Nadużywanie sterydów anabolicznych
Leczenie
Nadużywanie sterydów anabolicznych stanowi rosnący problem zdrowotny, z około 32% użytkowników rozwijających uzależnienie, przy czym 56% z nich nie ujawnia stosowania tych substancji lekarzom. Uzależnienie to ma charakter psychologiczny i często wiąże się z dysmorfofobią mięśniową, hipogonadyzmem indukowanym sterydami oraz zaburzeniami nastroju. Leczenie wymaga wieloaspektowego podejścia, obejmującego motywację do abstynencji, łagodzenie objawów odstawiennych (takich jak depresja, lęk, bezsenność, bóle mięśniowo-stawowe), terapię zaburzeń obrazu ciała, przywrócenie funkcji osi podwzgórze-przysadka-gonady oraz leczenie współistniejących uzależnień. Zaleca się stopniowe zmniejszanie dawek sterydów pod nadzorem medycznym, stosowanie leków wspomagających (syntetyczne hormony, leki przeciwdepresyjne, klonidyna, NLPZ) oraz specjalistyczną terapię endokrynologiczną, w tym hCG, klomifen i ewentualnie substytucję testosteronem.
- Leczenie nadużywania sterydów anabolicznych
- Detoksykacja i leczenie objawów odstawiennych
- Leczenie hipogonadyzmu i zaburzeń endokrynologicznych
- Leczenie zaburzeń psychicznych
- Programy leczenia uzależnienia od sterydów anabolicznych
- Kompleksowe podejście do leczenia uzależnienia od sterydów
- Wyzwania i bariery w leczeniu uzależnienia od sterydów
Leczenie nadużywania sterydów anabolicznych
Nadużywanie sterydów anabolicznych staje się coraz większym problemem zdrowotnym, przy czym szacuje się, że około 32% osób przyjmujących te substancje rozwija uzależnienie. Pomimo powszechności tego zjawiska, stosunkowo niewiele osób uzależnionych od sterydów anabolicznych poszukuje leczenia. Badania wskazują, że nawet 56% użytkowników nigdy nie informuje swoich lekarzy o stosowaniu tych substancji, często z powodu przekonania o braku odpowiedniej wiedzy wśród personelu medycznego w tym zakresie1. Warto zaznaczyć, że skuteczne leczenie nadużywania sterydów anabolicznych wymaga kompleksowego podejścia, uwzględniającego zarówno aspekty fizyczne, jak i psychologiczne uzależnienia23.
Mechanizmy rozwoju uzależnienia
Leczenie uzależnienia od sterydów anabolicznych powinno uwzględniać co najmniej trzy mechanizmy etiologiczne, przez które może rozwinąć się zależność od tych substancji4. W przeciwieństwie do klasycznych narkotyków, sterydy anaboliczne nie wywołują typowej euforii, jednakże mogą prowadzić do zależności psychologicznej56. Uzależnienie od sterydów anabolicznych często wiąże się z zaburzeniami obrazu ciała, takimi jak dysmorfofobia mięśniowa (bigoreksja), gdzie osoby mają zniekształcone postrzeganie własnego ciała i uważają, że są zbyt małe lub niewystarczająco umięśnione78. Ponadto, hipogonadyzm indukowany sterydami oraz zaburzenia nastroju mogą przyczyniać się do utrzymywania uzależnienia9.
Kompleksowe podejście do leczenia
Eksperci zalecają, aby leczenie uzależnienia od sterydów anabolicznych koncentrowało się na podstawowych przyczynach stosowania tych substancji10. Aktualne koncepcje terapeutyczne wyróżniają sześć głównych celów leczenia uzależnienia od sterydów anabolicznych11:
- Budowanie motywacji do rozpoczęcia i utrzymania abstynencji od sterydów anabolicznych i innych substancji uzależniających
- Wspomaganie inicjacji abstynencji poprzez łagodzenie przykrych objawów odstawiennych
- Leczenie zaburzeń medycznych i psychiatrycznych wywołanych sterydami lub współistniejących
- Leczenie dysmorfofobii mięśniowej i innych zaburzeń obrazu ciała
- Przywrócenie prawidłowego funkcjonowania osi podwzgórze-przysadka-gonady
- Leczenie ewentualnych współwystępujących uzależnień od innych substancji
Detoksykacja i leczenie objawów odstawiennych
Pierwszym etapem leczenia uzależnienia od sterydów anabolicznych jest bezpieczne przerwanie ich stosowania pod nadzorem medycznym12. Nagłe odstawienie sterydów anabolicznych może prowadzić do zespołu odstawiennego, który obejmuje takie objawy jak: depresja, apatia, lęk, trudności z koncentracją, bezsenność, zmniejszone libido, bóle głowy, bóle mięśni i stawów oraz zmęczenie1314.
Medycznie wspomagana detoksykacja
Detoksykacja wspomagana medycznie może złagodzić objawy odstawienia sterydów i zapobiec powikłaniom15. W przeciwieństwie do odstawienia opioidów czy alkoholu, nie istnieją specyficzne leki agonistyczne lub antagonistyczne zatwierdzone do leczenia zaburzeń związanych z używaniem sterydów16. Jednakże, lekarze mogą przepisywać różne leki wspomagające proces odstawienia17:
- Syntetyczne hormony do przywrócenia równowagi hormonalnej
- Leki przeciwdepresyjne do leczenia objawów depresyjnych
- Klonidyna do zmniejszania objawów lękowych
- Niesteroidowe leki przeciwzapalne na bóle głowy i bóle mięśniowo-stawowe
Stopniowe zmniejszanie dawki
Zalecane jest stopniowe zmniejszanie dawki sterydów anabolicznych pod nadzorem medycznym, zamiast nagłego przerwania ich stosowania20. Takie podejście może pomóc zminimalizować nasilenie objawów odstawiennych i dać organizmowi czas na przystosowanie się do funkcjonowania bez tych substancji21. Leczenie uzależnienia od sterydów anabolicznych zazwyczaj obejmuje kontynuowanie podawania steroidów, ale stopniowe zmniejszanie dawek przez okres od kilku tygodni do kilku miesięcy22.
Leczenie hipogonadyzmu i zaburzeń endokrynologicznych
Długotrwałe stosowanie sterydów anabolicznych prowadzi do zaburzenia naturalnej równowagi hormonalnej w organizmie23. Hipogonadyzm indukowany sterydami anabolicznymi może wymagać specjalistycznego leczenia endokrynologicznego w celu przywrócenia prawidłowego funkcjonowania osi podwzgórze-przysadka-gonady24.
Terapie endokrynologiczne
Jeśli wykryto hipogonadyzm, może być konieczna ocena i leczenie przez endokrynologa25. W ramach terapii endokrynologicznej mogą być stosowane26:
- Gonadotropina kosmówkowa ludzka (hCG) – może być stosowana do przyspieszenia produkcji testosteronu przez jądra, stymulacji produkcji plemników i przywrócenia funkcji hormonalnej2728
- Klomifen – lek, który może pomóc zwiększyć poziom ważnych hormonów, w tym testosteronu, i może pomóc znormalizować poziom hormonów oraz zmniejszyć efekty odstawienia2930
- Hormony syntetyczne – w niektórych przypadkach stosuje się leczenie substytucyjne testosteronem, szczególnie u mężczyzn, którzy przez długi czas stosowali wysokie dawki sterydów anabolicznych31
Leczenie powikłań endokrynologicznych
Poza przywróceniem równowagi hormonalnej, konieczne może być również leczenie specyficznych powikłań endokrynologicznych związanych z nadużywaniem sterydów anabolicznych32:
- W przypadku utrzymującego się lub nawracającego ginekomastii (powiększenia gruczołów piersiowych u mężczyzn) może być rozważane leczenie chirurgiczne33
- Zaburzenia funkcji seksualnych mogą wymagać stosowania inhibitorów fosfodiesterazy (np. Viagra)34
- W przypadku podwyższonego poziomu hormonów gonadotropowych, szczególnie jeśli FSH jest nieproporcjonalnie podwyższone w porównaniu do LH, należy podejrzewać pierwotną dysfunkcję gonad niezwiązaną z nadużywaniem sterydów35
Leczenie zaburzeń psychicznych
Nadużywanie sterydów anabolicznych często wiąże się z problemami zdrowia psychicznego, takimi jak depresja, lęk, zaburzenia nastroju czy agresja36. Leczenie tych zaburzeń jest kluczowym elementem kompleksowej terapii uzależnienia od sterydów37.
Leczenie depresji i innych zaburzeń nastroju
U pacjentów wykazujących objawy depresyjne, które nie reagują szybko na leczenie przywracające równowagę hormonalną, wskazane jest leczenie przeciwdepresyjne38. Mogą być stosowane różne grupy leków przeciwdepresyjnych, w tym selektywne inhibitory wychwytu zwrotnego serotoniny (SSRI) czy klomipramina39. Leczenie zaburzeń nastroju może obejmować również farmakoterapię z zastosowaniem:
- Leków przeciwdepresyjnych do redukcji uczucia depresji związanego z odstawieniem sterydów40
- Leków przeciwlękowych do pomocy w redukcji lęku41
- Stabilizatorów nastroju do pomocy w radzeniu sobie z ekstremalnymi wahaniami nastroju związanymi z używaniem sterydów42
Psychoterapia i leczenie zaburzeń obrazu ciała
Kluczowym elementem leczenia uzależnienia od sterydów anabolicznych jest psychoterapia ukierunkowana na zaburzenia obrazu ciała, takie jak dysmorfofobia mięśniowa43. W ramach leczenia psychologicznego mogą być stosowane różne formy terapii44:
- Terapia poznawczo-behawioralna (CBT) – pomaga zidentyfikować i zmienić negatywne wzorce myślenia i zachowania związane z użyciem sterydów oraz rozwija zdrowe mechanizmy radzenia sobie4546
- Terapia dialektyczno-behawioralna (DBT) – może być pomocna w regulacji emocji i radzeniu sobie z impulsywnością47
- Terapia grupowa – zapewnia wsparcie rówieśnicze i pomaga osobom uzależnionym zrozumieć, że nie są same w swoich zmaganiach48
- Terapia indywidualna – umożliwia głębsze zbadanie unikalnych przyczyn uzależnienia od sterydów49
- Terapia rodzinna – angażuje członków rodziny w proces leczenia, co pomaga naprawić relacje nadwyrężone przez uzależnienie i buduje wspierające środowisko domowe50
Programy leczenia uzależnienia od sterydów anabolicznych
Leczenie uzależnienia od sterydów anabolicznych może odbywać się w różnych warunkach, w zależności od indywidualnych potrzeb pacjenta, nasilenia uzależnienia oraz współistniejących problemów zdrowotnych51.
