drug addiction maj saeeda

7/31/2019 Drug Addiction Maj Saeeda

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Maj Saeeda AzizMCC Session April 2012


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with biological,

sociological and

psychological

components


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Addiction = Substance Dependence

3 Cs: Compulsive use

Inability to Control use

Continued use despite Consequences

Addiction is not just physiologicaldependence


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Some drugs of abuse can release 2 to 10 times the amount of dopamine as natural rewards

In some cases, this occurs almost immediately (as when drugs are smoked or injected), andthe effects can last much longer than those produced by natural rewards

This creates a much stronger effect on the brain's pleasure circuit than those producednaturally (e.g., food, sex)

The effect of such a powerful reward strongly motivates people to take drugs again and again


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It never wants to let go. It bugs you until it gets

what you want.

It never forgetswhen/where it is used togetting its bone.

It thinks its going to geta bone anytime I do

anything that reminds itof the bone.


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UnemploymentMultiple criminal justice contactsDifficulty coping with stress or angerHighly influenced by social peer

group

Difficulty handling high-risk relapsesituations


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Emotional and psychologicalimmaturity

Difficulty relating to familyDifficulty sustaining long-term

relationshipsEducational and vocational deficits


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DetoxificationFetal Alcohol

Syndrome (FAS)

Loss of Judgment

Suicide/HomicideDWI/DUI ConcernsPoly-drug Use

Legality Issues


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A-motivationalArrested DevelopmentMemory/Learning

Problems

Long Detection TimeLegalizationMedical Use Issues

Health Issues


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DetoxificationMedications AvailableEuphoria

CravingIntense WithdrawalPhysical Pain


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Addiction is a brain diseaseChronic, cancerous disorders require

multiple strategies and multiple episodesof intervention

Treatment works in the long runTreatment is cost-effective


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No single treatment is appropriate for allindividuals

Effective treatment attends to multipleneeds of the individual, not just his/herdrug use

Treatment must address medical,

psychological, social, vocational, and legalproblems


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Socio-economic Single parent Ethnic

Gender Religion

Treatment Co-dependency

Employment Domestic violence Living situation Extended family


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Replace

Drug Using

Activities

DrugResistance

Skills

Motivation

ReplaceDrug UsingActivities

Problem-solvingskills

InterpersonalRelationships

Counseling and OtherBehavioral Therapies


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Strictly speaking, abstinence isdeveloped, not recovered

It is an abnormal condition, signifying aninternal defect (disease)

Addicts want to be normal, that is,using drugs in control


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Addicts seek control, not abstinence

If I can havejust one,then I will be normal,

justlike my friends


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Abstinence

Sense of Responsibility

Range of Emotions

Intimacy


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HOW PEOPLE CHANGE


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NOT CONVINCED OF THEPROBLEM OR THE NEED FOR

CHANGEUNMOTIVATEDNOT COMMITTED TO MAKING A

CHANGEUNWILLINGACTUAL OR PERCEIVED ABILITY

TO MAKE A CHANGEUNABLEDIFFERENT PARTS OF A PROCESS


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People change voluntarily only when They become interested andconcerned

about the need for change

They become convincedthe change is intheir best interest or will benefit them morethan cost them

They organize a plan of actionthat theyare committedto implementing

Theytake the actionsnecessary to makethe change and sustain the change


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PROCESS OFINTENTIONAL

BEHAVIORCHANGE

CLIENT

THERAPIST

TREATMENT


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Any questions?

drug addiction maj saeeda

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