Drug Abuse: Definitions, Effects, and Stages

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Introduction
to drug abuse
 
Mrs. Basmah kattan, MPH
 
Outline
 
Terms and definitions
Gateway drugs
Types of drugs
Categories of drugs
Addiction (activity)
How Addiction Happens
Factors That Influence Drug Action
Why do people use drugs
Symptoms of drug user
How Drugs Are Taken
Stages of addiction
Exercise
 
 
 
 
Definitions
 
Drug – 
a substance that causes a physical
or emotional change in a person.
affects the
 processes 
of the mind or body;
 
*Over-the-counter- (non-prescription)
*Prescription Drugs – Dr. written order
*Tobacco*Alcohol*Illegal drugs*
Herbal*Caffeine*Inhalants
 
Effect 
– the influence a drug has on
the body and the mind or both.
Drug Use 
– taking meds properly and in
its correct dosage.
Drug Misuse – 
improper use of a drug
(usually done by mistake)
Drug abuse – 
intentional improper
use of a drug.
 
 
Psychoactive effects – 
an
effect on a person’s mood or
behavior.
Mood-altering
affects brain activity
Overdose – 
a serious sometimes
fatal reaction to a large dose of
a drug
Dose – 
an exact amount of a
drug
 
o
Tolerance
: A stage of drug abuse in
which the brain and body get used
to a drug, causing a person to have
to take more and more of the drug
to get the same effect
o
Dependence
: A stage of drug
abuse in which a person needs a
drug just to feel okay (normal).
 
 
Addiction
 A style of living
characterized by compulsive use and
overwhelming involvement
 
with a
drug. A stage of drug abuse in which
the user cannot stop taking the drug
despite serious negative
consequences; the drug takes control
of the brain and overpowers the
body’s natural signals
Compulsive use of a drug despite
any cost
Changes the structure and
chemistry of the brain
 
Withdrawal
: A stage of drug
abuse when the user stops
taking the drug. The user is
often in physical pain and
may suffer from depression,
hallucinations or delusions.
Other Drug Vocabulary
 
Relapse
  – the tendency to return to addictive
behavior after a period of abstinence.
Euphoria
 – “high”
Synesthesia
 – an effect where sensory
messages are incorrectly assigned (hear a
taste, smell a sound)
Flashbacks
 – perceptual distortions and
bizarre thoughts that occur after the drug has
been eliminated from the body
 
What are gateway drugs?
 
A gateway drug is a drug that
opens the door to other,
harder drug use.
What are examples of
gateway drugs?
Alcohol, Tobacco, Marijuana
 
Drugs can be separated into Types and
Categories
Types of Drugs:
Prescription Drugs
Over-the-Counter (OTC) Drugs
Recreational Drugs
alcohol, tobacco, caffeine
Illicit Drugs
Illegal
Most are 
psychoactive 
– changes brain
chemistry
 
Types of Drugs
 
Stimulants 
– speed up
the mental and physical
responses of the central
nervous system.
Increase Heart Rate
blood pressure
breathing rate
alertness
 
 
 
Categories of drugs
 
Depressants
 – the opposite of
stimulants, these drugs slow
down brain and body
reactions
decreases heart and
breathing rates
lowers blood pressure
     Alcohol         Barbiturates
Sedatives     Tranquilizers
 
Narcotics
 – Powerful
painkillers – suppress the CNS.
They have a high potential for
abuse and addiction.
Heroin         OxyContin
Codeine        Vicodin
Methadone
Darvon
 
 
Hallucinogens
 – distort
sensory information going
to the brain, while not all
users hallucinate, have a
distorted sense of reality.
No medical use.
LSD
 
PCP
 
 Rohypnol
MDMA – Ecstasy
Mushrooms
=  Also know as 
club
drugs
 
Inhalants
 – common
household products.
Chemical inhaled gives
mind-altering effects.
 
Marijuana
 – formally
classified as both a
hallucinogen and a
depressant, marijuana and
its derivatives are in a
category all by themselves.
Up to 20 times stronger than
30 years ago
 
Addiction
 
Besides drugs what else
could someone be
addicted to?
 
 
Potato Chip Activity
 
How does it feel to stop after just one chip?
How many of you would like another chip?
How do cravings for potato chips differ from
cravings for tobacco, alcohol or other drugs?
How might your body react if you stopped eating
potato chips?
What if you stopped using tobacco, alcohol, or
some other drug after you are addicted?
 
How Addiction Happens…
 
Once a drug reaches the brain, it acts on
one or more neurotransmitters, either
increasing or decreasing their
concentration and actions.
Neurotransmitters include substances
such as 
serotonin  
and 
dopamine 
that are
released from your brain to make you feel
good.
 
Dopamine and Serotonin
 
 
Dopamine and the brain
 
 
How quickly someone becomes
addicted depends on several
factors:
Genetic
 connection to addiction
Stress, worry, 
tension
 – the more
there is, the more likely you are to
look for so-called relief.
Drug being used. Some drugs
cause addiction after just 
one
 or
a few uses.
 
