Category Archives: Alcohol recovery

addiction

2016 American Presidential Hopefuls Are All Talking About Addiction.

Years ago, politicians would not dare discussing addiction; Admitting that politicians relatives suffered from addiction would have been frowned upon.  Now in 2016 everybody from Donald Trump to Jeb Bush is addressing Addiction with personal tales of drug-addicted family members. 

Addiction in AmericaThe attention addiction has received has suddenly risen to the top of the list with almost all of the presidential candidates recalling and sharing their experiences. This is not about parties now because every candidate in both parties has had to speak about addiction one way or the other. What Americans are saying, however is, why is this happening now? Years ago, politicians would not even spend a minute talking about addiction let alone having them talk about how it has affected their relatives. It would have been frowned upon. All of a sudden in 2016, the song is now about it.

It first started with Jeb Bush who spoke about how his daughter recovered from addiction. Her name is Carly Fiorina and he recalled having to beg a judge not to send her daughter back to jail. Then Carly Fiorina had to recount her own struggles with families that had gone through addiction. Then it was New Jersey Governor Chris Christie who also spoke about how a close friend had an overdose of drugs and died. All these stories, as they come out, tend to strike chords that are powerful on drug abuse which had caused policy reviews and influx of proposals on how to combat the subtle but deadly epidemic.

Now that addiction has received the attention of the lawmakers and the powerful, what is going to be done about it? Stories will be fine but that’s not going to change anything. As a matter of fact, there will be more stories to tell if nothing concrete is done. Patrick Kennedy, a former US representative blurted out to the politicians “you are running to be storyteller-in-chief”. That is to say, it’s not about the stories, it’s about how we change the way addiction is treated in the health care system.

Governor Christie was firm enough to let everyone realize that addiction is a disease and should be seen as such. It is an epidemic and it is spreading. Advocates are of the opinion that more money needs to be put into combating addiction and this should also include monies for treatment and research on what best can be done to reduce the rate at which people get exposed to addiction.

The Democrats don’t really seem to have plans or maybe their plans are too weak. Last year December, in a debate in Manchester, New Hampshire, Senator Sanders iterated that addiction should be treated as a disease and not a criminal activity. But despite the outcry, he was not able to tell how he is going to combat the disease of addiction. So, talk is cheap.

Presidential candidate Hilary Clinton is the only one who seem to have a plan that comes with a price. She was at New Hampshire Union Leader in September and proposed a $10 billion plan to combat addiction. Even though she is the only one who seems to have a plan, some advocates don’t seem to take her 5-point agenda as very serious. Governor Christie is known for her infrequent visits to New Hampshire recovery centers when she was campaigning. One of her manifestos if she becomes president is that she will create drug courts in all 93 federal court districts. These courts will grant treatment instead of imprisonment to non-violent offenders. She said something that made a lot of sense. She said the money that would be saved by keeping more people out of prison can be diverted into researching into better addiction treatment plans. Her statement was however not without criticism as some of her critics say Christie has not been effective so far in treating addiction since she was a governor. Reports said since she took over office in 2010, there has been less investment in treatments in the state of New Jersey. Further, the reports said about three-quarters of drug addiction who needed help never got treatment in 2013 because the treatment centers were either full or shut down.

All these tends to point to one thing, these politicians don’t really know exactly what is to be done to really combat addiction. Yes, they now agree that it’s a problem that needs to be tackled but how they are going to tackle it is the issue. As for any result to come out of this, I believe they will have to work together. The past is past; the future has to be faced. It is not time to be witch-hunting one another. If a candidate has a good idea, let’s use it rather than tarnish their image like some are doing to Christie. Whether its Hilary’s plan, lets follow it and if it’s Christie’s, as long as it yields the required results. The most important thing is, addiction has destroyed too many lives in the US, and it’s time to put a stop to it.

 

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Hospital Outpatient Entrance Sign

Counselor training using CBT approach

Counselor training using cognitive behavioral treatment approach: Solutions for cocaine addiction

Counselor training

Counselor training using cognitive behavioral treatment approach: Solutions for cocaine addiction

The addiction vice is wreaking havoc in our societies and no one is off the hook of addiction. Families are being broken, children are becoming rebellious to everyone and instances of stealing and vandalism are on the rise and the root cause of all this is substance abuse. The low enforcement agencies are complaining of the stretched accommodation in our recreational facilities thanks to the growing number of petty offenders under the influence of drugs and misuse of alcohol. With that overview, it is evident that we are living in a morally decaying society and unless corrective measures are taken immediately we are most likely sinking into destruction in the near future. To help in containing this vice, experts from AWAREmed Health and Wellness Resource Center under the able leadership of doctor Dalal Akoury are giving their contribution by offering counselor training using cognitive behavioral treatment approach to all health workers so that we are having well equipped personnel to handle the magnitude of the problem.

