Category: Addiction News

  • Do AA's Promises Come True?

    Do AA's Promises Come True?

    After completing the 12 steps, a long-time member of AA shares his experience of the 9th step promises.

    Russell Brand recently released his own creative interpretation of AA’s Twelve Steps. As a recovering alcoholic myself (since 12/30/1983), I admire how he captures the essence of the program, while still more or less respecting its tradition of anonymity. I’ve decided to respond to Brand’s piece by writing a bit about the Twelve Promises—which are less known outside of AA than the Twelve Steps or Twelve Traditions. We call these the Ninth Step Promises, because they’re linked with the Ninth Step on page 83 of the Big Book. They’re the pot of gold awaiting us—trite as that might seem—and we read them aloud at the ends of meetings. On the eve of 34 years of continuous sobriety, I’m in a good position to comment on these Promises . . . Do they actually come true?

    1. If we are painstaking about this phase of our development, we will be amazed before we are halfway through.

    I sobered up in my home town of Columbia, Missouri. I followed suggestions, and spent much of my first year on working with a sponsor. I was poorer then than I’d ever been, living in a halfway house, but it was a happy time. Working on the Eighth and Ninth Steps, I acknowledged the harm I’d done to others, and prepared to make amends. The first one I owed was to Jerry, my former employer, co-owner of a traditional pool hall that still serves the finest cheeseburgers I’ve ever eaten. I’d worked there for two years, during my heaviest drinking. Because of my increasingly disheveled behavior, Jerry had let me go, and we hadn’t spoken since. I still owed him a considerable debt, mostly for booze and food. After writing down all of this, to the best of my recollection, I called Jerry for an appointment. One afternoon, in early 1984, we sat down together over coffee in the back of Booche’s. I took a deep breath, then began to lay my cards on the table. I explained what I thought I owed, apologized for my dishonesty, and asked how I could make restitution. There was a long silence. Something within him—caution or suspicion—visibly melted at my offer. Then he shook his head.

    “I don’t want your money,” he said.

    “I know,” I said. “But I’d like to pay my debt.”

    Jerry left for a moment, and went and spoke quietly with a co-owner in the front. After a minute, he returned and said firmly: “Just your business. We just want your business, Mike.”

    I nodded. Jerry had made his decision. We looked each other straight in the eye and shook on it. And I still eat at Booche’s when I’m back in Missouri, and have through all these years. Jerry and I are still friends to this day. And each amend since then has only brought relief and freedom.

    1. We are going to know a new freedom and a new happiness.

    Early recovery is a little like those movies in which an angel or alien falls to earth, then falls in love with it. Sensations are intense, especially the strange, new feeling of belonging in the rooms. As a result of “our common bond,” AA is like Switzerland: it’s the one place where the differences between people don’t pertain. Some use the word “God”; some don’t. Meetings veer from tears to sidesplitting laughter. There’s a characteristic zaniness (not unlike Russell Brand’s), along with immediate connection. AA is virtually everywhere, and I usually take in a meeting whenever I’m away. As soon as I am settled in my seat, the self’s deceptions drift away like dandelion floaties—along with whatever weight I carried with me into the room.

    1. We will not regret the past nor wish to shut the door on it.

    Many of us call ourselves “grateful alcoholics”—which might not be an easy concept to grasp unless you are one. We’re grateful for life itself, for sobriety’s staggering, unexpected gifts, and for every step of the path that has led us here. Shutting the door on the past is not what we’re about. For one thing, it’s our experience, strength, and hope—rather than wisdom or knowledge—that makes us valuable to newcomers.

    1. We will comprehend the word serenity, and we will know peace.

    AA is a plan for creating integration out of disintegration. Serenity is simply a by-product. I didn’t know this when I came in, and frankly, I couldn’t have cared less. I just wanted the pain to stop. But once I was actually sober—and trying to face the character issues I’d chronically masked with alcohol—I craved it. I said the Serenity Prayer to myself 50 times a day. Sometimes I still do. The Fourth Promise doesn’t claim we will have peace; only that we will know it.

    1. No matter how far down the scale we have gone, we will see how our experience can benefit others.

    Straight out of treatment in Missouri, I lucked into finding a solid, hard-core sponsor. I did most of my step work sitting in Gene’s Chevy pickup, and everything went as well as could be hoped. But when I got to my Fourth Step inventories, I couldn’t figure out why he seemed so unimpressed with my writing. I was a creative writing major, after all!

