Showing posts with label drug abuse treatment. Show all posts
Showing posts with label drug abuse treatment. Show all posts
Monday, February 25, 2013
Conclusion Drug Addiction
Drug addiction is a powerful demon that can sneak up on you and take over your life before you know it has even happened. What started out as just a recreational lifestyle has overcome your life and affected every single aspect of it.
You don’t have to be caught up in the web of drug addiction. There are so many things you can do to get yourself clean and sober, and there’s no better time than the present. Overcoming drug addiction is a long and often painful process.
Leading a clean lifestyle is something that is well within your reach. You now have the tools you need – go out and heal yourself. Remember that a thousand mile journey always begins with one step and to take it one day at a time.
You can do it!
TEENS AND DRUGS
The statistics are alarming. Teen drug abuse is and has been on the rise for many years. Consider the following numbers calculated in 2012:
• 8th grade -- 30.3%
• 10th grade -- 44.9%
• 12th grade -- 52.8%
Those numbers measure the percentage of teenagers who regularly use illegal drugs of some type. Just within the last month, 50 percent of teens report drinking alcohol with 37 percent saying they had been drunk on at least one occasion. Alcohol kills 5 times more teenagers than any other drug – mostly from accidents.
It’s scary to think that our young people are being exposed to drugs at a much earlier age, and they are much more susceptible to peer pressure. When their friends offer up drugs, they often don’t have the strength to say no, so they begin the frightening cycle of drug abuse.
In recent years, much has been learned about the health effects of teen drug use. Drugs are readily available to those who choose to use them in either an “experimental” way or to those who are chronic drug abusers. The consequence of such use, even causal use, can be devastating to both the user and to the user’s family members.
But, teen drug use is costly to more than just families. It is especially costly to our society as a whole. Youth’s immature physical, emotional, and psychological development make them MORE susceptible than adults to the harmful effects of drug abuse.
In the 7 years that the National Center on Addiction and Substance Abuse (CASA) at Columbia University has published the National Survey of American Attitudes on Substance Abuse, results have indicated that teens and their parents view drugs as their biggest concern.
The health effects of teen drug use can vary, depending on such factors as frequency of use, the kind of drug taken, how much is taken, how quickly it gets into the brain, what other drugs are taken at
the same time, the differences in body size and chemistry, the length of time the drugs are used, and other components.
Why do teens use drugs? Of course, peer pressure is a huge factor, but they succumb to peer pressure for many other reasons. Low self-esteem, depression, anxiety, inability to express feelings, lack of control, and feeling like they have to live up to unrealistic parental expectations all contribute to the teen beginning to use drugs. Plus, many teens are affected by watching their parents’ own addictive behaviors
Trying to deal with issues revolving around the family upon such an escalated level proves extremely difficult when children of alcoholic parents cannot even function normally regarding their own lives. This situation often spawns a codependency syndrome that follows the child throughout his or her entire life; codependency has long been found to be a significant indicator of alcoholism
And, believe it or not, parents who overindulge their children may be dealing with a teenager drug user before they know it. Many parents spoil their children not only with toys and gadgets but also by not setting limits for them. That freedom leads them to make bad decisions about their lives which includes drug and alcohol use.
So how do you know if your teen is using drugs? There are some warning signs you should be looking for. When at home, see if any of these warning signs appear:
• loss of interest in family activities
• disrespect for family rules
• withdrawal from responsibilities
• verbally or physically abusive
• sudden increase or decrease in appetite
• disappearance of valuable items or money
• not coming home on time
• not telling you where they are going
• constant excuses for behavior
• spending a lot of time in their rooms
• lies about activities
• finding the following: cigarette rolling papers, pipes, roach clips, small glass vials, plastic baggies, remnants of drugs (seeds, etc.)
When it comes to school, there are also some indicators to watch for:
• sudden drop in grades
• truancy
• loss of interest in learning
• sleeping in class
• poor work performance
• not doing homework
• defiant of authority
• poor attitude towards sports or other extracurricular activities
• reduced memory and attention span
• not informing you of teacher meetings, open houses, etc.
