Stressors that Trigger Relapse

Relapse often occurs to those in recovery, but it is not automatic – and it is preventable. In fact, relapse prevention training is generally included in the final phase of active treatment before the client is released from the program. But, just because you may have had relapse prevention modules doesn’t mean that you have absorbed all you need to in order to ward off relapse. Just as each addict has a unique set of circumstances leading to his or her addiction, and treatment is tailored to best match the individual’s wants and needs, each person in recovery will face numerous stressors, pressures, cravings and cues, that may trigger relapse.

Some stressors, while they may be experienced to a different degree, are somewhat universal. To the extent that the recovering addict falls prey to the stressors and slips into relapse very much depends on how well prepared he or she is to handle the challenges and obstacles that occur – especially in early recovery.

What are some of the most common stressors and, beyond merely identifying them, what can be done about them? Read on.

Unemployment

Once an addict completes treatment and attempts to resume a normal life, one of the first stressors likely to be encountered is job-related. If the individual goes from treatment directly to a sober living home or halfway house, there may be assistance available to help the person transition from active treatment phase to resumption of normal living. A strong component of the transition phase is training in communication skills, how to present oneself for an employment interview, filling out a job application, writing a resume, and, possibly training to open up new employment opportunities.

Some recovering addicts do not go to a halfway house but return directly home. They attempt to pick up where they left off in their job, if they still have one. For some, their job is no longer there, or they were fired or quit as a result of their addiction. Being unemployed is a huge blow to the recovering addict, who now has to face the prospect of finding new employment while trying to negotiate a mountain of accumulated past-due bills, medical expenses, family obligations, and the like.

Add to the pressure the fact that the person may have been the family’s sole provider, and unemployment may become a primary trigger that results in relapse.

If you are a recovering addict and have no job, seek help in getting back into the work world. Use the resources available to you in your 12-step groups such as job fairs, job training, communications training, and financial aid to go back to school, and the like. Your 12-step sponsor and other group members may also be able to recommend programs in the local community that can help. Many alumni members have strong ties to such programs and are more than willing to help out fellow members get back on their feet.

Ask for help – and be willing to accept it. After all, your support system is going to be bedrock of your ongoing recovery. And everyone needs to have gainful employment in order to secure a satisfying and rewarding future.

The Enablers: Family, Friends and Co-Workers

If the family members have not also participated in treatment – such as family treatment programs – the individual in recovery is returning to the same environment he or she left prior to treatment. Family members may become enablers to the person in recovery. They help the addict avoid the consequences of his or her addiction, or they make it easier for the recovering addict to pick up their addictive behaviors that they thought they had left behind.

The same enabling stressors can occur with close friends and co-workers, people with whom the recovering addict spent time engaged in unhealthy and addictive behaviors.

Not everyone in the family will have the same reaction to attending family treatment – if they even went. They may mean well – enablers usually do – but they inadvertently spark or trigger stress that results in the recovering addict’s resumption of the addiction.

How can you help prevent the enabling of family, friends and co-workers? Start by listing ways to avoid relapsing that may be triggered by the actions of these people. You can’t prepare a coping strategy if you don’t have options available to you. Again, don’t try to figure this out on your own. Talk it over with your 12-step sponsor, fellow group members, your therapist or counselor in continuing care or aftercare (if these are part of your overall treatment plan), or an independent therapist trained in recovery strategies.

Source: Drug Addiction Treatment

After Treatment What if a Relapse Happens?

Even effectively treated people with addictions will confront unexpected situations after they leave a treatment program and return to their home environment. These situations may produce intense periods of craving to re-use alcohol and other drugs. Lapse, defined as re-use of alcohol or drugs at least once following treatment, occurs in at least 50% of those who complete treatment. The most dangerous period for lapse is the first 3-6 months after completion of formal treatment. Relapse, defined as return to excessive or problematic use, is less common, occurring in approximately 20-30% of those who complete formal care in the prior year.

