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By Dennis Foon
Alcoholism: A primary, chronic disease with genetic, psychosocial, and environmental factors influencing its
development and manifestations. The disease is often progressive and fatal. It is characterized by
continuous or periodic use, impaired control over drinking, preoccupation with alcohol, use of alcohol despite
adverse consequences, and distortions in thinking, most notably, denial.
Drug Dependent: Compulsive/habitual use of drugs which continues in spite of growing problems in any
area of life, be it familial, social, professional, financial, or health.
Addiction: In this context, a term interchangeable with dependency.
Physical Dependency: A state in which the body becomes so accustomed to the presence of a drug that
the person experiences discomfort without it and over time, may require more to achieve comfort.
Physical Withdrawal: Symptoms experienced when someone with a physical dependency stops taking their
drug of choice. Examples include headaches, tremors, nausea, chills, hallucinations and convulsions.
Psychological Dependency: Feeling emotionally reliant on drugs or alcohol.
Psychological Withdrawal: A period of adjustment when someone with a psychological dependency stops
taking their drug of choice. Harder to treat than physical withdrawal, psychological withdrawal involves
learning new methods of coping, communicating, and dealing with ones feelings without drugs.
Tolerance: Adjustment made by the body to the continued presence of a drug. Increased tolerance results in
the need for increased consumption to achieve the drugs desired effect.
Enabler: Person who enables an alcoholic to keep drinking by denying the alcoholism, supplying alcohol, or
by covering up or shielding the alcoholic from the consequences of his/her behavior. An enabler can be a
family member, friend or social agency and believes that he/she is acting in the best interest of the alcoholic.
North Carolina Essential Standards: Health Education Grade 8
8.ATOD.1 Analyze influences related to alcohol, tobacco, and other drug use and avoidance.
Statistics from North Star Council for Alcohol and Drug Education, Centers for Disease Control and Prevention and National Institutes of Health.
GROUP DIALOGUE
The purpose of this exercise is to help students look at which needs are met by drug use and explore ways of
meeting needs without drugs.
1. Ask the students to identify different types of drugs that people take. Create a list on the board or flip chart.
Include prescription drugs, legal drugs and illegal drugs.
2. Ask the students to brainstorm reasons for people taking drugs. Create a list of at least 20 reasons.
3. Discuss the fact that we all have basic needs such as food, clothing, housing, money. Brainstorm other
needs that people have.
4. Suggest that needs could be categorized into four areas:
The need to be oneself is the need to be in control of yourself, to make your own decisions, and to
have personal power.
The need to be somebody is the need to have and achieve constructive goals (job, education, etc.)
It is also the need to be respected by other people and to be recognized for your contribution or
accomplishments.
The need to belong is the need to have fun, to have friends, and to feel that you are a member of your
community. It is also the need to be loved/loving and cared for/caring.
The need to experience the beyond is the need to recognize and develop your spiritual or religious
side. It is also the need to relax, to think things out and to do things other than your usual activities.
Write the need categories across the top of the board. Ask the group to fit the list of needs (from
question three) under the most appropriate heading.
5. Ask the students to fit the list of reasons for drug use (from question two) under each need category.
Discuss why each reason is being placed under a particular heading. It will seem that reason for drug use
will fit under more than one heading and may meet different needs for different people or at different times.
Points to be discussed include:
Initially, a person may have only one or two reasons for using drugs, but the more dependent a person
becomes, the more reasons he/she has for his/her drug use.
Using drugs is easier than learning to how to cope. If coping skills are not used on a regular basis, a
person can lose these skills and must relearn them.
If a person decides to quit using drugs, he/she cant ignore the needs the drug was meeting. To be
successful, drug-free ways must be found to meet those needs.
Does drug use really meet any needs, or does it just make the user think his/her needs are being met?
6. List the need category headings again on the board. Brainstorm how the various needs can be met without
the use of drugs.
Childrens Theatre of Charlotte acknowledges Manitoba Theatre for Young People, Sandra Ferens and Green Thumb Theatre for information and resources.
