Addiction in Youth Presented by Dr. Laxmi Shrikhande. In this presentation Dr. Laxmi explains different types of addiction for example social, drugs and also different methods to identify the addiction and tips to come out of the addiction.

2. • Medical Director-Shrikhande Fertility Clinic, Nagpur
• Chairperson Designate ICOG 2020
• National Corresponding Editor-Journal of OB/GY of India JOGI
• National Corresponding Secretary AMWI
• Senior Vice President FOGSI 2012
• Founder Patron & President –ISOPARB Vidarbha Chapter
• Received Nagpur Ratan Award at the hands of Union Minister Shri
Nitinji Gadkari
• Received Bharat excellence Award for women’s health
• Received Mehroo Dara Hansotia Best Committee Award for her work as
Chairperson HIV/AIDS Committee, FOGSI
• Received appreciation letter from Maharashtra Government for her work
in the field of SAVE THE GIRL CHILD
• Immediate Past President Menopause Society, Nagpur
• President Nagpur OB/GY Society 2005-06
• Delivered 11 orations and 450 guest lectures
• Publications-Twenty National & Eleven International
• Sensitized 2 lakh boys and girls on adolescent health issues
Dr. Laxmi Shrikhande
Nagpur

3. Youth & Addictions
Dr Laxmi Shrikhande
Nagpur

4. What is addiction?
Addiction is a pathological love relationship with anything e.g.
with any type of food,
a mood altering chemical,
OR
activity.

5. Various Addictions-
 Internet
 Cell Phone
 Drugs
 Smoking
 Alcohol
 No one starts taking substances with aim of getting addicted.
 However, these substances have such brain alerting properties that after a
point of time, a person loses his control and becomes an addict

6. What is Internet addiction?
 Internet addiction is a behavioral addiction in
which a person becomes dependent on use of
the Internet, or other online devices, as a
maladaptive way of coping with life's stresses.
 South Korea- it has been declared a national
health problem

7. Types of Internet addiction?
• At least three subtypes of Internet addiction have
been identified:
• video game addiction,
• Cybersex (sexting ) or online sex addiction, and
• online gambling addiction.
• Youth are more prone for cyberbullying-both as a
victim and as a perpetrator

8. Cyber bullying
 most dangerous type of bullying as it can be done anonymously.
 many mediums such as email, text messaging, and social networks
such as Facebook .
 consist of threats of violence, verbal abuse, and spreading false
information for the purpose of embarrassing someone or hurting
their reputations.

9. What Students Can Do about Cyber Bullying?
 Don‘t engage the bully. Most bullies are looking for a reaction from
their victims. Lack of a response can help to extinguish the bullying
behaviours.
 Don‘t share secrets Protect your own privacy. Do not send pictures of
yourself on the Internet.
 Think about the consequences.
 Don‘t respond to and don‘t forward cyber bullying messages.
 Keep evidence of cyber bullying. Record the dates, times and
descriptions what the cyber bully says.
 Report instances of cyber bullying to your parent.

10. Components of Internet addiction?
All types of Internet addiction contain the following four components:
1.Excessive Use of the Internet-no one seems able to define exactly
how much computer time counts as excessive
2.Withdrawal-Common Internet withdrawal symptoms include anger,
tension, and depression when Internet access is not available.
3. Tolerance-is another hallmark of alcohol and drug addiction and
seems to be applicable to Internet addiction as well. needing—more
and more computer-related stimulation.
4. Negative Repercussions-offline personal relations, online affairs,
sleep deprived , school & job performance, finances

11. What are the physical side effects?
Being addicted to the Internet can also cause physical discomfort or
medical problems such as:
 Carpal Tunnel Syndrome,
 dry eyes,
 backaches,
 severe headaches,
 eating irregularities, (such as skipping meals),
 failure to attend to personal hygiene, and
 sleep disturbance.

12. What are the warning signs of
Internet addiction?
 Preoccupation with the Internet.
 Feelings of restlessness, moodiness, depression, or irritability when
attempting to cut down use of the Internet.
 On-line longer than originally intended.
 Jeopardized or risked loss of significant relationships, job,
educational or career opportunities because of Internet use.
 Lies to family members, therapists, or others to conceal the extent of
involvement with the Internet.
 Use of the Internet is a way to escape from problems or to relieve a
dysphoric mood. (e.g. Feelings of hopelessness, guilt, anxiety,
depression.)

13. Cell phone addiction is real !!
• sometimes referred to as problematic mobile phone use, is a
behavioral addiction thought to be similar to that of an Internet,
gambling, shopping, or video game addiction and leads to severe
impairment or distress in one's life.
• Smartphone addiction, sometimes colloquially known as
“nomophobia” (fear of being without a mobile phone)
• Phubbing- annoying habit your friend has of casually checking her
texts while you're talking? Its very common

14. Harms of cell Phone addiction
• Feel uncomfortable without cell phone-no battery, no network, limited usage
time
• Hallucinations-phantom ringing when it is not, notification alerts
• Young addicts spend so much time that they fail in their exams
• School / college drop outs
• Interpersonal problems
• Turning to crimes / un social activities to pay high bills
• Endangers health (long exposure to harmful electro magnetic waves)
• Accidents- use while driving
• Mental breakdown
• Death-Gaming addictions

15. Celebrities don’t allow their kids
• many of the leading innovators in digital technology have chosen to
shield their own families from the devices for as long as possible.
• Steve Jobs didn't let his kids use the iPad.
• Bill and Melinda Gates did not let their children have phones until
they were 14.