    But an AA sponsor is not a writing professor, and a sponsor is also nothing like the judges and shrinks and counselors I’d been bullshitting for years. Gene scanned my first inventory with a leathery grimace, then abruptly turned and spat a long stream of tobacco juice through the open window.

    At first, it cut me to the quick how easily he saw through me. That night I thought: fine. I’ll show you, and I’ll show AA! I wrote out my darkest secrets (except for one, which I’d carry for 30 years), in rough list form. A couple of days later, at our regular meeting, I showed him my list. By then, my anger had given way to anxiety, and I expected the worst. I sat in silence and tried not to watch as he was reading.

    Gene showed no emotion. Not one flicker. After a minute, he rolled down the window, spat, and then drawled: “that it?” Then he just smiled through his ravaged face. Suddenly, I saw that neither of us was better nor worse than the other. In all the years since then, whenever I serve as a sponsor, Gene is my template.

    1. That feeling of uselessness and self-pity will disappear.
    2. We will lose interest in selfish things and gain interest in our fellows.
    3. Self-seeking will slip away.

    Here are some suggestions: 90 meetings in 90 days; find a sponsor; join a home group; get a service position; read and meditate and pray; work the steps; and help others. Here are some results: we stay sober; character defects lose their hold; self-centeredness no longer defines us; we don’t feel useless anymore, because we aren’t; and the Promises come true.

    1. Our whole attitude and outlook upon life will change.
    2. Fear of people and of economic insecurity will leave us.

    One of Gene’s favorite sayings was: “sober up a horse thief, and what have you got? A sober horse thief!” Then he’d guffaw. I loved him for that, even though I didn’t really get his humor at the time . . . But it does seem impossible at first for an alcoholic to change enough, through such simple and wholesome means, to make much of a difference in our lives. What practicing alcoholics need—not only to survive but to flourish—is a complete and profound psychic transformation. Lucky for us, that’s exactly what the Twelve Steps are designed to do for us, and not only once but every day, as long as we live in the solution.

    1. We will intuitively know how to handle situations which used to baffle us.
    2. We will suddenly realize that God is doing for us what we could not do for ourselves.

    We typically finish upbeat, but I’m ending with two tragic losses. The first was that of Tom McAfee, my undergraduate poetry professor at the University of Missouri. Tom was a brilliant, charismatic writer—and late-stage alcoholic—who died in 1982, at the age of 54. I’d been Tom’s bartender and best friend at the old downtown hotel where he lived much of his life, and also later at Booche’s. Tom was always shaky and frail, but overnight, his health tanked. It took weeks before a couple of us were able to move him to the hospital, and then it was revealed that he had lung cancer. I looked after Tom as best I could through this whole period. But his terror and delirium at the end—as he lay dying of cancer while going through alcoholic seizures—was more than I could bear. One afternoon on a three-day bender, I stumbled into the hotel bar. Someone remarked to me that Tom had died. When had I last seen him? I couldn’t quite remember. That’s when my drinking began in earnest. I’d failed my friend when he needed me most. I couldn’t forgive myself.

    The second loss was that of Jackie, my first wife. (Although we didn’t formally marry for many years.) In 1988, Jackie and I were both midway through our PhD’s at the University of Utah, when she discovered the lump. We both took leave, and went back to Missouri for surgeries, reconstruction, and many rounds of chemotherapy and radiotherapy. We kept our hopes up, and after a year the cancer seemed to be in remission. I went back to resume my studies at Utah. Jackie, slightly ahead of me, was back at it, and managed to land a great job at the University of Texas. She was happily teaching there the following year when the cancer came back. I took leave again, and moved to Austin. Shortly afterward, I proposed—and a few days later, we got married at the courthouse. It was exquisite. And through the next year and a half, I never left her side. Jackie endured treatments first in Austin, and then back home in Missouri, where our strategy shifted from cure to comfort. Paradoxically, in the weeks leading to her final struggle in 1991, there were many hours of intense joy. Spontaneous, childish, connected-at-the-hip gleefulness . . . Often, the exact same thought appeared simultaneously in both minds. It was the deepest intimacy I’ve ever known.

    Jackie’s last words were: “I love you.”

    As devastating as it was to see such a beautiful soul taken before she’d hit her stride, her death was triumphant, too. Even through her worst days, death never got the best of her.

    I went back to Utah, finished my PhD in 1993, and started my professional life—steady then, resolved.

