Cov tshuaj yuav tshuaj, xws li cov tshuaj kho mob, tuaj yeem siv rau qhov laj thawj kho mob zoo, tab sis qee zaum tib neeg tsim kev quav yeeb quav tshuaj no. Txawm hais tias cov tshuaj sib txawv muaj cov yam ntxwv ntawm lub cev sib txawv, cov tsos mob ntawm kev quav yeeb quav tshuaj zoo sib xws tsis hais yam tshuaj twg raug tsim txom. Kawm paub ntau ntxiv txog cov tsos mob ntawm kev quav yeeb tshuaj txhawm rau qhia yog tias ib tus neeg koj paub lossis hlub tau siv tshuaj tsis raug cai.
Cov kauj ruam
Txoj Kev 1 ntawm 4: Paub Txog Lub Cev Lub Cev Ntawm Kev Siv Tshuaj
Kauj Ruam 1. Pom tus neeg lub ntsej muag
Ib tus neeg uas siab rau opiates yuav muaj kev txwv cov tub ntxhais kawm. Tej zaum lawv yuav nkees lossis tsaug zog. Txawm hais tias tsis tau taub hau, lawv tuaj yeem sim txuas lus txuas ntxiv, lossis hais lus hauv lub suab tsis meej.
- Tus neeg tuaj yeem tshwm sim tsis meej pem, thiab/lossis muaj kev nco ploj.
- Tus neeg quav yeeb quav tshuaj yuav zoo li tsis meej pem thiab tsis tshuav nyiaj li cas, thiab tswj tau tsawg dua ntawm lawv lub cev nqaij daim tawv.
- Kev hnoos lossis hnoos tshuaj tuaj yeem ua rau muaj ntshav ntws ntau, thiab tus neeg feem ntau yuav muaj qhov ntswg los yog ua pob ncig lub qhov ntswg thiab qhov ncauj.
- Tus neeg lub qhov muag yuav liab thiab ci.
Kauj Ruam 2. Txheeb xyuas qhov hloov pauv hnyav hnyav lossis cov qauv pw tsaug zog
Ib tus neeg uas siv tshuaj yeeb tshuaj yuav ua rau muaj kev hloov pauv hauv qab los. Lawv yuav noj tsawg thiab poob qhov hnyav ntau.
- Yog tias tus neeg ua phem rau siv cov tshuaj txhawb nqa, lawv tuaj yeem mus rau hnub tsis tsaug zog. Thaum lawv tsaug zog, nws yuav siv sijhawm ntev.
- Insomnia yog ib qho tsos mob ntawm kev tsim txom kev tsim txom. Nws tseem yog qhov tshwm sim tshwm sim ntawm kev tshem tawm los ntawm ntau yam tshuaj.
Kauj Ruam 3. Pom hnov tsw txawv txav
Tus neeg ua pa, tawv nqaij, lossis khaub ncaws tuaj yeem tawm tsw ntxhiab: tshwm sim los ntawm kev siv tshuaj lom neeg sib cuam tshuam ntawm tus neeg lub cev thiab tshuaj. Yog tias tus neeg tab tom sim zom cov ntsiav tshuaj thiab haus nws, qhov ntxhiab no kuj tuaj yeem yog cov pa tsw ntxhiab.
- Qee tus neeg siv tshuaj tsis raug cai kuj tseem tuaj yeem hws ntau dua li ib txwm, uas ua rau lawv lub cev tsw ntxhiab.
- Tus neeg hnov qhov hnov tsw tuaj yeem ua kom zoo dua lossis txo qis.
- Tus neeg siv tshuaj tsis zoo li yuav pom lawv tus kheej hloov ntxhiab.
Kauj Ruam 4. Saib xyuas cov cim ntawm kev raug mob
Kev siv tshuaj ntau zaus ua rau lub cev tsis meej pem, txav txav txawv txav, lossis hloov pauv qhov muag. Yog tias koj pom cov tsos mob ntawm qhov raug mob uas piav tsis tau, qhov no tuaj yeem yog lub cim qhia txog kev siv tshuaj yeeb tshuaj.
- Qhov raug mob xws li txiav me me thiab ua pob. Kev raug mob yuav hnyav dua.
- Tus neeg yuav tiv thaiv thaum nug txog kev raug mob, lossis tsis nco qab tias lawv tshwm sim li cas.
- Tus neeg tuaj yeem hnav lub tsho ntev txawm tias nyob hauv huab cua sov los zais cov cim los ntawm kev txhaj tshuaj.
