About Addiction:Elder Abuse, Excercise, and Smoking

Yes, you got it. This is the place to get some of the most recent, and most interesting information about addiction from experts who study addiction as a specialty. Our “About Addiction” posts cover some of the latest information from the WWW that addresses addiction specifically or issues related to addiction. Enjoy!

Drugs: Smoking, Placebo Effect, and Elder Abuse

PsyPost-Smoking cigarettes at an early age may make people more prone to using illicit drugs such as cannabis when they are older. Risk factors that are associated with smoking include externalizing problems such as impulsiveness. By the time teens are seventeen years old 15% of girls and 12% of boys have used cannabis in the past.

Psychology Today– It seems like most people have heard of the placebo effect. Previously individuals thought that a person had to be told that they were taking effective medications in order for the placebo to work but this is not the case according to a study at Harvard that we covered for the Psychology Today version of A3. Individuals were being treated for irritable bowel syndrome and were put into two groups. One group got no treatment while another group got a sugar pill which was labeled “placebo pills”.  Those taking the placebo pills reported feeling better than those who received no treatment.

Science DailyElderly individuals who are victims of elder abuse are more likely to abuse drugs and alcohol. This drug and alcohol abuse was particularly common in females and people who have some sort of mental illness. Alcohol and drug abuse are linked to physical abuse of elderly individuals.

ABCNews– A study was conducted which found that the earlier teens start drinking the more likely they are to deal with substance abuse disorder. This was particularly prevalent with heavy teen drinking (between 18-21 drinks a week, so pretty heavy drinking!). For more information check out the video and see an interview with our very own Dr. Adi Jaffe!

Addiction Treatment- Being an Educated Parent and Exercise

Breaking the cycles-Teaching children often seems to be the number one thing that parents want to do for their children. Another thing they can do is to be educated about their children. Parent denial is a common threat that teens face when they are doing things such as smoking a joint or popping pills. Parents don’t want to think that their child is the “bad” kid and often tend to think about their friends as bad influences. For tips and information about addiction check out this article!

Addiction Inbox– A study has found a connection between exercise and getting high. The study suggests the runners high and the high people get from cannabis are striking similar. Additionally, exercise has been found to curb cravings for addictive drugs.  Does this mean that exercise will be the new “it” treatment for trying to combat drug addiction? Only time can tell, but as we’ve talked about on A3 before it probably can’t hurt.

TheWest- There is new funding for an addict Naltrexone implant program. This program will fund naltrexone impants for drug addicts. As we’ve mentioned here on A3, this new form of injectable-depot naltrexone (called Vivitrol) allows naltrexone to stay in a patients system for 30 days at a time. The naltrexone (an opiate antagonist) then stops opiate molecules from having an effect and addicts have no reaction (or a much reduced reaction) to heroin and other opiates. Due to its effect on the body’s opioid system, Vivitrol has even been shown to be effective for reducing alcohol relapse. Sounds good to us!

Opioid prescription overdose and abuse – Staying safe while reducing pain

A new article just published in JAMA (see here) reports a strong relationship between high-dose opiate prescribing and accidental overdose deaths. The authors focused on a sample of Veterans and found that those prescribed more than 50mg of morphine per day, or the equivalent of other opiate drugs, we much more likely to die of such overdose than patients being prescribed lower doses. Fortunately, only about 20% of the patient-months (a measure of how many people were prescribed a specific dose for how long) were prescribed these high doses but the rate of overdose for this group was 3 to 20 times higher! Continue reading “Opioid prescription overdose and abuse – Staying safe while reducing pain”

The music must change! Obsesssion, compulsion, shame an guilt in addiction

Guest co-author: Jeff Brandler from Changeispossible.org

The nature of addiction is one of obsession and compulsion. Regardless of the substance, behavior, or process, the addicted person will continue to obsess (countless and endless thoughts) and have compulsions (repetitive actions). They will repeat this obsession-compulsion ritual over and over.

music-sheetImagine a radio station that plays the same song over and over. Imagine that song being a steady diet of thoughts, and feelings of guilt, shame, remorse and self-loathing (GSRSL). Imagine an endless supply of obsessive thinking and compulsive replays of the thing(s) that the addict did to start the song playing.

People get involved in all kinds of self-defeating/self destructive behaviors. There are numerous reasons for this. The top ones that I see are: addictive disorders, mood disorders, self-sabotaging behavioral and personality traits. The GSRSL is a constant loop. It never stops. The problem with it never stopping is that it creates more GSRSL. The more GSRSL, the greater the need for the behavior. The more behavior that happens, the more GSRSL that you need and so on and so on. Does your head feel like it wants to explode?