16. Tips to come out of cell addiction
• First things first, go into your settings and disable your phone's
notifications. (Yes, all of them.)
• Next, download a tracking app, like Moment, that can help give you a
reality check about just how much of your waking life you're actually
spending staring at that little screen.
• Finally, banish your phone from your bedroom and buy yourself an
actual alarm clock.

17. • Smoking is a major preventable cause of death & has a 25% chance
of premature death
• Common Health Problems
Cancer
Difficulty in conceiving & Repeated abortions
Early menopause
Sudden unexplained deaths
Asthma and bronchitis
Osteoporosis
High blood pressure
Peptic ulcers
Smoking & Health
Passive Smoking

18. Alcohol, Drugs & Health
The major health risk -
 high blood pressure, high cholesterol & diabetes
 high death rates due to strokes, heart attacks &
cancers
Social risks
 70% of persons arrested for theft tested
positive for drugs
 little awareness of their own vulnerability
 peer group culture
 Defy parental wishes
Myth-
Beer and wine is not alcohol

19. Why Adolescents experiment
with drugs
 To fit in: peer pressure
 To feel good: Some adolescents suffer from depression, social anxiety,
stress-related disorders, and physical pain. Using drugs may be an
attempt to lessen these feelings of distress.
 To do better: Ours is a very competitive society, in which the pressure
to perform athletically and academically can be intense.
 To experiment: Adolescents are often motivated to seek new
experiences, particularly those they perceive as thrilling or daring.

20. Toxic combination of prescribed drugs
10 drugs
found in
Elvis’
system
Celebrity deaths
Alcohol, cocaine
alprazolam,
diphenhydramine,
IV anesthetic propofol and other
sedatives

22. Adverse effects-
• Physical dependence and addiction
• Health problems
• Social problems
• Morbidity and injuries due to violence
• Unprotected sex
• Motor vehicle accidents
• Suicides, Homicides & Deaths
Why we are concerned about Drug abuse

23. How teachers / parents can identify-Flag signs
 Efforts to mask the smell as evidenced by frequent rinsing & washing
hands, use of perfume or deodorant, chewing mint
 Avoiding eye contact & hug by parents
 New set of [senior]friends
 Social isolation with loss of interest in activities previously enjoyed
 Scholastic deterioration
 Poor hygiene, altered appetite & sleep pattern
 Changed preference for movies which depict high action
 Unexplained irritability & increasing conflicts
 Spending extra time in toilet
 Stealing money/ valuables from the house

24. Positive Discipline techniques
 Know child /students well, treat with respect, don’t humiliate
 Withdraw few privileges, if misbehavior
 Get child students engaged with appropriate body language
 Circulate around the classroom involving everyone
 Help students work on their social- emotional skills
 Be fair, consistent & cool
 Have a positive attitude towards change

25. Positive Discipline: DON’TS
 Discuss negatives in staff room / in front of relatives & friends
 Judging & labeling
 Giving excuses/ blaming
 My way is the best!
 Keeping rules very rigid
 Negative attitude
 Constant complaining
 Preaching/ moralizing
 Unwarranted reassurance

26. What child / students can do to avoid getting
involved with drugs:
 Get active:
 Respect Yourself: and other people will respect you,
 Seek positive acceptance: There are many ways to feel accepted and liked by
other people - and they are more beneficial than taking drugs or alcohol.
 Have your own values: Look at yourself. What are your values? What‘s right for
you? Stand up to yourself and what you believe in.
 Have goals: What are your dreams? Look into the future, see where you want to
go and then go there!
 Get help: If you are feeling under pressure to take drugs, talk to a youth
counselor. Get help! If you think you have a drug problem, try to find counseling
and treatment. It is never too late.

27. Staying off drugs
 In order to stay off drugs young people need to remember a number
of things.
 You don‘t need to take drugs to be liked by other people.
 You don‘t need to take drugs to feel brave or courageous.
 You don‘t need drugs to cope with sorrow or disappointments.
 You have, inside you, the strength and inner resources to deal with
any situation and any problem. Whatever problem you are facing;
there are people available to help you.
 You can talk to a friend, a teacher, a parent, or any trusted person.

28. P.O.W.E.R. Model-model for decision making
• Step 1: P = PROBLEM - Stop and state (or identify) the problem.
• Step 2:O = OPTIONS - Think of different things you can do and use them. The
more options you have, the better.
• Step 3: W = WEIGH - Look at the good things and weigh them against the bad
things of every option you thought of, to solve your problem. The things you
value should guide you in your decision making.
• Step 4: E = ELECT - Choose the best option, talk to a person you respect, then
take the best action. Elect the option which obtains what is important to you
(values).
• Step 5: R = REFLECT - Think or reflect about what happened because of your
decision.

29. Primary Prevention :
...To Avoid Addictions
PERSUE HOBBIES, SPORTS & ARTS

30. Hobbies, Sports & Arts… Stress busters

31. Secondary Prevention : Take Help
MENTAL HEALTH THERAPISTS
COUNSELORS
Doctors- Adolescent Clinics
Help lines

32. Time for de-Addiction...

34. Needed Life Skills
Success and failures – part of life
Accept it
A life without goal is like a ship without rudder
Learn a game / art
Passion colors life
Defeatists attitude – Negative. Avoid it.

35. Do not stuck up...
...Use diversion to reach the goal

36. ADDICTION

37. THANK YOU FOR NOT SLEEPING LIKE ………

38. My World of
sharing happiness!
Shrikhande Fertility Clinic
Ph- 91 96234 59766
shrikhandedrlaxmi@gmail.com

40. The Art of Living
Anything that helps
you to become
unconditionally
happy and loving is
what is called
spirituality.
H. H. Sri Sri Ravishakar