Chemical Dependency To Home Page
Chemical dependency disorders affect a staggering proportion of the population of the U. S. and other Western nations. Recent data from the National Institute of Mental Health indicate that nearly 20% (about 48 million people) of the general population qualified for a substance use diagnosis at some point during their lifetime (Regier et al., 1990). The same researchers found that persons suffering from psychiatric disorders who come for mental health treatment had twice the risk of having a drinking problem, and four times the risk of having a drug problem compared to the general population. Nearly a third (29%) of persons seeking mental health treatment will also suffer from a substance use problem at some point in their life.
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Sometimes it is tough to tell. Most people won't walk up to someone they're close to and ask for help. In fact, they will probably do everything possible to deny or hide the problem. But, there are certain warning signs that may indicate that a family member or friend is using drugs and drinking too much alcohol.
If your friend or loved one has one or more of the following signs, he or she may have a problem with drugs or alcohol:getting high on drugs or getting drunk on a regular basis
lying about things, or the amount of drugs or alcohol they are using
avoiding you and others in order to get high or drunk
giving up activities they used to do such as sports, homework, or hanging out with friends who don't use drugs or drink
having to use more marijuana or other illicit drugs to get the same effects
constantly talking about using drugs or drinking
believing that in order to have fun they need to drink or use marijuana or other drugs
pressuring others to use drugs or drink
getting into trouble with the law
taking risks, including sexual risks and driving under the influence of alcohol and/or drugs
feeling run-down, hopeless, depressed, or even suicidal
suspension from school for an alcohol- or drug-related incident
missing work or poor work performance because of drinking or drug use
Many of the signs, such as sudden changes in mood, difficulty in getting along with others, poor job or school performance, irritability, and depression, might be explained by other causes. Unless you observe drug use or excessive drinking, it can be hard to determine the cause of these problems. Your first step is to contact a qualified alcohol and drug professional in your area who can give you further advice.
Drug and alcohol problems can affect every one of us regardless of age, sex, race, marital status, place of residence, income level, or lifestyle.
You may have a problem with drugs or alcohol, if:
If you have experienced any of the above problems, take heart, help is
available. More than a million Americans like you have taken charge of their
lives and are living healthy and drug-free.
You can't predict whether or not you
will use drugs or get drunk.
You believe that in order to have fun
you need to drink and/or use drugs.
You turn to alcohol and/or drugs after
a confrontation or argument, or to relieve uncomfortable feelings.
You drink more or use more drugs to
get the same effect that you got with smaller amounts.
You drink and/or use drugs alone.
You remember how last night began, but
not how it ended, so you're worried you may have a problem.
You have trouble at work or in school
because of your drinking or drug use.
You make promises to yourself or
others that you'll stop getting drunk or using drugs.
You feel alone, scared, miserable, and
depressed.
How Can I Get Help?
You can get help for yourself or for a friend or loved one from numerous national, State, and local organizations, treatment centers, referral centers, and hotlines throughout the country. There are various kinds of treatment services and centers. For example, some may involve outpatient counseling, while others may be 3- to 5-week-long inpatient programs.
While you or your friend or loved one may be hesitant to seek help, know that treatment programs offer organized and structured services with individual, group, and family therapy for people with alcohol and drug abuse problems. Research shows that when appropriate treatment is given, and when clients follow their prescribed program, treatment can work. By reducing alcohol and/or drug abuse, treatment reduces costs to society in terms of medical care, law enforcement, and crime. More importantly, treatment can help keep you and your loved ones together.
Remember, some people may go through treatment a number of times before they are in full recovery. Do not give up hope.
Each community has its own resources. Some common referral sources that are often listed in the phone book are:
| Narcotics | Ice |
| Depressants | Cannabis |
| Stimulants | Marijuana |
| Cocaine | Alcohol |
| Crack | Steroids |
| Inhalants | Hallucinogens |
| Categories | Descriptions | Effects |
| Symptoms of Overdose | Withdrawal Symptoms | Indications of Misuse |
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To assist you in locating substances in this document, the following cross reference by category is provided.
