Drug addiction is one of the social menaces and in most people, what starts off as a result of peer pressure and trying to be cool ends up affecting lives significantly. It is not just social, but also affects financial, physical, emotional, and social well-being. The small periods of happiness given by the drug is followed by months and years of torment.

The National Institute on Drug Abuse (NIDA) has identified that drug addiction causes chemical and structural changes in the brain, leading to dangerous and self-destructive behaviours. The brain s response to stimulus like pleasure, joy, happiness, and pain are altered with constant drug abuse. For instance, the neurotransmitter called dopamine, which makes one feel good, is usually produced by the brain in small amounts. However, drugs increase this level to 2 to 10 times more, making the person feel extremely high and happy. Since the body is unable to reach the highest level of happiness on its own, the dependency on these drugs to feel good increases.

Repeated use of the drugs leads to increased dependency, wherein the brain refuses to feel good without reaching those high levels of dopamine. The issue is mostly seen in teenagers and young adults but can be seen in any age group.

October 2 is recognised as National Anti-Drug Addiction Day and nationwide campaigns and drives are done to help people overcome addiction. One of the main reasons a drive this size is required is because of the social stigma attached to the problem. Most families shun away from recognising it as a problem that can be easily treated, and so the affected person is sucked deeper into the problem.

Overcoming addiction: One of the main success factors for treating addiction is for the affected person to recognise that he or she is addicted and needs to get rid of the problem.

    There are national toll-free helplines that are set up, which can guide through the whole program. This way, if required, anonymity is maintained and support for overcoming addiction is increased.
    It involves a group effort involving the affected person, family and friends, medical and clinical personnel, and counsellors in some cases.
    Cognitive behavioural therapy: The person is made conscious of the change in behaviour and the way drugs affect it. Healthier patterns to be happy and joyful are discussed.
    In most cases, the underlying reason for reaching out to drugs needs to be addressed also to prevent relapse.
    Group therapies where the person makes friends who have faced similar issues and overcome the problem. This increases their accountability and commitment to getting rid of the problem.

Drug abuse is a national social menace and needs more free admittance and management.

National Anti-Drug Addiction Day - Overcoming Addiction

Addiction not only includes physical things we consume, such as drugs or alcohol, but also includes virtually anything, such abstract things as gambling to seemingly harmless products, such as chocolate, etc. In other words, addiction may refer to a substance dependence (e. G. Drug addiction) or behavioral addiction (e. G. Gambling addiction).

Causes

There is a link between the repeated uses of an addictive substance and how the human brain experience pleasure, its use has a nice reward, leading to further and more frequent use. The addictive substance, be it nicotine, alcohol or some drug actually causes physical changes in some nerve cells in the brain. After a while, the user of the potentially addictive substance does not get the same pleasure and has to increase the dose, as his/her body's tolerance to it increases. Eventually, the user no longer experiences pleasure from the substance and takes it simply to prevent withdrawal symptoms taking the substance just makes them feel normal. When tolerance increases, the risk of addiction is much greater.

Signs and symptoms

A person starts to show symptoms when a person takes the substance, such as nicotine, alcohol etc. And has given a serious attempt to stop, but is unable to do so because of the withdrawal symptoms. The body of an addict will go in withdrawal state when once the level of the substance abused is below a certain level. When a person goes in withdrawal state it will show signs, such as craving, bouts of moodiness, bad temper, poor focus, extreme temperament, poor focus, continuous feeling of depression, emptiness, frustration, anger, bitterness and resentment. Apart from these the addict will also display symptoms such as increased appetite, insomnia, constipation, and diarrhea. Withdrawal caused by some substances can also trigger signs like violence, seizures, hallucination, sweating and trembling, etc. However, the addiction continues despite health problem awareness. An addicted person commonly feels they need their drug in order to deal with their problems.