It is critical that patients, their families and friends prepare for the possibility of lapse and relapse. The preparation should include early detection of a lapse and establishment of steps to keep that problem from becoming a full-blown relapse. Two sets of activities can reduce the likelihood of relapse and reduce the severity if it does occur.

Treatment-Related Preparation

A good addiction treatment program prepares patients to:

  • recognize they have a problem that will require continued management and monitoring
  • learn and practice some of the fundamental skills needed to recognize and overcome the urge to use or drink when these situations emerge
  • be engaged in a continuing care program such as AA and receive regular monitoring of substance use through urine screening or breathalyzer
  • receive periodic phone calls or in-home visits following care to monitor their recovery

These generic elements of effective planning during treatment are among the best clinical practices available to forestall lapse. This planning should involve families so they can better understand the treatment issues, be prepared to support the recovery plan and be aware of signs of lapse.

Post-Treatment Preparation

To prevent and contain relapse the family should agree to fully participate in planned continuing care activities. Families and all concerned others can take five helpful steps:

  • Have copies of the continuing care plan prominently displayed to reduce ambiguity and promote full communication and response.
  • Early in formal treatment, ask the family member in treatment to describe in writing some of the very early signs and behaviors that may lead to his/her lapse and relapse. For example, he/she might write something like “I will begin hanging out with my friend Jimmy,” “I will not do my homework” or “I will stop attending AA meetings.” As the family member undergoes continuing care, regularly refer to these written descriptions to monitor the recovery process.
  • During formal treatment, as the individual thinks about relapse scenarios, ask what s/he thinks should be done when early relapse signs emerge. Use these words to develop a contract that includes an action plan the family will follow when any of these signs surface. For example, s/he might write “take my cash and credit cards,” or “increase the urine screens.” Be prepared – before the relapse happens – to take the type of actions contracted.
  • Receive and display the results of post-treatment urine screens. Discuss any positive results openly and honestly.
  • Monitor and support changes that are consistent with a drug-free lifestyle. In other words “catch him doing something good” and then support it appropriately.

Even effectively treated people with addictions will confront unexpected situations after they leave a treatment program and return to their home environment. These situations may produce intense periods of craving to re-use alcohol and other drugs. Lapse, defined as re-use of alcohol or drugs at least once following treatment, occurs in at least 50% of those who complete treatment. The most dangerous period for lapse is the first 3-6 months after completion of formal treatment. Relapse, defined as return to excessive or problematic use, is less common, occurring in approximately 20-30% of those who complete formal care in the prior year.

It is critical that patients, their families and friends prepare for the possibility of lapse and relapse. The preparation should include early detection of a lapse and establishment of steps to keep that problem from becoming a full-blown relapse. Two sets of activities can reduce the likelihood of relapse and reduce the severity if it does occur.

Treatment-Related Preparation

A good addiction treatment program prepares patients to:

  • recognize they have a problem that will require continued management and monitoring
  • learn and practice some of the fundamental skills needed to recognize and overcome the urge to use or drink when these situations emerge
  • be engaged in a continuing care program such as AA and receive regular monitoring of substance use through urine screening or breathalyzer
  • receive periodic phone calls or in-home visits following care to monitor their recovery

These generic elements of effective planning during treatment are among the best clinical practices available to forestall lapse. This planning should involve families so they can better understand the treatment issues, be prepared to support the recovery plan and be aware of signs of lapse.

