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Drug addiction, also called substance use disorder, is a disease that affects a person's brain and behavior and leads to an inability to control the use of a legal or illegal drug or medicine. Substances such as alcohol, marijuana and nicotine also are considered drugs. When you're addicted, you may continue using the drug despite the harm it causes.

Drug addiction can start with experimental use of a recreational drug in social situations, and, for some people, the drug use becomes more frequent. For others, particularly with opioids, drug addiction begins when they take prescribed medicines or receive them from others who have prescriptions.

The risk of addiction and how fast you become addicted varies by drug. Some drugs, such as opioid painkillers, have a higher risk and cause addiction more quickly than others.

As time passes, you may need larger doses of the drug to get high. Soon you may need the drug just to feel good. As your drug use increases, you may find that it's increasingly difficult to go without the drug. Attempts to stop drug use may cause intense cravings and make you feel physically ill. These are called withdrawal symptoms.

Help from your health care provider, family, friends, support groups or an organized treatment program can help you overcome your drug addiction and stay drug-free.

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Drug addiction symptoms or behaviors include, among others:

  • Feeling that you have to use the drug regularly — daily or even several times a day
  • Having intense urges for the drug that block out any other thoughts
  • Over time, needing more of the drug to get the same effect
  • Taking larger amounts of the drug over a longer period of time than you intended
  • Making certain that you maintain a supply of the drug
  • Spending money on the drug, even though you can't afford it
  • Not meeting obligations and work responsibilities, or cutting back on social or recreational activities because of drug use
  • Continuing to use the drug, even though you know it's causing problems in your life or causing you physical or psychological harm
  • Doing things to get the drug that you normally wouldn't do, such as stealing
  • Driving or doing other risky activities when you're under the influence of the drug
  • Spending a good deal of time getting the drug, using the drug or recovering from the effects of the drug
  • Failing in your attempts to stop using the drug
  • Experiencing withdrawal symptoms when you attempt to stop taking the drug

Recognizing unhealthy drug use in family members

Sometimes it's difficult to distinguish normal teenage moodiness or anxiety from signs of drug use. Possible signs that your teenager or other family member is using drugs include:

  • Problems at school or work — frequently missing school or work, a sudden disinterest in school activities or work, or a drop in grades or work performance
  • Physical health issues — lack of energy and motivation, weight loss or gain, or red eyes
  • Neglected appearance — lack of interest in clothing, grooming or looks
  • Changes in behavior — major efforts to bar family members from entering the teenager's room or being secretive about going out with friends; or drastic changes in behavior and in relationships with family and friends
  • Money issues — sudden requests for money without a reasonable explanation; or your discovery that money is missing or has been stolen or that items have disappeared from your home, indicating maybe they're being sold to support drug use

Recognizing signs of drug use or intoxication

Signs and symptoms of drug use or intoxication may vary, depending on the type of drug. Below you'll find several examples.

Marijuana, hashish and other cannabis-containing substances

People use cannabis by smoking, eating or inhaling a vaporized form of the drug. Cannabis often precedes or is used along with other substances, such as alcohol or illegal drugs, and is often the first drug tried.

Signs and symptoms of recent use can include:

  • A sense of euphoria or feeling "high"
  • A heightened sense of visual, auditory and taste perception
  • Increased blood pressure and heart rate
  • Decreased coordination
  • Difficulty concentrating or remembering
  • Slowed reaction time
  • Anxiety or paranoid thinking
  • Cannabis odor on clothes or yellow fingertips
  • Major cravings for certain foods at unusual times

Long-term use is often associated with:

  • Decreased mental sharpness
  • Poor performance at school or at work
  • Ongoing cough and frequent lung infections

K2, Spice and bath salts

Two groups of synthetic drugs — synthetic cannabinoids and substituted or synthetic cathinones — are illegal in most states. The effects of these drugs can be dangerous and unpredictable, as there is no quality control and some ingredients may not be known.

Synthetic cannabinoids, also called K2 or Spice, are sprayed on dried herbs and then smoked, but can be prepared as an herbal tea. A liquid form can be vaporized in electronic cigarettes. Despite manufacturer claims, these are chemical compounds rather than "natural" or harmless products. These drugs can produce a "high" similar to marijuana and have become a popular but dangerous alternative.

  • Elevated mood
  • An altered sense of visual, auditory and taste perception
  • Extreme anxiety or agitation
  • Hallucinations
  • Increased heart rate and blood pressure or heart attack
  • Violent behavior

Substituted cathinones, also called "bath salts," are mind-altering (psychoactive) substances similar to amphetamines such as ecstasy (MDMA) and cocaine. Packages are often labeled as other products to avoid detection.

Despite the name, these are not bath products such as Epsom salts. Substituted cathinones can be eaten, snorted, inhaled or injected and are highly addictive. These drugs can cause severe intoxication, which results in dangerous health effects or even death.

  • Feeling "high"
  • Increased sociability
  • Increased energy and agitation
  • Increased sex drive
  • Increased heart rate and blood pressure
  • Problems thinking clearly
  • Loss of muscle control
  • Panic attacks
  • Psychotic and violent behavior

Barbiturates, benzodiazepines and hypnotics

Barbiturates, benzodiazepines and hypnotics are prescription central nervous system depressants. They're often used and misused in search for a sense of relaxation or a desire to "switch off" or forget stress-related thoughts or feelings.

  • Barbiturates. An example is phenobarbital.
  • Benzodiazepines. Examples include sedatives, such as diazepam (Valium), alprazolam (Xanax), lorazepam (Ativan), clonazepam (Klonopin) and chlordiazepoxide (Librium).
  • Hypnotics. Examples include prescription sleeping medicines such as zolpidem (Ambien) and zaleplon (Sonata).
  • Slurred speech
  • Lack of coordination
  • Irritability or changes in mood
  • Problems concentrating or thinking clearly
  • Memory problems
  • Involuntary eye movements
  • Lack of inhibition
  • Slowed breathing and reduced blood pressure
  • Falls or accidents

Meth, cocaine and other stimulants

Stimulants include amphetamines, meth (methamphetamine), cocaine, methylphenidate (Ritalin, Concerta, others) and amphetamine-dextroamphetamine (Adderall XR, Mydayis). They're often used and misused in search of a "high," or to boost energy, to improve performance at work or school, or to lose weight or control appetite.

  • Feeling of happy excitement and too much confidence
  • Increased alertness
  • Increased energy and restlessness
  • Behavior changes or aggression
  • Rapid or rambling speech
  • Larger than usual pupils, the black circles in the middle of the eyes
  • Confusion, delusions and hallucinations
  • Irritability, anxiety or paranoia
  • Changes in heart rate, blood pressure and body temperature
  • Nausea or vomiting with weight loss
  • Poor judgment
  • Nasal congestion and damage to the mucous membrane of the nose (if snorting drugs)
  • Mouth sores, gum disease and tooth decay from smoking drugs ("meth mouth")
  • Depression as the drug wears off

Club drugs are commonly used at clubs, concerts and parties. Examples include methylenedioxymethamphetamine, also called MDMA, ecstasy or molly, and gamma-hydroxybutyric acid, known as GHB. Other examples include ketamine and flunitrazepam or Rohypnol — a brand used outside the U.S. — also called roofie. These drugs are not all in the same category, but they share some similar effects and dangers, including long-term harmful effects.

Because GHB and flunitrazepam can cause sedation, muscle relaxation, confusion and memory loss, the potential for sexual misconduct or sexual assault is associated with the use of these drugs.

Signs and symptoms of use of club drugs can include:

  • Larger than usual pupils
  • Chills and sweating
  • Involuntary shaking (tremors)
  • Behavior changes
  • Muscle cramping and teeth clenching
  • Muscle relaxation, poor coordination or problems moving
  • Reduced inhibitions
  • Heightened or altered sense of sight, sound and taste
  • Memory problems or loss of memory
  • Reduced consciousness
  • Increased or decreased heart rate and blood pressure

Hallucinogens

Use of hallucinogens can produce different signs and symptoms, depending on the drug. The most common hallucinogens are lysergic acid diethylamide (LSD) and phencyclidine (PCP).

LSD use may cause:

  • Greatly reduced perception of reality, for example, interpreting input from one of your senses as another, such as hearing colors
  • Impulsive behavior
  • Rapid shifts in emotions
  • Permanent mental changes in perception
  • Rapid heart rate and high blood pressure
  • Flashbacks, a reexperience of the hallucinations — even years later

PCP use may cause:

  • A feeling of being separated from your body and surroundings
  • Problems with coordination and movement
  • Aggressive, possibly violent behavior
  • Lack of pain sensation
  • Increase in blood pressure and heart rate
  • Problems with thinking and memory
  • Problems speaking
  • Intolerance to loud noise
  • Sometimes seizures or coma

Signs and symptoms of inhalant use vary, depending on the substance. Some commonly inhaled substances include glue, paint thinners, correction fluid, felt tip marker fluid, gasoline, cleaning fluids and household aerosol products. Due to the toxic nature of these substances, users may develop brain damage or sudden death.

Signs and symptoms of use can include:

  • Possessing an inhalant substance without a reasonable explanation
  • Brief happy excitement
  • Behaving as if drunk
  • Reduced ability to keep impulses under control
  • Aggressive behavior or eagerness to fight
  • Nausea or vomiting
  • Appearing under the influence of drugs, with slurred speech, slow movements and poor coordination
  • Irregular heartbeats
  • Lingering odor of inhalant material
  • Rash around the nose and mouth

Opioid painkillers

Opioids are narcotic, painkilling drugs produced from opium or made synthetically. This class of drugs includes, among others, heroin, morphine, codeine, methadone, fentanyl and oxycodone.

Sometimes called the "opioid epidemic," addiction to opioid prescription pain medicines has reached an alarming rate across the United States. Some people who've been using opioids over a long period of time may need physician-prescribed temporary or long-term drug substitution during treatment.

Signs and symptoms of narcotic use and dependence can include:

  • A sense of feeling "high"
  • Reduced sense of pain
  • Agitation, drowsiness or sedation
  • Problems with attention and memory
  • Pupils that are smaller than usual
  • Lack of awareness or inattention to surrounding people and things
  • Problems with coordination
  • Constipation
  • Runny nose or nose sores (if snorting drugs)
  • Needle marks (if injecting drugs)

When to see a doctor

If your drug use is out of control or causing problems, get help. The sooner you seek help, the greater your chances for a long-term recovery. Talk with your health care provider or see a mental health provider, such as a doctor who specializes in addiction medicine or addiction psychiatry, or a licensed alcohol and drug counselor.

Make an appointment to see a provider if:

  • You can't stop using a drug
  • You continue using the drug despite the harm it causes
  • Your drug use has led to unsafe behavior, such as sharing needles or unprotected sex
  • You think you may be having withdrawal symptoms after stopping drug use

If you're not ready to approach a health care provider or mental health professional, help lines or hotlines may be a good place to learn about treatment. You can find these lines listed on the internet or in the phone book.

When to seek emergency help

Seek emergency help if you or someone you know has taken a drug and:

  • May have overdosed
  • Shows changes in consciousness
  • Has trouble breathing
  • Has seizures or convulsions
  • Has signs of a possible heart attack, such as chest pain or pressure
  • Has any other troublesome physical or psychological reaction to use of the drug

Staging an intervention

People struggling with addiction usually deny they have a problem and hesitate to seek treatment. An intervention presents a loved one with a structured opportunity to make changes before things get even worse and can motivate someone to seek or accept help.

It's important to plan an intervention carefully. It may be done by family and friends in consultation with a health care provider or mental health professional such as a licensed alcohol and drug counselor, or directed by an intervention professional. It involves family and friends and sometimes co-workers, clergy or others who care about the person struggling with addiction.

During the intervention, these people gather together to have a direct, heart-to-heart conversation with the person about the consequences of addiction. Then they ask the person to accept treatment.

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Like many mental health disorders, several factors may contribute to development of drug addiction. The main factors are:

  • Environment. Environmental factors, including your family's beliefs and attitudes and exposure to a peer group that encourages drug use, seem to play a role in initial drug use.
  • Genetics. Once you've started using a drug, the development into addiction may be influenced by inherited (genetic) traits, which may delay or speed up the disease progression.

Changes in the brain

Physical addiction appears to occur when repeated use of a drug changes the way your brain feels pleasure. The addicting drug causes physical changes to some nerve cells (neurons) in your brain. Neurons use chemicals called neurotransmitters to communicate. These changes can remain long after you stop using the drug.

Risk factors

People of any age, sex or economic status can become addicted to a drug. Certain factors can affect the likelihood and speed of developing an addiction:

  • Family history of addiction. Drug addiction is more common in some families and likely involves an increased risk based on genes. If you have a blood relative, such as a parent or sibling, with alcohol or drug addiction, you're at greater risk of developing a drug addiction.
  • Mental health disorder. If you have a mental health disorder such as depression, attention-deficit/hyperactivity disorder (ADHD) or post-traumatic stress disorder, you're more likely to become addicted to drugs. Using drugs can become a way of coping with painful feelings, such as anxiety, depression and loneliness, and can make these problems even worse.
  • Peer pressure. Peer pressure is a strong factor in starting to use and misuse drugs, particularly for young people.
  • Lack of family involvement. Difficult family situations or lack of a bond with your parents or siblings may increase the risk of addiction, as can a lack of parental supervision.
  • Early use. Using drugs at an early age can cause changes in the developing brain and increase the likelihood of progressing to drug addiction.
  • Taking a highly addictive drug. Some drugs, such as stimulants, cocaine or opioid painkillers, may result in faster development of addiction than other drugs. Smoking or injecting drugs can increase the potential for addiction. Taking drugs considered less addicting — so-called "light drugs" — can start you on a pathway of drug use and addiction.

