COFFEE WITH HAI: ADDICTIONS, SUBSTANCE ABUSE, SURPS & MORE (I) - FIRST ONE IN THIS SERIES

 

 COFFEE WITH HAI SERIES CONTINUES 

originally posted here

 Dr SSK:

Can you provide a brief summary of the SURPS scoring system to detect substance abuse risk profiles in teens? How it works, and what are the issues with this methodology?

References for: SURPS scoring system for substance abuse risk profiles in teens


[1]: https://mentalhealthawarenesseducation.com/en/wp-content/ uploads/2018/03/SURPS-preventure-scoring-.pdf
[2]: https://www.academia.edu/15865018/ The_substance_use_risk_profile_scale_A_scale_measuring_traits_linked_to_reinforcement_specific_substance_use_profiles 
[3]: https://www.frontiersin.org/journals/psychology/articles/10.3389/ fpsyg.2018.02296/full


HAI:

Sure! The Substance Use Risk Profile Scale (SURPS) is a tool designed to identify personality traits that may increase the risk of substance abuse in teens. Here's a brief summary of how it works and some of the issues associated with it:


How SURPS Works:

  • Personality Dimensions: SURPS assesses four key personality traits:
  • Hopelessness: Linked to depression and negative thinking.
  • Anxiety Sensitivity: Fear of anxiety-related sensations.
  • Impulsivity: Tendency to act without thinking.
  • Sensation Seeking: Desire for new and thrilling experiences[^1^][1][^2^][2].

Questionnaire: The scale consists of 23 self-report items, where respondents indicate their agreement with statements on a Likert scale (e.g., strongly disagree to strongly agree).

Scoring: Each trait is scored separately, and higher scores in specific traits indicate a higher risk for certain types of substance use. For example, high impulsivity might be linked to a higher risk of alcohol abuse[^3^][3].


Issues with SURPS:

Self-Report Bias: Since SURPS relies on self-reported data, responses can be influenced by social desirability or lack of self-awareness.

Cultural Sensitivity: The scale may not account for cultural differences in personality expression and substance use behaviors, potentially affecting its accuracy across diverse populations.

Predictive Validity: While SURPS has shown promise in identifying risk profiles, its ability to predict actual substance use behavior over time can vary, and more longitudinal studies are needed to confirm its effectiveness[^2^][2].

Complexity of Addiction: Substance abuse is influenced by a multitude of factors, including environmental, genetic, and social influences. SURPS focuses primarily on personality traits, which may not capture the full picture of an individual's risk[^3^][3].

Overall, SURPS is a useful tool for identifying potential risk factors for substance abuse in teens, but it should be used in conjunction with other assessments and considerations to provide a comprehensive understanding of an individual's risk.

[^1^][1]: Mental Health Awareness Education [^2^][2]: Academia [^3^][3]: Frontiers in Psychology


Dr SSK:

Can tools such as this have the same curiosity effect among teens as programs such as DARE has supposedly led to in the past where the teens abuse profile went down or became worse after knowing about it?


HAI:

That's an insightful question! The potential for tools like SURPS to have a curiosity effect similar to programs like DARE (Drug Abuse Resistance Education) is a topic of debate among experts.


Curiosity Effect:

DARE Program: Some studies have suggested that DARE, which aimed to educate teens about the dangers of drugs, inadvertently increased curiosity and experimentation among some students. This phenomenon is sometimes referred to as the "forbidden fruit" effect, where increased awareness and discussion about drugs can lead to curiosity and experimentation[1].


SURPS: The Substance Use Risk Profile Scale (SURPS) is different in that it focuses on identifying personality traits linked to substance use risk rather than directly educating teens about drugs. However, there is still a possibility that being labeled as "at risk" could influence a teen's behavior. For example, knowing they are high in sensation seeking might make some teens more curious about trying new experiences, including substance use[2].


Mitigating the Curiosity Effect:

Contextual Education: It's crucial to provide context and support when using tools like SURPS. Educators and counselors should explain the purpose of the assessment and emphasize healthy coping strategies and alternatives to substance use.

Positive Framing: Focusing on strengths and positive behaviors rather than just risks can help mitigate the curiosity effect. Encouraging teens to engage in activities that satisfy their need for excitement or social connection in healthy ways can be beneficial.

