Monday, March 25, 2013

Why it is so hard to beat drug abuse



Demand and Supply


Drugs and alcohol offer a chemical release. One thing they do is trigger brain chemistry that makes people feel good. They are substances that make someone high and help them to forget their troubles and lose track of reality. Why would anyone want to quit, right? Drugs and alcohol also make people slow, dull, foggy, stupid, unaware, and out-of-touch with reality. They also kill, either slowly and insidiously, or suddenly and violently. Drugs are a double edged dagger – perceived benefits and deadly consequences intertwined. Why don’t people simply see through the veil of deceit surrounding drugs? Why don’t they wise up? It’s not because no one is attempting to cut the supply. The problem is the demand. As the “war on drugs” wages against the suppliers and their cohorts, the public demand only rises. But it’s not really the “public” that is demanding. Factually, that is way too general a statement. Distill the problem down and you wind up with individuals. Understanding the problem requires an understanding of why the individual turns to drugs – why drugs are appealing in the first place and why a person repeatedly uses them: 



The Appeal

                Drugs and alcohol are attractive because they offer an alternative to the status quo. They are a route by which one can rebel against his or her parents. They are linked to a counter-culture, and the idea of experimenting in them can be appealing to youth. What they seem to miss is that one can rebel against the status quo all they want without taking a single drug. There’s plenty wrong with status quo already. Drugs are also attractive for the opposite reason. They offer a way to fit in. People use drugs to “feel normal” and feel comfortable in a social situation. Social drinking is a prime example, but there are many more. Broad scale television and print advertising espouse the need to take psychoactive pills to be well-adjusted – yet those same pills are fueling a pandemic of prescription drug abuse. Drugs offer easy and quick escape from stress and tedium. But just as a deal with the devil requires payment, drugs exact a price in return. Just ask an addict.

Dependency and Addiction

                As one journeys further into drug abuse, they will begin to “need” drugs. This dependency or addiction can be physical or psychological – but it is commonly both. Protracted alcohol abuse takes a heavy toll on the drinker. First they build up tolerance; they must drink more and more to get the same effect. If they decide to quit they experience painful and severe withdrawal symptoms, including seizures and unpleasant hallucinations. Their “solution” is to keep drinking. Cocaine, crack, meth, heroin, and a wide array of illicit drugs provide a euphoric high and a dismal low, and they all send an addict down a trail of misery from which many do not return. Prescription psychotropic drugs – stimulants, benzodiazepines (anti-anxiety), antidepressants, antipsychotics – offer a whole new level of addiction. Many people have been on these since childhood, having been prescribed them at a young age (by doctors or psychiatrists). To compound the situation, people get strung out on multiple drugs, with one prescribed to offset the side-effects of another. These types of drugs are often harder to kick than opiates like heroin or methadone.

Relapse

                Why do people revert to drugs after having been through rehab? One answer is that they choose to do so. But that is too simplistic an answer. A primary factor is that the rehab program did not address WHY they turned to drugs in the first place. Previously, they had been experiencing problems, stress, insecurities, apathy, trauma – or any of a long list of barriers – for which drugs provided an easy “out.” They subsequently got off drugs, but the original difficulties returned and they had no other solution. Thus rehabilitation, to be complete, would need to offer effective solutions to the fundamental problems the user sought to solve. Not an easy proposition, but a necessary one.

Environment

                Some users are pushed back into the same environment that fomented (stirred up) their drug abuse in the first place. They go hang out with the same crowd, the users and the pushers. They put themselves in a lose-lose situation. The people involved can be in their own family, further complicating the situation. Some former addicts, in analyzing their situation, even move to a different city or town in order to avoid putting themselves in the same scenario. But it is true that a person who intends to find drug will find them. Ultimately, rehabilitation without the element of relapse prevention is at best incomplete.

Holistic

                Holistic rehabilitation means addressing the physical, mental, environmental, societal and spiritual aspects of drug abuse. It means confronting the body, the mind, and the spirit. Hence, holistic, meaning whole – the whole person and all the influences surrounding him or her. Why is it hard to beat drug abuse? Why is a person a person? Each person is an individual. By addressing the individual, we beat drug abuse – one person at a time.

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