Alcohol and Drug Addiction in India – A Rising Problem

Alcohol and Drug Addiction in India – A Rising Problem

With increasing affluence and recreational time available with the population of India the Alcohol Consumption and the Drug Problem has spiraled out of control. Let us first talk about Alcohol. Alcohol is the most readily available legal substance with abuse potential in the world. Even when it is banned, as has been done in Gujarat for a long time and recently in Bihar , the availability has not been affected. Recently many people died in Bihar due to drinking spurious liquor. The number of alcoholics in Gujarat is no less than any state where it is legal. Recently, in Delhi people are getting one bottle free with the purchase of one bottle. The main problem with Alcohol is that it has got social acceptability. In Delhi, the government is responsible for running liquor vends. It contributes to the national exchequer in a big way as it is taxed very heavily. During the lock-down liquor shops were the first to be opened, even when schools and colleges remained online. The abuse potential of Alcohol is enormous. If 100 people drink Alcohol, on average 12 of them will be Alcoholics. Weather you are an Alcoholic or not has nothing to do with how much you drink or how often you drink. Basically, an Alcoholic is a person who is not able to guarantee how much he or she is going to drink or what he or she is going to do after drinking Alcohol. An Alcoholic is not able to control and enjoy at the same time. There was a time when women would hide their drinking Alcohol by mixing it with cold drinks etc due to the social stigma but today girls are drinking openly. If you go to any pub in the country, you are likely to see as many girls as boys consuming Alcohol openly. Even though the government earns a lot of revenue from the sale of Alcohol, it does precious little to treat Alcoholics or even educate people about the dangers of drinking Alcohol. Even Gandhi seems to have been forgotten as far as prohibition goes; not that prohibition is any solution to the problem of Alcoholism in society. As far as Drugs are concerned the trend these days is for youngsters to abuse substances which are not physiologically addictive. Not that substances which have physiological addiction are being abused any less. Smack and heroin are still  common choices in youngsters but the use of party drugs has increased disproportionately, especially Cannabis. With Cannabis becoming legal in many countries for not only medicinal use but also recreational use too. After Alcohol, Cannabis is the next substance which is abused and sold legally in many settings. Uppers like Cocaine and Ecstasy and Amphetamines and Crystal Meth are also becoming more and more common in India.

Psychological Risk Factors Associated with Alcoholism and Drug Addiction

After writing  about the Biological Risk Factors let us take a look at the Psychological Risk Factors associated with Alcoholism and Drug Addiction. The Psychological Risk Factors revolve around a set a mistaken addictive beliefs that using alcohol and drugs is good for me and not using these substances is bad for me. There are three other Psychological Risk Factors, namely, Confused Morality, Antisocial Personality Traits and Poor Judgement. All these can intensify the addictive beliefs. Let us look at them in some detail as this can help explain why some people become alcoholics and addicts. The Psychological Risk Factors                                                                                                                                                                                                                                                                                                             1. Addictive Beliefs:  It is the mistaken belief that alcohol and drugs are good for me and not drinking alcohol and using drugs is bad for me.                                                                                                                                  2. Confused Morality: A lack of clarity in distinguishing right from wrong and good from bad.                                                                                                                                                                                                                3. Antisocial Personality Traits: A strong need to be dishonest, challenge authority, break rules, victimize others, tendency to blame others, and a deeply held conviction that I have done no wrong until I am caught.              4. Poor Judgement: A tendency to make bad decisions that cause problems and unnecessary suffering and pain. We shall look at these factors in more detail. As we look at these factors remember that it is a two way street. Addictive Beliefs, Confused Morality, Antisocial Personality Traits and Poor Judgement make it more likely for the person to start using alcohol and other drugs that leads to abuse and addiction. However, the reverse is also true. When High Risk People start abusing alcohol and other drugs they are more likely to develop Addictive Beliefs, Confused Morality, Antisocial Personality Traits and Poor Judgement that set them up to continue using alcohol and other drugs. Psychological Risk Factor # 1: People at high risk of alcoholism and addiction develop and cultivate eight primary addictive beliefs. These addictive beliefs become the foundation for habitual ways of thinking, acting and feeling that justify the regular and heavy use of alcohol and other drugs. They tend to believe that alcohol and drugs are good for them because they make them feel good and improve their personality. They are seldom get over intoxicated and rarely suffer from after effects of heavy using. Everything seems fine. Their pain and problems seem to disappear. They feel they are a better person because of using alcohol and drugs and they seem to get along better with every one else. So they do not see any problem in continuing to use alcohol and other drugs. Here are the eight primary Addictive Beliefs:-                                                                                                  1. Alcohol and other drugs are good for me and not using alcohol and drugs is bad for me.                                                                                                                                                                                                                    2. Alcohol and drugs make my life worth living and without alcohol and drugs my life is not worth living.                                                                                                                       

