Tag Archives: drug recovery

Rebuttal to an Abstinence Only Advocate

One of our group members wrote a rebuttal to a local newspaper column that had espoused an abstinence only view of opiate recovery. Our member wrote "It does no good to judge an addict on their form of treatment. What matters is if the treatment is successful or not." Listen in as the group discusses their views about medication assisted treatment and recovery.

Discussion Guide:

Have you utilized medicated assisted treatment for opiate addiction? If so, in your opinion, how does it compare to opiate abstinence without medication?

Have you been prevented from utilizing MAT (Medication Assisted Treatment) from someone in authority over you?

How do you combat negative and misinformed comments about MAT? What are the dangers of expounding a negative view?

How do you respond to the stigma against substance abusers as if it is a moral issue?

In what way is MAT similar and dissimilar to insulin for diabetes? Do you think it is a good analogy?

Have others implied that you should "man up" and stop using MAT? How has this effected you?

 

 

In the News: Duterte, Baking Soda Bombs, Narcan

Listen in to this opiate recovery support group as they discuss the news of the week. Narcan is now available at all Walgreens pharmacies; Duterte reluctantly ends the killing of drug users; and Baking Soda Bombs are the latest way to cheat a drug screen.

Discussion Guide:

Do you have a Narcan kit?

If not, do you know where you can get one?

Do you need a Narcan prescription in your state in order to get Narcan?

What are the pros and cons of drug screens?

Have you attempted to cheat a drug screen?

Have you heard of 'Baking Soda Bombs'? What are they?

Have you heard of the Philippine President Rodrigo Duterte's war on drugs? If not, check out our previous podcast on 2/7/17.

Supplemental Reading:

Bill Chappell, Narcan Opioid Overdose Spray Is Now Stocked By All Walgreens Pharmacies, http://www.npr.org/sections/thetwo-way/2017/10/26/560180901/walgreens-stocks-narcan-opioid-overdose-spray-in-all-pharmacies

Paul Fuhr, Baking Soda Bombs Emerge As Latest Drug Test Trend in South Dakota, http://www.thefix.com/baking-soda-bombs-emerge-latest-drug-test-trend-south-dakota

Bryan Le, Duterte Ends Bloody Philippine Drug War, http://www.thefix.com/duterte-ends-bloody-philippine-drug-war

Should An Opioid Relapse Be a Punishable Crime?

Consider this scenario. You are on probation for a drug related crime, you quickly enter treatment and relapse early in your recovery. Should you immediately be subject to probation violation and sent to prison? Or, is the disease of addiction cause to deter criminal punishment? Listen in to this opiate recovery support group as they discuss their opinions on this topic.

Discussion Guide:

Is addiction a choice or a disease? 

Do you believe that opioid addiction causes you to be prone to relapses?

Does the threat of incarceration motivate substance dependent people toward recovery?

If  addiction is a medical condition and relapsing is a part of the disease, is it unconstitutional to punish the addict with incarceration?

Under what circumstances is incarceration a reasonable outcome for opioid addicts?  

What do you recommend as guidelines for the criminal justice system in making these decisions?

Supplemental Reading:

Deborah Becker, Court to Rule on Whether Relapse Be An Addicted Opioid User Should Be a Crime, http://www.npr.org/sections/health-shots/2017/10/26/559541332/court-to-rule-on-whether-relapse-by-an-addicted-opioid-user-should-be-a-crime

Attitudes and Stigma Drive Opioid Treatment and Policy, Not Research

Psychiatrist, Sarz Maxwell says that one of the greatest barriers to treatment and effective drug policy are attitudes towards drugs. Addiction is not seen as a disease, but as a moral failing. Methadone and Suboxone are not drugs of choice. They are medicines. Listen in to this opiate support group discuss stigma .

Discussion Guide:

It is said that this opioid epidemic is getting worse and the stigma against opioid abusers is worsening. Why would this be the case?

Dr. Maxwell said "It is not what the person does to the drug, it's what the drug does to the person." What does this mean?

Abstinence is one of the least effective methods of treatment for opioid addiction and has the lowest recovery rate. Have you been successful with long term abstinence without medication such as Methadone and Suboxone?

"Addiction is the only disease where we expect the patient to be immediately symptom and medication free."  Do people have this expectation of you?

In a genetically predisposed addict's brain, there are too many opioid receptors and too few endorphins. This can cause people to use substances in an effort to get normal. Did you feel abnormal without an opioid boost?

 

 

 

Diversion Courts: When Good Intentions Go Wrong

Diversion courts provide an opportunity for criminal defendants to go to rehab instead of prison or jail. They hope to transform lives and ease overcrowded prisons. Although they are well intentioned, things sometimes go terribly wrong. Listen in to this opiate recovery support group as they discuss a rehab that is more like slave labor than treatment.

Discussion Guide:

Are you familiar with diversion courts?

Have you been a drug court member?

Have you been court ordered to a treatment facility that was not reputable and accredited?

