COUNSELLING AND FAMILY THERAPY

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COUNSELLING AND FAMILY THERAPY

SUBSTANCE ABUSE, ABUSE AND ADDICTION

NAME ANY THREE SUBSTANCES THAT YOU KNOW AND EXPLAIN ITS EFFECT
SOCIALLY, PSYCHOLOGICALLY AND BIOLOGICALLY

JUDITH B. ASANTE (CERT/CFT/00152)

The three substances that I know and often abused are:

1. Alcohol - Alcohol is one of the most commonly used psychoactive substances


worldwide. Alcohol abuse refers to the harmful or excessive use of alcohol, leading to
destructive concerns on an individual's health, social relationships, and overall well-
being. It can manifest in various ways, such as binge drinking, chronic heavy drinking, or
alcohol dependency (alcoholism).

2. Tobacco - Tobacco is mostly grown for its leaves, which are dried and processed for
various uses, including smoking, chewing, and snuffing. Tobacco use is associated with
numerous health risks. Smoking tobacco is the leading cause of preventable death
worldwide, contributing to various diseases such as lung cancer, heart disease, stroke, and
chronic obstructive pulmonary disease (COPD). Tobacco is very addictive due to its high
nicotine levels.

3. Opioids: Opioids are highly addictive substances because they interact with the brain's
opioid receptors, which are involved in regulating pain, pleasure, and reward. This
includes prescription painkillers like oxycodone and illegal drugs like heroine. Opioid
abuse can lead to addiction and overdose. The misuse of opioids, particularly when taken
in higher doses or through methods like injection, can increase the risk of overdose,
which can be life-threatening. Despite these risks, the addictive nature of opioids can
make it incredibly challenging for individuals to stop using them without proper support
and treatment.
Social Effects:

1. Stigmatization and Social Marginalization: Society often stigmatizes individuals


struggling with substance use, leading to social isolation, discrimination, and
marginalization. This stigma can worsen the challenges individuals face in seeking help
and reintegrating into society.

2. Family and Relationship Dysfunction: Substance use can strain relationships with
family members, friends, and romantic partners. It can lead to conflicts, trust issues, and
breakdowns in communication. Family dynamics may become disrupted, and children in
households affected by substance use may experience neglect or abuse.

3. Economic Impact: Substance use can have significant economic consequences for
individuals, families, and communities. Costs may include expenses related to purchasing
substances, healthcare costs for treatment and rehabilitation, lost productivity due to
absenteeism or unemployment, and legal expenses.

4. Crime and Legal Issues: Substance use is often associated with criminal behavior,
including drug possession, trafficking, and related offenses. Individuals may engage in
illegal activities to support their substance use, leading to legal consequences such as
arrest, incarceration, fines, and probation.

Psychological Effects:

1. Mental Health Disorders: Substance use disorders frequently co-occur with mental
health disorders such as depression, anxiety, bipolar disorder, and post-traumatic stress
disorder (PTSD). Substance use can exacerbate symptoms of these disorders and vice
versa, leading to a complex interplay between substance use and mental health.

2. Addiction and Dependency: Substance use can lead to addiction or dependence,


characterized by compulsive drug-seeking behavior despite negative consequences.
Addiction hijacks the brain's reward system, leading to intense cravings and difficulty
controlling substance use. Withdrawal symptoms can occur when substance use is
reduced or discontinued, further reinforcing addictive behaviors.

3. Cognitive Impairment: Substance use can impair cognitive functions such as memory,
attention, decision-making, and impulse control. This can lead to poor judgment,
impaired reasoning, and difficulty in fulfilling responsibilities at work, school, or home.

4. Emotional Dysregulation: Substance use can disrupt emotional regulation, leading to


mood swings, irritability, aggression, and emotional instability. Individuals may use
substances as a means of coping with stress, trauma, or emotional pain, perpetuating a
cycle of substance use and emotional dysregulation.

Biological Effects:

1. Neurochemical Changes: Substance use alters neurotransmitter systems in the brain,


affecting mood, cognition, and behavior. Different substances interact with various
neurotransmitters, such as dopamine, serotonin, and norepinephrine, leading to changes
in the brain's reward circuitry and reinforcing substance-seeking behavior.

2. Neuroplasticity: Chronic substance use can induce neuroplastic changes in the brain,
altering neural circuitry and synaptic connections. These changes can contribute to the
development of tolerance, dependence, and addiction, as well as impairments in learning,
memory, and decision-making.

3. Organ Damage: Substance use can have detrimental effects on various organs and
systems in the body. For example, alcohol can damage the liver, leading to liver disease,
while inhalants can damage the lungs, heart, and central nervous system. Long-term
substance use can also increase the risk of cardiovascular disease, respiratory disorders,
gastrointestinal problems, and other medical complications.

4. Genetic Vulnerability: Genetic factors can influence an individual's susceptibility to


substance use disorders. Certain genetic variations may predispose individuals to
heightened responses to substances, increased risk of addiction, or difficulties in
metabolizing drugs. Environmental factors, such as family history, childhood trauma, and
peer influences, also play significant roles in the development of substance use disorders.

Substance use has profound and multi-layered effects on individuals and society, spanning
social, psychological, and biological dimensions. Addressing substance use disorders
requires comprehensive approaches that address underlying factors contributing to substance
use, provide access to evidence-based treatment and support services, and address the social
determinants of health and well-being.

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