Aspects of Alcoholism and Drug Addiction

Drugs, everyone knows from day one, are bad news, even though marijuana is becoming legal in many countries now for medicinal as well as recreational use and even the social stigma in the younger generation is waning, but alcohol has always had a different connotation. Everybody drinks-it’s good for you, Right? But believe it or not, alcohol too is harmful and kills countless people in the world. It kills by two ways: by damaging the body, as we have detailed in the earlier blogs and by causing accidents, violence, suicides etc. The medicinal benefits of alcohol are virtually nonexistent. A little research has of course shown that alcohol, red wine in particular can be good for the health of your heart. It is ”supposed” to increase the good cholesterol and increase the antioxidant activity, BUT-and it is a big BUT-the benefits seen in that research might have been due to other factors, such as being physically active and eating a diet with lots of fruits and vegetables and low in saturated fats. Besides you can get the same benefits by drinking red grape juice-without any risk. If you want a healthy heart, there are many other things you can do: control your blood pressure, cholesterol and weight; eat a healthy diet and exercise. There is really no need to drink alcohol to get health benefits. When friends and loved ones say that you have a drinking or drug problem and are after you to quit, it can be quite bothersome. Sometimes you think they might be right but most of the time you think that if they are wrong you will be giving up this stuff for nothing. Maybe you have a problem, maybe you don’t. Even if you DO have a problem, chances are that you will not be able to see it clearly. Self-deception is rampant in alcoholism and drug addiction. It is so, because it helps you escape a very unpleasant reality and you do not have to do any thing about it. It may not be easy to answer the question whether you ARE an alcoholic or a drug addict or not. One exercise you can do is write your life story listing all the problems in your life and your drinking and drug use. Be totally honest – even though that is a very tall order. List all the problems and how alcohol and drugs were responsible for those problems and how your life was affected by your use. Note opportunities missed, money spent or wasted, the impact on your family, job, friendships and other aspects of your life. Denial often keeps alcoholics and addicts from seeing the problems alcohol and drugs are causing, so rigorous honesty is required in doing this exercise. If your drinking or drug use is causing problems in your life, or if someone who cares about you believes it is, it could be time to entertain the idea that you might be an alcoholic or an addict. Some people with certain illnesses  –  for example, cancer, alcoholism and addiction –  practice denial. It is not because they are stupid or bad or just plain pigheaded. They are genuinely unable to see the truth for what it is, and they deny the fact that they are ill to protect themselves from facing a fearsome and unpleasant reality. The cancer patient does not want to know about his or her illness out of fear of the unpleasant treatments that might be needed and even a greater fear of the consequences should the treatment fail. Similarly, the alcoholic or addict does not want to know about his condition because of the stigma attached to the conclusion and even a greater fear of having to give up their most trusted chemical support. Denial is a defense mechanism and as long as a person has denial he or she will be able to drink alcohol or use drugs till his or her dying days. It is a primitive mechanism – a self deception that is useful in the short time period but is extremely dangerous and destructive over the long term. This self-deception is common in alcoholism and addiction; your psyche knows that the behavior you are indulging in is self-destructive and not in your own best interest and is unacceptable at many levels coupled with a strong desire to continue using alcohol and other drugs. Learning about alcoholism and addiction and the hope and happiness that treatment at Sahyog Detox and De addiction Center can help overcome denial and open the door to Recovery and that is why Sahyog is the Best De addiction Center in Delhi.

