Yu de gɛt prɔblɛm bak fɔ kɔntrol yu layf bikɔs yu de yuz drɔgs? (Substance Use Disorder - SUD) Lɛ wi tɔk bɔt dis!

Sɔntɛnde, yu kin fil, ɔ yu sabi pɔsin we kin du am, se fɔ yuz drɔgs, sɔntɛm fɔ drink rɔm, sigrɛt, ɔ ɔda drɔgs, dɔn go tu fa smɔl? Wetin bin stat as smɔl ɛnjɔymɛnt, bɔt naw i dɔn bi sɔntin we yu nid ɛn ɔl ɔda tin na yu layf dɔn mɛs? If na so i bi, dis stori go rili impɔtant to yu. Tide wi go tɔk bɔt wan kɔndishɔn we dɛn kɔl `Substance Use Disorder (SUD)`.

Wetin na dis sɔbstans yus disɔda (SUD)?

Fɔ tɔk am simpul wan, sɔbstans yus disɔda (SUD) na mɛntɛl hεlth sik wae yu de yuse sɔbstans kin so bad dat i kin ambɔg yu wɛl bɔdi, layf, ɛn rilayshɔnship. Dɛn bin de kɔl am bak "drug addiction" trade.

Tink bɔt am, we wi de yuz dɛn drɔgs ya, di we aw wi bren de wok kin chenj smɔl smɔl. dis dכg dεm de rilis wan kεmikכl we dεn kכl `(Dopamine)` na wi bren. Dis `(Dopamine)` na wetin de mek wi fil gladi ɛn gud. Bɔt afta dat, we di tin we di drɔg de du dɔn, da gladi at de bak nɔ de igen. Dɔn di bren ɛn bɔdi want fɔ gɛt da "gud" filin de bak. Ilɛk aw i bad fɔ yu wɛlbɔdi, da nid de de kɔntinyu. Dis kin gɛt big impak pan yu maynd wɛl bɔdi, yu fambul rileshɔnship, edyukeshɔn, ɛn wok. Sɔntɛnde, dis kin ivin mek pɔsin in layf de pan denja.

Dis kכndyushכn (SUD) kin afekt εvri pכsin to difrεn digri dεm. Sɔm kin gɛt sɔm kayn sik , ɔda wan dɛn kin gɛt smɔl smɔl sik, ɛn sɔm kin gɛt siriɔs sayn . I nɔ mata usay yu de, mɛmba se dis na sik we pɔsin kin mɛn , ɛn bɔku we dɛn de fɔ gɛt ɛp if yu rɛdi.

Wetin na di kayn prɔblɛm wae de kam wit sɔbstans yuse (SUD)?

Bɔrku kayn mɛrɛsin de wae kin mek pɔrsin gɛt dis sik. Di kayn dɛn we dɛn kin yuz mɔ na:

• Prɔblɛm dɛn we gɛt fɔ du wit aw pɔsin de drink rɔm (`Alcohol use disorder`).
• Prɔblɛm dɛn we gɛt fɔ du wit kɔkɛyn yus (`Kɔkɛyn yus disɔda`).
• Prɔblɛm dɛn we gɛt fɔ du wit yus fɔ kanaba (`Kanabis yus disɔda`).
• Prɔblɛm dɛn we gɛt fɔ du wit yus fɔ tabak (`Tobacco use disorder`).
• Prɔblɛm dɛn we gɛt fɔ du wit di yus fɔ mɛtamfɛtamin (lɛk ays) (`Mɛtamfɛtamin yus disɔda`).
• Prɔblɛm dɛn we gɛt fɔ du wit di yus fɔ opioid (pen kil lɛk heroin ɛn mɔfin) (`Opioid use disorder`).

Sɔntɛnde, pɔsin kin adikshɔn to pas wan drɔgs. Fɔ ɛgzampul, fɔ yuz tabak wit rɔm. Dɛn kɔl dis ``Polysubstance use disorder''.

Infakt, lɛk bɔku kɔntri dɛn ɔlsay na di wɔl, wan pan di kayn ``SUD'' we dɛn kin si na wi kɔntri na prɔblɛm dɛn we gɛt fɔ du wit rɔm.

Wetin na di sayn dɛm fɔ dis sik?

