Do you know about - The Dark Side of prescribe Drugs
Inpatient Rehab Centers! Again, for I know. Ready to share new things that are useful. You and your friends."I lost all things when the police raided my house seeing for designate drugs. My husband and two minute children were home that night. I was so ashamed I couldn't even look at them. I was arrested, put in handcuffs and locked up. My husband divorced me. My children were taken away from me. I knew I had hit bottom."
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Sylvia* is a 44 year-old radiologist, previous president of the Pta, and designate drug addict.
An indiscernible Epidemic
A great deal has been written about alcoholism and drug addiction over the last two decades. However, data concerning designate drug abuse and addiction only seems to exterior when person supreme has a qoute and needs rehabilitation or dies.
Historically, designate drug addiction has been the most underreported drug abuse qoute in the nation( National found of Drug Abuse). It is also the least understood. Addiction to and retirement from designate drugs can be more dangerous than other substances because of the insidious nature of these drugs.
Two types of the most generally abused drugs are opioids and benzodiazepines. Opioids are generally used to operate pain. Benzodiazepines, or tranquilizers, are used to administrate anxiety. These drugs are prescribed for short-term use such as acute pain and anxiety that is in reaction to a exact event. They may also be prescribed for continuing pain or generalized anxiety.
Chronic Pain
Like many other people, Sylvia's physician put her on Vicodin because she suffered from continuing migraines. The pills worked effectively. They took away her headaches and allowed her to live her life. But, like other narcotics, Vicodin lost its effectiveness over time. Sylvia began to growth her dosage. She had built up a tolerance to the medication. She was physically dependent on Vicodin.
Fearing that her physician would stop prescribing the medication if she told him that she had increased the dosage, she kept it a secret. She did not believe that she would be able to function without the pills. She began to turn the numbers on the prescriptions so that she would get more pills, with more refills.
Over the next two years, she went from a corporeal dependence to a corporeal and psychological addiction. She had to continue to take this drug in expanding dosages in order to feel "normal." She went from taking the medication as prescribed to a drug habit of 30 pills a day. She started to "doctor shop" in order to fetch several prescriptions at a time. She would make appointments with a number of doctors to get what she needed. She switched pharmacies often so that she could drop off each designate at a dissimilar one. She went to a number of pharmacies in dissimilar neighborhoods so that no one would come to be suspicious.
She could not use her guarnatee since she was buying several prescriptions of Vicodin at one time. She used dissimilar names at each pharmacy. She spent hundreds of dollars a month. She kept a true article of who she was at every one. As her habit increased, she had to find new ways of getting pills. She stole a designate pad from one of her doctors and began to forge her own prescriptions. One day, she made the mistake of writing a date on the forged designate that happened to be a Sunday. The pharmacist became suspicious and confronted her about it. She speedily left the store. He called the police.
By the time the police raided her house, she had hundreds of pills incommunicable in the bathroom, the kitchen, and bedroom. The police notion she was selling them. They had no idea that the number she had wouldn't even last her two weeks.
This may seem like an predicted story, detailing greatest measures to fetch narcotics. Unfortunately, Sylvia's story is not unusual or unique. The National Clearinghouse for Alcohol and Drug data reported in May of 2001 that practically four million citizen aged twelve and up misuse designate drugs. That is practically 2-4% of the population, four times the number it was in 1980. designate drug addiction accounts for practically a third of all drug abuse problems in the United States.
Accidentally Addicted?
Donna, a 34 year old lawyer suffered from greatest anxiety, coupled with panic attacks. She sought the help of a psychiatrist who put her on Xanax. It helped with the symptoms for a minute over a year. She then noticed she was beginning to feel more and more anxious in in the middle of doses. In addition, the dose she was taking barely helped anymore. She reported this to her psychiatrist and he responded by expanding her dosage. In less than three years, he had increased the dose to five times the number she was first prescribed.
