I'm not sure if you have choices or not but many abusers use substances to numb feelings in order to avoid negative feelings.
Numb
A) Ipecac is ineffective for its intended use
Although ipecac syrup is a reliable means to make children vomit, there was no positive correlation or effect at reducing the effects of suspected poisoning as found by the FDA.
Well in virtual you are online and in person you are there and face to face with people
Bones breaking is one example