Complications

Drug use can have significant and damaging short-term and long-term effects. Taking some drugs can be particularly risky, especially if you take high doses or combine them with other drugs or alcohol. Here are some examples.

  • Methamphetamine, opiates and cocaine are highly addictive and cause multiple short-term and long-term health consequences, including psychotic behavior, seizures or death due to overdose. Opioid drugs affect the part of the brain that controls breathing, and overdose can result in death. Taking opioids with alcohol increases this risk.
  • GHB and flunitrazepam may cause sedation, confusion and memory loss. These so-called "date rape drugs" are known to impair the ability to resist unwanted contact and recollection of the event. At high doses, they can cause seizures, coma and death. The danger increases when these drugs are taken with alcohol.
  • MDMA — also known as molly or ecstasy — can interfere with the body's ability to regulate temperature. A severe spike in body temperature can result in liver, kidney or heart failure and death. Other complications can include severe dehydration, leading to seizures. Long-term, MDMA can damage the brain.
  • One particular danger of club drugs is that the liquid, pill or powder forms of these drugs available on the street often contain unknown substances that can be harmful, including other illegally manufactured or pharmaceutical drugs.
  • Due to the toxic nature of inhalants, users may develop brain damage of different levels of severity. Sudden death can occur even after a single exposure.

Other life-changing complications

Dependence on drugs can create a number of dangerous and damaging complications, including:

  • Getting an infectious disease. People who are addicted to a drug are more likely to get an infectious disease, such as HIV , either through unsafe sex or by sharing needles with others.
  • Other health problems. Drug addiction can lead to a range of both short-term and long-term mental and physical health problems. These depend on what drug is taken.
  • Accidents. People who are addicted to drugs are more likely to drive or do other dangerous activities while under the influence.
  • Suicide. People who are addicted to drugs die by suicide more often than people who aren't addicted.
  • Family problems. Behavioral changes may cause relationship or family conflict and custody issues.
  • Work issues. Drug use can cause declining performance at work, absenteeism and eventual loss of employment.
  • Problems at school. Drug use can negatively affect academic performance and motivation to excel in school.
  • Legal issues. Legal problems are common for drug users and can stem from buying or possessing illegal drugs, stealing to support the drug addiction, driving while under the influence of drugs or alcohol, or disputes over child custody.
  • Financial problems. Spending money to support drug use takes away money from other needs, could lead to debt, and can lead to illegal or unethical behaviors.

The best way to prevent an addiction to a drug is not to take the drug at all. If your health care provider prescribes a drug with the potential for addiction, use care when taking the drug and follow instructions.

Health care providers should prescribe these medicines at safe doses and amounts and monitor their use so that you're not given too great a dose or for too long a time. If you feel you need to take more than the prescribed dose of a medicine, talk to your health care provider.

Preventing drug misuse in children and teenagers

Take these steps to help prevent drug misuse in your children and teenagers:

  • Communicate. Talk to your children about the risks of drug use and misuse.
  • Listen. Be a good listener when your children talk about peer pressure and be supportive of their efforts to resist it.
  • Set a good example. Don't misuse alcohol or addictive drugs. Children of parents who misuse drugs are at greater risk of drug addiction.
  • Strengthen the bond. Work on your relationship with your children. A strong, stable bond between you and your child will reduce your child's risk of using or misusing drugs.

Preventing a relapse

Once you've been addicted to a drug, you're at high risk of falling back into a pattern of addiction. If you do start using the drug, it's likely you'll lose control over its use again — even if you've had treatment and you haven't used the drug for some time.

  • Follow your treatment plan. Monitor your cravings. It may seem like you've recovered and you don't need to keep taking steps to stay drug-free. But your chances of staying drug-free will be much higher if you continue seeing your therapist or counselor, going to support group meetings and taking prescribed medicine.
  • Avoid high-risk situations. Don't go back to the neighborhood where you used to get your drugs. And stay away from your old drug crowd.
  • Get help immediately if you use the drug again. If you start using the drug again, talk to your health care provider, your mental health provider or someone else who can help you right away.

Drug addiction (substance use disorder) care at Mayo Clinic

  • Substance-related and addictive disorders. In: Diagnostic and Statistical Manual of Mental Disorders DSM-5. 5th ed. American Psychiatric Association; 2013. https://dsm.psychiatryonline.org. Accessed Aug. 15, 2022.
  • Brown AY. Allscripts EPSi. Mayo Clinic. April 13, 2021.
  • DrugFacts: Understanding drug use and addiction. National Institute on Drug Abuse. https://www.drugabuse.gov/publications/drugfacts/understanding-drug-use-addiction. Accessed Aug. 15, 2022.
  • American Psychiatric Association. What is a substance use disorder? https://psychiatry.org/patients-families/addiction-substance-use-disorders/what-is-a-substance-use-disorder. Accessed Sept. 2, 2022.
  • Eddie D, et al. Lived experience in new models of care for substance use disorder: A systematic review of peer recovery support services and recovery coaching. Frontiers in Psychology. 2019; doi:10.3389/fpsyg.2019.01052.
  • Commonly used drugs charts. National Institute on Drug Abuse. https://www.drugabuse.gov/drug-topics/commonly-used-drugs-charts. Accessed Aug. 16, 2022.
  • Drugs, brains, and behavior: The science of addiction. National Institute on Drug Abuse. https://www.drugabuse.gov/publications/drugs-brains-behavior-science-addiction/drug-misuse-addiction. Accessed Aug. 16, 2022.
  • Drugs of abuse: A DEA resource guide/2020 edition. United States Drug Enforcement Administration. https://admin.dea.gov/documents/2020/2020-04/2020-04-13/drugs-abuse. Accessed Aug. 31, 2022.
  • Misuse of prescription drugs research report. National Institute on Drug Abuse. https://www.drugabuse.gov/publications/research-reports/misuse-prescription-drugs/overview. Accessed Aug. 17, 2022.
  • Principles of drug addiction treatment: A research-based guide. 3rd ed. National Institute on Drug Abuse. https://www.drugabuse.gov/publications/principles-drug-addiction-treatment-research-based-guide-third-edition/preface. Accessed Aug. 17, 2022.
  • The science of drug use: A resource for the justice sector. National Institute on Drug Abuse. https://nida.nih.gov/drug-topics/criminal-justice/science-drug-use-resource-justice-sector. Accessed Sept. 2, 2022.
  • Naloxone DrugFacts. National Institute on Drug Abuse. https://nida.nih.gov/publications/drugfacts/naloxone. Accessed Aug. 31, 2022.
  • Drug and substance use in adolescents. Merck Manual Professional Version. https://www.merckmanuals.com/professional/pediatrics/problems-in-adolescents/drug-and-substance-use-in-adolescents. Accessed Sept. 2, 2022.
  • DrugFacts: Synthetic cannabinoids (K2/Spice). National Institute on Drug Abuse. https://www.drugabuse.gov/publications/drugfacts/synthetic-cannabinoids-k2spice. Accessed Aug. 18, 2022.
  • Hall-Flavin DK (expert opinion). Mayo Clinic. March 5, 2021.
  • Poppy seed tea: Beneficial or dangerous?

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Causes of Addiction

Reviewed by Psychology Today Staff

There are many theories about the causes of addiction, the use and abuse of legal and illegal psychoactive substances. Biology, psychology, and social and cultural elements all play a role in the enormously complex causal bouquet that results in addiction , and different theories weight the elements differently. Together they reflect the fact that there is no one path to addiction, and no one factor makes addiction an inevitable outcome. Addiction can’t happen without exposure to agents, but that is hardly the determining factor. Addiction is not a property of the substance ingested or activity engaged in.

Instead, research indicates that it is more related to what else is, or isn’t, going on in a person’s life that makes the sensation a substance induces so attractive. Among the many factors that have been shown to influence the development of an addiction are feelings about oneself, emotional state, quality of family relationships, social ties, community attributes, employment status, stress reactivity and coping skills, physical or emotional pain, personality traits, educational opportunities, compelling goals and progress toward them, opportunities for and access to rewards in life, as well as physiological responses. While no factor predominates, each exerts some degree of influence.

On This Page

  • What are the most common causes of addiction?
  • What are the most common substances of abuse?
  • Are some substances more addictive than others?
  • Are there risk factors for addiction?
  • Do genes play a role in addiction?
  • What biological factors influence addiction?
  • What environmental factors influence addiction?
  • Does stress play a role in addiction?
  • What role does childhood trauma play in addiction?
  • Is there a brain malfunction that causes addiction?
  • If a family member was addicted, will I become addicted?
  • Is there an addictive personality?
  • Why do some people become addicted while others do not?
  • Can someone get addicted by using a substance once?
  • Can drug addiction be prevented?

There are no substances (or activities) that universally or uniformly cause people to become addicted. And the vast majority of people exposed to most substances (or activities) considered addictive do not in fact develop addiction to them. Rather, a very complex array of cultural factors, social factors, and situational factors mingle with psychological factors, biological factors, and even personal values to influence the possibility of addiction.

Many different theories of addiction exist because they weight the role of contributing factors differently. Some current models of addiction emphasize the causative role of individual variations in biology or genes that make a substance or experience feel more or less pleasurable. Many models of addiction highlight the causative role of individual psychological factors, whether personality factors such as impulsiveness or sensation-seeking, or psychopathology such as the negative effects of early trauma. Other models of addiction emphasize the role that social and economic factors play in shaping behavior, such as the strength of family and peer relationships and the presence of absence of educational and employment opportunities.

Around the world and in the U.S., nicotine is the most widely used addictive substance; tobacco causes a reported 40 million deaths worldwide. According to the National Institute of Drug Abuse, smoking kills more than 1,000 Americans every day, and although tobacco use is generally declining in the U.S. its use is increasing among some groups of young people, especially in the form of vaping, or inhaling nicotine vapors .

Alcohol in some form is widely used for pleasurable purposes and is an important part of the social fabric worldwide, today as in ancient times. Nevertheless, according to the National Institute on Alcohol Abuse and Alcoholism, 14.6 million U.S. adults over the age of 18 have alcohol use disorder, marked by uncontrolled drinking. Around the world, 240 million people are reportedly dependent on alcohol; alcohol abuse is most prevalent in Eastern Europe and least prevalent among Asians.

Painkillers including prescription opiates such as oxycodone and fentanyl and the illegal drug heroin account for more than 10 percent of all addictions in the U.S, affecting more than 2.5 million people, according to the American Society of Addiction Medicine.

Cocaine is a stimulant that is often taken intranasally (snorted) or injected intravenously but is considered to have the most potential for addiction because of the fast, intense high when smoked in the form of “crack.” Other stimulants that are subject to abuse are amphetamines, widely prescribed to combat attention deficit hyperactivity disorder and to foster alertness and energy.

Depressive agents such as sedatives and tranquilizers are widely used medically to combat stress, anxiety, and sleep disorders , but NIDA reports that 3.5 to 5 percent of the population uses tranquilizers and sleeping pills nonmedically.

The synthetic stimulant methamphetamine is widely considered one of the most addictive agents. Often inhaled, it directly affects the dopamine and other neurotransmitter systems system to produce an extremely fast and intense—but short-lived—high, with an altered sense of energy and power. Further, by changing the responsiveness of dopamine receptors, methamphetamine blunts the experience of reward from normal sources of pleasure.

Crack cocaine is also considered highly addictive. Cocaine processed so that it can be smoked, it enters the blood stream rapidly and produces a rapid “rush” of a high; the immediate response becomes powerfully reinforcing, driving the motivation to repeat the experience.

There are many risk factors for addiction, from individual factors such as stress tolerance and personality makeup to social factors such as friendships and educational and job opportunities. They interact in dynamic ways unique to each person. But what addiction may come down to for everyone is the emotional and physical appeal of a substance at a particular moment in a person’s life. The effects of drugs are pleasurable and rewarding only in relation to how a person feels emotionally and physically in the context of his or her relationships and social life and other opportunities for development and reward.

Some studies show that genes can account for as much as 50 percent of a person’s risk for addiction, although the degree of genetic influence shifts in importance over time. For example, environmental factors such as family and social relationships are more strongly tied to use of alcohol and nicotine in adolescence than later in life. Nevertheless, there is no single gene for addiction nor even a group of genes.

However, there are a number of personality traits, each of which is partly genetically influenced, that contribute to the risk of addiction. These include impulsiveness, frustration tolerance, and sensitivity to rejection. Impulsivity is thought to play its strongest role in the early stages of addiction, driving the motivation for seeking drugs.

Biology contributes to addiction in ways beyond genes. How the body metabolizes, or breaks down and eliminates, foreign substances such as drugs or alcohol is heavily dependent on the presence of various enzymes, and they may vary significantly between individuals and even between ethnic groups.

For example, research shows that the Japanese have unique variations of certain alcohol-metabolizing enzymes that are not present in other populations, deterring alcohol consumption— and alcoholism—because it quickly gives rise to uncomfortable body sensations. Biological factors such as enzyme profile can influence the amount of alcohol people ingest, the pleasantness of the experience, harmful effects on the body, and the development of disease.