She was honest with her psychiatrist and he increased the dose to what she said she needed. She had convinced herself that designate drugs were safe. She rationalized this by saying to herself, "if her psychiatrist prescribed them, they must be okay. And besides, a reputable drug firm industrialized the pills in a nice clean laboratory, so how could they be dangerous?"
She began to feel increasingly depressed. She dreaded leaving the house. Her panic attacks increased in frequency whenever she did venture out. She did not want to see her friends. She did not retort the phone. Her world was becoming smaller and smaller.
Donna called her physician and told him she wanted to get off the pills. He suggested a slow tapering off process and they decided that her partner, Beth, would give her the agreed upon dose each day.
She nothing else but wanted the tapering off to work, but she began to feel sick in in the middle of doses. She tried to succeed the schedule, but she couldn't tolerate the retirement symptoms. She would wait until Beth left for work in the morning and then tear the house apart seeing for the pills. When she found them, she "stole" a few and put the vial back where Beth hid it. She pretended to continue the agreed upon tapering off process.
Donna panicked when she realized she was taking more than twice the number she was supposed to take. Feeling like a failure and filled with shame, she did not tell her doctor. She went to another psychiatrist to get another prescription. Her partner begged her to get help. Donna didn't feel that she could live without her pills. Her life had come to be fully controlled by Xanax. She would panic when she was beginning to run out.
Donna's world was now focused on conning, getting, and taking the pills. She would count them over and over again when she picked up a new prescription. One night, several months later, Beth found Donna unconscious on the floor by the bed. She was rushed to the urgency room. When she regained consciousness, the resident informed her that the Xanax had come to be toxic in her bloodstream and that she would not have lived more than two weeks had she continued taking them. She had no selection but to stop. She was medically detoxed in the hospital and sent to a rehabilitation factory to continue the process and begin to learn to live drug-free.
What leads a person to come to be addicted to designate drugs?
Prescription drug addiction is no dissimilar from alcoholism or an addiction to any other substance. However, no one is prescribed alcohol or cocaine for healing reasons. citizen who suffer from continuing pain are in a very difficult position. Painkillers do relieve pain. For citizen who suffer from constant and continuing pain, narcotics may be requisite to allow them to have any ability of life. The downside is becoming physically dependent and risking the possibility of addiction.
While it is true that the drugs themselves are very addictive, not everyone who takes painkillers becomes an addict. The statistics of those suffering from continuing pain who come to be addicted to these drugs are nothing else but pretty low agreeing to the continuing Pain Advocacy League, a grass roots club dedicated to helping those who suffer the debilitating effects of continuing pain. However, this is not to say that those who suffer with continuing pain are not at increased risk of designate drug addiction.
A new observe by the National found on Drug Abuse at Columbia University indicated that practically 50% of traditional care physicians have strangeness speaking with their patients about substance abuse ( Fda consumer Magazine, Sept.- Oct., 2001).
Tolerance
Drug tolerance is basically the body's ability to adapt to the presence of a drug. When narcotic substances are taken commonly for a length of time, the body does not retort to them as well. Tolerance then becomes defined as a state of progressively decreased responsiveness to a drug as a succeed of which a larger dose of the drug is needed to achieve the succeed originally obtained by a smaller dose.
Dependence or Addiction
There is a contrast in the middle of dependence and addiction. Dependence occurs when tolerance builds up and the body needs the drug in order to function. retirement symptoms will begin if the drug is stopped abruptly. On the other hand, when a person turns to the quarterly use of a drug to satisfy emotional, and psychological needs, they are addicted to that substance. corporeal dependence exists as well, but the drug has come to be a way to cope with (or avoid) all kinds of uncomfortable feelings.
Many designate drug addicts do begin by needing the drug they are prescribed for healing reasons. Somewhere along the line, however, the drug begins to take over their lives and becomes more important than whatever else. Nothing will stop them from getting their drug of choice.
