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Nasia A. Kervan, Psy. D

 

 
 
 


nICOTINE

Nicotine is one of the most heavily used addictive drugs in the U.S., and smoking cigarettes is the most popular method of using nicotine. In 1989, the Surgeon General issued a report that cigarettes and other forms of tobacco, which contain nicotine (such as cigars, pipe tobacco and chewing tobacco) are addictive. The report also determined that smoking was a major cause of stroke as well as the third leading cause of death in the U.S.

Nicotine is addictive, which is why most smokers tend to do it regularly. Addiction is characterized by compulsive drug seeking and use, even at the risk of negative health consequences. Most smokers know that tobacco is harmful and express a desire to decrease or end use of it, with nearly 35 million people seriously attempting to quit each year. Unfortunately, most relapse within just a few days, and less than 7 percent of those who try to quit on their own achieve more than a year of abstinence.

Besides nicotine's addictive properties, other factors to consider include its easy availability, the small number of legal and social consequences of tobacco use and the sophisticated marketing and advertising methods of tobacco companies. These combined with nicotine's addictive properties often lead to first use and, ultimately, addiction.

Recent research has shown how nicotine acts on the brain. Nicotine activates the circuitry that regulates feelings of pleasure, the so-called reward pathways. Research has shown that nicotine increases the levels of dopamine (a key brain chemical involved in mediating the desire to consume drugs) in the reward circuits. Nicotine's pharmacokinetic properties have been found to enhance its abuse potential. Cigarette smoking produces a rapid distribution of nicotine to the brain, with drug levels peaking within 10 seconds of inhalation. The acute effects of nicotine dissipate within a few minutes, causing the need to continue repeated intake throughout the day.

Symptoms

Inability to stop smoking after one or more serious efforts

Experiencing strong withdrawal symptoms such as anxiety, irritability, restlessness, headaches, difficulty concentrating, drowsiness, stomach upset

Inability to stop, regardless of health problems.

Altering routine or plans in order to smoke. For example, avoiding certain restaurants or certain family or friends because you find it embarrassing or difficult to smoke in these situations.

Psychotherapy methods are employed to discover high-risk relapse situations, create an aversion to smoking, develop self-monitoring of smoking behavior and establish competing coping responses. Ask for help, now.

OBESITY

Obesity is a condition of having excess body weight. When an adult is more than 100 pounds overweight, they are considered morbidly obese. Being overweight significantly increases the risk of death from hypertension, dyslipidemia, type 2 diabetes, stroke, osteoarthritis, coronary heart disease, gallbladder disease, sleep apnea and respiratory problems, and endometrial, breast, prostate and colon cancers.

Symptoms

Consumption of more food than the body can use

Excess alcohol intake

Sedentary lifestyle

Weight can affect a person's self-esteem. Excess weight is clearly visible and may attract ridicule. Ask for help, now.

COCAINE

Cocaine is a powerfully addictive stimulant that directly affects the brain. Pure cocaine was first extracted from the leaf of the Erythroxylon coca bush in the mid-19th century. In the early 1900s it became the main stimulant drug used in most of the tonics and elixirs that were developed to treat a wide variety of illnesses. It quickly became popular as an ingredient in patent medicines (throat lozenges and tonics) and other products (such as Coca Cola, from which it was later removed). Concern soon mounted due to instances of addiction, psychotic behavior, convulsion, and death.

Cocaine is a stimulant that makes users feel euphoric, energetic, and mentally alert. Highly addictive, it can cause severe mental and physical problems. It is possible to overdose and die.

The major routes of administration of cocaine are inhaling (or snorting), injecting, and smoking. There is great risk regardless of the method of use. It appears that compulsive cocaine use may develop even more rapidly if the substance is smoked rather than snorted. Smoking allows extremely high doses of cocaine to reach the brain very quickly and brings an intense and immediate high.

Symptoms

Fast heartbeat and breathing and increases in blood pressure and body temperature

Erratic or violent behavior

Blurred vision, chest pain, nausea, fever, muscle spasms, convulsions and death from convulsions, heart failure or brain failure

Emotional problems and isolation from family and friends

Damage to the nose and inflamed nasal passages

A change in eating or sleeping patterns

Many behavioral treatments have been found to be effective for cocaine addiction, including both residential and outpatient approaches. Ask for help, now.

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Anorexia NervosaBulimia NervosaHallucinogensAlcohol AbuseOpioidsAmphetamines Compulsive OvereatingSedative-Hypnotics 

 
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