Tag Archives: Substance Abuse

friends don't believe you are addicted

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

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

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

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

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

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

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

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

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

Driving While Under the Influence

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

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

Substance-Related Health Issues

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

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

Legal Problems

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

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

Harming Yourself or Another

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

Why You Use the Substance

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

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

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

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.

stigma of addiction, scottsdale treatment center

We’re Starting to See a Reduction in the Stigma of Addiction, But We Still Have a Lot to Work For

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.

heroin rehab arizona, naltrexone implant for opiate addiction

People are Getting Naltrexone Implants for Opiate Addiction & Why Heroin Rehab Arizona is a Better Choice

People are Getting Naltrexone Implants for Opiate Addiction & Why Heroin Rehab Arizona is a Better Choice

Millions of people struggle with addiction and are desperate to get to the light at the end of the tunnel and a return to a life of normalcy. However, the path is usually not an easy one, and it is a journey that can be taken in one of many different ways. Some turn to heroin rehab Arizona for help to overcome their addiction, while other people take problems into their own hands by getting a naltrexone implant for opiate addiction.

What Are Naltrexone Implants and Why Are People Turning to Them to Treat Opiate Addiction?

Naltrexone is an opioid antagonist. Its prime benefit is that it blocks the effects on the brain of opioids such as prescription painkillers, heroin and other narcotic drugs.

Effects of opioids usually include a temporary escape from pain, stress and fear, which is why they can be so addictive. However, that escape never lasts as tolerance starts getting built after many uses. Eventually, the effects of the substance continue to decrease, getting to the point that taking it ends up being necessary just to feel normal. Now the person’s body relies on the drug to survive, instead of using it as a means of escape, resulting in a heavy drug addiction.

Many of those who are addicted to opioids are turning to naltrexone implants to help them overcome their addictions for a number of reasons. The primary benefit of naltrexone is that it blocks many of the opioid’s effects at the brain cell receptor levels, which results in the desired benefits being significantly reduced. Due to this effect, the opioid cravings are lessened, a definite help in overcoming an addiction.

Specifically, a naltrexone implant for opiate addiction consists of small medication pellets that go under the skin. They gradually release the naltrexone over a period of several months.

Implants, in particular, are preferred by many because they remove the risk of forgetting to take a pill, or even purposefully not taking a pill. Naltrexone can be a good option for those who have a history of relapsing as it decreases the desire for alcohol or opiates.

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Do Naltrexone Implants Work?

A naltrexone implant for opiate addiction does appear to help reduce opioid use. According to a 2009 study, patients participating in a study experienced 45 fewer days of heroin use and 60 fewer days of opioid use than those in the control group. Additionally, a 2014 systematic review of nine studies found that naltrexone implants were much more effective than the absence of them although it should be noted that “the quality of the evidence ranged from moderate to very low.”

Importance of Heroin Rehab Arizona

Although naltrexone implants are proven to help with addiction, there are several other ways to take control of your recovery. One thing that naltrexone does not help with are withdrawal symptoms. These can be significant and can include abdominal pain, agitation, anxiety, diarrhea, muscle cramps, nausea, sleep disturbances, sweating and vomiting. Heroin Rehab Arizona will help ensure that the withdrawal experience is handled as carefully as possible so that this part of the recovery process is overcome and is not as overwhelming to the patient as it might otherwise be.

Another reason why it’s important for those addicted to heroin to engage with a heroin rehab program is because the rehab process will address the underlying issues that led to addiction in the first place. Allowing this process to happen will ensure that the chances of recovery are permanent. Of course, relapses are always possible, but it’s important to keep the odds of those occurring as low as possible, and heroin rehab is the best way to make sure that this ends up being the case.

Naltrexone Doesn’t Cure Addiction

It should also be noted that naltrexone doesn’t cure any sort of addiction. It helps, of course, but it is not a be-all and end-all cure that many might be hoping for. The person addicted to opiates also needs to be motivated to recover. Simply taking naltrexone will not be enough if the desire and motivation is not there to overcome the drug use and to make that permanent.

Obviously, the same can be said of those in a rehab center, but, in that case, the support will be there to help the patient see that it is in his or her best interests to overcome this addiction. Of course, all that matters in the end is that the patient is motivated, and no support system, regardless of how strong, can ensure that will occur, but a rehab center will increase the odds of that happening.

If you or a loved one is suffering from an addiction to heroin or other opioids, contact Desert Cove Recovery, Heroin Rehab Arizona for assistance. Our experienced staff will assist you as you begin your journey to recovery.

baby boomers' drinking patterns, alcohol treatment center in arizona

An Alcohol Treatment Center in Arizona Reports on Baby Boomers’ Drinking Patterns

An Alcohol Treatment Center in Arizona Reports on Baby Boomers’ Drinking Patterns

A recent survey conducted by the National Institute on Alcohol Abuse and Alcoholism revealed several alarming trends in Baby Boomers’ Drinking Patterns.

High-risk drinking increased almost 30 percent over the past decade and alcohol use disorder jumped a whopping 49.4 percent.

Around 40,000 adults participated in the study. There were increases across all demographic groups, but those among baby boomers were the most dramatic.

Baby Boomers and Alcohol Abuse

Adults born between 1946 and 1964 consume 45 percent of the nation’s alcohol supply. The number of boomers who engage in high-risk drinking shot up 65 percent in a decade. High-risk drinking is defined this way:

  • For men, having five or more standard drinks per day, at least weekly, over the past year
  • For women, having four or more standard drinks per day, at least weekly, over the past year

The NIAAA survey also revealed that 3 percent of older people have alcohol use disorder, which encompasses mild, moderate or severe abuse. Given that alcohol problems are compounded by dual diagnoses such as depression and anxiety, this is nothing short of a public mental health crisis.

