Denial, Fear and Addiction Recovery

March 6, 2014

Denial, Fear and Addiction Recovery-Its Possible

to overcome addiction you must face it fear and denial are obstacles

The phenomenon of addiction recovery may not be properly understood without the clear acceptance of the two adjectives (denial and fear). Let’s then try to make known of these facts about addiction recovery.

Denial

Addictions don’t happen overnight. Instead, recreational drug or alcohol use, over time, can lead to an addiction. Many times the user may not even be aware that this line (addiction) has been crossed. As well, some users who think they might be addicted believe it is only when they are hurting. The first step of beating addiction is admitting that you are addicted.

Fear

Admitting that you have an addiction means facing it, and that can be very difficult. Many addicts will experience various fears including fear of judgment when others find out, fear of letting down their loved ones, fear of losing their job, and fear of change. No one said that beating addiction would be easy, but it will be worth it.

When addiction set in the family many times your family members often don’t knows what to do. Their lives have been turned upside down. Every waking moment becomes weighed down with serious concerns. You may have promised many times to end your addiction and get help. As they look back, the explanations for the hours lost, the money spent and the emotional trauma, are now clearer. These losses are the many sad faces of addiction. You’re not yet ready to stop you may only be capable of empty promises and guilt-ridden apologies. What can they do? What can you do?

When you seek professional help, you and your family are scared. You may be more frightened than ever before. Your secrets will be exposed. You may find yourself willing to do anything at this point to avoid getting help. Lying (best with a straight face and indignation) is typical. You may promise anything to take the pressure off. If that doesn’t work, you lash back: “What right do you have to tell me what to do? If you don’t stop questioning me, our relationship is over.” The fear and hostility may be palpable.

Family members will find no easy ways to guide you into care. You’re in a cycle of denial and fear, fueled by shame, resentment, and deep inner pain. You feel so alone that you become hardened to the emotional outbursts and rage of loved ones. Professional help is strongly recommended if you’re at this point.

Denial, Fear and Addiction Recovery-How an intervention works

An intervention is an objective, caring, nonjudgmental process. You’re confronted with the reality of your actions by those adversely affected. The objective is to motivate you to accept help. Although your family is definitely involved, a professional interventionist guides the process.

The purpose of any intervention method is to help you confront your denial of problems and your fear of change, and to help you get into care. The interventionist is trained to communicate supportively, helping you accept your need for help and educating you and your family about addiction. She provides a link to treatment, ensuring that the right treatment center is found and contacted and that background preparation for your entry is completed. You’re invited to a meeting but you may not be told much about the purpose of the meeting. At the meeting, which is carefully planned and structured, concerned persons express love and caring while describing, in behavioral terms, how you’re affecting them. They express their wishes and needs for you to enter treatment.

Concerned persons need to state concerns clearly, without lapsing into accusations and anger. One simple skill is to communicate with an “I” message versus a “you” message. For example, “I feel sad” versus “You make me feel sad.” Describing behavior versus voicing feelings, opinions, and judgments is a learned skill. It is based on making references to the actions that are clearly observable, like those that could be captured on video or audiotape, for example.

During the intervention, the realistic consequences of not entering treatment are described, matter-of-factly. The consequences may include separation or divorce, the refusal of adult children to attend family functions, job loss, and loss of friendships. Other people can’t control your decisions and behavior. They can only control their responses to your decisions and behavior.

The intervention process often exposes weaknesses in the family system. Families who have long suffered from a member’s addictive behavior may be angry and punitive. Or they may be numbed into temporary or chronic states of no longer caring about what happens to you. Conversely, they may fear reprisals for breaking your secrets and the codes of silence that have helped you maintain your addictive behavior. The denial of problems and disbelief in the potential for change often add up to turning a blind eye to your addictive behavior. The interventionist has to balance the goal (getting you into treatment) with the complex communications of family members who may have old and new issues to settle.

