Author: The Fix

  • I Don’t Always Feel Better After a 12-Step Meeting

    I Don’t Always Feel Better After a 12-Step Meeting

    Why would someone continue to go to something that they don’t always like and don’t feel immediate relief from? I’m playing the long game.

    I can’t seem to figure it out, the sinking feeling in my gut, the feeling that I am too visible, too likely to be ogled and leered at by some man old enough to be my father. What the actual hell is this feeling in my gut? I call it a homesick feeling. Maybe it is something else entirely, but it makes me want to cloak myself in a protective layer, strip myself of sexuality and erase the sexualized parts of myself. I feel a deep shame and am overcome with a sorrowful lonesomeness as if a hole has cracked into existence and swallowed me whole. I feel stripped naked: Too visible. Too human. Too vulnerable.

    It happens almost every time, at almost every 12-step meeting. I want to disappear. There is a black hole in my gut, a homesick longing that begs me to give in, and I would, if I knew what it wanted. I fear it wants to swallow me whole.

    An Emptiness Inside Me

    I don’t always feel better after attending a recovery group meeting; sometimes at the end I feel worse than I did before I got there. I don’t share the experience of always feeling supported and comfortable that seems to echo through the rooms. At nearly every 12-step meeting, someone invariably says, “When I walk into the rooms, I feel immediately at ease and at home.” 

    Well, I don’t.

    There are times when the entire affair goes swimmingly. I’ll laugh and relate and feel at ease. I will connect to other people’s shares and fully articulate my own. It will all be very nice and fun. It will feel really good, on all fronts. Then, as soon as I leave, a pit in my stomach opens and I can feel myself falling in. Other times the aching lonesomeness begins as soon as I step inside the room.

    Dangerous Adaptability

    I survived my life because I could change according to outside circumstances. It has always felt dangerous to do anything other than adapt. For much of my life, it was dangerous.

    From my adaptations have sprung multiple versions of me. Other people are privy to the Light-Hearted Jokester and the Loud and In Charge Diplomat. Being honest when sharing about my experience with addiction and recovery means another part of myself might become visible. I have spent a lot of time with Depressed Me and revealing her is scary. The Quiet One fears she makes people uncomfortable with her silence. She’s acutely aware that she is not the Jokester and doesn’t want to be noticed and doesn’t want to slip into Depression in public.

    My defenses are up in spaces where I’m allowing unvetted people to know something real about my life. I begin to feel unworthy and not good enough: proof that my worst enemy is my own mind. My instinct tells me: Don’t reach out for a while. Don’t be early for the meeting tonight, go late to avoid chitchat and leave early. My brain fills with excuses to avoid discussions and socializing.

    Getting to know me means you may grow to understand who I am in all my contradictions, which will make it harder for me to adapt. I know that facilitating communication between all of myself is necessary for healing. But the truth is, sometimes it’s really difficult. It’s difficult to be seen, to be open. Yet each time I attend a meeting, that is exactly what I’m doing. I’m expressing myself with complete honesty. I am trusting the process, despite my fear and discomfort.

    I can no longer neglect the parts I’ve long tried to keep hidden. Together we must heal. Together is the only way we can heal.

    Playing the Long Game in Recovery

    Why would someone continue to go to something that they don’t always like and don’t feel immediate relief from? I’m playing the long game. Seeking immediate relief is what I did in active alcoholism. In recovery, I’m learning to resist that behavior. 

    Over time I have seen the subtle and dramatic improvements in my mental wellbeing and quality of life. I can see the changes in my life outside of those meetings. The people around me notice my rediscovered joy, my grounded perspective, my newly formed boundaries. I go to the meetings because it’s part of a treatment plan that works for me. It’s a commitment I made to myself. A commitment to heal from trauma, because I deserve to experience a better life than I once lived. 

    I feel inspired by the possibility that if I keep trying, the healing work will be able to fill the hole that is always there; the emptiness which has eternally been ebbing and flowing in strength, making me happy and fearful in turn. I’m aiming for a stable emotional baseline. 

    It’s not going to happen overnight, but it is happening over time. The inspiration itself comforts the sorrow.

    Progress Not Perfection

    When I first got sober, I was in a very dark place. I was trapped in my own head and despite having survived everything, I couldn’t feel safe. I could only feel the pain from the past. I thought I was alone. I believed I was too broken, too sick, too lost. Finding anyone else who could truly understand what I was going through seemed out of the question. I didn’t think I was unique or special in my pain, I just believed I was hopeless. 

    Then I found a therapist, a psychiatrist, and 12-step meetings. All of which worked in tandem to lead me from the darkness.

    Today I’m not feeling that despair or sorrow. I feel content more often than I feel abject depression. I used to cry every single day and now I laugh every day. I used to swing from one overwhelming emotion to another, with no control over where my mind was taking me.

    Climbing out is an ongoing effort, but what kept me down—one of many things—was that I expected myself to be just be “better.” I thought I had to be different than I was. I now accept that this is hard work, but the results keep me doing it. It isn’t supposed to always be easy. I have to continually work on dismantling the defensive walls that have become maladaptive in their formations. 

    So, I let myself be, I take breaks to enjoy the view that is coming into perspective as the stones of my fortifications are disassembled. Sometimes I get scared, and put back a stone that was particularly heavy, afraid to lose such a significant tool of protection. That’s okay, too. I try not to judge myself. It’s a journey of progress, not perfection.

    View the original article at thefix.com

  • How to Find the Best Xodol Rehab

    How to Find the Best Xodol Rehab

    Use this handy guide to find answers to all your questions about Xodol.

