Tag Archives: opioids

Long-acting Buprenorphine Injections Effective Opioid Addiction Treatment

A monthly injection of buprenorphine BUP-XR is more effective than placebo for treating opioid addiction, according to the results of a new study. This formulation is the extended release version.

A daily dose version of buprenorphine was approved by the FDA (US Food and Drug Administration) in 2002. It has been an effective treatment for opioid use disorder. Daily doses mean patients must commit to taking it each day; they may start to experience cravings for opioids once they get close to the end of the 24-hour cycle when they can take more medication.

Medication Assisted Therapy for Opioid Addiction

Buprenorphine and methadone are both used in MAT (Medication Assisted Therapy) to treat opioid addiction. These medications are used in combination with behavioral counseling as part of a “whole patient” approach. The medications are used to control cravings and clients work with a counselor to develop new ways of thinking and responding to life stresses.

Extended Release Buprenorphine Called Sublocade

The extended-release version of buprenorphine was approved by the FDA in November 2017, which is being marketed under the brand name Sublocade. Approval was based on positive results in a Phase III human subjects study. The study has been published in The Lancet to make it available to the wider scientific community.

Double Blind Study Conducted

Researchers divided 200 participants in the randomized, double-blind study into three groups. All of them had a mean duration of opioid use of between 11 and 12 years. Two of the groups were given different monthly doses of BUP-XR and one was given a placebo.

Both groups who were given BUP-XR reported “substantial portions of participants” abstaining from opioids. They also experienced relief from withdrawal symptoms and control from cravings for opioids without having to take medication on a daily basis.

Breakthrough in Measuring Pain May Help Reduce Opioid Crisis

Researchers at Indiana University’s School of Medicine have developed a blood test that identifies biomarkers in the blood which can help to determine the severity of a patient’s pain. The results could potentially help doctors to accurately measure pain on a scale.

Currently, doctors must rely on their patients’ account of the amount of pain they are experiencing and suggest a treatment plan accordingly. A more accurate way to measure pain could lead to better treatment options for patients.

Researchers Developed Prototype for Blood Test for Pain

The study was led by Alexander Niculescu, MD, PhD, a psychiatry professor, and was published in the Nature journal Molecular Psychiatry. Hundreds of participants were tracked to find biomarkers in the blood to that can help doctors to objectively determine how much pain a patient is experiencing. This blood test, which is the first of its kind, would also help doctors to understand a patient’s long-term prognosis.

The blood test can objectively tell doctors whether a patient is experiencing pain and how severe the pain is. It’s important to have an objective way to measure this symptom, since until now pain has been subjective. Physicians have to rely on what patients tell them about their pain or whatever clinical observations they can make to determine their patients’ pain levels. This blood test promises to give doctors a tool to treat and prescribe medications more appropriately for people experiencing pain.

Biomarkers in Blood Help Doctors Assess Pain Levels

The researchers looked at biomarkers in the blood. These biomarkers work in a similar manner to the way glucose is a biomarker to diabetes; they let doctors assess the severity of their patient’s pain and then provide appropriate treatment. It’s hoped this prototype may alleviate the problems that have contributed to the current opioid crisis.

The goal in pain management is to match the patient with the medication that is going to provide the best level of relief with the fewest side effects. Dr. Niculescu points out that through precision health, by having “lots of options geared toward the needs of specific patients, you prevent larger problems, like the opioid epidemic, from occurring.”

The study experts on the team found biomarkers that match with non-addictive drugs for treating pain and can also help to predict when patients may experience pain going forward. They will assist doctors in determining if a patient is experiencing chronic pain which may result in future Emergency Room visits.

Further research will focus on establishing whether there are some markers for specific conditions, such as headaches or fibromyalgia, or for ones that work better for men or women.

detox on your own, arizona detox

Why It’s Dangerous to Detox on Your Own; Arizona Detox Centers Provide Professional Assistance

Why It’s Dangerous to Detox on Your Own; Arizona Detox Centers Provide Professional Assistance

It is commendable to take the first steps towards overcoming an addiction. However, it can be very dangerous to detox on your own, which is why it’s important to use an Arizona detox provider that has medical professionals on hand to assist with the process.

