Archive for January 28, 2012

Withdrawal Symptoms Of Opiates

With prolonged use of opiates such as morphine or heroin, the brain cells gradually stop synthesizing the endorphins they normally produce. As a result, the nerve cells develop a physical dependency on the supplied opiates. When you attempt to suddenly stop taking these opiates, it therefore leads to several changes in your body’s metabolic process and these effects are together described as the withdrawal symptoms of opiates.

Opiate withdrawal
People who use illegal opiate narcotic drugs such as heroin get addicted to it. Over time, the body develops a tolerance to the usual levels of this drug and finds it necessary to take a larger dose to experience the same “high” as before. When such a person later enters a detoxification program, the body responds by producing the typical severe withdrawal symptoms of opiates.

In other cases, individuals who are on treatment with morphine, methadone or fentanyl for the relief of severe pain may also develop a dependence on the drug and need to undergo a detoxing to rid themselves of this dependence. Such individuals too will suffer from opiate withdrawal symptoms. These signs and symptoms generally set in about 12 hours after the last dose of the opiate if it is heroin or about 30 hours after an opiate drug such as methadone.

Why You Need Guidance
The withdrawal symptoms of opiates are highly uncomfortable and that is the reason many people look for a clinic to help them detox. You can do a detox by yourself in the privacy of your home, because these signs and symptoms do not pose a threat to life. However, the process can be a scary one when you are confronted with the magnitude of the signa or symptoms and therefore, you need the right guidance from a trained professional as well as a close friend or family member to support you physically and emotionally throughout the process.

Going Cold Turkey
Making the decision to give up opiates is most likely easier than actually sticking to it. Some people decide to go cold turkey and suddenly stop taking the opiates. This approach holds remarkable appeal because you imagine that in one shot you will be free of your dependence. Reality, however, is sadly different. Opiate withdrawal leads to a series of signs and symptoms that include muscle pain, a running nose, increased anxiety, sweating and sleeplessness along with severe abdominal cramps, nausea, vomiting and diarrhea.

Graded withdrawal
In a graded opiate detoxification program, you have to gradually reduce the dose of the drug to which you are addicted. This gives your body a little time to adjust to the declining levels of the opiate. The withdrawal signs and symptoms of opiate removal will persist but they are easier to manage as compared to those on a sudden stoppage. You will need to take a few medications to reduce the muscle cramps, anxiety and running nose. Besides, you will also need to replenish the fluids your body loses through vomiting and diarrhea by consuming fresh fruit juice, light soups or some sports drinks that can give you the essential electrolytes.

Will Power is the Key
The withdrawal symptoms of opiates are most severe during the first few days of a detox program. During this period, you have to battle the physical effects of the drug withdrawal on your body. Typically, the intensity of the signs and symptoms is such that it can be very tempting to simply give up on the detox. This is exactly where your personal will power to overcome the addiction counts a lot for a successful detoxification. For all those moments of weakness when you fear of succumbing, have a close friend close to you at all times during this period. Once the physical element of the withdrawal of opiates dies down begins the daunting part of overcoming the psychological craving for the drug. Joining a group like Narcotics Anonymous can help you build your will power as well as learn from others who have been through the process.

Breaking The Cycle Of Addiction With Cocaine Rehab

Cocaine can be one of the most challenging substances to overcome as an addict. Using the drug can change the way your mind makes decisions so choosing to quit can be difficult if not impossible on your own as the drug becomes part of your daily life. However, help from trained cocaine rehab specialists can put you on a new path to a better life.

Withdrawal

Going cold turkey on your own can be very dangerous as withdrawal is very difficult. In rehab, you can learn ways to deal with the immediate crash that comes from not using and abusing the substance. Supervised treatment can be critical as an addict may experience depression or thoughts of suicide as the drug fades and the body’s chemicals adjust. Surrounding yourself with trained professionals who can help you cope through this difficult time are vital to a successful, safe recovery.

Group Therapy

The early days of withdrawal may be the worst mentally and physically for an addict but certainly not the end of the journey. You may need to deal with restless nights, food cravings and mood swings within the days or weeks that follow. This will be when group therapy is vital, as it will help you to see that you are not alone on your journey.

Personal Responsibility

Treatment centers provide a stable routine for patients to focus on to distract them from their withdrawal symptoms. Specific tasks along with therapy with other patients and specialists can help patients work through the mental issues they may be confronting for the first time. They may begin to take responsibility for their actions as they begin to take part in the daily functions of the rehab facility.

