Tag: Addiction

If you are asking this question, you are probably not alone. In fact, 18 million Americans struggle with misusing alcohol or with the symptoms of Alcohol Use Disorders (AUD). If you feel as though your relationship with alcohol is a problem or could become a problem, it is important to know that you are not alone. There are resources that can provide help and guide you through a recovery journey. Arming yourself with information is a good first step.

What is Alcohol Use Disorder (alcohol addiction)?

There are hereditary and environmental factors to addiction, but many times the cause is not known. The following are some of the symptoms that characterize AUD.

The individual:

  • drinks more or longer than they initially intended to
  • has tried to moderate or stop drinking in the past, but has been unable to
  • spends a lot of time drinking or recovering from the effects of drinking
  • experiences cravings, or strong desires to drink
  • drinks even though it interferes with home, family, work, or school responsibilities
  • drinks even though it causes trouble in their personal life
  • gives up activities or obligations that were once important, in order to drink
  • gets into situations while drinking that may be risky or cause harm
  • continues to drink even if it causes depression, anxiety, or other health problems
  • has to drink more to produce the desired effects
  • has withdrawal symptoms when not drinking

NOTE: According to the DSM-5 Diagnostic and Statistical Manual for Mental Disorders, showing two-three of these symptoms in the last year may indicate a mild alcohol use disorder, while showing four-five symptoms indicates a moderate AUD. Displaying six or more symptoms signifies a severe alcohol use disorder.

Who is at risk for alcohol use disorders?

Drinking alcohol in moderation can be okay for some people. This means that while they may feel the effects of alcohol consumption, they do not feel compelled to keep drinking. Moderate drinking is classified as no more than one or two drinks per day for men and women.

Using alcohol when bored, stressed, lonely, depressed, or if there is a genetic predisposition to addiction (family members with AUD), can lead to further serious problems. If you or someone you care about is drinking to get through the day, it may be time to reach out for help.

How does alcohol affect physical health?

Like any substance consumed in excess, there will likely be side effects. Alcohol may also interact negatively with prescription medications and make it difficult to diagnose other health concerns.

When drinking to excess there can be problems with:

  • Alcohol poisoning
  • Sexual dysfunction
  • Reduced inhibitions or risky behaviors
  • Inability to focus, impaired memory
  • Affected vision, reflexes, and coordination

Long-term effects of active addiction:

  • Impaired learning and/or brain development
  • Increased depression and anxiety
  • Major organ damage; increased risk for heart disease
  • Cirrhosis (chronic liver disease)
  • Cancer

How does alcohol affect mental health?

Alcohol is a depressant. Therefore, it slows down your brain and alters its chemistry. There are many effects including changes to mood, energy levels, memory, concentration, and sleep patterns.

Alcohol may also impact decision making. While drinking, a person may “do things without thinking” or say or do things they would not do or say while sober such as pushing away or hurting the people who care most about them. It can give a person courage to engage in risky situations like unsafe sexual encounters, trouble with law enforcement or getting into fights. Alcohol can contribute to life falling apart, causing withdrawal from important relationships and social situations, and even self-harm. A combination of factors along with intoxication has led to many dying by suicide.

Where do I go for help with AUD?

Talk with your primary care practitioner. There are multiple treatment options ranging from hospitalization for detox if needed, to outpatient therapy with a counselor or group, to rehabilitation or participation in an intensive outpatient program (IOP). There is also residential treatment. There are even medications that can provide support for building a sober life.

Lastly, there are many recovery communities like AA, Smart Recovery, and Women for Sobriety that provide support and assistance in learning how to live a healthy, sober life.

sources: healthline.com, headspace.org, recoverycentersofamerica.com, cdc.org, apibhs.com

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Hi again! I am back with another blog. I was re-reading my first one “Shame: Managing Stormy Days” the other day and thought it was, “to my surprise” not bad.

