1. ATOD Lesson 1
9.ATOD.1 Understand the health risks associated with alcohol, tobacco and other drugs
9.ATOD 1.1 Explain the short term and long term effects of performance enhancing drugs on health and eligibility to participate in sports

2. Warm Up
Create a new table of contents
Unit 3 ATOD

3. Warm Up: Why might teens take performance enhancing drugs?
Page 1: Rank in the order the reason teens might experiment with drugs- write down the reasons, then place a number 1-6 from most to least likely reason
Desire to gain muscle mass or strength
Pressure from others to gain weight or muscle
To win at all costs
To overcome negative body image
To become competitive in a sport or competition
Belief that “everyone else is doing it”

4. Statement of Objectives
By the end of the day, you will be able to recognize and analyze motives for steroid use and describe the consequences associated with the behavior

5. An American Tragedy: Performance Enhancing Drug Use

6. Teenagers are the populations at highest risk for steroid abuse.
Perception that it will enhance performance or body appearance
Both males and females use steroids and 1/3 of these teen users are not athletes
Often use steroids in combination with other drugs
Without a prescription, it is illegal

7. Anabolic Steroids
Anabolic steroids are synthetically produced variants of the naturally occurring male hormone testosterone
Both males and females have testosterone produced in their bodies: males in the testes, and females in the ovaries and other tissues.
The full name for this class of drugs is androgenic (promoting masculine characteristics) anabolic (tissue building) steroids (the class of drugs).

8. Anabolic Steroids Chemically related to the male hormone, testosterone
They are illegally used to boost muscle size and strength and to raise tolerance to pain
Usually taken without medical supervision, often in mega doses
Once often viewed as a problem strictly associated with professional athletes, it is more prevalent in today’s society with teenagers
Taken orally or injected
Injected steroids: Use shared needles

9. Methods
Stacking: Combination of multiple types of steroids, taking two or more and mixing oral and an injectable for example
Cycling: Involves taking multiple doses of steroids over a specific period of time, stopping for a period, and starting again.

10. Methods
Pyramiding: Used over a 6-12 week period, increasing the number of drugs used at one time, reaching a peak at mid cycle, and then gradually tapering off

11. Consequences
Men: enlarged breasts, sterility, impotence (weakness), atrophy (gradual loss) of testicles
Women: irreversible masculinization, lower voices, growth of body and facial hair, shrinkage of breasts, interruption of menstrual cycle
Damage liver and heart and raise blood pressure to dangerously high levels
Alter appearance by enlarging hands and feet and cause growth plates in long bones of body to close prematurely resulting in stunted growth

12. Consequences con’t
Not just physical effects- also changes the user mentally
Severe mood swings, anxiety, panic, sleeplessness
More aggression than normal
Roid Rage: Temper tantrums and when the user loses control and may harm others or themselves: also known as steroid psychosis
At risk for HIV, Hepatitis B, or other blood borne illnesses if using non-sterile shared needles

13. Guided Practice: Venn Diagram
What motivates young people to use steroids?
Now, determine which risks of taking steroids belong in each chart (male, female, both) You can make either a Venn Diagram or a chart with 3 columns

14. Risks of Steroids- Place in Chart
Increases blood cholesterol
Deeper voices
Water retention and bloating
Increases risk for heart attack and stroke
Increases liver disorders
Increased irritability
Major depression
Stunted growth
Violent mood swings
Overgrowth of skull and facial bones
HIV or Hepatitis B infection
Aggressive behavior
Frequent, painful urination
Nausea, vomiting
Prostate enlargement
Frequent, prolonged headaches
Bad breath
Yellow staining of eyes
Changes in genitalia
Excess body hair
Infertility
Pattern baldness
Increased acne
Loss of appetite
Breast enlargement
Breast reduction

15. Male and Female Pictures
See attached
Male: Breast enlargement, prostate enlargement
Female: Breast reduction, excess body hair, deeper voices
Both: Increase in blood cholesterol, increase risk for heart attack and stroke, increases liver disorders, increased irritability, major depression, withdrawal with insomnia, loss of appetite, fatigue, infertility, increased acne, changes in genitalia, water retention and bloating, stunted growth, mood swings, HIV or Hepatitis B, frequent and painful urination, vomiting, diarrhea, headaches, bad breath, yellow staining of eyes, pattern baldness

16. On your ATOD Notes, answer
Given these risks, why do you think that young people are still taking steroids? What do they hope to gain?
What are the ethical issues surrounding the use of steroids in the athletic area?
What does it mean to you as high school students that teenagers are the leading population for abuse? What can you do about it?
How do you perceive steroid use, after seeing many athletes succeed with steroids?

17. Independent Practice: The Pill Of Success:
Read the story and create a written response to the questions
Create an ending for the story and explain what happened to Freddie and his friends.
Should describe how you would feel if you were Freddie’s classmate and had studied hard and not taken any pills for help

18. Closure Discussed motives for using steroids
Gained knowledge of the negative and permanent effects of taking steroids
Press Pause Video & Worksheet