Commonly Asked Questions about Addiction and Treatment
What to do if someone has a fentanyl overdose?
Fentanyl overdose is a life-threatening emergency that requires immediate action. Here are the steps you should take:
- Recognize the Signs: Common signs of a fentanyl overdose include slow or irregular breathing, drowsiness or unresponsiveness, constricted or pinpoint pupils, and cold and clammy skin.
- Call Emergency Services: Dial your country's emergency number (911 in the U.S) immediately. Explain the situation clearly and provide any known information about the person's drug use.
- Administer Naloxone if Available: Naloxone is a medication that can reverse the effects of an opioid overdose. If you have access to this medication, administer it according to the instructions, usually a spray in the nostril or an injection under the skin or into the muscle.
- Perform Rescue Breathing or CPR: If the person isn't breathing or has shallow breathing, start doing chest compressions and rescue breathing if you're trained to do so.
- Stay Until Help Arrives: Do not leave the person alone. Stay with them and try to keep them awake and responsive if possible.
- Provide Information: When emergency responders arrive, provide them with as much information as possible about the situation, including the person's age, weight, the drug they took, when they took it, and any underlying health conditions they might have.
Why can't a person just simply stop abusing drugs?
Drug addiction, often referred to as Substance Use Disorder (SUD) in the mental health field, is a complex condition characterized by compulsive drug use despite harmful consequences. It's considered a brain disease because drugs change the brain's structure and how it works, leading to changes that can persist long after the cessation of drug use. Here are several reasons why it's not simply a matter of willpower to stop using drugs:
Physical Dependence: Repeated drug use can lead to physical dependence, where the body adapts to the drug and requires it to function normally. Abruptly stopping the drug can lead to withdrawal symptoms, which can be uncomfortable or even dangerous, creating a compelling reason to continue using the drug.
Changes in Brain Function: Drug use can disrupt critical brain areas involved in reward, motivation, learning, judgment, and memory. This can lead to intense cravings for the drug and impaired ability to resist drug use, even in the face of negative consequences.
Co-occurring Mental Health Disorders: Many individuals with substance use disorders also have other mental health disorders, such as depression, anxiety, or post-traumatic stress disorder. These individuals may use drugs as a way to self-medicate, making it difficult to stop without treating the underlying condition.
Environmental Factors: Social and environmental cues can trigger cravings and make it difficult to avoid substance use. This can include things like spending time with friends who use drugs, living in a stressful or chaotic environment, or even visiting places where they used to use drugs.
Psychological Factors: Some individuals may use drugs to cope with stress, trauma, or other adverse experiences. Without healthier coping mechanisms and support, it can be very challenging to stop using drugs.
It's essential to understand that addiction is a chronic disease, similar to diabetes or heart disease, and not a moral failing or lack of discipline. Just as with other chronic diseases, treatment often isn't a matter of simply deciding to stop. It usually involves medical intervention, behavioral therapies, and long-term support. With the right treatment and support, recovery from addiction is entirely possible.
How do you help a person afflicted with alcoholism?
Helping someone afflicted with alcoholism requires a compassionate and supportive approach. The following steps can be useful in assisting an individual struggling with alcohol addiction:
Educate yourself: Gain an understanding of alcoholism, its causes, symptoms, and treatment options. This will help you better empathize with the person and offer informed support.
Express concern: Initiate a conversation with the person in a non-confrontational manner. Express your concerns about their alcohol use and its impact on their well-being. Be patient, empathetic, and avoid judgmental language.
Encourage professional help: Encourage the person to seek help from a medical professional, therapist, or addiction counselor. Offer assistance in finding appropriate resources and support them in taking the first steps towards treatment.
Offer emotional support: Be available to listen and provide emotional support throughout the recovery process. It is essential to maintain open lines of communication and offer a safe space for the individual to share their experiences and feelings.
Encourage participation in support groups: Recommend joining support groups such as Alcoholics Anonymous (AA) or SMART Recovery, which provide a community of individuals with similar experiences and can offer guidance and encouragement throughout the recovery process.
Establish boundaries: Set clear boundaries to protect your own well-being and communicate your expectations about the person's behavior. Be firm but understanding, and make it clear that you will not enable their alcohol use.
Assist with lifestyle changes: Help the person develop healthier habits, such as engaging in physical activity, improving their diet, and finding alternative ways to manage stress. Offer to participate in these activities together to provide additional support and motivation.
Be patient: Recovery from alcoholism is a long-term process, and relapses may occur. Understand that setbacks are a part of the journey, and continue to offer support and encouragement as the person works towards sobriety.
Care for yourself: Supporting someone with alcoholism can be emotionally taxing. Make sure you are taking care of your own mental and emotional health by seeking support from friends, family, or professional counselors if needed.