Substance Problems is it a Disease?
issues. This can help explain why so many return to substance use, early on in their treatments, since integrated treatment is often, not available.
What does all this mean as far as “older concepts,” to some degree, they were and are correct, human observation is a valid research, but it lacks “evidence” to prove to the opposing concepts. To quote SaulRosenzweigthe dodo bird classic analogy of therapies, he proposed Alice in Wonderland by Lewis Carol, seeing all therapy through one simple statement “they all win, they all deserve prizes”.
The “disease” while doing damage, is not progressive while dormant or absent of the change agent, the drug of use it is not a rouge gene such as cancer. Brain damage (neurotransmitter dysregulation) occurred or becomes permanently mapped in memory while active over different periods of time, based on the substance, alcohol being a much slower agent than something injected, or taken directly into the circulatory system, where the term neuroadaptive, or Neuroplasticity comes into play, is the brains ability to adapt or try to adapt to whatever levels of a change agent is administered, how it is administered the amounts administered leads to or can lead to true dependence.
Who does this? Psychosomatic problem solving skill set, “self medicating” leads to the false positives, and often a misdiagnosis occurs, “I am depressed” so I treat myself with a substance to fend off my depression. If an untrained person, saw or hears “the substance” as the main problem and not the depression a person could easily be labeled “alcoholic or drug addict” while the cause of the depression goes untreated.
Now, take the person depressed at age 12, and binge “uses” a substance for ten years? It would look like “progression” while what we really have is a brain developing with a foreign chemical causing the brain to adapt, “plasticity” adapts now we see neuroplasticity our body is not the problem, the brain’s ability to self regulate becomes the main problem. Now we have a brain damaged from long term exposure to a substance. Did it treat the depression? And do we have two problems that both need serious attention. Where does a person go to treat depression, where is the disease? And now add “anxiety” the fear of not using the substance to treat the depression. Here we see a thought, a disease and behavioral problem, the perfect storm, which gets treated? will, not using the substance, treat the depression? Will treating the depression treat the brain disorder, will the behavior “readjust” by its self?
Now we see the problems of not using the correct “medical model” depending on the severity of the problem will determine the proper treatment or miss it by a country mile.
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