    Just after the founding of AA in 1939, many sober alcoholics were sent into battle in WW2. As related in the Big Book, this was AA’s “first major test.” Would they stay sober far from their meetings? Against all expectations, they did. They had fewer lapses “than A.A.’s safe at home did . . . Whether in Alaska or on the Salerno beachhead, their dependence upon a Higher Power worked.” I had a related revelation after Jackie died. I realized that I could go through anything sober. That now I was spiritually fit enough to show up for “life on life’s terms.”

    Along with the Promises, there’s a playful call-and-response that we include. It seems to be a rhetorical question: “Are these extravagant promises?”

    And the entire group answers: “We think not!”

    And on that note, the reading concludes: “They are being fulfilled among us—sometimes quickly, sometimes slowly. They will always materialize if we work for them.”

    There’s usually then a closing prayer. And after that, we fold our chairs, and return to the lives that AA has given us.

    View the original article at thefix.com

  • The Power Of No

    The Power Of No

    The Power Of No

    Could one little word change your digital life? It’s highly likely, especially if you’re a yes person who finds it hard to create boundaries. At Time To Log Off, we encourage you to lead a life that’s not dominated by technology, so here are four simple ways to build your digital wellbeing and take back control of your screen time by just saying “no”.

    Say no to random friends

    Facebook can be a great tool for hooking up with friends from the past. But should you accept friend requests from people you don’t know? Unless you have a common interest, or you’re mildly famous, the simple answer is no.

    Why would you let a complete stranger into your life? Facebook reveals personal details like your age, where you live, and this ‘new friend’ will also be able to scroll through your photos and follow your movements – yes, a bit like a stalker. So, just press ‘delete request’.

    You don’t know this person and you don’t owe them an explanation. Saying no is lot less hassle than ‘unfriending’ them later on.

    Say no to a WhatsApp group

    They tyranny of What’s App groups can be exhausting. How can so few people send so many messages? Or is it that you have have been sucked into dozens of What’s App groups that are no use to you? Time to say no.

    It might be cyber space, but there are still social rules to follow. You could bow out with a polite message such as: “I’m sorry but X (work schedule/family issues/new puppy) means that I’ll have to sign off from the group for now” and leave it at that.

    The other option is to leave the group early in the morning – no one is likely to notice! If people keep adding you, just keep removing yourself. You’re saying a silent no, eventually they will get the message.

    Say no to competitive selfies

    Taking too many selfies is now classed as a genuine mental health disorder. Honestly. So, ask yourself – do I need to take this photo? How is it benefiting me and my digital wellbeing?

    For every posed selfie take two natural pictures. Look at these images and remind yourself that most (if not all) of the images posted on social media are staged, filtered – and fake. Are you a fake? Do you want a fake life?

    Try having one selfie-free day a week and build this up to two or three days if you can. No one is saying stop taking selfies forever, just don’t take them 10x a day, every day.

    Say no to banners and notifications

    If you find yourself being drawn to a particular website you want to avoid, the obvious thing is to block the banners using your notifications settings. You could also put your phone on silent and out of sight, for some downtime, so if alerts pop up once you’ve left a site you won’t know. The urge to re-log on will have passed by the time you reconnect with your phone.

    Any other ideas for how you can say no and take back your life from your phone? Let us know!

    View the original article at itstimetologoff.com

  • Massachusetts Sues Purdue Pharma Over Opioid Crisis

    Massachusetts Sues Purdue Pharma Over Opioid Crisis

    Sixteen individuals are named in the lawsuit, including a few members of the Sackler family.

    The state of Massachusetts is suing 16 current and former Purdue Pharma board members and executives for their alleged role in the continuing opioid crisis.

    Massachusetts Attorney General Maura Healey says this is the first lawsuit brought on by a state that directly names executives and directors in connection with opioid-related deaths. 

    The BBC reports that Judy Lewent, a non-executive director of GlaxoSmithKline, is named in the charges for her involvement with the board of Purdue Pharma until 2014.

    Lewent currently serves as a director in GlaxoSmithKline (GSK), one of the six largest British pharmaceutical companies. In 2012, GSK pleaded guilty to promotion of drugs for unapproved uses, failure to report safety data, and kickbacks to physicians in the United States. The company was sentenced to pay a $3 billion settlement—the largest settlement for a drug company at that time.

    Sixteen individuals are named in the Massachusetts lawsuit, including a few members of the Sackler family.