Most interventionists and experienced clinicians are specialists in helping you move past your denial and increasing your motivation for treatment. To achieve this goal, they use a motivational interview.

The motivational interview has become one of the more powerful interventions to help you. Such an interview is conducted by a trained professional and is designed to help you go beyond your guilt, fear, and anger to participate in healthy decision-making. The interventionist helps you consider your decisions practically, in terms of what you stand to gain by change and what you stand to lose by change — and what you gain and lose by not changing. The goal is to help you make an informed decision about treatment.

Denial, Fear and Addiction Recovery-Intervention principles

There are ten general principles that influence the decision to intervene and that guide the intervention process. They include:

Your behavior is causing significant damage in your life.

Denial is preventing you from fully appreciating the damage the addiction is doing to you and your life.

You’re unlikely to seek help on your own.

The people involved with you can change the environment by changing the enabling system — making it more likely that you will seek help.

The sense of genuine concern and understanding conveyed by the interventionist is one of the most important factors in influencing you to seek help.

Anger and punitive measures have no place in interventions, because they increase your defenses, making it less likely you’ll seek help.

The consequences for not going into treatment should not be designed to punish but rather to protect your health and well-being.

You require an initial period of intensive treatment such as a 28-day residential program or an intensive outpatient program to address your denial.

The intervention may be useful even if you aren’t likely to go to treatment.

The intervention isn’t a confrontation. Rather, it is a well-organized expression of genuine concern for you, given a chronic and serious addiction problem.

Denial, Fear and Addiction Recovery-Its Possible

How common is addiction in healthcare

March 5, 2014

How common is addiction in healthcare-Addressing Specialties risks

As many as 10% of those in healthcare are battling addiction, professionals battling with drug addiction is seem extreme .

Physicians treated for addiction have recently become the focus of high quality, evidence based outcome research published in peer-reviewed journals. The results of this research indicate that the treatment of physicians is profoundly effective when properly executed. As a policy there are three important areas of addiction among healthcare and other licensed professionals, including issues related to stigma, the effective response to the problem of addiction among professionals, and the interrelation and integration of medical, legal, and sociological issues regarding addiction in this particular population.

Several factors are involved in the etiological differences of addiction as it manifests in the special population of healthcare and other licensed professionals.

First, one group of professionals (healthcare providers) have greater access to addictive drugs in their workplace, which can accelerate and complicate the onset and progression of the disease.

Secondly, healthcare professional training creates a level of comfort and an associated false sense of immunity to the dangers of drug use. Having technical knowledge about the pharmacology of drugs does not protect susceptible individuals from becoming addicted to such drugs and, in fact, may actually predispose susceptibility.

Thirdly, all healthcare and other licensed professionals with addictive illness face tremendous prejudice based on stigma and fear which make them hesitant to admit a problem or seek assistance. Lastly and importantly, as with other safety-sensitive occupations, healthcare and other licensed professionals with untreated, potentially impairing conditions have the potential to place the public at risk.

Many individuals and agencies play a role in the care and coordination of the addicted healthcare and other licensed professionals. For the purposes of this article, we have focused on four critical entities:

The population of healthcare and other licensed professionals with the disease of addiction.
The specialty treatment programs where these persons receive clinical care.
The various Physicians / Professionals Health Programs (PHPs) which provide continuing care monitoring and earned advocacy.
State-specific license agencies and other comparable regulatory agencies.

These entities, as defined, have an interrelated and often symbiotic role in both the successful rehabilitation and recovery of the addicted professional, and the safety and welfare of the public.

How common is addiction in healthcare-The Addicted Professional

The disease of addiction produces characteristic behaviors. The characteristics and circumstances of the patient who is, himself or herself, a professional are unique. These issues be considered and managed during treatment and post-treatment recovery. These policies address physician patients who are part of a professional cohort; but include other licensed professionals including, but not limited to, nurses, physician assistants, pharmacists, psychologists, commercial pilots, attorneys, law enforcement officials, as well as any cohort who provides a public service that could impact the public health, safety, and welfare. Each of these groups is unique in the perception of their disease, their experience of addiction-induced shame, and the necessary coping skills to ensure successful long-term recovery.

