Mental Health Issues Some sexual offenders have mental illnesses. These mental illnesses can make it difficult for people to think clearly, feel appropriately, and act properly. For example, they might suddenly feel intense emotions that they can't control, or they might repeatedly engage in the same harmful behaviors. Influence of Drugs and Alcohol Excessive use of drugs or alcohol can impair one's ability to make sound judgments, such as knowing "what not to do." Actions that are controllable without drugs or alcohol can become uncontrollable under their influence. Physical Mechanisms Our bodies have brains and hormones, and when these don't ...