Obsession and Compulsion – An example

Let’s say I had a fight with my spouse. I decide to smoke a joint in order to relax, escape, or unwind. Afterwards, I feel a lot of GSRSL. I have guilty thoughts, feel embarrassed and shameful. I have remorse for what I did, and beat myself up unmercifully. So what do I do in order to stop this behavior? You got it, smoke another joint, or maybe have a drink, only to feel more GSRSL. In doing so I then have the trifecta GSRSL of before, during and after-The music must definitely change!!!!

Or, imagine an alcoholic who receive a 3rd DWI citation after finally getting his license back following a 2 year suspension for his previous offenses. That’s some serious GSRSL. I have the most recent driving incident plus the 2 years where I lost my license swirling around my head like a blender. Talk about a bad song!!!! Please change the music!!!!

How does a person change this music?

It’s easy to change a radio station, but something that is so ingrained, so obsessive & compulsive is going to be much harder to change. Part of stopping this music is recognizing: 1) this is going to be hard to do 2) that I have been doing this for a while, and 3) it’s going to take some time to stop it. The key word that describes this is permission – I have to give myself permission to take the time that it’s going to take to make this major change. I’m also going to need to use a variety of approaches to change these thoughts and feelings (i.e. thought stopping, disputing irrational beliefs, identifying affirmations, (and using them regularly), and finding gratitude despite the pain).

Using this total package will be a first step towards change. It begins a long process of turning down the GSRSL music . I may need to also speak to a therapist to examine why I do these behaviors and what they are “wired” to. If in fact there is something biologically based, there may be a need for medication to “tune” these thoughts/feelings into healthier ones. Yes the music can change– It can go from “Comfortably Numb” to “Peaceful Easy Feeling”. The process of change is possible, but it’s going to take time and hard work.

Is abstinence the only option? Moderate alcohol drinking is possible and there’s help

I can’t even think of how many times I’ve heard the notion that complete, total, abstinence should be the only goal for all people who abuse drug or alcohol. This idea is so pervasive that most addiction treatment providers actually expel clients for relapsing, a notion that makes no sense to me especially if you believe in the idea that addiction is a chronic disease. In fact, even most research institutions and well-informed providers use total abstinence as the marker for addiction treatment success. The thing is that the amount of alcohol or drug use per se is not a part of the definition of addiction or abuse (other than in the “using more than intended” factor but even there an absolute amount isn’t introduced) and I don’t think it should be a necessary part of the solution either.

When I first set about writing this article, many of the issues I was going to bring up had to do with research on alcohol relapse patterns, my own story, and other evidence I’ve already introduced on All About Addiction. Fortunately for us, some recent research about Moderation Management and a newly developed website application component introduced me to some new evidence regarding moderate alcohol drinking that will allow us to look even more deeply into the problem. Continue reading “Is abstinence the only option? Moderate alcohol drinking is possible and there’s help”

About Addiction: Bath Salts, DUI’s and Anxiety Addiction

Do you care about addiction? Of course you do, otherwise you probably wouldn’t be reading this right now. Well, you’ve come to the right place A3 will try to address all your questions, but for now, you’ve stumbled onto our weekly links post full of information about addiction from around the world wide web. So enjoy!

Drugs: Bath salts, menthol cigarettes, and Charlie Sheen

PhoenixHouseOC-Geoff Henderson, the senior director for Phoenix House, the country’s largest nonprofit provider of substance use disorder and behavioral health treatment services recently attended the hearing in Los Angeles to ban bath salts. He gave his interpretation on the bath salts issue, emphasizing that in our world today we have an increasing amount of access to a variety of substances and that new things are continuously emerging that individuals might try. For more of Henderson’s thoughts check out his blog.

Star-Telegram– A study has been conducted which found that adding menthol to cigarettes may increase the likelihood of addiction. Menthol cigarettes are considered to be so dangerous because they have a cooling and anesthetic effect which may get more adolescents to smoke. There is a debate to see if menthol cigarettes should be banned. Right now they make up 30 percent of the cigarette market and are favored by 80 percent of African American smokers.

Psychology Today– Charlie Sheen is the latest celebrity that is dealing with drug addiction. He has previously mentioned that he did not want to go to rehab because he thought that he could clean himself up and expressed his disdain for everything 12-steps. A lot of people thought that this was ridiculous but here is an article in which Dr. Stanton Peele agrees with Charlie. Dr. Peele believes that a person can be fixed if they are being forced to do so and that I why he agrees with Charlie Sheen that only he can overcome his addiction on his own. Read this article to get a different opinion on addiction treatment.  You can check out this article for Dr. Jaffe’s take on the same issue.