    1. What is Xodol and What is it Used For?
    2. Other Names for Xodol
    3. Xodol Side Effects
    4. How People Become Addicted to Xodol
    5. Signs and Symptoms of Xodol Dependence and Addiction
    6. Xodol Withdrawal Symptoms
    7. Xodol Overdose
    8. Xodol Addiction Help
    9. Recovering from Xodol Addiction

    A type of narcotic that doctors may prescribe for moderate to severe pain is Xodol. It’s an opioid pain reliever that may be prescribed if other pain medications can’t be tolerated or don’t provide relief. Like many other drugs prescribed for pain, Xodol can give users an exaggerated sense of well-being and pleasure, which puts users at high risk of misuse.

    Misusing Xodol can ultimately lead to dependence and addiction. Overcoming addiction to opioids can be difficult but is possible with the help of professionals trained in the field of addiction recovery. The best Xodol addiction treatment and rehab centers can give you a foundation for overcoming dependence on substances and can teach you the skills you need to avoid returning to substances.

    What is Xodol and What is it Used For?

    Xodol is a combination of hydrocodone and acetaminophen. Hydrocodone is classified as an opioid and a narcotic analgesic, and it acts on the central nervous system to relieve pain. It also has the ability to relieve a severe cough. Acetaminophen is a pain reliever, and it can increase the effects of hydrocodone when the medications are combined. Xodol comes in the form of tablets, capsules, liquid and syrup.

    Doctors prescribe Xodol to relieve various types of pain such as back pain, dental pain or chronic muscular pain. Addiction doesn’t usually develop when this medication is taken exactly as prescribed. It’s when people take higher doses or take Xodol more often than prescribed, or when they use it recreationally without having a prescription, that they can get into trouble with the high potential this medication has for abuse.

    Other Names for Xodol

    Hydrocodone-acetaminophen is sold under several different brand names besides Xodol. These include:

    • Hycet
    • Lorcet
    • Lortab
    • Maxidone
    • Norco
    • Vicodin
    • Zydone

    You may hear this medication referred to by other names on the street including:

    • Vike
    • Watson-387
    • Hyros
    • Lorris

    Xodol Side Effects

    Painkillers and other strong prescription drugs often have unwanted side effects. Some of the side effects that you might experience if you take Xodol include:

    • Lightheadedness
    • Dizziness
    • Drowsiness
    • Headache
    • Nausea
    • Vomiting
    • Chills

    Some of these side effects may subside after you’ve been taking Xodol for several days or weeks. Some side effects are even more serious and should be reported to your doctor immediately. These include:

    • Confusion
    • Hallucinations
    • Difficulty urinating
    • Difficulty breathing
    • Dark urine
    • Clay-colored stools
    • Jaundice
    • Signs of an allergic reaction such as rash or swelling of the tongue or face

    How People Become Addicted to Xodol

    Xodol and other hydrocodone combination drugs are easily available, which often gives people the impression that they are completely safe. Prescription drugs can be as addictive as street drugs like heroin and cocaine, and taking them at high doses or mixing them with other substances can be deadly.

    People can develop addiction when they take more of a medication than is prescribed or take medication that belongs to someone else. People who use painkillers recreationally may be doing so out of curiosity, just to see the effect without realizing how quickly they can become habit-forming. The more you take of mind-altering substances, the more you don’t feel normal without them.

    Xodol is safe to use when you take it for a short time and exactly as prescribed by your doctor. If Xodol has been prescribed to you but isn’t controlling your pain, let your doctor know rather than trying to double your dose.

    Signs and Symptoms of Xodol Dependence and Addiction

    If you misuse prescription drugs, you probably believe you can stop your behavior at any time. You may think you’re simply getting high and making yourself feel better, but misusing substances can cause changes in your brain. One example of this is that the reward center of the brain becomes accustomed to the presences of the drug, making it difficult for you to feel pleasure without it. The progression of dependence and addiction can move slowly or quickly and is almost always very subtle.

    If you’ve been taking Xodol with or without a prescription and find you are compelled to take higher and higher doses to achieve the feeling you’re looking for, you’re developing tolerance, which is an important sign of addiction. If you develop physical symptoms of withdrawal when you try to stop, that’s another sign that you may have crossed the line from recreational use into addiction.

    Other signs of Xodol addiction include:

    • Having a strong compulsion to use
    • Lying or trying to hide your drug use from others
    • Using when it’s not safe to do so, such as while driving
    • Losing interest in things or people that used to bring you pleasure
    • Continuing to misuse substances in spite of negative consequences such as job loss, legal problems or relationship problems
    • Spending more and more time and energy trying to obtain Xodol or other substances

    Xodol Withdrawal Symptoms

    Once you’ve developed physical and mental dependence on Xodol or any other mind-altering substance, trying to quit sets off very unpleasant symptoms known as withdrawal symptoms. These symptoms start as soon as a few hours after you last took the drug. Some of what you may experience includes:

    • Severe cravings
    • Vomiting and diarrhea
    • Muscle cramps
    • Uncontrollable leg movements
    • Goosebumps and cold flashes
    • Sleep problems

    Trying to withdraw from Xodol or other opioids on your own can cause extreme discomfort. If no one is there to help you through withdrawal, these symptoms can be overpowering and lead you back to take more pain pills. If you are addicted to other substances, particularly alcohol, withdrawing cold turkey is dangerous and possibly life-threatening.

    Xodol Overdose

    If you don’t break the cycle of addiction and find a way to stop turning to opioids, you are at high risk of overdose. Because Xodol is an opioid, taking it in high doses can be dangerous. Opioids have an effect on the part of the brain that regulates breathing. For that reason, overdose of Xodol or any other opioid can cause respiratory depression and death. Combining Xodol with alcohol or any other depressant increases this risk.

    Other signs of Xodol overdose include:

    • Severe drowsiness
    • Unconsciousness
    • Cold clammy skin
    • Difficulty breathing
    • Irregular heartbeat
    • Bloody or cloudy urine
    • Chest pain
    • Decreased responsiveness

    Xodol Addiction Help

    The more physically or psychologically dependent you have become, the more important it is to get help from addiction professionals rather than trying to discontinue use on your own. With the right kind of help, it’s possible to overcome addiction to Xodol or other substances.

