Drug Dependence & Abuse
Chapter 16. Mental Health Conditions

Drug dependence and abuse both involve the misuse of one or more drugs. These can be prescription medicines and/or illicit drugs.

Drug dependence is addiction. A person keeps using a drug even though doing so results in problems that affect the person's mind, physical health, and/or behaviors. Features of drug dependence include:

Drug abuse is the repeated use of a drug that results in distress and daily living problems. Examples are:

A person can abuse a drug without becoming addicted to it. Addicts, however, usually have distress and the daily problems that result from drug abuse.  

See chart below for facts on different drugs.

Drug Facts

Type of Drug -
Common Names

Possible
Effects

Dangers of
Use/Abuse

Cocaine -
Blow, crack, crank, "C", coke, nose candy, rock, white girl
Increased alertness and energy, euphoria (followed by depression), increased pulse rate and blood pressure, decreased appetite, insomnia, irritability, paranoia Severe depression, convulsions, heart attack, lung damage, hallucinations, coma, brain damage, risk of infection (hepatitis, AIDS) from using contaminated needles, death
Depressants -
Alcohol (See Alcoholism), barbiturates, sedatives, tranquilizers, downers, ludes, reds, yellow jackets
Drowsiness, slurred speech, drunkenness, memory loss, sudden mood shifts, depression, lack of coordination Shallow breathing, dilated pupils, clammy skin, weak and rapid pulse, coma, possible death
Hallucinogens -
Acid, LSD, PCP (angel dust), mescaline, designer drugs: DMT, MDA, STP, MMDA, MDMA, ecstasy, peyote
Alter mood and perception of time and space, delusions, hallucinations. Can "see sounds" and "hear colors." Rapid mood swings. Feelings of loss of control, helplessness, panic. Elevation in body temperature, heartbeat, and breathing. Blurred vision, tremors, lack of coordination Brain damage, behavior can be unpredictable, unstable (violent with PCP). Can have flashbacks and re-experience symptoms of past hallucinogen use even though not taking the drug at the present time. Psychosis (unconsciousness, seizure, coma possible with PCP)
Inhalants -
Solvents such as gasoline, kerosene, lighter fluid, nail polish remover; aerosols such as hair sprays, vegetable cooking sprays; anesthetics such as ether, chloroform, nitrous oxide (laughing gas), spray paints, especially gold and silver. {Note: These substances are known as inhalants when the vapors from them are used for the purpose of getting high.}
Slow heart rate, breathing and brain activity. Headaches, dizziness, nausea, lack of coordination, slurred speech, blurred vision. Euphoria, increased energy, bloodshot eyes, nosebleed Suffocation, heart failure, unconsciousness, seizures, brain damage, possible death
Marijuana -
Pot, grass, reefer, herb, jay, joint, smoke, weed and AMP (marijuana mixed with formaldehyde)
Euphoria, relaxes inhibitions, increases appetite, dry mouth Feelings of panic, impaired short term memory, decreased ability to concentrate, fatigue, paranoia, possible psychosis
Narcotics -
Heroin (dope, horse, smack, brown sugar, schoolboy), codeine (also in prescription medicine such as Tylenol with codeine, Robitussin AC), opium (Dovers powder, paregoric), morphine, methadone, Darvon, Percodan, Demerol
Slowed breathing, heart rate and brain activity. Increase in the body's tolerance to pain. Constipation, euphoria, relaxation, sense of peace. Impaired memory and/or attention span, slurred speech Lethargy, weight loss. Risk of infection (hepatitis, AIDS) from using contaminated needles. Impaired judgment in social and/or work functioning. Convulsions, coma, possible death
Stimulants -
Speed, uppers, crank, amphetamines
Increased alertness, blood pressure, pulse rate. Elevates mood Fatigue, confusion, agitation, severe anxiety, appetite, and/or weight loss. Hallucinations, convulsions, possible death

Treatment
Using drugs can cause physical and emotional problems. Drug use and abuse affects the users and their families, friends, and coworkers. It is also costly, not only to the drug abusers and their families, but to their employers as well. If you are drug-dependent or abusing drugs, get help. You can get help through:

The treatment for drug dependence and abuse varies, and depends on the drug(s) being used and the person's needs. Types of treatment include:

Medical treatment involves the use of a number of things. These include:

Questions to Ask

Do you suspect the person has taken an overdose of drugs? Is the person not breathing and has no pulse?
{Note: See CPR.}
Is the person not breathing, but has a pulse?
{Note: See Airway and Breathing.}
Is the person unconscious?
{Note: See Unconsciousness.}
Is the person hallucinating, confused, convulsing, breathing slow and shallow and/or slurring their words?
Is the person's personality suddenly hostile, violent, and aggressive?
{Note: Use caution. Protect yourself. Do not turn your back to the victim or move suddenly in front of him or her. If you can, see that the victim does not harm you or himself/herself. Remember, the victim is under the influence of a drug. Call the police to assist you if you cannot handle the situation.}
Have 3 or more of the following applied to you in the last 12 months due to drug use?
  • You need more of a drug to get intoxicated or reach a desired effect.
  • You get withdrawal symptoms if you stop taking or take less of the drug. Examples of withdrawal symptoms include:
    • Shaking
    • Irritability
    • Sleeplessness
    • Depression
    • Headaches
    • Paranoia
    • Hallucinations
    • Anxiety
  • You have to take the drug or one similar to it to relieve or avoid withdrawal symptoms.
  • You take the drug in larger amounts often or over a longer period of time than you intended.
  • You have not been able to cut down or control your use of a drug even though you want to.
  • You spend a lot of time doing things necessary to get the drug, use the drug, or recover from it's effects.
  • You give up important social, work or leisure activities or do them less often so you can use the drug.
  • You continue to take the drug even though you know it results in physical or psychological problems or makes these problems worse.
Have you or someone else accidentally taken more than the prescribed dose of a prescription or over-the-counter medicine?
{Note: If physician is not available, call Poison Control Center. Follow instructions given.}
Has 1 or more of the following taken place in the last 12 months due to drug use?
  • Failure to fulfill your major duties at work, school, or home
  • Taking part in situations that could cause physical harm while under the influence of a drug, such as driving or operating a machine
  • Legal problems, such as getting arrested for drunk driving or disorderly conduct
  • Relationship problems due to the effects of the drug such as physical fights or arguments with others

Self-Care Tips

To Prevent Dependence on Prescription Medication:

Ways to Lower the Chances of Letting Drugs Affect Your Life or Someone Else's Life:

HEALTH AT HOME - Your Complete Guide to Symptoms, Solutions, and Self-Care © 2000 by Don R. Powell. American Institute for Preventive Medicine. 

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Date updated 02/01/01


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