Leczenie stacjonarne
Leczenie stacjonarne (pobyt w ośrodku terapeutycznym) jest często zalecane dla osób silnie uzależnionych od sterydów anabolicznych, zwłaszcza jeśli występują również inne uzależnienia lub problemy ze zdrowiem psychicznym52. Program leczenia stacjonarnego zazwyczaj trwa około 28 dni i obejmuje53:
- Detoksykację pod nadzorem medycznym
- Codzienną terapię indywidualną i grupową
- Edukację na temat uzależnienia
- Naukę umiejętności radzenia sobie i zapobiegania nawrotom
- Leczenie współistniejących zaburzeń psychicznych
Intensywne skupienie na procesie zdrowienia w warunkach stacjonarnych zwiększa szanse na utrzymanie trwałej trzeźwości54.
Leczenie ambulatoryjne
Dla wielu osób leczenie ambulatoryjne może stanowić odpowiedni poziom opieki w procesie zdrowienia55. Dostępnych jest wiele opcji leczenia ambulatoryjnego, a niektóre są prawie tak intensywne jak oferty opieki stacjonarnej56. Programy ambulatoryjne mogą obejmować57:
- Intensywny program ambulatoryjny (IOP) – wymaga udziału w sesjach terapeutycznych kilka razy w tygodniu
- Częściowa hospitalizacja (PHP) – program dzienny wymagający udziału w terapii przez większość dni w tygodniu
- Ogólny program ambulatoryjny (GOP) – mniej intensywna forma terapii, zwykle obejmująca jedną lub dwie sesje tygodniowo
Leczenie ambulatoryjne pozwala pacjentom mieszkać w domu i kontynuować pracę lub naukę podczas terapii58.
Grupy wsparcia i leczenie podtrzymujące
Długoterminowe wsparcie jest często niezbędne, aby zapobiec nawrotom i pomóc osobom uzależnionym utrzymać abstynencję od sterydów anabolicznych59. W ramach leczenia podtrzymującego mogą być stosowane60:
- Grupy wsparcia – takie jak Anonimowi Narkomani lub inne grupy skoncentrowane na zdrowieniu, zapewniające wsparcie rówieśnicze i zachęcające do utrzymania abstynencji61
- Programy następcze (aftercare) – zorganizowane programy wsparcia po zakończeniu intensywnego leczenia, pomagające w płynnym przejściu do codziennego życia przy jednoczesnym minimalizowaniu ryzyka nawrotu62
- Ciągłe doradztwo – specjalistów od uzależnień, którzy pomagają osobom uzależnionym zrozumieć ryzyko związane z używaniem sterydów, korzyści płynące z powrotu do zdrowia oraz strategie unikania nawrotów63
- Terapia podtrzymująca – wzmacnia techniki uczące ludzi radzenia sobie bez używania sterydów i pomaga, gdy pojawiają się nieprzewidziane trudności lub pokusy64
Kompleksowe podejście do leczenia uzależnienia od sterydów
Skuteczne leczenie uzależnienia od sterydów anabolicznych wymaga wielokierunkowego podejścia, które uwzględnia zarówno fizyczne, jak i psychologiczne aspekty uzależnienia65.
Zmiany stylu życia
Istotnym elementem procesu zdrowienia jest wprowadzenie zdrowych zmian w stylu życia66:
- Zdrowe odżywianie – zbilansowana dieta wspierająca zdrowie fizyczne i psychiczne
- Regularna aktywność fizyczna – bezpieczne i naturalne formy ćwiczeń bez używania sterydów
- Techniki zarządzania stresem – medytacja, joga, techniki relaksacyjne pomagające w radzeniu sobie ze stresem bez sięgania po sterydy
- Wystarczająca ilość snu – wspierająca ogólne samopoczucie i regenerację organizmu
Zachęcanie do zdrowego stylu życia, w tym odpowiedniego odżywiania, ćwiczeń i technik zarządzania stresem, wspiera ogólne dobre samopoczucie i zmniejsza ryzyko nawrotu67.
Rola wielodyscyplinarnego zespołu w leczeniu
Wsparcie odstawienia sterydów anabolicznych może wymagać podejścia wielodyscyplinarnego z udziałem specjalistów z różnych dziedzin68:
- Lekarz podstawowej opieki zdrowotnej – koordynacja leczenia i monitorowanie ogólnego stanu zdrowia
- Specjalista ds. uzależnień – leczenie uzależnienia i zapobieganie nawrotom
- Psychiatra – diagnozowanie i leczenie współistniejących zaburzeń psychicznych
- Endokrynolog – leczenie zaburzeń hormonalnych i przywracanie równowagi hormonalnej
- Psycholog/psychoterapeuta – prowadzenie terapii poznawczo-behawioralnej i innych form psychoterapii
- Dietetyk – planowanie zdrowej diety wspierającej proces zdrowienia
- Trener personalny – opracowanie bezpiecznych programów treningowych bez użycia sterydów
Leczenie uzależnień współistniejących
Wiele osób uzależnionych od sterydów anabolicznych może również nadużywać innych substancji, takich jak alkohol, opioidy czy inne narkotyki69. Leczenie farmakologiczne i psychospołeczne skuteczne w leczeniu uzależnienia od substancji w ogóle, a w szczególności uzależnienia od opioidów, może być również korzystne w przypadku uzależnienia od sterydów anabolicznych70. W ramach leczenia uzależnień współistniejących mogą być stosowane71:
- Antagoniści opioidowe (takie jak Naltrexon lub Suboxone) do blokowania euforycznych efektów opioidów, jeśli są one również nadużywane wraz ze sterydami
- Terapie behawioralne ukierunkowane na wszystkie uzależnienia
- Programy leczenia podwójnej diagnozy, które jednocześnie zajmują się uzależnieniem i problemami zdrowia psychicznego
Wyzwania i bariery w leczeniu uzależnienia od sterydów
Leczenie uzależnienia od sterydów anabolicznych napotyka na wiele wyzwań i barier, które mogą utrudniać osobom uzależnionym dostęp do odpowiedniej pomocy72.
Bariery w poszukiwaniu pomocy
Istnieje wiele przeszkód, które mogą powstrzymywać osoby uzależnione od sterydów anabolicznych przed poszukiwaniem profesjonalnej pomocy73:
- Stygmatyzacja związana z uzależnieniem od sterydów i obawa przed osądzaniem
- Niewystarczająca świadomość na temat ryzyka zdrowotnego związanego z nadużywaniem sterydów
- Brak wiedzy o dostępnych opcjach leczenia
- Trudności w dostępie do specjalistycznej opieki medycznej
- Koszty leczenia i brak odpowiedniego ubezpieczenia zdrowotnego
- Niechęć do przyznania, że używanie sterydów stanowi problem
Badania wskazują, że użytkownicy sterydów anabolicznych niechętnie szukają profesjonalnej pomocy z powodu stygmatyzacji i wolą uzyskać porady od rówieśników lub na forach internetowych74.
Ocena kliniczna i identyfikacja problemu
Wczesna identyfikacja problemu nadużywania sterydów anabolicznych jest kluczowa dla skutecznej interwencji. Specjaliści ochrony zdrowia powinni być wyczuleni na możliwość uzależnienia od sterydów i być przygotowani do poruszenia tego tematu z pacjentami75. Ocena kliniczna powinna obejmować76:
- Szczegółowy wywiad medyczny, w tym historię używania sterydów i innych substancji
- Badanie fizykalne
- Ocenę stanu psychicznego
- Badania laboratoryjne (np. poziom hormonów, funkcje wątroby, profil lipidowy)
Lekarze rodzinni, którzy zidentyfikują używanie sterydów anabolicznych u pacjenta, powinni zdecydowanie zachęcać do zaprzestania ich stosowania i zarządzać objawami odstawiennymi u tych, którzy przerywają ich używanie77.
Edukacja i świadomość
Zwiększanie świadomości na temat ryzyka związanego z nadużywaniem sterydów anabolicznych oraz dostępnych opcji leczenia jest istotnym elementem skutecznego podejścia do tego problemu78. Edukacja powinna obejmować79:
- Informacje o krótko- i długoterminowych skutkach zdrowotnych nadużywania sterydów
- Alternatywy dla sterydów w osiąganiu celów fitness
- Dostępne opcje leczenia dla osób uzależnionych od sterydów
- Praktyki zmniejszające szkody dla tych, którzy nadal używają sterydów
U osób zagrożonych należy przeprowadzić poradnictwo dotyczące negatywnych skutków ubocznych związanych z nadużywaniem sterydów anabolicznych80.
Podsumowując, leczenie nadużywania sterydów anabolicznych wymaga kompleksowego podejścia, które uwzględnia fizyczne, psychologiczne i społeczne aspekty uzależnienia. Skuteczne leczenie obejmuje detoksykację pod nadzorem medycznym, terapię hormonalną w celu przywrócenia równowagi endokrynologicznej, leczenie współistniejących zaburzeń psychicznych oraz strategie zapobiegania nawrotom. Mimo istniejących barier, odpowiednie leczenie może pomóc osobom uzależnionym od sterydów anabolicznych w odzyskaniu zdrowia i poprawie jakości życia81.
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Materiały źródłowe
- #1 Anabolic Steroids and Other Appearance and Performance Enhancing Drugs (APEDs) | National Institute on Drug Abuse (NIDA)https://nida.nih.gov/research-topics/anabolic-steroids
People who use steroids often do not seek treatment for their use, with one study reporting that 56 percent of users had never told their physician about their use. This could be because users feel their physician lacks knowledge about anabolic steroids. In addition, many internet sites devoted to anabolic steroids and other APEDs challenge the professionalism of health care providers and offer their own medically questionable advice on the use of APEDs. This makes it important for health care providers to be educated on the signs and symptoms of steroid use in their patients. […] […] Current views recommend that treatment for steroid use address the underlying causes of the steroid use. This can include: psychological therapies (and possibly medications) for muscle dysmorphia; endocrine therapies to restore function in those suffering from hypogonadism and to alleviate symptoms of depression; antidepressants for those whose depression does not respond to endocrine therapies; pharmacological and psychosocial treatments for patients who are also dependent on opioids, which appear to also be effective in alleviating signs of anabolic steroid dependence.
- #2 Steroid Addiction: Signs, Symptoms, Effects and Treatmenthttps://hopeharborwellness.com/steroid-addiction-treatment/
Anabolic steroid misuse involves problematic use that significantly disrupts the users life. […] Seeking treatment for steroid addiction is a vital step towards recovery, and its one that doesnt have to be taken alone. Treatment centers provide structured support, helping individuals achieve sobriety while maintaining a healthier lifestyle. […] Treating anabolic steroid addiction requires a comprehensive approach, similar to other drug addictions, despite steroids not producing a traditional euphoric high. Steroid addiction can still lead to dependency and severe withdrawal symptoms. […] Effective steroid addiction treatment centers offer a blend of medical and therapeutic interventions to address both the physical and psychological aspects of addiction. This multifaceted approach ensures a holistic recovery, helping individuals regain a healthy lifestyle and manage any co-occurring mental health conditions.
