A New Paradigm Substance Use Disorder Treatment

A broad range of medical and psychological therapies is currently available for people who struggle with substance addictions. The scientific community is working on evaluation of various treatments to determine which strategies offer the best chances of successful outcome. People who need treatment for alcoholism and drug use are very diverse group. Addiction is a disorder that requires an individual case approach; therefore, different ways to

Addictions are all around us, from celebrity tabloids, television shows and possibly an individuals family member or friend. According to Koob, “addiction can be defined as a chronic, relapsing disorder that has been characterized by (i) a compulsion to seek and take drugs, (ii) loss of control over drug intake, and (iii) emergence of a negative emotional state (e.g., dysphoria, anxiety, and irritability) that defines a motivational withdrawal syndrome when access to the drug is prevented”(Koob, 2013). Substance use disorders are among the largest sources of medical disability in the world and also represent a major public health concern globally (Mari, 2013). Substance abuse is associated with topics

Addiction is a chronic brain disease that often results in some sort of relapse. Addiction is characterized by inability to control drug use which results in problems with one’s behaviors and interpersonal relationships. This disease causes compulsive behaviors such as the need to use drugs despite the many harmful consequences that affect the addicted individual and those around him or her. Although for most people, the initial decision to use drugs is a one time lapse in judgement, the brain is easily affected by these drugs if the person decides to use these drugs multiple times. The changes that occur to the brain over time will cause the addicted person’s ability to resist the intense impulses of drugs to be altered causing the addict to often give into the temptation of these drugs. Like other chronic diseases, addiction often involves cycles of relapse and remission. Without treatment or engagement in recovery activities, addiction is progressive and can result in disability or premature death. Drug addiction is an issue that many people deal with whether they are the addict or the addict is their loved one; but with a good source of support anyone can over come the challenges and consequences of addiction.

Some individuals may dislike the term ‘addiction’ in relation to drugs or other substances, particularly as it infers that a person is powerless over their use of a particular drug or in some circumstances, a number of substances. Whilst others maintain it is this powerlessness that is the foundation of diagnosis and treatment – that treatment is not possible without recognition of addiction itself as the ‘problem’ being

As the disease model argues that there is no cure for addiction, the only treatments available aims to reduce or suppress the urge to use drugs (McNeece & DiNitto, 2012). Firstly, addicts

Wise and Koob state that addiction begins with positive reinforcement, habits, a person feels the “high” of the habit, however, then the tolerance sets in which conditions the brain for negative reinforcements and one increases the use to enjoy the habit (2014). According to the National Institute on Drug Abuse (2012), drug addiction is a chronic brain disease. This disease is complex disease that is treatable, however it is a lifetime of treatment, sending many into relapses over and over again. The Diagnostic and Statistical Manual of Mental Disorders (DSM-5)

As results of scientific research, we know that addiction is a disease that affects both the brain and behavior. A disease is an interruption, cessation, or disorder of a body system, or organ structure, or function; according to Stedman’s Medical Dictionary. (Sheff ,2013) cites, the disease od addiction has an etiologic agent, identified by a group of signs and symptoms or consistent anatomic alterations. There are significant changes in the brain. The American Society of Addiction Medicine (ASAM) states that addiction is a primary, chronic disease of brain reward motivation, memory and related circuitry. Dysfunction in these circuits leads to characteristics biological, psychological, social and spiritual manifestations. This is reflected in an individual pathology pursuing reward and /or relief by substance use and other behaviors. (Addiction is characterized by inability to consistently abstain, impairment of behavioral control, craving, diminished recognition of significant problems with one’s behaviors and interpersonal relationships and dysfunctional emotional responses. Like other chronic diseases, addiction often involves cycles of relapse, and remission. Without treatment or engagement in recovery activities, addiction is progressive and can result in disability or premature death. (ASAM Adopted as Policy, February