Alcohol-The youth and DUI’s

Medical News Today– A new study by (SAMHSA) found that 5.9 percent of adolescents aged 12 to 14 drank alcohol and about 317,000 of them received this alcohol from their parents or got it at home. This can dangerous because being exposed to alcohol at an early age can expose at-risk children to an increased risk of alcohol abuse and addiction later on in their lives. Parents should be educated about such risk factors and about limiting access and increasing education for at risk youth.

Contra Coast Times– A man who was arrested for driving under the influence was found guilty of a DUI after showing up to his pretrial hearing drunk. The man ran his vehicle off the road into a barbed wire fence back in 2010. At the time of the arrest his blood alcohol level was more than four times the legal limit.

The Daily Beast– Can there be such a thing as anxiety addiction? Some individuals think so. A study was conducted that found that during demanding and stressful circumstances our bodies cultivate and thrive on anxiety. The study found that during a stressful circumstance is was possible that some individuals use anxiety to boost cognitive performance while others are comforted by anxiety.  Whether this should be called addiction, I’m not sure, but the idea of anxiety as rewarding is interesting.

 

Calling bullshit on addiction treatment bullies

About three years ago, I was attending a national conference on public health (American Public Health Association) and presenting my posters on the relationship between drug use and violence, and sexually transmitted infections and injecting drugs. As I walked the aisles I ran into a woman who runs a Florida addiction “treatment” facility. We talked for a bit about my work, her facility, and then we shared some of our personal stories. Mine included meth addiction, jail, recovery, and now graduate school studying addictions. Everything was great until I mentioned that I now drink alcohol socially… “We’ll save a seat for you” she told me as she handed me her business card. Idiot.

Recovery bullies and addiction treatment

Dr. Adi Jaffe Lecturing in Los AngelesAs soon as my version of recovery from addiction didn’t match her expectations, it was an immediate failure. Forget the 6 years I’d spent free from crystal meth use, the excellent graduate school career that was producing real results I was there to present. Forget the fact that my family, my bosses, and my girlfriend at the time thought I was doing amazingly well – As far as this woman was concerned it was her way, or her way. Well I call bullshit on that thinking once and for all.

Unfortunately for her, the research evidence, as well as the actual human evidence that I’ve seen, shows that recovery from addiction comes in many colors and flavors, like pretty much everything else in life. We’ve covered research on all about addiction before showing that the best evidence to date actually calls into question the idea that relapse is the necessary disaster so many paint it as. The fact that the majority of those who meet criteria for drug dependence at some point in their life actually recover on their won is also there, and although this does nothing to reduce the impact of addiction on all those who have an incredibly difficult time quitting, it’s there and can’t be ignored. Drug dependence is almost certainly not a one size problem and the solution is probably far from a one-size-fits-all, no matter how much you like your own solution.

So there’s cognitive behavioral therapy, peer support solutions (like SMART Recovery, Rational Recovery, Life Ring, 12 Step groups like Alcoholics Anonymous, and more), medication-supported recovery (like Suboxone, Methadone, Vivitrol and more), Motivational interviewing and other Motivational Enhancement techniques, as well as a whole host of psychotheraputic approaches that are more eclectic. No research we have to date indicates that any of these approaches is necessarily more effective than others, which means that they are all essentially equally effective. We’ve already talked about some combinations that work very well together, like PHP programs for physicians, but there is absolutely nothing to indicate that the 12-steps (for examples) are somehow superior to CBT, or Rational Recovery, when it comes to treating addiction.

If you get better, you’re a success in my book

When it comes down to it, whether this Florida 12-stepper likes it or not, I am still a social drinker and I still don’t believe that this nullifies any of my other achievements or my successful recovery. More importantly, it doesn’t nullify the success of millions of others, no matter how poorly it fits with some people’s notions. When a life gets overrun by drug use or another addiction, a successful outcome to me means recapturing a functional life that is no longer dictated by the pursuit of that addictive behavior. Anything more or less is a personal preference sort of thing. The problem with these idiots who will absolutely ignore success because it doesn’t conform to their expectations is that they drive people out of treatment and away from success and that is not okay. I’ll continue to call them out for their narrow mindedness and hopefully eventually, their voice will be far from the dominant one.

About Addiction: Prescription Medication, Alcoholic Energy Drinks, and Video Games

If you want to learn about addiction to drugs, alcohol, sex, and more, you’ve come to the right place. Check out some of our discoveries for online content about addiction.

Prescription Medication

Psy Post- Ever encounter prescription labels that warn you to not drive when you are using it ? Well this is good advice because prescribed medications are responsible for over 3 percent of automobile accidents in France.  Driving performance is classified into 4 levels of risk, from level 0 (no or negligible risk) to level 3 (major risk). Continue reading “About Addiction: Prescription Medication, Alcoholic Energy Drinks, and Video Games”