Tag Archives: Substance abuse

Sex Addiction Stress, and Stress

Stress, Sex And Addiction: Roles Of Corticotrophin Releasing Factor, Oxytocin And Arginine- Vasopressin In Sex Addiction Stress.

Sex Addiction

Sex Addiction Stress

Stress sensitivity and sex are predictive factors for the development of neuropsychiatric conditions. it has been thought stresses are the sole cause for addiction but this isn’t true since triggers can also cause relapse to drug use. Sex Addiction Stress and stress involve similar pathways.

The development and clinical course of addiction-related disorders do appear to involve neuroadaptations within neurocircuitries that modulate stress responses and are influenced by several neuropeptides. These include corticotropin-releasing factor, the prototypic member of this class, as well as oxytocin and arginine-vasopressin that play important roles in affiliative behaviors. Interestingly, these peptides function to balance emotional behavior, with sexual dimorphism in the oxytocin/arginine-vasopressin systems, a fact that might play an important role in the differential responses of women and men to stressful stimuli and the specific sex-based prevalence of certain addictive disorders.

Stress and Sex Addiction Stress

Stress generally is defined as any stimulus that challenges physiological homeostasis—that is, which alters the balance or equilibrium of the normal physiological state of the organism.

Individuals exposed to chronic stress exhibit a higher propensity to become addicts. Stress-induced relapse is also higher in addicts. In general, there is a higher prevalence of addiction in patients diagnosed with anxiety disorders and depression. Additionally, childhood trauma is associated with increased vulnerability to addiction. Exposure to high peer deviance in childhood and adolescence is among the strongest known risk factors for drug use and drug abuse. Interestingly, a very recent study has found that individuals with increased risks of drug addiction because of parental divorce or genetic liability are more sensitive to the pathogenic effects of peer deviance.

Stress and addiction are interconnected in several ways. For example, stressful life events may predispose individuals to engage in addictive behavior or relapse.

Sex Addiction Stress

Epidemiological studies have observed significant sex- specific differences among patients suffering from addiction and other neuropsychiatric disorders. The onset, severity, clinical course, and treatment response of anxiety disorders also differ significantly in women compared to men. Importantly, the sex bias in neuropsychiatric disorders, including post- traumatic stress disorder (PTSD), remains even after adjusting for the type of trauma, pre-existing psychiatric disorders, and sex differences in reporting. Several studies have found increased prevalence of depression in women. Similar sex differences exist for addictive disorders. For example, more adult males abuse addictive drugs than females across most drug classes, including alcohol, psychostimulants, and narcotics. However, women develop addiction more quickly. There are also critical differences in the way that illicit substances affect the two sexes.

Men and women also show different propensities to relapse, and are differentially affected by triggers for relapse to drug taking, putting women at greater risk for repeated relapses despite the higher prevalence of drug abuse in men. Interestingly, once the addiction cycle resumes, women show longer periods of drug use before their next quit attempt.

The sex differences may also be a result of hormonal and neural differences between men and women in relationship to their response to the addictive behavior.

Corticotropin-releasing factor and  Sex addiction Stress.

CRF is a 41-amino acid-containing neuropeptide. CRF orchestrates the stress response by acting at the level of the pituitary to initiate the HPA axis response to stress, as well as centrally to modulate limbic and brain monoamine systems that are important in autonomic and behavioral components of the stress response. CRF causes its effects by stimulation of corticotropin-releasing factor 1 receptor (CRF1R) and CRF2R, and displays an 18-fold greater affinity for CRF1R than CRF2R.

Physiological responses to stress involve the release of CRF from the paraventricular nucleus (PVN) of the hypothalamus, followed by stimulation of ACTH release from the anterior pituitary. ACTH, in turn, stimulates the secretion of cortisol/corticosterone from the adrenal glands. In addition, CRF has an extensive extrahypothalamic influence across the corticostriatal-limbic regions, and plays a critical role in modulating subjective and behavioral stress responses. Central catecholamines, particularly noradrenaline and dopamine, are involved in modulating brain motivational pathways that are important in regulating distress, exerting cognitive and behavioral control, and tempering behavioral and cognitive responses critical for adaptation and homeostasis. The hypothalamic and extrahypothalamic CRF pathways and central catecholamines target brain motivational path- ways to critically affect adaptive and homeostatic processes. CRF dysregulation has been linked to the pathophysiology of mood and anxiety disorders. During stress, release of limbic CRF can modulate monoamine systems that have been implicated in mood and cognition. Although activation of both the HPA axis and central monoaminergic systems by CRF during acute stress is adaptive, the inappropriate or persistent activation of these systems can have adverse consequences leading to psychopathology.