- #3 Steroid Addiction | Signs & Symptoms | Rehabs UKhttps://rehabsuk.com/addictions/drug/steroid-addiction/
Anabolic steroids are a manufactured testosterone that is prescribed by doctors to patients to help treat conditions such as muscle loss, cancer and hormone deficiencies. […] A steroid addiction does not function in the same way as an opioid or stimulant addiction but can remain equally as addictive because of the effects the drug can have on a user’s physical appearance and self-esteem. […] Someone who has developed a tolerance will likely need to undergo steroid detox. […] A study from the National Institute of Health shows that around 32% of anabolic steroid users will develop a dependency. This is called a steroid use disorder. […] A steroid use disorder can develop when users are struggling with underlying psychological issues such as low self-esteem or body dysmorphia. […] Want to quit Steroids? Speak to our fully trained Treatment Advisors for a free assessment. […] Continued steroid abuse ultimately results in a dependency for the drug and creates a steroid use disorder. […] Speak to our Treatment Advisors Today.
- #4 Treatment of Anabolic-Androgenic Steroid Dependence: Emerging Evidence and Its Implicationshttps://pmc.ncbi.nlm.nih.gov/articles/PMC2875348/
Currently, few users of anabolic-androgenic steroids (AAS) seek substance-abuse treatment. […] We suggest that this treatment should address at least three etiologic mechanisms by which AAS dependence might develop. […] AAS-induced hypogonadism may require treatment with human chorionic gonadotropin or clomiphene to reactivate neuroendocrine function, and may necessitate antidepressant treatments in cases of depression inadequately responsive to endocrine therapies alone. […] Therefore, it will likely become increasingly important for clinicians to identify and reach out to individuals with these various problems who might be candidates for AAS-dependence treatment. […] AAS-related adverse effects may first bring individuals to the attention of general practitioners or other health professionals who see middle-aged men.
- #5 Anabolic Steroid Treatment and Rehabhttps://www.addictioncenter.com/stimulants/steroids/treatment/
Some people need rehab because they cant fight the psychological compulsion to take steroids on their own. The withdrawal symptoms of steroids can cause people to relapse. […] Anabolic steroid abuse should be treated like any other drug problem. Despite the fact that steroids do not cause a stereotypical euphoric high, they still have the potential to lead to dependency resulting in possible steroid withdrawal symptoms. Inpatient and outpatient treatment centers can help those addicted to steroids beat their addiction and build a healthier, natural lifestyle. […] Treating a steroid addiction may involve supervised detox, comfort medication, and behavioral therapy. Medical professionals can monitor those addicted to steroids for depression and suicidal behavior during detox. […] Mental health counseling helps recovering addicts cope with mood swings during withdrawal. Through continued therapy, users relearn how to function without steroids. Its important to get treatment from a counselor and a physician with experience treating steroid addiction. These professionals often collaborate to develop the most effective treatment plan.
- #6 Anabolic Steroid Addiction And Abusehttps://www.addictioncenter.com/stimulants/steroids/
People who take steroids for a prolonged period of time disrupt natural hormonal balances in their bodies. […] Someone trying to quit taking steroids should look for help. In treatment for steroid addiction, doctors can prescribe medications to restore healthy hormonal balances and reduce depressive symptoms. […] Many people dont realize steroids can fuel addiction. If youve been struggling with steroids or any other substance, help is available. Contact a treatment provider now to learn more about your addiction treatment options. […] Anabolic Steroid Treatment And Rehab.
- #7 Steroid Drug Addiction Treatment & Rehab Center in Illinoishttps://www.gatewayfoundation.org/what-we-treat/drug-abuse-treatment/steroid-addiction/
Ending your relationship with substances is a courageous act, but it’s also a process you don’t have to go through alone. […] A steroid addiction treatment center might use clonidine to help manage anxiety or antidepressants to help minimize the effects of steroid withdrawal on depression. […] Individuals should seek immediate treatment for steroid addiction with a professional health care provider to prevent these outcomes.
- #8 Anabolic Steroids: What They Are, Uses, Side Effects & Riskshttps://my.clevelandclinic.org/health/treatments/5521-anabolic-steroids
Anabolic steroid misuse is common. Misusing anabolic steroids can be harmful to your health. The main reason people misuse anabolic steroids is to increase lean muscle mass when using them in conjunction with weight training. Non-athlete weightlifters (bodybuilders) typically misuse them to improve their appearance. Anabolic steroid misuse is often associated with a form of body dysmorphic disorder called muscle dysmorphia. For athletes, increasing muscle mass may also promote strength, which can improve strength-based sports performance. Misuse of anabolic steroids can cause a variety of side effects ranging from mild to harmful or even life-threatening. Most side effects are reversible if you stop taking the drugs, but others may be permanent. Misuse of anabolic steroids can be harmful to your health. Yes, if you take prescription anabolic steroids under the supervision of your healthcare provider for a medical reason, anabolic steroids are generally safe. You should have regular appointments with your healthcare provider when taking an anabolic steroid to assess how well it’s working. Talk with your healthcare provider as soon as possible if you feel like you’re dependent on anabolic steroids.
- #9 Treatment of Anabolic-Androgenic Steroid Dependence: Emerging Evidence and Its Implicationshttps://pmc.ncbi.nlm.nih.gov/articles/PMC2875348/
This model indicates that clinicians should be particularly sensitive to, and prepared to treat 1) underlying body image disorders such as muscle dysmorphia; 2) AAS-induced hypogonadism and possible consequent major depression; and 3) hedonic dependence on AAS, with possible comorbid dependence on classical drugs of abuse.
- #10 Anabolic Steroids and Other Appearance and Performance Enhancing Drugs (APEDs) | National Institute on Drug Abuse (NIDA)https://nida.nih.gov/research-topics/anabolic-steroids
People who use steroids often do not seek treatment for their use, with one study reporting that 56 percent of users had never told their physician about their use. This could be because users feel their physician lacks knowledge about anabolic steroids. In addition, many internet sites devoted to anabolic steroids and other APEDs challenge the professionalism of health care providers and offer their own medically questionable advice on the use of APEDs. This makes it important for health care providers to be educated on the signs and symptoms of steroid use in their patients. […] […] Current views recommend that treatment for steroid use address the underlying causes of the steroid use. This can include: psychological therapies (and possibly medications) for muscle dysmorphia; endocrine therapies to restore function in those suffering from hypogonadism and to alleviate symptoms of depression; antidepressants for those whose depression does not respond to endocrine therapies; pharmacological and psychosocial treatments for patients who are also dependent on opioids, which appear to also be effective in alleviating signs of anabolic steroid dependence.
- #11 Treatment of Anabolic-Androgenic Steroid Dependence: Emerging Evidence and Its Implicationshttps://pmc.ncbi.nlm.nih.gov/articles/PMC2875348/
As with all substance abusers, AAS-dependent individuals may initially benefit from motivational therapies to address denial and minimization, thus encouraging commitment to treatment. […] Summarizing the evidence of the above sections, and extrapolating from the literature on treating other forms of substance dependence, we would tentatively propose six goals for treatment of AAS dependence: 1) build motivation to initiate and maintain abstinence from AAS and all other addictive substances as well as nonmedical use of prescription medications; 2) assist initiation of abstinence by alleviating distressing withdrawal symptoms, which may require pharmacological intervention; and 3) address substance-induced and co-occurring medical and psychiatric disorders, including muscle dysmorphia and persistent suppression of the HPG axis.
- #12 Anabolic Steroid Treatment and Rehabhttps://www.addictioncenter.com/stimulants/steroids/treatment/
Inpatient rehab is one of the most effective ways to treat people heavily addicted to steroids. Its also a good option for people with a history of depression, anxiety or anger management issues. Inpatient treatment removes the steroid user from their normal environment so they can safely detox and reprogram their addictive behavior. […] The first step is to help the user detox safely. A medically assisted detox can ease steroid withdrawal symptoms and prevent complications. […] Doctors may also prescribe medications during detox, including synthetic hormones, antidepressants, clonidine, and nonsteroidal anti-inflammatory drugs. […] Steroid users have access to therapy in detox; however, intensive therapy does not usually begin until the user has stabilized and has transitioned to either inpatient rehab or outpatient.
- #13 Anabolic steroid misusehttps://www2.hse.ie/conditions/anabolic-steroid-misuse/
Your GP will help you to get treatment for addiction. […] Your GP may refer you to a drugs counsellor. They’ll discuss your addiction and help you safely stop taking anabolic steroids. […] Anabolic steroids are addictive. […] A person who is addicted to anabolic steroids will want to keep using them despite having unpleasant side effects. […] When GPs prescribe steroid medicine, they always advise coming off the medicine slowly by gradually reducing the dose. […] Stopping anabolic steroids suddenly can result in withdrawal symptoms that include: depression and apathy, anxiety, difficulty concentrating, insomnia, anorexia, lower sex drive, extreme tiredness (fatigue), headaches, muscle and joint pain.
- #14 Steroid Abuse Signs, Symptoms, and Addiction Treatmenthttps://drugabuse.com/stimulants/steroids/
Steroid abuse treatment often involves removing all of the steroid products in the persons possession and taking them gently through the drug withdrawal process. […] Steroid withdrawal usually brings on: Depressive-like symptoms. Anxiety. Concentration problems. Difficulty sleeping. Pain. Headaches. Lowered libido. […] Normally, the withdrawal process will involve gradually reducing the amount of steroids a person takes so that the body can adjust slowly over time. […] Often, there are serious underlying problems that lead to a person feeling that they need steroids. Issues usually involve problems with body image, including body dysmorphia. The user may genuinely believe that steroid use is an absolute requirement for fitness and virility. Psychotherapy may be needed to combat these false beliefs.
- #15 Anabolic Steroid Treatment and Rehabhttps://www.addictioncenter.com/stimulants/steroids/treatment/
Inpatient rehab is one of the most effective ways to treat people heavily addicted to steroids. Its also a good option for people with a history of depression, anxiety or anger management issues. Inpatient treatment removes the steroid user from their normal environment so they can safely detox and reprogram their addictive behavior. […] The first step is to help the user detox safely. A medically assisted detox can ease steroid withdrawal symptoms and prevent complications. […] Doctors may also prescribe medications during detox, including synthetic hormones, antidepressants, clonidine, and nonsteroidal anti-inflammatory drugs. […] Steroid users have access to therapy in detox; however, intensive therapy does not usually begin until the user has stabilized and has transitioned to either inpatient rehab or outpatient.