    Talk to your doctor, a counselor or an addiction professional to discuss your options. Treatment for substance use disorder is available on either an inpatient or an outpatient basis. Inpatient treatment gives you the opportunity to completely focus on addiction recovery for a period of time. Outpatient treatment may work for you if you are not severely addicted and need to be able to continue participating in daily responsibilities such as child care or work.

    To choose the best Xodol addiction treatment and rehabilitation facility for you, it’s a good idea to visit several different opioid treatment centers and compare what they have to offer. Bring a loved one along with you to consider your options. Think about what features are most important to you, such as a luxury environment, a caring staff or approach to treatment. While it’s a good idea to consider your options, it’s also important to get help as soon as you can and not delay because of not being able to choose.

    Recovering from Xodol Addiction

    At an inpatient treatment center, detoxification is the first step. You’ll be under around-the-clock medical supervision while all chemicals leave your system. Medical professionals will be able to keep you safe and as comfortable as possible during this process.

    Getting all substances out of your system is the first part of treatment, but it’s far from all there is to recovery. You’ll be able to participate in therapy and support groups to help you learn what to do when you have the urge to use Xodol in the future.

    Evidence-based therapies will help you get in touch with negative emotions you may have been trying not to experience while you were getting high. Family therapy can address the impact of the family dynamics on your drug use as well as the way your drug use has affected your family. Other types of therapy, such as music therapy and art therapy, can teach you new ways to deal with stress. One of the most life-changing lessons you’ll learn is the importance of relying on other recovering addicts to support you as you learn to live life without turning to Xodol.

    View the original article at thefix.com

  • How to Find the Best Rehab for Rezira Addiction

    How to Find the Best Rehab for Rezira Addiction

    Looking for information about Rezira? This guide can help.

    1. What is Rezira?
    2. The Danger of Rezira Side Effects
    3. Be Aware of Rezira Overdose
    4. Developing Rezira Dependence and Experiencing Rezira Withdrawal Symptoms
    5. Substance Use Disorder: Rezira Abuse and Addiction
    6. Rezira Addiction Symptoms
    7. Rezira Addiction Treatment

    If you go to your doctor for relief from cold symptoms, you may receive a prescription for Rezira. This is a cough medicine and decongestant, yet it contains powerful ingredients with potential consequences that shouldn’t be brushed aside. That’s why it comes in prescription rather than over-the-counter form. Rezira includes a habit-forming opioid as well as a decongestant that brings its own potential for side effects. 

    Taking Rezira can easily lead to physical dependence, and you can also become addicted. You may need detox and rehab treatment to help you stop taking this drug. By stopping, you can reduce the risk of side effects, withdrawal effects and worsening addiction so you can move forward with a healthier life.

    What is Rezira?

    Rezira is a combination medication that includes the drugs hydrocodone and pseudoephedrine. It’s a legal prescription medication that people can end up using in illegal and harmful ways. Yet even when you take this drug legally, it still comes with risks. 

    Rezira is a brand name, and the same drug combination also goes by the brand name Pancof HC. When this drug combination is sold and used illegally, you could hear it referred to by one of the slang names for opioids, which include:

    • White Stuff
    • China Girl
    • Goodfella
    • Tango and Cash
    • Captain Cody
    • Murder 8
    • China White

    Your doctor could prescribe Rezira for a cold to help with the symptoms of nasal congestion and coughing. The combination of drugs works to target different aspects of a cold. The hydrocodone in Rezira is an antitussive, which means it suppresses coughing. It works by impacting the brain’s cough center. The pseudoephedrine part of Rezira provides a decongestant action, which means it improves a stuffy nose by cutting down on nasal congestion. It does this by constricting blood vessels and reducing the amount of blood flowing to that area.

    This prescription drug is intended for adults aged 18 and older. It comes in a liquid form that you take by mouth. If you use this drug as medically intended, you will use specific amounts of the liquid and not use higher doses, increase your frequency or use it longer than your prescription states. Otherwise, your use of this drug could turn into misuse or abuse. 

    The Danger of Rezira Side Effects

    Rezira can cause a long list of side effects, which is one of the risks of taking and of abusing this drug. Some of its side effects are common and tend to go away. If they persist or are problematic to you, you can talk to your doctor. These common Rezira side effects include:

    • Nausea
    • Sleepiness
    • Changes to mood
    • Fear
    • Feeling calm 
    • Abnormal drowsiness or sluggishness

    Immediately contact your doctor if you experience any of these Rezira side effects:

    • Dizziness
    • Lightheadedness when standing
    • Fainting
    • Confusion
    • Blurred vision
    • Sweating
    • Abnormal weakness or tiredness
    • Heart rate changes

    This drug has also been associated with more severe side effects. Seek immediate medical attention if you experience:

    • Life-threatening respiratory depression
    • Seizures
    • Increased intracranial pressure, which is pressure in the skull, brain tissue and cerebrospinal fluid
    • Paralytic ileus, which is intestinal muscle paralysis that leads to intestine obstruction
    • Cardiovascular effects 
    • Reduced mental alertness that impairs your physical and mental ability

    It’s possible to experience side effects not listed in this section. Also, combining Rezira with other substances or medications, or using it if you have certain health conditions, can increase the risk of side effects and potentially worsen the effects. 

    Be Aware of Rezira Overdose

    Another danger of taking Rezira is that it could lead to overdose, which can be fatal. Using alcohol along with Rezira increases the risk of overdose. Overdose is possible from both the hydrocodone and the pseudoephedrine in this combination drug. 

    Hydrocodone overdose can cause fatal respiratory depression. It can also lead to severe drowsiness that can result in coma or stupor, as well as clammy skin, small eye pupils and skeletal muscle flaccidity, which is a loss of muscle tone. Other symptoms may present themselves as well.

