Commonly Asked Questions about Addiction and Treatment
Suicide risks from drug abuse among lgbtq+ youth
Substance abuse significantly increases the risk of suicide, particularly among vulnerable populations such as LGBTQ+ (lesbian, gay, bisexual, transgender, queer, and others) youth. This heightened risk stems from a combination of factors associated with both substance abuse and the unique challenges faced by LGBTQ+ youth. Here's a closer look at these factors:
Mental Health Disorders: Substance abuse often co-occurs with mental health disorders such as depression, anxiety, and bipolar disorder, which are known risk factors for suicide. LGBTQ+ youth experience these mental health conditions at higher rates than their heterosexual and cisgender peers, partially due to the minority stress they face.
Minority Stress: Minority stress refers to the chronic stress experienced by marginalized groups, including LGBTQ+ individuals. It can include experiences such as discrimination, stigma, bullying, and family rejection, which can increase feelings of hopelessness and contribute to both substance use and suicidal ideation.
Substance Use and Suicidal Behavior: Substance use can lead to increased impulsivity, decreased inhibition, and intensified feelings of despair, making a person more likely to attempt suicide. It can also exacerbate feelings of isolation and hopelessness, further increasing the risk.
Social Isolation: Many LGBTQ+ youth feel socially isolated, either because they are not out to their peers or because they face rejection after coming out. This isolation can lead to increased substance use and a higher risk of suicide.
Family Rejection: Family rejection related to an individual's sexual orientation or gender identity can lead to increased substance use and heightened suicide risk. LGBTQ+ youth who do not receive support from their families are particularly vulnerable.
Lack of Access to Mental Health Services: Many LGBTQ+ youth struggle to access mental health and substance use treatment services, which can help manage risk factors for suicide. Barriers to access can include lack of insurance, stigma, and a shortage of providers who offer LGBTQ+-inclusive care.
Intersectionality: LGBTQ+ youth who belong to other marginalized groups (e.g., racial/ethnic minorities) often face additional layers of discrimination and stress, which can further increase their risk of substance abuse and suicide.
Efforts to prevent suicide among LGBTQ+ youth include providing access to culturally competent mental health and substance use treatment, fostering supportive environments in schools and communities, and advocating for policies that protect LGBTQ+ youth from discrimination and harassment. It's also crucial to provide support for families of LGBTQ+ youth, as family acceptance has been shown to protect against suicide risk.
How do I stop enabling an addict?
"Helping someone stop enabling an addict can be a challenging process, as the enabler often has deeply ingrained habits and patterns that need to be addressed. Here are some steps to consider:
Recognize Enabling Behavior: First, you need to identify the behaviors that are enabling the addiction. Enabling behaviors can include things like providing money that funds the addiction, covering for the addict's mistakes or responsibilities, or continually forgiving harmful behavior without setting boundaries.
Educate Yourself: Learn about addiction and its dynamics. Understanding that addiction is a disease and not merely a matter of willpower can help change your perspective and reactions.
Set Boundaries: Establish and communicate clear, firm boundaries regarding what you will and won't accept. Stick to these boundaries even if it's difficult.
Stop Rescuing: Refrain from protecting the person from the consequences of their addictive behavior. It is important for them to experience the full impact of their actions.
Encourage Treatment: Instead of protecting the person from their addiction, encourage them to seek professional help. Offer to assist in finding treatment options or attending support groups.
Seek Support: Enabling patterns can be tough to break. Seek help from therapy, counseling, or support groups like Al-Anon. These resources can provide you with tools and strategies to stop enabling.
Practice Self-Care: Ensure you're taking care of your own physical and emotional health. It's easy to get so wrapped up in the addicted person's problems that you neglect your own needs.
Maintain Consistency: It's essential to be consistent with your new approach. If you occasionally slip back into enabling behaviors, the person with the addiction may continue to expect it.
Be Patient: Changing long-standing patterns of behavior takes time, both for you and the person with the addiction. Remember to be patient with yourself and with them.
Remember, You're Not to Blame: Addiction is a complex disease influenced by many factors. It's important to remember that you're not responsible for the other person's addiction or recovery. Your role is to support in healthy ways, not to cure the addiction.
What is drug addiction commonly called in the mental health fields?
In the mental health field, drug addiction is commonly referred to as a "Substance Use Disorder" (SUD). This term is used in the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5), which is the standard classification of mental disorders used by mental health professionals in the United States.
A Substance Use Disorder is defined as a pattern of behaviors characterized by an inability to control or cut down on use, spending a lot of time obtaining the substance, craving the substance, failing to fulfill obligations at work, school, or home due to substance use, and continuing to use the substance despite knowing it's causing physical or psychological harm.
Substance Use Disorders can be further categorized based on the specific substance involved, such as Alcohol Use Disorder, Opioid Use Disorder, Cannabis Use Disorder, and so forth. The severity of the disorder is also assessed (mild, moderate, or severe) based on the number of diagnostic criteria met by an individual.
It's worth noting that this terminology emphasizes the understanding of drug addiction as a medical disorder, rather than a moral failing or a matter of willpower. This shift in language is part of a larger effort to reduce stigma and promote a more compassionate, effective approach to treatment.