Commonly Asked Questions about Addiction and Treatment
What is the most common substance abuse disorder?
The most common substance use disorder globally is alcohol use disorder (AUD). This disorder, often referred to as alcoholism, is characterized by an impaired ability to stop or control alcohol use despite adverse social, occupational, or health consequences.
Alcohol use disorder is defined by the American Psychiatric Association in the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) as a problematic pattern of alcohol use leading to clinically significant impairment or distress, as manifested by at least two of eleven criteria, within a 12-month period.
The criteria include issues like spending a lot of time drinking, or recovering from drinking, giving up important social or recreational activities in favor of drinking, developing a tolerance (needing to drink more to achieve the desired effect), experiencing withdrawal symptoms when not drinking, and continuing to drink even when it's causing physical or psychological problems.
It's important to note that substance use disorders can develop with the use of many different substances, including illicit drugs like cocaine or heroin, and legal substances like alcohol or prescription medications. The prevalence of these disorders can vary by region and demographic group.
Regardless of the substance involved, these disorders can have serious impacts on individuals' physical and mental health, relationships, and ability to work or study. Treatment can often help people with substance use disorders to recover and lead healthy lives. If you or someone you know is struggling with substance use, don't hesitate to seek professional help.
How long do drug withdrawal symptoms last?
The duration of drug withdrawal symptoms can vary widely depending on several factors, including the type of substance used, the duration of use, the degree of dependence, individual metabolism and health status, and whether one quits cold turkey or with medical assistance.
Generally, withdrawal symptoms can be divided into acute and post-acute phases:
Acute Withdrawal: This is the initial phase of withdrawal, where physical symptoms are typically the most severe. Depending on the substance, acute withdrawal symptoms can begin within a few hours to a few days after the last use and can last anywhere from a few days to a few weeks. For example, alcohol withdrawal symptoms often start within 8 hours of the last drink and can last up to a few days or weeks, while opioid withdrawal symptoms usually start within 12-30 hours of the last dose and can last approximately a week.
Post-Acute Withdrawal Syndrome (PAWS): Some individuals may experience a second phase of withdrawal known as Post-Acute Withdrawal Syndrome. PAWS refers to a group of symptoms that occur after the acute withdrawal phase, predominantly psychological, such as anxiety, irritability, mood swings, depression, and sleep disturbances. PAWS can last from a few weeks to a year or more after the cessation of substance use.
It's important to remember that withdrawal can be dangerous and even life-threatening in some cases, especially when it comes to substances like alcohol and benzodiazepines. Therefore, withdrawal should always be done under medical supervision. The support and treatment offered by medical professionals during detoxification can also help to mitigate withdrawal symptoms and make the process safer and more comfortable.
What are the symptoms of opioid addiction?
Opioid addiction is a chronic condition characterized by compulsive use of opioids despite harmful consequences. Recognizing the symptoms of opioid addiction can help in providing timely intervention and support for the affected individual. Some common symptoms of opioid addiction include:
- Physical symptoms: Opioid addiction can cause various physical symptoms, such as constricted pupils, drowsiness, slowed breathing, constipation, and itching. The person may also exhibit signs of intoxication, like slurred speech and impaired coordination.
- Behavioral changes: Opioid addiction can lead to changes in behavior, such as increased secrecy, social withdrawal, mood swings, and unexplained absences. The person may neglect personal hygiene, appearance, or responsibilities in favor of obtaining and using opioids.
- Tolerance and withdrawal: Over time, individuals with opioid addiction may develop a tolerance, requiring higher doses or more frequent use to achieve the desired effects. If the person stops using opioids, they may experience withdrawal symptoms, such as restlessness, muscle and bone pain, insomnia, diarrhea, vomiting, and cold flashes with goosebumps.
- Loss of control: A key symptom of opioid addiction is the inability to control opioid use, even when the person wants to stop. They may spend an excessive amount of time and resources obtaining, using, or recovering from the effects of opioids.
- Continued use despite negative consequences: Individuals with opioid addiction often continue using opioids despite experiencing negative consequences, such as health problems, relationship issues, financial difficulties, or legal troubles.
- Preoccupation with opioids: Opioid addiction can lead to a preoccupation with the drug, resulting in the person prioritizing opioid use over other aspects of their life, including personal relationships, work, or hobbies.
- Risk-taking behaviors: Opioid addiction can lead to increased risk-taking behaviors, such as using opioids in dangerous situations, sharing needles, or engaging in criminal activities to obtain the drug.
- Neglecting relationships: Opioid addiction can strain personal relationships, as the person may prioritize their opioid use over their connections with friends and family.
- Changes in sleep patterns: Opioid use can disrupt sleep patterns, causing the person to experience insomnia or excessive sleepiness.
- Cravings: Individuals with opioid addiction may experience strong cravings for opioids, often leading to compulsive drug-seeking behaviors.