Results From Drug Use

An important part of therapy is learning to live without cocaine. The drug may have been a substitute for a patient to avoid confronting current problems or childhood issues that have not been addressed. The highs from the drug can lead to irrational decisions that may have put the person into bankruptcy to pay for his or her increasing habit. It will also destroy relationships.

Getting To Life Without Drugs

With a 24-hour focus on recovery, the patient can start to learn new ways of thinking and new approaches for coping with problems. A life without the drug may seem impossible at first but the challenges can grow easier with the constant support of a trained medical team and by seeing other patients make their way through the recovery process.

Different Therapies

There is no single form of therapy that works for everyone trying to become drug free. However, a rehab center can help teach a patient about what causes triggers and cravings for the drug. With this knowledge, the staff can devise personalized treatment to work for each patient.

Addiction Recovery and Changing Character

When I write about the 12 Step Program, it brings many memories to mind. But the first thing that comes to mind is the first paragraph of Chapter 5 “How It Works.” You will recall that is the paragraph that talks about rigorous honesty. I believe individuals are incredibly gifted at self deception. In the program they simply call that denial. But I think it has more to it than that. I can continue in my self-deception as long as I am willing to continue in the same patterns of behavior.

If you have ever dug into the history of Alcoholics Anonymous and have been so fortunate to have read some of the talks given by Dr. Bob, you will know that he often referred to the “four absolutes” which are; absolute honesty, absolute unselfishness, absolute purity, and absolute love. These he said were the standards or measures by which we should judge our own behavior. Accordingly, any of us who look at ourselves by these measures should realize just how far we have to go in our self-development. First we must accept a set of standards for our lives. This is a personal decision that requires a searching and fearless moral inventory. If you go to Webster’s Dictionary and look up “moral,” you will find this definition: “of or relating to principles of right and wrong.” Listed also are the synonyms; virtuous, righteous, noble, ethical, and principled. Do I have a set of standards for my life? It is impossible to do any moral inventory without a standard of measure. So the first requirement is that I define what are the measures that I apply to my life and to my behavior?

The danger with misuse of spirituality in the 12 Step Program is that our spirituality becomes so subjective it becomes meaningless. Our culture and the addiction are so focused on what feels good instead of what is right. We often remind patients that if they do the right thing, the good feeling will follow. If we confuse our spirituality with what feels good instead of what’s right, we have put our emphasis in the wrong place. The base word for religion in Latin means “to bind.” If an individual does not “bind himself/herself ” to these steps, recovery is impossible.

The inventory that individuals struggle with in their program, is simply the tip of the iceberg. Everyone knows that the vast majority of the iceberg is located under the surface, as is true with our individual character. We are not what we seem to be on the surface. So that first attempt at self-honesty which one is challenged with, is just the beginning of what “in theory” should be a new life. Yet how many really approach it that way?

The answer to that lies within the individual. The twelve step recovery program is the vehicle which we use in drug and alcohol treatment, and therefore should be the same method practiced by the staff. After all, we are the ones the patients first see and we espouse this approach to living. How well do we see that rigorous honesty being practiced in us? See, this personal inventory stuff, if done correctly gets pretty painful from the get go. Even after years of abstinence. So the first moral inventory usually is pretty superficial. But it is a beginning.

The next part, requires one to be willing to admit to God to ourselves and another person the exact nature of our wrongs. It has been my experience that we tend to put our attention on the “other person.” When we do that the self-deception has raised its head again because I am taking the focus off of me and put it on another. There is a song which begins with this line, “Let there be peace on earth, and let it begin with me.” In order for me to be at peace with myself, I must do the things I respect. The self-deception must become my enemy and I must confront him/me daily. I have found great comfort and also accountability through the help of others. That makes the group so important, because others can give me feedback on my behaviors. In other words they can help me see me.

The AA/NA groups, when at their best, are the perfect place for this to happen. As I confront me and receive encouragement and reinforcement from others, I practice my new approach to assessing my life. I find new satisfaction because I am living in a different way. Others see it too. I find I am enjoying this new approach, I even begin to look forward to my participation.

When we become entirely ready to have God remove our defects of character this is just part of the process. After I have determined what character defects are controlling my behaviors, I have to be willing to have God remove them; especially the ones I enjoy and that serve me. Remember I am the problem.

So in the process I learn to work on me and leave the fault finding to God. After all, He is the most qualified teacher and I must be the humble student. “God grant me the serenity to accept the things I cannot change, the courage to change the things I can, and the wisdom to know the difference.”