Some of these professional groups share strong similarities; however, each specific group should be treated by providers knowledgeable, skilled and experienced in understanding the distinctive educational background, psychological characteristics, work environment, professional culture, social factors, and specific licensure and regulatory agency processes related to each particular cohort of addiction treatment recipients.

How common is addiction in healthcare-Addiction Treatment Programs for Healthcare (ATPs)

Addiction Treatment Programs for healthcare and other licensed professionals specialize in the diagnosis and treatment of addictive and/or mental illnesses in healthcare and other licensed professionals. These clinical programs possess expertise in dealing with issues specific to these populations of ill individuals; some ATPs have expertise in one or more subjects of professionals. ATPs provide a multidisciplinary spectrum of therapeutic services, addressing the biologic, psychosocial, family, and spiritual components of these disease states.

One important element in specialized Addiction Treatment Programs is the presence of a cohort of like-professionals. This peer relating during treatment decreases the isolation and enhances the interdependent learning necessary for effective treatment. ATPs for professionals have extensive experience with and knowledge of the stress and triggers in the work and home environment specific to the professional cohort being treated. This information is used to focus the treatment on cohort-specific issues, encourages reintegration into a healthy home and work environment, and ultimately promotes a sustained successful recovery. The most comprehensive programs manage multiple psychiatric diseases, complex medical conditions, psychological co-morbidity along with a broad spectrum of addictive disorders.

Many facilities that treat addicted professionals provide comprehensive evaluation services as well. Some evaluation programs are organized as separate entities from ATPs, while others are integrated with treatment facilities. Evaluation centers must exhibit a proven track record in understanding the complex multifunctional and insidious nature of addiction among healthcare and other licensed professionals. They should utilize a multidisciplinary team of individuals with specific expertise in distinct but interrelated specialties.
How common is addiction in healthcare-Professionals Health Programs (PHPs)

A Professionals Health Program has mutually symbiotic dual roles of enhancing public safety and facilitating the successful rehabilitation and practice re-entry of healthcare and other licensed professionals with potentially impairing medical conditions. Professionals Health Programs (PHPs) provide a confidential conduit for ill professionals to access a comprehensive evaluation and any necessary subsequent treatment.

When a professional with a potentially impairing illness becomes involved with a Professionals Health Program (PHP) and no harm to the public has been identified, he or she is ideally enrolled in an alternative pathway to professional discipline. PHPs provide the availability of a non-disciplinary alternative with rehabilitation and accountability being emphasized, facilitated, and carefully documented over time. The PHPs continuous, skilled and documented monitoring of the professionals recovery status and associated earned advocacy further promotes the public safety.

PHPs are exceptionally distinct in their ability to provide early identification, intervention, and referral for evaluation and/or treatment. They also conduct three types of post-treatment monitoring: behavioral, chemical, and work-site evaluations. Their success is largely attributable to this tri-partite model of recovery monitoring. The intervention, referral and post-treatment monitoring services offered by PHP’s are generally conceptualized as being distinct from the clinical services offered by ATPs.

PHPs educate the medical community about addiction among professionals, the risks of addiction in professionals and the recognition of the subtle signs and symptoms of addiction in the workplace. Such education and prevention services further enhance public safety by encouraging earlier detection and referral to treatment when appropriate.
How common is addiction in healthcare-Regulatory Agencies (RAs)

These are agencies of state government charged with credentialing and granting licenses to professionals and assuring to the public at large that the conduct of the professional meets professional and statutory standards. State statutes mandate the regulation of selected professions to ensure the delivery of quality healthcare or other services necessary to the public health, safety, and welfare. They investigate the practice of licensees and have authority to address those who violate the state’s professional practice acts or comparable legislation. Their primary mission is to protect the public.

