DR. S.K.PATHAK

This is Habitual addiction. It includes all types of alcohol products like country liquor, beer, wine, rum, whisky, laththa etc. Alcoholic drinks have deleterious effects on the nerves and the heart.Their destructive effects on the digestive system are well known. Alcohol blunts hunger, causes irritation and swelling of the lining of the stomach, and impairs the functions of the liver.

This is also a habitual addiction. It includes all types of nicotine products like cigarettes,bidi, mava,gutka, tobacco chewing, snuff etc. Nicotine, is explicitly described in medical dictionaries as a powerful and active poison. Smoking introduces this poison, as well as the highly poisonous gas, carbon monoxide, into the lungs. Nicotine causes increased secretion of adrenalin and noradrenalin into the blood stream, which result in a higher proportion of fats in the blood. It is for this reason that smoking accelerates the process of the hardening of the blood vessels. The arteries providing nutrients to the heart muscles also become congested, hardened and brittle, with consequences ranging from palpitation and hypertension to angina pectoris and heart attacks.

Drug addiction consists of Fortwin, Proxyuon, Diazepam, L.S.D., Opium, Smack, Marijuana, Heroine, Cocaine, Charas, Ganja, Bhang, Brown Sugar etc. It is estimated that almost five percent of the population is addicted to one drug or the other. A craving to obtain peace, to get rid of depression, to escape worldly sorrows and failures, to get an euphoric feeling or to get rid of social inhibitions leads people to the use of drugs. Chronic use of these drugs leads to severe damage to the liver, the heart, the kidneys, the brain and the nerves.

Patient of substance abuse can be treated on own basis if the abuse is of milder form and patient is willing to cooperate with the treatment but in most of the cases where the amount of drug abuse is high withdrawal symptoms and severe and patient surrounding does not allow him to quit addiction at home so it is better to hospitalize the patient.

Most patient with alcohol dependence have relatively mild symptoms when they stop drinkingProvided they have good health, adequately nourished and has a good social support system. The withdrawal syndrome usually resembles a mild case of file:The first step in detoxification is through physical examination and if combined drug abuse is not present ,patient is offered is rest ,adequate nutrition and multiple vitamins especially those containing thiamine.

Actually drug users cannot quit it by their own efforts because using the drug in a long time period they feels some changes in their nature a like-lack of confidences ,looking the power of determination and losing the trust of their family too. All these factors plays a important role in it that’s why they can’t get success do over come from the addiction.

The program is effective a lot because it is applied in a systematic way by using different type activities like-counselling session, program play with which addict can engage himself the whole day’s life .The main focusing thing is that all these things are provided by the experts.

Yes, it is possible that addiction leads to HIV/AIDS or any other disease because if the person use injections for taking drug ,he use it again and again or ina group too so the possibilities of HIV/AIDS is occurred and the excessive use of alcohol and smoke is generate the problem of liver and skin diseases too.

It depends on the addiction in general & disease.

The process of recovery is not shared and there is high degree of possibility that patient might again start abusing drug during this phase. The occasion of substance use need to be differentiated as lapses or relapses. Isolated instances of substance use are considered lapses while return to the previous pattern or dependent use are called relapse. Recognition of relapse is as important phenomenon course of disorder can be tackled meaningfully and help in avoiding the sense of dejection and helplessness that surrounds the patient family as well as treating them. There may be variety of relapse effects like negative emotional states, negative physical state, testing of person control over urges, relationship conflict and limited availability of mental health professional are also the important factor.

Treating the substance abuser is a challenging one. It starts with through patients physical as well as psychological profile. Initially the patient is managed for withdrawal and detoxified .Associated medical problems are also death with. After substantial physical recovery behavioural and cognitive issues are taken care and patient is subjected to behavior and cognitive therapies along with pharma – co-logical treatment. Temperamental factors, family and interpersonal issues are also focused.

1.Recurrent substance use resulting in a failure to all the major role obligations at work ,school or home (repeated absence or poor work performance).2.Recurrent substance abuse in situation in which it is physically hazardous e.g. driving or operating machine.3.recurrent substance related legal problems e.g. arrests or misconduct.4.Continued substance use despite having persistent or recurrent social or interpersonal problems caused or exacerbated by the affects of the substance e.g. arguments with spouse and physical fights.

Three or more of the following is last :

1. Tolerance

a. Markedly increased amount of substance is needed to achieve desired effect.

b. Markedly diminished affect with continued use of some amount of substance.

2. Withdrawl

a. The characteristic withdrawal symptoms occur depending upon the substance used.

b. The same substance is taken to avoid withdrawal.

3. Substance is often taken is larger amount over a long time than was intended.

4. Persistent desire to cut down or control substance abuse.

5. Great deal of time is spent in obtaining the substance.

6. Social,occupational and recreational activities are reduced.

There are lots of issues to address in this question, but I will start with the easiest part to answer. It seems you want somebody to tell you it is “OK” for you to try drugs, and I can’t and won’t do that. I will say that it is an unfortunate fact of the teen years that drug and/or alcohol experimentation is the norm, not the exception. For most teens experimenting with drugs or alcohol is just that – an experiment. Teens try drugs or alcohol, they measure the various reactions they get, and they come to a conclusion based on those reactions. Despite some pretty scary statistics, the vast majority of teens who try drugs or alcohol end up as well adjusted contributing members of adult society. Even teens who are habitual users, even abusers of drugs, can come through it all without becoming addicted. No one really knows why some people become addicted while others who use just as many drugs don’t, and there is no “test” to take to see if you are one of the unlucky ones who, once you try drugs, will find it next to impossible to stop. It is all a matter of personality, circumstance and genetics and other personality issues.