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arizona rehabs look at history of opioid addiction

Arizona Rehabs Discuss the History of Opioid Addiction

Arizona Rehabs Discuss the History of Opioid Addiction

There’s no doubt that our country is in the throws of a crisis. How did opioid addiction begin? Let’s take a look at the history of opioid addiction and how Arizona rehabs are trying to help.

There is reliable evidence of opium use as far back as 3,400 B.C. The opium poppy was called “joy plant,” and it spread from Mesopotamia to Assyria, Egypt and the Mediterranean. In 460 B.C., Hippocrates acknowledged its usefulness. Alexander the Great introduced it to Persia and India, and Arab traders took it to China. The Opium Wars were fought in China from 1839 to 1860.

Opium’s power to alleviate pain has resulted in thousands of years of abuse. In modern history, famous opiate users who battled addiction include Charles Dickens, Edgar Allan Poe, Florence Nightingale, Billie Holiday, Janis Joplin, Elvis Presley and River Phoenix.

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arizona rehabs History of Opioid Addiction

The History of Opioid Addiction in the U.S.

Opiates are an unfortunate part of American history. With the advent of synthetic opioids, the problem only got worse:

  • The armies on both sides of the American Revolutionary War gave wounded soldiers opium. In his final years, Benjamin Franklin took it for a painful bladder stone that had tormented him for years.
  • Morphine was first isolated in 1803, and Merck & Co. took over commercial production in 1827.
  • Morphine and other opiates were widely used by the time of the Civil War. An alarming number of veterans were hopelessly hooked following the conflict.
  • Heroin was first made from morphine in 1874. As a cough suppressant, it was hailed as a wonder drug. Bayer Corp. launched it commercially in 1898. Heroin increased in popularity when users discovered that injecting the drug enhanced its effects.
  • Doctors were alarmed by climbing rates of drug addiction in the early 1920s. Heroin was made illegal in 1924.
  • World War II gave rise to nerve block clinics; anesthesiologists administered injections to treat pain without surgery. The clinics operated during the ‘50s and ‘60s.
  • President Gerald Ford set up a task force to study drug addiction in the 1970s. The focus shifted from marijuana and cocaine trafficking to the heroin epidemic.
  • Painkillers like Percocet and Vicodin were already becoming a problem by the late ‘70s. Many doctors were reluctant to prescribe them.

Dr. Hershel Jick of Boston University School of Medicine disagreed there was a problem. After analyzing almost 12,000 patients who’d been treated with narcotics, Jick concluded that addiction to opioids was rare in patients with no history of substance abuse. A pain-management specialist, Dr. Russell Portenoy, studied 38 patients six years later and also declared that opioid maintenance therapy was safe.

The two studies sparked a discussion that lasted into the early 1990s. Pain management became a priority for patients.

  • Every year in the early 1990s, the number of prescriptions for painkillers increased by 2 to 3 million. Then, from 1995 to 1996, the one-year increase was 8 million.
  • Purdue Pharma launched OxyContin in 1996. One year later, prescriptions of all opioid painkillers on the market increased by 11 million.
  • The Joint Commission is a nonprofit group that accredits medical facilities. In 2000, as part of doctors’ required continuing education, the commission published a book that cited studies in which there was “no evidence that addiction is a significant issue when persons are given opioids for pain control.” It expressed the opinion that doctors’ concerns about addiction were “inaccurate and exaggerated.”

The book was sponsored by Purdue Pharma.

Dr. David W. Baker with the Joint Commission later remarked, “There is no doubt that the widely held belief that short-term use of opioids had low risk of addiction was an important contributor to inappropriate prescribing patterns for opioids and the subsequent opioid epidemic.”

  • Purdue Pharma was charged in 2007 with misbranding and downplaying OxyContin’s high potential for addiction. Three executives pleaded guilty, and Purdue settled with the government for $635 million.
  • In 2010, the manufacturers of OxyContin released a new formula that contained an abuse deterrent. It was supposed to be more difficult to crush, inject or snort the product. According to a study published in the New England Journal of Medicine, 24 percent of abusers reported being able to get around the tamper-resistant measures.  One participant in the study said that most former OxyContin users had switched to heroin. It was cheaper and easier to get.
  • Portenoy, one of the doctors who insisted in the 1980s that opioid therapy was safe, later said, “Clearly if I had an inkling of what I know now then, I wouldn’t have spoken in the way that I spoke. It was clearly the wrong thing to do.”
  • In 2016, the Food and Drug Administration and the Centers for Disease Control and Prevention began taking steps to address the opioid crisis.

As of 2018, several states, including Florida, Nevada, North Carolina, North Dakota, Tennessee and Texas, have sued pharmaceutical companies for their role in the epidemic. Cities that have sued include Chicago, Cincinnati, Dallas, Indianapolis and Seattle.

How Arizona Rehabs Can Help

The history of opioid addiction is a grim one. Substance abuse is a serious brain disease that affects people with all different backgrounds.

Getting clean for good requires professional help. Like many other Arizona rehabs, we at Discovery Cove Recovery are committed to helping people like you reclaim their lives. Call today to speak to an experienced, caring staff member.

clinical opiate withdrawal scale

What is the Clinical Opiate Withdrawal Scale?

What is the Clinical Opiate Withdrawal Scale?

