Since so much of our scientific understanding of addiction is relatively new, and since so much about drug and alcohol addiction is tied up in belief systems, it’s not surprising that myths about this disease abound.

“There are two main misconceptions that really drive me crazy when it comes to addictions,” says Dr. Kathleen Brady, a professor at the Medical University of South Carolina. “One of them is this whole idea that an individual needs to reach rock bottom before they can get any help. That is absolutely wrong. There is no evidence that that’s true. In fact, quite the contrary. The earlier in the addiction process that you can intervene and get someone help, the more they have to live for. The more they have to get better for.”

The other big myth, says Dr. Nora Volkow, director of the federal government’s National Institute on Drug Abuse, is that you have to want to be treated in order to get better. Even as an internationally respected researcher, she once believed that to be true, Volkow says, but she knows now that people who are forced into treatment do recover. Addicts may be pushed to enter a detox center or treatment program by an employer, a companion or the criminal justice system. Employers may threaten to fire a person unless treated; a spouse may threaten to leave the relationship, or the court may offer treatment in lieu of prison. (In this case, people convicted of nonviolent, drug-related crimes may go through specialized alternative courts, called drug courts, in which they can reduce their sentence or avoid jail altogether by getting intensive addiction treatment.) In fact, research has shown that the outcomes for those who are legally mandated to enter treatment can be as good as the outcomes for those who entered treatment voluntarily.

Myths About Drug and Alcohol Addiction*

* Adapted from Myths of Addiction. Carlton K. Erickson, Ph.D., University of Texas Addiction Science

1. Addicts are bad, crazy, or stupid.

Evolving research is demonstrating that addicts are not bad people who need to get good, crazy people who need to get sane, or stupid people who need education. Addicts have a brain disease that goes beyond their use of drugs.

2. Addiction is a willpower problem.

This is an old belief, probably based upon wanting to blame addicts for using drugs to excess. This myth is reinforced by the observation that most treatments for alcoholism and addiction are behavioral (talk) therapies, which are perceived to build self-control. But addiction occurs in an area of the brain called the mesolimbic dopamine system that is not under conscious control.

3. Addicts should be punished, not treated, for using drugs.

Science is demonstrating that drug addicts have a brain disease that causes them to have impaired control over their use of drugs. Drug Addicts need drug detox treatment for their neurochemically driven brain pathology.

4. People addicted to one drug are addicted to all drugs.

While this sometimes occurs, most people who are dependent on a drug may be dependent on one or two drugs, but not all. This is probably due to how each drug “matches up” with the person’s brain chemistry.

5. Addicts cannot be treated with medications.

Actually, addicts are medically detoxified in hospitals, when appropriate, all the time. But can they be treated with medications after detox? New pharmacotherapies (medicines) are being developed to help patients who have already become abstinent to further curb their craving for addicting drugs. These medications reduce the chances of relapse and enhance the effectiveness of existing behavioral (talk) therapies.

6. Addiction is treated behaviorally, so it must be a behavioral problem.

New brain scan studies are showing that behavioral treatments (i.e., psychotherapy) and medications work similarly in changing brain function. So addiction is a brain disease that can be treated by changing brain function, through several types of treatments.

7. Alcoholics can stop drinking simply by attending AA meetings, so they can’t have a brain disease.

The key word here is “simply.” For most people, Alcoholics Anonymous (AA) is a tough, lifelong working of the Twelve Steps. On the basis of research, we know that this support system of people with a common experience is one of the active ingredients of recovery in AA. AA and the Twelve Step Program doesn’t work for everyone, even for many people who truly want to stop drinking.

Source: HBO Addiction

Medical Detoxification: In order to withdraw from certain addictive substances safely, it may be preferable and in some cases necessary to undergo medically supervised detoxification in a hospital or residential treatment center that has a detoxification unit. This would be advisable for patients that have been using an addictive substance heavily for a longer period of time and are more likely to have more severe withdrawal symptoms, or those with other significant health problems. Inpatient detoxification allows the patient to be closely monitored throughout the process and given appropriate medication to prevent severe withdrawal symptoms. It commonly involves the gradual administration of decreasing doses (tapering) of an agent that is related to the original drug of abuse that is now substituted to prevent withdrawal.

