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WELCOME TO METHAMPHETAMINE AND HIGH RISK SEXUAL BEHAVIOR J. Randall Webber, M.P.H. JRW Behavioral Health  Training & Consultation www.randallwebber.com
What is this? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
What is this? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Meth use simulates a state of being “in love”
Human Brain:  Location of the “Reward Pathway”
Meth use simulates a state of being “in love”  ,[object Object],[object Object]
Normal Functioning in the Reward Pathway ,[object Object]
Dopamine Levels in the Shell of the Nucleus Accumbens  (% of baseline)
Dopamine Levels in the Shell of the Nucleus Accumbens  (% of baseline)
Psychoactive substances (Drugs) also cause an increase of dopamine ,[object Object]
Dopamine Levels in the Shell of the Nucleus Accumbens  (% of baseline)
Dopamine Levels in the Shell of the Nucleus Accumbens  (% of baseline)
Dopamine Levels in the Shell of the Nucleus Accumbens  (% of baseline)
Dopamine Levels in the Shell of the Nucleus Accumbens  (% of baseline)
Dopamine Levels in the Shell of the Nucleus Accumbens  (% of baseline)
Dopamine Levels in the Shell of the Nucleus Accumbens  (% of baseline)
Dopamine Levels in the Shell of the Nucleus Accumbens  (% of baseline)
My sexual  drive  is increased by the use of … (Rawson et al., 2002)
My sexual  pleasure  is enhanced by the use of … (Rawson et al., 2002)
My sexual  performance  is improved by the use of … (Rawson et al., 2002)
Meth-Sex Patterns of Behavior ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Meth-Sex Patterns of Behavior ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Meth-Sex Patterns of Behavior ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Meth Addicted Women’s  Treatment Issues ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Treatment Issues with  Meth-dependent Women ,[object Object],[object Object],[object Object],[object Object]
What if…….. ,[object Object],[object Object],[object Object]
Synergistic Addiction ,[object Object]
Meth-Sex Triggering Meth Sex Craving Use
Meth-Sex Triggering Sex Meth Craving Use
Characteristics of Adolescents with Methamphetamine Problems* Information from the CSAT  Cross-Site Adolescent Data Set * My thanks to my colleagues at Lighthouse Institute for this information
Characteristics of Adolescents with Methamphetamine Problems ,[object Object],[object Object],[object Object]
Percent of Adolescents  With Lifetime Victimization
High Severity Victimization* ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],* These characteristics were identified by Bill White
Percent of Adolescents With Lifetime Victimization Vs. High Severity Victimization
Percent of Adolescents  With Victimization in Past Year
Percent of Adolescents Having Unprotected Sex in Past 90 Days
Methamphetamine Use in the Gay Community
Men who have sex with men are not always gay Today the focus is on gay men
 
 
HIV Prevalence in Intensive Outpatient Clinics among MSM by Substance of Choice
Common Names for Methamphetamine in the Gay Community ,[object Object],[object Object],[object Object],[object Object],[object Object]
Recent studies have shown that MSM who use meth are: ,[object Object],[object Object],[object Object],[object Object],[object Object]
Sexuality/HIV risk ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Meth-Sex Patterns of Behavior ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Methamphetamine  Interaction with HIV
Meth Has Been Found to: ,[object Object],[object Object],[object Object],[object Object]
Neurological Damage Associated with Meth and HIV ,[object Object],[object Object],[object Object],[object Object]

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Methamphetamine and Sexuality