De sayn dɛm wae de sho se yu gɛt sɔm kayn mɛrɛsin wae yu de yuse kin difrɛn difrɛn wan wae yu de yuse. Tu men kayn sik de wae de sho se yu gɛt dis sik:

1. Intoxication: Dis na di tin we kin apin wantɛm wantɛm ɛn fɔ shɔt tɛm we pɔsin tek drɔgs. I kin inklud fɔ slip, fɔ slip, fɔ gladi pasmak, ɛn fɔ fil bad bad wan. I kin afɛkt bak aw yu de jɔj, aw yu de disayd fɔ du sɔntin, ɛn aw yu bɔdi ɛn maynd de wok.

2. Di sayn dɛm wae de sho se yu nɔr gɛt di mɛrɛsin: Dis na di sayn dɛm wae kin apin as di shɔt tɛm ifɛkt dɛm wae di drɔg kin gɛt kin west ɛn di drɔg kin kɔmɔt na di bɔdi smɔl smɔl. Bɔku tɛm, dɛn tin ya nɔ kin mek pɔsin gladi. Dɛn kin bi fɔ mek yu nɔs ɛn vɔmit, yu de gɛt dayarɛa, yu de swet, yu nɔ de slip, yu mɔsul dɛn de shek shek, ɛn yu de chenj yu maynd.

Wetin na di sayn dɛm wae de sho se yu gɛt sɔbstans yuse disɔda (SUD)?

Akɔdin to di American Psychiatric Association’s Diagnostic and Statistical Manual of Mental Disorders, di sayn dɛm fɔ wan sik we dɛn kɔl ``(SUD)'' kin inklud:

• Fɔ tek drɔgs (especially prescription drugs) fɔ pas di amount we dɛn prɛskrib ɔ fɔ lɔng pas di tɛm we dɛn prɛskrib.
• Wan strɔng want ɔ want fɔ yuz drɔgs.
• If dɛn nɔ tray fɔ ridyus ɔ kɔntrol di we aw dɛn de yuz drɔgs.
• Fɔ spɛn bɔku tɛm fɔ gɛt, yuz, ɔ fɔ wɛl frɔm di tin dɛn we drɔgs kin du.
• I nɔ izi fɔ du di wok we yu fɔ du na wokples, skul, ɔ os bikɔs yu de yuz drɔgs.
• Fɔ kɔntinyu fɔ yuz drɔgs pan ɔl we yu gɛt prɔblɛm wit yu padi biznɛs.
• Fɔ lɛf fɔ du sɔshal, pɔshɔnal, ɔ ɛnjɔymɛnt wok bikɔs i de yuz drɔgs.
• Fɔ yuz drɔgs bɔku tɛm , pan ɔl we i no se i kin denja to insɛf.
• Fɔ kɔntinyu fɔ yuz drɔgs pan ɔl we yu gɛt prɔblɛm wit yu bɔdi ɔ yu maynd we di drɔg kin mek ɔ mek i wɔs.
• divεlכpmεnt fכ tכlerεns (nid fכ inkrεs di amoun fכ di dכg fכ gεt di sem ifekt - `tכlerεns`).
• Experiencing withdrawal symptoms , wae de rεliv wae yu tek mכr pan di drog.

If yu tink se yu gɛt wan ɔ mɔ pan dɛn sik ya, i rili impɔtant fɔ go to dɔktɔ kwik kwik wan.

Wetin mek dɛn prɔblɛm ya we gɛt fɔ du wit aw pɔsin de yuz drɔgs (SUD) kin apin?

Wi nɔ no di rayt tin we mek dis apin stil. Bɔt risach dɔn sho se di adikshɔn we drɔgs kin gɛt kin bi bikɔs ɔf di chenj dɛn we de apin na yu bren in "riwɔd sistɛm." Fɔ tɔk am simpul wan, di bren kin yus to di gladi gladi we drɔgs kin gi fɔ sɔm tɛm, dɔn i kin want am.

Aw dis sɔbstans yus disɔda (SUD) kin kam?

stכdi dεn dכn sho se bכku tin kin kכntribyut fכ divεlכpmεnt fכ dis ``(SUD)`` kכndishכn. Fɔ ɛgzampul:

• Sɔshial prɛshɔn: Influɛns frɔm padi dɛm, fɔ tɛl yu fɔ "tray am smɔl" na pati ɛn ivintɛns.
• Fɔ want fɔ no mɔ: Na fɔ want fɔ no aw i kin fil fɔ yuz drɔgs.
• Fɔ mek dɛn wok fayn: Sɔm pipul dɛn kin tink se dɛn tin ya go ɛp dɛn fɔ du bɛtɛ na wokples ɔ fɔ stɔdi fɔ ɛgzam.
• Stress relief: Tray fɔ pul strɛs, wɔri, frayd, ɛn pwɛl hat fɔ sɔm tɛm.

