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In direct contrast, cocaine tangibly causes us harm in three key areas: Our psychology Our bodies Our social lives Psychological effects Depression Irritability Aggression Paranoia Hallucinations Delusions Suicidal thoughts Cognitive impairment Memory issues Violent thoughts Physical effects Damage to nose and sinuses Respiratory issues Muscle wasting Heart attacks Hypertension Seizures Coma Stroke Difficulty sleeping Increased risk of cancer Gurning Stomach issues Social effects Violence Relationship strain Social isolation Engagement with crime Financial difficulties Issues at work Issues at school Together, these symptoms can be life-limiting