Published on Nov 27, 2014 and last reviewed on Feb 21, 2023 - 4 min read
Abstract
Do you or someone you know are hooked up to a drug and not being able to withdraw from it? This article discusses addiction and evidence-based treatment approaches.
Introduction:
People from all phases of life can experience issues with drug usage regardless of age, race, or the reason for which they started using the drug. Drug addiction does not necessarily have to be illegal drugs. Even prescription drugs like painkillers, sleeping pills, and tranquilizers can lead to drug abuse and addiction. One of the most common and unfortunate addictions that affect millions of people a day is drug addiction. Drugs affect different people differently. A person takes a drug yet never gets addicted, while another person gets hooked to the drug. Drug abuse and addiction are now clubbed together as a substance or drug use disorder.
Drug dependence is on a high and is seen as the new age epidemic. Around eight percent of people in America experience this at some point of time in their lives. Addiction affects just not the body, but it has a great impact on mental health and soundness of mind. It is considered to be one of the most severe health issues faced around the world and is termed a chronic disease.
Drug addiction is characterized by an uncontrollable desire to take the drug (craving), along with compulsive drug seeking that persists despite devastating consequences. It refers to a condition in which you cannot resist the urge to use them no matter how much harm the drugs may cause.
Addiction has far-reaching health and socioeconomic consequences. Drug abuse and addiction increase the individual's risk for a variety of other psychiatric and physical illnesses.
Certain people are typically more vulnerable than others to develop drug dependence, and this depends on the interplay between genetic makeup, the age of exposure to drugs, and other environmental influences.
The person keeps taking the drug even after it is of no use for the health condition.
The person keeps taking the drug to experience the effects of the drug.
The person is not able to stop the drug even if they want to.
The individual gets a strange feeling or shaky or depressed feeling when the drug wears off. In severe cases, the person can even experience fever or have seizures.
The person keeps thinking about the drug, about when to take it, or how to get more.
The individual would have lost interest in things once they loved to do.
Feeling sad or low always.
Having trouble doing the routine and regular activities.
Trouble getting along with people.
Excessive sleeping or not being able to sleep or sleeping at strange hours.
Eating a lot more or a lot less than before.
Tremors or shakes.
Frequent nosebleeds.
Slurred speech.
The symptoms differ based on the type of drug. Some of the signs and symptoms of drug addiction caused due to taking illegal drugs like marijuana, cannabis, and hashish include:
A sense of feeling high.
Raised heart rate.
Dry mouth.
Redness in eyes.
Difficulty concentrating.
An increased sense of visual, auditory, and taste perception.
Hallucinations.
Drug Dependence, a Disorder of the Brain Circuit:
A number of brain areas are included in the genesis of addiction. But, the nucleus accumbens is the most studied target. This brain structure is basically involved in the reward and motivation pathway.
Drug dependence is not a moral weakness but a disorder of the brain circuitry. Drug addiction is a complex illness.
People want to take more and more drugs as they feel intoxicated after using the drugs. And over time, the brain is changed by the drugs. The brain becomes desensitized to the drug wanting more of the drug to produce the same effect.
Effective treatment programs typically involve multiple components, each directed to a particular aspect of the illness and its consequences.
Individualized treatments focus on maintaining a drug-free lifestyle and achieving productive functioning. Clients require continued long-term care to achieve abstinence from drug usage.
A few evidence-based interventions: cognitive behavioral therapy (CBT) and motivational enhancement therapy (MET), remain the cornerstones of addiction treatment.
In addition to these interventions, some approved pharmacological interventions include Methadone maintenance therapy and Buprenorphine maintenance treatment for opioid dependence, Naltrexone drug therapy after medical detoxification, and nicotine replacement therapy (NRT) for tobacco cessation.
Bupropion and Varenicline are the FDA-approved agents for smoking cessation.
The agents that have been approved for alcohol dependence include Naltrexone, Acamprosate, and Disulfiram. All these agents should be administered under the guidance of a psychiatrist.
The behavioral interventions include CBT, contingency management interventions, community reinforcement approaches, the matrix model, and the 12 step facilitation therapy.
A holistic approach would also entail family-based interventions. Multidimensional family therapy involves working on decision-making, negotiation, and problem-solving skills.
