Doctor insights on:
Addiction Relapse Statistics
Smoking, probably: There are over 50 million smokers in the us, and it is a major cause of death and disability, in addition to enormous financial costs. Nobody knows how many problem gamblers there are, and there are few medical costs associated (although there is a higher rate of smoking, alcohol and drug abuse in problem gamblers). Both cause misery and pain to sufferers, their families and society at large. ...Read more
Addiction is a primary, chronic disease of brain reward, motivation, memory, and related circuitry. Dysfunction in these circuits leads to characteristic biological, psychological, social and spiritual manifestations. This is reflected in an individual pathologically pursuing reward and/or relief by substance use and other behaviors. A person affected by addiction will be unable to consistently Abstain from use, will have Impaired Behavioral control, will have Craving or increased "hunger" for drugs or rewarding experiences, will have a Dysfunctional Emotional response, and will show diminished recognition of significant problems with their own ...Read more
Emotionally disturbed addict. I'm a recovering alcohol, crack, heroin and Valium addict, how to cope?
You need support: Few people, if anyone, can recover all on their own. There are self-help groups like aa/na and others, formal therapy groups that use cognitive behavioral therapy, individual psychotherapies and family/couples therapies. Work on improving health with diet and exercise, and develop other fulfilling activities and hobbies, religious and/or meditative practices. Treat underlying psychiatric problem. ...Read more
Seek support: Treatment for amphetamine addiction involves rehab counseling that can either be done on an outpatient basis or residential treatment (or inpatient) depending on the severity. Sometimes there are other psychiatric disorders that are co-occurring with the addiction and thus it is good to have an evaluation to see if other treatments for other disorders are necessary. ...Read moreSee 1 more doctor answer
Any docs believe prescribing adderall/other prescription amphetamine effective/acceptable sub to prevent relapse, aid in withdrawal symptoms for meth addiction?
Harm Reduction. : The ideal treatment for meth addiction is one that does not include use of stimulants. The meth addict treated with stimulant replacement runs the risk of impaired control over use. At the same time, the physician should "first do no harm", and in rare case by case basis may have to employ the lesser of two evils for purposes of harm reduction. Ideally addressed by an addiction psychiatrist. ...Read moreSee 1 more doctor answer
Controversial: There are some people who believe that 12-step programs can resemble a "cult" process. However, most professionals in this field definitely do not believe this, and having met tens of thousands of people in aa and na, I do not believe that this is true either. People who benefit from meetings go to more meetings, and get more out of it. Addiction implies it does harm- in most folks it does good. ...Read moreSee 1 more doctor answer
Yes: Recovery planning is very important. There are recources or people who can help. Going to aa and getting a sponsor is a form of recovery planning, talking to your doctor is another. Some therapist are specialized in recovery planning. Have a plan that involves other people is the best way to stay sober. Ex would be, newly sober, what do you do if you come across a "friend" or dealer. Need a plan. ...Read moreSee 1 more doctor answer
Yes: If by "real addiction" you mean "very hard to stop" and "can actually get physical symptoms when you try to stop", then indeed it is. The physical symptoms are milder but the craving is as real, and the risk of suicide is far greater. Don't look down on a compulsive gambler as weak; it's a strange combination of brain chemicals, and may respond to medication and/or wise talk. ...Read moreSee 1 more doctor answer
Drug abuse: One of the biggest ones is an end user project called rems - it ensures md education and more important patient education. However, it does not deal with the lack of education in the education during training. Furthermore, the current "banning" of interaction between pharm reps and md's has resulted in less knowledge. ...Read more
Incentive & triggers: Behavior modification takes 28 days. Do the same thing every day for 28 days and by default you will have retrained your subconscious mind to do something different (not smoke) . The key is to understand your triggers and to plan ahead. Four keys to success: behavior modification(28 days), nicotine withdrawal (14 days), diet and exercise for neutral weight control. Have to have a day one ...More. ...Read moreSee 1 more doctor answer
Little Difference : Both drugs ate opiates and have identical effects in the body producing dependence and possibly addiction. The route of administration may contribute to the development of addiction with IV use and "snorting" more addictive than oral use, although all routes of use can be addictive, . ...Read more