Physically and emotionally, they may have one of the following behaviors:
• changes friends
• smell of alcohol or marijuana on breath or body
• unexplainable mood swings and behavior
• negative, argumentative, paranoid or confused, destructive, anxious
• over-reacts to criticism acts rebellious
• sharing few if any of their personal problems
• doesn't seem as happy as they used to be
• overly tired or hyperactive
• drastic weight loss or gain
• unhappy and depressed
• cheats, steals
• always needs money, or has excessive amounts of money
• sloppiness in appearance
If your teen exhibits six or more of these signs over a period of a few weeks, he or she probably is using drugs. You need to address it as soon as you suspect this to be true.
The most effective tool against teen drug use is communication. When you pair open communication with education, you have double the ammunition to fight drug use.
Your first inclination might be to get angry when you find out your teen is using drugs. This a normal reaction, but please know that anger and yelling will just turn your teen’s ears to the “off” position. You need to let your teen know you care about them and that you just want the best for them.
You must place responsibility for their actions on their own shoulders and make them accountable without doing so in a threatening manner. Honest, open communication is the key towards overcoming your teen’s problem – even before it becomes a problem.
Move on to the future and find things that you can do right now to help your teen. Try not to live in past; this will make the person you are trying to help agitated or upset. With addiction comes a lot of damage; material and emotional. In the wake of the episodes that the addict can create, remember that you are not alone. There are people around you that care. Those that have been and are in the trenches of this disease can help the addict when no one else can.
Counseling is a very effective way to help curb your teen’s drug use. By allowing your child to interact with a third party you will find that recovery often goes better, because often times the family is too emotionally close to the addict to be of any real help.
Please realize that you are the parents and you are not responsible for the disease of addiction. Get help before it is too late. Remember that this disease does not discriminate against anyone or anything.
No single treatment is appropriate for all teens which is why there are many places your teen can get help. Look for local programs geared towards teens and find a peer counselor who your teen can talk to. Teens relate to other teens and young people, so finding someone close to their own age can be very effective.
Match the treatment with the individual. If your teen’s drug use has gotten completely out of hand, you may want to look at an inpatient clinic. But try to find a clinic where other teens are being treated as well. If you send them to a program that has only adults in it, their chances of relapse are higher.
If you do put your teen in a treatment facility, be sure you participate in all of the activities that are asked of you. This is the perfect time for your teen to talk to you in a safe environment with a moderator. They are more likely to open up and say what they need to say in the clinic rather than at home.
Just as with adults, relapse is a very real possibility, neigh, a probability. Teens are going to be thrust back into the environment that they were in when they were users, so keep in mind that drug addiction is a very powerful mental disease and relapses are very likely to occur.
This is where patience and understanding come in. Talk with your teen and get them help and counseling to understand why they went back to drugs. When you tackle the psychological part of drug abuse, you have a better chance of helping your teen become drug free
.
It’s also important for you to educate your child BEFORE drug use becomes a problem. Again, we say, communicate openly and honestly with your child and arm them with as much information as you can possibly find. There has been a push to get drug information in the schools, but don’t leave it all up to them.
You are your child’s best defense against drugs. While they may be uncomfortable when you present them with information, they’ll thank you later in life. It’s kind of like having “the sex talk” – it’s awkward for both of you, but it’s something that is necessary.
Teach them how to say no without feeling guilty. Show them that they are a valued and loved person and that they have the right to refuse something that is not good for them. Tell them the types of people to avoid and the things they can say if they are offered drugs or find themselves in a compromising situation.
As a parent, you will need your own support to deal with this difficult situation. There are two great organizations that are there to help parents of drug addicted teens.
They are:
www.becauseiloveyou.org and www.familiesanonymous.org
Both of these organizations have a multitude of information on their websites. They provide you with tools to help attack the problem and deal with your own mental health as well as that of your child. Families Anonymous is also very helpful with anyone who has a loved one who is addicted to drugs.
