. A substance that releases the same chemical in the brain as the thrill of fighting in front of others or jumping off of buildings, but this time, the person doesn’t even have to get up off of the couch. Pop the pill, the pain’s gone, and the same feeling of euphoria is there! Yay! Except, at some point addiction sets in, and then the person doesn’t even want to get high, he just wants to avoid the physical withdrawals of the drug — not fun at all. A few to test positive for opiates during post-fight drug tests include Bas Rutten, Karo Parysian, James Irvin, and Chris Leben. Those are just a few who have tested positive, and doesn’t include all of the assorted pills flying around the mouths of fighters while not in camp.

But maybe the fighter is lucky, and he avoids any serious injuries. He’ll be okay, right? If I were a magic 8-ball I’d say, “The odds are not in his favor.” The reason? The stresses of professional sports on an athlete are insane. There are the constant physical demands, but there are a ton of mental demands too. There’s the amazing high of victory (getting your hand raised in the cage after a long camp), and trying to recreate that feeling. Then, there’s the depression of losing, and trying to eliminate that feeling. In MMA, there are the anxieties of paying bills and having to pull out of fights due to injury, or maybe your opponent pulls out, or the show doesn’t pay you, or any number of things that lead you to pull your hair out, which is probably why so many fighters shave their heads.

In all seriousness, though, the demands of the spotlight projected on professional athletes are very hard to deal with, and not just in MMA, but in all sports. Olympic swimmer Amanda Beard’s swimming career was haunted by clinical depression, bulimia, and drug and alcohol abuse according to a 2012 article written for Bloomberg, which also mentions Australian Olympian Geoff Huegill‘s strugle with depression and substance abuse. All of those bouts of depression and anxiety, coupled with the availability of drugs, can lead one to a slippery slope — and that’s not even mentioning the involvement of steroids, which are known to cause depression when athletes cycle off of them. I’ve personally come into contact with many fighters that have claimed bouts of depression, and recently Bellator champion Pat Curran has come out publicly discussing his own bouts of depression.

And it continues. Yes, there is even another tie between fighters and drug use. Insane, right?

Most of the previous reasons for MMA athletes to fall victim to drug abuse can be applied to other sports, but this next point is very specific to combat sports athletes who receive repeated blows to the head as part of the job. Chronic Traumatic Encephalopathy (CTE) is real and it’s finally starting to get the recognition as a major downfall of professional sports, especially football and any form of pugilism.

CTE, as defined by the Sports Legacy Institute] is “a progressive degenerative disease of the brain found in athletes (and others) with a history of repetitive brain trauma. This trauma, which includes multiple concussions, triggers progressive degeneration of the brain tissue, including the build-up of an abnormal protein called tau. These changes in the brain can begin months, years, or even decades after the last concussion or end of active athletic involvement. The brain degeneration is associated with memory loss, confusion, impaired judgment, paranoia, impulse control problems, aggression, depression, and, eventually, progressive dementia.”

Many suffering from CTE aren’t even aware that CTE exists, let alone are aware that they may be suffering from it. Instead of seeking professional treatment, drugs and alcohol regularly are used to treat the symptoms, creating more problems, and, often times, leading to deeper addiction.

So, there you have it: MMA fighters are screwed. Though maybe it doesn’t have to be that way. If we demand that our athletes be drug free, we sure as hell need to guarantee that fighters are aware of the problems that may occur with substance abuse in their chosen sport. Coaches need to make sure fighters are able to distinguish between minor aches and pains, and real injuries. Coaches also need to be able to recognize a fighter who has been consuming too many substances, whether those happen to be painkillers, alcohol, recreational drugs, or steroids. Athletes need to be educated about the pitfalls and dangers of drug use, and be aware of what they are putting in their bodies in general. They also need to be cognizant of the strains the sport will place on a person, and that they aren’t supermen, regardless of how dominant they are in the cage; help is available to anyone, and we often need it. Doctors need to focus more on preventative medicine than prescription medicine, and be aware of the drug-seeking signs exhibited by the addicted. And, last, fans need to have a little compassion too. Fighters, and athletes in general, are people just like everyone else. We all have our problems.