- #16 Steroid Misuse – Greenhouse Treatment Centerhttps://greenhousetreatment.com/steroids/
People who compulsively use steroids commonly will not seek treatment. […] Studies regarding treatment of steroid abuse and addiction are limited, making a precisely charted course of treatment somewhat elusive. […] Unlike other substances, such as opioids, there are no agonist or antagonist pharmacotherapeutics approved to treat this category of substance use disorder. […] The American Society for Addiction Medicine supports a multi-pronged approach to managing steroid use disorders. This approach includes addressing any body image disorder (e.g., muscle dysmorphia) that may be present in the affected individual and managing any depression to arise in association with the temporary hypogonadal state seen during withdrawal and any length of time afterwards. […] In addition to any potential endocrine and antidepressant therapy, pharmacological and psychosocial treatments for any concurrent opioid dependence may also be helpful in managing steroid addiction.
- #17 Anabolic Steroid Treatment and Rehabhttps://www.addictioncenter.com/stimulants/steroids/treatment/
Inpatient rehab is one of the most effective ways to treat people heavily addicted to steroids. Its also a good option for people with a history of depression, anxiety or anger management issues. Inpatient treatment removes the steroid user from their normal environment so they can safely detox and reprogram their addictive behavior. […] The first step is to help the user detox safely. A medically assisted detox can ease steroid withdrawal symptoms and prevent complications. […] Doctors may also prescribe medications during detox, including synthetic hormones, antidepressants, clonidine, and nonsteroidal anti-inflammatory drugs. […] Steroid users have access to therapy in detox; however, intensive therapy does not usually begin until the user has stabilized and has transitioned to either inpatient rehab or outpatient.
- #18 Anabolic Steroid Treatment and Rehabhttps://www.addictioncenter.com/stimulants/steroids/treatment/
Inpatient rehab is one of the most effective ways to treat people heavily addicted to steroids. Its also a good option for people with a history of depression, anxiety or anger management issues. Inpatient treatment removes the steroid user from their normal environment so they can safely detox and reprogram their addictive behavior. […] The first step is to help the user detox safely. A medically assisted detox can ease steroid withdrawal symptoms and prevent complications. […] Doctors may also prescribe medications during detox, including synthetic hormones, antidepressants, clonidine, and nonsteroidal anti-inflammatory drugs. […] Steroid users have access to therapy in detox; however, intensive therapy does not usually begin until the user has stabilized and has transitioned to either inpatient rehab or outpatient.
- #19 Steroid Drug Addiction Treatment & Rehab Center in Illinoishttps://www.gatewayfoundation.org/what-we-treat/drug-abuse-treatment/steroid-addiction/
Ending your relationship with substances is a courageous act, but it’s also a process you don’t have to go through alone. […] A steroid addiction treatment center might use clonidine to help manage anxiety or antidepressants to help minimize the effects of steroid withdrawal on depression. […] Individuals should seek immediate treatment for steroid addiction with a professional health care provider to prevent these outcomes.
- #20 Anabolic steroid misusehttps://www2.hse.ie/conditions/anabolic-steroid-misuse/
Your GP will help you to get treatment for addiction. […] Your GP may refer you to a drugs counsellor. They’ll discuss your addiction and help you safely stop taking anabolic steroids. […] Anabolic steroids are addictive. […] A person who is addicted to anabolic steroids will want to keep using them despite having unpleasant side effects. […] When GPs prescribe steroid medicine, they always advise coming off the medicine slowly by gradually reducing the dose. […] Stopping anabolic steroids suddenly can result in withdrawal symptoms that include: depression and apathy, anxiety, difficulty concentrating, insomnia, anorexia, lower sex drive, extreme tiredness (fatigue), headaches, muscle and joint pain.
- #21 Steroid Addiction | Causes, Symptoms and Diagnosishttps://www.uk-rehab.com/prescription-drug-addiction/stimulants/steroid/
How is steroid addiction treated? […] Treating steroid addiction involves a comprehensive approach that addresses both the physical and psychological aspects of the addiction. This can take place either in outpatient steroid rehab, where the individual lives at home and attends regular treatment sessions or in inpatient rehab, where they reside in a residential facility. Treatment typically includes the following elements: […] Medical steroid detox […] This is an important stage because it clears the system of steroids and disrupts physical dependency. Medical supervision is crucial for a professional detox team. […] Tapering off: Gradually reducing the steroid dose under medical supervision can provide medications and therapies to manage withdrawal symptoms. […] Steroid rehab therapy
- #22 Steroid Abuse Treatment | Steroid Rehab Centers | 12 Keys Floridahttps://www.12keysrehab.com/rehab/steroid-rehab-centers/
Treatment for steroid abuse at our rehab for steroid addiction typically involves continuing steroid administration but decreasing the doses gradually over a period of a few weeks to a few months. […] Itâs important that you donât attempt to withdraw on your own, but instead, seek professional treatment at our Florida steroid abuse treatment center. […] You will likely be given medications to help reduce your cravings and restore hormonal balance. […] If you have a loved one who is struggling with a steroid addiction, the best way you can support them is to first learn about their addiction and understand why they use these drugs. […] You should learn the reason why your loved one started abusing steroids and what itâs doing to their body. […] Talk with your loved one and try to positively persuade them to enter treatment. […] You have to stay supportive during this time and continue to keep an eye out for red flags. […] Full recovery is possible.
- #23 Anabolic Steroid Addiction And Abusehttps://www.addictioncenter.com/stimulants/steroids/
People who take steroids for a prolonged period of time disrupt natural hormonal balances in their bodies. […] Someone trying to quit taking steroids should look for help. In treatment for steroid addiction, doctors can prescribe medications to restore healthy hormonal balances and reduce depressive symptoms. […] Many people dont realize steroids can fuel addiction. If youve been struggling with steroids or any other substance, help is available. Contact a treatment provider now to learn more about your addiction treatment options. […] Anabolic Steroid Treatment And Rehab.
- #24 Treatment of Anabolic-Androgenic Steroid Dependence: Emerging Evidence and Its Implicationshttps://pmc.ncbi.nlm.nih.gov/articles/PMC2875348/
Currently, few users of anabolic-androgenic steroids (AAS) seek substance-abuse treatment. […] We suggest that this treatment should address at least three etiologic mechanisms by which AAS dependence might develop. […] AAS-induced hypogonadism may require treatment with human chorionic gonadotropin or clomiphene to reactivate neuroendocrine function, and may necessitate antidepressant treatments in cases of depression inadequately responsive to endocrine therapies alone. […] Therefore, it will likely become increasingly important for clinicians to identify and reach out to individuals with these various problems who might be candidates for AAS-dependence treatment. […] AAS-related adverse effects may first bring individuals to the attention of general practitioners or other health professionals who see middle-aged men.
- #25 Treatment of Anabolic-Androgenic Steroid Dependence: Emerging Evidence and Its Implicationshttps://pmc.ncbi.nlm.nih.gov/articles/PMC2875348/
In short, professionals in many disciplines should be sensitized to the possibility of AAS dependence and be prepared to pursue this issue with their patients. […] Regardless of the direction of causality, however, it seems important that clinicians know how to identify and promptly treat hypogonadal syndromes. […] If hypogonadism is discovered, it may require evaluation and treatment by an endocrinologist, who might use HCG to accelerate testicular production of testosterone. […] In patients exhibiting depressive symptoms that fail to respond promptly to restorative endocrine treatment, antidepressant treatment is likely indicated. […] The evidence in section 6.1 suggests that pharmacological and psychosocial treatments effective for substance dependence in general and opioid dependence in particular might also benefit AAS dependence.
- #26 Anabolic Steroid Addiction: Signs, Symptoms & Treatmentshttps://healthyliferecovery.com/understanding-anabolic-steroid-addiction/
In addition to participating in rehabilitation programs, some people who are addicted to anabolic steroids may benefit from using certain medications while theyâre in recovery. These medications may include: Antidepressants to reduce feelings of depression associated with steroid withdrawal, Anxiolytics to help reduce anxiety, Mood stabilizers to help address extreme mood swings related to drug use, Opioid antagonists (such as Naltrexone or Suboxone) to block the euphoric effects of opioids if they are also being abused alongside steroids, Anti-inflammatory medications (such as ibuprofen) to provide pain relief if the individual struggles with joint pain, Endocrine treatments (such as human chorionic gonadotropin) to help with any damage to the hormonal system due to steroid use, Phosphodiesterase inhibitors (such as Viagra) to treat sexual dysfunction, which is a major side effects of steroid addiction.
- #27 Treatment of Anabolic-Androgenic Steroid Dependence: Emerging Evidence and Its Implicationshttps://pmc.ncbi.nlm.nih.gov/articles/PMC2875348/
In short, professionals in many disciplines should be sensitized to the possibility of AAS dependence and be prepared to pursue this issue with their patients. […] Regardless of the direction of causality, however, it seems important that clinicians know how to identify and promptly treat hypogonadal syndromes. […] If hypogonadism is discovered, it may require evaluation and treatment by an endocrinologist, who might use HCG to accelerate testicular production of testosterone. […] In patients exhibiting depressive symptoms that fail to respond promptly to restorative endocrine treatment, antidepressant treatment is likely indicated. […] The evidence in section 6.1 suggests that pharmacological and psychosocial treatments effective for substance dependence in general and opioid dependence in particular might also benefit AAS dependence.
- #28 Anabolic Steroids: Effects, Risks, and Long-Term Impacthttps://recovered.org/stimulants/anabolic-steroids
Steroid addiction is possible, with withdrawal symptoms including depression and fatigue. Treatment options include medical therapy and behavioral support. […] Help is available for anyone worried about their abuse of steroids, although many people who use the drugs regularly do not report wanting to stop. […] Medicinal treatment of steroid abuse, especially if that use lasts longer than a year, can include clomiphene. This helps to increase blood levels of important hormones, including testosterone, and can help to normalize hormone levels and reduce withdrawal effects. […] Alternatively, subcutaneous (under the skin) hCG therapy can also help to reverse some of the effects of steroids. This can stimulate the body to produce more testosterone and help improve sperm production. […] For people unwilling to stop taking steroids, it is possible to use prescription testosterone to replace illegal drugs in the short term. Usage can then be reduced to safer levels.