Those who have become addicted have been experiencing dopamine hits to the brain provided a relief from the stresses of their lives. However, what ended up happening was so much worse than what they had been trying to avoid. Now, their primary concern is getting the brain and the body used to sober living again.

However, the process to get there involves reversing what occurred, pulling away from the effects that caused the addiction to take hold. This time is generally filled with quite a bit of anguish and discomfort. Of course, it is very much worth it in the end, but getting there is not easy, and it should not be done alone for comfort and, more importantly, safety reasons.

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So, Why Is It Dangerous to Detox on Your Own?

In many cases, not checking into an Arizona detox center during this part of the recovery process results in dangerous physical symptoms such as seizures without any professional help nearby to assist. It should also be noted that delirium tremens, which consist of a rapid heartbeat and a sense of confusion, occur in many who are recovering from alcohol addiction and in some cases results in death.

Physical Discomfort

Other possible withdrawal symptoms that provide physical discomfort include aches, constipation, diarrhea, fever, headaches, high blood pressure, increased heart rate, memory problems, nausea, panic attacks, seizures, tremors and vomiting. These vary depending on the substance that was being used but an individual will experience a variety of these symptoms.

The main reason why detox can be such a shock to the body is because, when alcohol or drugs were introduced to the brain, it started being flooded by certain chemicals, which caused the brain to produce more countering ones to balance it out. However, once the substance is removed, the brain is still sending all of those countering chemicals in high numbers, and the situation is out of balance again.

Mental Side Effects

The mental side effects of detoxing should not be discounted as experiencing those at home are much more apt to result in an end to the detox and a return to the substance that was being used. The desire to resume regular use is extremely high during this step of the recovery process, and it’s important to be able to push past this point, and assistance is often necessary for this to occur.

Specific withdrawal symptoms related to the mental side of the recovery process include agitation, anxiety, depression, hallucinations, insomnia, lack of interest in things that used to be viewed as important, mood changes, nightmares and oversleeping.

Lack of Support

It’s also of benefit to simply have others around during this trying time as detoxing at home often leaves that person completely alone during one of the most difficult times of their lives. This type of setting, detoxing at home, can exacerbate withdrawal symptoms such as anxiety and depression.

Possible Overdose

It’s important to also point out that those who do relapse while detoxing at home are much more apt to experience an overdose, which can be deadly as the body is often not ready for the dosage that it’s being provided. This is due to the person returning to previous dosage amounts, which may be too much for the body to handle once the detox process has started. The odds of this situation occurring increase the longer the detox period has lasted, but it can still take place during the early stages of the process.

What Can Detox Centers Provide?

One of the most significant benefits of being in a professional environment during this challenging time is simply having medical professional nearby who can help should a dangerous situation develop suddenly and unexpectedly. This immediate medical intervention can and does save lives. For example, should a seizure occur, someone would be there to intervene and help, which would not be possible if detoxing at home.

Another reason why detoxing without the assistance of qualified Arizona detox professionals doesn’t lead to sustained recovery is the failure to address any underlying issues that caused the substance abuse to begin. Addiction is a complex disorder that requires not only a safe detox but also treatment options that will help set the individual up for success.

Desert Cove Recovery has trained medical professionals who are willing to walk you safely through detox. We will work to uncover the underlying issues through therapy sessions and other treatment options.

Probably one of the most important things to consider is that detoxing is not easy. If it was, there would be significantly fewer people addicted to drugs or alcohol, and detox centers would be few and far between. It’s difficult to jump over this significant hurdle of the recovery process, and it becomes so much more difficult and dangerous when attempting to do so on your own.

If you or a loved one is looking to take this important first step on the recovery path, contact Desert Cove Recovery today. We will provide a safe place and medical professionals on hand to ensure that the detox process is done safely and get you started on your road to recovery.

high functioning addiction

Treatment for High Functioning Addiction

Treatment for High Functioning Addiction

Those who are suffering from high functioning addiction are often the most difficult to help. This is partly because they hide their addictions so well, even from themselves in many cases. However, it’s reasonably common as it’s estimated that a fifth of alcoholics have been defined as “functional.”

