Tuesday, September 8, 2009

Cocaine Use by College Students and Celebrities

Cocaine Use Increases

An article entitled "Cocaine Epidemic Feared As Cocaine Deaths Nearly Double In Florida Over Past 5 Years" was featured on the "Medical News Today" website on October 21, 2006. Not surprisingly, the information contained in this article was quite disconcerting. For instance, one of the key points in the article was that cocaine use is on the rise among college students with disposable income and also among high-profile celebrities. Perhaps of more importance, however, are two facts that are associated with the escalation in cocaine use: the increased cocaine-related emergency room visits and the rising cocaine-related fatalities. In fact, according to Florida drug authorities, cocaine-related deaths in Florida have almost doubled from 2000 to 2005.

Why People Use Cocaine

Why do various individuals use cocaine? Cocaine gives a person a feeling of euphoria, energy, and at times, an unbelievable, almost superhuman sense of control and mastery. For instance, some people who have taken cocaine have been known to leap out of windows or off rooftops, thinking that they could fly or that they could jump dozens of feet without getting injured. There is, however, a physiological reason why people continue to use cocaine after their first encounter. Cocaine exhausts the "feel-good" neurotransmitter dopamine, thus causing a need for even more use. In short, and from a physiological perspective, cocaine use perpetuates more cocaine use.

Fatalities and Cocaine Use

To gain a better understanding of the ultimate danger inherent in cocaine use, namely death, one needs to focus on the timeframe regarding its life-threatening effects. To accomplish this, cocaine use will be compared with prescription drug abuse.

The abuse of prescription drugs such as Oxycontin, Vicodin, and Adderall can trigger abrupt cardiac or respiratory arrest at the time of abuse. Thus the critical and fatal timeframe when abusing prescription drugs is mostly "short-term." Conversely, due to the snowballing effects of cocaine, especially regarding the blood vessel damage that increases the risk of stroke or heart attack as a person ages, users can suddenly die years after their cocaine abuse started. Therefore, the critical and fatal timeframe for cocaine use, unlike the same measure for prescription drug abuse, is typically "long term."

Why the Rise in Cocaine Use?

Why is cocaine use increasing? One of the reasons is that celebrities who are addicted to cocaine have become "walking cocaine advertisements" and, as a result, have been able to adversely influence others, such as students, who have access to relatively large amounts of disposable income.

The Need For Intervention and Education

Florida drug experts stress that additional drug education and intervention need to take place in schools, colleges, and in local communities nationwide to help prevent a full-blown cocaine epidemic. I agree, but to be effective, I assert that the intervention and educational strategy has to include facts that challenge the lifestyles of the cocaine-using celebrities. Let me explain. Students need to be aware that they are observing a "snapshot in time" that does not reveal "the rest of the story" as Paul Harvey would say. Stated differently, college students who are impressed by cocaine-using high rollers need to learn how to see through the VIPs' facade and realize that they are getting "sold" faulty goods by the cocaine-using rich and famous.

Many celebrities are at or approaching middle age. As a result, most, if not all, of the high-profile chronic cocaine have learned first-hand about the consequences of their drug-related lifestyles. On the other hand, most "traditional" college students are either teenagers or very young adults. Due to the cumulative effects of cocaine use, however, college students who continue to use cocaine are essentially playing Russian roulette with their near and long-term future.

The Rest of the Story

College students must be made aware of the fact that the cocaine-using celebrities that they are impressed with are really loose cannons that may explode into oblivion at any time because of their drug-related lifestyles. This "ultimate" and fatal consequence, however, does not tell the whole story. Indeed, the "rest of the story" also focuses on both the short-term and the long-term health consequences of cocaine use.

Short and Long-Term Effects of Cocaine Use

What the impressionable students have not seen are the friends of celebrities who have died from cocaine-related cardiac arrest, seizures, strokes, and respiratory failure. In addition, the vulnerable students have not been told about the "coke crash" that certainly has left some of the rich and famous depressed, irritable, and fatigued.