There are many factors that influence addiction beyond genes and biology. One of the most significant is t he family milieu and early life experiences . Family interactions, parenting style, and levels of supervision all play a role in development of coping skills and susceptibility to mental health problems. Studies have linked authoritarian or neglectful parenting, family violence, and divorce to increased likelihood of substance use problems later in life. Growing up with strong ties to and a sense of belonging—to a family, to a belief tradition, to a culture—are known to be protective against addiction.

Peers play an enormous role in addiction susceptibility, especially among teens and young adults; most people use drugs for the first time as teenagers. Misuse of prescription drugs, for example, is highest among young adults aged 18 to 25, according to the National Institute of Drug Abuse. Alcohol is the most commonly abused drug among adolescents in the United States. The behavior patterns of friends influence everyone in the group. Further, psychological distress, especially depression and anxiety , has been shown to play an important role in such substance use.

Stress is a risk factor for many kinds of nonadaptive behavior, and addiction is one. Researchers have long linked the effects of chronic stress to alcohol use. Stress relief may enhance the pleasurable effect of any substance. There is some research to support the view that adverse events in childhood and in adulthood change the responsiveness of brain systems. Adverse early life events and cumulative negative events in adulthood—especially those that are both unpredictable and emotionally distressing—alter reactivity of brain structures that govern learning, motivation, the control of distress and control of impulsiveness to increase susceptibility to addiction and to influence the risk of relapse. Stress also increases the risk of mood and anxiety disorders, which are linked to addiction.

Adverse childhood experiences (ACEs) such as trauma, especially combined with an unpredictable and chaotic childhood, pose a risk factor for many kinds of maladaptive behaviors and poor health outcomes . Studies show that having multiple ACEs puts children at risk of poor school performance, unemployment, and high-risk health behaviors including smoking and drug use.

Prolonged stress during childhood dysregulates the normal stress response and, through overproduction of cortisol, is especially harmful to the brain’s hippocampus, impairing memory and learning. Severe or sustained early life adversity shifts the course of brain development and can lastingly impair emotion regulation and cognitive development. What is more, it can sensitize the stress response system so that it overresponds to minimal levels of threat, making people feel easily overwhelmed by life’s normal difficulties. Research shows a strong link between ACEs and opioid drug abuse as well as alcoholism.

The common but mistaken view of addiction as a brain disease suggests that there is some malfunction in the brain that leads to addiction. But that is not the case. Studies show that repeated use of a substance (or an activity), encouraged by a surge in dopamine, creates changes in the wiring of the brain—and those changes are reversible after drug use stops.

Neuroscience research supports the idea that addiction is a habit that becomes deeply entrenched and self-perpetuating , rewiring the circuitry of the brain as it is repeated. The repetition of a highly pleasurable experience—drugs, gambling—alters neurons; they adjust their wiring to become increasingly efficient at the experience. They prune away their capacity to respond to other inputs. It is a form of deeply engraved learning. As drug use stops, engaging in other rewarding activities rewires the brain to find interest and pleasure in non-drug pursuits.

The vast majority of children whose parents abuse alcohol or drugs do not grow up to do the same. However, they are at some increased risk for doing so, and there are a number of reasons why. For one, they are exposed to those substances, and exposure during early adolescence may especially influence substance use.

For another, they may inherit whatever genetic or biological vulnerabilities laid the groundwork for a parental addiction. But they may also be more prone to addiction because they suffer from cognitive, emotional, or behavioral problems known to arise in children as a consequence of growing up in a home marked by substance use; for example, as children they are at increased risk of neglect, abuse, or a poor quality parent-child relationship .

It is a myth that there is some personality factor that is specific for the development of addiction and makes addiction likely. There are a number of personality traits widely shared in the population that contribute to the risk of developing an addiction, usually in indirect ways. For example, people prone to thrill-seeking may be more likely than others to find themselves in situations where drugs are used or to experiment with any number of activities—think: bungee jumping, base-jumping—or substances that provide outsize rewards.

Studies show that those who are high in the trait of neuroticism—they are prone to experiencing negative emotions—are overwhelmed by minor frustrations and interpret ordinary situations as stressful. Neuroticism is linked to a wide array of mental health problems, including anxiety, depression, and eating disorders as well as substance abuse. Neuroticism is also linked to a diminished quality of life, another factor that could increase the allure of substance use.

There is some evidence that natural variation in genetic makeup of the dopamine system may influence who gets addicted. Dopamine is the neurotransmitter activated by rewarding activities as a way of increasing the likelihood of engaging in such activities in the future. Having a relationship, getting a promotion, doing something creative—those are normal ways of stimulating the reward system. Illicit drug use short-circuits that process and directly boosts dopamine levels.

Some people may be more prone to addiction because they feel less pleasure through natural routes, such as from work, friendships, and romance. Their genetic makeup inclines them to develop such personality traits as thrill-seeking. Their craving for risk and novelty takes the fear out of drug use and the huge dopamine boost powerfully reinforces the motivation to seek the reward over and over again.

A person cannot get addicted to a substance without exposure to the substance, but exposure alone does not lead to addiction. Addiction develops only after repeated use of a substance. One use of a substance can produce a pleasurable effect that motivates interest in repeating the experience. But the experience of pleasure is relative; it hinges in part on biology and very much on what else there is going on in a persons life that is meaningful or rewarding.

In its simplest form, drug addiction can be seen as a way of hacking the brain —of finding a shortcut to feelings of emotional reward by bypassing the normal activities that stimulate such sensations and directly manipulating the neurochemicals responsible for them. To a very large degree, brain hacks become appealing when there are restricted opportunities for meaning and for pleasure other than the response to drugs.

Just as recovery from addiction requires focusing on rewarding activities other than drug use , so does prevention. The definition of a meaningful life varies from person to person, but psychology has long identified its components—feelings of self-respect; meaningful relationships that create a sense of belonging; opportunities for growth and development; work that is engaging or rewarding; opportunities for enjoyment and pleasure.

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Drugs and Their Effects Essay

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Drugs and substance abuse can lead both to physical and psychological dependency. As a result, drug-addicted patients can experience various side effects depending on the frequency and amount of drugs taken at a time. Investigating patterns of behavior of alcohol and drug-addicted individuals is important because it allows a drug addictions counselor to predict possible consequences and potential risks to health.

It has been found out that duration effect of smoking marijuana is about 4 hours (Coon and Mitterer, 2008). In contrast, large amounts of alcohol consumption can cause significant impairment of the brain, or even loss of consciousness.

Six packs of beer exceed the accepted norms for a person and, therefore, it is more dangerous for a person consume alcohol in such dozes as compared to two cigarettes of marijuana, which is accepted (Coon and Mitterer, 2008).

Therefore, as a drug addictions counselor, I would rather take control of the alcohol-addicted patient and focus on the patterns of his behavior to avoid complications and risks to the patient’s health. At the same time, the patient who smokes marijuana should also be monitored to make sure that he/she is not dependent on drugs.

Exploring patterns of alcohol consumption is helpful in understanding the main risks it can have for human health. The levels of alcohol abuse are associated with a number of disorders and diseased. In particular, such disorders as hypertension, liver disease, and neurological deficits relate primarily to patterns of alcohol consumption (Grant, 1997).

As such, there are specific signs of alcohol abuse which should be highlighted to prevent complications. The most serious concern should be with binge drinking, which is defined “…as downing five or more drinks in a short time (four drinks for women)” (Coon and Mitterer, 2008). This level of alcohol abuse is of particular attention to teenagers whose brain still develops.

In addition, binge drinking makes alcoholics be physically and psychological dependent on substance. As a result, they can face serious challenges while reducing the amount of the consumed alcohol (Craig, 2004).

The role of the counselor, therefore, is to define psychological reasons for alcohol addiction and prevent further consumption. He/she should also provide all necessary assistance to those who do not even suspect of the fact of dependency.

Although alcohol is considered as a legally permitted substance in the U.S. legislature, there should be specific regulations that could prohibit the overconsumption of alcohol in restaurants and bars, apart from the regulations imposed on drivers. In such a manner, it will be possible to reduce the number of lethal outcomes and increase the overall welfare of the population.

People consuming less alcohol will definitely be much healthier. Second, legal restrictions should also be imposed on marijuana use, unless it concerns medical treatment for specific population. Whenever the alcohol abuse is legal or illegal, the consequences of the consumption can lead to detriment of individual’s physical and psychological health.

What is more problematic is that alcohol-addicted patients cause many problems to their relatives and friends. A person who suffers from dependency can also become socially isolated.

Therefore, the legal issues should be considered in much broader context to solve the current problems with substance dependency. In addiction, it is necessary to legalize the Alcoholics Anonymous attendance for those who seeks treatment and for those who abuse alcohol regularly.

Coon, D., & Mitterer, J. O. (2008). Introduction to Psychology: Gateways to Mind and Behavior . New York: Cengage Learning.

Craig, R. J. (2004). Counseling the Alcohol and Drug Dependent Client: A Practical Approach . US: Pearson.

Grant, M. (1997). Drinking Patterns and Their Consequences . US: Taylor and Francis.

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Substance Use Disorders and Addiction: Mechanisms, Trends, and Treatment Implications

  • Ned H. Kalin , M.D.

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The numbers for substance use disorders are large, and we need to pay attention to them. Data from the 2018 National Survey on Drug Use and Health ( 1 ) suggest that, over the preceding year, 20.3 million people age 12 or older had substance use disorders, and 14.8 million of these cases were attributed to alcohol. When considering other substances, the report estimated that 4.4 million individuals had a marijuana use disorder and that 2 million people suffered from an opiate use disorder. It is well known that stress is associated with an increase in the use of alcohol and other substances, and this is particularly relevant today in relation to the chronic uncertainty and distress associated with the COVID-19 pandemic along with the traumatic effects of racism and social injustice. In part related to stress, substance use disorders are highly comorbid with other psychiatric illnesses: 9.2 million adults were estimated to have a 1-year prevalence of both a mental illness and at least one substance use disorder. Although they may not necessarily meet criteria for a substance use disorder, it is well known that psychiatric patients have increased usage of alcohol, cigarettes, and other illicit substances. As an example, the survey estimated that over the preceding month, 37.2% of individuals with serious mental illnesses were cigarette smokers, compared with 16.3% of individuals without mental illnesses. Substance use frequently accompanies suicide and suicide attempts, and substance use disorders are associated with a long-term increased risk of suicide.

Addiction is the key process that underlies substance use disorders, and research using animal models and humans has revealed important insights into the neural circuits and molecules that mediate addiction. More specifically, research has shed light onto mechanisms underlying the critical components of addiction and relapse: reinforcement and reward, tolerance, withdrawal, negative affect, craving, and stress sensitization. In addition, clinical research has been instrumental in developing an evidence base for the use of pharmacological agents in the treatment of substance use disorders, which, in combination with psychosocial approaches, can provide effective treatments. However, despite the existence of therapeutic tools, relapse is common, and substance use disorders remain grossly undertreated. For example, whether at an inpatient hospital treatment facility or at a drug or alcohol rehabilitation program, it was estimated that only 11% of individuals needing treatment for substance use received appropriate care in 2018. Additionally, it is worth emphasizing that current practice frequently does not effectively integrate dual diagnosis treatment approaches, which is important because psychiatric and substance use disorders are highly comorbid. The barriers to receiving treatment are numerous and directly interact with existing health care inequities. It is imperative that as a field we overcome the obstacles to treatment, including the lack of resources at the individual level, a dearth of trained providers and appropriate treatment facilities, racial biases, and the marked stigmatization that is focused on individuals with addictions.

This issue of the Journal is focused on understanding factors contributing to substance use disorders and their comorbidity with psychiatric disorders, the effects of prenatal alcohol use on preadolescents, and brain mechanisms that are associated with addiction and relapse. An important theme that emerges from this issue is the necessity for understanding maladaptive substance use and its treatment in relation to health care inequities. This highlights the imperative to focus resources and treatment efforts on underprivileged and marginalized populations. The centerpiece of this issue is an overview on addiction written by Dr. George Koob, the director of the National Institute on Alcohol Abuse and Alcoholism (NIAAA), and coauthors Drs. Patricia Powell (NIAAA deputy director) and Aaron White ( 2 ). This outstanding article will serve as a foundational knowledge base for those interested in understanding the complex factors that mediate drug addiction. Of particular interest to the practice of psychiatry is the emphasis on the negative affect state “hyperkatifeia” as a major driver of addictive behavior and relapse. This places the dysphoria and psychological distress that are associated with prolonged withdrawal at the heart of treatment and underscores the importance of treating not only maladaptive drug-related behaviors but also the prolonged dysphoria and negative affect associated with addiction. It also speaks to why it is crucial to concurrently treat psychiatric comorbidities that commonly accompany substance use disorders.