How would you determine which treatment program is better than another?

What steps would you take to avoid being court ordered to a disreputable program?

Supplemental Reading:

Amy Julia Harris and Shoshana Walter, They Throught They Were Going to Rehab. They Ended Up in Chicken Plants, http://www.revealnews.org/article/they-thought-they-were-going-to-rehab-they-ended-up-in-chicken-plants/

Self Talk to Avoid Relapse

Self talk can be a helpful recovery tool. Changing the negative self talk into positive self talk is one of the important challenges of addiction recovery. Listen in to this opiate support group discuss the things they tell themselves to avoid relapse.

Discussion Guide:

What 5 things would you tell yourself to avoid a relapse?

What are your errors of thinking that could lead to relapse?

Can you think of a helpful mantra that you can recite when in a vulnerable situation?

Supplemental Reading:

Beth Leipholtz, 5 Things To Tell Yourself When You Want to Drink, http://www.thefix.com/5-things-tell-yourself-when-you-want-drink

Developing Treatment for Cocaine Addiction: TMS

Opiate addicts are fortunate to have several treatment medications that help decrease cravings, stop withdrawal, and block feelings of eupohoria from opiates. Unfortunately, there is no comparable medication for cocaine addiction. Transcranial Magnetic Stimulation (TMS) is now being applied to stimulate areas of the brain that control impulses. This is a foreign and frightening procedure for most people. Would you be willing to zap your brain in order to be free of a cocaine addiction? Listen in to this opiate recovery group as they discuss TMS.

Discussion Guide:

Are you familiar with TMS (Transcranial Magnetic Stimulation) and ECT (Electro-Convulsive Therapy)?

How do these treatments work?

Would you be willing to be zapped in an attempt to be free of cocaine?

Supplemental Reading:

Meredith Wadman, Brain-altering Magnetic Pulses Could Zap Cocaine Addiction, http://www.sciencemag.org/news/2017/08/brain-altering-magnetic-pulses-could-zap-cocaine-addiction

Mindfulness Helps You Cope with Cravings

People in recovery need a full recovery tool box to maintain abstinence. A new study from the University College London in the UK found that as little as 11 minutes of mindfulness training helped heavy drinkers to reduce their alcohol intake in the following week. Listen in to this opiate recovery group as they discuss whether mindfulness can be a helpful tool for opioid addicts.

Discussion Guide:

Are you familiar with "mindfulness"? What is it? Have you practiced it?

How is mindfulness different from relaxation?

How is mindfulness different from meditation?

How can mindfulness be helpful in your recovery?

Supplemental Reading:

Catharine Paddock, PhD, Very Brief Mindfulness Training Helped Heavy Drinkers Cut Back, http://www.medicalnewstoday.com/articles/319120.php

Mindfulness sessions can be accessed through a number of phone apps. Search for "mindfulness" in your app store.

When Doctors Become Addicted

Between 8% and 12% of people will develop a substance abuse problem at some point in their lives. Physicians are vulnerable to substance abuse at the same rate as the general population yet they have higher recovery rates. Doctors with the most addiction problems tend to be anesthesiologists, emergency room doctors and psychiatrists. However, they can be more reluctant to enter treatment because of the fear of losing their professional licenses. Many state medical boards run special treatment programs for physicians and others in the health care industry. Should they have specialized treatment? Listen in to this opiate recovery support group as they discuss this special population.

Discussion Guide:

Why would a physician be vulnerable to substance abuse?

What makes physicians better able to hide their addiction?

Should they have their own treatment programs?

Why would they have higher recovery rates than the general population?

Supplemental Reading:

Soumya Karlamangla, Doctors and Drug Abuse: Why Addictions Can be So Difficult, http://www.latimes.com/local/california/la-me-doctors-addiction-20170720-story.html

Behavioral Addiction vs. Substance Addiction

When we think of addiction, we immediately think of alcohol, drugs and gambling.  Few of us think of sex, social media or spending as addictions. The DSM 5 (Diagnostic and Statistical Manual of Mental Disorders) does not recognize behavioral addictions, other than gambling. Behaviors such as sex, social media and spending are not included in the approved list of addictions. But should they be included? Listen in to this opiate recovery support group as they discuss the similarities and differences between behavioral addictions and substance addictions.

Discussion Guide:

Are you familiar with the terms behavioral addictions, or process addictions? What are they?

Name examples of behavioral addictions.

How are behavioral addictions different than substance addictions?

How are they similar?

Do these two types of addictions have similar or dissimilar outcomes?

Supplemental Reading:

Robert Weiss, Can You Really be Addicted to a Behavior? http://www.huffingtonpost.com/entry/can-you-really-be-addicted-to-a-behavior_us_59938c79e4b0a88ac1bc380e

Marc Lewis, Behavioral Addictions vs. Substance Addictions https://www.psychologytoday.com/blog/addicted-brains/201306/behavioral-addictions-vs-substance-addictions