Oxytocin and arginine-vasopressin in Sex addiction Stress

Sex addiction and stress

Sex addiction Stress and stress

Cells originating in the PVN have specific pathways that efficiently deliver OXY to other structures in the brain including the amygdala, BNST, septum, hippocampus, and NAc. OXY released by peripheral organs or by the posterior pituitary does not readily cross the blood–brain barrier, with only 1–2% crossing. In disparity, the local expression of OXY receptors is highly variable and explains differences in social attachment within and between species. OXY exerts anxiolytic and anti- depressive effects in various models.

OXY, in collaboration with hormone dopamine, is vital for pairing and bonding in prairie voles. When OXY is infused into the VTA, it increases dopaminergic activity in the NAc, and stimulation of oxytocinergic projections within the VTA increases extracellular DA within the NAc while concurrently inducing penile erection. OXY-induced dopaminergic release within the meso- limbic DA system may impact the attribution of incentive salience to a variety of social stimuli and ultimately influence an organism’s drive towards such objects thus causing addiction.

Sex Addiction Stress is a menace that should be fought by all means that is why we at Integrative Addiction Institute are committed to availing help to addicts and offering training to Health care providers in Integrative Addiction. Call on Dr. Dalal Akoury (MD) today for assistance.

Stress And Sex Addiction Stress: Roles Of Corticotrophin Releasing Factor, Oxytocin And Arginine- Vasopressin In Sex Addiction.

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Pros and Cons of Suboxone

Problems with suboxone treatment, pros and cons of suboxone therapy

Suboxone

There has been an increase in prescription of opioid painkillers in the US, this phenomenon got me worried and backed up by a recent study that verified that the use of safer alternatives to pain management has been on the decline.

In recent years there has been a growing awareness in the medical community about the pervasiveness of pain. This awareness has corresponded to a sharp increase in the use of opioids and abuse with so many people involved in the use opioids for non-medical purposes.

One of the biggest disasters associated with this tremendous use of opioid painkillers is their potential to cause addiction.

Addiction to any drug substance be it medicinal or not is a very serious issue with extremely adverse socio-economic impacts in human populations all over the world. The move to try and help addicts recover from this societal demon is thus a noble one. Many addiction treatment centers have been set up in line with this move. Different medications are today in use in the world over and research is still ongoing with the aim of developing the most effective medication for addiction treatment. One such drug being used today in addiction treatment is suboxone.

What is suboxone?

Suboxone is a brand name for a prescription medication that is a combination of two drugs; buprenorphine and naloxone. Buprenorphine belongs to a class of drugs called opioid partial agonists which help relieve symptoms of opiate withdrawal. Naloxone on the other hand is belongs to a class of drugs called opioid antagonists which reverse the effects of narcotics. one of the most powerful narcotics isbuprenorphine is a narcotic, it is so powerful yet it has a potential o be addictive. it was approved for treatment of opioid addiction in 2002 in the United States.

This drug can be combined with naloxone to make Suboxone and be used to help addicts to fight opioids like vicodin, heroin, OxyContin, and hydrocodone. Naloxone has ability to block opioid receptors in the brain and trigger sudden withdrawal symptoms when injected. For treatment, Naloxone is added as deterrent to prevent addicts from injecting Suboxone. When taken as a pill, naloxone is not absorbed into the body.

Problems with suboxone therapy

When it was first released in 2002, suboxone was hailed as a major advance over methadone. But millions of but later there were millions of literature critiquing the use of this drug as it has faults as were thought earlier.

One of the biggest challenges associated with suboxone treatment is its being overprescribed and misused.

