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!

In order to determine whether a person is having a drug problem, there are several signs, which can be interpreted to know about the exact drug abuse state of a person. Drug abuse requires immediate attention before it becomes more problematic. There are several patterns and stages of drug use that have been listed below:

1. Hard drug use: Heroin, cocaine and methamphetamine fall under the category of hard drugs and are the most dangerous drugs. There are severe effects on the health and behavior of a user of hard drugs. Some people use these kinds of drugs for recreational purposes, but some can get addicted just after using them once. Such people usually isolate themselves from society and possess a high-risk behavior.

2. Frequent drug use: Frequency alone cannot determine whether a person is addicted to a certain drug. Some people may take drugs only once and twice a week, but still suffer from acute addiction. Frequency of drug use may indicate tolerance and a person may require more with each day. Frequent drug users usually keep on continuing the habit and it is hard for them to quit.

3. Early drug use: Some people start taking drugs at an early age during adolescence, and they are likely to develop severe drug problems later in life. People who take drugs before the age of fifteen turn out to be addicts as they grow up. The earlier a person uses drugs, the earlier he becomes addicted. Early drug use is a common phenomenon in today's world.

4. Solitary drug use: Using drugs and addictive substances while a person is alone may result in fatal addiction and various problems in life. Teenagers using alcohol, marijuana and cigarettes are prone to serious drug problems during adulthood. Solitary drug users are usually poor in studies and have a violent or abusive behavior.

5. Escapist drug use: Many people use drugs for dealing with stress, several problems in life or for building self esteem. These are used as a substitute for escapism, which allows a person to escape from reality to a place where nothing bothers them and they can be at peace. Such people are likely to develop drug problems. Some people may experiment with drugs just for the sake of trying, but slowly they may like it and get addicted. This causes several problems in life, and a drug problem arises. Such drug problems may affect the health in many severe ways.

Drugs are used in several patterns. All people do not use drugs in the same pattern and frequency. The pattern of drug use by a person lets the doctor determine the level of drug abuse he is on, or if he is addicted.

Patterns of Drug Abuse

Drug abuse is characterized by the excessive use of illegal drugs, prescription drugs or even over-the-counter drugs. Drug abuse eventually leads to drug dependency whereby the drug begins to take control over you and affects your daily activities as well as your physical health.

Treatment

Treatment of drug abuse normally involves a series of steps to be undertaken. These are:

1. Group therapy
2. Counseling
3. Drug addiction

Furthermore, treatment of drug abuse generally follows a 12-step program which continues even after the treatment as a part of the recovery process.

Detoxification

Detoxification, or simply detox, is a procedure involving medical care while attempting to deal with withdrawal symptoms after your initial break from drug use. Since dealing with withdrawal symptoms can be quite problematic, you will certainly have to consult a doctor who will probably prescribe you certain medications.

Therapy
There are different types of therapy needed to overcome the problem of drug abuse. These include:

1. Group therapy, where you can interact your problems with other people who are going through the same ordeal.

2. Motivational interviewing (mi), where you can resolve mixed feelings with regard to quitting and treatment.

3. Cognitive-behavioral therapy (CBT), where you can learn to take control over your actions as well as change your thought and behavior pattern in order to adjust to a drug-free life.

4. Motivational enhancement therapy (met), where motivational interviewing is used to help give you more motivation with respect to quitting drug consumption.

5. Family counseling, or even couples therapy, where you can learn how to stay drug-free as well as improve your relationship with your family members or with your partner.

Treatment programs

Treatment programs are often similar to therapies and are classified into three types:

1. Inpatient treatment
2. Outpatient treatment
3. Residential treatment.

How to Treat Drug Abuse

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

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?

Reducing, limiting or stopping the intake of alcohol can be a bumpy road. Impossible as it may seem, it is possible to recover from alcoholism with proper care and support. Recovery being a gradual process, denial often plays a spoilsport. The first step is to accept that alcohol abuse is occurring and take the necessary steps to remedy it. 

Here is a list of a few steps that psychologists suggest can get rid of alcoholism:

Doing a cost-benefit analysis: The first thing a psychologist suggest is to do a cost-benefit analysis. For instance, the benefits of drinking could be having fun, a possible way to relax, forgetting about the problem at hand etc. On the other hand, the benefits of not drinking could be a better state of physical and mental well-being, improving relationships, having more time and energy to lead a healthy life etc. Similarly, the cost of drinking could be problems in relationships, depression, anxiousness, poor performance at work etc. The cost of not drinking, on the other hand, could be finding other solutions to deal with problems, losing drinking buddies, taking up more responsibilities etc.
Setting goals: The next step is to set goals pertaining to giving up alcohol for good. It is important to be realistic while doing this. The goal should be specific and precise in nature. For instance, the goal could be writing the date of quitting alcohol in a personal diary or something such as drinking a certain amount of alcohol during weekdays and weekends etc. It is important to announce or share the goal with dear ones. It helps to reduce temptations and avoid bad influences.
Cutting back drinking or quitting at one go: The next step is to work towards the goal. Once the goal is set, it must be adhered to. Keeping a personal diary to measure everyday drinking goes a long way in quantifying and ultimately limiting it. Instead of going out and drinking with buddies, drinking at home could help curb alcohol intake. Drinking slowly is also helpful when trying to quit alcohol.
Get sober safely: While some people can give up drinking over-night, some need medical and psychological assistance to quit. Either way, it makes sense to seek expert advice while quitting alcohol. Suddenly quitting alcohol can result in withdrawal symptoms. Nausea, headache, anxiety, sweating, shaking, elevated heartbeat etc. are some of the withdrawal symptoms. It is possible to counter these symptoms medically.
Change in lifestyle: While the body gets used to an absence of alcohol, it is necessary that certain lifestyle changes are made. For instance, daily exercise, building a good support network, developing a new interest, eating healthy food, meditation etc. helps a person to quickly get used to life without alcohol.

De- Addiction - 5 Things Your Psychiatrist Will Suggest!

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