Support groups can be very powerful in helping you remain strong for your child. They can then draw off that strength and remain drug-free. You are your child’s best weapon against the things out there in the world that want to harm them. Don’t let them down.
CALMING THE SOUL
Meditation can be a very effective way to overcome the powerful reactions that occur in your mind during drug withdrawal. Your inner voices will be telling you all sorts of different things when you are trying to get off drugs. If you recognize these damaging inner voices and take steps to calm them, your chance to successfully recover is significantly increased.
If you take a moment and practice some meditation techniques, your body will calm and those voices will go away. We could make an entire book on meditation – in fact, we have! However, following are some basic meditation exercises you can try.
First, you need to be in a quiet place free of distractions. Get comfortable and allow yourself a little bit of time to relax and be open to the meditations. You will be focusing your mind on an object of thought or awareness and acknowledging where your mindset is now and where you want it to be.
The first stage in meditation is to stop distractions and make your mind more lucid and clearer. This can be accomplished through simple breathing meditation. Sit in a position that is comfortable for you. You may want to try sitting cross legged keeping your spine straight and resting your arms comfortably in your lap.
Close your eyes and focus on your breathing. Breathe naturally through your nose. Don’t try to control your breathing, simply become aware of the air coming in and out of your nose. Feel the sensation of the breath with each inhalation and exhalation.
At first, your mind will be very busy and you might think the meditation isn’t working. But what you are doing is becoming aware of just how busy your mind is. Resist following thoughts as they arise. Just concentrate on your breaths and how they feel. If you find your mind wandering, just bring it back to the breathing. Keep doing this as many times as is necessary.
Meditation requires great patience. You can’t control your thoughts unless you train yourself to do so. Practice breathing meditation as often as you can. With time and practice, you will find
yourself slipping into the state of mind you need to be in much quicker.
When you exhale, you may want to try humming or repeating a word over and over. We like to use the word “Peace” or “Serenity”, but you can choose whatever word will calm you.
Buddhist meditation suggests that you say your chosen phrase or word during inhalation. Their phrase is generally “Ham Sah” which means “I am that.” Then when you exhale, say “Saah” which should sound like a sigh. They find this very relaxing and it helps them get in touch with their inner thoughts.
In researching this book, we found a great website you may want to visit. At www.learningmeditation.com, you can go to their meditation room where they have various recorded meditations you can listen to that will help you relax and feel renewed. When you concentrate on the voice that is speaking, you can become more focused and relax.
Another good technique is to picture a relaxing place for you. This might be a sunny beach or in a warm bath. Wherever you are most relaxed is where you should picture in your head. Imagine you are there and feel the sensations that the image conjures up.
You can also use progressive muscle relaxation to get rid of your stress. PMR involves concentrating on one part of the body at a time. Start with your right leg. Tighten the muscles in your leg and hold the tightening for a few seconds – a count of ten perhaps. Then relax those muscles feeling the sensation that you get with that relaxation. Move on to each part of your body using the same technique until you have covered them all.
Exercise is great for stress relief. You may want to look into yoga classes. Yoga is a very spiritual exercise method and can do wonders for stress relief. Tai Chi is another spiritual form of exercise that requires you to concentrate on your body rather than your mind. When you do that, you will find yourself becoming much more relaxed and able to cope with the world.
There is one aspect of drug addiction that we haven’t addressed yet, and we would be remiss if we didn’t acknowledge this growing problem.
STAYING SOBER
You did not become a drug addict overnight. It was a long process occurring over a period of, perhaps, several years that turned into a dependence on those drugs. You began using probably primarily because you needed an escape. It’s very important that you remove anything in your life that could cause you to begin using again.
This begins with changing your life and the people around you. Your friends probably played a big role in getting you to start using in the first place. Peer pressure is difficult to overcome and when you are around people using drugs, your recovery is seriously compromised.