It may be difficult to understand how person could let this happen. How could person who is reasonably fascinating and sophisticated in regards to drug addiction come to be an addict? Addiction has nothing to do with intelligence. And addiction to designate drugs is no dissimilar than any other substance abuse problem. Many citizen in the healing profession abuse designate drugs. Condition care providers may have a slightly higher rate of addiction due to both the stressful nature of the work and their relatively easy entrance to supplies of narcotics. Clearly, the possible risks and dangers complicated with taking narcotics are not unknown among Condition care providers. This, however, doesn't stop person from becoming an addict. Some 12-step members have described addiction as a disease of the emotions.
Addictive Behaviors
Along with addiction, there are addictive behaviors that are quite coarse among addicts. Lying, keeping secrets, hiding pills and obsessively counting them, making unnecessary urgency room visits and constantly "doctor shopping." As the addiction escalates, fascinating in such illegal activities as stealing designate pads, committing forgery, and buying drugs off the street is also quite coarse behavior.
These behaviors commonly stem from the desperation an addict feels concerning getting, securing, and taking their drug of choice. Under other circumstances, the private would probably not engage in the behaviors listed above, unless they were previously part of his/her personality structure. In other words, addictive behaviors are minute to the addiction itself and are generally dissonant with the person's beliefs and values in any other area of their life.
Paul
Paul* is a 29 year old advertising menagerial who was first prescribed medication for a relatively minor neck injury caused by a car accident. While hospitalized he was first treated with morphine and then was switched to Percocet. He left the hospital with a designate for a week's supply of pills.
The pills took away Paul's pain. They made him feel calm and a minute distant from his emotional pain, as well. Paul welcomed the relief from the emotional pain he was going straight through following the break-up of a serious relationship. It seemed to him the pills made him feel less lonely and needy. In addition, he found that the pills allowed him to feel more determined at work; he got more done, felt less stressed, and believed he functioned better.
Paul was upset when he complete his prescription. He called his doctor, telling her that he was still in pain. She prescribed more Percocet. She also let him know that if the pain continued any longer, she would designate Motrin. Paul felt elated that he could get more pills for now but also. Decided he would stop taking them after this most recent designate was finished.
Two months later, Paul had to have oral surgery. All he could think about was how he'd now be able to get more Percocet. He found himself seeing send to, rather than dreading the surgery. After this most recent designate ran out, he began to devise aches and pains that would lead to more pills and was able to con several urgency room doctors into giving him further prescriptions.
Paul began to notice that the pills did not have quite the same effect. The preliminary euphoria he once felt was gone. He took more. He kept trying to "chase" that first high, but could not achieve it again.
A friend turned him on to Oxycontin. He loved the feeling the pills gave him and began to buy them from his friend. He no longer missed his ex so much. The pills made his emotional pain tolerable and filled the empty feeling he had inside.
Soon, he began to screw up at work. He was missing deadlines and no longer competed for the most prestigious and high-paying ads. Paul began to sink into a depression. His self-esteem plummeted because of his growing need for the drug and the extremes to which he would go to get it. He began chewing the pills so he'd feel their succeed sooner.
Paul sank further into a depression and believed that the only thing that made him feel good was to take more pills. His friend expressed concern that Paul was becoming too dependent on Oxycontin. He told Paul that he felt uncomfortable supplying him with more pills. Sensing that Paul needed help, he suggested an Na or Aa meeting. Paul was angry. He notion his friend was overreacting. He was just using pills, not something dangerous like heroin or cocaine.
Paul realized, however, that he didn't feel he could function without his pills. It was the only thing in his life he felt he could depend on. He began to chew them by the handful. One morning he woke up in a stranger's apartment not knowing how he'd gotten there. He couldn't remember anything. He called his friend who said he must have had a blackout and that he needed to get off the pills before he self-destructed any further. Paul ultimately agreed and went into an patient detox and rehab program.
