Substance dependency is a chronic illness that is identified by uncontrollable substance seeking and use, regardless of the harmful effects and alterations in the brain that can be permanent. The harmful habits of people suffering from drug addiction come as a result of these changes inside the brain. Substance dependency is also a relapsing illness. Relapse is the reoccurrence to drug use after an endeavour to stop.
The way to drug dependence starts with the wilful act of using drugs. However, the mental strength to decide whether to use drugs or not is eroded with time. Looking for and using the substance becomes uncontrollable. This is mainly because of the effects of long-term substance exposure on the functioning of the brain. The parts of the brain that control reward and motivation, learning and memory, and self control are all significantly affected by addiction.
Addiction influences both behaviour and the brain.
Can Substance Dependency Be Treated?
It can, however it is hard. Since addiction is a chronic illness, curing it is not as easy as simply stopping the drugs for a few days. Most patients need long haul or rehashed care to quit utilizing totally and recoup their lives.
Rehabilitation from drug use should result in the patient:
Stopping to require using the drug
achieve more productivity in the society in general and in the family and workplace in particular
Principles Behind Effective Treatment
These principles must be involved, if any efficient treatment program must be arrived at, as opined by several scientific researches since mid-1970s:
Though addiction is very complicated, it could heal completely, and it affects the workings of the human brain and human behaviour.
There is no one treatment that will work for everyone.
Individuals need fast access to treatment.
To be successful, the treatment plan should not focus on the addiction only but the whole person.
Adhering to treatment sufficiently long is critical.
The prevalently applied types of treatment include counselling and some other therapies that centre on behaviours.
Medications are regularly an imperative component of treatment, particularly when consolidated with behavioural therapies.
In order to accommodate the needs of the patient, treatment methods must be appraised with changes in the patient's needs.
Treatment ought to address other conceivable mental problems.
The first step during treatment involves detoxification that is overseen by medical personnel.
The treatment does not rely on the volition of the patient to yield positive fruits.
When in treatment, possible drug use must be constantly monitored.
The treatment programs must ensure that patients are tested for tuberculosis, hepatitis B and C, HIV/AIDS, and other infectious ailments, while they should also be informed about the best way to avoid contacting those.
What Steps Are Involved In Treating Addiction?
There are several steps to effective treatment:
detox (the process when the body cleanses itself of a substance)
Medicine (for opioid, tobacco, or liquor enslavement)
Making sure that coexisting mental health issues like depression or anxiety are evaluated and treated
Avoiding relapse by providing long term follow up care
Great results can be realised with the customised medical care plan and support services.
Treatment should compromise mental and medical health services as required. Family or community based recovery support systems are some of the things involved in a 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 The withdrawal symptoms that are witnessed when detox is done could be alleviated with medications. Detoxification is not in itself "treatment," rather just the initial phase all the while. Patients normally go back to the use of drugs if their treatment is not continued after detoxification. As revealed by a study of treatment facilities, 80% of the cases of detoxification involved medications (SAMHSA, 2014).
Preventing A Relapse Medicines used in the detoxing programme help the brain to restore to its normal functions easier and stop the desire for the drug. There are medications for the treatment of addictions to alcohol, tobacco/nicotine, and opioids, such as heroin or prescription pain pills. Scientists are busy to develop other medications to treat cannabis (marijuana) and stimulant (methamphetamine and cocaine) dependency. Users of multi drugs to fully recover must be treated for each one.
How Drug Addiction Is Treated Using Behavioural Therapies
Patients are helped by behavioural therapy with:
Change their behaviour toward and the way the think about their drug use
Upturn healthy life abilities
Keep going with other forms of treatment, like medication and support groups
The settings upon which patents can access their treatments and the approaches used varies.
Outpatient behavioural treatment incorporates a wide assortment of projects for patients who visit a behavioural health counsellor on a fixed schedule. The majority of the programmes incorporate group or one-to-one substance counselling or both these forms.
These programmes usually provide types of behavioural therapy like:
cognitive-behavioural therapy, which helps patients recognize, avoid, and cope with the situations in which they are most 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, which gets most of the addicts disposed to work on their behaviour and commence treatment
Motivational incentives that work by positively reinforcing like rewards to help the patient's urge for drugs reduce
sometimes, intensive treatments that involve several outpatient sessions every week is given at first. After the completion of the in-depth treatment, a patient moves to frequent outpatient treatment, which does not meet as regularly and for fewer hours every week to assist with maintaining his/her recovery.
Residential/inpatient treatment can also be extremely successful, particularly for patients with more serious issues (including co-occurring conditions). A licensed inpatient treatment centre provides round-the-clock, structured and comprehensive care, that includes safe accommodation as well as medical attention. An inpatient treatment facility can make use of different therapeutic approaches and they are usually aimed at assisting patients to lead a substance-free, crime-free life after completing the treatment.
Cases of residential treatment settings include:
Therapeutic communities where patients are domiciled in a residence mostly for 6 to 12 months, undergoing programs that are streamlined. Everybody at the facility, whether caregivers or administrators and fellow patients play a role in the recovery of the patient helping them cope with the changes and challenges of withdrawal.
Shorter-term residential treatment, where detoxification is done and the patient prepared for community based treatment through preliminary intensive counselling.
Short term, supervised housing for patients called recovery housing is sometimes utilized after residential treatment. Recovery housing can assist a person to complete the changeover to an independent life-for example, assisting him/her learn how to tackle finances or look for a job, as well as linking them to the community's support services.
Challenges Of Re-Entry
Drug misuse changes the capacity of the mind and numerous things can "trigger" drug longings inside the brain. It's basic for those in treatment, particularly those treated at an inpatient centre or jail, to figure out how to identify, ignore and adapt to triggers they are probably going to be presented to after treatment.