Frequent asked questions about Addictions

Controlled use is often a goal for someone with an addiction. We are, however, talking about drugs with a high addictive potential. Once these have been taken in excess there is still a “footprint” in the brain (the so-called reward circuits) that is reactivated by each new use. This is why it is not advisable to take even a small dose, since it is very likely that this will result in relapse.

No-one chooses to have an addiction. It is the result of how our brains function, in very specific areas that are affected by chronic drug use. Drugs produce physical and chemical changes in the brain.

Social factors put people in contact with drugs and other substances, but it is individual factors that determine someone’s vulnerability to addiction. Not everyone exposed to substances develops addictions, but factors such as a family history of addiction (genetic predisposition) can increase this risk.

In principle, there is no profession that is prohibited for people with addictions, as long as they are in treatment and maintain abstinence. However, there are professions that involve high levels of stress, constant exposure to situations with a risk of use, or irregular schedules —such as working in nightlife— that may be more challenging for some people in recovery.

Coffee and other caffeinated beverages, such as cola drinks and energy drinks, can increase anxiety and disrupt sleep. Although they can be consumed, it is important to control the amount: no more than two caffeinated drinks per day should be consumed. In addition, since the effect can last up to eight hours, it is not recommended to consume them after 4 p.m.

It is essential to follow the medication plan agreed upon with the doctor, since addiction is a chronic disorder. Even if you feel well, abruptly stopping the medication can cause rebound effects. If you have any doubts, it is important to talk to the medical team to assess the best alternatives.

Situations, people and places associated with previous use are the most dangerous, as the brain remembers that this is where it used to consume the substance and the craving may appear. For example, for a person with an alcohol addiction, going to the bar where they used to drink or going out with the group of friends they used to drink with can be situations involving a high risk of relapse. In fact, studies show that avoiding high-risk situations is more effective than making a big effort and facing these situations with a lot of willpower.

Watching and listening to oneself is important to prevent these situations.

Ask yourself how you feel, what stage of recovery you are in, and what strength you have. For example, it is not the same to go years without taking the substance, bearing in mind different tools and coping skills, as it is when you are still in the detoxification period.

Avoiding dangerous situations is a safe alternative. When you cannot or do not want to avoid this, you can look for coping mechanisms. For example, ask a family member to go with you, tell other people that you are being treated for an addiction. If in doubt, say to yourself: “I'm not going this time, maybe next time I'll be better prepared”.

The likelihood of people with addictions committing suicide is much higher than in the normal population. It is important to understand that suicidal thoughts may appear in certain phases of the disorder, especially relapse stages where the person often feels bad and has little hope of succeeding. When a person or their relatives detect these thoughts, it is important to alert the patient’s health team so that they can take the necessary steps. We must remember that, no matter how much discomfort and despair a person feels at any given moment, especially during relapses, it is always temporary and will, sooner or later, get better. In contrast, the consequences of suicide are irreversible.

Moderate physical exercise is highly recommended for mental and physical health. Doing sport or walking for a minimum of 30 minutes a day can help us be less tense and anxious, feel more energetic, and increase our sense of well-being. If you have other health problems or are detoxifying, you should consult a health professional before you exercise.

Addiction is a chronic and recurrent disorder. For this reason, the treatment is long and prolonged follow-up is very important. However, individual circumstances must be taken into account. As a general rule, however, one should assume that the treatment will be temporary, although sometimes it may be better to continue it indefinitely.

However, it is not advisable to set yourself the goal of not taking medication. Your main objective must be your health and the prevention of relapses, regardless of whether it is necessary to take medication or not.

This is a medication prescribed to treat alcohol dependence, as part of a detoxification programme. The person must be motivated, so the treatment is carried out with the voluntary cooperation of the patient. It is important to have the social and family support that predisposes a person to quit alcohol.

Antabuse causes a reaction that appears after drinking alcohol and involves a series of unpleasant physical effects. Antabuse helps sufferers increase their control so they do not drink impulsively.

Detoxification should be carried out under the supervision of a healthcare professional. It may include the use of medication to prevent withdrawal syndrome, although in some cases it is sufficient to eliminate the toxin without pharmacological intervention.

The first thing family members should do is to find out about the disease. They should adopt a sincere and responsible attitude towards the patient, through open conversation. Although the healthcare team can report on general addiction-related concepts, they will not discuss individual aspects of the disease with family members unless this has been directly authorised.

Both friends and family can play a key role in motivating people with drug problems to enter and stay in treatment programmes. If the patient’s family members or partner gets involved in their treatment, it can reinforce this and expand its benefits.

In family life at home, it is important to avoid overprotection and hypervigilance, as well as excessively critical attitudes. Showing genuine interest and support throughout the process is essential. Good family communication can, at different stages of the disorder, help the person ask for help and feel supported.