Commonly Asked Questions about Addiction and Treatment
Why are drug addicts so manipulative?
Individuals struggling with addiction can sometimes exhibit manipulative behaviors, but it's essential to understand that this isn't a characteristic of the person themselves, but rather a manifestation of the disease of addiction. These behaviors are typically driven by a powerful compulsion to continue using substances, often rooted in physical dependency, fear of withdrawal, or a desire to escape from negative feelings.
Manipulative behaviors can manifest in various ways. For instance, a person may lie or deceive others about their substance use, make excuses, shift blame, or use emotional tactics to avoid confrontations about their behavior or to secure resources for continuing their drug use. Often, these individuals are not consciously trying to be deceptive or manipulative; instead, they are driven by the intense compulsion created by their addiction.
Addiction also affects brain functions, including those responsible for judgment, decision making, learning, memory, and behavior control. When the brain's reward system is hijacked by substance use, obtaining and using the substance can take priority over everything else, leading to behaviors that the individual might not exhibit otherwise.
It's worth noting that not every person with a substance use disorder exhibits manipulative behaviors, and if they do, it's not a sign of their character, but rather the severity of their disorder.
The development of manipulative behaviors signals a need for professional help. Substance use disorders are serious, and effective treatments often involve a combination of medication, therapy, and long-term follow-up. Therapies like cognitive-behavioral therapy (CBT) can help individuals understand their behaviors, develop healthier coping mechanisms, and rebuild damaged relationships. Family and loved ones can also benefit from guidance and support on how to navigate these challenges without enabling the addiction.
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.
Are there racial inequities of the treatment of addictive disorders?
Yes, racial inequities do exist in the treatment of addictive disorders, reflecting systemic disparities that pervade many aspects of healthcare. These inequities can occur across multiple dimensions, including access to treatment, quality of care, and outcomes. Here are some ways in which these inequities manifest:
- Access to treatment: Racial and ethnic minority groups often face barriers to accessing substance use disorder treatment. These barriers can include factors like limited availability of treatment services in certain communities, lack of insurance or underinsurance, economic challenges, and lack of transportation.
- Quality of care: Even when individuals from racial and ethnic minority groups do access treatment, they may not receive the same quality of care as their white counterparts. This could be due to factors such as a lack of culturally competent care, bias or discrimination within the healthcare system, or treatment approaches that do not adequately consider cultural or community-specific factors.
- Treatment outcomes: Racial and ethnic disparities also exist in treatment outcomes for substance use disorders. For example, research has shown that African American and Hispanic individuals often have lower rates of successful completion of substance use disorder treatment programs compared to white individuals.
- Criminal justice involvement: There is a disproportionately higher rate of criminal justice involvement for substance use issues among people of color, particularly among African American and Hispanic populations. This can impact access to quality treatment, as well as long-term outcomes such as employment and social reintegration.
- Research gaps: Historically, much of the research on substance use disorders has primarily involved white participants, leading to a lack of data and understanding about the unique experiences, needs, and treatment responses of individuals from diverse racial and ethnic backgrounds.