Over three million Americans with opioid dependence have been treated with Suboxone. This drug has been successfully used to help addicts but it has high potential of being abused.

A report by the Substance Abuse and Mental Health Services Administration (SAMHSA) found a ten-fold increase in the number of emergency room visits involving buprenorphine. Slightly over half of the 30,000 hospitalizations in 2010 were for misuse and abuse of buprenorphine.

How many died from buprenorphine overdoses is unknown, because medical examiners and coroners do not routinely test for the drug.

For a drug addict, the most uncomfortable, painful problem of their addiction is withdrawal. If they can somehow control their urge to delve back into the drug and endure the side effects of withdrawal, then they can successfully complete their addiction recovery and gain their freedom from use of drugs.

Suboxone is so popular with addicts that it has turned into a street drug – to be bartered or exchanged for money, heroin or other illegal drugs. According to one estimate, about half of the buprenorphine obtained through legitimate prescriptions is either being diverted or used illicitly.

Drug makers are well aware of the potential for misuse and abuse. Orexo, the maker of menthol flavored Zubsolv, is selling the tablets in single dose “blister” packaging designed to reduce accidental use by kids. Another maker, Reckitt-Benckiser took its Suboxone tablets off the U.S. market and currently sells Suboxone in individually wrapped film strips. However experts have it that no amount of preparation and packaging can outsmart a determined drug abuser.

The potential for abuse and diversion is however not reason enough to call for a stop in treating addicts with buprenorphine, according to a commentary published in the journal JAMA Internal Medicine that calls for a “balanced approach” to the drug.

The other major challenge associated with suboxone treatment is that it is causing its own epidemic of addiction. Patients undergoing suboxone treatment could overtime get addicted to the drug and show withdrawal symptoms when they try to get off its use.

Advantages of suboxone

One of the primary advantages of suboxone for addiction treatment is the fact that buprenorphine’s partial agonist quality prevents it from triggering respiratory depression -and thus overdoses.

Its other advantages include:

  • It isn’t met with stigma as with methadone.
  • It can often get to a stabilized dose within the first or second day.
  • It has a better safety profile.
  • It may be easier to come off than methadone.
  • It is longer acting than methadone so it may not require daily dosing.
  • Its side effects are less than those of methadone.

 

SuboxoneDisadvantages of suboxone therapy

Though suboxone is considered an advance in addiction treatment over methadone, it has its disadvantages. Some of these disadvantages include:

  • It may fail to fully satisfy cravings or inhibit withdrawal symptoms for those with high tolerance.
  • Dose adjustments may b more difficult.
  • It is also likely to cause a precipitated withdrawal.

Addiction is a societal menace for which support is required in fighting. That’s why we at AWAREmed Health and Wellness Resource Center are committed to availing help to addicts and offering them a place to call home. It matters not what kind of addiction you are wrestling with, just call on Dr. Dalal Akoury (MD) today and begin your journey to victory against addiction.

Problems with suboxone treatment, pros and cons of suboxone therapy

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Meditation in Addiction Recovery

Role of Mindfulness Meditation in Addiction Recovery

MeditationDuring the initial stages of recovery, a person may feel some kind of mental haziness. It takes lots of struggle for them to think clearly after stopping using the drug they are addicted to. They will also experience emotional instability. Failure to adjust to these changes may lead to relapse.

Integrative techniques that foster meditation and mindfulness have shown increasing promise in the successful completion of a drug addiction treatment program. Meditation’s ability to “retrain thought” can serve to alter cognitive processing in the brain, thus leading to healthier interactions in the brain’s reward center. The process of meditation also serves to produce stress-reduction naturally thereby reducing the powers of triggers, cravings and withdrawal symptoms in recovering individuals. In addition, meditation has been found to lower the rate of relapse in recovering addicts.

What is mindfulness meditation?

In mindful mediation a patient pays attention to the present moment. It aims at setting the mind free from thoughts that may rekindle the flame of addiction and cause relapse. Through it a patient learns to be aware of his thoughts and emotions without letting the emotions sway his judgment. As practice by Buddhists it is a non-judgmental form of observation.

