Dependence versus Addiction Medical

Terminology According to the Diagnostic and Statistical Manual, the clinical criteria for "drug dependence" or what laymen refer to as "addiction" include: compulsive drug use despite harmful consequences; inability to stop using a drug; failure to meet work, social or family obligations; and sometimes, depending on the drug, tolerance and withdrawal. Tolerance and withdrawal reflect physical dependence of where the body adapts to the drug, requiring more of it to achieve a certain effect resulting in specific physical or mental symptoms when drug use stops abruptly. Physical dependence can happen with the chronic use of many drugs even when the user takes a prescribed drug. Thus, physical dependence in and of itself does not constitute addiction, but often accompanies addiction. Dosages of prescribed pain medications can change to meet the need of the patient if there is increasing pain, but can also represent tolerance or the worsening of underlying problem like addiction. Because some psychotherapeutics have an associated risk of dependency, like benzodiazepine, which treats anxiety or sleep disorders and opioids that treat pain, it is important for patients to follow dosage instructions faithfully. Physicians must monitor patients carefully. To minimize the risk of dependency, a physician or other prescribing health provider should be aware of the prior or current substance abuse problems of every patient, as well as any family history of addiction.

Chemical Dependency Counseling and Relapse Prevention

Counselors want to help each patient understand the physical and mental consequences of substance abuse and teach patients ways to restore physical health while learning to recognize and stop behaviors and symptoms that can lead to relapse. Doctors motivate patients to accept and enjoy long term recovery through supportive individual and group education. Psychologists offer education about alcoholism and addiction. During treatment, patients learn various methods of healing and find what technique works for rehabilitation including: Cognitive Behavioral Therapy, Motivational Interviewing and general education around staying sober. Occasional meetings with alumni afford the patients the opportunity to hear success stories and learn about the experience of sobriety. Before leaving treatment, doctors give patients an individual relapse prevention plan, including helpful techniques and a comprehensive list of appropriate support systems to help maintain sobriety.

Poker Crazy Pineapple

Crazy Pineapple

Crazy Pineapple Poker is played with a standard 52-card deck. Blinds are posted by players who sit in consecutive clockwise order from the button. Action is initiated on the first betting round by the player to the left of the person who posted blind clockwise from the button. The blinds act last on the first betting.

All players receive three cards dealt face down (hole cards) as their initial hand. The first round of poker betting occurs. Check and raises are permitted. Three cards are turned face up in the middle of the board simultaneously (flop). These board cards are community cards and available to all players. The second round of betting occurs. At this time poker players choose to keep two of their three cards hole cards from their initial hand and discard the third. The next two board cards are turned up one at a time with a round of betting after each card. After the final round of poker betting has been completed, a player may use any combination of five cards (for example, one hole card and four from the board, etc.) to determine their best hand. A player may use all of the board cards (playing the board). The winning poker hand must show both hole cards face up on the table. The best five-card poker hand wins the pot. In the event of a tie, the pot is split equally.

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Poker Omaha Hi-Low Split

Omaha Hi-Low Split

Omaha Hi-Low Split (8 or Better)

Omaha Hi-Low Split is a community card poker game that is played with a standard 52-card deck. In order for a hand to qualify for the low hand, it must contain an 8 or Better (lower) at showdown. The game starts to the left of the dealer button. The blind bets are made from the positions left of the dealer button and are forced bets which must be made before the cards are dealt.

Each player is dealt four cards, one at a time, in turn and face down (hole cards) as their initial hand. A round of betting occurs for players who are continuing to contend for the pot. Three board cards are turned face up (flop) in the middle of the table (community cards). The community cards are available for all players to use. The second round of betting occurs. The fourth community card is turned face up (the turn), followed by a third round of betting. A final community card (the river) is turned up and a fourth and final round of betting occurs. After the final round of betting has been completed, each player may use any two hole cards with three community cards to make the highest five-card poker hand, and any two hole cards with three community cards to make the lowest qualifying five-card poker hand. The lowest qualifying five-card poker hand is Ace, 2, 3, 4, 5. Players must qualify for the low hand with a hand containing an 8 or better (lower). The pot is split equally between the players with the highest ranking hand and lowest qualifying hand. If no player has a low qualifying hand, the player with the highest ranking five-card poker hand wins the entire pot. In the event of a tie, the pot, or portion of the pot, if the tie is for high or low hand only, is split equally.