He began to get in touch with the empty void the pills filled up. He felt a great deal of shame about becoming addicted to them. He also felt a great deal of remorse about the behaviors he engaged in to feed his addiction.
Shame and Guilt
Both shame and guilt are feelings that are very coarse to the contact of addiction. No one wants to be a drug addict. There is huge shame in having your life ruled by a vial of pills. There may also be a huge number of shame and guilt about the type of behaviors you can come to be capable of fascinating in to get drugs. The way one behaves on pills--falling down, slurring one's words, blackouts--are all shameful experiences.
A person whose come to be addicted to designate drugs may feel guilty about the way they have treated others, particularly those closest to them. There's a great deal of guilt related with lying and betraying the citizen they love.
Neither shame or guilt is conducive to getting the help that is needed. In fact, these feelings can be quite destructive. Shame can forestall you from getting treatment. Guilt can lead to all kinds of self-destructive behaviors that will interfere with sobriety. Lowest line: shame and guilt lower self-esteem and foster self-hatred.
Getting Help
There are many rehabilitation facilities located throughout the country. Many guarnatee plans cover patient detox. Some guarnatee clubs will pay for a week, maybe two. Some may pay for rehab as well. It's important to get help and not to try to get off pills on your own. Some citizen may feel that they can't afford to take a week or two out of their lives to spend in a rehabilitation facility, detoxing. The demands of children, a job, school, or other responsibilities may make patient rehabilitation seem like a luxury. It is not. It is nothing else but good to leave the routine responsibilities of your life for a week than it is to suffer the determined outcome of continued drug addiction.
Withdrawal
When an private becomes physically dependent on painkillers or benzodiazepines, they should not just suddenly stop taking them. Stopping suddenly can cause seizures and possibly even death. The risk of a seizure is nothing else but quite high. Dependency might be dealt with by tapering off the medication. Some citizen have been victorious using this approach. Addicts have often found tapering to be unsuccessful because their addiction is both corporeal as well as psychological. If tapering is done inpatient, it has more of a opportunity of success.
Withdrawal symptoms can be, and often are, difficult. Benzodiazepines, for example, are stored in the tissues and fat cells. Getting the drug out of your bloodstream can take a long time. Drugs that go straight through the digestive tract are more speedily excreted.
Even when person detoxes inpatient, the symptoms often feel unbearable. While the acute retirement symptoms generally last a concentrate of weeks, the continued withdrawal, called Post Acute retirement Syndrome (Paws) lingers. These symptoms have been known to last a year or longer.
In addition, the person who suffers from continuing pain may initially be in more pain than they were before they began to take painkillers. Painkillers and benzodiazapines repress the body's natural output of dopamine and endorphins (the "pleasure center of the brain") and take over their function. After the drug is detoxed, it takes some time before the body's natural pain receptors "wake up" and begin to function commonly again.
What other options does person who suffers from continuing pain have? After becoming drug-free, this issue still needs to be addressed. Some citizen believe that they can never take designate narcotics again and need to remain abstinent for life. Other methods of pain relief like meditation, breathing exercises, yoga, or biofeedback may supply some relief. For recovering addicts who need to be on narcotic painkillers, having person else responsible for the medication may be a good idea.
Who's at Risk?
The elderly are particularly at risk; misuse of designate medications may be the most coarse form of drug abuse among the elderly. agreeing to the National Clearinghouse for Alcohol and Drug Information, as many as 17% of adults 60 and over abuse designate drugs. While elderly citizen comprise just 13% of the population, this age group represents as much as 30% of the number of designate drug abusers.
There is less likelihood that an elderly person will comply with the directions on the designate bottle. There may be blurring concerning the dose or the frequency with which to take the medication, or strangeness reading the small print. Unintentional misuse can lead to addiction. Compounding this problem, many Condition care workers may designate an addictive substance to an elderly person more than they might to person younger.