Post-Treatment Preparation

To prevent and contain relapse the family should agree to fully participate in planned continuing care activities. Families and all concerned others can take five helpful steps:

  • Have copies of the continuing care plan prominently displayed to reduce ambiguity and promote full communication and response.
  • Early in formal treatment, ask the family member in treatment to describe in writing some of the very early signs and behaviors that may lead to his/her lapse and relapse. For example, he/she might write something like “I will begin hanging out with my friend Jimmy,” “I will not do my homework” or “I will stop attending AA meetings.” As the family member undergoes continuing care, regularly refer to these written descriptions to monitor the recovery process.
  • During formal treatment, as the individual thinks about relapse scenarios, ask what s/he thinks should be done when early relapse signs emerge. Use these words to develop a contract that includes an action plan the family will follow when any of these signs surface. For example, s/he might write “take my cash and credit cards,” or “increase the urine screens.” Be prepared – before the relapse happens – to take the type of actions contracted.
  • Receive and display the results of post-treatment urine screens. Discuss any positive results openly and honestly.
  • Monitor and support changes that are consistent with a drug-free lifestyle. In other words “catch him doing something good” and then support it appropriately.

By: Thomas McLellan PHD

Drug Addiction and Denial

One of the most dangerous effects of drug abuse and addiction is denial. The urge to use is so strong that the mind finds many ways to rationalize the addiction. You may drastically underestimate the quantity of drugs you’re taking, how much it impacts your life, and the level of control you have over your drug use.

Denial is an unconscious defense mechanism. Minimizing and rationalizing the addiction is less scary than admitting that your drug use is dangerously out of control. But the cost of denial can be extremely high—including the loss of important relationships, your job, financial security, and your physical and mental health.

Do you have a substance abuse problem?

  • Do you feel like you can’t stop, even if you wanted to?
  • Do you ever feel bad or guilty about your drug use?
  • Do you need to use drugs to relax or feel better?
  • Do your friends or family members complain or worry about your drug use?
  • Do you hide or lie about your drug use?
  • Have you ever done anything illegal in order to obtain drugs?
  • Do you spend money on drugs that you really can’t afford?
  • Do you ever use more than one recreational drug at a time?

If you answered “yes” to one or more of the questions, you may have a drug problem.

Getting help for drug abuse and drug addiction

Finding help and support for drug addiction

If you’re ready to admit you have a drug problem, congratulations! Recognizing that you have a problem is the first step on the road to recovery, one that takes tremendous courage and strength.

Facing your addiction without minimizing the problem or making excuses can feel frightening and overwhelming, but recovery is within reach. If you’re ready to make a change and willing to seek help, you can overcome your addiction and build a satisfying, drug-free life for yourself.

Support is essential to addiction recovery

Don’t try to go it alone; it’s all too easy to get discouraged and rationalize “just one more” hit or pill. Whether you choose to go to rehab, rely on self-help programs, get therapy, or take a self-directed treatment approach, support is essential. Recovering from drug addiction is much easier when you have people you can lean on for encouragement, comfort, and guidance.

Support can come from:

  • family members
  • close friends
  • therapists or counselors
  • other recovering addicts
  • healthcare providers
  • people from your faith community

 

Recovering from drug addiction

Addiction is a complex problem that affects every aspect of your life. Overcoming it requires making major changes to the way you live, deal with problems, and relate to others. It’s not just a matter of willpower or simply wanting to quit. Getting off drugs for good is difficult without treatment and ongoing support. The good news is that there are many tools that can help you on your journey to sobriety.

When a loved one has a drug problem

If you suspect that a friend or family member has a drug problem, here are a few things you can do:

  • Speak up. Talk to the person about your concerns, and offer your help and support. The earlier addiction is treated, the better. Don’t wait for your loved one to hit bottom! Be prepared for excuses and denial with specific examples of behavior that has you worried.
  • Take care of yourself. Don’t get so caught up in someone else’s drug problem that you neglect your own needs. Make sure you have people you can talk to and lean on for support. And stay safe. Don’t put yourself in dangerous situations.
  • Don’t cover for the drug user. Don’t make excuses or try to hide the problem. It’s natural to want to help a loved one in need, but protecting them from the negative consequences of their choices may keep them from getting the help they need.
  • Avoid self-blame. You can support a person with a substance abuse problem and encourage treatment, but you can’t force an addict to change. You can’t control your loved one’s decisions. Let the person accept responsibility for his or her actions, an essential step along the way to recovery for drug addiction. 

