Wednesday, November 28, 2012

#2 What is Addiction? (Part Two)

All drugs are medication. Psychoactive drugs are substances that directly alter the normal functioning of the central nervous system. They pass the blood / brain barrier and alter perception, mood, consciousness, cognition and behavior. Drugs that are addictive are mood altering. They resemble the brain's own natural chemicals that influence how we act and feel.

 

Addiction is an attempt to transcend, pass over, mask, or numb out to the stressors of life. Temporarily, due to the chemical exchange of drugs and the brain, it feels like this has been accomplished. There are accompanying defenses and denial that helps fuel this delusion. However, it is short lasting, and the addict finds that actually he has added more pain to his life as the consequences of abusing drugs. Then the cycle continues. but eventually with more drugs, as tolerance increases in response to more emotional stressors as a consequence of drug abuse. Eventually, the addict can become fearful of trying to live without mood altering chemicals. When one quits the addiction to a particular drug or behavior addiction, it becomes very easy to substitute another addiction in its place. The list is not in any particular order.
                                    
                                            Tolerance
The body regards any drug it takes as a toxin and the liver and kidneys try to eliminate the drug. If the use continues, these organs are forced to adapt and develop tolerance and the user has to take larger and larger amounts to get the same effect. For example one amphetamine tablet will energize an effect that can only be matched by 100 tablets on the100th day of use.

Due to tolerance, addiction becomes progressive, and the dosage must be increased to transcend life's stressors as shown in the previous diagram.
But stressors become increased due to the difficulties caused by addiction and the cycle becomes a downward spiral.

                                       Reverse Tolerance
As one grows older, the trend is reversed and the user becomes less able to handle even moderate amounts. This is particularly true in alcoholics, when as the liver is destroyed, it loses the ability to metabolize the drug. An alcoholic with cirrhosis of the liver can stay intoxicated all day on a pint of wine because the raw alcohol is passing through the body unchanged.

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