Another at-risk segment of the citizen is women. One infer is simply that women are more likely to go to the physician when they are feeling anxious or in pain. Both women and men abuse designate drugs at practically the same rate, however, women are twice as likely to come to be addicted as men. Specifically, females in the middle of the ages of 12 to17 and 18 to 25 have shown the largest growth of designate drug abuse over the past two decades (Nida). In addition, young girls aged 12 to 14 article that painkillers and tranquilizers are one of the most beloved drugs used to get high.
Recovery
Many recovering designate drug addicts come to be complicated in 12-step programs. Groups like Pills Anonymous can be very helpful and supportive. The meetings can help alleviate some of the guilt and shame straight through hearing and sharing the similarities of yours and others' experiences. Unfortunately, there are very few Pa meetings around the country in comparison to the numbers of Aa or Na and so many pill addicts go to those meetings in expanding to or instead of Pa meetings.
Some citizen struggling with pill addiction enter therapy at this point in their lives. Therapy can help you find out what emotional need the pills served and what will fill that need now. Grief is a coarse feeling among addicts when giving up their "drug of choice." Like learning to cope with other kinds of losses, the addict needs to grieve over what had come to be the most important thing in their life. Therapy groups can function as a safe and supportive place to deal with some of the emotions a recovering addict is likely to feel. private therapy can be a very effective way to deal with a lot of the underlying issues that may have led to becoming addicted to designate drugs.
All of these forms of help can alleviate the isolation an addict may have created when they were using. No one has to deal with sobriety and saving alone. The feelings that were incommunicable by the pills will begin to exterior and can be frightening to deal with on your own. Having preserve during this time of a person's life is crucial.
What happened to Sylvia, Donna and Paul?
Sylvia:
Sylvia began to go to Na but felt she couldn't recapitulate because no one shared her addiction to pills. She found it difficult to connect with others who used street drugs. She found a Pa meeting not far from her job and began to attend on occasion. She also decided to enter therapy to deal with memories that started to come up when she was no longer numbing herself with pills. In exploring her migraine headaches and what commonly triggered them, Sylvia realized that the headaches often followed an consulation with her husband or strangeness with her kids. She began to make the relationship in the middle of anger and migraines. With time, when a sick came on, she no longer felt overwhelmed with feelings of anger, rather she just felt the pain of the headache.
Anger was not an accepted emotion in Sylvia's family. As a result, she did not allow herself to feel it. She began to work on this issue in therapy and started to remember other times in her life when she had felt angry. After exploring this issue for some time, she began to open up about the sexual abuse she'd experienced from her uncle following her father's death. She'd been eleven when her father died of complications due to alcoholism. Her uncle "consoled" her for months. Sylvia had kept the incommunicable of the sexual abuse inside her for years and, prior to therapy, she'd never told whatever about it. The pills had helped to keep the feelings, as well as the event, hidden.
Along with therapy, Sylvia began to use meditation and deep breathing to deal with the stress that generally preceded a migraine. Her migraines began to lessen and she was able to get adequate relief from over-the-counter pain relievers.
Donna:
After Donna left in-patient treatment, she continued with after-care. She attended group sessions three times a week. Her counselor stressed the significance of 12-step programs. Donna realized that she needed the preserve she could get from attending meetings commonly for those times in which her cravings began to surface. She liked the availability of Aa and, by thinking of pills as dehydrated alcohol, could see the similarities in the middle of herself and the other members.
When her patient group ended, Donna sought out private therapy. She focused on her anxiety and felt she needed to go back on medication. She went to see a new psychiatrist who specialized in substance abuse. Donna's new psychiatrist prescribed an anti-depressant that helped lessen her anxiety.
In therapy, Donna explored what might be at the root of her anxiety. In time, she discovered she had always felt anxious as a child and throughout adolescence. For example, as a teenager, Donna had experienced strangeness accepting her lesbianism and would often go on dates with boys so she would appear "normal."