As the phrase implies, these individuals are high functioning members of society as that relates to their jobs, relationships and otherwise and have continued to be so while in the process of becoming addicted to alcohol or drugs. In other words, they do not present the stereotypical image of someone who is suffering from an addiction. This is often problematic as it results in both the person suffering from the addiction and his or her family, friends and co-workers often denying that an addiction exists when it really does.

In many cases, those with this type of addiction work and experience success in high-profile positions in society and continue to do so while using a considerable amount of alcohol or drugs. Unfortunately, those in these situations are also less apt to get help for it. For example, some may believe that they are too valuable at work to take the time away from it that is necessary to get that help.

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Signs of High Functioning Addiction

One of the toughest things about addiction of this type is that those who care about the person are oftentimes hesitant to say anything when it appears that the addiction is not impacting the person’s life. But it is important to do so as this will, in most cases, only worsen as time passes.

What are some of the signs to look out for?

As far as alcohol goes, simply drinking a considerable amount on a regular basis is cause for concern even if the person appears to not be affected by it as far as family or work goes. For example, a man consuming at least 14 drinks a week or a woman having seven drinks in that time frame are both significant developments that should be disconcerting.

Acting defensive or joking about it when asked about how much is being consumed or hiding it should be noted as well.

Focusing on the substance instead of taking care of themselves in ways such as eating and personal hygiene is another warning sign to consider. Other ones include not socializing as much as had been the case before and accomplishing less at work, doing closer to the minimum expected and not going above and beyond if the latter had been the norm. A decreased interest in hobbies and other activities is another sign.

The Need for Rehab

Many who are in need of rehab do not take advantage of it because of fears of what spending one or more months in rehab might do to their place of employment as well as to themselves in relation to their jobs and reputations. However, if someone is addicted, that person needs to overcome that addiction now, before it worsens. The rehab experience may not be an enjoyable one, but it is one that is very much for the best in the long term.

It should also be considered that, in most cases, family is an especially important element. Oftentimes, someone who is addicted will only consider getting rehab if they realize that sacrificing their substance use is for the good of their family.

Perhaps the biggest warning sign that rehab is necessary occurs when someone defends to himself or herself the need to continue to work by saying that it is necessary in order to continue to receive access to alcohol or drugs. Alcohol/drugs should never be the focus.

If someone you care for is suffering from this, it will likely not be an easy conversation to have, discussing the importance of rehab, but it’s important to stress that need.

How Can Rehab Help?

There are two primary ways that those with a high functioning addiction will be helped by rehab. One is that the addiction is real even if it may not appear so by them or those around them. In other words, the impact on the brain has occurred, and this needs to be reversed for the health of the individual. The other is that somebody who is high functioning while suffering from an addiction today may be non functioning tomorrow. Even if everything appears to be going fine for someone who is high functioning, the possibility of the addiction worsening quickly and significantly is very much there.

If you or somebody you know is suffering from an addiction, whether that’s as a high functioning person or as a low functioning one, please contact Desert Cove Recovery, and we will ensure that help is provided so that short- and long-term recovery can start taking place.

Survey on Opioids in the Workplace Shows Impact on Employers

The results of a survey conducted by The Hartford, a leading property and casualty insurance company, have found the current opioid epidemic is having a “tangible and growing impact” on employers across the US. The survey also found that a majority of Human Resources (HR) professionals and workers feel they don’t have the knowledge or resources necessary to deal with addiction.

Companies of All Sizes Participated in Opioid Survey

Two thousand workers and 500 HR leaders participated in the national survey, which collected responses from companies of all sizes.

• Two-thirds of HR professionals (67 percent) said their company is being impacted by opioid use today, or will be in the future.
• Just under two-thirds of the HR professionals (65 percent) revealed that opioid addiction is impacting their company financially.

Employees, HR Staff Feel Unprepared for Substance Use Problems

The Hartford survey is an opportunity for employers to provide addiction education materials to workers, as well as develop and implement consistent policies and procedures regarding drug misuse.