Hinweis der Redaktion

  1. Recovery from Methamphetamine Addiction Lighthouse Institute
  2. Recovery from Methamphetamine Addiction Lighthouse Institute
  3. Recovery from Methamphetamine Addiction Lighthouse Institute
  4. Recovery from Methamphetamine Addiction Lighthouse Institute
  5. Recovery from Methamphetamine Addiction Lighthouse Institute
  6. Recovery from Methamphetamine Addiction Lighthouse Institute
  7. Recovery from Methamphetamine Addiction Lighthouse Institute
  8. Recovery from Methamphetamine Addiction Lighthouse Institute
  9. Recovery from Methamphetamine Addiction Lighthouse Institute
  10. Recovery from Methamphetamine Addiction Lighthouse Institute
  11. Recovery from Methamphetamine Addiction Lighthouse Institute
  12. Recovery from Methamphetamine Addiction Lighthouse Institute
  13. Recovery from Methamphetamine Addiction Lighthouse Institute
  14. Recovery from Methamphetamine Addiction Lighthouse Institute
  15. Recovery from Methamphetamine Addiction Lighthouse Institute
  16. Recovery from Methamphetamine Addiction Lighthouse Institute
  17. Recovery from Methamphetamine Addiction Lighthouse Institute
  18. Recovery from Methamphetamine Addiction Lighthouse Institute
  19. Slide 10 Environmental stimuli (external triggers) or emotional conditions (internal triggers) will often cause the recovering addict to think of using drugs and/or alcohol. For example, the patient runs into his old source of drugs at the market. Or, the patient gets into a fight with her husband, and immediately thinks of having a drink. Historically, she has always had a drink after fighting with her spouse. A single thought of drinking or using will typically pass through one’s mind in 30 to 90 seconds, allowing one to continue thinking about AODs. AOD use is often the beginning of the relapse process. This inflames the neurochemistry of the addiction and moves the brain into the craving stage. At this craving stage, it is very difficult, if not impossible, to stop the slide into drug or alcohol use. To the actively using addict/alcoholic or the substance abuser in early recover, the Trigger - Thought - Craving - Use sequence feels as if it happens simultaneously. You feel triggered, and you immediately want to use. Knowing this process can be very helpful to the recovering addict/alcoholic. The successful key in dealing with the process is to avoid it getting started. It is extremely important to stop the thought when it first begins and to prevent it from building into an overpowering craving. It is vitally important to do this as soon as you recognize the thoughts occurring. This can be accomplished by using a number of Thought Stopping techniques.
  20. Slide 10 Environmental stimuli (external triggers) or emotional conditions (internal triggers) will often cause the recovering addict to think of using drugs and/or alcohol. For example, the patient runs into his old source of drugs at the market. Or, the patient gets into a fight with her husband, and immediately thinks of having a drink. Historically, she has always had a drink after fighting with her spouse. A single thought of drinking or using will typically pass through one’s mind in 30 to 90 seconds, allowing one to continue thinking about AODs. AOD use is often the beginning of the relapse process. This inflames the neurochemistry of the addiction and moves the brain into the craving stage. At this craving stage, it is very difficult, if not impossible, to stop the slide into drug or alcohol use. To the actively using addict/alcoholic or the substance abuser in early recover, the Trigger - Thought - Craving - Use sequence feels as if it happens simultaneously. You feel triggered, and you immediately want to use. Knowing this process can be very helpful to the recovering addict/alcoholic. The successful key in dealing with the process is to avoid it getting started. It is extremely important to stop the thought when it first begins and to prevent it from building into an overpowering craving. It is vitally important to do this as soon as you recognize the thoughts occurring. This can be accomplished by using a number of Thought Stopping techniques.
  21. Recovery from Methamphetamine Addiction Lighthouse Institute
  22. Recovery from Methamphetamine Addiction Lighthouse Institute
  23. Recovery from Methamphetamine Addiction Lighthouse Institute
  24. Recovery from Methamphetamine Addiction Lighthouse Institute
  25. Recovery from Methamphetamine Addiction Lighthouse Institute
  26. Recovery from Methamphetamine Addiction Lighthouse Institute
  27. Recovery from Methamphetamine Addiction Lighthouse Institute
  28. Recovery from Methamphetamine Addiction Lighthouse Institute
  29. Recovery from Methamphetamine Addiction Lighthouse Institute