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

Oxycodone Addiction

Oxycodone is a narcotic pain reliever used to treat moderate to severe pain. It comes in many brand names such as OxyContin and Roxicodone. When oxycodone is combined with acetaminophen its brand names include Percocet, Roxicet and Endocet. When it is combined with aspirin its brand names include Percodan, Roxiprin and Endodan. When it is combined with ibuprofen its brand names include Combunox. Oxycodone is a schedule II drug and it poses a high risk for addiction, especially when abused. It’s pain-relieving effects and side effects are similar to morphine.

What Causes an Oxycodone Addiction? The main cause of an oxycodone addiction is abuse. When a person who is prescribed this drug takes more than prescribed or a person who is not prescribed this drug takes it, they put themselves at risk for addiction. In some cases, a person who takes this drug as prescribed for a prolonged period of time may become addicted to oxycodone. Peer pressure and mental illness can also increase a person’s chance of becoming addicted to oxycodone because it may make them more vulnerable to abusing this drug. Having a family history of drug abuse, specifically oxycodone abuse, can make a person more vulnerable to addiction. Patients who experience chronic pain may be more vulnerable to oxycodone addiction because they may take more than prescribed in an effort to try and decrease their pain.

Signs and Symptoms of Oxycodone Addiction- When a person becomes addicted to oxycodone they may present with certain abnormal behaviors. This drug often causes a euphoric effect so those who are addicted may seem abnormally happy and carefree often. They may also take more risks and seem to not care about consequences. They may also present drug-seeking behavior when they need more oxycodone. When an oxycodone addict does not have the drug they will most likely experience withdrawal symptoms. Oxycodone withdrawal symptoms can include diarrhea, rapid breathing, abdominal cramps, crying, loss of appetite, runny nose, muscle aches, hyperactivity, cold and hot flashes, agitation, tremors, dilated pupils, fever and increased heart rate.

Dangers and complications of oxycodone addiction- Oxycodone can be a dangerous drug when abused. Abuse leads to addiction, which can cause a variety of complications including death. If a person takes too much of the drug they may fall into a coma, suffer heart failure, respiratory failure, kidney failure or if taking a form of oxycodone that is combined with acetaminophen, liver failure or liver toxicity.

Coping with and overcoming an oxycodone addiction- most people suffering from an oxycodone addiction will not be able to stop by themselves. They will need help from their friends and families. If a person is prescribed oxycodone and has become addicted to it, they need to talk to the doctor who prescribed them the medication. Their doctor can then help wean them off the oxycodone and switch them to a medication they will not become addicted to. If the person was not prescribed oxycodone or if they are heavily addicted they will most likely need to go to rehab. Some people will benefit from outpatient rehab, but most may need inpatient rehab so that they can be monitored and treated 24 hours a day. Many addicts will relapse a time or two so it is important that they continue to get help even after they complete a rehab program. After-rehab programs, such as narcotics anonymous, can help addicts remain clean as well as help anyone who relapses quickly recover from their relapse.

by Lisa Simmons

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

Early Recovery & Spirituality

Not long after attending my first meeting of Alcoholics Anonymous I began to hear people using the phrase Higher Power and even talking about God.  This was one of the things that kept me skeptical about AA.  I had always had a hard time relating to God and I was petrified that I couldn’t stay off drugs and alcohol because of my aversion to organized religion.  Luckily I obtained a temporary sponsor at my very first meeting and after a few months of going to AA meetings regularly I finally told her about my dilemma.  It was explained to me that Alcoholics Anonymous was not a religious program and that I did not have to believe in anyone else’s concept of God.  That put me at ease for a while but I kept hearing people sharing in meetings about their Higher Power and I was still confused and apprehensive. 

When the time came that I began to go through the twelve steps I had been clean and sober for over three months and still felt disconnected from God.  The first step was to admit that I was powerless over drugs and alcohol and that my life had become unmanageable, which was easy for me.  However the second step was no easy feat, “We came to believe that a power greater than ourselves could restore us to sanity.”  I went over and over the words in my head and tried to think what it meant to me and how I could relate to this concept of a power greater than myself.  My sponsor told me that she had a similar experience when she was a newcomer and that all that I needed at that time was to believe that there was something in the universe that was more powerful than me.  I had heard of people using the fellowship of Alcoholics Anonymous as their Higher Power because they felt that the group was more powerful than they were alone.  That idea made sense to me and for the time being it would suffice.  I was hopeful that in time my relationship to God would blossom and develop as was the experience of others in AA.

My First Alcoholics Anonymous Meeting

When I was first introduced to Alcoholics Anonymous  I had all kinds of preconceived notions about what it would be like.  I was scared that they were a cult and I would become brainwashed or that they would try to convert me into a religious fanatic.  I was surprised to learn that AA does not even have any rules but in fact is a program of suggestions.  These suggestions are organized into the twelve steps of recovery and the twelve traditions for service. 

I remember the very first AA meeting that I attended when I was only 16 years old.  I arrived about fifteen minutes early and was nervous as I walked toward the crowd gathered outside the community center where the meeting was being held.  The first thing that I noticed was that I was by far the youngest person there which didn’t really bother me because I was desperate for a change in my life.  My drug and alcohol abuse had come to a point where I lost control and I knew that I needed help to conquer my addiction.