Not only this, but the easily influenced students have not been informed about the loss of smell, problems with swallowing, and the nosebleeds experienced by some of the rich and famous who got their cocaine "buzz" via snorting. Moreover, the "receptive" students have not been notified about the bizarre, unpredictable, and at times violent behavior of many high rollers who took increasingly larger doses of cocaine in order to experience the desired high.

Additionally, the suggestible students were not informed about the abdominal pain and nausea experienced by some of the cocaine-using celebrities. In a similar manner, the impressionable students were not told about the paranoid psychosis and auditory hallucinations experienced by various VIPs who experimented with binge cocaine use, i.e., taking more frequent AND higher doses of the drug at the same time.

Moreover, the vulnerable students were not told about the fever, convulsions, blurred vision, muscle spasms, and comas experienced by some of the cocaine-using VIPs or by some of their friends who "party" with them. Similarly, the impressionable students were not told about the major weight loss, malnourishment, and loss of appetite experienced by numerous celebrities who have been chronic cocaine users. And finally, the susceptible students were not informed about the severe chest pains, coughing, shortness of breath, and bleeding in the lungs experienced by some of the celebrities who got their cocaine "buzz" via smoking.

Conclusion

College students need to become knowledgeable of the immediate and the long-term health problems that virtually all chronic cocaine users, even celebrities, eventually experience. In addition, they need to become aware of their vulnerability to cocaine use due to the fact that, statistically speaking, the 18 to 25-year-old age group currently has the highest rate of cocaine use compared to other age groups. Until college students can "see" the contradictions and damaging effects inherent in the questionable lifestyles of cocaine-using VIPs, however, some of them will continue to follow the destructive paths of the high-profile cocaine-using celebrities.

Copyright 2007 - Denny Soinski. All Rights Reserved Worldwide. Reprint Rights: You may reprint this article as long as you leave all of the links active, do not edit the article in any way, and give the author credit.
Denny Soinski

Denny Soinski, Ph.D, writes about alcohol abuse intervention, alcohol addiction, alcohol testing, alcohol use and binge drinking, alcoholism, alcohol recovery, alcohol treatment, and alcohol rehab. For more information, please visit college and teen alcoholics right away!

Thursday, September 3, 2009

Careful treatment of alcohol dependency is necessary for a swift recovery by Andrew Regan

For many people in the UK, the consumption of alcohol is merely an everyday habit. Whether it's two or three beers in the pub after work, or a few glasses of wine with your dinner, drinking alcohol is, to many, a basic social gesture. And while many individuals may binge drink to their detriment every weekend, it's important to establish the difference between people who often drink more than is good for them and those that are alcohol dependent.

If you suffer from alcohol dependency, it means that you feel the need to have a drink to help you with certain situations. For instance, if the thought of socialising without having a few drinks first fills you with dread and anxiety, then you're likely to be alcohol dependent. Alcohol dependency isn't quite the same as alcoholism; alcoholics need alcohol to handle every situation, while alcohol dependents rely on alcohol to get them through only certain situations. But, alcohol dependency does require treatment, and may in turn develop into alcoholism if left unchecked.

In contrast to opiate dependency, alcohol withdrawal may often present a risk to life; and acute withdrawal of alcohol in chronic alcohol dependency may lead to Delirium Tremens. Delirium Tremens is characterised by acute confusion, disorientation, vivid visual hallucinations, paranoia, marked tremors and other various symptoms and signs of alcohol withdrawal. If left untreated, Delirium Tremens can lead to a 10 per cent mortality rate, and therefore requires urgent medical admission.

Additionally, alcohol withdrawal seizures often present a risk to life and, if observed, should be treated with a bolus of parenteral or per rectal diazepam. However, in most cases, alcohol dependent patients will not need prescriptions. Instead, following advice to cut down drinking at a gradual pace will be sufficient to manage most acute presentations of alcohol dependency. Nevertheless, it's important to keep in mind that a patient with a clear history of withdrawal seizures, who claims to have no access to alcohol supplies, may be labelled as appropriate to commence a community detoxification with chlordiazepoxide immediately - but this course of action should be avoided wherever possible.

