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Is Cocaine Addictive?

Cocaine is one of the most addictive of all substances. Regular use can quickly lead to a substance use disorder. Cocaine causes a sense of pleasure and euphoria in key parts of the brain, which initiates a reward cycle that promotes ongoing use of the drug. Over time, tolerance develops as the brain compensates, and other long-term changes in the brain ultimately lead to addiction. Professional support and treatment are needed for anyone who wants to stop using cocaine.

 

Cocaine is an illicit and highly addictive drug. It is a controlled substance, listed by the Drug Enforcement Administration as a schedule II drug because of the high potential for abuse with limited medical usefulness.

 

Like other addictive substances, cocaine causes intense feelings of pleasure, initiates a reward cycle in the brain, and actually changes the brain over time, making cessation extremely difficult. Although cocaine is addictive, cocaine use disorder can be treated successfully.

Immediate Effects of Cocaine

The potential addictive nature of cocaine makes an individual vulnerable from the very first use of the drug. The immediate impact of using cocaine is an intense feeling of pleasure, known as euphoria. This occurs because cocaine goes rapidly to the brain where it blocks the uptake of a neurotransmitter called dopamine. The result is that levels of the so-called pleasure chemical remain high, leading to the sense of euphoria.

 

When someone uses cocaine and experiences that high, it acts like a reward that pushes the person to engage in the behavior again. The use of dopamine to explain why cocaine is addictive is important but also simplified. There are many other factors that contribute to the habit-forming nature of this drug. For instance, dopamine is affected throughout the brain but especially in an area called the limbic system.

 

The limbic system is involved in regulating emotions and connecting them to memories, a potent combination for repeating pleasurable behaviors like cocaine use. It is also involved in basic survival instincts and urges. Stimulating this part of the brain can lead to the impulsive desire to keep using the drug to get the pleasure sensation.

Tolerance with Continued Cocaine Use

The brain attempts to adapt to the changes that cocaine causes, including adjusting dopamine levels. With ongoing use of the drug, the brain drops dopamine levels to compensate for the rushes experienced when the drug is in the brain. This means that when a person is not using, they will struggle to experience any pleasure, a motivating factor in using cocaine again and again. And, tolerance develops so that an individual needs to use more cocaine to overcome this dip in pleasure and to experience euphoria or even just a basic level of pleasure again.

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Other Long-Term Effects of Cocaine use Contribute to Addiction

Tolerance is one long-term effect of many drugs, including cocaine that converts regular recreational use of a drug into a need and a substance use disorder. Research into cocaine’s impact on the brain has found other ways in which this drug becomes addictive over time:

 

  • There is evidence that cocaine use changes genes in brain cells leading to the overproduction of a specific protein implicated in addictive behaviors.
  • Long-term cocaine use has been found to cause nerve cells in the limbic system to grow longer. Although it is not well understood, this phenomenon may contribute to addiction.
  • Studies have found that mice given regular doses of cocaine and then forced to be abstinent for two months, do not recover after that abstinent period. When administered cocaine again, they still exhibit tolerance. This indicates that the brain changes caused by cocaine last a very long time, the equivalent of at least four years in humans.
  • Scans of the brains of heavy cocaine users have found significant abnormalities compared to those of people who never used the drug. These include reduced brain matter in areas responsible for decision-making and more matter in areas related to pleasure.

Cocaine Use Can Lead to Substance Use Disorder

Even casual, recreational use of cocaine can lead to behaviors that develop into an addiction. According to the National Survey on Drug use and Health, 913,000 adults over the age of 12 in the U.S. in 2014 were struggling with cocaine use disorder. This represents about 0.3 percent of the adult population. The age group with the highest incidence of an addiction to cocaine is adults between the ages of 18 and 25.

 

 Individuals struggling with cocaine benefit from integrated cocaine addiction rehab and treatment

Cocaine is an addictive drug and anyone who uses it is at risk of developing a substance use disorder. It can be successfully treated and managed with supervised detox, therapy, medical care, lifestyle changes, and support from professionals, family, and friends.