Alcohol
Tobacco
Cocaine
Marijuana
Ecstasy
Chrystal Meth
Provide each group with the three facts listed below. Ask each group to brainstorm about the substance and
come up with three false statements about it. Each group will then present their substance to the class, stating
their six facts - three of which are true, and three of which are false. As each fact is presented, a group
member will write a key word or phrase on the board representing each statement. Once all six have been
presented, the class votes which are true and false. The group then reveals to the class which statements are
true and false. Have the class discuss if they were surprised or have feedback about the statements.
ALCOHOL
Almost 50% of kids who start drinking before they're 15 end up as alcoholics.
Alcohol dulls your reflexes and blurs your judgment. You might wake up tomorrow and not know where you are!
Last year, 43% of the deaths from teen car crashes were alcohol-related.
TOBACCO
Everyday, over 3,000 Americans under age 15 get hooked on cigarettes. Yet each year, only 3 out of every 100
smokers successfully quits smoking.
A recent survey showed that 86% of teenagers would prefer to date a non-smoker.
Tobaccos most highly addictive chemical, nicotine, is also used in bug poisons. Other deadly chemicals in cigarettes
are ammonia (found in toilet cleaners) and formaldehyde (used to preserve dead animals).
COCAINE
Cocaine is very addictive. Once you're hooked, it's impossible to feel pleasure the same way as before.
Even first-time users of cocaine can have seizures and heart attacks.
Cocaine gives some people a sensation of power, but it often leaves the body unable to function.
MARIJUANA
Marijuana is addictive. More teenagers are in drug treatment programs for addiction to marijuana than for all other
illegal drugs combined!
Some people believe getting high helps you study, but research shows it damages memory and attention span
making it harder to solve problems and learn new information.
Smoking weed doubles your chances of experiencing severe depression later in life.
ECSTASY
Ecstasy damages the part of the brain that creates memory. It causes severe memory loss even weeks after use.
Ecstasy can cause heart failure, kidney failure, and sometimes even death the very first time you use it.
There's no way to tell what's in it. If something goes wrong, ER doctors have no way of knowing what you took.
CRYSTAL METH
The chemicals used to make meth are really bad for your teeth. Plus, it makes you grind and clench your teeth to the
point where they crack.
Meth makes you psychotic! Some users think they feel bugs crawling under their skin.
Crystal meth can destroy your skin. Someone who used to be attractive will suddenly look awful.
Healthcare
Heredity
Environment
Lifestyle
Write each factor of longevity across the board as illustrated above and ask students to demonstrate which
factor they think MOST influences your longevity by making a human bar graph. To do this, students form a line
in front of the term that they think is the most influential factor. Once every student has chosen a line, ask them
to remain standing and then vocalize the results. For example, According to you, Healthcare contributes about
30% to your longevity, Heredity is also about 50%, Environment looks to be about 10% and Lifestyle about
10%. Have students take their seats and then reveal the real percentages:
Healthcare: 10%
Heredity: 20%
Environment: 20%
Lifestyle: 50%
Emphasize that 50% of how long and full your life can be is up to you and the CHOICES you make. Ask
students if they are surprised by the answers and encourage them to discuss why. Will it make them
reconsider some of the choices they have made?
Responsible Child: Some kids assume the role of the parent by feeding and caring for younger brothers
and sisters
Adjuster Child: Here, kids simply accept whatever behavior a drinking parent dishes out. Many hide and
become quiet and withdrawn
Acting-Out Child: Some children assume blame for their parents drinking and deflect attention from family
problems by creating problems of their own at home or at school
Placater Child: These kids ignore their own unhappiness to comfort others. Some become family clowns
and try to cover problems with jokes
Probably the most difficult step in the healing process is the first one: for the child to openly identify the problem
and begin to talk about his or her sadness and anger. Out of love or fear, most children try to keep family
problems a secret. Believing that theyre the ones with the problem and may even be somehow to blame,
children with drinking parents often hide behind a wall of denial and defensiveness.
