Categories
Addiction

America’s #1 Health Problem

A new CASA (The National Center on Addiction and Substance Abuse) report on adolescent substance abuse hit the wires today. Their findings were disheartening, stating, “Adolescent substance abuse is America’s #1 health problem.” The report studied smoking, drinking, the misuse of prescription drugs, and illicit drugs. CASA also delved into the science of addiction itself, identifying it as a “complex brain disease with origins in adolescence,” and going on to document how “adolescence is the critical period for the initiation of substance use.” They not only looked at the drugs being used or the age of the user, but at American culture itself—for example, the way the media romanticizes the use of alcohol in its advertising.

Here are some highlights from their report:

  • 90 percent of Americans who meet the medical criteria for addiction started smoking, drinking, or using other drugs before age 18.
  • 1 in 4 Americans who began using any addictive substance before age 18 developed an addiction, compared to 1 in 25 Americans who started using at age 21 or older.
  • 75 percent of all high school students have used addictive substances including tobacco, alcohol, marijuana or cocaine; 1 in 5 of them meet the medical criteria for addiction.
  • 46 percent of all high school students currently use addictive substances; 1 in 3 of them meet the medical criteria for addiction

The ads we see plastered on enormous billboards on the busiest corners in Los Angeles are there to intrigue us. They aren’t just selling a beer, or some whiskey, they’re selling a lifestyle: one that’s full of handsome men and gorgeous women, all ready and willing to party at will. Life looks perfect in those ads, but we all know it is anything but perfect. It sure can seem alluring, though, particularly when we’re young, rebellious, and feeling the pressures of growing up and being “cool.” The intrigue is also directly fueled by the current generation’s perpetually perceived boredom, which stems from our culture of instant gratification. In our current climate, drugs and alcohol are culturally accepted: we have medical marijuana and a pill for every problem.

Our brains are vulnerable in adolescence and at the height of development. In fact, they aren’t fully developed until we’re around 25! As we spoke about in our recent post, once we begin indulging in the use of mind-altering substances, we are essentially performing science experiments on ourselves.

Susan Foster, senior investigator of the study, notes: “By recognizing this as a health problem and respondingto it, we can actually make the difference by improving the life prospects ofteens and saving costs in society.”  This brings us back to what I always say, get involved and start talking to your kids! Teens are under an inordinate amount of pressure: school, peers, hormones, et cetera. At some point, we have to start looking at how those we love are actually managing such an incredible stress load. I once heard a therapist say, “Little people, little problems; big people, big problems.” She was specifically talking about the value in addressing issues when they begin rather than waiting things explode. When we’re trying to preserve and heal family dynamics, it’s far less challenging to deal with an angry 8-year-old than a drug-addicted teen.

Related articles:

Study: Drug Addiction Among Teens On The Rise (newyork.cbslocal.com)

Addiction Starts Early in American Society, Report Finds(nlm.nih.gov)

Categories
Addiction Adolescence Mental Health

Doctor, Doctor, Gimme the News

Image by WhatDaveSees via Flickr

Is your teen playing doctor? Surely, this is an appropriate question for parents of adolescents who are concerned about teens entering a sexually intimate relationship before he or she is ready.

Unfortunately, this is not what I’m addressing. John Lieberman, our Director of Operations sees quite a bit of this and is concerned that “adolescents are literally playing doctor in the worst way, taking both prescribed and over-the-counter medications to treat perceived illnesses and issues.” They are reading information on the Internet, getting advice from peers as to what medications they should take, and they’re often mixing and matching drugs while they’re at it. While some of these Internet sites have some valuable information regarding symptom checks and corresponding information about illnesses, they also present a danger. Any time we look at something from the perception of a layperson, we risk finding and relating to symptoms within the descriptions of many illnesses. That’s what real doctors are for: differentiating reality from the natural misinterpretation from those of us lacking the vital MD title. Pharmaceutical-related overdoses have increased, proving the increasing danger in this behavior, and spurning an all out war against the pharmaceutical industries.

Drugs like Vicodin, Oxycontin, Percocet, and Demoral are all opium derivative drugs. This particular class of drug is highly addictive and can easily lead to an overdose. Xanax, Ativan, Klonopin, Soma, Lunesta and others are benzodiazepines. These, too, can create a physical addiction in a short period of time and in worse cases, cause death. Adderal, Ritalin, and Vyvance are amphetamines primarily used to treat ADHD and are subsequently very powerful drugs that can cause heart attack and stroke, particularly when used inappropriately. The latter are often traded amongst kids in an effort to get high, or even as an attempt to increase their focus at school.