Harmful Effects of Alcoholism and Addiction

The main problem of any alcoholic or addict is stated very nicely by the phrase, “self-will run riot”. It is the self-will of the alcoholic or addict which lands him or her in trouble every time. The main question before the alcoholic or addict is quite simple. What is his/her will? We shall deal with it in a simple fashion to avoid the many complexities we would otherwise encounter. The truth is that their will is to drink and use drugs when and where they choose, resigned to the consequences of their drinking and using drugs. The fact that they have lost the power of choice narrows down the purpose of their to will to one choice, namely – to drink or use drugs. This flat statement of an alcoholic’s or addict’s will relates to his or her unpredictable drinking or using behavior and is open to argument. Few of them drank or used drugs all of the time. Some served their communities. Others held responsible positions contributing to the welfare of their families. But only by bluff, lies, imposition and the co-operative support of friends and families did they manage to conduct much important business. Therein lies the rub, for when the urge to drink or use drugs came, families, religion and business were neglected and disregarded in favor of alcohol or drugs. Medicine and psychiatry seek scientific reasons for their drinking or drug use. But not Alcoholics Anonymous or Narcotics Anonymous. They admit the results, surmounting them with their spiritual way of life. For this reason new members to A.A. and N.A. are advised to remain laymen. They tend to not remain clean and sober when they try to become able doctors or clergymen overnight. Knowing that members will try it, the stress is on avoiding it. The will of the drinking alcoholic or using addict seems to point in one direction – towards the bottle or drugs of their choice. Perhaps one should briefly consider their drinking or drugging attitude. There is no identical pattern of behavior to which alcoholics or addicts conform. There is fixed ratio of binges, however, for those who swear off for certain periods of time. The new binges are always in proportion to the resolution to stop drinking or using drugs. That is how the will of the alcoholic or addict functions. Even while drinking or using drugs they are not sure for how long they’d be using it. They know exactly the number of days they have been clean or sober, but have no idea of when they might take that first drink or drug. They claim that they want to quit drinking or using drugs. They think they mean it. But the truth is they only wished that they wanted to. What they actually want is to be able to control the amount they consume, at least enough to keep them out of trouble. The word trouble has a wide range of meaning for the drinking alcoholic or using addict. Physically, it can refer to anything from an upset stomach to an alcoholic death. Between these two extremes they are subject to many other infirmities, all because of their unconscious will to drink and use drugs without restraint. For example, there may be anemia, mineral and vitamin deficiency, wet brain. jitters, cold sweats, pneumonia, liver and heart conditions, alcoholic neuritis, low blood sugar, chronic alcoholic poisoning and kindred ailments. The greater the affliction, more the alcoholic will leans toward the bottle or drugs. Any one, or a combination of these maladies, can mean trouble for the alcoholic or addict. Blackouts, D.T.’s, insanity and other sickness adds to their difficulties. They all resulted in mental and bodily discomfort and loss of valuable time. Because of them they may even require hospitalization. At times, they sweat them out at home, but not without someone’s aid and tolerance or without loss to their business interests. Drunkenness begets drunkenness. It dulls their judgement and finer sensibilities. Financial difficulties appear. Creditors become bothersome. Sometimes they brawl, landing in jail or institutions. At times they are arrested for intoxication, drunken driving or other legal infringements. Divorces and sex problems mess up their lives. On most occasions their will to drink or use drugs amounted to an obsession and always ended in trouble. All this is explained at Sahyog Detox and De addiction Clinic in therapy sessions and that is why it is the Best Rehabilitation Center in Delhi.

Harmful Effects of Alcohol

One blog is not sufficient to list all the Harmful Effects of Alcohol. This just goes to show how harmful this legal drug is. Most people who drink alcohol are social drinkers, in fact 88% of them are but a small minority are alcoholics and they need to stay away from it as they cannot enjoy and control at the same time. Social drinkers drink alcohol but know how much they are going to consume and even if their behavior gets changed it is minor but an alcoholic is not able to guarantee how much he is going to drink and how he is going to behave after drinking. Some change in behavior occurs even in social drinkers but in the case of an alcoholic it is quite drastic and apparent even after small quantities. As mentioned earlier, the main harmful effect of alcohol is on the liver and the condition which occurs is called cirrhosis of the liver. There are other causes of cirrhosis also but the one we are concerned is due to alcohol. It is also called Alcoholic Liver Disease. I had written about Portal Circulation and how it gets obstructed due to cirrhosis of the liver resulting in ascites. The most dangerous effect of obstruction of Portal Circulation is esophageal varices. The portal circulation and the systemic circulation interact with each other at six places. At the umbilicus, it results in caput medusae or the head of Medusa, which we know consisted of snakes. So the appearance is that of snakes underneath the skin which are nothing but coiled and tortuous blood vessels which have dilated as a result of increase in the pressure in the Portal Circulation. The systemic circulation and the portal circulation also meet at the rectum and the dilatation of blood vessels resulting from increase in pressure in portal system causes piles. At the base of the esophagus or food pipe also the portal and systemic circulations meet and this results in a very dangerous condition called esophageal varices. Varices refers to the worm like appearance on endoscopy. It really feels as if a bunch of earthworms is sitting at the base of the food pipe. When these burst it seems as if the liver has burst because the blood which comes out is clotted blood and is jelly like and the color is also like that of liver, thereby confusing people who think that pieces of liver are coming out. Whenever on endoscopy esophageal varices are seen they are banded so as to prevent them from bursting. If they burst it is an emergency and can be fatal if medical attention is not prompt and accurate. Another very dangerous combination is having difficulty in clotting of blood or coagulopathy. Along with cirrhosis it carries a very bad prognosis. The coagulation profile of the blood can be ascertained by doing a PTINR test or Prothrombin Time. There is one very important function of liver and that is activation of testosterone, the male hormone. As the name implies, it is made in the testes but reaches its active form by passing through the liver. Males are different from females because of this hormone. When there is cirrhosis of the liver, the testosterone activation is disrupted, resulting in the feminization of the males. There is testicular atrophy, loss of body hair, gynecomastia or breast formation in males and most importantly, impotence. Even in acute stages, alcohol always increases the desire for sex but decreases the performance and in chronic cases it causes impotence when the liver is affected to a great degree. The world functions because of two drives, hunger and the sex drive. Alcohol is such an insidious poison that it can affect both these drives. It can kill the appetite and finish the sexual drive totally. All this is explained at Sahyog and that is why it is the Best De addiction Center in Delhi.

