Aiken center for alcohol and other drug services
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Aiken Center for Alcohol and Other Drug Services . Jennifer H. Burke, MS, LPC, CACII Director of Treatment Services. UPPERS. Energy drinks, caffeine, nicotine, cocaine, crack, amphetamines, meth, MDMA, diet pills, khat, betal nuts, ephedra , yohimbe

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Aiken Center for Alcohol and Other Drug Services

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Aiken center for alcohol and other drug services

Aiken Center for Alcohol and Other Drug Services

Jennifer H. Burke,

MS, LPC, CACII

Director of Treatment Services


Uppers

UPPERS

  • Energy drinks, caffeine, nicotine, cocaine, crack, amphetamines, meth, MDMA, diet pills, khat, betal nuts, ephedra , yohimbe

  • increase the chemical and electrical activity in the brain and central and peripheral nervous systems


Effects

EFFECTS

  • Boost energy

  • Raise heart rate, BP, core body temperature

  • Reduce appetite and thirst

  • Increase talkativeness, restlessness, irritability,

    insomnia

  • Possible paranoia, aggression, psychosis, & violence

  • Crank/crack bugs (formication), dental erosion, seizure, gastrointestinal problems

  • Crack/meth dancing (choreoathetoid movements)

    (long-term or high dosage use)


Warning signs

Warning Signs

  • Calluses on thumbs

  • Burns to hands or faces or bodies

  • Increased irritability, anxiety, insomnia, panic attacks

  • Increased concentration, energy, euphoria, feelings of grandiosity

  • Rapid weight loss

  • Sores on face and body that person picks at frequently

  • Sudden crashes, anhedonia, and anergia

  • Twitching, itching


Downers

DOWNERS

  • Used for sedative, hypnotic, or anxiolytic qualities

  • Large doses can have a paradoxical effect

  • Alcohol, benzodiazepines, barbiturates, opioids, sleep meds, muscle relaxers, antihistamines, GHB, DXM


Warning signs1

WARNING SIGNS

  • GERD

  • Extreme sensitivity to sensory input (hangovers)

  • Brownouts/ Blackouts

  • Dehydration

  • Vomiting blood

  • Pinpoint pupils

  • Constipation/diarrhea cycle

  • Slurred or slowed speech,

  • Decreased coordination

  • “Nodding”


More warning signs

MORE WARNING SIGNS

  • Nausea

  • Itching

  • Needle marks in odd places/Constant long sleeves

  • Skin abscesses

  • Frequent use of laxatives

  • Flu-like symptoms during withdrawal

  • Occasionally, hallucinations

  • NOTE: with increasing tolerance, the warning signs may not be obvious, as the body is trying to reach stasis


All arounders

ALL AROUNDERS

  • Marijuana, Cannabinoids, PCP Hallucinogens/psychedelics, mushrooms

  • Salvia, datura, jimson weed, mace, nutmeg

  • Alter perceptions of the world

  • Cough and cold meds w/ DXM, like Robitusson or Triple Cs


Warning signs2

WARNING SIGNS

  • Red eyes, frequent use of eye drops

  • Dilated pupils w/ slowed pupil response or tracking

  • Pot laugh

  • Amotivational syndrome

  • Flashbacks

  • Slowed response time, thinking is slowed

  • Impaired short term memory

  • Frequent respiratory illnesses because of impaired immune system.


More warning signs1

MORE WARNING SIGNS

  • Recent change in behavior

  • Avoiding adults/family even more than teens usually do

  • Change in social sets

  • Increased tardies and absences

  • Decrease in grades

  • Fogginess/sleepiness in school

  • Lethargy


More info

MORE INFO

  • Some adolescents may be using alcohol or drugs for a variety of reasons.

  • There is a huge overlap between mental health and AOD problems

  • There may be mental health symptoms they are trying to self-medicate.

  • Certain AOD symptoms mimic certain mental health symptoms


Even more info

Even More Info

  • Certain AOD symptoms mimic certain mental health symptoms.

  • Some students may be using to cope with traumatic events in their lives.

  • Sometimes symptoms like sleeping in class, lethargy, depression, can be attributed not to the student’s AOD use, but their parents’ use.


Aiken center for alcohol and other drug services

My Family?

Victims

(Chemically Dependent)

YourFamily?

