In spite of the current opioid crisis that has been making headlines on a regular basis, Emergency Room (ER) doctors and staff have been missing opportunities to refer overdose patients to addiction treatment. The results of a recent study conducted on Medicaid claims in West Virginia indicate the health care system “doesn’t seem to be set up” for referring patients to further help.
Hospital Codes for Opioid Poisoning Examined During Study
The researchers examined insurance claims made for 301 people who overdosed in the years 2014 and 2015. By analyzing the hospital codes used for opioid poisoning, they were able to follow the treatment the patients received. The researchers were specifically looking to see whether the patients were billed in the months following their ER visit for health care services such as:
Counseling or mental health care
Opioid counseling visits
Prescriptions for psychiatric drugs (anti-depressants, anxiety medications, etc.)
Prescriptions for substance abuse medications
As a result of their work, the researchers found that less than 10 percent of the patients received (per month) substance abuse medications such as buprenorphine. Since methadone isn’t covered by West Virginia Medicaid, it wasn’t included in the study.
In the month the overdose occurred, about 15 percent of the patients received mental health counseling. In the 12 months after the overdose, that number had dropped to lower than 10 percent of patients per month.
Researchers Expected More Addiction Treatment for Overdose Patients
Neel Koyawala, a second-year medical student at Johns Hopkins School of Medicine in Baltimore, the lead author of the study, said that the researchers “had expected more…especially given the national news about opioid abuse.”
Andrew Kolodny, the co-director of Opioid Policy Research at the Heller School for Social Policy and Management at Brandeis University, said that resources should be focused on getting patients who have experienced nonfatal overdoses into treatment.
He compared the situation to someone coming into the ER with a heart attack. Patients and their families take for granted that heart medication and a referral to a cardiologist will be provided when the patient is discharged. Kolodny wants to see patients who come to the ER with an overdose to get started on buprenorphine in the hospital and receive a referral to some type of addiction treatment when they leave.
Both Kolodny and Koyawala point to a combination of lack of training and understanding among health care professionals for what continues to happen to overdose patients after they are stabilized.
Dr. Matt Christiansen, an assistant professor at Marshall University Joan C. Edwards School of Medicine’s Department of Family & Community Health, stated that [a substance abuse patient’s] risk of overdose is the same the day after as it was on the day of an overdose.
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.
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.
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.
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.
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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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.
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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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.
Important note: This article addresses suicide. If you or a loved one is struggling, call the National Suicide Prevention Lifeline at 1-800-273-TALK (8255).
A disproportionately large number of U.S. residents have committed suicide while using an opioid. By definition, we are witnessing an epidemic. Dual diagnosis treatment centers are seeing an increase in patients as they themselves effort to understand the connection between suicide and opioid addiction.
The Centers for Disease Control (CDC) released alarming numbers during the spring of 2018. Their study determined almost 45,000 Americans committed suicide in 2016 alone and discovered an increase of suicide every year since 1999.
The U.S. Surgeon General has advised more Americans use opioids than smoke cigarettes. Considering the U.S. purchases 80% of the world’s opioid medications and prescriptions have increased 300 percent in a nine-year time frame, this makes sense.
Together, it appears opioids and an increasing suicide rate may indeed be linked.
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An Increasing Suicide Rate
The relationship between suicide and substance abuse is a complicated one. While suicide is closely correlated with depression, use of either legal or illicit drugs increases the risk substantially. A 2013 study by the CDC revealed which types of substances were found in those who committed suicide. The leading six substances were:
Alcohol – 38.2%
Antidepressants – 35.3%
Benzodiazepines – 31.3%
Opiates – 26.8%
Marijuana – 16.6%
Anticonvulsants – 11.9%
Use of drugs or alcohol is one of the most common risk factors for suicide. However, substance use is only one half of the equation.
In isolation, it would easy to pin a large portion of suicides strictly on substance abuse. But unfortunately, nothing could be further from the truth. In most suicides, substance abuse is the cause or the result of one or more contributing conditions.
