Transcript Recreational Drugs - People Server at UNCW

Recreational Drugs
Use Misuse Abuse and
Dependence
Too Many to Talk About
• Focus on:
– Marijuana
– Cocaine
– Hallucinogens – Ecstasy, LSD, Mushrooms
– Heroin
Prevalence
Drug
Past Year
Last 30 Days
Marijuana
46.2%
15.7%
Cocaine
3.6%
1.2%
Amphetamines
3.6%
1.5%
Heroin
.34%
.10%
LSD
3.7%
.95%
MDMA
4.7% - 24%
47% reported have used marijuana at least once
Marijuana –Effects &
Consequences
• Sedation, Euphoria, Increase Appetite, Mild
Perceptual Disturbance, Anxiety/Panic
• Dependence
–
–
–
–
Physiological = No
Tolerance = No
Withdrawal = Equivocal
Abused = Yes
• Health Hazards – Injury, Exacerbates Psychosis,
Respiratory/Cancer??????
• Medical Uses – Cancer Tx., AIDS, MS
Cocaine – Effects & Consequences
• Euphoria, Grandiosity, Energy, Stimulation,
Increased Craving
• Dependence
–
–
–
–
Physiological = Yes ---Moderate
Tolerance = Yes and No
Withdrawal = Non-lethal Depression Fatigue
Abused = Yes, easily
• Health Hazards – Injury, Exacerbates Psychosis,
Cardio problems
• Medical Uses – Local anesthetic
Hallucinogens – Effects and
Consequences
• Altered perception and mood, stimulation
• Dependence
– Physiological = No
– Tolerance = No
– Withdrawal = No, but coming down can suck
– Abused = Yes, but difficult
• Health Hazards – Injury, Exacerbates
Psychosis, Stroke
• Medical Uses – Parkinsons????
Heroin – Effects and
Consequences
• Dependence
– Physiological = Yes, severe
– Tolerance = Yes, rapid
– Withdrawal = Yes, not lethal, but difficult
– Abused = Yes, easily
• Health Hazards – Injury,
• Medical Uses – Pain killer, but there are
much safer ones
Use Misuse Abuse Dependence
• The line between these relationships can
be quite blurry
• Marijuana
• Cocaine
• Hallucinogens
• Heroin
Gateway Theory of Drug Use
• What are the “Gateway Drugs?”
– Alcohol & Cigarettes
– Marijuana
• Difficult to tell if there are really GDs
– Retrospective Studies
– 1 in 1000 marjiuana users go on to use heroin
– Host Factors – Genetics Psychopathology
– Environment Factors – Access, Norms, Policy
In Sum
• Everyone has a relationship w/ETOH &
Drugs
• That relationship can be non-use use
misuse abuse or dependence
• The line can be difficult if not impossible
for some drugs because of the DRUG
• The line can be difficult if not impossible
for some drugs because of the PERSON