Many people hate this part of drug recovery. But you have to keep in mind what is best for you. True friends will stay with you and maybe even help you. Those who got you to use in the first place will be the ones who will stay away from you. Their drug use will be much more important to them than you are. Remember this.
During initial recovery stages, you will want to avoid situations where you might be tempted to use. For example, if you are trying to stop drinking, keep away from social situations and locations that may make it more difficult for you to not drink. That means no bars or clubs and not going to parties where alcohol is served. Think about the places where you used drugs and avoid them at all costs.
Eventually, you will become stronger and more able to resist the temptation especially after a period of time has passed.
We can’t stress enough the advantages of counseling during drug withdrawal. The biggest mistake you can make is to not seek help. You have a very powerful force working in you wanting you to use again. Therapy can help you stay strong against these inner demons and teach you new ways to deal with stress and anxiety that could have pushed you towards drugs in the first place.
Even if you are not a religious person, it’s a good idea to acknowledge that there is a higher power affecting our lives. We are here for a reason and came to be what we are because of certain factors that we just can’t explain.
For example, there is a set of unwritten “rules” that we just know for no explainable reason. Those rules came from a higher power. Whether you call him (or her) God, Buddha, or whatever, that power exists somewhere.
This book isn’t meant to be a religious dissertation, so we’ll let you make whatever decision you need to regarding this higher power, but please know that your recovery will be much easier when you have this power in your life.
You may want to explore some other avenues for peace in your mind and body.
INTERVENTIONS
Anytime someone needs help but refuses to accept it, a family intervention is appropriate. A family intervention can be used for people engaged in any self-destructive behavior and especially appropriate for addicts.
Intervention is the most loving, powerful and successful method yet for helping people accept help. A family intervention can be done with love and respect in a non-confrontational, non-judgmental manner. A family intervention is often the answer, the only answer. It can be done. It can be done now.
It certainly is not an easy decision to make when you are considering intervention for a loved one’s problems. But if you are able to handle it in a loving, caring manner, you will be giving that loved one a gift that they will appreciate – eventually!
The first thing that needs to be done is that all family members and friends who might be able to make a difference must agree on a time and place to meet. It’s a good idea to contact a professional counselor to help you.
You may initially be apprehensive and confused. Members participating in the intervention may be ambivalent about whether or not to actually do the intervention. Some may be afraid of the person, others may be angry. The goal is to move from this disorganized and chaotic state to a cohesive, focused group.
To do this, the participants meet with the leader beforehand to educate themselves about the dysfunction, to determine how to best help themselves, and to prepare for Intervention Day. This includes identifying others who should be involved , exploring appropriate treatment options, and preparing what they are going to say.
This preparation often involves several meetings, telephone calls, and culminates in a practice session immediately prior to the Intervention Day. The time varies, but the process is usually contained within one to two weeks. Sometimes it can be shortened to a weekend.
It is important for all of you to meet prior to Intervention Day so that you can discuss what steps will be taken and how you will be approaching the person you are trying to help. Remember that you need to work together as a unit and decide what will be said beforehand.
You then need to get the person you want to help to actually show up. This can be accomplished in many ways. Use your imagination and say what you have to in order for the addicted person to arrive at the designated place.
There is no absolute right way to intervene in someone else's life. In fact, there is a school of thought that argues that any form of intervention is abhorrent, a violation of free speech and of an individual's right to choose. Nevertheless, as individuals and as a society we are always influencing others whether or not we want to, and sometimes we decide to intervene purposefully.
Intervention can be simple or it can be more involved. The decision about what type of intervention to conduct must be up to all participating parties.
A simple intervention is exactly what it sounds like. You simply ask the person you are intervening for to get help for their problem. Believe it or not, sometimes this works incredibly well. Often an addict is just waiting for someone else to acknowledge their problem before they do. Once they know that everyone can see the problem, they are given permission to seek help with the support of their family and friends.
