“METHAMPHETAMINE USE: REASONS, RISKS, AND PRACTICAL INTERVENTIONS” presented by: Neva...

““METHAMPHETAMINE USE: METHAMPHETAMINE USE: REASONS, RISKS, AND PRACTICAL REASONS, RISKS, AND PRACTICAL

INTERVENTIONS”INTERVENTIONS”

presented by:presented by:

Neva Chauppette, Psy.D.Neva Chauppette, Psy.D.

P.O. Box 6234, Woodland Hills, CA 91365-6234P.O. Box 6234, Woodland Hills, CA 91365-6234CA Psychologist License # PSY14524CA Psychologist License # PSY14524

(818) 680-0234 (voicemail/pager)- (818) 439-7080 (cell) - (818) 703-1854 (fax)(818) 680-0234 (voicemail/pager)- (818) 439-7080 (cell) - (818) 703-1854 (fax)[email protected] (E-Mail)[email protected] (E-Mail)

ROUTES OF ADMINISTRATION

FIVE ROUTES LISTED IN DESCENDING ORDER:

1) Inhaling -- (7 to 10 seconds)

2) Injecting -- (15-30 secs.) intravenously (IV or slamming)

(3-5 mins.) intramuscular (IM or muscling) (3-5 mins.) subcutaneously (skin popping) 3) Snorting -- (3-5 minutes) mucosal exposure

4) Contact -- (3-5 minutes) "dropping acid" (10-15 minutes) morphine suppositories

5) Oral -- (20-30 minutes)

ICE ICE (aka crystal, meth, ice, JIB, glass, Tina, P, etc.)(aka crystal, meth, ice, JIB, glass, Tina, P, etc.)

Classification: Classification: Central Nervous System Central Nervous System stimulant type: Synthetic Illegal. It is a stimulant type: Synthetic Illegal. It is a freebase form of methamphetamine. It is freebase form of methamphetamine. It is odorless, colorless, resembles rock salt or odorless, colorless, resembles rock salt or a chip of ice or quartz rock.a chip of ice or quartz rock.


Method of useMethod of use: Inhaled by smoking: Inhaled by smoking

Duration of actionDuration of action: 8 – 24 hours: 8 – 24 hours

Detection in urine screeningDetection in urine screening: 48-72 : 48-72 hours – 2-3 dayshours – 2-3 days


At a low doseAt a low dose: :

Increased alertness, wakefulness, elevation Increased alertness, wakefulness, elevation of mood, mild euphoria, increase in athletic of mood, mild euphoria, increase in athletic performance, decrease in fatigue, increased performance, decrease in fatigue, increased energy, or may cause increased irritability, energy, or may cause increased irritability, restlessness, insomnia, anxiety, panic.restlessness, insomnia, anxiety, panic.


At a high doseAt a high dose: :

Euphoria, can induce a pattern of psychosis Euphoria, can induce a pattern of psychosis marked by confused, disorganized behaviors, marked by confused, disorganized behaviors, irritability, fear, paranoia, hallucinations, irritability, fear, paranoia, hallucinations, increased aggressiveness and antisocial increased aggressiveness and antisocial behaviors. behaviors.

Note: Violence and hostility are more severe.Note: Violence and hostility are more severe.


Physical symptoms:Physical symptoms: Puts body in Puts body in “overdrive”, increased pulse, blood “overdrive”, increased pulse, blood pressure, respiration, and temperature, and pressure, respiration, and temperature, and dilate pupils. Can cause a stroke, heart dilate pupils. Can cause a stroke, heart attack, or kidney failure.attack, or kidney failure.


Withdrawal symptomsWithdrawal symptoms: Disorientation, : Disorientation, confusion, apathy, irritability, itching, depression confusion, apathy, irritability, itching, depression that may be so severe that suicide occurs. Long that may be so severe that suicide occurs. Long periods of sleep and increased appetite occurs periods of sleep and increased appetite occurs because while the user was on a “run” taking because while the user was on a “run” taking drugs for one or more days they did not sleep or drugs for one or more days they did not sleep or eat. eat.