Rapid Detoxification: In this procedure drug withdrawal occurs while patients are asleep under general anesthesia. The patient is given intravenous injections of medications called opiate blockers which stop the action of narcotics and opiate drugs as well as injections of other medications that reduce the symptoms of withdrawal such as muscle relaxants or anti-nausea medications. This process results in rapid withdrawal from the physical effects of addiction. Through the use of opiate blockers such as naltrexone, naloxone, and nalmephine, physical detoxification is achieved within 4 to 8 hours. Rapid detox takes place in an intensive care unit of a hospital. Patients are usually discharged within 48 hours following recovery from anesthesia and assessment of their physical status.

Rapid detoxification helps reduce the distress of opiate withdrawal for people who are chemically dependent on narcotics such as heroin, Vicodin, Percocet, Demerol, Dilaudid, Darvocet, OxyContin, opium, morphine, codeine, oxycodone, hydrocodone, prescription painkillers, and all narcotic type drugs. It shortens the detoxification period and spares patients the pain and physical discomforts of withdrawal. It may be of great benefit to patients who suffer from severe withdrawal symptoms and who have failed repeatedly to complete conventional withdrawal programs . However, there are significant costs as well as risks associated with the use of general anesthesia. It is imperative that the procedure be performed by medical professionals who are highly trained in these procedures in a medical setting that is fully equipped to deal with any complications that may arise.

Stepped Rapid Detoxification: This alternative to rapid detoxification provides small doses of Narcan (Naloxone) subcutaneously and naltrexone orally every hour or so, together with reduced withdrawal management medications , mostly orally, as necessary. This approach using the slower oral and subcutaneous routes rid the body of the opiate more slowly than intravenous Rapid Detoxification . In addition the pacing can be controlled and responsive to any withdrawal symptoms that develop in the patient by having them quickly suck on Buprenorphine tablets under the tongue. There is less need for withdrawal management medications. The patient is alert and directly communicating with medical staff until the situation has been resolved. It is possible to be detoxified and stabilized on Naltrexone Maintenance Therapy with 2 to 4 small manageable bites. If someone tries to use any kind of opiate while they are on Naltrexone, they feel no effect because all of the receptors are completely blocked.

Ultra Rapid Detoxification: This procedure involves putting patients under general anesthesia and giving them a drug called Naltrexone which blocks all of their endorphin receptors. This accelerates the withdrawal process, pushing them into 100% detoxification within a 5-30 minute period. Although this is an extremely painful process it is tolerable under anesthesia. As with rapid detoxification, it is very costly and has significant medical risk.

Outpatient Detoxification
Outpatient medical detoxification is usually safe and effective for people who are more likely to have mild to moderate withdrawal symptoms. For instance, primary care-based opiate detoxification can be accomplished with a variety of medications such as buprenorphine-naloxone (BUP/NX) or clonidine alone or combined with naltrexone. Buprenex, newly approved by the FDA, can now be administered on an outpatient basis by physicians who receive a required eight-hour training. Using Buprenex, the detoxification can take between 7-14 days.

The mental health problems that most commonly co-occur with substance abuse are depression, anxiety disorders, and bipolar disorder.

Common signs and symptoms of depression

• Feelings of helplessness and hopelessness
• Loss of interest in daily activities
• Inability to experience pleasure
• Appetite or weight changes
• Sleep changes
• Loss of energy
• Strong feelings of worthlessness or guilt
• Concentration problems

Common signs and symptoms of mania

• Feelings of euphoria or extreme irritability
• Unrealistic, grandiose beliefs
• Decreased need for sleep
• Increased energy
• Rapid speech and racing thoughts
• Impaired judgment and impulsivity
• Hyperactivity
• Anger or rage

Common signs and symptoms of anxiety

• Excessive tension and worry
• Feeling restless or jumpy
• Irritability or feeling “on edge”
• Racing heart or shortness of breath
• Nausea, trembling, or dizziness
• Muscle tension, headaches
• Trouble concentrating
• Insomnia

Treatment for co-occurring substance abuse and mental health problems

The best treatment for co-occurring disorders is an integrated approach, where both the substance abuse problem and the mental disorder are treated simultaneously.

How do I find the right program for co-occurring disorders?

As with a substance abuse program, you want to make sure that the program is appropriately licensed and accredited, that the treatment methods are backed by research, and that there is an aftercare program to prevent relapse. Additionally, you should make sure that the program has experience with your particular mental health issue. Some programs, for example, may have experience treating depression or anxiety, but not schizophrenia or bipolar disorder.