It seems that there isn’t one single reason why fighters are prone to becoming addicted to alcohol and drugs, just as there isn’t one single reason anyone becomes addicted to anything, but a myriad of factors play a role — more-so for athletes, especially those that get punched in the face for a living.

Santino DeFranco is a retired MMA fighter who you may remember from his stint on TUF 9, and accompanying fighter blogs for CagePotato. He’s been writing a lot lately. You can follow him on twitter at @tinodefranco.

Oscar De La Hoya Back in Rehab, Won’t Attend Mayweather vs. Canelo Fight


(ODLH with Alvarez at a media workout in April. / Photo via Getty)

Two years after going public about his longtime struggle with alcohol and cocaine, legendary boxer and promoter Oscar De La Hoya has re-entered treatment for substance abuse. As a result, he will not be in Las Vegas this Saturday to support Saul “Canelo” Alvarez, the Golden Boy Promotions star who faces Floyd Mayweather in a light-middleweight title fight at the MGM Grand Hotel & Casino. As De La Hoya said in a statement released today:

Canelo Alvarez and I have big fights coming up this weekend. His is the ring and mine in treatment.

I will not be at the fight to cheer Canelo to victory since I have voluntarily admitted myself into a treatment facility.

I explained this to Canelo and he understood that my health and longterm recovery from my disease must come first.

Thank you for your understanding. I ask for your support and privacy during this difficult time for me and my family.”

De La Hoya said he considered suicide at his lowest point before his previous rehab stint, and described his ongoing quest for sobriety as “the toughest fight of my life.” We wish De La Hoya the best of luck in his recovery.


(ODLH with Alvarez at a media workout in April. / Photo via Getty)

Two years after going public about his longtime struggle with alcohol and cocaine, legendary boxer and promoter Oscar De La Hoya has re-entered treatment for substance abuse. As a result, he will not be in Las Vegas this Saturday to support Saul “Canelo” Alvarez, the Golden Boy Promotions star who faces Floyd Mayweather in a light-middleweight title fight at the MGM Grand Hotel & Casino. As De La Hoya said in a statement released today:

Canelo Alvarez and I have big fights coming up this weekend. His is the ring and mine in treatment.

I will not be at the fight to cheer Canelo to victory since I have voluntarily admitted myself into a treatment facility.

I explained this to Canelo and he understood that my health and longterm recovery from my disease must come first.

Thank you for your understanding. I ask for your support and privacy during this difficult time for me and my family.”

De La Hoya said he considered suicide at his lowest point before his previous rehab stint, and described his ongoing quest for sobriety as “the toughest fight of my life.” We wish De La Hoya the best of luck in his recovery.

Proudly Presenting: UFC Veteran Drew Fickett Talks His First Year of Sobriety


(Image via Drew Fickett’s Facebook page.)

Via Sobriety Fighter 

For those uninitiated, Sobriety Fighter is my own side-project. I’ve dedicated 2013 to being a year-long experiment where I spend one year as a full-time fighter while also attempting to stay clean and sober. I can’t promise that I’ll be the next Elias Cepeda or that I’ll never relapse, but I can promise that I’ll do my absolute best for everyone. Most of the stuff I post isn’t particularly MMA-related, but this is. Enjoy. – [SethFalvo

(SF) How do you feel that the lifestyle of a professional fighter has enabled your addiction? 

(DF) I started fighting during the first broadcast of the Ultimate Fighter and remember seeing Chris Leben getting drunk and being stupid and then going in and training balls the next day hung over. I glorified that. Being able to fight hard and party hard. Train hard even when drunk and hung over appealed to my vikingesque nature. Pretty soon I developed a name in the sport for being a bad ass drunk who could fight.

I could fight and drink and even though it was very taxing I could pull it off and loved the type of image it gave me. I thought it was so cool. I used to associate airports and flying with drinking and pretty soon I couldn’t fly if I wasn’t tore up from the floor up. I don’t even understand how I would manage to make it from Point A to Point B, but I remember many flights missing my plane and ending up back at the airport pub for another Guinness or shot of Jack.  I can really relate to Josh Hamilton’s story because of our obvious similarities.


(Image via Drew Fickett’s Facebook page.)

