Description
Use of substances, such as street drugs, alcohol, or prescription drugs if these are not taken for the reason they were prescribed. People commonly engage in substance abuse for purposes of getting "high", having an adventure, or escaping reality. Substance abuse can quickly become a preoccupation or an addiction. In addiction, patients lose control and have a compulsion to continue using the substance despite clear adverse personal and social consequences. The toll on the individual and society is significant with loss of work, loss of family, and increased risk of incarceration.
Symptoms
Uncontrolled behavior when in an intoxicated state. Aggression, inappropriate behavior, agitated, drunken or drowsy appearance. Withdrawing from social circles, depression, suicidal ideations, loss of job, increased risk taking, forgetfulness, missing appointments, getting trouble with the law.
Tests
Common tests used for diagnosis and treatment
Workup:
A history and physical exam will be performed. Urine drug tests may be used to identify substances that have been recently used.
Other Specific Tests: Urine and serum drug screens, alcohol breathalyser, serum alcohol level
Specialists:
Internal Medicine, Psychiatry, Pediatrics, Family Practice
Workup:
A history and physical exam will be performed. Urine drug tests may be used to identify substances that have been recently used.
Other Specific Tests: Urine and serum drug screens, alcohol breathalyser, serum alcohol level
Specialists:
Internal Medicine, Psychiatry, Pediatrics, Family Practice
Treatment
Treatment may include: cognitive behavioral therapy, psychological therapy, group therapy, and/or medications. "Detox" may be appropriate (may be in a hospital facility or in a day program).