Posts Tagged ‘inpatient treatment’
Opiate and Heroin Detox Programs
Heroin and opiates are physically addicting. Heroin detox becomes necessary when the body adapts to the presence of the drug and more and more is needed to reduce the cravings for the drug. Withdrawal symptoms will definitely occur if heroin use or opiate use is abruptly discontinued.
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.
Top 5 Reasons why Interventions Fail
A successful intervention can lead a person you love toward a drug rehab treatment program that can help them improve their lives and bring happiness and relief to those around him. However, many interventions fail because the families of those afflicted by drug addiction do not know how to lead a successful intervention. Certain factors must be in place and followed in order to get the addict to a drug rehab. Treatment may seem impossible if the addict isn’t willing to seek help. However, a formal intervention will work if done in the proper way.
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
Mom Hits Bottom After Years of Drinking
At the end of a country road, inside the walls of a quaint and calm Hattiesburg, Miss., home, a family was in crisis.
Lynn Wardlow, a 50-year-old wife and mother of three, had been a drinker for more than 20 years. All the while, though, she ran a family business and raised her children.
In January, “20/20? visited Wardlow. It was the day before she’d planned to give up alcohol for good.
“My hands are shaking,” said Wardlow as she packed her bags. “God, I hope I remembered to bring underwear.”
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In the morning, Wardlow would travel from the Gulf Coast to Palm Beach, Fla., check herself into a medical facility for detox and then enter a 30-day rehab program for her alcohol addiction.
Meanwhile, Wardlow planned one last hurrah. She took a bottle from a cabinet in her bedroom.
“Would this be my best choice for my last bottle of wine?” she asked.
The last year in the Wardlow home had been particularly difficult, especially for the children — Bo, 21; Jessy, 20; and Marina, 17.
“She’s been drinking every night for as far back as I don’t even know,” said Bo. “The last year there’s been a lot of drama, and it’d be nice if things were just normal for even just a little while.”
Wardlow poured herself some wine. “My kids want me to just stop, stop, stop, but I like, I don’t think I can just stop,” she said.
“And if I did, I don’t know if I would feel very good, or if we might have to go to the hospital, because I just stopped after I’ve been going, go, go, go for so long.”
Wardlow’s children have witnessed things no child should ever see: their mother passed out in her closet, in a drunken rage at a bookstore, in a car attempting to drive after an alcohol-infused fight.
“It’s hard to see someone you love have to be addicted to something in order to feel better,” said Marina.
“It makes you feel like you’ve done something wrong,” said Jessy.
Drunken Moms: ‘When She Gets Like That’
The kids say their mother’s drinking had reached a critical point. Last April, Wardlow was diagnosed with hepatitis C, unrelated to her alcoholism. Unless she quit drinking, she could die.
But even the threat of losing her life, the family said, hadn’t stopped Wardlow from consuming alcohol.
“I want my mom to get better and not just for our sake but for her sake for her health,” said Jessy.
Wardlow’s last night at home was tense. The alcohol fueled her anxiety of what was to come.
“I think after two drinks, I’m like, you know what, these people aggravate me,” said Wardlow, who ran the family’s ceiling construction business. “And they aggravate me during the course of the day, and at the end of the day, I have a couple of drinks.”
The kids knew better than to stick around once Lynn started drinking. Wardlow’s husband, Bob, soon became a target.
“If you want to spend more time with Bill O’Reilly and your computer then go ahead,” Wardlow cracked.
“When she gets like that, conversations can turn to arguments,” said Bob.
“Or being an a**hole can turn to arguments,” said Wardlow. “Maybe I’m just able to say, you know what, [I've] had it up to here!”
The next morning, her head a little clearer, Wardlow acknowledged that rehab may be her last chance.
“I’ve affected my children. … Our relationships would be different if alcohol wasn’t a part of my life,” she said.
But just before she walked out the door, the leftover wine from the night before called to her.
“I’m not going to drink that,” Wardlow said, wavering before she gave in and took a sip.
Wardlow’s family walked her down the steps. She gave them kisses. She grew emotional.
“I’m not the only person who needs to be healed,” said Wardlow. “I’m not the only person who has been affected by this.
“It’s gonna be good,” she assured her famliy. “I’m going to get better.”
Two planes, three bloody mary’s and two beers later, Wardlow landed in Florida.
She was greeted by Loren Seaman from the Orchid Recovery Center, where Wardlow would surrender herself for treatment.
“Did you drink?” Seaman asked.
“Well, hell yeah,” Wardlow said.
Wardlow and Seaman had been talking for weeks on the phone to prepare for her arrival.
But before her bags had even make it downstairs, a shoeless Wardlow headed off for one more drink.
“We’re going to make a new martini,” Wardlow said. “It’s called the Lynn’s-quitting-drinking-and-going-to-rehab martini. Ready?
Drunken Moms: Tough Recovery Odds
Finally, it was time for Seaman to sign Wardlow into the center.