Via Sobriety Fighter 

For those uninitiated, Sobriety Fighter is my own side-project. I’ve dedicated 2013 to being a year-long experiment where I spend one year as a full-time fighter while also attempting to stay clean and sober. I can’t promise that I’ll be the next Elias Cepeda or that I’ll never relapse, but I can promise that I’ll do my absolute best for everyone. Most of the stuff I post isn’t particularly MMA-related, but this is. Enjoy. – [SethFalvo

(SF) How do you feel that the lifestyle of a professional fighter has enabled your addiction? 

(DF) I started fighting during the first broadcast of the Ultimate Fighter and remember seeing Chris Leben getting drunk and being stupid and then going in and training balls the next day hung over. I glorified that. Being able to fight hard and party hard. Train hard even when drunk and hung over appealed to my vikingesque nature. Pretty soon I developed a name in the sport for being a bad ass drunk who could fight.

I could fight and drink and even though it was very taxing I could pull it off and loved the type of image it gave me. I thought it was so cool. I used to associate airports and flying with drinking and pretty soon I couldn’t fly if I wasn’t tore up from the floor up. I don’t even understand how I would manage to make it from Point A to Point B, but I remember many flights missing my plane and ending up back at the airport pub for another Guinness or shot of Jack.  I can really relate to Josh Hamilton’s story because of our obvious similarities.

What went through your mind when Dana White cut you from the UFC over your behavior outside the cage? Did you try to get sober after that experience?

I thought, “Man, I need a drink.”

I felt pretty upset that were singling me out after an incident that was simply getting kicked out of a bar for not having a collared shirt. I felt like a victim ’cause guys like Junie Brownie and Jesse Taylor were given several chances to clean up their act – even commended for their actions which brought great ratings to the show – but you know it really just comes to taking responsibility for my actions and realizing life isn’t fair. And the more powerful and influential you become, the more unfair it’s gonna seem, and the more people are gonna try to tear you from your perch.

Would you consider the Ritch fight your “Rock Bottom,” or was there a different incident that comes to mind?

Absolutely not. That was a rough weekend.

What comes to mind: Checking out of the psyche ward for a suicide attempt just to go into a bender in an apartment where I was partying for four days straight with a schizophrenic Vietnam vet who suffers from severe PTSD. I woke up laying in my own shit, vomit and piss. My hand was terribly cut open and my blood was everywhere. The smell was so unbearable that my bum friend Sergeant Steen couldn’t even stick around. I had to be admitted into the hospital because I had a severe Mersa infection in my hand where the doctors talked to me about possible amputation.

Step Nine involves making amends with those you have hurt because of your addiction. Have you ever gotten to make amends to everyone in the MMA industry?  Do you feel that there are some people in this business who you don’t owe an apology to?

The first people that I made amends to were my very close friends and family. I’m sure there still remain people that are upset at me for one thing or another. It’s very likely that there are things that I’ve done that I can’t even remember, so if you are listening to this and you still hold resentment towards me, I am truly sorry. Blessings be upon you and I pray that Jesus Christ should enter your life and take all of your disdain and contempt, turning you into a loving grateful individual.

Check out the rest of Seth’s fantastic interview with Fickett over at SobrietyFighter

Rumor: Mike Goldberg Left the UFC to Enter Rehab for Drug Addiction

The rumor that is circulating today surrounds longtime UFC commentator Mike Goldberg and his recent sabbatical from announcing duties. As reported first by TerezOwens.com, the story as of now is that Goldie has entered rehab for drug addiction.  On Saturday, it was originally announced that Mike Goldberg would miss UFC 155 due to illness, but that no longer appears to […]

The rumor that is circulating today surrounds longtime UFC commentator Mike Goldberg and his recent sabbatical from announcing duties. As reported first by TerezOwens.com, the story as of now is that Goldie has entered rehab for drug addiction.  On Saturday, it was originally announced that Mike Goldberg would miss UFC 155 due to illness, but that no longer appears to […]

‘UFC on FX 3? Video Hype: Ian McCall Has Been Through Some Harsh Times

(Props: fueltv)

…and I’m not talking about that lame-ass Christian Bale movie. Ian McCall‘s greatest victory has come against a drug addiction that previously resulted in arrests, motorcycle accidents, and a near-death experience during a fateful tattooing session. Now, he has more to fight for than a UFC flyweight title shot. “I’ve now become a husband and a father,” he says. “That stuff has just added to the fire where now I can’t screw up.” And so, we have one more reason to be sort-of interested in tonight’s UFC on FX 3 card. Any of y’all plan on watching?