In some cases more severe with In some cases more severe with hallucinations, paranoid ideation and toxic hallucinations, paranoid ideation and toxic psychosis. Recovery from psychosis may be psychosis. Recovery from psychosis may be complete; for some, however, there has been complete; for some, however, there has been no improvement after 2 years with no improvement after 2 years with medications.medications.

OverdoseOverdose: Agitation, hostility, hallucinations, : Agitation, hostility, hallucinations, convulsions, high temperature, possible convulsions, high temperature, possible death.death.

POWDERPOWDER(aka(aka Crank, speed, glass, hot ice, among other slang terms)Crank, speed, glass, hot ice, among other slang terms)

ClassificationClassification: Central Nervous System Stimulant: Central Nervous System Stimulant

TypeType: Synthetic Illegal - Methamphetamine is : Synthetic Illegal - Methamphetamine is amphetamine to which 1 methyl group has been amphetamine to which 1 methyl group has been added thus it is more potent and can cross the blood added thus it is more potent and can cross the blood brain barrier more rapidly than amphetamine. May brain barrier more rapidly than amphetamine. May be cut with toxic substances like cyanide or be cut with toxic substances like cyanide or strychnine strychnine


Method of useMethod of use: Intravenous, snorting: Intravenous, snorting

Duration of ActionDuration of Action: 4-6 hours: 4-6 hours

Detection in Urine ScreeningDetection in Urine Screening: 48-72 hours : 48-72 hours after use (2-3 days)after use (2-3 days)


At a low doseAt a low dose: :

Increased alertness, wakefulness, elevation Increased alertness, wakefulness, elevation of mood, mild euphoria, increase in athletic of mood, mild euphoria, increase in athletic performance, decrease in fatigue, increased performance, decrease in fatigue, increased energy, or may cause increased irritability, energy, or may cause increased irritability, restlessness, insomnia, anxiety, panic.restlessness, insomnia, anxiety, panic.

POWDERPOWDER (aka(aka Crank, speed, glass, hot ice, among other slang terms)Crank, speed, glass, hot ice, among other slang terms)

At a high doseAt a high dose: :

Euphoria, can induce a pattern of psychosis Euphoria, can induce a pattern of psychosis marked by confused, disorganized behaviors, marked by confused, disorganized behaviors, irritability, fear, paranoia, hallucinations, irritability, fear, paranoia, hallucinations, increased aggressiveness and antisocial increased aggressiveness and antisocial behaviors.behaviors.

POWDERPOWDER (aka(aka Crank, speed, glass, hot ice, among other slang terms)Crank, speed, glass, hot ice, among other slang terms)

Physical symptomsPhysical symptoms: Puts body in “overdrive”, : Puts body in “overdrive”, increased pulse, blood pressure, respiration, increased pulse, blood pressure, respiration, and temperature, and dilate pupils. Can cause a and temperature, and dilate pupils. Can cause a stroke, heart attack, or kidney failure.stroke, heart attack, or kidney failure.


Withdrawal symptomsWithdrawal symptoms: Disorientation, confusion, : Disorientation, confusion, apathy, irritability, itching, depression that may be so apathy, irritability, itching, depression that may be so severe that suicide occurs. Long periods of sleep and severe that suicide occurs. Long periods of sleep and increased appetite occurs because while the user was increased appetite occurs because while the user was on a “run” taking drugs for one or more days they did not on a “run” taking drugs for one or more days they did not sleep or eat.sleep or eat.

OverdoseOverdose: Agitation, hostility, hallucinations, : Agitation, hostility, hallucinations, convulsions, high temperature, possible death.convulsions, high temperature, possible death.

Chronic methamphetamine abusers exhibit Chronic methamphetamine abusers exhibit symptoms that can include violent behavior, symptoms that can include violent behavior, anxiety, confusion, and insomnia. anxiety, confusion, and insomnia.

They also can display a number of psychotic They also can display a number of psychotic features, including paranoia, auditory features, including paranoia, auditory hallucinations, mood disturbances, and delusions hallucinations, mood disturbances, and delusions (for example, the sensation of insects (for example, the sensation of insects crawling/running on the skin – also known as crawling/running on the skin – also known as formication). formication).

