Commonly Asked Questions about Addiction and Treatment
What are the effects of fentanyl?
Pain relief: Fentanyl's primary medical use is for pain relief, as it binds to opioid receptors in the brain and spinal cord to reduce the perception of pain and increase pain tolerance.
Euphoria: Like other opioids, fentanyl can produce feelings of euphoria by increasing the release of neurotransmitters such as dopamine in the brain, which can contribute to its potential for abuse and addiction.
Sedation: Fentanyl can cause drowsiness, sedation, and a general feeling of relaxation. In medical settings, this effect is often desirable, but it can be dangerous if the drug is taken recreationally or without proper supervision.
Respiratory depression: One of the most severe side effects of fentanyl is respiratory depression, which is a slowing of the breathing rate. This can lead to a lack of oxygen, resulting in brain damage, coma, or death, especially if taken in high doses or combined with other substances that suppress breathing.
Nausea and vomiting: Fentanyl can cause gastrointestinal side effects, such as nausea and vomiting, which are common among opioid users.
Constipation: Opioids like fentanyl can slow down the movement of food through the digestive tract, resulting in constipation.
Itching: Fentanyl and other opioids can cause histamine release, leading to itching or skin irritation in some users.
Dependence and addiction: Due to its potency, fentanyl has a high potential for dependence and addiction. Prolonged use can lead to physical dependence, withdrawal symptoms, and psychological addiction, making it challenging to stop using the drug.
Overdose: Fentanyl's potency increases the risk of overdose, which can be life-threatening. Symptoms of fentanyl overdose include extreme drowsiness, difficulty breathing, slow heart rate, low blood pressure, and unconsciousness. Naloxone, an opioid antagonist, can be administered to reverse the effects of a fentanyl overdose, but multiple doses may be required due to fentanyl's potency.
What is drug addiction commonly called in the mental health fields?
In the mental health field, drug addiction is commonly referred to as a "Substance Use Disorder" (SUD). This term is used in the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5), which is the standard classification of mental disorders used by mental health professionals in the United States.
A Substance Use Disorder is defined as a pattern of behaviors characterized by an inability to control or cut down on use, spending a lot of time obtaining the substance, craving the substance, failing to fulfill obligations at work, school, or home due to substance use, and continuing to use the substance despite knowing it's causing physical or psychological harm.
Substance Use Disorders can be further categorized based on the specific substance involved, such as Alcohol Use Disorder, Opioid Use Disorder, Cannabis Use Disorder, and so forth. The severity of the disorder is also assessed (mild, moderate, or severe) based on the number of diagnostic criteria met by an individual.
It's worth noting that this terminology emphasizes the understanding of drug addiction as a medical disorder, rather than a moral failing or a matter of willpower. This shift in language is part of a larger effort to reduce stigma and promote a more compassionate, effective approach to treatment.
In what ways do drug addiction change one's personality?
Drug addiction can significantly change an individual's personality in various ways. The changes are often a result of how the substance interacts with the brain and can affect one's behaviors, emotions, and interactions with others. Here are some common ways in which drug addiction may alter personality:
Increased Aggression or Irritability: Substances can affect the brain's balance of neurotransmitters, leading to changes in mood and behavior. This can result in increased aggression, irritability, or mood swings, which might not align with the person's typical personality traits.
Decreased Motivation: Many addictive substances can lead to a decreased interest or motivation in activities that were once enjoyed. This can result in a noticeable change in personality, as the person may appear apathetic or disinterested in life outside their substance use.
Increased Impulsivity and Risk-taking: Drug addiction often leads to increased impulsivity and risk-taking behaviors. This is due to changes in the brain's reward system and decision-making processes, leading individuals to take more risks to obtain the substance, often disregarding the potential consequences.
Paranoia and Anxiety: Some substances can induce feelings of paranoia or increase levels of anxiety. Individuals who were previously calm and trusting may become suspicious, anxious, or overly worried.
Depression: Many individuals struggling with substance use disorders also experience symptoms of depression. This can lead to a noticeable change in personality, including increased sadness, lethargy, and withdrawal from social activities.
Manipulative Behavior: In order to continue using and obtaining drugs, individuals may resort to manipulative behaviors, such as lying, stealing, or deceit. This can result in a significant change in personality, as individuals may prioritize their addiction over their relationships and personal values.
Social Isolation: As drug addiction progresses, individuals may isolate themselves from family and friends, either to hide their substance use or because their primary relationships are increasingly with others who are using drugs.
Neglect of Personal Care: Addiction can lead to neglect of personal care and hygiene, which may manifest in physical changes as well as shifts in personality traits related to self-discipline and self-respect.