Addiction rehabilitation requires an understanding of the inter-organizational complexities along with associated expertise in the interrelated management of addicted professionals to the benefit of the public we serve. This understanding of addiction rehabilitation among professionals facilitates the interaction by and between Addiction Treatment Programs, Regulatory Agencies, and the Professionals Health Programs.

How common is addiction in healthcare-Addressing Specialties risks

Addiction in health care professionals

March 4, 2014

Addiction in health care professionals-The untold story

One group of professionals (healthcare providers) have greater access to addictive drugs in their workplace, which can accelerate addiction

The abuse of prescription drugs-especially controlled substances-is a serious social and health problem in most states today. People addicted to prescription medication come from all walks of life. The last people we would suspect of drug addiction are health care professionals-those people trusted with our well-being in issuance of medically correct drugs. Unfortunately, health care workers are as likely and are vulnerable as anyone else to abuse drugs.

The vast majority of Drug Enforcement Agency (DEA) registered practitioners comply with the controlled substances law and regulations as stipulated in various laws in different states. However, drug impaired health professionals are one source of controlled substances diversion. Many have easy access to controlled substance medications. Some will divert and abuse these drugs for reasons such as relief from stress, self-medication, or to improve work performance and alertness.

Addiction in healthcare professionals-Responsibilities of DEA

DEA-registered health practitioners have a legal and ethical responsibility to help protect society from drug abuse. They have a professional responsibility to prescribe and dispense controlled substances appropriately and decisively to the consumers. They guard against abuse while ensuring that patients have medication available when they need it. They have a personal responsibility to protect their practice from becoming an easy target for drug diversion, in other words they ore all the patient the duty of care in all respect and discipline. They must become aware of the potential situations where drug diversion can occur and what to do to prevent it well before it happen. The safety of the patients must be their ultimate objective and at no given time must this change or be seen to be changing.

Addiction in healthcare professionals-Recognizing a drug impaired coworker

Drug abusers often exhibit similar unusual behavior. The following signs and symptoms may indicate a drug addiction problem in a health care professional:

Absences from work without notification and an excessive number of sick days used
Frequent disappearances from the work site-frequent or long trips to the bathroom or to the stockroom where drugs are kept
Excessive amounts of time spent near a drug supply
Volunteering for overtime and working when not scheduled to be there
Unreliability in keeping appointments and meeting deadlines
Work performance which alternates between periods of high and low productivity; mistakes made due to inattention, poor judgment and bad decisions
Confusion, memory loss, and difficulty concentrating or recalling details and instructions
Ordinary tasks require greater effort and consume more time
Strained or neglected interpersonal relations with colleagues, staff and patients
Rarely admits errors or accepts blame for errors or oversights
Heavy “wastage” of drugs
Sloppy record keeping, suspect ledger entries and drug shortages
Inappropriate prescriptions for large narcotic doses
Insistence on personal administration of injected narcotics to patients
Progressive deterioration in personal appearance and hygiene
Uncharacteristic deterioration of handwriting and charting
Wearing long sleeves when inappropriate
Personality changes-mood swings, anxiety, depression, lack of impulse control, suicidal thoughts or gestures
Patient and staff complaints about health care provider’s changing attitude/behavior
Increasing personal and professional isolation

Addiction in healthcare professionals-The decision to get involved

Health care professionals often avoid dealing with drug impairment in their colleagues. There is the fear that speaking out could anger the coworker, resulting in retribution, or could result in a colleague’s loss of professional practice. Many employers or coworkers end up being “enablers” of health care practitioners whose professional competence has been impaired by drug abuse.