Kauj Ruam 5. Paub txog kev txav mus los yam tsis xav tau
Koj tuaj yeem pom tus neeg txhais tes lossis txhais tes co, lossis muaj kev tshee tshee. Tus neeg yuav muaj teeb meem tsim cov lus, thiab tau hais lus tsis meej.
- Tus neeg yuav muaj teeb meem tuav tus cwj mem, kos npe rau lawv lub npe, lossis tuav lub khob yam tsis ua kua dej hla tus ntug.
- Ntau zaus, cov cim qhia no yog cov tsos mob ntawm kev tshem tawm ntawm kev siv tshuaj, yog lub cim ntawm kev quav yeeb quav tshuaj.
Kauj Ruam 6. Pom qhov hloov pauv ntawm kev tu tus kheej
Ib tus neeg siv yeeb tshuaj yuav nres tu lawv lub cev tu cev, piv txwv li da dej, hloov khaub ncaws huv, thiab tu plaub hau. Nov yog ib qho cim qhia txog kev quav yeeb tshuaj. Tus neeg yuav tsis muaj peev xwm mob siab rau cov haujlwm no ntawm kev ua neej nyob niaj hnub, lossis lawv yuav tsis quav ntsej.
- Yog tias tus neeg siv tshuaj kho mob, lawv tuaj yeem siv sijhawm ntau dua li kev tu lub tsev ib txwm muaj, txawm tias tsis muaj kev tu tus kheej.
- Cov cim ntawm kev siv yeeb tshuaj yuav ua raws, lossis tseem yog los ntawm kev nyuaj siab.
Kauj Ruam 7. Nrhiav tshuaj yeeb tshuaj
Ntau zaus cov neeg uas siv tshuaj tsis raug cai yuav pib txhaj tshuaj rau hauv cov hlab ntshav. Nrhiav cov hnab uas siv los nqa rab koob thiab rab diav.
- Koj tuaj yeem pom cov pawg ntawm cov khoom sib tw hlawv, lossis lub teeb ntxiv siv los ua kom sov cov tshuaj.
- Ntawv ci, hnab ntawv iav lossis cov ntawv ntim tuaj yeem pom hauv tus neeg lub tsheb, nyob nruab nrab ntawm cov phau ntawv ntawm lub txee, lossis lwm yam zais hauv tus neeg lub tsev.
Txoj Kev 2 ntawm 4: Saib Cov Cwj Pwm Coj Tus Cwj Pwm ntawm Kev Siv Tshuaj Yeeb
Kauj Ruam 1. Xav txog kev hloov pauv ntawm tib neeg kev sib raug zoo
Cov neeg uas siv yeeb tshuaj feem ntau zam cov uas tsis ua. Koj tuaj yeem pom tias tus neeg tau zam rau cov phooj ywg qub thiab cov neeg ua haujlwm, lossis tsim kev phooj ywg tshiab nrog lwm tus neeg.
- Tej zaum yuav muaj kev tsis txaus siab los ntawm tus neeg yav dhau los cov phooj ywg, tus saib xyuas, cov neeg ua haujlwm, cov kws qhia ntawv, thiab lwm yam.
- Ib tus neeg ntawm kev txhawb nqa yuav zoo li tham ntau yam, hauv tus kheej txoj kev. Lawv yuav tsis zoo siab nyob ib puag ncig.
- Lawv tuaj yeem pib dhau los ua neeg vwm, thiab txhim kho kev xav txog yuav ua li cas lwm tus neeg tawm tsam lawv.
Kauj Ruam 2. Txiav txim siab yog tias tus neeg tsis muaj sijhawm nyob tom haujlwm lossis tsev kawm ntawv
Qee tus neeg siv yeeb tshuaj yuav zoo li ua rau muaj kev txaus siab qis hauv kev ua haujlwm lossis tsev kawm ntawv. Tej zaum lawv yuav dag txog kev mus koom, hu rau tus neeg mob, lossis tsuas yog tso tseg.
- Qhov tsis txaus siab no tej zaum yuav txawv heev ntawm tus tib neeg ua ntej, lossis nws yuav tsis yog.
- Koj tuaj yeem pom qhov poob qis hauv qib lossis kev ua haujlwm tau zoo.
Kauj Ruam 3. Tshaj tawm qib kev zais cia ntau ntxiv
Ib tus neeg uas siv yeeb tshuaj yuav zoo li tsis meej pem, lossis tsuas yog nyob ib leeg xwb. Lawv tuaj yeem sim ua kom ib tus neeg, tshwj xeeb yog cov neeg hauv tsev neeg, tsis txhob nkag mus hauv lawv chav lossis hauv tsev.
