Drug abuse and dependence
Alternative names:
drug addiction
Treatment:
Treatment for the person with drug abuse or dependence begins with the recognition of the problem. Drug dependence is associated with denial, allowing the person to believe there is no need for treatment. Most people with drug dependence enter treatment under pressure from others rather than a voluntary acceptance of the need for treatment.
Treatment of drug dependency involves detoxification, long-term rehabilitation, and a lifetime of abstinence. Emergency treatment may be indicated for acute intoxication or drug overdose and is symptomatic. Often, support of the respiratory system is needed as there may be a loss of consciousness. The specific treatment depends on the drug.
Detoxification is the gradual withdrawal of an abused substance under controlled circumstances. Sometimes a drug with a similar action is substituted during the withdrawal process to reduce the unpleasant symptoms and risks associated with withdrawal. The process is managed on an inpatient or outpatient basis, depending on the substance.
Rehabilitation is the process that occurs after detoxification and is needed to prevent the recurrence of drug abuse. Inpatient and outpatient programs are available. Individual, group, or family therapy is usually part of this process, which may continue for a month or longer. Information/support may also be sought from local 12 step groups (i.e., Alcoholics Anonymous (AA), Narcotics Anonymous (NA), Ala-teen, Alanon) which you can locate through your phone directory. See chemical dependence - support group.
If a depression or other mood disorder exists, that should be treated appropriately. Often drug abuse develops from efforts to self-treat an illness of which the individual is unaware.
Aftercare involves life-long abstinence from drug abuse. Self-help groups such as Narcotics Anonymous can offer support.
Expectations (prognosis):
Drug abuse and dependence may lead to a fatal drug overdose. Relapses from drug abstinence may occur and lead to recurrent dependence.
Complications:
Calling your health care provider:
Call for an appointment with your health care provider if you are addicted to drugs and would like to get off of them or you have been cut off from your drug supply and are at risk of withdrawal.
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