Course of Addiction

The majority of people who start drinking or experiment with recreational drugs do not become addicted. Why do some people become slaves to drugs and alcohol?

A good majority have genes that make them more vulnerable to addiction. But genetics alone do not provide the answer. A substance has to be available and the person has to be willing to try it. Families that include drinkers are far more likely to produce children who are willing to start drinking. Many addictions starts seemingly harmlessly with drinking on weekends with friends. A social environment that encourages drinking and drug use is far more likely to put people on a path to addiction.

The initial steps into addition will usually be pleasant A person might find that drinking or using drugs solves psychological or emotional problems. For many it eases the anxiety of socializing. Other addictions might start with treating a chronic pain with prescription medications. The first step is in associating a behavior such as drinking or taking a drug with relief from uncomfortable feeling or pain.

Many addicts have a background that includes psychological trauma or other forms of abuse. Being intoxicated provides a feeling of well-being and an escape from the psychological effects of the torment. From this point recreational use can easily slip into reliance on the drug for its emotional effects. The pleasure of achieving a high makes the negative consequences seem like a small price to play. Obtaining the drug, using it and recovering from its effects become a priority. At this stage people ignore the possibility that addiction can develop. Denial sets in and the behavior repeats over and over.

Denial is a defense mechanism. It operates to protect self-esteem and keep people even emotionally. Denial might protect a person when a harmless insult is sent, but it can also serve to empower addictive behavior.

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Age Old Problem, New Solutions

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Addiction is an age old problem that dates nearly to the beginning of recorded history.

A passage from Proverbs 23:29-35 states “Do not gaze at wine when it is red, when it sparkles in the cup, when it goes down smoothly! In the end it bites like a snake and poisons like a viper.”

While ancient societies might have lacked to the science to understand addiction the effects of alcohol dependence were well documented. Substance dependence affects every level and group in society. National Institutes of Health reports have estimated that one in four people in the United States have a parent, child or sibling who is addicted. Reports on the economic impact of addiction place the drain at more than $250 billion annually.

But the impact of addiction cannot be measured in dollar figures alone. Abusing drugs or alcohol disrupts personal development, injures relationships and corrupts a functioning society. Families affected by addiction understand the difficulty in reversing an addict’s behavior.

Although there are some differences between abusing alcohol and addiction to other drugs there are also many similarities. The basic nature of addiction is interchangeable, and many times people who cannot control themselves with one substance with develop a dependence on another. The ease at which people can obtain illegal drugs has made it more common than ever for people to be addicted to multiple substances. The basic nature of addiction also shares characteristics with compulsive disorders such as gambling or overeating.

The problem is in knowing when has a behavior become an addiction? At what point does social drinking develop into alcoholism? Is someone an addict just because he or she uses an illegal drug? The problem of addiction seems to be an ill that will forever be tied to the human experience. Studying the reasons behind addiction and applying scientific treatments have allowed some people to conquer their demons

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Pinpointing Addiction

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It seems that it should be easy to pinpoint when drinking or using a drug has become an addiction, but arriving at the point can be difficult. Confusion occurs because observing behaviors is not an exact science. Scientists are attempting to define a change in the way the brain functions as a result of exposure to an addicting substance. Researchers has try to illustrate this problem through the story of the three blind men and the elephant.

One man feels the elephant’s ears and concludes that the creature is broad and thin akin to a leaf. One man feels the elephant’s trunk and believes that he is touching a creature similar to a snake. The final man touches the elephant’s leg and believes that the animal is tall and sturdy like a tree. All three are correct and also wrong. The true nature of the elephant has been lost due to observing only one part of the whole.

Addiction is a condition that has biological, physiological, psychological and behavioral aspects. As a result compulsive use of an addicting substance is only on part of understanding the problem of addiction. In 1972 the National Council on Alcoholism and Drug Dependence released a definition of addiction that attempted to include every aspect. The two main components of their definition constitute perhaps the best working definition: loss of control over the use of the substance and continued use despite negative consequences.

Just using substances even to excess is not enough to define addiction. Behavioral clues have to be included for a true diagnosis. This is why it is difficult to diagnosis alcoholism in certain segments of the population. It might be easy to discover a drinking problem when a person has numerous DUI arrests. But for someone show does all their drinking at home and limits their interactions while drinking, a hidden addiction could occur.

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What To Expect In The Detox Stage

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“Detox” is short for “detoxification”, the stage in which the body is undergoing both physical and psychological withdrawal from the substance of abuse, and metabolizing the drug for removal from the body as well as starting to repair the damage that has been caused from abusing drugs or alcohol. It is necessary that a person undergo detox before continuing in a drug rehabilitation program, and, unfortunately, it is not a pleasant experience.

The withdrawal phase is part of the detox stage. This phase can start as early as thirty minutes to an hour after the last drink or alcohol or last drug “fix”. Early signs include stronger cravings, excessive sweating and nervousness.

As a person goes longer without drinking or taking a drug, the body continues to react to the absence of the drug. The cravings become more intense, and the body begins to react in other physical and psychological ways. Nausea and vomiting may occur, either preceded or accompanied by severe abdominal cramps.