    The main concern of a pseudoephedrine overdose is excessive central nervous system stimulation, which can cause a number of symptoms. These include tremor, insomnia, restlessness, nervousness and anxiety. Nonetheless, pseudoephedrine overdose could also cause palpitations, hypertension, nausea, vomiting, muscle weakness, sweating, headache and various other symptoms. 

    If you notice signs of a Rezira overdose, immediately contact poison control or get emergency medical attention. 

    Developing Rezira Dependence and Experiencing Rezira Withdrawal Symptoms

    Even when you’re following your doctor’s prescription, you can develop a tolerance and dependence to Rezira. That’s because it includes a habit-forming opioid. What happens is that your body desensitizes to the dosage and frequency of the drug, and then you have to increase the amount or frequency to achieve the previous effects. This is drug tolerance. Then, through continuous use, your body can become dependent on this drug, meaning that it adjusts to ongoing use of the drug, leading to withdrawal symptoms if you abruptly stop taking it. The risk of tolerance and dependence increases when you misuse or abuse an addictive drug like this. 

    Rezira withdrawal symptoms could include:

    • Chills
    • Restlessness
    • Yawning
    • Sweating
    • Myalgia
    • Mydriasis
    • Lacrimation
    • Rhinorrhea

    It’s also possible to experience anxiety, weakness, insomnia, vomiting, heart rate changes, irritability and other symptoms. You may be able to avoid withdrawal symptoms by tapering off the drug with your doctor’s help or by gaining support through a detox facility.

    Substance Use Disorder: Rezira Abuse and Addiction

    Tolerance and dependence have to do with the body’s reaction to the habit-forming nature of the drug. Abuse and addiction are different, because they involve your behaviors. You might be abusing Rezira if you’re using more of it, using it more often and/or using it longer than a prescription states, or if you’re consistently using Rezira you obtained illegally. Your actions could be considered addiction if you’re dependent and your behaviors have changed so that the drug use is the priority of your life. Everything else has gone to the wayside.

    Rezira Addiction Symptoms

    It’s not always easy to tell if you have developed an addiction. You might think that your drug use is not such a big deal and that you would be able to stop if you wanted to. But you may have progressed further into addiction than you realize, or you may not want to stop even though you realize you’re addicted. 

    If you’re not sure whether you have Rezira addiction, check for these signs:

    • You show signs of drug tolerance and dependence.
    • You’ve tried to stop the drug use but haven’t been able or willing to succeed.
    • Your time and energy are focused on getting Rezira and using it.
    • You spend your time on drug use rather than on loved ones, hobbies or responsibilities.
    • Your relationships, financial health, physical health and other aspects of life are suffering.
    • You feel like you’ve done things while on Rezira that you wouldn’t do otherwise.
    • You have cravings for Rezira and feel like you need to keep using it.
    • You keep using Rezira even though you know it’s causing problems for you.

    Have you noticed some or all of these signs of opioid addiction in yourself? If so, you may have a substance use disorder. This disorder is the official diagnosis that ranges in severity from mild to severe, with abuse corresponding to a mild case and a severe addiction corresponding to severe substance use disorder. 

    While these signs can provide a helpful way for you to recognize you may have problem drug use, it’s best not to diagnose yourself. Instead, rely on an addiction or mental health professional to give you a proper diagnosis. A professional can determine the full picture, including the level of a substance use disorder and whether you have a co-occurring mental disorder. Knowing the full picture of your drug use can help you get the best treatment to fit your needs. 

    Rezira Addiction Treatment

    If you have a substance use disorder, you’re not at the end of the road. You have the path of recovery ahead of you, which can bring a new beginning for your life. The support of addiction professionals can guide you on this path, helping you stay on it and be successful with your new way of living. 

    Treatment for an opioid addiction, like the one in Rezira, would ideally include both detox and rehab programs. Detox is the process of safely and comfortably getting through the acute withdrawal period from quitting Rezira. You could taper off the drug with your doctor’s help, or a detox treatment facility could provide you with an additional level of support. Detox can include medication, medical supervision and a sober environment to ease symptoms and make the process easier and safer. Without this support, many people find it too difficult to get past withdrawal symptoms so they relapse. 

    Detox is the first step in an effective treatment plan, and then rehabilitation offers a different type of treatment. This treatment step is focused on helping you overcome the thoughts and behaviors you’ve developed as part of the addiction. You’ll work with addiction professionals through group therapy, individual therapy and often family therapy. Many programs offer additional services as well, such as fitness, yoga, acupuncture, nutrition and various alternative therapies. 

    Inpatient programs offer more services and amenities than outpatient programs, and you could expect extras from luxury and specialty programs. An inpatient program requires living on site during your rehab treatment. This can be beneficial because it gives you a sober environment, continuous support from professionals and peers, and extra amenities to support your recovery. On the other hand, you may benefit from an outpatient program that allows you the flexibility to continue with school, work or other responsibilities in your life. Keep in mind that an intensive outpatient program (IOP) provides more comprehensive support and is likely to be more effective than a regular outpatient program. 

    Above all, you need a treatment program that is tailored to your needs. Choose a program that offers support for opioid addiction in particular and one that can handle a co-occurring mental disorder if necessary. Compare programs and pick one that offers services and amenities you feel will help you best, factoring in any limitations of your budget and insurance coverage. Find the program that fits the full picture of your life and that treats you as an individual.

    Rezira is prescribed as a cold medicine, but the fact that it contains an opioid makes it a risk. If you think you may have developed dependence and an addiction to this drug, a treatment program can help you undo the effects and restore you to life before Rezira. 

    View the original article at thefix.com

  • Queer Community Needs More Sober Spaces

    Queer Community Needs More Sober Spaces

    Some people who are LGBTQ+ and in recovery don’t know where they can engage with their community without facing the temptation to drink or use drugs.