di patεn we kin lid to `(SUD)` situeshכn kin luk lεk dis:

1. Yuz fɔ ɛkspirimɛnt (ɔ yuz prɛskrishɔn): Fɔ tray fɔ tek mɛrɛsin fɔ di fɔs tɛm ɔ yuz mɛrɛsin lɛk aw dɔktɔ tɛl yu.

2. Yuz am wan wan tɛm: Yu kin yuz am wan wan tɛm, lɛk we yu de wit pipul dɛn, we yu de spɛn tɛm wit yu padi dɛn, ɔ we yu de yuz mɛrɛsin ɔda we pas aw dɔktɔ tɛl yu fɔ du am.

3. Yuz am bad bad wan: Yu fɔ yuz drɔgs ɔltɛm, ɔlmost ɛvride, ɔ ɛvri sɔm dez.

4. Substance Use Disorder (SUD): Na wan sik wae pɔrsin kin yuse drɔgs ɛvride ɔr sɔm tɛm insay di de. I nɔ kin izi fɔ mek yu nɔ yuz drɔgs.

Dis na jɔs ɛgzampul, bikɔs dis kayn tin kin difrɛn frɔm wan pɔrsin to ɔda pɔrsin, ɛn aw i kin tranga kin difrɛn bak.

Udat de pan ay risk fɔ gɛt sɔbstans yus disɔda (SUD)?

Dis sik kin afɛkt ɛnibɔdi, ilɛksɛf na in ej, in trayb, man ɔ uman, ɔr soshio-ikɔnomik stetmɛnt. Bɔt yu kin gɛt mɔ risk fɔ gɛt dis sik fɔ dɛn rizin ya:

• If yu dɔn gɛt ɔda mɛntɛl hεlth kכndyushכn (e.g. pwɛl hat, wɔri).
• If pɔsin na yu famili (bayolojikal fambul) gɛt `(SUD)` kɔndishɔn.
• If yu dɔn gɛt bad bad tin dɛn we yu bin de du we yu bin smɔl.
• if jεnεtik susεptibiliti de (sכm jεnεtik mכtεshכn kin mek SUD dεm apin mכr fכs).
• Fɔ gɛt drɔgs ɔ fɔ gɛt am izi wan .

Us prɔblɛm dɛn kin kam wit dis sik?

Di kɔmplikeshɔn we kɔmɔn ɛn denja pas ɔl fɔ SUD na we pɔsin tek am pasmak . Ɔvados na we yu tek bɔku drɔg. Dis na mɛdikal imejensi!

Difrɛn drɔgs kin afɛkt difrɛn pat dɛn na di bɔdi. Fɔ ɛgzampul, if yu tek wan opioid pasmak, i kin afɛkt di pat na yu bren we de kɔntrol aw yu de blo. If yu nɔ trit yu kwik kwik wan, yu brith kin stɔp, stɔp, ɛn ivin mek yu day.

Bɔrku kɔmplikɛshɔn kin kam wit SUD, ɛn dɛn kin difrɛn difrɛn wan fɔ di kayn sik ɛn di kayn mɛrɛsin wae dɛn kin yuse. Di prɔblɛm dɛn we kin apin na:

• Kansa .
• Pwɛl at .
• Infεkshכn dεm (e.g. `(Epataytis B)`, `(Epataytis C)` εn `(HIV)`).
• Di mɛmori we yu nɔ de mɛmba .
• Di prɔblɛm dɛn we kin apin we pɔsin de lan buk ɔ we i de wok .
• Di prɔblɛm dɛn we kin mek pɔsin gɛt rilayshɔn wit ɔda pipul dɛn .
• Biev we nɔ sef, we nɔ de akɔdin to lɔ, ɔ we de mek pɔsin gɛt prɔblɛm .

Aw dɛn kin no dis sɔbstans yus disɔda (SUD)?

Nɔr wan tɛst nɔr de fɔ no dis sik. Bifo dat, dɔktɔ dɛn go du gud evalueshɔn fɔ yu mɛdikal istri ɛn aw yu de yuz drɔgs. Dɛn kin du bak tɛst fɔ no ɔmɔs ɛn us kayn drɔgs de na yu bɔdi wan tɛm.