Investing in substance abuse counselor training using cognitive behavioral approach among other training modes is the way to go and the good news is that if you want to make a difference then you are at the right place because all these are available at this facility (AWAREmed Health and Wellness Resource Center) to help you give your contribution in the fight of the scourge of addiction. It is also important for the qualified experts to appreciate that the integrating cognitive behavioral treatment (CBT) and medication are very essential primarily because they are highly compatible with pharmacotherapy. Doctor Akoury reiterates that when applied alongside the medication, the range of CBT interventions expands to include a focus on enhancing medication compliance. Generally, medication response and compliance are monitored during the early part of each session and that is to say that the first third of each hour of the training session. Now even as we progress into the discussion, for a better understanding of these facts, the following strategies can be very useful:

Counselor training using cognitive behavioral treatment approach: Find out about the patients’ history with medication

History in all dimensions offers an opportunity for the physicians to make very appropriate medical opinion in addressing the present situation. Therefore means that when attending to a patient, it is important to make enquiries about this patient past with medication so that commencement of treatment can take place from a very informed position. The following are some of the questions that a physician or the therapist can ask:

  • Did they take the medication as prescribed faithfully to the last dose?
  • Therapists can also ask the patients about their prior history with pharmacotherapy for any psychiatric disorder or condition.
  • Under what conditions was it terminated?
  • Was it helpful?
  • Why was it prescribed?

Depending on the responses accruing from such interrogation, the therapist will be able to professionally point out areas of noncompliance and this will be very helpful in establishing the patients’ view as to why they did not comply previously and also to attempt to address those issues proactively.

Counselor training using cognitive behavioral treatment approach: Listen and address patients’ concerns about medication

Listening is very paramount in the treatment process. It is therefore important that therapist take time to listen to their clients carefully for any concerns, including any misunderstandings, or prejudices about taking medication and find ways of addressing them timely and assertively. These may include misconceptions about expected medication effects, time needed to experience the effect, side effects, dosing, and interactions with cocaine and other substances. It is important that therapists provide clarification in clear, familiar terms and frequently check back with patients to be sure that they have understood. Without counselor training, achieving this may not be practical because of the strong sense of denial that always comes with addiction. That is why counselor training is very important as it gives them the techniques and expertise of unlocking the stalemates that are always characterized with substance abuse.

Besides that, sometimes the effects of medication may not come immediately apparent, it is important to inform patients that it may take several weeks before therapeutic effects emerge; thus, patients should be encouraged to expect gradual rather than all-or-nothing change. Explaining the gradual emergence of medication effects provides an opportunity for the therapist to emphasize that patients should not expect to benefit from an entirely passive stance regarding CBT treatment simply because they are taking medication. Mastery and implementation of coping skills remain an essential and important part of treatment; medication may be an additional, useful adjunct or tool.

Assess medication compliance since last session

Close, consistent, and careful monitoring is one of the most effective strategies for enhancing compliance with medications. Thus, a portion of each session should be devoted to evaluating medication compliance and working through any difficulties that might arise. In general, until the patients’ compliance pattern is clearly established, therapists should, in every meeting, inquire about medication compliance, day by day, since the last session. This should include asking when patients take the medication, how they take the medication, and a thorough discussion of any deviation from the prescribed dose and schedule.

In her many years of service in this discipline, doctor Akoury has noted that compliance and retention are most difficult to achieve early and late in treatment – early if the patient is not receiving obvious benefit, and later if the patient, after obtaining a partial or full therapeutic response, does not appreciate the need to continue treatment. Thus, therapists should be particularly attentive to compliance and motivation issues during early and late sessions.

Counselor training using cognitive behavioral treatment approach: Appreciate medication compliance

Therapists should also convey confidence in the medication and inform patients of the likely benefits. Therapists should be strong on the side of compliance and praise patients’ compliance enthusiastically and genuinely. Like for instance you could appreciate your patient by saying that “I have seen you take your medication diligently since our last meeting and that’s really great. I know you may have had some doubts about whether the medication would work for you, and I’m glad you were willing to give it a try. And by the way have you noticed any positive changes you think might be related to the medication?” For a better assessment, doctor Akoury suggest that the patient improvement should be related to compliance and lack of improvement and luck of it to noncompliance.