“Have you ever been to detox?” Seaman asked. The answer was no.
“It’s OK, I’m good,” said Wardlow, laughing. “I’m drunk, so right now I ain’t scared. Give me a day or two, and I’m probably going to be frightened out of my wits.”
Over a million people submit to detox and rehab programs for alcohol addiction every year in this country. The odds going into rehab were against Wardlow. Studies show that 90 percent of people in recovery relapse.
Wardlow had a session with Linda Burns, head of nursing at Sunrise Detox.
“How much are you drinking a day, about?” Linda asked.
“Four, five, six …” replied Wardlow.
According to the National Institute on Alcohol Abuse, one third of alcoholics in the United States are women.
Staff at both the Orchid and Sunrise Detox Center told “20/20? that about 95 percent of the women they pick up at the airport are intoxicated upon arrival. Wardlow was no exception.
A Sunrise Detox tech measured Wardlow’s blood alcohol content upon admission.
“You’re not too bad — .106,” the tech said.
“What does that mean?” said Wardlow. “Would I be arrested?”
“Oh, definitely, yeah.”
“I would be arrested.”
“Yeah.”
“Point-zero-8 is the limit, and I’m at point 1-plus over. I’m over the limit to drive a vehicle.”
“Yes, you would be wearing nice bracelets.”
For the next five days — standard for alcohol addiction — Wardlow remained at Sunrise. She was medicated with a drug called librium to eliminate the side effects of withdrawal, which can range from tremors and insomnia to delirium or even seizures.
From day one, Wardlow was restless.
“If you reached in your pocket right now and pulled out a beer, it would be really hard for me not to drink it,” she told “20/20.” “Quite honestly, it would.”
By day four, her impatience and boredom reached all-time highs.
“I have not had a good morning,” she said, talking to a portable camera “20/20? gave her to document her journey. “I have cried on more than one occasion today. I have come to the realization that this is the closest thing to a jail that I have ever been in.”
But it was only the beginning of a long and difficult journey.
The next step for Wardlow was the Orchid Recovery Center, a drug and alcohol rehabilitation center designed specifically to treat women.
“We’re just glad you’re here, Lynn,” said an Orchid staff member who welcomed her.
“Thank you,” said Wardlow. “I’m glad I’m here too.”
Drunken Moms: From Detox to Rehab
Normally, TV cameras are not permitted to see inside the walls of a rehab facility. But with Wardlow’s permission, the Orchid Recovery Center allowed “20/20? unprecedented access to their treatment process.
“You don’t know Lynn clean and sober,” Mindy Appel, Wardlow’s therapist at the Orchid, told her. “You don’t know that woman.”
Unlike at detox, Wardlow’s days at rehab would be packed, from six in the morning until nine at night. She would have individual and group therapy sessions mixed with yoga, meditation, accupuncture and art.
An all-female facility, the Orchid is run almost exclusively by women, many of whom have been through some type of addiction recovery of their own.
The Orchid places enormous weight on the honing of life skills, encouraging women to shop and cook for themselves — all of the things they’ll have to do back home. But sometimes, even a simple trip to the grocery store can spell trouble. Once a woman from the center drank vanilla extract from the store. It’s 24 percent alcohol. The woman drank five or six big bottles, staff said — and came back reeking of alcohol and walking funny.
For recovering alcoholics, triggers to resume drinking can be anything from beer commercials on TV to the wine store they used to frequent — anything that reminds them of drinking, said Orchid staff.
Wardlow’s heavy lifting for the next 30 days would happen inside the office of Appel, her therapist.
“We want to stay really focused, and I’m going to keep you on task here,” Appel told her.
During her first session, Wardlow confessed her reasons for drinking went back to her relationship with her father.
“So what was growing up like for you?” asked Appel.
“I had times of sadness,” said Wardlow. “My father was an alcoholic… When I was 15 he decided it was time to go … so he died.”
Genetics may also have had a role in Wardlow’s addiction. Studies show that children of alcoholics are four times more likely to develop the problem.
A week into her treatment, “20/20? co-anchor Elizabeth Vargas paid a visit to Wardlow at Orchid. She appeared more calm and focused but still struggled with her addiction.
Vargas asked her if it was hard.
“It’s really hard,” she said. “It is hard and it’s, and it’s hurtful, and you realize how many people that you’ve hurt. And my children are amazing. I mean, I look at them, and I know I’ve not been a bad mother. I’m like, I know I’m a good mother. I’ve mothered them well — but how much better could it have been if these past 10 years, I hadn’t been living in the bottom, in the bottom of a bottle?”
Wardlow described the cycle of her drinking.
“I wake up the next morning, you feel horrible, and you say, ‘I’m gonna do better. I’m gonna do better. I’m gonna do better. So, but I don’t feel very good today. So this afternoon, I’m just gonna have a beer.’” Which turns into “three or four or five or six.”
Are Mothers Drinking More?