Di dɔktɔ go aks bak bɔt yu maynd wɛl bɔdi histri, bikɔs na kɔmɔn tin fɔ mek SUD de togɛda wit ɔda mɛntɛl hεlth kɔndishɔn dɛm.

Akɔdin to di American Psychiatric Association (DSM-5) manual, fɔ mek dɛn no se pɔsin gɛt wan sik we dɛn kɔl "SUD", i fɔ gɛt at le tu pan di sayn dɛm we dɛn rayt na di say we de sho di sik insay 12 mɔnt .

I impɔtant bak fɔ mɛmba se dis sik kin gɛt difrɛn lɛvul dɛm fɔ siriɔs:

• If tu ɔ tri sayn dɛn de, na smɔl `(SUD)` kɔndishɔn.
• If 4 ɔ 5 simptom de, na mɔdaret `(SUD)` kɔndishɔn.
• If siks ɔr mɔr simptom de, na siriɔs `(SUD)` kɔndishɔn.

Wetin na di tritmɛnt dɛm fɔ dis?

Di fɔs tin we yu fɔ du fɔ trit SUD na fɔ kɔntrol di we aw yu de pul am . Dis min se yu fɔ stɔp di mɛrɛsin ɛn alaw am fɔ kɔmɔt na yu bɔdi. Dɛn kin kɔl dis bak ditɔks. Dipen pan aw di sik tranga, dɔktɔ kin gi yu mɛrɛsin fɔ ridyus di ifɛkt dɛm wae de kam wae pɔrsin nɔr gɛt dis sik, wae kin rili tranga, pan bɔdi ɛn maynd.

Afta di `Detox`, yu kin kɔntinyu wit tritmɛnt dɛn lɛk dis:

• Kɔnsul ɛn Tɛrapi .
• Mɛrɛsin we dɛn kin gi .

Tritmɛnt fɔ SUD na rili wan wan . Yu kin nid difrɛn kayn tritmɛnt difrɛn tɛm dɛn we yu de travul fɔ wɛl. Difrɛn tritmɛnt sɛtin dɛn de, lɛk rɛzidɛshɔnal ɛn ɔutpeshɛnt tritmɛnt sɛnta dɛn, shɔt tɛm ɛn lɔng tɛm tritmɛnt kɔmyuniti dɛn.

Tɛrapi we dɛn kin gi

Difrɛn tritmɛnt dɛn de we kin ɛp fɔ trit SUD ɛn ɔda mental wɛlbɔdi prɔblɛm dɛn we kin de togɛda. Sɔm pan di tritmɛnt dɛn we go wok fayn fɔ SUD pan big pipul dɛn na:

• ``Asertiv Kɔmyuniti Tritmɛnt (ACT)'':Dis na kɔmyuniti-based we fɔ kia fɔ mɛntɛl hεlth, pas fɔ de na inpatient ɔ ɔspitul sɛtin. I rili pɔsin in yon. Yu tritmɛnt plan de fɔ yu trɛnk, nid, ɛn gol dɛm tumara bambay.
• Cognitive Behavioral Therapy (CBT): Dis kin ɛp yu fɔ no aw yu de biev wit prɔblɛm ɛn aw yu de tink. Yu kin sɛt gol fɔ dil wit prɔblɛm dɛn di we we go mek yu gɛt wɛlbɔdi.
• Contingency management: Dis tritmɛnt de ɛnkɔrej yu fɔ sɛt yu yon gol. We yu rich wan gol, yu de gɛt blɛsin.
• Dayalɛktik Biɛvhɔ Tɛrapi (DBT): Dis na tɔk tɛrapi, we fiba CBT. I de ɛp yu fɔ kɔntrol di kayn we aw yu de fil ɛn ɔndastand aw di tin dɛn we yu de tink bɔt de afɛkt di we aw yu de biev.
• Famili tritmɛnt: Dis kin ɛp fɔ mek yu padi biznɛs ɛn biev fayn fayn wan insay famili ɔ grup.
• Motivational enhancement therapy: Dis kin ɛnkɔrej yu fɔ sɛt gol dɛn we yu go ebul fɔ du. Wan pɔsin we de advays yu bɔt mɛntɛl wɛlbɔdi biznɛs go ɛnkɔrej yu fɔ wok fɔ rich dɛn gol dɛn de.
• Tɛrapi kɔmyuniti (TC): Dis na tritmɛnt wae de fɔ lɔng tɛm na os wae de ɛp pipul dɛm fɔ gɛt nyu, wɛl bɔdi valyu ɛn bihayvya wae gɛt fɔ du wit yus wae gɛt sɔbstans ɛn ɔda tin dɛm wae gɛt fɔ du wit dɛn maynd wɛl bɔdi.