The paranoia can result in suicidal and homicidal The paranoia can result in suicidal and homicidal thoughts. thoughts.

Three Neurotransmitters Play A Big Part In How Crystal Meth Affects The Mind & Body

Dopamine Gives a sense of reward and pleasure

Associated with body movement

Too little dopamine causes paralysis or Parkinson’s-like tremors and rigidity.

Too much dopamine and a person can become paranoid, hear voices, and have irrational, bizarre thinking


SerotoninSerotonin Plays a role in depression, sex, and Plays a role in depression, sex, and regulating body temperatureregulating body temperature

Involved with many emotional disorders Involved with many emotional disorders like schizophrenia, phobias, super-like schizophrenia, phobias, super-aggressive states, and obsessive-aggressive states, and obsessive-compulsive behaviorcompulsive behavior

It is involved in sleep and sensory It is involved in sleep and sensory perception.perception.

Too much serotonin can make it difficult Too much serotonin can make it difficult (or impossible) to have an orgasm(or impossible) to have an orgasm


NorepinephrinNorepinephrine e

Increases alertness and concentration

Helps kill pain and regulate blood pressure

Basic instincts like hunger, thirst, and sex can be triggered by norepinephrine

Too much contributes to “crystal dick”

DENTAL HEALTHDENTAL HEALTH

Reduced blood supply causes tissues to Reduced blood supply causes tissues to break downbreak down

With repeated shrinking, the blood vessels With repeated shrinking, the blood vessels don’t recover and tissues diedon’t recover and tissues die

Causes dry mouth. Saliva neutralizes acids Causes dry mouth. Saliva neutralizes acids in the mouth. Less saliva means more acid. in the mouth. Less saliva means more acid. Acid eats away at the minerals in tooth Acid eats away at the minerals in tooth enamel and cause holes or weak spots that enamel and cause holes or weak spots that turn into cavities.turn into cavities.

RESPIRATORY SYSTEMRESPIRATORY SYSTEM

Crystal relaxes air passages and opens them Crystal relaxes air passages and opens them upup

This increases the intake of oxygen so that the This increases the intake of oxygen so that the body can fight harder or run fasterbody can fight harder or run faster

Materials used to cut crystal can block blood Materials used to cut crystal can block blood vessels in the lungsvessels in the lungs

Long term use can permanently reduce the Long term use can permanently reduce the amount of air the lungs can take inamount of air the lungs can take in

CIRCULATORY SYSTEMCIRCULATORY SYSTEM

The “rush” and “high” begin when the drug The “rush” and “high” begin when the drug reaches the brainreaches the brain

The heart beats faster and harderThe heart beats faster and harder

Veins and arteries constrict (get smaller)Veins and arteries constrict (get smaller)

Smaller veins and arteries reduce blood flow Smaller veins and arteries reduce blood flow and increase blood pressureand increase blood pressure

CIRCULATORY SYSTEMCIRCULATORY SYSTEM

The blood clots more easily to stop bleeding. The blood clots more easily to stop bleeding. (The body has the perception that it might (The body has the perception that it might be hurt/injured)be hurt/injured)

Issues to consider:Issues to consider:– Heart beat gets out of rhythmHeart beat gets out of rhythm– High blood pressure can lead to increased risk of High blood pressure can lead to increased risk of

heart attackheart attack– Germs (from injecting) can infect the lining of the Germs (from injecting) can infect the lining of the

heart (endocarditis)heart (endocarditis)

KIDNEYSKIDNEYS

The kidneys filter the blood and get rid of fluid The kidneys filter the blood and get rid of fluid wastes through urine. Crystal is filtered by, wastes through urine. Crystal is filtered by, then excreted through the kidneys. They also then excreted through the kidneys. They also balance the acid level in the body’s fluids.balance the acid level in the body’s fluids.