The team of therapists at the Orchid said regrets and expectations about being the perfect mother are often what push a woman deeper into her addiction.
“There’s so many women that are so sophisticated at covering up and being, you know, the PTA mom and being the soccer mom and doing all things for everyone,” said Appel.
But are women, particularly mothers, drinking more — or are we just finding out about it more?
“I think we’re finding out about it more,” said Mindy Agler, another therapist on the Orchid team. “[It's] just not something you talk about. … If a man walks away from a family because he needs to focus on his recovery, everybody says OK, so he needs to do that. But if a woman leaves her family to go get treatment and then decides ‘You know what, I’m not ready, I got to go to a halfway house before I go back to my kids,’ everybody goes, ‘Oh my God.’”
That double standard and the stigma of alcoholism can keep a woman’s disease under wraps. But past traumas, the therapists say, can also play a role.
In her short time at the Orchid, Wardlow opened up about not only her alcoholic father but other traumatic experiences: an abortion at 17, and a horrific gang-rape on her 18th birthday.
“She identifies, from 15 to 18, these were horrible years for her,” said Appel. “That she’s never, never dealt with.”
The entire time, a question hung in the background: Would Wardlow make it through treatment, and would she be able to stay away from alcohol once she was back home?
“I’ll be honest with you, I’m scared as hell,” she said. “I’m scared, I’m scared to go home.
Wardlow left the Orchid with 30 days clean and a lifetime of hurdles in front of her. We visited Wardlow in Hattiesburg after her release. She was ready to add another day to her sobriety.
“This is my little tablet,” she said, indicating a pad of paper. “And I wad up yesterday and I write today down, put my little tablet back up there, and if I drink, I have to put that tablet on zero — and I don’t want to have to do that.”
The time back home had not always been easy.
“We had to relearn how to live with one another,” said Wardlow. “The first week or two was pretty volatile. Not in a physical way, but there was lots of screaming and gnashing of teeth.”
But there are signs of healing.
“We’re all really proud of her,” said Marina. “I know if she sets her mind to anything, that’s what she’s going to do. I’m just glad that she finally set her mind to it.”
“I think she’s trying to be more aware, and I think she’s trying to make up for, in some aspects, everything that’s happened and stuff,” said Jessy. “But I think she’s working on it. … I think she’ll do it. I believe in her.”
Wardlow had followed her care plan closely. She had daily phone calls with her sponsor and attended support group meetings regularly.
To stay with the recovery program, Wardlow can never consume a drop of alcohol — or take any habit-forming medication — again.
“No mood-altering drugs, as far as any type of benzos or opiates or whatever,” she said. “I was on tremizal for joint pain. Also I was taking lunesta to sleep, and I’m not taking that any more either.”
Wardlow left one support meeting with a chip marking how long it had been since she’d stopped drinking.
“Ninety days! 90 Days,” she said. “Big three months. Three months sober.”
By SEAN DOOLEY and SHANA DRUCKERMAN
What is an Intervention?
Denial is a key characteristic of chemical dependency and people who suffer from this illness will consequently have serious difficulties that result from denial. Problems include an inability to acknowledge the effects of chemical dependency upon themselves and their loved ones. For this reason, interventions seek to help the chemically dependent confront their condition and enter treatment for it. Interventions typically involve a group meeting in which family members, friends and other appropriate associates such as coworkers, employers or clergy talk with the chemically dependent person about their concerns. Additionally, there are suggestions made by the group for solutions.
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.
What If Your Loved Ones Cannot Forgive Your Addiction
Coming back from the cycle of addiction is a long and tough road. Not only does it take a lot of courage and determination, but it’s physically and mentally taxing as well. When you’ve finished your treatment and are in recovery, you really need the love, support and encouragement of your loved ones to help you maintain your sobriety. So what happens if your loved ones cannot forgive your addiction? What if there’s so much weight in your baggage that they can’t look beyond the past?
Don’t worry. You can get past this. Here are some things to keep in mind.
First Things First
It’s important to recognize yourself first for the incredible achievement you’ve attained. At this stage of the game, you’ve completed your treatment – however personally challenging that may have been – and are now in recovery. This accomplishment alone is reason to celebrate. Sure, it would be great if your loved ones stood up and gave you credit for this, but it doesn’t detract from the fact that you did it. So, before you think about anything else, give yourself high marks for reaching this milestone.
Count Your Blessings
Now, while you are still giving yourself kudos for reaching the recovery stage, count your blessings for all the positive things that you have in your life. Loved ones notwithstanding, you do have them. Here are some that should rate high on your list. You now have a healthier physical condition, due to the fact that your body is no longer full of the harmful substances you previously ingested, or the addictive lifestyle you once maintained. You’ve made a lot of progress in understanding the roots and underlying causes for your addiction, learned how to identify triggers and how to avoid giving in to them. You worked hard on your self-esteem and self-confidence, learning that you have contributions that you can make to society. Even if you never felt that you made much of a difference before, you now know that each person can impact the lives of many around them, and that you have a tremendous opportunity to not only benefit your own future, but those of others as well.