Harmful Effects of Alcohol

Since one blog is insufficient to list all the harmful effects of alcohol this is in continuation of the previous blog. In the previous blog I had listed all the harmful effects of alcohol on the Central Nervous System. But since alcohol is drunk the most harmful effects are on the gastrointestinal tract. However, I have seen one patient who used to inject alcohol when he was unable to drink it because of vomiting, but that was an exception. Mostly alcohol is drunk, In the esophagus or food pipe it causes heartburn, which has got nothing to do with the heart but a burning sensation in the chest because of acid reflux from the stomach. Because of alcohol the cardiac sphincter of the stomach becomes loose and the acid present in the stomach is able to come into the mouth also. The lining of stomach is used to this concentrated Hydrochloric acid but the lining of the food pipe is not and it literally gets burnt as a result of the acid reflux causing pain in the chest called heartburn. There may be sour eructations also present. Because of vomiting alcohol can also cause Mallory Weiss Syndrome which is nothing but a tear in the mucosa of the food pipe and is a medical emergency. In the stomach, it causes an increase in the secretion of Hydrochloric acid. In fact to diagnose acholorydia – a condition in which there is a congenital absence of the secretion of Hydrochloric acid, a little alcohol is given through the nasogastric tube to ascertain the diagnosis. The increased acid may cause gastritis.  Small quantities of alcohol increase the appetite but large quantities can suppress it totally. Some alcoholics only drink and I frequently see patients who have not eaten for days. The next main organ to suffer from the harmful effects of alcohol is the pancreas. Pancreas are an important organ of digestion and glucose metabolism. It has an endocrine part which secrete insulin and glucagon and an exocrine part which secretes digestive juices to digest proteins and fats. Acute pancreatitis is a very painful condition and one of the main causes is alcohol intake. It is not dose dependent,i.e., if a person is a heavy drinker it is not that it is more likely to occur. It can occur even in moderate drinkers. Repeated attacks of acute pancreatitis can lead to chronic pancreatitis which can lead to diabetes due to the scarring of the pancreas. There is a condition called acute hemorrhagic pancreatitis in which the pancreas burst and all the secretions go into the abdomen. It is the most painful condition known to medical science. The digestive juices of the pancreas start digesting the lining of the abdomen from inside. It is as if a piece of metal is being eaten by acid corrosion. It is a medical emergency in which the pain is the most important feature. On a scale of 1-10, if the pain of a lady giving birth for the first time is 9 then the pain of acute hemorrhagic pancreatitis is 10. The pain is so severe that the person goes into shock because of the pain itself. Alcohol can cause or aggravate IBS, i.e., irritable bowel syndrome. IBS is a chronic and debilitating disease which can be quite uncomfortable. But the organ most affected by alcohol intake is the liver. Liver is a very important organ doing a lot of functions which are essential for good health. It is a well known fact that the liver of alcoholics gets affected in a bad way. You don’t have to be a doctor to know that. But liver has tremendous capacity to heal itself also. If in a healthy person you cut off the entire liver and leave a matchbox size portion, it will grow back, provided you don’t insult it on a daily basis by drinking alcohol. The condition which occurs in liver because of drinking is called cirrhosis. There are many causes of cirrhosis but alcoholic liver disease is chief cause of cirrhosis. Cirrhosis is a morphological diagnosis, that is to say, the diagnosis is made by observing the liver. In olden days dead bodies were dissected to know about the anatomy of the body and its parts. They found that the liver of alcoholics was gnarled and lumpy and in many cases shrunk. These days we make the diagnosis ultrasonically. All this is done in detailed medical inputs at Sahyog and that is why it is the Best Rehabilitation Center in Delhi.

