Substance Abuse Treatment Los Angeles
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- May 12, 2021
Clinically reviewed by Linda Whiteside
Medically reviewed by Dr. Ryan Peterson
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Substance abuse is when someone uses drugs or alcohol in a harmful way. It can cause problems with their health, relationships, and how they do in school or at work. It is important to understand substance abuse so we can help people who are struggling with it.
If you or someone you know is dealing with substance abuse, find help and support. There are many resources and treatments that can help people get better and live healthier lives. You can also Contact us today at (323)307-7997 to speak with a qualified mental health professional who can provide support and guidance on the journey toward recovery.
Most Commonly Abused Drugs
Let’s take a closer look at some drugs that people often misuse and understand how these substances can harm us and why staying away from them is important.
- Alcohol
Alcohol is a drink that many people enjoy, but it can also be harmful. Drinking too much alcohol can cause health problems, accidents, and addiction.
- Prescription and Over-the-Counter (OTC) Medicine
Some medicines can be helpful when used correctly, but they can also be dangerous if misused. Prescription and over-the-counter medicines can be abused, leading to addiction and other health problems.
- Heroin
Heroin is an illegal drug that is very dangerous. People who use heroin can become addicted and have serious health problems.
- Cocaine
Cocaine is another illegal drug that is harmful. It can cause heart problems, addiction, and other health issues.
- Marijuana
Marijuana is a drug that some people use for medical reasons or to relax. However, it can also be abused and cause problems with memory, learning, and addiction.
- Cigarettes and Other Tobacco Products
Tobacco products like cigarettes and chewing tobacco can be addictive and cause health problems like cancer and heart disease.
Signs and Symptoms of Substance Abuse
Recognizing the signs and symptoms of substance abuse is crucial in identifying potential problems with drugs or alcohol and providing the necessary support and intervention. Behavioral, physical, and psychological indicators such as changes in behavior or mood, neglect of responsibilities, social withdrawal, physical health issues, and cravings can all be warning signs of substance abuse.
Understanding these signs and seeking professional help and support can promote early detection and effective treatment, ultimately leading to improved health and well-being.
11 Common Physical and Behavioral Symptoms of Substance Abuse
- Changes in Appearance
People with substance abuse problems might look different, like having bloodshot eyes, bad breath, or losing weight for no reason.
- Mood Changes
Substance abuse can cause mental health disorders, leading to sudden mood swings, anger, or depression.
- Secretive behavior
People struggling with drug abuse might start hiding things or lying about where they are going and what they are doing.
- Loss of interest
Substance abuse can make people lose interest in things they used to enjoy, like hobbies, sports, or spending time with friends and family.
- Trouble at school or work
Substance abuse can cause problems with concentration and focus, leading to bad grades, missed assignments, or repeated absences.
- Money problems
People with substance abuse problems might start having financial issues, like asking for money without explaining why or stealing from others.
- Changes in friends
Someone misusing drugs might start hanging out with new friends who also use drugs or avoid old friends who don’t.
- Changes in sleep
Substance abuse can cause changes in sleep patterns, like sleeping too much or too little.
- Withdrawal symptoms
When someone stops using drugs or alcohol, they might experience withdrawal symptoms like shaking, sweating, or feeling sick.
- Risky behavior
People using drugs might take dangerous risks, like driving under the influence or using dirty needles for injecting drugs.
- Health problems
Substance abuse can cause both short-term and long-term health consequences, like damage to the person’s brain, heart, and other organs.
These signs and symptoms can be caused by different types of substances, like illegal drugs, prescription drugs, alcohol, or even over-the-counter medicines.
Signs of Substance Abuse in Teenagers
Substance abuse is a serious issue that can affect people of all ages, including teenagers. It’s essential to know the signs of substance abuse in adolescents, as early detection can lead to quicker intervention and help.- Sudden changes in grades
Teenagers with substance abuse problems might start having trouble at school, like getting lower grades or missing assignments.
- Skipping school or classes
Teens misusing drugs or alcohol might start skipping school or classes without a good reason.
- Changes in friend groups
Teenagers with substance abuse issues might start hanging out with new friends who also use drugs and avoid old friends who don’t.
- Loss of interest in activities
Substance abuse can cause teens to lose interest in hobbies, sports, or other activities they used to enjoy.