After the jump: Ariel Helwani interviews McCall and Demetrious Johnson following yesterday’s weigh-ins. To be honest, the most interesting part of the video is Ariel’s jacket. Lookin’ slick, my dude.


(Props: fueltv)

…and I’m not talking about that lame-ass Christian Bale movie. Ian McCall‘s greatest victory has come against a drug addiction that previously resulted in arrests, motorcycle accidents, and a near-death experience during a fateful tattooing session. Now, he has more to fight for than a UFC flyweight title shot. “I’ve now become a husband and a father,” he says. “That stuff has just added to the fire where now I can’t screw up.” And so, we have one more reason to be sort-of interested in tonight’s UFC on FX 3 card. Any of y’all plan on watching?

After the jump: Ariel Helwani interviews McCall and Demetrious Johnson following yesterday’s weigh-ins. To be honest, the most interesting part of the video is Ariel’s jacket. Lookin’ slick, my dude.

Chris Leben Calls His UFC 138 Painkiller Bust a ‘Cry for Help,’ Hopes for a Late 2012 Return


(Photo courtesy of Sherdog.)

Following career setbacks due to alcohol and steroids, a one-year suspension due to unapproved painkillers was the last thing that Chris Leben needed in his life. But in a recent appearance on MMAFighting.com’s The MMA Hour, Leben spoke publicly for the first time since the incident last November, saying that getting caught following his loss to Mark Munoz at UFC 138 was the best thing to ever happen to him:

I’ve battled drugs and alcohol. I’ve battled with those for my entire life. I’ve had an issue with being addicted to painkillers for years now. I had some issues with my camp and it was almost a cry for help. I knew I was going to get caught and I just didn’t care at the time. I’m extremely embarrassed, I feel like I let down the UFC, but at the same time I think getting caught is probably the best thing to ever happen to me. The UFC has been unbelievable, they sent me to a rehab facility and they really took care of me.”

As Leben tells it, he had hoped to go cold-turkey off the painkillers before the fight, but his addiction was too powerful:


(Photo courtesy of Sherdog.)

Following career setbacks due to alcohol and steroids, a one-year suspension due to unapproved painkillers was the last thing that Chris Leben needed in his life. But in a recent appearance on MMAFighting.com’s The MMA Hour, Leben spoke publicly for the first time since the incident last November, saying that getting caught following his loss to Mark Munoz at UFC 138 was the best thing to ever happen to him:

I’ve battled drugs and alcohol. I’ve battled with those for my entire life. I’ve had an issue with being addicted to painkillers for years now. I had some issues with my camp and it was almost a cry for help. I knew I was going to get caught and I just didn’t care at the time. I’m extremely embarrassed, I feel like I let down the UFC, but at the same time I think getting caught is probably the best thing to ever happen to me. The UFC has been unbelievable, they sent me to a rehab facility and they really took care of me.”

As Leben tells it, he had hoped to go cold-turkey off the painkillers before the fight, but his addiction was too powerful:

My wife had brought them to me for after the fight, and I had tapered off them for the fight, but there were some issues, a lot of stress, and I cracked. It was as simple as that. I knew they were there and I cracked. I couldn’t hold out.”

Leben says he hasn’t taken a pain pill since he got out of rehab, though he did have a brief relapse with alcohol, and is now taking Antabuse to help him stay on track. Leben now says that his life is “going really good, better than it has in a long, long time,” and that he hopes he’ll make a return to the Octagon late this year.

The question is, how long will these good times last? Can Leben make it through the rest of his career without succumbing to his old habits? While his painkiller bust might have been “the best thing to ever happen” to him, catching another suspension this late in his fighting career would be devastating, and possibly career-ending.

Before his fight against Munoz, we tried to ask Leben if he’d learned anything from his previous struggles with addiction, and he kind of jumped down our throat. It was clearly a sore subject, which makes more sense now that we know he was still very much in the grips of addiction at the time. That’s something he’ll have to struggle with the rest of his life, and hopefully it’s a fight he can win.

Related: Five MMA Fighters Who Beat Addiction