Harmful Effects of Marijuana

Marijuana or Cannabis or Ganja is the opening batsman, i.e., many people start using drugs from Marijuana. It has been made legal in many countries, not only for medicinal use but also for recreational use too. Many states in the U.S. now permit its use. That is not to say that it is harmless. It has got its own harmful effects. Many youngsters say that it is now legal, but then so is alcohol. And alcohol has been legal for such a long time and so many people suffer deleterious effects of alcoholism which cause so much morbidity and mortality. Marijuana is derived from the hemp plant. It is commonly known as weed or grass. Cannabis indica and Cannabis sativa is the Latin name for the plant. Ganja is the flowering top of the plant. Hashish or Charas is the resinous extract of the plant and rest of the plant is called Bhang. Whatever the form, the active ingredient in all three is the same, namely, Tetrahydrocannibinol or THC in short. It grows wild in many parts of Asia and Americas and Africa. But people cultivate it now for their own personal use. Cultivation is also done since it has become legal. THC content has nearly doubled over the past few years as hybrid and high yielding varieties are now cultivated. It is most commonly smoked but it many also be eaten like Bhang or Hash Cookies etc. THC is the psychoactive chemical found in Marijuana.  While THC is not physiologically addictive it is definitely psychologically addictive as evidenced by the drug seeking behavior of addicts when they do not get their dose. It has no withdrawal symptoms except mild headache, insomnia or lack of appetite. Mood swings may also occur. Pharmacological effect of THC is that it opens the gate at the level of the spinal cord which regulates the inflow of sensory information to the brain. As a result of this increased sensory input lot of people have this misconception that they become more artistic after consuming Marijuana. Colors seem more vivid and music also takes on a different sensory perception because of this. It is one of the few psychoactive substances which has no known lethal dose, that is to say you cannot die because of overdosing on Marijuana. While it may not be lethal Marijuana is not without serious side effects. THC is a psychoactive substance and has been found in the fatty tissue of the brain even eight years after the person stopped using Marijuana. The most serious harmful effect of Marijuana is that it causes Amotivation Syndrome. The person who uses Marijuana lives in a dream world of his own and never gets down to actually doing the physical action required for work. It is an ideal nasha for two kinds of people, a king or a beggar. People who do not have to work in life. For everybody else it is a strict no-no, especially for addicts. With any substance there is use, misuse and then abuse. Abuse of Marijuana is very common. Very few people are able to use it and do their day to day work. Next deleterious effect of Marijuana is that it is a “gateway drug”. People who use Marijuana are more likely to use other drugs also. It is as if weed is the opening batsman and the other substances follow soon after. The most harmful effect of Marijuana is that it may cause Cannabis psychosis. It does not cause it in everyone who uses it but it is a distinct entity. It is not dose dependent, that is to say more use does not seem to increase the incidence but more of an allergic reaction. A single joint may flip a person. Anti-psychotics and total abstinence from Cannabis is required and the treatment is long drawn. Whether it causes psychosis itself or precipitates a preexisting underlying psychosis cannot be determined. But its accumulation in the fatty tissue of brain is well known. So, Marijuana may be herbal but it is not without its harmful effects. If you were to come to know before a flight that the pilot has had a few joints of Cannabis, would you feel safe to fly in that flight? While it is better than most other intoxicants it is not safe for addicts and people who have to do some work or study in life. All this is explained at Sahyog Detox and De addiction Clinic and that is why it is the Best Rehabilitation Center in Delhi.  

