Psychotropic and psychoactive substances
A psychotropic substance is a substance that affects the central nervous system of a person. A psychoactive substance (PAS) is a psychotropic substance with addictive properties, capable of causing dependence (dependence syndrome).
Psychoactive substances can induce positive emotional experiences with a single use, but with systematic use, they can lead to physical and psychological dependence.
Dependence syndrome is a combination of physiological, behavioral, and cognitive phenomena where the use of a psychoactive substance, or a behavioral pattern, takes a central place in the individual's value system. It is a brain disease similar to other chronic illnesses and is characterized by a complex of behavioral disorders resulting from the interaction of genetic, biological, psychosocial factors, and environmental influences.
Dependence syndrome (DS) can be 'chemical' in relation to a specific substance (such as nicotine, alcohol, coffee, salt, sugar), an entire class of substances (such as opioid drugs, stimulants, tranquilizers), or a wide range of pharmacologically different psychoactive substances (according to the ICD-10 definition). It can also be 'non-chemical' and related to behaviors such as gambling, social media use, shopping, video games, overeating/fasting, and so on.
How to decide?
Practice
Warning about side effects and interactions
Creation of substance testing points
Warning about high doses
Treatment
Maintenance therapy with opioid agonists
Information about unsafe drug use
Monitoring and adaptation of programs from addiction
Support
Prevention of relapses and complications
Detoxification and rehabilitation programs
Psychological and legal assistance
How to decide?