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Controlled Substances and Addiction Stages

Addiction is characterized by an inability to stop using a substance or engaging in a behavior despite harm. Misuse refers to inappropriate use that could lead to problems but does not necessarily mean addiction. There are physical addictions to substances like alcohol and opioids and behavioral addictions like gambling. Signs of addiction include lack of control, ignoring risks, withdrawal symptoms, and neglecting other areas of life. Addiction develops gradually through experimentation and regular use and is influenced by mental health, peer pressure, and genetics. People with addictions experience more health problems, debt, and weakened immune systems compared to non-addicts.

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0% found this document useful (0 votes)
32 views2 pages

Controlled Substances and Addiction Stages

Addiction is characterized by an inability to stop using a substance or engaging in a behavior despite harm. Misuse refers to inappropriate use that could lead to problems but does not necessarily mean addiction. There are physical addictions to substances like alcohol and opioids and behavioral addictions like gambling. Signs of addiction include lack of control, ignoring risks, withdrawal symptoms, and neglecting other areas of life. Addiction develops gradually through experimentation and regular use and is influenced by mental health, peer pressure, and genetics. People with addictions experience more health problems, debt, and weakened immune systems compared to non-addicts.

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Vishal Kumar
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© All Rights Reserved
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Recognizing and avoiding of addictions