Best Rehabilitation Center in Delhi

Sahyog Detox and De addiction Clinic is the Best Rehabilitation Center in Delhi by a long margin. At Sahyog proper treatment of alcoholism and addiction is done and how to recover from it is also explained in detail. Addicts and alcoholics are basically self centered. Instead of having a relationship with others they have a relationship with their addictive Self. In Recovery the person has to practice “To thine own Self be True”. This is the beginning of Recovery: Self care and a relationship with Self. A practicing addict has a relationship between Self and the Addictive Self whereas a recovering addict has a relationship between Self and ohers. Trust is the basis of any relationship. There cannot be any relationship if there is no trust. Whether the relationship is within oneself or with others. If a relationship is not based on trust it becomes a struggle. Trust allows us the ability to heal and the freedom to connect with others. Reaching Out                                                                                                                                                                                                                                                                                                                                             Once addicts begin to accept their disease, they are ready to form relationships outside of themselves. For this they must feel safe. Then a person reaches out to others. The addict can even reach out for help. He or she is able to challenge the inward flow of addiction. The addict may reach out to family, friends, a Higher Power or the community. Eventually he or she will form intimate relationships. Spiritual Higher Power                                                                                                                                                                                                                                                                                                                               In the beginning all seems lost.  Dealing with people seems frightening. The relationship with Self is too fragile. So, a relationship with a Spiritual Higher Power if often a logical choice. Intimacy                                                                                                                                                                                                                                                                                                                                                     Addiction is more powerful than me but then so is Recovery. One is based on dishonesty and destruction while the other is based on care and honesty. Addicts in Recovery want to have intimate relationships with others. Addictive logic says people are not to be trusted. Recovering addicts change that and start by having intimate relationships first with other Recovering Addicts. Honesty                                                                                                                                                                                                                                                                                                                                                     The Recovering Addict sees other Recovering Addicts

Best Nasha Mukti Kendra in Delhi

Sahyog Detox and De addiction Clinic is the Best Nasha Mukti Kendra in Delhi for many reasons. It is the only center where complete and proper treatment of alcoholism and addiction is done. As part of treatment denial of the patient needs to be broken. Denial is the chief symptom of alcoholism and addiction. Denial is used by them as a cover to protect their disease. In its simplest form denial is the lack of information. Patients experience symptoms they don’t understand, so they push them out of their thoughts. Denial becomes conscious suppression. They know they are experiencing something painful but they consciously push it from their mind because of shame, guilt or unwillingness to look at what is causing the pain. In its most severe form, denial becomes unconscious repression – chronically being unaware of the pain. They simply refuse to acknowledge the pain. As a result they experience painful and unwanted symptoms with no idea where they came from. There are three levels of denial                                                                                                                                                                                                                                                                                                                 Mild denial – lack of information needed to understand what is happening.                                                                                                                                                                                                                                            Moderate denial – consciously pushing unwanted memories from mind.                                                                                                                                                                                                                                                  Severe denial – unconsciously repressing the memory. Adverse symptoms are present when a person has no idea of what is causing the symptoms. It is important for the patients to identify how they are denying the reality of their addiction. If the denial is not broken the person can go on drinking alcohol or using drugs till his or death bed and still say he or she doesn’t have a problem. At Sahyog we help the patients to break their denial and that is why it is the Best Nasha Mukti Kendra in Delhi.                                        

Best De addiction Center in Delhi

Sahyog Detox and De addiction Clinic is the Best De addiction Center in Delhi. At Sahyog the patients are taught about the roots and causes of alcoholism and addiction. Our society has a great influence on who we are and the issues we face as humans. All of us live within and are influenced by two major groups and cultures: our society and our families. We may not realize it but we imbibe many values that are consistent with addictive values. Looking Out for Number One                                                                                                                                                                                                                                                                                                                 Our society is obsessed with number one. Being number two is not good enough. There is always the push to become number one. There is nothing wrong with striving and pushing ourselves to become better but in our society coming in first is valued. Being the best is prized above all else. As a society, we attach subtle shame to being anything less than number one. The truth is that all of us cannot be number one. Even those who are number one in some areas of their lives are not so in other areas. There is nothing wrong or shameful in being average but we  do not stress this in our society. The danger is that the obsession about being number one is an addictive value Living for Outcome                                                                                                                                                                                                                                                                                                                                 As a society we are obsessed with outcomes. This is another addictive value. Addiction is all about the outcome. In this the process gets overlooked. If a person is not bothered about the process, he or she is overlooking or pushing his or her conscience aside. In pushing the conscience aside we learn to deny it. In learning denial one is learning how to be an addict. The way we achieve our goals is also important. So, it is how we act and not what we achieve is important. What matters is getting high, it doesn’t matter who gets stepped on. Control                                                                                                                                                                                                                                                                                                                                                   Another addictive value that the society favors is control. We are expected to be in control at all times. An addict is a person who would rather be in control than being happy. Control is also about outcomes. If you are in control you should be able to control the outcome. To believe in absolute control is to chase an illusion. This will create pain within and around the person. Perfection                                                                                                                                                                                                                                                                         

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