Insights Into Mechanisms Related to Cocaine Addiction Using a Novel Imaging Method for Dopamine Neurons

Cassidy et al. ( 3 ) introduce a relatively new imaging technique that allows for an estimation of dopamine integrity and function in the substantia nigra, the site of origin of dopamine neurons that project to the striatum. Capitalizing on the high levels of neuromelanin that are found in substantia nigra dopamine neurons and the interaction between neuromelanin and intracellular iron, this MRI technique, termed neuromelanin-sensitive MRI (NM-MRI), shows promise in studying the involvement of substantia nigra dopamine neurons in neurodegenerative diseases and psychiatric illnesses. The authors used this technique to assess dopamine function in active cocaine users with the aim of exploring the hypothesis that cocaine use disorder is associated with blunted presynaptic striatal dopamine function that would be reflected in decreased “integrity” of the substantia nigra dopamine system. Surprisingly, NM-MRI revealed evidence for increased dopamine in the substantia nigra of individuals using cocaine. The authors suggest that this finding, in conjunction with prior work suggesting a blunted dopamine response, points to the possibility that cocaine use is associated with an altered intracellular distribution of dopamine. Specifically, the idea is that dopamine is shifted from being concentrated in releasable, functional vesicles at the synapse to a nonreleasable cytosolic pool. In addition to providing an intriguing alternative hypothesis underlying the cocaine-related alterations observed in substantia nigra dopamine function, this article highlights an innovative imaging method that can be used in further investigations involving the role of substantia nigra dopamine systems in neuropsychiatric disorders. Dr. Charles Bradberry, chief of the Preclinical Pharmacology Section at the National Institute on Drug Abuse, contributes an editorial that further explains the use of NM-MRI and discusses the theoretical implications of these unexpected findings in relation to cocaine use ( 4 ).

Treatment Implications of Understanding Brain Function During Early Abstinence in Patients With Alcohol Use Disorder

Developing a better understanding of the neural processes that are associated with substance use disorders is critical for conceptualizing improved treatment approaches. Blaine et al. ( 5 ) present neuroimaging data collected during early abstinence in patients with alcohol use disorder and link these data to relapses occurring during treatment. Of note, the findings from this study dovetail with the neural circuit schema Koob et al. provide in this issue’s overview on addiction ( 2 ). The first study in the Blaine et al. article uses 44 patients and 43 control subjects to demonstrate that patients with alcohol use disorder have a blunted neural response to the presentation of stress- and alcohol-related cues. This blunting was observed mainly in the ventromedial prefrontal cortex, a key prefrontal regulatory region, as well as in subcortical regions associated with reward processing, specifically the ventral striatum. Importantly, this finding was replicated in a second study in which 69 patients were studied in relation to their length of abstinence prior to treatment and treatment outcomes. The results demonstrated that individuals with the shortest abstinence times had greater alterations in neural responses to stress and alcohol cues. The authors also found that an individual’s length of abstinence prior to treatment, independent of the number of days of abstinence, was a predictor of relapse and that the magnitude of an individual’s neural alterations predicted the amount of heavy drinking occurring early in treatment. Although relapse is an all too common outcome in patients with substance use disorders, this study highlights an approach that has the potential to refine and develop new treatments that are based on addiction- and abstinence-related brain changes. In her thoughtful editorial, Dr. Edith Sullivan from Stanford University comments on the details of the study, the value of studying patients during early abstinence, and the implications of these findings for new treatment development ( 6 ).

Relatively Low Amounts of Alcohol Intake During Pregnancy Are Associated With Subtle Neurodevelopmental Effects in Preadolescent Offspring

Excessive substance use not only affects the user and their immediate family but also has transgenerational effects that can be mediated in utero. Lees et al. ( 7 ) present data suggesting that even the consumption of relatively low amounts of alcohol by expectant mothers can affect brain development, cognition, and emotion in their offspring. The researchers used data from the Adolescent Brain Cognitive Development Study, a large national community-based study, which allowed them to assess brain structure and function as well as behavioral, cognitive, and psychological outcomes in 9,719 preadolescents. The mothers of 2,518 of the subjects in this study reported some alcohol use during pregnancy, albeit at relatively low levels (0 to 80 drinks throughout pregnancy). Interestingly, and opposite of that expected in relation to data from individuals with fetal alcohol spectrum disorders, increases in brain volume and surface area were found in offspring of mothers who consumed the relatively low amounts of alcohol. Notably, any prenatal alcohol exposure was associated with small but significant increases in psychological problems that included increases in separation anxiety disorder and oppositional defiant disorder. Additionally, a dose-response effect was found for internalizing psychopathology, somatic complaints, and attentional deficits. While subtle, these findings point to neurodevelopmental alterations that may be mediated by even small amounts of prenatal alcohol consumption. Drs. Clare McCormack and Catherine Monk from Columbia University contribute an editorial that provides an in-depth assessment of these findings in relation to other studies, including those assessing severe deficits in individuals with fetal alcohol syndrome ( 8 ). McCormack and Monk emphasize that the behavioral and psychological effects reported in the Lees et al. article would not be clinically meaningful. However, it is feasible that the influences of these low amounts of alcohol could interact with other predisposing factors that might lead to more substantial negative outcomes.

Increased Comorbidity Between Substance Use and Psychiatric Disorders in Sexual Identity Minorities

There is no question that victims of societal marginalization experience disproportionate adversity and stress. Evans-Polce et al. ( 9 ) focus on this concern in relation to individuals who identify as sexual minorities by comparing their incidence of comorbid substance use and psychiatric disorders with that of individuals who identify as heterosexual. By using 2012−2013 data from 36,309 participants in the National Epidemiologic Study on Alcohol and Related Conditions–III, the authors examine the incidence of comorbid alcohol and tobacco use disorders with anxiety, mood disorders, and posttraumatic stress disorder (PTSD). The findings demonstrate increased incidences of substance use and psychiatric disorders in individuals who identified as bisexual or as gay or lesbian compared with those who identified as heterosexual. For example, a fourfold increase in the prevalence of PTSD was found in bisexual individuals compared with heterosexual individuals. In addition, the authors found an increased prevalence of substance use and psychiatric comorbidities in individuals who identified as bisexual and as gay or lesbian compared with individuals who identified as heterosexual. This was most prominent in women who identified as bisexual. For example, of the bisexual women who had an alcohol use disorder, 60.5% also had a psychiatric comorbidity, compared with 44.6% of heterosexual women. Additionally, the amount of reported sexual orientation discrimination and number of lifetime stressful events were associated with a greater likelihood of having comorbid substance use and psychiatric disorders. These findings are important but not surprising, as sexual minority individuals have a history of increased early-life trauma and throughout their lives may experience the painful and unwarranted consequences of bias and denigration. Nonetheless, these findings underscore the strong negative societal impacts experienced by minority groups and should sensitize providers to the additional needs of these individuals.

Trends in Nicotine Use and Dependence From 2001–2002 to 2012–2013

Although considerable efforts over earlier years have curbed the use of tobacco and nicotine, the use of these substances continues to be a significant public health problem. As noted above, individuals with psychiatric disorders are particularly vulnerable. Grant et al. ( 10 ) use data from the National Epidemiologic Survey on Alcohol and Related Conditions collected from a very large cohort to characterize trends in nicotine use and dependence over time. Results from their analysis support the so-called hardening hypothesis, which posits that although intervention-related reductions in nicotine use may have occurred over time, the impact of these interventions is less potent in individuals with more severe addictive behavior (i.e., nicotine dependence). When adjusted for sociodemographic factors, the results demonstrated a small but significant increase in nicotine use from 2001–2002 to 2012–2013. However, a much greater increase in nicotine dependence (46.1% to 52%) was observed over this time frame in individuals who had used nicotine during the preceding 12 months. The increases in nicotine use and dependence were associated with factors related to socioeconomic status, such as lower income and lower educational attainment. The authors interpret these findings as evidence for the hardening hypothesis, suggesting that despite the impression that nicotine use has plateaued, there is a growing number of highly dependent nicotine users who would benefit from nicotine dependence intervention programs. Dr. Kathleen Brady, from the Medical University of South Carolina, provides an editorial ( 11 ) that reviews the consequences of tobacco use and the history of the public measures that were initially taken to combat its use. Importantly, her editorial emphasizes the need to address health care inequity issues that affect individuals of lower socioeconomic status by devoting resources to develop and deploy effective smoking cessation interventions for at-risk and underresourced populations.

Conclusions

Maladaptive substance use and substance use disorders are highly prevalent and are among the most significant public health problems. Substance use is commonly comorbid with psychiatric disorders, and treatment efforts need to concurrently address both. The papers in this issue highlight new findings that are directly relevant to understanding, treating, and developing policies to better serve those afflicted with addictions. While treatments exist, the need for more effective treatments is clear, especially those focused on decreasing relapse rates. The negative affective state, hyperkatifeia, that accompanies longer-term abstinence is an important treatment target that should be emphasized in current practice as well as in new treatment development. In addition to developing a better understanding of the neurobiology of addictions and abstinence, it is necessary to ensure that there is equitable access to currently available treatments and treatment programs. Additional resources must be allocated to this cause. This depends on the recognition that health care inequities and societal barriers are major contributors to the continued high prevalence of substance use disorders, the individual suffering they inflict, and the huge toll that they incur at a societal level.

Disclosures of Editors’ financial relationships appear in the April 2020 issue of the Journal .

1 US Department of Health and Human Services: Substance Abuse and Mental Health Services Administration, Center for Behavioral Health Statistics and Quality: National Survey on Drug Use and Health 2018. Rockville, Md, SAMHSA, 2019 ( https://www.samhsa.gov/data/nsduh/reports-detailed-tables-2018-NSDUH ) Google Scholar

2 Koob GF, Powell P, White A : Addiction as a coping response: hyperkatifeia, deaths of despair, and COVID-19 . Am J Psychiatry 2020 ; 177:1031–1037 Link ,  Google Scholar

3 Cassidy CM, Carpenter KM, Konova AB, et al. : Evidence for dopamine abnormalities in the substantia nigra in cocaine addiction revealed by neuromelanin-sensitive MRI . Am J Psychiatry 2020 ; 177:1038–1047 Link ,  Google Scholar

4 Bradberry CW : Neuromelanin MRI: dark substance shines a light on dopamine dysfunction and cocaine use (editorial). Am J Psychiatry 2020 ; 177:1019–1021 Abstract ,  Google Scholar

5 Blaine SK, Wemm S, Fogelman N, et al. : Association of prefrontal-striatal functional pathology with alcohol abstinence days at treatment initiation and heavy drinking after treatment initiation . Am J Psychiatry 2020 ; 177:1048–1059 Link ,  Google Scholar

6 Sullivan EV : Why timing matters in alcohol use disorder recovery (editorial). Am J Psychiatry 2020 ; 177:1022–1024 Abstract ,  Google Scholar

7 Lees B, Mewton L, Jacobus J, et al. : Association of prenatal alcohol exposure with psychological, behavioral, and neurodevelopmental outcomes in children from the Adolescent Brain Cognitive Development Study . Am J Psychiatry 2020 ; 177:1060–1072 Link ,  Google Scholar

8 McCormack C, Monk C : Considering prenatal alcohol exposure in a developmental origins of health and disease framework (editorial). Am J Psychiatry 2020 ; 177:1025–1028 Abstract ,  Google Scholar

9 Evans-Polce RJ, Kcomt L, Veliz PT, et al. : Alcohol, tobacco, and comorbid psychiatric disorders and associations with sexual identity and stress-related correlates . Am J Psychiatry 2020 ; 177:1073–1081 Abstract ,  Google Scholar

10 Grant BF, Shmulewitz D, Compton WM : Nicotine use and DSM-IV nicotine dependence in the United States, 2001–2002 and 2012–2013 . Am J Psychiatry 2020 ; 177:1082–1090 Link ,  Google Scholar

11 Brady KT : Social determinants of health and smoking cessation: a challenge (editorial). Am J Psychiatry 2020 ; 177:1029–1030 Abstract ,  Google Scholar

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Essay on Drug Abuse in 250 and 500 Words in English for Students

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  • Apr 2, 2024

Essay on Drug Abuse

Drug abuse refers to the excessive and frequent consumption of drugs. Drug abuse can have several harmful effects on our mental and physical health. Ronald Reagan, the 40th President of the USA, passed the Anti-Drug Abuse Act of 1986 and initiated the War on Drugs . He said, ‘Let us not forget who we are. Drug abuse is a repudiation of everything America is.’

essay on causes of drugs

Consuming drugs not only harms the individual himself but also affects society as a whole. Studies have shown that people who consume drugs become addicted to it. This addiction turns into substance abuse, resulting in self-damage, behaviour changes, mood swings, unnecessary weight loss, and several other health problems. Let’s understand what drug abuse is and how to fight it.

Table of Contents

  • 1 Essay on Drug Abuse in 250 Words
  • 2.1 Why Do People Consume Drugs?
  • 2.2 Why Is Drug Abuse Bad?
  • 2.3 Laws in India Against Drug Consumption
  • 2.4 Steps to Prevent Drug Addiction
  • 2.5 Conclusion
  • 3 10 Lines Essay on Drug Abuse

Quick Read: Essay on CAA (Citizenship Amendment Act)

Essay on Drug Abuse in 250 Words

‘When people consume drugs regularly and become addicted to it, it is known as drug abuse. In medical terminology, drugs means medicines. However, the consumption of drugs is for non-medical purposes. It involves the consumption of substances in illegal and harmful ways, such as swallowing, inhaling, or injecting. When drugs are consumed, they are mixed into our bloodstream, affecting our neural system and brain functioning.