Issues to consider:Issues to consider: Crystal constricts blood vessels in the kidneysCrystal constricts blood vessels in the kidneys With less blood flow, the kidneys produce less With less blood flow, the kidneys produce less

urineurine

KIDNEYSKIDNEYS

Issues to consider:Issues to consider: Toxic wastes get recycled back into the Toxic wastes get recycled back into the

bloodstreambloodstream

When toxic blood reaches the brain, the When toxic blood reaches the brain, the person can get headaches and get confusedperson can get headaches and get confused

Urine becomes very concentrated and sits in Urine becomes very concentrated and sits in the bladder. This can result in bladder the bladder. This can result in bladder infections. The kidneys can get inflamed.infections. The kidneys can get inflamed.

Differences Between Methamphetamine and Cocaine (Psychostimulants)

Methamphetamine Cocaine

Man-made Plant-derived

Smoking produces a high that lasts 8-24 hours

Smoking produces a high that lasts 20-30 minutes

50% of the drug is removedfrom the body in 12 hours

50% of the drug is removed from the body within 1 hour

Limited medical use Used as a local anesthetic in some surgical procedures

CO-OCCURRING CO-OCCURRING

PSYCHIATRIC DISORDERSPSYCHIATRIC DISORDERS

BULIMIABULIMIA

Why an eating disorder?Why an eating disorder?

Need for controlNeed for control

Excessively preoccupied with body size Excessively preoccupied with body size and shape and shape

Meets the individual’s needs Meets the individual’s needs (inappropriate desired results of body (inappropriate desired results of body size/shape) in an accelerated, often size/shape) in an accelerated, often dangerous way.dangerous way.

BULIMIABULIMIA

Bulimia is characterized by a secretive Bulimia is characterized by a secretive cycle of binge eating followed by purging.cycle of binge eating followed by purging.

Bulimia includes eating large amounts of Bulimia includes eating large amounts of food--more than most people would eat in food--more than most people would eat in one meal--in short periods of time, then one meal--in short periods of time, then getting rid of the food and calories through getting rid of the food and calories through vomiting, laxative abuse, or over-vomiting, laxative abuse, or over-exercising. exercising.

BULIMIABULIMIA

Symptoms include:Symptoms include: Repeated episodes of binging and purging Repeated episodes of binging and purging

Feeling out of control during a binge and eating Feeling out of control during a binge and eating beyond the point of comfortable fullness beyond the point of comfortable fullness

Purging after a binge, (typically by self-induced Purging after a binge, (typically by self-induced vomiting, abuse of laxatives, diet pills and/or vomiting, abuse of laxatives, diet pills and/or diuretics, excessive exercise, or fasting) diuretics, excessive exercise, or fasting)

Frequent dieting Frequent dieting

Extreme concern with body weight and shapeExtreme concern with body weight and shape

SEX ADDICTIONSEX ADDICTION

Core Elements of Addiction

Defined How Each if Manifested

Obsession intrusive, ruminating thoughts, "preoccupation with"

preoccupation with obtaining the drug/sex, using the drug/sex, and getting over withdrawal from drug/sex.

Compulsion strong urge or drive to have to do something (i.e., use)

"I have to do this, if for no other reason than to stop obsessing.”

Denial no ownership of a problem; at minimum the existence of (e.g., "I'm still functional") any problem is minimized or rationalized (e.g., "everyone is doing it")

"My use is not a problem -everyone gets STDs/uses drugs and/or uses something to change their mood."

Guilt "I have done bad things during my use" (e.g., sex addict)

"I'm engaging in types of sex that I consider against my morals."

Shame "As a result of doing bad things during my use, I am bad."

"Because I'm engaging in types of sex that are morally wrong to me, I must be immoral or innately bad, evil, or defective."