Everyone’s experience of addiction is different. Likewise, everyone’s path toward recovery is unique. When it comes to overcoming an addiction to opiates, seeking outside help is a must. For that help to be effective, a treatment plan that is tailored to suit the needs of the individual patient is essential. Rehab facilities have many tools at their disposal, and one of the best ones for assessing a patient’s opiate withdrawal symptoms and experiences is something called the Clinical Opiate Withdrawal Scale. Read on to learn more about this useful tool and how it is used to help people overcome serious addictions.

The Basics

Often abbreviated simply as COWS, the Clinical Opiate Withdrawal Scale is an 11-point scale that is used to rate common symptoms and signs of opiate withdrawal. Unlike the Subjective Opiate Withdrawal Scale, or SOWS, which is a self-reporting tool, it is designed to be administered by a clinician. Each of the 11 listed symptoms are given a score on a scale of 0 to 5, with 5 representing the most severe manifestation of the symptom in question. The patient’s score is then tallied and used to determine a tailored opioid withdrawal treatment plan.

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Clinical Opiate Withdrawal Scale

Which Signs and Symptoms are Assessed on the Scale?

Inpatient and outpatient treatment centers alike have numerous tools at their disposal for helping patients to withdraw safely from opiates. In particular, medications like buprenorphine and suboxone are often prescribed to help manage the most severe and uncomfortable symptoms. In turn, patients are less likely to relapse due to severe discomfort. However, to be effective, these medications must be administered at strategic points in the withdrawal process. The COWS scale is the primary tool that clinicians use to determine not only which medications should be used but when they should be administered.

The 11 signs and symptoms that are assessed on the COWS scale are:

1. Resting pulse rate – The patient’s pulse is monitored regularly. A resting pulse of 80 or below is given a score of zero while a resting pulse of 120 or higher is given a score of five.

2. Gastrointestinal upset – Symptoms may range from none to multiple episodes of vomiting and diarrhea.

3. Sweating – This symptom may not be present at all. On the other end, sweat may be streaming from the face or body.

4. Tremors – Tremors may not be present, or they may be severe enough to interfere with a patient’s ability to speak or move.

5. Restlessness – On the COWS scale, this symptom may not be present at all. In the worst case, the patient may be unable to sit still for more than a few seconds at a time.

6. Yawning – No yawning may be happening at all, or it may be happening as frequently as several times per minute.

7. Pupil size – Pupils may be pin-sized when exposed to light, or they may be extremely dilated on the more severe end of the scale.

8. Irritability and anxiety – Someone experiencing opioid withdrawals may show no sign of anxiety or irritability at all, or they may be so anxious or irritable that they struggle to participate in the assessment.

9. Bone and joint aches – This symptom can range from very mild to so severe that the patient is constantly rubbing their joints and unable to sit still.

10. Gooseflesh skin – Skin may be smooth on one end of the scale or look like gooseflesh on the other.

11. Teary eyes and runny nose – These symptoms may be missing entirely, or the eyes and nose may run constantly on the more severe end of the scale.

Benefits of the COWS Scale

After assessing the patient for each of the 11 symptoms, their score is tallied to determine how severe their withdrawal is. A score of 5 to 12 represents mild withdrawal while a score of 36 or higher represents severe withdrawal. Clinicians may use other scales in conjunction with COWS to gain an even clearer understanding of a patient’s current state; the Buprenorphine Administration Scale, for example, is often used in conjunction with COWS to determine effective doses of that medication as well as when to administer it. With many medications, introducing them too early can have the opposite effect, which can lead to a longer and more difficult withdrawal period.

Are You Looking for Opiate Addiction Treatment?

If you are coping with an addiction to opiates and are ready to regain your freedom from substance abuse, it’s important to understand that help is absolutely vital—and it is readily available. Detoxing from the drug is the first step, and the right inpatient or outpatient treatment program will use the COWS scale or other proven tools to determine the best individualized plan for you. Once detoxing is over, you will be free to begin the real work of addiction recovery and to take the first steps toward a lifetime of sober living.

medically supervised detox

The Importance of Medically Supervised Detox

The Importance of Medically Supervised Detox

When an addiction sufferer realizes they have a drug or alcohol problem, the decision to stop using is a tremendous first step. However, for a number of reasons sufferers may choose to attempt the detoxification process by themselves.

Drug or alcohol addicts may be ashamed of their use, afraid to share their addiction, or simply may not know where to turn. Unfortunately going through detoxification alone may be more detrimental to the long-term health of the sufferer than not coming clean in the first place.

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importance medically supervised detox

Physical Withdrawal from Drugs or Alcohol

The sickness and physical pain caused by withdrawal symptoms often get the better of those attempting to self-detox. The body has become accustomed to functioning with the addictive substance. Organs and the brain have figured out ways to accommodate and flush toxic chemicals from the body.

But, once the addictive substance has been removed, the body doesn’t adjust as quickly. This results in unpleasant physical side effects including:

  • Nausea
  • Tremors
  • Diarrhea
  • Dizziness
  • Headache
  • Stomach Pain
  • Rapid heartbeat
  • Feeling lightheaded

In the most severe cases, seizures, heart palpitations, and other life-threatening conditions can occur. The possibility of withdrawal resulting in permanent health issues or even death should be reason enough to see medically supervised detox.

With medical supervision and intervention, physicians may be able to introduce medications which can assist in reducing physical symptoms. Fear of replacing one drug with another should be eased. Medically supervised detox can require daily or even weekly supervision. Thus reducing the unlikely development of a secondary addiction.

Mental Obstacles in Detox from Drugs

Patients seeking to detox should not only seek out medical solutions but, mental and therapeutic support. While the physical discomfort of withdrawal can be severe, in some instances the mental anguish associated with withdrawal can become too much to bear for some individuals.