| Narcotics | Alfentanil | Stimulants | Amphetamine | |
| Cocaine* | Benzedrine | |||
| Codeine | Benzphetamine | |||
| Crack Cocaine* | Butyl Nitrite | |||
| Fentanyl | Dextroamphetamine | |||
| Heroin | Methamphetamine | |||
| Hydromorphone | Methylphenidate | |||
| Ice | Phenmetrazine | |||
| Meperidine | ||||
| Methadone | Hallucinogens | Bufotenine | ||
| Morphine | LSD | |||
| Nalorphine | MDA | |||
| Opium | MDEA | |||
| Oxycodone | MDMA | |||
| Propoxyphene | Mescaline | |||
| MMDA | ||||
| Depressants | Amobarbital | Phencyclidine | ||
| Benzodiazepine | Psilocybin | |||
| Chloral Hydrate | ||||
| Chlordiazepoxide | Cannabis | Lorazepam | ||
| Diazepam | Marijuana | |||
| Glutethimide | Tetrahydrocannabinol | |||
| Meprobamate | ||||
| Methaqualone | Alcohol | Ethyl Alcohol | ||
| Nitrous Oxide | ||||
| Pentobarbital | Steroids | Dianabol | ||
| Phenobarbital | Nandrolone | |||
| Secobarbital | ||||
*Cocaine, while classified under the Controlled Substances Act (CSA) as a narcotic, is also discussed as a stimulant.
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| Drug | Dependence | How Used | Duration |
| Physical/Psychological | (hours) |
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| Opium | High/High | Oral, smoked | 3-6 |
| Morphine | High/High | Oral, smoked, injected |
3-6 |
| Codeine | Mod./Mod. | Oral, injected | 3-6 |
| Heroin | High/High | Smoked, injected, sniffed |
3-6 |
| Hydromorphone | High/High | Oral, injected | 3-6 |
| Meperidine | High/High | Oral, injected | 3-6 |
| Methadone | High/High | Oral, injected | 12-24 |
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| What are Narcotics? | Drugs used medicinally to relieve pain High potential for abuse Cause relaxation with an immediate "rush" Initial unpleasant effects - restlessness, nausea |
| Possible Effects | Euphoria Drowsiness, respiratory depression Constricted (pin-point) pupils |
| Symptoms of Overdose | Slow, shallow breathing, clammy skin Convulsions, coma, possible death |
| Withdrawal Syndrome | Watery eyes, runny nose, yawning, cramps Loss of appetite, irritability, nausea Tremors, panic, chills, sweating |
| Indications of Possible Misuse |
Scars (tracks) caused by injections Constricted (pin-point) pupils Loss of appetite Sniffles, watery eyes, cough, nausea Lethargy, drowsiness, nodding Syringes, bent spoons, needles, etc. |
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| Drug | Dependence | How Used | Duration |
| Physical/Psychological | (hours) |
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| Barbiturates | High/mod. | Oral | 1-16 |
| Methaqualone | High/High | Oral | 4-8 |
| Tranquilizers | High/High | Oral | 4-8 |
| Chloral Hydrate | Mod./Mod. | Oral | 5-8 |
| Glutethimide | High/Mod. | Oral | 4-8 |
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| What are Depressants? | Drugs used medicinally to relieve anxiety, irritability,
tension High potential for abuse, development of tolerance Produce state of intoxication similar to that of alcohol Combined with alcohol, increase effects, multiply risks |
| Possible Effects | Sensory alteration, anxiety reduction, intoxication Small amounts cause calmness, relaxed muscles Larger amounts cause slurred speech, impaired judgment, loss of motor coordination Very large doses may cause respiratory depression, coma, death Newborn babies of abusers may show dependence, withdrawal symptoms, behavioral problems, birth defects |
| Symptoms of Overdose | Shallow respiration, clammy skin, dilated pupils Weak and rapid pulse, coma, death |
