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Psychology of Drug Addiction & Substance Abuse Disorder, Causes & Solutions

Drug Treatment

Psychology of Drug Addiction & Substance Abuse Disorder, Causes & Solutions

But a huge part of this is just doing this self inventory and going okay well first of all is this a problem so often everybody else in a person's life says it's huge problem and the person says No welcome to alternative health I'm your host Carina Rachel I'm joined today by dr. Colin Ross our topic today is strategies for substance abuse thank you so much for joining me thanks for having me so substance abuse is a very common problem what strategies should people know about that can maybe help them with substance abuse issues well substance abuse like you said is very common it's in the range of 10 to 15 percent of the population we'll have a clear-cut definite substance abuse problem at some point in their lives and it it's costing the economy a fortune it's tied in to lots of violent crime so it's a huge problem criminal financial brain health behavioral relationships all across the board and it's really this basically the same strategies whether it's drugs alcohol or what type of drug it is in terms of managing withdrawal state from a doctor's point of view you know it's a different set of drugs that you use for heroin withdrawal compared to alcohol withdrawal compared to cocaine withdrawal so from a doctor's perspective managing with the drawl you have to understand the differences but from the self help recovery or from the aana or the therapy recovery perspective it's kind of the same general strategies no matter what the substance is and that's also true if we expand addictions to include eating disorders self-mutilation gambling sex addiction so the first thing I've got two models in my therapy model that I use all the time one is the problem is not the problem and the idea behind that is which applies to substance abuse whatever the presenting problem is anxiety depression substance views eating disorder 90 plus percent of the time but not a hundred percent of the time the presenting problem is actually the solution to some problem in the background so if somebody is addicted to cutting themselves on the wrist almost all the time what they describe is it's like shooting heroin you've got all these bad feelings bad situation conflict stuff you don't want to deal with it builds up it builds up you try this you try that you try this you try that and nothing is working you get out the razor blade you cut it's like IV heroin the feelings are gone literally almost instantaneously instead we're kind of calm and are floating kind of euphoric everything feels ok now you have a sense of power control hopefulness life is tolerable everything is OK so therefore the cutting is incredibly self reinforcing because it actually works for a little while then all the situation comes back feelings come back and you're back on the treadmill and then you got to repeat the addiction and so with cutting most likely obviously you cut there's going to be pain signals going up to your brain if you have pain signals going to your brain your brain is going to release endorphin's which are going to interact with the same receptor that heroin interacts with so you're probably literally activating the same receptor and getting the same effect as shooting heroin so the the first thing about all these different kinds of addictions and drugs and alcohol or is you go to take a step back and realize ok wait a minute here I'm using the drugs I'm using the alcohol for a reason it's solving a problem what's the underlying problem here which could have started in your childhood your teen years your adulthood it's going to be some bad feelings bad relationships bad situations bad picture of the future and that's too much I want to do with that so I'm outta here by focusing on the sex addiction and focusing on the eating disorder or being stoned wasted or even passed out so in order to solve the problem of the substance you have to figure out what's the function of the substance abuse what is it helping me to avoid what are the underlying problems then you have to come up with a plan for addressing all that so it's kind of a coping mechanism no but you want to try and nail down what it is that we're trying to cope with run in next step is okay what am I going to do to cope with all of that in a healthier way so then I can eventually let go of the drugs and alcohol so that's the problem it's not the problem and then the other model is just say no to drugs by that I mean there really is no tips no strategies no recommendations there's no procedure nobody can teach you you're just going to get serious about recovery or not and the only way to get serious about recovery is you got to dig down inside there and decide now that doesn't mean I decided I'm good to go that means I've decided to begin getting serious about recovery then we can get to ok what do you do from there but the huge part of this is just doing this self inventory and going ok well first of all is this a problem so often everybody else in the person's life says it's huge problem and the person says no so at some point you got to just give yourself a wake-up call which often can be not until big disasters have happened like a whole series of DWIs or losing jobs losing relationships being in the hospital with liver failure and it's amazing the level of denial that people can have it's absolutely astounding to me that's just a measure of the desperation to avoid whatever the pain is that's being avoided so 
but as I said there's really not a formula a method a technique a strategy you either are going to get serious about it or you're not and so you just have to do this internal self inventory and decide is this a serious problem and am I going to get serious about a change here and if you're not there's no outside person that's going to be able to do anything because you're not going to be motivated you're going to be in denial and then the outside people just have to decide what am I going to do about this person am I going to let them be in my life I'm gonna stand by and watch them self-destruct her and we're going to set some limits or what am I going to do right so another part of the problem which is not really the individual person is there's a gigantic investment in the business of drugs and alcohol obviously so beer companies whiskey companies wine companies it's perfectly legitimate business but clearly they're also making a lot of money off of alcoholism just like casinos are making money off of gambling addicts and then we turn to illegal drugs it's just the same thing it's a huge business financial incentive and so in the big big picture to tackle the problem of substance