If you’ve noticed a tendency to drink more as you age, you could be at risk for addiction, poor health and a shortened life expectancy.

Alcohol abuse is a challenging brain disease, but it’s not insurmountable. The more you know about it, the less likely you are to spiral into addiction. Keep reading to learn more and find out how you can get help at a top-rated alcohol treatment center in Arizona.

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Baby boomers drinking, alcohol treatment center arizona

Why Are Baby Boomers Drinking More?

The researchers couldn’t offer concrete reasons for the spike in late-life drinking, but some concluded that the Great Recession of 2007 played a role. Anxiety over long-term unemployment, foreclosure or bankruptcy may have tempted many Americans to drink more.

Some experts pointed out that people in their 60s and 70s are more active and healthy than in past generations. Boomers might think that they can continue drinking as they always have — or drink even more — without consequences. Nothing could be further from the truth.

In older people, every drink causes blood alcohol levels to rise higher than they would in younger drinkers. This is because people lose muscle mass as they grow older. An aging liver metabolizes alcohol more slowly. Aging brains are more sensitive to alcohol’s sedative properties.

In other words, alcohol’s effects are more pronounced in a 60-year-old than in a 40-year-old.

There may be a generational explanation for the spike in older-adult drinking. Many Americans who grew up during Prohibition embraced abstinence as a value and continued to let it guide them. Boomers came on the scene long after drinking became socially acceptable.

Some theorize that the popularity of wines and winery tours is partly to blame. It’s more common for people to stock up on wine and drink at home every night.

Are Baby Boomers Drinking Themselves Into Poor Health?

Alcohol exacerbates chronic diseases, such as high blood pressure and diabetes that could easily be managed with a healthy diet, frequent exercise and medication. It is strongly linked to higher risk of stroke, heart disease and several types of cancer.

Drinking is especially dangerous for people who take medication. Alcohol either interacts or interferes with hundreds of prescription drugs. Even conscientious people make a common mistake: thinking that it’s safe to have wine with dinner because they’ve completed the prescribed dosage for the day.

Medications are designed to work 24/7. At best, your pills simply won’t perform as well. At worst, the combination of pills and alcohol will wreak havoc in your system.

The health consequences of late-life drinking are starting to show up in statistics. Cardiovascular disease and stroke, which had long been on the decline as Americans became more health-conscious, are holding steady. Deaths from liver cirrhosis are on the rise for the first time since the ‘60s. Emergency room visits for alcohol-related falls and accidents have increased.

According to the Centers for Disease Control and Prevention, 88,000 deaths are attributed to excessive drinking every year. Around half of them are the result of binge-drinking. For women, binge-drinking is consuming at least four drinks in about two hours. For men, binging is having at least five drinks in two hours.

Alcohol Treatment Center Arizona

Some of your friends can have a drink or two now and then and suffer no ill consequences. They observe their limits. They don’t have cravings when they’re not drinking. They don’t feel like they have to lie about their alcohol consumption. If they decide to swear it off altogether, they can easily do it.

If you’re drinking more as you age, we’re glad that you’re reading. You will have less and less control as time goes on. It’s not about willpower; it’s about an insidious disease that takes even the most careful drinkers by surprise.

Contact Desert Cove Recovery today. Our caring, experienced staff can help you make the coming years the best of your life.

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.

Study Finds Obstacles and Delays to Getting Help for Substance Abuse

When patients with substance abuse disorder visit their doctor’s office or the local emergency room seeking help, finding appropriate treatment for them is challenging in many instances. Physicians and treatment center administrators shared their thoughts about the obstacles and delays to getting help in the Journal of Addiction Medicine.

Several issues contribute to gaps in patients getting into treatment programs, according to the study conducted by researchers at Brown University and Butler Hospital. The opioid crisis has underlined the gap between the high need for substance abuse treatment and lack of availability to programs in the US.

SAMHSA Report Reveals Shortfall in Substance Abuse Treatment

A report released by the Substance Abuse and Mental Health Services Administration (SAMHSA) states that 21.7 million people living in the US need substance abuse treatment. Only 2.35 million of them receive the help they need at a facility specializing in providing this type of care. There hasn’t been much information gathered at the organizational level about the barriers to treatment for people seeking help for substance abuse disorders.

Major Obstacles and Delays in Getting Help for Substance Abuse

Researchers interviewed 59 people they referred to as “stakeholders in the treatment referral process”. These included emergency room doctors, addiction specialists, drug and alcohol treatment center staff and administrators. When the interviews were analyzed, four major ideas stood out:

1. Healthcare providers may not be fully aware of scope of treatment options.

Providers may not have the knowledge required to determine the best type of treatment for a patient. If a healthcare provider does determine the right treatment level for a patient, he must find a program that is a good match for the patient’s needs.

2. Healthcare providers have difficulty determining patient eligibility.

Each treatment center sets its own eligibility requirements, which may prevent a particular patient from receiving needed care.

3. Providers unable to find out whether treatment centers have space available.

Once a healthcare provider determines a patient needs treatment, it is challenging for the provider to find out whether the chosen center has a bed available.

4. Communication challenges make referrals from emergency room directly to a treatment bed difficult.

Often, there is a delay in starting treatment. Direct referrals, where the patient can be taken directly to the drug and alcohol treatment center, are the best approach, especially for patients needing help for opioid use disorders.

clinical opiate withdrawal scale

What is the Clinical Opiate Withdrawal Scale?

What is the Clinical Opiate Withdrawal Scale?

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

The Basics

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

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Clinical Opiate Withdrawal Scale

Which Signs and Symptoms are Assessed on the Scale?

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

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

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

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

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

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

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

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

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

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

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

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

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

Benefits of the COWS Scale

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

Are You Looking for Opiate Addiction Treatment?

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