While we all know substance abuse is a social issue and learning that a loved one is affected by the problem can be nearly heart-breaking. It is definitely not something that can be easily accepted. At the same time, the affected individual needs all your love and attention and more importantly support to get through the situation. It is important to not show anger or frustration at the person but to empathize and help them get out of the situation. 

Read on to know some of the ways in which you can play an active role in supporting your loved one under such circumstances. This involves both of you coping with the situation at hand, as well as helping the person come out of the abuse. 

Educate yourself: When you are trying to help a person, you should know in detail about the substance that was being used and its ill effects. This gives you greater credibility, unlike the person who got carried with the happy feeling it gave and got into abuse. 
Ensure safety: This is both for the affected individual and yourself. With the required substance not being available, the person could look at harming either self or others, especially ones who are trying to get them out of the abuse. Though the intent is to help, they are looked at as people who are depriving the feel-good feeling produced by the substance, which is no longer easily available. Therefore, ensure safety. 
Talk openly: In the beginning, be a good listener. Once you get their confidence, make them understand that the entire situation is making you upset and perhaps angry or frustrated too. Get them to focus on your proposal of getting out of the habit together. If they are willing then this can ensure greater success in quitting the habit. Get to understand how exactly the habit developed including the people responsible for it, the circumstances leading to it, and the various chemicals that were used. The duration and frequency are also important. Tell them it is okay and that you will both get out of it with each other s support. 
Participate in therapy sessions: Individual counseling will work effectively for the primary client, but it is also important for family members to get involved. The counselor also would need support beyond the few counseling hours for completely getting rid of an individual s habit. Therapy can help you learn how to manage the issues back at home. 
Find your  me-time : With all that is going on, you will need some time for yourself to just be. Eat well, stick to your workouts, sleep well, keep your friends, and make time for your hobbies. These will ensure you are in good shape to support the affected individual. It is not possible for you to help another person when you are not in great shape yourself.

Substance Abuse - How Should You Cope With Someone Going Through It?

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

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 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

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