The CDC completed a study reviewing the mental reports of both medical examiners and law enforcement officials from 27 states in 2015. They acknowledged there may have been other circumstances involved in any single suicide report, but the result sheds light on the types of problems individuals may have been facing prior to their passing:
42% reported relationship problems
29% faced a crisis in the past or upcoming two weeks
22% had physical health problems
16% were confronting job or financial related issues
9% tackled criminal legal problems
4% lost their housing
The study showed that just over one-quarter (28%) of suicides had reported known problematic substance abuse. Understanding the relationship between the CDC’s statistics of the substances found in the bloodstream with the contributing factors is important. The connection underscores the role substance abuse plays in scenarios where the abuse was not a determining factor in the suicide.
The Exploding Use of Opioids
During the late-1990s, prescription opioid pain relievers were introduced to the general public in mass. It was promised these drugs would not be addictive or habit forming. The pharmaceutical companies were wrong.
The rate of opioid overdose has risen ever since opioids arrived at the corner pharmacy. In 2015, the CDC reported 33,000 deaths directly resulting from an opioid overdose. This includes prescription opioids such as fentanyl, hydrocodone, and methadone, illegally manufactured synthetics, and heroin.
Almost 225 million opioid prescriptions were written in 2015. The CDC study from the same year found approximately 2 million Americans were suffering from prescription opioid substance abuse disorders. The statistics of opioid misuse are staggering:
21% – 29% of prescriptions for chronic pain are misused
8% – 12% of prescribed opioid patients develop an opioid use disorder
4% – 6% of those who misuse opioid prescriptions move onto heroin
Although the sheer number of annual opioid prescriptions has begun to decline, their misuse continues to increase. And as the number of prescriptions decreased, we may begin to see increased heroin and illicit opioid use in the coming years. Consider the following growth in opioid overdoses:
54% increase in large cities in 16 states
70% increase in the Midwest 2016 to 2017
30% increase in 52 surveyed regions in the U.S.
We are in the midst of a public health crisis. The consequences of which are being felt by individuals, families, employers, and entire communities. Finding the link between suicide and opioid addiction will go a long way toward solving this immense problem.
Connecting Suicide and Opioid Addiction
Overdoses, caused by any substance, can often be difficult to evaluate. Was the overdose accidental or were the drugs consumed with a purpose – suicide?
What we do know are the increases in suicide risk associated with an opioid misuse. For men, the suicide risk nearly doubles if they were known to have an opioid use disorder. For women, there has been found to be an eightfold increase in the risk of suicide. Yet in most cases, the final factor causing an overdose is never known.
Opioid addiction is extremely powerful. The fact that 80% of first-time heroin users were misusing prescription opioids first supports this claim. And regardless of how many of the 115 daily opioid overdoses are attributed to suicide, any number larger than zero is too many.
The likelihood of suicidal thoughts can increase upwards of 60% when while taking an opioid. There are studies indicating death by suicide is 13 times more likely in opioid and injection drug users. More evidence that combating opioid addiction’s role in the nation’s suicide crisis cannot be overlooked
The Role of Dual Diagnosis Treatment Centers
Admittance into rehabilitation centers increased 400% in the decade prior to 2010. As more research is conducted and more is learned about the relationship between suicide and substance abuse, the greater positive impact dual diagnosis treatment centers will have on their patients.
Dual diagnosis takes a coordinated approach to mental health disorders and substance abuse. By using a multidisciplinary team of clinicians, patients with co-occurring disorders are much more likely to find long-term success after receiving treatment. Traditional treatment centers are becoming much better at identifying individuals who are suffering from two or more conditions. And if dual diagnosis treatment isn’t available, such facilities are fortunately opening on a regular basis.
After completing programs offered at dual diagnosis treatment centers, individuals will effectively be able to manage both disorders. If you suspect someone you care about may be struggling with suicide and opioid addiction, 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 and help is no further than a phone call away.