During the detox process, suffers can experience mental symptoms including:

  • Anxiety
  • Depression
  • Nightmares
  • Sleeplessness
  • Feeling of hopelessness
  • Intense desire to use again

Detoxifying can be a psychologically taking ordeal. Having access to the proper level of both medical and mental therapeutic support significantly increase the chances for success.

The Benefits of Medically Supervised Detox

The detox process is similar to other medical treatments. First, the addiction is identified and evaluated. Once understood, the proper treatment plan can be put in place. Finally, and perhaps most important, follow up treatment and assessments help ensure a successful recovery.

Medically supervised detox provides the same benefits as other treatments, such as physical therapy or surgery including:

  • Professional medical and therapeutic staff
  • Clean, safe, and supportive environments
  • Expert symptom relief

Physicians and nurses specially trained in addiction-related treatments can alleviate withdrawal symptoms. They also know when to intervene in an emergency or when to change course if outcomes are not meeting expectations.

Rehabilitation and recovery centers provide a safe environment for sufferers. Surrounded by knowledgeable staff at all levels, comfort and privacy are provided for even the most vulnerable moments of the detox process.

What to Expect During Detox

One of the first questions asked is how long an average detox program can last. There are several factors which determine how long addiction sufferers may spend in a program:

  • Frequency of use
  • Underlying medical conditions
  • Use of single or multiple substances
  • How long drugs or alcohol have been abused

Typical stays last from a few days to a couple weeks. Keep in mind this is only the inpatient treatment portion of the program. Participants will be expected to make regular physician visits and are encouraged to commit to therapy sessions or support groups.

During the time at the rehabilitation center, expect to be surrounded by around the clock care from doctors, nurses, and therapists. Upon entering the center, physicians will establish a medical baseline of health and uncover any medical conditions you may have.

With around the clock monitoring, vitals are checked on a regular basis. As much rest as needed is provided. Each day medications are adjusted appropriately to assist in the detox process. Ultimately the goal is to get addicted suffers back to being themselves as soon as possible.

After Detox

In most instances, it is recommended clients seek continued monitoring. In addition to returning home with the support of friends and family, after detox treatment programs greatly reduce the chance of relapse.

As supportive as friends and family may be, trained professionals can help with unique physical and mental after-effects addiction sufferers may experience. The support in treatment programs provides a source of comfort while adjusting to sober living.

The importance of medical supervision during the detox process cannot be stressed enough. Medically supervised detox is the safest and best step anyone can take to rescue their life from addiction.  If you or someone you know requires detox, there are many organizations including Desert Cove Recovery who can provide the best possible detox options.

length of opioid prescription

Length of Opioid Prescriptions and Opioid Addiction

Length of Opioid Prescriptions and Opioid Addiction

Every day, people who were only seeking a little pain relief unwittingly become addicted to opioids.

Most get prescriptions from their doctors following surgery or an injury. Many seek relief for ongoing back pain. Some borrow pills from friends just to take the edge off after a stressful day at work. None ever plan on getting hooked.

In 2016, 66% of all fatal drug overdoses in the U.S. involved an opioid. What was only an area of concern in the late ‘90s is now a full-blown crisis.

If you’re worried about your opioid habit, you may have reached out to us just in time. Keep reading to find out how your lawmakers and the professional caregivers at Desert Cove Recovery can help you.

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Limiting the Length of Opioid Prescription

In an effort to stop this epidemic, mental health experts and politicians want to limit the number of doses that patients can get at one time. Several states have passed laws on prescription lengths. The CVS pharmacy chain recently announced that it will only dispense seven days’ worth of opioids at a time.

The idea behind shorter prescriptions is to take unnecessary pills out of circulation. Limiting doses will result in less potential for abuse. Even people who use painkillers responsibly fail to properly dispose of the extras; stockpiles in home medicine cabinets are tempting.

Finding the magic number is no easy task. In the Centers for Disease Control and Prevention guidelines, the recommended length of opioid prescription is three to seven days. Some experts challenge those numbers, pointing out that they are far too conservative for major surgeries like hysterectomies. They also argue that unreasonably short prescriptions will only prompt patients to get refills.

There’s no easy fix, but the opioid addiction crisis has everyone’s attention. That’s a good thing.

Understanding Opioid Addiction

Prescription opioids are closely related to morphine, codeine and heroin. Commonly used opioids include methadone, hydrocodone and fentanyl. One of the most frequently prescribed remedies, oxycodone, is twice as powerful as morphine.

Synthetic opioids attach to receptors in the brain so that your perception of pain is altered. If you have a legitimate need for them on a short-term basis, they’re a godsend. However, they have great potential for becoming addictive. 

Synthetic Opioids are Addictive

Dopamine is a natural feel-good chemical that gives you a warm sense of pleasure and reward when you’re enjoying yourself. In mentally healthy people, it’s always at just the right dose.

In addition to relieving pain, opioids signal your brain to increase production of dopamine. The excess might result in a rush of intense euphoria. There’s a severe letdown when the sensation wears off.

People become addicted to opioids when they try to duplicate that initial high by increasing the dose or combining pills with other drugs like alcohol. The body quickly builds tolerance, and the vicious cycle of addiction begins.

That’s why lawmakers are so concerned about doctors over-prescribing painkillers. The practice results in millions of loose pills being abused or falling into the wrong hands.

Are You Addicted?

