Alcoholism and drug abuse used to be considered
a moral problem. The alcoholic or drug addict was looked
up as a weak-willed individual. The common attitude
was that he/she could quit drinking or using if they
really wanted to or, at the very least, could control
their intake.
Today, addiction (alcohol or other drugs) is recognized
as a disease and are treatable. The American Medical
Association gave formal recognition to the disease of
chemical dependence in 1956. As the community and family
members become more educated about the disease process,
the chemically dependent client is afforded the opportunity
to find treatment, and ultimately, recovery.
| Some common terms heard
in the recovery/treatment realm are: |
Abuse
Abuse is the illegal, improper, or harmful use of drugs, alcohol.
Addiction
Addiction can be characterized by any of the following; continued use of a substance despite its' harmful effects, compulsive behavior with the use of drugs/alcohol, and
craving the drugs/alcohol. Addiction is a dependence on a drug which most likely will have damaging effects.
Alcohol
The active ingredient in alcohol is ethyl alcohol, which
is produced by yeast. Working much like ether, alcohol
puts the brain to sleep. Alcohol functions as a depressant
to the central nervous system and slows down body functions.
In large amounts, alcohol causes sedation, intoxication,
unconsciousness, and possible death. Aside from significant
negative physical consequences, chronic use of alcohol
can lead to physical and psychological addiction.
Alcoholism
Alcoholism is a type of drug dependence. There is both
physical and psychological dependence on alcohol. Alcoholism
is a primary, chronic, progressive, and sometimes fatal
disease due to the habitual use of alcohol; often described
as any "harmful use" of alcohol--meaning the
alcoholic continues to drink despite recurrent social,
personal, physical, or legal consequences as a result
of their alcohol use.
Chemically Dependent
People are "chemically dependent" if they
need alcohol or drugs to help them live their lives.
Life events, daily stressors, and routines are interlaced
with drug or alcohol use. The chemically dependent person
frequently will avoid social settings where alcohol/drugs
are unavailable.
Chronic
Alcoholism/Addiction, as with all chronic illness, cannot
be cured. However, the progression of the disease can
be stopped with effective treatment and relapse prevention.
A chronic disease is defined as long lasting and deep-seated
and constant.
Cirrhosis
Cirrhosis of the liver is an irreversible condition
in which the liver tissues are replaced by scar tissue
as the result of prolonged, chronic abuse of alcohol.
Consequently, the liver can no longer process toxins
efficiently. This causes a build up of poisons in the
blood. This build up is ultimately fatal.
Codependency
A set of maladaptive, compulsive behaviors learned by
family members in order to survive in a family which
is experiencing great emotional pain and stress (Ex:
perfectionism, workaholism, procrastination, dependent
relationships, possessiveness, and or controlling relationships.)
[Could
be me, but I am just trying to control help...]
Compulsive Preoccupation
The addict/alcoholic spends a great deal of time thinking
about using/drinking in the future or reliving past
experiences.
Craving
A strong need or compulsion that will not stop until
the addict/alcoholic obtains their drug of choice.
Delirium Tremens (DTs)
Occurs in some cases of withdrawal from alcohol. Identified
by increasing confusion, depression, and terrifying
hallucinations, along with persistent and uncontrollable
shaking often accompanied by increases in blood pressure
to extreme levels. This is a medical emergency.
Denial
Denial is an integral part of the disease process and
a major obstacle to recovery. The alcoholic/addict lies
about his/her using, hides using by denying and refusing
to discuss the extent of the use. As the disease progresses,
remarkably the denial likewise increases. [How
many times have you heard...]
Detachment
Discovering that no situation is really hopeless, and
that it is possible to find contentment, and even happiness,
whether the addict/alcoholic is still using or not.
[What
you need...]
Disease
Involuntary disability, unhealthy physical or mental
state.
Drugs
Commonly used drugs include marijuana, alcohol, cocaine,
crack, heroin, speed, tranquilizers, sleeping pills,
LSD, XTC, crystal meth, methamphetamines, inhalants, amphetamines, GHB, and prescription
medication.
Dual Diagnosis
Refers to those who have been diagnosed with a mental
health disorder and alcohol or substance addiction at
the same time. Drug/alcohol problems and mental illness
often go hand-in-hand, with the substance abuse sometimes
disguising depression or other psychiatric issues.
Enabling
Doing for someone things they could, and should, be
doing for themselves. Simply, enabling creates an atmosphere
in which the alcoholic/addict can comfortably continue
his/her unacceptable behaviors and evade responsibility
for their actions. [I
was just trying to help...]
Fetal Alcohol Syndrome (FAS)
For pregnant women who continue to drink during pregnancy,
their unborn child faces a high risk of being born with
a combination of physical and mental defects.
Hitting Bottom
The place an alcoholic/addict must reach before finally
becoming ready to admit that he/she has a problem and
reaches out for help.
Impaired Control
The inability to control one's use on any given occasion.
Intervention
For those who need help but do not want it or are in
denial of the severity of their disease, intervention
may be necessary. An intervention brings reality to
the person affected by family, friends and/or coworkers
presenting clear and factual information about the effect
the person's drinking/use has had on those who care
about them. [Intervention
Information]
Loss of Control
The user cannot predict what will happen when he/she
uses 'the' substance. One day the addict/alcoholic may
be able to stop after one drink, or one line of cocaine,
the next day, he/she may not be able to control their
use at all.
Progression of Disease
The progression of the disease is so subtle and usually
takes place over an extended period of time. Even the
alcoholic/addict may have failed to notice the point
in which he/she lost control and alcohol/drugs took
over his/her life.
Tolerance
The need for increasing amounts of alcohol/drugs in
order to achieve the desired effect.
Tough Love
Allowing the alcoholic/addict to face the consequences
of his/her own actions. Letting go and letting the alcoholic/addict
continue in his/her addiction until things get so bad
that their misery outweighs their fear of change.
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