Adolescent with Substance Abuse Issues

Substance abuse can plainly be termed as a pattern of destructive utilization of any stuff for mood-altering reasons. The medical encyclopedia defines it as “the use of illicit drugs or the abuse of prescription or over-the-counter drugs for purposes other than those for which they are indicated or in a manner or in quantities other than directed” (Swendsen et al, par). There are materials that can be abused for their mood-altering outcomes that are not drugs at all – solvents and inhalants – and there are drugs that can be used, which do not have intoxication or mood-altering properties, for instance anabolic steroids. In general, when most individuals talk of substance abuse, they mostly mean making use of illegal drugs. Most experts in the prevention of drug abuse field argue that any usage of illegal drugs is known as abuse (Buddy, par). Those drugs have to be banned in the first place since they are likely addictive or can lead to severe harmful health effects for that reason, any usage of illegal substances is abusive and dangerous. Examples of drugs that are commonly abused are marijuana, alcohol, cocaine, heroin, methamphetamines, and tobacco.
History of the Abuse
Seventeen year old Andrew was a victim of substance abuse and particularly marijuana and this study was majorly done using his case. The study started by looking into the history of the drug use that led to the conclusion that Andrew was going through substance abuse.
The research showed that the teenager had been through some familiar stages for drug use and these were,
* Priming
* Initiation
* Experimentation
* habit formation
* Dependency
* obsessive-compulsive use
Acquisition started with priming. This is common among most people who are exposed at a very tender age when the young individual gets to know about the being of substances through family, friends, media, or added means along with acquiring early ideas about the acceptability or unacceptability of substance abuse.
Initiation- this is the second stage that followed when Andrew tried marijuana for the first time. The way in which the initiation takes place, jointly with the early childhood priming, is important in identifying a future association with drugs.
The third stage that is experimentation occurred when the young person willingly started using marijuana occasionally as an end in itself. During this stage, Andrew admits to using marijuana for the fun of it. To him, it was as a pleasant experience without large negative impacts.
In this stage, if use goes on, which is especially the case if the person feels unable of getting a desired mood change in new ways, the person can develop from acquisition to maintenance, from willful utilization to a dilemma behavior, which is past willful management. This is what led to the first stage during maintenance, which is habitual use and it was marked by recurring use of marijuana. This is where he believed that the use of marijuana could reduce stress, offer excitement, or ease social acceptance. Those effects became a means that enabled Andrew to deal with life`s problems or still experience life`s pleasures. During this time, he switched from casual users of marijuana to habitual substance abusers.
He continued with abuse of marijuana that led inevitably to dependency. During this time, brain functions changed and called for nonstop use. At this stage, he had lost control over the substance use and experienced a sequence of grave psychological and physical problems. He started encountering troubles with his relationships, finances, and school performance. This led to an obsessive-compulsive use, in which he was driven by pursuing marijuana as the main activity in his life, even if it no longer produced the much loved effects that he once had.
Reasons for Drug Abuse
The study looked at the reasons why Andrew started using marijuana some of which were uncontrollable. It showed that he had a family history of substance abuse that made him to be at a higher threat for drug and alcohol abuse. He was raised by a stepfather and thus suffered child abuse as the man used to abuse and beat him a lot on top of being raised from a very poor background. Out of this, he suffered from depression and low self-esteem that led to him using marijuana.
In his neighborhood, most of his friends used drugs as some were also going through the same ordeals that Andrew went through and accepted drug use as the “norm. Societal and Cultural norms control acceptable standard of substance use. The study also looked at other disorders that could have caused Andrew to use marijuana and they were environmental stressors, genetic vulnerability, social pressures, characteristics, individual personality and psychiatric setbacks.
Rehabilitation Centre
A social worker got to know about Andrew and on visiting him he was checked into a rehab clinic. He got to meet very many other young people who were also going through the same thing as him. In this rehab center was his road to recovery.
Treatment for the Drugs
In the rehab centre, particular management for substance abuse/chemical dependence was being determined by the physician on basis of:
* Extent of the signs
* A persons age, overall health, as well as medical history
* Nature of substance that is being abused
* Anticipations for the course of the condition
* Level of the dependence
* Tolerance for specific procedures, medications, or therapies
* Individuals opinion or preference
In this case, Andrew was detoxified and a continuing follow-up management was carried out. This included formal group meetings as well as developmentally age-appropriate psychosocial maintenance systems, in addition to continued medical supervision. Family and individual psychotherapy was frequently suggested to address the psychosocial, developmental, as well as family issues that may have added to and resulted from the use of marijuana.
Recovery Activity That Maybe Carried In a Treatment Facility
In the rehab centre a number of activities were carried out but further research was carried out on an additional activity that could be put in place to help those with the problem of substance abuse. The recommended one was establishing a wellness and Recovery Center. In this, services are offered within programs offering clinically founded recovery and support. Medical services may in addition be offered by the center. Entrance to the club house plus eligibility for getting support services is dependent on ongoing in clinical substance misuse or co‐occurring aftercare or treatment. This has a, non‐ office, more naturalistic programmatic organization, is community ‐ based, in addition to fostering age ‐ suitable pro social activities and affiliations. More thought should be given to programs that are capable of developing working local joint ventures, that include families, youth, child ‐ serving agencies, community representatives, providers, and can influence community income.
Works Cited
Buddy, T. What Is Substance Abuse? The Difference Between Substance Use and Abuse. Retrieved from on November 28, 2013
Swendsen, J,. Burstein, M., Case, B., Conway,K. P., Dierker, L., Jianping H., Merikangas,K. R., . Use and Abuse of Alcohol and Illicit Drugs in US AdolescentsResults of the National Comorbidity Survey – Adolescent Supplement FREE. 2012.

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