The Indian government has taken significant steps to help reduce the consumption of drugs. In 1985, the Narcotics Drugs and Psychotropic Substances Act came into force. This act replaced the Opium Act of 1857, the Opium Act of 1878, and the Dangerous Drugs Act of 1930. 

Drug abuse can lead to addiction, where a person becomes physically or psychologically dependent on the substance and experiences withdrawal symptoms when attempting to stop using it. 

Drug abuse can have serious consequences for the individual and society as a whole. On an individual level, drugs can damage physical health, including organ damage, infectious diseases, and overdose fatalities. Not only this, a person already suffering from mental health disorders will face more harmful aftereffects. Addiction disrupts our cognitive functioning and impairs our decision-making abilities.

To fight drug abuse, we need collective action from all sections of society. Medical professionals say that early intervention and screening programmes can identify individuals at risk of substance misuse and provide them with the necessary support services. Educating people, especially those who are at-risk, about drug abuse and its harmful effects can significantly help reduce their consumption.

Drug abuse is serious and it must be addressed. Drug abuse is killing youth and society. Therefore, it is an urgent topic to address, and only through sustainable and collective efforts can we address this problem.

Quick Read: Success in Life Speech

Essay on Drug Abuse in 500 Words

Drug abuse is known as frequent consumption. In time, these people become dependent on drugs for several reasons. Curiosity drives adolescents and teenagers, who are among the most susceptible groups in our society. Cocaine, marijuana, methamphetamine, heroin, etc. are some of the popular drugs consumed. 

Why Do People Consume Drugs?

The very first question about drugs is: why do people consume drugs? Studies have shown that more than 50% of drug addicts consider drugs as a coping mechanism to alleviate emotional or psychological distress. In the beginning, drugs temporarily relieve feelings of anxiety, depression, or trauma, providing a temporary escape from difficult emotions or life circumstances. 

Some consume drugs out of curiosity, some under peer pressure, and some want to escape the painful experiences. Some people enjoy the effects drugs produce, such as euphoria, relaxation, and altered perceptions. Recreational drug use may occur in social settings or as a form of self-medication for stress relief or relaxation.

Why Is Drug Abuse Bad?

The National Institute on Drug Abuse states that drugs can worsen our eyesight and body movement, our physical growth, etc. Marijuana, one of the most popular drugs, can slow down our reaction time, affecting our time and distance judgement and decreasing coordination. Cocaine and Methamphetamine can make the consumer aggressive and careless.

Our brain is the first victim of drugs. Drugs can disorder our body in several ways, from damaging organs to messing with our brains. Drugs easily get mixed into our bloodstream, and affect our neural system. Prolonged and excessive consumption of drugs significantly harms our brain functioning.

The next target of drug abuse is our physical health and relationships. Drugs can damage our vital organs, such as the liver, heart, lungs, and brain. For example, heavy alcohol use can lead to cirrhosis of the liver, while cocaine use can increase the risk of heart attack and stroke.

Laws in India Against Drug Consumption

Here is an interesting thing; the USA has the highest number of drug addicts and also has strict laws against drug consumption. According to a report by the Narcotics Control Bureau, around 9 million people in India consume different types of drugs. The Indian government has implemented certain laws against drug consumption and production.

The Narcotic Drugs and Psychotropic Substances Act, 1985 (NDPS), prohibits the production, sale, purchase, and consumption of narcotics and other illegal substances, except for scientific and medical purposes.

Also, Article 47 of the Indian Constitution states that ‘ The State shall endeavour to bring about prohibition of the consumption, except for medicinal purposes, of intoxicating drinks and drugs which are injurious to health.’

Quick Read: Essay on Indian Festivals in 500 Words

Steps to Prevent Drug Addiction

Several steps can be taken to prevent drug addiction. But before we start our ‘War on Drugs’ , it is crucial to understand the trigger point. Our social environment, mental health issues and sometimes genetic factors can play a role in drug abuse.

  • Education and awareness are the primary weapons in the fight against drugs. 
  • Keeping distance from people and places addicted to drugs.
  • Encourage a healthy and active lifestyle and indulge in physical workouts.
  • Watch motivating videos and listen to sound music.
  • Self-motivate yourself to stop consuming drugs.
  • Talk to a medical professional or a psychiatrist, who will guide you to the right path.

Drug abuse is a serious problem. The excessive and frequent consumption of drugs not only harms the individual but also affects society as a whole. Only a collective approach from lawmakers, healthcare professionals, educators, community leaders, and individuals themselves can combat drug abuse effectively. 

Quick Read: Speech About Life

10 Lines Essay on Drug Abuse

Here is a 10-line essay on drug abuse.

  • Drug abuse can significantly affect our physical growth
  • Drug abuse can affect our mental functioning.
  • Drug abuse may provide instant pleasure, but inside, it weakens our willpower and physical strength.
  • Educating people, especially those who are at-risk, about drug abuse and its harmful effects can significantly help reduce their consumption.
  •  Drugs easily get mixed into our bloodstream, and affect our neural system. 
  • Prolonged and excessive consumption of drugs significantly harms our brain functioning.
  • In 1985, the Narcotics Drugs and Psychotropic Substances Act came into force.
  • The USA has the highest number of drug addicts and also has strict laws against drug consumption.
  • Drug addicts consider drugs as a coping mechanism to alleviate emotional or psychological distress.
  •  Adolescents and teenagers are the most vulnerable section of our society and are driven by curiosity.

Ans: Drug abuse refers to the excessive and frequent consumption of drugs. Drug abuse can have several harmful effects on our mental and physical health.

Ans: ‘When people consume drugs regularly and become addicted to it, it is known as drug abuse. In medical terminology, drugs means medicines. However, the consumption of drugs is for non-medical purposes. It involves the consumption of substances in illegal and harmful ways, such as swallowing, inhaling, or injecting. When drugs are consumed, they are mixed into our bloodstream, affecting our neural system and brain functioning.

Ans: Drug abuse is known as frequent consumption. In time, these people become dependent on drugs for several reasons. Adolescents and teenagers are the most vulnerable section of our society who are driven by curiosity. Cocaine, marijuana, methamphetamine, heroin, etc. are some of the popular drugs consumed.  The Narcotic Drugs and Psychotropic Substances Act, 1985 (NDPS), prohibits the production, sale, purchase, and consumption of narcotics and other illegal substances, except for scientific and medical purposes.

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Essay on Drug Abuse

Here we have shared the Essay on Drug Abuse in detail so you can use it in your exam or assignment of 150, 250, 400, 500, or 1000 words.

You can use this Essay on Drug Abuse in any assignment or project whether you are in school (class 10th or 12th), college, or preparing for answer writing in competitive exams. 

Topics covered in this article.

Essay on Drug Abuse in 150 words

Essay on drug abuse in 250-300 words, essay on drug abuse in 500-1000 words.

Drug abuse is a global issue that poses serious risks to individuals and society. It involves the harmful and excessive use of drugs, leading to physical and mental health problems. Drug abuse can result in addiction, organ damage, cognitive impairment, and social and economic difficulties. Prevention efforts should focus on education, raising awareness about the dangers of drug abuse, and promoting healthy lifestyles. Access to quality healthcare and addiction treatment services is crucial for recovery. Strengthening law enforcement measures against drug trafficking is necessary to address the supply side of the problem. Creating supportive environments and opportunities for positive engagement can help prevent drug abuse. By taking collective action, we can combat drug abuse and build healthier communities.

Drug abuse is a growing global concern that poses significant risks to individuals, families, and communities. It refers to the excessive and harmful use of drugs, both legal and illegal, that have negative effects on physical and mental health.

Drug abuse has severe consequences for individuals and society. Physically, drug abuse can lead to addiction, damage vital organs, and increase the risk of overdose. Mentally, it can cause cognitive impairment, and psychological disorders, and deteriorate overall well-being. Additionally, drug abuse often leads to social and economic problems, such as strained relationships, loss of employment, and criminal activities.

Preventing drug abuse requires a multi-faceted approach. Education and awareness programs play a crucial role in informing individuals about the dangers of drug abuse and promoting healthy lifestyle choices. Access to quality healthcare and addiction treatment services is vital to help individuals recover from substance abuse. Strengthening law enforcement efforts to curb drug trafficking and promoting international cooperation is also essential to address the supply side of the issue.

Community support and a nurturing environment are critical in preventing drug abuse. Creating opportunities for individuals, especially young people, to engage in positive activities and providing social support systems can serve as protective factors against drug abuse.

In conclusion, drug abuse is a significant societal problem with detrimental effects on individuals and communities. It requires a comprehensive approach involving education, prevention, treatment, and enforcement. By addressing the root causes, raising awareness, and providing support to those affected, we can combat drug abuse and create a healthier and safer society for all.

Title: Drug Abuse – A Global Crisis Demanding Urgent Action

Introduction :

Drug abuse is a pressing global issue that poses significant risks to individuals, families, and communities. It refers to the excessive and harmful use of drugs, both legal and illegal, that have detrimental effects on physical and mental health. This essay explores the causes and consequences of drug abuse, the social and economic impact, prevention and treatment strategies, and the importance of raising awareness and fostering supportive communities in addressing this crisis.

Causes and Factors Contributing to Drug Abuse

Several factors contribute to drug abuse. Genetic predisposition, peer pressure, stress, trauma, and environmental influences play a role in initiating substance use. The availability and accessibility of drugs, as well as societal norms and cultural acceptance, also influence drug abuse patterns. Additionally, underlying mental health issues and co-occurring disorders can drive individuals to self-medicate with drugs.

Consequences of Drug Abuse

Drug abuse has devastating consequences on individuals and society. Physically, drug abuse can lead to addiction, tolerance, and withdrawal symptoms. Substance abuse affects vital organs, impairs cognitive function, and increases the risk of accidents and injuries. Mental health disorders, such as depression, anxiety, and psychosis, are often associated with drug abuse. Substance abuse also takes a toll on relationships, leading to strained family dynamics, social isolation, and financial instability. The social and economic costs of drug abuse include increased healthcare expenses, decreased productivity, and the burden on criminal justice systems.

Prevention and Education

Preventing drug abuse requires a comprehensive and multi-faceted approach. Education and awareness programs are essential in schools, communities, and the media to inform individuals about the risks and consequences of drug abuse. Promoting healthy coping mechanisms, stress management skills, and decision-making abilities can empower individuals to resist peer pressure and make informed choices. Early intervention programs that identify at-risk individuals and provide support and resources are crucial in preventing substance abuse.

Treatment and Recovery

Access to quality healthcare and evidence-based addiction treatment is vital in addressing drug abuse. Treatment options include detoxification, counseling, behavioral therapies, and medication-assisted treatments. Rehabilitation centers, support groups, and outpatient programs provide a continuum of care for individuals seeking recovery. Holistic approaches, such as addressing co-occurring mental health disorders and promoting healthy lifestyles, contribute to successful long-term recovery. Support from family, friends, and communities plays a significant role in sustaining recovery and preventing relapse.

Law Enforcement and Drug Policies

Effective law enforcement efforts are necessary to disrupt drug trafficking and dismantle illicit drug networks. International cooperation and collaboration are crucial in combating the global drug trade. Additionally, drug policies should focus on a balanced approach that combines law enforcement with prevention, treatment, and harm reduction strategies. Shifting the emphasis from punitive measures toward prevention and rehabilitation can lead to more effective outcomes.

Creating Supportive Communities:

Fostering supportive communities is vital in addressing drug abuse. Communities should provide resources, social support networks, and opportunities for positive engagement. This includes promoting healthy recreational activities, providing vocational training, and creating safe spaces for individuals in recovery. Reducing the stigma associated with drug abuse and encouraging empathy and understanding are crucial to building a compassionate and supportive environment.

Conclusion :

Drug abuse remains a complex and multifaceted issue with far-reaching consequences. By addressing the causes, raising awareness, implementing preventive measures, providing quality treatment and support services, and fostering supportive communities, we can combat drug abuse and alleviate its impact. It requires collaboration and a collective effort from individuals, communities, governments, and organizations to build a society that is resilient against the scourge of drug abuse. Through education, prevention, treatment, and compassion, we can pave the way toward a healthier and drug-free future.

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The Effects of Drug Addiction on the Brain and Body

Signs of drug addiction, effects of drug addiction.

Drug addiction is a treatable, chronic medical disease that involves complex interactions between a person’s environment, brain circuits, genetics, and life experiences.

People with drug addictions continue to use drugs compulsively, despite the negative effects.

Substance abuse has many potential consequences, including overdose and death. Learn about the effects of drug addiction on the mind and body and treatment options that can help.

Verywell / Theresa Chiechi

Drug Abuse vs. Drug Addiction

While the terms “drug abuse” and “drug addiction” are often used interchangeably, they're different. Someone who abuses drugs uses a substance too much, too frequently, or in otherwise unhealthy ways. However, they ultimately have control over their substance use.

Someone with a drug addiction uses drugs in a way that affects many parts of their life and causes major disruptions. They can't stop using drugs, even if they want to.

The signs of drug abuse and addiction include changes in behavior, personality, and physical appearance. If you’re concerned about a loved one’s substance use, here are some of the red flags to watch out for:

  • Changes in school or work performance
  • Secretiveness 
  • Relationship problems
  • Risk-taking behavior
  • Legal problems
  • Aggression 
  • Mood swings
  • Changes in hobbies or friends
  • Sudden weight loss or gain
  • Unexplained odors on the body or clothing

Drug Addiction in Men and Women

Men and women are equally likely to develop drug addictions. However, men are more likely than women to use illicit drugs, die from a drug overdose, and visit an emergency room for addiction-related health reasons. Women are more susceptible to intense cravings and repeated relapses.

