Substance Abuse

From WikiMD's medical encyclopedia

Substance Abuse‏‎, also known as drug abuse, is a patterned use of a drug in which the user consumes the substance in amounts or with methods which are harmful to themselves or others. The substances involved are often part of a larger group of psychoactive substances, which can include both legal and illegal drugs.

Definition

The term "substance abuse" is now frequently replaced by "substance use disorder" due to the comprehensive definition provided by the Diagnostic and Statistical Manual of Mental Disorders (DSM-5). Substance use disorder is defined as a maladaptive pattern of substance use leading to clinically significant impairment or distress.

Types of Substances

Substances commonly abused include: Alcohol, Tobacco, Cannabis, Stimulants (such as cocaine and methamphetamine), Hallucinogens, Opioids, and Sedatives.

Causes

The causes of substance abuse are complex and multifaceted. They can include genetic predisposition, environmental factors, and psychological issues such as stress, anxiety, and depression.

Effects

The effects of substance abuse can be physical, psychological, and social. Physical effects can include damage to the body systems and organs, particularly the liver and brain. Psychological effects can include changes in mood, behavior, and cognitive function. Social effects can include loss of relationships, employment, and legal issues.

Treatment

Treatment for substance abuse can involve a combination of therapy, medication, and support groups. Therapy can include cognitive behavioral therapy, motivational interviewing, and family therapy. Medications can be used to manage withdrawal symptoms, prevent relapse, and treat co-occurring conditions.

Prevention

Prevention of substance abuse can involve education, early intervention, and policy and regulation changes. Education can include information about the risks and consequences of substance abuse. Early intervention can include screening and treatment for at-risk individuals.

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Contributors: Prab R. Tumpati, MD