Ongoing Support: Providing ongoing support and resources for teens identified as at risk can help them navigate their challenges without turning to substance use. This includes access to counseling, peer support groups, and extracurricular activities.

Conclusion:

While tools like SURPS have the potential to raise awareness about substance use risks, it's essential to use them thoughtfully and in conjunction with comprehensive support systems to avoid unintended consequences. The goal should always be to empower teens with knowledge and resources to make healthy choices.

[1]: [DARE Program Criticism](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1448384



Dr SSK:

Do you agree with filtering kids for a such a profile testing or would it be better to offer such kind of programs universally to all students to avoid any unnecessary labeling of kids considering that information do spread out, and a society with diverse opinions and understanding of subject material can cause more issues for the teens rather than solving the problem over the long run?


HAI:

That's a thoughtful question, and it's important to consider both the benefits and potential drawbacks of targeted versus universal approaches to substance abuse prevention.


Targeted Testing (Filtering):

Pros:

Personalized Interventions: Identifying at-risk students allows for tailored interventions that address specific needs and personality traits.

Efficient Resource Allocation: Resources can be focused on those who are most likely to benefit, potentially leading to more effective outcomes.


Cons:

Labeling and Stigmatization: Students identified as at-risk may feel labeled or stigmatized, which could affect their self-esteem and social interactions.

Privacy Concerns: Information about a student's risk profile could spread, leading to unintended consequences and breaches of privacy.


Universal Programs:

Pros:

Inclusivity: Offering programs to all students ensures that no one is singled out, reducing the risk of labeling and stigmatization.

Comprehensive Education: All students receive the same information and support, which can foster a more supportive and informed school environment.

Preventive Approach: Universal programs can address a broader range of issues and help prevent substance abuse before it starts.


Cons:

Resource Intensive: Implementing programs for all students can be more resource-intensive and may require significant funding and staffing.

Generalization: Universal programs may not address the specific needs of at-risk students as effectively as targeted interventions.


Balancing Both Approaches:

A balanced approach might be the most effective. Here are some strategies to consider:

Universal Education with Targeted Support: Implement universal prevention programs that provide all students with basic knowledge and skills, while also offering additional support for those identified as at-risk.

Confidentiality and Sensitivity: Ensure that any targeted interventions are conducted with strict confidentiality and sensitivity to avoid labeling and stigmatization.

Parental and Community Involvement: Engage parents and the community in prevention efforts to create a supportive environment for all students.

Ultimately, the goal is to create a supportive and informed environment that helps all students make healthy choices. By combining universal education with targeted support, schools can address the diverse needs of their students while minimizing potential drawbacks.

What are your thoughts on this approach? 😊


Dr SSK:

How can teens address the concerns brought out with the SURPS testing namely hopelessness, sensation-seeking, impulsiveness and anxiety?


HAI:

Addressing the concerns identified by the SURPS testing can help teens develop healthier coping mechanisms and reduce the risk of substance abuse. Here are some strategies for each personality trait:


Hopelessness

Build a Support Network: Encourage teens to connect with friends, family, or mentors who can provide emotional support and encouragement.

Set Achievable Goals: Help teens set small, realistic goals to build a sense of accomplishment and purpose.

Engage in Positive Activities: Encourage participation in hobbies, sports, or volunteer work to foster a sense of fulfillment and community.

Seek Professional Help: If feelings of hopelessness persist, consider counseling or therapy to address underlying issues.


Sensation-Seeking

Find Healthy Outlets: Encourage teens to channel their need for excitement into safe and positive activities like sports, adventure clubs, or creative pursuits.

Educate on Risks: Provide information about the potential dangers of risky behaviors and the importance of making safe choices.

Promote Mindfulness: Teach mindfulness techniques to help teens stay present and make thoughtful decisions.


Impulsiveness

Practice Self-Control: Encourage teens to practice self-control techniques, such as pausing and thinking before acting.

Develop Routines: Establishing daily routines can help teens manage their time and reduce impulsive behaviors.

Teach Problem-Solving Skills: Equip teens with problem-solving skills to help them think through consequences and make better decisions.


Anxiety Sensitivity

Learn Relaxation Techniques: Teach teens relaxation techniques such as deep breathing, meditation, or progressive muscle relaxation to manage anxiety.

