A comprehensive list of common terms and phrases related to drug and alcohol addiction and treatment options.
- Abstinence: Refraining from further drug use.
- Acetaminophens: Pain relievers (e.g. Tylenol) used to treat headaches, muscle aches, headaches, etc.
- ACOA: A support group for adult children of alcoholics.
- Addict: A stigmatising slang term for an individual with an addictive disorder.
- Addiction Assessment: A way to determine the presence and severity of chemical dependency in a client (considers sociological, psychological, physical, and family factors, etc.).
- Addiction Treatment: Aims to reduce addiction.
- Addiction: A repeated activity that continuously causes harm to oneself or others (e.g. a substance’s continuous presence in the bloodstream).
- Addictive Personality: A trait/traits that develops in response to drug use.
- Adverse Reaction: A detrimental reaction to a drug (not the desired reaction).
- Affinity: The strength a drug has that allows it to bind to its receptor.
- Age at Onset: The age at which one’s addictive behaviour began; an important factor in addiction assessment.
- Agonist: A drug that activates a receptor in the brain.
- Alcoholics Anonymous (AA): A voluntary program concerned with helping alcoholics with recovery and continued sobriety.
- Alkaloids: Plant-produced organic compounds that are the active ingredients in many drugs.
- Amphetamine: A behavioural stimulant; also known as pep pills.
- Analgesic: Medication designed to treat pain.
- Antagonist: A substance that can nullify another’s effects (a drug that does not elicit a response).
- AOD: Stands for (Alcohol and Other Drugs).
- AODA: Stands for (Alcohol and Other Drug Abuse).
- Aspirin: An anti-inflammatory agent used for pain relief.
- Barbiturate AddictionBarbiturate: A class of sedative-hypnotic compounds that are chemically related through a six-membered ring structure.
- Benzodiazepine: A group of depressants used to induce sleep, prevent seizures, produce sedation, relieve anxiety and muscle spasms, etc.
- Bioavailability: A drug’s ability to enter the body.
- Biofeedback: Signal use to control physiological processes that are normally involuntary.
- Blood Alcohol Level/Concentration: The concentration level of alcohol in the bloodstream (expressed as a percentage by weight).
- Buprenorphine: A semi-synthetic partial agonist opioid derived from the baine; used for pain relief (e.g. Buprenex).
- Caffeine: An alkaloid that acts as a diuretic and a stimulant (found in coffee, tea, etc.).
- Carcinogen: A cancer-causing chemical agent.
- Causal Factors: Various antecedent conditions that lead to individual chemical dependency problems (e.g. conditioning, environment, genetics, etc.).
- Ceiling Effect: Occurs when the dosage of buprenorphine is increased beyond maximum levels and no differences result.
- Center for Substance Abuse Treatment (CSAT): Promotes community-based substance abuse treatment services.
- Central Nervous System (CNS): The brain and spinal cord.
- Certified Chemical Dependency Counselor (CCDC): Manages clients in chemical dependency programs to help with addiction recovery
- Cirrhosis: Chronic liver disease.
- Clinical Opiate Withdrawal Scale (COWS): Used to determine the severity of opioid withdrawal.
- Codeine: The pain-relieving sedative agent contained in opium.
- Codependence: A family member’s or friend’s suffering that is the result of the side effects of one’s addiction; it occurs when one takes responsibility for another’s actions and helps that person avoid facing his or her problems directly to maintain the relationship.
- Cold Turkey: Abruptly quitting a drug by choice in order to try to quit long-term.
- Compulsion: A physical behaviour one repeats involuntarily that can be harmful (e.g., addiction).
- Conditioning: A behavioural change that results from an association between events.
- Craving: A powerful and strong desire/urge for a substance; a symptom of the abnormal brain adaptions that result from addiction.
- Crisis Intervention: The action taken when one’s usual coping resources pose a threat to individual or family functioning.
- Cross-Dependence: The ability of one drug to prevent the withdrawal symptoms of one’s physical dependence on another.
- Cross-Tolerance: Occurs when one’s tolerance for one drug results in their lessened response to another.
- D.O.C.: This stands for drug of choice.
- Denial: One’s failure to either admit or realise his or her addiction or to recognise and accept the harm it can cause.
- Depressants: Sedatives that act on the CNS (e.g. to treat anxiety, high blood pressure, tension, etc.).
- Depression: One of the most frequent types of distress resulting from addiction; an ongoing state of sadness involving the inability to concentrate, inactivity, etc.
- Detoxification (Detox): The process of the body ridding itself of a toxic substance (e.g. a drug).
- Disease Model: A theory of alcoholism that considers the addiction a disease rather than a social or psychological issue.
- Disease: A condition featuring medically significant symptoms that often have a known cause.