The room was dark and crowded and I have to admit I was intimidated by the fact that everyone seemed to know each other.  A woman introduced herself to me and asked if it was my first meeting.  She offered to be my temporary sponsor and explained that she could help introduce me to the program as far as where the local meetings were and to help me in my early recovery.  I was fresh out of detox and still shaky so I accepted the guidance and figured out soon after that a sponsor is also someone who takes you through the twelve steps of recovery.  Overall I didn’t retain much from that first meeting but the thing that stuck with me was how welcoming and friendly everyone was and that while I entered the meeting very anxious I left with a feeling of calm and well-being.

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.

What to Do After Detox

The first step in recovery is asking for help and physically getting off whatever substance you were abusing.  Detox is only the beginning of your transition into a new life of sobriety.  Once your body is clean of drugs and alcohol and you have completed your detox program my suggestion is to attend a drug rehab center.  Some will tell you that this is not necessary and for the few people out there that have an extremely strong sense of discipline and are absolutely sure that they want to live a drug free life then they may be able to stay clean and sober without attending a rehab. However the statistics prove that your chances go up 10 fold if you attend and complete a drug treatment program. 

 

There is a variety of drug programs available ranging from the traditional 28 day inpatient rehab to some less intensive outpatient programs.  Through my own personal experience I have found that the best way to stay off drugs and alcohol is to attend an inpatient rehab program with a minimum length of 28 days.  There are also some residential drug treatment centers that offer longer programs (3-9 months) but many find that they are unable to put this amount of time aside.  If you are able to invest 6 months into drug rehab because you feel that you need to then that is a great testament to your commitment to your recovery.

 

When choosing which rehab to enter be wise and select one that fits your individual needs.  If you also suffer from depression or anxiety make sure that they have a psychiatrist on staff that will be able to meet with you and assess your situation.  If you feel more comfortable in a single sex environment then choose a treatment center that has separate units for men and women.  Most important before you check yourself into any drug treatment facility, do a little research on their history and their success rates; it doesn’t hurt to do some investigating.  If you are in need of some advice of where to go and are in the South Florida area, New York, New Jersey or Pennsylvania email me and I will share my experiences with you.

Choosing the Right Detox

There is a huge difference in the quality of care from one detox center to another.  The uneducated consumer may not know the difference but I have been to my fair share of detox’s and I am here to share my experience with you so that you can receive the highest level quality of care possible.  One mistake that people often make when deciding on which detox center to go into is that they think they are limited to the facilities in their immediate area, which is entirely untrue.  Drug dependence is a serious physical condition that requires emergency medical care and I know that when I am sick I want to be treated by the best and have the most well trained professionals by my side.

The best detox center in my experience has been The Sunrise Detox located in Lake Worth, Florida.  They have a gentle and loving approach towards drug detoxification patients and treat all of their clients with dignity and respect. The staff at Sunrise Detox is the most caring and genuine that I have ever encountered. They actually care and want to see you recover and that is why there is such a comfortable and safe feeling there.

According to the Sunrise Detox website: “We believe that recovery from alcohol and drug addiction should be dignified. We’ve gone to great lengths to create a feeling of home at Sunrise Detox. There are no locked doors, and Sunrise Detox is not an antiseptic hospital environment. Our clients reside in comfortable, modern, elegantly furnished rooms, with plenty of space for personal belongings, and they are not required to wear uncomfortable hospital gowns during detoxification. Individuals can dress in the clothing of their choice, and have easy access to in-house laundry facilities. We also operate our own full-service, on-site gourmet kitchen which serves a diverse menu of nutritionally balanced meals and snacks.”  It makes a huge difference to be able to wear your own clothing and not be forced into a medical gown while going through withdrawal.  Each and every creature comfort that is afforded at Sunrise Detox makes the process of coming off drugs easier to bear.

The most praiseworthy aspect of Sunrise Detox is that they understand what a comfortable detox means and they don’t see detox as a time to make the patient suffer.  Through a comfortable, medically monitored detoxification process they aid their clients in their first steps towards recovery.

Don't Be Ashamed

I have had many fellow drug addicts tell me how embarrassed they are that they have a problem with drugs.  Of course drug abusers must take responsibility for their actions and that includes what they did when they were under the influence.  However as a society we must be careful not to ostracize or shun people who have had difficulty with substance abuse.  It is only because of the lack of understanding of the nature of addiction that individuals with substance abuse problems are encouraged to hide and told that they should be ashamed of themselves.  This attitude only perpetuates the cycle because when someone feels a vast amount of self-hatred then they are more likely to continue using drugs.  I have spent many years trying to break free from that cycle of getting clean only to start feeling guilty and shameful and allowing that to take me back to getting high.

This is where the disease concept of addiction can shed light on the situation and offer hope to those who feel beyond help. Since the introduction of the disease concept research studies have examined a possible genetic link in alcoholism/addiction. One such study demonstrates that the offspring of alcoholics are approximately three to five times more likely to develop alcoholism than offspring of non-alcoholics.  There may be other factors that can contribute to addiction and alcoholism like the environment that one is raised in and around.  Today we have more information on possible causes for addiction and that can help to alleviate some of the guilt and shame that drug users are so often riddled with.  Those with chemical dependency issues should know that they are sick people trying to get well, not bad people trying to become good.