Signs of Tina
Substance use can be viewed as a continuum from non-use,
use, abuse to dependence. The continuum is time dependent
and dynamic; we move around on it at different places in our
Some of us have never used Tina and don’t want to.
Some of us have tried it and don’t like it. Some of
us are able to use it only occasionally. Abuse is usually
defined as the condition of having significant life impacts
from our use that we wouldn’t otherwise experience.
These impacts could be occupational, psychological, physical
or social. Abuse with Tina can easily lead into dependence
because of the highly addictive nature of the drug.
Dependency means that we have a hard time living or functioning
without Tina and that either using or not using is causing
significant distress. The difficulties we experience quitting
can come and go. Dependence is a clinical term usually synonymous
with addiction.* Many users and clinicians view the term dependence
as having less stigma then addiction. Stigma can be a barrier
for guys seeking help.
Some of us, especially in the 12-Step disease model of dependence,
embrace the identity of ‘addict’ as a way to remind
ourselves of the seriousness of our problem with Tina. Others
feel this perspective disempowers ex-users from ever being
recovered. Regardless of what we call it, how do we tell if
more information on the disease model of addiction as exemplified
by Crystal Meth Anonymous, you may want to check out our backgrounder
• We develop a tolerance: the same amount produces
diminished effects. To get high, we need to do more than we
used to, to achieve the same effect. We may also change the
way we use to intensify the high. We may move from ingesting
to snorting, from smoking to slamming. We may combine other
drugs to intensify the rush of the Tina. These are considered
examples of tolerance.
• We experience withdrawal: physical and psychological
symptoms that are commonly associated with coming down off
Tina. These can include but are not limited to depression,
being quick to anger, exhaustion, etc. For more on long-term
symptoms click here. We
may take other drugs to relieve or avoid the withdrawal symptoms
from Tina. We may use more and more Tina to avoid the crash.
• We use more frequently. Once a month becomes once
a week, etc.
• We take more Tina over a longer period of time than
• There is a persistent desire and/or unsuccessful
attempts to cut down or control our use.
• Tina - getting it, doing it, or recovering from it,
consumes a great deal, and often an increasing amount, of
• We give up or curtail social, recreational or work-related
activities because of our use.
• We use even though we know we have a problem and/or
that Tina keeps bringing problems into our lives.
to learn more about how to reduce your use? Click
you are beginning to come to an awareness of our dependence,
you may want or need help. Check out the SUPPORT section for
our 'Resource Guide'
and 'Tools' pages.
TIP: For a greater understanding of the perspective of someone
who cares about a friend or lover with problem Tina use, we
would like to refer you to the ‘Understanding
Tina Dependence’ page in our Lovers, Friends and
*The clinical guidelines most often used for establishing
substance dependence in North America are defined in the ‘Diagnostic
and Statistical Manual of Mental Disorders,’ (DSM),
produced by the American Psychiatric Association. The relevant
section is ‘Criteria for Substance Dependence.’
The DSM uses the word dependence exclusively, not the term
addiction. We have adapted their criteria for this article.
In the DSM, three or more criteria must be manifested in a
12-month period to constitute substance dependence.