You may have an opioid addiction if you’ve experienced even one of these symptoms:

  • Taking opioids after your pain has subsided
  • Taking higher doses than prescribed
  • Taking opioids that aren’t prescribed to you
  • Trying without success to stop
  • Using opioids recreationally
  • Combining opioids with other substances
  • Craving opioids when you’re not using them
  • Lying about opioid use
  • Becoming defensive when friends or family members express concern
  • Sleeping during waking hours
  • Experiencing irritability, mood swings or depression

Your chances of becoming addicted are significantly higher if you have a mental problem such as depression, anxiety or eating disorder. You’re also at greater risk if anyone in your family struggles with substance abuse. Traumatic events in your past, like divorce, domestic violence or rape, will also make you more susceptible to opioid addiction.

Getting Help for Addiction

Substance abuse can start with one bad decision, but after that, the painkillers take over. Like other drugs, they teach your brain to crave them.

Drug addiction is a chronic disease with no cure, but it can be managed just like asthma or diabetes can. Just as people become addicted every day, people start to recover every day.

Choosing Desert Cove Recovery for Help With Opioid Addiction

Our caregivers at Desert Cove Recovery have years of experience with people just like you. Our comprehensive treatment plans utilize time-tested approaches that help recovering addicts stay clean for good:

  • The 12-step model
  • Cognitive behavioral therapy
  • Individual and family counseling
  • Group meetings
  • Holistic approaches such as prayer, meditation, yoga, art, music or massage
  • Exercise classes and outdoor activities
  • Nutritional instruction

With professional help, you can break free from the grip of opiate addiction. Call Desert Cove Recovery today to speak with a caring counselor. We’ll tailor a unique treatment plan that’s just right for you.

 

 

myths of opioid addiction

Myths of Opioid Addiction 

Myths of Opioid Addiction 

The news is bleak and the numbers are staggering. Opioid use in the United States has been on a sharp incline over the past two decades. The number of fatalities, however, how increased at an exponential rate since the late 1990’s. In fact, according to the Centers for Disease Control, the number of overdose fatalities has:

  • Increased five-fold since 1999
  • Doubled since 2010
  • Soared by 25% since last year

And there seems to be no end in sight. The deaths from opioid use have reached and remain at record levels throughout much of the nation.

These are devastating blows to communities where addiction has reached epidemic levels. Closer to home, addiction can be shattering to both the individual and their family. Although the causes of the increased use to opioids are many, myths of opioid addiction can exasperate efforts to make progress on the issue. Here are just three myths and rumors not only causing hysteria, but barriers to real solutions. 

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3 myths of opioid addiction

Myth #1: Opioid Addicts Can Detox On Their Own

Detox, short for detoxification, is the process of a drug user or alcoholic allowing the body to naturally cleanse itself. On the surface, this method may appear to be a leading solution for an opioid addict. However, “detox” is only part of the process of breaking an opioid addiction.

Similar to other addictions, supplementing the natural detoxification process with FDA-approved medications, medical assistance, and counseling dramatically increase success rates. One key component is implementing behavioral health management.

Breaking addictions is a two-pronged process. On one side, the body must be prepared and properly nourished for the physical toll which accompanies detoxification. On the other, mental fortitude is necessary to endure psychological effects individuals will experience. For both, self-detoxification not only can be ineffective, it may put an addict into a worse state than before.

Myth #2: Opioids Are the Most Effective Chronic Pain Drug

This may be perhaps one of the most common myths of opioid addiction. With the sheer number of opioid prescriptions written each year, one would believe this is indeed true. But it’s not. There have been studies which have shown opioids perhaps could be the worst drugs available for chronic pain.

Working as well as other drugs, opioids have a unique quality. They can actually increase an individual’s tolerance to pain over time. As the pain tolerance rises, so too are the potential negative effects of opioid use including addiction, cardiac arrest, and other threatening outcomes.

There are many less expensive but just as effective non-opioid medications on the market today. From ibuprofen and acetaminophen to lidocaine and capsaicin, patients should have discussions with their physician about alternatives. 

And beyond pills, chronic pain sufferers should explore other options, with the guidance of licensed providers. For example, simple steps such as increased exercise and a healthy diet can go a long way to reducing pain symptoms. Alternative treatments may also be effective. Spinal manipulation, acupuncture, and electric stimulation therapy are methods gaining attention in not only managing but reducing chronic pain.

Myth #3: Some is Good, More is Better

We’ve all heard the saying “less is more.” Debates go on as to how true this statement may be in our daily lives. But when it comes to opioid use, more almost never is better.

Physicians are still learning how the human body regulates pain. There are a number of receptors involved and only a few of them react to opiates. When a low to moderate dose of opioid is effective, higher doses will likely provide no further improvement. This is because as the opioid dosage increases, the body’s ability to use them doesn’t change. The result is the body is left with an overage of the drug which the body must work overtime to flush out while increasing the body’s resistance.

Often it is a better course of action to supplement the effective low to moderate opioid dose with a different type of medication. Two together may work better than either one alone, without the negative side effects. Of course, always discuss with your doctor or pharmacist about taking more than one medication at one time. This includes seemingly innocuous medicines such as cough syrups and common over the counter medications. 

Understand the Signs of Opioid Addiction

As a close family member, it would be easy to believe you would know if a loved one was addicted to opioids. But for a handful of reasons this often is not the case.

Opioid addicts will attempt to hide their addiction from family and friends. Unlike other addictions, opioid users do not have as many telltale signs of addictions. Usually only in the most severe cases will physical and behavioral changes become apparent.

However, one area which may raise a red flag are changes in social behavior. When abusing drugs, users will cut themselves off from social media, avoid phone calls, and not respond to texts. Small talk may become almost non-existent. And interest in others can disappear.