- Mood swings and irritability
Teens struggling with drug abuse might have sudden mood changes, like getting angry or upset for no reason.
- Secretive behavior
Teens with substance abuse problems might start hiding things, lying about where they are going or what they are doing.
- Problems at home
Substance abuse can cause tension and conflict between teenagers and their family members, leading to arguments or other issues.
- Changes in appearance
Teens with substance abuse issues might have a sudden change in appearance, like looking unkempt, wearing dirty clothes, or having poor hygiene.
- Unexplained injuries
Teens using drugs might have unexplained injuries, like bruises or cuts, from accidents caused by being under the influence of drugs or alcohol.
- Stealing or asking for money
Teens with substance abuse problems might start stealing money or valuables or asking for money without giving a clear reason.
- Risky behavior
Substance abuse can lead to risky behavior in teenagers, like engaging in unsafe sex, driving under the influence, or using drugs in dangerous situations.
Screening And Assessment Tools For Substance Abuse
Doctors and counselors use special tests and questions to find out if someone has a substance abuse problem. These tools can help them decide what kind of treatment is best.- CAGE questionnaire
This simple four-question tool helps identify potential alcohol abuse by asking about a person’s attempts to cut down, annoyance with criticism, guilt about drinking, and using alcohol as an “eye-opener” in the morning.
- AUDIT (Alcohol Use Disorders Identification Test)
Developed by the World Health Organization, AUDIT is a 10-question survey that evaluates a person’s alcohol consumption, drinking behavior, and potential alcohol-related problems.
- DAST (Drug Abuse Screening Test)
This tool helps healthcare providers assess drug abuse by asking about drug use, drug-related problems, and the impact of drug use on a person’s life.
- ASSIST (Alcohol, Smoking, and Substance Involvement Screening Test)
Developed by the World Health Organization, ASSIST is a questionnaire that evaluates the use of various substances, including alcohol, tobacco, and illegal drugs, and identifies the risk level for each substance.
- CRAFFT
Specifically designed for teenagers, CRAFFT is a six-question tool that screens for substance use by asking about the use of alcohol, drugs, and other substances in different situations, like while driving or to relax.
- Clinical interviews
Healthcare providers can use clinical interviews to gather detailed information about a person’s substance use, mental health, and other related factors. This can help identify substance dependence and other mental health disorders.
- Psychological assessments
Mental health professionals can use psychological assessments to identify underlying issues, such as mental illness or environmental factors, that may contribute to substance abuse.
Causes of Substance Abuse
Substance abuse can have various underlying causes, such as peer pressure, family history of addiction, mental health disorders, high levels of stress or trauma, and exposure to drugs at a young age.
Understanding these reasons can aid in comprehending why individuals may engage in substance abuse and how to prevent it from occurring.
Here are a few potential causes of substance abuse to consider:
- Peer Pressure
Wanting to fit in or be accepted by friends can lead to trying drugs or alcohol, even if someone knows it’s harmful.
- Family History of Addiction
Having family members with addiction problems can increase the risk of developing substance abuse issues due to genetic factors and exposure to drug or alcohol use.
- Mental Health Problems
People with mental health disorders, such as depression or anxiety, may use drugs or alcohol to cope with their symptoms, leading to substance abuse.
- Stress or Trauma
Experiencing high levels of stress or traumatic events can make someone more likely to turn to drugs or alcohol to cope, which can result in substance abuse.
- Exposure to Drugs at a Young Age
Being exposed to drugs, either through friends or family members, can increase the likelihood of trying substances and developing a drug addiction.
Diagnosis and Treatment for Substance Abuse
Diagnosis involves checking for signs of drug or alcohol misuse, and treatment can include different methods like therapy and medication. It helps doctors find out if someone is struggling with substance abuse and the ways they can help.
- Taking more of the substance than intended
Using larger amounts of a drug or for longer periods than originally planned, as defined by the mental health services administration.
- Unsuccessful attempts to cut down or control the use
Repeated efforts to reduce or stop drug misuse, often without success.
- Spending a lot of time obtaining, using, or recovering from the substance
A significant amount of time is devoted to activities related to drug use, including finding and using illicit drugs or other drugs.
- Craving the substance
A strong desire or urge to use the substance, often leading to recurrent substance use.
