Commonly Asked Questions about Addiction and Treatment
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.
Is substance abuse higher in the lgbtq+ community?
Yes, studies have indicated that rates of substance use and substance use disorders are indeed higher in the LGBTQ+ (lesbian, gay, bisexual, transgender, queer, and others) community compared to the general population. This disparity is believed to be related to a variety of factors, including the stress and stigma associated with identifying as LGBTQ+.
Here's a closer look at some of the related factors and statistics:
- Minority Stress: Minority stress refers to the chronic stress faced by members of a marginalized group, such as the LGBTQ+ community. This includes dealing with prejudice, societal stigma, discrimination, and the process of coming out. This added stress can increase the risk of substance use as a coping mechanism.
- Mental Health: There are higher rates of mental health disorders, such as depression and anxiety, among LGBTQ+ individuals, often as a result of minority stress. Mental health disorders are a known risk factor for substance use and substance use disorders.
- Social Environment: Substance use is often more normalized in some LGBTQ+ social settings, such as bars and clubs, which can increase the likelihood of substance use and addiction.
- Access to Care: LGBTQ+ individuals may face barriers to receiving substance use treatment, such as discrimination, lack of LGBTQ+ inclusive treatment programs, and fear of stigma.
According to the Substance Abuse and Mental Health Services Administration (SAMHSA), adults who identify as lesbian, gay, or bisexual were more than twice as likely as heterosexual adults to have used illicit drugs in the past year. Transgender individuals also experience higher rates of substance use and substance use disorders compared to their cisgender peers.
It is important to note that while substance use is a significant issue within the LGBTQ+ community, not all individuals within this community use substances or struggle with substance use disorders. A comprehensive, culturally competent approach is needed to address substance use in the LGBTQ+ community, which includes providing LGBTQ+ inclusive prevention and treatment programs, addressing the underlying issues like discrimination and stigma, and improving access to mental health care.
When a person is a substance abuser, don't they realize their life is being destroyed?
Substance Use Disorder, commonly known as addiction, is a complex condition that can significantly impact a person's judgment, perceptions, and decision-making abilities. Here are a few reasons why someone struggling with substance abuse might not fully realize the extent of the damage it's causing to their life:
Denial: It's common for individuals suffering from addiction to be in denial about the extent of their problem. They might underestimate how much or how often they use, or they may not acknowledge the negative consequences that their substance use is causing.
Altered Brain Function: Addiction affects the brain's reward system and impairs cognitive function. This can distort a person's ability to clearly see the harm that their substance use is causing. They may focus intensely on the immediate rewards of drug use while minimizing or ignoring the long-term negative consequences.
Co-occurring Disorders: Many people with Substance Use Disorder also have other mental health disorders, such as depression or anxiety. These conditions can exacerbate feelings of denial or self-deception about the extent of the substance abuse problem.
Fear and Shame: Fear of withdrawal, fear of change, and shame about their substance use can also prevent individuals from admitting to themselves or others the full extent of their problem.
Lack of Awareness: Some individuals may not understand the signs and symptoms of addiction, or they may not recognize that they can seek help and that recovery is possible.