- #29 Anabolic Steroids: Effects, Risks, and Long-Term Impacthttps://recovered.org/stimulants/anabolic-steroids
Steroid addiction is possible, with withdrawal symptoms including depression and fatigue. Treatment options include medical therapy and behavioral support. […] Help is available for anyone worried about their abuse of steroids, although many people who use the drugs regularly do not report wanting to stop. […] Medicinal treatment of steroid abuse, especially if that use lasts longer than a year, can include clomiphene. This helps to increase blood levels of important hormones, including testosterone, and can help to normalize hormone levels and reduce withdrawal effects. […] Alternatively, subcutaneous (under the skin) hCG therapy can also help to reverse some of the effects of steroids. This can stimulate the body to produce more testosterone and help improve sperm production. […] For people unwilling to stop taking steroids, it is possible to use prescription testosterone to replace illegal drugs in the short term. Usage can then be reduced to safer levels.
- #30 Anabolic Steroid Use Disorder – MD Searchlighthttps://mdsearchlight.com/medications/anabolic-steroid-use-disorder/
Athletes who have been using AAS must stop its use immediately, even though they may experience withdrawal symptoms. If testosterone replacement therapy is needed to treat hypogonadism, formal permission should be granted from the relevant authorities before starting such therapies. Doctors may consider using Clomiphene or hCG therapy for men who have used high doses of AAS for an extended period. […] Doctors should also consider addressing any additional mental health problems that exist alongside AAS use. Conditions like anxiety and depression could be managed with antidepressant medications and cognitive-behavioral therapy. Patients found to have conduct disorders or who are abusing other substances should also receive behavioral interventions and be referred to specialist services where necessary.
- #31 Anabolic Steroid Use Disorder – MD Searchlighthttps://mdsearchlight.com/medications/anabolic-steroid-use-disorder/
Athletes who have been using AAS must stop its use immediately, even though they may experience withdrawal symptoms. If testosterone replacement therapy is needed to treat hypogonadism, formal permission should be granted from the relevant authorities before starting such therapies. Doctors may consider using Clomiphene or hCG therapy for men who have used high doses of AAS for an extended period. […] Doctors should also consider addressing any additional mental health problems that exist alongside AAS use. Conditions like anxiety and depression could be managed with antidepressant medications and cognitive-behavioral therapy. Patients found to have conduct disorders or who are abusing other substances should also receive behavioral interventions and be referred to specialist services where necessary.
- #32 Anabolic androgenic steroid abuse in young males in: Endocrine Connections Volume 9 Issue 4 (2020)https://ec.bioscientifica.com/view/journals/ec/9/4/EC-19-0557.xml
If testosterone levels are not very low and symptoms are well tolerated, waiting for spontaneous recovery of the HPG axis is advised. […] If gonadotrophin levels are elevated, especially if FSH is disproportionally elevated compared to LH, primary gonadal dysfunction, unrelated to steroid abuse, should be suspected. […] For recurrent or persistent gynaecomastia, surgical treatment should be considered.
- #33 Anabolic androgenic steroid abuse in young males in: Endocrine Connections Volume 9 Issue 4 (2020)https://ec.bioscientifica.com/view/journals/ec/9/4/EC-19-0557.xml
If testosterone levels are not very low and symptoms are well tolerated, waiting for spontaneous recovery of the HPG axis is advised. […] If gonadotrophin levels are elevated, especially if FSH is disproportionally elevated compared to LH, primary gonadal dysfunction, unrelated to steroid abuse, should be suspected. […] For recurrent or persistent gynaecomastia, surgical treatment should be considered.
- #34 Anabolic Steroid Addiction: Signs, Symptoms & Treatmentshttps://healthyliferecovery.com/understanding-anabolic-steroid-addiction/
In addition to participating in rehabilitation programs, some people who are addicted to anabolic steroids may benefit from using certain medications while theyâre in recovery. These medications may include: Antidepressants to reduce feelings of depression associated with steroid withdrawal, Anxiolytics to help reduce anxiety, Mood stabilizers to help address extreme mood swings related to drug use, Opioid antagonists (such as Naltrexone or Suboxone) to block the euphoric effects of opioids if they are also being abused alongside steroids, Anti-inflammatory medications (such as ibuprofen) to provide pain relief if the individual struggles with joint pain, Endocrine treatments (such as human chorionic gonadotropin) to help with any damage to the hormonal system due to steroid use, Phosphodiesterase inhibitors (such as Viagra) to treat sexual dysfunction, which is a major side effects of steroid addiction.
- #35 Anabolic androgenic steroid abuse in young males in: Endocrine Connections Volume 9 Issue 4 (2020)https://ec.bioscientifica.com/view/journals/ec/9/4/EC-19-0557.xml
If testosterone levels are not very low and symptoms are well tolerated, waiting for spontaneous recovery of the HPG axis is advised. […] If gonadotrophin levels are elevated, especially if FSH is disproportionally elevated compared to LH, primary gonadal dysfunction, unrelated to steroid abuse, should be suspected. […] For recurrent or persistent gynaecomastia, surgical treatment should be considered.
- #36 Steroid Addiction: Signs, Causes, Effects And Treatments – Ethan Crossinghttps://ethancrossingspringfield.com/rehab-blog/steroid-addiction/
Steroid addiction leads to both psychological and physical effects, such as mood disorders, aggression, depression, hormonal imbalances, liver damage, cardiovascular issues, and alterations in reproductive function. […] Treatment options for steroid addiction include professional counseling, participation in support groups, and medical treatment and therapy. […] The treatment strategies for steroid addiction are medical detoxification, behavioral therapy, medication management, support groups, education and counseling, family therapy, and lifestyle modification. […] Cognitive Behavioral Therapy (CBT) helps individuals with addiction identify and change the thought patterns and behaviors that led to steroid abuse. […] While no specific medication directly treats steroid addiction, doctors sometimes prescribe medications to address symptoms like depression and anxiety or to manage hormonal imbalances caused by steroid abuse.
- #37 Steroid Misuse – Greenhouse Treatment Centerhttps://greenhousetreatment.com/steroids/
People who compulsively use steroids commonly will not seek treatment. […] Studies regarding treatment of steroid abuse and addiction are limited, making a precisely charted course of treatment somewhat elusive. […] Unlike other substances, such as opioids, there are no agonist or antagonist pharmacotherapeutics approved to treat this category of substance use disorder. […] The American Society for Addiction Medicine supports a multi-pronged approach to managing steroid use disorders. This approach includes addressing any body image disorder (e.g., muscle dysmorphia) that may be present in the affected individual and managing any depression to arise in association with the temporary hypogonadal state seen during withdrawal and any length of time afterwards. […] In addition to any potential endocrine and antidepressant therapy, pharmacological and psychosocial treatments for any concurrent opioid dependence may also be helpful in managing steroid addiction.
- #38 Treatment of Anabolic-Androgenic Steroid Dependence: Emerging Evidence and Its Implicationshttps://pmc.ncbi.nlm.nih.gov/articles/PMC2875348/
In short, professionals in many disciplines should be sensitized to the possibility of AAS dependence and be prepared to pursue this issue with their patients. […] Regardless of the direction of causality, however, it seems important that clinicians know how to identify and promptly treat hypogonadal syndromes. […] If hypogonadism is discovered, it may require evaluation and treatment by an endocrinologist, who might use HCG to accelerate testicular production of testosterone. […] In patients exhibiting depressive symptoms that fail to respond promptly to restorative endocrine treatment, antidepressant treatment is likely indicated. […] The evidence in section 6.1 suggests that pharmacological and psychosocial treatments effective for substance dependence in general and opioid dependence in particular might also benefit AAS dependence.
- #39 Anabolic Steroid Addiction & Abuse | North Jersey Recovery Centerhttps://northjerseyrecovery.com/anabolic-steroid-addiction-and-abuse/
Anabolic steroid addiction and abuse has become a growing concern for basically anyone who is heavily immersed in the fitness world. […] Anabolic steroid addiction and abuse is without a doubt, something that has potential for addiction. […] Many facilities like ours with North Jersey Recovery Center, would, depending on the case, prescribe antidepressants like SSRIs or clomipramine to treat the depression associated with steroid withdrawal. […] Additional treatment for steroid addiction includes: Endocrine treatment, Treatment for sexual dysfunction. […] North Jersey Recovery Center understands the stigmas that accompany many of these illicit substances, steroids included. We implore our patients to not succumb to what others are pushing with the harm of illicit drug use. For anyone dealing with anabolic steroid addiction and abuse, contact us today to learn more about how we can help.
- #40 Anabolic Steroid Addiction: Signs, Symptoms & Treatmentshttps://healthyliferecovery.com/understanding-anabolic-steroid-addiction/
In addition to participating in rehabilitation programs, some people who are addicted to anabolic steroids may benefit from using certain medications while theyâre in recovery. These medications may include: Antidepressants to reduce feelings of depression associated with steroid withdrawal, Anxiolytics to help reduce anxiety, Mood stabilizers to help address extreme mood swings related to drug use, Opioid antagonists (such as Naltrexone or Suboxone) to block the euphoric effects of opioids if they are also being abused alongside steroids, Anti-inflammatory medications (such as ibuprofen) to provide pain relief if the individual struggles with joint pain, Endocrine treatments (such as human chorionic gonadotropin) to help with any damage to the hormonal system due to steroid use, Phosphodiesterase inhibitors (such as Viagra) to treat sexual dysfunction, which is a major side effects of steroid addiction.
- #41 Anabolic Steroid Addiction: Signs, Symptoms & Treatmentshttps://healthyliferecovery.com/understanding-anabolic-steroid-addiction/
In addition to participating in rehabilitation programs, some people who are addicted to anabolic steroids may benefit from using certain medications while theyâre in recovery. These medications may include: Antidepressants to reduce feelings of depression associated with steroid withdrawal, Anxiolytics to help reduce anxiety, Mood stabilizers to help address extreme mood swings related to drug use, Opioid antagonists (such as Naltrexone or Suboxone) to block the euphoric effects of opioids if they are also being abused alongside steroids, Anti-inflammatory medications (such as ibuprofen) to provide pain relief if the individual struggles with joint pain, Endocrine treatments (such as human chorionic gonadotropin) to help with any damage to the hormonal system due to steroid use, Phosphodiesterase inhibitors (such as Viagra) to treat sexual dysfunction, which is a major side effects of steroid addiction.
- #42 Anabolic Steroid Addiction: Signs, Symptoms & Treatmentshttps://healthyliferecovery.com/understanding-anabolic-steroid-addiction/
In addition to participating in rehabilitation programs, some people who are addicted to anabolic steroids may benefit from using certain medications while theyâre in recovery. These medications may include: Antidepressants to reduce feelings of depression associated with steroid withdrawal, Anxiolytics to help reduce anxiety, Mood stabilizers to help address extreme mood swings related to drug use, Opioid antagonists (such as Naltrexone or Suboxone) to block the euphoric effects of opioids if they are also being abused alongside steroids, Anti-inflammatory medications (such as ibuprofen) to provide pain relief if the individual struggles with joint pain, Endocrine treatments (such as human chorionic gonadotropin) to help with any damage to the hormonal system due to steroid use, Phosphodiesterase inhibitors (such as Viagra) to treat sexual dysfunction, which is a major side effects of steroid addiction.
