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Addiction & substance use

134 articles

Kush (drug)

Kush: cheap, addictive synthetic drug in West Africa, first seen in Sierra Leone (2016 or ~2022), containing nitazene opioids or synthetic cannabinoids like MDMB-4en-PINACA; declared a public health emergency by Sierra Leone in April 2024.

Lean (drug)

Lean, also called purple drank, sizzurp, or dirty Sprite, is a Houston-originated recreational drink of codeine-promethazine cough syrup mixed with soda and candy, popularized by Southern hip hop and linked to respiratory depression, addiction, and overdose deaths.

Long-term effects of cannabis

The long-term effects of cannabis are the persistent health consequences of repeated use, including doubled psychosis risk in heavy users, cannabis use disorder, and cognitive harm from adolescent use.

Meth mouth

Meth mouth, also called crank decay, is severe tooth decay, gum disease, and tooth wear in chronic methamphetamine users, driven mainly by dry mouth, sugary drinks, and poor oral hygiene rather than direct chemical effects.

Motivational interviewing

Motivational interviewing (MI) is a client-centered counseling style, first described by William Miller in 1983 and codified with Stephen Rollnick, that resolves ambivalence to change behavior; Cochrane evidence shows short-term benefit versus no intervention but little difference versus active treatments.

My Strange Addiction

My Strange Addiction: TLC reality series (premiered December 29, 2010, revived January 7, 2026) profiling unusual compulsions and fixations, from pica to trichotillomania, with expert commentary and staged interventions.

Naloxone

Naloxone, also known as Narcan, is an opioid antagonist medication that rapidly reverses opioid overdoses; a nasal spray was approved over the counter in 2023.

Naltrexone

Naltrexone, an opioid antagonist (Revia, Vivitrol), blocks mu-opioid receptors; FDA approved 1984 for opioid addiction, 1994 oral and 2006 injectable for alcohol use disorder, reducing craving and heavy drinking.

Narcotics Anonymous

Narcotics Anonymous (NA), founded July 1953, is a free global twelve-step fellowship for recovering drug addicts with no drug distinctions, over 79,000 weekly meetings in 122 countries, governed by Twelve Traditions and NAWS in Chatsworth, California.

Nicotine dependence

Nicotine dependence, also called tobacco use disorder, is a chronic relapsing disorder of nicotine regulation involving craving, tolerance, and withdrawal, driven by nicotinic acetylcholine receptor effects on dopamine circuits, and treated with NRT, varenicline, bupropion, or cytisine.

Nicotine withdrawal

Nicotine withdrawal: physical and psychological symptoms (cravings, irritability, insomnia, poor concentration) after stopping nicotine; begins 4-24 hours after last dose, peaks days 2-3, fades within 3-4 weeks; treated with NRT, varenicline, cytisine, bupropion, e-cigarettes, and counseling.

No Nut November

No Nut November (NNN) is an annual internet challenge, coined on Urban Dictionary in 2011 by bicboi6969696969, in which participants abstain from masturbation and ejaculation for November; it went viral in 2017 and has contested health claims.

NoFap

NoFap, also known as Nofap.com, is an online peer support community founded on Reddit in 2011 around abstaining from pornography for set periods such as the 90-day reboot.

Nomophobia

Nomophobia (no-mobile-phone phobia) is anxiety at being unable to use or access one's mobile phone; unrecognized in DSM-5/ICD-11, measured mainly by the 20-item NMP-Q, with pooled symptom prevalence of 94%.

Opiate Substitution Treatment

Opiate substitution treatment, also called opioid agonist maintenance treatment (OAMT), is long-term methadone or buprenorphine treatment for opioid dependence; methadone retains patients better, both cut mortality sharply.

Opioid epidemic

Opioid epidemic: the US overdose crisis since the mid-1990s, in three waves (prescription opioids from 1999, heroin from 2010, illegally made fentanyl from 2013), causing roughly 806,000 opioid overdose deaths from 1999 to 2023, with deaths declining since 2023.