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Heroin Addiction Management

After a heroin addiction has been diagnosed by a medical professional or trained addiction specialist, the first step is medical detox to help the recovering addict manage their heroin withdrawal symptoms, which can be notoriously stressful and painful. This will usually take place in a residential drug and alcohol treatment center, where inpatient recovery programs give heroin addicts an authentic chance to find lasting health and wellness.

 

In addition to basic, 24-hour healthcare, detox usually includes the introduction of substitute opiate-based medications that can help addicts ease off heroin at a safe, sustainable pace. Drugs like methadone and buprenorphine bind to opiate receptors in the brain but do not produce the same level of euphoria or the same intensity withdrawal symptoms as heroin, and they are appropriate for both detox and to boost the effectiveness of long-term relapse prevention programs.

 

Once detox is complete and heroin withdrawal symptoms are under control, patients will move on to treatment, which will include extensive, daily therapy in individual, group, and family formats. Medications may continue to be offered as necessary, and other services provided may include holistic mind-body wellness techniques like yoga, acupuncture, massage therapy, biofeedback, and arts therapy, and education and life skills classes that teach coping skills that can help recovering heroin addicts avoid relapse and stay committed to a drug-free future.

 

Whenever the signs and symptoms of heroin addiction are identified, it is vital that friends and family members do everything they can to convince their loved ones to seek evaluation and treatment, while the prospects for a positive outcome still exist. Heroin addiction is a life-threatening condition, and without treatment successful recovery is highly unlikely.

Co-Occurring Disorders

Other mental health issues are frequently experienced by men and women with factitious disorder. In one comprehensive study of sufferers, 46.5 percent were diagnosed with additional psychiatric disorders.

 

There is a strong correlation between personality disorders and factitious disorder in general, with borderline personality disorder being by far the most commonly diagnosed. When combined with substance use disorders, this creates a dual diagnosis condition where factitious disorder and addiction treatment must be addressed together. Depressive disorders are also extremely common among men and women with factitious disorders, with frequent bouts of major depression reported.

 

While their lists of risk factors are not identical, factitious disorders, personality disorders, and depressive disorders all have deep roots in abuse or neglect experienced during childhood. Such experiences are also predictors for substance use disorders in adulthood, and research has revealed that substance abuse co-occurs with factitious disorder more frequently when personality disorders and depressive disorders are also present.

Factitious Disorder and Drug Addiction Prognosis

When allowed to continue without acknowledgement or intervention, factitious disorders will only worsen over time, until real and lasting damage is inevitable. The same is true for substance use disorders, and when the two types of conditions occur together the circumstances can quickly become dire.

 

But there is cause for hope. A high-quality dual diagnosis drug treatment program that specializes in factitious disorder and substance use disorders can produce remarkable results, if treatment begins early enough and the patient is willing to face the truth about the dysfunctional nature of their behavior. 

 

Individualized treatment plans will include a mix of individual, group, and family therapy, with equal priority being given to both diagnosed conditions. Although there are no medications approved for the treatment of factitious disorder, they may be prescribed to assist with withdrawal symptoms or for any mood disorders or anxiety disorders that may be present.

 

Holistic therapies like meditation, yoga, biofeedback, arts and music therapy, and massage therapy may also be included in a program for co-occurring disorders based on the preferences and interests of the patient. Aftercare programs will help reinforce the lessons learned during the person’s 30-90-day stint in formal treatment, and long-term therapy should be considered vital for people with self-destructive habits to overcome.

 

Factitious disorder is a challenging opponent, and recovery from a substance use disorder is a lifelong affair. But with an honest and reflective approach to healing that makes no excuses and rejects all forms of denial, good health and a brighter future are both achievable. At Alta Mira, our residential dual diagnosis programs are designed to help people with factitious disorder and drug addiction achieve long-term stability and healing.

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