Substance Dependence

Drug dependence and drug abuse differ in several key aspects. Firstly, dependence is characterised by measurable tolerance and withdrawal phases, unlike abuse, which may only lead to these conditions. Abuse is indicated by early signs that suggest potential for physical and psychological dependence, such as life disruptions that could predict more severe addiction issues. For example, adults caught driving under the influence may worry about the dangers of their drinking habits, including the risk of causing deadly accidents. Secondly, individuals with drug dependence typically experience significant cognitive, behavioral and psychomotor slowdowns in their everyday lives.

In contrast, those who abuse drugs might not show clear signs of these impairments, managing to maintain their job performance, vehicle operation and family relationships relatively normally. Finally, withdrawal symptoms are specific to drug dependence. Those who abuse drugs tend to use substances episodically with varying consumption levels, meaning they can often avoid the severe cognitive and physical effects associated with sudden cessation, experiencing mild or no withdrawal symptoms.

Substance dependence or drug dependence, is a biopsychological condition where an individual relies on the continual consumption of a psychoactive substance to function normally, due to an adaptive state from ongoing use causing withdrawal symptoms without it. This is distinct from drug addiction, which is compulsive drug use despite negative consequences. Substance dependence involves the development of tolerance, requiring more of the substance for the same ‘high’ and leading to potential overdose risks. Historically, substances like alcohol and opium have been used and abused with the understanding and treatment of dependence evolving over time.

What Are The Most Common Drugs That Cause Dependence?

Among the substances commonly used, there are distinct categories based on their effects on the human body. Depressants, such as alcohol and certain medications like benzodiazepines (including Valium, Xanax and Ativan), barbiturates, chloral hydrate and paraldehyde, primarily serve to lower anxiety levels and induce sleep. In contrast, stimulants like cocaine, amphetamines and specific medications prescribed for ADHD (e.g., Ritalin) activate the central nervous system, enhancing alertness and energy. Hallucinogens, including LSD, psilocybin (also known as magic mushrooms), mescaline and PCP (or angel dust), are known for causing profound changes in perception, leading to visual and auditory hallucinations. Opiates and narcotics, which range from heroin and opium to prescription painkillers such as Vicodin and morphine, act as potent pain relievers while also inducing drowsiness and feelings of euphoria. Lastly, marijuana is recognised for its ability to induce relaxation, happiness and a general sense of well-being, distinguishing itself as another commonly used substance.

What is Prescription Drug Dependence?

Can range from using medication prescribed for someone else to alleviate personal pain, to altering pills for recreational use through snorting or injection. Such dependence can evolve into a persistent and uncontrollable habit, despite the negative outcomes it may lead to. Prescription drug dependence is an escalating issue affecting various age groups, including teenagers. The medications most commonly associated with dependence include opioid analgesics, anti-anxiety drugs, sedatives and stimulants. Early recognition and intervention of prescription drug misuse are crucial in preventing it from developing into an addiction. The substances most frequently misused due to their psychoactive properties include opioids like oxycodone and hydrocodone, anti-anxiety medications and sedatives such as alprazolam, diazepam and zolpidem, alongside stimulants prescribed for ADHD and certain sleep disorders, such as methylphenidate and dextroamphetamine.

Previously termed “addiction,” the current term “substance dependence” was adopted in the DSM-IV to focus on diagnostic criteria rather than labeling individuals. Signs of substance dependence include increased tolerance, withdrawal symptoms, significant time spent in obtaining and recovering from the drug, withdrawal from social activities and continued use despite awareness of harmful consequences. Common substances associated with this disorder include alcohol, marijuana, prescription medicines, methamphetamine, cocaine, opiates, hallucinogens and inhalants. Substance use disorder is influenced by a complex interplay of genetic, environmental, societal, personality and psychiatric factors with the primary influence varying from person to person.

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What is Substance Dependence? Get Addiction Help Now

Substance dependence is characterised by measurable tolerance and withdrawal phases, unlike abuse, which may only lead to these conditions. Get help from qualified counsellors.

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    Rehab care is a good option if you are at risk of experiencing strong withdrawal symptoms when you try stop a substance. This option would also be recommended if you have experienced recurrent relapses or if you have tried a less-intensive treatment without success.

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    If you're committed to your sobriety but cannot take a break from your daily duties for an inpatient program. Outpatient rehab treatment might suit you well if you are looking for a less restricted format for addiction treatment or simply need help with mental health.

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    Are you having persistent feelings of being swamped, sad or have sudden surges of anger or intense emotional outbursts? These are warning signs of unresolved trauma mental health. A simple assesment by a mental health expert could provide valuable insights into your recovery.


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