I say this not with an ego. I say it as “An Adult Child Of An Alcoholic” who can still slip back to that spot of low self-esteem. Not for long and for sure not as often BUT the feelings don’t change. In that spot, I was quite nervous about my first writings here.

The thought or the fear was…..

“Will I write something worth reading? A thought not new to me. I shared those same feelings with my wife Linda when she first asked me to write our book “Weathering Shame”. Remember when I talked in that first blog about the Lack Of Awareness Around How I Grew Up? I also noted that Growing awareness during the beginning of my “Journey Toward Wellness” helped build successes and to make better choices. All true!

However the biggest change along the way is a growing confidence in myself and that has helped me feel more positive about ME!

I got there by being very aware of both my Strengths & Weaknesses and accepting both. 

 

  • Re-reading my first blog has me feeling that I made several good points that I am really proud of.
  • I have heard and taken in positive feedback from you the public and the folks at “Health Affiliates Maine”.
  • A new habit, replacing the old habit of discounting kind words. That was around how I felt about myself.
  • I am  growing and learning of being able to acknowledge small successes.
  • Being less concerned about what other people think of me including not going to a negative place with it.

The most important change happening is a True Feeling of Self-Worth!

Not being in such a rush to finish tasks. Being a better listener and offering support not solutions and the most important realization..“DON’T BE INVESTED IN THE OUTCOME!” If you have read our book “Weathering Shame” you know how much of a problem I had around these issues. Has it gone away completely? Of course not! But I do feel a strong shift in feelings and my behavior.

So at this point in my journey, I do believe that what I am saying around the issues of Shame and stigma is helping those who hear or read my words to maybe begin sharing their own stories and struggles with someone they trust.

In closing, MY THANKS to those who have thanked me for my role in Health affiliates Maine TV and Radio campaign. The recovery stories being shared by others are amazing and powerful.

ACCEPTANCE IS ONE IMPORTANT STEP ON THE JOURNEY TOWARDS WELLNESS

AuthorKevin Mannix, Weather Forecaster,WCSH 6, NEWS CENTERS and co-author of “Weathering Shame”

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This fact could not have been made clearer than in a conversation with Theresa Russell*, who agreed to talk about how heroin has touched her life.

Theresa began by handing over a list of six people’s names, their ages, and the dates of their overdoses and deaths.  She reports she is very angry right now, as the most recent death was one of her very best friends from high school.  He was 32 years old and overdosed on Nov. 1, 2015.

She explains that her anger and disbelief stem from the very first overdose in 2002.  This was the father of a high school friend.  Theresa, along with a close circle of friends, attended the funeral in 2002, and in her mind, this was the moment she knew she would never pick up opiates and heroin.  She believed her peers all felt the same.  Sadly, this was not the case.

Until society finds a way to manage the heroin issue, friends and family will continue to ask themselves, “What more could I have done?” or “Why didn’t I see that?”

The list of six people who died of drug overdoses are all connected, in some way.  Her very best female friend from high school “Jane”, has struggled with opiate addiction.  Jane’s husband was the third one on the list to die in the fall 2008.  Jane also attended the funeral in 2002.  Theresa is puzzled that after attending a funeral of someone who overdosed and died of drugs, why anyone would ever choose to use drugs?  She also wonders what makes a person walk into a room and decide that they will jab a needle into their body to get high.  What is going through their minds the first time they try heroin?  It is no secret that after the first time, people can get hooked.  

Theresa had another friend that died in the spring of 2008 from a drug overdose, who was also at the funeral in 2002…they were all there to support their friend whose father lied in the casket. 

Theresa is angry and sad about what this drug is doing to our society.  She is also angry that her dearest friend from middle school and high school years have succumbed to the lure of heavy drugs. Theresa tried to intervene early on in her friend’s addiction, but the family and her friend were in denial.  Eventually, the family saw that Theresa was correct, and that their daughter needed help. Yet this friend still struggles today with relapses. 