If you suffer from alcohol dependency, or are close to someone who does, and are looking for alcohol treatment, you might find that private residential alcohol treatment is preferable to community treatment. This method of alcohol treatment is beneficial because it allows the patient to choose their own location in which they'd like to treat their alcohol dependency. But wherever you choose to undertake a course of alcohol treatment, it's important to always keep basic alcohol treatment guidelines in order to ensure a swift and effective recovery.



Andrew Regan is an online, freelance journalist.

Article Source: http://www.a1-articledirectory.com

Tuesday, September 1, 2009

Issues for DSM-V: Internet Addiction

Jerald J. Block, M.D.

Internet addiction appears to be a common disorder that merits inclusion in DSM-V. Conceptually, the diagnosis is a compulsive-impulsive spectrum disorder that involves online and/or offline computer usage (1, 2) and consists of at least three subtypes: excessive gaming, sexual preoccupations, and e-mail/text messaging (3). All of the variants share the following four components: 1) excessive use, often associated with a loss of sense of time or a neglect of basic drives, 2) withdrawal, including feelings of anger, tension, and/or depression when the computer is inaccessible, 3) tolerance, including the need for better computer equipment, more software, or more hours of use, and 4) negative repercussions, including arguments, lying, poor achievement, social isolation, and fatigue (3, 4).

Some of the most interesting research on Internet addiction has been published in South Korea. After a series of 10 cardiopulmonary-related deaths in Internet cafés (5) and a game-related murder (6), South Korea considers Internet addiction one of its most serious public health issues (7). Using data from 2006, the South Korean government estimates that approximately 210,000 South Korean children (2.1%; ages 6–19) are afflicted and require treatment (5). About 80% of those needing treatment may need psychotropic medications, and perhaps 20% to 24% require hospitalization (7).

Since the average South Korean high school student spends about 23 hours each week gaming (8), another 1.2 million are believed to be at risk for addiction and to require basic counseling. In particular, therapists worry about the increasing number of individuals dropping out from school or work to spend time on computers (5). As of June 2007, South Korea has trained 1,043 counselors in the treatment of Internet addiction and enlisted over 190 hospitals and treatment centers (7). Preventive measures are now being introduced into schools (9).

China is also greatly concerned about the disorder. At a recent conference, Tao Ran, Ph.D., Director of Addiction Medicine at Beijing Military Region Central Hospital, reported 13.7% of Chinese adolescent Internet users meet Internet addiction diagnostic criteria—about 10 million teenagers. As a result, in 2007 China began restricting computer game use; current laws now discourage more than 3 hours of daily game use (10).

In the United States, accurate estimates of the prevalence of the disorder are lacking (11, 12). Unlike in Asia, where Internet cafés are frequently used, in the United States games and virtual sex are accessed from the home. Attempts to measure the phenomenon are clouded by shame, denial, and minimization (3). The issue is further complicated by comorbidity. About 86% of Internet addiction cases have some other DSM-IV diagnosis present. In one study, the average patient had 1.5 other diagnoses (7). In the United States, patients generally present only for the comorbid condition(s). Thus, unless the therapist is specifically looking for Internet addiction, it is unlikely to be detected (3). In Asia, however, therapists are taught to screen for it.

Despite the cultural differences, our case descriptions are remarkably similar to those of our Asian colleagues (8, 1315), and we appear to be dealing with the same issue. Unfortunately, Internet addiction is resistant to treatment, entails significant risks (16), and has high relapse rates. Moreover, it also makes comorbid disorders less responsive to therapy (3).

Footnotes
Address correspondence and reprint requests to Dr. Block, 1314 Northwest Irving St., Suite 508, Portland, OR 97209; jblock@aracnet.com (e-mail). Editorial accepted for publication November 2007 (doi: 10.1176/appi.ajp.2007.07101556).

Dr. Block owns a patent on technology that can be used to restrict computer access. Dr. Freedman has reviewed this editorial and found no evidence of influence from this relationship.

Editorials discussing other DSM-V issues can be submitted to the Journal at http://mc.manuscriptcentral.com/appi-ajp. Submissions should not exceed 500 words.