There are a variety of approaches that treatment programs may take, but there are some basics of effective treatment that you should look for:

• Treatment addresses both the substance abuse problem and your mental health problem.
• You share in the decision-making process and are actively involved in setting goals and developing strategies for change.
• Treatment includes basic education about your disorder and related problems.
• You are taught healthy coping skills and strategies to minimize substance abuse, cope with upset, and strengthen your relationships.

Generally speaking, withdrawal from heroin and other opiates may occur as early as a few hours after the last use. The withdrawal symptoms of heroin addiction include:

•  drug craving
•  restlessness
•  muscle and bone pain
• insomnia
• diarrhea
• vomiting
• sweats and cold flashes

Major withdrawal symptoms of heroin addiction and other opiate addictions peak between 48 and 72 hours after the last dose. Without proper medical care seizures or convulsions can occur. The good news is that an addict can usually complete heroin detox or opiate detox within five and seven days.

Choose Inpatient Heroin Detox or Opiate Detox Programs

Heroin detox and opiate detox can be a very challenging process both physically and emotionally. It is my opinion that anyone undergoing heroin detox or opiate detox, should do so in drug rehab programs or addiction treatment programs that specialize in medical detox programs. All heroin detox programs should be medically monitored, complete with 24 hour nursing, able to dispense medications as needed and directed by a physician trained in addiction medicine (addictionologist).

Ongoing Addiction Treatments

Even after heroin or opiate detox is complete, many people require ongoing addiction treatments, therefore heroin detox should take place within one of many drug rehab centers or addiction treatment programs. Drug rehab programs provide a smoother transition from heroin detox and opiate detox programs, which are medically driven, into a clinically driven level of care within the drug rehab.

Structure is Key

Another reason we feel that heroin detox should be provided within the confines of drug rehab programs or addiction treatment programs is due to the structure they provide. Many people attempt heroin detox on an outpatient basis. While outpatient heroin detox can work for some, most addicts require the structure of inpatient detox programs to deal with the cravings and keep them away from their environment, old friends and access to opiates.

While in the grips of heroin or opiate addiction, addicts are often involved in high risk activities. By undergoing opiate detox or heroin detox in drug rehab centers, addicts receive a comprehensive physical examination. This will help identify any medical problems that are present and need to be addressed. This examination process is begun in detox and ongoing support is available if a person transitions into drug rehab.

After spending time interviewing several interventionists and intake counselors from various drug rehab treatment programs, I have come up with the top 5 reasons why an intervention would fail:

1. Failure to use a Professional: This may sound pitch for interventionists, but the plain fact is that most family members are not accustomed to confronting and addressing problems easily amongst themselves. They may carry guilt from the past, bring up unresolved and unrelated issues and the entire situation may turn into a screaming match which results in nothing but pain for everyone. Interventions can get so ugly that the exact opposite effect occurs, that the addict refuses help and swears off his family and jumps deeper into his own self-destruction.

Many drug rehab programs have staff trained to facilitate an intervention, or can refer you to one. These individuals guide the intervention towards the ultimate goal, which is to get your loved one to a drug rehab treatment center. They bring an unbiased opinion to what is bound to be an emotional and difficult situation for those involved and are able to see things far in advance and can lead the way towards success.

2. Wavering from the Determined Goal: Ultimately, you want your loved one to check into a drug rehab. Treatment is the only option if you are even considering an intervention, not meetings or to let him do it on his own. Do not lose focus on this once the intervention starts and make sure that all involved are willing to do what it takes to make this happen. Sometimes the addict will shift blame to other family members and try to take on the role of a victim. This can be a powerful tool of manipulation as there may be truth or guilt connected to it. Once this happens, family members start to negotiate with the addict or doubt themselves. This will have disastrous effects on the success of the intervention.

Regardless of what “dirty laundry” may come out on the table, the fact of the matter is that the addict is the one that needs help the most and although everyone may have problems in life, the addict is the one who the focus must be on. He may do or say terrible and hurtful things to get our of the intervention and back onto drugs and that must not happen.