Source: Helpguide.org

Walking Away Isn’t Quitting

Recovering addicts know that the days, weeks and months following treatment can be rough on the family. In many cases, familial relationships have already been so fractured they are almost beyond repair. For others in recovery, the very occurrence of a setback, however small, is enough to send the family into turmoil and threaten the sobriety of the newly-clean addict. So it is that recovery, which should be a joyous time, a time of hope and renewal, can just as quickly turn into a phase of desperation, failure and relapse. For the recovering addict and his or her spouse/significant other or family, sometimes the only option that makes sense is to walk away.

Walking Away Isn’t Quitting

When you walk away from your family, it should never be as a result of the desire to quit. Whether you are the recovering addict or the spouse of the newly-sober individual, your reasons for leaving must be based on the best interests of all concerned. The decision should come after all other options have been thoroughly explored, and/or you’ve come to the realization that by staying, you’re doing more harm than good – harm to you, your spouse and your family.

Let’s take an example. Jennifer, mid-30s, is the live-in partner of Woody, 40. They have no children but prior to Woody’s stay in rehab for cocaine and alcohol addiction, they’d talked about getting married and starting a family. Jennifer is an artist who works from home, an only child whose parents are deceased. Woody’s mother is an alcoholic and his father a compulsive gambler. His two younger brothers, Alex and Tim, early 30s, are heavily into street drugs. Money has always been an issue in Woody’s family and he witnessed many explosive arguments at home growing up. Jennifer worships Woody, but doesn’t know how to relate to him now that he’s home from addiction treatment. He’s often silent, not the talkative person she so enjoyed, and he doesn’t want to socialize anymore. Her own work is suffering, since she feels compelled to watch over Woody all the time, afraid that he might slip. They haven’t had sex since before he went into rehab and Woody says he no longer wants children. In fact, Woody’s so different now that Jennifer feels trapped in a relationship she doesn’t want.

Clearly these two individuals are experiencing a great deal of difficulty adjusting to Woody’s new sobriety. The couple isn’t married, so there would not be any legal issues to untangle should they decide to split. Woody and Jennifer may benefit from continued counseling, if they’d go. It appears, however, that their finances are constrained, so professional couple’s therapy probably isn’t in the cards. Woody needs to resume attendance at his 12-step meetings (Alcoholics Anonymous and Cocaine Anonymous) – even though he says he doesn’t like the people there and it’s not helping him. Jennifer could find help through Al-Anon or Nar-Anon, but she seems unlikely to go.

Perhaps in this instance, Jennifer and Woody should part ways – at least until Woody is more firmly rooted in his sobriety and has a solid game-plan for his future. Staying together now could mean the relationship continues to disintegrate to the point of irreconcilable differences. For his part, Woody should attempt to see things from Jennifer’s perspective. If she truly means anything to him, he will put aside his own concerns and resolve to set her free. He needs to heal himself before he can open up to Jennifer or any other woman. Jennifer, on the other hand, needs to let go of her guilt and have the courage to stand up to Woody. She needs to be free of Woody’s needfulness.

Display Respect and Love

It’s not as easy as that, however. Walking away involves striving to achieve a delicate balance of resolve and independence, and needs to be accomplished with a display of respect and love.

In other words, you don’t need to have a shouting match to get your point across. Two people should be able to sit down together, or with a counselor present, and discuss their wants and needs in a civil manner. No matter how rough things have been, or how many hopes and dreams have been shattered, the decision to split can be amicable. Sometimes, however, the hurt has been so profound that one partner is unable to see anything good in the other. In such instances, the split should occur as quickly and with as much dignity as possible.

