What is Addiction?
Addiction is a brain disorder characterized by compulsive engagement in rewarding stimuli despite adverse consequences. Despite the involvement of a number of psychosocial factors, a biological process one that is induced by repeated exposure to an addictive stimulus is the core pathology that drives the development and maintenance of an addiction, according to the “brain disease model” of addiction.
Addiction is a disorder of the brain’s reward system which arises through transcriptional and epigenetic mechanisms and develops over time from chronically high levels of exposure to an addictive stimulus (e.g., eating food, the use of cocaine, engagement in sexual activity, participation in high-thrill cultural activities such as gambling, etc.).
The 5th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) uses the term “substance use disorder” to refer to a spectrum of drug use-related disorders. The DSM-5 eliminates the terms “abuse” and “dependence” from diagnostic categories, instead using the specifiers of mild, moderate and severe to indicate the extent of disordered use. These specifiers are determined by the number of diagnostic criteria present in a given case. In the DSM-5, the term drug addiction is synonymous with severe substance use disorder.
The DSM-5 introduced a new diagnostic category for behavioral addictions; however, problem gambling is the only condition included in that category in the 5th edition. Internet gaming disorder is listed as a “condition requiring further study” in the DSM-5.
Past editions have used physical dependence and the associated withdrawal syndrome to identify an addictive state. Physical dependence occurs when the body has adjusted by incorporating the substance into its “normal” functioning i.e., attains homeostasis and therefore physical withdrawal symptoms occur upon cessation of use. Tolerance is the process by which the body continually adapts to the substance and requires increasingly larger amounts to achieve the original effects. Withdrawal refers to physical and psychological symptoms experienced when reducing or discontinuing a substance that the body has become dependent on. Symptoms of withdrawal generally include but are not limited to body aches, anxiety, irritability, intense cravings for the substance, nausea, hallucinations, headaches, cold sweats, tremors, and seizures.
According to a review, in order to be effective, all pharmacological or biologically based treatments for addiction need to be integrated into other established forms of addiction rehabilitation, such as
A)Cognitive Behavioral Therapy
B)Individual & Group Psychotherapy
C)Behavior-Modification Strategies D)Twelve-step Programs
E)Residential Treatment facilities.
Activities in Deaddiction centre
We have 30 days Deaddiciton Rehabilitation Programme. We follow some rules and regulation in this centre. We are not treating them as other patients. Our special team looking after all activities.
Patients must learn how to cope by interacting with people without the alcohol / drug / substance abuse.
Creative activities such as playing carom board , Ludo , listening songs , Watching TV and Music Therapy can encourage people to learn social skills that are not alcohol / drug dependent.
The de-addiction treatment program is for 1 month starting every Wednesday (This will be effective from February 08, 2012). The daily routine for the patients is as below:
|6:00AM||Wake Up Time|
|6:15 AM||Morning Tea|
|6:45-7:45||Yoga & Pranayam|
|9:15-10:15||Meditation - Input sessions by experts|
|10:30-11:45||Time Slot for visiting counsellor/Diary writing/Library|
|14:00-16:00||Rest for new patients|
|14:30-15:30||Group therapy for 3rd & 4th week friends|
|18:30-19:30||AA/NA meetings(once a week on sunday)|
|20:30-22:00||Entertainment- TV/Audio/Video/Indoor Games/Books|
The groups are formed on the basis of date of admission. All friends admitted on Friday are considered as first week friends. On completion of a week on subsequent Friday they graduate to the second week. Likewise at any given moment we have five groups.
We have experienced that this pattern of group formation is the crux of recovery process. During first week our friends are just recovering from withdrawals. Many of them feel homesick. Some of them are in denial. Some of them find it difficult to cope up with the fact of being admitted to a center. So the first week group is more or less experiencing discomfort. Even if the group may include friends from varying financial, educational or intellectual background, they are emotionally at one level, and hence relate to each other. We feel that this emotional cohesiveness works well in the process of recovery.
Our friends graduate to the subsequent weeks and evolve in a wonderful group. Just like defence staff or college students, Muktangan graduates proudly call each other “batch-mates”.
Brief Information About Four Week Programme
- Psychiatric complications: Substance abuse is closely related with psychiatric problems. Various issues involved are explained in detail.
- Sexual problems and addiction: This is one of the most important subjects delicately explained by our psychiatrist.
- Serenity prayer: We believe that serenity prayer is the most effective tool in the recovery process. The prayer is explained by illustrating various life experiences.
- Mental health: Criteria for mental health is explained. Friends are then helped to check the areas needing improvement to restore mental health.
- Physical health and fitness: Qualified trainer explains nurturing physical health.
- First four steps of AA: Four separate sessions are organised to explain first four steps. Powerlessness over addiction, unmanageability of life, higher power, and self-inventory are explained in detail.
- Meditation and awareness: Information about Vipassana is provided. Also types of awareness are explained.
- Hobbies and creativity: Inmates are given the opportunity of using creative instances for happy and healthy living.
- Happiness and satisfaction: We endorse the view that happiness is the path, not a destination. The difference between point satisfaction and process satisfaction is explained.
- Anger control: Anger is a very common problem with addicts. Various tools of expressing and ventilating anger are explained.
Bhimashankar Thobade Nagar, Juna Puna Naka, Opp. Arvindham Police Quarter, Solapur- 413002 Adwait Appt., 92, Railway Lines,opp. Mun. Commissoner's Bungalow,Near Old RTO Office, Solapur-413001
OPD TimingsMon-Sat 10:00 -14:00. IPD Open for 24x7