Drug impaired coworkers are often protected from the consequences of their behavior. However if you ever identify any signs or symptoms in a coworker, it will be wise and important that you show great concern towards the fellow staff. Someone’s future could be jeopardized if you cover up and choose not to report your concerns. By becoming involved by way of reporting and showing concern you may be doing several positive things like:

Helping someone who may be doing something illegal
Protecting the safety and welfare of an addicted employee or coworker
Protecting patients or other people who could suffer at the hands of a drug addicted individual

Addiction in healthcare professionals-If drugs are being sold or stolen

If you suspect that a drug deal or syndicate is in progress, do not intervene on your own, this may be dangerous because you may not know how well organized the syndicate is. Contact the organization security or better still notify the police. If you are a DEA registrant and become aware of a theft or significant loss involving controlled substances, you must immediately report the theft or loss. You should go to the nearest DEA office as well as your local police department by doing this you will be helping a great deal on dealing with drug addiction within the healthcare professional sector.

What you can do to help

For some employees, a supervisor talking to them about their poor work performance is enough to help them change. Many drug abusers will seek help for their problem if they believe their job is at stake. This may be true even if they have ignored such pleas from other people important in their life. A referral to the Employee Assistance Program is often the supervisor’s course of action.

Drug addicts can recover, and effective help is available. Encourage your coworker or employee to seek drug treatment assistance. Treatment programs range from self-help to formal recovery programs. You may suggest they contact the Employee Assistance Program for help in determining the appropriate level of care. The EAP and the treatment programs will maintain the confidentiality of those seeking assistance to the greatest extent possible.

Addiction in health care professionals-The untold story

Food addiction

February 26, 2014

Food addiction-Fighting food addiction

food especially sugar is becoming the biggest luring substance to food addiction

There is one common addiction for all mankind, we are all in one way or the other addicted to food. Visualize how it feels like when you aren’t able to eat. You will probably start to crave for food, and become more physically and emotionally uncomfortable. The longer the cravings go on for, until eating becomes the most important thing for you to do. This is the constant experience of people struggling with food addiction, even if they have plenty to eat.

However food is essential to survival, and unlike other addictive behaviors, it is normal to eat repeatedly every day, and to look forward to eating for pleasure. But several characteristics separate normal or occasional binge eating from a food addiction.

The first point, food addiction is maladaptive, so although people overeat to feel better, it often ends up making them feel worse, and gives those more to feel back about. Food addiction can threaten health, causing obesity, malnutrition, and other problems.

The second point, the overeating that people with food addiction do is persistent, so a person addicted to food eats too much food and most of the time it’s the wrong kinds of food taken repeatedly. Everybody overeat from time to time, but people with food addiction often overeat daily, and they eat not because they are hungry, but as their main way of coping with stress.

The Controversy of Food Addiction

As behavioral addictions, the concept of food addiction is a controversial one. Opinions differs between those who think that overeating can be a type of addiction, and those who think that true addictions are limited to psychoactive substances which produces symptoms such as physical and withdrawal. Although this has been demonstrated in research with sugar and fat (the two most common obesity-causing constituents of food), and other studies show that food produces opiates in the body, many think that this does not necessarily constitute an addiction.

However, the growing epidemic of obesity over the past years has raised public health concern. In almost all US states, one in five adults are obese. Childhood obesity was ranked as the top health concern for children in 2008, higher than either drug abuse, rated second, or smoking rated third, both of which were ahead of obesity in 2007.

This concern, along with effective treatments for addictions, which are being successfully applied to more and more problematic behaviors, is contributing to a movement towards understanding over-eating, and the consequences of obesity and related health problems, in terms of addiction.

Food addiction is now included in the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), named as Binge Eating Disorder, and categorized with the Eating Disorders. Excessive eating is also a characteristic of another eating disorders outlined in the DSM, known as Bulimia Nervosa. Some controversy remains over whether eating disorders are actually addictions, but many experts believe that they are.

Food Addiction like Other Addictions

There are several similarities between food addiction and drug addiction, including effects on mood, external cues to eat or use drugs, expectancies, restraint, ambivalence, and attribution.