    Purdue Pharma is owned by the descendants of Raymond and Mortimer Sackler who earned their fortune off of the drug OxyContin, which their company, Purdue Pharma, still produces.

    The Massachusetts lawsuit claims that Purdue Pharma “created the [opioid] epidemic and profited from it through a web of illegal deceit.”

    Judy Lewent was tagged as one “who oversaw and engaged in a deadly, deceptive scheme to sell opioids in Massachusetts.”

    AG Healey addressed the lawsuit in a press conference, “We found that Purdue misled doctors, patients, and the public about the real risks of their dangerous opioids, including OxyContin. Their strategy was simple: The more drugs they sold, the more money they made—and the more people died.” 

    Purdue Pharma “vigorously denies the allegations,” while GlaxoSmithKline declined to “comment on legal matters faced by another company,” according to the BBC.

    Purdue told the BBC, “The Attorney General claims Purdue acted improperly by communicating with prescribers about scientific and medical information that FDA (Food and Drug Administration) has expressly considered and continues to approve. We believe it is inappropriate for the Commonwealth [of Massachusetts] to substitute its judgment for the judgment of the regulatory, scientific and medical experts at FDA.”

    The company added that it shared “the Attorney General’s concern about the opioid crisis,” and that its “opioid medications account for less than 2% of total opioid prescriptions.”

    The state of Minnesota also recently filed a lawsuit against Purdue Pharma over the marketing of OxyContin.

    Purdue Pharma has recently stopped the marketing of opioid-based drugs in Canada, Westfair reported. Purdue already pulled marketing for these drugs in the U.S. back in February. Canada has asked drug companies to suspend marketing and advertising of opioid-based drugs.

    View the original article at thefix.com

  • Grieving Mothers Band Together To Support People In Recovery

    Grieving Mothers Band Together To Support People In Recovery

    “If we can save just one person, it’s worth it,” said one of the mothers in the Moms of Cherished Angels group.

    A group of grieving mothers are turning their losses into something positive.

    The Moms of Cherished Angels—a group of women who lost a child or family member to drugs—donate toothpaste, shampoo, other toiletries, and notebooks to people entering rehab across Pennsylvania.

    In each care package, they add a note telling their story.

    “We decided we wanted to do something to keep our children’s memories alive and help others suffering with this horrible disease,” said Judy Provanzo, whose son Michael died last August.

    Judy and her husband decided to address Michael’s drug use in his obituary: “We do not want his death to be in vain,” it read. “Michael did not want to be an addict. His demons were more than he could handle. Addiction is a disease and does not discriminate. Many loved ones did everything they could to get him to stop but the drugs won their battle.”

    After that, others who had lost loved ones to drugs reached out to Provanzo, and from there, the support group formed. The women meet every week. One member, who lost her daughter in 2016, called it a “sisterhood.”

    “Everybody is different and everybody grieves differently,” said Provanzo. “We get to different places in the process at different times. But if we didn’t have this every Tuesday, I’d be in a loony bin.”

    The support of others who are going through the same experience is invaluable to the grieving moms. “We understand one another. There are times we’ll say, ‘Did you get out of bed today?’” said Provanzo.

    In her note about Mikey, Provanzo wrote: “The day Mikey died a part of me and his father died with him. I’m sharing this with you in hopes it helps you along your journey. Mikey always thought he had his addiction under control and this wouldn’t happen to him. If you’re feeling like you want to give up, please think of Mikey and how my heart is breaking not having him. Remember you are loved and you can do this one day at a time.”

    The mothers honor the memory of their children and loved ones by supporting not only one another, but others in recovery.

    “If we can save just one person, it’s worth it,” said Kim Janeczek, who lost her 21-year-old son Matthew in 2017.

    In her care package note she wrote, “He had a heart of gold. He helped so many people in the short time he was here.”

    View the original article at thefix.com

  • Twitter is the third person in my relationship

    Twitter is the third person in my relationship

    Twitter is the third person in my relationship

    “Twitter! Again!” My boyfriend looks at me from across our kitchen table as I have my phone in my hand, chin to my chest, thumb scrolling. “You’re always looking at bloody Twitter!”

