How to Help a Friend Struggling with Amphetamine Addiction

Amphetamine for a period of time?

My friend has been using amphetamines for a period of time, several years.
He experiences talking excessively, laughing uncontrollably, anxiety, and difficulty concentrating.
He also has hallucinations, specifically auditory hallucinations.
There are suicidal thoughts and aggressive, violent behaviors.
How can I help him?

Xiao Hua, 40~49 year old female. Ask Date: 2007/04/20

Dr. Zheng Jingming reply Psychiatry

Patients with amphetamine-induced psychosis exhibit clinical symptoms similar to those of paranoid schizophrenia, ranging from early signs such as excessive talking, uncontrollable laughter, anxiety, fear, and difficulty concentrating, to more severe manifestations like persecutory delusions, suspicion, illusions, hallucinations, and compulsive behaviors.
In terms of hallucinations, auditory hallucinations are most common, though visual, tactile, and gustatory hallucinations can also occur.
At this stage, there may be accompanying suicidal, self-harming, or aggressive violent behaviors.
Clinically, while patients may have normal memory and orientation, they often act based on their illusions or hallucinations, leading to accidental incidents; for instance, some patients may frequently hear non-existent voices urging them to commit suicide, resulting in fatal outcomes.
Most psychotic symptoms gradually resolve within a few days after discontinuation of the drug, rarely extending beyond one month, although a small number of cases may persist for over six months, and some may last for more than a year or even several years.
When amphetamine psychosis occurs, it is essential to seek treatment from a psychiatrist or a substance abuse clinic, including inpatient care.
Treatment typically involves the use of antipsychotic medications, but the most crucial and fundamental aspect is to eliminate the use of amphetamines.
Currently, in Taiwan, the perspective on substance addiction is viewed as a "disease," treating addicts as "chronic patients." This disease-oriented viewpoint allows for proactive medical intervention in addiction treatment.
Substance use is merely a manifestation or symptom, a way for individuals to escape from difficulties and conflicts; the real need is to change the individual's inner self, which requires assistance from psychological rehabilitation for addiction.
This reflects the current multifaceted treatment model for substance addiction, encompassing biological, psychological, and social approaches.
Family support is also essential; they should be treated as patients themselves, patiently assisting the individual in adhering to treatment over the long term.
Dr.
Cheng Ching-Ming, Psychiatrist, Chiayi Hospital.

Reply Date: 2007/04/20

More Info

Helping a friend struggling with amphetamine addiction can be a challenging yet crucial endeavor. Your friend's symptoms, including excessive talking, laughter, anxiety, difficulty concentrating, hallucinations, and potential violent behavior, indicate a serious condition that requires immediate attention. Here are some steps you can take to support your friend effectively:
1. Encourage Professional Help: The first and most important step is to encourage your friend to seek professional help. Addiction is a complex disease that often requires medical intervention. Suggest that they visit a mental health professional or a substance abuse treatment center. These facilities can provide a comprehensive assessment and develop a tailored treatment plan, which may include therapy and medication.

2. Educate Yourself: Understanding amphetamine addiction and its effects can help you provide better support. Amphetamines can lead to severe psychological issues, including paranoia, hallucinations, and aggressive behavior. Knowing the signs and symptoms can help you recognize when your friend is in distress and needs immediate help.

3. Be Supportive and Non-Judgmental: Approach your friend with empathy and understanding. Addiction can be stigmatizing, and your friend may feel ashamed or guilty about their situation. Let them know that you care about their well-being and are there to support them without judgment. Listening to their feelings and experiences can provide them with a sense of relief and connection.

4. Create a Safe Environment: If your friend is experiencing hallucinations or aggressive behavior, ensure that they are in a safe environment. Remove any potential triggers or harmful objects from their surroundings. If they are in immediate danger of harming themselves or others, do not hesitate to call emergency services.

5. Encourage Healthy Coping Mechanisms: Help your friend find healthier ways to cope with stress and anxiety. This could include engaging in physical activities, practicing mindfulness or meditation, or exploring creative outlets like art or music. Encourage them to participate in support groups where they can connect with others facing similar challenges.

6. Be Patient: Recovery from addiction is often a long and challenging process. Your friend may experience setbacks, and it’s essential to remain patient and supportive throughout their journey. Celebrate small victories and encourage them to stay committed to their recovery plan.

7. Take Care of Yourself: Supporting someone with an addiction can be emotionally taxing. Make sure to take care of your own mental health by seeking support from friends, family, or professionals. Establish boundaries to protect yourself from becoming overwhelmed.

8. Consider Intervention: If your friend is resistant to seeking help, you might consider organizing an intervention with the help of a professional. This can be a structured way to express your concerns and encourage them to seek treatment.

9. Follow Up: After your friend begins treatment, continue to check in on them regularly. Recovery is an ongoing process, and your support can make a significant difference in their journey.

In conclusion, helping a friend struggling with amphetamine addiction requires a compassionate and proactive approach. Encourage them to seek professional help, educate yourself about their condition, and provide a supportive and safe environment. Remember that recovery is a journey, and your ongoing support can be invaluable.

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