Tag: heroin

  • An Addicts Mind

    I lay on this bed encased by these walls. sober now.

    I can feel the pain of all my flaws.

    Peaceful and lost in the illusion I slept thru all my loved ones’ cries.

    Even her kind eyes couldn’t keep me from wanting to end my life.

    Caged outside my mind also brings confinement inside.

    My willpower shatters faced with all the brain cells I’ve fried.

    I was captivated by her pinprick of charm.

    Why didn’t God save me from sticking her into my arm?

    How could a bag bring such pleasure and pain?

    I still sit N stare, insanely at my veins.

    The bruises of this Lust affair dance up n down my body.

    Track marks tell the world far too much about me.

    Only time I felt Joy was with the pull of the plunger.

    Within the next few seconds, a nodded out slumber.

    Blue in the Lips N White in the Face.

    But with a shot or 2 of Narcan, it becomes just another day.

    Awakening startled I just overdosed, Yet still cursing at the E.M.T…

    “Next time just let me Go!”

    This tragedy to U has become my Life, U see?

    Inside I feel I’m No One.

    Just a junkie In long sleeves.

    I’ve become the monster U all made me out to be.

    And with a needle and a spoon, I’d nod my way to peace.

    Sleep away the day and steady search thru the nite.

    The daily fucking routine of a stupid dope heads Life.

    I snatch the mirror that I see myself in off the wall.

    As I looked inside I loathed the person that I saw.

    Sometimes in my Heart creeps a tiny bit of hope.

    I wish upon a star for the power to just stop shooting dope.

    But then Bam reality hits.

    So I’ve stopped throwing pennies and seeking shooting stars.

    Because I’ve learned prayers don’t get answered for those who are the likes of ours…

    “THIS IS A HEROIN ADDICT’S MIND”
    “Or at least this addicts mind”

    HOWEVER, IF YOU FIRST LISTEN TO YOUR HEART AND EMBRACE CHANGE, YOU CAN CHANGE YOUR THINKING AND USE IT AS YOUR COCOON. AND I PROMISE IF YOU DO THIS CONFIDENTLY AND PATIENTLY THEN U2 WILL EMERGE AND FLY LIKE A BUTTERFLY.LEAViNG OLD REGRETS BEHIND AND NEW MEMORIES AHEAD.

    mwah

    Luv y’all

    Michael Henry Roberts

  • Strung Out: An Interview with Erin Khar

    Strung Out: An Interview with Erin Khar

    When I was in a 12-step program, I had so much shame… Some people seemed pissed off when you relapsed. I get that it’s upsetting, but have a little compassion.

    Erin Khar is an award-winning writer known for her deeply personal essays on addiction, recovery, mental health, parenting and self-care. “Ask Erin,” her weekly Ravishly column, attracts more than 500K unique readers per month. Her work is published in SELF, Marie Claire, Redbook, and anthologies including Lilly Dancyger’s Burn It Down: Women Writing About Anger. Her first full-length memoir, Strung Out: One Last Hit and Other Lies That Nearly Killed Me (Park Row Books, February 25), will be released this month.

    Khar battled heroin for 15 years. Her intro to opioids came in pill form at age eight. It was the year her parents split up. In Strung Out she writes, “My Dad had moved out and my mother drifted from room to room in our old Spanish house with a weightlessness that I could tell threatened to take her away.”

    Khar suffered from overwhelming feelings that she didn’t understand. “A panic spread across my chest, filling my body with heat, trapping me. I ran to the bathroom and locked the door. As I reminded myself to breathe, some instinct led me to the medicine cabinet.”

    With anxiety pounding, the third grader fumbled past Band-Aids and Tylenol and found her grandmother’s bottle of Darvocet, which warned: “May Cause Drowsiness and Dizziness.” She wanted so badly to stop hurting she popped two big red pills into her mouth, then gulped from the faucet to wash them down. The burning heat of anxiety soon gave way to a “lightness of little bubbles.” Erin felt like she might float out of her body; this was the escape she’d yearned for.

    Strung Out depicts one person’s journey against the backdrop of America’s opioid crisis. The book is written in gorgeous, accessible prose. Candor and vulnerability come through in a natural, believable voice, conveying what many trauma survivors know intimately: pain, anxiety, rage, depression.

    Khar snorted heroin for the first time at age 13. At first, she’d said no to the boyfriend urging her to try it; her stolen pills felt like enough. But her guy persisted, describing it as a much better high. It was also the quickest route to forgetting. When Khar was four, a teen boy began molesting her. The abuse continued for years. Like many survivors, Khar told no one and desperately tried to block it from her mind. 

    “I needed to be somewhere else, someone else,” Khar told The Fix

    Strung Out is a page-turner that follows the progression of addiction: Narcotics seem like a magical solution until the relief morphs into a monster roaring for more. Opioids are now responsible for 47,000 deaths per year—that’s nearly two-thirds of all drug-related deaths in the U.S. 

    Reading Khar’s book felt like listening to a confidante, a kindred spirit who “got me.” We sat down in a New York City garden to talk about the hell of addiction and colossal relief of long-term recovery.

    What idea sparked this book?

    I wrote Strung Out because it was the book I wish I’d had when I was younger. I want to open up the conversation. Why do people take drugs? And why can’t they stop? The more we talk about it the more we can get rid of the stigma and shame surrounding it. Many people still don’t seem to understand addiction. I want to encourage empathy and compassion and give people hope.

    I love that your then 12-year-old son asked if you ever did drugs. Can you tell me about that?

    At first, I pretended I didn’t hear him. [Laughs] I tried not to cringe at my deflection.

    I stalled by saying, “That’s a complicated question.” I didn’t know what to say. I did use drugs. A lot of them. Heroin was on and off from 13 to 28. That’s when I got pregnant with him. But how much should I tell him? I’d smoked crack, done acid, taken Ecstasy.

    You describe childhood guilt and shame vividly. Looking back, do you think that was rage turned inward?

    Oh yeah. It definitely had to do with early trauma. All I knew then was a nagging feeling. It wasn’t until I was 19 that I came to terms with everything. Before that, I minimized what happened to me, trying to shove [memories] aside. It took a long time for me to see that my therapist was right: my anger had sublimated into guilt.

    Do you look back now and understand your feelings of shame?

    Yes. I took responsibility for things because it gave me the feeling that I was in control. Can anyone process that kind of childhood trauma all in one go? I don’t know. Maybe it takes a lifetime to process? Maybe I’m still processing it.

    Do you get triggered due to PTSD?

    Yes. Even though I’ve done a lot of work on myself, I still have hypervigilance. My body reacts strongly to some situations, like if I’m startled by something, and especially if I’m asleep.

    Can you describe things that helped? Especially for anyone who is trying but can’t stop using.

    The first thing was accepting that I wasn’t going to be fixed overnight. Then it was forgiving myself for relapsing constantly. For me, whatever I’m dealing with, if I break it down into small, digestible increments, it’s a lot easier to handle. Focusing on the big picture is not helpful. That’s why they say a day at a time.

    How did you stop relapsing?

    By being honest about relapses. When I was in a 12-step program, I had so much shame. It was detrimental to worry about being judged at meetings. [Some] people in AA seemed pissed off when you relapsed. I get that it’s upsetting but have a little fucking compassion. [So] I hid relapses, which made it a lot easier to do it again. Finally, I was honest about [chronically] relapsing and that helped me stop. You do not have to relapse. It’s not a requirement of recovery but I don’t think that we unlearn things in 30 days or 60 days or 90 days or a year. I don’t think it happens that quickly. For anyone who struggles with addiction, we want immediate relief. 

    Like pushing a button?

    Yes. I wanted to be numb. Stop thinking. In recovery, my biggest life lessons were learning to have patience, be honest, and work on accepting things I have no control over.

    Did you find things easier when you began opening up?

    First, I had to get through my fear that people were always judging me. It took work. I wouldn’t say it was easy but yes, I did get better. 

    How do you feel about your upbringing now?

    I definitely don’t blame my parents for any of the choices I made. Even the choices when I was really young. I hid the sexual abuse and my depression from them. I hid my suicidal feelings. If my parents had stayed together and everything had been perfect, I may still have hid things. It may be a function of my personality.

    Today I have a really good relationship with both of my parents and they have a really good friendship with each other. I will forever be grateful that no matter what happened, through everything I did, they never turned their backs on me. I have a very different idea about tough love than I used to. When I was first trying to get sober, the general idea of interventions and dealing with somebody who was addicted was this hard line of tough love. 

    I used to deal with people that way. But now, I really don’t think it works. That doesn’t mean that you should enable people. But, for me, I was lucky. Despite everything I had done to my parents—years of lying and stealing—our family connection remained. That door was still open when I finally asked for help.

