The Affects of Co-Dependent Partners Struggling With Addiction

The Affects of Co-Dependent Partners Struggling With Addiction

Co-dependency is, according to Mental Health America, “An emotional and behavioral condition that can affect an individual’s ability to have a healthy, satisfying relationship.” Co-dependent people often have good intentions, but can take things too far. As parents, they may smother their children, placing a child’s happiness over their own to an unhealthy degree. They can make excuses for behavior or let the child have their way in everything, all because they are afraid of losing the child’s love. In romantic relationships and marriages, the pattern of co-dependency is similar. Letting one person make all household decisions, putting oneself aside in order to focus exclusively on the dominant spouse, and defending the behavior of the dominant person to anyone who questions it are all symptoms of co-dependency.

Co-Dependency And Addiction

When addiction enters the picture, co-dependency becomes at once, worse and more significant. The co-dependent becomes an addict of sorts as well, often obsessing about the behavior of the addict.

Say there’s a couple, Spouse A and Spouse B. Spouse A is struggling with addiction, but in denial about the situation. Spouse B, seeing the household and family situation deteriorating because of this, decides to step in. The kids are taken care of, the home is kept up, and few in the outside world are any wiser because Spouse B does such a good job. While Spouse A spirals more out of control, Spouse B ups the game even more, taking on extra responsibilities whenever needed. In time, Spouse B’s entire life revolves around the addiction of Spouse A, as much as A’s does.

Feelings Of Shame

Among co-dependents, feelings of shame are very common. They may not want anyone knowing about the addiction of those they care for, and may have addiction issues themselves, further complicating things. They often don’t acknowledge the shame and accompanying anxiety, but these feelings are very powerful, all the same. A co-dependent may think of themselves as helpless, unable to change the situation. This can lead to even lower self-esteem, and continue the cycle.

How Does This Affect Recovery?

An addict going back into a situation where someone is doing everything for them can easily slip back into bad habits. In the previous example, what motivation does Spouse A have to change if Spouse B is doing everything that needs doing? In that case, Spouse B does indeed have a relationship problem—but with themselves. A co-dependent person suffers from low self-esteem, and needs to figure themselves out before they can help anyone else. In our example, B needs to step back and let A take place in the household life again. A co-dependent person needs to recover from their situation, then focus on awareness and acceptance. Understanding the current situation is key, as is not judging it. Only after the situation is identified can action be taken—on the parts of both Spouse A and B. Once they focus on healing and re-discovering themselves, the issues of co-dependency and addiction can be addressed.

Help Is Here To Get You Out

If you find yourself in a co-dependent relationship with an addict or are struggling with addiction yourself, contact us today.If you find yourself in a co-dependent relationship with an addict or are struggling with addiction yourself, contact us today. We can help you find treatment for both issues. Addiction is a complex thing, and rarely affects just one person in a situation. Let us assist you in discovering how to best care for everyone touched by addiction in your life.

The Benefits of Prescription Drug Monitoring Programs (PDMP)

The Benefits of Prescription Drug Monitoring Programs

Prescription Drug Monitoring Programs (PDMPs) are state-run databases that track the dispensing of certain medications prescribed within that state, focusing primarily on prescription drugs that have the potential for abuse and addiction. While most of the data comes from pharmacies, a small percentage comes from physicians who dispense these medications directly. Currently in use by 49 states (Missouri being the lone exception), PDMPs have proven to be an effective and popular tool in the fight against prescription drug addiction.

The History of PDMPs

To fully understand the benefits of PDMPs as they are used today, it is helpful to look back at their history. California was the first state to develop a PDMP, in 1939. Back then, PDMPs were seen primarily as serving a public-safety function, allowing law enforcement officials to track when and where certain drugs were being overprescribed or diverted for illegal activity. In the next half of the 20th century, however, society began to see drug addiction in a new light. Addiction became an issue of public health, not just one of public safety—a disease to be treated rather than a crime to be punished. With this changing cultural understanding of addiction, the goal of PDMPs changed in turn.

PDMPs Today

While PDMPs today continue to help law enforcement in the battle against “pill mills,” “doctor shopping”, and illegal overprescribing, their purpose has expanded dramatically to serve more of a public-health function. We can see this in part by looking at where most state PDMPs are housed. Currently only a handful of PDMPs are run by state agencies devoted to law enforcement and public safety, with the rest governed instead by state health departments and boards of pharmacy. Moreover, a number of states have expanded access to PDMPs so that recovery programs and addiction treatment specialists—not just law enforcement, pharmacies, and doctors—can use the data.

These changes suggest that states are increasingly using PDMPs to get help to sufferers of addiction before the law has to step in. But are PDMPs really working, and if so, what are the benefits?

Benefits in Action

Although the effectiveness of PDMPs is still very much an object of ongoing research, numerous studies have shown that the programs have strong and certain benefits. For example, a 2012 study looked at rates of painkiller abuse and misuse in states with and without PDMPs in the years 2003-2009. The researchers found that in states without PDMPs, rates of abuse and misuse increased more rapidly than in states with such programs.

Another study found that having access to PDMP data made it easier for doctors to determine objectively and conclusively whether patients who showed signs of addiction during in-person examinations were actually at risk. For example, one of the more common reported uses of PDMPs was in allowing a patient’s primary care physician to tell whether the patient had begun, in secret, to seek out prescriptions from other doctors with whom the primary care provider otherwise had no contact.

