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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"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.

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