    Erin Khar talks hope, shame, and recovery:

     

    Order Strung Out: One Last Hit and Other Lies That Nearly Killed Me

     

    View the original article at thefix.com

  • Heroin detox timeline: How long to detox from heroin?

    Heroin detox timeline: How long to detox from heroin?

    What are detox from heroin symptoms and how long will they last? The intensity, duration, and resolution or heroin withdrawal symptoms are dependent on age, usage amount and length of use. For example, older people who have been using higher doses for a longer period of time will typically experience longer, more difficult withdrawal from heroin.

    But how long does heroin detox typically last? And what can you expect? We review here, and invite your questions about heroin detox or signs of addiction to heroin in the comments section at the end.

    Heroin detox duration and length

    The process of heroin detox can vary in time and intensity. In fact, there are many factors involved in heroin detox duration, such age, length of usage, and heroin dosage amounts. In general, a typical heroin detox usually lasts for up to 7 days. So, when does detox begin? Heroin withdrawal symptoms usually begin 6-12 hours after the last dose, persist for 1-3 days (peaking at 72 hours after last dose), and gradually become less intense over the course of 5-7 days. Acute withdrawal from heroin begins with anxiety and craving, reaches its climax between 36 and 72 hours, and decreases substantially within 5 days. On the other hand, protracted withdrawal symptoms (PAWS) may persist for a few months beyond the period of acute withdrawal.

    Heroin detox timeline

    Days 1 – 2

    The first two days are usually the most difficult to get through, as they present with the most severe symptoms of detox from heroin. Withdrawal symptoms usually start to appear within 12 hours after the last dose was takenand manifest as light symptoms of discomfort. The most noticeable symptoms during this period include muscle aches and pain. Some people may experience severe muscle pain in these first days. Along with the pain, other symptoms include diarrhea, loss of appetite, and insomnia. Anxiety and/or panic attacks are also common.

    Days 3 – 5

    During this period of detox, the worst of discomfort usually passes, but has not yet completely resolved. Proper eating is important at this time, in order to boost immune system response. Shivers, abdominal cramping, vomiting are common symptoms during this period.

    Day 6 and beyond

    When someone going through heroin detox reaches day 6 of withdrawal, s/he is on the right track. Trouble eating and sleeping may persist, and some people may still experience nausea and anxiety.

    How long to detox from heroin

    There is no fixed period of time for heroin detox. An appropriate period depends on the degree of a person’s heroin dependency and individual needs. Medical research has shown that at least 3 months (and up to 6 months) of medical supervision for heroin addicts are optimal for addressing addiction. Why is this period so long?

    Heroin use causes neurocircuitry changes to the brain that affect emotions and behavior. These brain changes can still persist after acute detox is finished. This is why changes in the nervous system may persist many weeks after the period of acute withdrawal has passed. The medical term for these symptoms is protracted/post-acute withdrawal symptoms (PAWS). Protracted withdrawal is defined as the presence of symptoms common to opiate withdrawal which persistbeyond the generally expected acute withdrawal timeline explained above.

    Some symptoms of PAWS during heroin detox include:

    • anxiety
    • depression
    • dysphoria (feeling down or emotionally blunted)
    • fatigue
    • insomnia
    • irritability

    If you’re wondering: “Can I withdraw from heroin at home?” The answer to this question can vary. Treatment for protracted withdrawal symptoms (PAWS) should be addressed according to individual characteristics that present during detox. This is why a person’s age, gender, an culture must be taken into consideration during detox. Additionally, recovery from any drug addiction is a long-term process and frequently requires multiple episodes of treatment.

    Heroin detox scheduling questions

    Do you still have questions about the duration or length of heroin detox? If you have any questions connected to heroin detox, feel free to ask. Leave your comment into the section below and we will try to answer you personally and promptly.

    Reference Sources: Substance Abuse Treatment ADVISORY
    NIDA DrugFacts: Treatment Approaches for Drug Addiction
    NIDA Principles of Drug Addiction Treatment: A Research-Based Guide

    View the original article at addictionblog.org

  • Heroin detox timeline: How long to detox from heroin?

    Heroin detox timeline: How long to detox from heroin?

    What are detox from heroin symptoms and how long will they last? The intensity, duration, and resolution or heroin withdrawal symptoms are dependent on age, usage amount and length of use. For example, older people who have been using higher doses for a longer period of time will typically experience longer, more difficult withdrawal from heroin.

    But how long does heroin detox typically last? And what can you expect? We review here, and invite your questions about heroin detox or signs of addiction to heroin in the comments section at the end.

    Heroin detox duration and length

    The process of heroin detox can vary in time and intensity. In fact, there are many factors involved in heroin detox duration, such age, length of usage, and heroin dosage amounts. In general, a typical heroin detox usually lasts for up to 7 days. So, when does detox begin? Heroin withdrawal symptoms usually begin 6-12 hours after the last dose, persist for 1-3 days (peaking at 72 hours after last dose), and gradually become less intense over the course of 5-7 days. Acute withdrawal from heroin begins with anxiety and craving, reaches its climax between 36 and 72 hours, and decreases substantially within 5 days. On the other hand, protracted withdrawal symptoms (PAWS) may persist for a few months beyond the period of acute withdrawal.

    Heroin detox timeline

    Days 1 – 2

    The first two days are usually the most difficult to get through, as they present with the most severe symptoms of detox from heroin. Withdrawal symptoms usually start to appear within 12 hours after the last dose was takenand manifest as light symptoms of discomfort. The most noticeable symptoms during this period include muscle aches and pain. Some people may experience severe muscle pain in these first days. Along with the pain, other symptoms include diarrhea, loss of appetite, and insomnia. Anxiety and/or panic attacks are also common.

    Days 3 – 5

    During this period of detox, the worst of discomfort usually passes, but has not yet completely resolved. Proper eating is important at this time, in order to boost immune system response. Shivers, abdominal cramping, vomiting are common symptoms during this period.

    Day 6 and beyond

    When someone going through heroin detox reaches day 6 of withdrawal, s/he is on the right track. Trouble eating and sleeping may persist, and some people may still experience nausea and anxiety.

    How long to detox from heroin

    There is no fixed period of time for heroin detox. An appropriate period depends on the degree of a person’s heroin dependency and individual needs. Medical research has shown that at least 3 months (and up to 6 months) of medical supervision for heroin addicts are optimal for addressing addiction. Why is this period so long?

    Heroin use causes neurocircuitry changes to the brain that affect emotions and behavior. These brain changes can still persist after acute detox is finished. This is why changes in the nervous system may persist many weeks after the period of acute withdrawal has passed. The medical term for these symptoms is protracted/post-acute withdrawal symptoms (PAWS). Protracted withdrawal is defined as the presence of symptoms common to opiate withdrawal which persistbeyond the generally expected acute withdrawal timeline explained above.

    Some symptoms of PAWS during heroin detox include:

    • anxiety
    • depression
    • dysphoria (feeling down or emotionally blunted)
    • fatigue
    • insomnia
    • irritability

    If you’re wondering: “Can I withdraw from heroin at home?” The answer to this question can vary. Treatment for protracted withdrawal symptoms (PAWS) should be addressed according to individual characteristics that present during detox. This is why a person’s age, gender, an culture must be taken into consideration during detox. Additionally, recovery from any drug addiction is a long-term process and frequently requires multiple episodes of treatment.

    Heroin detox scheduling questions

    Do you still have questions about the duration or length of heroin detox? If you have any questions connected to heroin detox, feel free to ask. Leave your comment into the section below and we will try to answer you personally and promptly.

    Reference Sources: Substance Abuse Treatment ADVISORY
    NIDA DrugFacts: Treatment Approaches for Drug Addiction
    NIDA Principles of Drug Addiction Treatment: A Research-Based Guide

    View the original article at addictionblog.org

  • How Suboxone Helped Me Until I Could Help Myself

    How Suboxone Helped Me Until I Could Help Myself

    I felt confident that I had no desire to use opioids again, not because the Suboxone had eliminated my cravings, but because I had changed my life. The pain I worked so hard to anesthetize with heroin had been addressed.

    Suboxone, while often controversial among addiction treatment professionals and people in recovery, has moved to the forefront in discussions about opioid treatment. The recovery community has no shortage of naysayers insisting that medication-assisted treatment (with drugs such as Suboxone, buprenorphine, and methadone) is simply trading one addiction for another, characterizing it as heroin in legal form and just another way for the big pharma companies – who are already blamed for the initiation of the opioid epidemic – to pull in profits. But Suboxone is not an illicit street narcotic with fatal overdose rates surpassing even automobile accidents, it’s a life-saving tool that many experts insist is our best hope for the current public health emergency.