These are all terrific blessings – and they don’t cost you a penny. While you’re at it, you can probably rattle off a few more. Include the fact that you now sleep better, are less depressed and anxious, look forward to each day rather than dreading what it will bring, and others.
How Bad is the Relationship?
Still, you need the love and support of those closest to you. Whether this is your spouse or partner, children, siblings or parents, the relationships mean a lot and are definitely worth preserving or repairing. Before you attempt to make any amends, however, you should first look at how bad the situation is with your loved ones. What do you see is the biggest obstacle to being whole again in their eyes? In other words, what will it take for them to forgive you – if you know? Maybe you think it is one thing, when, in fact, it may be something else altogether. Don’t just assume. Sit down and really try to figure it out.
Let’s say you’re the husband of a working wife who’s been struggling to keep the family together while you were in treatment. If there are children involved, magnify that struggle by increments depending on what shape (financially, emotionally, socially, etc.) the family was in prior to your entering treatment. Chances are, the inability of your loved ones to forgive you have a lot to do with heavy-duty emotional turmoil. Your spouse, for example, shouldered the burdens while you were away. She had to make many decisions on her own, not being able to get your input, or the situation demanded immediate attention. For a wife used to sharing decisions with her husband, this can take a tremendous toll.
Perhaps she had to scrimp to help pay for your treatment, since your insurance coverage either only covered part of it or you didn’t have any coverage. Having to sacrifice comforts the family has come to rely on or even pare necessities to the bone will build up resentment in the strongest and most caring person. Add that to the list of perceived grievances.
Being the sole parent also meant she shouldered dual roles in your absence. It’s tough to show love, dole out discipline when necessary, keep up appearances and try to ensure the children still have fun when you’ve got so much riding on the situation. She may have begun to wonder if the family would be better off without you. This thought, which is certainly understandable, would likely be instantly quashed as out of the question or a sign of betrayal (although it could still lurk beneath the surface). As you know from your own treatment, when you bury your emotions, they come back to haunt you or, at the very least, make growth more difficult.
While the above is just one example, the point is that you should make a list of the things that you believe stand in the way of your loved one forgiving you for your addiction. Once you have the list, you can go on to the next step.
Figure Out What to Do About It
Work down your list and try to come up with solutions to the problems. Again, this is something you do on your own even before having any conversation with your loved ones. Taking financial concerns into consideration, perhaps you can address how and when you will be able to alleviate this concern. Can you go back to your previous job? What are your employment prospects?
Did you get training in a new vocation or skill while you were in treatment? How willing are you to take any kind of job to
immediately start contributing to the family’s well being?
Recognize that you may have to start from scratch. You may have burned your job bridge behind you if you were fired for your addictive behavior. Or, your prospects upon your return may be limited for some time to come. In either case, start where you are and work your way back up. It’s really the only option you have, since you do have obligations and need to resume your role within society.
If you need training, look into how you can get it. Take any job and go to school at night, or learn a new trade or skill in an apprenticeship. Another advantage to tackling the financial concerns that may stand in the way of your loved ones’ forgiveness is that you will be doing something positive for yourself as well. Now could be the opportunity to ditch the old job you found boring or distasteful, or not reflective of your true talents or desires. Figure out what it will take for you to get where you really want to be – and then draft a plan to make it happen.
No, this goal won’t be realized overnight. It may take years for you to complete your degree, build up your own business, or become profitable, for example, but it is a positive first step toward eventually achieving the goal.
Speaking of time, it may be that you’ll need to prove yourself to your loved ones by being on your own for a while. It may be too painful for them to have you home on a full-time basis for now. You will need to accept that and really work at making the kinds of changes that can turn that around.
As for the emotional barrier that undoubtedly puts a strain on your relationship moving forward, this, too, requires time. Your loved ones may miss the financial security and feeling of self worth that came from having things in control – prior to your problems with addiction. A drastic drop in self confidence and self worth inevitably follows in the path of addiction, affecting everyone in the family. In fact, emotional turmoil is difficult for loved ones to overcome without some form of family treatment or counseling. They often are not able to see past barriers without professional help. Fortunately, such counseling is relatively easy to access – either as part of your aftercare treatment program, or through community services or self-help groups such as Al-Anon/Alateen, Nar-Anon, and others.
Remain Positive and Upbeat About the Future
Although it seems hard to look at a future without your loved ones in it, for now just keep as upbeat and positive as you can. Reach out to your support network of 12-step members and step up your meeting attendance. This is especially important at time in your life when your family environment may be severely constrained or restricted.
Your 12-step allies also include your sponsor. Don’t be afraid to ask for help from your sponsor, since he or she is ready, willing and able to give you the kind of encouragement and support you need, 24/7. You already have a pretty good familiarity with the 12-step process through contacts during your treatment program – if you went through a formal treatment program. If not, you do have a ready-made support network available to you through 12-step fellowships. There are 12-step groups for every kind of addiction. They are free to attend and have no memberships or dues. All they ask is for voluntary donations if you are able.
