Withdrawal
Withdrawal refers to the physical and psychological symptoms that arise when an individual who is dependent on substances like drugs or alcohol suddenly stops using them. This reaction can occur after regular use and may range from uncomfortable to life-threatening, depending on factors such as the type of substance and the duration of use. Common symptoms of withdrawal can include loss of appetite, shaking, hallucinations, weight loss, irritability, and abdominal pain. Specifically, withdrawal from alcohol can lead to severe complications, such as seizures and delirium tremens, which can be fatal without medical intervention.
Treatment for withdrawal typically begins with detoxification, where medical professionals closely monitor the individual and provide medications to alleviate cravings and symptoms. Following detox, rehabilitation may involve behavioral therapies aimed at preventing future substance use, including cognitive-behavioral therapy and family therapy. In some cases, residential treatment may be necessary, lasting from six to twelve months, where individuals learn to maintain a substance-free lifestyle. Support groups like Narcotics Anonymous and Alcoholics Anonymous also play a critical role in ongoing recovery, offering community and encouragement for those striving to overcome addiction.
Withdrawal
DEFINITION: Withdrawal is a physical reaction that occurs if a substance-dependent person suddenly stops using drugs or alcohol. This can occur if the person has been using drugs or alcohol regularly. Depending on the type of substance and the length of use, withdrawal can be a life-threatening condition. The sooner it is treated, the better the outcome.
Causes and Symptoms
Medicines, alcohol, or illegal drugs can cause withdrawal. The factors that increase the chances of developing withdrawal symptoms are a history of substance abuse, the sudden stopping of drugs or alcohol, and physical dependence on drugs or alcohol. Symptoms vary and are based on the substance used or abused. Symptoms may include loss of appetite, shaking, hallucinations, weight loss, sleeplessness, irritability, and abdominal pain and cramps.
In some cases, withdrawal from certain substances can prove fatal. Alcohol withdrawal can lead to seizures and delirium tremens (DT), which can, in turn, cause confusion, hallucinations, and death. The risk of seizures and resulting death is also a concern with benzodiazepine withdrawal. Individuals are encouraged to work with their medical team to taper down their dosage to prevent seizures. Finally, although opioid withdrawal is not fatal on its own, the dehydration and electrolyte imbalance from symptoms, such as vomiting and diarrhea, can lead to death.
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Treatment and Therapy
There are several treatment options for withdrawal, such as detoxification and rehabilitation. Detoxification is the first step in treating substance abuse. Patients will be closely checked for signs of withdrawal and possibly be given medicines to reduce cravings. These medicines will also help with symptoms, which can be severe for withdrawal. Treatment is targeted to the specific symptoms and drugs used.
Rehabilitation is a form of treatment that uses behavioral therapy to prevent patients from using drugs or alcohol in the future. Behavior therapy may involve cognitive-behavioral therapy, which teaches recovering drug users how to recognize and avoid situations that may lead to drug abuse; family therapy, which helps patients and their families to understand patterns of drug abuse and teaches strategies to avoid future abuse; and motivational therapy, which uses positive reinforcement to prevent drug use.
Sometimes, residential treatment is necessary. The typical stay is between six and twelve months. Residential facilities will instruct on how to live a drug- or alcohol-free life. In addition, recovery groups offer continued support for a drug- or alcohol-free life. Some support groups are Narcotics Anonymous, Cocaine Anonymous, and Alcoholics Anonymous.
Bibliography
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National Institute on Drug Abuse. Principles of Drug Addiction Treatment: A Research-Based Guide. 2nd ed., Rockville, MD: US DHHS, National Institutes of Health (NIH) Publication No. 09-4180, 2009.
O’Connor, Patrick G. "Methods of Detoxification and Their Role in Treating Patients with Opioid Dependence." Journal of the American Medical Association, vol. 294, no. 8, 2005, pp. 961–963.
"Opiate and Opioid Withdrawal." MedlinePlus, 30 Apr. 2022, medlineplus.gov/ency/article/000949.htm. Accessed 21 Aug. 2024.
Pham, Lan, and Manjari Bansal. "Drug Withdrawal: 4 Facts You Should Know." WebMD, 2022, www.webmd.com/connect-to-care/addiction-treatment-recovery/facts-about-drug-withdrawal. Accessed 21 Nov. 2022.
Professional Guide to Diseases. 9th ed., Ambler, PA: Lippincott Williams & Wilkins, 2008.
"Withdrawal Syndromes - StatPearls." NCBI, www.ncbi.nlm.nih.gov/books/NBK459239. Accessed 21 Aug. 2024.