    Medication-Assisted Treatment Is Effective, But Stigmatized

    According to Dr. Gavin Bart, Director of the Division of Addiction Medicine at Hennepin County Medical Center and Associate Professor of Medicine at the University of Minnesota, opioid addiction requires long-term management; behavioral interventions alone have extremely poor outcomes with more than 80% of patients returning to drug use.

    “Extensive literature and systematic reviews show that maintenance treatment with either methadone or buprenorphine is associated with retention in treatment, reduction in illicit opiate use, decreased craving, and improved social function,” Bart writes. “Extensive research shows that each of the three available medications used to treat opiate addiction have superior treatment outcomes to non medication based therapies. Increased retention reduces mortality, improves social function, and is associated with decreased drug use and improved quality of life.”

    Abstinence proponents may be skeptical about Bart’s research, but for me, it rings true. Reduction in illicit opiate use? Check. Decreased craving? Check. Improved social function and improved quality of life? Check, check. Abstinence-based treatment did not save my life. Medication-assisted treatment paired with specialized addiction therapy helped me save my own life.

    As an active member of the recovery community, I am mostly outspoken and typically very candid, even when it comes to mortifying revelations. And even for me, Suboxone is a touchy subject. I am more comfortable discussing random substances I’ve injected than I am discussing how Suboxone was a key player in my opioid addiction treatment. I think my discomfort is a result of the negative rhetoric that surrounds the medication, and ironically enough its harshest critics are often other people in recovery. The prejudice against medication-assisted treatment is harmful, and even deadly when the negative discussion derails someone from seeking the help that, according to the evidence base, may give them the best chance of staying alive.

    Is medication-based treatment the perfect fix to a horrific and increasingly deadly addiction? No. Suboxone has its burdens. I grappled with those too. When I first started taking Suboxone, I’d take it for a week and then relapse on heroin. I did that a handful of times before I was finally serious about getting clean.

    My Suboxone Journey: From Relief to Frustration

    My initial Suboxone dose was 8 mg buprenorphine with 2 mg naloxone. It was an orange strip with a tangy taste that I’d place under my tongue and wait while it dissolved into my bloodstream. Because I essentially switched directly from heroin to Suboxone (taking the first dose when I began experiencing opioid withdrawal symptoms), I didn’t have to suffer the weeks-long detox that frequently triggered my repeated relapses.

    Taking my daily dose of Suboxone was like a sigh of relief at the beginning: one more day that I didn’t have to suffer through withdrawal. But after a few years, the sighs of relief eventually turned into sighs of disdain. My once-considered reprieve from the consequences of my addiction was starting to feel like a rusty pair of shackles. I was sick of going to the doctor and refilling my prescription, I was sick of keeping this secret from everyone in my life, I was sick of being terrified to travel. This thing that had once made me feel normal now had me feeling like I was still, after so much time, tied to my painful past of addiction.

    Nothing else in my life reminded me of my past. There were no remnants of my previous addict self. I didn’t associate with any of my old using friends, I hadn’t seen or spoken with any dealers in ages, I never even got pulled over for traffic stops. I didn’t look like a junkie anymore and I didn’t act like one either. I had nurtured and repaired the ties with my family, I had a loving, healthy relationship, and I was well on my way to getting a college degree. I had successfully restored myself to sanity, as good ol’ Bill would say.

    Fear kept me stagnant, which didn’t feel fair. I had come so far and was nothing like the junkie I once was, but I still had this inevitable withdrawal from Suboxone hanging over my head. My one final detox. The big whopper. How would I go through with it? I was in school so I couldn’t miss two to four weeks of classes, and anytime a summer or winter break neared, I’d chicken out, despite telling myself it was time and trying to prepare for it. In the meantime, I’d slowly been cutting down. I went from the initial dose of 8 mg buprenorphine/2 mg naloxone strips to 4 mg/1 mg, and then even further to 2 mg/.5 mg.

    Suboxone Withdrawal

    I had no idea what to expect. Like many of us, I have some form of post-traumatic stress disorder from my time in active addiction, and a major part of that was the horrendous withdrawals. I was completely fixated on these impending withdrawal symptoms, and there was nothing I could do — I had to pay the debt.

    I finally made the decision to go through with it. I made the appropriate arrangements and was prepared to suffer for a couple weeks minimum, several weeks or maybe even months maximum. I watched YouTube to try to ease my frazzled nerves, but the videos pacified my anxiety like a game of Russian Roulette. Do not watch YouTube. Some videos had people detoxing, drenched in sweat and sobbing into the camera and others had people after just a week saying, “Not so bad guys!”

    The night before I took my final dose, which was a teeny tiny square cut from a buprenorphine 2 mg/naloxone .5 mg strip, I curled up into the fetal position, buried myself under my duvet and cried myself to sleep. I couldn’t believe I was about to enter junkie limbo after living as a functioning member of society for so long.

    The first few days weren’t pleasant, but it was nothing like I’d experienced in the past. I couldn’t sleep, I tossed and turned, I had tingling chills and clammy sweats, general anxiety and a sense of unease. I once detoxed from a $100 a day heroin habit and it was like I was the star of an exorcism horror film; compared to withdrawals like that, this one wasn’t nearly as bad as I’d anticipated. I think spending so much time tapering down to as small a dose of suboxone as I could handle really paid off when it came time to detox.

    Another big fear I had, mostly thanks to Google and YouTube, was post-acute withdrawal syndrome (PAWS). After the initial detox, the last time I felt any symptoms I knew were directly related to my withdrawal was about a month and a half after day one. I had a mini-panic attack when Target was too crowded. I started pouring sweat, rushed to my car, and burst into tears. And after that, I’ve simply felt normal. That thing we all desperately want to feel: “normal.”

    What If?

    The detox was tough, it was emotionally taxing and physically draining. But I realized that it was the fear of the withdrawal that had me suffering the way I was. It was a fear of the symptoms and a fear of the unknown. I felt confident that I had no desire to use opioids again, not because the Suboxone had eliminated my cravings, but because I had changed my life. The pain I worked so hard to anesthetize with heroin had been addressed. I did deeply introspective work in therapy and I changed my social environment, all while using Suboxone. I built up my self-worth by investing in myself and investing in healthier relationships, things I never could have done while still using heroin. I fixed my broken coping mechanism, I knew how to handle stress and sadness. Yet, there was still this tiny sliver of me that wondered, “what if?”

    What if it was all some magical mask that Suboxone created and none of this was reality and as soon as I stopped taking it I would revert to my old tormented life?

    That is what prompted me to finally write this piece — realizing that regardless of the discomfort I feel discussing Suboxone, there are other people in recovery using medication-assisted treatment right now, scared to talk about it and scared to get off, experiencing the exact same fears that plagued me. Once I made the leap and decided to go ahead with my final detox, and then when it was complete, I felt free. Finally free. Not because Suboxone had me stuck, but because Suboxone helped me move past the hardest time of my life. This withdrawal was the final chapter to that saga and it was finally over — and I survived.

    I closed the book, I’d won the war.

    View the original article at thefix.com

  • My Journey from Heroin to Prison

    My Journey from Heroin to Prison

    As soon as I was out of prison, it took one argument with a girlfriend for me to go running right back into the arms of the one that always made me feel better: heroin.

    I have been a man of many realities. I’ve been a son, a student, a friend, a lover, a brother and finally a drug dealer. Well, at least, I thought that was my final phase. But then I shot heroin for the first time and I entered a new world. I felt warmth comparable to a mother’s embrace. It was something in my life I no longer received. It was a feeling I craved desperately, setting me on a course of destruction and pain that I tried to blot out with even more heroin. And every time I came to, the pain seemed to get worse.

    I didn’t start off as a heroin user. I found my niche in high school selling weed. But when I was forced out on my own, I knew I needed a better source of income. So, I started selling the Adderal and Atavan that I was prescribed. In that life, it really was only a matter of time before I started abusing the drugs I was selling. To support my growing habit, I started selling cocaine. It was fast and easy money from an older crowd. I didn’t plan on using it myself; my biological mother was addicted to crack cocaine and I was afraid of following in her footsteps.

    But there came a day when I gave in to temptation. Coke took me to another level. After cocaine it was Percocet and then, eventually, at the prompting of the girl I loved, I tried heroin. As I pushed the plunger, I felt all of the pain in my life fade away as the warmth of the dope enveloped me. It was a night of warmth and sex. When I woke up in the morning, all I felt was sadness that the feeling was over. Reality came crashing over me and all of the feelings that I had so desperately tried to bury came rushing back to me. It was a toxic mix of guilt and anger and disappointment. Pain.