Kickstarting Recovery

Given that one of the most difficult steps toward recovery is admitting to others that one is suffering from addiction in the first place, this is likely the greatest benefit of PDMPs: giving the doctor, pharmacist, or treatment specialist a way of discovering the addiction without the patient him- or herself having to first come forward. In the most extreme cases, where the patient would otherwise never reveal their substance abuse, PDMP data may be precisely what is needed to refer them to a treatment center and kickstart that crucial first step toward recovery.

For more information about how PDMP data could help your loved one’s physician get them on the road to recovery, contact us today at DrugRehab.org for more information.For more information about how PDMP data could help your loved one’s physician get them on the road to recovery, contact us today at DrugRehab.org for more information.

Community Reinforcement and Family Training (CRAFT): A Non-Confrontational Approach to Addiction Treatment

Community Reinforcement And Family Training (CRAFT)

Community Reinforcement Approach

Many are familiar with programs using a 12-step system or support groups for treating someone suffering from substance abuse, but sometimes, the first hurdle is getting the dependent to actually agree to go.

CRAFT – A Community Reinforcement Approach

There are various groups and methods meant to support those who do not suffer from addiction, but deal with someone who does. Some of these groups advocate distancing yourself as much as possible from the effects and behaviors of the person dealing with addiction, rather than exhaust time on ineffective attempts at convincing them they need help. On the opposite end of the spectrum, methods use aggressive interventions where family and friends of a dependent, confront them directly and try to convince them to commit to rehabilitation on the spot.

Community Reinforcement And Family Training (CRAFT) is a lesser known, but very effective method of getting someone suffering from addiction to seek help. The basic theory behind the method goes back as far as the 70s but was approached somewhat informally in 80s. Current methods involving therapists specifically trained in CRAFT, to guide Caring Significant Others (CSOs) was developed in the 1990s.

CRAFT is designed to help those who suffer from addiction ease into treatment with gradual lifestyle changes and adapting to these changes. It can be difficult to treat people who are not self-motivated, but through positive reinforcement of good behaviors, the CRAFT process is designed to help people open up to change, and embrace the idea of starting therapy.

Stressing Positive Reinforcement Rather Than Punishment

Those who suffer from addiction are familiar to suffering. No matter whether they hurt themselves, hurt others, lose jobs, divorce, go broke – none of it motivates the dependent to stop the addiction. Punishment just doesn’t work because they’re used to it.

The point of CRAFT is to eliminate negative punishment for their substance abuse, and instead enhance positive reinforcement for actions that lead toward sobriety. The intention is to help the dependent realize for themselves, that abstinence is more rewarding than using. They are allowed to suffer the negative consequences of their addiction, while at the same time helping them realize how rewarding it is to not take part in addictive behaviors.

By helping the dependent to them see that they can take action to help themselves, this makes them feel powerful in their recovery efforts. Approaching them with empathy and guidance rather than post-behavioral punishment, this allows them to recognize the advantages of good behavior versus bad behavior, like abusing drugs or alcohol. Praise for even the most simple accomplishments keeps them approaching success and keeps them enthusiastic about the process.

How Does The CRAFT Method Work?

Most people suffering from addiction say that they are influenced most by family and friends. Often, it’s negative influences that got them to become addicted in the first place, so it makes sense that CSOs would have the most impact on getting them to stop.

The CRAFT method involves engaging the dependent in a conversational style, rather than lecturing style. The CSOs are guided through techniques by a counselor trained in the CRAFT method:

  1. Identify motivators – Observe and communicate behaviors the dependent exhibits that are rewarding to them and do not involve drugs or alcohol. At the same time, help them identify ways their abuse has hurt themselves and others.
  2. Set goals for sobriety – Rather than overwhelm them with long-term goals, guide them through a series of short steps that keep them going in a positive direction, and let them take part in setting these goals. By giving them input and choices on how to move forward, this helps them realize they can take active part in their success.
  3. Identify drinking triggers/patterns – Figure out what occurs in their lives that makes using drugs or alcohol, their first go-to. By figuring out what “sets them off”, you can help them redirect what they do to assuage the situation from using to something more productive.
  4. Choose ways to have positive experiences that don’t involve drinking – Part of this facilitating access to activities that don’t involve using or lessening barriers to therapy. It starts with working with them to determine things they can do and places they can go to positive effect such as avoiding bars or people who use drugs. But it may include assisting their access to positive people, places and activities through providing them phones, transportation, a job, etc.
  5. Practice new behaviors – Interact with them in ways that they can see how participating in new behaviors enhances their lives free from substance abuse. This can include role playing where you show the person what to do should a given situation arise.
  6. Get significant others involved – CSOs are taught communication tools, how to avoid non-productive involvement such as enabling, and how to avoid conflict. They are counseled on how to increase positive reinforcement when the abuser exhibits improvement, or withdraw when the abuser exhibits addictive behavior.

Efficacy Of And Further Benefits Of The CRAFT Method

Studies show that when the CRAFT method is employed, there is 2-3 times more engagement from the dependent in taking steps toward recovery. Seven out of ten proceed to attend treatment.

Treatment can begin very quickly, and there is generally no wait time. Once a counselor trained in the CRAFT method, is notified that someone is open to the process, they often will make themselves available immediately. They know the importance of leaping on the enthusiasm of the person who needs help so as to not allow their openness to the process to fade. The earlier the process is initiated, the better it works.