    This week, Elton John celebrated 29 years of sobriety. While the celebrated gay icon has been able to confidently navigate both his sexuality and sobriety, others say that there is a need for more spaces for LGBTQ+ people to gather together without drugs or alcohol. 

    “While the modern LGBTQ+ rights movement started in The Stonewall Inn bar, there’s an increasing push for ‘sober spaces’ in our community, and not just as a way to fight alcoholism,” Daniel Villarreal writes for LGBTQ Nation.

    Traditionally, LGBTQ+ social spaces have revolved around gay bars. However, Villarreal points out that having more sober spaces would help not just people who are in recovery, but also LGBTQ+ youth who are not old enough to be admitted to bars. 

    Community Building

    “By law, bars can only welcome people 21 or older, leaving LGBTQ+ youth with few venues to find acceptance and older mentorship,” Villarreal writes. “As more gay bars continue to close, there’s a need for other venues where we commit to different sorts of community building, like watching films, discussing politics and creating art. These venues could also do better than gay bars have about being more emotionally accessibility [sic] to queer people of color, trans, non-binary, poor and older people as well as people with disabilities.”

    Like Elton John, more LGBTQ+ people are speaking out about their sobriety. The site LGBTQTeetotaler highlights stories of community members who are sober. Other treatment centers are popping up, focusing exclusively on people in the LGBTQ+ community. 

    But even after they get sober, some people who are LGBTQ+ and in recovery don’t know where they can engage with their community without facing the temptation to drink or use drugs

    Facing Temptation

    “I have a pretty wide gamut of gay and lesbian and transgender friends; not one of them is sober,” a woman named Leanne told Think Progress last year. “I don’t even know what that looks like for me, especially in a city.” 

    She continued, “It’s very common that there’s going to be places exclusively like bars, and events—even brunches and things like that—where alcohol is just common. People don’t even think twice! Everybody brings something. It’s not a big deal. There’s not a lot of thought put into it, so they don’t think about what it might be like to have someone sober in the crowd and being tempted.”

    Villarreal writes that coffee shops and other sober settings can help combat these feelings of isolation. 

    “While none of these efforts will resolve our community’s alcoholism on their own, together they can provide social outlets and support for people who share Elton John’s quest for sobriety,” he writes. 

    View the original article at thefix.com

  • Patients, Psychiatrists Share Their Experience With Treating Depression

    Patients, Psychiatrists Share Their Experience With Treating Depression

    From medication to exercise, patients and psychiatrists get candid about their methods of treating depression. 

    Kelli María Korducki wanted options. While she appreciated the arsenal of medications being offered to treat her depression, she also wanted to explore the emotional, personal side of the disease, not just the chemical imbalance. 

    “A more realistic, nuanced approach to the way we conceive of mental illness would go a long way toward validating the myriad potential causes for human suffering and clearing paths for many more in need,” Korducki wrote in a July 27 editorial for The New York Times

    Medication Management

    Korducki argued that psychiatry has become “medication management.” 

    “To be sure, many people need medication, and greatly benefit from it,” she wrote. “The right drugs have made my life better too. But I fantasize about a future in which mental illness is understood less in terms of static diagnoses and psychopharmaceutical stopgaps than each individual’s symptoms and the circumstances that might inform them.”

    In response to Korducki’s editorial, many people—doctors and patients—shared their experience with treating depression. 

    Insurance Changes the Game

    John M. Oldham, chief of staff at the Menninger Clinic and former president of the American Psychiatric Association, said that insurance requirements have transformed psychiatry into short, 20-minute med-check visits that do not have the length or intimacy to address a patient’s underlying concerns. 

    “Don’t get me wrong,” Oldham writes. “Psychiatric medications are valuable components of treatment. But mental illnesses are complicated. Medications can do part of the job, but the rest must be done by a careful partnership between psychiatrist and patient, a thoughtfully crafted treatment plan that includes psychotherapy and/or high-quality psychosocial interventions.” 

    Christopher Lukas, author of Shrink Rap: A Guide to Psychotherapy From a Frequent Flier, shared that his doctor told him that antidepressants weren’t serving him—instead, talk therapy was what really made a difference for Lukas. 

    “My psychotherapist believes in listening,” Lukas writes. 

    Jenny Orme, who has struggled with major depression, said that she refused to believe she was a “victim of her genes” even though her mother died from complications of depression at 45. Orme took her health into her own hands, with what she describes as a “rigorous program of yoga, tai chi, swimming and meditation.” That, combined with Eastern medicine and the support of friends and family, help Orme stay stable. 

    “The epidemic of mental illness and suicide calls for a multifaceted, enlightened approach to the treatment of this serious personal and public health problem,” Orme writes. 

    Like Orme, Kordicki says she now views her depression as more than a biological process, and now treats it as so. 

    “Rather than view my psychological experience as a biologically fated roller coaster, I’ve come to think of my mental health as a reflection of the complex ebbs and flows of life; accordingly, I’ve developed tools to better mitigate that which I can’t control, an agency I once wouldn’t have imagined possible,” she wrote. “I feel, for the first time, like a person who belongs to the world.”

    View the original article at thefix.com

  • Marijuana Dispensary Closes After Owner's Arrest For Selling Meth

    Marijuana Dispensary Closes After Owner's Arrest For Selling Meth

    Undercover agents reportedly purchased meth at the dispensary from the owner on two separate occasions.

    The owner of a medical marijuana dispensary in Oklahoma has been arrested for allegedly selling methamphetamine.

    Agents from the Oklahoma Bureau of Narcotics (OBN) arrested Jeffrey Peregrino, who owns the Left Handed Okies dispensary in Spiro, Oklahoma, on July 24, on charges of trafficking meth. An OBN spokesperson stated that meth was purchased by undercover agents on two separate occasions inside the dispensary’s office.