    I never liked dealing with my feelings, and heroin helped me to avoid them. But I tried to avoid them too much. Two nights before Christmas 2009, I overdosed for the first time. The life I had been living took its toll on me, mentally and physically. I was alone and the pain of losing my family and my friends to my addiction became too much for me to handle. All I wanted was to keep running from it. I ended up using too much heroin to blur out the pain.

    I didn’t want to die but I just didn’t know how to live.

    When I opened my eyes, it was like a dream. Ambulance lights flashing, people overhead asking questions. All of the voices seemed as if they were under water. Christmas morning, when I came to in the hospital, my family was there at my bedside. I hadn’t seen my brothers and sisters in a long time because my mom wanted me to stay away. She wasn’t my biological mom, of course. The woman that gave birth to me was too in love with crack to be a mother to me. She abandoned me when I was five. But my mom, she took me in and looked after me until I was 14. Then she kicked me out too. 

    When I woke up in the hospital bed and saw her face and the looks on my siblings’ faces, I broke down. At that point in my life, I thought I had forgotten how to cry. But I cried because they cried. I cried because I realized my siblings were seeing their hero at his worst. I cried because I felt bad for all the things I did to my mom. I always wanted to make my adopted parents proud. I felt like I owed them my successes because they gave me a second chance at a decent life. I had to show them it wasn’t for nothing. But looking into my mom’s eyes that morning, all I saw was the pain and disappointment I had caused her.

    When I was released from the hospital, I was too ashamed and embarrassed to show my face to my brothers and sisters. I didn’t want to deal with the pain of what I had done. Instead, I crawled backed into bed with my new love, heroin, who kept my emotions nonexistent as long as I stayed with her. I turned away from my family and searched for a new one – a family that would accept me without me having to change my destructive behavior. I found that sense of belonging with the Latin Kings.

    My “Original Gangster” – the Latin King member who took me under his wing – showed me a side of gang life that I hadn’t ever expected. He told me the Nation was dedicated to uplifting the Latin community from poverty, oppression, and abuse. He showed me broken families, homeless people and how my life would be if I continued on the path I was on. He was a man who didn’t owe me a thing but tried to show me a better way. At least, that’s what I thought at the time. And I wanted what he had: respect, power, and the ability to make a difference in the lives of the people who looked up to him. I had no direction and nothing going for me so I agreed to be a part of his world, with no consideration of what that really meant.

    I began living a lie. I pretended to be clean, but anyone who stayed around me long enough could see that I was on drugs. My OG would ask me occasionally if I was using and I would always make up a story. He never pushed me any further on it. But the other Kings knew. They didn’t care, though, as long as I did what they asked of me. Some of them even supplied me with drugs to make sure I was ready for a “mission.” In our world, a mission involved shooting at the opposition or robbing someone.

    In my heart, though, I was never a gangster. I never wanted to hurt people. The things I did on my missions made me feel like I was a losing a part of myself. My life became an endless cycle: wake up, get high, complete my mission, get high, be with my girlfriend, get high, black out, wake up, repeat. Then one day I was given a mission that no amount of drugs could ever convince me to do.

    I had sworn loyalty to my gang but when they told me to kill my OG for being a suspected police informant, I couldn’t do it. Three members of my gang beat me unconscious for violating their order. When I came to, I was in the hospital with a concussion and my phone was ringing. My OG’s wife was crying on the other end. He was dead. My heart sank and hardened at once. I detached myself from the machines and left against medical advice. I needed to get back to heroin. It was my love, and at that point, it also became my life.

    Supporting my habit got harder. I was using too much to be able to sell and still have enough left for myself. So, I found a new profession as a male escort. It was during that time that I was raped by one of my drug dealers. I was unable to live with myself after that happened. For the first time, I intentionally overdosed and ended up on a friend’s front porch. He brought me back to life. Throughout the night, he talked to me about life. He told me “life is good, good is life.” I eventually had those words tattooed on my forearms to serve as a reminder. He not only gave me a second chance at life but also a new outlook. From that day forward, I tried to fight my addiction.

    It wasn’t easy and I didn’t manage it very well. I tried my first stint at rehab at 17. That lasted two weeks. Soon after rehab, I caught my first case for armed robbery. Strangely, when they put me in the cop car, I was relieved. My first night in jail put me in a bad place mentally. All the pain I was running from was suffocating me. I had the phrase “life is good, good is life” in my mind but, at that moment, I had no idea what was actually good in my life. All I knew is that I wanted to live.

    I served three years and change on my first sentence. I was in the best shape of my life, both physically and mentally, and I thought I had everything figured out. But nothing had really changed for me. As soon as I was out, it took one argument with a girlfriend for me to go running right back into the arms of the one that always made me feel better: heroin. I wasn’t out of prison four hours before I had a needle in my arm.

    Seven months later, I caught my second case and that’s what I’m serving now. Since going back to prison this time, I’ve worked hard to better myself, gain an education and become someone. But I still carry around the fear that I might not be strong enough to stay clean and make something of myself when I get out. In the past, that fear would have stopped me from even trying. But during this sentence, I’ve learned that the only way for me to succeed is to have the courage to fail and pick myself back up without having to turn to my old love for support. I used to believe I was nothing and that meant my life would amount to nothing. But I don’t believe that anymore. I believe that I have the tools I need to succeed. And that gives me hope that, maybe this time, everything will be different.

    View the original article at thefix.com

  • Kicking Heroin Cold Turkey Changed My Life

    Kicking Heroin Cold Turkey Changed My Life

    Nobody ever tells you how it feels, especially for the first time.

    This was the most pain and anguish I had ever experienced in my life, and I had given it my best shot, but there was really no point in going on.

    There were three of us.

    Eric was dashing and handsome, with eyes that cut through you, even as a child. He’d walk into a room and own it, immediately, and he knew it. He had leading man features that greatly resemble Chris Pratt, after he got sexy.

    James was the athlete, gifted with a physique that a teenager shouldn’t have been allowed to have. He was also kind to a fault, and loved God in the way that a puppy loves anything. If being a charismatic, fun-loving priest didn’t work out, he would have settled for being the NFL’s hottest running back.

    And then me: two years younger, two heads shorter, with eyes twice as wide when I’d look at my cousins, whom I worshipped. I thought of myself as their sidekick, but to be honest, if they were both Superman then I was a bundle of kryptonite around their necks, weighing them down. They didn’t mind, though. It kept them human.

    Musketeers. That’s what our family called us, and we were inseparable. We came from a prototypical Irish-American Catholic family (which means lots of kids). If you’re at all familiar with that demographic, you know that such families are tightly knit. Since the three of us were so close in age, our parents made sure that we spent time together, every single day. “Protect each other!” They’d always say.

    Even though Eric and James were two years older than me, they always encouraged me to hang out with them and their friends after school, but only after all my work was done. Ironically, it was my cousins more than my parents who forced me to get my homework done, but that could have been because they needed me to help them with theirs. I could never have hoped to be as cool as my cousins, but book smarts came easily to me. Together, we were a perfect team.

    And then we lost Eric.

    Not immediately. Acute myeloid leukemia works quickly, but it still gives you plenty of time to wait for the inevitable. After chemo failed, the doctors gave him two months. Eric gave them four. He frequently joked that he was going to live forever, despite having leukemia, just out of spite. In fact, he probably put up the most convincing happy face during the whole ordeal. In a way, this helped a lot of us. If Eric wasn’t scared, then why should we be? But underneath, he had to be frightened to death.

    Eric died in his senior year of high school, a few weeks before Christmas. I can’t believe that we found enough tissues for his funeral. My family doesn’t pick favorites, but deep down, I think everybody knew that Eric was the most beloved of any of us. He was the all-American boy we loved to boast about. Despite the tears, though, something felt dignified about his funeral. I think my whole family was proud that he put up a fight, that he went down swinging. That’s the kind of people they are.

    James and I took it harder, though. Family mattered to us more than anything, but what we had with Eric was something else. It was like a family within a family. And Eric was always our fearless leader. I thought he was invincible. As for James, I think he felt like a knight with no prince to follow.

    “Always protect each other,” our family would say.

    How?

    ***

    A few months earlier, James hurt himself playing football; torn ACL, his senior season cut short. To be honest, I wasn’t surprised when he did. As I watched him play, I thought he seemed angry. This was during the waiting game with Eric. It was while treating this injury that James received his first prescription of painkillers.