If you suspect someone you care about may have a problem, let them know not only their friends and family are there for them, but specially trained experts. The community supporting those breaking opioid addiction is growing. By eliminating the myths of opioid addiction and showing the way to recovery, we can help to reduce the effects of the opioid crisis.

 

 

pay for the opioid crisis

Who’s Going to Pay for the Opioid Crisis?

Who’s Going to Pay for the Opioid Crisis?

If you were to ask most recovering heroin addicts about their past choices, they would probably say that they would have never touched the drug if they had known the way it would affect them over the long run. When the cravings are at their worst, people will do anything they can to get their next dose, turning to crime to pay for the habit. Addicts often sell drugs to others so that they won’t run out of money, and that is why the heroin crisis is spreading across the nation like a plague.

The cost on society is much higher than most people would suspect, totaling around $193 billion. The government has to pay to investigate, prosecute and incarcerate those who commit heroin-related crimes, but the public pays for treatment and rehabilitation for those who are on public assistance. Also, many people lose their jobs because of their heroin addiction and are required to sign up for welfare programs, which further strains local, state and federal funds.

With the problem getting worse each day, many are now asking who should pay for the harm heroin has done to the nation. Getting everyone to agree won’t be an easy task, but we need to review the facts and find a solution that will repair the damage and allow us to move forward.

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Pharmaceutical Companies’ Role in the Opioid Epidemic

If you follow the trail of addiction far enough, you will find that many addicts once took prescription painkillers. People would get injured, go to the doctor and receive a prescription for opioid medications to ease the pain. After a few weeks or months, doctors wean patients off the pain medications so that they will no longer need them. By the time their doctors stop writing new prescriptions, many people have already become addicted.

Without a legitimate source of opioids, former patients often look to the streets to satisfy their cravings and stop the withdrawal symptoms. Some evidence suggests that major pharmaceutical companies knew about the danger and still opted to push their drugs to the public. Many people think that the drug manufacturers and marketers should help pay for the damage. Those who disagree with the stance say addicts only have themselves to blame.

The Government

Since the people designed the government to protect and serve the citizens, some say that it should pay for the cost of the opioid crisis. Government-funded rehabilitation centers that focus on treatment instead of punishment could have a positive impact on the nation.

Addicts would not fear prosecution and would be much more willing to seek help. Although the government would face some upfront costs, a lot of advocates believe this method is much cheaper over the long run. Critics argue that the government should not use taxpayer dollars to save people from the trap into which they have fallen.

Nonprofit Organizations

When it comes to finding a solution to the opioid epidemic that has already harmed many lives, some people say that nonprofit organizations should cover the bill. A lot of nonprofits have many connections and deep pockets that would allow them to set up treatment centers and cover the cost of overdose medications. Even though some charities offer their support, involving a few more organizations would take their results to new heights. On the other hand, some believe that nonprofit organizations should focus on assisting people who have diseases over which they have no control.

Drug Users

Since heroin addicts are responsible for the situation in which they have found themselves, they should pay for the fallout, according to some people. The argument is that heroin users had chosen to use opioids and to allow their lives to spiral out of control. The ones who don’t agree with that stance state that most heroin users have lost their jobs and homes, making them unable to pay for the damage.

Families of Drug Users

A lot of individuals feel as though a drug addict’s family should pay for the damage the drug addict has caused to society. Since they believe family members should help and support each other, they conclude that they should also pay for medical treatment, overdose medication and other expenses related to the opioid crisis.

From their perspective, family members should have spotted the warning signs and helped the addict before it was too late to find an easy answer. Others maintain that people are responsible for their own choices, so we should not hold family members accountable for an addict’s behavior.

Getting Help for Opioid Addiction

If you or someone you love is battling a heroin addiction, getting help quickly is vital, and we are here to give you a hand. We take time to get to know each client so that we can craft a treatment plan that will provide the best possible odds of success. If you have concerns, questions or are ready to start, contact us at Desert Cove Recovery today.

12 step rehab

How 12 Step Rehab Works

Will 12 Step Rehab Work for Me?

The 12 step method is considered by many addiction experts to be the best help for long-term addiction recovery. However, it is not without controversy.

Keep reading to get a better understanding of this groundbreaking approach and find out why millions of people in recovery still trust it.

How the 12 Steps Started

Alcoholics Anonymous was founded in Ohio in 1935 by Bill Wilson, a recovering alcoholic, and Dr. Robert Holbrook Smith. AA was based on this premise: When it comes to staying sober, there is strength in numbers. Alcoholics from all walks of life began meeting to share their struggles, celebrate their successes and lean on one another throughout the journey to recovery.

The 12 steps were established in 1946. Originally, the steps emphasized the importance of surrendering one’s addiction to a higher power for healing and restoration. AA also embraced the Serenity Prayer, which was penned by the American theologian Reinhold Niebuhr:

“God, grant me the serenity to accept the things I cannot change, the courage to change the things I can, and the wisdom to know the difference.”

Throughout AA’s history, nonreligious people have objected to its heavy emphasis on spirituality. As a result, the language in many 12 step models has been amended to accommodate people from a myriad of belief systems. References to the presence of God are open to a wide variety of interpretations. Even atheists can use the basic principles for guidance.

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12 Step Sponsors

Sponsorship is also an important feature. Newcomers navigate the 12 steps alongside someone who has already worked through them and is successfully staying sober. Sponsors are typically available for questions, intervention or encouragement almost 24/7.