    He says it with a playful exasperation but I think the frustration is starting to outweigh the friendly tone. He doesn’t use any social media platforms at all whereas I use Twitter so much I’m surprised I don’t see a small blue bird in my dreams. Day or night, without even thinking, I’m refreshing my feed, waiting for the dopamine to hit, trying to figure out what people are talking about. Sometimes I’ll be doing it before I’ve even noticed, maybe mid-film or mid-conversation as he cooks dinner. “Why are you on Twitter now”, he sighs. In bed, in the evenings, he catches me out again. As we go round Sainsbury’s on a Saturday morning he’s got me again. As we walk to the park together: “What on earth is on that thing?”

    Of course, his frustration isn’t really about what I’m doing. It’s about what I’m not doing. If I’m on Twitter, then my head is somewhere else. I’m reading someone else’s thoughts, I’m laughing at someone else’s joke, I’m getting irate at someone else’s opinion. So how can I be with him – really, fully, 100% with him – if I’m also with the 2,850 people I follow? And I get it. It’s rude and it’s disrespectful and it doesn’t make him feel great. Is he not interesting or funny or angry enough? Of course he is. He’s all those things and more. So why don’t I put down my phone and start listening, properly?

    This is the constant conversation I have with myself. I remind myself that we’re both so busy and I spend enough time without him, so during the time we do share, I really don’t need to invite in the internet along too. Eventually, I’ve started to realise I need to make considered changes. Now I endeavour to leave my phone in the spare room during the weekend. For 48 hours, it’s out the way, unable to grab my attention and leave him feeling rejected. We’ve also recently made a rule that we won’t look at our phones after 9.30pm. These self-imposed sanctions are really just marked relationship boundaries: this is what he’ll tolerate, this is what I’ll do to make him not feel rejected. Deal.

    The thing is though, however frustrated he gets with me, I’m pretty sure it’s not as frustrated as I get with myself. I’ve just got to remember not to tweet about it…

    View the original article at itstimetologoff.com

  • "Sharp Objects" To End Episodes With Mental Health, Substance Abuse PSA

    "Sharp Objects" To End Episodes With Mental Health, Substance Abuse PSA

    The HBO limited series follows a reporter who struggles with self-harm and alcoholism while investigating a murder case.

    The HBO limited series Sharp Objects will feature a card at the conclusion of each episode that will provide information on help for those who may be experiencing issues of self-harm and/or substance abuse.

    The critically praised series, created by Marti Noxon (Dietland) and based on the novel by Gillian Flynn (Gone Girl), stars Amy Adams as a reporter who struggles with both conditions while investigating a murder case.

    As Deadline‘s coverage noted, the addition echoes the use of a similar title card on Netflix’s 13 Reasons Why.

    The card reads as follows:

    “If you or someone you know struggles with self-harm or substance abuse, please seek help by contacting the Substance Abuse and Mental Health Services Administration (SAMHSA) 1-800-662-HELP (4357).”

    In addition to the card, HBO has also set up a website with links to resources including SAMHSA and the National Alliance on Mental Illness.

    The series’ title alludes to Adams’ reporter, Camille Preaker, whose troubled childhood has manifested itself in adulthood through alcoholism and self-harm.

    The first episode opens shortly after her discharge from a psychiatric hospital, and over the course of the next seven episodes, Preaker will return to the hometown where her issues first took root, and which bloom anew as she becomes deeply involved in the murder of two girls there.

    As Deadline noted, the Netflix drama 13 Reasons Why, which focused on a teenager’s suicide, drew critical fire from members of the mental health community for what was regarded as graphic depictions of rape and suicide.

    The network added a disclaimer and PSA to the second season of the show that advised viewers about the subject matter and, as Vulture noted, even suggested that certain individuals should consider watching the program with a “trusted adult.” 13 Reasons Why is slated to return for its third season in 2019.

    In an interview with the Hollywood Reporter, author Gillian Flynn, who also serves as an executive producer for Sharp Objects, discussed the very personal reasons for tackling the subject of self-harm in the book and series.

    “I felt that misery of, like, ‘Why can’t anyone see how much pain I’m in?’ I wished I could bear witness somehow,” she said. I had these fantasies of being mangled—of showing how much pain I was in.”

    View the original article at thefix.com

  • Opioid Crisis “More Deadly” Than AIDS Epidemic, CDC Director Says

    Opioid Crisis “More Deadly” Than AIDS Epidemic, CDC Director Says

    CDC director Dr. Robert Redfield discussed the parallels between the crises and his plans to combat opioids during a recent interview. 

    Robert Redfield has only been the director of the Centers for Disease Control and Prevention (CDC) since March, but in that time he has made his stance on the opioid crisis known.