People can become addicted to any psychoactive ("mind-altering") substance. Common addictive substances include alcohol , tobacco ( nicotine ), stimulants, hallucinogens, and opioids .

Many of the effects of drug addiction are similar, no matter what substance someone uses. The following are some of the most common effects of drug addiction.

Effects of Drug Addiction on the Body

Drug addiction can lead to a variety of physical consequences ranging in seriousness from drowsiness to organ damage and death:

  • Shallow breathing
  • Elevated body temperature
  • Rapid heart rate
  • Increased blood pressure
  • Impaired coordination and slurred speech
  • Decreased or increased appetite
  • Tooth decay
  • Skin damage
  • Sexual dysfunction
  • Infertility
  • Kidney damage
  • Liver damage and cirrhosis
  • Various forms of cancer
  • Cardiovascular problems
  • Lung problems
  • Overdose and death

If left untreated drug addiction can lead to serious, life-altering effects on the body.

Dependence and withdrawal also affect the body:

  • Physical dependence : Refers to the reliance on a substance to function day to day. People can become physically dependent on a substance fairly quickly. Dependence does not always mean someone is addicted, but the longer someone uses drugs, the more likely their dependency is to become an addiction.
  • Withdrawal : When someone with a dependence stops using a drug, they can experience withdrawal symptoms like excessive sweating, tremors, panic, difficulty breathing, fatigue , irritability, and flu-like symptoms.

Overdose Deaths in the United States

According to the Centers for Disease Control and Prevention (CDC), over 100,000 people in the U.S. died from a drug overdose in 2021.

Effects of Drug Addiction on the Brain

All basic functions in the body are regulated by the brain. But, more than that, your brain is who you are. It controls how you interpret and respond to life experiences and the ways you behave as a result of undergoing those experiences.

Drugs alter important areas of the brain. When someone continues to use drugs, their health can deteriorate both psychologically and neurologically.

Some of the most common mental effects of drug addiction are:

  • Cognitive decline
  • Memory loss
  • Mood changes and paranoia
  • Poor self/impulse control
  • Disruption to areas of the brain controlling basic functions (heart rate, breathing, sleep, etc.)

Effects of Drug Addiction on Behavior

Psychoactive substances affect the parts of the brain that involve reward, pleasure, and risk. They produce a sense of euphoria and well-being by flooding the brain with dopamine .

This leads people to compulsively use drugs in search of another euphoric “high.” The consequences of these neurological changes can be either temporary or permanent. 

  • Difficulty concentrating
  • Irritability 
  • Angry outbursts
  • Lack of inhibition 
  • Decreased pleasure/enjoyment in daily life (e.g., eating, socializing, and sex)
  • Hallucinations

Help Someone With Drug Addiction

If you suspect that a loved one is experiencing drug addiction, address your concerns honestly, non-confrontationally, and without judgment. Focus on building trust and maintaining an open line of communication while setting healthy boundaries to keep yourself and others safe. If you need help, contact the SAMHSA National Helpline at 1-800-662-4357.

Effects of Drug Addiction on an Unborn Child

Drug addiction during pregnancy can cause serious negative outcomes for both mother and child, including:

  • Preterm birth
  • Maternal mortality

Drug addiction during pregnancy can lead to neonatal abstinence syndrome (NAS) . Essentially, the baby goes into withdrawal after birth. Symptoms of NAS differ depending on which drug has been used but can include:

  • Excessive crying
  • Sleeping and feeding issues

Children exposed to drugs before birth may go on to develop issues with behavior, attention, and thinking. It's unclear whether prenatal drug exposure continues to affect behavior and the brain beyond adolescence.  

While there is no single “cure” for drug addiction, there are ways to treat it. Treatment can help you control your addiction and stay drug-free. The primary methods of treating drug addiction include:

  • Psychotherapy : Psychotherapy, such as cognitive behavioral therapy (CBT) or family therapy , can help someone with a drug addiction develop healthier ways of thinking and behaving.
  • Behavioral therapy : Common behavioral therapies for drug addiction include motivational enhancement therapy (MET) and contingency management (CM). These therapy approaches build coping skills and provide positive reinforcement.
  • Medication : Certain prescribed medications help to ease withdrawal symptoms. Some examples are naltrexone (for alcohol), bupropion (for nicotine), and methadone (for opioids).
  • Hospitalization : Some people with drug addiction might need to be hospitalized to detox from a substance before beginning long-term treatment.
  • Support groups : Peer support and self-help groups, such as 12-step programs like Alcoholics Anonymous, can help people with drug addictions find support, resources, and accountability.

A combination of medication and behavioral therapy has been found to have the highest success rates in preventing relapse and promoting recovery. Forming an individualized treatment plan with your healthcare provider's help is likely to be the most effective approach.

Drug addiction is a complex, chronic medical disease that causes someone to compulsively use psychoactive substances despite the negative consequences.

Some effects of drug abuse and addiction include changes in appetite, mood, and sleep patterns. More serious health issues such as cognitive decline, major organ damage, overdose, and death are also risks. Addiction to drugs while pregnant can lead to serious outcomes for both mother and child.

Treatment for drug addiction may involve psychotherapy , medication, hospitalization, support groups, or a combination.

If you or someone you know is experiencing substance abuse or addiction, contact the Substance Abuse and Mental Health Services Administration (SAMHSA) National Helpline at 1-800-662-4357.

American Society of Addiction Medicine. Definition of addiction .

HelpGuide.org. Drug Abuse and Addiction .

Tennessee Department of Mental Health & Substance Abuse Services. Warning signs of drug abuse .

National Institute on Drug Abuse. Sex and gender differences in substance use .

Cleveland Clinic. Drug addiction .

National Institute on Drug Abuse. Drugs, Brains, and Behavior: The Science of Addiction Drugs and the Brain .

American Heart Association. Illegal Drugs and Heart Disease .

American Addiction Centers. Get the facts on substance abuse .

Szalavitz M, Rigg KK, Wakeman SE. Drug dependence is not addiction-and it matters . Ann Med . 2021;53(1):1989-1992. doi:10.1080/07853890.2021.1995623

Centers for Disease Control and Prevention. Drug overdose deaths in the U.S. top 100,000 annually .

American Psychological Association. Cognition is central to drug addiction .

National Institute on Drug Abuse. Understanding Drug Use and Addiction DrugFacts .

MedlinePlus. Neonatal abstinence syndrome .

National Institute on Drug Abuse. Treatment and recovery .

Grella CE, Stein JA.  Remission from substance dependence: differences between individuals in a general population longitudinal survey who do and do not seek help . Drug and Alcohol Dependence.  2013;133(1):146-153. doi:10.1016/j.drugalcdep.2013.05.019

By Laura Dorwart Dr. Dorwart has a Ph.D. from UC San Diego and is a health journalist interested in mental health, pregnancy, and disability rights.

Guide to Exam

Expository Essay on Drug Abuse 100, 150, 200, 300, 350 & 500 Words

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Table of Contents

Expository Essay on Drug Abuse 100 words

Drug abuse is a critical issue that affects not only individuals but also society as a whole. In this expository essay, we will explore the root causes, effects, and potential solutions to drug abuse. Firstly, peer pressure, stress, and a need for escape are common factors that contribute to drug abuse. Secondly, the negative effects of drug abuse can manifest in various forms, including health problems, strained relationships, and financial instability. Lastly, addressing the issue requires a multifaceted approach, involving education, awareness campaigns, and support systems. By understanding the causes and consequences of drug abuse, we can develop strategies to prevent and combat this pervasive problem.

Expository Essay on Drug Abuse 150 words

Drug abuse is a serious societal issue that affects individuals from all walks of life. This essay aims to explain the causes and consequences of drug abuse in an expository manner.

First and foremost, drug abuse can be attributed to various factors. One of the primary causes is peer pressure, as individuals may succumb to the influence of their friends and seek solace in drugs. Additionally, some individuals turn to drugs as a means of escapism, trying to cope with emotional or psychological pain. Another contributing factor is the availability and accessibility of drugs, making it easier for people to engage in substance abuse.

The consequences of drug abuse are myriad and life-altering. Physically, drug abuse can lead to deteriorating health issues and even death. Furthermore, it often leads to strained relationships with family and friends. Drug addiction also has severe psychological effects, causing individuals to become isolated and trapped in a cycle of dependency. Additionally, drug abuse contributes to a rise in criminal activities, as individuals resort to illegal means to sustain their addiction.

Expository Essay on Drug Abuse 200 words

Drug abuse is a pervasive issue that affects individuals and communities worldwide. This expository essay aims to analyze the problem of drug abuse and provide factual information on its causes, consequences, and potential solutions.

To begin, it is important to understand the factors that contribute to drug abuse. Peer pressure, stress, and a lack of awareness about the dangers of drugs are common reasons for individuals to become involved in substance abuse. Furthermore, genetic, environmental, and psychological factors can also play a role in the development of drug addiction.

The consequences of drug abuse are far-reaching and devastating. Physically, drugs can harm vital organs, impair cognitive functioning, and even lead to death. Socioeconomically, drug abuse can strain relationships, hinder educational and professional opportunities, and burden healthcare systems. It can also contribute to crime rates and public safety concerns.

Addressing drug abuse requires a multifaceted approach. Prevention initiatives should focus on education about the risks associated with drug use, as well as promoting healthy coping mechanisms and positive peer influences. Additionally, accessible and effective treatment programs and support networks must be provided to individuals struggling with drug addiction.

In conclusion, drug abuse is a complex issue that poses serious threats to individuals and society as a whole. By understanding its causes and consequences, as well as implementing preventative and treatment measures, we can work towards a future free from the clutches of substance abuse.

Expository Essay on Drug Abuse 300 words

Drug abuse is a major global issue affecting individuals from all walks of life. It refers to the excessive and harmful use of substances such as alcohol, prescription drugs, and illegal drugs. This expository essay aims to shed light on the causes, effects, and potential solutions to drug abuse.

One of the primary causes of drug abuse is peer pressure. Many individuals succumb to the influence of their peers, wanting to fit in or to be seen as cool. This often leads to experimentation with drugs, which can quickly escalate to addiction. Additionally, stress and trauma can also drive people towards drugs as a means of escape.

The effects of drug abuse are wide-ranging and devastating. Physically, drug abuse can lead to health problems such as heart disease, liver damage, and even death due to an overdose. Psychologically, drug abuse can cause severe mental health issues, including depression, anxiety, and psychosis. Moreover, drug abuse negatively impacts relationships, leading to broken families and a breakdown in societal bonds.

Addressing drug abuse requires a multi-faceted approach. Firstly, preventative measures such as education and awareness campaigns are crucial. By educating individuals about the dangers of drug abuse, especially the youth, we can reduce the number of people succumbing to addiction. Additionally, rehabilitation programs and support groups play a pivotal role in helping drug abusers break free from their addiction and reintegrate into society.

In conclusion, drug abuse is a pressing issue affecting individuals worldwide. It is essential to understand the causes and effects of drug abuse to develop effective solutions. By implementing prevention measures and promoting rehabilitation programs, we can combat drug abuse and provide a brighter future for those trapped in the vicious cycle of addiction.

Expository Essay on Drug Abuse 350 words

Drug abuse is a prevalent issue that continues to affect individuals and societies across the globe. This expository essay aims to shed light on the realities of drug abuse, including its causes, consequences, and potential solutions. By examining the facts and presenting a balanced view, we can better understand this complex issue and work towards effective prevention and intervention strategies.

The primary cause of drug abuse can vary from individual to individual. Peer influence, stress, curiosity, and a desire for escape or pleasure are common factors that contribute to drug abuse. When people are surrounded by others who engage in drug use, they may feel compelled to experiment, thus increasing the likelihood of abuse. Additionally, individuals facing high levels of stress or seeking an escape from their problems may turn to drugs as a means of coping. The addictive nature of certain substances further exacerbates the problem, making it difficult for individuals to stop using once they start.

The consequences of drug abuse are far-reaching and affect not only the individual but also their families and communities. Physically, drug abuse can lead to organ damage, impaired cognitive function, and even death. Emotionally, it can cause mood swings, depression, and anxiety. Socially, drug abuse can lead to estranged relationships, unemployment, homelessness, and criminal behavior. The economic burden of drug abuse is also significant, as it places a strain on healthcare systems and law enforcement agencies.

To address the issue of drug abuse, a multi-faceted approach is necessary. Prevention programs should be implemented in schools, educating students about the dangers of drug abuse and providing them with the necessary skills to resist peer pressure. Parents and guardians should also play an active role in educating their children about substance abuse and maintaining open lines of communication. Furthermore, increased access to treatment programs, counseling services, and rehabilitation centers can help individuals overcome their addiction and pursue a healthier, drug-free lifestyle.

In conclusion, drug abuse remains a pressing concern that impacts individuals and societies globally. By understanding the causes, consequences, and potential solutions, we can work towards effective prevention and intervention strategies. Through education, awareness, and a focus on providing support to those affected, we can work towards reducing drug abuse and its devastating effects.

Write an Expository Essay on Drug Abuse 500 Words?