Another benefit is the ability to learn from others who are farther along on the journey. New members can pick up coping skills and tips for avoiding relapse from seasoned group members. There is also a compassionate atmosphere of accountability without judgment.

12 Step for Addiction Treatment

Over the years, the success of AA has spawned hundreds of other organizations for people with all kinds of addictions. Groups exist for those who struggle with drug abuse, gambling, overeating, hoarding and even addiction to using credit cards. The 12 basic steps are applicable to almost any struggle.

Nationwide, membership in groups that use the model is estimated in the millions. Many fellowships cater to specific demographic groups such as veterans, men or women only, gay people, clergy or seniors. You name it, and there’s probably a 12 step group for it somewhere.

If you talk to recovering alcoholics about the 12 step program, you may start to see a funny pattern. Many express mixed or negative feelings about going to meetings week after week or year after year. However, they grudgingly admit that attendance keeps them sober. When the choice is continued participation or relapse, many people choose to stay involved.

What Are the 12 Steps?

According to the website 12step.org, this is the most current version of the original 12 traditions:

  1. Admit powerlessness over addiction.
  2. Find hope through a higher power or higher goal.
  3. Turn the power to manage life over to the higher power.
  4. Analyze the self and behaviors objectively, described as taking a moral inventory.
  5. Share the results of the analysis with another person or the higher power.
  6. Prepare to allow the higher power to remove the negative aspects discovered in the analysis.
  7. Ask the higher power for these negative aspects to be removed.
  8. Make a list of wrongs done to others.
  9. Make amends for those wrongs as long as it is not harmful to the recipient to do so.
  10. Make self-analysis, removal of faults and amends regular practices.
  11. Meditate or pray for the continued ability to recover.
  12. Help others in need to go through the same process.

Each of the 12 steps expresses an essential value for healing. Working through them one by one empowers addicts to manage their disease and regain control of their lives.

Again, there are many alternative 12 step organizations for people who oppose the idea of God or a higher power.

12 Step Rehab

Around 75 percent of treatment programs incorporate the 12 step philosophy in some form. Most experts recommend the 12 step approach as an established, methodical process for understanding and managing addiction.

The National Institute on Drug Abuse endorses the 12 step premise that addiction cannot be cured and that preventing recurrences is a lifelong process. A study published in the Journal of Substance Abuse Treatment found that the 12 step method perfectly complements therapies geared toward changing thought patterns and behavior.

Like many other treatments, 12 step is most effective as part of a comprehensive program that incorporates other proven methods. Here are just a few treatments that can be supported by the 12 step philosophy:

  • Detox
  • Cognitive behavior therapy
  • Motivational incentives
  • Holistic methods
  • Family counseling
  • Long-term aftercare

Most people who have an addiction also have at least one other mental disorder. This is called dual diagnosis. Treating both conditions at once is far more effective than treating them separately. A study of 12 step programs published in the Journal of Psychoactive Drugs found them beneficial in treating dual diagnosis.

If you need help deciding on the best treatment plan, call Desert Cove Recovery today to speak with an experienced counselor.

Adderall Abuse Among College Students

How Prevalent is Adderall Abuse Among College Students?

Adderall is the most commonly prescribed amphetamine. It is a strong central nervous system stimulant that is used primarily to treat attention deficit hyperactivity disorder. Even scientists aren’t sure how speed improves concentration or calms people who are prone to fidget.

Adderall’s effects are similar to those of cocaine, and it is classified as a Schedule II controlled substance because of its high potential for increased tolerance leading to addiction. To date, there is little research into its long-term effects.

Adderall abuse is widespread in the U.S. Young people between ages 18 and 25, particularly college students, are the worst offenders. According to the 2016 National Survey on Drug Use and Health, full-time students abuse Adderall at twice the rate of their peers who don’t attend college. On college campuses, it’s the second-most common drug of abuse. Only marijuana is more popular.

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adderall abuse among College students

Where Do Students Obtain Adderall?

Around two-thirds of young adults get their Adderall supply from friends, roommates or relatives who have prescriptions. Many buy pills from dealers. Since there is no definitive clinical test for ADHD — doctors base diagnoses largely on symptoms and the observations of parents and teachers — faking symptoms to get a prescription is common.

Students may be surprised to learn that sharing their pills, borrowing someone else’s pills, selling, buying or stealing pills, faking symptoms and taking pills at the wrong dose all constitute prescription fraud which is a felony.

Even worse, becoming addicted to Adderall poses serious health risks. Between 2006 and 2011, Adderall-related emergency room visits spiked by more than 156 percent.

What’s the Attraction of Using Adderall?

At correctly prescribed doses in patients with ADHD, Adderall improves focus, sharpens mental acuity and provides a small energy boost for more productive study. Like many drugs, Adderall also increases levels of a natural brain chemical called dopamine. Dopamine enhances feelings of well-being, confidence and reward.

College students who face a long night of cramming for finals often bump up the dose or enhance it with a high-caffeine energy drink. In theory, they can stay awake all hours, absorb everything they study, have perfect recall of the material the next day and ace the test.

In reality, things seldom work out that way. For one thing, Adderall makes no difference whatsoever if you don’t have ADHD. Indeed, that’s one of the biggest factors in diagnosis: If you take Adderall and concentration doesn’t improve, ADHD is not the problem.

For recreational use, it’s cheaper than cocaine and provides many of the same perceived benefits. Someone who is shy or suffers from low self-esteem might take Adderall to have more fun at a party. Unfortunately, like cocaine’s effects, Adderall’s are short-lived at high doses. Coming down is disappointing and unpleasant, so higher doses are required for the same sense of confidence and euphoria. The life of the party eventually becomes annoying, overly talkative, excitable, irritable or downright impossible to be around.