    Redfield, 66, tells The Washington Times that the opioid crisis will be worse than the HIV/AIDS epidemic of the 1980s, which he was also involved in fighting. “I would say the opioids-fueled epidemic is clearly already more deadly than the AIDS epidemic ever was,” he told the Times.

    According to Redfield, the CDC is working with pharmacies and states to keep up with the opioid epidemic in real time and collect overdose death data as quickly as possible. He says the goal is to release the figures for 2017 in the fall of 2018. 

    The most recent data, from 2016, has overdose deaths at 42,000. The Times notes that some researchers predict that the newest data will show that overdose deaths have passed the 48,000 HIV/AIDS deaths in 1995 which was the most fatal year of that epidemic.

    Redfield says that when it comes to annual rates, drug overdose deaths have already overtaken those of the HIV/AIDS crisis. “If you look at all overdose deaths, not just opioids deaths, we’re over 60,000 now,” he told the Times.

    The number of deaths isn’t the only similarity Redfield sees between the two epidemics. He tells the Times that with both, there have been empathy gaps, meaning people initially saw the diseases as something that happened because of dangerous behavior.

    “It’s a medical condition. It’s not a moral choice,” Redfield told the Times. He added that as with the HIV/AIDS crisis, combating the opioid crisis will take new scientific innovations and “public health efforts.”

    In June, Redfield told the Wall Street Journal that the CDC would be increasing efforts to fight the opioid crisis. He stated the organization would be developing new guidelines for opioid prescriptions for acute pain, as well as introducing a new system to track emergency department data. 

    Redfield also told the Wall Street Journal that he has personal experience with the opioid crisis, as a close family member had struggled with opioid use. “I think part of my understanding of the epidemic has come from seeing it not just as a public-health person and not just as a doctor,” he told the Wall Street Journal. “It is something that has impacted me also at a personal level.”

    Redfield also called stigma the “enemy of public health” and stated that it’s vital to find “a path to destigmatize” opioid use.

    “We were able to do it to some degree for HIV, and I think pretty successfully, but it’s not over,” he said.

    View the original article at thefix.com

  • Florence Welch On Sobriety: "Performing Without Booze Was A Revelation"

    Florence Welch On Sobriety: "Performing Without Booze Was A Revelation"

    “Before, I thought I ran on a chaos engine, but the more peaceful I am, the more I can give to the work. I can address things I wasn’t capable of doing before.”

    Florence Welch, the voice of Florence and the Machine, is at a different pace in life. She’s more at peace, less afraid, and sober as well.

    The singer admitted that she was “drunk a lot of the time” in the band’s last phase. “That’s when the drinking and the partying exploded as a way to hide from it… The partying was about me not wanting to deal with the fact that my life had changed, not wanting to come down,” Welch said in a recent interview with the Guardian.

    The English singer and songwriter decided as she approached the 10th year of her illustrious career that she would sober up.

    “When I realized I could perform without the booze it was a revelation,” she said. “There’s discomfort and rage, and the moment when they meet is when you break open. You’re free.”

    Welch admits that every now and again, she’ll be tempted to go back to her old ways. But it never lasts. “It’s still there. This, ‘What if I could take a day off, a break from this magical energy?’ But, it passes,” she said.

    Sobriety went hand-in-hand with inner peace. “Before, I thought I ran on a chaos engine, but the more peaceful I am, the more I can give to the work,” she said. “I can address things I wasn’t capable of doing before.”

    Through self-reflection, Welch also came to terms with her eating disorder, addressing it for the first time in the single “Hunger” from the band’s upcoming album High as Hope. “At 17, I started to starve myself,” she sings.

    She said the terror of admitting this to anyone, let alone the whole world, inspired her to sing about it. This terror, she says, has been with her for most of her life, fueling some of the “self-destructive” behavior that she’s now working on undoing.

    “I learned ways to manage that terror—drink, drugs, controlling food,” she told the Guardian. “It was like a renaissance of childhood, a toddler’s self-destruction let loose in a person with grown-up impulses.”

    Welch admits she’s “still figuring it out,” but is learning more than ever how music can be invaluable to her self-discovery journey, by helping her realize that she is not alone.

    “I’ve realized that that nugget of insecurity and loneliness is a human experience. The big issues are there however you address them,” she said. “The weird thing is, that as personal as it feels, as soon as you say it, other people say: ‘I feel like that, too.’”