Investigation of addiction

Blood test is advised to determine whether the substance is still in the blood (whether the substance has been taken recently). Dsm criteria for substance dependence that is a patient diagnosed with substance dependence (an addiction) must meet criteria laid out in the dsm (diagnostic and statistical manual of mental disorders), a manual published by the american psychiatric association.

What you can do?

Acknowledge the problem and consult for help from an expert. Family members must be supportive in creating a congenial environment for the addicted person.

Role of homeopathy in management of addiction

The first step for the addicted person is to acknowledge that there is a substance dependency problem (addiction problem). The next step is to get help. In most of the world there are several support groups and professional services available. Treatment options for addiction depend on several factors, including what type of substance it is and how it affects the patients. Typically, treatment includes a combination of inpatient and outpatient programs, counselling (psychotherapy), self-help groups, pairing with individual sponsors, and medication.

Talking of medication, homoeopathy definitely has a major role to play in the de-addiction journey of a'patient. Over the years it has been seen that homeopathy has produced tremendous results in such cases. People have approached for quitting alcohol, smoking, drugs, etc. And majority of them have been wonderfully helped by homoeopathy. Those who haven't achieved desirable results have either lacked willingness or conviction on their own part, or have had a non-congenial and non-co-operative environment at home and work place. For any de-addiction plan to be successful for a patient these 2 factors are the most important. A willing person with a co-operative and supportive environment is much more receptive and responsive to the medical treatment.

The commonest attacking area for any addictive substance is the central nervous system (cns). The substance inhibits the release of neurotransmitters, which are responsible for carrying nerve impulses. Once these neurotransmitters are inhibited in their normal functioning, a person develops delayed nervous responses and irregular nerve impulses leading to addiction. It is a vicious circle. So, as the centre of attack is the cns, a medical system that boosts and strengthens the cns would automatically prove beneficial in such dreadful cases. Homoeopathy is that very medical science! the homoeopathic medicines are absorbed through the nerve root endings of the tongue and directly hit the cns. There are some very powerful homoeopathic medicines, which have the ability to shake up the cns and work in a normal manner as it is used to be. These homoeopathic medicines, thus have the ability to develop control and also the power to abstain from the substance in later stages of the treatment.

But the first and foremost attempt is made to manage the withdrawal symptoms. It is the fear of the withdrawal symptoms only that a patient may lose conviction and confidence in him and give in to the indulgence once again. This is where the role of family and friends also comes in. When the struggle of 1 man becomes fight for the whole team; chances are very high of coming out victorious. There are brilliant medicines in homoeopathic science, which can help the person in managing and fighting with the withdrawal symptoms with ease. Medicines like nux vomica, kali phos, arsenic album, coffea cruda, aconite, gelsemium, argentum nitricum, ipecac, acid sulphurosum, caladium, daphna indica, quercus, etc. Have proved to be extremely effective in helping a person wean off completely of the addictive substances.

Mind the mind

Over the past two issues, we took up the burning problem of addiction as a mental illness, explored its, nature and probable causes that go into the making of an addict. The current issue is aimed at spreading awareness about the available evidence based psychological treatments for de-addiction.

1. Psychotherapy: also called as'talk therapy, is aimed at helping the patient to understand the link between their thoughts, feelings and behaviour so that the maladaptive ones can be replaced with more adaptive and productive processes. Interventions in terms of cognitive behaviour therapy (cbt), motivation enhancement therapy (met) and behaviour therapy are efficient in the treatment of addiction behaviour.

2. Craving control: use of certain medicines and behavioural techniques can help a person deal with the intense feelings of craving when it seems too much to bear. It gives a sense of greater control to the person over the substance, which in turn motivates him/her to stay away from using the substance. Many people report that they tend to continue the abuse the substance since they are unable to handle the period of intense craving, which can come all of a sudden.