| Withdrawal Syndrome | Anxiety, insomnia, muscle tremors, loss of appetite Abrupt cessation or reduced high dose may cause convulsions, delirium, death |
| Indications of Possible Misuse |
Behavior similar to alcohol intoxication (without odor of alcohol on breath) Staggering, stumbling, lack of coordination, slurred speech Falling asleep while at work, difficulty concentrating Dilated pupils |
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| Drug | Dependence | How Used | Duration |
| Physical/Psychological | (hours) |
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| Cocaine* | Possible/High | Sniffed, smoked injected |
1-2 |
| Amphetamines | Possible/High | Oral, injected | 2-4 |
| Methamphetamine | Possible/High | Oral, injected | 2-4 |
| Phenmetrazine | Possible/High | Oral, injected | 2-4 |
| Methylphenidate | Possible/Mod. | Oral, injected | 2-4 |
| Other Stimulants | Possible/High | Oral, injected | 2-4 |
| Ice | High/High | Smoked, oral injec., inhaled |
4-14 |
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| What are Stimulants? | Drugs used to increase alertness, relieve fatigue, feel stronger and more decisive; used for euphoric effects or to counteract the "down" felling of tranquilizers or alcohol |
| Possible Effects | Increased heart and respiratory rates, elevated blood pressure, dilated pupils and decreased appetite; high doses may cause rapid or irregular heartbeat, loss of coordination, collapse; may cause perspiration, blurred vision, dizziness, a feeling of restlessness, anxiety, delusions |
| Symptoms of Overdose | Agitation, increase in body temperature, hallucinations, convulsions, possible death |
| Withdrawal Syndrome | Apathy, long periods of sleep, irritability, depression, disorientation |
| Indications of Possible Misuse |
Excessive activity, talkativeness, irritability,
argumentativeness or nervousness Increased blood pressure or pulse rate, dilated pupils Long periods without sleeping or eating Euphoria |
*Cocaine, while classified under the Controlled Substances Act (CSA) as a narcotic, is also discussed as a stimulant.
Also known as:
Coke, Dust, Snow, Flake, Blow, Girl
You probably know why cocaine is abused -
Carefree Feeling
| Euphoria
| Relaxation
| In control | |
But did you know that -
A cocaine "high" lasts only about 5 to 20 minutes.
| Cocaine use may cause severe "mood swings" and irritability.
| You need more and more cocaine each time you want a "high.
| Cocaine increases your blood pressure and heart rate - | particularly dangerous if you have a heart condition. One use can cause death!
| Possession and use are illegal and can result in fines and arrest. | |
Also known as:
"Crack cocaine", Freebase rocks, Rock
You probably know why crack is abused -
Quick high
| Power
| Euphoria | |
But did you know that -
Crack is almost instantly addictive.
| One use could cause a fatal heart attack.
| Repeated use may cause insomnia, hallucinations, seizures, paranoia.
| The euphoric effects of crack last only a few minutes.
| Crack possession and use are illegal in all fifty states.
| There are more hospitalizations per year resulting from crack and | cocaine use than any other illicit substance. |
Also known as:
Meth, Crystal, Crank, Methamphetamine
You probably know why ice is abused -
Temporary mood elevation
| Exhilaration (high)
| Increased mental alertness
| Upper-increase wakefulness | |
But did you know that -
Ice is extremely addictive - sometimes with just one use!
| Ice can cause convulsions, heart irregularities, high blood pressure,
depression, restlessness, tremors, severe fatigue.
| An overdose can cause coma and death
| When you stop using ice you may experience a deep depression.
