Commonly Asked Questions about Addiction and Treatment
What medications are used for the treatment of addiction?
Several medications have been approved by the U.S. Food and Drug Administration (FDA) for the treatment of addiction to alcohol and certain types of drugs. The specific medication used can depend on the substance the person is addicted to, their overall health, and other individual factors. Here are a few examples:
For Alcohol Addiction:
- Disulfiram (Antabuse): This medication causes unpleasant effects such as nausea and flushing of the skin if a person drinks alcohol. The aim is to discourage them from drinking.
- Naltrexone (Revia, Vivitrol): Naltrexone blocks the euphoric and sedative effects of alcohol, helping to reduce cravings.
- Acamprosate (Campral): Acamprosate works by restoring the balance of certain chemicals in the brain that may become disrupted due to alcohol addiction. It can help people maintain abstinence from alcohol after they quit drinking.
For Opioid Addiction:
- Methadone: This is a long-acting opioid agonist that can prevent withdrawal symptoms and reduce cravings for opioids. It is dispensed through specialized opioid treatment programs.
- Buprenorphine (Subutex, Suboxone): Buprenorphine is a partial opioid agonist that can help manage cravings and withdrawal symptoms. Suboxone also contains naloxone to prevent misuse.
- Naltrexone (Revia, Vivitrol): Like its use in alcohol addiction treatment, naltrexone can block the euphoric effects of opioids.
For Nicotine Addiction:
- Nicotine Replacement Therapies (NRTs): These come in various forms like gums, patches, lozenges, nasal sprays, and inhalers, and can help manage withdrawal symptoms and cravings when quitting smoking.
- Bupropion (Zyban): Initially developed as an antidepressant, bupropion can also help reduce cravings and the symptoms of nicotine withdrawal.
- Varenicline (Chantix): Varenicline helps reduce cravings for nicotine and decrease the pleasurable effects of cigarettes and other tobacco products.
When a person is a substance abuser, don't they realize their life is being destroyed?
Substance Use Disorder, commonly known as addiction, is a complex condition that can significantly impact a person's judgment, perceptions, and decision-making abilities. Here are a few reasons why someone struggling with substance abuse might not fully realize the extent of the damage it's causing to their life:
Denial: It's common for individuals suffering from addiction to be in denial about the extent of their problem. They might underestimate how much or how often they use, or they may not acknowledge the negative consequences that their substance use is causing.
Altered Brain Function: Addiction affects the brain's reward system and impairs cognitive function. This can distort a person's ability to clearly see the harm that their substance use is causing. They may focus intensely on the immediate rewards of drug use while minimizing or ignoring the long-term negative consequences.
Co-occurring Disorders: Many people with Substance Use Disorder also have other mental health disorders, such as depression or anxiety. These conditions can exacerbate feelings of denial or self-deception about the extent of the substance abuse problem.
Fear and Shame: Fear of withdrawal, fear of change, and shame about their substance use can also prevent individuals from admitting to themselves or others the full extent of their problem.
Lack of Awareness: Some individuals may not understand the signs and symptoms of addiction, or they may not recognize that they can seek help and that recovery is possible.
Why do drug addicts blame everyone but themselves?
Drug addiction can significantly distort a person's thinking patterns and perceptions, leading them to behave in ways that are often self-protective and defensive. One of these behaviors can be a tendency to shift blame onto others. This occurs for a few reasons:
- Denial: One of the key psychological symptoms of addiction is denial. This is a defense mechanism that allows individuals to avoid confronting the reality of their addiction and its negative consequences. By blaming others, they deflect responsibility and maintain their state of denial.
- Avoiding Shame and Guilt: Addiction often carries a heavy burden of guilt and shame. Blaming others can be a way for individuals struggling with addiction to avoid these painful feelings and protect their self-image.
- Rationalizing Behavior: Blaming others can serve as a way for individuals to justify their drug use and associated behaviors. If they can convince themselves that their actions are a response to the actions of others, they may feel more justified in continuing their substance use.
- Fear of Consequences: Acknowledging personal responsibility could mean having to face significant consequences, including damage to relationships, legal issues, or the need for treatment. Blaming others allows the person to avoid these potential repercussions.
- Altered Brain Function: Drug abuse can lead to changes in the brain that impact judgment, decision making, learning, and behavior control, which might lead to a tendency to shift blame onto others.