Fɔ tek pat pan grup dɛn we de ɛp yusɛf lɛk Narcotics Anonymous kin ple bak fɔ trit SUD. Dɛn program ya kin ɛp pipul dɛn fɔ chenj dɛn bihayvya bay we dɛn de ɛp dɛnsɛf ɛn sɔpɔt dɛn kɔmpin dɛn. Grup tɛrapi kin ɛp pipul dɛm wae gɛt SUD fɔ soba ɛn avɔyd fɔ tek drɔgs.

Dɔktɔ dɛn kin tɛl yu fɔ du dɛn tritmɛnt ya nɔmɔ ɔ dɛn kin gi yu mɛrɛsin.

Mɛrɛsin dɛn we dɛn kin yuz fɔ dis

Mεdikeshכn kin εp fכ trit sכm SUD kכndyushכn dεm bay we dεn de chenj yu bren kεmεstri. Dɛn kin ɛp bak fɔ pul di krayse ɛn di sayn dɛm fɔ lɛf fɔ drink.

Sɔm pan di tritmɛnt dɛn we dɛn kin yuz drɔgs we di US Food and Drug Administration (FDA) dɔn gri fɔ na:

• Fɔ opioid: `(Mɛtadɔn)`, `(Buprenɔfin)` ɛn `(Naltrekson)`.
• Fɔ alkol: `(Naltrexone)`, `(Acamprosate)` ɛn `(Disulfiram)`.
• Fɔ tabak: nikotin pat, nos sprɛy, chɛwing gam ɔ lozenj; `(Bupropion)` ɔ `(Vareniklin)`.

Dɛn kin ebul fɔ avɔyd dɛn prɔblɛm ya we gɛt fɔ du wit drɔgs (SUD)?

Nɔto ɔl di kes dɛm fɔ SUD yu kin ebul fɔ avɔyd, bikɔs bɔku tin dɛn de we kin mek di sik bigin (bɔku pan dɛn nɔr kin ebul fɔ kɔntrol). Bɔt yu kin du tin fɔ ridyus di prɔblɛm we yu gɛt.

Na bay we dɛn de gi ɛdyukeshɔn na skul, kɔmyuniti, ɛn insay famili, kin ridyus di risk fɔ yuz drɔgs fɔ di fɔs tɛm ɔ fɔ yuz di mɛrɛsin we dɛn gi am di rɔŋ we. Ɔda we dɛn fɔ mek yu nɔ gɛt SUD na:

• Fɔ fala di advays dɛn we de na yu prɛskrishɔn ɛksaktɔli. Nɔ tek pas di mɔni we dɛn dɔn tɛl yu fɔ tek. Fɔ ɛgzampul, prɔblɛm dɛn we gɛt fɔ du wit yus fɔ opioid kin bigin afta jɔs fayv dez we yu nɔ yuz am di rɔŋ we.
• Nɔ ɛva sheb di mɛrɛsin dɛn we yu dɔn gi yu wit ɔda pɔsin ɔ sɛl yu mɛrɛsin dɛn. Ɔltɛm, kip dɛn na say we sef usay pikin dɛn nɔ go ebul fɔ rich.
• If yu gɛt di mɛrɛsin dɛn we lɛf (lɛk opioid) we yu dɔn di tritmɛnt, fɛn wan program fɔ gɛda drɔgs we de na di kɔmyuniti ɔ wan program fɔ ritɔn di famasi we yu kin sɛn bay post fɔ trowe dɛn sef wan .

Di risk fɔ yuz sɔm kayn mɛrɛsin kin bɔku pan tɛm wae pɔrsin gɛt strɛs ɛn layf kin chenj. Fɔ big pɔsin, tin dɛn lɛk dayvɔs, lɔs wok, ɔ pɔsin we dɛn lɛk day kin mek i gɛt mɔ prɔblɛm fɔ tek drɔgs. Fɔ smɔl pikin, tin dɛn lɛk fɔ muf, fɔ dayvɔs in famili, ɔ fɔ chenj skul kin mek di prɔblɛm bɔku. Insay di tɛm we tin kin chenj lɛk dis, i impɔtant fɔ fɛn wɛlbɔdi we fɔ bia wit di prɔblɛm, lɛk fɔ du ɛksɛsayz, fɔ tink gud wan, ɔ fɔ lan nyu tin we yu lɛk fɔ du. If yu gɛt prɔblɛm fɔ kɔntrol yu strɛs, go to pɔsin we de gi advays bɔt yu maynd .