CRAFT is very effective on an outpatient basis. It can be combined with other types of therapy such as counseling, or deterrent medications such as Antabuse.

CRAFT is also very beneficial to CSOs. The person seeking the help in the first place is usually someone who loves or cares for the person suffering from addiction. Going through a process that stresses positivity, and increasingly results in more and more positive behavior, there is a great relief both physically and emotionally to those who have suffered so directly from the dependent’s negative behaviors.

The approach is very flexible. It has shown to be successful with special needs communities, with war veterans, or ethnic or cultural minorities with their own, unique beliefs and lifestyle. Their traditions and methods can be worked into the process. It has also has high success rates outside of the United States.

Learning More About The CRAFT Method

Contact us to find out more.If therapists who practice the CRAFT method are not available in your area, books for learning the process are available. In addition, DrugRehab.org can help you find out more about the process and determine whether you and those you care about can benefit from it. Contact us to find out more.

Recovery Solutions: Fixing Financial Problems From Active Addiction

Recovery Solutions Fixing Financial Problems from Active Addiction

When we think of recovery, usually we’re drawn to thinking about overcoming an addiction, but the word recovery, can mean much more than that. The disease of addiction unfolds in stages that can damage everything from your physical and mental health, to your marriage, career, and finances. Recovery can mean overcoming an addiction while picking up the pieces of the life you once knew, in an effort to build a new life for yourself, outside of the confines and consequences of an addiction.

Recovering Your Financial Well-Being

Drugs and alcohol erode stability and this process can have some pretty discouraging financial consequences. However, the good news is that it is possible to repair the damage. The repairs may take a number of years, but if you commitment to face the problems and the issues that may arise while working to solve it, your success will be a sweet reward.

The first step in recovering your financial well-being begins with addressing the addiction. Only then will any of these other problems truly be addressed in a sustainable manner. The next step following your recovery from addiction, is to examine how much debt has accumulated. This task can be overwhelming and may be best tackled with a trusted friend, or in stages.

First, sketch out the most urgent areas of debt. For example, are you about to be evicted for non-payment? Are the utilities being threatened? List these first, even if larger debt looms.

Next, examine all areas of debt, whether to a credit card company, a family member or friend, student loans, medical bills, etc. Consider the following:

  • What is the total amount owed?
  • What is the minimum payment required?
  • Are you being charged late fees?
  • Are your payments increasing exponentially due to non-payment?
  • Which have the highest interest rates?
  • Can any of the debt be consolidated?

The next urgency is in those late fees and increasing payments. A once manageable credit card payment, can skyrocket if you fail to make timely payments. At the opposite end of the spectrum, hospital debt does not usually accumulate interest. It also tends not have the same effect on your overall credit score.

Following this assessment, look at any income you have currently. What kind of repayment can you make presently? After the rent or mortgage and utilities, is there enough left over to begin paying down your debt? If you find your living expenses, including food costs and possibly childcare costs, are too high, you may qualify for state assistance in these areas, allowing you some opportunity to begin paying down some portion of the debt.

Before considering bankruptcy, which can also be costly, contact each of these creditors and ask whether there is any level of forbearance (a delay in payments) allowable or whether they would be willing to write off a portion of the debt given the circumstances. While this can negatively impact your credit, it is better than no attempt at repayment, and will show you made an effort to manage your payments reasonably.

Next, make a commitment to payments. Remember, creditors want to be paid back, so any effort you make represents progress. Even after an agreed upon payment plan, some creditors may still hound you with calls, but keep making the agreed upon payments and try not to agree to a higher payment, unless it is reasonable for you to do so. There is no shame in being honest with what you can and cannot, afford to pay.

Get creative. If you owe money to a credit card company, but have some equity in your house, you may consider refinancing your home to help pay down some immediate debt. Or perhaps a relative can relieve you of the stress of interest rates and by creditors.

In other cases, you may seek a delay in payments of one debt until another is paid off. This is another type of forbearance. If you have an urgent need to pay off a bill from a creditor, but you also owe your aunt and uncle money, consider asking them if you can delay payment. At this stage, and in many cases, you are rebuilding trust. You may even offer to help with a chore in the meantime, until you are better able to repay your debt.

If, in the end, the amount of debt you owe is so large and looming, and no agreements can be made, bankruptcy may be considered as a last resort. Keep in mind, not everyone is granted bankruptcy and legal costs may add up to a few thousand dollars. Research whether the credit harm caused by a bankruptcy does or does not outweigh your current credit crisis.

When Fixing Financial Problems Following Addiction, Consider Following These Steps:

  • Address the addiction first and foremost
  • Seek help from a trusted friend
  • Assess any urgent repayment issues (rent, mortgage, utilities)
  • Assess types of debt and rank according to associated fees, penalties, etc.
  • Examine your income and what money is available for repayment to creditors
  • Do you qualify for food or other state assistance?
  • Contact creditors and find out whether forbearance or write-offs are possible
  • Make only reasonable payment plans (promise only what you can afford to pay)
  • Move one debt to another form of debt
  • Research whether bankruptcy is an option, if all else fails

Addressing Your Financial Security

At this point, we’ve really only addressed debt. There’s more to financial health than paying others. A good financial advisor will tell you to create an emergency savings fund. This fund usually involves enough savings to offset a period of unemployment spanning three to six months. To arrive at this number, consider all of your agreed upon payments, mortgage or rent, utilities, and living expenses and multiply that by a minimum of three months. This may seem like an impossible target, but setting aside a small amount of money each month can make a huge difference when needed.