• Many employees (76 percent), as well as HR professionals (64 percent), don’t feel they are well trained when it comes to helping co-workers who have an opioid addiction issue.
• When asked if they could spot the signs of an opioid addiction, 24 percent of HR professionals and 18 percent of employees felt extremely or very confident they could.
• Nineteen percent of HR professionals and employees feel they are extremely or very knowledgeable about how to reduce the risk of opioid addiction.

Survey Methodology

The Opioids in the Workplace survey was conducted with an online research panel on August 9-15, 2018. A representative sample of 2,500 US adults from across the nation was divided into two groups. Two thousand full and part-time workers and 500 participants with an HR role answered questions.

The margin of error for the first group is +/-2.2 percent at the 95 percent confidence level. For the second group, the margin of error is +/-4.4 percent at the 95 percent confidence level.

opioid overdoses in az organ transplants

Increases in Opioid Overdoses in Arizona Lead to Spike in Organ Donations

Increases in Opioid Overdoses in Arizona Lead to Spike in Organ Donations

In recent years, drug and opioid overdoses in Arizona have steadily risen. Interestingly enough, so have organ donations. Seeking help from an opioid addiction treatment center today can help lower your risk of becoming another statistic.

So, What is the Connection?

It was once thought that harvesting organs from an individual who suffered from an opioid or drug addiction while they were alive, held too many risks for the patient who would receive said organs. However, researchers have confirmed through recent studies that prove organs from drug-addicted individuals have almost the same transplant success rates as organs from overall healthy individuals.

With the recent spike in opioid-related deaths, there has also been a spike in organ donations, creating a tragic but hopeful realization.  With the increase of overdose deaths, comes the increase of new life opportunities to patients waiting for new organs.

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opioid overdoses in arizona and organ transplants

If There is So Much Hope Found in These Studies, Why is This Seemingly Taboo?

First off, the opioid epidemic is a newer issue facing, not only in Arizona, but The United States as a whole. A recent study done by investigators at the University of Utah Health found that currently 110,000 people across the United States are lingering on organ transplant waiting lists. However, the increase in the opioid epidemic has paved the way for unexpected opportunities in increases of organ availability for donation.

The Annals of Medicine found that a major rise of organ donors who’s death occurred due to an overdose rose up to 13.4% in 2017, compared to the meager 1.1% that it was at in 2000. In Arizona alone, opioid-related deaths have seen a 74 percent increase in the last four years. These numbers suggests that with the rise in organ donations from drug-related overdoses, it could significantly improve our country’s organ shortage. Unfortunately, it also shows that there were a great many organs from opioid overdoses in Arizona that went unused before 2017, which could have saved numerous lives.

While these statistics are encouraging, there is a big question that remains.

Are These Organs Safe to Use For Transplants?

Up until recent years, it was not common practice for medical professionals to accept the use of organs from drug-induced deaths, as there were legitimate concerns for the success of the transplant and the patient who received it.

During an overdose, an individual can experience a drop in blood pressure, which reduces the supply of oxygen and holds the potential to affect the organs negatively. There have also been, and still are, potential risks of infection such as hepatitis C. Although there can be a slightly higher risk of those organs having hepatitis C, at only a 30% risk, it still scares off both medical professionals and patients. Recipients of these donors have shown through testing that patient and graft survival rates remain within the same percentage as those recipients who received organs from trauma or medical deaths.

Dr. Christine Durand from Johns Hopkins Medical School in Baltimore has done numerous studies on this topic and states that; “While it is natural for patients to be concerned when they hear that an organ has an increased risk of infection, the tests for the disease are so effective that the risk is low — for HIV, it is around one in 10 000. For hepatitis C, there is a cure available to treat the recipient if an infection is passed on.”

While these studies were created to better understand the effects these specific types of transplants can have on the receiver, they also stand to offer more insight and knowledge for the patient. Even though having an organ transplant surgery is often necessary to continue having a quality of life, it can still be a daunting thing for any patient to consider. The topic can weigh even heavier when the fear of receiving an organ from a former drug user could mean. The United Network for Organ Sharing policy requires that patients be fully aware of any circumstances of potentially higher risk donations so they can best decide whether or not to accept it.

Opioid Addiction Treatment Can Help Prolong Your Life

While the spike in organ transplants is good news, the method to which they have become so readily available is not. An organ comes with a story unique and all its own. This new organ could hold the potential for a fresh start, a promise for a continued journey, and the hope of a healthy and happy life.