- Doctor Shopping: Occurs when a patient requests care simultaneously from multiple physicians without their knowledge in order to receive higher amounts of medications.
- Dopamine: A chemical produced naturally by the body; functions in the brain as a neurotransmitter to provide feelings of well-being.
- Downers: Another name for depressants; these drugs can cause low moods (e.g. alcohol, barbiturates, tranquilizers, etc.).
- Drug Misuse: One’s use of a drug not specifically recommended or prescribed when there are more practical alternatives; when drug use puts a user or others in danger.
- Drug Tolerance: A progressive state of decreased responsiveness to a drug.
- DSM-IV: The handbook most often used for diagnosing mental disorders.
- Dual-Diagnosis: Mental patients ‘ condition when they are also addicted to any mind-altering drug.
- DUI: Stands for (driving under influence) (of alcohol or another illicit substance that impairs one’s ability to drive).
- DWI: Stands for (driving while intoxicated).
- Dysphoria: The opposite of euphoria.
- Dysynergy: An addiction’s tendency to cause another (e.g. gateway drugs); an addicted person’s tendency to combine substances.
- Enabling: Helping an addicted person do things they can or should be doing for themselves; causes disease progression.
- Endogenous Opioid: The opioids that the body naturally produces in order to help us tolerate pain.
- Endorphins: Opium-like substances produced by the brain; natural painkillers.
- Ethanol: The beverage type (ethyl) of alcohol.
- Euphoria: A pleasurable state of altered consciousness; one reason for the preference of one addictive behaviour or substance over another.
- Evidence-based Treatment: Scientifically validated treatment approaches.
- Excipient: An inactive substance added to a drug to help bind the active ingredient.
- Fetal Alcohol Syndrome (FAS): Birth defects/abnormalities in babies of alcoholic and alcohol abusing mothers.
- Fetal Drug Syndrome (FDS): Birth defects/abnormalities in babies of drug abusing mothers.
- Food and Drug Administration (FDA): Administers federal laws regarding, for example, the safety and effectiveness of drugs.
- Habit: An outdated term for addiction/physical dependence.
- Hallucinogen: Chemical substance that distorts perceptions, sometimes resulting in delusions or hallucinations.
- Harm Reduction: Often the first stage of addiction treatment; reducing therapy instead of stopping the target behaviour.
- Heroin: An illicit full opioid agonist.
- Hydrocodone: An effective narcotic analgesic first developed as a cough medication.
- Addiction Illegal/Illicit Drugs: Drugs that are illegal to produce, use, and sell.
- Induction: Beginning phase of buprenorphine treatment.
- Inflation: An addiction behaviour’s tendency to slowly but surely increase in frequency.
- Intoxication: A state of being drugged or poisoned; results from abuse of alcohol, barbiturates, toxic drugs, etc.
- Intrinsic Activity: The extent to which a drug activates a receptor.
- Legal Drugs: Everyday drugs not for medical use (e.g. alcohol, caffeine, carbohydrates, nicotine, etc.).
- Maintenance: Stabilisation of a patient who is indefinitely on a drug’s lowest effective dose.
- Medical Model: An addiction theory that considers addiction a medical rather than social issue.
- Metabolism (of drugs): The chemical and physical reactions carried out by the body to prepare for a drug’s execution.
- Methadone: A long-acting opiate (synthetically produced).
- Monotherapy: Therapy using one drug.
- Morphine: A major sedative/pain reliever found in opium.
- Mu Agonist: A drug that stimulates physiologic activity on mu opioid cell receptors.
- Mu Opioid Receptor: Nerve cell receptor that mediates opioid addiction and tolerance through drug-induced activity.
- Naloxone: An opioid antagonist that blocks the effects of opioid agonists.
- Naltrexone: A narcotic antagonist that blocks the effects of opioids.
- Narcotic: A drug that produces sleep/drowsiness and that also relieves pain while being potentially dependence producing.
- National Board of Addiction Examiners (NBAE): Provides certification for individuals in the addiction field.
- Negative Reinforcement: Repetitive behaviour to avoid something unpleasant.
- Neurotransmitter: The natural chemical a neuron releases to communicate with or influence another.
- Nicotine: Tobacco’s extremely toxic main active ingredient (causes negative CNS stimulation).
- Nonopioid: A drug that doesn’t activate opioid receptors.
- Obsession: A mental behaviour one repeats involuntarily that can be harmful (e.g., (needing) an alcoholic drink).
- Off-Label Use: Physician-approved use of a drug for uses other than those stated on its label.
- Opiate: The poppy’s natural ingredients and their derivatives (opium, morphine, codeine, and heroin).
- Opioids: Opium’s synthetic form.
- Opium: One of the most popular drugs; contained in muscle-relaxers, sleeping pills, and tranquillisers.
- Over-the-Counter Drugs: Legal non-prescription drugs.