Family Hero

(Caretaker of Family)

Scapegoat

(Problem Child)

Mascot

(Family Clown)

Lost Child

(Forgotten child)

Chief

Enabler

(Protector of

Family)


V ictim

Victim

  • Outward Manifestations

    Hostility

    Manipulation

    Self pity

    Aggression

    Blaming

    Charming

  • Inside Feelings

    Shame

    Guilt

    Fear

    Pain/hurt


Chief enabler protector of family

Chief Enabler (Protector of Family)

  • Outward Manifestations

    Self-righteousness

    Super-responsibility

    Sarcasm

    Passive (really passive-aggressive)

    Physical illness

    Martyrdom

  • Inside Feelings

    Anger

    Hurt

    Guilt

    Low self-esteem

    Frustration because everyone won’t just do what they tell them to


Family hero

Family Hero

  • Outward Manifestations

    Being the “good kid”

    High achieving

    Rule following

    Approval seeking

    Responsibility

  • Inside Feelings

    Guilt

    Hurt

    Inadequacy


Scapegoat

Scapegoat

  • Outward Manifestations

    Hostility

    Defiance

    Rule-breaking

    Getting in trouble

  • Inside Feelings

    Rejection

    Hurt

    Guilt

    Jealousy

    Anger


Lost child

Lost Child

  • Outward Manifestations

    Shyness; timidity

    Rich fantasy life

    Solitary pursuits

    Mediocrity

    Attachment to thingsnot people

  • Inside Feelings

    Rejection

    Hurt

    Anxiety


Mascot

Mascot

  • Outward Manifestations

    Immaturity

    Being Cute

    Hyperactive

    Distracting others

  • Inside Feelings

    Fear

    Anxiety

    Insecurity


Lost child1

Lost Child

  • Outward Manifestations

    Shyness; timidity

    Rich fantasy life

    Solitary pursuits

    Mediocrity

    Attachment to thingsnot people

  • Inside Feelings

    Rejection

    Hurt

    Anxiety


Factors in drug abuse

Factors in Drug Abuse

Risk Factors

  • Chaotic home environments

  • Ineffective parenting

  • Lack of parent-child attachments

  • Inappropriately shy or aggressive behavior in the classroom

  • Failure in school performance

  • Poor social coping skills

  • Affiliations with peers displaying deviant behaviors

  • Perceptions of approval of drug-using behaviors in family, work, school, peer, & community environments


Characteristics of adult children of trauma and addiction

Characteristics of Adult Children of Trauma and Addiction

  • 1. Learned Helplessness

  • 2. Depression

  • 3. Anxiety

  • 4. Emotional Constriction

  • 5. Distorted Reasoning

  • 6. Loss of Trust and Faith

  • 7. Hypervigilance

  • 8. Traumatic Bonding

  • 9. Loss of Ability to Take in Caring & Support


Cont d from last slide

Cont’d from last slide

  • 10. Problems with Self Regulation

  • 11. Easily Triggered; hyper-reactive

  • 12. High Risk Behaviors

  • 13. Disorganized Inner World

  • 14. Survival Guilt

  • 15. Development of Rigid Psychological Defenses

  • 16. Cycles of Reenactment

  • 17. Relationship Issues

  • 18. Desire to Self Medicate

  • From Trauma and Addiction, Dayton 2000 (van der Kolk 1987, Krystal 1968)


Factors in drug abuse prevention

Factors in Drug Abuse Prevention

Protective Factors

  • Strong and positive family bonds

  • Parental monitoring of children’s peers and activities

  • Clear rules of conduct that are consistently enforced within the family

  • Involvement of parents in the lives of their children

  • Success in school performance

  • Strong bonds with institutions such as school and religious organizations

  • Adoption of conventional norms about drug use

  • Resiliance.


Resilience what s that

Resilience? What’s That?

The ability to bounce back from negative events.

Wolin & Wolin suggest resilient children comprise these traits

  • Humor

  • Morality

  • Initiative

  • Independence

  • Creativity

  • Relationships

  • Insight


What leads to resilience

What Leads to Resilience?

Wolin and Wolin posit traits of resilient children include:

  • Likable personalities from birth that attract people to care for

    them. They recruit support and interest from others.

  • At least average intelligence, reading on or above grade level.

  • No siblings born within two years of their birth.

  • An inborn belief their lives will work out (positive attitude).

  • ID the problem and distance themselves from it.


Cont d

Cont’d

  • Work through their problems.

  • Take responsibility for creating successful lives.

  • Have constructive attitudes toward themselves and their lives.

  • Avoid self-destructive activities.

  • Have at least ONE person with whom they develop a strong relationship.


How to reach them

How to Reach Them

  • Show your concern and support

  • Indicate you are ready to help

  • Avoid comments that may be perceived as judgmental

  • Engage parents when you can

  • Use reflective listening

  • Offer them a safe place for opening up


The ruin of a nation begins in the homes of its people

The ruin of a nation begins in the homes of its people


Other information questions

Other Information/ Questions

  • Adolescent Group meets Tuesdays at 5:15pm

  • Students 16 years old or older are treated as adults for the purposes of medical issues in SC

  • Students who have not reached their 16th birthday must bring a custodial parent or guardian with them to be assessed.


Contact information

Contact Information

Jennifer H. Burke

Director of Treatment Services

(803)649-1900 ext. 323

[email protected]

Aiken Center for Alcohol and Drug Services

1105 Gregg Highway

Aiken, SC 29801


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