Showing posts with label CDC. Show all posts
Showing posts with label CDC. Show all posts

Tuesday, July 28, 2015

Is alcohol a problem? A test for teens

Addiction and Recovery

By Bob Gaydos

Summertime can be fun for teenagers. For starters, there's no school for most of them. And, even if they’ve got a job, there’s plenty of time to hang out with friends. Go to the beach. Movies. Parties.
But lots of free time and limited responsibilities can also come with risks, especially if the fun often revolves around drinking. The legal drinking age may be 21 in this country, but underage drinking is defined by the Centers for Disease Control and Prevention as “a major public health problem.”
According to the CDC: “Alcohol is the most commonly used and abused drug among youth in the United States ... and is responsible for more than 4,300 annual deaths among underage youth. Although drinking by persons under the age of 21 is illegal, people aged 12 to 20 years drink 11 percent of all alcohol consumed in the United States.” Much of that is binge drinking.
Along with those deaths, there are tens of thousands of alcohol-related emergency room visits by teenagers each year. Parental indifference to their children's behavior and the friends they choose or ignorance of the harm alcohol can do to young minds and bodies are key factors in the way many teenagers spend their free time. But teens aren't wholly clueless about their behavior. In fact, it's not unthinkable that a teenager whose social life revolves around alcohol has asked himself or herself if, just maybe, drinking is becoming a problem.
What follows may help answer that question. For teens wondering about their use of alcohol or other drugs, the National Council on Alcoholism and Drug Dependence has prepared a self-assessment test to help determine if they -- or someone they know -- is at risk and in need of help.
Remember, this test is for teens. Read each question carefully and be honest. Consider your actions over the past 12 months. Answer yes or no and be sure to answer every question.


NCADD Self-Test for Teenagers:
1. Do you use alcohol or other drugs to build self-confidence?
Yes   No
2. Do you ever drink or get high immediately after you have a problem at home or at school?
Yes   No
3. Have you ever missed school due to alcohol or other drugs?     
Yes   No
4. Does it bother you if someone says that you use too much alcohol or other drugs?
Yes   No
5. Have you started hanging out with a heavy drinking or drug using crowd?
Yes   No
6. Are alcohol and/or other drugs affecting your reputation?
Yes   No
7. Do you feel guilty or bummed out after using alcohol or other drugs?  
Yes   No
8. Do you feel more at ease on a date when drinking or using other drugs?
Yes   No
9. Have you gotten into trouble at home for using alcohol or other drugs?
Yes   No
10. Do you borrow money or "do without" other things to buy alcohol and other drugs?
Yes   No
11. Do you feel a sense of power when you use alcohol or other drugs?      
Yes   No
12. Have you lost friends since you started using alcohol or other drugs?   
Yes   No
13. Do your friends use “less” alcohol and/or other drugs than you do?       
Yes   No
14. Do you drink or use other drugs until your supply is all gone?   
Yes   No
15. Do you ever wake up and wonder what happened the night before?     
Yes   No
16. Have you ever been busted or hospitalized due to alcohol or use of illicit drugs?
Yes   No
17. Do you "turn off" any studies or lectures about alcohol or illicit drug use?          

Yes   No
18. Do you think you have a problem with alcohol or other drugs?  
                                                                                                      Yes   No

19. Has there ever been someone in your family with a drinking
 or other drug problem?                                                                 Yes   No
                  
 20. Could you have a problem with alcohol or other drugs?           Yes  No


The results
Number of Yes answers
Zero-2: May not be an immediate problem. Continue to monitor.

3-5: You may be at risk for developing alcoholism and/or drug dependence.  You should consider arranging a personal meeting with a professional who has experience in the evaluation of alcohol and drug problems.  

More than 5: You should seek professional help. You may have a serious level of alcohol and/or drug related problems requiring immediate attention and possible treatment.

There are, of course, ongoing efforts to reduce underage drinking, including stricter enforcement of the law, advertising campaigns on the dangers of alcohol abuse by teens and school and community-based educational classes. These are all potentially helpful, but while the effectiveness of these efforts is being evaluated, a bit of old-fashioned, honest, self-assessment may be a teenager’s best defense.