Ten Signs of Sexual AddictionTen Signs of Sexual Addiction

1. Out of control behavior

escalating frequency

escalating dangerousness


2.2. Consequences - escalating and compounding Consequences - escalating and compounding consequencesconsequences

a)a) impaired or decreased job performance due to impaired or decreased job performance due to preoccupation, absenteeismpreoccupation, absenteeism

b)b) STD, unwanted pregnanciesSTD, unwanted pregnancies


c)c) possible arrests - lewd/lascivious possible arrests - lewd/lascivious conductconduct

d)d) marital/monogamous relationships are marital/monogamous relationships are jeopardized/lostjeopardized/lost


3. Inability to stop - self perpetuation of behavior once guilt and shame are fused

4. Self-destructive or high risk - as frequency of "using" goes up, so too does the need for drama; danger to add to the "rush"


5. Effort/desire to limit the sexual behavior - limit sexual behavior to only certain types, with certain partners, etc.

6. Sexual obsession/fantasy - when things are uncomfortable or problematic, this is the mental place sex addicts go to


7. Increased amounts - it is equivalent to physiological need (tolerance) and the desire to achieve the same effect can only be reached with increasing frequency, intensity, etc. of acts

8. Mood swings - sex is used as a fix to alter "bad" mood states but ultimately is bad itself due to the guilt/shame


9.9. Increased time - preoccupation with Increased time - preoccupation with obtaining, using and recovering from obtaining, using and recovering from sexual fixsexual fix

10.Neglect - as disease progresses, so does the pervasiveness of the neglect

PSYCHOSISPSYCHOSIS

The essential features of a The essential features of a substance-induced psychotic substance-induced psychotic disorder are prominent hallucinations disorder are prominent hallucinations or delusions that are judged to be or delusions that are judged to be due to the direct physiological effects due to the direct physiological effects of a substance of a substance (i.e., methamphetamine). (i.e., methamphetamine).

PSYCHOSISPSYCHOSIS

Psychotic disorders can occur in Psychotic disorders can occur in association with association with intoxicationintoxication with with various types of substances such as various types of substances such as alcohol, amphetamine and related alcohol, amphetamine and related substances (methamphetamine); substances (methamphetamine); cannabis, cocaine, hallucinogens, cannabis, cocaine, hallucinogens, inhalants; opiods, sedatives, hypnotics, inhalants; opiods, sedatives, hypnotics, and anxiolytics. and anxiolytics.

PSYCHOSISPSYCHOSIS

Psychotic disorders can occur in Psychotic disorders can occur in association with association with withdrawalwithdrawal from the from the following classes of substances: alcohol, following classes of substances: alcohol, sedatives, hypnotics, and anxiolytics. sedatives, hypnotics, and anxiolytics.

For example, smoking a high dose of cocaine may For example, smoking a high dose of cocaine may produce psychosis within minutes, whereas days produce psychosis within minutes, whereas days or weeks of high dose alcohol or sedative use or weeks of high dose alcohol or sedative use may be required to produce psychosis. may be required to produce psychosis. Hallucinations may occur in any modality.Hallucinations may occur in any modality.

PSYCHOSISPSYCHOSIS

Psychotic disorders induced by intoxication Psychotic disorders induced by intoxication with methamphetamine and cocaine share with methamphetamine and cocaine share similar clinical features. Persecutory similar clinical features. Persecutory delusions may rapidly develop shortly after delusions may rapidly develop shortly after use of the drug.use of the drug.

Distortion of body image and misperception of Distortion of body image and misperception of people’s faces may occur. The hallucination people’s faces may occur. The hallucination of bugs or vermin crawling in or under the of bugs or vermin crawling in or under the skin (formication) can lead to scratching and skin (formication) can lead to scratching and extensive skin damage. extensive skin damage.

PSYCHOSISPSYCHOSIS

Substances such as Substances such as methamphetamine have been methamphetamine have been reported to evoke temporary reported to evoke temporary psychotic states that can psychotic states that can sometimes persist for weeks or sometimes persist for weeks or longer despite abstinence and longer despite abstinence and treatment with neuroleptics.treatment with neuroleptics.

PSYCHOSISPSYCHOSIS

For drugs of abuse, there must be evidence from For drugs of abuse, there must be evidence from history, physical examination, or laboratory history, physical examination, or laboratory findings of intoxication or withdrawal. Once findings of intoxication or withdrawal. Once initiated, the psychotic symptoms may continue initiated, the psychotic symptoms may continue as long as the substance use continues. as long as the substance use continues.