    Even after Eric died, James and I were still inseparable. I think I was the first one to notice that he was particularly fond of his medication. Besides numbing the pain from his injury, I think it helped him feel numb to the situation, and made him seem stronger than he was. Despite this, he got even more active than he already was in the church. If his plan B of being an NFL superstar was out the window, he’d have to work extra hard to make sure that the priesthood worked out. We sang songs together at church. Even though I was angry that Eric had been taken from us, I loved God more than I ever had. I had to. Eric was somewhere better, and that’s all there was to it.

    Two years went by, and James was still taking his pills. He mainly avoided taking them around family, but we were together too much for him not to do it around me. I wasn’t stupid, I knew his prescription ran out a long time ago. Without a prescription, opioids can get expensive, and it was only a matter of time before James found a cheaper, stronger substitute.

    And that’s how we both started doing heroin.

    At this point, I was a fairly upstanding high school citizen. I attended school full-time and worked an after-school job. Schoolwork came easy to me, and grades and test scores followed. On top of that, I still sang in church with James and volunteered with the Catholic Services food bank. I was responsible to a T, and I hated it.

    There’s not a lot of glamor in being the responsible one in a family that tells stories of war and fights, and values adventure above all else. Sure, the whole family would throw a barbeque every time an acceptance letter came in the mail, and they never showed anything but pride and support. But I wanted experience. I was young and stupid and had a thirst for everything that I couldn’t have. So when James switched from the pills to the heroin, I took some and tried it on my own (you can learn anything on the internet).

    Nobody ever tells you how it feels, especially for the first time. To this day, I can promise you that the most euphoric moments in your life cannot compare to the rush that heroin will give you; not love, not sex, not pride, nothing! Literally, it’s chemically impossible. Heroin forces your receptors to overload, giving you an overwhelming feeling of pure pleasure.

    One time, and I was hooked.

    At first, James was furious with me, although I suspect he was more furious with himself. At that point, though, we both already knew what it felt like, and neither of us was going to stay away.

    For the next six months, we both used regularly whenever we could. James had a full-time job, and I had a part-time one with no expenses. On top of that, people always expected us to be around each other. There were no obstacles in the way of our continued drug-fueled lethargic shenanigans. During this time, I maintained my grades, my job, my church activities, and my relationship with my girlfriend, who was in the dark about my darkest habit. Somehow, I had convinced myself that I could maintain everything I had while still being a heroin addict. Anyone who couldn’t figure it out was just too foolish.

    There is a cost to such pleasure, though. Due to the amount of dopamine that is released in your brain when you do heroin, your brain starts to get complacent, and won’t produce any new dopamine without the stimulation of heroin. Over time, this meant that I couldn’t feel pleasure, or giddiness, or satisfaction, unless I had recently used heroin. Towards the end of school days, I would get irritable, getting restless for my next fix.

    James realized this before I did. He never excelled in school, but he always had much more emotional wisdom than me. It’s because of this that he told his parents about his addiction. I first found out from my parents that he had told them, and I selfishly was terrified that he had ratted me out. But James would never do that without my consent.

    “Always protect each other,” they’d say.

    James, with the help of family, started getting treatment. In the meantime, I continued to shoot up in his bedroom while he tried to convince me to do the same. Near the end, I was strongly considering it. Even at the point when heroin had the strongest hold over my life, I still loved and trusted James more than pretty much anything in this world. And truthfully, he was doing well. He hadn’t used for nearly a month.

    But then I made a mistake.

    One night, I took the bus home from James’ home and went to bed. Early in the morning, though, I shot awake with the realization that I had left my bag in his room, and in that bag was the thing that James most needed to stay away from. As I hurried to get back to his home, my stomach was already filling up with a sickness of certainty.

    James was already long dead when I walked into his room.

    I thought my heart was going to pound out of its chest. I’m ashamed to admit that my first thought was that I needed a fix, and then my second was how long it would take to bleed out if I cut my wrists. At that moment, I probably could have found the courage to cut my own throat. Somehow, I did neither of these things, and managed to call 911.

    And then there was one.

    If he had never have gotten help and stopped using, the dosage wouldn’t have killed him, but he didn’t lower it to compensate his reduced tolerance. This irony never escaped me, even when I first found him.

    This funeral was harder than Eric’s. It was harder to find the dignity, to justify the purpose of this loss. Eric’s death brought sadness to my family. James’ death ripped the rug out from under them.

    Everybody blamed themselves. His parents thought they didn’t try hard enough. His older siblings thought they weren’t good enough influences. My grandparents felt they didn’t talk to him enough after Eric died.

    But it was me. If there was a metaphorical trigger to pull, then I was the one who did it. Not only was it heroin that I bought that killed him, a fact my family was woefully ignorant of, but I was the one who continued to use in the environment that he needed to be a safe space. I was too proud to think that I needed help, and it cost the life of a far kinder person and gentler spirit than me.

    As I looked at his open casket, all I could think was that I was the worst fucking scum on the planet, and that I should follow him into the ground.

    But as everyone I love wept around me, I could practically hear their hearts cracking. And then I had a realization would define every molecule of my existence for the coming days: I would not be the next one to hurt my family. I couldn’t bring myself to tell them that I was also an addict, so I decided there was really only one option, something I had never done before, but had heard about from TV shows and online articles. I had to go cold turkey.

    Because of how close James and I were, it was easy to get a few days to myself that I would need to completely detox. My family would simply think I was grieving. They were right, but only half so. That thought at the funeral put me into a mode of complete obsession, and I was determined to follow through with my plot.

    ***

    I bought a couple cases of water, a few bags of salted jerky, and a rotisserie chicken, and then locked myself in a spare room at my grandparents’ home. There was a lot of family in town, so they would be busy for the next couple days. I felt ready for anything.

    But, just like nothing could prepare me for the pleasurable feeling that heroin washed over me, neither could reading about the cold turkey process ready me for how horrific it really was. Below is my attempt to be as straightforward about the process as I can be, and to tell it as factually as I can…

    Once I was 14 hours in from my last fix, I consider the withdrawals to have truly begun. First, it starts with intense cravings. You want heroin more than you’ve wanted anything in your entire life, or at least you think you do. I constantly reminded myself that this was a trick, but I’m not sure I believed it at the time. Remember, after you’ve become dependent on heroin, your brain is practically incapable of producing positive thoughts. I tried to remember happy memories of James, but they were fuzzy in my mind. Beyond this, my concept of time began to blur for the next several days.

    After I had neglected my strong desire to use, I began to get uncontrollably irritated. Every time I clattered my teeth or made a sound, I would frustrate myself to the point that I wanted to punch a wall. I started to scream into pillows to let off steam. However, this got harder once the nausea set in. I was prepared for this. I had read all about the physical effects that would happen to me. However, reading did little to mitigate the sickness and dizziness. Pretty soon, standing became a difficult task.

    I stayed in bed and attempted to control my breathing. For a little while, I was even almost able to relax. This was short lived, though. Again, I knew that the skin crawling sensations were coming, but I didn’t realize how sporadic it would be. Everywhere on my body felt like it was on fire. I tried to hold my breath and keep still, but pretty soon I was scratching everywhere I could reach. After a matter of minutes, my arms were bleeding. I wrapped my fingers in duct tape to prevent myself from doing further harm.

    I knew that I would eventually start vomiting and purging everything in my body. I had readied myself for all of the physical effects. However, the true hell of heroin withdrawals isn’t in the physical aspects, it’s the mental side effects that really get you. At this point, my irritability had climbed to a full-scale anger. I kept clenching my jaw so bad that my gums started to bleed. All I could do to let out the energy was to continue screaming into a pillow, but I was starting to get tired. Then, out of nowhere, the vomiting started.

    I vomited and dry gagged in a throbbing cycle that lasted about an hour, but would continuously rear up throughout the whole process. While the initial vomiting was quite painful, it actually provided me some relief from the thoughts in my head. Afterwards, I was so overcome with exhaustion, that I was actually able to sleep for several hours. To my memory, this was the only continuous sleep I would have for about two days.

    Although I very much needed these few hours of sleep, it almost wasn’t worth it because of the nightmares that started at the end and woke me up. Up to this point in my life, I wasn’t very prone to nightmares at all, and could probably have counted the number of nightmares I had had (or at least remembered) on one hand. However, the dopamine from my last hit was finally hitting the dregs, and my brain couldn’t produce anything to balance itself out, chemically.

    I woke up in a cold sweat and felt paralyzed with fear. For the next several days, every time I would start to fall asleep, nightmares and partial hallucinations (waking nightmares) would jolt me awake in terror. After a few times of trying to doze off, I began to question my own sanity. We tend to hear a lot about the physical aspects of heroin withdrawals, but one of the most dangerous threats to people going cold turkey is suicide.