Recovery Solutions For Active Addiction

It all begins with one simple, confidential phone call.Recovering from an addiction is much more than just overcoming the drugs or alcohol. It’s about rebuilding your life in a way that gives you the tools and opportunities to build a better life. DrugRehab.org is an online resource to connect you with the professional support and comprehensive, evdence-based treatment options to get you started. It all begins with one simple, confidential phone call. Begin your life again, starting today and discover a rewarding life in recovery.

Is There A Cure For Drug Or Alcohol Addiction?

Is There A Cure For Drug Or Alcohol Addiction

“Quit” and “cure” are two very different words. Both words imply an end to something – in this case addiction–but each has its own meaning as it pertains to addiction as a behavioral symptom. What must first be evaluated before delving into the idea of curative probabilities is a balanced definition of addiction.

What Is Addiction

Addiction, as many will say and hold to be empirically true, is a disease. It is a disease because, through trial, error, and other bouts of yearning for definition, the reigning experts on addiction have declared and maintained that “disease” is the word of choice in application to addiction.

Declared thusly, this does not mean that everyone has to abide by the rules of this definition, nor believe it to be true. You may find that in personal experience, addiction comes as a symptom to your inability to resist an attempt at numbing your negative emotions. “Symptom” can be the word of choice here as your mental or emotional struggles manifest themselves in these “needs” that further promote use. Addiction, in this definition, becomes secondary to a primary problem of emotional debilitation.

A third, and perhaps more promising definition, is “side effect.” Addiction as a side effect allows it to exist alongside other factors which may or may not be a primary cause. If we look at addiction as something that comes about after, during, or sneakily before the varying problems we encounter in life, it can be said that addiction was never had with intention. Nobody sought out being addicted to drugs or alcohol under this school of thought. Addiction became apparent after use developed into dependency.

The Need For Remedy

Whether you adhere to the notion that addiction is a disease, a symptom, a side effect, or something completely different, knowing that it’s commonly a problem makes for the need of a remedy. A cure implies that there is a final and absolute end to a problem, usually negating the probability of the illness returning. Addiction, for that reason, skirts the idea of being able to be unequivocally cured as we know it can return as a symptom, following hardships and other points of resurgence.

If going with the idea that addiction is a side effect and not a disease, then we cannot safely say that addiction can be “cured,” as side effects can emerge for many reasons and the the element of addiction that brings in dependency will commonly return along with use. The reinstated use of a drug on which one has already become dependent will often trigger dependency again, usually more quickly and intensely than before. The healing process and the steps that follow and may continue forever, can be strenuous and tolling, but worth the effort of finally getting a sense of control over one’s own existence.

Addiction In Remission

In the many views of addiction, its causes and its definitions, there will always be a need, at the very least, for remission. In this mindset, we can compare addiction to cancer and continue to think about curative senses and points of relief. Those struggling with addiction and its many causes will feel that finding some level of self-control is, in essence, being cured of self-perceived illness.

Addiction, for certain, feels much like an illness in that it contributes so heavily to more serious issues and it propels the feeling of being sick into a whole new territory. When the struggle becomes unbearable, and is still apparent as a bodily desire, there must be some basis for establishing that basic notion that a “cure” is available.

Just as cancer allows for the sufferer to be cured only at a state of remission, with the possibility always present for the cancer to reemerge, substance abuse and addiction can always come back into our lives after using again. Just one use of a drug to which we were formerly addicted can bring about associated feelings that cause the second use, then the third, and so on, until body and mind are under the control of drugs once more.

The State Of Remission

Being in remission, or being able to describe yourself as “cured” of addiction, is possible. It is perfectly feasible to have a life free from the hold of drugs and alcohol, and furthermore, absolutely possible to never have addiction enter your life again.

Your cure can come from any number of effects that cause your desire to change in a great way. You may even be surprised by what triggers you to seek help or to quit doing drugs on your own.

Some curative actions could come from:

  • Beginning a new relationship
  • Expecting a new child
  • Getting hired for a new job
  • Being accepted into college
  • Reuniting with old friends
  • Repairing family relationships

Whatever comes about that causes a change in your heart and lends to your strength to fight against the drug that holds control over you, know that a “cure” for addiction can be had by anyone. Everyone’s journey is different, everyone’s struggle is real and can seem like a never ending battle, but even with the idea of healing being better described as a state of remission, it is the change of life that really keeps you healthy.

Holding On To Remission

The best and only way to remain “cured” of addiction is to abstain from the use of addicting substances. Habitual use of something other than what you were originally addicted to can just as easily pose a threat to your status of sobriety as your brain will still have the tendency to propel into a mode of dependency.

Keeping sober – like remaining cancer-free – requires many extra steps on your part. Being in remission means having “checkups” and doing maintenance to keep yourself in recovery mode. The cure is possible, but you will need to always keep yourself in remission in order to be “cured” of addiction.

Get Into Treatment – Get The Cure

Contact DrugRehab.org for help and information on getting into a rehab center or outpatient program today.Today is the day for you to take that stride into remission. A cure is possible for you, so reach out and get into the best treatment for your needs. Contact DrugRehab.org for help and information on getting into a rehab center or outpatient program today.