References

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 References

  1. Dell’Osso B, Altamura AC, Allen A, Marazziti D, Hollander E: Epidemiologic and clinical updates on impulse control disorders: a critical review. Eur Arch Psychiatry Clin Neurosci 2006; 256:464–475[CrossRef][Medline]
  2. Hollander E, Stein DJ (eds): Clinical Manual of Impulse-Control Disorders. Arlington, Va, American Psychiatric Publishing, 2006
  3. Block JJ: Pathological computer use in the USA, in 2007 International Symposium on the Counseling and Treatment of Youth Internet Addiction. Seoul, Korea, National Youth Commission, 2007, p 433
  4. Beard KW, Wolf EM: Modification in the proposed diagnostic criteria for Internet addiction. Cyberpsychol Behav 2001; 4:377–383[CrossRef][Medline]
  5. Choi YH: Advancement of IT and seriousness of youth Internet addiction, in 2007 International Symposium on the Counseling and Treatment of Youth Internet Addiction. Seoul, Korea, National Youth Commission, 2007, p 20
  6. Koh YS: Development and application of K-Scale as diagnostic scale for Korean Internet addiction, in 2007 International Symposium on the Counseling and Treatment of Youth Internet Addiction. Seoul, Korea, National Youth Commission, 2007, p 294
  7. Ahn DH: Korean policy on treatment and rehabilitation for adolescents’ Internet addiction, in 2007 International Symposium on the Counseling and Treatment of Youth Internet Addiction. Seoul, Korea, National Youth Commission, 2007, p 49
  8. Kim BN: From Internet to "family-net": Internet addict vs. digital leader, in 2007 International Symposium on the Counseling and Treatment of Youth Internet Addiction. Seoul, Korea, National Youth Commission, 2007, p 196
  9. Ju YA: School-based programs for Internet addiction prevention and intervention, in 2007 International Symposium on the Counseling and Treatment of Youth Internet Addiction. Seoul, Korea, National Youth Commission, 2007, p 243
  10. The more they play, the more they lose. People’s Daily Online, April 10, 2007
  11. Aboujaoude E, Koran LM, Gamel N, Large MD, Serpe RT: Potential markers for problematic Internet use: a telephone survey of 2,513 adults. CNS Spectr 2006; 11:750–755[Medline]
  12. Block JJ: Prevalence underestimated in problematic Internet use study (letter). CNS Spectr 2007; 12:14[Medline]
  13. Lee HC: Internet addiction treatment model: cognitive and behavioral approach, in 2007 International Symposium on the Counseling and Treatment of Youth Internet Addiction. Seoul, Korea, National Youth Commission, 2007, p 138
  14. Block JJ: Pathological computer game use. Psychiatric Times, March 1, 2007, p 49
  15. Ko CH: The case of online gaming addiction without other comorbid psychiatric disorders, in 2007 International Symposium on the Counseling and Treatment of Youth Internet Addiction, Seoul, Korea, National Youth Commission, 2007, p 401
  16. Block JJ: Lessons from Columbine: virtual and real rage. Am J Forensic Psychiatry 2007; 28:5–33
Source: ajp.psychiatryonline.org

Monday, August 31, 2009

How To Find The Right Drug and Alcohol Rehab Center

By: Jon Arnold

When you, a family member or loved one is battling against the demons associated with drug and/or alcohol abuse, rehabilitation is needed to get back on a healthy track. Turning to the healing properties of a drug rehab or alcohol rehab center can bring about the lifestyle and behavioral changes associated with leaving negative influences to the wayside.

There are numerous drug and alcohol rehab centers across the United States. Sometimes, a patient may even choose treatment outside of the country. Rehabilitation is a very emotional and a mental roller coaster that takes every ounce of restraint and focus. It is the responsibility of alcohol and drug rehab centers to find the medium and motivation for each patient to embrace recovery. Each and every individual that walks through the door of a clinic or enters a program is unique.

Different Clinic and Program Approaches

Since no two patients are alike, drug and alcohol rehab programs and procedures differ. While some rely heavily on prescription drugs and other medical techniques, there are other methods of treatment that utilize holistic or natural approaches. When evaluating a potential drug or alcohol rehab center, there are several different types of treatment programs to consider. Substance abuse is a delicate issue and each drug of choice is dealt with in a different manner. For instance, sleeping pill addiction will not be treated in the same way as crystal meth addiction.

