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Holding work: description
Published in Simon Cocksedge, Martin Roland, Carl May, Listening as Work in Primary Care, 2020
Simon Cocksedge, Martin Roland, Carl May
Patients with mental health problems, or a past history of such problems, are the most commonly mentioned group of those needing holding. The largest group in this category are those with long-term mild depression or those who have had depression in the past but are thought to be helped by keeping in touch with the doctor: ‘They’ve had depression in the past and we’ve maybe got them off the tablets or some of them are still on the tablets. But again, they seem to need to come down every four to eight weeks when they are fine, trekking along fine. They feel the need to come and again, one wonders why.’ (Vic)
Stimulants and mental health
Published in David B Cooper, Practice in Mental Health—Substance Use, 2018
Richard Orr McLeod, Philip D Cooper
As the effects of stimulants wear off (come down’) the individual is likely to experience irritability apathy insomnia or excessive sleep, and hunger. These effects can last for a number of days after use and can have a significant impact on an individual’s level of functioning. In addition, individuals are likely to experience low mood in the days after use; weekend users may use the term ‘suicide Tuesday’ to describe the impact stimulants can have on their mood in the early part of the week (Box 4.2 provides a summary of the short/long-term effects).
The past relived; attempting to stop the methadone
Published in Richard Bryant-Jefferies, Counselling a Recovering Drug User, 2018
‘Yeah. I want to get my head clear, you know, and I know I need the methadone, but I’d really like to get off it and get clean. I think I’m kind of needing to do this more and more, and since going to AA. I mean, I’m clear of the alcohol and feel good about that. I think I’ve done really well. I know I’ve done well. But I may be sober but I’m not clean, not while Im still on that script. I’ve come down now from 3 5 mis, gradually reducing and, yeah, I know I had that problem when I dropped the bottle, and shit that was scary. But I want to get clean. And I can feel this need within me and yet I know I have to keep taking it. It’s really frustrating, though I also know it is helping me to function as I am sure without it I’d react badly.’
Patterns of Simultaneous Polysubstance Use among Partygoers: Correlates and Differences in Adverse Acute Effects Experienced
Published in Journal of Psychoactive Drugs, 2020
Fermín Fernández-Calderón, Claudio Vidal-Giné, Antonio J. Rojas-Tejada, Óscar M. Lozano-Rojas
Previous research indicates that the time of ingesting multiple substances is an important factor in determining the acute effects experienced (Martin 2008). Thus, it has been reported that ecstasy users take cannabis during the “comedown” period to reduce the stimulant effects of ecstasy (Carlson et al. 2004; Rigg 2017). In our study, we did not collect information on the timing of the used drugs, and it is possible that the intake of some substances (e.g., cannabis) could have contributed toward reducing certain negative effects (e.g., tachycardia) instead of causing them. Finally, although we explored the relationship between drug use patterns and the adverse effects experienced, it is also possible that the quantity of drugs used could have had an impact on such negative consequences.
Deaths related to MDMA (ecstasy/molly): Prevalence, root causes, and harm reduction interventions
Published in Journal of Substance Use, 2018
Drug interactions are another contributor of MRDs. When autopsies and toxicology reports are conducted, MDMA is very rarely the only drug found in the victim’s blood (Schifano et al., 2003; Ghodse et al., 2001). Alcohol, for example, is sometimes ingested with or before MDMA in pursuit of a better high (Rigg, 2017a). Cocaine and other stimulants are also sometimes co-ingested in an effort to sustain levels of alertness and boost energy during all night rave parties (Rigg & Sharp, 2018; Boeri et al., 2008). And MDMA users have been known to smoke marijuana to prolong their high once the effects of the MDMA begin to wane (Rigg, 2017b; Boeri, Sterk, & Elifson, 2004). Others report mixing MDMA with a wide variety of prescription medications, ranging from opioid analgesics (Rigg & Sharp, 2018; Kurtz et al., 2005) to selective serotonin reuptake inhibitors (Copeland, Dillon, & Gascoigne, 2006). Additionally, benzodiazepine medications are sometimes taken for their sedative properties to counteract the simulant effects of MDMA and/or alleviate the unwanted symptoms of MDMA’s so-called comedown stage (Rigg & Sharp, 2018; Kurtz, Buttram, & Surratt, 2017; Singer et al., 2004). There is also evidence that MDMA is co-ingested with Viagra and other erectile dysfunction medications to enhance and lengthen sexual experiences, a practice known as “sexstasy” (Narvaez et al., 2001). Additionally, there have been reports that moclobemide, a prescription medication used to treat depression, is also used in conjunction with MDMA (Vuori et al., 2003).
What’s the attraction? The role of performance enhancement as a driver of recreational drug use
Published in Journal of Substance Use, 2018
Amary Mey, David Plummer, Shailendra Anoopkumar-Dukie, Amber Domberelli
Symptoms during the “come down” period were reported to include varying degrees of psychological, emotional, and physical discomfort. For some, the experience was extremely negative. Others reported fewer negative experiences and suggested an association with alcohol rather than attributing the negative experience to drugs alone. I know some people that like find it hard the next day, they find it hard the next day after they’ve been drinking as well. And they just do their head in thinking ‘Oh my God, why did I have that pill?’ I’m like it’s probably the fifty fucking beers you’ve had with it. Don’t blame the pill. (M-2, 33)