ADDICTIONS - Addiction is the inability to Stop using a substance or engaging in a behaviour even though it is causing
psychological and physical harm. Scientific Foundations of Health
Addiction and misuse are different- Misuse refers to the misuse of a substance at high doses or in inappropriate situations
that could lead to health and social problems.
However, not everybody who misuses a substance has addiction. Addiction is “fact or condition of being addicted to a
particular substance, thing, or activity.”
Module- 4
TYPES OF ADDICTIONS Avoiding risk and harmful habits.
Physical Addictions: These are addictions to substances that are
ingested or otherwise put into a person’s body:
● Alcohol ● Tobacco ● Opioids ● Prescription drugs ● Cocaine
● Marijuana ● Amphetamines ● Hallucinogens ● Inhalants ● PCP
Presented by
Behavioural Addictions: Dr. Shwetha H J
Behavioral addiction is classified as any time that one loses control of their actions in order to engage in behaviors that Faculty
result in brief feelings of happiness. Department of Biotechnology
● Food Addiction ● Internet Addiction ● Pornography Addiction ● Using computers and/or cell phones B.M.S. College of Engineering
● Video Game Addiction ● Work Addiction ● Exercise Addiction ● Spiritual obsession (not to be confused with religious
devotion) ● Shopping ● Gambling
Recognizing an addiction: Characteristics of health compromising behaviors
Occur gradually:
The American Society of Addiction Medicine (ASAM) defines addiction as a chronic disease that affects the brain’s reward,
▪ Individuals are exposed to, becomes susceptible to the behaviour, experiments with it, and later engages in its regular use
motivation, and memory functions. Someone with an addiction will crave a substance or other behavioural habits.
▪ Not acquired at once, through a process may make different interventions important at the different stages of vulnerability,
experimentation, and regular use
General signs of addiction are:
▪ lack of control, or inability to stay away from a substance or behaviour
Substance of all kinds is predicted by some of the same factors
▪ decreased socialization, like abandoning commitments or ignoring relationships
▪ High level of conflict with parents
▪ ignoring risk factors, like sharing needles despite potential consequences
▪ Poor self-control
▪ physical effects, like withdrawal symptoms or needing higher dosage for effect
▪ Might be coping mechanisms to manage a stressful life
▪ Ignoring other areas of life to fulfil or support their desires.
Common profile of those who engage in substance abuse
Dealing with addiction
▪ Penchant for deviant behaviour, with low self-esteem, and with problematic
Initially, people may feel that addiction is a myth and they can quit any time they want.
family relationships often show higher levels of these behaviours
This can also occur with substance abuse and behavioural addictions.
▪ Poor school performance, family problems, deviance, difficult temperament
Making any kind of change involves a process that starts with
pre-contemplation and moves into contemplation. DIFFERENT STAGES OF ADDICTIONS
Once one makes that decision to change, they begin the process of preparing to take action. STAGE 1: Experimentation- The voluntary use of drugs without experiencing any negative social or legal consequences
STAGE 2: Regular Use- Substance use just becomes another part of the routine.
How to avoid addiction STAGE 3: High-Risk Use- Takes precedence over other facets of your life.
1) Avoid Temptation and Peer Pressure STAGE 4: Addiction Final stage-complete dependency upon the substance When addicts don’t receive them, their body
2) Seek help for mental illness lets them know in the form of symptoms like shakes, sweats, tremors, and other frantic behaviours.
3) Examine the risk factors
4) Keep a well-balanced life
5) Education
Differences between addictive people and non addictive people and their behavior with society How addiction develops and addictive behaviors
Substance addiction ▪ Drugs use is often voluntary in the first instance .
Addictive Non-Addictive ▪ The development of a full addiction occurs through a variety of circumstances.
• Increases anxiety and tension. • No anxiety and tension. ▪ A person whose brains reward circuitry has not altered as a result of addiction experiences positive feelings in relation to
• Nicotine creates an immediate sense of relaxation • Able to focus and be productive. generally rewarding behaviour, such as exercising , being with family , or consuming delicious food.
• Withdrawal symptoms and increased cravings • Better mental stability ▪ However, the brain changes during a substance related disorder can take a long time to bring back to a healthy state.
• Cancer, heart disease, stroke, lung diseases, diabetes, • Disease free ▪ This might motivate a person to repeat these behaviour and regain the positive feeling.
and chronic obstructive pulmonary disease • Risk of Disease is low ▪ Substances produce a euphoric feeling by triggering large amounts of dopamine in certain regions of the brain responsible
(COPD),tuberculosis. • No medical expenses for the feeling of reward.
• Medical expenses is high • Stronger immune system ▪ Addiction occurs when the act of using a substance takes over these circuits and increases the urge to consume more and
• Weaken immune system • Better productivity more of the substance in order to achieve the same rewarding effect
▪ As a part of regularly consuming large amounts of a substance ,
Behavioral addiction the body may become accustomed to its effects and metabolize it
Addictive Non-addictive more efficiently.
• Loss of money • Financially stable ▪ The person may require increased amounts of the substance to
• Poor decision making because of greed. • Better decision making. achieve the same effect that smaller amounts of the substance
• Debts. • No debts used to create.
• Impaired family relationships • Happy family ▪ Substance related disorders also impact the area of the brain
• Stress • No stress responsible for emotions and decision making . Eventually
• In turn causes depression, ulcer etc., • No health issues people end up taking a substance not to feel good , but to feel
• Some cases death • Hence productivity “normal "by prevention of withdrawal symptoms
• Effects family status
Influencing factors for addictions
•Genetics. Once you've started using a drug, the development into addiction may be influenced by inherited (genetic)
traits, which may delay or speed up the disease progression
•Mental health disorder. People with mental health disorder such as depression, attention-deficit/hyperactivity disorder
(ADHD) or post-traumatic stress disorder likely become addicted to drugs.
•Using drugs can become a way of coping with painful feelings, such as anxiety, depression and loneliness, and can make
these problems even worse.
•Peer pressure. Peer pressure is a strong factor in starting to use and misuse drugs, particularly for young people.
•Lack of family involvement. Difficult family situations or lack of a bond with your parents or siblings may increase the
risk of addiction, as can a lack of parental supervision.
•Early use: Using drugs at an early age can cause changes in the developing brain and increase the likelihood of
progressing to drug addiction.
•Environment. Environmental factors, including your family's beliefs and attitudes and exposure to a peer group that
encourages drug use, seem to play a role in initial drug use

Common questions

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Genetics and environmental factors interact to influence addiction by creating a predisposition that environmental triggers can activate. Genetic traits may accelerate or delay the progression to addiction by affecting how a person reacts to drugs. For example, inherited traits can dictate how susceptible an individual is to the rewarding effects of drugs, potentially making them more prone to seeking repeated exposure. Environmental factors, such as exposure to peers who use drugs or a lack of family involvement, can facilitate initial drug use and further embed addictive behaviors. Together, these aspects interact whereby genetic vulnerabilities are expressed in response to environmental stimuli, leading to the onset and escalation of addiction .

Behavioral addiction differs from substance addiction primarily by the absence of a psychoactive substance; instead, it involves compulsive engagement in rewarding non-substance-related behaviors like gambling, internet use, or exercising. The implications for treatment vary; behavioral addictions might require more cognitive behavioral therapies focused on modifying thought patterns and behaviors, while substance addiction treatments may include both behavioral interventions and pharmacotherapy to manage withdrawal and cravings. Both types of addiction share characteristics such as compulsive behavior and impaired control, suggesting that treatment approaches aiming to heal the underlying psychological processes are necessary in both cases. However, the specific methods might differ depending on the presence or absence of physical dependence .