Let’s take another example. Bradley, 58, is married to Lynnette, 43. The couple have three young children, two girls, ages 11 and 15, and one boy, 17. Bradley has been doing his best to take care of the children while his wife was in treatment for compulsive sexual behavior, alcoholism and prescription drug addiction. This was Lynnette’s third time at rehab. Bradley has a good job, is a loving father, but has been repeatedly hurt by Lynnette’s affairs and blatant refusal to be a mother. In fact, she’s often been verbally and physically abusive to the children while she’s drunk and high – most often when she returns from one of her sexual liaisons. Bradley’s at the end of his patience. Lynnette refuses to change, and has stated on more than one occasion that she wants out.

Bradley’s most important consideration is the welfare of his children. While he believes in marriage for life, in this case, he has come to realize that Lynnette is not the partner for him. He and Lynnette should work out the details for her departure, making sure that the children are not negatively affected by the discussions and arrangements. Bradley’s best bet is to remain as respectful of Lynnette as possible, and show her cordiality, if not love, as she leaves the family.

Source: Drug Addiction Treatment

Pain Management & Chemical Dependency

Ideally, treatment should consist of chemical dependency and pain management. This could be accomplished at a treatment center equipped to handle both afflictions, or at a chemical dependency center that consults with a pain management program. The most effective treatment for chemical dependency and chronic pain is long-term, anywhere from three to six months. This time is needed for our bodies to fully adjust, once they are off mood-altering medications. As soon as we become abstinent, our brains begin to adjust the levels of neurotransmitters that were lacking during our usage, which will help the body fight chronic pain in a natural way. We also need to learn about pain management and building twelve-step support systems. Many of us live alone and tend to overexert ourselves just by doing daily chores or working. The treatment environment can keep us safe from worsening or reinjuring the affected pain area.

Managing the pain

There are many techniques for pain management that are very effective, both while we are in treatment and afterwards, if we just give them the chance to do so. Listed below are just some of the many useful and effective tools. A qualified physician should approve all techniques before you attempt them:

  1. Physical Therapy: This is the most effective treatment of all. Most of us have been through many forms of physical therapy before, but chances are good we were abusing chemicals at the same time, nullifying or weakening the therapy. The form of treatment can also strengthen other parts of our bodies that can be used to physically support the pain area, such as back, leg and stomach muscles. Posture exercises are essential in chronic pain therapy.
  2. Heat or Ice Therapy: I have two reusable ice packs in the freezer at all times. Ice is fast acting and very effective. Heat is very soothing to sore muscles. Always follow the suggestions of a physician, to be sure this type of therapy will help you and is safe.
  3. Relaxation Techniques: Stress causes pain and pain causes stress. Relaxation helps reduce stress while helping reduce muscle spasms. There are various methods of relaxation, and some are more effective than others, depending upon the source of the pain. Deep breathing exercises can work wonders, since deep breathing is the body’s natural way to relax.
  4. Biofeedback: This is a specialized form of relaxation that can help you relax the area that is the source of pain. This is taught by pain management programs or professionals in private practice.
  5. Massage Therapy: This works well when used alone or combined with other pain management techniques. The majority of us suffer from muscle pain even though our injury sites may be elsewhere. It is usually the responding muscles that hurt the most.
  6. Alternative Medicine: Many of us receive relief from alternative sources such as chiropractic adjustments, acupuncture, reflexology and other forms of alternative medicine. This type of treatment is usually done when in-patient treatment is complete, however your particular program may make exceptions.
  7. Proper Diet: Depending upon the person, a nutritionist can be consulted for healthy eating habits. If we are overweight, chances are we are making the pain worse by putting extra strain on the body.
  8. Psychological and Psychiatric Support: Any program specializing in addiction and chronic pain will have appropriate counselors and psychiatrists to aid in pain management. Counselors and psychologists give emotional and spiritual guidance. They can also provide healthy support in therapeutic activities such as group therapy. Psychiatrists can prescribe antidepressants that can relieve depression and contribute to pain relief.
  9. Medications: All treatment programs of this nature have staff physicians than can provide pain relief by prescribing appropriate non-mood-altering medications that are just as good as, if not better than narcotics and benzodiazepines. It may take some trial and error before the best overall medication is found for each individual. Just remember, mood-altering medications are not effective once tolerance builds, and chances are the medications you abused stopped providing physical relief.
  10. Occupational Therapy and Vocational Guidance: Many of us are distressed because we can no longer function at work. Some of us must make occupational changes because of our chronic pain. Pain management treatment should include services that can help you return to work, or guide you toward new trades. Occupational therapy may be required if you intend to eventually return to your line of work. This involves training your muscles so they can cope with the stress of a particular job. Vocational counseling can help you change careers. These counselors specialize in this form of therapy, which includes a variety of testing and guidance.
  11. Setting Goals: Once we have arrived at a level of acceptance of our pain, it is imperative that we begin setting specific goals that, once we reach, gives us hope and raises our self-esteem. Setting specific goals is a major function of treatment planning. Your counselor will provide guidance and help you set these goals.
  12. Family Therapy: This is an essential part of treatment because the family plays such an important role in addiction and chronic pain. This form of therapy will help the family work through fears, and help them understand how they enable destructive behaviors in both areas.