- Failing to fulfill major obligations at work, school, or home due to substance use
Drug use results in poor performance, repeated absences, or neglect of responsibilities.
- Continued use despite social or interpersonal problems caused or worsened by the substance
Ignoring the adverse effects of drug use on relationships and social interactions.
- Giving up or reducing important social, occupational, or recreational activities because of substance use
Substance use leads to less participation in activities that were once enjoyed, such as hobbies or spending time with friends.
- Recurrent substance use in situations where it’s physically hazardous
Using drugs or alcohol in risky situations, like driving or operating machinery.
- Continuing to use the substance despite knowing it’s causing or worsening a physical or psychological problem
Ignoring the negative impact of drug use on physical health or mental disorders.
- Developing a tolerance to the substance
Needing more of the drug to achieve the same effect results in increased risk and higher doses.
- Experiencing withdrawal symptoms when trying to stop using the substance
Unpleasant physical or psychological symptoms occur when stopping or reducing drug use.
The DSM-5, created by the American Psychiatric Association, outlines these criteria to help healthcare providers diagnose and treat substance use disorders. Understanding these criteria can help individuals recognize when they may need additional resources and support to address their substance use.Doctors and counselors will ask questions and do tests to find out if someone has a substance use disorder. They might also talk to family members or look at the person’s medical history.
There are different levels of treatment for substance abuse, like inpatient care, where someone stays at a treatment center, or outpatient care, where they go to appointments but live at home.
Inpatient treatment is when someone stays at a special center to get help with their substance abuse. They have therapy, activities, and support from doctors and counselors.
Outpatient treatment is when someone gets help with their substance abuse but still lives at home. They go to appointments with doctors and counselors and might also attend support group meetings.
Sometimes people have both substance abuse problems and other mental health issues. Dual diagnosis treatment helps with both of these problems at the same time.
There are different types of therapy that can help people with substance abuse, like talking to a counselor or learning new skills to deal with stress and emotions.
- Buprenorphine
- Methadone
- Naltrexone
- Acamprosate
- Disulfiram
- Detoxification
Removing the illicit drug or synthetic drugs from the body and managing withdrawal symptoms under medical supervision.
- Inpatient or outpatient treatment
Choosing a treatment program that best suits the individual’s needs and situation, taking into account factors such as the severity of the addiction and psychological problems.
- Behavioral therapy
Participating in therapy to identify triggers for drug use, develop coping strategies, and improve communication skills.
- Medication-assisted treatment
Using medications as prescribed by a healthcare professional to help reduce cravings and manage withdrawal symptoms.
- Support groups
Joining a group of individuals with similar experiences provides encouragement, understanding, and accountability during the recovery process.
- Identifying triggers
Recognizing situations, emotions, or people that may increase the risk of returning to drug use.
- Developing coping skills:
Learning healthy ways to deal with stress, cravings, and negative emotions that might lead to continued substance use.
- Building a supportive network
Surrounding oneself with supportive friends and family members who encourage sobriety and help maintain a substance-free lifestyle.
- Continuing therapy or counseling
Engaging in ongoing therapy to address psychological problems and reinforce healthy behaviors.
- Prioritizing self-care
Practicing good physical and mental health habits, such as exercise, proper nutrition, and sufficient sleep.
- Regular follow-up appointments
Meeting with healthcare providers or counselors to discuss progress and address any new challenges.
- Ongoing support group participation
Continue to attend support group meetings to maintain motivation and accountability. Groups like Alcoholics Anonymous (AA) and Narcotics Anonymous (NA) can help people who are dealing with substance abuse. These groups have meetings where people can talk about their experiences and get support from others who understand what they are going through.
- Developing a relapse prevention plan
Creating a detailed plan outlining steps to take if a relapse occurs, including who to contact and what actions to take.
- Engaging in meaningful activities
Pursuing hobbies, volunteering, or joining social clubs to create a sense of purpose and build connections with others.
- Continuing to monitor and manage mental health
Regularly assessing and addressing any co-occurring mental health disorders or psychological issues that could increase the risk of relapse.
Substance Use and Co-occurring Disorders
Substance use and co-occurring disorders are when someone is dealing with substance abuse and another mental health problem at the same time. These might be things like depression, anxiety, or other disorders.
