Substance Abuse and Addiction?
Substance Abuse and Addiction?
The difference between substance abuse and addiction is very slight. Substance abuse means using an illegal substance or using a legal substance in the wrong way. Addiction begins as abuse, or using a substance like marijuana or cocaine. You can abuse a drug without having an addiction. For example, just because Sara smoked weed a few times doesn’t mean that she has an addiction, but it does mean that she’s abusing a drug — and that could lead to an addiction.
People can get addicted to all sorts of substances. When we think of addiction, we usually think of alcohol or illegal drugs. But people become addicted to medications, cigarettes, even glue! And some substances are more addictive than others: Drugs like crack or heroin are so addictive that they might only be used once or twice before the user loses control.
Addiction means a person has no control over whether he or she uses a drug or drinks. Someone who’s addicted to cocaine has grown so used to the drug that he or she has to have it. Addiction can be physical, psychological, or both.
Physical Addiction
Being physically addicted means a person’s body actually becomes dependent on a particular substance (even smoking is physically addictive). It also means building tolerance to that substance, so that a person needs a larger dose than ever before to get the same effects. Someone who is physically addicted and stops using a substance like drugs, alcohol, or cigarettes may experience withdrawal symptoms. Common symptoms of withdrawal are diarrhea, shaking, and generally feeling awful.
Psychological Addiction
Psychological addiction happens when the cravings for a drug are psychological or emotional. People who are psychologically addicted feel overcome by the desire to have a drug. They may lie or steal to get it.
A person crosses the line between abuse and addiction when he or she is no longer trying the drug to have fun or get high, but has come to depend on it. His or her whole life centers around the need for the drug. An addicted person — whether it’s a physical or psychological addiction or both — no longer feels like there is a choice in taking a substance.
Psychological signals:
use of drugs or alcohol as a way to forget problems or to relax
withdrawal or keeping secrets from family and friends
loss of interest in activities that used to be important
problems with schoolwork, such as slipping grades or absences
changes in friendships, such as hanging out only with friends who use drugs
spending a lot of time figuring out how to get drugs
stealing or selling belongings to be able to afford drugs
failed attempts to stop taking drugs or drinking
anxiety, anger, or depression
mood swings
Physical signals:
changes in sleeping habits
feeling shaky or sick when trying to stop
needing to take more of the substance to get the same effect
changes in eating habits, including weight loss or gain
Getting Help
If you think you’re addicted to drugs or alcohol, recognizing that you have a problem is the first step in getting help.
A lot of people think they can kick the problem on their own, but that doesn’t work for most people. Find someone you trust to talk to. It may help to talk to a friend or someone your own age at first, but a supportive and understanding adult is your best option for getting help. If you can’t talk to your parents, you might want to approach a school counselor, relative, doctor, favorite teacher, or religious leader.
Unfortunately, overcoming addiction is not easy. Quitting drugs or drinking is probably going to be one of the hardest things you’ve ever done. It’s not a sign of weakness if you need professional help from a trained drug counselor or therapist. Most people who try to kick a drug or alcohol problem need professional assistance or a treatment program to do so.
Tips for Recovery
Once you start a treatment program, try these tips to make the road to recovery less bumpy:
Tell your friends about your decision to stop using drugs.Your true friends will respect your decision. This might mean that you need to find a new group of friends who will be 100% supportive. Unless everyone decides to kick their drug habit at once, you probably won’t be able to hang out with the friends you did drugs with before.
Ask your friends or family to be available when you need them. You may need to call someone in the middle of the night just to talk. If you’re going through a tough time, don’t try to handle things on your own — accept the help your family and friends offer.
Accept invitations only to events that you know won’t involve drugs or alcohol. Going to the movies is probably safe, but you may want to skip a Friday night party until you’re feeling more secure.
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