If a situation has reached dangerous proportions where a person’s life is in danger, a crisis intervention is necessary. Crisis Interventions occur in dangerous situations involving reckless driving, weapons, hospital emergency rooms, or violence or threats of violence. It is obvious in these situations that a person is in immediate danger to himself or others.
The immediate objective in these cases is to calm the crisis and to create safety for all. Remember, a crisis often creates golden opportunities for family members to help someone accept help.
A classical intervention requires all attention to be focused on the addict. Participants are often asked to talk with the addict and tell them what their addiction has done to them personally. It’s very important to be brutally honest during these discussions. Let it all go – this is the perfect opportunity.
Expect the addict to be defensive. That’s normal. They will probably deny that they even have a problem at all. They’ll most likely yell and scream or try to get away. The purpose of an intervention is to get everyone’s feelings out into the open, so the person you are trying to help should not be allowed to leave the room. However, avoid violence.
Your ultimate goal with an intervention is to persuade your loved one to get help with his or her addiction. If it’s bad enough to warrant an intervention, you will probably want to suggest an in-patient rehabilitation center. At the very least, you should have the names and numbers of several different services they can turn to for help.
Be sure that your tone is sympathetic but helpful and that the person you are trying to help knows without a doubt that they have your support. Intervention can be an effective tool in the process of recovery, but it must be handled in the right way which is why we strongly suggest the help of a professional.
There are certain things that can severely hinder the recovery process.
Friday, February 15, 2013
WORKING THE 12 STEPS
The original 12 step formula was developed by Alcoholics Anonymous as a way for people to deal with their powerlessness over alcohol. Since then, other 12 step programs have evolved for a variety of addictions including Narcotics Anonymous, Gambler’s Anonymous, and Al-Anon.
All 12 step programs follow similar patterns. Members meet regularly to discuss their experiences, strength, and hope. One common view is that all members are dealing with an illness and an addiction rather than a bad habit or poor lifestyle. The idea is that recovery will occur by taking individual responsibility for one’s own recovery and relying on the will of a Higher Power while following the 12 steps.
One of the most widely recognized portions of a 12 step group is the requirement that members admit that they have a problem. That’s why many members open their addresses to the group with their name and the admission of their problem.
Attendees at group meetings share their experiences, challenges, successes, and failures. They also provide peer support for each other. Many people who have joined these groups say they found success that they were unable to find before.
The 12 steps as outlined by Alcoholics Anonymous are:
1. We admitted we were powerless over alcohol and that our lives had become unmanageable.
2. We have come to believe that a power greater than ourselves could restore us to sanity.
3. We have made a decision to turn our will and our lives over to the care of God as we understand him.
4. We make a searching a fearless moral inventory of our lives and ourselves.
5. We admit to God, to ourselves, and to another human being the exact nature of our wrongs.
6. We are entirely ready to have God remove all these defects of character.
7. We humbly ask Him to remove our shortcoming.
8. We make a list of all persons we have harmed and are willing to make amends to all of them.
9. We make direct amends to such people wherever possible, except when to do so would injure them or others.
10. We continue to take personal inventory and when we are wrong, we promptly admit it.
11. Through prayer and meditation, we seek to improve our conscious contact with God, as we understand Him, praying only for knowledge of His will for us and the power to carry that out.
12. Having had a spiritual awakening as the result of these steps, we carry this message to other addicts and practice these principles in all our affairs.
Members of a 12 step program also make several promises to themselves and to others. These promises are:
• If we are painstaking about this phase of our development, we will be amazed before we are halfway through.
• We are going to know a new freedom and a new happiness.
• We will not regret the past nor wish to shut the door on it.
• We will comprehend the word “serenity” and we will know peace.
• No matter how far down the scale we have gone, we will see how our experiences can benefit others.
• The feeling of uselessness and self-pity will disappear.
• We will lose interest in selfish things and gain interest in our fellow man.
• Self-seeking will slip away.
• Our whole attitude and outlook on life will change.