The Connection between Substance Use Disorder and Mental Health
Substance Use Disorder (SUD) and mental health disorders are often interconnected, with one influencing the other. It’s not unusual for someone struggling with SUD to also have a mental health disorder such as depression, anxiety, bipolar disorder, or schizophrenia, among others. This can happen because drugs and alcohol may seem like a temporary way to ease the pain of these mental health issues. On the flip side, continual substance abuse can lead to mental health problems due to the effects these substances have on a person’s brain, behavior, and emotions.
When these conditions overlap, they are referred to as co-occurring disorders or dual diagnoses. This co-occurrence can complicate treatment as both issues need to be addressed simultaneously for a holistic recovery. Ignoring one while treating the other usually leads to less effective treatment and a higher likelihood of relapse.
Dual Diagnosis Treatment for Co-Occurring Disorders
Dual diagnosis treatment is a comprehensive approach to therapy that addresses both substance use disorders and co-occurring mental health disorders concurrently. This is important because the two conditions are intertwined and may affect each other.
In dual-diagnosis treatment, the patient receives integrated care from a team of professionals. This could include mental health professionals, substance abuse counselors, and medical staff, who work together to create an individualized treatment plan. This plan might include a combination of therapies such as medication, psychotherapy, behavioral therapies, and support groups.
The goal of dual diagnosis treatment is to help individuals learn to manage both their substance use disorder and their mental health disorder, leading to a more stable and healthier life. It’s crucial to note that treatment for co-occurring disorders takes time, patience, and comprehensive care, but recovery is indeed possible.
Substance Abuse Prevention and Resources
There are things we can do to prevent substance use disorders:
- Early Intervention
Addressing risk factors and providing support to individuals at higher risk for developing substance use disorders.
- Education
Teaching about the dangers of drug use and the potential for addiction, particularly in schools and community settings.
- Parental Involvement
Encouraging open communication between parents and children about the risks associated with substance use.
- Healthy Coping Strategies
Promoting alternative ways to manage stress, emotions, and peer pressure without resorting to drug use.
- Family History of Addiction
Genetic predisposition to substance abuse and addiction.
- Early Exposure to Drugs
Experimenting with drugs or alcohol at a young age can increase the risk of developing a substance use disorder.
- Mental Health Disorders
Co-occurring mental health issues can contribute to substance abuse as a form of self-medication.
- Social Environment
Peer pressure, exposure to drug use, and lack of support can increase the likelihood of substance abuse.
Programs in schools and communities can help prevent substance use disorders by teaching people about the dangers of drugs and alcohol and helping them make healthy choices.
An intervention is when family and friends come together to help someone with a substance abuse problem. They might share their feelings, offer support, and encourage the person to get help.
- Assessment
Evaluating the severity of a client’s substance use disorder and any co-occurring mental health disorders.
- Treatment planning
Developing an individualized treatment plan to address the client’s specific needs and goals.
- Counseling
Providing individual, group, or family therapy to help clients understand the root causes of their addiction and develop coping strategies.
- Referrals
Connect clients with additional resources, such as support groups, medical professionals, or social services.
- Relapse Prevention
Assisting clients in identifying triggers and developing strategies to maintain long-term sobriety.
There are many treatment centers and resources to help people with substance abuse problems. You can find places near you by searching online or asking your doctor or counselor for suggestions.
- Telehealth Services
Telehealth allows for remote patient monitoring, virtual appointments, and digital communication between healthcare providers and patients. This can be particularly beneficial for those living in rural areas or those who are unable to attend sessions physically. For example, a person struggling with alcohol abuse can attend Alcoholics Anonymous (AA) meetings online, receive counseling through video calls, or use digital tools to track their progress.
- Mobile Apps
Several apps have been developed to help manage addiction and maintain recovery. Apps like “Sober Grid” and “I Am Sober” offer community support, motivational tools, and ways to track sobriety.
- Online Support Groups
Online platforms offer various forms of community support, including forums, chat rooms, and virtual meetings. These services provide a sense of community and shared experience that can be crucial for recovery.
- Virtual Reality Therapy
Emerging technology like virtual reality (VR) is being explored as a tool for treating substance abuse. VR can be used to simulate real-life situations that might trigger substance use, allowing patients to develop coping strategies in a safe, controlled environment.