Counselor training using cognitive behavioral treatment approach: Solutions for cocaine addiction

http://regenerativepotential.com/integrativeaddictionconference/

 

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female sex addiction2

Simultaneous treatment of sex and drug addiction

Simultaneous treatment of sexual addiction and drug abuse: Multiple addictions solutions

Simultaneous treatment

Simultaneous treatment of sexual addiction and drug abuse is very fundamental if recovery is to be meaningful and sustainable.

The trend with which addiction is changing is one that needs all the stake holders to join hand together and fight the problem from one common front. For a very long time all we have known is the monolistic addiction where one could be seen to be struggling with only one kind of substance say being an alcoholic. Things are now changing and multiple addictions are becoming the order of the day. This has necessitated experts including those from AWAREmed Health and Wellness Resource Center under the leadership of doctor Dalal Akoury to think outside the box on the best treatment approach. In most cases multiple kind of addiction will involve substance abuse and sexual addiction. Therefore experts are now applying the simultaneous treatment where a number of addiction are treated all at the same time a patient enroll in addiction medical facility for treatment.

Looking at addiction critically, we have actually been brought up in the full knowledge that drugs whether illicit or prescription drugs are actually all candidates for abuse and because of this upbringing many people wallowing in that school of thought. The question that follows next is that really the true position of the understanding of what addiction is all about? Let’s get some expert opinion from AWAREmed Health and Wellness Resource Center. From the discussion with the experts from this facility, it is very obvious that there are different kinds of addictions. That is to say that one could be addicted to drugs and alcohol, or to certain behaviors (e.g. sex) or even both. And just for clarity it is important to note that behavioral addiction may be so many and that may include addiction to sexual activities, gaming from the computer devices, gambling and many others. We are therefore at risk of either becoming victims of either of them or even both and that is when simultaneous treatment becomes relevant. Simultaneous treatment is very important in the sense that while on the surface, different addictions seem to be associated with their own unique set of behaviors they are often fueled by the same underlying feelings of guilt, shame, avoidance and trauma. Addictions interact within the individual making it difficult to tease them apart.

Simultaneous treatment of sexual addiction and drug abuse: The trends of problematic substances

When examining the trends of problematic substance use in individuals seeking help for a sexual addiction, it becomes clear that the two are indistinctly linked together. The available statistics also indicate that majority of people who are struggling with sexual addiction also meet the criteria for alcohol or drug addiction. Studies have also established that many individuals who are struggling with sexual addiction problems have actually admitted to using substances mostly to help them in dealing with, or escaping from, the pain that is caused by their sexual behavior. Besides that it is also very common that many people are currently using substances to get over their inhibitions in order to engage in sexual behaviors that might be uncharacteristic for them if they were not drunk or high. This further explains the significance of multi addiction and the need for simultaneous treatment.

We must therefore seek for information by way of investigating how multiple addictions can feed into one another. This is very important because it is possible that individuals may use one of their addictions to mask or dismiss the other addiction and this could be influenced by various reasons including fear and shames especially those elements that are considered shameful addiction. Like for instance, an individual may deny having a problem with sexual addiction and insist completely that their problematic sexual behavior is only caused by intoxication. However, the truth of the matter in this case may be that the drugs or alcohol are merely concealing the pain and shameful acts that are associated with the sexual addiction thereby helping the person to be spared from the emotional consequences of his or her actions. By the same token, both addictions may work on intensifying one another in such a way that the person only engages in their sexual addiction under the influence of alcohol or drugs. These rituals then serve to protect the addiction and ensure that patterns of use are stable and predictable and this can be very dangerous if not dealt with expeditiously.

A major concern with treatment of substance use disorder alone is that any untreated sexual addiction often precipitates a relapse of substance use. Dealing with one addiction while ignoring the other may end up intensifying the problem that has not been addressed. A good example would be when a person in early recovery from a substance addiction turns to sexual performance enhancers in order to continue the ritualized sexual behavior that was previously enhanced by the substance use. This sexual behavior can continue to be problematic for the individual. The individual may continue to feel a sense of shame and pain. Therefore recovery is about addressing the entire addictive process, not just those associated with a particular substance or behavior. The addictive process, whether it be related to sexual behavior or substances is often characterized by a pattern of secrecy, cognitive distortions and rituals. Therefore recovery from addiction regardless of type, would involve embracing and attempting to live a life of honesty, authenticity and emotional growth.

Fortunately, many underlying similarities between multiple addictions mean that the underlying framework for concurrent treatment is quite effective. According to a recent study conducted at Bellwood Health Services confirms that individuals with a comorbid sexual addiction and substance use disorder attending the same treatment centre as those with only sexual addiction, have comparable treatment outcomes at six months follow-up. Both groups demonstrated substantial improvement not only on measures of substance use and sexual impulse control but also on self-reported measures of well-being and quality of life.