• Fear of people and economic insecurity will leave us.
• We will intuitively know how to handle situations that used to challenge us.
• We will suddenly realize that God is doing for us what we could not do for ourselves.
Opponents of 12 step programs are put off by the use of the words “Higher Power” and God in their steps and mottos. They say that this is pushing religion on people and is morally wrong if that person doesn’t believe in God in the same way as others do.
However, you should know that AA and other similar groups are not religious groups. That is why the verbage “Higher Power” is used along with the phrase “God, as we understand Him to be”. The purpose of 12 step programs is to simply deliver addicts from their destructive behaviors and help them become clean and sober. It is a spiritual program in nature, not a religious program.
Many people are apprehensive about appearing in front of strangers and sharing their most personal information. Please remember that 12 step programs are anonymous. Only your first name is shared.
If you live in a small town, you may worry that people will recognize you, but keep in mind that those other people are there for the same reason you are and they want to remain anonymous just like you. You may be surprised at the camaraderie you will find when you are with people who share the same experiences that you do.
One of the possible reasons you became addicted to drugs is due to low self-esteem. You need to address self-esteem issues early on in your recovery.
Wednesday, February 13, 2013
REHAB CENTERS
Short-term residential programs were originally developed to treat alcoholism, but expanded to include drug addiction with the rise of cocaine use in the mid-1980s. Since then, they have been applied to a variety of drug addictions. They are set up to be intense, but relatively brief programs of between 3 and 6 months.
Most are based on the Minnesota Model, a method of drug addiction treatment that grew out of the success of the Alcoholics Anonymous, or 12-step model, of recovery. The elements of the Minnesota Model typically include:
• Thorough assessment of all aspects of a client: physical, emotional, mental, behavioral
• A personalized treatment plan for each participant
• Attendance of 12-step meetings and application of the 12-step philosophy
• Self-reflection with an emphasis on greater acceptance of personal responsibility, changing negative beliefs about self and others, and learning new coping skills
• Group and individual therapy (80-90% done in groups)
• Family support, education, and involvement
• Extensive outpatient follow up and support
The Minnesota Model is conducted by a multidisciplinary team of professionals - chemical dependency counselors, psychologists, psychiatrists, nurses, etc. The purpose of the model is to enable addicted individuals to achieve a significant transformation in their basic thinking, feeling and acting in relation to themselves and others. The resulting life change is identified as basically spiritual, though non-religious, in nature and is associated with the positive influence of group affiliation.
Drug rehab centers will address your problems specifically. There’s a reason why you began using drugs and why you became addicted. These issues will be addressed and you will be learning new ways to cope with stressors besides using drugs.
Many rehab facilities are located in peaceful places with lush, green lawns, plenty of room to move about, and allow for concentration on becoming healthy outside the stress and anxiety of the city.
Some centers provide activities like boating, fishing, and sports for their patients. By offering these types of activities on the drug rehab center’s property, patients can find the comfort and support they need to improve and change their lives by staying fit and active.
You need to find a place you are comfortable with that has credentials that can be verified. You’ll want to be at a place where you can heal and in an environment that is peaceful and professional.
One of the first things that will happen to you when you quit drugs is detoxification. This is where all traces of the drug are removed from your body. You should not try to detox without the help of a doctor, and the rehab center will have medical staff to help you through. There are also some drugs that can aid in detox that you might be given, of course under a doctor’s supervision. The next chapter gives more in-depth information about detoxification.
You will be part of a community of individuals all trying to get help for their addictions. Many rehab centers operate as a small community and decisions about life at the center are often made collaboratively.
You may be required to take classes or attend lectures about various aspects of drug addiction. These are important because they can help you lay a foundation for life after you are released from the program.
You will also probably have group therapy which will entail talking to others and listening to what they have to say. Participation in this program will help you get support from other people who are struggling with addiction. When you have other people who are going through the same things that you are, it will help you build a stable mind knowing that you have support through this venue.