3. Relapse prevention: arguably it is the most important component of de-addiction program. Leaving the substance is not that hard, but staying away from it is the most difficult part as reported by many patients with addiction. To ensure that the person stays clean and healthy without the substance, they are taught some techniques like asking for help whenever they feel the need to do the substance or staying away from potentially, dangerous situations, like going to party where alcohol is available. With therapy, the individual gains more confidence in his/her own abilities rather than depending on the substance for facing life situations. In addition to this, they also start enjoying their life without the substance. Both the patient and his/her family play an important part in this process hence they are educated about it and are advised regarding appropriate ways of ensuring sobriety for the patient.

4. Alcoholics anonymous (aa): it is a self-hellp group in which ex-alcoholics come together and share their experiences, for instance how they got into drinking, how it affected their life and now how they are maintaining their sobriety. These are mostly weekly sessions and have been found to be very effective in supporting the recovery of alcoholics to stay motivated and be clean without the use of alcohol. Similar to aa, there is na (narcotics anonymous for drug addicts) and al-anon (for the family members and friends of problem drinkers).

5. Yoga and exercise: a healthy daily routine with yoga or regular exercise promotes feelings of general well-being and ensures healthy mind and body. It detoxifies the body faster and even helps in recovering from the damage caused due to excessive substance use.

6. Social skill training: an important aspect for being away from drugs/alcohol is the ability to say no to such offers from others. Assertive behaviour, healthy communication pattern and good problem solving ability are skills that are taught to assist the person to stay healthy without feeling the need to take the substance.

One of the simplest, yet very powerful principles of staying healthy is'one day at a time! instead of making any long-term plans for staying sober, which might seem over-whelming and extremely difficult, just plan for that very day and decide to be clean without the substance.

Addiction: Signs and Symptoms

Alcohol addiction commonly known as alcoholism is a fairly common problem that has shown to affect people from every walk of life. Scientists have tried to pinpoint the absolute cause behind alcoholism, but to no success. Certain factors like sex, genetic, and socioeconomic factors have shown to have some effect on alcoholism. The cause of alcoholism is never singular. Alcohol addiction is indeed a disease, where a person may not have full control over his actions and is seen to change the neurochemistry of the brain.

The symptoms of alcohol addiction can be seen in many ways and the severity of the situation varies from person to person. Other factors such as the frequency of consumption may also be specific. While some people are heavy drinkers and drink throughout the day; others may drink occasionally and remain sober for a few days.

A person who is dependent on alcohol will prioritise drinking over other essential activities and will eventually cause disruption in his social life, work or other areas of his life. It can also create a negative effect in the victim s life along with their families and their near and dear ones.

What are the signs of alcohol addiction and alcohol abuse?
The signs and symptoms of alcoholism or addiction are rather conspicuous. Since drinking alcohol is common in social events in most cultures around the world, it becomes difficult to recognise when someone is addicted to alcohol, unlike drugs like cocaine and heroin.

The physical signs of alcohol abuse include:

Loss of control over the quantity of alcohol consumed.
Lack of adequate sleep, followed by overcompensation for sleep.
Expression of anger and other negative behaviours my increase in inappropriate places and situations.
Lack of proper attention towards the priorities in life.
How does alcohol affect the body?
Chronic abuse of alcohol can have negative effects on almost every part of your body and plays havoc in your system. Alcohol is liable to cause irreversible damage to several organs of the body which is vital for sustenance:

Nervous system
Stomach or Intestines
Liver
Heart
Brain
Alcoholism in itself can lead to several diseases like:

High blood pressure
Cancer
Increased incidences of osteoporosis, especially in women
Sexual issues

Alcohol - How Over Consumption Affects Your Body?

Is there anybody you know who uses internet excessively in a day, like for playing video games, visiting porn sites, for online shopping, using Facebook or visiting different chatting sites again and again? Is his or her excessive internet usage interfering with daily life, interpersonal relationships, work, school, etc.? If the answer is yes, then maybe he or she is suffering from internet addiction.