We’re Starting to See a Reduction in the Stigma of Addiction, But We Still Have a Lot to Work For
The stigma of addiction brings a heavy burden to people who are suffering with the problem. These people often feel “marked” with defects that keep them from living sober lives. This can lead to feelings of shame and helplessness. Luckily, there has been a reduction in the negative imagery that goes along with this condition.
How Has This Stigma of Addiction Been Reduced?
This country is experiencing an enormous rise in its drug addiction rates. However, more and more people are speaking out and sharing their stories. Even celebrities in Hollywood have come forward to shine a new light on recovering from addiction. Along with being outspoken in interviews, Demi Lovato speaks through her music. She released a song that discusses her struggles with sobriety. She explains that the road to recovery is not easy for anyone and that there is no shame in the battle.
Recently, Lovato suffered a setback. She was admitted to the hospital after an apparent overdose. Instead of negative comments and statements from the public, there has been an outpouring of support and positive energy. Thanks to social media, her relapse has given people from all walks of life the courage to speak about their similar problems and to offer sympathy to the suffering music star and to others who are in the same position. Lovato has shown that celebrities are human and have the same flaws as other people. It is a great opportunity to knock down some walls and to fight the stigma that is attached to addiction.
Music has allowed Lovato to use lyrics as an outlet to explain the bumps on her journey and to apologize for her mistakes. She wrote in detail about her failures ad this has built trust with her fans. It has allowed other drug users to understand that relapse happens and that it is possible to get back on the right path and to avoid the negativity that often surrounds the shame of addiction. As more and more people offer support, the stigma should continue to decline.
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Why Stigma Should Not Be an Issue
Is there a stigma related to cancer? Is there a stigma linked to having a heart attack? Like these physical ailments, addiction is a disease. It strikes people of all races and classes. Since no other health condition brings a negative stigma, drug addiction should not be the exception.
According to the American Medical Association, addiction is a disease that changes the way a person’s brain functions. Many drugs encourage the brain to release chemicals that bring feelings of pleasure. With continued use, these chemicals change the brain’s systems. This means that an individual will crave the substance. Brain changes can last long after an individual stops using, which leaves the person vulnerable to triggers that often lead to relapse. In many cases, a strong individual with the will to stop using is still left open to fall off a sober path.
Although seeking treatment is a smart way to gain sobriety, it is not a guarantee that the problems are over. Understanding the struggles of a user makes it clear that a negative stigma should not be placed on an individual who is trying to get clean.
How Stigma Prolongs the Problem
Many times, a user who experiences a negative stigma about his or her drug habits have a decreased likelihood of seeking treatment. Even when he or she admits that there is a problem, they may be afraid to come forward and to ask for help. It is essential to uncover a trusted medical professional so that a patient can receive solid advice and treatment. Researching a respected rehab facility is vital as well.
Our Scottsdale treatment center is filled with a compassionate staff. We understand the struggles and realities that addiction brings to an individual’s life. We are not afraid to help patients through the withdrawal process and to assist them on the road to recovery. We never judge or criticize, which means that the environment at our facility is nurturing and relaxing. Patients can feel safe, concentrate on the root of their problems, and learn how to avoid triggers that may cause relapses.
Thankfully, the stigma of drug addiction is becoming less damaging. However, we still have a long way to go. Society is starting to realize that addiction can affect anyone and relapse is not a sign of weakness. As in the case of Demi Lovato, it is important to support people with problems, especially when they decide to get help. To get started on a sober path, call our Scottsdale treatment center today.
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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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.
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.
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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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.
The Importance of Nutrition During Rehab: A Holistic Addiction Treatment Approach
There are many things that can have a powerful impact on drug addiction recovery. By making wise choices through an accredited holistic addiction treatment center, you can have the best chance of experiencing a successful long-term outcome. The information below will talk about the connection between nutrition and the rehabilitation process. It will also discuss how proper nutrition during rehab can be made possible by seeking treatment from a holistic rehab facility.
How Does Substance Abuse Affect Nutrition?
