More than 23 million people in the . age 12 or over need treatment for substance abuse. Unfortunately, only about 10% of this population receives treatment. About 30% of people in substance-abuse treatment facilities are under the age of 30. Successful treatment for addiction often includes a combination of behavioral and pharmacological interventions. Treatment works best when tailored to the individual's unique substance problem and situation. Detoxification ("detox") is the first step in addiction treatment. Certain medications may be used to ease the process and reduce withdrawal symptoms.
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Acne is often present. Acne conglobata is a particularly severe form of acne that can develop during steroid abuse or even after the drug has been discontinued. Infections are a common side effect of steroid abuse because of needle sharing and unsanitary techniques used when injecting the drugs into the skin. These are similar risks to IV drug abusers with increased potential to acquire blood-borne infections such as hepatitis and HIV/AIDS . Skin abscesses may occur at injection sites and may spread to other organs of the body. Endocarditis or an infection of the heart valves is not uncommon.