Every spring, millions of sports fans across the country eagerly tune in for March Madness — the NCAA basketball tournament known for its thrilling upsets, last-second victories, and non-stop action. From friendly office pools to lively watch parties, the tournament has evolved into much more than a sports event — it’s a full social experience. But for those in recovery or struggling with substance use, March Madness also comes with unique risks.

The excitement, social gatherings, and competitive energy that surround the tournament can often create an environment where alcohol and other substances are not just present but actively encouraged. For individuals working hard to stay sober, navigating these high-risk situations takes careful planning and strong support.

March Madness and the Culture of Drinking and Substance Use

Major sporting events have long been associated with alcohol use, and March Madness is no exception. Over the course of several weeks, bars, restaurants, and homes host endless watch parties, each one with plenty of opportunities to drink — and often more than just casually.

Drinking games tied to the action on the court, like taking a drink after every buzzer-beater or every time a lower-seeded team pulls off an upset, are common. For someone who is in early recovery or trying to cut back, these environments can feel especially difficult to handle.

And it’s not just alcohol. For some, marijuana, stimulants, or other substances become part of the party scene, either to enhance the excitement or as a way to cope with losing bets or disappointing bracket results. These patterns can be particularly dangerous for individuals with a history of substance use disorder.

The Connection Between Betting, Stress, and Substance Use

March Madness wouldn’t be the same without the brackets — filling them out, competing against friends, and following each game with anticipation. But the growing popularity of sports betting, especially with the expansion of legal online gambling, has amplified the stakes even further.

When money is on the line, the emotional highs and lows become even more intense. Winning can feel euphoric, while losing — especially on a last-second shot — can lead to frustration, anxiety, and disappointment. For individuals with a history of using substances to cope with stress, these emotional swings can become powerful triggers.

Financial stress linked to gambling losses can also be a significant risk factor for increased drinking or drug use. And even in more casual settings, like office pools, the social nature of these competitions can lead to excessive drinking — often starting early in the day and continuing for hours.

Substance Use Trends During Major Sporting Events

Studies have consistently shown a link between large sporting events and spikes in alcohol sales, emergency room visits related to alcohol use, and DUI arrests. March Madness, with its weeks of games and fan engagement, creates a prolonged period of potential high-risk situations.

Some patterns seen during March Madness include:

  • Increased binge drinking at bars, homes, and parties.
  • Day drinking at afternoon games that extends into all-day drinking.
  • Celebratory drinking or substance use after big wins.
  • Drinking or using substances to cope with gambling losses or busted brackets.

For individuals in early recovery — or those actively working to avoid relapse — the culture surrounding March Madness can feel overwhelming.

Why March Madness Can Be Risky for People in Recovery

For individuals who associate sports events with past drinking or drug use, March Madness can stir up old habits and cravings. Even with strong support systems in place, the social pressure to “just have one drink” or the emotional intensity of a close game can be difficult to manage.

Common triggers during March Madness include:

  • Social Pressure: Friends and family may not fully understand the importance of sobriety and may encourage a drink to celebrate.
  • Environmental Triggers: Bars, parties, and even watching at home can bring back memories tied to drinking or using.
  • Emotional Triggers: The stress of competition, financial losses from betting, or the excitement of a win can all become triggers for relapse.

Tips for Staying Sober During March Madness

The good news is that there are plenty of ways to enjoy the excitement of March Madness without compromising your recovery. With a little preparation and a focus on self-care, you can stay sober while engaging in NCAA Madness.

Host Your Own Sober Watch Party

Invite friends and family who support your recovery for a fun, substance-free game day. Make the focus on great food, fun non-alcoholic drinks, and basketball — not alcohol.

Seek Out Sober Events

Some recovery communities host sober sports gatherings where everyone can enjoy the game without substances. Check with local groups to see if there are any events in the Atlantic County or Cape May County area.

Avoid Triggers and Have an Exit Plan

If you do attend a party where alcohol will be present, consider bringing a sober friend with you for support. Drive yourself so you can leave if you feel uncomfortable, and have a plan to check in with your sponsor or a supportive friend.

Focus on Healthy Coping Skills

If stress or cravings arise, lean on healthy coping mechanisms like meditation, exercise, journaling, or connecting with your support system.

Stay Connected to Your Support Network

Whether it’s a sponsor, a therapist, or your peers in recovery, staying connected during high-risk times is crucial. Let them know if you’re struggling, so you don’t have to face triggers alone.

Greenbranch Recovery: Supporting You Through Every Season

At Greenbranch Recovery, we understand that recovery isn’t just about getting sober — it’s about learning how to navigate life’s challenges, including events like March Madness, without turning to substances. Whether you’re in early recovery or have been sober for years, our team is here to support you with compassionate, personalized care.

Located in Egg Harbor Township, Greenbranch Recovery provides outpatient treatment for substance use disorders, including individual therapy, group counseling, EMDR, and holistic care. We’re proud to serve Atlantic County, Cape May County, Northfield, Barnegat Township, Linwood, Galloway, Absecon, Margate City, Somers Point, Sea Isle City, and Stafford Township.

If you or a loved one is struggling with alcohol or drug use, Greenbranch Recovery is here to help. Call us today at 609-622-5101 to learn more about our programs and how we can support your journey to lasting recovery.