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1 mo. ago

  • here's a quick cheat sheet of current DSM criteria for a SUD: ::: spoiler spoiler

    1 increased amt used
    2 desire/failure to reduce use
    3 lots of time spent on it
    4 cravings for it
    5 life obligations unmet
    6 social relationships disrupted
    7 reduction in recreational activities
    8 use even in dangerous situations
    9 use despite medical risk
    10 building tolerance
    11 experiences withdrawal

    :::

    you need at least 2 to meet mild criteria (very easy to meet mild!) and 6 or more to be considered severe

    so let's look at oxygen addiction:

    we dont increase our use over time, we have no desire or failure to reduce use (even if suicidal it's not about the oxygen), oxygen requires very little time to get, we generally dont crave it cuz we always got it and without it there are no cravings anyway, it doesnt disrupt obligations, doesnt impact relationships, doesnt impact recreation, we don't put ourselves in dangerous situations just to use it, there's no medical risk to consuming it, and we do not build tolerance. we DO experience w/d. so 1 out of 11 aint cuttin it, sorry!!

  • addictions counselor here, can confirm Rooskie91 has a pretty accurate response

    I'm guessing where you get caught up is in the fact that it's a behavioral addiction , right?

    well the medical community isn't far off. gambling disorder is only now just starting to become recognized as an addiction. there's trouble too, because "addiction" isn't an appropriate medical term anymore -- it's "substance use disorder" which encompasses a much wider range of problematic behaviors. and yet! if someone comes in with primary Dx Gambling Disorder, we can't bill that as SUD services because it's technically not a substance lol

    behavioral addictions are very similar in how they work and how they're treated. tbh the main difference is just the lack of risk from acute intoxication / withdrawal. gambling disorder can and does completely ruin lives.

  • Excuse me, NO, this is deadly medical misinfo. Detox is individualized, first and foremost. We don't know what an individual patient is going to experience when they detox or what complications they could have.

    Furthermore, we have no idea what this person is drinking in a day. All we know is that they're having two to four times the alcohol than the average person drinks when they get sent to detox while drinking in the mornings before their appts with me. 4 just to get to baseline is indicative of severe use disorder, though we cant tell without more info.

    You have to remember, someone drinking four drinks in the middle of work is easily drinking "a bottle" a day as-is. Work is when they tone it DOWN.

  • yep. needing 4 drinks to get right, that sounds quite severe too. even needing 1 is a massive red flag. when the body shakes the morning after drinking, it can be a sign that your body is no longer able to function without alcohol.

    detox will need to be medically managed at that point as cold turkey is now life threatening; quitting drinking will seem impossible and yet has now become more urgent than ever

  • it never works on you and me maybe, but it seems like the normies eat that shit up

    It makes me feel like I'm better than them. which I'm aware seems to be a character flaw, but not one I care about, I guess! enjoy your shitty fifth superhero movie reboot or whatever

  • Firefox @lemmy.ml

    How's is Thunderbird? Does anyone even use it?

    Linux @lemmy.ml

    Alright fine I admit it, I want to learn Linux