More information:



A double dose of danger
Energy drinks, beverages that are loaded with caffeine, other plant-based stimulants, simple sugars, and other additives are popular among young people. The CDC says they are regularly consumed by 31 percent of 12- to 17-year-olds and 34 percent of 18- to 24-year-olds. When not abused, they may seem comparatively harmless, but they are also often combined with alcohol, resulting in a cocktail with potentially serious consequences.
According to the CDC:
  • When alcoholic beverages are mixed with energy drinks, the caffeine in these drinks can mask the depressant effects of alcohol. At the same time, caffeine has no effect on the metabolism of alcohol by the liver and thus does not reduce breath alcohol concentrations or reduce the risk of alcohol-attributable harms.
  • Drinkers who consume alcohol mixed with energy drinks are three times more likely to binge drink (based on breath alcohol levels) than drinkers who do not report mixing alcohol with energy drinks.
  • Drinkers who consume alcohol with energy drinks are about twice as likely as drinkers who do not report mixing alcohol with energy drinks to report being taken advantage of sexually, to report taking advantage of someone else sexually, and to report riding with a driver who was under the influence of alcohol.
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Tuesday, March 19, 2013

These pills are killing more than pain



(The full version of my latest Addiction and Recovery column in the Times Herald-Record.

By Bob Gaydos
Painkiller pills have dominated the news on addictive drugs over the past month:

  • A report from the Centers for Disease Control printed in the Journal of the American Medical Association stated that prescription drug overdose deaths had increased for the 11th straight year, with pain killers such as Oxycontin and Vicodin being the chief culprits in 75 percent of the deaths, most of which were not suicides, according to the report.
  • A new law, aimed at fighting “doctor shopping” for hydrocodone, an addictive opiate that is the main ingredient in many popular pain medications, took effect in New York state. The law elevates hydrocodone from a Class III to a Class II drug and establishes an electronic database for prescription pain medications, accessible to doctors and pharmacists. It also places stricter requirements on obtaining and filling prescriptions for them, including eliminating automatic refills.
  • In the Town of Woodstock, N.Y. , Wayne Longmore was stripped of his medical license after pleading guilty to writing thousands of prescriptions for non-medical use of hydrocodone.
  • A Rockland County, N.Y., doctor, David Brizer -- dubbed “Dr. Feel Good” -- was indicted on 55 counts for allegedly selling thousands of prescriptions for painkillers to drug dealers in Rockland and in Manhattan.

All of this adds up to the inescapable conclusion that prescription pain medications -- legal drugs -- have rapidly become a major drug addiction problem, as the CDC indicated. Hydrocodone is especially troubling since it is, in effect, legally prescribed heroin. Those who become addicted to it, whether by becoming too dependent on it while dealing with legitimate pain issues or, as with many young people, by stealing it from their parents’ medicine cabinets, sometimes turn to heroin itself, because it is cheaper than the pain medications.
Several issues arise from this conflux of stories. Among them:

  • The medical community needs to do a much better job of teaching its members about the risks of prescribing addictive pain medications too readily. Individual doctors need to do a better job of monitoring their patients’ use of the medications, while also making sure not to make life even more painful for those who truly need the medications.
  • Society needs to rely less on legislation to deal with drug addiction and focus more on getting better educated on the subject. For example, New York’s new law, while well-intended as a way to fight addiction to painkillers by reining in pill-liberal doctors, may also increase the cost of the drugs to consumers and will probably make life more difficult for those, such as cancer patients, needing regular pain medication prescriptions. It is also likely to send some people to the streets to buy cheaper heroin instead. Also, parent groups have complained that, while the state has focused on cutting off the easy flow of pills, it doesn’t have enough drug rehabs to treat young people addicted to prescription medications.
  • Treatment specialists say parents need to pay closer attention to their prescription medications at home and not assume that their teen-aged children will not steal them. They urge parents to talk to children about the dangers of abuse and of mixing the pills with other medications, a major factor in the deadly drug overdoses.

So, more laws? More education? More treatment? As society continues to struggle with finding the best approach to reducing addiction to pain medications, perhaps the most important thing everyone can do to reduce the number of fatal medication overdoses is learn to recognize the signs of addiction to prescription painkillers:

  • Continued use of the drug, even after the pain has ceased.
  • Complaining about vague symptoms to get more medication.
  • Lack of interest in treatment other than medications.
  • Using prescription pills prescribed for others
  • Physical withdrawal symptoms when doses are missed.
  • Flu-like symptoms, such as joint and muscle aches and insomnia.
  • Mood and behavior changes, such as becoming agitated or anxious.
  • Secretive or deceitful behavior trying to obtain the drug.
  • Using more than the recommended amount of medication.
  • Developing a high tolerance, requiring more pills for the desired effect.
  • Withdrawal from family, friends and society.
  • Financial problems associated with buying ever more pills.
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