Wetin na di lukin-grɔn fɔ dis sityueshɔn?

di prכgnosis fכ dis kכndyushכn de dipכnt pan sεvεra tin dεm:

• Di kayn ɛn di siriɔs we aw `(SUD)`.
• Di lɛvɛl fɔ kɔmitmɛnt fɔ tritmɛnt ɛn fɔ wɛl.
• Di tin dɛn we de ambɔg di jɛnɛtiks .
• Aw yu kin bia we yu gɛt strɛs?

Drug adikshɔn na sik we pɔsin kin gɛt fɔ ɔl in layf . Bɔt, i rili pɔsibul fɔ mek pɔsin wɛl . Difrɛn pipul dɛn kin gɛt sakrifays difrɛn we dɛn. Bɔrku pipul kin gɛt sakrifays tru sɔpɔt grup dɛm lɛk Narcotics Anonymous ɛn kɔntinyu tritmɛnt.

Rilaps na kɔmɔn tin na SUD. Rilaps na we yu go ɔf di drɔg fɔ sɔm tɛm ɛn bigin fɔ yuz am bak. Dɔn yu fɔ detɔks ɛn bigin di tritmɛnt saykl ɔl bak. Dis kin bi wan tin we kin mek pɔsin strɛs. Yu kin gɛt di sik bak sɔm ia afta yu dɔn yuz di mɛrɛsin fɔ di las tɛm. If yu de pan denja fɔ gɛt di sik bak, i kin rili ɛp fɔ gɛt strɔng sɔpɔt sistɛm we yu go abop pan.

Yu dɔktɔ fɔ de luk yu tritmɛnt plan ɔltɛm. Na nɔmal tin fɔ mek yu gol ɔ yu layf chenj. Dat min se yu go nid fɔ tray ɔda tritmɛnt ɔ nyu mɛrɛsin. Dɔktɔ kin ɛp yu fɔ mek di chenj dɛn we yu nid ɔlsay na yu layf.

Ustɛm yu fɔ go to dɔktɔ?

If yu de yuz wan mɛrɛsin ɔltɛm naw ɛn yu de wɔri se i de bi abit we yu nɔ go ebul fɔ stɔp fɔ yu wan, i impɔtant fɔ tɔk to dɔktɔ . Yu kin gɛt gayd bak frɔm dɔktɔ bɔt aw fɔ tɔk to yu pikin dɛn bɔt SUD ɛn aw fɔ mek dɛn ɛp dɛn if dɛn tink se dɛn de pan denja.

Sɔbstans Yuz Disɔda (SUD) na wan kɔmpleks mɛntɛl hεlth kɔndishɔn. Bikɔs drɔgs kin chenj di we aw yu bren de wok, i kin at fɔ lɛ yu lɛf fɔ yuz drɔgs, ilɛksɛf yu want. Bɔt, i nɔ bad fɔ aks fɔ ɛp if yu nid am, pan ɔl we na wan pan di tin dɛn we at fɔ du.

Fɔ dɔn, yu fɔ se...

Di tritmɛnt na prɔblɛm. Fɔ pul di pɔyzin nɔ kin fayn. Tɛrapi kin mek pɔsin nɔ fil fayn. Bɔt i rili fayn fɔ mek pɔsin wɛl. As yu bigin yu tritmɛnt joyn, yu kin want fɔ aks fɔ sɔpɔt frɔm yu padi ɔr fambul we yu kin abop pan. Di tin we dɛn de ɛnkɔrej yu kin bi di tin we de mek yu want fɔ tɔk to dɔktɔ.

Bikɔs SUD na sik we nɔ de mɛn, yu kin nid fɔ kɔntinyu fɔ kia fɔ yu ɔlsay na yu layf. Mɛmba se di tim we de kia fɔ yu de wit yu ɛvri step na di rod. Yu nɔ nid fɔ go tru dis waka yu wan. Aks fɔ ɛp, ɛn wɛl.

` Drug, adikshɔn, mental wɛlbɔdi, rɔm, tabak, tritmɛnt, fɔ wɛl