Our kids are playing doctor with quite a varied array of drugs, and this does not take into account the rampant abuse of illicit drugs or alcohol. According to John Lieberman, “Our teens are using very powerful psychoactive drugs during a time in their lives when they are emotionally vulnerable and when their brains are in a major stage of development.” According a 2010 statement by the APA:

“The brain’s frontal lobes, essential for functions such as emotional regulation, planning and organization, continue to develop through adolescence and young adulthood. At this stage, the brain is more vulnerable to the toxic and addictive actions of alcohol and other drugs.”

This isn’t just about playing doctor, kids are also doing chemistry experiments…with their own brains.

This blog was co-written by John Lieberman, our Director of Operations.

Additional links:

Causes of Increase in Opioid Deaths Probed

Be the Wall

Partnership for a Drug Free America

Categories
Addiction Alcoholism Recovery Spirituality

AA and Spirituality

The 12-step model is certainly reliable and is the standard go-to place for most people seeking recovery. It’s certainly the model we refer to first in the recovery world. However, there are times when we come across an alcoholic or addict who is deeply atheist and subsequently hits a wall when they get to Step 2: “Came to believe that a Power greater than ourselves can restore us to sanity.” Can AA work for them too? Most people will say that it can. Some will leave things as-is, and some will need to make some minor language changes in order to match their beliefs about spirituality. Unfortunately, there are some folks devoted to retaining the exact language that makes up the steps, so much so they are unwilling to accept even a minor change.

As reported in The Fix, a Toronto group of atheists in recovery has just run into that very thing.  The group was listed in their local AA directory, they had a fairly large batch of regular attendees, and yet, some in the community still found their modifications of the steps to be a threat to AA as a whole. Apparently, the idea of a non-secular recovery group was too much and a controversy broke out. Los Angeles has its share of non-secular meetings, but to my knowledge, there hasn’t been newsworthy controversy thus far and the groups seem to be thriving.

Here’s the thing, the “only requirement for membership is a desire to stop drinking,” right? To me that means regardless of someone’s religious beliefs, gender or sexual orientation, they have a right to be there. When I got sober, I struggled a great deal with the God concept. Still, I was embraced by my fellow alcoholics and encouraged to find whatever worked for me. I managed to retain my viewpoint on the intangible nature of a power greater than myself whilst still developing a deep spiritual practice and strong foundation for my sobriety. The steps are viable tools for recovery for me even if I need to alter a few things. My sobriety hasn’t been negatively impacted as a result. So, why the resistance from some when it comes to change in AA? Isn’t our ultimate goal to achieve sobriety? Isn’t it a goal to untangle the addict mind and redirect it to a healthy, positive, less self-serving path? Aren’t we supposed to learn to reach out and be of service, giving back what has been so freely given to us? Why, then, would we want to close the doors on our fellow alcoholics?

With all the hubbub, I was interested in what literary changes sparked this controversy. The Fix printed two of them:

Step Two: Came to believe that a Power greater than ourselves could restore us to sanity.

Adapted version: Came to accept and to understand that we needed strengths beyond our awareness and resources to restore us to sanity.

Step Three: Made a decision to turn our will and our lives over to the care of God as we understood him.

Adapted version: Made a decision to turn our will and our lives over to the care of the AA program.

Frankly, I don’t see anything wrong with this. Those working this version are still fundamentally going to get to the same place: they will be come to believe that they cannot do this alone; they will use the power of the group to help them recover.
Whether you’re closely tied to a Judeo-Christian belief system or have roots deeply planted on a non-theistic path, recovery IS possible. The 12-step model IS effective. If you need to work the steps with some literary alterations, do so, as long as you work them.

Related articles:

Fight over ‘God’ splits Toronto AA groups (thestar.com)