Neurotransmitters and the brain’s reward system have been implicated in food and other addictions. In animal studies, for example, dopamine has been found to play an important role in overall reward systems, and binging on sugar has been shown to influence dopamine activity.

Food, drugs and other addictive substances and behaviors are all associated with pleasure, hedonism, and social, cultural or sub-cultural desirability. When advertising or the people around us tell us that a food, drug or activity will feel good, it sets up a self-fulfilling prophecy. We are more likely to seek it out, and we are more likely to experience pleasure when we indulge.

Food addiction and Mental Health

Similarities between food addiction and other addictions suggest a universal process underlying food and other addictions. Some experts go further, theorizing that overlaps, similarities, and co-occurrences of mental health problems, including addictions, depression, obsessive-compulsive disorder and eating disorders, and the phenomenon of a new addiction or mental health problem developing when an old addiction is treated, indicate that they are expressions of related underlying pathologies. It has been argued that viewing these conditions separately hinders the development of a comprehensive view of addictions.

In the study involving 39 healthy women with different weights from lean to overweight or obese, the participants were asked to complete the Yale Food Addiction Scale, which tests for signs of food addiction. Women with full-fledged eating disorders of any type were not included in the study.

Then, using fMRI, researchers led by Yale’s Ashley Gearhardt and Kelly Brownell looked at the women’s brain activity in response to food. In one task, the women were asked to look at pictures of either a luscious chocolate shake or a bland, no-calorie solution. For another brain-scan task, women actually drank the shake made with four scoops of vanilla Häagen-Dazs ice cream, 2% milk and 2 tablespoons of Hershey’s chocolate syrup or the no-calorie control solution, which was designed to be as flavorless as possible (water couldn’t be used because it actually activates taste receptors).

The scientists found that when viewing images of ice cream, the women who had three or more symptoms of food addiction things like frequently worrying about overeating, eating to the point of feeling sick and difficulty functioning due to attempts to control overeating or overeating itself showed more brain activity in regions involved with pleasure and craving than women who had one or no such symptoms.

These areas included the amygdala, anterior cingulate cortex and medial orbitofrontal cortex — the same regions that light up in drug addicts who are shown images of drug paraphernalia or drugs.

Similar to people suffering from substance abuse, the food-addicted participants also showed reduced activity in brain regions involved with self-control (the lateral orbitofrontal cortex), when they actually ate the ice cream.

In other words, women with symptoms of food addiction had higher expectations that a chocolate shake would be yummy and pleasurable when they anticipated eating it, and they were less able to stop eating it once they started.

Interestingly, however, unlike drug addicts, the participants with more signs of food addiction did not show a decrease in activity in pleasure-related regions of the brain when they actually ate the ice cream. People with drug addictions tend to derive less and less pleasure from drug use over time — they want drugs more but enjoy them less, creating compulsive behavior. But it’s possible that this tolerance may be seen only in serious addictions, not in people with just a few symptoms.

Notably, the study also found that food addiction symptoms and brain responses to food were not associated with weight: there were some overweight women who showed no food addiction symptoms, and some normal-weight women who did.

That’s why addictions aren’t simple: they involve variations not only in levels of desire, but also in levels of ability to control that desire. And these factors may change in relation to social situations and stress.

Neither heroin nor Häagen-Dazs leads to addiction in the majority of users, and yet there are certain situations that may prompt binges in people who otherwise have high levels of self-control. So the answers to addiction may lie not in the substances themselves, but in the relationship people have with them and the settings in which they are consumed.

