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Drug Dependence
What is drug dependence?
Drug dependence occurs when you need one or more drugs to function. The
American Psychiatric Association (APA) used to distinguish between dependence
and abuse. Abuse was considered the mild or early phase of inappropriate drug use
that led to dependence. People viewed dependence as a more severe problem than
abuse.
The APA replaced “dependence” and “abuse” with “substance use disorder” in the
2013 edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5).
This diagnosis focuses on the disorder involving the use of the substance.
Addiction
Dependence
Drug users typically pass through certain stages on the way to drug dependence.
One way that healthcare providers describe these stages is with the Jellinek Curve.
The curve tracks typical stages experienced through occasional use, dependence,
disorder, and rehabilitation.
1. You use drugs for recreation. You take them infrequently and in social
settings.
2. You start using drugs on a regular basis, often abandoning family and friends
in favor of drug use. You become concerned about losing access to drugs.
3. You become addicted to drugs as you become more tolerant to their effects
and preoccupied with getting them. You may abandon most or all your
previous interests and relationships.
4. You become dependent on drugs and unable to live without them. Your
physical and mental health deteriorates.
anxiety
depression
muscle weakness
nightmares
body aches
sweating
nausea
vomiting
Substances that mimic the effects of illegal drugs may help reduce the symptoms of
withdrawal during treatment. Detox programs use a combination of therapy and
medical treatment to ease dependence and treat the disorder. Ongoing therapy
sessions may be needed after you’re released from a treatment program.
Treatment can reverse dependence, but you must want to be treated. Sometimes,
treatment is successful the first time, but relapse is common. Ongoing therapy and
support groups can help you recover, stay on track, and address symptoms of
relapse.