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Act for Recovery
Published in Sandra Rasmussen, Developing Competencies for Recovery, 2023
Addiction often begins with a habit: repeated substance use or addictive behavior. Addiction develops when a person is unable to go without the substance or the behavior, or activity. The person psychologically and physiologically needs the substance or behavior, despite knowing and experiencing harmful effects and adverse consequences.
Substance Use Disorder, Intentional Self-Harm, Gun Violence, and HIV/AIDS
Published in Amy J. Litterini, Christopher M. Wilson, Physical Activity and Rehabilitation in Life-threatening Illness, 2021
Amy J. Litterini, Christopher M. Wilson
For individuals with chronically relapsing disease, the risk for death from overdose increases, as does advanced illness from comorbid conditions such as cirrhosis, chronic obstructive pulmonary disorder, and cancer. Chronic addictive behaviors can lead to physical deterioration without the likelihood of cure. Harm reduction is key to support individuals unsuccessful at, or unable to, gain recovery over SUD. Even for those who eventually do transition into SUD recovery, diagnoses acquired during prior substance use may, in turn, limit their life expectancy.
Entering Treatment
Published in Frank Lynn Iber, Alcohol and Drug Abuse as Encountered in Office Practice, 2020
The recovering process is lifelong, but the attainments set forth in Table 59 come about at various times. Stable abstinence is attained in many patients in 2 or 3 years. When stable abstinence is attained, the person can remain comfortably in a situation where drug or alcohol is available and avoid its use. Most former users identify stressful situations or cues that are likely to precipitate addictive behavior and as they improve seek assistance to support them through the anticipated crisis. The self-recognition of such threats to abstinence is an important step in recovery. Familiar cues that formerly precipitated drug use may now precipitate severe, uncontrolled, and somewhat illogical anxiety. The individual therapist can assist with cue identification, provide alternative means to deal with anxiety, and can offer pressure relief if the fear and anxiety become overwhelming through either temporary medication or hospitalization. The role of the physician who has recognized an addiction is twofold: to be a compassionate, understanding guide through the frightening initial treatment process, and to serve as an advisor in setting realistic goals with the client. Both these functions can be fulfilled as part of regular office visits and may be the glue that keeps a patient in treatment.
The Routledge handbook of social work and addictive behaviors
Published in Journal of Social Work Practice in the Addictions, 2022
Section III, Interventions to prevent and address addictive behaviors and related problems, is the largest section with 15 chapters. The section opens with a chapter entitled Intervening around addiction behaviors; this chapter explores eight intervention approaches with demonstrated evidence for treatment addictive behaviors: motivational interviewing; case management; working with significant others; mutual help; brief interventions; contingency management; cognitive-behavioral coping skills training and medication assisted therapies. In the remainder of this section, there are three chapters on specific interventions (SBIRT, Mindfulness practice, and Pharmacotherapies). The other chapters include specific programmatic approaches to addictive behaviors (planning health promotion programs to prevent substance use disorders, integrated care in primary health care, and drug treatment courts); approaches for working in specific practice sectors (child maltreatment) or with specific client groups (children whose parents engage in substance misuse, families, grandfamilies, incarcerated and formerly incarcerated women). Also included are chapters on recovery-oriented policies, policy reforms to reduce harms, and decriminalization and medicalization of cannabis.
The rise of online sports betting, its fallout, and the onset of a new profile in gambling disorder: young people
Published in Journal of Addictive Diseases, 2021
Evaristo Barrera-Algarín, María Josefa Vázquez-Fernández
All this has several practical and clinical implications. First, professional intervention is required, aimed at identifying the causes and rectifying the consequences of this type of addictive behavior. Second, there is a need to carry out prevention programs with the population, especially children and young people, to promote the healthy use of technologies, while warning people of the negative effects that gambling disorder can have on their lives, and preventing distorted perceptions of gambling. Thirdly, it is essential to address, through therapeutic programs, cognitive and behavioral aspects, to restore volitional capacity, family and social relationships, as well as other areas affected, including school and work, which are often impaired by addiction. Fourth, it is necessary to adopt prevention measures tailored to the media that young people use the most: social networks and applications.
What’s new in chronic pain pathophysiology
Published in Canadian Journal of Pain, 2020
Addictive behavior has also been identified as having a strong genetic association, with 43% of the variance in drug abuse due to genetic factors unique to opioid metabolism.20 The dopamine receptor has been a highly active target of study. Dopamine receptor D2 (DRD2) polymorphism is associated with addictive behavior; DRD2 gene Taql RLFP A (rs1800497) was studied in patients with an opioid use disorder versus control. Patients with either A1A1 or A1A2 alleles consumed twice as much heroin as those without the A1 allele.21 This allele is present in 19% of Caucasians with opioid dependence compared to 4.6% of those without drug abuse history.22 Dopamine D3 receptors are prevalent in the reward and reinforcement center of the nucleus accumbens. Opioid-dependent patients with high sensation-seeking scores are more likely to be homozygous for the DRD3 allele compared to patients with lower scores.23