- Lawv yuav siv qhov mob hnyav los khaws lawv cov haujlwm yam tsis pub lwm tus paub, tshwj xeeb yog cov neeg uas nyob ze lawv.
- Tus neeg yuav dag txog lawv cov haujlwm txhua hnub.
- Koj yuav pom tus neeg koom nrog hauv kev ua haujlwm tsis txaus ntseeg uas piav tsis tau.
Kauj Ruam 4. Ua tib zoo saib kom muaj teeb meem ntau ntxiv
Tus neeg siv yeeb siv tshuaj tej zaum yuav muaj teeb meem hauv tsev kawm ntawv, hauv tsev, ua haujlwm, phooj ywg lossis kev sib raug zoo. Qhov no suav nrog: kev sib tsoo, kev sib ntaus, teeb meem kev cai lij choj, kev sib cav, thiab lwm yam.
- Kev ntsib teeb meem tej zaum yuav tsis yog qhov txawv ntawm tus neeg no. Yog tias qhov no yog qhov tshiab, txawm li cas los xij, xav txog qhov ua tau ntawm kev quav yeeb quav tshuaj.
- Qee zaum, nkag mus rau teeb meem yog qhov laj thawj txaus rau tus neeg kom tsum tsis txhob siv cov tshuaj.
- Yog tias tus neeg tseem siv tshuaj ntau ntxiv txawm tias muaj xwm txheej ntau ntxiv los ntawm teeb meem, lawv yuav muaj kev quav yeeb quav tshuaj thiab yuav xav tau kev kho mob txhawm rau tshem tawm cov tshuaj.
Kauj Ruam 5. Txheeb xyuas tus neeg siv nyiaj
Ib tug neeg ua txhaum cov tshuaj yuav tshuaj feem ntau pom lawv tus kheej ntsib teeb meem nyiaj txiag los them rau cov tshuaj. Qhov xav tau txawv lossis tsis xav tau nyiaj yuav yog ib qho cim ntawm kev quav yeeb quav tshuaj. Qee tus neeg siv tshuaj yeeb txhaum cai tuaj yeem nyiag, dag lossis dag kom tau txais nyiaj, txawm tias lawv tsis suav tias yog tus neeg ncaj ncees.
- Ib tus neeg uas siv yeeb tshuaj yuav raug nyiag txhawm rau txhawb lawv txoj kev quav yeeb quav tshuaj. Koj tuaj yeem pom koj tus kheej uas ploj lawm cov hniav nyiaj hniav kub, khoos phis tawj lossis lwm yam khoom ntawm tus nqi muag khoom siab.
- Yog tias tus neeg zoo li tau siv nyiaj ntau yam tsis muaj dab tsi los qhia rau nws, lawv yuav siv nyiaj rau tshuaj.
Kauj Ruam 6. Mloog cov lus thov nquag siv ua ntej
Koj tsis tuaj yeem tau txais cov tshuaj kws kho mob txhua lub sijhawm uas koj xav tau, thiab tus neeg siv cov tshuaj no feem ntau yuav ploj mus ua ntej lawv yuav tau them nyiaj ntxiv. Tus neeg yuav muaj ntau yam laj thawj uas yog vim li cas lawv thiaj xav tau cov nyiaj rov qab thaum ntxov txhua lub hlis: lawv raug nyiag, lawv poob rau hauv lub dab dej lossis hauv chav dej, tsis nco qab lawv hauv chav tsev so, cuam tshuam rau lawv, thiab lwm yam. Nov yog daim ntawv qhia qhia txog kev siv tshuaj yeeb tshuaj. TSWV YIM TSHUAJ
Tiffany Douglass, MA
Founder, Wellness Retreat Recovery Center Tiffany Douglass is the Founder of Wellness Retreat Recovery Center, a JCAHO (Joint Commission on Accreditation of Healthcare Organizations) accredited drug and alcohol treatment program based in San Jose, California. She is also the Executive Director for Midland Tennessee at JourneyPure. She has over ten years of experience in substance abuse treatment and was appointed a Global Goodwill Ambassador in 2019 for her efforts in residential addiction treatment. Tiffany earned a BA in Psychology from Emory University in 2004 and an MA in Psychology with an emphasis on Organization Behavior and Program Evaluation from Claremont Graduate University in 2006.
Tiffany Douglass, MA
Founder, Wellness Retreat Recovery Center
Our Expert Agrees:
Signs that a person is abusing their opiate prescription includes taking more than prescribed or running out before the month is up. You might also notice them slurring their speech, and they could seem abnormally sleepy or have a lot more energy than usual. Also, they may get sick more often than normal, which could be a sign they're detoxing.