The primary signs that might indicate someone is experiencing addiction include a lack of control over substance use or behaviors, decreased socialization, ignoring risk factors, experiencing physical withdrawal symptoms, and neglecting other areas of life to support their addiction. These signs should be interpreted as indicators of a chronic disease affecting the individual's priorities and decision-making processes. Early recognition of these signs is crucial for intervention and treatment, as they reflect the individual's struggles with dependency and the need for professional support to overcome the addiction .

Lack of family involvement exacerbates the risk of substance addiction by creating a void in emotional support and guidance that individuals, particularly youths, require to navigate life's challenges. Without strong familial bonds or adequate parental supervision, individuals might seek acceptance and validation from peers, increasing susceptibility to peer pressure and experimentation with substances. Moreover, familial disconnection can intensify feelings of loneliness and anxiety, prompting individuals to use substances as a coping mechanism. This absence of family involvement can thus significantly increase one's vulnerability to developing addictive behaviors .

The stages of addiction development, from experimentation to addiction, correlate with increasing risk of negative personal and social consequences as the behavior becomes more ingrained. In stage 1, 'Experimentation', drug use is voluntary and typically does not result in severe social or legal consequences. As an individual progresses to 'Regular Use', substance use becomes routine, which can begin to affect personal responsibilities and relationships. By 'High-Risk Use', substance use begins to take priority over essential life facets, resulting in neglected responsibilities and damaged relationships. Finally, 'Addiction' signifies a complete reliance on the substance, where individuals may suffer severe legal, social, and health consequences due to the inability to stop the harmful behavior .

Mental health disorders contribute to substance addiction by serving as both a catalyst and an amplifier for addictive behaviors. Disorders such as depression, ADHD, or PTSD may lead individuals to use drugs as a coping mechanism to manage emotional pain, anxiety, or loneliness. However, drug use often exacerbates these problems, creating a cycle of dependency and escalation. Additionally, substance use can aggravate symptoms of mental health disorders, increasing the overall burden on the individual's emotional state and behavior. This synergy results in a heightened propensity for developing addiction as individuals continue using substances to self-medicate but inadvertently deepen their psychological distress .

Effective strategies for preventing the onset of addiction among at-risk populations include avoiding temptation and peer pressure by fostering supportive social networks and promoting awareness of risks associated with substance and behavior misuse. Seeking help for mental illnesses can address underlying psychological vulnerabilities before they spiral into addictive behaviors. Education empowers individuals by providing knowledge about the consequences of addiction and enhancing decision-making skills. Maintaining a balanced life through engagement in various fulfilling activities and positive family involvement can provide protective factors that decrease the risk of developing addictive behaviors .

The concept of addiction as a chronic disease can significantly influence public perceptions and policy by shifting the narrative from viewing addiction as a moral failing to recognizing it as a treatable medical condition. This perspective encourages empathy and support for individuals struggling with addiction rather than stigma and blame. Consequently, policies may shift towards increasing access to treatment, investing in preventive measures, and reforming legal frameworks to support rehabilitation over punishment. Such changes can foster a supportive environment that enables recovery and reduces the societal costs of addiction through a focus on health rather than criminality .

Individuals might perceive addiction as a myth due to a lack of awareness or misconceptions about the nature of addiction, such as viewing it merely as a habit or a lack of willpower rather than a medical issue. This perception can result from societal and cultural narratives that stigmatize addiction, minimizing its seriousness. As a consequence, individuals may believe they can quit anytime and underestimate the challenges involved, reducing their willingness to seek help. This denial of addiction's reality undermines the motivation to initiate meaningful change and engage with medical or psychological interventions necessary for recovery .

Substance use alters the brain's reward system by flooding it with excessive amounts of dopamine, which creates feelings of euphoria and reinforces drug-taking behaviors. Over time, this artificial elevation in dopamine levels leads the brain to adapt by producing less dopamine naturally or reducing dopamine receptors, making it more challenging to experience pleasure from everyday activities. Consequently, addicted individuals often exhibit increased drug-seeking behaviors to achieve the desired dopamine-induced pleasure, perpetuating a cycle of addiction. This neurochemical alteration shifts motivation towards substance use over other rewarding activities and impairs decision-making processes, which are crucial for impulse control and long-term planning .

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