It is also known as Sati as was in ancient Pali; which is a language in India. It is essential for those Buddhists seeking enlightment as it involves three elements; awareness, attention and remembering. If you have to succeed you must be aware of the object you are focusing on, pay attention to it and remember it.

How effective is Meditation in Addiction Recovery?

The body of evidence for the power of meditation in addiction treatment is increasing. As a matter of fact, a 2007 research presented that individuals who participated in meditation during addiction recovery gained higher levels of coping skills as well as amplified awareness of substance abuse triggers that aided addiction recovery. In another peer-reviewed study indicated the effects of prayer and meditation on dopamine levels, servicing the mind and body by creating contentedness and calm through the brain’s pathways, this helps as a substitute for the effects the drugs produced in the patient.

Meditation minimizes chances of alcohol and drug relapse

Meditation may also be effective in preventing relapse. Research has repeatedly shown that maximized sobriety is achieved when meditation is incorporated in treatment and recovery programs. Mindful meditation has been shown to assist patients in coping with mental health problems such as anxiety, depression and trauma.

Meditation and smoking cessation

Past researches have shown that mediation has effects on chemical dependency and this can be extended to nicotine addiction. Meditation has great effects in smokers and it has been verified that it increases recovery rates of smokers.

In a 2009 study of close to 160 smokers by M.D. Anderson Cancer Center, it was established that mindfulness practices linked to lower physical addiction levels and floored withdrawal effects. Additionally, those who practiced mindful mediation techniques experienced a greater belief in their ability to quit smoking, showing that mindful mediation therapy may help those struggling with nicotine addiction.

Alternative and Eastern-based meditative practices incorporated into individual alcoholism and drug abuse treatment plans seem to garner some of the most promising findings in relation to emerging research. Another study was done in 2010 and it involved studying the use of the qi gong meditative practices by close to 250 substance abusers and it was found to increase the addiction recovery completion by about 14 percent. The substance abusers who were part of this study showed lower cravings, reduced withdrawal symptoms as well as reduced anxiety levels.

Similar results have been studied in one of the most popular forms of meditative practice in addiction treatment and recovery, known as Vipassana. Vipassana is a Buddhist nonjudgmental, observational practice, it seeks to harness thought positively in relation to cognitive identification with addictive impulses. A 2006 study on addicted and enslaved individuals found that Vipassana meditation minimized rates of alcohol, marijuana and cocaine abuse in released prisoners who learned the meditative technique. As a matter of fact, Vipassana participants also showed fewer alcohol-related side effects as well as fewer mental health conditions and even improved relations in social circles.

Benefits of Mindfulness Meditation in Addiction Recovery

meditationThese are some of the benefits of mindfulness meditation for people in recovery:

  • This practice makes life in sobriety far more enjoyable. The individual is able to get pleasure from even the simplest things.
  • Those who practice the technique find it easier to manage their interpersonal relationships
  • Early recovery is like an emotional rollercoaster. By practicing mindfulness, the individual will feel more in control and better able to deal with the highs and lows.
  • People who practice mindfulness will be better able to spot the warning signs that they are losing their hold on recovery. This way they will be able to avoid a relapse.
  • Cravings usually continue to arise in recovery. Mindfulness allows the individual to observe such thoughts without being carried away by them. People learn that they are not always responsible for their thoughts, nor do they have to be a victim to them.

Recovering fully from addiction is a challenging process that requires enough support for the recovering addict. Help and hope for addicts is available at AWAREmed Health and Wellness Resource Center. Do not hesitate to call on Dr. Dalal Akoury (MD) any day for assistance.

Role of Mindfulness Meditation in Addiction Recovery

 

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NAD Therapy for Cravings Reduction

NAD Therapy For Reduction Of Cravings, Withdrawal Symptoms And Detoxification

NAD TherapyContrary to what many people think, addiction isn’t just a disease of the body alone but also of the mind and therefore any therapy for addiction has to treat all these aspects to be successful. When you are being treated from withdrawal effects of any drug but the doctors fail to give a therapy that will help heal the conditions that create depression, fatigue and anxiety, the chances of relapse become even higher and you may not completely recover from the effects of the drug.

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 learnt.