After Donna came out and moved in with Beth, her anxiety returned. She did not understand the relationship in the middle of the anxiety she felt as a teenager and what she felt once she made a commitment to Beth. Instead, she began to use Xanax to avoid facing any of the unsettling feelings that had begun surfacing and so, while on drugs, the anxiety-invoking feelings remained buried. Once off the drugs, they resurfaced and she began to deal with them in treatment.
Paul:
Paul left patient rehabilitation and felt lost. He went to a few Na meetings before he went back to work. When he returned to work a month later, he cut down on the number of meetings he attended.
After six months, Paul entered into another relationship. Feelings of fear and dependency started to arise and he found the feelings intolerable. He was terrified of losing this relationship by appearing too needy. After a concentrate of months, he had a relapse on Darvocet. He notion that if he switched medications he'd be safe. He believed that this time he could operate it and resolved to only take pills on the weekends.
In just a month Paul was taking Darvocet everyday. He realized he needed help and went back to Aa. Paul elected to re-enter the rehabilitation factory and detoxed in a few days.
He returned to Na, found a sponsor and began to attend meetings regularly. He opened up to the other members and felt more comfortable accepting his addiction.
Paul went back into therapy to confront his deep feeling of emptiness. He knew that he needed to work on his feelings of dependency and neediness that seemed to push citizen away. He explored where these feelings came from and worked hard to keep his new relationship.
How do you know when person needs treatment?
If you are unsure either you or person you know has a qoute with designate drugs, here are 20 questions that can help you come to be clearer about either or not you'd benefit from help:
Has your doctor, spouse or whatever else expressed concern about your use of medications?
Have you ever decided to stop taking pills only to find yourself taking them again contrary to your previous decision?
Have you ever felt remorse or concern about taking pills?
Has your efficiency or ambition decreased since taking pills?
Have you established a supply for purse or pocket or to hide away in case of emergency?
Have you ever been treated by a physician or hospital for excessive use of pills (whether or not in combination with other substances)?
Have you changed doctors or drug stores for the purpose of maintaining your supply?
Have you received the same pill from two or more physicians or druggists at practically the same time?
Have you ever been turned down for a refill?
Have you taken the same mind- or mood-affecting medication for over a year only to find you still have the same symptoms?
Have you ever informed your physician as to which pill works best at which dosage and had him adjust the designate to your recommendations?
Have you used a tranquilizer or a sleep medication for a duration of months or years with no correction in the problem?
Have you increased the dosage, power or frequency of your medication over the past months or years?
Is your medication quite important to you; e.g., do you worry about refills long before running out?
Do you come to be angry or uncomfortable when others talk about your use of medications?
Have you or whatever else noticed a turn of personality when you take your medication, or when you stop taking it?
Have you ever taken your medication before you had the related symptom?
Have you ever been embarrassed by your behavior when under the sway of your designate drug?
Do you ever sneak or hide your pills?
Do you find it impossible to stop or to go for a continued duration without your pills?
(Reprinted and slightly adapted from "There's More to Quitting Drinking than Quitting Drinking" by Dr. Paul O.)
If you have answered Yes to three or more or these questions, you may be at serious risk of having a problem. The good news is that rehabilitation is available.
Treatment
There are many avenues for treatment. patient treatment, under unblemished healing management is a safe and effective way to detox. This will cut down the risk of seizures and other health-related concerns.
Outpatient group therapy can be an effective way to transition back to a sober life.
Individual psychotherapy can be very helpful in dealing with all of the feelings complicated in letting go of designate drugs, not to mention discovering what led one to come to be addicted to them in the first place.
Conclusion
Not everyone succinctly stops using drugs, gets clean, and begins recovery. Getting past the denial and resistance coarse to most addicts is difficult. Some citizen need to "hit bottom" before they are willing to quit. Others may be more fortunate and embrace saving before losing all things and everyone in their lives. Unfortunately, there are still many addicts that never make it back and die before they can ever get help.
*The examples used in this article are composites of several people. The names were changed to further safe their anonymity.
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