In-depth Evaluation of Substance Use and Addiction

💡Substance use can be categorized as either substance or non-substance use, with the former including tobacco, alcohol, and illicit drugs.

🔍Dependence is characterized by craving, tolerance, withdrawal, and continued substance use despite harmful effects.

📈The magnitude of substance dependence in India is significant, with millions of individuals and their families affected by alcohol and drug addiction.

🔄Substance use often co-occurs with other psychiatric and physical illnesses, leading to multiple diagnoses and complex treatment requirements.

⚖️Substance use not only affects individuals but also has a significant impact on families, society, and the legal system.

What is the difference between substance and non-substance use?

—Substance use refers to the consumption of traditional substances like tobacco, alcohol, and illicit drugs, while non-substance use involves addiction to virtual or digital platforms, such as internet, social media, and gaming.

What are the criteria for dependence?

—Dependence is characterized by craving, tolerance, withdrawal, harmful use, salience, difficulty controlling substance use, and the neglect of alternative pleasurable activities.

What is the prevalence of substance dependence in India?

—According to a national survey, millions of individuals in India are dependent on alcohol and illicit drugs, affecting their families and society as a whole.

Does substance use only lead to medical problems?

—No, substance use has multiple dimensions, including physical, mental, social, and legal problems. It often co-occurs with other psychiatric and physical illnesses.

Who is affected by substance dependence?

—Substance dependence not only affects individuals but also their families, communities, and the legal system, leading to significant social and economic consequences.

00:00Introduction and disclaimer before discussing substance use and addiction.

02:20Differentiating between substance and non-substance use.

05:33Criteria for dependence according to ICD and DSM-5 guidelines.

08:12Prevalence of substance dependence in India based on a national survey.

12:30Understanding the multiple dimensions and comorbidity associated with substance use.