Commonly Asked Questions about Addiction and Treatment
What does fentanyl do to a person?
Fentanyl is a synthetic opioid pain reliever that is 50 to 100 times more potent than morphine. It's typically used to treat severe pain, especially after surgery, or to manage pain in individuals with chronic illnesses who have developed a tolerance to other opioids.
When used under medical supervision, fentanyl can effectively relieve pain. However, when used illicitly or without a prescription, it can have severe, and even fatal, effects. Here's what fentanyl can do to a person:
Physical Effects: In the short term, fentanyl can induce feelings of relaxation, euphoria, and decreased perception of pain. However, it also slows breathing and can lead to unconsciousness or death from respiratory failure, particularly in high doses or when combined with other substances that depress the central nervous system.
Dependency and Addiction: Fentanyl is highly addictive. Regular use can lead to physical dependence, where the body requires the drug to function normally, and psychological addiction, where a person feels a compulsive need to use the drug despite its harmful consequences.
Overdose Risk: Due to its potency, the risk of overdose with fentanyl is high, especially if a person mistakenly believes they're taking a less potent opioid, as illicit fentanyl is often mixed with other drugs. Overdose can lead to severe respiratory depression, unconsciousness, and death.
Withdrawal: Once a person becomes dependent on fentanyl, stopping its use can result in withdrawal symptoms. These can include muscle and bone pain, sleep problems, diarrhea, vomiting, cold flashes, and uncontrollable leg movements.
Long-Term Health Effects: Chronic fentanyl use can lead to an array of health problems, including severe constipation, increased sensitivity to pain, confusion, depression, and increased risk of infections due to needle sharing (if injected).
Due to its potency and high risk of overdose, non-medical use of fentanyl is extremely dangerous. If you or someone you know is struggling with fentanyl or other opioid use, it's crucial to seek professional help immediately.
Is substance abuse higher in the lgbtq+ community?
Yes, studies have indicated that rates of substance use and substance use disorders are indeed higher in the LGBTQ+ (lesbian, gay, bisexual, transgender, queer, and others) community compared to the general population. This disparity is believed to be related to a variety of factors, including the stress and stigma associated with identifying as LGBTQ+.
Here's a closer look at some of the related factors and statistics:
- Minority Stress: Minority stress refers to the chronic stress faced by members of a marginalized group, such as the LGBTQ+ community. This includes dealing with prejudice, societal stigma, discrimination, and the process of coming out. This added stress can increase the risk of substance use as a coping mechanism.
- Mental Health: There are higher rates of mental health disorders, such as depression and anxiety, among LGBTQ+ individuals, often as a result of minority stress. Mental health disorders are a known risk factor for substance use and substance use disorders.
- Social Environment: Substance use is often more normalized in some LGBTQ+ social settings, such as bars and clubs, which can increase the likelihood of substance use and addiction.
- Access to Care: LGBTQ+ individuals may face barriers to receiving substance use treatment, such as discrimination, lack of LGBTQ+ inclusive treatment programs, and fear of stigma.
According to the Substance Abuse and Mental Health Services Administration (SAMHSA), adults who identify as lesbian, gay, or bisexual were more than twice as likely as heterosexual adults to have used illicit drugs in the past year. Transgender individuals also experience higher rates of substance use and substance use disorders compared to their cisgender peers.
It is important to note that while substance use is a significant issue within the LGBTQ+ community, not all individuals within this community use substances or struggle with substance use disorders. A comprehensive, culturally competent approach is needed to address substance use in the LGBTQ+ community, which includes providing LGBTQ+ inclusive prevention and treatment programs, addressing the underlying issues like discrimination and stigma, and improving access to mental health care.
What is the Cognitive Behavioral Method for treating addiction?
"The Cognitive Behavioral Method, or Cognitive Behavioral Therapy (CBT), is an evidence-based psychological approach for treating addiction that focuses on identifying and modifying dysfunctional thought patterns, beliefs, and behaviors that contribute to substance use disorders. CBT is grounded in the understanding that an individual's thoughts, feelings, and behaviors are interconnected, and by changing maladaptive thought patterns and behaviors, they can better manage their emotions and reduce their reliance on addictive substances.
CBT for addiction treatment typically involves the following key components:
- Identifying triggers: The first step in CBT is to help individuals recognize the situations, thoughts, or emotions that trigger their substance use. This awareness enables them to develop strategies to manage these triggers effectively and avoid relapse.
- Challenging negative thoughts: CBT helps individuals recognize and challenge irrational or negative thoughts and beliefs that contribute to their addiction. By examining the evidence for and against these thoughts and replacing them with more balanced, rational alternatives, individuals can better control their emotions and behaviors.
- Developing healthy coping strategies: CBT focuses on teaching individuals new, adaptive coping skills to deal with stress, cravings, or negative emotions without resorting to substance use. These strategies may include relaxation techniques, problem-solving skills, assertiveness training, or time management, among others.
- Building self-efficacy: CBT helps individuals build confidence in their ability to cope with high-risk situations and resist the urge to use substances. This increased self-efficacy can contribute to long-term recovery and reduce the likelihood of relapse.
- Relapse prevention: CBT incorporates relapse prevention techniques to help individuals identify early warning signs of relapse and develop a plan to address these signs effectively. This may involve practicing coping strategies, seeking support from others, or making adjustments to their environment or daily routine.
CBT for addiction treatment can be delivered in individual, group, or family therapy settings and is often used in conjunction with other treatment modalities, such as medication-assisted treatment (MAT), peer support groups, or motivational interviewing. CBT has been found to be effective in treating various substance use disorders, including alcohol, opioid, and stimulant addiction, as well as co-occurring mental health disorders, such as anxiety and depression."