Describe progression from initial substance use to substance abuse

Question

What will be an ideal response?

Answer 1

The progression from initial substance use to substance abuse follows a typical sequence. First, an individual decides to experiment with alcohol or drugs – perhaps to experience the effects, enhance self-confidence, rebel against authorities, imitate others or conform to social pressure. Second, the substance begins to serve an important purpose (such as reducing anxiety, producing feelings of pleasure or enhancing social relationships) and so consumption continues. Third, brain chemistry becomes altered from chronic use. In many cases, physiological dependency develops resulting in withdrawal symptoms and craving for the substance; it also become difficult to experience pleasure without the substance.Fourth, lifestyle changes occur due to chronic substance use. These changes may include loss of interest in previous activities and social relationships and preoccupation with opportunities to use the substance Consistent with the multipath model, in all four phases, biological, psychological, social, and sociocultural influences are involved.