Factors That Influence
Drug Action
 
Dose
Age
Body Weight
Gender
Previous
knowledg
e 
of
drug
 
Other drugs in
body
Contents of
stomach
Mood
Expectations
Environment
 
Why do people use
drugs?
 
Curiosity
Peer pressure
Peer acceptance
Pleasure seeking
Act of rebellion
Boredom
 
Symptoms of a Drug User
 
Symptoms of a Drug User
 
Symptoms of a Drug User
 
How Drugs Are
Taken
 
Inhaled
Injection
Orally
Snorted
Transdermal (Patches)
Absorbed
 
Stages of Addiction
 
Stage 1
curiosity is a motivator
learning to trust/mistrust
the drug used
“High” is still a new feeling
 
Stages of Addiction
 
Stage 2
User is thinking more about
drugs
Previous relationships become
difficult
User uses when alone
User still thinks they have control
 
Stages of Addiction
 
Stage 3
Seeks out the “high”
Has confidence in using the
drug
User thinks the drug won’t hurt
them
Peer group uses
Tolerance develops
 
Stages of Addiction
 
Stage 4
Can no longer get “high”
User uses the drug to
avoid being sick!
Drugs become the center
of their life
 
Tolerance, Dependence or
Addiction?
 
 
Does the scenario represent
Tolerance,
Dependence
or
Addiction?
Tolerance, Dependence or Addiction?
 
 
Maha has to take twice as
much heroin to get the same
high she used to get with just
one needle.
Tolerance, Dependence or Addiction?
 
 
Rayan has a compulsive
need to drink alcohol.
Tolerance, Dependence or
Addiction?
 
 
Ahmed will do anything,
including steal from his friends
to get the drugs.
Tolerance, Dependence or Addiction?
 
 
The brain adjusts to the drug
to the point that it needs the
drug to function normally.
Tolerance, Dependence or Addiction?
 
 
Sarah’s reward pathway
doesn’t respond as strongly
as it used to when she
smokes a cigarette.
Tolerance, Dependence or Addiction?
 
 
Saleh experiences
overwhelming physical
withdrawal symptoms when
he doesn’t take heroin.
Tolerance, Dependence or Addiction?
 
 
Instead of a good feeling,
taking the drug only
produces relief.
Tolerance, Dependence or Addiction?
 
 
The drug user’s brain cells
become more resistant to the
effects of the drug.
Tolerance, Dependence or Addiction?
 
 
Layla cannot control her
cocaine use anymore.
Tolerance, Dependence, or
Addiction
 
1
. Tolerance
2. Addiction
3. Addiction
4. Dependence
 
5. Tolerance
6. Addiction
7. Dependence
8. Tolerance
9. Addiction
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Drug abuse is a serious issue involving various substances like prescription drugs, alcohol, and illegal drugs. This includes terms and definitions, effects on the body and mind, stages of addiction, and withdrawal symptoms. Factors influencing drug action and reasons for drug use are also explored. Understanding addiction stages like tolerance and dependence is crucial for recognizing and addressing drug abuse.

  • Drug abuse
  • Addiction
  • Effects
  • Definitions
  • Stages

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  1. Introduction to drug abuse Mrs. Basmah kattan, MPH

  2. Outline Terms and definitions Gateway drugs Types of drugs Categories of drugs Addiction (activity) How Addiction Happens Factors That Influence Drug Action Why do people use drugs Symptoms of drug user How Drugs Are Taken Stages of addiction Exercise

  3. Definitions Drug a substance that causes a physical or emotional change in a person. affects the processes of the mind or body; *Over-the-counter- (non-prescription) *Prescription Drugs Dr. written order *Tobacco*Alcohol*Illegal drugs* Herbal*Caffeine*Inhalants

  4. Effect the influence a drug has on the body and the mind or both. Drug Use taking meds properly and in its correct dosage. Drug Misuse improper use of a drug (usually done by mistake) Drug abuse intentional improper use of a drug.

  5. Psychoactive effects an effect on a person s mood or behavior. Mood-altering affects brain activity Overdose a serious sometimes fatal reaction to a large dose of a drug Dose an exact amount of a drug

  6. o Tolerance: A stage of drug abuse in which the brain and body get used to a drug, causing a person to have to take more and more of the drug to get the same effect o Dependence: A stage of drug abuse in which a person needs a drug just to feel okay (normal).

  7. Addiction A style of living characterized by compulsive use and overwhelming involvement with a drug. A stage of drug abuse in which the user cannot stop taking the drug despite serious negative consequences; the drug takes control of the brain and overpowers the body s natural signals Compulsive use of a drug despite any cost Changes the structure and chemistry of the brain

  8. Withdrawal: A stage of drug abuse when the user stops taking the drug. The user is often in physical pain and may suffer from depression, hallucinations or delusions.

