Commonly Asked Questions about Addiction and Treatment
Can alcohol withdrawal be fatal?
Yes, alcohol withdrawal can be fatal in severe cases, which is why it should always be managed under the supervision of healthcare professionals. This is especially true for individuals who have been drinking heavily for a long period of time or who have a history of severe withdrawal symptoms.
The most serious form of alcohol withdrawal is called delirium tremens (DTs), which occurs in approximately 5% of patients undergoing withdrawal. It typically starts 48 to 72 hours after the last drink, and symptoms can include severe confusion, hallucinations, high blood pressure, fever, heavy sweating, and rapid heartbeat. In addition to these, seizures can occur, which add to the risk.
Delirium tremens is a medical emergency and can be life-threatening if not treated promptly. Mortality rates without treatment are estimated to be as high as 35%, but with appropriate treatment, this rate drops to 5-15%.
Even less severe cases of alcohol withdrawal can be dangerous because they can lead to dehydration, severe vomiting, or other complications. Furthermore, withdrawal symptoms can make it difficult for an individual to maintain abstinence from alcohol, increasing the risk of a potentially dangerous relapse.
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.
Top reasons that drug and alcohol abusers in recovery relapse?
Relapse is a common part of the recovery journey for many individuals struggling with substance abuse. It's important to note that a relapse doesn't mean treatment has failed; rather, it indicates that the treatment plan needs to be revisited or adjusted. Here are some of the top reasons why individuals in recovery might relapse:
- Stress: High levels of stress can trigger a return to substance use as a coping mechanism.
- Lack of Support System: A strong support system is crucial in maintaining sobriety. Lack of emotional support and understanding from friends and family can contribute to relapse.
- Triggers and Temptations: Being in environments or around people associated with past substance use can act as triggers, leading to a desire to use again.
- Unresolved Psychological Issues: Mental health conditions, such as depression, anxiety, or trauma, can lead to a relapse if they're not effectively treated.
- Overconfidence: Some individuals may become overconfident and believe they can control their substance use without professional help, leading to a relapse.
- Poor Self-Care: Neglecting physical health, skipping meals, lack of sleep, and not taking care of oneself in general can contribute to a relapse.
- Incomplete Treatment: Leaving a treatment program before it is completed can leave individuals ill-prepared to resist the urge to use substances.
- Not Having a Plan: If an individual does not have a clear plan for dealing with cravings or triggers, they are more likely to relapse when confronted with these challenges.
- Challenging Emotions: Negative emotions like anger, sadness, loneliness, and frustration can sometimes lead to a desire to return to substance use as a way to escape.
- Celebrations or Positive Events: Surprisingly, positive events or celebrations can also trigger a relapse. The association of substance use with celebration or reward can lead to the temptation to use.