Opioid epidemic in the United States

Opioid epidemic in the United States: a public health crisis since the mid-1990s in three waves (prescription opioids, heroin, illicit fentanyl), causing about 806,000 opioid overdose deaths 1999-2023, peaking near 110,000 total overdose deaths in 2022, then falling 27% in 2024.

Opioid overdose

Opioid overdose: life-threatening respiratory depression from opioids (fentanyl, heroin, oxycodone, methadone), marked by pinpoint pupils, unconsciousness, and slowed breathing; reversible with naloxone. Covers mechanism, risk factors, naloxone, mortality trends, and prevention.

Opioid use disorder

Opioid use disorder (OUD), also called opioid addiction, is a chronic treatable condition defined by DSM-5 criteria: at least 2 of 11 within 12 months. Treated with buprenorphine, methadone, or naltrexone; about 5.7 million US cases in 2023.

Painkiller (TV series)

Painkiller is a 2023 Netflix six-episode limited drama series about the opioid crisis and Purdue Pharma's OxyContin, created by Micah Fitzerman-Blue and Noah Harpster, directed by Peter Berg, starring Matthew Broderick, Uzo Aduba, and Taylor Kitsch, based on Barry Meier's book and Patrick Radden Keefe's New Yorker article; distinct from the Paramount+ docuseries Painkiller: The Tylenol Murders.

Party and play

Party and play (PnP), also called chemsex, is drug use to facilitate or intensify sex, mainly among gay and bisexual men; typical drugs are methamphetamine, GHB/GBL, and mephedrone, with slamsex injecting raising HIV and hepatitis C risk.

Pornography addiction

Pornography addiction, also called porn or sex addiction, is a popular label for compulsive pornography use but is not a DSM-5 or ICD-11 diagnosis; research uses problematic pornography use (PPU), with moral incongruence and low-quality treatment evidence.

Post-acute-withdrawal syndrome

Post-acute-withdrawal syndrome (PAWS), also called protracted withdrawal syndrome, is persistent withdrawal symptoms lasting months to years after acute withdrawal, mainly from alcohol, opioids, benzodiazepines, and antidepressants; it has no DSM-5 diagnostic criteria.

Problem gambling

Problem gambling is gambling behavior causing harm to the gambler or others, from risky play to gambling disorder (DSM-5, ICD-11). WHO estimates 1.2% of adults have the disorder; harmful gamblers generate about 60% of losses.

Problem Video Game Playing Questionnaire

Problem Video Game Playing Questionnaire (PVP, Problem Video Game Playing Scale), a nine-item yes/no self-report screen for problematic gaming by Tejeiro Salguero and Bersabé Morán, validated on Spanish adolescents, scored problematic at six or more positive answers.

Rat Park

Rat Park: Bruce Alexander's Simon Fraser University colony-housing experiments (1978-1981) showing socially housed rats drank less morphine than isolated caged rats; direct replication failed in 1996, conceptual replication is mixed but supportive.

Recovery coaching

Recovery coaching is a non-clinical support method in which a trained peer, typically in remission from substance use disorder, helps individuals access care and pursue recovery goals.

Richard Sackler

Richard Sackler, son of Purdue co-founder Raymond Sackler, was Purdue Pharma's president and board co-chairman who directed OxyContin marketing, backed concealing the drug's strength from doctors, and faced decades of opioid litigation and settlements.

Roid rage

Roid rage, also called steroid rage, is aggression and irritability attributed to anabolic-androgenic steroid use; meta-analyses show a small self-reported aggression increase in trials, with causality and real-world doses still debated.

Sexual addiction

Sexual addiction, also called hypersexual disorder or out-of-control sexual behavior, is a proposed pattern of uncontrolled sexual behavior; not in DSM-5, its ICD-11 counterpart is compulsive sexual behavior disorder (CSBD), an impulse control disorder.