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GREATER PALM SPRINGS CRYSTAL METH TASK FORCE. Crystal Meth 101. OVERVIEW OF ADDICTION. Crystal Meth Program AIDS Project Los Angeles. The Disease Concept of Chemical Dependency. “Dis-ease” A primary disease Progressive and fatal. Signs and Symptoms of Chemical Dependency. Tolerance
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GREATER PALM SPRINGS CRYSTAL METH TASK FORCE Crystal Meth 101
OVERVIEW OF ADDICTION Crystal Meth Program AIDS Project Los Angeles
The Disease Concept of Chemical Dependency • “Dis-ease” • A primary disease • Progressive and fatal
Signs and Symptoms of Chemical Dependency • Tolerance • Withdrawal • Psychological dependence • Physiological dependence • Ritualistic behaviors • The phenomenon of craving • Denial
Stages of Chemical Use • Experimental use • Social/recreational using • Daily preoccupation • Dependency
Summary • Addiction is a disease • Addiction = tolerance + withdrawal + ritualistic behavior + craving
The Feeling Chart:Experimental Use 1 → 2 3 ← pain normal euphoria
The Feeling Chart:Social/Recreational Use 1 →→ → 2 3 ← ← ← pain normal euphoria
The Feeling Chart:Chemical Abuse 1 →→→ 2 3 ← ← ← ← ← ← pain normal euphoria
The Feeling Chart:Chemical Dependence 1 → → 2 3 ← ← ← pain normal euphoria
Progression of the Disease Experimental use More regular use Daily preoccupation Dependency Occasional use of alcohol and other drugs Easy to get high Alcohol or other drug use with friends Thinking that “everyone does it” Feeling pride in being able to “handle it” Start having blackouts or overdoing it Use on weeknights begin Hiding how much you use Skipping work/school Feeling guilty Tolerance increases Making excuses about chemical use Planning your day around your chemical use Beginning to worry about your “stash” or supply Changes in friends and meeting places Decreased ability to stop Using alone Unwilling to discuss problem Family/friends express concern Isolation Avoiding family/friends Developing an “I don’t care” attitude Loss of usual interests Difficulty facing the day Daily use Remorseful Work and financial trouble Irrational resentments Lengthy binges Physical deterioration Fear and anxiety Running out of alibis Admitting complete defeat
12-Step View of Addiction • “An allergy of the body, a malady of the spirit and an obsession of the mind” • Complete abstinence from all mind altering chemicals • Recovery is slow and an on-going process • Natural state of an alcoholic/addict is irritable, restless and discontent • Abstinence requires daily work/maintenance • Fellowship is a key part of recovery
HARM REDUCTION • Accepts, that drug use is part of our world and chooses to work to minimize its harmful effects rather than simply ignore or condemn them • Acknowledges that some ways of using drugs are clearly safer than others • Calls for the non-judgmental, non-coercive provision of services and resources to people who use drugs • Affirms drugs users themselves as the primary agents of reducing the harms of their drug use, and seeks to empower users to share information and support each other • Recognizes that the realities of poverty, class, racism, social isolation, past trauma, sex-based discrimination and other social inequalities affect both people's vulnerability to and capacity for effectively dealing with drug-related harm. • Does not attempt to minimize or ignore the real and tragic harm and danger associated with licit and illicit drug use