Individual counseling is also part of a drug rehab program. Through individual counseling, you will be able to identify your triggers and the specific reasons why you began using and abusing drugs in the first place. You will be given ways to cope with stressors of life
and techniques that you can use to help you stay away from drugs once your rehab program has finished.
Exercise and healthy eating programs will also be a big part of your recovery program. When you eat better and are active, you are better able to heal and concentrate on getting off of drugs.
The twelve-step program will most likely be introduced to you if you’re not already familiar with it. This type of program has proven to be quite effective and the steps, when followed, lead to a type of inner peace that will help you stay strong against your addictions and not fall into the same rut that led you there.
Rehab facilities will teach you about meditation, yoga, eating healthy, and so much more. They can be scary and overwhelming, but they will be intense. You may find yourself angry or resistant, but when you are in a rehab facility, realize that you are there because your drug use got out of control and was damaging your life.
The people in these centers are very supportive and will do everything they can to help you through the process of becoming drug-free. Whether you are there voluntarily or have been ordered into the center for whatever reason, you need to facilitate your healing and make it as easy as possible on yourself.
Expect to eat healthier, meet new people, and talk about your problems. You may find it very liberating and when you let the program work for you instead of working against the program, you will be well on your way to a drug free lifestyle.
During your recovery process, the first step is to rid the drugs from your body. This is called detoxification and it can be very serious if you don’t handle it in the correct way.
SIGNS IN OTHERS
ou can recognize signs of drug abuse in those around you by paying attention to their behavior. Read over the test above and see if you can identify any of the symptoms of a drug problem. Alienation from others, severe changes in behavior, increased defensives are all signs that a user has a problem.
Drug addicts will give up previously enjoyable activities that they would participate in. Their lives will become consumed with getting drugs and using drugs. Their physical appearance will change drastically. They will start missing work or school and the quality of their work will suffer.
To help you identify what type of drug your loved one might be using, here are some common outward signs of specific drugs.
Marijuana
• Rapid, loud talking and bursts of laughter in early stages of intoxication
• Sleepy or stuporous in the later stages
• Forgetfulness in conversation
• Inflammation in whites of eyes; pupils unlikely to be dilated
• Odor similar to burnt rope on clothing or breath
• Tendency to drive slowly—below speed limit
• Distorted sense of time passage—tendency to overestimate time intervals
• Use or possession of paraphernalia including roach clip, packs of rolling papers, pipes or bongs
Stimulants
(Cocaine, Amphetamines, Methamphetamines)
• Dilated pupils (when large amounts are taken)
• Dry mouth and nose, bad breath, frequent lip licking
• Excessive activity, difficulty sitting still, lack of interest in food or sleep
• Irritable, argumentative, nervous
• Talkative, but conversation often lacks continuity; changes subjects rapidly
• Runny nose, cold or chronic sinus/nasal problems, nose bleeds
• Use or possession of paraphernalia including small spoons, razor blades, mirror, little bottles of white powder and plastic, glass or metal straws
Depressants
(Barbiturates, Benzodiazapines)
• Symptoms of alcohol intoxication with no alcohol odor on breath (remember that depressants are frequently used with alcohol)
• Lack of facial expression or animation
• Flat affect
• Flaccid appearance
• Slurred speech
Narcotics
(Heroin, Codeine, Morphine, Vicodin)
• Lethargy, drowsiness
• Constricted pupils fail to respond to light
• Redness and raw nostrils from inhaling heroin in power form
• Scars (tracks) on inner arms or other parts of body, from needle injections
• Use or possession of paraphernalia, including syringes, bent spoons, bottle caps, eye droppers, rubber tubing, cotton and needles
• Slurred speech
Hallucinogens
(LSD, mescaline)
• Extremely dilated pupils
• Warm skin, excessive perspiration and body odor
• Distorted sense of sight, hearing, touch; distorted image of self and time perception
• Mood and behavior changes, the extent depending on emotional state of the user and environmental conditions
• Unpredictable flashback episodes even long after withdrawal (although these are rare)
Dissociative Anesthetics
(PCP)
• Unpredictable behavior; mood may swing from passiveness to violence for no apparent reason
• Symptoms of intoxication
• Disorientation; agitation and violence if exposed to excessive sensory stimulation
• Fear, terror
• Rigid muscles
• Strange gait
• Deadened sensory perception (may experience severe injuries while appearing not to notice)
• Pupils may appear dilated
• Mask like facial appearance
• Floating pupils, appear to follow a moving object
• Comatose (unresponsive) if large amount consumed; eyes may be open or closed
Inhalants
(Glue, Vapor producing solvents, Propellants )
• Substance odor on breath and clothes
• Runny nose
• Watering eyes
• Drowsiness or unconsciousness
• Poor muscle control
• Prefers group activity to being alone
• Presence of bags or rags containing dry plastic cement or other solvent at home, in locker at school or at work
• Discarded whipped cream, spray paint or similar chargers (users of nitrous oxide)
• Small bottles labeled "incense" (users of butyl nitrite)
So you think you or someone you love could possibly be addicted to drugs. You may wonder, “How in the world did it get this bad?”
