Drugs and Alcohol
Primary health care is ideally placed to offer screening for substance misuse and early intervention. Substance misuse in the workplace is costly in both human and financial terms.
Work place testing offers an opportunity to detect such problems and provide appropriate help. However, it is not a panacea and results should be interpreted as part of a wider picture.
Treatments for drug and alcohol problems are more available than ever and increasingly mainstreamed (e.g. in Primary Care). Self-help approaches are an established cornerstone and help-lines offer accessible advice to the community at large.
People give all sorts of reasons for using drugs. Some just want to have fun. That’s fine until it stops being funny. When that happens there is something else going on. It may be physical or psychological dependence.
Physical dependence is straightforward. Your body adjusts to the drug and then it doesn’t function properly when you don’t have it. After a while without it things go back to normal.
Psychological dependence is different. It is when a person believes he needs a drug. What does it mean to need a shot – of whisky or amphetamine? It means that life isn’t quite right without it. Those things don’t work as they should. The need is an absence that no-one else may notice.
The absence may be a parent who was never there. Or who was, but not as a parent – as an abuser perhaps, or even as a child. Someone who couldn’t look after herself, let alone you. Or maybe something else happened and you grew up lopsided, full of loathing and hate and thoughts of destruction. Or maybe it was all just too hard, too miserable, putting one foot in front of another, day after day.
The drug doesn’t solve the absence. In the end it just fills the hole with new problems. Being late for work, getting in trouble with the law, arguing with lovers and relations, late nights, forgotten places, bad mornings after the night before. Then there’s the denial and deception: “I’m all right, I can handle it”.
Anger and evasion may distract from the real problem. They can occupy a night, a day, a week, a lifetime, so in the end you don’t have to think about what’s really wrong. That’s the real joy of blame, it’s thoughtless (66).
Therapy can help you address the causes of addiction to help you stop your addictive behaviour (4).
If you require help and advice Counselling and Psychotherapy may be provided via Skype and FaceTime in the comfort of your home, office or any place of your choice.