Recovery Solutions: Hepatitis C Treatment For Former IV Drug Users

Recovery Solutions- Hepatitis C Treatment for Former IV Drug Users

The majority of individuals affected by Hepatitis C virus (HCV) are currently using or have previously used IV drugs. Exposure to the virus spreads through the blood, often with the sharing of needles from person to person. It can appear in an acute and curable form if detected early enough after initial exposure. Unfortunately, most people are unaware they are carrying the virus and don’t usually exhibit symptoms until years following initial exposure, making it difficult to reduce the damage caused by the disease. If an individual has previously engaged in IV drug use, they may benefit from HCV screening.

While the majority of individuals carrying HCV engage in IV drug use, this population also faces the greatest barriers to treatment for the disease including risks associated with medication interactions, costs, and appropriate screening.

What Is Hepatitis C And Who Is Most At Risk?

Hepatitis C is a liver disease, spread through a virus, and most often affects those who share needles, as is seen in IV drug use. While individuals with HCV can live full lives, populations engaging in IV drug use face several obstacles to the quality of care needed to prevent the long-term dangers of chronic HCV.

While millions of individuals carry HCV, many are unaware they have the disease. Symptoms of the virus can take years to manifest, though once they do, the damage may be irreversible.

Signs And Symptoms Of Hepatitis C

Initial exposure (within the first six months) to the virus may initiate symptoms similar to flu, including a low-grade fever, fatigue or weakness, and loss of appetite. More severe symptoms may develop early on or years after initial exposure and include vomiting, stomach cramping, joint weakness and pain, muscle soreness, changes in urine or bowel routine, and jaundice.

Beware Of The Following Signs And Symptoms Of Hepatitis C:

  • Low-grade fever
  • Fatigue, weakness
  • Loss of appetite
  • Nausea, vomiting
  • Stomach cramping
  • Joint weakness and muscle pain
  • Changes in urine, bowel routine
  • Jaundice (yellowing of the skin)

If you have recently shared a needle with another person and are exhibiting any combination of these symptoms, it is essential you get screened for the virus. Early screening and treatment can eliminate acute HCV and potentially cure chronic forms of the disease.

Barriers To Treatment For Hepatitis C For IV Drug Users

There are several barriers to treatment for Hepatitis C among populations engaging in IV drug use. Many of the abused substances delivered intravenously can negatively impact medications used in the treatment of HCV. These medications can increase overdose risk. Additionally, someone who is only recently in recovery may relapse and either discontinue treatment or continue treatment despite the known overdose risk. Generally speaking, an inability to maintain abstinence from drug use during HCV treatment is a primary barrier to care. In other cases, side effects from the medications or substance interactions can prevent treatment continuation.

Some of these drugs, despite their proven effectiveness in stopping the virus, come with a major price tag surpassing more than $1,000 a pill. And they are not always covered by insurance, creating yet another barrier to treatment.

Other barriers to treatment include a lack of screening as those who are engaging in illicit IV drug use are not likely to seek medical screening. Another major barrier is a lack of awareness among the general population of both the dangers of HCV, and the benefits of treatment for the virus.

How Is Hepatitis C Treated?

Individuals who are no longer using IV drugs or alcohol may benefit from the use of antiviral medications designed to stop reproduction of the Hepatitis C virus. These drugs are highly effective and may be used alone or in combination with other medications.

Drugs used to treat HCV include Harvoni, Olysio, Sovaldi, and Viekira Pak. Ribavirin is a another medication used to interrupt ribonucleic acid (RNA) metabolism, again reducing replication of the virus.

Use of these medications alone or in combination depends on the person’s overall health, viral load, whether or not cirrhosis of the liver has set in, and whether or not they continue to abuse substances or use substances at low levels during treatment. Someone is considered free of HCV after they show a sustained virologic response (no virus detected in the blood) for six months.

Needle Exchanges As A Method Of HCV Prevention

As a method of harm reduction, some cities have instituted needle exchange programs designed to prevent the spread of blood pathogens like HCV. One program in New York found the initial HCV prevalence of a staggering 91% among participants in the program. This number has since dropped to 56%, a significant decrease in exposure to the virus from shared needles.

With needle sharing accounting for greater than nearly 70% of Hepatitis C infections, programs like the one implemented in New York can have a major preventative impact across the United States.

Treatment For IV Drug Use

Contact us to speak with someone in confidence and discover the many benefits of recovery beginning today.If you are currently engaging in IV drug use, you are at high risk of contracting HCV. DrugRehab.org is an online resource designed to connect you with the resources, professional support, and evidence-based treatment options to put you on the path to recovery. Contact us to speak with someone in confidence and discover the many benefits of recovery beginning today.

Getting Help: Signs Your Loved One Has Relapsed

Getting Help- Signs Your Loved One Has Relapsed_Content

Relapse can be a scary event for those who have faced addiction. It doesn’t just impact the drug- or alcohol-addicted person; it affects parents, siblings, children, spouses, friends, and co-workers. While relapse can feel like a failure, though challenging, it is a normal part of the recovery process. Knowing the warning signs of relapse can lead to swifter action and a more immediate and lasting response and a better recovery outcome for your loved one.

Know The Signs Of Drug Or Alcohol Relapse

If you have watched a loved one survive an addiction to drugs or alcohol, signs of a relapse can stir a complex array of emotions. It is normal to feel angry, anxious, and even depressed, though it is equally important to refrain from lashing out at your loved one or making strong accusatory statements, despite any frustration you might be experiencing.

