




Facts
Cocaine addiction reached peak levels in the 1980s, and continues to be a major problem in many societies. Curiously, before the 1980s, cocaine was considered to be a safe, non-addicting stimulant drug. There appeared to be no overt physical symptoms that would constitute a withdrawal syndrome. The spread of crack cocaine in the 1980s changed this perception. Crack (solid, free-base cocaine) was much cheaper than powdered cocaine and became widely available, particularly to the poor. The smoking of the drug leads to a rapid, short-lasting but profound euphoria that is extremely addictive. It rapidly became clear that the criteria for SUBSTANCE DEPENDENCE were easily met with cocaine. Compulsive use, loss of control, and a withdrawal syndrome began to be clearly recognized. Cocaine WITHDRAWAL is characterized by several phases. A triphasic abstinence pattern generally follows a cocaine binge. The first phase is termed the crash, which lasts from hours to days. The crash is characterized by a sharp decrease in mood and energy, agitation, anxiety, depression and craving for cocaine. There is an extreme need for sleep, which is usually met by the ingestion of sedatives, alcohol or opiates. The next phase, withdrawal, can last for many weeks and is characterized primarily by an intense dysphoric syndrome. Depression and ANHEDONIA (inability to experience pleasure) contrast with memories of stimulant-induced euphoria and often lead to a repetition of the bingeing cycle. If the user continues to be abstinent, the third phase emerges, extinction. During this phase, normal mood and energy are restored. However, the user may experience occasional cravings for cocaine for months or even years after the last binge. The cravings are usually invoked by stimuli or memories associated with the cocaine experience. In sharp contrast to the scare tactics utilized in the days of yore, effective methods of school drug abuse education informs teenagers that drug use is not the norm, help them recognize adverse influences in advertising and role models, and teaches them the skills needed to resist those pressures. In the decades since research began, doctors have come to recognize that of the body's many systems, the cardiovascular system experiences the most noticeable short-term effects of cocaine use. The first of these is a rapid increase in the user's heart rate, which results in the heart pumping a greater volume of blood through the body. This is essentially the same effect that results from strenuous physical activity except that when cocaine is the cause, blood vessels narrow, forcing the heart to work not just faster but harder. Occasionally, cocaine also causes temporary rapid or erratic heart rhythms, increased blood pressure, and increased body temperature. The central nervous system also experiences temporary physiological changes. As the cocaine carried by the bloodstream enters the brain, the electrical activity of the brain is temporarily altered as the cocaine is absorbed by cells called neurons. The absorption of cocaine alters the chemistry of the brain to increase production of the chemical dopamine. This change in brain chemistry is responsible for the sense of euphoria, sometimes referred to as a "rush" that is usually described in pleasurable terms as a sudden sense of excitement. In most healthy people, most of these symptoms disappear within thirty to sixty minutes as the liver chemically decomposes the cocaine, which is then removed from the system by the kidneys. In terms of age ranges, the highest rate of illicit drug use is found among older teens: the 1999 Monitoring the Future study found that 22% of 10th graders and 26% of 12th graders reported using an illicit drug in the past month. They are closely followed by young adults; the Household Survey found that 20-21% of Americans aged 18-20 reported past month use of some illicit drug. |
Detox
Detox is necessary when an individual through their chronic use of drugs or alcohol has developed an addiction. The objective of detox is to help the individual achieve a drug and alcohol free state. Detox is intended to relieve the physical symptoms of withdrawal and helps prepare the individual for entry into drug rehabilitation. Therefore, the ultimate goal of detox is preparation for long term recovery from drug and alcohol addiction.
Withdrawal
Withdrawal is what happens when a person who is addicted to drugs or alcohol discontinues use. There are numerous symptoms that take place both physically and emotionally when an addicted individual stops using. Withdrawal can last a few days to a few weeks and may include nausea or vomiting, sweating, shakiness, and anxiety. Keep in mind; this only occurs if a person has regular, heavy use of a drug or alcohol. Withdrawal can be extremely uncomfortable without professional help. Treatment for withdrawal from alcohol or drugs may require a medical professional to be present. Drug and alcohol rehabilitation is often the best way to overcome withdrawal and its symptoms as well as recovery from drug addiction.
Drug Abuse
Drug abuse is defined as the chronic or habitual use of any chemical substance to alter states of body or mind for other than medically warranted purposes. Drug abuse is a problem which has an effect on people of all income levels,
ages, and stations in life. Quite often the last person to see that there is a
problem is the drug abuser them self. Every year, more and more people become
drug addicts in their pursuit to get "high".
Drug Rehabilitation
Drug rehabilitation is a place or program that an individual enters to treat a drug or alcohol addiction. Through therapy and education, the individual is restored to their former non-drug using self. They are then able to re-enter society clean and sober. There are many reasons why a person would need to attend a drug rehabilitation program. Some of the many reasons are: the inability to control their drinking or drug use, alienating their friends and family, problems with the law, and problems at work. Also, there are several different types of drug rehabilitation programs available: inpatient, outpatient, residential, short-term, and long-term.
Abstinence
Abstinence is the act or practice of refraining from indulging a desire. The type of abstinence we are referring to here is abstinence from drugs and alcohol. This term has two connotations when it comes to abstaining from drugs. The first refers to drug or alcohol treatment programs that aim to help an individual stop using drugs or alcohol for the rest of their lives. The time abstinence is also used in drug education and prevention. It refers to trying to stop children from ever using drugs.
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