Macam macamTerapi KETERGANTUNGAN NAPSA

KETERGANTUNGAN ( ADDICTION )TIDAK HANYA PENGGUNAAN ZAT SECARA KRONIK JUGA MELIPUTI : > DORONGAN BERULANG UTK MEMAKAI > KEHILANGAN KONTROL JUMLAH PEMAKAIAN > TDK PEDULI AKIBATNYA

AKIBAT BURUK : > PHYSIC > PSYCHOLOGIC COGNITIVE - EMOTIONAL > SOCIAL > SPIRITUAL

HEALTH

MEDICAL PERSPECTIVE :ADDICTION :CHRONIC PROGRESSIVE RELAPSING POTENTIALLY FATAL DISEASE

Development and progression :

Dipengaruhi oleh :jenis dan kekuatan zat cara pakai zat risk faktor individu lingkungan

Understanding the basic principle of drug use =important step in

understanding addiction

Why Do People Use Drug ?To experience the euphoria to help social interaction to decrease anxiety and pain to fight insomnia for performant enchancement to stay alert/to drown out

What is Drug Abuse ?1960 : drug abuse = use illegal drug marijuana illegal drug Alcohol not

Drug abuse : use of psychoactive drug interferes with persons life : physical, psichological, legal, educational, spiritual or social functioning

Define Addiction :progressive chronic primary with characteristic : > Cumpulsion > Loss of control > continued drug use > distortions of thinking

Effects of Addiction :>>

Physical health > Cognitive health > Psychological haelth > Emotional health > Social health > Spiritual health

TERAPI uth mencapai : > KESEMBUHAN >TIDAK HANYA BEBAS DARI PEMAKAIAN ZAT > JUGA BEBAS DARI EFFECT ZAT > TIDAK MENGULANG

FULL RECOVERY

PEMBERIAN OBAT :> SEBAGAI SALAH SATU ASPEK DARI PROGRAM PENYEMBUHANADA BATAS WAKTU NO DRUG TREATMENT

CURES DRUG ADDICTION

PEMBERIAN OBAT :Mengatasi Gejala Lepas ZAT Membantu Penyembuhan : Disulfiram Naltrexone Mengatasi Gangguan Psikiatri - Anxiety, depresi, - Gg Jiwa berat

To Manage WithdrawalSeverity : - specific drug - amount of drug use - drug combination - chronicity drug use Ada dua fase : acute prolong

Sedative-Hypnotic Withdrawal : >Anxiety/ apprehension > insomnia- Nigthmere > emotional and behavior stimulation agitationirritability

> Elivated Heart rate, blood pressure, respiration rate. . Muscle pain, weakness, nauseaVomiting, slight tremor

> seizures (possible)

Obat yang dipakai :Basic concept : > minimized withdrawal symptom > Cross-tolerant sedative-hypnotic > gradually tapering the dosage Example : Insomnia Chloral hydrate / antihistamin Anxiety propanolol/tenormin Alpha-blocker clonidine Buspiron

Stimulant Withdrawal : Dysphoric -- .Agitation Depression suicide drug craving Management : Antidepressan, dopamine agonis neurotranmiter precosure

Opioid Withdrawal :Seperti Gejala Flu : Nyeri otot, G.I. Distress : mual, muntah Mata dan hidung berair Insomnia, demam, berkeringat Bisa, Cemas, tachycardi,irritable

Cara Mengatasi Withdrawal:> Pemberian

Substitusi : - Long-acting opioid : Methadone > Symptomatic Treatment : - Sedative-Hypnotic - Antihypertensi clonidine

Methadone Maintenance : Reduction in criminal behavior.

Vocational stabilization Social stabilation

Masuk pelayanan Medis/Psikiatris Reduction of needle-borne disease

Reduction hazards ( wanita hamil ) Recovery from Opioid addiction