According to the National Institute on Drug Abuse 2014, the disease model addiction is considered a brain disease that can affect multiple circuits in the brain, which involve motivation, learning, memory and inhibitory control over one’s behavior. Because drug addiction and abuse have so many dimensions and disrupts aspects of one’s life, treatment is just not that simple. Addiction treatment must be able to stop an individual from using drugs and continuously maintain a drug free lifestyle, and achieve productive functioning in working, family and society. Because a person’s addiction is typically considered a chronic disease, those who have the disease cannot simply stop using drugs in a few days and totally be cured. Some require long-term and repeated episodes of care to be able to achieve one’s ultimate goal of sustaining abstinence and recovery of their lives. A report conducted by the Substance Abuse and Mental Health Services Administration and National Survey on Drug Use and Health (NSDUH), the

Addiction is a condition that the patients lose control over drug use. The patients tend to overuse and grave for opioids despite the harmful impact on themselves and on the society. (Kaye et al., 2017, S95)

According to Leshner (1998) at its core, addiction is actually a brain disease. There are many factors that come into consideration with addiction which are specific to each individual such as their physiological state, his or her genetics, environmental and societal situation, and how he or she is embedded into society comes together in the end. Some of these contributing factors can be controlled or modified in order to treat an addiction, while other cannot be modified such as genetics and some psychological states. These two key factors are those that researchers in both the medical and psychology fields have studied, to determine better treatment options as they can present a barrier in creating effective addiction management

Harm reduction aims to reduce the rate of severe events that stem from substance abuse. The main goal is to keep people safe when they engage in drug and alcohol abuse, not to prevent them from doing it altogether. Harm-reduction strategies support the idea that there are many ways to abuse drugs and alcohol, and some methods are much more safer

Addiction is a dependence on a substance where the individual who is affected feels defenseless and unable to stop the obsession to use a substance or prevent a particular behavior. Millions of Americans have addictions to drugs, alcohol, nicotine, and even to behaviors such as obsessive gambling. Pharmacotherapy is a treatment process in which a counselor can use a particular drug to counter act an addictive drug or behavior. Not all counselors agree with this type of treatment. However in order to provide a client with an ethical treatment and unbiased opinions they should be made aware of all scientific evidence of different treatment options. “Thus, attention to addiction pharmacotherapy is an ethical mandate no matter what prejudices

Drug and alcohol addiction is a very serious and widespread problem in America, and across the globe. Drug addiction is a constant craving, seeking, and using of a substance, despite the negative consequences it may have on the addict or those around them. When drug use becomes more frequent, it is considered drug abuse. Once an individual’s drug abuse is can no longer be controlled, and they are using the drug to get through everyday life, it beomes an addiction. A person on drugs has an altered way of thinking, behaving, and perceiving. There are treatment facilities all over the world dedicated to help those suffering with drug addictions. All

Addiction is a “chronic disease characterized by drug seeking and use that is compulsive, or difficult to control, despite harmful consequences.” The initial decision to take drugs is voluntary for most individuals, but frequent drug use can lead to brain alterations that challenge an addicted person’s self-control and interfere with their ability to resist intense urges to take drugs. These brain alterations can be persistent, which is why drug addiction is considered a "relapsing" disease. People in recovery from drug use disorders are at increased threat for returning to drug use even after years of not taking the drug. It's common for an individual to relapse, but relapse doesn't mean that treatment doesn’t work. As with other chronic health conditions, treatment should be constant and should be adjusted based on how the patient answers. Treatment plans need to be reviewed often and modified to fit the patient’s changing desires.

Addiction is a complex disease that many people don’t fully understand. Substance abuse is very prevalent around the world, and far too over looked. In fact, forty million people ages 12 and older (or more than 1 in 7 people) have some form of addiction. These addictions involving nicotine, alcohol, or other drugs, and this statistic is just in America alone. This number is more than the number of Americans with heart conditions which is 27 million, diabetes which is 26 million, or cancer which is 19 million (CASAColumbia). Addiction and substance abuse is also responsible for more than 20% of all deaths in the U.S. each year (CASAColumbia).