    Somewhere at this point, although time was a bit of a blur, my mind hit rock bottom. My dopamine receptors were doing nothing at this point, and my brain began to fall apart, unable to produce a single happy thought. The world was a bleak pit, and I was just washing around at the bottom of it. I had felt small bouts of depression before, but this was soul-crushingly different. Out of instinct, I began to pray. I begged God to make the pain end. I begged for a light at the end of the tunnel. I begged for some sort of sign or to be saved from my own thoughts.

    Then, it occurred to me how easy it would be to simply end it all right there. It wasn’t hard to reason myself into it. I could be with Eric and James. We could be the three musketeers again! This was the most pain and anguish I had ever experienced in my life, and I had given it my best shot, but there was really no point in going on. I’m sure that God would understand. I knew that he would have mercy.

    It was then that I remembered the thought that saved my life. I didn’t need a happy memory. I needed the memory of feeling the worst I had ever felt. I needed to remember the self-loathing that washed over me at James’ funeral, as I heard the people I cared most about bawling uncontrollably in pain, because of me.

    And then it hit me as if the sky fell down: God wasn’t there.

    I don’t expect everyone to have this same revelation. It was an incredibly personal moment to me. Addiction recovery programs frequently talk about needing to surrender to a higher power, and this was my own special ‘higher power’ moment.

    It wasn’t that God didn’t care, or that he was cruel, or that I couldn’t understand his grand plan. He wasn’t there. There was nothing above me or below me that wasn’t a meaningless abyss. A void of space that stretched beyond what my brain could conceive for absolutely no reason. There was no cavalry coming to save me, and there was nothing waiting for me if I were to die now; just more pain for my family.

    I had gotten myself in this situation, and only I could get myself out. I was going to have to do this Eric’s way: survive, out of spite. I abandoned every notion of meaning I had ever put on the world, and replaced it with this one simple purpose. For the rest of this battle, that would be my single function. I may have wanted to die, but I had too much hate to give in. If you can’t find happiness, hate can be a powerful motivator.

    The only thing I knew was that I would not be the next reason my family grieved and hurt. I would survive. No cancer, or heroin, not even God himself would stop me. If I died and woke up in heaven, I would have killed every last angel to get back to Earth; to get back to my family.

    Dramatic? Yes. But the mind of an addict suffering from heroin withdrawals is hardly a place for subtlety.

    From this point on, I sat against the wall, and remained there for about a day, just staring and drinking water. I wouldn’t let myself fall asleep and be the victim of yet another night terror. Every craving and thought of suicide filled me with more and more spite, and I sat there, stewing in it, until finally, I could feel the physical effects wearing off.

    I had survived.

    The cravings continued to last for months. Even years later, I sometimes have a sharp, discernable memory of how good the pleasure of heroin felt. But I can say with certainty that I don’t have the temptation to use. If I sat in an empty room with an ounce of heroin, I wouldn’t even have the slightest desire.

    In that room, I burned down who I was as a person, and built something else with the pieces that I had. Truth be told, going cold turkey is a horrible idea, and isn’t safe to try under even the best of circumstances. Please, if you or a loved one find yourself struggling with heroin dependency, get professional help and stick with it. This is by no means a road map to fighting addiction. It doesn’t really feel like a feel-good story, either. Hell, I’m not even sure if this is a happy ending.

    But it’s my story.

    *Names have been changed for the sake of anonymity.

    View the original article at thefix.com

  • God Hates Pikachu and He Also Killed My Daddy

    God Hates Pikachu and He Also Killed My Daddy

    My higher power doesn’t want me sticking a needle in my arm. For me today, it’s as simple as that.

    I didn’t want to unpack this story so soon. My aim was to share my experience with getting and staying sober in a dry and witty way, do that for a while with you, maybe unpack the heavy stuff after we got to know each other a little more, and then go for the gusto. I didn’t want to bring up a subject that might rub you the wrong way but I recently finished a writing exercise that really got me thinking about my dad. He’s dead.

    My father died when I was two years old. He was a heroin user who shared needles. Nobody was talking about harm reduction in the late 80’s nor were they concerned about the consequences of IV drug use. After he got sober, he found out that he had contracted HIV. It wasn’t long after that diagnosis that he lost his battle to AIDS.

    I believe growing up without a father had an effect on the man I am today; but this isn’t a story about my dad. This isn’t a story about harm reduction or AIDS awareness. This is a story about God.

    Wait! Stay with me, please. Don’t go.

    I promise you this isn’t that kind of story. I’ve done right by you with the last two articles. I plan on doing the same with this one. I know the God word bothers some people. It bothers me sometimes. It’s okay, just keep scrolling. We’ll do this one together. Besides, you have to at least get to the part about Pikachu. I’m sure you’re wondering what the heck he’s got to do with all this. Stick around, I’ll tell you.

    I grew up in an extremely charismatic religious household; the crazy dogmatic type. Let me tell you how crazy: Did you know that if you listen to any music that isn’t religious, demons will literally fly out of your headphones like a vapor of smoke and possess you? It’s true. My aunt told me that when I was only eight years old. Also, if you watch any movie that isn’t rated G or about the crucifixion of Christ, you run the chance of committing your soul into the fiery pits of hell. Here’s a good one: My younger brother and I were not allowed to watch Pokemon because our grandmother told us that those cute little Japanese cartoons were actually demons and it was Satan’s master plan to trick unassuming kids into falling in love with his minions.

    Here’s a few more examples:

    1. Don’t drink beer. You’re ingesting the semen of the devil.
    2. True love waits. So if you have sex before marriage, you’re going to burn in hell.
    3. Never smoke cigarettes, you’ll accidentally inhale a demon.
    4. Don’t use profanity unless you want God to give your tongue cancer.
    5. Hey boys, do you like your hands? Well, don’t play with your penis, that’s how you lose them.

    Here’s my absolute favorite. When I was kid, my mom brought my younger brother and me to this old-time-holy-ghost Pentecostal church in the hood. The younger children had to go to Sunday school with some 16-year-old babysitter while the adults went to “big church” in the main auditorium. While we were waiting for our mom to pick us up, our babysitter kindly told me that God killed my dad because he was a junkie.

    Yup, that’s right. This ignorant girl basically told me that God “gave” my dad AIDS because he was in love with heroin. And it was God’s perfect judgment to execute my powerless addict of a father. Cool, right? I’m going to grow up to be a perfectly normal man, unscathed by any of this tomfoolery.

    When you grow up in an overbearing legalistic household and finally start doing some of the things that they told you not to and nothing bad happens, you end up slamming your foot on the gas, speeding straight into the freedom to do everything you’re not supposed to. The things you didn’t do growing up because you believed they would kill you turn into myths created to control you.

    This isn’t going to end well for an addict like me. Once I started thinking for myself and realized that my dick wouldn’t fall off if I watch porn, I started watching all the porn. When I realized that I wasn’t possessed after smoking a cigarette, I started smoking all the cigarettes. Add sex to the mix, sprinkle a little drugs on top, and my newfound freedom as a junkie sinner is complete.

    Let’s fast-forward a few years because I don’t want to get into other stories that deserve their own headline. Let’s land where I’m walking down the steps of the courthouse with a piece of paper that mandates that I start attending 12-step meetings. Meetings that I must go to or I’m going back to jail and possibly prison.

    Imagine my delight, sitting in my first meeting while they’re doing the readings. I hear the 3rd step read aloud for the first time and everything within my gut cringes. I die on the inside. I’m powerless over drugs and alcohol. I can’t stop. I need to stop. And now I’m being told that the only way to do this is with God. I’m in big trouble. 

    I have a confession to make. Remember when I told you that this story was about God? It isn’t. I mean it is and it can be for you, too, but it really isn’t. It’s about a higher power; something greater than you. It’s crucial that you hear what I’m about to say.

    If you’re a 12-stepper who’s all gung-ho about the 3rd step, that’s cool. If you’re not a 12-stepper who’s grasped the God concept, that’s cool too.

    What I want to be explicitly clear about is just one thing. It’s my experience, being an addict in recovery— whether it’s the 12-step route or not—that at some point I have to accept the fact that I need saving. And it’s not going to be me that’s going to do the saving. It’s got to be something greater than me. What I’m good at is getting high. Getting sober is easy. Staying sober isn’t. That’s where the saving comes in for me.

    In the beginning. G-O-D meant a lot of things.

    • Group of Druggies
    • Group of Drunks
    • Grow or Die
    • Guaranteed Overnight Delivery (kidding)
    • Good Orderly Direction

    A wise man once told me, “I don’t know what God’s will is for my life… but I know what it isn’t.” I know that my higher power doesn’t want me stealing in sobriety. I know I shouldn’t be smoking crack. I know that now that I’m attempting to live a new way, maybe I should concern myself with my physical health since I neglected it for so long. My higher power doesn’t want me sticking a needle in my arm. For me today, it’s as simple as that.

