Causes of Relapse among Drug Addicts: A Study of Drug Detoxification Centers in Dir Lower, Khyber Pakhtunkhwa, Pakistan

Abstract

This qualitative research aimed to explore the underlying factors that lead to relapse among individuals recovering from drug addiction. Utilizing purposive sampling, twelve participants were carefully selected to partake in in-depth interviews designed to investigate their personal experiences and triggers associated with relapse. An interview guide was employed to facilitate the data collection process, ensuring that all relevant aspects were covered. The interviews were recorded to capture the nuanced details of each conversation, later transcribed verbatim to maintain the integrity of the participants' responses. Subsequent thematic analysis revealed several common themes. The findings suggested that initial drug use among participants was frequently driven by peer pressure, curiosity about drugs, and a lack of strong familial supervision and guidance. After undergoing detoxification, many participants found themselves relapsing due to a variety of triggers. These included persistent peer influence, where old circles of friends encouraged drug use; inadequate support from family members, leaving individuals feeling isolated and unsupported; economic hardships, which led to increased stress and a tendency to revert to old habits as a coping mechanism; psychological distress, including feelings of anxiety, depression, and low self-worth; and intense cravings for substances previously abused. The study calls for a comprehensive strategy to prevent relapse, advocating for strict law enforcement to curb illicit drug use, enhanced public education to raise awareness about drug dangers via social and mass media, and increased family involvement in recovery efforts. This includes families engaging more actively by maintaining open communication, participating in therapy sessions, and creating a supportive home environment that discourages drug use and fosters healthy coping mechanisms.