It can be both. Religiosity is a spectrum. You can be casually religious for the community and maybe adhere to some passages here and there (Tylenol - though it’s not an opioid) or you be someone who kneels down and sobs as he prays to the Holy Spirit and donates hundreds of dollars each Sunday (fentanyl)

It soothes your misery one way or another. You can still be aware of the material conditions and be a self proclaimed religious person.