




Facts
Despite their many beneficial effects, barbiturates and benzodiazepines have the potential for abuse and should be used only as prescribed. During the first few days of taking a prescribed CNS depressant, a person usually feels sleepy and uncoordinated, but as the body becomes accustomed to the effects of the drug, these feelings begin to disappear. If one uses these drugs long term, the body will develop tolerance for the drugs, and larger doses will be needed to achieve the same initial effects. Continued use can lead to physical dependence and - when use is reduced or stopped - withdrawal. Because all CNS depressants work by slowing the brain's activity, when an individual stops taking them, the brain's activity can rebound and race out of control, potentially leading to seizures and other harmful consequences. Although withdrawal from benzodiazepines can be problematic, it is rarely life threatening, whereas withdrawal from prolonged use of other CNS depressants can have life-threatening complications. Therefore, someone who is thinking about discontinuing CNS depressant therapy or who is suffering withdrawal from a CNS depressant should speak with a physician or seek medical treatment. The single largest marketplace for illegal drugs continues to be the United States. Although the market has decreased dramatically since its heyday in the mid-80's, close to thirteen million Americans still think nothing about occasionally buying a gram of cocaine, a few hits of ecstasy or a quarter ounce of weed to party with their friends on the weekends. A hard core group estimated at between 5 and 6 million have more serious drug habits, and may spend $100-$500 dollars a week on purchasing their drugs. These two groups - hard core users and casual users - spend approximately $60 billion dollars a year, according to U.S. government estimates. Before discussing detoxification, it may be useful to understand how the body becomes addicted and why withdrawal symptoms are experienced. In physical addiction or dependence, as a person uses a substance or chemical over a long period of time, his or her body chemistry changes. Once a substance enters the body through drinking, smoking, injecting or inhaling, it travels through the bloodstream to the brain . The brain has a complex reward system built in— when people engage in activities that are important for survival (such as eating), special nerve cells in the brain release chemicals (neurotransmitters , including dopamine) that induce feelings of pleasure. Because of this reward system in the brain, humans are programmed to want to repeat actions that elicit those pleasant sensations. In other words, feelings of pleasure reinforce certain activities or behaviors. Addictive substances interfere with this reward system. Some drugs mimic the effects of a natural chemical, some block the communication between nerve cells, and some substances trigger a larger-than-normal release of neurotransmitters like dopamine. The result of this interference is that dependent drug users physically need the drug to feel pleasure. As they become more dependent, their bodies becomes less responsive to the substance, and need more of it to get the desired response—a phenomenon called tolerance. Also as a result of the interference with the brain's system, when the dependent user does not have the drug in his or her system, feelings of depression or unpleasant withdrawal symptoms may be experienced. These consequences also reinforce the substance use— people dependent on substances resort to using more drugs to avoid the depression or the withdrawal symptoms. The majority of and largest improvements in alcohol-related fatal crash involvements (due to alcohol laws) occurred before 1997 since by then, most laws were in effect in a majority of states. In 1997, the .08 BAC law was passed in a large number of states, resulting in further improvements in alcohol-related fatal crashes. |
Intervention
An intervention is when a group of loved ones and/or a trained intervention counselor meets with the person in need of help for the purpose of breaking down their denial and motivating them to immediately seek drug addiction treatment. Often, individuals in the midst of drug addiction engage in a variety of self destructive behaviors. Although baffling to friends and family members such people generally either aren't aware on a conscious level that they have a drug addiction problem, or even when they know they have a problem they may cling to the false belief that the problem will somehow go away without any outside help. When an intervention is held a moment of clarity is created
for the addict. Most people struggling with the problem of drug or alcohol
addiction will accept help the very day of the intervention.
Drug Side Effects
Drug addiction and abuse comes with a heavy price. There are drastic drug side effects associated with drug misuse and abuse. Drug side effects from legal and illegal drugs can range from mild itching to comas and death. In addition to the physical drug side effects mentioned, there are many psychological drug side effects of drug abuse; the most serious being drug addiction and overdose.
Drug Addiction
Drug addiction is a pattern of repeated drug taking that usually results in tolerance (the need for greater amounts of the drug to achieve the same effect), withdrawal (physical and cognitive effects when drug use declines or stops), and compulsive drug taking behavior (drug taking that persists despite efforts to reduce intake and despite problems with family, friends, and work). Drug addiction encompasses a diverse range of drugs (such as alcohol, cannabis, amphetamines, and cocaine) and is caused by many different factors.
Therapeutic Community
An effective therapeutic community attends to the many needs of the individual, not just his or her drug use. Care given at a therapeutic community addresses the individual's drug use and associated medical, psychological, social, vocational, and legal problems. Also, a therapeutic community will continue to be flexible and provide ongoing assessments of the individual's needs, which may change during the course of care.
Remaining in care at a therapeutic community for an adequate period of time is critical for treatment effectiveness. The time depends on an individual's needs. For most people, the significant improvement is reached at about 3 months in treatment.
Sobriety
Sobriety means the moderation in or abstinence from consumption of alcoholic liquor or use of drugs. When an individual with an addiction problem enters drug rehabilitation, their main goal is to attain long term sobriety. Unfortunately, sometimes drug addicts and alcoholics find they are able to sustain short periods of sobriety followed by a drug or alcohol relapse. This is why attending a drug or alcohol rehab will help the individual maintain their focus on sobriety. Often, it is only by getting help that individuals with severe drug addiction problems are able to achieve lasting sobriety.
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