While the philosophies are similar and all are based on the 12-step principles, each has its own original focus and personality, if you will.
Here are some of the 12-step groups:
• Alcoholics Anonymous
• Cocaine Anonymous
• Crystal Meth Anonymous
• Debtors Anonymous
• Gamblers Anonymous
• Marijuana Anonymous
• Narcotics Anonymous
• Sexaholics Anonymous
• Sex and Love Addicts Anonymous
• Sex Addicts Anonymous
• Sexual Compulsives Anonymous
• Workaholics Anonymous
Besides in-person meetings, 12-step groups often offer online and phone meetings, blogs, and chats. Each group has its own website which provides access to articles, news, books, CDs, DVDs, and other resources, as well as helpful links for additional help. When you’re feeling down or lonely in the middle of the night, go online and check out some literature that may help – or get in touch with your sponsor or other 12-step group member with whom you have established a connection.
Make a Plan – and Stick To It
Besides continuing counseling, keeping an upbeat attitude and seeking the support and encouragement from your 12-step groups, what else can you do? The best advice is to make a plan, and stick to it. What do we mean by that? What kind of a plan are we talking about? It doesn’t matter what your plan is, or how simple or detailed. The point is that you will be doing yourself a great service by sitting down and designing a plan for your future.
Note the emphasis on your future. Here we are talking about what it is that you want for yourself one year, 5 to 10 years, or longer down the road. Make a list of your short-term (1 to 2 years), intermediate term (3 to 5 years), and long-term (5 to 10 years and beyond) goals. In the next column, jot down what you may need to do in order to reach the particular goal. This may include going to school, getting training, learning a new language, becoming proficient at a sport, joining a recreational or travel group, or something else. In the next column, write down everything you can think of in the way of resources available to help you get started. Include websites, organizations, advice or recommendations from friends, scholarships, grants, community, state or federal programs, etc.
Once you have your list, get started on the short-term goals, things you can tackle right away. Keep in mind that you should strive to make some progress each day or week toward your intermediate and long-term goals as well. This can take the form of gathering information, checking out websites, filling out applications, taking a class, and so on. Remember that your list of goals is only a guideline. Nothing is written in stone. Keep it flexible and always consider it a work in progress. Once you achieve a goal, take time to acknowledge your achievement. Give yourself the credit you deserve.
While you are pursuing your goals, and especially when you reach milestones in your sobriety (first year of sobriety, for example), take a moment to reflect how much differently you feel now than at the beginning of your recovery. Each small step you take toward the future means that much more progress that you have made. Your overall outlook will change as well. You will look forward to each day as a new opportunity to make a difference.
During this time, if not before, you may have been able to repair your relationship with your loved ones. If they have not forgiven you, they may have at least accepted your sincere expression of wanting to make amends. You will find that you will be able to move on. To do this most effectively, you need to be able to forgive yourself. Forgiveness from others, including your loved ones, has more of a chance.
There is an old expression, When one door closes, another opens. This is true in recovery from addiction as well. Open your heart to be able to receive love, as well as give it.
Source: www.drugaddictiontreatment.com
Cancer Diagnosis can Threaten Sobriety
Recovery from alcoholism and other drug addiction often calls for breaking through layers of denial and shame. But people who face the task of recovery along with a diagnosis of cancer deal with an immediate threat to their sobriety.
“When people hear the word ‘cancer,’ there’s kind of an assumption that it’s a death sentence,” says Dr. Marvin Seppala, chief medical officer for the Hazelden Foundation. “That’s not the case, since so many cancers are treatable nowadays. Yet there’s still a chance that people in the midst of addiction treatment might say to themselves: ‘Why bother to get clean and sober? I’m not going to go through with it because I’ve got cancer.’ ”
Studies suggest that rates of substance abuse in people with cancer are lower than in the general population. However, these figures are difficult to interpret. They could simply mean that people in cancer treatment routinely hide their problems with alcohol and other drugs.
Secrecy is just one problem. “If you’re in the midst of an active addiction, you’ll also be undermining any kind of healing process related to cancer,” Seppala says. “And there’s always the question of whether some of the addictive drugs will interfere with medications used to treat cancer.”
In addition, a record of substance abuse can strain the human relationships that underlie cancer treatment. If doctors and nurses suspect that their cancer patients are lying about drug use, they may doubt anything that these patients say about their health.
People with cancer might sense this mistrust, doubt the goodwill of their health care team, and decide not to follow through with their cancer treatments. When this happens, prescriptions go unfilled, medical appointments are missed, and people with cancer can get sicker or die earlier.