Other attractions for college students are increased libido and sexual stamina. Adderall may work that way for a night or two, but it has the opposite effect as tolerance increase.

Snorting Adderall is even more dangerous than taking it orally. People looking for immediate, intense effects crush pills into a powder and snort it like cocaine.

That’s a good way to destroy your nasal and sinus cavities over just a few weeks. Snorting also exacerbates the negative side effects, such as irregular heartbeat, shown below. You can overdose on Adderall by just taking too many pills, but snorting exponentially increases risk.

At the very least, taking a little extra for nonmedical reasons makes you hyperactive, overly talkative and insomniac. Here are the more serious side effects of using long term at high doses:

  • Rapid or difficult breathing
  • Increased or irregular heart rate
  • High blood pressure
  • Loss of appetite
  • Headache
  • Dry mouth
  • Hoarseness
  • Inability to sleep or sleep disturbances
  • Nausea, diarrhea or constipation
  • Shaking
  • Dizziness
  • Difficulty speaking
  • Nervousness or paranoia
  • Excitability, aggression, anxiety or hostility
  • Hallucinations
  • Depression
  • Excessive fatigue
  • Numbness in the extremities
  • Rash, hives or blistering skin
  • Sexual dysfunction
  • Seizures
  • Coma
  • Stroke
  • Suicidal thoughts

Abusing Adderall is so dangerous that the Food and Drug Administration mandates a black-box warning on the label.

No one intends to become addicted to a legal drug that is prescribed by competent doctors every day. It’s the same with prescription painkillers. They’re a godsend for people who require surgery, are injured in an accident or live with chronic pain long term. Painkillers are largely safe when used as directed under the supervision of a doctor, but taking just one extra pill or combining it with another drug, such as alcohol, can have catastrophic, life-changing results.

You may be in danger of becoming addicted to Adderall if you’re taking more than your doctor prescribed, taking it by a non-approved method or taking it without a prescription. Other red flags include those below:

  • Trying repeatedly to stop without success
  • Feeling tired or mentally foggy when you’re not using
  • Lying about Adderall use
  • Watching your academic performance decline
  • Stealing pills or spending a lot of money buying them
  • Losing interest in friends and social activities

Our caring staff at Desert Cove Recovery is highly experienced with Adderall abuse. Call us today for sound advice on breaking free and reclaiming your life.

is vivitrol safe for addiction treatment

Is Vivitrol® Safe for Addiction Treatment?

Is Vivitrol® Safe Addiction Treatment?

Did you know that the Center for Disease Control reports that 91 Americans die every day from an opioid overdose?

Would you believe that opioids like heroin, fentanyl and prescription narcotics killed over 33,000 people in 2015 alone?

The CDC states that over 60 percent of overdose deaths are due to opioids, whether they’re prescription pills or street drugs. Opioid addiction is quickly reaching crisis levels in the United States, but addiction treatments are not keeping up with this alarming trend.

The Food and Drug Administration has recently approved the use of Vivitrol®, an injectable form of the well-known addiction treatment drug naltrexone.

What is Vivitrol®?

Vivitrol® is the injectable form of the pill naltrexone. Until recently, naltrexone was an oral medication that doctors would prescribe for both alcohol and drug addictions. The person would be required to take a pill every day in order to curb cravings for opioids or alcohol.

The potential problem with naltrexone pills is the accountability aspect of the treatment. It can be easy for addicts to find themselves in compromising situations and “forget” to take their pill, which undermines their sobriety treatment.

By switching to a single monthly shot administered by a doctor, this can eliminate the temptation of those potentially dangerous situations.

How Does Injectable Naltrexone Work?

At its core, naltrexone is what is known as an antagonist, or blocking, medication. The medication works by binding itself to the same receptors in the brain that an opioid molecule would typically bind to. The difference is that naltrexone does not provide the dopamine release, or “high,” that comes when an opioid binds to the receptor instead.

This means that the medication creates a barrier to block opioid molecules from binding to those receptors, which takes away all of the reward an addict would typically get from using his or her drug of choice. This helps to retrain the brain’s craving signals and prevent relapse while the person is in recovery.

It’s important to note that Vivitrol®, or any naltrexone can only be taken after a full detoxification has been completed. Attempting to take this type of medication before fully detoxing is dangerous.

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is vivitrol safe

Is Vivitrol® an Effective Treatment for Addiction?

While no treatment yet has a perfect success rate, Vivitrol® can be immensely helpful for some people. The accountability and single dose both help to make the treatment process as successful as possible.

What About Potential Side Effects of Vivitrol®?

As with any medication, there are potential side effects to using Vivitrol®. This is especially true for people who have been regularly using opioids prior to beginning treatment.

Some people experience symptoms like nausea, tiredness, anxiety, restlessness, joint pain and abdominal cramping, which are all mild signs of withdrawal. This is only cause for concern if the symptoms persist over an extended period of time.

Other, more serious side effects of Vivitrol like mood changes, vomiting, confusion or hallucinations can occur, but they are rare. Typically, if a doctor has prescribed Vivitrol® for treatment, it is because he or she believes that the benefits outweigh any potential risks. Few people experience any serious problems while taking Vivitrol®.

Are There Any Other Concerns?

– Is Vivitrol® Safe?