Title: an expository essay on drug abuse, introduction.

Drug abuse is a prevalent and multifaceted issue that affects individuals, families, and communities worldwide. It is characterized by the habitual misuse of drugs, often resulting in physical and psychological harm. This expository essay aims to provide an in-depth exploration of drug abuse, its causes, consequences, and potential solutions.

Definition and Types of Drugs

Drug abuse refers to the excessive and continuous misuse of both legal and illegal substances. Various types of drugs can be abused, including narcotics, stimulants, depressants, hallucinogens, and prescription medications. Understanding the diverse range of drugs abused is crucial to comprehending the scope and significance of the issue.

Causes of Drug Abuse

Drug abuse is often linked to a combination of genetic, environmental, and individual factors. Genetic predispositions to addictive behaviors can influence an individual’s susceptibility to drug abuse. Additionally, environmental influences such as dysfunctional families, poverty, peer pressure, and the availability of drugs contribute to the problem. Personal factors like low self-esteem, emotional distress, or mental health disorders can also increase the likelihood of drug abuse.

Consequences of Drug Abuse

Drug abuse has profound consequences on an individual’s health, relationships, and society as a whole. Physically, drug abuse can lead to addiction, overdose, and in some cases, death. Psychological effects include impaired cognitive function, an increased risk of mental health disorders, and diminished productivity. Social consequences encompass strained relationships, an economic burden on society, and an increase in crime rates.

Prevention and Intervention Strategies

Addressing drug abuse requires a multi-faceted approach that involves prevention, intervention, and treatment. Effective prevention strategies include education, raising awareness about the risks and consequences of drug abuse, and promoting healthy coping mechanisms. Early intervention programs that identify individuals at risk and provide appropriate support and counseling are crucial to curbing drug abuse. Treatment options such as detoxification, therapy, and support groups play a crucial role in helping individuals recover from addiction.

Governmental and Community Initiatives

Governments and communities have a crucial role to play in combating drug abuse. Public policies that focus on reducing drug availability, implementing stricter regulations, and offering rehabilitation programs are vital. Additionally, community-based initiatives like support groups, recreational activities, and counseling services can help create a supportive environment for recovery.

Drug abuse remains a significant challenge in contemporary society, affecting individuals of all ages and backgrounds. Understanding its causes, consequences, and potential solutions is essential to combating this harmful issue. By implementing prevention strategies, early intervention programs, and adequate treatment options, we can make progress in minimizing the devastating effects of drug abuse. It is the collective responsibility of governments, communities, and individuals to address drug abuse comprehensively and provide support to those impacted, in order to promote healthier societies for generations to come.

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Essay on Drug Addiction | Drug Addiction Essay for Students and Children in English

February 12, 2024 by Veerendra

Essay on Drug Addiction: Addiction refers to the harmful need to consume substances that have damaging consequences on the user. Addiction affects not just the body but also on the person’s mental health and soundness of mind. Addiction is one of the most severe health problems faced around the world and is termed as a chronic disease. A widespread disorder ranges from drugs, alcohol addiction to gambling, and even phone addiction.

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One of the most unfortunate yet common addictions that affect millions today is drug addiction. Also referred to as substance – use disorder, it is the addiction to substances that harm neurological functioning and a person’s behavior. The essay provides relevant information on this topic.

Long and Short Essay on Drug Addiction in English for Students and Kids

There are two essays listed below. The long essay consists of 500 words and a short essay of 200 words.

Long Essay on Drug Addiction in English 500 words

Drug addiction, also known as substance–use disorder, refers to the dangerous and excessive intake of legal and illegal drugs. This leads to many behavioral changes in the person as well as affects brain functions. Drug addiction includes abusing alcohol, cocaine, heroin, opioid, painkillers, and nicotine, among others. Drugs like these help the person feel good about themselves and induce ‘dopamine’ or the happiness hormone. As they continue to use the drug, the brain starts to increase dopamine levels, and the person demands more.

Drug addiction has severe consequences. Some of the signs include anxiety, paranoia, increased heart rate, and red eyes. They are intoxicated and unable to display proper coordination and have difficulty in remembering things. A person who is addicted cannot resist using them and unable to function correctly without ingesting them. It causes damage to the brain, their personal and professional relationships. It affects mental cognition; they are unable to make proper decisions, cannot retain information, and make poor judgments. They tend to engage in reckless activities such as stealing or driving under the influence. They also make sure that there is a constant supply and are willing to pay a lot of money even if they are unable to afford it and tend to have erratic sleep patterns.

Drug addiction also causes a person to isolate themselves and have either intense or no food cravings. They stop taking care of their hygiene. Drug addiction affects a person’s speech and experience hallucinations. They are unable to converse and communicate properly; they speak fast and are hyperactive. Those addicted have extreme mood swings. They can go from feeling happy to feeling sad quickly and are incredibly secretive. They begin to lose interest in activities they once loved. Substance abusers also undergo withdrawal symptoms. Withdrawal symptoms refer to the symptoms that occur when they stop taking the drug. Some withdrawal symptoms include nausea, fatigue, and tremors. They stop and starting using again, an endless cycle that could be life-threatening. Drug addiction can be fatal if not treated timely. It can cause brain damage and seizures as well as overdose, heart diseases, respiratory problems, damage to the liver and kidneys, vomiting, lung diseases, and much more.

Though chronic, treatment is available for drug addiction. Many techniques are used, such as behavioral counseling, medication to treat the addiction, and providing treatment not just for substance abuse but also for many factors that accompany addiction such as stress, anxiety, and depression. Many devices have developed to overcome addiction. There are rehabilitation centers to help people. After treatment, there are numerous follow-ups to ensure that the cycle does not come back. The most important is having family and friends to support the effect. It will help them build confidence and come over their addiction.

The United Nations celebrates International Day against Drug Abuse and Illicit Trafficking on the 26th of June. Drug addiction impacts millions and needs to be treated carefully to prevent further harm to the individual and letting them live a better life.

Short Essay on Drug Addiction in English 250 words

Drug addiction refers to taking substances that are harmful to our bodies. They cause changes to a person’s behavior as well. Many people take these drugs to feel happier and better about themselves. These dangerous substances make the brain produce a chemical that makes us happy, called dopamine. Producing large amounts of these causes the person to take the drug consistently.

Some of the drugs include alcohol, nicotine, and other unhealthy substances. Taking these substances can lead to many symptoms. These include unable to think correctly, cannot remember things, and unable to speak clearly. They steal and keep secrets from their close ones. Those addicted cannot sleep; they become happy and sad quickly. They stop doing the activities that they liked doing. They are not aware of their surroundings. Taking these dangerous substances can cause many health problems such as vomiting, unable to breathe, brain, and lung damage. It also affects their family, friends, and work.

Drug addiction is life-threatening. However, people with this addiction can be treated and helped with therapy, counseling, and taking medicines along with rehab centers. They do follow-ups to ensure that they never retake these drugs. They must have their family and friends to support them as they recover.

10 lines About Drug Addiction Essay in English

  • Drug addiction refers to taking harmful substances that affect a person’s brain functions and behavior. It involves taking legal and illegal drugs, and the person is unable to stop using them. It is also referred to as substance- use disorders
  • Harmful drugs include alcohol, cocaine, heroin, opioids, painkillers, nicotine, etc.
  • The harmful drugs cause an excessive release of dopamine or the happy hormone, which causes the person to take more.
  • Drug addiction can affect mental cognition, including decision making, judgments, and memory. It also causes speech problems.
  • It can cause anxiety paranoia and increased blood pressure. They have erratic sleep patterns and isolate themselves. It causes problems in their personal and professional relationships.
  • Those addicted become moody, hyperactive, and hallucinate. They also engage in reckless activities.
  • They experience withdrawal symptoms when they try to stop using substances. These include nausea, fatigue, and tremors.
  • It can have many effects on the body, such as brain damage, seizures, liver and kidney damage, respiratory and lung issues.
  • Treatment is available. It includes behavioral therapy, medication, rehabilitation, as well as a follow-up to prevent relapse.
  • The United Nations celebrates International Day against Drug Abuse and Illicit Trafficking on the 26th of June.

Frequently Asked Questions on Drug Addiction Essay

Question  1. What is drug addiction?

Answer: Drug addiction, also known as substance – use disorder, refers to the dangerous and excessive intake of legal and illegal drugs. This leads to many behavioral changes in the person as well as affects brain functions.

Question 2. Why does drug addiction occur?

Answer: People become addicted to these drugs because they want to feel happier. The drugs cause a chemical called dopamine, which induces happiness to be released. The brain starts to increase dopamine levels, and thus the person becomes addicted to the drug to match the increasing levels.

Question 3. What is the difference between dependence and addiction?

Answer: Dependence and addiction vary. While dependence is an intense craving for the drug by the body, addiction also refers to the changes in behavior and bodily functions due to repeated use of the drug, which has severe consequences.

Question 4. Can we treat drug addiction?

Answer: Yes, drug addiction can be treated. The various treatment methods are behavioral counseling, medication, and treatment of anxiety and depression. There are rehabilitation centers available. This is followed by a check-up to prevent relapse.

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The Complex Web of Causes Leading to World War i

This essay about World War I, often called the “Great War,” examines the underlying causes and events leading to the conflict. Lasting from 1914 to 1918, the war was triggered by the assassination of Archduke Franz Ferdinand but rooted in complex alliances, militarism, imperial ambitions, and intense nationalism. The tangled web of alliances turned a regional conflict into a global war, involving major European powers like Germany, Austria-Hungary, France, Russia, and Britain. The essay highlights how these factors created a volatile environment, making the war almost inevitable.

How it works

World War I, often under the name “Large War,” was a deep event that fundamentally changed political and social fabric 20 – ?? of beginning of century. Lasting with 1914 to 1918, war sparkled not only assassination of Franz Archduke Ferdinand of Austria-Hungaries in June 1914 but and by the complicated matrix of alliances, militarism, emperor’s ambitions, and hot nationalism that boiled during decades.

Critical factor, what conduces to World War, I was the tangled spider web of alliances, that split Europe in two opposing factions.

Main alliances were the Triple entente, that included France, Russia, and Great Britain, and Triple Alliance, hugging Germany, Austria-Hungaries, and Italy. These alliances were designed, to support balance of powers and prevent aggression. However, they marked also, that arbitrary conflict, what is included by one people, can quickly heave up in the second, an insignificant incident grows in about a large scale to war.

Militarism assisted terms considerably, what conducts to World War of I. In years before war, many European people extended the soldiery capabilities considerably. Germany and Britain, in particular, were brought over to the race of naval hands, to surpass every aspiration second in naval power. This militarization created the culture of fear and suspicion, where people were ready for a conflict and this war how the inevitable resource of spores, what dare. A widespread faith in a necessity and nobility of military force did countries anymore felt inclination, to leave in war.

Nationalism, intensive faith in advantage and matters of the people, also played substantial role to brilliance, World War of I. the Nationalistic primer was especially intensive in Balkans, a region filled with ethnic tension and nationalistic aspirations. Aspiration of the Slavic people in Balkans, to break free from the rule of Austro-hungarian and unite with Serbia created the changeable surrounding world. Assassination of Franz Archduke Ferdinand Gavrilo Princip, Bosnian Serbian nationalist, was entered to these nationalistic feelings and serves direct trigger for war. However, deeply assidenous nationalistic tension boiled during years, doing a region powder by a small cask ready to explode.

Complicated spider web of alliances, militarism, imperialism, and nationalism created a situation, where an only spark was able to set fire a massive conflict. Assassination of Franz Ferdinand was this spark, but main reasons developed for long period. When Austria-Hungaries declared war on Serbia in reply to an assassination, the system of alliance entered to the game, stretching all main European plenary powers to the conflict. Russia mobilized in support of Serbia, Germany that is at the head, to declare war on Russia. In France then drawn aside against Germany and Austria-Hungaries, and German encroachment of Belgium entered Britain to war.

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A New Option to Treat Sleep Apnea: Weight-Loss Drugs

New research showed that tirzepatide, the compound in Zepbound, improved symptoms of obstructive sleep apnea.

A photo collage of various imagery including a zepbound injection pen, a person wearing a CPAP machine, a person with their hand on an alarm clock, and a person sleeping with their mouth open.

By Dani Blum

Reporting from the American Diabetes Association conference in Orlando, Fla.

Sue Clasen kept trying to manage her sleep apnea. She knew a CPAP machine would help her breathe through the night, but none of the masks she wore with it were comfortable enough to actually fall asleep. She bought a special hanger to hold the machine’s hose so she wouldn’t get tangled up in it. She found a pillow with cutouts to cradle the mask. Some nights, she woke up feeling as if she were drowning in the air that streamed out of the machine.

Ms. Clasen, 49, remembers one night a few years ago when she, her husband and her three children were sharing a hotel room. The CPAP’s mask felt bulky and irritating — she just couldn’t sleep with it on. But when she took it off and fell asleep, her husband soon nudged her awake: Her snoring, a common symptom of sleep apnea, was so loud it woke the whole room up.

But since Ms. Clasen started taking Ozempic in February 2023 to lose weight, she has stopped snoring. She no longer needs to nap throughout the day. The worst of her sleep apnea symptoms have vanished.

More Americans with obstructive sleep apnea, the most common form of the disorder, may soon turn to weight-loss drugs.

