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REVATHI MOHAN
1’st year Masters in Counselling
Psychology









Drug Addiction
Reason
Effects
Treatment and
Recovery
Particular drugs and
its effects
Involvement of NGO’s
Genetics

Mechanisms

Treatments
COMORBIDITY
Drug Users have a Higher Risk of
Developing Mental Disorders
•Psychosis
•Depression
•Anxiety
•Panic attacks

Example: SMOKING EPIDEMIOLOGY
normal population:
23%
alcoholism:
90%+
other addictions:
90%+
schizophrenia:
85%
depression:
80%
Why Can’t Addicts Just Quit?
Non-Addicted Brain

Addicted Brain
Control

Control

Saliency

Drive

NO
GO

Saliency

Memory

Source: Adapted from Volkow et al., Neuropharmacology, 2004.

Drive GO

Memory

Because Addiction Changes Brain Circuits
We Need to Treat the
Whole
Person!
Pharmacological
(medications)

Medical and

In Social

Behavioral Therapies

Social Services

Context
NARCOTICS
SEDATIVES
STIMULANTS
ANTIANXIETY

DISORDERS
PAINKILLERS
HALLUCINOGENS





MIXTURE OF 18 CHEMICAL
SUBSTANCE~ALKALOID
BITTER TASTE POWDER
MORPHINE


Morpheus







Heroin=Morphine +
Anhydiride(Inexpe
nsive chemical)
Pain reliever and
has related
medical purpose
More dangerous
than morphine.




Allievate physical pain
Induce Relaxation
Alleviate anxiety and tension



Bluff
Undesirable contact others- to maintain a
supply of drugs



Disruption in immune system
Changes in life~style





Coma and death
Early Age
Premature baby
Pregnant women
Gradual
Deterioration of well
being




Peer Pressure
Pleasure
Curiosity



Methadone in Conjunction
Counselling and Group Theraphy



Used by Doctors  Relaxation
Depressant like Alcohol





Slows down Central nervous system
Drowsiness and Sleep
Reduce tasks in Cognitive tasks
Impaired Decision and problem solving



600-800mg of secobarbital
Pentobarbial Substituition Therapy



Pre-colombian world of Mexico and Peru
US-Crack Town




Stimulates the cortex of the brain
Sleeplessness and Excitement
Induce sexual arousement




Desipramine and Nalatrexone
Psychological theraphy
Di-sulphisam  Reduce alcohol use


Anti-social Personality Disorder


II’nd World War
1927- All Drug stores



1930-A new amphitamine


Dexedrine
Methadrine





Affects the Central Nervous System
Supress apetite
Weight reduction
Treating Narcolepsy




Respiratory depression
Coma and death
Memory loss
Also Leads to

Anxiety

Irritability

Suicidal Ideation

Rarely delrium



Flumazonil(0.3- 1.0mg)-OverDose
60- 80mg of diazepam



LSD
PCP




Odourless
Colourless
Tasteless


1950-US –Research Purpose




Mood Swing
Feeling of depersonalization
Detachment



Mescaline
Psilocybin(PSB)

new ideas rather than distort experiance




Cannabis
Marijuana
Ecstasy
Fund international research
Provide training and exchange opportunities
Set international research priorities
Organize & sponsor conferences and meetings
Binational agreements
Dissemination of information
I.

Drug abuse is a global
phenomenon
5 percent of people aged 15-64

15.9
13.7
7.9

Millions of Users

Cannabis
Amphetamines
Ecstasy
Cocaine
Opiates

26.2

II. Intertwined dual-epidemics of
drug addiction & HIV/AIDS

160.9

UNODC 2005 World Drug Report

HIV Infections Attributed to
Injection Drug Use and Risky
Sexual Behaviors Related to
Drug Abuse

III. Take advantage of unique opportunities to advance scientific
knowledge through research
Drug Addiction and Recovery

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Drug Addiction and Recovery

Editor's Notes

  1. Comorbid mental illness is common among substance abusers, including smokers, with much higher rates than in the normal population. Co-occurrence of other drug addictions is also much higher. Drug users also have a higher risk of developing mental disorders, although the order of these events can be difficult to determine precisely.
  2. Addiction changes brain circuitry, making it hard to “apply the brakes” to detrimental behaviors. In the non-addicted brain, control mechanisms constantly assess the value of stimuli and the appropriateness of the planned response, applying inhibitory control as needed. In the addicted brain, this control circuit becomes impaired through drug abuse, losing much of its inhibitory power over the circuits that drive response to stimuli deemed salient.
  3. Addiction requires treatment that addresses its complexity. Substance abuse treatment should address the whole person and can include medications, behavioral therapies, and ancillary support services.
  4. Swiss chemist “Albert hoffman”
  5. NIDA’s international program makes significant contributions to drug abuse research. These include funding and training, priority setting, conference sponsorship, and information dissemination.
  6. Drug abuse is a global problem. An international focus allows the sharing of important findings with a wider audience, particularly benefiting those countries where HIV/AIDS is prevalent. It also allows researchers to take advantage of the unique cultural, biological, and environmental factors that exist in different regions of the world, which can reveal important and novel information about our shared health concerns regarding drug abuse and HIV.