- #43 Anabolic Steroids and Other Appearance and Performance Enhancing Drugs (APEDs) | National Institute on Drug Abuse (NIDA)https://nida.nih.gov/research-topics/anabolic-steroids
People who use steroids often do not seek treatment for their use, with one study reporting that 56 percent of users had never told their physician about their use. This could be because users feel their physician lacks knowledge about anabolic steroids. In addition, many internet sites devoted to anabolic steroids and other APEDs challenge the professionalism of health care providers and offer their own medically questionable advice on the use of APEDs. This makes it important for health care providers to be educated on the signs and symptoms of steroid use in their patients. […] […] Current views recommend that treatment for steroid use address the underlying causes of the steroid use. This can include: psychological therapies (and possibly medications) for muscle dysmorphia; endocrine therapies to restore function in those suffering from hypogonadism and to alleviate symptoms of depression; antidepressants for those whose depression does not respond to endocrine therapies; pharmacological and psychosocial treatments for patients who are also dependent on opioids, which appear to also be effective in alleviating signs of anabolic steroid dependence.
- #44 Treatments for people who use anabolic androgenic steroids: a scoping review | Harm Reduction Journal | Full Texthttps://harmreductionjournal.biomedcentral.com/articles/10.1186/s12954-019-0343-1
Supporting discontinuation may require a multidisciplinary approach with input from health professionals such as a GP, addiction specialist, psychiatrist and endocrinologist. […] Swedish guidelines for diagnosing and treating AAS abuse include advice around psychosocial treatments, such as cognitive behavioural therapy, counselling group therapy and motivational interviewing. […] It may be necessary to identify and address such disorders through counselling or psychotherapies as part of AAS treatment to reduce likelihood of re-initiation. […] The bulk of the evidence identified related to current or former users receiving treatment for an acute or chronic condition or injury associated with their AAS use. […] There was, however, limited evidence of engagement with users regarding their AAS use as part of their more general treatment.
- #45 Steroid Addiction: Symptoms, Causes, Risks, and Treatmenthttps://maplemoonllc.com/steroid-addiction/
Cognitive-behavioral therapy (CBT) helps individuals develop healthy coping mechanisms and address the underlying psychological factors that drive their steroid use. […] Harm reduction strategies are another important component of tackling steroid addiction. […] These programs combine medical, psychological, and social support services to address the various aspects of steroid addiction. […] Peer-led support groups offer a sense of community and shared experiences, which is beneficial for individuals struggling with steroid addiction. […] Effective aftercare for steroid addiction includes ongoing counseling, support group participation, lifestyle changes, relapse prevention planning, continued medical monitoring, contingency management, and holistic approaches.
- #46 Steroid Addiction: Signs, Symptoms, Effects and Treatmenthttps://hopeharborwellness.com/steroid-addiction-treatment/
Our anabolic steroid addiction treatment programs incorporate a variety of interventions: MAT (Medication-Assisted Treatment), Psychotherapy (CBT and DBT), Group Therapy, Individual Therapy, Family Therapy, Holistic Therapies, Aftercare. […] If youre grappling with an addiction to steroids, its essential to consider treatment to cease usage and regain control over your life. […] At Hope Harbor Wellness we offer specialized outpatient treatment programs, designed to address anabolic steroid addiction in Atlanta, GA.
- #47 Steroid Addiction: Signs, Symptoms, Effects and Treatmenthttps://hopeharborwellness.com/steroid-addiction-treatment/
Our anabolic steroid addiction treatment programs incorporate a variety of interventions: MAT (Medication-Assisted Treatment), Psychotherapy (CBT and DBT), Group Therapy, Individual Therapy, Family Therapy, Holistic Therapies, Aftercare. […] If youre grappling with an addiction to steroids, its essential to consider treatment to cease usage and regain control over your life. […] At Hope Harbor Wellness we offer specialized outpatient treatment programs, designed to address anabolic steroid addiction in Atlanta, GA.
- #48 Steroid Addiction | Causes, Symptoms and Diagnosishttps://www.uk-rehab.com/prescription-drug-addiction/stimulants/steroid/
These approaches uncover and address the underlying causes of steroid abuse and addiction, such as body dysmorphia, self-esteem issues, early exposure to drug use or underlying mental health issues. Commonly used therapies include: […] Cognitive behavioural therapy (CBT): CBT helps in changing negative thought patterns and behaviours associated with steroid use, so the individual can develop healthier habits. […] Group therapy: Group therapy sessions can provide peer support and help individuals realise they are not alone in their struggles. They are a chance to share experiences and coping strategies in a safe and friendly environment. […] Individual counselling: This enables individuals to dive deep into the unique causes of their steroid addiction to achieve significant breakthroughs.
- #49 Steroid Addiction: Signs, Symptoms, Effects and Treatmenthttps://hopeharborwellness.com/steroid-addiction-treatment/
Our anabolic steroid addiction treatment programs incorporate a variety of interventions: MAT (Medication-Assisted Treatment), Psychotherapy (CBT and DBT), Group Therapy, Individual Therapy, Family Therapy, Holistic Therapies, Aftercare. […] If youre grappling with an addiction to steroids, its essential to consider treatment to cease usage and regain control over your life. […] At Hope Harbor Wellness we offer specialized outpatient treatment programs, designed to address anabolic steroid addiction in Atlanta, GA.
- #50 Steroid Addiction | Causes, Symptoms and Diagnosishttps://www.uk-rehab.com/prescription-drug-addiction/stimulants/steroid/
Family therapy: Involving family members can help repair relationships strained by the addiction and build a supportive home environment. […] Management of co-occurring disorders […] If there are underlying mental health conditions like depression or anxiety, these should be managed alongside the steroid addiction. Certain therapies may have a knock-on positive effect, while certain medications may also help with symptoms. […] Ongoing support […] Aftercare programmes and continued therapy sessions can provide ongoing support and help prevent relapse. These approaches help individuals to manage triggers, develop healthier lifestyles and remain connected to their support networks.
- #51 Steroid Misuse – Greenhouse Treatment Centerhttps://greenhousetreatment.com/steroids/
Treatment for steroid use disorders may take place in a variety of treatment settings. […] The choice between an inpatient or outpatient treatment program may be influenced by a variety of factors. […] Those who have struggled with long-term or severe steroid abuse, polydrug abuse, or co-occurring mental health issues may find inpatient treatment programs most able to address their range of recovery needs. […] For many people, outpatient addiction treatment may provide an appropriate level of recovery care. […] A range of outpatient treatment options are available, and many are nearly as intensive as inpatient care offerings.
- #52 Anabolic Steroid Treatment and Rehabhttps://www.addictioncenter.com/stimulants/steroids/treatment/
Some people need rehab because they cant fight the psychological compulsion to take steroids on their own. The withdrawal symptoms of steroids can cause people to relapse. […] Anabolic steroid abuse should be treated like any other drug problem. Despite the fact that steroids do not cause a stereotypical euphoric high, they still have the potential to lead to dependency resulting in possible steroid withdrawal symptoms. Inpatient and outpatient treatment centers can help those addicted to steroids beat their addiction and build a healthier, natural lifestyle. […] Treating a steroid addiction may involve supervised detox, comfort medication, and behavioral therapy. Medical professionals can monitor those addicted to steroids for depression and suicidal behavior during detox. […] Mental health counseling helps recovering addicts cope with mood swings during withdrawal. Through continued therapy, users relearn how to function without steroids. Its important to get treatment from a counselor and a physician with experience treating steroid addiction. These professionals often collaborate to develop the most effective treatment plan.
- #53 Anabolic Steroids Addiction Help & Treatment – Rehab Recoveryhttps://www.rehab-recovery.co.uk/addictions/anabolic-steroids/
If you opt for inpatient treatment for anabolic steroid addiction, you are likely to spend 28 days in a facility with other people who are recovering from different addictions. […] Once the detox is over, you will be able to get started with therapy, both individual and group. […] The reason you have therapy every day is that you need to have an intense focus on recovery, otherwise it is less likely that you will be able to stay sober permanently. […] Self-help is the least intense type of anabolic steroid addiction treatment, as it simply involves attending meetings of your own will, and adopting coping mechanisms that are believed to promote sobriety. […] If you commit to attending weekly self-help meetings, it can help you to resist temptation when it comes to using steroids, as you know that you are going to be held accountable each week. […] We can help you to find a local treatment centre if you get in touch with us on 0800 088 66 86. […] Some common treatments include: therapy (CBT, DBT, holistic therapies, contingency management, EMDR), detoxing, and fellowship groups (Narcotics Anonymous, Smart Recovery).
- #54 Anabolic Steroids Addiction Help & Treatment – Rehab Recoveryhttps://www.rehab-recovery.co.uk/addictions/anabolic-steroids/
If you opt for inpatient treatment for anabolic steroid addiction, you are likely to spend 28 days in a facility with other people who are recovering from different addictions. […] Once the detox is over, you will be able to get started with therapy, both individual and group. […] The reason you have therapy every day is that you need to have an intense focus on recovery, otherwise it is less likely that you will be able to stay sober permanently. […] Self-help is the least intense type of anabolic steroid addiction treatment, as it simply involves attending meetings of your own will, and adopting coping mechanisms that are believed to promote sobriety. […] If you commit to attending weekly self-help meetings, it can help you to resist temptation when it comes to using steroids, as you know that you are going to be held accountable each week. […] We can help you to find a local treatment centre if you get in touch with us on 0800 088 66 86. […] Some common treatments include: therapy (CBT, DBT, holistic therapies, contingency management, EMDR), detoxing, and fellowship groups (Narcotics Anonymous, Smart Recovery).
- #55 Steroid Misuse – Greenhouse Treatment Centerhttps://greenhousetreatment.com/steroids/
Treatment for steroid use disorders may take place in a variety of treatment settings. […] The choice between an inpatient or outpatient treatment program may be influenced by a variety of factors. […] Those who have struggled with long-term or severe steroid abuse, polydrug abuse, or co-occurring mental health issues may find inpatient treatment programs most able to address their range of recovery needs. […] For many people, outpatient addiction treatment may provide an appropriate level of recovery care. […] A range of outpatient treatment options are available, and many are nearly as intensive as inpatient care offerings.
- #56 Steroid Misuse – Greenhouse Treatment Centerhttps://greenhousetreatment.com/steroids/
Treatment for steroid use disorders may take place in a variety of treatment settings. […] The choice between an inpatient or outpatient treatment program may be influenced by a variety of factors. […] Those who have struggled with long-term or severe steroid abuse, polydrug abuse, or co-occurring mental health issues may find inpatient treatment programs most able to address their range of recovery needs. […] For many people, outpatient addiction treatment may provide an appropriate level of recovery care. […] A range of outpatient treatment options are available, and many are nearly as intensive as inpatient care offerings.
