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Asia's medical and psychiatric infrastructure is already being overwhelmed by the number of meth abusers crashing and seeking help. But in most of the region, counseling facilities are scarce, and recovery is viewed as a matter of willpower and discipline rather than a tenuous and slow spiritual and psychological rebuilding process. Drug-treatment centers are usually run like a cross between boot camp and prison. Beds are scarce as addicts seek the meager resources available. In China, for example, the nearly 750 state-run rehab centers are filled to capacity; in Thailand the few recovery centers suffer from a chronic shortage of staff and beds. While the most powerful tools for fighting addiction in the West--12-step programs derived from Alcoholics Anonymous--are available in Asia, they are not widely disseminated and used.
What started out as a diversion for me and my Tokyo crowd degenerated in a few months into the chronic drug use of Jacky and her crowd. I began to smoke alone to begin my days. In the evening I'd take Valium or halcyon or cercine or any of a number of sedatives to help me calm down. When I stopped smoking for a few days just to see if I could, a profound depression would overcome me. Nothing seemed worthwhile. Nothing seemed fun. Every book was torturously slow. Every song was criminally banal. The sparkle and shine had been sucked out of life so completely that my world became a fluorescent-lighted, decolorized, saltpetered version of the planet I had known before. And my own prospects? Absolutely dismal. I would sit in that one-bedroom Nishi Azabu apartment and consider the sorry career I had embarked upon, these losers I associated with compounding the very long odds that I would ever amount to anything.
These feelings, about the world and my life, seemed absolutely real. I could not tell for a moment that this was a neurological reaction brought on by the withdrawal of the methamphetamine. My brain had stopped producing dopamine in normal amounts because it had come to rely upon the speed kicking in and running the show. Researchers now report that as much as 50% of the dopamine-producing cells in the brain can be damaged after prolonged exposure to relatively low levels of methamphetamine. In other words, the depression is a purely chemical state. Yet it feels for all the world like the result of empirical, clinical observation. And then, very logically, you realize there is one surefire solution, the only way to feel better: more speed.