Do Genetics Cause 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 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

Why medical detoxification alone isn't enough

One of the first and most difficult steps that any person faces when entering a drug or alcohol rehabilitation center is detoxification – the medical process of riding the body of the toxins it has stored during years or decades of drug or alcohol abuse. This process can be devastating from both a psychological and physical standpoint, which is why people who enter an alcohol or drug rehab program often will need detox in order to get through the painful withdrawal symptoms that otherwise might lead them to give up on the idea of quitting.

Detox at an addiction center can take days or even weeks, depending on what the person was abusing, how much they were using and for how long. However, just because a person has completed medical detox doesn’t mean that they are through with their rehab program. In fact, detox is just one small step in the larger process of freedom from drug and alcohol dependency.

When a person becomes addicted to drugs or alcohol, they aren’t just addicted to the substance they are abusing – they become addicted to the flood of pleasurable stimuli that the substance provides to them. No drug rehab program can be successful without changing the mindset of a person and helping them to understand how their addiction has changed them and what they need to do to move forward.

In addition to the lessons about moving forward that are taught at a rehab center, addicts also must address the root causes of their addiction. The majority of addicts start abusing drugs or alcohol because of other factors such as genetics, unhappy childhoods or unstable current lives. Without addressing these underlying factors, most people will eventually fall right back into their patterns of addiction and dependence.

For all of these reasons, it’s important to do more than just “get dry” when trying to quit drinking. Long-term abstinence requires a total rehab program that addresses every aspect of the drug or alcohol addiction.

By Sarah Michaels

Recovery for Meth Addicts

Methamphetamine–also known as speed, meth, or crystal–boosts chemical receptors, such as dopamine, and inhibits the destruction of other chemicals, such as acetylcholamine, in the brain. The result is an addicting euphoria. Sleep deprivation and nutritional deficiencies occur and over time, good feelings turn into abnormal thoughts, users focus on irrelevant objects or tasks, and drug tolerance develops so that increasing amounts are needed to gain the desired effects. When the addict runs out of their drug supply, lethargy, irritability, and flu-like symptoms are experienced. Cravings for the drug become very strong. Physical detox takes five to seven days. Normalization of brain chemistry may take weeks or months after drug use stops. Methamphetamine-induced psychosis, in which the user has delusional thoughts and may even hear voices, is exactly like some schizophrenic conditions except it is exaggerated and more intense. Drug-induced psychosis goes away when drug use is stopped; usually a great improvement can be seen within a few weeks. Treatment offers the best solution for methamphetamine addicts and their families. Afterward, addicts can take responsibility for avoiding the behaviors that lead to active addiction and for taking actions that will keep them clean, such as attending meetings, working steps of recovery, and helping others. A social support system of friends in recovery is very important. Places of worship, family members, and co-workers may be very supportive, but they cannot substitute for the fellowship of other recovering addicts who understand the unique conditions an addict must face. Those who want to help a meth addict should understand that relapse is part of addictive disease, as are denial and compulsions. It does no good to nag or check up on the addict. A relapse can occur without warning, and the person who wants to help would be wise to incorporate the concept of One Day at a Time, otherwise they will become too ill and stressed out to think clearly when relapse does happen. Addicts often learn from relapses to respect the seriousness of the disease and how to avoid future slips. In any case, help comes in the form of natural consequences (job loss, finding oneself out on the street) that compel the addict to get back into recovery.