A report on substance abuse issues from the National Cancer Institute underscores these problems. It also suggests ways to help people face cancer and abstain from alcohol and illicit drugs at the same time:
Gather facts without judgment. When taking a health history, doctors and nurses sometimes avoid questions about alcohol and other drug use. They may feel awkward about raising the issue, or simply assume that they’ll never get honest answers. This assumption undermines cancer treatment. When health professionals ask about drug use with a non-judgmental attitude, people with cancer are more likely to speak candidly.
Involve a multidisciplinary health care team. Treatment for people with cancer and addiction should involve specialists in mental health and addiction medicine. Many people with a history of substance abuse–including those with cancer–also struggle with anxiety, depression, or personality disorders.
Treat pain with an accurate understanding of addiction. People can become physically dependent on opioid drugs such as codeine and oxycodone (OxyContin) that are used to treat cancer pain. This means that withdrawal symptoms will occur if the drugs are suddenly stopped. In this context, however, physical dependence and addiction are not the same. Addiction refers to the compulsive use of drugs for reasons other than pain control. Careful treatment planning can relieve withdrawal without triggering such use.
Current treatments also offer many options for treating cancer pain without drugs. Examples are acupuncture, acupressure, biofeedback, chiropractic treatment, osteopathic medicine, massage therapy, and meditation.
Set realistic treatment goals. There’s a saying among members of Alcoholics Anonymous: “Getting clean and sober is simple–just change everything about your life and do it now.” This slogan reminds us that recovery from addiction requires a transformation in thinking and behavior, which calls for decades of sustained effort. The risk of relapse is high, especially with the added stress of a cancer diagnosis.
Cancer specialists need to be realistic about this fact. Treatment planning for people in recovery should set up a structure for preventing relapse–and dealing with it openly if it does occur.
For more on this topic, visit the National Cancer Institute Web site at http://www.cancer.gov/ and click on “Cancer Topics” and “Coping with Cancer.”
Source: Hazelden
Dual Diagnosis What Is It & How It Affects Us
A dual diagnosis is when a person has been diagnosed with two or “dual” conditions: an alcohol, drug or other substance addiction coupled with a mental health disorder. Many patients that are in addiction treatment are found to have a dual diagnosis. Of the two million people in the United States that suffer from mental illness, about 50% of them also are an alcohol, drug or other type of substance abuser. For an alcoholic, whether they have a dual diagnosis or not, they need to enter an alcohol addiction treatment program. For others that have substance abuse and addiction, a dual diagnosis, addiction treatment is not only warranted but desperately needed. Not every addiction treatment center is equipped to help this illness. It’s vitally important that a center with professional staff prepared to work with patients with a dual diagnosis is chosen.
Probably the most challenging area for health care providers is diagnosing patients who truly have a dual diagnosis. The reason a dual diagnosis is so difficult to determine is because more cases than not, a mental illness is coupled with a substance abuse and addiction situation. It is for this reason that many of these patients are placed in addiction treatment homes or centers only to discover that they are in fact dealing with a dual diagnosis. The problem is that substance dependence can masquerade as a psychiatric disorder, so many times the mental illness is not discovered or revealed until much later than at the initial evaluation.
It can be a very difficult situation to identify a patient with dual diagnosis. Most times they are in denial about their substance abuse so when the addiction is discovered, they overlook the fact that the mental illness is still exacerbating the substance problem and vice-versa. Therefore only one of the two issues is identified. And with teens it is even more difficult. With kids going through puberty and all of the emotional fluctuations that accompany that, how can you be sure that this young man or woman are actually suffering from a bi-polar disorder or even depression? For that very reason it is imperative that when seeking an addiction treatment center you find one that has an acute awareness of this dual disease. It is only then that you can truly have hope for a full recovery.
by Groshan Fabiola
8 Factors To Consider When Choosing a Drug Rehab Program
Facing the fact that someone you love is not only suffering from drug addiction, but now must receive help to overcome the addiction, is difficult for anyone. Where should you start? Who do you turn to? What questions do you need to ask about drug treatment programs? Perhaps, you may have been at this point before, and you now feel a sense of hopelessness in finding a residential treatment center that will work this time around. Maybe, though, this is the first time you’ve had to take these steps to help someone you love. The process can feel overwhelming.
Ultimately, you want your loved one back. You want that person you love free from drugs. You want that person to live a healthy and productive life. By asking the right question on each of the following areas when choosing a residential drug treatment center, your chances of making this happen for your loved one will increase.
1.Success Rate –
What is the success rate of the residential drug treatment center? Obviously, the higher the success rate, the more likely your loved one will succeed. Ask to speak with graduates of the drug rehab facility or their families. Get real opinions from real people.
2.Methods –
What method does the drug treatment center use? Ask yourself if they are addressing all aspects of your loved one’s addiction, including what led them to drugs in the first place. Methods that only deal with one aspect of addiction are more likely to fail. Remember addiction results from a combination of many factors, including a lessening of morality and integrity and an increasing burden of guilt and shame. The life of an addict includes bad habits, poor health and difficulty facing problems. After speaking with the facility, ask yourself if they are handling not just the psychological aspects, but also the physical and mental aspects of addiction as well. Are they providing practical skills that will help your loved one succeed once the drug rehabilitation program is completed?