- #57 Steroid Addiction Treatment – The Phoenix Recovery Centerhttps://thephoenixrc.com/addiction-recovery-services/steroid-addiction-treatment/
Anabolic steroid addiction and the side effects of anabolic steroids can cause a host of consequences affecting health, relationships and finances. […] A major part of addressing steroid addiction is to tackle the underlying psychological issues at play, such as muscle dysmorphia or depression. Behavioral therapy and medication are viable steroid addiction treatment options, according to NCBI. A supervised detox period in which medical help is readily available to mitigate steroid withdrawal symptoms may also be helpful. […] The Phoenix Recovery Center would like to help anyone who is struggling with steroid addiction. Our experts ensure that our steroid addiction treatment options are carefully tailored to each individuals needs to bring about the greatest chance for success. The following treatment programs are available and can be customized to help those experiencing steroid addiction: Inpatient Residential Treatment, Partial Hospitalization Program (PHP) Day Program, Intensive Outpatient Program (IOP), or General Outpatient Program (GOP).
- #58 Anabolic Steroid Addiction: Signs, Symptoms & Treatmentshttps://healthyliferecovery.com/understanding-anabolic-steroid-addiction/
If you or someone close to you is struggling with anabolic steroid addiction, it is important to seek professional help and support in order to safely overcome the disorder. At Healthy Life Recovery in San Diego, we offer addiction treatment services such as medically-assisted detox, individual therapy, and outpatient services for anabolic steroid addiction.
- #59 Harmful Effects of Anabolic Steroids | Laguna Treatment Centerhttps://lagunatreatment.com/drug-abuse/anabolic-steroids/
Use of steroids often starts with someones desire to obtain a physical image thats fairly unattainable through diet and exercise alone. […] Treatment of anabolic steroid abuse as a result of body dysmorphic disorder will typically include the prescription of antidepressants. Antidepressant medication can also be helpful in eliminating the experience of withdrawal symptoms. In some cases, hormone therapy may be needed to restore hormonal balance. […] Ongoing support is often necessary to keep individuals from relapsing and using steroids again. Behavioral therapy is vital, and support groups can be a terrific way for individuals to forge friendships with others who have struggled with the same issues, while also helping themselves heal from addiction.
- #60 Steroid Addiction | Causes, Symptoms and Diagnosishttps://www.uk-rehab.com/prescription-drug-addiction/stimulants/steroid/
Family therapy: Involving family members can help repair relationships strained by the addiction and build a supportive home environment. […] Management of co-occurring disorders […] If there are underlying mental health conditions like depression or anxiety, these should be managed alongside the steroid addiction. Certain therapies may have a knock-on positive effect, while certain medications may also help with symptoms. […] Ongoing support […] Aftercare programmes and continued therapy sessions can provide ongoing support and help prevent relapse. These approaches help individuals to manage triggers, develop healthier lifestyles and remain connected to their support networks.
- #61 Steroid Addiction: Signs, Causes, Effects And Treatments – Ethan Crossinghttps://ethancrossingspringfield.com/rehab-blog/steroid-addiction/
Participating in groups like Narcotics Anonymous or other recovery-focused gatherings provides peer support and encouragement, which are vital for long-term recovery. […] Ongoing counseling from addiction specialists helps individuals understand the risks associated with steroid use, the benefits of recovery, and strategies for avoiding relapse. […] Involving family members in the recovery process improves communication, heals relationships, and builds a supportive home environment conducive to sobriety. […] Encouraging a healthy lifestyle, including proper nutrition, exercise, and stress management techniques, supports overall well-being and reduces the risk of relapse. […] Yes, there are non-medical treatments for steroid addiction, including behavioral therapies, counseling, and support groups, which help address the psychological aspects of addiction and provide a network for recovery.
- #62 Steroid Addiction | Signs, Symptoms & Effects | Recovery Lighthousehttps://www.recoverylighthouse.com/addiction/drug/steroids/
After you leave Recovery Lighthouse, we will provide weekly group therapy sessions to support you for the long haul and help you stay focused on your goals. […] If steroids are weighing you down, Sanctuary Lodge can help you drop the burden and build a healthier future. Through steroid detox, rehab and aftercare, you will see physical, mental and emotional gains like you have never experienced before. Contact us today to begin steroid addiction treatment and a whole new life.
- #63 Steroid Addiction: Signs, Causes, Effects And Treatments – Ethan Crossinghttps://ethancrossingspringfield.com/rehab-blog/steroid-addiction/
Participating in groups like Narcotics Anonymous or other recovery-focused gatherings provides peer support and encouragement, which are vital for long-term recovery. […] Ongoing counseling from addiction specialists helps individuals understand the risks associated with steroid use, the benefits of recovery, and strategies for avoiding relapse. […] Involving family members in the recovery process improves communication, heals relationships, and builds a supportive home environment conducive to sobriety. […] Encouraging a healthy lifestyle, including proper nutrition, exercise, and stress management techniques, supports overall well-being and reduces the risk of relapse. […] Yes, there are non-medical treatments for steroid addiction, including behavioral therapies, counseling, and support groups, which help address the psychological aspects of addiction and provide a network for recovery.
- #64 Anabolic Steroid Treatment and Rehabhttps://www.addictioncenter.com/stimulants/steroids/treatment/
Continuing therapy strengthens techniques that teach people to cope without drugs. It also helps if unforeseen difficulties or temptations in life occur. […] Those who are prescribed treatment medications should continue taking the drugs until a doctor says its okay to stop. Discontinuing medications to treat steroid addiction can cause a re-emergence hormonal issues or withdrawal symptoms that may spark a sudden relapse. […] The biggest battle recovering steroid addicts face in outpatient treatment is avoiding relapse. […] You shouldnt wait to get help for a steroid addiction. The side effects of long-term steroid use can lead to lasting complications, including liver damage, heart disease, and infertility. Yet, some people are hesitant to quit because they are afraid of what they will look like without steroids. […] The first step toward recovering from a steroid addiction is determining what kind of treatment fits your specific needs. Contact a treatment provider today to learn about available options.
- #65 Steroid Addiction: Signs, Symptoms, Effects and Treatmenthttps://hopeharborwellness.com/steroid-addiction-treatment/
Anabolic steroid misuse involves problematic use that significantly disrupts the users life. […] Seeking treatment for steroid addiction is a vital step towards recovery, and its one that doesnt have to be taken alone. Treatment centers provide structured support, helping individuals achieve sobriety while maintaining a healthier lifestyle. […] Treating anabolic steroid addiction requires a comprehensive approach, similar to other drug addictions, despite steroids not producing a traditional euphoric high. Steroid addiction can still lead to dependency and severe withdrawal symptoms. […] Effective steroid addiction treatment centers offer a blend of medical and therapeutic interventions to address both the physical and psychological aspects of addiction. This multifaceted approach ensures a holistic recovery, helping individuals regain a healthy lifestyle and manage any co-occurring mental health conditions.
- #66 Steroid Addiction: Signs, Causes, Effects And Treatments – Ethan Crossinghttps://ethancrossingspringfield.com/rehab-blog/steroid-addiction/
Participating in groups like Narcotics Anonymous or other recovery-focused gatherings provides peer support and encouragement, which are vital for long-term recovery. […] Ongoing counseling from addiction specialists helps individuals understand the risks associated with steroid use, the benefits of recovery, and strategies for avoiding relapse. […] Involving family members in the recovery process improves communication, heals relationships, and builds a supportive home environment conducive to sobriety. […] Encouraging a healthy lifestyle, including proper nutrition, exercise, and stress management techniques, supports overall well-being and reduces the risk of relapse. […] Yes, there are non-medical treatments for steroid addiction, including behavioral therapies, counseling, and support groups, which help address the psychological aspects of addiction and provide a network for recovery.
- #67 Steroid Addiction: Signs, Causes, Effects And Treatments – Ethan Crossinghttps://ethancrossingspringfield.com/rehab-blog/steroid-addiction/
Participating in groups like Narcotics Anonymous or other recovery-focused gatherings provides peer support and encouragement, which are vital for long-term recovery. […] Ongoing counseling from addiction specialists helps individuals understand the risks associated with steroid use, the benefits of recovery, and strategies for avoiding relapse. […] Involving family members in the recovery process improves communication, heals relationships, and builds a supportive home environment conducive to sobriety. […] Encouraging a healthy lifestyle, including proper nutrition, exercise, and stress management techniques, supports overall well-being and reduces the risk of relapse. […] Yes, there are non-medical treatments for steroid addiction, including behavioral therapies, counseling, and support groups, which help address the psychological aspects of addiction and provide a network for recovery.
- #68 Treatments for people who use anabolic androgenic steroids: a scoping review | Harm Reduction Journal | Full Texthttps://harmreductionjournal.biomedcentral.com/articles/10.1186/s12954-019-0343-1
Supporting discontinuation may require a multidisciplinary approach with input from health professionals such as a GP, addiction specialist, psychiatrist and endocrinologist. […] Swedish guidelines for diagnosing and treating AAS abuse include advice around psychosocial treatments, such as cognitive behavioural therapy, counselling group therapy and motivational interviewing. […] It may be necessary to identify and address such disorders through counselling or psychotherapies as part of AAS treatment to reduce likelihood of re-initiation. […] The bulk of the evidence identified related to current or former users receiving treatment for an acute or chronic condition or injury associated with their AAS use. […] There was, however, limited evidence of engagement with users regarding their AAS use as part of their more general treatment.
- #69 Treatment of Anabolic-Androgenic Steroid Dependence: Emerging Evidence and Its Implicationshttps://pmc.ncbi.nlm.nih.gov/articles/PMC2875348/
In short, professionals in many disciplines should be sensitized to the possibility of AAS dependence and be prepared to pursue this issue with their patients. […] Regardless of the direction of causality, however, it seems important that clinicians know how to identify and promptly treat hypogonadal syndromes. […] If hypogonadism is discovered, it may require evaluation and treatment by an endocrinologist, who might use HCG to accelerate testicular production of testosterone. […] In patients exhibiting depressive symptoms that fail to respond promptly to restorative endocrine treatment, antidepressant treatment is likely indicated. […] The evidence in section 6.1 suggests that pharmacological and psychosocial treatments effective for substance dependence in general and opioid dependence in particular might also benefit AAS dependence.