Integrative medicine avails the tools that are instrumental in assessing and treating the conditions in the body that culminate into fatigue, depression, and anxiety, thereby increasing the likelihood of chemical dependency. These include:

These “terrain issues” in the body have to be properly addressed so as to make detoxification easier and to inhibit relapse.

Addiction is a complex disease that must be properly addressed as it doesn’t only affect the body alone but also the mind. most of the symptoms that are exhibited in the body are developed within the consciousness, the body is just an avenue through which these emotional traumas, fears , irrational thoughts, chemical imbalances in the brain and conflicts are showed.

Diseases are a way through which the body seeks your attention and beckons self-exploration in pursuit of true healing.

One of the hardest stages in addiction treatment and recovery that those addicted to drugs have to endure is detoxification. this is necessary as drugs of abuse always alter the chemical balances in the brain hence this balance must be restored.

Drug withdrawal can cause symptoms such as sweating, fever, hallucinations and even seizures. The severity of these withdrawal symptoms can prevent a person from maintaining sobriety. It can even make it impossible for a person to stop using the drugs in the first place.

The coenzyme NAD, also known as “biological rocket fuel,” is a good approach to treatment of addiction and recovery. It might also help in reducing the drug cravings .

What is NAD?

NAD is an abbreviation that stands for nicotinamide adenine dinucleotide. this is an activated form of vitamin B3. It is naturally present within every cell in the human body. It not only helps in regulating gene expression but also mediates calcium levels. NAD is also a participant in a number of redox reactions – in other words, it reacts with oxygen in the body.

Owing to these reactions, It is a powerful anti-oxidant that can help in reducing the populations of dangerous free radicals hence protecting the body from aging and diseases that are caused by oxidative damage like cancer. nicotinamide adenine dinucleotide is also an essential component of the citric acid cycle known to many people as Krebs cycle; a cellular process that is essential for the production of energy for every cell and organ in the body.

How can IV NAD therapy benefit drug addicts?

When a drug of abuse is used for a long time, it alters the chemical makeup of the body. The addict will be glued to the drug and whenever he stops the brain has to begin learning how to work. For this reason any recovery plan must put in place ways to help the brain to rebuild and to function optimally. Without healing the brain the withdrawal symptoms and cravings for a drug will relapse.

Since NAD is essential for energy production, increasing the availability of NAD increases cellular energy. When the energy is increased the brain can more quickly rebuild its neurotransmitter population and fix its connections. This condition will help in rebuilding the brain and restoring its functions.

The NAD therapy results in an increased sense of well-being, clearer cognition. it also reduces the severity of the withdrawal symptoms.

What are the advantages of NAD over other detox methods?

NAD works better and quicker as compared to other detoxification methods. Just within four days of treatment with NAD the withdrawal symptoms as well as physical cravings are reduced. This can be especially inspiring during the beginning phases of drug cessation. Other detox methods take a while before they start working – with NAD infusions, recovering drug addicts are provided with near-immediate relief, encouraging them to continue pursuing sobriety.

NAD TherapyUnlike other treatment methods, NAD is completely natural and non-addictive. This therefore is a guarantee that the addict will not suffer another addiction as a result of the drug used in treating him that was addictive.

Addicts who have received NAD therapy have testified that it helps them feel better and more energetic. They have also shown NAD have reported decreased withdrawal symptoms and a diminished desire to use. Since this treatment has no side effects and has received positive reviews, it may be prudent and safe to try the therapy.

NAD therapy is offered at AWAREmed Health and Wellness resource center. Here we ourselves fully to offering lasting solution to the menace of addiction. Don’t hesitate to call Dr. Dalal Akoury (MD) on (843)213-1480 for help.

NAD Therapy For Reduction Of Cravings, Withdrawal Symptoms And Detoxification

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Dopamine and Infidelity

Dopamine, Infidelity and Sex Addiction

DopaminePeople think of infidelity differently from other social vices like marijuana addiction. They need to think of these two phenomena the same way since the behavior that takes place during an affair mimics exactly the behavior of a drug addict. A person who is addicted to sex or is practicing infidelity has been compared to a moth attracted to candle light. And infidelity has been referred to as “flame addiction.”

