Addiction is a complex psychiatric disorder that consists of social and psychological factors, but at its most basic level it is a biological process. Addiction may come in many forms, but its primary choice of substance is drugs. In particular, prescription medications in the form of pills have become a major health problem, not only to those addicted but the clinicians who prescribe them. In order to fully understand this disorder, considering what brain mechanisms and functions are involved with addiction, the next area to look into is the factors that make the prescription drugs so addictive, along with long term effects, and to discover any new treatment options out in practice today, whether it be through medicine and/or counseling. According to Nutt (1997), rugs are used to produce alterations in brain function that act “on brain receptors and neurotransmitters” (p. 53). The areas of the brain where most of the drugs action takes place is beginning to be better understood in the past ten years, especially in the sense that drug abuse works through multiple mechanisms depending on the drug. Specifically looking at opioid abuse, the neurochemical action that takes place are agonists at the mu (µ) opioid receptors. Agonists mimic or increase the effects of a natural neurotransmitter. It often does this by binding to the receptor site triggering the same signals that the natural neurotransmitter would. The more an opioid does to interact with its designated receptor; the more efficient the agonist becomes (Nutt, 1997, p. 53). Simply, agonists work at a maximal efficiency. Two major mechanisms have been found in the brain that mediates drug addiction - the dopamine and endogenous opioid systems. The release of dopamine from... ... middle of paper ... ...ld be reduced medically, but cannot be done because of their addictive demeanor. Long term use in addicts of prescription medication does have long lasting effects on brain function and neuron connections within the brain. This is because of the rapid firing of opioid receptors that are being mimicked by the opioid drug of choice, and eventually these connections will die off. New treatments must be made by realizing drug dependence coexists with habits that must be changed. This must, and can happen with long term supportive health with both clinical practices, and new-evidence based treatments such as Buprenorphine/naloxone rather than Methadone. This type of intervention will work in an extraordinary way with addicts and their sobriety. Intervention of both the physicians and addicts practices of opioid misuse would change the course of a deadly prescription.
On the typical day, over 90 people will die at the hand of opioid abuse in America alone (National). In fact, as of 2014, nearly 2 million Americans were dependent and abusing opioids. The Opioid Crisis has affected America and its citizens in various ways, including health policy, health care, and the life in populous areas. Due to the mass dependence and mortality, the crisis has become an issue that must be resolved in all aspects.
As of today this type of treatment is one of the most widely known options for clients who have opiate issues. This treatment is a combination of two different drugs: buprenorphine and naloxone. Buprenorphine is a lower form of opiates that is given to the patient with opiate addictions because it provides them with fewer side effects when coming off the addiction. Naloxone is a blocker medication that is primarily given in emergency rooms to individuals who have overdosed wit...
Opioid addiction is a tragedy that affects countless of Americans on a daily basis. Almost everyone is acquainted to someone, who suffers from opioid addiction. Everyone, but specifically family and friends of the victims to opioid addiction need to understand why their loved ones are so susceptible to becoming addicted to opioids. The word opioid in itself is complex to define, but it entails a variety of prescription medications. Most opioids are used as pain management medications and qualify as CII medications also known as narcotics. They are supposed to be used on an “as needed” basis, but that is not the case for many users of opioids. Opioids cause great fear in the health community because they are easily addictive and
This leads to the second school of thought on medically assisted treatment. There has been a great deal of debate about the medication used to treat Opiate addiction, methadone. Many feel that the drug methadone is simply trading one drug in for another, as the addiction to methadone is quick and almost more powerful than an opiate addiction (Nelson, 1994). The withdrawals effects are far more intense with methadone and for this reason it is a lifetime maintenance medication. Some suggest that more rehabilitative programs are needed that would address the social problems the users have to help them recover, instead of the methadone program that is viewed...
Addiction is a dependence on a substance where the individual who is affected feels defenseless and unable to stop the obsession to use a substance or prevent a particular behavior. Millions of Americans have addictions to drugs, alcohol, nicotine, and even to behaviors such as obsessive gambling. Pharmacotherapy is a treatment process in which a counselor can use a particular drug to counter act an addictive drug or behavior. Not all counselors agree with this type of treatment. However in order to provide a client with an ethical treatment and unbiased opinions they should be made aware of all scientific evidence of different treatment options. “Thus, attention to addiction pharmacotherapy is an ethical mandate no matter what prejudices a counselor may have” (Capuzzi & Stauffer, 2008, p. 196). Some particular pharmacotherapy’s a counselor may use for the treatment of addiction are Bupropion (Wellbutrin, Zyban), Disulfiram (Antabuse), Naltrexone (ReVia, Depade), Methadone (Dolophine), and Buprenorphine (Temgesic, Suboxone).
There are many biological factors that are involved with the addicted brain. "The addicted brain is distinctly different from the nonaddicted brain, as manifested by changes in brain metabolic activity, receptor availability, gene expression, and responsiveness to environmental cues." (2) In the brain, there are many changes that take place when drugs enter a person's blood stream. The pathway in the brain that the drugs take is first to the ventral tegmentum to the nucleus accumbens, and the drugs also go to the limbic system and the orbitofrontal cortex, which is called the mesolimbic reward system. The activation of this reward system seems to be the common element in what hooks drug users on drugs (2).