- #70 Treatment of Anabolic-Androgenic Steroid Dependence: Emerging Evidence and Its Implicationshttps://pmc.ncbi.nlm.nih.gov/articles/PMC2875348/
In short, professionals in many disciplines should be sensitized to the possibility of AAS dependence and be prepared to pursue this issue with their patients. […] Regardless of the direction of causality, however, it seems important that clinicians know how to identify and promptly treat hypogonadal syndromes. […] If hypogonadism is discovered, it may require evaluation and treatment by an endocrinologist, who might use HCG to accelerate testicular production of testosterone. […] In patients exhibiting depressive symptoms that fail to respond promptly to restorative endocrine treatment, antidepressant treatment is likely indicated. […] The evidence in section 6.1 suggests that pharmacological and psychosocial treatments effective for substance dependence in general and opioid dependence in particular might also benefit AAS dependence.
- #71 Anabolic Steroid Addiction: Signs, Symptoms & Treatmentshttps://healthyliferecovery.com/understanding-anabolic-steroid-addiction/
In addition to participating in rehabilitation programs, some people who are addicted to anabolic steroids may benefit from using certain medications while theyâre in recovery. These medications may include: Antidepressants to reduce feelings of depression associated with steroid withdrawal, Anxiolytics to help reduce anxiety, Mood stabilizers to help address extreme mood swings related to drug use, Opioid antagonists (such as Naltrexone or Suboxone) to block the euphoric effects of opioids if they are also being abused alongside steroids, Anti-inflammatory medications (such as ibuprofen) to provide pain relief if the individual struggles with joint pain, Endocrine treatments (such as human chorionic gonadotropin) to help with any damage to the hormonal system due to steroid use, Phosphodiesterase inhibitors (such as Viagra) to treat sexual dysfunction, which is a major side effects of steroid addiction.
- #72 Treatments for people who use anabolic androgenic steroids: a scoping review | Harm Reduction Journal | Full Texthttps://harmreductionjournal.biomedcentral.com/articles/10.1186/s12954-019-0343-1
A growing body of evidence suggests that anabolic androgenic steroids (AAS) are used globally by a diverse population with varying motivations. […] In this scoping review, we identify and describe what is known about interventions that aim to support and achieve cessation of AAS, and treat and prevent associated health problems. […] Studies predominantly focussed on treatments for harms associated with AAS use, with scant evidence on interventions to support cessation of AAS use or responding to dependence. […] This scoping review indicates that while a range of case reports describe treatments provided to AAS users, there is scarce evidence on treating dependence, managing withdrawal, or initiating behaviour change in users in any settings. […] Recent recommendations to treat steroid dependence include a staged discontinuation, managing withdrawal symptoms, maintaining abstinence and attenuating complications of chronic use.
- #73 Anabolic-androgenic steroid users receiving health-related information; health problems, motivations to quit and treatment desires | Substance Abuse Treatment, Prevention, and Policy | Full Texthttps://substanceabusepolicy.biomedcentral.com/articles/10.1186/s13011-019-0206-5
The most common motivation for AAS cessation was mental health problems (n=108, 47.8%), followed by a combination of mental and physical health problems (52, 23%), physical health problems (34, 15%), other motivations (27, 11.9%) and missing (5, 2.2%). […] Of the 232 AAS users, 179 (77.2%) reported that they desired treatment after completing the session, 32 (13.8%) were unsure, and 21 (9.1%) did not want treatment. […] The information service may reduce the barriers to seeking treatment through organizational factors, informational factors, facilitating the treatment entry process and individual factors of the service provider. […] It is important to make such a service known and available for potential users and this study suggests that an information service may reduce barriers to seeking SUD or other treatment.
- #74 Steroid Addiction: Symptoms, Causes, Risk, Treatment, and Preventionhttps://grovetreatment.com/addiction/steroid-addiction/
Steroid addiction refers to the misuse of anabolic steroids, often for performance enhancement or body image improvement. […] Treatment for steroid addiction involves a combination of medical and psychological interventions. Medical detox is often necessary to manage withdrawal symptoms such as fatigue, depression, and hormonal imbalances. Counseling, such as cognitive-behavioral therapy (CBT), helps individuals identify the psychological triggers that lead to steroid abuse and develop healthier coping mechanisms. Support groups and long-term therapy also helps maintain recovery and prevent relapse. […] The treatment for steroid addiction includes medical and psychological approaches to ensure a safe and effective recovery. According to Harvey, O. et. al. 2019 by BMC Public Health, steroid users are reluctant to seek professional help due to stigma and tend to prefer getting advice from peers or online forums. Key methods for treatment include: Medical Detox: Gradual reduction of steroid use under medical supervision to manage withdrawal symptoms and prevent severe health issues. Behavioral Therapy: Cognitive-behavioral therapy (CBT) helps individuals identify the psychological triggers for steroid use and develop healthier ways to cope with stress and body image concerns. Support Groups: Joining peer support groups provides emotional backing, accountability, and strategies to stay away from steroids and avoid relapse. Counseling: Ongoing individual or group counseling sessions to address the emotional and psychological reasons behind steroid dependency. Lifestyle Changes: Adopting a healthy exercise routine and focusing on natural strength-building practices without the use of steroids to support long-term recovery.
- #75 Treatment of Anabolic-Androgenic Steroid Dependence: Emerging Evidence and Its Implicationshttps://pmc.ncbi.nlm.nih.gov/articles/PMC2875348/
Currently, few users of anabolic-androgenic steroids (AAS) seek substance-abuse treatment. […] We suggest that this treatment should address at least three etiologic mechanisms by which AAS dependence might develop. […] AAS-induced hypogonadism may require treatment with human chorionic gonadotropin or clomiphene to reactivate neuroendocrine function, and may necessitate antidepressant treatments in cases of depression inadequately responsive to endocrine therapies alone. […] Therefore, it will likely become increasingly important for clinicians to identify and reach out to individuals with these various problems who might be candidates for AAS-dependence treatment. […] AAS-related adverse effects may first bring individuals to the attention of general practitioners or other health professionals who see middle-aged men.
- #76https://link.springer.com/article/10.1007/s11920-002-0086-6
Anabolic-androgenic steroids (AAS) are mainly used to treat androgen deficiency syndromes and, more recently, catabolic states such as AIDS-associated wasting. […] The adverse consequences of AAS are reviewed, as well as their assessment by means of a history and physical, mental status examination, and laboratory testing. When patients with AAS use disorders are compared with patients with other substance use disorders, both similarities and differences become apparent and have implications for treatment. […] Brower KJ: Assessment and treatment of anabolic steroid abuse, dependence, and withdrawal. In Anabolic Steroids in Sport and Exercise, edn 2. Edited by Yesalis CE. Champaign: Human Kinetics; 2000:305332. This book chapter contains the authors most comprehensive review of clinical assessment and treatment issues, and served as the guide to relevant sections of the current article.
- #77 Treatments for people who use anabolic androgenic steroids: a scoping review | Harm Reduction Journal | Full Texthttps://harmreductionjournal.biomedcentral.com/articles/10.1186/s12954-019-0343-1
Where health professionals identify AAS use in a patient and are providing treatment for an associated harm, this may, therefore, provide a rare opportunity to motivate changes in behaviour. […] Recommendations for general practitioners who identify AAS use in a patient include strongly encouraging cessation and management of withdrawal symptoms in those that do discontinue, as well as information on injecting practices, promoting alternatives to AAS and informing about long-term health harms for those who continue to use. […] Despite the large number of articles identified, the evidence base consists of case reports of predominantly treatment of physiological harms and there is scarce evidence on treating dependence, managing withdrawal, or initiating behaviour change in users in any settings. […] Evidence is urgently required to support the development of effective services for users and of evidence-based guidance and interventions to respond to users in a range of healthcare settings.
- #78 Anabolic Steroids and Sports: Winning at any Costhttps://www.health.ny.gov/publications/1210/
Anabolic steroids, commonly called „roids,” juice, hype or pump, are powerful prescription drugs. They are controlled substances that people abuse in high doses to boost their athletic performance. […] Properly used, anabolic steroids can aid in the treatment of blood disorders, connective tissue disease, some cancers, intractable arthritis, some sexual dysfunctions and other serious illnesses. But, because of their potentially serious side effects, they must be prescribed and used only under close medical supervision. Under both federal and New York State Law, anabolic steroids may only be prescribed by an authorized prescriber after a face-to-face examination of a patient. […] Prolonged abuse of anabolic steroids very often results in physical addiction. Abusers must undergo a strict, medically-supervised withdrawal program. […] The abuse of anabolic steroids by high school, college and other amateur athletes is a dangerous practice. Participants in amateur sports must be made aware of the physical and emotional dangers associated with steroid abuse.
- #79 Treatments for people who use anabolic androgenic steroids: a scoping review | Harm Reduction Journal | Full Texthttps://harmreductionjournal.biomedcentral.com/articles/10.1186/s12954-019-0343-1
Where health professionals identify AAS use in a patient and are providing treatment for an associated harm, this may, therefore, provide a rare opportunity to motivate changes in behaviour. […] Recommendations for general practitioners who identify AAS use in a patient include strongly encouraging cessation and management of withdrawal symptoms in those that do discontinue, as well as information on injecting practices, promoting alternatives to AAS and informing about long-term health harms for those who continue to use. […] Despite the large number of articles identified, the evidence base consists of case reports of predominantly treatment of physiological harms and there is scarce evidence on treating dependence, managing withdrawal, or initiating behaviour change in users in any settings. […] Evidence is urgently required to support the development of effective services for users and of evidence-based guidance and interventions to respond to users in a range of healthcare settings.
- #80 Anabolic Steroid Abuse | 5-Minute Clinical Consulthttps://www.unboundmedicine.com/5minute/view/5-Minute-Clinical-Consult/1688832/all/Anabolic_Steroid_Abuse?q=Cardiomyopathy
The misuse of testosterone and closely related compounds (often in supratherapeutic dosages) to increase lean muscle mass and improve athletic performance […] AAS are medically indicated for the treatment of endocrine disorders such as primary or secondary hypogonadism. […] There is no evidence that AAS abuse or dependence develops from the therapeutic use of AAS. […] At-risk individuals should be counseled about negative side effects associated with AAS abuse.
- #81 Steroid Addiction: Definition, Types, Causes, Symptoms, Effects And Treatmenthttps://valleyspringrecovery.com/addiction/drug/steroids/
Effective treatment for steroid addiction requires a comprehensive approach that includes detoxification under medical supervision, behavioral therapy, pharmacological interventions, and support groups. […] By addressing both the physical and psychological aspects of addiction, these strategies provide a robust framework for achieving and maintaining recovery from steroid addiction. […] This multifaceted approach, supported by ongoing research and clinical practice, offers the best chance for individuals to overcome addiction and improve their quality of life. […] Addressing this addiction requires a comprehensive treatment approach, which may involve detoxification under medical supervision, behavioral therapy to address underlying issues, medication to manage withdrawal symptoms, and support groups to aid in ongoing recovery.