One of the most common questions people ask is, “Is Vivitrol® safe?” The answer to this question is yes, as long as the person follows the full treatment plan and is medically supervised.

Because naltrexone blocks a person’s ability to feel an opioid high, some people will try to overcome this by taking large quantities of drugs, which is extremely dangerous. This is a concern for some, but doctors and recovery centers have become more diligent about educating patients about this.

– Does Vivitrol® Really Help Achieve Abstinence?

While every person is different, overall the studies have shown that the injections are effective for helping patients stay sober. One study found that 36 percent of patients who were receiving Vivitrol® injections stayed completely sober compared to only 23 percent who received no medication.

In addition, Vivitrol® users reported up to 99 percent opioid-free days during a 25-week evaluation. Non-users only reported 60 percent opioid-free days.

Contact Us For Addiction Help

If you or a loved one are struggling with an opioid addiction, know you’re not alone. There are so many options available to you, and we want to help. Addiction is a disease that can be treated, but you can’t do it by yourself.

Don’t become one of the CDC’s tragic statistics. Contact Desert Cove Recovery today, and let us know that you want to get started on your journey to recovery so that we can help you with your next steps.

controversy around kratom for withdrawal

The Controversy Around Using Kratom for Withdrawal

The Controversy Around Using Kratom for Withdrawal

In the war on drugs, there’s a war on a plant-based herbal supplement called kratom.

Advocates swear by it as a pain reliever, a mild stimulant or an aid in beating opioid addiction. Many proponents say that they’ve used kratom for withdrawal with great success.

Detractors point to its mind-altering and addictive properties. Federal authorities have attempted to classify kratom, which is legal and widely available, as a Schedule I drug in the same class as heroin and LSD. Schedule I drugs are considered dangerous for their high potential for abuse and lack of known medical benefits.

Everyone agrees that solid scientific evidence about kratom is sorely lacking.

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kratom for withdrawal

What Is Kratom?

Kratom is derived from an evergreen plant in the coffee family. It is native to South Asia, but Malaysia and Thailand are now two of the 16 countries that tightly control the use of kratom or ban it altogether.

In the U.S., kratom leaves are typically ground into powder and brewed as tea. In doses of a few grams, kratom acts as a mild stimulant for alertness and sociability. At doses of 10 to 25 grams, it acts as a sedative. The user may feel calm and euphoric.

Kratom is mostly used to manage chronic pain, aid digestion or lift mood, but its popularity as a drug for weaning addicts from opioids has generated a storm of controversy.

What’s All the Fuss About?

Kratom isn’t an opioid, but it contains almost as many alkaloids as opium or hallucinogenic mushrooms. The U.S. government gets alarmed, understandably, when kratom powder is touted as a safe, legal, cheap high. Herbal supplements aren’t regulated, so there’s no way of knowing what’s actually in them.

According to a study conducted at the Centers for Disease Control and Prevention, kratom-related calls to regional U.S. poison control centers increased tenfold between 2010 and 2016. The CDC warns of an emerging health threat, especially when kratom is combined with alcohol or other drugs.

In a recent statement, Scott Gottlieb of the Food and Drug Administration implied that kratom was no safer than the 340 million packages of illegal opioids that stream into the U.S. every year. Gottlieb also cited 36 deaths linked to kratom.

One of raw kratom’s chief alkaloids is mitragynine, which is thought to activate natural opioid receptors without depressing the respiratory system. That’s why so many proponents of kratom are excited about its potential as a safer pain medication. Between 1999 and 2016, more than 200,000 Americans died from prescription opioid overdose.

A woman named Susan Ash recovered from Lyme disease only to wind up addicted to pain pills. After detox and addiction treatment, she stumbled across kratom and has used it every day since. Indeed, she attributes her recovery to it. Ash and thousands of other users regularly lobby against state bills that would ban the sale of kratom. Six states have made kratom illegal.

Others aren’t so sure about kratom for withdrawal and insist that Ash and other recovering addicts are anything but clean.

Dariya Pankova was battling a heroin addiction when she tried kratom. She became hooked on it and eventually returned to the more potent heroin. A South Florida man who was trying to quit several substances had a similar experience. He developed tolerance to kratom and returned to rehab many times before he beat his addiction to it.

Respondents to a recent survey of 6,150 regular users told a different story:

  • More than 98 percent denied that kratom is dangerous.
  • Around 75 percent said that it’s impossible to get high on kratom.
  • Almost 67 percent considered themselves more likely to get hooked or overdose on other substances if kratom is banned.
  • Almost a fourth said they would break the law to use kratom after a ban.

According to the National Institute on Drug Abuse, kratom’s negative effects may include the following:

  • Sensitivity to sunburn
  • Nausea
  • Itching
  • Sweating
  • Dry mouth
  • Constipation
  • Increased urination
  • Loss of appetite
  • Psychotic symptoms

Researchers at NIDA believe that kratom is habit-forming. Reported side effects during withdrawal include the following:

  • Muscle aches
  • Insomnia
  • Irritability
  • Hostility
  • Aggression
  • Mood swings
  • Runny nose
  • Jerky movements

It’s important to note that behavioral therapies have not been tested for treatment of kratom addiction alone.

Is Kratom Right for You?

It’s hard to make a good decision about kratom until far more research is done. Many recovering addicts see it as a godsend during opioid withdrawal, but many others flatly insist that using kratom is the equivalent of relapsing.

One thing’s for sure: Where opioid addiction is concerned, kratom is no substitute for the professional help of experienced caregivers.

Call Desert Cove Recovery today. We’re committed to helping you heal and reclaim your life.