Muscle tremors start to appear, and become more pronounced as more of the drug or alcohol is metabolized and the levels present in the body begin to fall. The person may begin to suffer hallucinations or the feeling that insects are crawling all over his body, when indeed none are present.

Eventually, the withdrawal symptoms do begin to abate, but the detox process continues as the body works to rid itself of all traces of the drug or alcohol. It can sometimes take as long as a week for full detoxification to occur.

Many drug rehabilitation programs will not allow admittance until the detoxification phase has completely passed. Some facilities, however, are equipped to handle the detox phase, and will go ahead and admit the person. Once the detox phase has passed, the patient immediately begins the rest of the drug rehabilitation program.

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What Causes Addiction?

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Some people, experts and laymen alike believe that some people may have a genetic predisposition to addiction. Others may vehemently oppose that opinion; instead believing that it is a moral or psychological weakness.

A person’s environment, socio-economic status and other outside influences have been presented as causes of drug addiction. Again, others take exception to this, saying that anyone who wants to or is strong enough can rise above any negative occurrences in their past or present.

So, what actually “sets a person on the path” to drug or alcohol addiction is unclear. It can be any of the things mentioned above, or there may be no clear reason as to why someone became addicted.

Instead of trying to figure out the circumstances that might have caused addiction to occur, it might be better to determine exactly how addiction, both physical and psychological for there are two kinds affects a person. What changes take place that cause physical reactions if alcohol or a drug is withdrawn? For that matter, what happens in the physical brain (not the mind) to make the brain send out signals that alcohol or a drug is needed? What actual psychological reactions take place when a person becomes addicted?

Addiction can occur when the receptors in the brain that receive and record feelings of pleasure are affected by drugs or alcohol. In an effort to retain those feelings, the receptors send out signals that urge the body to repeat the actions that caused the feelings in the first place. In the case of addiction, this means drinking more or taking more drugs. The receptors receiving and sending out signals can be linked to both the physical and psychological aspects of addiction.

It is known that certain drugs, such as crack cocaine or methamphetamine, cause such an immediate, intense high the very first time they are used, that the receptors literally “work overtime” to stimulate the body into trying to imitate that exact same feeling once more. The result is literally an instant addiction, as opposed to one that happens over time.

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What Is Meth And Why Is It Addictive?

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“Meth” is short for methamphetamine. Originally derived from amphetamine, the drug that is so addictive and so often abused has been chemically produced to where it provides a stronger effect than any true amphetamine can.

Methamphetamine is made by taking substances that contain amphetamine, such as cold tablets and other medications and combining them with other chemicals, many of which were never intended to be introduced into the human body. This mixture is then “cooked” and allowed to cool. As it cools, it forms a solid mass, which is then either chipped up into individual pieces or ground into a powder.

When it is left in its solid form, the pieces are usually ignited, and the resulting fumes inhaled-the same as would be done with “crack” or solid cocaine. In its powder form, it is mixed with liquid (including alcohol), inhaled-in much the same way as powdered cocaine or heroin is-or mixed with water or another liquid and injected. The injection can be just under the skin, into a muscle, or directly into a vein.

No matter how the methamphetamine gets into the body, it is so addictive because of the way the brain reacts to it. Meth produces an instantaneous, intense “high” the very first time it is used. There is no having to wait for enough of the drug to build up in one’s system to start feeling the effects, as can often happen with other drugs. No matter what amount of meth is used, the high occurs as soon as the drug gets into the body, again the very first time it gets into the body.

The receptors in the brain that are stimulated by meth respond so strongly that they immediately send signals to the body to repeat the same procedure that caused the feelings of pleasure the first time again. This, of course, means using more meth. However, subsequent highs are never as intense as the first one was, and this causes the receptors to increase the number of times they send the signals, in an effort to recapture the original feelings.

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Effects Of Methamphetamines

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Methamphetamine has both physical and psychological effects on the body. And, it is both of them combined that make it so highly addictive. To begin with, methamphetamine (more commonly referred to as “meth”) is probably the only drug besides crack cocaine that produces an immediate high that is extremely strong. This happens with the very first use.

A good way to describe how meth affects a person so quickly is to compare it with “crack” cocaine. “Crack” cocaine is powdered cocaine that has been mixed with liquid and “cooked” until it forms a solid mass. The intense heat caused by the cooking burns off all the impurities that may have been in the powder (added ingredients such as sugar, corn starch, or flour, or anything else it might have been mixed with.) What is left is pure cocaine.

Once it has been manufactured and cooled, meth is also in a “pure” form, and it is distributed and sold in that form. Unless a user dilutes it in some way, either by adding liquid or “cutting” the meth powder with another substance, he is going to get the “pure” stuff.

As anyone knows, the purer a substance, the more potent it can be. And, this is the case with “crack” cocaine and meth. The potency of these drugs is so high that it causes an instantaneous reaction in the brain.