The process of substance abuse is very complex for each individual. As a result of the difficulties that accompany this problem, many people may find themselves having difficulty maintaining a healthy diet. For example, some people may simply forget to eat at all when they are under the influence of addictive substances. Others may find themselves dealing with strong cravings for junk foods that leave little room for healthier choices. Many addictive substances can cause a decrease in appetite. This can lead to the development of serious nutritional deficiencies over time. Last of all, dealing with disturbing physical and emotional symptoms that accompany drug abuse can also leave a person feeling less hungry.
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Health Implications of Substance Abuse and Addiction
Those struggling with a serious drug or alcohol addiction may discover that they have serious nutritional deficiencies. For example, it is very common for those fighting an addiction to deal with low levels of folic acid, vitamin B6, and Thiamine. Some addictive substances can further deplete the natural stores of specific vitamins and minerals, leading to bothersome physical symptoms that make recovery from addiction more difficult.
In addition to many possible nutrient deficiencies, those struggling with substance abuse can also experience unintentional weight loss. This can become a problem for those who were already thin prior to facing a substance abuse issue. The lack of an appropriate number of calories can result in weight loss, poor muscle tone, weakness, electrolyte imbalances, and many other health issues. The presence of these issues can also lead to an increased risk of the development of many life-threatening diseases. This can include cardiovascular disease, liver failure, hormonal imbalances, and blood sugar problems.
The Importance of Proper Nutrition During Rehabilitation
The process of seeking professional treatment for a drug addiction is difficult for everyone who goes through it. There is no doubt that this journey will require hard work, dedication, and a lot of introspection. However, the process is much harder without the assistance that proper nutrition can provide.
As it turns out, consuming a healthy diet can help you heal from addiction in many different ways. It can also lead to a much lower risk of experiencing a relapse down the road. How is this possible? Proper nutrition during rehab can provide the following important benefits:
Improved Repair to Existing Organ Damage
The abuse of addictive substances can lead to internal damage to vital tissues and organs. Thankfully, much of this damage is often reversible through proper nutrition. Excellent food choices can help heal the damage that has already been done while preventing further damage from occurring.
Specific foods can have a very powerful effect on the immune system. This results in strengthening the body to withstand the stress that recovering from an addiction can place upon it. Improved immune functioning will also help you become more resistant to common illnesses you come into contact with regularly.
Better Energy and Mood
It’s no secret that those recovering from an addiction often struggle with mood swings, personality changes, and a severe lack of energy. Giving your body the proper fuel it needs through a healthy diet can boost your energy levels. Excellent nutrition can also have a powerful effect on your overall mood, helping you manage stress and maintain a level of happiness throughout your treatment.
Better Management of Withdrawal Symptoms
No matter how well you manage the recovery process, withdrawal symptoms will always occur. While these symptoms are never easy to bear, they can be made much more manageable with the support of a healthy diet. Even serious issues such as chronic pain can become much easier to handle when healthy foods are a part of your daily routine.
Improved Resistance Against Relapse
Almost everyone who goes through treatment for an addiction faces the fear of a relapse. This is a normal thing to be concerned with. However, healthy food choices can strengthen your resolve to avoid a relapse in the future. Proper nutrition will also make your body that much stronger in the process.
The Benefits of Choosing a Holistic Treatment Center
A holistic addiction treatment center can provide many benefits that go beyond covering your nutritional needs during the healing process. Most holistic treatment centers provide access to a wide variety of tools, in addition to diet, that can go a long way toward helping you recover fully.
For example, holistic treatment facilities are well-known for providing nutritional support, fitness endeavors, spiritual activities, relaxation efforts, meditation, and many other services that provide for all of your needs. Many holistic rehab centers also highly promote family involvement that can lead to the improvement of your interpersonal relationships with others. All of these things can contribute to a successful long-term outcome to your drug addiction treatment journey.
Desert Cove Recovery is a highly esteemed rehab center that focuses on providing individualized and holistic treatment options for those struggling with an addiction. If someone you love has been affected by substance abuse, please contact our facility for more information on the innovative treatment options at your disposal at our holistic addiction treatment center.