by Sher Delva | Jun 22, 2017 | Addiction, Addiction Medicine, Addiction Stigma, Addiction Treatment, Stigma, Therapy, Withdrawal
The opioid epidemic continues to reach epidemic numbers, and with the increasing overdoses comes increasing cases of hepatitis C. New cases of hepatitis C have nearly doubled over the past few years. Furthermore, those with opioid addiction are more likely to suffer from a variety of health disorders, complicating treatment for substance use disorder.
Hepatitis C is among the most concerning disorder to affect people with opioid addiction. People who abuse opioids are 9.1 times more likely to have hepatitis-C (HCV), in comparison to those who did not abuse opioids, according to an analysis by the health care company Amino. Amino drew data from the claims of 3.1 million privately insured patients between 2014 and 2016.
As the opioid epidemic spreads throughout the country, new cases of HCV have skyrocketed. In 2014, there were an estimated 30,500 new cases in the United States. This is nearly double the number of new cases in 2011, according to STAT News.
The CDC reports that new HCV infection is rising specifically among intravenous drug users under 40 years old, particularly in more rural areas. People with opioid use disorder are more likely to drink to excess, and more likely to have suicidal ideation.
While these numbers are shocking, many are not surprised:
“It’s known that people with co-occurring behavioral and mental health issues are at high risk for addiction even when prescribed opioids for a bonafide prescription medical use,” Dr. Anna Lembke, a Stanford University psychiatrist, and opioid addiction expert, told Amino.
However, Lembke was particularly moved by the fact that people with opioid addiction are seven times more likely to suffer from “failed back syndrome,” a chronic condition that is diagnosed following back surgeries.
“What I thought was really interesting was the correlation with failed back syndrome,” she said. “Perhaps failed back syndrome is a risk factor for developing an opioid use disorder—and that could be part of the reason why this community experiences such chronicity and lack of improvement. This is a subgroup that’s especially vulnerable to opioid misuse.”
The data collected by Amino looked at health claims among people with a variety of insurance codes, representing conditions from opioid dependence to opioid abuse in remission. Amino is a private insurer, and the data revealed a sharp increase in opioid abuse specifically among those with private insurance. According to the data, there was a six-fold increase in opioid-related insurance claimed between 2012 and 2016 among private insurers.
However, Lembke notes that this sharp increase may be underrepresented:
“Patients don’t want to carry them on their charts, and doctors don’t want to stigmatize their patients,” said Lembke. “But they will go ahead and chart it if there’s utility in it. And the utility is you can’t get buprenorphine, methadone maintenance, or naltrexone paid for by a third-party payer unless it’s diagnosed.”
Last month was Hepatitis Awareness Month. The treatments for hepatitis C have really come a long way, and it no longer as life endangering as It once was. The key is to seek treatment early. Unfortunately, due to the stigma of addiction, many are afraid to get tested.
Studies like these show that the numbers are not improving. Those with opioid addiction seriously need testing to prevent the disease from progressing any further. Please do not feel shame about testing for this disorder. Furthermore, if you are struggling with substance use disorder, please reach out to us. We have the tools to guide you to a sober life. Do not wait. Call today.
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by Sher Delva | Jun 20, 2017 | Addiction, Addiction Stigma, Drug Abuse, Mental Health, Prescription Drugs, Stigma, Therapy, Uncategorized, Withdrawal
Yesterday, we covered recent coroner reports that revealed that actress Carrie Fisher has drugs in her system days before her death. The toxicology reports found evidence of heroin, MDMA along with cocaine in her system.
It’s estimated that cocaine was used three days before her death. However, it remains uncertain when the heroin and MDMA were used. Still, despite the discovery, the coroner’s office cannot determine whether or not drugs played a role in Fisher’s death. A variety of other factors such as a heart condition affected the actress as well. Therefore, a cause of death could not be determined.
Daughter Tells It Like It Is
Now, Billie Lourd, the only child of Carrie Fisher, recently opened up to media outlets to confirm what the coroners cannot: her mom died from drug addiction. While this is far from surprising for her fans, Lourd’s bold act of ownership is what her Mom would have wanted.
Carrie Fisher has always made an effort to publicize her journey with mental illness and addiction. She was diagnosed with bipolar disorder at just 24 years old and battled a serious drug addiction most of her life.
Lourd made an emotional statement regarding her mother. While reports stated it was uncertain whether drugs caused her death, Lour was less ambivalent, declaring that she was certain her mother died due to her drug use.
“My mom battled drug addiction and mental illness her entire life,” Lourd said in a statement to People magazine. “She ultimately died of it. She was purposefully open in all of her work about the social stigmas surrounding these diseases.”
“She talked about the shame that torments people and their families confronted by these diseases. I know my mom. She’d want her death to encourage people to be open about their struggles. Seek help, fight for government funding for mental-health programs. Shame and those social stigmas are the enemies of progress to solutions and ultimately a cure. Love you, Momby.”