Once the drug hits the brain, it triggers certain receptors. These receptors then interpret the effect as a pleasurable sensation, and direct this signal to the brain. The brain immediately decides that this is a sensation it wants to experience again, very soon. It, in turn, sends out its own signals to the receptors, instructing them to tell the body to do again whatever it was that was done the first time to cause the feelings.

Unfortunately, the very first “high” can never be achieved again. Because of this, the brain continues to send the signals to the receptors, which continue to prod the body to repeat the behavior, which causes, of course, the urge to do more meth.

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Complex Definition of Addiction

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Addiction is a complex subject that fails to sit in a single category. Often times it is portrayed in the simple terms of being either a disease or a moral problem.

Compulsory education teaches the value of self-control and sober judgment. Addiction is often portrayed as abnormal and something to be ashamed of. Drinking to excess represents a lack of character or a moral failure. Addicts are portrayed as untrustworthy, unreliable and selfish. Part of this belief systems stems from religious views of alcohol. Some religions teach that alcohol consumption is a violation of a moral code and admitting that a problem exists and repenting is the only way to be absolved of a weakness in character.

Treatment centers take a far less harsh view. Addicts and their families are taught that alcoholism is a complex physical and psychological disorder. Addicts and alcoholics are shown to be sick and in need of treatment and understanding. In the view of science, addiction is a chronic and potentially fatal disorder that can be treated if proper conditions are met. Professionals can use therapeutic techniques to deal with denial and certain medications can ease cravings.

The two position of morality versus disease are divergent and far to simplistic to properly sum up something as complex as addiction. In historical writings this type of analysis can be compared to the singular causation fallacy. Weak historical writing will often credit one single event to causing another. An example would be that the election of Abraham Lincoln as President caused the American Civil War. While this analysis might be true in some respects, the Civil War was the result of thousands of other events tied together. Understanding the causes of addiction require digging deeper than painting broad strokes to describe the epidemic, while understanding that each case of addiction probably has unique causes.

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What Is The 12-Step Program?

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The 12-step program is an addiction support program that encourages participants to move through 12 individual steps. Emphasis is on making sure that each step is fulfilled completely before advancing to the next step. Further, participants are urged not to give up if they relapse into their addiction before completing all 12 steps, but rather starting over.

The original 12-step program was created by the founders of Alcoholics Anonymous. Those steps, as set out on the official Alcoholics Anonymous website, are explained below and summarized for better understanding.

12 Steps

1. Admitted that one is addicted and powerless over drugs or alcohol

2. Believes that a higher power can help restore their life to normalcy.

3. Made a decision to ask for help from higher power.

4. Evaluated one’s life in terms of morals and values.

5. Admitted to higher power, themselves and their family and friends of their mistakes regarding their drug or alcohol addiction.

6. Ready for change implemented by higher power in terms of character defects.

7. Asked for forgiveness from higher power.

8. Made a list of their mistakes and is willing to ask for forgiveness to family and friends they have wronged.

9. Follows through with asking for forgiveness from loved ones.

10. Continues to take personal inventory of their life and is focused on becoming a productive member of society.

11. Prays and meditates in order to improve one’s spiritual relationship with higher power.

12. Believes in sharing his or her story and helping other alcoholics or addicts heal their lives.

Participation in any 12-step program is always free. Participants use first names and last initials only, and protect each other’s privacy and anonymity. Each person either acts as or is provided with a support person who is available when needed to offer moral support or even help a person resist the temptation to relapse into addiction once again.

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What is Substance Abuse?

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A simple definition of substance abuse would be using a substance, specifically alcohol or some type of drug, to an extent that would be considered excessive.

Some experts, however, believe that, like anything, “excessive” may be open to interpretation because what is considered excessive for one person may be the minimal amount needed by someone else for the substance to even have any effect. Likewise, even the word “drug” may be considered as having multiple interpretations, as one person, professional or layman either one, may not consider a particular substance as falling under the category of a “drug”.

So, rather than debate the meanings of specific words, perhaps some comparisons could help us in deciding if something falls under the category of substance abuse. Not all readers may agree with the ideas put forth here, and that is fine.

Comparison #1: One to two drinks a few times a week, with little, if any, signs of intoxication, drinking does not interfere with ability to work or function in society-social or moderate drinking. Frequent drinking during a 24-hour period, drinking interferes with ability to work or function in society-substance abuse.

Comparison #2: Use of a prescribed narcotic pain reliever as prescribed or intended-legitimate use. Continuing to take the narcotic pain reliever after pain has been sufficiently alleviated or the cause has been totally eliminated, using illegal or illicit methods to obtain more than has been prescribed-substance abuse.

If you are still not certain if your situation or that of a family member’s constitutes substance abuse, you have a number of options:

*Ask yourself the twelve questions that Alcoholics Anonymous gives as guidelines to determine if you have a drinking problem. You can substitute the words “taken drugs” for drinking and drink.
*Ask a trusted friend or clergyperson-someone who will be honest, but will not betray the confidence – if he or she thinks you have a problem.
*Ask your healthcare professional if you are showing symptoms of substance abuse.

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