Categories
Mental Health Parenting Recovery Self-Care Transparency

Father’s Day

(Image via Wikipedia)
We’re coming up on Father’s Day, and for some, this is a wonderful opportunity to recognize their first hero, their first confidante, or their primary example of “the good guy.” For others, it might mean having to face someone whose trust was lost because of addiction. And for others, it may mean reconciling with the repercussions of not having such an important figure their lives.
I have the pleasure of watching my son and his evolving relationships with his dad and step-dad. I am fortunate to bear witness to their triumphs and struggles, wins and losses, laughter and tears. I understand the inherent value of a healthy, positive father-son relationship, and do all I can do encourage it. 
I was intrigued by this interesting article posted by the Georgia Psychological Association, where Dr. Williams writes about the varying stages of father-son relationships. He says boys often idolize their dads as children, “experience a period of discord” in their teens, begin to evolve as young adults, move into acceptance in their 30s-40s, and eventually “become a legacy of their father’s influence for better and worse” when they reach their 50s and beyond. Seeing my son step onto the path to maturation, I am keenly aware of the need to develop positive habits, some of which need to learned from his father(s). In his case, I am hopeful for a virtuous legacy.
The dynamic between dads and daughters is compelling: Some say girls grow up to marry a version of their dads, while others might carry the nomenclature of “Daddy’s Little Girl” well into their adulthood. There are those, too, who take on the mother figure when mom is absent and dad is left to raise the family on his own. Lastly, there are those whose fathers bailed out, leaving their daughters bereft of a solid, male figurehead. Clearly, things can get complicated. How we manage the complications and find ways to make them palatable is where our recovery work comes in.  As a woman whose relationship with my father is tenuous at best, the tools of my recovery have become invaluable. Learning to let go, learning not to take things personally, learning to remove the ego from the pain of abandonment, and learning to accept that I am sufficient, have become essential. Without these factors, I risk drowning in emotion, a perilous position for any alcoholic/addict.
So, regardless of your relationship with your dad, be it adoring or nebulous, being in recovery gives us the opportunity to develop some kindness and compassion and teaches us how to put it all to good use. (This may actually mean setting a boundary and showing compassion to yourself in some cases!). As we work the steps, we are given the opportunity to change our unskillful behaviors through taking action. After inventories, which require inward reflections, we begin to change our viewpoint and begin taking the appropriate actions toward making positive changes in our relationships with others. It’s the beginning of a lifelong process that teaches us to lesson our expectations, which ultimately increases our ability to accept things as they are.
May this this Father’s Day bring some healing to your hearts and lives. And may you celebrate with an open heart and a compassionate mind,  one breath at a time.
Categories
Addiction Anxiety Depression Mental Health Obsessive-Compulsive Disorder (OCD) PTSD Recovery Therapy Treatment

MDMA: Is This Psychotropic Drug Helpful, Harmful, or Both?

Image via Wikipedia

Last time I wrote about ecstasy, it was about the rise in ER visits and the inherent dangers of using a drug that inevitably depletes one’s levels of serotonin and has the potentiality of long-term brain damage. So, when I came across an article talking about using MDMA (ecstasy) to treat post-traumatic stress syndrome (PTSD), my curiosity was sparked. Psychedelic drugs have been used to treat mental illness before, and with some success: In the 50s and 60s, psychology was in a Freudian phase, viewing psychological issues as conflicts between the conscious and unconscious minds. At that time, psychedelics were used to allow patients to face their unconscious minds while awake, which purportedly eliminated the variables of memory retrieval. Still, these methods of treatment weren’t without controversy.  With the influx of street use, and folks like Timothy Leary telling people to “”Turn on, tune in and drop out,” the use of psychedelia to treat mental illness was met with great discernment and fell to the wayside.

Currently, interest in using MDMA and other psychedelics to treat depression, obsessive-compulsive disorder (OCD) and PTSD is gaining traction. MAPS is doing extended research on this subject, and states that MDMA isn’t the street drug we call ecstasy, noting that while ecstasy contains MDMA, it also may contain ketamine, caffeine, BZP, and other narcotics and stimulants. According the MAPS site they are “undertakinga 10-year, $10 million plan to make MDMA into an FDA-approved prescription medicine.” They are also “currently the only organization in the world funding clinical trials of MDMA-assisted psychotherapy. For-profit pharmaceutical companies are not interested in developing MDMA into a medicine because the patent for MDMA has expired. Companies also cannot profit from MDMA because it is only administered a limited number of times, unlike most medications for mental illnesses which are taken on a daily basis.”

The use of this drug has leaned so far from its psychotherapeutic roots, proving to be one of the most popular, highly sought-after street drugs around. Because of this, the useful aspect of this drug may easily be overlooked, forcing us to question how we can take something that has morphed into a social enigma and call it useful. I’m curious, will sufficient research place this drug at the discerning hands of medical professionals once again? And how do we, as a recovery community accept this when we have kids coming in suffering from the long-term, negative effects caused by this very drug?

Related articles:

MDMA May Help Relieve Posttraumatic Stress Disorder(time.com)

Ecstasy As Treatment for PTSD from Sexual Trauma and War? New Research Shows Very Promising Results (alternet.org)

Clinical Study of MDMA Confirms Benefits Noted by Therapists Before It Was Banned (reason.com)

Neuroscience for Kids

Ecstasy Associated With Chronic Change in Brain Function

 

Categories
Addiction Synthetic Drugs

Spice: Your Synthetic Nightmare

Spice, K2, Cloud Nine, Potpourri: call it what you will, it’s all the same: a legal, synthetic, psychotropic drug lurking at the counters of your local liquor store.  Some use these drugs once and walk away, disillusioned by the multitude of negative effects. The addiction-prone continue, disregarding the negative nuances, anxious to get high.  Addiction is funny that way: the bad never seems bad enough to stop.