Encourage Physical Activity: Regular exercise can help reduce anxiety and improve overall well-being.

Provide Education: Educate teens about anxiety and its symptoms to reduce fear and increase understanding.

Seek Professional Help: If anxiety is severe, consider professional counseling or therapy to develop coping strategies.


General Tips for All Traits

Open Communication: Foster an environment where teens feel comfortable discussing their feelings and concerns without judgment.

Positive Reinforcement: Reinforce positive behaviors and achievements to build self-esteem and resilience.

Access to Resources: Ensure teens have access to resources such as counseling, support groups, and educational materials.

By addressing these concerns proactively, teens can develop healthier coping mechanisms and reduce the risk of substance abuse. It's important to provide ongoing support and encouragement to help them navigate these challenges.

If you have any more questions or need further details, feel free to ask! 😊


Dr SSK:

For that matter, some of the aspects brought out through SURPS is advantageous. For example, as per some reference articles, British PM Winston Churchill was known to be a sensation seeking politician, and this trait happens to be a general trait of many politicians. Same thing with people in the media and fashion industries. Can you give examples, when some of these aspects brought out in SURPS scoring would be advantageous?


HAI:

Absolutely! Certain traits identified by the SURPS can indeed be advantageous in various contexts. Here are some examples of how these traits can be beneficial:


Sensation Seeking

Leadership and Politics: As you mentioned, Winston Churchill was known for his sensation-seeking personality. This trait can drive individuals to take bold actions and make decisive decisions, which are crucial in leadership roles. Sensation seekers are often willing to take risks and explore new ideas, which can lead to innovative solutions and progress.

Media and Entertainment: Sensation seekers thrive in dynamic and fast-paced environments. In the media and entertainment industries, this trait can lead to creativity and a willingness to push boundaries, resulting in groundbreaking content and performances.

Adventure Sports: Athletes in extreme sports, such as rock climbing, skydiving, and surfing, often exhibit high levels of sensation seeking. This trait drives them to pursue thrilling experiences and excel in their chosen sports.


Impulsivity

Entrepreneurship: Impulsivity can be an asset for entrepreneurs who need to make quick decisions and seize opportunities. This trait can lead to innovative thinking and the ability to pivot rapidly in response to changing market conditions.

Creative Professions: In fields like art, music, and writing, impulsivity can fuel spontaneous creativity and the ability to think outside the box. Many successful artists and creators embrace their impulsive nature to produce unique and original work.


Anxiety Sensitivity

Attention to Detail: Individuals with high anxiety sensitivity may be more vigilant and detail-oriented. This trait can be advantageous in professions that require precision and careful attention, such as surgery, engineering, and quality control.

Empathy and Caregiving: Anxiety sensitivity can also enhance empathy and the ability to understand others' emotions. This trait is valuable in caregiving professions, such as nursing, counseling, and social work, where emotional sensitivity and compassion are essential.


Hopelessness

Resilience and Advocacy: While hopelessness is generally seen as a negative trait, individuals who have experienced and overcome feelings of hopelessness can develop strong resilience and a deep sense of empathy. These individuals may become powerful advocates for mental health awareness and support, using their experiences to help others.


Conclusion

While the traits identified by the SURPS can pose risks, they also have the potential to be harnessed in positive and productive ways. By understanding and managing these traits, individuals can leverage their strengths to excel in various fields and make meaningful contributions to society.

If you have any more questions or need further details, feel free to ask! 😊


Dr SSK:

What would be the best way to address any kind of addiction on a personal basis through self-understanding, self-control and self-discipline - first as preventative measure, and later, as a control measure, if the prevention does not work out. How to make sure that prevention itself will address it most of the times.


HAI:

References for: how to address addiction through self-understanding self-control self-discipline

[1]: https://www.youtube.com/watch?v=UeD6b20peGI

[2]: https://www.youtube.com/watch?v=MnSj-y01KDg

[3]: https://www.youtube.com/watch?v=sqz-3DbbMbE

[4]: https://treehouserecovery.com/addiction-blog/the-value-of-self-discipline-in-addiction-recovery/

[5]: https://anabranchrecovery.com/addiction/the-value-of-self-control-in-addiction-recovery/

[6]: https://amhealthcare.org/recovery-discipline-power/

[7]: https://betterhelp.com/ImprovementPill


Addressing addiction through self-understanding, self-control, and self-discipline involves a proactive and mindful approach. Here are some strategies for both prevention and control:

 

Preventative Measures

Self-Understanding:

Identify Triggers: Understand what situations, emotions, or environments trigger your urge to engage in addictive behaviors.