    View the original article at thefix.com

  • Dope Sick: Breaking Down Opioid Withdrawal

    Dope Sick: Breaking Down Opioid Withdrawal

    The strength it takes for a broken down, tormented person, feeling sick and hopeless every single day, to say, “No more” to their source of relief is something many people cannot even fathom.

    Dope sickness (from opioid withdrawal) or even just the fear of dope sickness can trigger a desperation and panic unlike any other. This fear, in large part, drives the addiction that has led to the opioid epidemic, which claimed 64,000 overdose deaths in 2016 and is now classified as a public health emergency. Or some say it’s the high that keeps opioid users chasing the dragon all the way to hospitals, jails, and institutions. Much like an abusive relationship that long overstays its welcome—often by years and even decades—it starts with love and butterflies but then transforms into a much darker animal, tethering a person in place not with love but with the fear of what happens when you leave it behind.

    How does someone know when their dose is wearing off and they need another fix? They’ll start to feel hot and cold at the same time, getting goose bumps and perspiring simultaneously; their eyes begin to water and they yawn repeatedly; they feel intense cravings coupled with severe anxiety, and their stomach starts to turn. These early onset symptoms of withdrawal work like an internal alarm in the brain, signaling to the nervous system that it desperately needs what is missing. These symptoms typically occur 6-12 hours after the last dose, and their intensity varies based on how often and how much of the drug the person is using. Opioid (painkillers such as oxycodone, vicodin, and codeine, as well as heroin) addiction is a progressive disease in which tolerance builds, so the required dose grows larger, and the withdrawal worsens. The deeper you are in the hole, the farther out you must climb.

    Once someone begins to experience the first stage symptoms of withdrawal, panic sets in. There is an overwhelming sense of impending doom because, as most seasoned junkies know, the only thing worse than the first stage of opioid withdrawal is the second. Muscle aches, pains, and spasms can cause a person to kick their legs and flop around like a fish out of water. Just as a fish longs for water to breathe again, the person in opioid withdrawal longs for a hit to end their agonizing race toward what feels like death. Vomiting, diarrhea, and severe stomach cramps keep them crawling to the bathroom, if they even make it, if they even have access. These physical symptoms are paired with deep depression, anxiety, and the torture of knowing that the hell could simply cease if they get their fix. And this typically goes on all 24 hours of each day that it lasts—typically just over a week—because insomnia prevents any relief that sleep would bring.

    It is the fear of that torment, which words can’t really do justice, that shackles people to a substance which indefinitely curses them with relief and pain. It is also that fear that compels them to lie, cheat, and steal. People who have become addicted to opioids wake up one day, deeper into their addiction then they’d ever anticipated, and look in the mirror only to see a stranger. They look at childhood photos of themselves and feel overcome with sadness, asking themselves, What happened? Their mothers do the same thing, looking at their baby’s photos and asking themselves where they went wrong. It’s difficult to separate the person from the addiction: although one entity does seem to overtake the other, that can be reversed and they are, in fact, two distinct realities.

    In most cases, a rotten egg is not born into this world destined to be a thief, robbing to feed their addiction. What once was a promising honor student, the girl next door, the boy working behind the deli counter, or the kid who loved fishing has now slowly, pushing the limits a bit farther each time, transformed into that thief overcome with fighting the terror of withdrawal. It’s as if they’ve sold their soul to the devil, stealing for it, lying to loved ones, to anyone, cheating people just to survive, just to feel well. When someone with an addiction hits rock bottom, and they hate themselves at this point, they think they’ve had enough and they want their soul back. But they can’t just stop. There’s a debt to pay.

    The strength it takes for a broken down, tormented person, feeling sick and hopeless every single day, desperate enough to do things they’d never imagine themselves capable of doing, to say, “No more,” is something many people cannot even fathom; it is standing up to the fear of the agony of withdrawal, of feeling like you’d gladly crawl out of your own skin if you could. For many people, it’s also facing the fear of life unaltered, buffer-less, possibly for the first time.

    There are different methods of withdrawing from opioids. Doctors sometimes offer benzodiazepines or clonidine, a blood pressure lowering drug, to temper the misery. There’s the good old fashion “cold turkey” which comes from the cold flashes and goosebumps you experience, or “kicking dope” which comes from kicking your legs around in weird spasms for over a week. And of course, we can’t have this discussion without mentioning the two big whoppers, Suboxone and methadone. These are known as medication assisted treatment (MAT), and they work wonders for many people. But one day you might want to get off of them, and that’s another opioid detox.