| Ice causes a very jittery high, along with anxiety, insomnia, sometimes
paranoia. | |
Some of the substances that are abused:
Butyl nitrite
| Amyl nitrite (Gas in aerosol cans)
| Gasoline and Toluene vapors (Correction fluid, glue, marking pens) | |
You probably know why inhalants are abused -
Cheap High
| Quick buzz
| Fun | |
But did you know that inhalants may cause -
Loss of muscle control
| Slurred speech
| Drowsiness or loss of consciousness
| Excessive secretions from the nose and watery eyes
| Brain damage and damage to lung cells | |
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| Drug | Dependence | How Used | Duration |
| Physical/Psychological | (hours) |
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| PCP Angel Dust Loveboat |
Unknown/High | Smoked, oral, | Up to days injected |
| LSD Acid Green/Red Dragon |
None/Unknown | Oral | 8-12 hrs. |
| Mescaline, Peyote | None/Unknown | Oral, injected | 8-12 hrs. |
| Psilocybin | None/Unknown | Oral, injected, smoked, sniffed |
Variable |
| Designer Drugs* Ecstacy - PCE |
Unknown/Unknown | Oral, injected, smoked |
Variable |
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| What are Hallucinogens? | Drugs that produce behavioral changes that are often
multiple and dramatic No known medical use, but some block sensation to pain and use may result in self-inflicted injuries "Designer Drugs", made to imitate certain illegal drugs, are often many times stronger than drugs they imitate |
| Possible Effects | Rapidly changing feelings, immediately and long after use Chronic use may cause persistent problems, depression, violent behavior, anxiety, distorted perception of time Large doses may cause convulsions, coma, heart/lung failure, ruptured blood vessels in the brain May cause hallucinations, illusions, dizziness, confusion, suspicion, anxiety, loss of control Delayed effects - "flashbacks" may occur long after use Designer drugs - one use may cause irreversible brain damage |
| Symptoms of Overdose | Longer, more intense "trip" episodes, psychosis, coma, death |
| Withdrawal Syndrome | No known withdrawal syndrome |
| Indications of Possible Misuse |
Extreme changes in behavior and mood; person may sit or
recline in a trance-like state; person may appear fearful Chills, irregular breathing, sweating, trembling hands Changes in sense of light, hearing, touch, smell, and time Increase in blood pressure, heart rate and blood sugar |
| *Phencyclidine analogs, Amphetamine variants |
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Types:
LSD (Acid, Red/Green Dragon
| Ecstacy (designer drug)
| PCP (Angel Dust, Loveboat)
| PCP & Cocaine (Beam me up Scottie)
| Mescaline
| Psilocybin | |
You probably know why hallucinogens are abused -
Fun
| Stimulation or depression
| Behavioral changes | |
But did you know that
One use of LSD or PCP can cause multiple and dramatic behavioral changes.
| Large doses of hallucinogens may cause convulsions, ruptured blood vessels
in the brain and irreversible brain damage.
| Many hallucinogens cause unpleasant and potentially dangerous
"flashbacks," long after the drug was used.
| Most hallucinogens cause "hallucinations," i.e., changes in
perception of time, smell, touch, etc. | |
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| Drug | Dependence | How Used | Duration |
| Physical/Psychological | (hours) |
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| Marijuana | Unknown/Moderate | Smoked, oral pot, grass |
2-4 |
| Tetrahydro- cannabinol |
Unknown/Moderate | Smoked, oral | 2-4 |
| Hashish | Unknown/Moderate | Smoked, oral | 2-4 |
| Hashish Oil | Unknown/Moderate | Smoked, oral | 2-4 |
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| What is Cannabis? | Hemp plant from which marijuana and hashish are produced; Hashish consists of resinous secretions of the cannabis plant; Marijuana is a tobacco-like substance |
| Possible Effects | Euphoria followed by relaxation; loss of appetite; impaired memory, concentration, knowledge retention; loss of coordination; more vivid sense of taste, sight, smell, hearing; stronger doses cause fluctuating emotions, fragmentary thoughts, disoriented behavior, psychosis; may cause irritation to lungs, respiratory system; may cause cancer |
| Symptoms of Overdose | Fatigue, lack of coordination, paranoia, psychosis |
| Withdrawal Syndrome | Insomnia, hyperactivity, sometimes decreased appetite |
| Indications of Possible Misuse |
Animated behavior, loud talking, followed by sleepiness Dilated pupils, bloodshot eyes Distortions in perception; hallucinations Distortions in depth and time perception; loss of coordination |
Also known as:
Pot, Grass, Joints, Roaches, Reefer, Weed, Mary Jane
You probably know why marijuana is abused--
Relaxation
| Euphoria | |
But did you know that-
Marijuana may cause impaired short-term memory, a shortened attention span
and delayed reflexes.
| During pregnancy, marijuana may cause birth defects.
| Marijuana may cause a fast heart rate and pulse.
| Repeated use of marijuana may cause breathing problems.
| Possession of marijuana is illegal in all fifty states.