Information extracted from Nemours: Teen Health, Coping with an Alcoholic Parent, reviewed by Michelle J. New, Ph.D. and Children of Alcoholics: How to
Help When a Parent Has a Problem by Lisa Turney, Do It Now Foundation Catalog No. 808
Acknowledge the problem. Many kids of parents who drink too much try to protect their parents or hide the
problem. Admitting that your parent has a problem even if he or she won't is the first step in taking control.
Start by talking to a friend, teacher, counselor, or coach. If you can't face telling someone you know, call an
organization like Al-Anon/Alateen (they have a 24-hour hotline at 1-800-344-2666) or go online for help.
Be informed. Being aware of how your parent's drinking affects you can help put things in perspective. For
example, some teens who live with alcoholic adults become afraid to speak out or show any normal anger or
emotion because they worry it may trigger a parent's drinking. Remind yourself that you are not responsible for
your parent drinking too much, and that you cannot cause it or stop it.
Be aware of your emotions. When you feel things like anger or resentment, try to identify those feelings. Talk
to a close friend or write down how you are feeling. Recognizing how a parent's problem drinking makes you feel
can help you from burying your feelings and pretending that everything's OK.
Learn healthy coping strategies. When we grow up around people who turn to
alcohol or other unhealthy ways of dealing with problems, they become our
example. Watching new role models can help people learn healthy coping
mechanisms and ways of making good decisions. Coaches, aunts, uncles, parents
of friends, or teachers all have to deal with things like frustration or disappointment.
Watch how they do it. School counselors can be a great resource here. Next time
you have a problem, ask someone you trust for help.
Find support. It's good to share your feelings with a friend, but it's equally
important to talk to an adult you trust. A school counselor, favorite teacher, or coach
may be able to help. Some teens turn to their school D.A.R.E. (Drug and Alcohol
Resistance Education) officer. Others prefer to talk to a family member or parents
of a close friend.
Because alcoholism is such a widespread problem, several organizations offer
confidential support groups and meetings for people living with alcoholics. Alateen
is a group specifically geared to young people living with adults who have drinking
problems. Alateen can also help teens whose parents may already be in treatment
or recovery. The group Alcoholics Anonymous (AA) also offers resources for people
living with alcoholics.
Find a safe environment. Do you find yourself avoiding your house as much as possible? Are you thinking
about running away? If you feel that the situation at home is becoming dangerous, you can call the National
Domestic Violence Hotline at (800) 799-SAFE. And don't hesitate to dial 911 if you think you or another family
member is in immediate danger.
Stop the cycle. Teenage children of alcoholics are at higher risk of becoming alcoholics themselves. Scientists
think this is because of genetics and the environment that kids grow up in. For example, people might learn to
drink as a way to avoid fear, boredom, anxiety, sadness, or other unpleasant feelings. Understanding that there
could be a problem and finding adults and peers to help you can be the most important thing you do to reduce
the risk of problem drinking.
Alcoholism is a disease. You can show your love and support, but you won't be able to stop someone from
drinking. Talking about the problem, finding support, and choosing healthy ways to cope are choices you can
make to feel more in control of the situation. Above all, don't give up!
Assist your school or community with organizing after school activities for youth.
Give back to the community by assisting with a cleanup or many other creative activities.
Get educated on prevention of substance abuse and become a peer educator. Get involved with Students
Preventing and Informing on Drugs and Alcohol (SPIDA). Visit http://www.spidacharlotte.org
NEED HELP?
www.al-anon.alateen.org - Strength and hope for friends and family of problem drinkers
www.abovetheinfluence.com - A site to help teens stand up to negative pressures
www.thecoolspot.gov - The young teens place for info on alcohol and resisting peer pressure
www.tobaccofreekids.org - A leading force in the fight to reduce tobacco use
www.thetruth.com - Information about smoking and the tobacco industry
www.anuvia.org - Mecklenburg County prevention and recovery center
Chemical Dependency Center 704-376-7447
Substance Abuse Prevention Services 704-375-3784
Narcotics Anonymous 704-366-8980
Alcoholics Anonymous 704-332-4387
Alateen 704-523-1159