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Patients who abuse drugs may self-report that they have no problems in controlling their use. What signs are likely to be present in individuals who are having problems with abuse or addiction?

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Final answer:

Signs of drug abuse or addiction, despite self-reports of control, include behavioral changes, neglect of responsibilities, and physical symptoms indicative of dependence. The DSM-5 criteria help diagnose substance use disorders featuring compulsive use and withdrawal symptoms. Effective rehabilitation often necessitates a multifaceted approach, including medication-assisted therapy and psychological support.

Step-by-step explanation:

Individuals experiencing problems with drug abuse or addiction may exhibit various signs despite self-reporting no issues with controlling their use. These signs include changes in habits and behavior, neglect of responsibilities, and physical symptoms. The DSM-5 outlines specific criteria for substance use disorders, which may involve a compulsive pattern of use with physical and psychological dependence. For example, someone with physical dependence on opioids who stops using may experience withdrawal symptoms such as pain, tremors, and seizures. On the psychological side, there might be intense cravings and anxiety.

Patients may develop a tolerance, requiring increasing amounts of the substance to achieve the same effects, which can heighten the risk of overdose and death. Furthermore, the misuse of drugs can lead to significant life problems, including issues with relationships, employment, and the law. Addiction and dependence are complex issues requiring comprehensive approaches for rehabilitation, which may include medications like methadone, therapy, and support groups.

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