But, even before those organs are given to someone else, the person struggling with addiction has options available to them so that they don’t become another number in these staggering statistics.

If opioid addiction is prevalent in an individual’s life, they have ways to begin moving forward and beginning recovery today. There are numerous opioid addiction treatment centers within Arizona that offer a multitude of treatment options and programs. Don’t let the numbers and addiction dictate the journey. Make the decision for a chance at a new beginning today by calling Desert Cove Recovery.

is ibogaine safe for opioid addiction treatment

Is Ibogaine Safe for Opioid Addiction Treatment?

Is Ibogaine Safe for Opioid Addiction Treatment

Ibogaine treatment has seen a rise in popularity in recent years, specifically when it comes to opioid addiction treatment. There are many claims made regarding the success rates of Ibogaine treatment, which uses a psychoactive compound found in several different plants to facilitate a detox experience for patients addicted to a wide-range of substances. While this treatment seems to show promise, it is important to be aware of the potential risks involved in undergoing this largely unproven and untested form of addiction treatment. Before diving into this treatment method, it’s important to answer the question: is Ibogaine safe?

The Trap of the Magic Pill Mindset

In the battle to overcome addiction, it can be tempting to believe that a simple magic pill or treatment will be the answer to the problem. Unfortunately, addiction is often the result of many factors in one’s life. Whether it be trauma, a genetic predisposition to certain substances, social influences, or other co-occurring disorders, addiction can stem from many root causes, something which a simple treatment modality such as Ibogaine will not fully address.

To quote from Harvard Medical School professor Dr. Bertha Madras: “People think there is going to be a magic pill that’s going to erase addiction, and that’s just not reality. What they should not be desperate for is a quick fix.” While certain treatment methods can be useful in the process of overcoming addiction, a holistic, multi-faceted approach is the recommended way to address an addiction, as it will incorporate each issue which is contributing to the dependence.

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Opioid Addiction Treatment, Is Ibogaine Safe

The Dangers of Ibogaine Treatment

Ibogaine has been promoted recently as an alternative therapy to traditional methods, specifically as an option for opioid addiction treatment. Some medical professionals believe that Ibogaine inhibits the reuptake of serotonin, and that it can not only prevent a person from experiencing dangerous withdrawals, but that it can also reduce a person’s desire to use the substance again.

It is claimed that the spiritual aspects of this substance induce a sense of introspection which also leads to relief from addictive cravings, as a person will have an increased degree of perspective after their Ibogaine experience. This is the result of the fact that Ibogaine is an intense, hallucinogenic drug that can last up to 24 hours. Ibogaine can cause physical responses such as dry mouth, nausea and vomiting, muscle coordination issues, as well as extreme levels of dehydration.

In addition to the physical symptoms a person may experience as a result of taking Ibogaine, the drug can also bring on intense emotional reactions, many of which can be difficult for some individuals to process. If a practitioner is not able to effectively help guide a patient through their experience, Ibogaine can become a terrifying experience, fraught with uncertainty and unclear solutions.

An Uncertain, Unproven Treatment for Addiction

While Ibogaine seems to show promise as a treatment option for addiction, there is simply not enough data to say for sure whether this is a reliable and effective modality. A patient who decides to take the chance and try Ibogaine as a method for curing their addiction must rely on a certain degree of faith, as there is an absence of proven, time-tested evidence to fall back on in terms of how effective this drug is.

Because Ibogaine is listed as a schedule 1 drug in the United States, there are no Ibogaine clinics available stateside where a person can seek treatment. Instead, individuals are forced to go to Mexico and other countries where Ibogaine is allowed, but still not has heavily regulated as it would be in the US. While some clinics may claim to offer a trusted, safe environment for patients to detox within while using Ibogaine, this process is undoubtedly risky and involves a great level of inconvenience for the person who decides to go this route.

