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- $Unique_ID{BRK00292}
- $Pretitle{}
- $Title{What Can Be Done to Prevent Relapses in Drug Addicts?}
- $Subject{drugs addiction treatment relapse Community Social narcotic
- management prevention chemical dependence chemically dependent addicted
- abstinence habit-forming mood-altering dependency crisis-management self-help
- support groups restriction compulsions lifestyle lifestyles}
- $Volume{Q-23}
- $Log{}
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- Copyright (c) 1991-92,1993 Tribune Media Services, Inc.
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- What Can Be Done to Prevent Relapses in Drug Addicts?
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- QUESTION: What can be done to prevent relapses in drug addicts?
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- ANSWER: This is an extremely difficult and controversial question. When you
- consider the numerous facilities and countless dollars that are spent yearly
- in the attempt to curb drug abuse in our country alone, you'd have to assume
- that if there were any simple and sure-fired way of controlling the problem,
- we'd have discovered it by now. Unfortunately, preventing relapse in narcotic
- drug abuse is extremely difficult and management requires highly
- individualized treatment. However, prevention is not impossible and the more
- we learn about the chemically dependent individual, the better we will be able
- to attack the problem.
- Studies of chemically addicted people have revealed that in most cases
- the addict is not hooked on one particular chemical, but on intoxication
- itself. It has been observed that when a drug abuser's drug of choice becomes
- unavailable or boring for some reason, he or she almost certainly seeks out a
- substitute drug. Based on this finding, the first step in treatment in any
- addiction is total abstinence from all potentially addictive chemicals.
- Restricting the user's drug of choice is not enough. Even drugs that are
- generally not considered habit-forming in the general population can have
- mood-altering effects on an addicted patient, and any inclination on that
- patient's part to purchase over-the-counter sleeping pills or weight-loss
- pills should serve as a strong warning that a chemical relapse is on the way.
- Another major step in helping to prevent a drug relapse is counselling.
- People become addicted to drugs for a multitude of reasons, and attempting to
- understand personal problems that make a person vulnerable to a chemical
- dependency can play a large part in preventing a relapse. It has been noted,
- for example, that people who deny their addiction or have no crisis-management
- skills will very likely have a relapse within the first year of treatment.
- Others who have family problems, or suffer from low self-esteem, shame, or
- guilt, may experience a relapse at a slightly later point. For this reason,
- determining a patient's emotional and psychological state can be of vital
- importance. There are a great many self-help and support groups devoted to
- helping addicts overcome their dependence and, I'm happy to report, many have
- been quite successful in their attempts. Needless to say, however, if a
- patient decides to drop out of one of these groups, it should be taken as a
- prime indication of an impending relapse.
- In certain instances, such as during hospitalization, drugs that can
- cause chemical dependence may be necessary for treatment. Though different
- from narcotic abuse, the dependency on these drugs can be just as potentially
- damaging. However, with the physician's careful attention to dosage and the
- patient's understanding of his or her potential addiction, relapse can usually
- be avoided.
- People who have been chemically addicted face constant danger of relapse
- and preventive guidelines can vary a great deal. Counseling and restriction
- of all chemically addicting drugs is a must. Careful observation of the
- patient's psychological state should be constant, so that signs of addictive
- compulsions can be predicted in advance. There are no guarantees, but if a
- patient recognizes his or her addiction and wants to break it, recovery is
- attainable.
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- The material contained here is "FOR INFORMATION ONLY" and should not replace
- the counsel and advice of your personal physician. Promptly consulting your
- doctor is the best path to a quick and successful resolution of any medical
- problem.
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