  9. Other Drug Vocabulary Relapse the tendency to return to addictive behavior after a period of abstinence. Euphoria high Synesthesia an effect where sensory messages are incorrectly assigned (hear a taste, smell a sound) Flashbacks perceptual distortions and bizarre thoughts that occur after the drug has been eliminated from the body

  10. What are gateway drugs? A gateway drug is a drug that opens the door to other, harder drug use. What are examples of gateway drugs? Alcohol, Tobacco, Marijuana

  11. Types of Drugs Drugs can be separated into Types and Categories Types of Drugs: Prescription Drugs Over-the-Counter (OTC) Drugs Recreational Drugs alcohol, tobacco, caffeine Illicit Drugs Illegal Most are psychoactive changes brain chemistry

  12. Categories of drugs Stimulants speed up the mental and physical responses of the central nervous system. Increase Heart Rate blood pressure breathing rate alertness

  13. Depressants the opposite of stimulants, these drugs slow down brain and body reactions decreases heart and breathing rates lowers blood pressure Alcohol Barbiturates Sedatives Tranquilizers

  14. Narcotics Powerful painkillers suppress the CNS. They have a high potential for abuse and addiction. Heroin OxyContin Codeine Vicodin Methadone Darvon

  15. Hallucinogens distort sensory information going to the brain, while not all users hallucinate, have a distorted sense of reality. No medical use. LSD PCP MDMA Ecstasy Mushrooms = Also know as club drugs Rohypnol

  16. Inhalants common household products. Chemical inhaled gives mind-altering effects.

  17. Marijuana formally classified as both a hallucinogen and a depressant, marijuana and its derivatives are in a category all by themselves. Up to 20 times stronger than 30 years ago

  18. Addiction Besides drugs what else could someone be addicted to?

  19. Potato Chip Activity How does it feel to stop after just one chip? How many of you would like another chip? How do cravings for potato chips differ from cravings for tobacco, alcohol or other drugs? How might your body react if you stopped eating potato chips? What if you stopped using tobacco, alcohol, or some other drug after you are addicted?

  20. How Addiction Happens Once a drug reaches the brain, it acts on one or more neurotransmitters, either increasing or decreasing their concentration and actions. Neurotransmitters include substances such as serotonin and dopamine that are released from your brain to make you feel good.

  21. Dopamine and Serotonin

  22. Dopamine and the brain

  23. How quickly someone becomes addicted depends on several factors: Genetic connection to addiction Stress, worry, tension the more there is, the more likely you are to look for so-called relief. Drug being used. Some drugs cause addiction after just one or a few uses.

  24. Factors That Influence Drug Action Dose Age Body Weight Gender Previous knowledge of drug Other drugs in body Contents of stomach Mood Expectations Environment

  25. Why do people use drugs? Curiosity Peer pressure Peer acceptance Pleasure seeking Act of rebellion Boredom

  26. Symptoms of a Drug User Personality Becomes disrespectful, verbal and physical abuse Is angry a lot, acts paranoid or confused, extreme mood swings Seems depressed and less out-going than usual. Is secretive, lies about what s/he is doing and where s/he is going. Steals or loses possessions s/he used to value. Seems to have a lot of money or is always asking for money

  27. Symptoms of a Drug User Physical Appearance Not taking care of hygiene and grooming. Not sleeping or sleeping too much. Loss of appetite Weight loss or weight gain. Too hyperactive or too little energy.

  28. Symptoms of a Drug User Social Activity/School Performance Drops old friends and activities. Skips school Loses interest in school work and is getting low grades Sleeps in class Loses concentration and is having trouble remembering things.

  29. How Drugs Are Taken Inhaled Injection Orally Snorted Transdermal (Patches) Absorbed

  30. Stages of Addiction Stage 1 curiosity is a motivator learning to trust/mistrust the drug used High is still a new feeling

  31. Stages of Addiction Stage 2 User is thinking more about drugs Previous relationships become difficult User uses when alone User still thinks they have control

  32. Stages of Addiction Stage 3 Seeks out the high Has confidence in using the drug User thinks the drug won t hurt them Peer group uses Tolerance develops

  33. Stages of Addiction Stage 4 Can no longer get high User uses the drug to avoid being sick! Drugs become the center of their life

  34. Tolerance, Dependence or Addiction? Does the scenario represent Tolerance, Dependence or Addiction?

  35. Tolerance, Dependence or Addiction? Maha has to take twice as much heroin to get the same high she used to get with just one needle.

  36. Tolerance, Dependence or Addiction? Rayan has a compulsive need to drink alcohol.

  37. Tolerance, Dependence or Addiction? Ahmed will do anything, including steal from his friends to get the drugs.

  38. Tolerance, Dependence or Addiction? The brain adjusts to the drug to the point that it needs the drug to function normally.

  39. Tolerance, Dependence or Addiction? Sarah s reward pathway doesn t respond as strongly as it used to when she smokes a cigarette.

  40. Tolerance, Dependence or Addiction? Saleh experiences overwhelming physical withdrawal symptoms when he doesn t take heroin.

  41. Tolerance, Dependence or Addiction? Instead of a good feeling, taking the drug only produces relief.

  42. Tolerance, Dependence or Addiction? The drug user s brain cells become more resistant to the effects of the drug.

  43. Tolerance, Dependence or Addiction? Layla cannot control her cocaine use anymore.

  44. Tolerance, Dependence, or Addiction 1. Tolerance 2. Addiction 3. Addiction 4. Dependence 5. Tolerance 6. Addiction 7. Dependence 8. Tolerance 9. Addiction

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