Reflect on Motivations: Consider why you might be drawn to certain behaviors. Are you seeking comfort, excitement, or escape?

Know Your Limits: Be aware of your vulnerabilities and set boundaries to protect yourself from potential risks.


Self-Control:

Set Clear Goals: Define what you want to achieve and why avoiding addictive behaviors is important to you.

Practice Mindfulness: Stay present and aware of your thoughts and feelings. Techniques like meditation can help improve self-control.

Delay Gratification: Train yourself to wait before giving in to urges. This can help reduce impulsive behaviors.


Self-Discipline:

Create Healthy Routines: Establish daily habits that promote well-being, such as regular exercise, balanced nutrition, and sufficient sleep.

Limit Exposure: Reduce your exposure to environments or situations that might tempt you into addictive behaviors.

Stay Accountable: Share your goals with a trusted friend or family member who can support and hold you accountable.


Control Measures (If Prevention Doesn't Work)

Self-Understanding:

Acknowledge the Issue: Recognize and accept that you have an addiction. This is the first step towards recovery.

Seek Insight: Reflect on how the addiction started and what keeps it going. Understanding the root causes can help in addressing them.


Self-Control:

Develop Coping Strategies: Learn healthy ways to cope with stress, anxiety, or other emotions that might trigger addictive behaviors.

Avoid High-Risk Situations: Stay away from places, people, or activities that might tempt you to relapse.

Use Support Systems: Lean on friends, family, or support groups to help you stay on track.


Self-Discipline:

Set Small, Achievable Goals: Break down your recovery into manageable steps and celebrate small victories.

Establish New Habits: Replace addictive behaviors with positive activities that bring you joy and fulfillment.

Stay Consistent: Consistency is key. Stick to your new routines and habits, even when it's challenging.


Ensuring Prevention is Effective

Education and Awareness: Stay informed about the risks and consequences of addictive behaviors. Knowledge can empower you to make healthier choices.

Regular Self-Reflection: Periodically assess your behaviors and motivations to ensure you stay on the right path.

Positive Reinforcement: Reward yourself for making healthy choices and sticking to your goals.

Seek Professional Help: If you find it difficult to manage on your own, don't hesitate to seek help from a counselor or therapist.

By combining self-understanding, self-control, and self-discipline, you can create a strong foundation for both preventing and controlling addiction. Remember, it's a journey, and it's okay to seek support along the way. 😊

If you have any more questions or need further details, feel free to ask!



Dr SSK:

How can one empower oneself that would prevent them succumbing to any kind of addiction? Would a mindset of learning different things help on that front? For that matter, learning new and novel subject material could be one form of sensation-seeking right?


HAI:

References for: how to prevent addiction

[1]: https://www.aristarecovery.com/blog/10-ways-on-how-to-avoid-drug-addiction

[2]: https://nida.nih.gov/publications/drugs-brains-behavior-science-addiction/preventing-drug-misuse-addiction-best-strategy

[3]: https://psychcentral.com/addictions/steps-to-stop-drug-addiction-before-it-starts

[4]: https://www.youtube.com/watch?v=UeD6b20peGI

[5]: https://www.youtube.com/watch?v=MnSj-y01KDg

[6]: https://www.youtube.com/watch?v=sqz-3DbbMbE

[7]: https://treehouserecovery.com/addiction-blog/the-value-of-self-discipline-in-addiction-recovery/

[8]: https://anabranchrecovery.com/addiction/the-value-of-self-control-in-addiction-recovery/

[9]: https://amhealthcare.org/recovery-discipline-power/

[10]: https://betterhelp.com/ImprovementPill


Empowering oneself to prevent addiction involves a combination of self-understanding, self-control, and self-discipline. Here are some strategies to help:


Self-Understanding

Identify Triggers: Understand what situations, emotions, or environments trigger your urge to engage in addictive behaviors.

Reflect on Motivations: Consider why you might be drawn to certain behaviors. Are you seeking comfort, excitement, or escape?

Know Your Limits: Be aware of your vulnerabilities and set boundaries to protect yourself from potential risks.


