Ms. Mary Jean Dowd, LCAS-A

Those suffering with a substance abuse addiction are often unable to cease their behavior without some form of medical intervention. Studies have found that repeat use of certain drugs can figuratively rewire the brain, resulting in alterations to neural pathways associated with dopamine. This means that repeat drug users may become reliant on consuming the substance in order to function. For example, those with alcohol addiction ("alcoholism") become physically dependent on alcohol and may experience extreme withdrawal symptoms when avoiding alcohol entirely; in rare cases, medically unsupervised withdrawal can lead to death.

Behavioral addictions are similar to substance abuse addictions; however, people with behavioral addictions are addicted to a behavior or emotion associated with certain behaviors, as opposed to drugs. In addition to gambling, common behavioral addictions include food, video games, social media, shopping, and pornography addictions. When performing the activity, people experience euphoria (a rush of dopamine) that slowly lessens over time, meaning they build a tolerance and dependency on a behavior. For example, people who are addicted to shopping may need to purchase more items or spend more money to feel the same rush that once fueled their addiction.

Addictions can be assessed through a variety of means such as diagnostic screening, abuse assessment, or psychiatric evaluation. Treatment can help patients recover from their addictions and manage mental and physical health conditions related to their addiction. People with addictions may be treated in rehabilitative treatment facilities, hospitals, and other clinical settings.

Addiction treatment for substance abuse may include:

• Detoxification (withdrawal from an addictive substance)
• Pharmacotherapy (prescription medications), such as buprenorphine-naloxone (Suboxone), disulfiram, and naltrexone to ease withdrawal symptoms
• Overdose treatment, such as the administration of naloxone (also known as Narcan)

Addiction treatments for both substance abuse and behavioral addictions may include:

• Addiction therapy and psychiatric care, such as cognitive behavioral therapy (CBT)
• Prescription medicine for co-occurring psychiatric disorders
• Twelve-step programs and support groups, such as Alcoholics Anonymous (AA) or Food Addicts Anonymous (FA)

Addiction treatment has expanded to include care for patient substance abuse in non-clinical settings. A number of community programs now provide at-risk substance users a safe place or means to use drugs and mobile doctor's services for drug-associated illnesses and injuries. Behavioral addictions are also gaining increased attention as researchers and mental health professionals seek to better understand and treat them. For example, some researchers are assessing the connections between video game addiction and childhood risk factors. More and more, mental health experts are recognizing the importance of meeting people with addictions where they are at, using more advanced treatments. Addiction treatment is intended to care for people with addictions with compassion and respect.

These problems and others can make a job seem unbearable. For example, a demanding or detached supervisor can contribute to poor job satisfaction and work anxiety. Similarly, a lack of control in one's job, such as the inability to work on a project or make day-to-day decisions, can diminish one's workplace morale. Many workers in these situations find themselves dissatisfied and eager to leave their jobs or even to become fired. However, resignations and job losses can pose equally challenging career difficulties. Job loss or unemployment can trigger financial stress as well as feelings of isolation, depression, and diminished self-confidence. People experiencing job loss may feel dissatisfied with other job prospects or fear their career opportunities are limited.

For many, mental health therapy can improve negative emotions and behaviors arising from career difficulties and both those with jobs and those experiencing job loss may benefit from therapy. Therapists may listen to people's career difficulties and provide advice for navigating a number of work-related problems. Online counseling can be particularly helpful for career issues in the modern workplace in that direct access to a therapist throughout the day can help alleviate recurring pressure and anxiety arising from one's job. Many people find that therapy or counseling for career difficulties can improve their overall job performance and disposition. For example, therapists can guide people to develop and hone essential skills, such as building the self-confidence necessary to deliver a presentation or the sustained focus needed to complete a lengthy project. For those experiencing job loss or unemployment, therapy can help with feelings of isolation, depression, and diminished self-confidence. Therapists may encourage some to seek other job prospects and opportunities. Like some problems in other areas of life, difficulties in the workplace can be debilitating for some, and consultations with a therapist can help some overcome initial feelings of being overwhelmed.

Career counseling is another option for those with career challenges. Career counselors help people develop professional skills and gain the tools necessary to further their careers. A career counselor may help with job applications, coach practice job interviews, proofread resumes, and provide networking strategies to move someone towards his or her ideal career. Career counseling can also help people navigate work problems like lack of motivation, indecisiveness, and burnout, so that they might better enjoy their current position.

Some people decide to switch career paths in order to achieve happiness and fulfillment. Through personality and aptitude tests, therapists and career counselors can help people identify occupations or industries that are better suited to them. Therapists and counselors also take into account a person's intellectual and physical strengths, as well as what a person values in work, whether that be job security or opportunity for creativity and challenge. Therapists and career counselors may recommend people complete certification courses or educational degrees to shift towards their ideal careers.

Career difficulties are a widespread issue that nearly everyone who works has or will endure at some point in time. Many people find that mental health therapy or career counseling can greatly improve their career satisfaction and overall happiness.

Humans begin to gain self-esteem in childhood from being cared for by adults and reaching natural milestones such as learning how to tie one's shoes. Self-esteem evolves through adolescence and adulthood, and can change drastically based on one's positive and negative experiences. It's important to develop healthy self-esteem to navigate through challenges, make decisions, and gain motivation to pursue interests.

Self-esteem issues can influence one's emotions, behavior, relationships, and world view. Self-esteem issues frequently arise from low self-esteem. Low self-esteem can be caused by factors such as trauma, caregiver neglect, abuse, bullying, and academic, social, or professional difficulties. Stressful life events such as parental divorce, caregiver conflict, and financial problems may also contribute to low self-esteem. In recent years, researchers have highlighted the influence of social media in negatively impacting adolescents' mental health. Common signs of low self-esteem include:

• Focusing on failures instead of accomplishments
• Feeling triggered when making mistakes
• Constantly comparing oneself to others in a negative way
• Lacking confidence

Excessive self-esteem can also be problematic in that it can hinder one's ability to form relationships with others. People with extremely high self-esteem may appear to be conceited or entitled. Some researchers suggest very high self-esteem can lead people to engage in more risk-taking behaviors. Causes of excessive self-esteem are less well-known, but may include upbringing, personality, and cognitive biases.

Fortunately, self-esteem issues can be readily addressed at any time. Positive self-affirmations recognizing one's own accomplishments can raise low self-esteem. Accepting one's own weaknesses and imperfections can benefit those with both low and high self-esteem. People with self-esteem issues often find therapy is an effective means to improve their self-esteem and mental health. Cognitive behavioral therapy (CBT) can help people with self-esteem issues identify and change destructive patterns of thought. Support groups, family counseling, and antidepressant medication may also help with self-esteem issues.

Maintaining a positive outlook and belief in oneself can go a long way towards forming healthy self-esteem. Developing a strong sense of self can be important for well-being and contributes to overall happiness and success in life.