Internet addiction is a growing social issue which is being debated worldwide. Internet has become an inseparable part of our daily living. Problematic use of internet can lead us to various mental and physical problems. Surveys in the United States and Europe have indicated alarming prevalence rates between 1.5 and8.2percentages respectively.There are some criteria to classify and diagnose internet addiction disorder. 

The following 5 criteria are required to diagnose internet addiction:

The individual remain preoccupied with the internet (thinks about previous online activity or anticipate next online session)

Needs to use internet with increased amounts of time in order to achieve satisfaction.

Has made unsuccessful efforts to control, cut back, or stop internet use.

Is restless, moody, depressed, or irritable when attempting to cut down or stop internet use.

Has stayed online longer than originally intended.

Additionally, at least one of the following must be present:

Risked the loss of a significant relationship, job, educational or career opportunity because of the internet.

Lying to conceal the extent of involvement with the internet.

Use internet as a way of escaping from problems or of relieving a dysphoric mood (like; feelings of helplessness, guilt, anxiety, depression)

There are different models available to explain the causal factor of internet addiction disorder. A comprehensive model of the development and maintenance of internet addiction by Winkler & Dorsing which takes into account socio-cultural factors, biological vulnerabilities like genetic factors, abnormalities in neurochemical processes, psychological predispositions and specific attributes of the internet to explain excessive engagement in internet activities.

Apart from the above discussed points, there are two significant psychological issues commonly seen in this group; one is a strong tendency to escape from the reality is there among internet addicts. These individuals find difficulty in facing the real world may be due to certain conflict issues which evoke stress and anxiety in them. Involvement with technology and internet becomes a way out to get rid of the discomfort. Another psychological issue is the tendency to control the environment. Humans have a tendency to get a control over everything and it is a fact that we can't control other persons and situations. Internet addicts are involved in this compulsive behaviour may be because it is easy to get a control of technology and internet than the real world which is more threatening for them.

Impact of problematic usage of internet on social relationships has become alarming nowadays. The habit of surfing the internet continuously can be destructive indirectly. Even it has been seen that people drift away to the point that he/she cannot interact with people. Constant preoccupation with internet is damaging one s social skills. People are losing touch with their life and their self-identity. Nowadays people don t take effort to establish face to face conversations, as many easy ways are available over internet, like chat messengers, email, etc. The constant effects of addiction to internet can lead an individual to such situations that involve various mental and behavioural problems like. Depression, anxiety, substance abuse, etc. The absence of social interaction also can lead to various physical effects on individual s brain chemistry and the general physical health.

There has been lots of debate on which treatment modality is effective for the treatment of Internet Addiction Disorder. In many cases, multimodal treatments have been employed. It has been seen that there are lots of underlying psychological problems found in internet addicts, like anxiety, depression, etc. In such cases medications are also considered to be effective.

Apart from pharmacological interventions, different psychotherapeutic models are found to be very helpful in treating internet addiction like cognitive therapy, behaviour therapy, art therapy, family therapy, skill building training, etc. Studies have found cognitive behavioural therapy, in particular, is very effective and can bring better outcome among this group.

Internet Addiction - A Thriving Issue!

Get off the mobile and go outside - Are these words being heard more commonly nowadays, than at any other point in time in life? The answer could be frighteningly real as humanity has just stepped in one of the newest forms of a psychiatric disorder. What's worse is that the medical world is divided whether if this should be considered as a disease and separate field to be dedicated to it or simply pass it off as a generation growth that the future has to embrace. 

Let us look a little deeper about the disorder and the serious nature that it weans.

What is internet & phone addiction?
Only recently did Internet addition and phone addition become part of the diagnostic and statistical manual of the mental disorder - Meaning that internet addiction is now effectively considered a psychiatric disorder and there are chances of identifying and treating it using medically approved means. As the name suggests, internet addiction and phone addiction means that the person is using his creative and designated time on the medium when he is no longer required to. Simply put it becomes an obsessive habit on the part of the person to look into the phone and use the internet as a routine activity. Long-term addiction can lead to many psychological factors such as withdrawal symptoms, depression, and general loss of awareness about the surroundings. For most people, the syndrome can be an underlying factor of an even more severe health condition that the person is trying to mask by whiling away his time with the internet and the mobile. Across the people who get affected by it, the common traits are the internet gaming and social media.

