Commonly Asked Questions about Addiction and Treatment
Why do drug addicts do what they do?
"People with substance use disorders engage in their behavior for various reasons, often complex and interconnected. Understanding these reasons is crucial to treating addiction. Here are some common factors:
Pleasure Seeking: Drugs often produce intense feelings of pleasure, euphoria, or relief from pain. The initial high can be so powerful that individuals continue using the substance to experience that feeling again.
Escape or Self-Medication: Many people use drugs as a way to escape from reality or cope with difficult feelings, trauma, stress, or mental health conditions such as anxiety, depression, or PTSD. Drugs can temporarily dull these feelings, but they do not address the root cause of the distress.
Physical Dependence: Over time, the body can develop a physical dependence on the substance, requiring it to function normally. Without the substance, the individual may experience unpleasant or even life-threatening withdrawal symptoms.
Psychological Dependence: Even after physical dependence is managed, psychological cravings can persist. The desire to use drugs can become a powerful mental urge that dominates a person's thoughts and behaviors.
Peer Pressure or Social Influence: The influence of friends or social circles where drug use is common can encourage initial use or ongoing abuse of drugs.
Genetic Factors and Early Exposure: Genetics can play a role in vulnerability to addiction, as can exposure to drugs at a young age or in the prenatal period.
Lack of Coping Mechanisms: Without healthy coping strategies for life's stresses and challenges, some people turn to drugs as a way of dealing with these issues.
Changes in Brain Function: Long-term substance use can lead to changes in the brain that result in increased cravings and decreased ability to resist drug use, despite harmful consequences.
What areas of the body are most effected by long term drug abuse?
Long-term drug abuse can have significant impacts on various systems and organs within the body. The specific effects can vary depending on the type of drug used, but here are some general areas that can be affected:
Brain: Drug abuse can change the brain's structure and function, leading to alterations in behavior, judgment, memory, decision-making, and even mental health. Chronic use can lead to neurological disorders and cognitive decline.
Heart: Many drugs put a significant strain on the cardiovascular system, leading to a range of heart-related issues. These can include increased heart rate, high blood pressure, damaged heart muscle, irregular heartbeat, and an increased risk of heart attack and stroke.
Liver: The liver plays a key role in metabolizing substances, including drugs. Chronic drug use can lead to a variety of liver conditions, such as hepatitis, cirrhosis, and liver failure.
Lungs: Drugs that are smoked or inhaled can cause serious lung damage. This can lead to chronic bronchitis, emphysema, lung cancer, and other respiratory diseases. Opioids can also slow breathing, potentially leading to hypoxia, a condition where not enough oxygen reaches the brain.
Kidneys: Certain drugs can lead to kidney damage and disease, including kidney failure. This can be caused by increased body temperature, breakdown of muscle tissue that clogs the kidneys, and direct kidney toxicity from the drugs themselves.
Digestive System: Drug use can also affect the digestive system, leading to nausea, vomiting, abdominal pain, and changes in appetite and metabolism. Some drugs can also cause significant damage to the stomach and intestines.
Skin: Certain drugs can also affect the skin, leading to conditions like acne, skin infections, or skin picking resulting in sores. Intravenous drug use can lead to collapsed veins and infections of the blood vessels and heart valves.
Immune System: Some drugs can weaken the immune system, making users more susceptible to infections, diseases, and certain types of cancer.
It's important to note that the specific health effects of drug abuse can vary depending on the individual, the drug(s) used, the frequency and duration of use, and other factors. Seeking professional help and treatment is crucial for mitigating the negative health consequences of drug abuse.
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.