abuse in America we have to do something realistic about the business aspect of it and then that gets us into legalization of drugs and all of that side of things but there's going to be a lot of people who don't recover because there's too many people pushing too many drugs a time too hard and they just don't have the capacity to say no or once you're far enough into the cycle where you're actually physically addicted then the addiction can just kind of roll on its own and run itself and if you're like serious addicted heroin addict you never come down you never even come close to what the underlying problems are so then you actually have a physical addiction problem and that has to be taken care of medically before you can even start to look at the underlying problems and then if you've been using crack enough you actually can destroy your brain so now you do have a biological disease in your brain caused by the substance abuse so that's a big difference having a biological disease that starts you using substances that's one idea which I don't really buy but there's no question that I mean if you're literally two days away from dying of alcoholism does zero possibility that you're going to get into recovery that's just too late and unfortunately a lot of people go that far down that path but if you're not that far down that path the number one thing is you make this inventory take a cold hard look at your life is it working what's the price you're paying and is it time to get serious about getting sober and then if you get serious about getting sober okay well what do I need to do now well go if it's alcohol going to a is good idea having supports in your life not having all your friends be the guys at the bar so one of the reasons it's hard to say no to alcohol is often people have only drinking buddies and if they say no to alcohol they lose all their friends so you've got a part you can't just jump from all print and friends to no friends because that's just going to make you go back to the bar to hang out with your friends so part of the recovery process is building healthier relationships other activities just for distractions just for time fillers but also so you got something to live for it's a positive motivator that's going to give you the get up and go to do the work of recovery so you've got to work on building a healthier life all across the board because you don't have a healthy life with alcohol take away the alcohol now you've got a healthy life that's not the way it works usually there's a whole unhealthy life foundation with alcohol sitting on top of it take away the alcohol now we've got to look at the whole foundation of your life which is a big project and it's not just do this do this do this but the basic ideas are going to take a look at all your relationships your relationship with yourself in the a a model relationship with a higher power reassess all of this and see where you could borrow energy from and motivation from to get you going in the process I think that you know where we kind of started the conversation out talking about you know that oftentimes the substance or the self-mutilation or whatever it is all these different things eating disorders you know it's a coping mechanism for the underlying problem and what you're saying is that once the addiction goes on long enough well now you have two problems the underlying problem and the physical dependence and the physical effects that the drug has had on you exactly and so I think that's a great idea you know building the support system having other people in your life that are helped you know gonna help you in this recovery in this journey that you're going through rather than trying to go it alone and then as we've mentioned in some of the other videos there's just general life health all across the board and so if alcohol I remember when I was a medical student in intern we would see people who big serious alcohol problems their liver enzymes are up and we would give them specific vitamins IV automatically because they're just in case they're low and then we would check and see that they actually far are low but even before we got the blood test results back we would start him on some thiamine some multivitamins because people who drink heavily don't have very good diets and their livers often not working very well so there's a whole cleanup your entire body part of the project - which means sleep diet exercise all the things that are important in life and those all can contribute to the actual recovery from the substance abuse is the stronger your foundation in all areas of your life all there is your body the better and then perhaps something like cognitive therapy which we also discussed in a previous video that kind of goes along with that so you're addressing the physical and that underlying initial problem that made the person start turning to the substance in the first place right and I don't I'm big on cognitive therapy but I don't want to make it out like that's the one and only solution to everything clearly having a religious community a secular community relationship support I remember when I lived up in the Canadian Arctic talking to we called everybody escamoles back then now I have to say Inuits which is fine so an inuit guy who had been heavy heavy heavy heavy drinking alcoholic penile costal guy came into town and converted them to Pentecostalism and sober for ten years I mean instantly converted from horrendously bad alcohol problem to sober and sustained it for many years so whatever works and whatever helps is good well thank you so much for your time today I think we covered a lot of ground here are there any other closing resources or references that you'd like to direct people to well I think all the A's I'll call it's anonymous 
Narcotics Anonymous those are all really good free support systems which aren't really the match for everybody but are very helpful for many people hmm well thank you so much for your time today dr. Ross yeah thank you and I want to thank you so much for watching I do look forward to seeing your feedback below and letting me know your thoughts and maybe questions after hearing our discussion today I hope you'll subscribe to the psyche truth Channel and come back and join me again next time thank you so much for watching have a beautiful day See more here: https://www.youtube.com/watch?v=8NaHepAgoSg

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Psychology of Drug Addiction & Substance Abuse Disorder, Causes & SolutionsBut a huge part of this is just doing this self inventory and going okay well first of all is this a problem so often everybody else in a person's life says it's huge problem and the person says No welcome to alternative health I'm your host Carina Rachel I'm joined today by&nb...