One of the best ways to help a loved one who has previously battled an addiction is to remain open and available for them. If you are questioning whether they’ve relapsed on a regular basis, it can cause undo stress and may deter them from turning to you for help. One way to begin a conversation with someone you suspect may be on the verge of relapse, or who has relapsed is to ask them about stresses in their lives. Approach the conversation on the basis of understanding that recovery is a difficult process. This approach will leave room for your loved one to open up about any potential setbacks to their recovery.

Signs of drug or alcohol relapse include changes in attitude or a shift in behavior. In some cases, you might see more blame-oriented conversation. A person who has relapsed will typically fall into old thought and behavioral patterns quickly, so be on the look out for those old familiar issues including missing important events, a lack of interest in hobbies or social time with friends and family, financial or work-related struggles, and unexplained changes in sleep patterns or appetite.

Signs Drug or Alcohol Relapse Has Occurred Include:

  • Changes in behaviors
  • Moodiness
  • Lack of interest in social events
  • Lack of interest in hobbies
  • Missing work
  • Financial struggles
  • Unexplained changes in sleep patterns
  • Unexplained changes in appetite

How To Get Help After A Relapse

Remember, though it feels like your loved one has chosen to relapse, addiction is a disease. Those struggling with addiction may feel extreme frustration, anxiety, and depression following a relapse. Helping your loved one understand that relapse is not the conclusion to their recovery journey, but rather another stepping stone forward is hugely beneficial for the recovering individual. Relapse is normal and recovery from relapse is equally normal.

The good news is that your loved one has already gone through the program; they know what to expect and are on better footing than they were prior to their initial recovery. Remind them that relapse is a normal part of recovery and that sometimes people relapse multiple times on their way to a long-term recovery. While a return to rehab or treatment might feel redundant for someone who has just relapsed, it can invigorate the desire for change and promote new avenues or approaches to recovery with improved results. Often those who have experienced a relapse while in recovery say they came back feeling more committed to their recovery following the experience.

This first step involving communicating your support of your loved one is critical. You never want the person to feel like you’re going behind their back. Once you have talked with your loved one and discovered that relapse has occurred, talk with them about reaching out for professional support. If they give you excuses as to why it won’t work this time, remind them that it did help them previously and that additional complementary therapies may be employed to further improve their long-term recovery.

Anyone who has spent time with someone in recovery is aware of the reasons someone has chosen to enter drug or alcohol rehabilitation. For someone who has relapsed, they may need to be reminded of these goals, including preservation of their health, custody of their children, and more.

Connect them with a treatment support person who can facilitate a re-entry into treatment or recommend an appropriate course of action. Make promises you can keep about your commitment to helping them through the relapse. And reach out to other support people, including family, friends, and co-workers asking for their support.

Now is the time to address and assess any lingering issues that might contribute to future relapses.

Why Do People Relapse?

While there is no single answer to the question of why people relapse, there are some common issues that result in relapse. Someone who went from treatment directly into a home environment that promoted drug use or included drug exposure, or where stress is a large factor may feel overwhelmed by the sudden external pressures and resort to using again. Many programs require meetings or ongoing counseling. If this step was skipped, it can also result in higher rates of relapse. Ongoing meetings promote the broadening of a social network of other individuals committed to recovery. If your loved one skipped this step, they might have felt isolated from former friends or family who abused drugs. A return to spending time with those who use is a huge red flag in recovery.

Was the individual committed to their recovery in the first place? Sometimes an individual will enter rehab half-committed to achieving recovery. This thinking will nearly always result in relapse as it often includes the belief that once in recovery, they will be in better control of their drug use.

Was a co-occurring mental disorder left undiagnosed? Did your loved one previously suffer from anxiety or depression or some other disease or illness that might be perpetuating use of drugs or alcohol?

Relapse is a time to assess what needs were met in recovery and where treatment or transitioning out of treatment may have fallen short. And the earlier you intervene, the better the overall chance of recovery for your loved one.

If You Or A Loved One Has Relapsed, Help Is Near

Contact us today and take that next step forward in your recovery journey.DrugRehab.org is an online resource connecting you with the professional support and evidence-based care you need and deserve. Contact us today and take that next step forward in your recovery journey.

The Dangers Of Mixing Prescription Opiates And Benzodiazepines

The Dangers Of Mixing Prescription Opiates And BenzodiazepinesDrugs come in and out of fashion as easily as the clothes on our backs, a depressing, but true notion. Unfortunately, effectiveness measured against addiction risk isn’t the key determinant for whether someone is prescribed a powerful opiate for pain or a benzodiazepine medication for anxiety or insomnia. Instead, outdated and often misinformed literature, powerful ad campaigns by pharmaceutical companies, and drug representatives pushing for use of their company’s product, guide both the public’s perception of the effectiveness and uses of these drugs, as well as the physicians prescribing medications to their patients.

Benzodiazepines are effective sedative hypnotic and anticonvulsant drugs used to treat anxiety and insomnia. Coinciding use of both benzodiazepines and opiates has increased approximately 12 percent annually since 2002. Despite the known risk of combining two central nervous system depressants, rates of prescriptions written for both drug types per one patient is increasing more than 6 percent each year. Today, some combination of opiates and benzodiazepines accounts for more than 30 percent of overdose deaths in emergency rooms across the country annually.