Self-Control

Set Clear Goals: Define what you want to achieve and why avoiding addictive behaviors is important to you.

Practice Mindfulness: Stay present and aware of your thoughts and feelings. Techniques like meditation can help improve self-control.

Delay Gratification: Train yourself to wait before giving in to urges. This can help reduce impulsive behaviors.


Self-Discipline

Create Healthy Routines: Establish daily habits that promote well-being, such as regular exercise, balanced nutrition, and sufficient sleep.

Limit Exposure: Reduce your exposure to environments or situations that might tempt you into addictive behaviors.

Stay Accountable: Share your goals with a trusted friend or family member who can support and hold you accountable.


Preventative Measures

Education and Awareness: Stay informed about the risks and consequences of addictive behaviors. Knowledge can empower you to make healthier choices[^1^][1].

Regular Self-Reflection: Periodically assess your behaviors and motivations to ensure you stay on the right path.

Positive Reinforcement: Reward yourself for making healthy choices and sticking to your goals.

Seek Professional Help: If you find it difficult to manage on your own, don't hesitate to seek help from a counselor or therapist[^2^][2].


Control Measures (If Prevention Doesn't Work)

Acknowledge the Issue: Recognize and accept that you have an addiction. This is the first step towards recovery.

Develop Coping Strategies: Learn healthy ways to cope with stress, anxiety, or other emotions that might trigger addictive behaviors.

Avoid High-Risk Situations: Stay away from places, people, or activities that might tempt you to relapse.

Use Support Systems: Lean on friends, family, or support groups to help you stay on track.


Learning as a Form of Sensation-Seeking

Absolutely! Engaging in learning new and novel subject material can be a healthy form of sensation-seeking. It satisfies the desire for new experiences and excitement without the risks associated with substance abuse. Here are some benefits:

Mental Stimulation: Learning keeps your mind active and engaged, reducing the likelihood of boredom, which can be a trigger for addictive behaviors.

Skill Development: Acquiring new skills can boost your confidence and provide a sense of accomplishment.

Healthy Distraction: Focusing on learning can divert your attention from cravings and urges.

Social Connection: Joining classes or study groups can provide social interaction and support, further reducing the risk of addiction.


By combining these strategies, you can create a strong foundation for both preventing and controlling addiction. Remember, it's a journey, and it's okay to seek support along the way. 😊

If you have any more questions or need further details, feel free to ask!



Dr SSK:

Can you bring out some key points in this discussion to summarize this topic of discussion? What would be the take-home message for everyone?


HAI:

References for: addiction discussion key points

[1]: https://www.thenarratologist.com/best-addiction-recovery-discussion-questions/

[2]: https://www.hseblog.com/substance-abuse-group-topics/

[3]: https://www.psychologytoday.com/us/blog/addiction-outlook/202402/key-addiction-points-you-need-to-know ""


Certainly! Here are some key points from our discussion on addiction:

Understanding Addiction: Addiction is a complex condition that affects the brain and behavior. It's important to recognize it as a medical condition rather than a moral failing[^1^][2].

Impact on Relationships: Addiction can significantly strain relationships with family, friends, and colleagues. Open communication and support are crucial in rebuilding these connections[^2^][1].

Triggers and Cravings: Identifying personal triggers and learning to manage cravings are essential steps in recovery. This can involve avoiding certain situations or finding healthier coping mechanisms[^1^][2].

Support Systems: Having a strong support system, including friends, family, and support groups, can provide the encouragement and accountability needed for recovery[^1^][2].

Self-Care and Recovery: Self-care practices, such as regular exercise, healthy eating, and mindfulness, play a vital role in maintaining sobriety and overall well-being[^1^][2].

Mental and Physical Health: Addiction often affects both mental and physical health. Addressing these issues through therapy, medical treatment, and lifestyle changes is important for a holistic recovery[^2^][1].

Relapse Prevention: Developing strategies to prevent relapse, such as setting goals, practicing stress management, and seeking ongoing support, is crucial for long-term recovery[^1^][2].

Personal Growth: Recovery is not just about abstaining from substance use but also about personal growth and finding new passions and purposes in life[^1^][2].

The take-home message is that recovery from addiction is a journey that requires understanding, support, and self-care. It's important to approach it with compassion and patience, both for oneself and for others on the same path.

