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Chapter 21: Drug Use A. Influence on Teens 1. Family: at risk with when teens have poor family relationships, not close, supportive or lack guidance 2. Social: at risk when peer pressure, glamorization by role models, competitive pressure 3. Personal: at risk when looking for an outlet for stress, low self-esteem 4. Protective Factors: Families are strong, positive, parental awareness, clear rules that are enforced Friends have strong bond, drug free friends, friends who are supportive and accepting Committed to success in academics, personal belief of drug use is unacceptable, and take stress and negative feelings as a part of life B. Types of Drugs 1. OTC: over the counter; medicines that are legally sold 2. Prescription: drug obtained only with written order by a doctor 3. Illegal: street drugs C. Effects on the Brain Psychoactive drug: mood altering, create a pleasurable feeling the user wants to repeat Addiction: compulsive use of a drug despite any cost to health, family, or social standing; changes the structure and chemistry of the brain D. Effects on the Body 1. Side Effect: unwanted physical or mental effect of the drug; nausea, dizziness, drowsiness 2. Withdrawal: the body’s reaction to not having the drug; can be mild to life-threatening; nausea or vomiting, headaches or dizziness, fever, digestion problems, paranoia or panic, tremors, seizures or death 3. Drug Interactions: a. Antagonist: drug’s effect is cancelled out or reduced by another drug b. Synergist: drugs interact to produce a greater effect than they would alone 4. Health Risks: Impurities Hepatitis and HIV Risk to Fetus and Newborn: dependent E. Classification of Abused Drugs 1. Depressants: slow body functions, decrease HR, BP and breathing rate Ex. Sedative, Depressants (Downers), Tranquilizers, Alcohol, Opiates (Heroin): Intense euphoria followed by drowsiness and dreamlike state Causes: liver, kidney, heart problems, infections, HIV/AIDS, hepatitis, menstrual irregularities 2. Stimulants: increases HR, BP, breathing rate, alertness Ex. Amphetamines, Nicotine Methamphetamines: (speed, meth, crystal, crank, ice, uppers) Anxiety, euphoria, depression, severe crash after effects wears off Damage to blood vessels, stroke, cardiac arrest Signs of use: inability to sleep, sensitivity to noise, anorexia, tremors Cocaine/Crack: Short-lived high followed by intense feeling of depression, edginess, craving for more Suppresses appetite Increases HR, muscle spasms, convulsions, damage to nasal tissue Feeling of paranoia, anger, hostility, anxious Heart attack, stroke Signs of Use: red, bloodshot eyes, runny nose, frequent sniffing, withdrawn, depressed, tired 3. Hallucinogens: distorts perceptions, thought and mood Ex. LSD, Psilocybin (mushrooms), PCP (angel dust) Frightening and unpredictable mood swings Memory loss and personality changes Bad trips 4. Marijuana: “Gateway Drug” THC: active ingredient Distorted perceptions Difficulties with thinking and problem solving Loss of motor coordination Increase HR Anxiety or paranoia; increased chance of mental illness Bloodshot eyes Sleepiness, depression Increased appetite “munchies” Effects: Interferes with short-term memory, cancer, respiratory problems (4x more tar than cigarettes), immune system problems Addiction or dependence (3/10 teens become addicted) 5. Club Drugs, Inhalants Ex. Ecstasy, Rohypnol, GHB, Ketamine Some are stimulants, some are depressants/sedatives F. Treatment 1. Detoxification 2. Therapeutic communities: residential treatment center for former drug abusers G. Legal Risks and Other Costs 1. Long prison terms and heavy fines 2. Difficulty obtaining jobs, going to school or joining military 3. Commit other crimes to support habit 4. Strained relationship 5. Change in personality, unpredictable mood swings 6. Financial costs to society (prevention of trafficking and sale), drug abuse prevention programs, education, treatment and rehab 7. Cost of incarceration 8. Medical costs due to injury and illness associated with drugs 9. Homicide and premature death 10. Lost work productivity