3.Services –
What services does the residential drug treatment center offer? This is not only for your loved one, but for you as well. Will they help with legal issues? Will they assist in an intervention? In other words, to what length will they go to make certain your loved one gets the drug treatment they need?
4.Staff –
Who are the staff members at the residential drug treatment center? The best trained staff will have had experience with drug addiction. They will not have learned about it in a book. Are they qualified for their positions? What real-life knowledge do they have with drug addiction? What is their reason for working in this field?
5.Follow-up Program –
What type of follow-up program does the residential drug treatment center offer? This is important. Sending a newly rehabilitated drug addict back into the world without any follow-up can be disastrous. Make sure that there is a program of this type in place. Good programs keep in touch over the phone regularly after one leaves the program.
6.Location –
Where is the residential drug treatment center located? A residential drug treatment center should be protected. Ask how easy it would be for your loved one to leave. Many addicts when first coming off drugs want to leave. Ensuring that this is difficult, while not seeming like a prison, increases the chances that the person will stay to finish.
7.Length –
How long does the residential drug treatment center take? Although the standard program is 28 days, if the residential drug treatment center offers a longer program, it is more likely your loved one will succeed. However, if the residential drug treatment center allows your loved one to work at his or her own pace, without imposing time constraints, your loved one has an even greater chance of overcoming drug addiction.
8.Price –
How much does the residential drug treatment center cost? Before eliminating any program because of its price, ask yourself this: What are they offering? Look back at the points above and determine what the drug rehab is truly giving to the one you love. Yes, the more it offers, the more likely the price will be higher. However, your loved one will have a greater chance at becoming a healthy productive member of society. How much is that person worth to you?
Choosing a residential drug treatment center can be difficult. Dealing with a loved one suffering from drug addiction is devastating. By breaking the process down into what is important and finding out the answers to the questions above, you will be able to make an informed choice as to which residential drug treatment program can best help you and your loved one. Drug addiction can be dealt with and overcome.
By John Frank
Do Genetics Cause Drug Addiction?
The role of genetics in addiction has been debated for decades. Scientists and other health experts have successfully identified various risk factors for the development of addiction, but concise and objective predictors of drug addiction have eluded discovery. This past year, however, science has made significant strides in discerning how genetics may affect addiction.
A landmark scientific paper published in the April 2009 issue of Nature Reviews Genetics presented some groundbreaking new insights into the role of genetics in addiction by honing in on specific genes that are tied to all types of addictions. The study, conducted by addiction experts at the University of Virginia Health System and the University of Michigan, even found that some genes that are associated with alcohol dependence are also linked to various other addictions. The gene was found to be a common factor in addictions to nicotine, cocaine, opioids and other substances.
Study co-author Ming Li, Ph.D., professor of psychiatry and neurobehavioral sciences at the UVA School of Medicine, commented on the study and its potential impact:
“Addiction researchers have found that several genes are linked with multiple addictions. … So, we’re narrowing the scope to specific genetic targets. Once researchers can pinpoint exact genetic variants and molecular mechanisms, then we can create much more effective, even personalized, treatments for individuals addicted to a variety of substances.”
Li also believes that further research is needed to understand the full impact of genetic variations on addiction. “The exact nature of the gene variants and how they function are still unknown, so functional studies as well as studies using additional ethnic population samples may be quite revealing,” Dr. Li said.
Another recent study, conducted by researchers at the University of Colorado in Denver, pinpointed genetic pathways and genes associated with alcohol consumption. The researchers were able to identify genetic factors that predisposed both rats and humans to drink more; however, they were unable to discover a similar link between the genes and actual alcohol addiction. Nonetheless, according to Boris Tabakoff, a lead researcher, the study’s results may help scientists to eventually connect the dots between genetic makeup and addiction.
Tabakoff said, “We know that high levels of alcohol consumption can increase the risk of becoming alcohol dependent in those who have a genetic makeup that predisposes to dependence. This is a case of interaction between genes and environment. Indeed, in our study we found that, higher alcohol consumption in humans was positively correlated with alcohol dependence. However, because different sets of genes seem to influence the level of alcohol consumption, as opposed to propensity for alcohol dependence, we are confronted with great variation in humans. Individuals with a set of genes that predisposes them to drink moderate amounts of alcohol may still have the genetic predisposition to lose control over their drinking behavior, and perhaps become alcohol dependent. Conversely, individuals with a genetic predisposition to drink high amounts of alcohol may not have the genes that predispose them to become dependent.”