If you have any more questions or need further information, feel free to ask!



Dr SSK:

the discussion that we have pertained to SURPS, scoring system, what the four categories mean, how relevant are those, and challenges with such a system, how one can improve themselves? Do you happen to have that information? If yes, can you summarize?


HAI:

References for: SURPS scoring system meaning relevance challenges self-improvement

[1]: https://mentalhealthawarenesseducation.com/en/wp-content/ uploads/2018/03/SURPS-preventure-scoring-.pdf

[2]: https://www.academia.edu/15865018/ The_substance_use_risk_profile_scale_A_scale_measuring_traits_linked_to_reinforcement_specific_substance_use_profiles

[3]: https://link.springer.com/article/10.1007/s10862-023-10090-4


Certainly! Here's a summary of the key points regarding the Substance Use Risk Profile Scale (SURPS):


SURPS Overview:

The Substance Use Risk Profile Scale (SURPS) is a tool designed to assess personality traits that may predispose individuals to substance use and abuse[^1^][1][^2^][2].

It focuses on four personality dimensions: Hopelessness, Anxiety Sensitivity, Impulsivity, and Sensation Seeking[^2^][2][^3^][3].


Four Categories:

Hopelessness: This trait is linked to feelings of despair and pessimism, which can lead to substance use as a coping mechanism[^2^][2].

Anxiety Sensitivity: Individuals with high anxiety sensitivity may use substances to manage their anxiety and fear of physical sensations[^2^][2].

Impulsivity: Impulsive individuals are more likely to engage in risky behaviors, including substance use, without considering the consequences[^2^][2].

Sensation Seeking: Those high in sensation seeking may use substances to fulfill their desire for novel and intense experiences[^2^][2].


Relevance:

The SURPS is relevant because it helps identify individuals at risk for substance use based on their personality traits[^2^][2].

It can be used in both clinical and research settings to tailor prevention and intervention programs[^2^][2].


Challenges:

One challenge with the SURPS is ensuring its accuracy and reliability across different populations and settings[^3^][3].

Another challenge is addressing the stigma that may arise from labeling individuals based on their personality traits[^3^][3].


Improvement Strategies:

Self-Awareness: Understanding one's personality traits can help individuals recognize their risk factors and develop healthier coping mechanisms[^2^][2].

Support Systems: Building a strong support network of friends, family, and professionals can provide the necessary encouragement and accountability[^2^][2].

Skill Development: Learning and practicing skills such as stress management, mindfulness, and problem-solving can help reduce the risk of substance use[^2^][2].

The take-home message is that the SURPS can be a valuable tool in identifying and addressing personality-based risk factors for substance use. By understanding these traits and implementing supportive strategies, individuals can work towards healthier and more fulfilling lives.

If you have any more questions or need further information, feel free to ask!



Dr SSK:

But, we also discussed that SURPS like DARE have its own challenges, and self-understanding, control, discipline through the mindset of learning would be a better way to address it. Can you elaborate further?


HAI:

Absolutely! Let's delve deeper into the challenges of the SURPS and how self-understanding, control, and discipline through a learning mindset can be beneficial.


Challenges of SURPS and Similar Programs

Stigmatization: Labeling individuals based on their personality traits can lead to stigma, which might discourage them from seeking help or participating in interventions.

Cultural Sensitivity: The SURPS may not be equally effective across different cultural contexts, as personality traits and their expressions can vary widely.

Individual Differences: People are unique, and a one-size-fits-all approach may not address the specific needs of every individual.

Implementation: Ensuring that the SURPS is administered and interpreted correctly requires trained professionals, which can be a resource challenge.


Self-Understanding, Control, and Discipline

Self-Understanding:

Awareness: Recognizing one's own personality traits and how they influence behavior is the first step towards change. This self-awareness can help individuals identify their triggers and vulnerabilities.

Reflection: Regular self-reflection can provide insights into one's thoughts, emotions, and behaviors, leading to better self-understanding.


Control:

Mindfulness: Practicing mindfulness can help individuals stay present and manage their impulses. Techniques such as meditation and deep breathing can be effective.

Cognitive Behavioral Techniques: These techniques can help individuals reframe negative thoughts and develop healthier coping strategies.


Discipline:

Goal Setting: Setting clear, achievable goals can provide direction and motivation. Breaking down larger goals into smaller, manageable steps can make the process less overwhelming.

Routine: Establishing a daily routine can create a sense of stability and predictability, which is beneficial for maintaining discipline.

Accountability: Having someone to hold you accountable, whether it's a friend, family member, or therapist, can provide the necessary support and encouragement.


Mindset of Learning

Growth Mindset: Embracing a growth mindset, where challenges are seen as opportunities to learn and grow, can foster resilience and perseverance.

Continuous Learning: Engaging in continuous learning, whether through formal education, self-study, or experiential learning, can help individuals develop new skills and perspectives.

Adaptability: Being open to change and willing to adapt can help individuals navigate the ups and downs of their recovery journey.


Take-Home Message

While tools like the SURPS can provide valuable insights, it's important to approach recovery with a holistic mindset. Self-understanding, control, and discipline, combined with a commitment to continuous learning, can empower individuals to make lasting positive changes in their lives.


Dr SSK Eyeperspective:

To wrap up this discussion, tools such as SURPS scoring system, though might be done with a constructive thought-process, could harm more than what one could perceive. Also, such surveys in general might not define the true nature of a child. The survey questions are standard questions, and people who get to know through their connections or other means could prepare ahead to answer appropriately to not be classified under any group. These kinds of surveys also tend to be time, place, and culture dependent to name a few. For example, a kid from Asia would certainly like to ride a motorbike as that happens to be the next step of transportation in those countries. Categorizing kids based on answers to these questions might not result in the desired outcome. Yes, some studies might support positive impact from these kinds of programs, but then it could be due to creating more awareness among the kids through additional programs, which could be done in the first place. As there are only four categories, and if the decision-makers believe that this kind of program assists in preventing substance abuse, then this program could be offered as a standard program to all the kids in the school. This direction would also not categorize any particular kid under any particular group based on a 23 questions survey. Most importantly, any kind of personal behavio(u)r is influenced not only by one's risk profile, but also by many other factors especially the environment that the individual is in. For that matter, here are some stats pertaining to opioid and marijuana addictions in adults, who might not have had anything to do with addiction prior to it. In the same way, many reference articles suggest social media could proliferate addiction in many forms and act as a gateway for other addictions.


Reference: https://nida.nih.gov/publications/drugfacts/substance-use-in-older-adults-drugfacts

Paraphrasing from this article,

"

Opioid Pain Medicines

Persistent pain may be more complicated in older adults experiencing other health conditions. Up to 80% of patients with advanced cancer report pain, as well as 77% of heart disease patients, and up to 40% of outpatients 65 and older. Between 4-9% of adults age 65 or older use prescription opioid medications for pain relief. From 1995 to 2010, opioids prescribed for older adults during regular office visits increased by a factor of nine.

The U.S. population of adults 55 and older increased by about 6% between 2013-2015, yet the proportion of people in that age group seeking treatment for opioid use disorder increased nearly 54%.4 The proportion of older adults using heroin—an illicit opioid—more than doubled between 2013-2015,4 in part because some people misusing prescription opioids switch to this cheaper drug.

Marijuana

Nine percent of adults aged 50-64 reported past year marijuana use in 2015-2016, compared to 7.1% in 2012-2013. The use of cannabis in the past year by adults 65 years and older increased sharply from 0.4% in 2006 and 2007 to 2.9% in 2015 and 2016.22

"


WHAT IS SURPS SURVEY & DETAILS?

Here is a list of questions supposedly in this questionnaire as per publicly available references:


The Substance Use Risk Profile Scale

Woicik PA, Stewart SH, Pihl RO, Conrod PJ (2009). The Substance Use Risk Profile

Scale: a scale measuring traits linked to reinforcement-specific substance use

profiles. Addictive Behaviors, 34(12):1042-55.