Method 3 of 4: Noticing Psychological Signs of Drug Abuse
Kauj Ruam 1. Xav txog kev hloov pauv tus cwj pwm lossis lub siab
Kev hloov pauv sai ntawm tus neeg tus yam ntxwv tuaj yeem tshwm sim los ntawm cov tshuaj yuav tshuaj. Ib tus neeg ua txhaum cov tshuaj yuav tuaj yeem dhau los lossis sib cav thiab sib cav. Yog tias qhov no yog qhov sib txawv ntawm tus neeg tus yam ntxwv, xav txog qhov ua tau tias tus neeg siv cov tshuaj tsis raug cai.
- Ntawm kev txhawb siab, tus neeg yuav dhau los tham, tab sis lawv cov kev sib tham yuav nyuaj ua raws. Lawv yuav nquag hloov cov ncauj lus, tsis tuaj yeem tsom mus rau cov ncauj lus rau lub sijhawm ntev.
- Koj tuaj yeem pom tus neeg zoo li tsis txaus ntseeg, txhawj xeeb heev txog qhov lwm tus neeg hais lossis ua.
Kauj Ruam 2. Saib xyuas cov lus teb
Tus neeg yuav zoo li tiv thaiv lossis sib cav, txawm tias qhov no tsis txawv txav. Tej zaum lawv yuav tsis muaj peev xwm daws tau kev ntxhov siab, nrawm dua lossis npau taws.
- Kev chim siab yog ib tus yam ntxwv ntawm ib tus neeg uas muaj teeb meem tshuaj.
- Tus neeg tuaj yeem tshwm ntsej muag tsawg dua li ua ntej, tsis kam lees lees txim rau txhua qhov xwm txheej lossis txo qis lawv qhov hauv nws.
Kauj Ruam 3. Paub txog kev hloov pauv ntawm tus neeg
Kev txiav txim siab tsis zoo, tshwm sim los ntawm kev tsis tuaj yeem xav los ntawm cov teeb meem niaj hnub, yog ib qho tshwm sim tshwm sim ntawm kev quav yeeb quav tshuaj. Tus neeg yuav tsis tuaj yeem xav txog yam uas tsis cuam tshuam nrog cov tshuaj.
- Koj tuaj yeem pom tus neeg ntawd muaj kev txaj muag lossis ua dag ntau dua li ib txwm muaj.
- Kev mloog tsis zoo thiab teeb meem nrog kev nco yog cov cim ntawm kev quav yeeb quav tshuaj.
Txoj Kev 4 ntawm 4: Pab Ib Tus Neeg Txiav Tawm Tshuaj
Kauj Ruam 1. Qhia rau tus neeg
Yog tias koj xav tias ib tus neeg uas koj paub tau siv tshuaj tsis raug cai, koj yuav tsum nug lawv. Qhia rau lawv paub tias koj muaj kev txhawj xeeb, thiab thov pab lawv.
- Tsis txhob npau taws lossis liam tus neeg rau lawv siv yeeb tshuaj. Nco ntsoov, kev quav yeeb quav tshuaj yog kab mob, tsis yog kev xaiv ua tib zoo xaiv. Yog tias tus neeg raug kev txom nyem los ntawm kev quav tshuaj, lawv xav tau kev kho mob.
- Nws siv lub siab tawv heev los lees thaum koj muaj teeb meem. Paub tias qhov no nyuaj.
- Tsis txhob tshaj tawm rau tus neeg lossis tham nrog lawv thaum koj tab tom mob siab txog qhov teeb meem uas lawv siv yeeb tshuaj yuav ua rau. Sim nco ntsoov ua kom nyob ntsiag to, txhawj xeeb, thiab pab tau.
TSWV YIM TSHUAJ
Tiffany Douglass, MA
Founder, Wellness Retreat Recovery Center Tiffany Douglass is the Founder of Wellness Retreat Recovery Center, a JCAHO (Joint Commission on Accreditation of Healthcare Organizations) accredited drug and alcohol treatment program based in San Jose, California. She is also the Executive Director for Midland Tennessee at JourneyPure. She has over ten years of experience in substance abuse treatment and was appointed a Global Goodwill Ambassador in 2019 for her efforts in residential addiction treatment. Tiffany earned a BA in Psychology from Emory University in 2004 and an MA in Psychology with an emphasis on Organization Behavior and Program Evaluation from Claremont Graduate University in 2006.
Tiffany Douglass, MA
Founder, Wellness Retreat Recovery Center
Did You Know?