- Artificial Intelligence (AI) and Machine Learning
AI can be used to identify patterns and predict behaviors related to substance abuse, potentially allowing for early intervention. Machine learning algorithms can analyze data to predict relapse, helping health professionals intervene before a setback occurs.
- Genetic Testing
Some companies are developing genetic tests to help predict a person’s risk of addiction, allowing for early intervention and personalized treatment plans.
Remember, while these emerging technologies are promising, they are supplements to, not replacements for, traditional treatment methods such as counseling and medication. Always consult with a healthcare provider for personalized advice and treatment.Substance abuse represents a significant challenge in the United States, affecting a diverse range of individuals across various demographics.
The U.S. Department of Health and Human Services’ Substance Abuse and Mental Health Services Administration (SAMHSA) released the 2021 National Survey on Drug Use and Health (NSDUH), providing extensive data on mental health conditions, substance use, and treatment in the United States.
The report revealed that 21.9% of people aged 12 or older, or 61.2 million individuals, used illicit drugs in the past year, with marijuana being the most commonly used.
Furthermore, the survey found that 16.5% of the population, equating to 46.3 million people, met the criteria for having a substance use disorder in the past year, yet 94% of those with a disorder did not receive any treatment.
The study also highlighted mental health concerns, with one in five adolescents experiencing a major depressive episode (MDE) in the past year and nearly a quarter of adults reporting a mental illness.
Notably, 13.5% of young adults aged 18 to 25 had both a substance use disorder and mental illness.
In terms of mental health crises, 12.3 million adults had serious thoughts of suicide, with 3.5 million making suicide plans and 1.7 million attempting suicide.
However, the report also noted recovery, with 72.2% of adults with a history of substance use problems and 66.5% of adults with a past mental health issue considering themselves in recovery.
Therefore, it is crucial to expand access to effective treatments, reduce the stigma associated with substance abuse, and address the underlying social determinants that contribute to substance misuse across diverse population groups in the United States.
Conclusion
Substance use disorder is a serious issue that affects many people’s lives. It is important to understand what substance abuse is and how it can be treated. There are many different types of drugs that can be abused, and there are signs and symptoms that can help identify if someone has a problem.
If you or someone you know is struggling with substance abuse, don’t be afraid to reach out for help. There are many resources and treatments available that can help people recover and live healthier, happier lives.
Don’t Wait. Get Help Now.
Substance abuse can have serious consequences, so it’s important to get help as soon as possible. The sooner someone gets help, the better their chances are for a successful recovery. If you or someone you know is struggling with substance abuse, don’t hesitate to reach out for help.
Questions About Treatment Options For Substance Use Disorder?
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Nawi, A.M., Ismail, R., Ibrahim, F. et al. Risk and protective factors of drug abuse among adolescents: a systematic review. BMC Public Health 21, 2088 (2021). https://doi.org/10.1186/s12889-021-11906-2
Alsuhaibani, R., Smith, D.C., Lowrie, R. et al. Scope, quality and inclusivity of international clinical guidelines on mental health and substance abuse in relation to dual diagnosis, social and community outcomes: a systematic review. BMC Psychiatry21, 209 (2021). https://doi.org/10.1186/s12888-021-03188-0
“SUBSTANCE-RELATED DISORDERS.” Drexel University College of Medicine, webcampus.med.drexel.edu/nida/module_2/content/5_0_AbuseOrDependence.htm.
Heijdra Suasnabar, J.M., Hipple Walters, B. Community-based psychosocial substance use disorder interventions in low-and-middle-income countries: a narrative literature review. Int J Ment Health Syst14, 74 (2020). https://doi.org/10.1186/s13033-020-00405-3
“2021 National Survey of Drug Use and Health (NSDUH) Releases.” Substance Abuse and Mental Health Services Administration (SAMHSA), (2021), www.samhsa.gov/data/release/2021-national-survey-drug-use-and-health-nsduh-releases.
“SAMHSA Announces National Survey on Drug Use and Health (NSDUH) Results Detailing Mental Illness and Substance Use Levels in 2021.” Substance Abuse and Mental Health Services Administration (SAMHSA), 4 Jan. 2023, www.samhsa.gov/data/release/2021-national-survey-drug-use-and-health-nsduh-releases.
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