    Something worth mentioning about MAT is that if you take it long enough, you have the chance to rebuild a “normal” life. You can go to school, kickstart your career, do all the things that being a full-fledged junkie makes impossible. Stay on as long as you need; I even heard about one guy who got himself through law school on Suboxone. So there are upsides, incredible advantages really, but at the end of the day, after you’ve obtained your PhD, you still have to pay that debt.

    I once heard someone say, close your eyes and picture an addict. Whatever picture came into your mind, that’s the stigma of addiction. But there’s not just one static image, because addiction comes in layers. There’s the first layer, how it originated. Maybe a doctor prescribed Norcos for an ankle sprain and neglected to mention what you might be signing up for. According to drugfree.org, almost 80% of people who shoot up heroin started with the misuse of prescription medication. The next layer is when the drug takes over, and your identity—who you are—is now overwhelmed by the addiction, hiding your actual self somewhere beneath. And finally, hopefully, there’s the detox—the week or two of pure hell as the drug leaves your system and you start learning how to function without it.

    But when you do, finally, make it to the other side, however worn and broken down you may feel, it feels like the first day of the rest of your life. It’s a terrifying feeling, but you come out triumphant, and victorious.

    View the original article at thefix.com

  • Kids, Parents & Grandparents All Face Strain Of Opioid Crisis

    Kids, Parents & Grandparents All Face Strain Of Opioid Crisis

    One expert estimates that for every child in foster care due to a parent’s addiction there are 18 to 20 children who have been informally taken in by family members. 

    When parents are living with opioid addiction—or even trying to establish their lives in recovery—it can take a toll on the whole family, from kids to grandparents, as roles are redefined. 

    Donna Butts, the executive director of Generations United, a Washington, D.C.-based organization, has seen how families have coped with drug epidemics fueled by cocaine or meth. This time, she told CBS News, feels different. 

    “With the opioid epidemic, it seems so much more severe and, in some ways, more hopeless,” she said. “Which is why I think the grandparents and other relatives that are stepping forward are playing such a critical role because the hope is with the children.”

    Oftentimes family members will step up to care for the children of people who are addicted without going through the formal foster care system, making it difficult to get an estimate on how many families have been rearranged because opioid addiction.

    The foster care statistics themselves are overwhelming; Butts estimates that for every child in foster care because of a parent’s addiction there are 18 to 20 children who have been informally taken in by family members. 

    This has financial implications for the family member taking responsibility for the children, usually the grandparents. Twenty percent of grandparents raising grandchildren are living in poverty, and 40% are older than 60, which often means they are retired or semi-retired and living on a fixed income. 

    In addition, many children have been exposed to trauma, and their grandparents have been through their own traumatic experiences in seeing their child battle addiction. 

    “What they really need is to understand the impact of trauma on the children and try to help support them as they deal with that. Also, they need to have access to trauma-informed services, the services that can really help them to overcome what they’ve experienced,” Butts said.

    However, she noted that having stable grandparents can really help children overcome the harms of having a parent battling addiction. 

    Even for parents who are working to get clean, keeping custody of the children can be challenging. 

    Jillian Broomstein, of New Hampshire, was in a methadone program when her son was born. Because the baby tested positive for opioids, he was taken by the Division for Children, Youth and Families. Broomstein had just one year to be off opioids and in a stable housing situation, or she would risk losing custody permanently, according to WGBH

    “I cannot stress enough that 12 months is a really short window for somebody who’s in early recovery,” says Courtney Tanner, who runs a New Hampshire recovery home where pregnant women and new moms can live with their babies while getting sober. 

    Situations like Broomstein’s are too common, she said. 

    “Here in New Hampshire what I have seen is a mom can be enrolled in this program and compliant in treatment and they are giving birth to a child and that child is still being removed and put into foster care.”

    However, given the right resources, people in recovery are able to be reunited with their children. 

    “We see a lot of that,” said Dr. Frank Kunkel, the president and chief medical officer of Accessible Recovery Services. “We see a lot of people that spin out of control. They’re involved with the judicial system and all that. And we see grandma have the kids for a while. Then they’ll get back on track with things legally, and they’ll get on our medications, and they’ll get in seeing their therapist, and they’ll turn their life around. We see that every day.”

    View the original article at thefix.com