Simultaneous treatment of sexual addiction and drug abuse: Replacing the maladaptive coping strategies

Finally, looking at some of the past psychological trauma, sexual abuse, abandonment and neglect, doctor Akoury reiterates that these are some of the very important issues that need to be addressed in treatment. Therefore any recovering addict must commit to learning on how to identify the signs of being actively involved in the addictive process and work hard primarily at replacing all the maladaptive coping strategies with positive and affirming ones. Moreover the individual addict needs to be empowered and be given the necessary tools to be able to function effectively in their environment and successfully meet all life’s challenges without turning to substance use or problematic sexual behavior. We know that this can be very difficult to some of you and if you’re that person, then you need not to give up because there is help on the way upon calling doctor Dalal Akoury today to schedule for a one on one meeting with her and your life will never be the same again thereafter.

Simultaneous treatment of sexual addiction and drug abuse: Multiple addictions solutions

http://regenerativepotential.com/integrativeaddictionconference/

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Addiction

Treating Substance Use Disorder (SUDs)

Hormonal Intervention and restoration Evidence-based Endocrine restoration is a part of addiction treatment interventions and should be initiated for all patients referred to specialty care treatment of SUDs. 

Treating SUDsAddictions need to be tackled appropriately or the chances of recovery of the affected individual may be further thinned. There have been many researches into the best treatments for people who are suffering from Substance Use Disorders (SUDs). Many of these treatments are still in the testing and evaluation stages while some are considered okay. Since there is no one-size-fits all treatment, it is appropriate to understand the needs and peculiarities of each patient before administering any kind of SUDs treatment.

The Hormonal Intervention and Restoration Technique is one of the Evidence Based Treatments which involves endocrine restoration for the affected individual. It is believed that the hormones have a lot to do with addiction. It was discovered that individuals suffering from SUDs usually have a significant amount of Vitamin and mineral deficiencies. This has caused professionals to research deeply into this area, looking for alterations in neuro-circuitry and nutrition-based hormones such as leptin, insulin and ghrelin, in people dealing with SUDs to see if there are alterations in eating behavior while using drugs, when they are recovering and when they are trying out long-term abstinence.

Virmani et al iterated that drug abuse appears to be a major factor causing risk to the metabolic syndrome which may also cause cardiovascular diseases. Considering that gain in weight as SUD individuals begin abstinence from drugs is one major source of personal suffering, it is therefore important to get a more detailed understanding of how drug addiction affects dietary intake.

Leptin

This is one of the nutrition based hormones secreted in the body by the adipose tissue. Its major role is to increase those rates of metabolism. In humans, plasma leptin has been positively associated with fat. It is anorexigenic because it is responsible for initiating response to starvation. De Arujo et al showed that a hungry individual with moderate leptin levels will attribute a higher reward value to intake of food as against someone who is satisfied (as seen in people when high dopamine release occurs). This may explain why people who are addicted hardly feel hungry after they must been exposed to the substance they are addicted to. There is high dopamine release and there is a feeling of satisfaction which makes them feel full rather than hungry even when they have not eaten. High levels of leptin has however been found to have no significant effect on metabolism and feeding in an individual. In alcoholics, increased leptin concentrations have been found to decrease the urge for alcohol and cause withdrawal in females.

Ghrelin

Ghrelin and leptin play vital roles in neuroendocrine regulation of energy homeostasis as well as food intake. Ghrelin works differently from leptin. Its job is to stimulate appetite in people by activating orexigenic neurons within the hypothalamus. Its receptors have been majorly identified in VTA, amygdala and hippocampus. Since Ghrelin is stomach-derived, its levels usually decrease after eating, thereby creating a satisfaction feeling. The sight of food has been found to elevate ghrelin levels in the body of humans that are non-obese. In obese volunteers, at the sight of food, ghrelin levels are lowered. Alcohol dependent patients have been found with increased ghrelin levels whenever they are intoxicated and in early stages of abstinence. The levels increase during the first week of withdrawal from alcohol.

Insulin

Although insulin is much more widely studied than ghrelin and leptin, its Central Nervous System effects cannot be understood fully. It is known to have a lot to do with regulating blood glucose and just like leptin; it has an adiposity signal and is known to attenuate food reward. Insulin secretions are repressed by the leptin gene therapy. This method can be used to deal with diabetes. In subjects where leptin and insulin levels are low, craving for food intake is increased. Insulin and dopamine work hand in hand to make sure both the urge to be involved in consumptive behavior and the calibration of the appropriate reward is in place. Alcoholics that are practicing abstinence have been found to exhibit blunted responses in their blood glucose when they were exposed to 2-deoxy-D-glucose by intravenous means. The blunted responses were exhibited to both glucagon and insulin. The link between alcohol misuse and sugar misuse and the blunted responses show that there is negative impact of substance use on the endocrine system.  This underscores the need for intervention in the diet of SUDs and helping them to abstain till they recover.