Two major new clinical trials showed that tirzepatide, which is in the same class of medications as Ozempic and is sold under the brand names Mounjaro and Zepbound , significantly improved symptoms of obstructive sleep apnea in people with obesity. The results were published Friday in a paper in the New England Journal of Medicine and presented at an American Diabetes Association conference in Orlando, Fla. Eli Lilly, which makes tirzepatide and funded the studies, said it had asked the Food and Drug Administration to broaden the use of the Zepbound to include obstructive sleep apnea.

If approved, it would become the first drug specifically cleared to treat the condition, and would give patients another option for managing their sleep apnea. And those who have already seen their symptoms improve after losing weight on similar drugs say the impact has been transformative.

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essay on causes of drugs

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Drugs, Brains, and Behavior: The Science of Addiction Preface

How science has revolutionized the understanding of drug addiction.

For much of the past century, scientists studying drugs and drug use labored in the shadows of powerful myths and misconceptions about the nature of addiction. When scientists began to study addictive behavior in the 1930s, people with an addiction were thought to be morally flawed and lacking in willpower. Those views shaped society’s responses to drug use, treating it as a moral failing rather than a health problem, which led to an emphasis on punishment rather than prevention and treatment.

Today, thanks to science, our views and our responses to addiction and the broader spectrum of substance use disorders have changed dramatically. Groundbreaking discoveries about the brain have revolutionized our understanding of compulsive drug use, enabling us to respond effectively to the problem.

As a result of scientific research, we know that addiction is a medical disorder that affects the brain and changes behavior. We have identified many of the biological and environmental risk factors and are beginning to search for the genetic variations that contribute to the development and progression of the disorder. Scientists use this knowledge to develop effective prevention and treatment approaches that reduce the toll drug use takes on individuals, families, and communities.

Despite these advances, we still do not fully understand why some people develop an addiction to drugs or how drugs change the brain to foster compulsive drug use. This booklet aims to fill that knowledge gap by providing scientific information about the disorder of drug addiction, including the many harmful consequences of drug use and the basic approaches that have been developed to prevent and treat substance use disorders.

At the National Institute on Drug Abuse (NIDA), we believe that increased understanding of the basics of addiction will empower people to make informed choices in their own lives, adopt science-based policies and programs that reduce drug use and addiction in their communities, and support scientific research that improves the Nation’s well-being.

Nora D. Volkow, M.D. Director National Institute on Drug Abuse

University of South Florida

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Chemo drug may cause significant hearing loss in longtime cancer survivors   

Chemo drug may cause significant hearing loss in longtime cancer survivors   

  • June 27, 2024

Research and Innovation

By: Cassidy Delamarter , University Communications and Marketing

An interdisciplinary study led by researchers at the University of South Florida and Indiana University has uncovered significant findings on the long-term effects of one of the most common forms of chemotherapy on cancer survivors.

Published in JAMA Oncology , the study tracked a cohort of testicular cancer survivors who received cisplatin-based chemotherapy. The team followed the patients for an average of 14 years, revealing that 78% experience significant difficulties in everyday listening situations, negatively impacting their quality of life. This collaborative research is the first to measure real-world listening challenges and hearing loss progression in cancer survivors over a long period of time.

“It’s important that we understand the real-world effects of patients’ sensory problems and if we can understand that, then we can develop better therapeutic strategies and preventive measures to improve the long-term quality of life for cancer survivors,” said Robert Frisina , distinguished university professor and chair of the USF Department of Medical Engineering .

Cisplatin is commonly used in chemotherapy treatments for a variety of cancers, including bladder, lung, neck and testicular. It is administered intravenously and affects various parts of the body. However, the ears are particularly vulnerable as they have little ability to filter out the drug, causing it to become trapped. This leads to inflammation and the destruction of sensory cells that are critical for coding sound, causing permanent hearing loss that can progressively get worse well after cisplatin treatments are completed.

Lead author Victoria Sanchez , associate professor in the USF Health Department of Otolaryngology Head & Neck Surgery , said that despite the known risks, there’s a nationwide lack of routine hearing assessments for patients undergoing chemotherapy. “Most patients still do not get their hearing tested prior to, during or after chemotherapy. Our study highlights the need for regular auditory evaluations to manage and mitigate long-term hearing damage.”

The research team found higher doses of cisplatin led to more severe and progressing hearing loss, especially in patients with risk factors, such as high blood pressure and poor cardiovascular health. They also experienced increased difficulty hearing in common environments, such as a loud restaurant.

“It will be critically important to follow these patients for life. Their current median age is only 48 years, and eventually they will enter the years at which age-related hearing loss also begins to develop,” said Dr. Lois B. Travis, Lawrence H. Einhorn Professor of Cancer Research at Indiana University School of Medicine and a researcher at the IU Melvin and Bren Simon Comprehensive Cancer Center. This research is part of The Platinum Study , an ongoing research effort led by Dr. Travis and funded by the National Cancer Institute to study cisplatin-treated testicular cancer survivors.

The hope is that this study will inspire further investigation into alternative chemotherapeutic protocols and preventive measures, such as FDA-approved drugs to prevent or reduce hearing loss.

“This research gives oncologists the information they need to explore alternative treatment plans that could reduce the long-term side effects, such as altering the dosages and timing of the cisplatin in the treatment, when that could be an appropriate option,” Frisina said.

Innovative solutions, such as Pedmark , a new FDA-approved injection that mitigates cisplatin-induced hearing loss in children, represent promising steps forward, according to Frisina.

“We want to protect our hearing or treat a hearing loss if hearing damage occurs,” Sanchez said. “Hearing allows us to connect to the world we love. Staying connected through conversations with family and friends, enjoyment of music and entertainment, staying safe and finding pleasure in our vibrant surroundings. Promoting optimal hearing for overall wellness is essential for healthy living.”

According to the American Cancer Society , in addition to cisplatin, other platinum chemotherapy drugs, such as carboplatin, cause damage to the cochlea in the inner ear and lead to hearing loss. The risk of damage is greater with higher doses of chemotherapy.

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Home — Essay Samples — Nursing & Health — Substance Abuse — Impact of Drug Addiction on Society

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Impact of Drug Addiction on Society

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Published: Feb 12, 2024

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Local News | Baltimore Police officer who traded ghost gun,…

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Local News | Baltimore Police officer who traded ghost gun, information for drugs gets 30 months in prison

Baltimore Sun reporter Madeleine O'Neill

The officer, Steven U. Angelini, pleaded guilty in August to federal drug and gun charges and will receive credit for the two years he’s already served as his case was adjudicated. He also must successfully complete inpatient drug treatment and serve six months on home detention when he is released from prison.

Angelini, who joined the Baltimore Police Department in 2006, is suspended without pay, a departmental spokesperson said.

U.S. District Judge Ellen L. Hollander said the case was an example of how addiction can drive a good person to make terrible choices. Angelini’s choices contributed to a lack of trust in Baltimore police, she said.

“What I have in front of me is a police officer who suffered an addiction and from there traded sensitive information about a murder to get drugs,” Hollander said. “I have a police officer who sold an untraceable firearm to a drug dealer.”

“What you did was dangerous, not just to you,” the judge said.

Angelini apologized during tearful remarks at the sentencing hearing.

“I placed my addiction ahead of my job, my family, my friends and my community,” he said, speaking in a gray detention center jumpsuit. “I violated the trust of the Baltimore Police Department.”

Prosecutors asked for a five-year prison sentence for Angelini. The information he shared about the murder of his onetime drug dealer, identified in court records as “D,” could have contributed to retaliatory violence, Assistant U.S. Attorney Christine Goo said.

“The only way that this information could have been used was for a nefarious purpose,” she said.

Angelini’s lawyer, Assistant Federal Public Defender Sedira Banan, asked for two years of incarceration, a sentence that would have amounted to time served.

The government charged that Angelini, 43, traded the information with the president of the Maryland chapter of the Infamous Ryders Motorcycle Club for cocaine. The club’s leader is identified in court papers as a man named “Keith” and was identified previously by The Baltimore Sun as Keith Dockins.

According to the indictment, Angelini texted Dockins in January 2022 and offered to sell him 90 “pinks,” or oxycodone pills, in exchange for $200 and a “ball,” or an eighth of an ounce of cocaine.

He also texted about the death of “D,” a drug dealer who worked with Dockins as part of his drug organization, according to court records, and repeatedly offered to go to the police department’s homicide division to get information about the investigation into his killing.

In all, Angelini sent nine photographs of his work computer screen, including images of police reports and information that was not available to the public, Goo said. Angelini also repeatedly promised to get Dockins a copy of a video that showed D’s shooting in exchange for cocaine, but never produced the video.

He claimed at one point to have the video on a USB drive, but the drive was empty and Angelini later said he’d made a mistake transferring the file. He also told Dockins he would go to the business where the original video had been recorded and “show them his badge” to obtain a copy, according to the indictment.

Goo said in court Friday that Angelini never tried to get the video.

In April 2022, Angelini texted Dockins apologetically and offered to sell him a ghost gun, or a firearm that is untraceable because it has no serial number, in exchange for $300 and another eighth of an ounce of cocaine. He also offered to provide hollow-point bullets for the weapon.

“Hope u ain’t still mad at me buddy,” Angelini texted, according to the indictment. “I tried everything to get the video. But anyway selling this Ar ghost for a good deal if you interested.”

Angelini assembled the gun himself, designing an AR-15-style rifle that could shoot cheaper 9mm ammunition. He brought the gun to the Coach House, a bar on Belair Road in Baltimore that the Infamous Ryders sold drugs from, investigators wrote in charging documents.

Police who were investigating Dockins at the time intercepted a phone call between Dockins and Angelini about the gun transaction. Angelini met with another person sent by Dockins to carry out the trade, and went into the Coach House with her, according to the indictment.

Later in April 2022, Angelini went to Coach House and gave Dockins 20 oxycodone pills to “make up for what I owe you, bro,” according to a transcript of their calls included in the indictment. The next day, Angelini texted Dockins that he was at a gun shop and would purchase ammunition and other firearm accessories in exchange for an eighth of an ounce of cocaine. He bought more than $500 of merchandise and again went to Coach Bar.

On May 4, 2022, Angelini went to a pain clinic, then traveled to a Walgreens in Middle River to pick up a prescription for 90 oxycodone pills, according to the indictment. He called Dockins to sell him the pills for $170 and $100 worth of cocaine. After visiting Coach House again, Angelini requested $170 from Dockins using Cash App.

Dockins entered Alford plea in January to drug distribution and unlawful possession of a firearm in Baltimore County Circuit Court. He received eight years in prison, according to court records.

In court Friday, Angelini said he abused the opioid pain medications he received after being injured on the job. He loved being a police officer, he said, and allowed the job to take over his life.

Angelini said his time in jail helped him get into recovery, and he pledged to remain in recovery no matter what sentence Hollander issued. Angelini told the judge he hopes to help other law enforcement officers struggling with drug addiction and mental health issues.

“I’ve come to believe this arrest happened for a reason and saved my life,” he said.

Members of Angelini’s family filled the courtroom gallery. His wife, daughter and brother each spoke, asking Hollander for a sentence that would let Angelini come home right away.

Hollander said the case reminded her of Hunter Biden, the son of President Joe Biden who was recently convicted of lying about his illegal drug use to purchase a gun.

“This is a problem that permeates every community, every walk of life, every background,” Hollander said.

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Sunco & Frenchie LLC. Recalls Terrafina Brand Macadamia in the Raw Because of Possible Health Risk

COMPANY ANNOUNCEMENT

When a company announces a recall, market withdrawal, or safety alert, the FDA posts the company's announcement as a public service. FDA does not endorse either the product or the company.

Company Announcement

Sunco and Frenchie LLC of Pine Brook, New Jersey is recalling Terrafina brand Macadamia in the Raw packed in 6 oz plastic containers, because it has the potential to be contaminated with Salmonella , an organism which can cause serious and sometimes fatal infections in young children, frail or elderly people, and others with weakened immune systems. Healthy persons infected with Salmonella often experience fever, diarrhea (which may be bloody), nausea, vomiting and abdominal pain. In rare circumstances, infection with Salmonella can result in the organism getting into the bloodstream and producing more severe illnesses such as arterial infections (i.e., infected aneurysms), endocarditis and arthritis.

Terrafina Brand Macadamia in the Raw was distributed in New York through retail stores. Oak Foods LLC was the distributor.

Brand Name Terrafina with the product name Macadamia in the Raw. Best by Date is 05/2025 and Lot # is RMA241201. UPC# 847938003570. The container is plastic square shaped, and the label indicates size 6 oz and has a light green color for the front label. The nutrition label indicates distributed by Oak Foods LLC, Bronx NY 10474.

The raw macadamia nuts were manufactured by SolCaribe, S.A., Costa Rica.

No illnesses have been reported to date.

The potential contamination of Salmonella was discovered through the State of New York Department of Agriculture and Markets Food Laboratory through routine testing. The company is recalling this product as FDA and Sunco and Frenchie LLC continue their investigation.

Consumers that have purchased this product should bring it back to the place of purchase for a full refund or dispose of it immediately and refrain from consuming it. Please call 973-478-1011 from Monday to Friday.

Company Contact Information

Product photos.

Bottom of package, terrafina Macadamia in the Raw

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  30. Sunco & Frenchie LLC. Recalls Terrafina Brand Macadamia in the Raw

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