Food addiction-Fighting food addiction

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Intravenous Amino Acid Treatment for Addiction – Working with Dr. Akoury
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Outpatient Addiction Treatment – How NER Treatment Helps Patients

Healthy Mitochondria and addiction Recovery

February 25, 2014

Healthy Mitochondria and addiction Recovery-The understanding

mitochondrial abnormalities are associated with opiate addiction

Addiction is a disease in the body and the mind and successful therapy depends on treating both. Mind Body medicine is based on the unity of mind and body and focuses on promoting health and balance in the mind body, thereby providing highly effective therapy for addiction. If you detoxify, or withdraw, from alcohol or a drug, but do not address the conditions in the body that create fatigue, depression, and anxiety, then relapse is more likely and therapy has been incomplete. Similarly, if you withdraw from a substance and do not understand the psychological and spiritual issues that promoted the need for it, then relapse is likely and the “lessons of disease” have not been learned.

Healthy Mitochondria and addiction Recovery-The body

Integrative, or, functional medicine provides the tools to assess and treat the conditions in the body that contribute to fatigue, depression, and anxiety, thereby increasing the likelihood of chemical dependency. These include:

Nicotinamide adenine dinucleotide (NAD) deficiency
Metabolic cofactor deficiency
Pyroluria
Hypothyroidism
Adrenal fatigue
And more

These “terrain issues” in the body need to be properly treated in order to make detoxification easier and to prevent relapse.

Healthy Mitochondria and addiction Recovery-Nicotinamide adenine dinucleotide (NAD) deficiency

NAD stands for nicotinamide adenine dinucleotide, which is the chemical term for a molecule that reacts with oxygen in the mitochondria in every cell of your body in order to create energy so you can move, breathe, pump blood, digest food, think, and generally, live your life. Lack of this essential cellular fuel is now recognized as a key feature of chronic fatigue, apathy, depression, anxiety, alcohol and drug addiction, weak immune system (infections and cancer), muscle pain and weakness, headaches, memory disturbance, sleep problems, focus and concentration defects and other chronic diseases. NAD deficiency may be an unrecognized epidemic of cellular disease.

Since NAD is so fundamental to good health, how is it that we can become deficient in this powerful molecule? First of all, the vitamins, minerals, complex carbohydrates, proteins and fats come from our diet and provide the building blocks to citric acid cycle energy production. If any one of the nutritional factors is low, energy production is weakened. Since oxygen is just as important as hydrogen in cellular energetics, lack of exercise and shallow breathing due to stress are common factors that can reduce the amount of oxygen at the cell level. And finally the enzymes that catalyze the citric acid cycle are often inhibited or destroyed by chemical or physical toxins that create oxidative, or free radical, damage. Free radical damage comes from cigarette smoke, drugs, radio waves from cell phones and wi-fi, and the myriad chemicals found in all humans at this time on earth, including phalates, parabens, pesticides, styrene, benzene, toluene, and thousands more. For example, medical scientists now widely believe that Alzheimer’s dementia and Parkinson’s disease share the common feature of nerve cell degeneration due to impairment of the ATP producing enzymes with the citric acid cycle and mitochondria.

Genetic NAD deficiency may be present at birth and appear in children as poor sleeping, behavioral problems, hyperactivity, impaired concentration, academic stress and underachievement. Some people have been tired and depressed for as long as they can remember. For these people there is a greater tendency to try drugs and alcohol in order to improve energy and mood, and simply feel better, but the risk for addiction is high.

Healthy Mitochondria and addiction Recovery-Genetics and addiction

A word of caution is necessary as we discuss genetics and addiction, or, any other disease. Inherited variations in genes do not invariably lead to disease. Lifestyle and mind style factors often override, so to speak, a genetic tendency. Basically the DNA is the hardware in the computer and the epigenome is the software, which is influenced by our lifestyle and the choices we make in our lives. The epigenome responds to our thoughts, emotions, beliefs and overall stress levels, as well as our diet, exercise levels and other features of our daily lives. Basically, the genes put the bullet in the gun, but it is our lifestyle and mind style that pulls the trigger.

NAD deficiency:

There may be a genetic polymorphism that reduces a gene coding for a mitochondrial protein which regulates NAD production. Since mitochondrial DNA is all received from the mother through the egg (no mitochondria are found in sperm) we can look to the maternal side for clues to energy production in the family history.

