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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.

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.

suicide and opioid addiction dual diagnosis treatment centers

Suicide and Opioid Addiction – Linked Epidemics?

Suicide and Opioid Addiction – Linked Epidemics?

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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suicide and opioid addiction linked dual diagnosis treatment centers

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.

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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History of Opioid Addiction arizona rehabs

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.

End the Opioid Crisis, Opioid Addiction Treatment Arizona

How to End the Opioid Crisis, Opioid Addiction Treatment Arizona

How to End the Opioid Crisis – Opioid Addiction Treatment Arizona

According to the CDC, more than 33,000 people died from opioid overdoses in the United States in 2015. Every year, the steadily worsening opioid epidemic poses an economic burden of more than $78.5 billion, which includes costs that are associated with criminal justice activity, health care, addiction treatment and lost productivity. Oftentimes it feels like little or nothing is being done about it. However, many people have ideas about how to end the opioid crisis. The question is which of these proposed solutions will actually put a dent in the problem. Desert Cove Recovery, opioid addiction treatment in Arizona, takes a look at how to end the opioid crisis.

How Did We Get To the Opioid Crisis?

Starting around the late 1990s, pharmaceutical companies looking to peddle opioid painkillers assured the medical community that they wouldn’t lead to widespread addiction. We now know how wrong they were, of course; in no time, as opioids flooded the market, they became increasingly diverted away from people who were legally prescribed them, and misuse became rampant and widespread. When efforts were made to curb their availability, many people simply switched over to illegal drugs like heroin. In 2018, an average of 115 people die from an opioid overdose in this country every day. Read on to learn about some of the ideas for putting an end to the opioid crisis.
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Education about Addiction

Turning a blind eye to a problem is a surefire way to cause it spiral even more out of control, so education could very well be the key to curbing the opioid crisis. The primary goal of education would be to limit the spread of the epidemic by raising awareness about the risks of using opioids. This education should extend beyond the general public to be directed at physicians as well. Many doctors, for example, could benefit enormously from learning more about safely prescribing such medications.

Prescription Opioid Medication

People who aren’t informed about the issue often scoff at the notion of prescribing yet more medication to someone who is coping with an opioid addiction. However, medication-assisted treatment has been shown to be very effective for helping addicts to achieve long-term sobriety from these highly addictive substances. Sometimes referred to as replacement or maintenance therapy treatment, the use of medications like methadone and buprenorophine has been shown to reduce the risk of relapse, which tends to be quite common among those who quit “cold turkey.”

Early Intervention for Opioid Addiction

Another potential key to ending this ongoing crisis is to find help for people as early in the addiction cycle as possible. The sooner people seek treatment, the easier and more effective their results tend to be. A huge part of this will depend on education and raising awareness. If society at large starts being more open about the signs of opioid addiction, for example, it would be easier for people to recognize it in themselves—and they would be more likely to seek treatment sooner. It should also be noted that increasing the availability of medications like naloxone, which reverse overdoses, would also help enormously. Naloxone helps not only by saving lives but by potentially assisting those who have overdosed to seek treatment.

Accessible Opioid Addiction Treatment Arizona Options

Even when a person realizes that they have an opioid addiction, it isn’t always very easy or obvious to know where to turn for help. Increasing the availability of accessible, holistic, evidence-based treatment would streamline the process of reaching out for help when needed. This also means cracking down on treatment facilities that do little or nothing to truly help people overcome addictions. For example, more facilities could be required to employ doctors who are certified by the American Society of Addiction Medicine. Someone shouldn’t have such difficulty locating opioid addiction treatment Arizona or anywhere else.

End the Stigma of Opioid Addiction

Finally, perhaps the best way to turn the tide of the devastating opioid crisis would be to end the stigma that continues to shroud addiction. Although major strides have been made in that regard over the last few decades, there is still a lot of stigma attached to being open about having an addiction. This unfortunately makes it more difficult for people to seek treatment—or even to admit that they have a problem in the first place. Once again, education will play a major role in ending this stigma, so adding information about addiction to school curricula, for example, could be a step in the right direction.

In trying to put an end to the opioid crisis, it’s crucial not to overlook the most important thing of all: the addicts themselves. At the end of the day, the primary goal of this battle will continue to be getting help for those who need it. If you believe that you are addicted to opioids, it’s important to understand that help is available. Our opioid addiction treatment Arizona facility is here to help you take the first step, so give us a call today.

Friend struggling with addiction, drug rehab scottsdale

How to Support a Friend Struggling With Addiction & How Drug Rehab Scottsdale Can Help

How to Support a Friend Struggling With Addiction

If you have a friend who is addicted to drugs or alcohol, and you want to help, following a proven plan will get you moving along the correct path. Substance addiction is a sensitive topic and makes some people uncomfortable, but you need to take action to protect your friend.

