Drug dependence is an unrelenting illness that presents in obsessive, or out of control drive to access the drug at any cost even when one is aware of the danger and long lasting harm effects on their brain. Some of those who use drugs develop some dangerous behaviours due to these alterations in the functioning of their brain. Addiction to drugs is a disease that can throw people into relapse too. Relapse is returning to a habit of drug use after a serious attempt to stop using.
The road to substance dependency starts with voluntarily using substances. After some time, a man's capacity to pick not to do as such becomes compromised. The desire to search for and make use of drugs will now rely on a very huge urge. The increased length of time that the person's brain relies on drugs to function is the cause of this. Dependence influences parts of the mind required in reward and inspiration, learning and memory plus control over conduct.
Addiction influences both behaviour and the brain.
Can Drug Addiction Be Treated?
There is, but it is a long journey. Since dependency is a chronic illness, individuals cannot just quit using the substances for a day or two and be cured of it. To come back to their old lives and overcome drug addiction totally, many addicts will require repeated or prolonged care periods.
The addicts must be assisted to achieve certain things through the treatment for addiction, and they include:
Stop taking drugs
be a productive member at work, in society and in the family
Standards Of Effective Treatment
Ongoing scientific research since the 1970s has shown that the following basic principles should be the basis of any effective course of treatment:
Dependence is a complex yet treatable sickness that influences brain capacity and behaviour.
There is no particular treatment that is fitting for all.
Easy access to rehab is of utmost importance.
To be successful, the treatment plan should not focus on the addiction only but the whole person.
It is crucial to remain in treatment for a long enough amount of time.
Psychological and other behaviour remedies are used in treating the habit.
Medications are regularly an imperative component of treatment, particularly when consolidated with behavioural therapies.
A treatment plan must be evaluated frequently and adapted to suit the changing requirements of the patient.
Treatment ought to address other conceivable mental problems.
The first stage, medically assisted detoxification, is only the beginning of treatment.
Treatment doesn't require being voluntary to be successful.
During treatments, the use of drugs by the patient must be properly observed.
A treatment programme must test a patient for hepatitis B and C, TB, HIV/AIDS and other infectious illnesses and educate the patient about things he/she can do to reduce his/her risk of these diseases.
How Is Substance Dependency Treated?
Effective treatment comprises many steps:
medical detoxification, when the body physically rids itself of the drug
treatment (for opioid, tobacco, or alcohol addiction)
Making sure that coexisting mental health issues like depression or anxiety are evaluated and treated
long-term after treatment care to avoid relapse
Success could be achieved through different types of care that come with customised treatment method and follow-up options.
Both medical and mental health treatment should be utilized as needed. Often, community or family based recovery groups or support systems are used as part of follow up care.
How Is Medication Employed In Substance Dependency Treatment?
The treatment of co-occurring health issues, avoidance of relapse and amelioration of the withdrawal symptoms are some of the cases where medications are needed.
Withdrawal During the detoxification process, medication helps suppress the physical reactions. Detoxification is just the very first step in the process and not "treatment" in itself. Patients who only go through detoxification and don't have any additional treatment typically relapse back into drug use. As revealed by a study of treatment facilities, 80% of the cases of detoxification involved medications (SAMHSA, 2014).
Relapse Prevention Patients can utilize medicines to help rebuild normal brain functioning and reduce desires. Alcohol addiction, tobacco (nicotine) and opioid (heroin, prescription pain relievers) have medications for their treatments. Medications that could be used in treating cannabis (marijuana) and stimulant (cocaine, methamphetamine) addiction are being developed by scientists at present. It's really common for addicts to use more than one drug and they will need treatment for each substance.
Behavioural Therapies - How Are They Employed To Treat Drug Dependency?
Behavioural therapies assist a patient to:
change their character and disposition towards the use of drugs
Adopt healthier psychosocial competency
Keep going with other forms of treatment, like medication and support groups
Treatment is available to patients in many different types of locations which use various methods.
In an outpatient treatment programme, the recovering addict attends therapy sessions on appointed times. Personal or group drug counselling or both of them are included in majority of the programs.
These programmes usually provide types of behavioural therapy like:
Cognitive behavioural therapy, which teaches patients how to recognize, avoid, and deal with any situation that will make them more likely to use drugs
Multidimensional family therapy in which not just the patient but also his/her family is involved able to sort out a lot of things and help the whole family cope with the changes and heal together
motivational interviewing, that makes the most of a person's willingness to alter their behaviour and start treatment
Motivational impetuses (possibility management), which utilizes uplifting feedback to support restraint from medications
At first, treatment can be as intensive as multiple outpatient sessions every week. After the intensive treatment is complete, patients move on to regular outpatient treatment to help maintain their recovery by continuing to meet weekly but for fewer hours.
For people with problems of high severity (plus co-occurring disorders), residential or inpatient programs will have better effects. The around the clock care available at residential rehabilitation centres includes safe boarding facilities and close monitoring of patients. At the inpatient rehab centres, various treatment procedures are employed all for the benefit of the patient to help them attain a drug-free life void of crime.
Benefits of taking an inpatient treatment programme:
A therapeutic community that is a very structured programme in which a patient stays at a residence, usually for 6 months to a year. The behaviours, understanding and attitude of the addict towards drugs is affected by the whole community, which involves the staff that offer the treatment and those recovering from addiction, as they take up the role of change agents.
Residential treatment that is shorter term usually focuses on detoxification and beginning focused therapy in preparation for follow up in a community based setting.
Recovery housing that offers supervised, short-term accommodation for a patient, frequently after other kinds of inpatient/residential treatment. Recovery housing is a great way to help people treatment go back to having an independent life while still having support with things like managing finances, finding employment, and locating support services.
Difficulties Of Re-Passage
The excessive urge to take drugs could be "triggered" by several factors within the brain, as the workings of the brain is altered by drug abuse. For everyone in treatment, but especially for those in an inpatient program or prison, it's essential to learn how to recognize, avoid, and handle any triggers they may encounter after treatment.