    Peregrino, 38, was booked into the LeFlore County Jail by law enforcement on the afternoon of the 24th, and currently faces two charges of alleged trafficking of methamphetamine. The Left Handed Okies location was shuttered after authorities issued an emergency suspension order, which halted sales while cannabis products inside the dispensary were confiscated. 

    A second Left Handed Okies dispensary in Shady Point, Oklahoma, is reportedly related to the Spiro location by name only. Oklahoma news stations contacted its owner, Coty Jerrell, who told them that the two businesses are not connected, and that he owns the “Left Handed Okies” moniker, which he plans to have removed from the Spiro location. 

    Jerrell also noted that he is “120% against any kind of methamphetamine or opioids. The reason why we got into this industry is to fight this epidemic.” 

    Going Undercover

    According to OBN spokesperson Mark Woodward, undercover agents purchased meth from Peregrino on two separate occasions. “Both of the transactions took place inside the dispensary office,” he said.

    The investigation was a joint effort between the OBN, LeFlore County District Attorney’s Office and the District 16 Drug Task Force, which serves LeFlore and Latimer Counties in the Sooner State.

    Woodward noted that the July 24 incident was the OBN’s first action at a dispensary since the state voted to legalize medical marijuana in 2018, and Peregrino’s record prior to the arrest was devoid of any connection to illegal narcotics.

    “There was nothing that showed up in his background that he had any outstanding warrants or anything priot to us encountering him this summer on the meth sales [sic],” he said.

    “It begs the question why he would even risk [selling meth]—if he’s going to get into this business and try to be legit and then risk throwing it all away over this. But that was the choice he made, and he’s going to deal with the consequences.”

    View the original article at thefix.com

  • "Below Deck" Star's Son Dies Of Overdose After 20-Year Addiction Battle

    "Below Deck" Star's Son Dies Of Overdose After 20-Year Addiction Battle

    “We loved Josh unconditionally and were proud of the man he had become in spite of his problems,” the Below Deck star wrote about his son.

    Tragedy struck the family of one of the recurring stars of Bravo’s nautical reality series Below Deck when a family member died of a drug overdose. Captain Lee Rosbach posted a tribute to his youngest son, Joshua, on his Instagram page, saying that he “finally succumbed to the demons he fought so long and so hard” for 20 years at the age of 42.

    According to People, the overdose was accidental.

    “We loved Josh unconditionally and were proud of the man he had become in spite of his problems,” Rosbach wrote. “There was no one I ever knew who gave more of himself to those in his life. He loved with all his being without expecting anything in return. We both feel a hole in our souls that will never be filled.”

    An obituary for Joshua was posted on the Dignity Memorial website, which confirms that he died on July 22. The text says that he passed in his own home and, like his father, enjoyed sailing and spending time with his family and his dog Champ.

    The memorial service was held on July 27th, and his family has asked for donations to the Humane Society of Broward County in place of flowers.

    The Captain Talks Addiction

    In addition to celebrating his son’s life, Captain Lee Rosbach spoke on the devastating effects of addiction and how it can impact anyone, regardless of wealth or lifestyle.

    “Addiction is an insidious disease that knows no social status or geographic boundaries,” he said. “Whether you live in a 10,000 sq. ft. mansion or a double wide trailer, the path of death, destruction and devastation it leaves remains the same.”

    According to the National Institute on Drug Abuse (NIDA), overdose death rates have been steadily rising since 1999. The Centers for Disease Control and Prevention (CDC) found that 70,237 people died of an overdose involving any drug in 2017.

    More than half of these deaths involved opioids as the opioid crisis has worsened year after year, though deaths from overdose involving methamphetamine and cocaine have also increased, with significant jumps in 2016 and 2017. 

    “So my message to those of you who are fighting this disease, find a way to get help no matter what,” Rosbach concluded in his Instagram post. “For those of you who have a friend, family member, son, or daughter who’s struggling, do what ever it takes to get them the help they need. Be kind and loving, and try to enjoy every second you have with them.”

    View the original article at thefix.com

  • How Iceland's Planet Youth Program Curbed Teen Drinking, Drug Use

    How Iceland's Planet Youth Program Curbed Teen Drinking, Drug Use

    The program focuses on giving Icelandic youth “better options” than drugs and alcohol.  

    In 1999, a study following the long-term impact of D.A.R.E. (Drug Abuse Resistance Education) concluded that the popular anti-drug program did little to prevent American youth from experimenting with drugs and alcohol.

    That same year, the Icelandic Centre for Social Research and Analysis (ICSRA) was born. The institute went on to develop Iceland’s own anti-drug strategy, which did away with old and ineffective strategies (like D.A.R.E.) and instead focused on access to sports, music and art, and parental involvement.

    A recent feature by AP News explored the impact of Planet Youth, one of the most successful youth drug and alcohol prevention programs in the world. 

    The Program’s Approach

    “The key to success is to create healthy communities and by that get healthy individuals,” said Inga Dora Sigfusdottir, who founded Planet Youth (formerly “Youth of Iceland”).

    Iceland has invested in providing activities (sports, music, art) and facilities (youth centers) to “give kids alternative ways to feel part of a group, and to feel good, rather than through using alcohol and drugs,” according to the Planet Youth website.

    The program “is all about society giving better options,” said Reykjavik Mayor Dagur B. Eggertsson.

    Prior to Planet Youth, Iceland, too, was contending with problematic substance use among its youth. The government tried to discourage drug and alcohol use through anti-drug “education” (like D.A.R.E.) that we’ve seen for a long time in the United States. But after observing the inefficacy of this approach, Iceland changed course. Rather than fixating on the potential harms of using drugs and alcohol, Planet Youth emphasizes interesting activities and better ways to spend one’s time.

