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 is the purpose of drugs such as methadone, suboxone and subutex in the recovery process?
Methadone, Suboxone (a combination of buprenorphine and naloxone), and Subutex (buprenorphine) are medications used in Medication-Assisted Treatment (MAT) for opioid use disorders. Their primary purpose in the recovery process is to help manage withdrawal symptoms and reduce cravings, facilitating a safer, more comfortable transition to abstinence or long-term management of the disorder. Here's a more detailed look at how each of these medications function:
Methadone: Methadone is a long-acting opioid agonist, which means it activates the same receptors in the brain that other opioids like heroin, morphine, or prescription painkillers do. However, it does so more slowly and for a longer duration, without causing the intense euphoria associated with misuse of those drugs. This helps to mitigate withdrawal symptoms and cravings, enabling individuals to function more normally in daily life.
Suboxone: Suboxone contains two active ingredients: buprenorphine and naloxone. Buprenorphine is a partial opioid agonist, meaning it activates the opioid receptors in the brain, but to a lesser extent than full agonists like heroin or methadone. This can help manage cravings and withdrawal symptoms without producing the high associated with opioid misuse. Naloxone is an opioid antagonist, meaning it blocks the effects of opioids. It's included in Suboxone to discourage misuse of the medication; if someone tries to inject Suboxone, the naloxone will trigger withdrawal symptoms.
Subutex: Subutex is the brand name for buprenorphine alone. Like in Suboxone, buprenorphine in Subutex serves to lessen withdrawal symptoms and reduce cravings. It is typically used in the initial stages of treatment, while Suboxone is more commonly used for maintenance.
These medications are typically used as part of a comprehensive treatment plan that also includes counseling and behavioral therapies. It's important to note that while these medications can be highly effective in supporting recovery, they should be used under the guidance of a healthcare provider due to the risk of misuse and potential side effects. Each individual's treatment plan should be tailored to their unique needs and circumstances to ensure the best possible outcomes.
What does drug addiction do to a person?
Drug addiction, also known as Substance Use Disorder (SUD), is a complex condition that affects an individual's brain and behavior, leading to an inability to control the use of drugs despite harmful consequences. Drug addiction can impact a person in various ways, including physical, psychological, social, and emotional aspects of their life. Some of the effects of drug addiction include:
- Physical health problems: Chronic drug use can lead to numerous health issues, ranging from mild to severe. These may include weakened immune system, cardiovascular problems, liver damage, lung diseases, kidney damage, and increased risk of infectious diseases, such as HIV and Hepatitis C.
- Mental health issues: Drug addiction often co-occurs with mental health disorders, such as depression, anxiety, and bipolar disorder. Substance use can exacerbate existing mental health conditions or lead to the development of new ones.
- Cognitive impairment: Prolonged drug use can impair cognitive functions, such as memory, attention, decision-making, and problem-solving skills. This can impact an individual's ability to function effectively in daily life and may result in poor academic or work performance.
- Emotional instability: Drug addiction can lead to emotional instability, mood swings, and increased irritability, which can strain personal relationships and affect overall well-being.
- Social isolation: Individuals with drug addiction may withdraw from social activities, hobbies, or relationships, leading to isolation and loneliness. They may also prioritize drug-seeking behaviors over other aspects of their life, further damaging social connections.
- Financial difficulties: The cost of obtaining drugs, combined with reduced work performance or job loss, can lead to financial strain and potentially result in homelessness or dependence on others for support.
- Legal problems: Drug addiction may increase the likelihood of engaging in illegal activities, such as theft or drug trafficking, to support drug use. This can lead to arrest, incarceration, or other legal consequences.
- Increased risk of overdose: Chronic drug use increases the risk of accidental overdose, which can result in severe health complications or death.
- Family and relationship issues: Drug addiction can strain family relationships and lead to instability within the household, as well as negatively impact the emotional and physical well-being of children in the family.