A study just completed at Brown University (the results will be published in the January 2010 issue of Alcoholism: Clinical & Experimental Research) succeeded in identifying a link between a gene variation and teen alcohol misuse. For the study, researchers examined the genetic makeup of 187 adolescents (98 boys and 89 girls) around the age of 15 years. They were able to correlate a polymorphism (variation in the shape) of the OPRM1 opioid receptor gene called A118G with heightened risk for alcohol-related problems and likelihood to meet the clinical diagnostic criteria for Alcohol Use Disorder (AUD).
Robert Miranda, Jr., assistant professor in the department of psychiatry and human behavior at Brown University and corresponding author for the study, commented on the implications of the study’s findings:
“Our current knowledge about the genetics of alcohol misuse during adolescence comes almost exclusively from family and twin studies. … But the relative importance of environmental and genetic factors appears to shift considerably over the course of adolescence … with genetics playing an important role once teenagers begin to drink. … Our findings provide the first evidence to suggest that teenagers who carry a certain variant of the OPRM1 gene experience more alcohol-related problems.”
Notably, the Brown University team discovered that teens with this variant were more likely to report drinking alcohol because of the pleasurable effects than for other reasons. The fact that the genetic variation enhances the pleasure experienced by youth when consuming alcohol helps to explain why teens with this variation might be more likely to develop problem drinking behaviors.
Miranda, Jr., explains, “The G allele, or variant, of the OPRMI gene is associated with the function of the body’s own natural opiate system. Research suggests that the G allele is associated with experiencing more pleasure and greater intoxication after drinking.”
By Emily Battaglia
Ultra Rapid Detox for Heroin & Other Opiates
I have had many people ask me what the difference is between Rapid Detox and Ultra Rapid Detox and whether I would recommend either procedure. There is a great deal of confusion with respect to these terms. Ultra Rapid Detox generally indicates a detoxification process which is done under general anesthesia, which lasts somewhere between 4 and 24 hours. Rapid Detox, in general, can be used to denote anything from Ultra Rapid Detox to a detox process that lasts 10 days or more. Unfortunately, many clinics and websites now use these terms interchangeably. This can be confusing to individuals seeking information and treatment.
In general, Ultra Rapid Detox is a process of accelerating the detoxification process in patients who are addicted to drugs such as opiates, heroin, and even prescription pain relievers. The Ultra Rapid Detox process should be conducted in a hospital setting while the patient is under general anesthesia. The process needs to be overseen by certified anesthesiologists and a nursing staff that specialize in such procedures. While under anesthesia, the patient is administered medications that counteract the addictive substances. If the procedure is done correctly, the patient awakens from general anesthesia having gone partially through the drug withdrawal syndrome. Depending on how long the individual is under general anesthesia, withdrawal symptoms and physical cravings may be absent or partially absent upon awakening. However, the psychological and emotional aspects of addiction are not treated and, also, the patient hasn’t learned to change their behavior or response to their emotions regarding drugs. Because of this there is a significant risk that the patient will return to drug use shortly after ultra rapid detox.
If you are looking to get clean and stay clean clean then visit Florida Sunrise Detox or New Jersey Sunrise Detox where true medical professionals can assist you in the recovery process. At Sunrise Detox they will treat you with care and compassion and help you through one of the most difficult times in your life. You don’t have to detox alone and with the proper care you are more likely to stay off of drugs and lead a fulfilling life! Sunrise Detox is a renowned drug treatment facility specializing in detox for heroin, cocaine, alcohol, benzodiazepines and other prescription drugs.
Myths About Ultra Rapid Detox
With Ultra Rapid Detox I’ll wake up completely free from my addiction
Depending on the length of general anesthesia, you may or may not wake up free from the physical cravings of your addiction. In either case, you will still be completely addicted psychologically to the drug that you are addicted to.
I won’t feel any withdrawal symptoms with Ultra Rapid Detox
If you are under general anesthesia long enough, this might be true. However, there is a marked risk of death when one is placed under prolonged general anesthesia. Therefore, more recently “ultra rapid detox” treatments are done where the patient is under for no more than 4 to 6 hours. With shortened general anesthesia there’s a higher likelihood of having residual withdrawal symptoms upon awakening.
Ultra Rapid Detox is safe
Ultra Rapid Detox has higher risks than other detox methods and remains controversial within the medical community. There is a relative lack of scientific research to support the safety of this procedure. General anesthesia carries with it a risk of death and this risk is increased when anesthesia is prolonged. Some facilities will keep a patient under for up to 24 hours. Safety increases when time under general anesthesia is lessened, for example, down to 4 to 6 hours. However, a shorter course of general anesthesia may result in the individual experiencing more withdrawal symptoms upon awakening than otherwise.
Ultra Rapid Detox works!
Despite the wide publicity of Ultra Rapid Detox, there have not been any controlled studies to prove its effectiveness. This lack of scientific support makes it an unproven and controversial treatment for drug and opioid addiction. Ultra Rapid Detox does not treat the psychological, behavioral, and lifestyle aspects of addiction, only the physical addiction and, as time and practice prove, it is these latter aspects which hold the most control over the recovering addict.