    “Telling teenagers not to use drugs can backlash and actually get them curious to try them,” said Sigfusdottir.

    Today, Icelandic youth have among the lowest rates of substance abuse in Europe.

    Other strategies employed by the Icelandic government to address youth substance abuse include imposing curfews for those under age 16, getting parents more involved in their kids’ lives, banning tobacco and alcohol advertising, and evolving the program based on current data.

    The success of Planet Youth has gained the attention of other countries.

    According to AP News, ICSRA currently advises 100 communities in 23 countries. Cities in Portugal, Malta, Slovakia, Russia and Kenya have also learned from the Planet Youth model.

    View the original article at thefix.com

  • Elizabeth Vargas To Give Keynote At National Conference On Addiction Disorders

    Elizabeth Vargas To Give Keynote At National Conference On Addiction Disorders

    Ahead of the conference, Vargas spoke about the hidden blessings of being forced to face her alcoholism in the public eye.

    This August, Elizabeth Vargas will give the keynote address at NCAD East, the National Conference on Addiction Disorders, in Baltimore, Maryland.

    The Emmy-award winning journalist, a former host of 20/20 and World News Tonight, will address the regional gathering of “clinical professionals and executives” as someone who struggled in the public eye with alcohol use disorder, a symptom of severe anxiety stemming from her childhood.

    Since she was outed in 2013 for undergoing treatment for alcoholism, Vargas has been on a long and intense journey of discovering that her pain, which she once struggled to keep private, could change the lives of others.

    Ahead of the NCAD conference, Vargas spoke to Behavioral Healthcare Executive about the hidden blessings of being forced to face her alcohol problem in the public eye.

    Writing The Memoir

    Vargas, who is now the lead investigative reporter and documentary anchor for A&E Networks, said that if her time in treatment had remained private, she probably would not have written her book Between Breaths: A Memoir of Panic and Addiction.

    “I’m not sure, honestly, if I would have written a book if it hadn’t been made public already,” she said. But years later, Vargas acknowledged the impact that her book has had. “Many say it helped them seek help. I think, gosh, if I can take the darkest chapter of my life and make something good out of it, that’s a huge gift for me.”

    Being open about her problem also affected her work as a journalist in an unexpected way. Through knowing her struggle, Vargas says people are more comfortable to “open up to me.”

    “In many ways, I feel like it has made my work easier, but deeper,” said Vargas. “When you’ve walked through a really dark time yourself, I have a great deal of empathy for people who are going through a dark time themselves.”

    Ultimately, she says, it’s important to treat people dealing with substance use disorder with dignity and respect, and not to shame them on top of the shame they are already feeling.

    “I think we need to keep in mind that getting sober or clean from drugs is very difficult. If it was easy enough to do on the first try, we wouldn’t have a problem in this country where half a million people have died of opioid overdoses in this century,” she said.

    “The more we can remember to treat them as human beings who are in pain and might have deep shame, the more successful we’ll be in helping them get clean and sober.”

    Vargas detailed her battles with alcohol abuse and anxiety in a 2016 interview with The Fix. Her anxiety stemmed from being “bullied mercilessly” as a child. Later in life, she developed a problem with alcohol that was new to her. “I drank moderately for 20 years,” she told The Fix. “It wasn’t until my 40s that I fell off a cliff.”

    Managing Sobriety

    Vargas has been sober for about four years now. She manages her anxiety through meditation, introduced to her by fellow ABC anchor George Stephanopoulos in 2014 upon returning from treatment.

    “If you can slow down long enough to think clearly, you can start to not only manage that panic, but understand that what you’re so terrified of isn’t really that terrifying.”

    View the original article at thefix.com

  • Meth 2.0: How Marijuana Legalization Set the Stage for a Newer, Stronger Methamphetamine

    Meth 2.0: How Marijuana Legalization Set the Stage for a Newer, Stronger Methamphetamine

    When people think of methamphetamine, they think of the old-fashioned meth lab and they’re not aware of the dangerous, highly addictive meth that we’re dealing with now.

    What’s known as methamphetamine, crystal meth, or meth has always been prevalent in America’s drug underworld, we just don’t hear about it as much in the mainstream media due to the opioid crisis being front and center on the nightly news. But in the 1990s, meth was public enemy number one. The rise of the Internet made recipes readily available for anyone who wanted to cook it up and reporters had a field day covering the resulting explosions in homes and mobile labs. Domestic production was especially prevalent in Missouri, which came to be known as the meth capital of the United States.

    Very Pure and Relatively Cheap

    But the meth scene that everyone had grown accustomed to slowly declined over the last 20 years, with explosions and arrests in Missouri dropping to almost none. At the same time, Mexican-based methamphetamine imports increased dramatically. Today, almost 90% of the methamphetamine in the United States comes from Mexican super labs and is primarily manufactured by the cartels. The biggest differences between domestic and foreign-made meth are the potency level, price point, and accessibility.

    “It’s a lot like Breaking Bad,” Tim Lohmar, the St. Charles County Prosecuting Attorney, tells The Fix. “And if you’re familiar with that show, you know that the purity of the methamphetamine and the ease of the mass production is what made it so addictive and relatively cheap. These Mexican labs are making a very pure methamphetamine. It’s almost night and day different than your old-fashioned basement meth lab sort of thing. They can mass produce the meth and distribute it at a reduced price, which consequently has led to a rise in local consumption.”

    William Callahan, Special Agent-in-Charge of the DEA St. Louis Division, says that according to the 2018 National Drug Threat Assessment, “Methamphetamine sampled through the DEA profiling program is almost 97% pure, while prices remain low and stable.” There are still some of the small shake-and-bake style labs across the state, but the vast majority of the methamphetamines coming into Missouri are from south of the border.

    Psychosis and Overdoses on the Rise

    The new improved drug contributed to almost 30 deaths last year, a jump from 7 the year before. Overdoses are on the rise.