Because the withdrawal state can vary, the onset Because the withdrawal state can vary, the onset of psychotic symptoms can occur up to 4 weeks of psychotic symptoms can occur up to 4 weeks after the cessation of substance useafter the cessation of substance use

(American Psychiatric Association: Diagnostic and Statistical Manual of (American Psychiatric Association: Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition. Washington, DC, American Psychiatric Mental Disorders, Fourth Edition. Washington, DC, American Psychiatric Association)Association)

Interaction of Methamphetamine with HIV and Hepatitis C

HIV Hepatitis C

Risk sex and needles sex and needles

Progression increases disease (viral replication) unknown

Reason for Use might be used to address depression & fatigue

might be used to address depression and fatigue

Interactions with Medications

Protease Inhibitors unknown

Propagation Increases STD riskIncreases viral load presenceIncreases drug resistance development

unknown

TREATMENT INTERVENTIONSTREATMENT INTERVENTIONS

Cognitive behavioral interventionsCognitive behavioral interventions: :

At this time the most effective treatments At this time the most effective treatments for methamphetamine addiction are for methamphetamine addiction are cognitive behavioral interventions. cognitive behavioral interventions.

These approaches are designed to help These approaches are designed to help modify the patient's thinking, modify the patient's thinking, expectancies, and behaviors and to expectancies, and behaviors and to increase skills in coping with various life increase skills in coping with various life stressors. stressors.


Support groupsSupport groups: Recovery support : Recovery support groups also appear to be effective groups also appear to be effective adjuncts to behavioral interventions adjuncts to behavioral interventions that can lead to long-term drug-free that can lead to long-term drug-free recovery.recovery.


Pharmacological approachesPharmacological approaches: There are : There are currently no particular pharmacological currently no particular pharmacological treatments for dependence on treatments for dependence on amphetamine or amphetamine-like drugs amphetamine or amphetamine-like drugs such as methamphetamine. such as methamphetamine.

The current pharmacological approach is The current pharmacological approach is borrowed from experience with treatment borrowed from experience with treatment of cocaine dependence. of cocaine dependence.


Medications for cocaine dependence: Medications for cocaine dependence: Amantadine (Symmetrel) and propranolol Amantadine (Symmetrel) and propranolol (Inderal) appear promising for the (Inderal) appear promising for the treatment of patients who present with treatment of patients who present with cocaine withdrawal symptoms. This may cocaine withdrawal symptoms. This may have indications for treatment of have indications for treatment of methamphetamine dependence.methamphetamine dependence.


Antedepressant medications are Antedepressant medications are helpful in combating the depressive helpful in combating the depressive symptoms frequently seen in symptoms frequently seen in methamphetamine users who methamphetamine users who recently have become abstinent. recently have become abstinent.


OverdoseOverdose: There are some established : There are some established protocols that emergency room physicians protocols that emergency room physicians use to treat individuals who have had a use to treat individuals who have had a methamphetamine overdose. methamphetamine overdose.

Because hyperthermia and convulsions are Because hyperthermia and convulsions are common and often fatal complications of common and often fatal complications of such overdoses, emergency room treatment such overdoses, emergency room treatment focuses on the immediate physical focuses on the immediate physical symptoms. Overdose patients are cooled off symptoms. Overdose patients are cooled off in ice baths, and anticonvulsant drugs may in ice baths, and anticonvulsant drugs may be administered also.be administered also.