There are high possibilities for you to fall back into the same pattern of addiction. And once you start using it again, then it is very hard to get control over it. Here are a few steps you can follow to keep yourself from getting addicted again:
Strictly follow the treatment plan even if you feel you have recovered from it. You can visit your therapist or counselor regularly to stay drug-free.
Avoid going to areas where you purchase these drugs.
Indulge yourself in recreational activities so that you do not get to remember the drugs.
Get immediate help if you start over the drug again.
Conclusion:
Drug abuse and drug addiction are preventable. Confronting your addiction can be the most challenging thing you have ever done, but you do not have to do it alone. You can involve your families, friends, or your loved ones to help you from staying away from drugs. If you do not feel good asking your family or friends, there are several self-help groups to help you out from overcoming the toxic cycle of drug addiction.
When a substance is used repeatedly, it seems to alter how the brain experiences pleasure, which is when physical addiction seems to happen. Some brain neurons undergo physical alterations as a result of the addictive substance. Neurotransmitters are substances that neurons utilize to communicate. After the person stops consuming the drug, these effects may continue for longer.
Although there is not a single or surefire strategy to stop someone from taking drugs or alcohol, there are certain things that can be done-
- Setting a target date or quit date.
- Changing the environment.
- Distractions.
- Avoiding temptations and peer pressure.
- Creating a support network.
- Keeping a well-balanced life and examining the risk factors.
- Seeking professional help.
A few factors like peer pressure, early drug exposure, physical and sexual abuse, stress, and parental supervision significantly impact a person's likelihood of using drugs and becoming addicted.
The following factors contribute to drug addiction in youths -
- Peer pressure.
- Social media.
- Influence of culture and society.
- Curiosity.
- Desire to use drugs and be themselves.
Drug addicts frequently have one or more comorbid medical disorders, such as lung or heart disease, stroke, cancer, or mental health issues. In addition, blood tests, chest X-rays, and imaging scans can all reveal the detrimental effects of chronic drug usage throughout the body.
The four main effects of drug addiction are -
- Seizures.
- Stroke.
- Brain damage.
- Mental confusion.
People frequently relapse for stress-related reasons. It is likely that someone used drinking or drugs to try to deal with the stress they experience daily. This may involve difficulties at employment, relationship challenges, or simply readjusting to life following therapy.
A relapse prevention plan is a detailed action plan with suggestions for coping with cravings and stress-related triggers. The plan can be modified and expanded as time passes, and circumstances change.
There is a possibility that an individual will relapse at some point, regardless of how carefully they pursue their recovery or how dedicated they are to getting sober. The National Institute on Drug Abuse (NIDA) estimates that 40 % to 60 % of those in recovery experience relapse. In addition, many people suffer feelings of guilt or regret following a relapse.
According to research, most relapses occur within the first 90 days of abstinence. Thus it may be best to enroll in a treatment program that lasts at least three months.
The red flags of recovery must be assessed since, without awareness, a person can find themselves on the verge of relapsing. They are as follows -
- The person stops going to meetings or gatherings.
- They return to old behaviors.
- They start isolating.
- Easily get resentful.
The common triggers and warning signs include -
- Unfavorable feelings encourage drug use (anxiety, despair, guilt, fear, frustration, stress, and loneliness).
- Exposure to drugs of addiction.
- Social or peer pressure.
- Friends, places, or activities that the addict associates with using drugs.
- A feeling of well-being (having a good time and hoping to get even better).
- Using other drugs. For instance, a recovering heroin user who continues to consume alcohol is more likely to relapse).
Usually, detoxification comes first in a therapy plan. Limiting withdrawal symptoms and removing a drug from the body are involved. According to the Substance Abuse and Mental Health Services Administration (SAMHSA), medicine is used to lessen withdrawal symptoms in about 80 % of cases.
Although none of the drugs has been FDA (The United States Food and Drug Administration) approved to treat teenagers, some drugs have been demonstrated to be beneficial in treating opiate, alcohol, or nicotine addiction in adults. Naltrexone and Buprenorphine are two of the most popular drugs used to treat addiction.
Last reviewed at:
21 Feb 2023 - 4 min read
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