The most commonly abused substances are Nicotine, Inhalants, Alcohol, Cocaine, Amphetamines, Prescription medications, Heroin, Ecstasy and Marijuana. 1a(National Institute on Drug Abuse, 2011) Initially, a person may find themselves using substances voluntarily and with confidence that they will be able to dictate their personal use. However, over the period of time that drug use is repeated, changes are taking place throughout the brain, whether it is functionally or structurally. Drugs contain chemicals that enter the communication system of the brain and disturb the way in which nerve cells would typically send, receive, and process information. The chemicals within these drugs will cause a disruption to the communication system by either imitating the brain’s natural chemical messengers or by over-stimulating the brains “reward system” by sending mass amounts of dopamine. As an individual prolongs his or her use of these substances, they may develop an addiction.
It doesn’t matter if these patients will become addicted, because these doctors are so sure of it that they overprescribe just so the patients won’t come back asking for more in the near future. Due to the inconsideration and selfishness of these doctors “Prescription drug abuse is the fastest growing form of substance abuse”(Hanson). To make matters worse, a majority of these doctors aren't even warning their patients about the type of drug they are dealing with. According to the National Institute on drug abuse, opioids are a class of drugs that include the illegal drug heroin, causing them to be highly addictive(Thomas et al). Not only is it clear to see that these doctors are at fault here for even prescribing a drug they know can be as addicting as heroin, but also because they aren't doing anything to fix their mistakes, much less admit that they are at fault here. Doctors are to blame for these addiction, not the patients. Doctors are also to blame for not giving these unhealthy addictions the attention they deserve. After all, they are required by the FDA to give risk evaluations when the risks of the drug outweigh the benefits(Blake). Yet on the contrary to popular belief these doctors aren’t giving those evaluations out, if they were more deaths could
According to Leshner, drug addiction is a chronic brain disease that is expressed in the form of compulsive behaviors (Leshner, 2001). He believes that drug addiction is influence by both biological, and behavioral factors, and to solve this addiction problem we need to focus on these same factors. On the other hand, Neil Levy argues that addiction is not a brain disease rather it is a behavioral disorder embedded in social context (Levy, 2013). I believe, drug addiction is a recurring brain disease that can be healed when we alter and eliminate all the factors that are reinforcing drug addiction.
Drug addiction is more complicated than medicine thought in previous years. It’s not because someone is weak or unable to control themselves. They are chemical such a dopamine in the human body that makes the process difficult. The brain works in a neuropath way and drug interrupt the normal process which stops the frontal lobe to work as it should. Treatment isn’t done right and patients tend to repeat their habit after they get out of rehab. Psychological treatment is not as effective as chemical injection for dopamine to reward the brain. However, even after the treatment is complete, it will be a life struggle to stay away from drugs since the brain will always look for a simpler way to reward itself.
Understanding this problem begins with education about the type of drugs being abused. Opiates, or opioids, are a type of drug that relieves pain. Painkillers interact with nerve endings in the brain, stopping them from sending the message to your brain that you are in pain. Taking this medication results in lose of pain and a temporary high. If a patient takes pain pills for too long, they can begin to form a tolerance to lower doses, causing the physician to have to continually raise the amount being put into their bodies. After extended use, opiates can cause iatrogenic addiction, “most likely to occur with long-term use and/or high does of a prescription drug” (Kendal1 l75). Even though opiates have been used to treat pain in the medical field for years, research is indicating negative side effects. Some of these, interesting enou...
The rate of death due to prescription drug abuse in the U.S. has escalated 313 percent over the past decade. According to the Congressional Quarterly Transcription’s article "Rep. Joe Pitt Holds a Hearing on Prescription Drug Abuse," opioid prescription drugs were involved in 16,650 overdose-caused deaths in 2010, accounting for more deaths than from overdoses of heroin and cocaine. Prescribed drugs or painkillers sometimes "condemn a patient to lifelong addiction," according to Dr. Tom Frieden, director of the U.S. Centers for Disease Control and Prevention. This problem not only affects the lives of those who overdose but it affects the communities as well due to the convenience of being able to find these items in drug stores and such. Not to mention the fact that the doctors who prescribe these opioids often tend to misuse them as well. Abusing these prescribed drugs can “destroy dreams and abort great destinies," and end the possibility of the abuser to have a positive impact in the community.
Drug abuse and addiction are issues that affect people everywhere. However, these issues are usually treated as criminal activity rather than issues of public health. There is a conflict over whether addiction related to drug abuse is a disease or a choice. Addiction as a choice suggests that drug abusers are completely responsible for their actions, while addiction as a disease suggests that drug abusers need help in order to break their cycle of addiction. There is a lot of evidence that suggests that addiction is a disease, and should be treated rather than punished. Drug addiction is a disease because: some people are more likely to suffer from addiction due to their genes, drug abuse brought on by addictive behavior changes the brain and worsens the addiction, and the environment a person lives in can cause the person to relapse because addiction can so strongly affect a person.
Substance abuse complicates almost every aspect of care for the person with a mental disorder. When drugs enter the brain, they can interrupt the work and actually change how the brain performs its jobs; these changes are what lead to compulsive drug use. Drug abuse plays a major role when concerning mental health. It is very difficult for these individuals to engage in treatment. Diagnosis for a treatment is difficult because it takes time to disengage the interacting effects of substance abuse and the mental illness. It may also be difficult for substance abusers to be accommodated at home and it may not be tolerated in the community of residents of rehabilitation programs. The author states, that they end up losing their support systems and suffer frequent relapses and hospitalizations (Agnes B. Hatfield, 1993).
Nearly all drugs of abuse increase dopamine release. Dopamine is an important neurotransmitter in drug abuse and addiction. Dopamine plays a role in reward-motivated behaviors, motor control and important hormones. It’s known as the “feel good hormone” which is why people abuse drugs that increase the release of dopamine. Since life is unpredictable, our brains have evolved the ability to remodel themselves in response to our experiences.