Inability to control substance addiction can lead to health problems, legal trouble and death. Using the wrong approach will make the problem even more difficult to handle, so you must exercise caution at each step.

Although your friend must make the final decision, you could be the motivating factor that gets them to change their ways and make better decisions in the future. Getting your friend into drug rehab Scottsdale should be your ultimate goal. You might even save a life.

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The Warning Signs of Addiction

Learning to spot the warning signs of addiction before you take action is important. Knowing the red flags makes you sure of your decision, allowing you to move forward with confidence. The biggest red flag is using the drug or drinking so much that doing so forces your friend to overlook essential obligations.

For example, your friend could fall behind on rent or other financial responsibilities. If your friend starts missing work or getting into legal trouble, take a closer look to get a clear picture of the problem with which you are dealing. In addition to looking for the other signs, keep an eye out for unexpected behavior or strange acquaintances with whom your friend does not normally interact.

Approach the Situation with an Open Mind

Seeing your friend go down this dark and unforgiving path can cause a range of emotions, but you must maintain a level head as you move forward. Fight the urge to be judgmental if you don’t want your friend to cut you off entirely. Be as calm and open-minded as possible if you would like to get a positive response when you first mention the topic. If your friend does not seem open to having the conversation, don’t push it because doing so can cause more harm than good. You can change the topic and approach the issue in the future to increase your odds of reaching a favorable outcome.

Tell Your Friend You Are Concerned

When your friend is open to talking with you about their addiction, let them know you are concerned about their well-being, and you should get a positive response. You don’t need to worry if you don’t know what to say during this step, because this issue is common.

Without being aggressive, encourage your friend to consider how their life might turn out if they continue on the path without getting the help they need. People who open up about addiction are not always looking for advice or feedback. Be willing to listen without interrupting when your friend decides to speak with you.

Don’t Enable Your Friend’s Addiction

When you help your friend overcome the challenges associated with addiction, don’t let yourself go too far. A thin line separates assisting from enabling, and you need to use caution if you don’t want to make the wrong choice. Although doing so will be hard for you, make your friend clean up the mess related to their addiction, and don’t lend them your money. Lending money and bailing your friend out of the problems caused by addiction only make it easier for them to make poor choices. You can be a little more flexible if your friend shows an honest and consistent effort to overcome addiction.

Seek a Drug Rehab Scottsdale

Nothing you do can ever replace the results of drug rehab Scottsdale. Getting your friend who is struggling into a treatment center can do wonders to break the chains of addiction and get your friend moving in the right direction. Our experts will learn about your friend’s unique needs and craft an approach that offers the highest odds of success. Our mission is to help our clients recover and reclaim control of their lives, and we look forward to working with you. If you have any questions or want to learn how you can begin, pick up your phone and call us right away.

clinical opiate withdrawal scale

What is the Clinical Opiate Withdrawal Scale?

What is the Clinical Opiate Withdrawal Scale?

Everyone’s experience with 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.

nutrition during rehab holistic addiction treatment center

The Importance of Nutrition During Rehab: A Holistic Addiction Treatment Approach

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.

Increased Immunity

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.

DEA Suspends Louisiana Pharmacy Distributor Over Suspicious Orders

The Drug Enforcement Administration (DEA) announced that it has issued and served a Suspension Order on Morris & Dickson Company. The wholesale pharmaceutical distributor is situated in Shreveport, Louisiana.

The DEA alleges that the distributor failed to identify “large suspicious orders for controlled substances.” These substances were sold to independent pharmacies that the DEA says had questionable need for the drugs.

Hydrocodone and Oxycodone Purchases

The investigation centered on purchases of hydrocodone and oxycodone. It revealed that in some instances, the pharmacies were allowed to buy six times as much as a normal order. Regulations are in place requiring distributors to identify orders which are out of the norm; the DEA is alleging that Morris & Dickson Company failed to identify these large orders. As a result, millions of hydrocodone and oxycodone pills were distributed, in violation of existing law.

DEA Acting Administrator Robert W. Patterson stated that pharmaceutical distributors have an obligation to make sure that all controlled substances being ordered are for legitimate purposes. Distributors have a duty to “identify, recognize and report” any suspicious orders to the DEA.

Company Failed to File Suspicious Order Reports

The DEA became aware of the high-volume orders involved in this investigation in October, 2017. The Agency’s records revealed that the company hadn’t filed any suspicious order reports on any of the pharmacies placing the large orders. On review, the purchases made weren’t in line with the pharmaceutical market:

• Independent retail pharmacies were buying more of the drugs than the largest chain pharmacies in the state.
• The pharmacies were buying more narcotics than several of the largest pharmacies in a single zip code.

The DEA states that more than four million people in the US are addicted to prescription pain medications. This figure includes 250,000 adolescents. Drug overdoses are the leading cause of death in the United States, surpassing deaths from motor vehicles accidents or deaths due to firearms.

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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.