opioids

The Heart-Break of Addiction

Recently, the San Francisco Chronicle had a heartbreaking letter written by Ricci & Vernae Graham’s about the loss of their son Malcolm to an opioid overdose.

The Graham’s son is a typical story. He got hooked on prescription opioids after a football injury, over time became addicted, had mood problems, got in trouble with the criminal justice system and went through numerous treatment programs. He had periods of sobriety and using until he finally overdosed. His parents did everything possible to help their son. But, it wasn’t enough, in part, because our methods of treating addiction are just not good enough.

As an addiction counselor since 1985 I’ve worked with addicts/alcoholics and many, many family members who desperately seek ways to help their loved ones through the destructive path of addiction. As the daughter of an alcoholic mother, who finally become sober, the sister of an alcoholic who died in 2013 and mother of a son who went through many rehabs before sobriety, I know the pain of addiction on a personal level.

Opioids, both prescribed and street obtained, are a huge problem in the U.S. “The United States comprises 4.6% of the world population, yet consumes 83% and 99% of the worlds oxycodone and hydrocodone supplies.”*

According to the American Society of Addiction Medicine 44,000 people die in the United States annually from an overdose of prescription painkillers.

As a nation, we need to fully change our old thinking that addiction/alcoholism is a moral/criminal problem and shift to understanding this is a chronic medical condition, like diabetes, that needs continued treatment to stay in remission. Yes, if someone behaves criminally they need to be held accountable and also need treatment for the addiction.

Family members need better guidance about how to support and not support their loved ones who are struggling with addiction. (See Guide to Parents on website www.addictionmodesto.com

Johann Hari in his brilliant Youtube clip “Everything You Think You Know About Addiction is Wrong”  discusses how other countries do a much better job treating addiction (Portugal one example). Shaming, judging and disconnecting from the addict simply doesn’t work to get someone to stop hurting themselves. Learning how to set loving limits is a process and the 12 Step program Alanon is helpful for family members.

My observation is that the addicts/alcoholics who have the best chance of recovery, with our current treatment options, are the lucky ones whose families don’t give up on them and are able to set firm limits about behavior they will or won’t accept.

However, the family can’t make recovery happen. Ms. Szalavitz, author of The Unbroken Brain, states that many addicts outgrow their using in self-harming ways by age 30. I have to say that was true with me.

Staying lovingly connected to a using child or family member is tough business. Most families are not trained in how to cope with their own feelings, while staying connected with love AND holding limits around what is and isn’t acceptable.

A guiding question I encourage parents or family members to ask  is: “Am I doing something for my loved one that they can or should be doing for themselves.”

There is new research about the brain and adolescent vulnerability to using any alcohol or drugs before the age of 21. The Unbroken Brain by Maia Szalavitz, makes the very good point that learning is key to recovery. Learning new ways of thinking and new behaviors, over time, help to re-shape the brain. New ways of behaving and thinking is what a good treatment program and 12 Step Programs teach.

Drug and Alcohol use Prevention needs to be happening in elementary through high school. We can do much better to help children understand the dangers of use before 21 on the developing brain help them make better choices. We did this with cigarette smoking through PSA announcements and educational materials.

Treatment for our loved ones suffering with addiction is not a guaranteed process. It’s often a painful one for both the addict and the family. Hope is always possible.

I know the HOPE and joy when there is family love that encourages someone struggling with addiction to be able to finally make the choice to be sober. My brother Lee, a homeless meth addict a few years ago is now sober 3 and a half years, working, in his own place and with a wonderful woman.

 

Feel free to use all or part of this blog as long as you list my name, website and contact information.

Lynn Telford-Sahl, M.A. Psychology, Certified Addiction Counselor, Private Practice, Modesto (209) 492-8745 www.addictionmodesto.com

Lynn is the author of Intentional JOY: How to Turn Stress, Fear & Addiction into Freedom.

Pills for Problems: What To Do Instead

Pills for problems - can't take just one. Pills, pills, pills. By pills I mean Vicodin, Lortab, OxyContin. So many pills for so many problems. Got pain? Feeling sad or blue? Not happy enough? Or, do you just want to get high? Take a few pills.

As an addiction counselor I've seen the number of folks with pain pill problems increase over the years.

"Prescription drugs account for about three-quarters of all drug overdose deaths in the United States, with the number of deaths from narcotic painkillers, or opioids quadrupling since 1999, according to federal data." (Modesto Bee 10-25-13)

We know painkillers can be appropriately prescribed and used, but we also know there's a lot of street selling or these same drugs. I would say most of the clients I've worked with that are taking painkillers aren't getting them through their doctors. They get some pills at a party, then they raid their parents pain prescription bottle, then they start buying them off friends or the street or ordering online if they have the money. 

Here are a few assessment questions and suggestions for slowing down or stopping.

1) Be honest with yourself first about how much you're taking a day and for how long. 

2) Talk to a friend, family member about what's going on - how much you're using and for how long. If you're not willing to do this, you're probably not ready to get help.

3) If you don't have a SAFE family member or friend to talk to, find an addiction counselor, or go to 12 Step meetings like Narcotics Anonymous. You can find them listed online. 

4) Before you go stop using here are some SAFETY guidelines:  Talk to your doctor about your usage and that you want to stop or wean yourself.  Going cold turkey is dangerous - I don't recommend it.  iI you've been using for a number of months and want to wean yourself do so with your doctors help, or talk to your counselor.

5) 12 Step Meeting Suggestions:  Go to 6 meetings before you decide if you like them or not. You don't have to speak if you don't want to. Just say I pass. Pay attention to the positive things said in the meeting. Focus on getting 1 thing out of the meeting that is helpful for you. If you keep attending and following the program you will make new friends and you will start to feel different.

6) If 12 Step meeting aren't working for you then check out Out-patient treatment, In-patient depending on the length of time and dosage you've been taking or Long Term Sober Living Environements. These are community based, inexpensive treatment options to help people develop a schedule, have daily support and education about their illness.

7) Opioids affect the feel good chemicals in the brain so once you've stopped using it takes time for the brain to heal - 4-12 months. I know. During this time exercise helps you feel better. Eating well is helpful. Not eating to many sweets will help. You can also try Amino Acid therapy as recommended by another addiction expert Julia Ross in her book Mood Cure.  Amino acid therapy helps you feel better.

8)  Stress and anxiety increase in early recovery so check out my FREE 7 1/2 Tips to Reduce Stress & Anxiety - they're easy and short audio tips that come every couple days and help you practice stress reduction.

Email me with questions - lynntelfordsahl@gmail.com