    “It’s a lot stronger, so we’re seeing a lot more psychosis, but we’re also seeing it being tainted with fentanyl, which is leading to more deaths.” Brandon Costerison, project manager of the National Council on Alcoholism and Drug Abuse (NCADA) in St. Louis, tells The Fix. “They’re making speedballs, like people used to do with cocaine and heroin in the ‘80s.”

    Lohmar thinks that most of the overdoses, especially ones that result in death, occur when people combine meth with something else like fentanyl or heroin. “A lot of the local suppliers will try to break down the methamphetamine, the pure methamphetamine, and put a filler in there,” he says. “And the person who’s ingesting it doesn’t even know what they’re ingesting, and that’s how we get a lot of these overdose situations.”

    With opioids killing people at an unprecedented rate, meth has been viewed as less risky and lower priority… Until recently.

    “Methamphetamine takes years, typically, to kill someone, whereas opioids can kill you the first time.” Costerison says. “When we’re looking at death tolls, opioids by far are leading, but we do see a lot of people dying either directly from methamphetamines or from complications associated with methamphetamine use.”

    Lohmar says that while we still have an opioid crisis, he thinks “it’s starting to plateau a little bit. I don’t know that the overdoses are decreasing, but I don’t think they’re increasing at the same rate they have been over the last handful of years. Seven, eight years ago, very few people knew about the opioid crisis, and nowadays everybody knows about it. Meanwhile, I think, when people think of methamphetamine, they think of the old-fashioned meth lab and they’re not aware of the dangerous, highly addictive meth that we’re dealing with now.”

    Despite the opioid epidemic taking center stage, “Meth has never flown under the radar at DEA.” Callahan tells The Fix. “Our agents work relentlessly to identify those involved in meth distribution domestically and internationally. Meth may not kill as many people; however continuous meth use does result in significant health issues.”

    Obstacles in Treating Methamphetamine Addiction

    Adults are using more meth than young people. “Folks tend to get into [meth] after the age of 18, though some do start using earlier,” Costerison says. “The biggest struggle with methamphetamine is that there’s not really any medications that help with the treatment. With opioids, we have methadone, Suboxone, Vivitrol. But when it comes to treating methamphetamine addiction there’s really no medication to help with the withdrawals and cravings.” The lack of medication-assisted treatment is a major obstacle for Missouri health officials who try to get people into long-term recovery.

    “There’s a lot of different things that we see when somebody starts withdrawing.” Costerison says. “At first, there’s the itchiness, irritability, and cravings. [Then] there’s depression, hallucinations, paranoia, and anxiety. After that [initial] crash, the cravings really kick up. But in the third stage the cravings start to subside. That can last 30 weeks or longer, depending on how much somebody’s been using.”

    The meth market has also been impacted by the legalization of marijuana, which has meant less income for the cartels. “The cartels were the major suppliers and producers of marijuana, historically, over the last 30-40 years,” Lohmar says. “And now that a lot of states have legalized marijuana, whether it’s recreational or medicinal, that’s cut into their market. That’s when they turned to heroin first, and now they’re turning to crystal methamphetamine. They’re always trying to stay one step ahead of the game.”

    The cartels can get the precursor ingredients for meth easily in Mexico and set up big super labs, allowing them to make a very high-potency, pure methamphetamine à la Walter White. With meth flooding Missouri, local law enforcement has ramped up their efforts to stop the flow. But since the distributors typically reside out of state, a lot of local efforts to climb the food chain end up turning into federal investigations.

    “Identifying meth suppliers has always been a top priority for the Drug Enforcement Administration.” Callahan tells The Fix. “We work closely with local and state law enforcement to identify violators and interdict drugs before they hit the street for retail sales. [We conduct] a thorough investigation aimed at dismantling the entire organization, including everyone from the kingpin to the money launderers, transporters, and dealers. The DEA also investigates the diversion of chemicals intended for the use of producing meth.”

    At the state level, “the goal is to try and find a small-time user and get them to supply information to move up the food chain and get the big players in the distribution networks,” Lohmar says. “We’ve got our undercover drug task force. We’ve got our highway interdiction team to intercept the traffickers coming through the state via the interstate highways. We’ve got a really good working relationship not just with the DEA, but with the U.S. Attorney’s office. There’s been a much bigger emphasis on meth, just because there’s a lot more out there.”

    Treating Addiction as a Health Issue, Not a Crime

    But as the drug war has proved unwinnable, authorities are starting to look at the problems here in Missouri as more of a health issue instead of a criminal one, at least in the lower echelons of the drug trade. As methamphetamine has moved out of the trailer parks and into the suburbs and inner cities, there has been a substantial increase of meth users entering treatment facilities. Lohmar says that locally, most of St. Charles County’s attention is spent dealing with the consumers rather than the distributors.

    “Our position now, really, across the board, but especially with somebody who’s an addict, is that we want to give them every opportunity to stay out of jail,” Lohmar says. “And sometimes they don’t take advantage of those opportunities, but the ones who do, I think, those are some good success stories. I think that’s a positive breakthrough.”

    Lohman says that the drug war era of harsh mandatory sentences is being replaced with a more humane view of drug addiction.

    “I’ve been in office for seven years and ever since I’ve been here and probably even a little bit before that, we’re looking at it more as an addiction issue as opposed to a criminal problem. Now, obviously, it’s a crime, but we also know that a lot of these folks who are addicted wouldn’t be committing crimes had it not been for their addictions.

    “We’re trying to use things like the treatment courts as alternative sentences, or alternative programs,” he says. “We’re giving people the chance to complete the program, and if they do, in some cases their charges are dismissed, or in other cases they don’t spend a day in jail, or things like that. So, we try to incentivize the treatments to give them a chance to improve their lives, and it’s been pretty successful.”

    View the original article at thefix.com