One of the main decisions regarding the type of alcohol or drug rehab center to consider is the length of necessary treatment. With short-term rehab clinics, a patient may become a resident and undergo various medical approaches for several weeks. They may also receive drug-free outpatient services. When longer-term care is needed, several outpatient treatments are available as well. A patient may also choose to live in a residential community treatment center to ensure continue drug-free success. Some residents may choose or need to spend years at these types of facilities.

The issue of medication and other drug treatment options come into play when choosing a drug rehab clinic, as seen through what is called maintenance treatment. For example, a heroin addict may receive an oral dose of methadone to help block the effects of their abused drug of choice. The methadone helps to eliminate the cravings that many addicts encounter through physiological demands on their body. Some people are leery of methadone treatments because this drug in itself can be addicting.

When it comes time to locate the best drug rehab and alcohol rehab centers within your grasp, doctors and other health professionals will give you what is called a referral. You may receive one or two to choose from, but they are usually the most viable options of treatment for you to consider. When budget is of no concern, some people will look into treatment options both near and wide. Some drug and alcohol rehab centers are more private than others, offering certain luxuries that state officials cannot afford. There are numerous brochures and websites to scan when you are able to pay more for your treatment options.

What to Expect With Treatment

Very rarely do you see drug rehabilitation without some sort of approach towards psychological repair. Even though drugs can be purged from the physical parts of the patient, it is the mental barriers and breakdowns that continue the vicious cycle of drug abuse. Most drug rehab and alcohol rehab programs will treat the mind, body and soul of a patient. This is the best approach towards increasing the success rate for when patients are released onto the world.

It is also much healthier for the patient to receive well-rounded treatment so that they may achieve stronger, more positive outcomes. It is the goal of rehab centers to make sure patients equip themselves with the tools and strength needed to resist temptation and face the threat of relapse.

While at a drug or alcohol rehab center, you will encounter a trained professional who knows the ins and outs of drug addictions. Physicians and therapists become important fixtures on the road to recovery. They will ask you many different questions and may even perform a series of medical tests. This will assist in the accurate assessment of your personal characteristics. It will aid in deciding on the appropriate drug rehabilitation program that you will benefit the most from. You could face inpatient, outpatient, residential, and/or short-stay treatment.

Helping Rehabilitated Patients Succeed

It is the responsibility of the newly rehabilitated patient to take control over the things that affect their life. Surrounding themselves with positive influences and adhering to outpatient counseling and programs is a must. Family and friends should be supportive and aware that the potential of relapse is never too far behind. A circle of support and encouragement is crucial to long term success.

For a newly released drug or alcohol rehab patient, one day at a time never made more since than now. Each morning should be greeted with individual care and concern. They may need a lot of help to continue their success. Love, understanding, and support is all friends and family can give; the rest is up to the rehabbed individual.

Article Source: http://www.afroarticles.com/article-dashboard

Jon Arnold is a computer engineer who maintains many websites to pass along his knowledge and findings. You can read more about Drug and Alchohol Rehab at his web site at www.rehab-alcohol-drug.com/

Thursday, August 27, 2009

About Drug Rehabilitation Centers in New Jersey

New Jersey drug rehabilitation centers assist substance abusers with detoxification and recovery from drug addiction. The term "drug" is defined here as any addictive chemical including alcohol, tobacco, prescription pharmaceuticals and illegal narcotics. The New Jersey Division of Addiction Services (DAS), a division of the Department of Human Services and the central organization for addiction recovery in the state, defines addiction as "a chronic, progressive, and often fatal disease characterized by irrational thoughts and habitual behaviors," but the DAS recognizes that the disease is treatable.

Features

Drug rehabilitation centers in New Jersey are as varied in scope and focus as our universities and hospitals. Facilities may specialize in substance abuse and recovery, or they may treat cases in conjunction with broader mental and behavioral health services. Many offer clinical and emotional support, while others provide only detoxification and medical attention. Treatment facilities are religious, like Catholic Charities in East Brunswick, or secular. Some centers are associated with local hospitals such as Raritan Bay Medical Center Behavior Services in Perth Amboy, but most are independent organizations providing customized recovery care.