By http://www.clearbrookinc.com

Signs of Hydrocodone Addiction

 Signs of hydrocodone addiction are no different than most other painkiller addictions, or any addiction for that matter. Here is just a short list of some of the things I have experienced in my own life. If any of these things sound familiar whether it’s in your life or the life of someone close to you, it could be the beginning of a hydrocodone addiction.

Not taking the drug as prescribed by your doctor. There are a specific ways to take hydrocodone for it to be effective to treat pain, taking it for any other reason could be a sign of addiction. Taking hydrocodone for sleep, to get high, to relax, to calm the nerves, mixing it with alcohol or other drugs, and taking them more frequently than your doctor recommends. If you are running out of pills long before your next prescription, than you may want to tell your doctor so he can monitor your use better. Doctor shopping is a definite no no when it comes to having pain medication prescribed. Not only is it a sign of drug abuse, it is also against the law.  If you are caught doctor shopping then you may never be able to get pain medication prescribed again. This can be a big problem if you are taking them for legitimate pain.

If you feel ill a lot for long periods of time then you may be going through hydrocodone addiction withdrawal. This can make someone very irritable and lash out to the ones close to them. Withdrawal can make you sick for days on end and if you must come off the pain medication, then it is best to do so under the care of a doctor and enter a detox center. Hydrocodone addiction is a serious issue. If you feel you may be addicted please consult a doctor. Hydrocodone contains acetaminophen, and if over exposed can lead to liver damage in the future. A doctor can best advise proper hydrocodone addiction detox treatment. Then later after the drug is removed from the system, then you can think about drug addiction recovery. There are many great treatment centers available that can be visited around your schedule. A 28 in patient treatment may be the best route, but outpatient treatment is also available. 12 step recovery is also a great way to deal with addiction once released from treatment. This way you can have a form of personal treatment when released into the real world.

By Gordon Thomas

Post-Acute Withdrawal Syndrome

After I went to detox and rehab I was ready for a greeting card life full of rainbows.  Of course that is not how it worked out, I still had to deal with life on life’s terms.  When I was using drugs I was in a constant state of euphoria and rarely, if ever thought about reality.  When I got clean and sober I was forced to see and feel everything set before me and it wasn’t always easy.  The first few days out of rehab were especially difficult because I was so fragile and used to living in a controlled environment.  In the treatment center mealtime was set by a schedule as was wakeup time and bedtime but in the real world I was responsible for setting these limits for myself.  When I was using drugs I would just do whatever I wanted when I felt like it and I certainly didn’t adhere to any type of schedule.  There were many things I had to relearn about life when I got off drugs.  One of the hardest lessons I had to learn in recovery was that I was not in control of anything or anyone else besides myself- and half of the time I didn’t even feel in control of that either. 

Being newly detoxed from drugs my body was still going through PAWS (Post Acute Withdrawal Syndrome).  PAWS tends to create in individuals an excess of emotion including hyper activity. Even small events of little consequence may loom large in someone’s mind and create strong (not being able to bond thoughts together) reactions. This may lead others to suspect a relapse or create social withdrawal. Shame emotions may be noted. Conversely, they may notice a numbing of emotions. The inability to feel impairs proper emotional bonding with friends and family during the early recovery process. It also impairs the recovery process itself as the individual struggles with trying to feel the resentments, anger, guilt, shame and other emotions common in recovery.