Drug Abuse
Labor Management/Sexual Harassment
 

WHO IS AN ADDICT?

Most of us do not have to think twice about this question. WE KNOW!      Our whole life and thinking was centered in drugs in one form or another – the getting and using and finding ways and means to get more. We lived to use and used to live. Very simply, an addict is a man or woman whose life is controlled by drugs. We are people in the grip of a continuing and progressive illness whose ends are always the same: jails, institutions and death.

  

WHY ARE WE HERE?

Before coming to the Fellowship of N.A., we could not manage our own lives. We cannot live and enjoy life as other people do. We had to have something different and we thought we had found it in drugs. We placed their use ahead of the welfare of our families, our wives, husbands, and children. We had to have drugs at all costs. We did many people a great harm, but most of all we harmed ourselves. Through our inability to accept personal responsibilities we were actually creating our own problems. We seemed to be incapable of facing life on its own terms.

 

Other Twelve Step Groups

 

The appeal and widespread success of “working the steps” as can be gleaned from the large number of recoveries among alcoholics and reunited homes, have attracted many people beset with other problems. Consequently, many other groups have been formed utilizing these “suggested” Steps such as:

 

1.  Narcotics Anonymous

 

2.  Al-Anon

 

3.  Nar-Anon

 

4.  Alateen

 

5.  Gamblers Anonymous

 

6.  Smokers Anonymous

7.   Overeaters Anonymous

 

8.   Sexaholics anonymous

 

9.   Cocaine Anonymous

 

10.  Pills Anonymous

 

11.  Emotions Anonymous

 

12.  Positive Anonymous

 

Only the first and twelfth steps of Alcoholics Anonymous are slightly reworded by the respective groups. For instance, the word “alcohol” in A.A.’s Step One is changed to “ours addiction,” gambling,” “smoking,” “lust” and “overeating,” respectively, by the Narcotics Anonymous, Gamblers Anonymous, Smokers Anonymous, Sexaholics Anonymous, and Overeathers Anonymous.


 

DSM-IV Diagnostic Criteria for Substance Dependence

 

A maladaptive pattern of substance use, leading to clinically significant impairment or distress, as manifested by three (or more) of the following, occurring at any time in the same 12-month period:

 

1)                Tolerance, as defined by either of the following:

 

a)                A need for markedly increased amounts of the substance to achieve intoxication or desired effect.

b)                Markedly diminished effect with continues use of the same amount of the substance.

 

2)                withdrawal, as manifested by either of the following:

 

3)                the substance Is often taken in larger amounts or over a longer period than was intended

 

4)                there is a persistent desire or unsuccessful efforts to cut down or control substance use.

 

5)                a great deal of time is spent in activities necessary to obtain the substance (e.g. visiting multiple doctors or driving long distances), use the substance (e.g. chain-smoking), or recover from its effects

 

6)                important social, occupational, or recreational activities are given up or reduced because of substance use

 

7)                the substance use is continued despite knowledge of having persistent or recurrent physical or psychological problem that is likely to have been caused or exacerbated by the substance (e.g. current cocaine use despite recognition of cocaine-induced depression, or continued drinking despite recognition that an ulcer was made worse by alcohol consumption)

 

Specify if:

 

with physiological dependence: evidence of tolerance or withdrawal (i.e. either item 1 or 2 is present) without physiological dependence: no evidence of tolerance or withdrawal (i.e. neither item 1 nor 2 is present)

 

Course specifiers:

 

Early full remission

Early partial remission

Sustained full remission

Sustained partial remission

On agonist therapy

In a controlled environment

 

Most of us realized that in our addiction we were slowly committing suicide, but addiction is such a cunning enemy of life that we had lost power to do anything about it. Many of us ended in jail, or sought help through medicine, religion and psychiatry. None of these methods was sufficient for us. Our disease always resurfaced or continued to progress until in desperation, we sought help from each other in Narcotic Anonymous.

 

After coming to N.A. we realized we were sick people. We suffered from a disease from which there is no known cure. It can, however, be arrested at some point, and recovery is then possible.