The addiction in today s world:
The velocity of the disorder is yet to take on the world. As of now only two countries- South Korea and China have identified the disorder as a disease and treatments are administered. Europe and United States have just categorized it as a disorder and research is being done on it. The general treatment plan that exists now aims to understand the patient first. The psychiatric treatment tries to successfully make a minor bridge between the user and his addiction. From practicing different time of using the internet to suggesting new schedules and goals, the person can be slowly be eased backed into the society. The purpose of the psychiatric treatment is not to block the internet/ mobile usage completely but to limit them. A person is educated to get his satisfaction in other forms like relations ships, outdoor activities than to depend on the internet. Apart from it some depression reducing drugs can also be had at the insistence of the psychiatrist.

Medical Possibilities
Professors argue that Internet addiction and mobile addiction is not exactly a disease. It simply determines an underlying medical condition of a person that needs more treatment. Though still in its early stages the medical world has made it clear that its contribution towards these mental addictions would increase by massive miles within the turn of the decade.

Internet & Phone Addiction - Can It Be A Sign Of A Medical Condition?

Alcoholism is a severe problem, which can make a person's life miserable and also make the society detest him. The aim of treatment for alcoholism is abstinence or staying away from alcohol use. The treatment of alcoholism can only begin when an alcoholic accepts the problem and realizes that he must get rid of the habit for his own good and the good of his loved ones.

There are three main stages in the treatment of alcoholism:

1. Detoxification: Detoxification is the first step required after a person stops using alcohol. The detox phase may include seizures, hallucinations and delirium tremens. The patient must be kept under proper observation.
2. Rehabilitation: This step includes proper counseling and medications to provide the person with skills and motivation to remain sober. This can be done by making him an inpatient or outpatient, depending on the condition of the patient.
3. Maintaining sobriety: This is the most important step where a person's self-will is tested. He needs to stay away from alcohol after getting out of rehabilitation for which he requires support. Meetings conducted by the Alcoholic Anonymous should be attended regularly by a recovering alcoholic.

For people in the early stage of alcoholism, discontinuing alcohol may cause several withdrawal symptoms such as poor sleep and anxiety. For long term alcoholics, severe withdrawal symptoms are experienced, which include shaking of the body, spasms, hallucinations and panic.

Medication
Several medicines may be required in the recovery period of an alcoholic.
Anti-anxiety medicines such as benzodiazepines are used for treating withdrawal symptoms like poor sleep. The medicines are usually used in the detoxification period. After this phase, they are discontinued.
For maintaining sobriety and to abstain from alcohol, several medicines are given to recovering alcoholics. A drug known as disulfiram is used after the completion of the detox period. This medicine reacts with alcohol metabolism and causes a person to vomit, become confused, have blurry vision and experience difficulties in breathing after consuming alcohol.

A medicine called naltrexone may be used for reducing alcohol craving. It can be prescribed even when a person drinks. It is given in the form of an injection. Antidepressants are also given to patients to reduce anxiety and depression.

Other ways to deal with alcoholism
Several other instructions must be strictly followed by a recovering alcoholic to avoid relapse. They are as follows:
1. People and places related to drinking should be avoided, and a person should make new nonalcoholic friends.
2. Support groups and AA meeting must be attended regularly for motivation.
3. Dependence on alcohol should be eliminated by starting different activities and getting involved in things.

Alcoholism is a severe problem, which may lead to death in case of extremities. Alcoholism can ruin a person's life, and proper measures must be taken to eliminate alcoholism.

Ways to Deal With Alcoholism

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