In order to answer the question: is Ibogaine safe, we must look at the potential risks inherent in this treatment option. According to a study conducted by the National Institutes of Health, Ibogaine affects the cardiovascular system and there have been alarming reports of life-threatening complications, as well as sudden death cases associated with the administration of Ibogaine. The most likely cause of these sudden death cases was cardiac arrhythmias, showcasing the potential downsides which can impact a patient if they don’t consider all of their current health conditions.

Is Ibogaine Safe? 

Ibogaine is an unknown, mostly untested treatment option which has a long way to go before it can be considered a safe option for patients seeking relief from their drug addiction. The most effective treatment options are always those that address the confluence of factors which can make up the reasons for why a person becomes addicted. Magic pills are an intriguing idea to entertain, but the truth is that they are simply not a realistic outcome for people seeking relief from their addiction.

President Signs Bill to Curb Opioid Crisis

After declaring the US in the midst of a public health emergency in 2017 due to the opioid crisis, The President signed a bill into law that experts believe will help to curb the opioid crisis. The new legislation is called the SUPPORT for Patients and Communities Act.

More Funding for Addiction Treatment

The new law provides funding to federal agencies and states so that they can provide increased access to addiction treatment. It also puts measures in place to help alleviate the crisis, such as:

• Preventing overprescribing
• Training law enforcement agencies to intercept drug shipments at US borders

The bill signing was the culmination of a 12-month effort by the legislative and executive branch to react to the opioid crisis. While lawmakers said the bill was a step in the right direction, although many of them said it didn’t go far enough to deal with the epidemic. Rep. Frank Pallone of New Jersey cautioned of ramifications of talk of reducing access to publicly-funded treatment programs.

Congress and the White House entered into discussions for making a plan for confronting the epidemic in October 2017. This was before several congressional hearings by the House and the Senate on the same subject.

Public health experts have spoken out in favor of the bill, since it increases access to treatment. They say this is a critical step to controlling the epidemic. One of the measures in the legislation removes an old measure that didn’t allow clients with substance abuse issues get treatment in mental health facilities with more than 16 beds under Medicaid.

Private Companies on Board with New Initiatives

The White House has also pointed to new initiatives from private companies:

• Amazon has programmed its Alexa voice service to answer consumers’ questions about opioids and addiction.
• Blue Cross Blue Shield, the major insurance provider, will establish a national toll-free phone number to help US residents locate drug and alcohol treatment centers.
• Biopharmaceutical company Emergent BioSolutions will offer free Narcan nasal sprayers at over 16,500 public libraries and 2,700 YMCAs. Narcan, when administered to someone experiencing an opioid overdose, can help reverse the condition.

Treatment Still the Main Focus

What this new law and other efforts do is to help continue to focus on the need for treatment at all levels. This current drug crisis won’t subside until there are enough people seeking and receiving quality treatment for their substance use disorders. Desert Cove Recovery is proud to be a leader in rehabilitation for people both in Arizona and from all over the country.

report on substance abuse, alcohol abuse

Report on Substance Use: Alcohol Holds No. 1 Spot

Reports about the opioid crisis and drugs fentanyl, carfentanil and heroin have dominated recent headlines. During the years 200-2016, the number of lives lost to opioids has more than quadrupled. Though opioids have taken up a lot of our collective attention during the first part of the twenty-first century, it would be a mistake to ignore another addictive substances that have had a negative impact on people’s lives: alcohol.

A new report released from the California Health Care Foundation looked at substance use disorders in California. It examined the impact of alcohol, opioid and other substance use over time. Although this particular report was specific to California, the figures are a fair representation for situations in Arizona and nationwide as well.

Key Findings from Substance Abuse Report

The report, entitled “Substance Use in California: A Look at Addiction and Treatment,” has several key findings, including:

  • Alcohol use disorder was the most common type of substance use disorder among California residents. Approximately six percent of Californians met the criteria for alcohol dependence. Three percent of state residents met the criteria for dependence on illicit drugs.
  • Experimenting with drugs and alcohol is likely to start during the adolescent years. By the time they reach Grade 11, over half of students in California have tried alcohol and close to 40 percent have tried marijuana.
  • Young adults (aged 18-25) were most likely to develop substance use disorders, with the likelihood close to twice the state average.
  • The number of Emergency Department visits related to heroin in California has tripled during the years between 2006-2017.
  • Alcohol was responsible for more nonfatal Emergency Department visits in California than all other drug diagnoses combined.