3. A Family Divided: Involve all members of the family in the intervention planning, providing they are there to help. Ensure that everyone who will be attending is in agreement with the ultimate goal of getting the addict to a drug rehab treatment center. If one family isn’t on board, he may secretly tell the addict about the intervention in advance or may take sides with addict, thus weakening the argument for treatment and ensuring a failure. If the family members doing the intervention are bitter towards each other, the addict can turn the entire meeting into a circus of finger-pointing in order to escape the situation.

There must always be an ultimatum which is: Drug Rehab Treatment or nothing. This can be difficult for a mother who doesn’t want to “see her baby on the street” or a father who knows his son or daughter “can’t survive on their own”. If the addict knows that the parents will cut him off but the grandparents will ALWAYS take him in no matter what, the leverage is lost. If all family members have the same goal in mind and stick together, the better chance the intervention has of succeeding. After all, the idea is to HELP the addict, right? Enabling someone to continue their lifestyle of self-destruction is hardly help but a silent condoning of it.

4. Failure to have an Immediate Plan of Action.Prior to the intervention, make sure you have a plan of action that will actually get your loved one to a drug rehab where he can be treated for his addiction. Often the addict will agree to go to treatment “later” after he “takes care of a few things”. Offer to take care of those things for him so that it is one less thing to worry about. He may make excuses as to why he can’t go now; his job is too important or his school is almost done. In fact, he may convince you that his considerations are valid and it can seem like there really is no way her can go.

However, you must not let that happen. The odds are against him that he will actually make it to the drug rehab treatment center. Have a plane ticket, a ride, and an escort ready to get him there within 24 hours after the intervention takes place. You may be able to stretch this time to 48 hours at the VERY LATEST, but make sure the addict has close supervision the entire time. I spoke to several parents who were devastated after they allowed their child to put off treatment until some “important things” were taken care of, only to find their child had overdosed. Not one of these parents felt that it was worth it to wait to get the addict into treatment and all of them regretted not doing whatever they could to get their child into the drug rehab. Also, none of them foresaw the danger the addict was really in.

5. Inadequate Research of Drug Rehab Treatment. There are many types of drug rehab treatments out there and it is important to research which one will best help the addict in your life. Once you have made a decision, get in contact with the drug rehab treatment center and let them know about the intervention and you can often get some great advice. Have some of their literature on hand during the intervention, so the addict realizes that drug rehab is not prison, but simply a place to change your life.

Every drug rehab program has rules, and rightly so. Learn what they will allow and not allow. For instance, some programs do not allow cigarette smoking. If the addict smokes, this program would not be a good choice. If the intervention is on the right track, having this information immediately available will help speed the process along.

An intervention can seem overwhelming and frightening to the family of an addict and should not be underestimated. However, it can be successful if the reasons above are resolved and the corresponding steps above are followed. There is hope in getting your loved one into a type of a drug rehab treatment program that changes their lives for the better.

Source: Narconan by John Frank

Eventually, we are taking enormous amounts of one or more medications. The “high” just isn’t the same anymore so we might use some other substance to give the medication a “kick.” Some of us turn to alcohol to combine with the medication. Others turn to illegal drugs such as heroin and cocaine. Others begin to steal prescription pads from physicians and forge prescriptions. Whatever the methods, the unmanageability reaches critical stages.

Remember all of those negative feelings we thought the drugs were relieving? Well, now that we are in our addiction, they have returned with a vengeance. Our world now revolves around our medications just the way it did with our chronic pain. We become very lonely. Our medication comes first and we once again alienate ourselves from our loved ones. Shame and guilt set in and our self-esteem lowers even more. Anger, resentments, fear, frustration, depression and anxiety once again dominate our minds. We now need the medications just to feel normal and if we try to stop the medications, we become ill. We have come full circle, and are now prisoners to both our medications and chronic pain.

If you are reading this pamphlet, chances are good you have met the diagnostic criteria for chemical dependency. You only need to relate to three of the following:

For help with drug addiction treatment contact Sunrise Detox.

Successful interventions include expressions of warmth, caring and concern for the affected person. They are best facilitated by trained professionals who support all participants and who structure the intervention so that concerns are addressed and unnecessary conflict is kept to a minimum. Most intervention specialists will work in advance with the concerned parties to prepare for the formal intervention itself. A successful intervention typically results in the chemically dependent person entering treatment.

Oxycontin Detox is possible with professional help from a Medical Detox.

Pain Medicine Addiction and Detox from http://sunrisedetox.com