Warning: Side Effects During a Methadone study, a misuser articulates experiences with addiction stigma by stating, “They look at you like you’re a drug addict and then they look at you like they can treat you any way they want. You know what I mean. You’re a drug addict. Well, you’re lower than I am if you use drugs.” (Earnshaw, et. al, 8). Impacts of addiction can be felt by the whole community. Administration of psychoactive medication is a valuable technique of treatment for ailments, but irresponsible use of these substances by patients can lead to fixation. Concerns of psychologists and medical doctors are rising around prescribe psychoactive medication misusage, since it can cause psychological, and physiological effects decreasing wellbeing. Thus, this medical issue is prevalent, and there needs to be more education of addiction disorders among Healthcare providers, and awareness to the general public.
As a medical tool, psychoactive medications is in use constantly, but this can cause addiction – a medical concern. According to the American Society of Addiction Medicine, “Addiction is a primary, chronic disease of brain reward, motivation, memory and related circuitry” (Smith, 3). Dependence, tolerance, and withdrawal are the various stages addiction can manifest itself as (American Psychological Association). When patients absolutely need medication to function, they have dependence (APA). However, their brain will eventually require more of a substance to get the
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.
The definitions have progressed from tolerance or withdrawal symptoms from a specific drug to chronic intoxication, continued use with increased dosage, dependence, and damaging effects to user (Reinarman 2005). Both of these definitions proved to be too restrictive because all drugs do not have the same effects on every user. The current definition used by physicians and the criminal justice system is based on seven criteria (Reinarman 2005). The constant evolution of how the professional world views drug dependence mirrors society’s change in the understanding of addiction. Historically, “the drink” was viewed as the devil and drugs were often thought to be the cause of many criminal acts (Schneider 2003). After the medicalization of addiction and dawn of decriminalization of drug abuse, public opinion of deviant alcohol and drug use has changed. For the family unit, it is much simpler to accept and approach treatment for addiction if it is classified as a medical disease. In society, drug users can be framed as patients instead of criminals based on current standards. By looking at addiction as a treatable set of signs and symptoms instead of holding the individual accountable for actions they committed while intoxicated, the disease concept releases a lot of the stigma that goes along with
“Substance use disorders” or “substance-related disorders” are intended synonymously and are used interchangeably when referring to the broad category of addiction to psychoactive substances. Additionally, the word “drug” should be considered in the context in which it appears and can refer to alcohol specifically and/or other psychoactive substances such as cocaine or heroin etc. Again, this is because of the large overlap within the broader category of substance use and the high prevalence of polysubstance use. For the sake of clarity, “drug” as used in North America to generally refer to any illicit or controlled substance has been avoided. Instead, “medication” will be used to denote a prescribed substance used to treat physical symptoms. However, many legally prescribed medications (such as morphine) can and are abused and have addictive quality, making them just as devastating as “street drugs” or alcohol (Compton & Volkow, 2006).
Throughout our culture, stigma against people with drug addiction is present. Instead of being treated as people with mental illnesses, drug addicts are simply regarded as criminals. Addicts are often so overwhelmed with shame that they don’t seek treatment. These are just a few examples of how stigma perpetuates our culture and how it is detrimental to those who are addicted. It is imperative that we destigmatize addiction by treating it as what it truly is- a mental illness and allowing addicts to be open about their addiction and treatment.
It is believed that certain individuals are predisposed or vulnerable to addiction based on biological, psychological and social influences. The euphoric high produced by many addictive substances is the result of overstimulation of the “pleasure center” of the brain. This is the same area that controls emotions, fear, self-control and overall feelings of wellness. The presence of these foreign chemicals creates a response that the brain will crave as soon as it fades. The brain’s chemistry works against its own health, as it rewires its decision making faculties around the primary goal of finding and taking more of the drug” (1). Many people mistakenly believe that psychological addiction is somehow less serious or real than physical addiction. The psychological aspects of addiction are much more challenging to repair and recover from than the physical addiction. Psychological addiction can last for years or even a lifetime.