STAGES OF CHANGE MODELSTAGES OF CHANGE MODEL Precontemplation may/may not be aware of need to change; avoids topic; knows little about it Contemplation considers increasing the advantages and decreasing the disadvantages of change Preparation making a commitment to change and creating a plan Action implementing the plan; revising the plan as needed; may relapse Maintenance continue to make significant changes (that were implemented during the action stage); the changes becomes more habitual; implement strategies to assist in the prevention of slips or relapse

Relapse part of the change process; can be used as a learning tool via behavioral analysispart of the change process; can be used as a learning tool via behavioral analysis

Adapted from Prochaska and DiClemente, 1984,2002

RESOURCESRESOURCES http://www.crystalmeth.org/http://www.crystalmeth.org/ Crystal Meth Anonymous is a fellowship of men and Crystal Meth Anonymous is a fellowship of men and

women for whom all drugs, specifically Crystal Meth, women for whom all drugs, specifically Crystal Meth, have become a problem. The only requirement for have become a problem. The only requirement for membership is a desire to stay clean and lead a membership is a desire to stay clean and lead a sober life. There are no dues or membership lists – sober life. There are no dues or membership lists – each group is expected to be self-supporting through each group is expected to be self-supporting through its own contributions. its own contributions.

http://www.soberrecovery.com/links/crystalmeth.htmlhttp://www.soberrecovery.com/links/crystalmeth.html

Drug Addiction Alcoholism Help and Information -- Drug Addiction Alcoholism Help and Information -- Dual Diagnosis | Sober Living | Bi-Polar | Opiate Dual Diagnosis | Sober Living | Bi-Polar | Opiate Detox--12 Step Groups | Troubled Teens | Treatment Detox--12 Step Groups | Troubled Teens | Treatment Programs Programs

RESOURCESRESOURCES

http://www.drug-rehabilitation.com/resources.htmhttp://www.drug-rehabilitation.com/resources.htm

Support Systems Homes drug and alcohol Support Systems Homes drug and alcohol rehabilitation programs offer a wide range of rehabilitation programs offer a wide range of substance abuse treatment services. Accredited, substance abuse treatment services. Accredited, state licensed alcohol and drug detoxification, state licensed alcohol and drug detoxification, residential drug and alcohol treatment, day and residential drug and alcohol treatment, day and outpatient substance abuse treatment programs, outpatient substance abuse treatment programs, and have 18 sober living environments located and have 18 sober living environments located throughout California.throughout California.

RESOURCESRESOURCES

http://www.crystalrecovery.comhttp://www.crystalrecovery.com

http://www.drugandalcoholrehab.net/methamphetamine.hthttp://www.drugandalcoholrehab.net/methamphetamine.htmm

Methamphetamine addiction treatment centers Methamphetamine addiction treatment centers and methamphetamine rehabilitation programs and methamphetamine rehabilitation programs offering comprehensive rehabilitation programs offering comprehensive rehabilitation programs for methamphetamine addiction and for methamphetamine addiction and methamphetamine abuse.methamphetamine abuse.

RESOURCESRESOURCES

National Council on Sexaholics AnonymousSexual Addiction & P.O. Box 300Compulsivity Simi Valley, CA 93062770-989-9754 (805) 581-3343 orwww.ncsac.org (213) 480-1096

Sex & Love AddictsRecovering Couples AnonymousAnonymous P.O.Box 338, New Town

Branchc/o General Services Norwood, MA 02062P.O. Box 11872 323) 957-4881St. Louis, MO 63105 www.slaafws.org(314) 830-2600(toll-free: 877-742-7349 ext.1234) www.sexhelp.comCulver City: 310-322-7857 (Dr. Patrick Carnes)www.recovering-couples.org

Recovery Onlinewww.onlinerecovery.org/index.html

www.cybersexualaddiction.com

Sex Addicts AnonymousP.O. Box 70749Houston, TX 77270(713) 869-4902 or(213) 896-2964 locwww.sexaa.org

S-Anon International Sexual Compulsives Anonymous170 Sunset Blvd. # 520 4391 Sunset Blvd. Suite P.O. Box 5117 Los Angeles, CA 90029Sherman Oaks, CA 91413 (310) 859-5585(818) 990-6910 www.sca-recovery.orgwww.sanon.org

RESOURCESRESOURCES

“METHAMPHETAMINE USE: REASONS, RISKS, AND PRACTICAL INTERVENTIONS” presented by: Neva...

Documents

Transcript of “METHAMPHETAMINE USE: REASONS, RISKS, AND PRACTICAL INTERVENTIONS” presented by: Neva...