Insurance coverage is one likely reason for the dual prescriptions. Patients who lack coverage for non-pharmaceutical care, like physical therapy or those with poor prescription coverage may end up on the combination to relieve pain and subsequent anxiety. Unfortunately, it is a powerful combination that is not only difficult to quit, but extremely dangerous.

Overdose Deaths And Central Nervous System Depressants

Opiates and benzodiazepines function differently, but have similar effects in depressing the central nervous system. Taken together, these drugs enhance their individual effects, leading to a potential for loss of consciousness and lethal respiratory depression. In fact, states have turned to using the combination of opiates and benzodiazepines during executions, in place of more expensive alternatives.

Opiates are narcotic analgesics, and work by binding with opioid receptors to alter our threshold for pain. A side effect is the relaxation of smooth muscle tissue and drowsiness. Similarly, benzodiazepines increase gamma aminobutyric acid (GABA), a nerve-calming neurotransmitter, which controls muscle tension and can induce a sleep-like state. Both drugs can depress breathing, but combined, the effect is potent and often lethal.

One recent study examined the impacts of benzodiazepine prescriptions for methadone-maintenance patients and noted that of the people prescribed both medications during their treatment, about half become physically dependent on the benzodiazepine and continue to take the drug, while also increasing their dose beyond levels prescribed. This is particularly troubling as the drug was never intended to be used for longer durations or at higher levels than prescribed. A higher dose can quickly enhance the effects of the opiates and depress vital functions like breathing.

Complications Of Using Benzodiazepines For Methadone Maintenance

Benzodiazepines like Xanax and Ativan are sometimes prescribed to patients undergoing methadone maintenance to help with insomnia or anxiety associated with withdrawal from heroin. While it is intended to be used in the short term as a preventative measure against relapse, the drug, much like methadone and heroin, has the potential for addiction. And like heroin, street availability of “benzos” is increasing.

Complicating matters is that withdrawals for both opiate drugs like methadone and heroin, as well as benzodiazepines, are similar. Patients may increase their dosage of either drug to keep perceived withdrawal symptoms at bay. Withdrawals for both drug types can be severe and cause significant distress.

Someone with a history of mental illness or addiction is more at risk of developing a physical dependence on benzodiazepine medications while undergoing treatment for opiate addiction. As mentioned earlier, one study indicated that of those who began using benzodiazepines therapeutically while undergoing methadone maintenance, half became physically dependent on the drug. While used initially to stave off relapse, co-prescribing these drugs, if not monitored properly can result in polysubstance abuse.

Risk Factors for Co-occurring Opiate and Benzodiazepine Abuse

  • Co morbid Opiate Addiction and Mental Disorder
  • Methadone Maintenance
  • Therapeutic Prescription of Benzodiazepines
  • History of Polysubstance Abuse
  • History Chronic Pain
  • Poor Insurance Coverage
  • No Routine Monitoring

Opiate and benzodiazepine co-occurring abuse is one of the most common causes of overdose deaths in emergency rooms across the country. The rate of overdose deaths involving opiates and benzodiazepines has increased more than 14 percent annually. White, middle-aged men were more likely to overdose than any other demographic.

What Makes Overdose More Likely With Opiates And Benzodiazepines?

Due to the nature of the drugs, especially a benzodiazepine medication, which can cause short-term memory loss, people taking the drug may inadvertently take more. The drug also functions a bit like alcohol in that someone using a benzodiazepine medication may not be aware they are already feeling the intoxicating effects, and increase the dose to achieve a desired result.

For those undergoing methadone maintenance therapy, benzodiazepine medications, unlike other opiates, can induce a euphoric rush. Someone attempting to overcome an addiction to heroin is at greater risk of becoming addicted to the intoxicating effects of the drug.

Get Help For Alcohol And Drug Addiction

Contact us today to learn about the options best suited to meet your individual needs.If you are suffering with an addiction to drugs or alcohol, DrugRehab.org is an online resource available 24/7 to connect you with the professional support and evidence-based treatment options to help you acheive recovery. Contact us today and free yourself from addiction. Discover a better life in recovery beginning today.

How Prescription Opiates Can Lead To A Heroin Addiction

How Prescription Opiates Can Lead To A Heroin Addiction

Massachusetts governor Deval Patrick declared a state of emergency in March of 2014, requesting additional resources to combat a wave of opiate overdoses in his state. The number of overdose deaths in Massachusetts increased a staggering 90 percent in the past decade, an increase that parallels a rise in the number of opiate medications being prescribed by doctors.

Highly addictive prescription opiate medications like OxyContin were being peddled to unsuspecting Americans by doctors who were told the drug was not addictive by big pharmaceuticals. As doctors became suspect of the drug, and government regulations restricted its availability, the price of prescription opiates rose. Those now addicted to the prescription medications were all too willing to switch over to the far less expensive, but more dangerous street alternative, heroin.

Mechanism For Opiate Addiction

The mechanisms for opiate addiction relate to a number of social, economic, and genetic factors. As with any addiction, opiates stimulate a part of the brain associated with pleasure and reward, but the addiction begins with that first use. What compels that first use, in the case of this dramatic spike in heroin use, can be as innocent as a complaint to your doctor about pain.