Substance Abuse Disorders Treatable

Substance use disorders, including alcohol use disorder, can be treated and managed. Like other chronic illnesses, the risk of relapse is a real and ongoing one. Behavioral therapy helps people with substance use disorders change unhealthy coping mechanisms for new ways of dealing with destructive behaviors. Medications can be used to control cravings for opioids and alcohol and reduce the physical reward a user experiences when they are ingested.

Naltrexone is among the most common medications, which is used in many different forms. Vivitrol is an monthly injectable version of naltrexone that is often used to help fight cravings.

friends don't believe you are addicted

What to Do When Your Friends Don’t Believe You’re Addicted

What to Do When Your Friends Don’t Believe You’re Addicted

It can be easy to hide the truth from people we love the most. Perhaps you are partaking in drugs and your friends don’t believe you’re addicted. Many times, our closest friends want to offer support when no one else does. Other times, they offer insight and perspective that is needed the most. When you hide your addiction from those friends, you are creating a wedge in your relationship that can be hard to rebuild.

Your friends honestly care about your welfare and if they knew all the facts, they would encourage you to seek help. But people struggling with addiction are very adept at concealing their problems. They hide drugs, alcohol, and other addictive substances from others. Or, if the conversation makes an uncomfortable turn, they are very skilled at redirecting things. If all else fails, those struggling with addiction will continue to deny any sign of dependence on a substance.

As a result, even close friends, spouses, or roommates may not know there is a problem at all. Or, they may not know how bad things are.

Even if your friends don’t believe you are addicted, no one knows you better than yourself.

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A Brief Self-Assessment: “Do I Need Rehab?”

Admitting you have an addiction is the first step in addiction recovery. You are in the driver’s seat, and no one else will be able to go to addiction rehab for you. So, even if friends don’t think you are addicted, you are in the best position to make this important decision.

Before starting this assessment, it is important to be honest with yourself. Many addicts have practiced denial so much before others that they are in denial themselves. No one else will know the outcome of this assessment, so there is every reason to be honest with yourself.

Driving While Under the Influence

Some people know they are not in full possession of their mental or physical abilities before they get behind the wheel. Perhaps they respond by taking the back-way home or driving well below the speed limit. Or, perhaps they drive home from bars, parties, or other places and do not remember the route they took.

If you have driven under the influence more than once or twice, regardless of whether you got caught or anyone got hurt, you may have a problem.

Substance-Related Health Issues

Alcohol use is a good example. After even a short period of abuse, many people begin experiencing liver problems, blackouts, and anemia.

Typically, addiction is the only cause for issues like these. There may be some element of genetic predisposition, but not very much of one. So, health problems are one of the clearest signs that you may need rehab regardless of what your friends say.

Legal Problems

Many legal issues may be directly related to substance abuse, such as DUI, drug possession, or public intoxication. You are the only one who can accurately say whether the issues was a one-time mistake or the sign of something more serious. These are the only two possible interpretations.

Other times, the relationship is indirect. Most people make very bad decisions when they are under the influence of alcohol or drugs. These substance-related legal problems are much harder for anyone, including your friends, to detect.

Harming Yourself or Another

Before you skip past this part of the rehab assessment, think it through. The harm does not have to be physical and does not have to put anyone in the hospital. Emotional outbursts hurt others, and hurt yourself, just as much as physical violence. Furthermore, even if the act did not cause visible injury, it is still a violent act.

Why You Use the Substance

Many people start using drugs to experiment or to get through a difficult patch of life, such as a relationship break-up. After you know how the substance affects you or long after your boyfriend left, are you still using alcohol or drugs?

On a related note, take stock of the amount you use. If it has increased significantly and you still have basically the same high, you might very well be an addict.

If the results of this assessment disturbed you in any way, even if your friends don’t think you’re addicted, you should reach out to a professional for guidance. The next step could be a low-key session with a nearby counselor, inpatient substance abuse rehab, or something in between. Whatever that next step is, we are here to help. The trusted staff at Desert Cove Recovery will work with you to start your recovery from addiction. You do not need to face this alone.