The chances that a person will become addicted to opiates skyrocket if that person gets a refill of their prescription after 30 days. However, it can help if someone else holds their medication and dispenses it each day. That way, the patient doesn't have an opportunity to take more of their medication than is prescribed.
Kauj Ruam 2. Tsis txhob cia tus neeg ntawd nres yam tsis muaj kev pab
Muaj ntau txoj kev kho mob sib txawv. Nws yuav siv sijhawm me ntsis txhawm rau nrhiav txoj kev kho rau qhov teeb meem tshuaj, tab sis yog tus neeg txaus siab rau siab ua, lawv tuaj yeem rov qab mus rau lub neej tsis muaj tshuaj.
- Ua ib tus neeg quav yeeb quav tshuaj yog tib yam li tswj hwm txhua yam kev mob nkeeg. Cia siab tias cov kauj ruam uas tus neeg tau ua txuas ntxiv mus thoob plaws lawv lub neej.
- Nco qab tus neeg tias kev kho mob yog tus kheej, thiab tsis muaj leej twg xav paub txog nws. Txhua yam tau tham nrog kws kho mob, suav nrog kev kho tshuaj rau tshuaj raws txoj cai, tau ua raws HIPAA txoj cai ntiag tug hauv Tebchaws Meskas.
Kauj Ruam 3. Pab tus neeg kom nkag mus rau kev kho tus cwj pwm
Ntxiv rau cov pab pawg 12-qib uas paub, muaj ntau yam kev kho tus cwj pwm coj nruj. Kev kho rau kev vam khom ntawm cov tshuaj yuav tuaj yeem xa mus rau ntau qhov chaw. Txhawb tus neeg kom nkag mus rau kev kho mob uas lawv nyiam tshaj plaws nrog.
- Kev kho mob sab nrauv suav nrog kev xaiv tus kheej thiab pab pawg. Kev paub txog tus cwj pwm coj (CBT), thiab kev kho tsev neeg ntau yam yog ob txoj hauv kev. Kuj tseem muaj txoj hauv kev uas tsom mus rau kev txhawb siab thiab khoom plig, xws li kev xam phaj kev txhawb siab thiab kev txhawb siab txhawb siab.
- Cov khoos kas kho mob loj (IOPs) tuaj yeem pom zoo. Cov haujlwm no ntsib tsawg kawg peb hnub hauv ib lub lis piam rau ob mus rau plaub teev nyob rau ib hnub, thiab tuaj yeem teem sijhawm ncig lwm lub luag haujlwm tus kheej.
- Kev kho vaj tse nyob yuav raug pom zoo, tshwj xeeb yog rau kev quav tshuaj hnyav dua. Qee qhov kev kho mob nyob hauv tsev ntau dua, thiab cuam tshuam nrog kev nyob hauv chaw kho mob thaum tab tom kho tus cwj pwm thaum nruab hnub. Feem ntau nyob qis qis yog 28-60 hnub, qee zaum ntev dua.
- Lwm qhov kev xaiv kho vaj tse suav nrog cov zej zog kho mob, uas txuas ntxiv nyob rau 6-12 lub hlis nyob.
- Txhua tus tib neeg rov zoo li qub. Tsis muaj ib txoj hauv kev kho tus cwj pwm uas yog qhov zoo rau txhua tus.
Kauj Ruam 4. Qhia tawm cov ntaub ntawv hais txog kev xaiv tshuaj kho mob
Kev kho tshuaj yuav txawv nyob ntawm seb hom tshuaj twg uas tus neeg tau ua phem. Txhawm rau nkag mus rau cov kev kho mob no yuav xav tau mus ntsib kws kho mob lossis kws kho mob. Cov kev xaiv no zoo tshaj plaws ua ke nrog kev kho tus cwj pwm.
- Txog kev quav tshuaj opioid, tus neeg yuav raug sau ntawv naltrexone, tshuaj txiav yeeb, lossis buprenorphine. Cov tshuaj no tuaj yeem pab txo qis lub cev kev xav rau opioids.
- Rau kev quav yeeb quav tshuaj rau lwm yam tshuaj, xws li cov tshuaj ua kom muaj zog (xws li Adderall lossis Concerta) lossis kev nyuaj siab (xws li barbiturates lossis benzodiazepine), tam sim no tsis muaj FDA pom zoo tshuaj kho mob. Kev tshem tawm ntawm cov tshuaj no tuaj yeem nyuaj rau kev kho mob, thiab kev txhawb nqa kev kho mob tau txhawb kom txo qis kev puas tsuaj ntawm lub cev.
