I'm for choice number 1 myself.
Getting drugged out for days in a skooma haze, killing a bunch of tie-died cartoon-ducks with a club. Then waking up sober in prison for murdering a family of wood elves.
I also voted for number one. FO had a little bit of this, where you could get addicted to things - I thought that was a great touch of realism. Still, it would be even more realistic if, after drinking a few too many beers, your character's ability to do things is severely impeded, and things might be seen as through beer goggles. Skooma and Hist effects could be even radder, but I doubt the appearance of any of this in Skyrim. I would like to be see it someday, though.