Dopamine D2 receptor impairment:

Since the primary neurotransmitter of the reward pathway is dopamine, genes for dopamine synthesis, degradation, receptors, and transporters are areas of research. Also, serotonin, norepinephrine, GABA, opioid, and cannabinoid neurons all modify dopamine metabolism and dopamine neurons. Therefore, defects in various combinations of the genes for these neurotransmitters may result in a Reward Deficiency Syndrome (RDS).

The brain

The brain is composed of billions of nerve cells, called neurons. Brain activity is the interaction of neurons as they communicate with one another. Neurons do not actually touch one another; instead, they are separated by a small gap called a synapse. Activity within a neuron is electrical; however electrical activity cannot cross the synapse. When one neuron wants to signal another, it releases a number of neurotransmitter chemical molecules into the synapse. For each type of neurotransmitter, the receiving neuron has specific receptor sites on the surface. As neurotransmitter molecules bind to a receptor site, the process causes electrical activity in the receptor neuron. The receiving neuron then releases the neurotransmitter molecules so that the sending neuron can absorb them from the synapse in a process called re-uptake, stopping the communication.

Feeling the pleasure

The presence of dopamine, a neurotransmitter, in the synapses of the reward center of the brain is directly related to every feeling of pleasure we experience, from eating good food to falling in love. Other neurotransmitters mediate other emotions and attitudes.

Avenues of addiction

As people continue to use addictive substances, receptor function decreases, which requires the increased use of substances for pleasure or just a sense of well-being. In the absence of external substances, the body experiences a neurotransmission deficit. Some people begin by taking drugs to feel high while others begin by innocently increasing their prescription use to achieve the original effect. There are as many reasons to become addicted as there are people who become addicted. In most cases, NO ONE begins by believing they will become a slave to an external power which completely consumes and controls their life.

Understanding withdrawal

When a chemically dependent person is denied access to a substance to which s/he is addicted, the addicted brain goes into a frenzy that manifests itself in the physical symptoms of withdrawal. The symptoms may be life threatening and may induce agitation, hallucinations, intestinal upsets, severe muscular aches, etc. After withdrawal, the body may be completely free of the addicting substance, yet neurotransmitters of the brain are still not in balance. This may lead to physical feelings of craving, an almost overwhelming desire to use the substance again.

Treatment process

The first step is a comprehensive functional medical evaluation which reviews all systems in the body, including digestion, nutrient absorption, hormone balance, immunity and the like. After that dietary recommendations are provided, along with nutritional supplements. Then the 10 day intravenous program is started. The IV infusion varies from day to day and is individualized for each patient. Each day of the treatment, a nurse inserts an IV line. The patient relaxes in a lounge chair while the intravenous formulation is slowly infused through the vein. The uncomfortable feelings of withdrawal and cravings subside and remain at bay surprisingly quickly. Between the fourth and eighth day patients typically report feelings of amazing mental clarity. Infusions are tolerated well and any mild side effects disappear at the cessation of infusion. The severe physical symptoms of withdrawal vanish; however, the full protocol is required to complete the treatment and minimize or eliminate physical cravings. Note that following treatment the psychological aspects of addiction still need to be addressed. During the day the patient may watch television, read, eat, and even doze. At the end of the day, the IV is disconnected and the patient leaves the outpatient clinic.

Healthy Mitochondria and addiction Recovery-Life after treatment

After treatment the patient is no longer physically addicted and may certainly resume a normal life; however, an addicted person will typically not have been leading a normal life for some time. In order to rejoin the world successfully, a variety of aftercare coping strategies can be helpful. The patient upon receiving treatment needs to continue engaging with the different support groups and commit to:

Individual psychotherapy
Group psychotherapy
Family psychotherapy
Exercise programs
Affinity and other social groups
Residential and/or Intensive Outpatient Programs

Healthy Mitochondria and addiction Recovery-The understanding

Tag Archives: Addiction