Stimulants
Stimulants increase alertness, attention, and energy, which are accompanied by increases in blood pressure, heart rate, and respiration.
Historically, stimulants were used to treat asthma and other respiratory problems, obesity, neurological disorders, and a variety of other ailments. As their potential for abuse and addiction became apparent, the use of stimulants began to wane.
Now, stimulants are prescribed for treating only a few health conditions, including narcolepsy, attention-deficit hyperactivity disorder (ADHD), and depression that has not responded to other treatments. Stimulants may also be used for short-term treatment of obesity and for patients with asthma.
Stimulants such as dextroamphetamine (Dexedrine) and methylphenidate (Ritalin) have chemical structures that are similar to key brain neurotransmitters called monoamines, which include norepinephrine and dopamine.
Stimulants increase the levels of these chemicals in the brain and body. This, in turn, increases blood pressure and heart rate, constricts blood vessels, increases blood glucose, and opens up the pathways of the respiratory system. In addition, the increase in dopamine is associated with a sense of euphoria that can accompany the use of stimulants.
Research indicates that people with ADHD do not become addicted to stimulant medications, such as Ritalin, when taken in the form and dosage prescribed. However, when misused, stimulants can be addictive.
The consequences of stimulant abuse can be extremely dangerous. Taking high doses of a stimulant can result in an irregular heartbeat, dangerously high body temperatures, and/or the potential for cardiovascular failure or seizures. Taking high doses of some stimulants repeatedly over a short period of time can lead to hostility or feelings of paranoia in some individuals.
Stimulants should not be mixed with antidepressants or OTC cold medicines containing decongestants. Antidepressants may enhance the effects of a stimulant, and stimulants in combination with decongestants may cause blood pressure to become dangerously high or lead to irregular heart rhythms.
Treatment of addiction to prescription stimulants, such as methylphenidate and amphetamines, is based on behavioral therapies proven effective for treating cocaine or methamphetamine addiction. At this time, there are no proven medications for the treatment of stimulant addiction. Antidepressants, however, may be used to manage the symptoms of depression that can accompany early abstinence from stimulants.
Depending on the patient’s situation, the first step in treating prescription stimulant addiction may be to slowly decrease the drug’s dose and attempt to treat withdrawal symptoms. This process of detoxification could then be followed with one of many behavioral therapies.
Contingency management, for example, improves treatment outcomes by enabling patients to earn vouchers for drug-free urine tests; the vouchers can be exchanged for items that promote healthy living. Cognitive-behavioral therapies, which teach patients skills to recognize risky situations, avoid drug use, and cope more effectively with problems, are proving beneficial. Recovery support groups may also be effective in conjunction with a behavioral therapy.
Now that you have an overview of various drugs that can become addictive, let’s see if you or a loved one might have a problem.
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