Recently, 20/20 did an exposé on bath salts, K2, and Spice, exposing the dangers and widespread concern amidst parents and law enforcement officials. Our medical director, Dr. David Lewis, addressed some of the risks related to these substances, telling 20/20: “If you take a developing brain and you put a tremendously psychoactive substance in the middle of that, that developing brain, what you really have is a chemistry experiment.” Dr. Lewis is all too familiar with the negative consequences manifesting in kids who have been using these drugs, and like parents, he also worries about the ease with which one can purchase K2 and Spice. Lewis says, “These people sell the drugs to our kids, no matter what the consequences are.” When 20/20 sent in hidden cameras with underage kids, the truth of this was caught on tape. The retailers are in it for the buck. Show them the money, and they’ll sell you the drugs, regardless of the 18-and-over age restriction.

Unfortunately, this rampant, devil-may-care attitude is substantiated by Dan Francis, the Executive Director of The Retail Compliance Association, who says, “a ban is dangerous” because it “sends it underground.” He even questions the government, saying,” What is wrong with euphoria and what gave them the right to regulate it?” Nothing is wrong with euphoria if it’s obtained through non-harming activities like completing a marathon, or a 2-hour Ashtanga yoga class. But that’s not what’s happening here—instead shops are selling a chemical recipe for disaster. We essentially have kids purchasing substances that have the capability of eliciting a desire to self-harm or increase the potentiality of suicidal ideation. It would be irresponsible if we ignored it.

Related articles:

Stores Fight Proposed Federal Ban on Spice, ‘Legal Marijuana’ (abcnews.go.com)

Synthetic pot can cause psychosis that can last for months, research shows (thenewstribune.com)

Teens Able to Purchase ‘Legal Pot,’ Despite Potentially Deadly Side Effects (abcnews.go.com)

Categories
Addiction Opiates Recovery Treatment

Saboxone: A Methadone Alternative?

Recovering from opiate addiction is no walk in the park. With something like heroin, symptoms can occur within 12 hours of the last high, causing addicts several days of sheer misery. Some addicts have no other choice but to detox on their own, suffering the miserable consequences of their addiction. In some ways, if they can make it past that second day, they have a good chance for a successful detox.  Some, however, have the opportunity to go to treatment, which provides addicts the benefit of supportive care and medications to ease the pain and discomfort of withdrawal. A common medication used for this is called Suboxone (bupenophine and noloxone) and purportedly shortens the length of the detox while also treating the withdrawal symptoms. It’s also used for long-term maintenance much like methadone has been used in the past, sans the stigmatization. A prescription for Suboxone means you don’t have to stand in a clinic line for your daily dose, but rather, you get your 30-day rx from a physician.

There are three phases to the using Saboxone in opioid addiction therapy. The induction phase, which is a “medically monitored startup” of the medication, begun 12-24 hours after the addict has abstained from opiates and is in the early stages of withdrawal.  This is typically done under observation in the doctor’s office. Next is the stabilization phase, which happens when the patient has “discontinued or greatly reduced” the use of their drug of abuse and is suffering from little to no cravings. Last is the maintenance phase, which culminates in a “medically supervised withdrawal.”

Nothing is ever that simple, though, when it comes to treating addiction.  While Suboxone certainly has its value for assisting with opiate withdrawal and turning people’s lives around, there is a dark side. It is just another opiate after all.  Some addicts will inject it, some will take more than their prescribed dose, if just for a brief bout of euphoria. Suboxone reportedly has a “ceiling effect,” which means it levels off after a certain amount. Additionally, the naloxone component of the drug is supposed to “precipitate withdrawal symptoms” when the drug is injected. Still, the state of Maine has reported some pretty disturbing news events surrounding Saboxone, with reports of the drug being smuggled into prison, hidden behind postal stamps and kids’ coloring pages. Prison smuggling of this drug is widespread, creating problems from New Mexico to Massachusetts.

Despite the reports of abuse and prison smuggling, the use of Saboxone is still proving to be a promising component to treating opiate addiction. Some experts suggest more training for physicians and tighter regulation of the drug in order to address the rate of abuse. This is definitely something the recovery industry will be paying attention to.

Related articles:

Understanding Drug Addiction Withdrawal (everydayhealth.com)

When Children’s Scribbles Hide a Prison Drug

Getting High on Suboxone? The FDA Says It’s Happening

 

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