Drug addicts battle with
substance addiction in the country.
Ahsan Zia, a thin man, sits alone in the corner of one of the steel beds, with
his hands folded across his chest at the New Horizon Rehabilitation Center
(NHCC). The ward is flooded with sunlight and Ahsan is staring at the opposite
wall of the room. The ward has 7 more beds, whose occupants are currently
attending a motivational lecture.
Ahsan has dark circles under his eyes and multiple syringe marks that are quite
visible on both his arms, but these are just the outward signs of his inner
decay.
The scars on his face make it quite difficult to guess his actual age. Upon
asking him of his age, he chuckles and says “What do you think?” He looks 10
years older than his actual age which is 24 and he believes that taking drugs is
the best cure to all his problems.
He was admitted to the facility by his family two months ago. He has made some
progress since then but he is not ready to abandon his drug abuse habits just
yet. He now sees that what he is doing is wrong and has agreed to stop using
Heroin (one of the most dangerous drugs) but says that he can’t leave Charas
because finding charas is as easy as having fast food delivered straight to your
home.
“Addicts typically start very young, usually by taking up relatively less
harmful addictions. They then slowly move up the addiction ladder as they start
taking more potent drugs and develop a resistance of the previous addictions”,
says Dr. Sana Shah who works at the New Horizon Rehabilitation Center.
Elaborating his point further Dr. Shah explains that drugs serve as a quick fix
to one’s problems. People sometimes take drugs for acceptance when they don’t
get the same from home. The addict is forced to join a group of people who give
the addict a false sense of acceptance. Such groups unfortunately are the
breeding grounds of drug addictions and all sorts of vices.
Some people start using drugs just to break the monotony in their lives. Ahsan
is an example of such cases. Then there are people who take drugs out of
curiosity. In every case these people try to their habits and keep on
lingering with this life threatening habit.
Another important point to note is that there has been a certain level of
tolerance with regard to substance abuse in Pakistan. Chalia, Gutka, Bhang have
been used widely in the country since long.
While Addiction Therapist at Aas Recovery Centre, Muhammad Ali Rauf has a very
unique approach on drug addiction “A person is addicted by birth nothing makes
him an addict, drugs are just a symptom but the addictive nature there is by
birth.” he says
Your Brain on Drugs: How the damage is done
When a person takes drugs, the chemicals in the drugs enter the brain and
disrupt the communication process, because of which their nerve cells stop
receiving information, processing information, or sending information the way
they should be.
Some drugs can imitate the natural chemicals of the brain, which will trick the
body into reacting in a different way. Drugs also have the ability to over
stimulate the part of the brain that feels it was rewarded and makes the person
want to take more of it.
When asked if the damage to the brain caused by drugs was irreversible Dr. Ali
explains that there are many parts of our body that can be replaced but our mind
is such a part that can never be replaced.
Withdrawal symptoms and the damage
Addicts usually complain that when they do not use drugs they become very ill.
The drugs they once take as a recreation become their routine and they are
compelled to use drugs to stay sane. Life without mind-altering drugs seems
terribly abnormal to them.
In extreme cases the changes caused to the brain can be permanent. These changes
psychological changes make a person who is drug dependent stay irritated and
angry most of the time then there is Paranoia, schizophrenia and psychosis.
“The initial levels of drug induced psychosis can be treated but if the
psychosis reaches extreme levels then there is a high chance that it becomes
irreversible” says Rauf
Pakistan scummed in drug epidemic
The situation in Pakistan with regard to drug abuse is not very optimistic.
According to the Anti-Narcotics Force approximately 700 people die every day in
the country due to drug-related complications a figure equating to over a
quarter of a million people every year. This number is greater than deaths
caused by terrorism i.e. 39 people each day.
An estimated 860,000 people are regular heroin users and 320,000 are opium users
while inhalant abuse is common among street children, according to a study
conducted by the United Nations Office on Drugs and crime (UNODC) in 2013. The
number of people who inject drugs (PWID) is estimated to be 430,000 nationwide
according to the same report.
What is distressing is that the number of drug abusers has risen over the years
and the response of the government has been minimal in this. Further Pakistan’s
drug treatment capacities were fewer than 100 clinics operating nationwide in
2015 according to the International Narcotics Control Strategy Report .Very few
public hospitals offer drug treatment services over 90 percent of Pakistan’s
detoxification centers are operated by NGOs.
Admittance to a rehabilitation center is considered a social taboo especially
among women. Men have higher rates of drug abuse than women but prevalence
estimates for women are likely to be underestimated. While men are more likely
to use cannabis and opiates, the use of tranquilizers and sedatives and
prescription amphetamines is higher among women says the 2010 UNODC report on
female drug users in Pakistan
Drug addiction to recovery
In spite of the lack of an infrastructure and awareness there are many inspiring
stories of people who have battled drug addiction and have come out victorious.
While there are people like Ahsan, there are others like Zohaib Kamran. He is
doing quite well at the rehab. Once an addict he says that social stigma forced
him to change. With teary eyes he narrates how his mother used to hide her money
whenever he used to come home. But all that is a part of the past now and Zohaib
now wants to integrate back into the society. To hang out with friends, have a
decent job and a family.
“The worst thing related to drugs is friendship.If you want to quit drugs you
have to leave your friends” says Zohaib
When asked to share more success stories with us Dr. Sana says that “Karachi is
full of success stories of people who are recovering from their addiction and
living a superb healthy life.”
She further shares the case of a fellow therapist at her organization; who
wished to remain anonymous to protect his privacy. The said therapist was an
advertising professional and once a drug addict. He did not want to be treated,
he ran away from a rehabilitation center several times. But said that he became
fed up with his addiction. He says that there comes a low point in every
addict’s life where they decide to rid themselves of this curse and this point
came to his life when his family mounted enormous pressure on him. Not only did
he come out of his miserable condition, once he had fully recovered he went to
London to study and became a therapist. He now works alongside Dr. Sana helping
addicts overcome their addictions.
In the end the only way of recovery from addiction is self realization, it’s all
about exposing and healing the darker side of being a human. What must be
understood is that recovery from drug addiction is a quite painful process, both
mentally and physically.