When we hear about people dying from drug overdoses, it is important to also remember the friends and family left suffering.  Trying to make sense of death by heroin and of the addiction itself, is often terribly difficult.  Until society finds a way to manage the heroin issue, friends and family will continue to ask themselves, “What more could I have done?” or “Why didn’t I see that?”

Like Theresa’s loved ones, addiction can take hold of anyone and everyone. Addiction does not discriminate; whether wealthy, successful, or have a family, it can disrupt the lives of anyone. If you have someone in your life who is suffering from addiction, overdose is a real possibility. Here are some steps for dealing with a loved one you believe has overdosed:

Action Plan  **

  1. Call for help. The sooner emergency medical help arrives, the sooner professional treatment for the overdose can begin.
  2. Provide first aid. Becoming familiar with first aid techniques, such as CPR, can be helpful should the situation arise.
  3. Collect important information from the scene. Are there empty pill bottles or drug paraphernalia lying around? Take them with you to the hospital or provide them to first responders so the medical staff will know exactly what they are dealing with. This will help them render the proper treatment more quickly – a process that can mean the difference between life and death in some cases.
  4. Don’t judge. An overdose crisis is not the time to make judgments or accusations concerning your loved one’s addiction. While you should attempt to gain information concerning what drugs were taken and in what quantity, save your emotional commentary until after the crisis has passed.
  5. Be cautious and aware. Some drugs, especially in larger doses that can cause an overdose, can cause violence and anger. Some drugs can increase the user’s strength and tolerance for pain so drastically that they become almost super-human. Do not place yourself in physical danger to treat an overdose.

Author:  Lorrie Roberts, LADC, CCS

* Names have been changed for confidentiality reasons.
**Action plan courtesy of Alta Mira Recovery Programs

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In Maine, over the last 10-15 years, the rising tide of prescription painkillers abuse and other opiates based drugs (legal and illegal) has reached epidemic proportions. The abuse of alcohol and other addictive drugs like marijuana/synthetic cannabinoids, cocaine/crack, benzodiazepines, and methamphetamine also remain widespread.

As our families come together over the holiday season and we transition into the new year, it is important for us to all be aware that the devasting disease of addiction can impact all areas of an individual’s life, causing problems with family, friendships, work, school, finances, legal issues, along with physical and psychological health.

Addiction and its ripples effect cause destruction not only in the individual who abuses substances but in the lives of loved ones as well. These loved ones often experience unhealthy stress, anxiety, depression, physical sickness, and an overall diminished ability to do their best work or enjoy activities.

Warning Signs of Drug Abuse/Addiction:

  • Intense cravings or urges for the drug (mental and physical)
  • Compulsion to use the drug frequently (several times a day to several times a week)
  • Increased tolerance to the drug
  • Irresponsible spending of money
  • Failing to meet obligations and responsibilities, and/or cutting back on social/recreational activities
  • Violating historic morals and values to hide use or by doing things to get the drug that you normally wouldn’t do (stealing, cheating, manipulating)
  • Increased risk taking behaviors
  • Continuing to use despite wanting and trying to stop
  • Experiencing psychological and/or physical withdrawal symptoms when you attempt to stop taking the drug

Recognizing drug Abuse/Addiction in family members, friends, and co-workers:

  • Problems at work or home – frequently missing work, increased isolation, increased irritability
  • Physical health issues – lack of energy and motivation
  • Neglected appearance – lack of interest in clothing, grooming
  • Changes in behavior – exaggerated/argumentative efforts to hide or minimize use from family members, being secretive, distancing from family and friends
  • Changes in relationship with money – irresponsible spending of money, requests for money without a reasonable explanation, stealing money and valuables from others.

Help is Available:

If you or someone you know, needs assistance with addiction:

 

Author: Brian Dineen, LCPC, LADC, CCS, Outpatient Therapy Program Supervisor, Health Affiliates Maine

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