Infidelity can be defined as unfaithfulness in a relationship. It is a societal vice that has far reaching negative impacts on relationships and most painfully marriages. Infidelity is one of the major contributors to the tremendous numbers of divorce cases witnessed in the world today.

Another vice that goes hand in hand with infidelity is sex addiction. Sex addiction is in most cases the seed upon which infidelity sprouts. It is a compulsive behavior that completely takes control over the addicts life. The addict is willing to sacrifice what he/she cherishes most in order to preserve and continue his/her unhealthy behavior. They use sexuality to regulate their emotional life like relieving pain or anxiety.

Helping sex addicts and infidels requires first understanding the science of what happens in the brains of these people and seeking to find a way of controlling these biochemical processes towards the desired direction.

What happens when one falls in love?

The brain will produce changes in neurochemicals that alter the feelings of normality at the beginning, a period of infatuation. Then there will be a surge of adrenaline which will take the love struck individual to unimaginable heights. After this serotonin will drop thereby leaving a feeling of emptiness and an obsessive preoccupation with the other person. As have always been known, dopamine is the lighter of the flame addiction (infidelity).

What is dopamine?

Dopamine is a very crucial hormone as it is crucial for such effects as boldness, improved memory, attention, elation and a temporary desire to explore the world and take risks. During orgasm the levels of dopamine surge intensely and the person will be affected in similar manner to a person who has taken heroin. Dopamine is the hormone that causes addiction and once its levels have been fluctuated it will take up to a week to return to normal.

 

After dopamine surge has calmed down, prolactin is released and it works against the effects of dopamine causing such effects as depression, irritability and depletion.

If you have been blaming your lover for your post-sex and post-romance frustration, you need to know the chemistry causing it. It is advisable to have non-orgasmic sex as it helps avoid the dopamine peak and its side effects.

Dopamine and infidelity

Dopamine may cause infidelity. when a couple has been married and nothing is kept new or fresh the dopamine levels will be low while when a person has been seeing an attractive person out of marriage and he/she seems unreachable the levels of dopamine will surge and so the pursuit begins.

Since time immemorial, mating and reproduction is an activity that was not for the faint hearted as an individual has to pursue the possible mate with efforts and even fights to win. This could not be possible without a reward system, so the reward center was placed in the brain dopamine and it heightens when the pursuit for mate is successfully finished, hence a motivation to the pursuer.

Something new in relationship will boost the dopamine level that is why a couple who has been married for a long time will spend some nights without sex but a man who has just had sex may have sex with other women as the level of dopamine will be rekindled with each new partner. Infidelity is fuelled when the partner is playing hard to get as it heightens dopamine level.

Dopamine and sex addiction

Sex is addictive. All human behaviors that are rewarding in nature are prone to be addictive and sex is just one of the many addictive human behaviors, once a person has tasted the waters it becomes very hard to quit. If you need to break the chains of sex craving you need to be principled and committed to the course as it’s not an easy task.

Addictions sometimes do overlap and replace each other. When a person falls short on the dopamine triggered by having sex, he will turn to another source like eating, to fill the vacuum. This explains why some people prefer smoking a cigarette after sex; they seek the dopamine heights from nicotine smoking to make up for the falling levels after sex.

Apart from dopamine here are other hormones that may cause happiness but it is the hormone that persistently asks you to repeat an act that induces pleasure even when it has adverse effects.

Dopamine is a vital hormone but the pleasure it offers is addictive but you will never be willing to face the truth as it will be very rewarding. You therefore need to mind the frequency at which you do some pleasurable activities as you may become addicted to them.

Is there hope for infidels and sex addicts?

DopamineUnderstanding the process of flame addiction is crucial to healing—for both the victim and perpetrator. For any person who wants to quit philandering, it is essential to cut all the links between him/her and the mate with whom they had an affair.

Just like drug addictions quitting this behavior needs commitment, you may fail many times but you should not give up on your marriage. Feel open; seek help from leaders and people you respect.

Finally, Sex addiction is a serious menace, please call on Dr. Dalal Akoury (MD) of AWAREmed Health and Wellness Resource Centre will give you the support you require and help you wrestle down this menace.

Dopamine, Infidelity and Sex Addiction

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