Man : Stuck On You (Addiction)


Addiction is the continued use of a mood altering substance or behaviour despite adverse consequences, or a neurological impairment.

Addiction is associated with:
 

     §  impaired control over substances/behavior,

     §  preoccupation with substance/behavior,

     §  continued use despite consequences, and

     §  denial.

Habits associated with addiction are

      §  immediate gratification (short-term reward),

       §  delayed serious effects (long-term costs)

Physiological dependence occurs when the body has to adjust to the substance by incorporating the substance into its 'normal' functioning.

This state creates the conditions of tolerance and withdrawal.

      §  Tolerance is the process by which the body continually adapts to the substance and requires increasingly larger amounts to achieve the original effects.

      §  Withdrawal refers to physical and psychological symptoms people experience when reducing or discontinuing a substance the body had become dependent on. 
  
Symptoms of withdrawal generally include
                a.  anxiety, irritability,
                b.  intense cravings for the substance,
                c.  nausea,
                d.  hallucinations,
                e.  headaches,

                f.   cold sweats, and tremors.


  1. Common Forms of Addictions
§  Substance
  • Alcoholism - wine, beer, liquor
  • Nicotine addiction - cigarettes, cigars,   nicotine patches
  • Cocaine addiction -  coke, crack
  • Opiate addiction (i.e. heroin addiction)
  • Meth addiction



  • Behavioral:




§  Sexual:
  • Voyeurism
  • Exhibitionism
  • Indulgence in pornography
  •  Multiple affairs

  • Acting out of self-destructive behavior
  • Prostitution
  • Anonymous sexual relations
  • Reckless sexual practices

B.    Characteristic of an Addict

      There are many common characteristics among the various addictive behaviors:

            §    Obsessed (constantly thinks of) the object, activity, or substance.

           §   Engage in the behavior even though it is causing harm (physical problems, poor work or study performance, problems with friends, family, fellow workers).

         §   Over do the activity over and over even if he/she does not want to and find it difficult to stop.

             §   Cessation of the activity, withdrawal symptoms often occur.  These can include

                   o   Irritability

                   o   craving,

                  o   restlessness or depression.

               §   Unable to control and overindulgence of the behavior (loss of control). (Drinking 6 beers as wanted only one, bought 8 pairs of shoes when needed only a belt, ate the whole box of cookies, etc).

            §   Denies problems in the behavior, even though others can see the negative effects.

               §   Hides the behavior after family or close friends. (hides food under beds, alcohol bottles in closets, doesn't show spouse credit card bills, etc).

            §   Blackout during engaging  in the behavior (don't remember how much or what they bought, how much lost during gambling, what they did at the party when drinking)

               §   Depression is common phenomena.

           §   Have low self esteem, feel anxious and do not have control over their environment, and come from psychologically or physically abusive families.

C.    Signs of Addiction
o   Extreme mood changes – happy, sad, excited, anxious, etc
o   Sleeping a lot more or less than usual, or at different times of day or night
o   Changes in energy – unexpectedly and extremely tired or energetic
o   Weight loss or weight gain
o   Unexpected and persistent coughs or sniffles
o   Unwell at certain times, and better at other times
o   Pupils of the eyes seeming smaller or larger than usual
o   Secretiveness
o Lying  
o   Stealing
o   Financially unpredictable, perhaps having large amounts of cash at times but no money at all at other times
o   Changes in social groups, new and unusual friends, odd cell-phone conversations
o   Repeated unexplained outings, often with a sense of urgency
o   Drug paraphernalia such as unusual pipes, cigarette papers, small weighing scales, etc
o Stashes of drugs, often in small plastic, paper or foil packages
D.   Causes of Addiction

      §  Social Environment

        o  The environment, in which we grow up and are exposed to, may be held accountable for some addictions.

          o   Continuous exposure to alcohol and heavy drinkers might lead and permit addictive behavior to alcoholism.

       §  Handling stress

                o       An attribute that addiction is a way of handling stress;

                o       It is easy to justify a ‘pick me up’ after work as a way of relieving troubles. 

         §  Self Esteem

                o   Self-esteem and body image may have a role to play in addiction;

            o   Those suffering with anorexia may have started their addictive behavior to change their self-image.

         §  Brain Disease

               o   The modern view of addiction is that it is a brain disease.

          §  Personality


            o  Personality can play a significant role in addiction, as many people simply seem have personality leanings toward addiction. 

E.    Treating Addiction


Admit of the Problem

  • o  Take an assessment of your life; take steps to reclaiming your life and admitting you have a problem
  • o  Admit that we are powerless over drugs and that your lives have become unmanageable.
o 


Commit yourself to permanent abstinence
o   Get the addiction out of your life. Remove any of the addictive substances from your environment. If need go cold turkey.

Commit to change. 
 o  Addiction is not an overnight treatment. Treatment takes time to be effective.


Objectify your brain

o   Find and address the cause of addiction. Begin with ways to deal with the problems. Relearn new living skills to replace the skills you learned as an addict

o   Relapses happen. Brush yourself off and try again.
  •     Find a support system
           o   Join a support group for company and inspiration.

            o   Let friends and family members know about your decision. Peer pressure will help you in your recovery.


    No one is immune from addiction; it afflicts people of all ages, races, classes, and professions.
    Commit yourself to permanent abstinence


No one is immune from addiction; it afflicts people of all ages, races, classes, and professions.
Patrick J. Kennedy

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