America has a major problem with opioid addicts, and many facilities are helping the addicts by providing safer options to taking the drugs their bodies crave. Methadone clinics are places where people addicted to opioids can receive medicine-based therapy. Opioid use, drugs such as heroin, morphine, and prescribed painkillers, has increased in the US with all age groups and incomes. People become addicted to these drugs when they are prescribed, recreationally used with other addicts, or they are born addicted. Many health institutions are addressing this issue with an estimated 2.1 million people in the United States suffering from substance use disorders related to prescription opioid pain relievers in 2012 and an estimated 467,000 addicted
Methadone has been around for some time and has been available in Canada since the mid-1960s (Paulus and Halliday, 1967), and since its inception it has been associated with stigma. As you are aware, it is easy to judge someone or their situation, but we should be mindful of what they are going through. Individuals do not usually wake up and decide they are going to be a drug addict. The majority of these individuals are family oriented, employed and living a stable life and unfortunately addiction typically materializes due to a person’s genetic predisposition, psychological factors, environmental influences and or certain brain characteristics. Due to this, attention and respect should be given to their personal situation and start treating them like people, normal people. For example, due to a lack of privacy in the pharmacy individuals are judged in a negative way. To demonstrate, while having a recent conversation with a friend she stated that a methadone clinic is located in the same building as her family doctor and pharmacy and because of that she no longer gets prescriptions filled at this location as she does not feel comfortable. In other situations it is the clients who are uncomfortable. They were embarrassed about drinking methadone in public, yet they had mixed views about privacy. O embarrassed by the lack of privacy, while others
69,000 patients in substance abuse treatment revealed that methadone was fourth for risk of abuse out of 11 opiate based prescription drugs. Worse, after adjustment for prescriptions, methadone advanced to the number one position for abused compounds. Even more startling was a simple random population sample, surveyed by telephone, which reported methadone as the second most used drug. However, Butler et al. cite a major limitation in that the data examined came from subjects who had entered treatment for substance use disorders. Like Plater et al. (2012) aside from the telephone survey, they were unable to examine data for abusers not in treatment (2011).
“Addiction is a choice not a disease”, is a common phrase that stigmatizes drug addiction in our everyday language. The lack of public knowledge about this social problem causes widespread stigmatization and discrimination of the ill. As a result, many individuals who seriously need professional help feel isolated and hopeless, making it harder for them to recover.
Since the 19th century the United States has struggled with the control of opioids and how to properly treat the people who become dependent on them. By the 1980s studied revealed that the potential of drug dependence, also known as iatrogenic addiction, was relatively low for patients who were prescribed opiates for treatment (Beauchamp, 2014, p. 2023) - In the mid 1990s, Perdue Pharma introduced OxyContin, a Schedule II prescription opioid analgesic, to the pharmaceutical market (Boerner, 2016, p. 20). Since the release of OxyContin, a substantial number of Americans have been prescribed opiates for medical treatment. Society’s view on prescription opiate use has slowly shifted from being a normative treatment method recommended by healthcare professionals, to being viewed as deviant. Prescription opioids have played a large role in increased rates of incarceration, fatal and non-fatal opiate overdose, transitions to illicit drugs and HIV infection in the United States (Boerner, 2016, p. 21). Prescription opiate use is seen as deviant when the drug is misused for non-medical purposes.
The issue of substance abuse in the United States is quickly reaching epidemic proportions. The steady increase in abuse of prescription medications has been one of the largest factors in this recent trend. Opiates in particularly have come under quite a bit of scrutiny due to the over prescribing of the medications by clinicians. Along with this epidemic has been the increased knowledge of addiction and its various forms of treatment. While society is becoming more aware of the problems associated with substance abuse, it still is seen by many as a moral defect or lack of individual will-power. With the vast impact substance abuse has on the health care system, it is imperative this issue is addressed and discussed in ways to best treat those who suffer from addiction and substance abuse problems.
Addiction treatment is a complex and paradoxical issue. Despite the fact that most of the medical and academic institutions define addiction as a chronic brain disease, it is too often treated on an acute basis. Chronic conditions are defined by the World Health Organization (WHO) as requiring ongoing management over a period of years or decades and cover a wide range of health problems. The goals of chronic care are not to cure, but to enhance functional status, minimize distressing symptoms, prolong life through secondary prevention and enhance quality of life.
This paper will illustrate several aspects of how drugs affect our lives. Addiction philosophies including the psychology and physiology will be explained in an attempt to describe how drugs affect our bodies both physically and mentally. Secondly, different drug categories types will be covered including: stimulants, depressants, narcotics, hallucinogens, and cannabis. Each of these categories has different addiction potentials and effect levels including withdrawal symptoms. Finally, the abuse of prescription drugs and their effects will be discussed.
Addiction is like all behaviours “the business of the brain”. Addictions are compulsive physical and psychological needs from habit-forming sustenances like nicotine, alcohol, and drugs. Being occupied with or involved in such activities, leads a person who uses them again and again to become tolerant and dependent eventually experiencing withdrawal. (Molintas, 2006).
The negative outcomes of medication misuse influence people who ill-use medicates as well as their families and companions, different organizations, and government assets (Akindipe, Abiodun, Adebajo, Lawal, & Rataemane, 2014). Albeit huge numbers of these impacts can 't be evaluated, “Office of National Drug Control Policy (ONDCP) as of late in 2002 reported that, the monetary expense of drug abuse within the United States was $180.9 billion” (Akindipe et al., 2014, Pg 250 Para 10). The