A proper study of these hormones can be harnessed in treating patients with substance use disorders. At every given point during exposure to the addictive substance and while the individuals are trying to abstain, there are spikes in levels of ghrelin, insulin and leptin. These can be tweaked and used effectively in treating patients.

 

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ted-cruz

Addiction In The Family Of Senator Ted Cruz

Addiction In Senator Cruz Family: Ted Cruz Shares Story Of His Sister’s Addiction

Ted CruzThe Republican presidential nominee candidate  Ted Cruz was thought to be a bright boy even during his early childhood, so it doesn’t come as strange that he grew up to become a person his family could be proud of. Cruz has great intellect and a decisive personality, which led him to one success after another – Harvard Law, the Senate of the United States and now a presidential candidate. Unfortunately, life is not always pink, which is something Ted Cruz learned the hard way in 2011 when his half-sister Miriam passed away from a drug overdose.

The senator shared this sad story at the forum on heroin epidemic an addiction held in New Hampshire this February. Miriam, the daughter from the first marriage of the senator’s father, Rafael Cruz, was nine years older than him.

‘We used to spend summers together when we were kids. Even though she was older than me, we often played together. She let me pull on her hair and I would to that nonstop. She was a very charming and beautiful woman’, said Cruz.

However, Miriam didn’t handle their fat their parents are divorced easily.

‘I remember her always being angry at everyone. She was mad at my dad for divorcing her mom and often turned her rage to everyone. She was mad at the world, at God’.

This caused Miriam to go through some rather turbulent teenage years. As Cruz stated, she partied and she partied hard. It wasn’t even uncommon to steal his allowance in order to buy alcohol and drugs. It got worse when she married a man who had violence issues and was constantly in and out of jail. Not even having a son, who was named Joseph, was motivating enough for her to battle the addiction.

‘She became a single mom a couple of years after Joey was born. Unfortunately, she got into a car accident, after which she got addicted to painkillers. Not long has passed until she moved on to even worse drugs’, the Senator continued his story.

A ‘helping hand’ on her path to hard addiction was Michael Gunning, Miriam’s boyfriend at the time. They met in a rehab center in Philadelphia. The moment they got out, they started using various drugs. In order to get the money to buy them, Miriam started shoplifting, which got her behind bars more than a couple of times.  These are just some of the troubles addiction can get people into. They will be widely covered at Awaremed Network’s Integrative Addiction Conference for which you can register HERE.

In the meantime, everything was going well for Ted Cruz. In 1997, he managed to join a respectable law firm in Washington D.C. and was on his way to success. However, he always found time to keep tabs on his sister and her son. This is why he and his father decided to drive to Philadelphia one day to try to make an intervention, leaving all their valuable stuff back at Washington in order to avoid any potential bad stuff happening at the shady motel Miriam was living in.

Unfortunately, the talk didn’t help too much, so the senator knew what he had to do. He decided to max out his credit hard to help his nephew and soon Joey was sent to a military boarding school. Cruz believed this will help Joey get some order in his life and set him on the right path.

In the senator’s book ‘A time for truth’, it was mentioned that Miriam was aware she was not in a great situation to support her son and was thankful that Ted is getting him through school. Although he left the school only after a year, Joey and his mom reconciled their differences and started living together again. Miriam showed some real signs of wanting to progress and battle with addiction prior to this happening. She even decided to go into a rehab center. Everything had seemed back on its course, it was Joey that found Miriam dead one day in January 2011.

‘We just got a call one day, telling us that Miriam is gone’, remembers Mr. Cruz.

The Republican president candidate is very aware of this problem, which is exactly why he chose to share his experience in New Hampshire, place famous for its drug problems. There’s another addiction story in Mr. Cruz’s family, this one with a different outcome than Miriam.

Rafael Cruz was an abusive drinker and this was the reason behind him leaving Miriam’s mother, as well as leaving Ted and his mom for some time. Religion is what helped Rafael turn his life around and make this a happy story.

“My father hasn’t had a drink for 40 years now. There are addiction stories with happy endings”, stated Cruz.

The senator is right. In order for people to fight the problems with any kind of addiction, they will need a strong will and motivation, as well as great help from family and friends. Awaremed Network is organizing Integrative Addiction Conference. You can find more details and sign up for the conference here.

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