    For people who don’t subscribe to an acronym but actually believe in a God, it can be slippery if it’s not kept simple. It’s common for people to get sober and say, “Okay, what do I do know? What is my life’s purpose and what is God’s will for me?” If they do that, they end up stressing themselves out and thinking themselves out of the game, thinking that they have to understand the meaning of life at 12 months sober; or that they should have a roadmap for their life drawn out, down to every little specific detail.

    It’s not that serious. Instead of concerning yourself with some huge existential question mark, keep it simple. Get off the bench, get back on the field and play. Before you know it, you’ll find yourself sober years later with a beautiful life filled with purpose and meaning. I can promise you that only because I’ve seen it happen for many of my junkie friends around me.

    My higher power doesn’t hate Pikachu. That’s just silly. If you believe in God, that’s cool. If you don’t, that’s cool too. Just find something greater than you when the days get dark in your life. Hey! Maybe it’s this story. Who knows.

    If nobody told you that they love you today: I do. I love you.

    View the original article at thefix.com

  • Anatomy of a Relapse

    Anatomy of a Relapse

    When my father died, I hadn’t been to a meeting in over a year. I had no active knowledge of how to apply healthy coping mechanisms to a devastating situation so I just went back to what I knew: opioids and numbness.

    Two years ago I wrote a controversial feature for The Fix, “I Take Psychedelic Drugs and I’m in Recovery.” It was controversial in the sense that the response from the publication’s readers — many of whom have an obviously vested interest in topics related to addiction recovery — ranged from sarcastic, hyperbolic criticism to open-minded consideration, with some even condoning the perspective I was sharing.

    The reason I chose to write this honest, albeit uncomfortable “Part 2” of sorts, is to do what folks in certain recovery circles do best (when at their best): share experience, strength, and hope, so that whoever may be listening, reading, or watching may, at the very least, relate and ideally, be helped by it.

    Full disclosure: My name is not James Renato. It’s a pseudonym, adopted out of respect for the principle of anonymity in a 12-step offshoot group I am a member of. It’s also, of course, meant to protect myself from facing unnecessary personal backlash merely for engaging in public discourse.

    Now that I’ve successfully buried the lede, in the spirit of qualifying in the style of an Alcoholics Anonymous meeting: “here’s what it was like, what happened, and what it’s like now.”

    Last April, I ended a full-blown relapse of what previously was an opioid use disorder in remission. In other words, I’d started injecting heroin again eight months earlier, for the first time in over six years.

    It was the culmination of a tripartite experiment involving: firstly, a noble attempt to actively practice a program I helped form (namely, Psychedelics in Recovery [PIR]). Secondly, a misguided lack of acknowledgement that I was inviting a serious risk to my life by no longer practicing abstinence (not just from psychedelics). And lastly, a gradual ceasing of the daily commitment to personal growth in the form of meeting attendance, regular contact with a sponsor, associating with peers in recovery, and just continuing to work on improving the overall quality of my life and relationships with others.

    People in recovery continue to regularly engage in their program of choice because life is unpredictable, and the myriad tools we learn are not always the same ones we rely on for every situation. One day a simple phone call can be all that’s necessary to get ourselves out of “a funk.” Another day it’s hitting four meetings, extensively praying and meditating, and taking a newcomer out for coffee because we were just laid off from a full-time job and needed to avoid the danger that can come from “feeding the poor me’s.”

    In my case, when I stopped participating in my ongoing recovery process, I made an inexplicably impulsive decision to reintroduce opioids to my system. When the DEA announced that they were planning to classify kratom as Schedule 1, I purchased a kilogram from an online vendor for literally no good reason. Several weeks after I received the package of high potency kratom leaf powder (of the “super green vein” variety), I conducted a dose-response self-experiment. I have a history of progressing down the road of “continued use [of opioids] despite negative consequences” (the current best definition of addiction), and within a few months I developed a dependency and went through the entire kilo, despite attempts to reassure my partner that the amount I purchased was intended to last for years, and would only be used when absolutely necessary.

    Right around the time my supply ran out, a friend who had no idea of the habitual relationship I had with kratom use told me about another mild opioid sold on the supplement market called tianeptine sulfate. Tianeptine had undergone clinical trials as an opioid-based antidepressant in the 1990s but did not progress past the second of three phases required by the Food and Drug Administration (for unknown reasons). With the drug’s unscheduled status, enterprising entrepreneurs in the unregulated supplement industry capitalized on tianeptine’s acute, short-acting antidepressive effects at low doses, but savvy opioid connoisseurs discovered the euphoric high it brought on (also short-acting) at much larger doses.

    My kratom habit switched to tianeptine, in large part because of how disgusting I found the taste of the tea I made from brewing the leaf powder, and the hassle of masking the taste by encapsulating the amount I needed to take to reach the effects I preferred. In addition to the perfect storm of things perpetuating my now very active addiction, I’d even stopped attending PIR meetings, was becoming increasingly disillusioned with my graduate studies, and was now too ashamed to admit to anyone that I was seriously struggling.

    Then, tragedy struck. My father, a seemingly healthy 64-year-old on the verge of retirement, suffered a sudden, fatal heart attack on a scuba diving trip in the Caribbean. I was already treading on thin ice, and this kind of event is something I’d long heard people in 12-step meetings share reservations over in their commitment to recovery. But I hadn’t been to a meeting in over a year at this point, so I had no active knowledge of how to apply healthy coping mechanisms to a devastating situation. It was a situation that countless people have gone through, relying on their recovery program to help them navigate as safely as possible, but I’d learned from the opioids I’d been relying on that if I could just figure out how to stay numb 24/7, that’s all I needed to do.

    After the standard bereavement rituals of a wake, funeral, and burial at the family cemetery plot, which was actually a very supportive and comforting assemblage of close friends, loved ones, and long-lost acquaintances paying their respects, I ended up alone in a dangerous situation. I called my old dealer, whose number I still had memorized after over six years of no contact, and one night drove out to meet him just like old times. No need to bother snorting or smoking whatever powder he claimed to be heroin; I had already been well reacquainted with the too-mild results of those routes of administration, so I went right back to the needle.

    I’ll spare you all the details of the familiar downward spiral and just hit on the highlights: I depleted all of my savings, misappropriated funds from an award I’d received, stole thousands of dollars from my father’s still active bank account, then my mother’s shared account, totaled my partner’s car from multiple accidents, couldn’t maintain my job, took a leave of absence from school, and wreaked a devastating emotional toll by shattering the trust of my friends and family.

    Miraculously, I was not arrested, did not overdose (though I came close), and was not robbed (although certainly ripped off repeatedly). About six weeks before I was confronted about the missing money, I obtained a 15-day supply of Suboxone from a chemical dependency clinic, but I shelved it, having no intention of taking it. Towards the end of the first week of April, my partner was preparing to go out of town for the weekend, and I had just been asked by my mom if I knew anything about the empty bank accounts.

    I woke up alone on April 5th, a Thursday, and began my morning ritual of taking stock of the heroin I had left, trying to negotiate with myself on how to titrate the remaining amount throughout the day. I always lost these negotiations and usually just did all of it, or the rest soon thereafter. But after I injected the last of it, I didn’t feel the slightest bit high. Instead, I wept. With only the company of my two cats (who avoided me as much as possible), I realized that I could no longer hide. I faced a crossroads: I could escalate my lies and attempt to find another hustle — knowing full well how inept I am when it comes to actual criminal behavior — or, surrender.

    I remembered the Suboxone sublingual film, and without really taking any time to talk myself out of it, I tore open the package and put the film under my tongue — realizing that if I kept it in long enough to absorb the full dose, I’d be inducing opioid withdrawal. I felt incredibly lonely and remorseful, so I begged my partner to come home from work, admitting to her what she had long known but felt powerless to help me with. Then I texted my mom, hinting to her that I was in a desperate state, and needed to spend the weekend at her home or I wouldn’t be able to “see things through.”

    Tears were pouring down my face in these moments, and I was wailing — one of the deepest emotional pits of despair I’ve ever found myself in. I’ve never found the concept of rock bottom useful. Instead of labeling that moment or attempting to explain it, I attribute my actions to grace.

    A New Perspective on an Old Idea

    I’m a wholehearted believer in the potential of psychedelics or plant medicines in recovery. I have heard first-hand tremendously powerful stories from people who have overcome their reluctance and the doubt instilled upon them by their peers, and are actively integrating the spiritual insights from their psychedelic journeys into their lives. PIR continues to meet regularly via an online meeting, twice a month, and our members gather from across whatever time zones they’re in to come together and share experience, strength, and hope with each other. We’ve formulated a list of guiding principles, meant to clarify the scope of our suggested program. I had strayed from those principles and met the predictable outcome we’re hoping to help others avoid.

