Risk factors (psychotropic and psychoactive substances) — Densaulyk
Risk factors

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?

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

See other risk factors: