International Society of Addiction Medicine

The International Society of Addiction Medicine, ISAM, is an international fellowship of physicians founded in 1998 and committed to the advancement of knowledge about Addiction Medicine through the

• Recognition of physicians worldwide who have a major role to play in its management
• Enhancement of the credibility of the physician's role
• Emphasis of the importance of educational activities
• Drug addiction is a chronic disease characterized by drug seeking and use that is compulsive, or difficult to control, despite harmful consequences.
• Brain changes that occur over time with drug use challenge an addicted person's self-control and interfere with their ability to resist intense urges to take drugs. This is why drug addiction is also a relapsing disease.
• Relapse is the return to drug use after an attempt to stop. Relapse indicates the need for more or different treatment.
• Most drugs affect the brain's reward circuit by flooding it with the chemical messenger dopamine. Surges of dopamine in the reward circuit cause the reinforcement of pleasurable but unhealthy activities, leading people to repeat the behaviour again and again.
• Over time, the brain adjusts to the excess dopamine, which reduces the high that the person feels compared to the high they felt when first taking the drug-an effect known as tolerance. They might take more of the drug, trying to achieve the same dopamine high.
• No single factor can predict whether a person will become addicted to drugs. A combination of genetic, environmental, and developmental factors influences risk for addiction. The more risk factors a person has, the greater the chance that taking drugs can lead to addiction.
• Drug addiction is treatable and can be successfully managed.
• More good news is that drug use and addiction are preventable. Teachers, parents, and health care providers have crucial roles in educating young people and preventing drug use and addiction.

ISAM ACTIVITIES

• Provision of a membership-based forum for physicians worldwide
• Biannual email Newsletters, informing members of ISAM activities and meetings
• ISAM Committees and position papers on select topics relevant to practice methods
• International Certification Exam in Addiction Medicine
• Textbook of Addiction Treatment: International Perspectives
• ISAM Fundamental Modules held annually
• Regularly offered webinars