When a person begins taking a prescription opiate pain reliever, the drug binds and activates opioid receptors located in the brain and along the central nervous system. It is a synthetic equivalent to the body’s own pain-response system, but lowers the pain threshold far more than possible naturally. This reduction in pain sends a signal to a region of the brain known as the nucleus accumbens. This part of the brain, also known as the brain’s pleasure center, is an ingenious motivator developed through millions of years of evolution.

Here’s how it works: When prehistoric man found a good source of food high in protein and fat, his brain took notice. The man’s body is flooded with dopamine, making him feel satiated and content. This reward is the body’s way of encouraging the man to seek out this food source again. At the same time, as this process is unfolding, the man’s brain is mapping his surroundings, noting patterns in the environment that will make locating this food source in the future more efficient.

It’s an ingenious system that worked for humans for hundreds of thousands of years, but with the advent of opiates, this same protective mechanism turns our bodies and minds against us. Opiates initiate a powerful dopamine response, which our bodies perceive as important to our survival. The response is many times stronger than that associated with basic needs like food and water, and the brain quickly begins associating opiates with survival.

Moreover, opiates affect the release of endorphins, dopamine, and even GABA, altering the natural effects of these neurotransmitters normally associated with the body’s natural ability to reduce pain. The more someone uses opiate medications, the less the body relies on its own process, leading to a physical dependency on the drug. The person no longer uses the drug to achieve a high, but must use the drug to keep withdrawal symptoms at bay.

Prescription Opiates And The Affordable And Deadly Alternative

The rise of prescription opiate pain medications like OxyContin caused many to develop a dependence on the medication. As the price of the medication increased, or doctors became weary of prescribing the drugs, people had to look elsewhere to satiate their addiction. Heroin was a cheap alternative and its availability made it an easy alternative.

In a recent episode of Anthony Bourdain’s Parts Unknown, the chef and former heroin addict talked openly about the epidemic sweeping states like Massachusetts. Traveling from restaurant to restaurant, he interwove his usual foodie escapades with stories from middle and upper class Americans on how the epidemic of heroin has stolen lives and changed small towns in ways never imagined.

In the shadow of skyrocketing heroin-related overdoses in a state with high socioeconomic wealth, Bourdain asserted this recent spread of heroin into middle and upper-class America shows there really is no protective bubble to save any one race or type of person from addiction.

“Maybe now, now that it’s really come home to roost, now that it’s the high school quarterback, your next-door neighbor, your son, your daughter, now that grandma is as likely to be a junkie as anybody else, we’ll accept that there has never been a real war on drugs. ‘War on drugs’ implies an us versus them, and all over this part of America, people are learning there is no them. There is only us. And we’re going to have to figure this out together.”

The Doctor Patient Opiate Dilemma

Unfortunately, another factor that fueled the dramatic spike in opiate addiction was a failure by medical professionals in diagnosing the problem. Stereotypes that people who use drugs are socio-economically disadvantaged or people of color persist in this country. Despite the fact that race has nothing to do with addiction risk factors, a physician is far less likely to talk with an upper-class white woman about opiate addiction than a person of color or someone in poverty. So, when heroin began invading the homes of middle and upper-class America, the stereotype masked the problem until it ravaged entire communities.

The national response to combat the high rates of overdose deaths is funding training programs for first responders, police, and the public in the use of opioid antagonist medications. However, far more public awareness is needed as well as cooperation with medical professionals to assess and address addiction risk factors before and after prescribing opiate pain medications.

Narcan Response To Opiate Overdose

Opioid antagonists medications like narcan bind with opioid receptors without activating the receptor, so someone overdosing on heroin who receives the drug will see a reversal of the central nervous system depressing effects.

The drug has been in use since the 1960s, but in light of recent surges in overdose deaths, public initiatives educating people on how to access and use narcan have begun. Police, who never used to carry narcan, are now first in line to respond to an overdose. This means faster administration and a success rate higher than 90% in reducing the number of deaths associated with heroin overdose, when administered properly.

Get Help Today For Your Opiate Addiction

Don’t become a statistic, contact us and speak with someone in confidence today and discover a better life in recovery.An addiction to opiates is one of the most challenging to overcome, but recovery is possible and manageable through a comprehensive treatment programs and ongoing support. If you are currently battling an addiction to opiate pain medications or heroin, DrugRehab.org can offer a lifeline, connecting you with professional support and treatment options available to meet your individual needs. Don’t become a statistic, contact us and speak with someone in confidence today and discover a better life in recovery.

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Pills Kill – Presciption Drug Abuse

pills-kill

Prescription drug abuse is a serious matter. More than 2,000 teens begin abusing prescription drugs each day. The widespread availability of these kinds of drugs when compared with illegal alternatives make prescription drugs a common and dangerous addiction, especially for young people. And yet it is still largely ignored by mainstream media and most people in general. The Centers for Disease Control and Prevention has officially declared prescription drug abuse an epidemic in the United States. The number of people in inpatient drug rehab as a result of prescription drug addiction is ever rising. And yet, for an epidemic, there is a shocking lack of awareness among the general population.

The goal of the #PillsKill campaign is to raise awareness of the prescription drug epidemic, to help others by stopping the sharing of pills, and to subsequently aid in the curbing of the epidemic. You can do your part by tweeting using the hashtag, and posting pictures with #CounterRx and #ShatterproofChallenge to share your counter drug of choice. Check out this interactive page to learn more about the rise of the addiction to prescription drugs, and the dangers that you and your family face.