Function

In addition to standard detox and recovery, New Jersey treatment facilities provide drug abuse education, occupational and life skills training, emotional and psychological support, and community reintegration. Rehab centers help patients recover physically and emotionally from the ravages of addiction, and then prepare them for a clean, productive life as fully functioning members of society. Addiction issues are approached differently based on the type of care and rehabilitation required.

Types

The DAS identifies 12 types of drug and alcohol abuse treatment. They are:

1. Hospital-based detoxification--Detox services administered and managed by a licensed general or specialized hospital. Service providers are associated with a local hospital, and may offer in-patient or out-patient detoxification.

2. Non-hospital-based detoxification--Detox services administered and monitored in a licensed residential (non-hospital) treatment facility. Service providers are not associated with a hospital, but are licensed by the state and capable of providing in-patient as well as out-patient detoxification.

3. Residential short-term--A licensed non-hospital facility that provides a structured recovery environment and professional clinical services that address addiction and lifestyle issues for recovering addicts.

4. Residential long-term or therapeutic community--A licensed non-hospital facility that provides a structured recovery environment and professional clinical services that address addiction and lifestyle issues for recovering addicts. This program utilizes the structure of a community to reintegrate the patient into society with specific focus on education and vocational skills.

5. Extended care--A licensed non-hospital facility that provides room and board for 60 days or more. The structured environment addresses addiction, interpersonal skills and emotional development with an emphasis on work therapy.

6. Partial hospitalization--A licensed freestanding, non-hospital and non-residential facility providing a structured environment 20 hours per week over a minimum of four separate occasions. Services include substance abuse counseling, education and community support.

7. Intensive out-patient--A licensed, non-residential facility providing clinically intensive programs. Services include individual, group and family counseling, and education for a minimum of nine hours per week.

8. Out-patient--A licensed, non-residential facility providing scheduled individual, group and family counseling for less than nine hours per week. Patients have access to medical and support services.

9. Methadone maintenance--Also referred to as opioid pharmacotherapy. A licensed facility utilizing methadone, LAAM2 or other approved pharmaceutical to maintain patients addicted to heroin or similar opiates. These facilities also provide medical monitoring, lab testing, clinical assessment and intervention.

10. Out-patient detoxification--Planned withdrawal implemented by gradually decreasing doses of the problem drug.

11. Halfway house--Licensed facility providing six months or more of room, board and support services. Treatment is intended to assist patients with adjusting to regular patterns of life via education, vocation and independent self-monitoring.

12. Group recovery homes--Not licensed by the state. Facilities are also referred to as transitional homes or three-quarter Houses. Patients rent living space and offer each other support services. A boarder must abstain from drugs and alcohol to remain a resident. Oxford House is the recommended provider in New Jersey. For a list by county of

Benefits

Rehab facilities are conveniently located, with multiple centers in each of New Jersey's 21 counties. Most licensed centers receive state and county funding from the DAS to offset costs and reduce rates. Payment methods and funding resources include:

* Private health insurance
* Military insurance (VA,TRICARE, etc.)
* Medicaid
* Medicare
* Self pay/sliding scale
* Payment assistance
* South Jersey Initiative (SJI)
* NJ Access Initiative (NJAI)
* Drug Court (DC)
* DUI Initiative (DUII)
* Work First New Jersey (WFNJ)
* Dept. of Youth & Family Services (DYFS)
* MAP Program

Considerations

The Division of Addiction Services evaluates, regulates and licenses drug rehabilitation treatments, programs and facilities throughout New Jersey to ensure hygienic, professional care. Before beginning any treatment program, make sure the facility is licensed and current with the DAS.

Written by John Farley

Source: essortment.com

The "Rock Bottom" Myth - Learn How to Raise the Bottom

The "Rock Bottom" Myth - Learn How to Raise the Bottom
This whole idea of "hitting bottom" is out of date. Some people will wait years-even decades-for their friend to reach this mythical point in their alcohol and drug use. But why wait for them to "hit bottom"? Why not help them by raising their bottom?

Ezine Articles by Joe Herzanek