Respondents indicate the extent to which they agree with the following statements by

selecting the appropriate response for each question from the following options:

strongly disagree, disagree, agree, strongly agree

1. I am content.*

2. I often don't think things through before I speak.

3. I would like to skydive.

4. I am happy.*

5. I often involve myself in situations that I later regret being involved in.

6. I enjoy new and exciting experiences even if they are unconventional.

7. I have faith that my future holds great promise.*

8. It's frightening to feel dizzy or faint.

9. I like doing things that frighten me a little.

10. It frightens me when I feel my heart beat change.

11. I usually act without stopping to think.

12. I would like to learn how to drive a motorcycle.

13. I feel proud of my accomplishments.*

14. I get scared when I'm too nervous.

15. Generally, I am an impulsive person.

16. I am interested in experience for its own sake even if it is illegal.

17. I feel that I'm a failure.

18. I get scared when I experience unusual body sensations.

19. I would enjoy hiking long distances in wild and uninhabited territory.

20. I feel pleasant.*

21. It scares me when I'm unable to focus on a task.

22. I feel I have to be manipulative to get what I want.

23. I am very enthusiastic about my future.*


H = Items 1, 4, 7, 13, 17, 20, 23

AS = Items 8, 10, 14, 18, 21

IMP = Items 2, 5, 11, 15, 22

SS = Items 3, 6, 9, 12, 16, 19

Asterisk (*) indicates reversed keyed item


To wrap up, we will share two stories - one to show the impact of addiction, and another to showcase the power of learning.

 

From Likes to Life Lessons: A Tale of Digital Wisdom 

Wise Grandmother !!

Once upon a time, in a land not so far away, there lived a young woman named Emma. Emma was a social media butterfly, fluttering from one platform to another, basking in the glow of likes, shares, and comments. She loved the thrill of going viral and the dopamine rush that came with every notification.

One day, Emma noticed that her friend Max was always posting about his amazing parties. The photos were filled with laughter, drinks, and seemingly endless fun. "Wow," thought Emma, "I need to be part of this scene!" So, she started attending more parties, each one more extravagant than the last.

At first, it was all fun and games. Emma enjoyed the social aspect and the newfound popularity. But soon, she noticed that her social media feed was filled with images of alcohol and wild nights out. The more she saw, the more she felt the need to keep up. Peer pressure had gone digital, and Emma was on the verge of getting hooked.

One evening, Emma's wise grandmother, Nana, noticed her scrolling through her phone with a worried look. "Emma, dear, what's troubling you?" Nana asked. Emma sighed and explained how she felt pressured to keep up with the party lifestyle she saw online.

Nana chuckled and said, "Let me tell you a story. When I was your age, we didn't have social media, but we had our own pressures. The key is to find balance and not let these things control you." 

Nana shared some tips with Emma:

Set Boundaries: Limit your time on social media and be mindful of what you consume.

Stay Grounded: Focus on real-life connections and activities that bring you joy.

Be Aware: Understand the risks of substance abuse and avoid situations that might lead to it.

Seek Support: Talk to friends, family, or professionals if you feel overwhelmed.

Emma took Nana's advice to heart. She started setting boundaries for her social media use and focused on activities she genuinely enjoyed, like painting and hiking. She also made a conscious effort to avoid situations that might lead to substance abuse.

Over time, Emma found that she was happier and more fulfilled. She realized that the curated images on social media didn't define her worth or happiness. By staying grounded and mindful, she avoided the pitfalls of addiction and discovered a more balanced, joyful life.


SECOND STORY - POWER OF LEARNING & INGENUITY

FORGETFUL PAINTER

Once upon a time, there was a painter named Jack who had a habit of forgetting things, especially his paintbrushes. One day, Jack got a big opportunity to paint a beautiful landscape for a rich client. But guess what? He forgot his brushes at home!

In a panic, Jack looked around and spotted a broom nearby. Determined to finish the painting, he decided to use the broom as his brush. With sweeping movements, he started painting the canvas. To his surprise, the painting turned out to be amazing! It had a unique charm and captured the beauty of the landscape in a special way.

When Jack showed it to his client, they were blown away. They asked, “How did you create such a masterpiece with a broom?”

“Well, sometimes in life, you have to think outside the box—or, in this case, outside the brush!” Jack laughed.

The moral of the story:

Embrace challenges and find creative solutions. Even when things don’t go as planned, you can still achieve great things with a little ingenuity.

 

References: 

1. https://pielytics.aioradar.com/2025/01/coffee-with-hai-addictions-substance.html 
2. https://pielytics.aioradar.com/2025/01/coffee-with-hai-surps-more-ii-short.html 
3. https://pielytics.aioradar.com/2025/01/coffee-with-hai-surps-more-iii-
surps.html