| Marijuana may cause relaxed inhibitions, disoriented behavior. | |
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| Drug | Dependence | How Used | Duration |
| Physical/Psychological | (hours) |
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| Ethyl Alcohol | Possible/Possible | Oral | 1-4 |
| Ethanol | Possible/Possible | Oral | 1-4 |
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| What is Alcohol? | Liquid distilled product of fermented fruits, grains and
vegetables Used as solvent, antiseptic and sedative Moderate potential for abuse |
| Possible Effects | Intoxication Sensory alteration Anxiety reduction |
| Symptoms of Overdose | Staggering Odor of alcohol on breath Loss of coordination Slurred speech, dilated pupils Fetal alcohol syndrome (in babies) Nerve and liver damage |
| Withdrawal Syndrome | Sweating Tremors Altered perception Psychosis, fear, auditory hallucinations |
| Indications of Possible Misuse |
Confusion, disorientation, loss of motor nerve control Convulsions, shock, shallow respiration Involuntary defecation, drowsiness Respiratory depression and possible death |
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Also known as:
Booze, Juice, Brew, Vino, Sauce
You probably know why alcohol is abused--
Relaxation
| Sociability
| Cheap High | |
But did you know that-
Alcohol is a depressant that decreases the responses of the central
nervous system.
| Excessive drinking can cause liver damage and psychotic behavior.
| As little as two beers or drinks can impair coordination and thinking.
| Alcohol is often used by substance abusers to enhance the effects of other
drugs.
| Alcohol continues to be the most frequently abused substance among young
adults. | |
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| Drug | Dependence | How Used | Duration |
| Physical/Psychological | (hours) |
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| Dianabol | Possible/Possible | Oral | days - wks |
| Nandrolone | Possible/Possible | Oral | days - wks |
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| What are Steroids? | Synthetic compounds available legally and illegally Drugs that are closely related to the male sex hormone, testosterone Moderate potential for abuse, particularly among young males |
| Possible Effects | Increase in body weight Increase in muscle strength Enhance athletic performance Increase physical endurance |
| Symptoms of Overdose | Quick weight and muscle gains Extremely aggressive behavior or "Roid rage" Severe skin rashes Impotence, withered testicles In females, development of irreversible masculine traits |
| Withdrawal Syndrome | Significant weight loss Depression Behavioral changes Trembling |
| Indications of Possible Misuse |
Increased combativeness and aggressiveness Jaundice Purple or red spots on body; unexplained darkness of skin Persistent unpleasant breath odor Swelling of feet or lower legs |
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Three types of steroids:
Anabolic (male hormone)- steroids most frequently abused
| Cortical
| Estrogenic (female hormone) | |
You probably know why steroids are abused--
Increase strength
| Increase muscle size
| Help muscles recover | |
But did you know that abuse of steroids may cause-
Severe acne, rashes, stunted growth
| Sexual function problems
| Women to take on masculine traits, develop hairiness
| Behavioral changes, aggressiveness ("roid rages")
| Long-term effects, such as cholesterol increases, heart disease, liver
tumors, cancer, cataracts and death | |
U.S. Department of Labor,
"America in Jeopardy: The Young Employee and Drugs in the Workplace."
Appendix A & B
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Addiction Research Foundation (ARF) -
University of Toronto ****
| Canadian Centre on Substance Abuse ****
| National Clearinghouse for Alcohol and
Drug Information ****
| National Institute of Drug Abuse
****
| Substance Abuse and Mental Health
Services Administration ****
| Web of Addictions ****
|
American
Psychological Association Division of Psychopharmacology and Substance Abuse
***
| Cocaine Anonymous ***
| Connecticut Clearinghouse -
Information on Alcohol, Tobacco, Other Drugs ***
| HabitSmart - Addictions ***
| Higher Education Center for Alcohol and
Other Drug Prevention ***
| Indiana Prevention Resource Center
- Indiana University ***
| Join Together Online ***
| National Inhalant Prevention Coalition
(NIPC) ***
| Virginia Addiction Technology
Transfer Center ***
| Addiction Resource Guide
**
| Drug-Related
Network Resources * | Marijuana Anonymous *
| |
| Yahoo's Substance Abuse Links |
Alcohol Dependence
Alcoholics Anonymous
****
| National Institute on Alcohol Abuse
and Alcoholism (NIAAA)
| AL-Anon & ALATEEN WWW site
*** | Another Empty Bottle - For the
friends, family, and alcoholics ***
| Online AA Resources ***
| Alcoholism - About.com ** | Yahoo's
Alcoholism Links | |
QuitNet - Resource to Quit Smoking
***
| NicNet: Nicotine and Tobacco Network
**
| TryToStop.org - Massachusetts
Department of Public Health * | |