    There are ongoing FDA-approved clinical trials for the use of psilocybin (the active pro-drug of psilocin, a psychedelic found in several species of mushrooms) for nicotine, cocaine, and alcohol use disorder, as well as a recently approved study in Europe looking at MDMA-assisted psychotherapy for treatment of alcohol use disorder. While these trials are aimed at treatment of an acutely manifesting substance use disorder, one of the primary guidelines for PIR is that our members should have a firmly established foundation of recovery in a primary qualifying recovery fellowship, and are actively working that program as it’s suggested.

    Recently, now just five months out from ending my relapse, I considered having a ceremony with iboga (the alkaloid-containing root bark of a shrub indigenous to western equatorial Africa), as I wanted to commemorate the one-year anniversary of my father’s death. After soliciting the feedback of my support network, none of whom gave me any advice, but instead offered honest and open perspective to help guide me in making a decision, I decided against it. Ultimately, the decision to commemorate the anniversary unaided came during several of my morning sitting meditations, a practice that has become vital to my ongoing recovery.

    Instead, friends, family, and loved ones gathered at our house on the anniversary day, and shared memories, pictures, and videos of my father.

    View the original article at thefix.com

  • Dopesick: An Interview with Beth Macy

    Dopesick: An Interview with Beth Macy

    It takes the average user eight years and five to six treatment attempts just to achieve one year of sobriety. And in an era of fentanyl and other even stronger synthetic opioids, many users don’t have eight years.

    As recently as a few years ago, the opioid crisis could be referred to as a “silent epidemic,” perhaps in part due to its degrading nature. Opioid addiction is frequently described using metaphors of slavery, or enslavement, and those within its clutches are liable to feel acutely ashamed. No longer, however, is it possible to argue that the scourge of opioid addiction is being overlooked.

    No doubt that is partly due to the growing enormity of the problem. For each of the past several years, more people have died from drug overdoses than American service members were killed during the entire Vietnam War.

    Meanwhile, energetic and compassionate journalists have been doing outstanding work, covering the crisis from various vantages. Chief among them is Beth Macy, a New York Times-bestselling author, who first began noticing the effects of opioid addiction as a reporter for the Roanoke Times, where she worked for 25 years until 2014. Now she is out with Dopesick: Dealers, Doctors, and the Drug Company That Addicted America. Gracefully written and deeply reported, Dopesick should act as a vade mecum — a handbook, a guide, an essential introduction — for anyone who may be seeking insight into the deadliest and most vexing drug epidemic in American history. 

    Beth spoke to The Fix over email:

    The Fix: The first chapters of your book, on the origins of the opioid crisis, cover some material that others have explored (most notably Barry Meier, in Pain Killer: An Empire of Deceit and the Origin of America’s Opioid Epidemic). Still, I don’t have the sense that many people are aware of the role that Purdue Pharma played in setting off current epidemic. Briefly, what is their culpability? And why do think their crimes aren’t crimes better known? 

    Beth Macy: I think Meier’s book, Pain Killer, was too early, initially published in 2003, and it was largely set in central Appalachia — a politically unimportant place. Also, let’s not overlook the role that Purdue took in stifling Meier. As I write in the book, company officials had him removed from the beat after his book came out, arguing that he now had a financial stake in making Purdue look bad.

    After the 2007 plea agreement, in which the company’s holding company, Purdue Frederick, pled guilty to criminal misbranding charges and its top three executives to misdemeanor versions of that crime, Purdue and other opioid makers and distributors spent 900 million dollars on political lobbying and campaigns. Purdue continued selling the original OxyContin formula until it was reformulated to be abuse-resistant in 2010, continued for years after that pushing the motion that untreated pain was really the epidemic that Americans should be concerned about. Their culpability in seeding this epidemic is huge.

    You weren’t able to talk directly with any of the Purdue executives who made fortunes from OxyContin, and who criminally misled the public about its addictive potential. But you spent an afternoon interviewing Ronnie Jones, who is currently serving a lengthy prison sentence for running a major heroin distribution operation in West Virginia. How were Jones’s crimes (and his rationalizations for his behavior) different from those of the Purdue executives you wrote about?

    Great question. Jones refused to see that he brought bulk heroin to a rural community in ways that overwhelmed families and first responders in the region with heroin addiction; he told me he believed he was providing a service — his heroin did not have fentanyl in it, he argued, and it was cheaper than when people ran up the heroin highway to get it in Baltimore (and safer because they could stay out of high-crime places).

    At the 2007 sentencing hearing, Purdue executives and their lawyers repeatedly claimed they had no knowledge of crimes that were happening several rungs down the ladder from them; that the government had not proved their culpability in the specific crimes. According to new Justice Department documents unearthed and recently published by The New York Times , that was simply not true. For two decades, Purdue leaders blamed the users for misusing their drug; they refused to accept responsibility for criminal misbranding that resulted in widespread addiction and waves of drug-fueled crime that will be felt in communities and families for generations to come.

    You quote a health care professional who said that previous drug epidemics began waning after enough people finally got the message: “Don’t mess with this shit, not even a little bit.” That provoked a thought: Shouldn’t we be long past this point with opioids? On the one hand, I’m enormously sympathetic to anyone who is struggling with addiction. But it’s frustrating to realize that the opioid crisis is still building. Why aren’t more people as risk-averse about heroin as they obviously should be?

    The crisis is still building because the government’s response to it has largely been impotent. And it’s been festering for two decades. Opioid addiction doesn’t just go away. It takes the average user eight years and five to six treatment attempts just to achieve one year of sobriety. And in an era of fentanyl and other even stronger synthetic opioids, many users don’t have eight years. I hope we will soon get to the point of public education where no young person “messes with this shit, not even once,” but right now we still have 2.6 million people with opioid use disorder. Even though physicians have begun prescribing less, we still have all these addicted people who should be seen as patients worthy of medical care, not simply criminals. Too often that doesn’t happen until we’re sitting in their funeral pews.

    One of the women you write about, Tess Henry, slid down a long road. You got to know her and her family quite well, over a number of years. And some of the other stories in this book are just as heartbreaking.

    It was a lot of pain to absorb and process, yes. And yet my heartache was nothing at all compared to what these families are going through.

    In a couple instances, Tess reached out to you directly, asking you for help. How did you calculate how to respond?

    I took it case by case; I just went with my gut, and I got input from my husband and trusted friends along the way. I decided it was okay to drive Tess around to [Narcotics Anonymous] meetings, recording our interviews as I drove, with her permission. But it wasn’t okay when she texted me late one night to come get her from a drug house. (I referred her plea to her mother and recovery coach instead.)

    I occasionally gave her mother unsolicited advice because I cared about her and I cared about Tess, and I felt I had access to objective information about medication-assisted treatment that Patricia didn’t have. When Tess was murdered on Christmas Eve, I put my notes away and for several days just focused on being a friend to her mom. But I did accompany the family to the funeral home when they made arrangements (taking occasional notes), and I was there in the room of the funeral parlor with her mom and her grandfather when they said goodbye to her. It took funeral technicians two days to prepare her body for that. It was the most heartbreaking scene I’ve ever witnessed. There was no need to take notes in that moment. I will never forget it as long as I live. I said a tearful goodbye to our poet, too.

    Was there ever a risk, over the course of your reporting, of becoming too involved in the lives and predicaments of the people you were writing about? 

    Always there’s a risk, but I’ve been doing this for more than 30 years now, and I know that my greatest skill — which is that I get close to people — can also be my Achilles. When I trust my gut and try to do the right thing — always also getting advice from editor and reporter friends along the way, including my husband, who is just so smart and so spot-on always — it usually works out.

    I’m grateful to have read Dopesick. But at various times it left me infuriated, appalled, and depressed. Can you leave us with anything to be hopeful about? 

    There are some pretty heartening grassroots efforts that I spotlight at the book’s end, mostly involving providing access to treatment and harm-reduction services. And Virginia just became the 33rd state to approve Medicaid under the Affordable Care Act, which will help 300,000 to 400,000 people in the commonwealth have access to substance use disorder services. Seventeen more states to go! There is so much more work to be done, especially in Appalachia, where overdose deaths are highest and resistance to harm reduction programs (easy-access MAT and syringe exchange and recovery) can be severe. My goal is that Dopesick not only educates people but also mobilizes them to care and create what Tess Henry called “urgent care for the addicted” services in their own hometowns.

    View the original article at thefix.com