- Oxycodone: A medicine used for relief of moderate to high pain.
- Painkillers: Analgesic substances (opioids and nonopioids).
- Partial Agonists: Bind to and activate receptors to a lesser degree than full agonists.
- Pharmacology: Scientific branch dealing with the study of drugs and their actions.
- Physical Dependence: The body’s physiologic adaptation to a substance.
- Placebo: A substance with no pharmacological elements that may elicit a reaction because of a patient’s mindset.
- Polysubstance Abuse: Concurrent abuse of more than one substance.
- Post-Acute Withdrawal Syndrome (PAWS): Withdrawal symptoms after initial acute withdrawal.
- Precipitated Withdrawal Syndrome: Can occur when a patient on full-agonist opioids takes an antagonist.
- Prescription Drugs: Only available by a physician’s order.
- Psychedelic Drugs: Produce an intensely pleasurable mental state.
- Psychoactive Drug: A mind- and behaviour-altering substance.
- Psychological Dependence: One’s compulsion to use a psychologically based drug for pleasure; may lead to drug misuse.
- Psychopharmacology: The study of how drugs affect consciousness, mood, sensation, etc.
- Psychotropic Drug: Any drug that acts on one’s psychic experience or mood behaviour.
- Rapid Detox: Anaesthesia-assisted detoxification (injection of high doses of an opiate antagonist, followed by an infusion of naloxone).
- Receptor: Protein on a target cell’s membrane or cytoplasm with which a drug interacts.
- Recidivism: One’s return to a negative behaviour (relapse) (e.g. drug use).
- Recovery Rates: The percentage of addicted persons undergoing treatment who partake in abstinence in their first year.
- Recovery: Reducing or ceasing substance abuse; often followed by one’s personal life being turned around by way of a supportive environment.
- Relapse Prevention: A therapeutic process that interrupts believes and behaviours that result in lifestyle dysfunction.
- Relapse: Symptom recurrence after a period of sobriety or drug use cessation.
- Remission: A symptom-free period.
- Reversed Tolerance: When a lower dose of a drug produces the same desired or observed effect that previously resulted only with higher dosages.
- Screening: Measurement tool for the extent of one’s addiction (e.g., self-completion questionnaire/life-history assessment).
- Self-Help Group: Group of individuals dealing with similar issues that meets to support each other and share helpful information (e.g. AA).
- Side Effects: Secondary effects of a drug; these are usually undesirable.
- Societal Denial: Society’s denial of the historical value of drug-induced pleasure and euphoria.
- Steroids: A group of cyclic, solid unsaturated alcohols (e.g. cholesterol).
- Stimulant: Drugs that act on the CNS, resulting in alertness, excitation, and wakefulness.
- Straight-Edge: A term for people who don ‘t use drugs.
- Sublingual: Drugs that enter the blood through the membranes under the tongue.
- Substance Abuse (Chemical Dependence): A maladaptive pattern of recurrent substance use that leads to impairment or distress that is clinically significant.
- Substance Dependence: An adaptive state that develops from repeated drug administration, and which results in withdrawal symptoms.
- Synergism: The greater effect that results when one takes more than one drug simultaneously.
- Synthetic: Not natural occurring.
- Talc: Dangerous substance used in manufacturing pharmaceuticals.
- Therapeutic Community: A setting where people with similar issues can meet to support each other’s recovery.
- Therapeutic Dependence: Patients ‘ tendency to demonstrate drug-seeking behaviours because they fear withdrawal symptoms.
- Titration: The gradual adjustment of the amount of a drug.
- Tolerance: Condition in which one must increase their use of a drug for it to have the same effect.
- Toxicity: A degree of poisonous.
- Tranquillisers: A type of drug that can help relieve the symptoms of severe psychosis.
- Trigger: Anything that results in psychological and then physical relapse.
- Ups or Uppers: Drugs that produce a euphoric effect (e.g. stimulants, amphetamines).
- Urge-Peak Cycle: Ongoing urge-peaks, usually followed by relapse.
- Urge-Peak: A sudden, unpredictable increase in addiction cravings; they usually involve temporary mental unawareness (e.g. not realising the amount of drinks one has had).
- Urges: Less powerful desires than cravings; can be suppressed by willpower.
- User: Outdated term used to describe one who misuses alcohol or drugs.
- Withdrawal Symptoms: Severe and excruciating physical and emotional symptoms that generally occur between 4 to 72 hours after opiate withdrawal (e.g., watery eyes, yawning, loss of appetite, panic, insomnia, vomiting, shaking, irritability, jitters, etc.).
- Withdrawal Syndrome: Combined reactions or behaviours that result from the abrupt cessation of a drug one is dependent on.
- Withdrawal: The abrupt decrease in or removal of one’s regular dosage of a psychoactive substance.