Carrie Fisher: Forever an Advocate
Carrie Fisher has always been one of the most powerful advocates for people struggling with substance use disorders. She used her fame from the Star Wars franchise to stimulate discussion and awareness about drug addiction, mental illness and the challenges of recovery.
“I did drugs because they alter you in a way you can’t alter yourself if you’re not comfortable in your own skin,” she told Mirror Online in 2015.
The actress admitted she used drugs as self-medication for her bipolar disorder. She stated that she was not ashamed about her mental illness, and instead hoped more people would come forward seeking treatment.
“One of the things that baffles me (and there are quite a few) is how there can be so much lingering stigma with regards to mental illness, specifically bipolar disorder. … At times, being bipolar can be an all-consuming challenge, requiring a lot of stamina and even more courage, so if you’re living with this illness and functioning at all, it’s something to be proud of, not ashamed of,” she said In her 2008 memoir, Wishful Drinking.
Results of Toxicology Report
A full autopsy report was not conducted at the request of Fisher’s family. The toxicology report stated it was uncertain whether substances played a role in her untimely death.
“Based on the available toxicological information, we cannot establish the significance of the multiple substances that were detected in Ms. Fisher’s blood and tissue, with regard to the cause of death,” stated the report.
Lourd is taking the extra step to confirm what most try to disguise. Carrie Fisher was never ashamed to discuss her struggles with addiction. She was a voice to those who feared to come forward. If you struggle with addiction, mental illness or both, please reach out. Call now. We want to help.
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by Justin Mckibben | Jun 20, 2017 | Addiction, Drug Abuse, Prescription Drugs, Withdrawal, Xanax
Xanax is a brand name of the drug Alprazolam; one of the most popularly prescribed medications in the country, and yet it is associated with plenty of side-effects and very serious health problems. In the benzodiazepine (benzo) category of medications Alprazolam is the most prescribed and often most abused substance on the list. Xanax is used to treat:
It is also prescribed to be used as a muscle relaxer, stress reliever and sleep aid. However, it has earned its name on the DEA list of schedule IV controlled substances, and comes with a laundry list of side effects. These side effects will vary in frequency and intensity depending on many factors. Some are more common, while others are indications of a more serious health risk.
What Are the Side Effects of Xanax: Common
The more moderate side effects of Xanax include:
- Ataxia
- Cognitive dysfunction
- Constipation
- Drowsiness
- Decreased sex drive
- Irritability
- Feeling light headed
- Slurred speech
- Fatigue
- Memory impairment
- Weight gain/loss
- Blurred vision
- Insomnia
- Changes in appetite
What Are the Side Effects of Xanax: Less Common
There is a very extensive list of side effects people have reported in connection to Xanax that are less common. Some of these side effects of Xanax include:
- Abdominal/stomach pain
- Body aches
- Drastic behavioral changes
- Chills
- Confusion
- Cough
- Decreased frequency and/or volume of urine
- Diarrhea
- Dry mouth
- Ear congestion
- Fainting
- Fear
- Headache
- Hyperventilation
- Irregularities with eyes
- Restlessness
- Irregular heartbeats
- Itching
- Joint pain
- Loss of bladder control
- Nausea
- Painful urination
- Rash
- Hallucinations
- Shaking/Shivers
- Sweating
- Swollen joints
- Tightness in the chest
- Uncontrolled movements
- Unpleasant breath odor
- Wheezing
- Yellow eyes or skin
What Are the Side Effects of Xanax: Severe
There are also some side effects that are listed that are more severe than others. Some of these should be taken extremely serious, and can be signs of a much more severe and potentially life-threatening condition.
- Depression
- Suicidal thoughts
- Vomiting Blood
- Chest pains
- Breathing problems (deep and slow or fast)
- Ear pain
- Irregular heartbeat
- Feeling unusually cold
- Hearing loss
- Lack of feeling or emotion
- Loss of control of limbs
- Nightmares
- Numbness
- Severe sleepiness
- Swelling
- Seizures
In 2012, a study released by SAMHSA found that benzo drugs like Xanax accounted for around 35% of drug-related visits to hospital emergency and urgent care facilities.
What Are the Side Effects of Xanax: Withdrawal Symptoms
Xanax works very fast and has a relatively short half-life, which causes withdrawal symptoms to begin very rapidly once the individual discontinues their use, which is why a Xanax addiction detox program is so important. Most people will start to feel withdrawal symptoms within 12 hours once they stop using Xanax, and those symptoms will peak within 3-4 days. Residual and long-term symptoms of withdrawal can even last for up to months at a time.
Going through a medical Xanax addiction detox program is so important because of the severity of some of these symptoms, especially in combination with other substances such as alcohol which will increase the discomfort. The most common withdrawal symptoms from Xanax include:
- Headache
- Blurred vision
- Muscle aches
- Tension in the jaw and/or teeth pain
- Nausea
- Vomiting
- Diarrhea
- Numbness in fingers
- Tingling in limbs
- Sensitivity to light and sound
- Alteration in sense of smell
- Loss of appetite
- Insomnia
- Cramps
- Tremors
- Heart palpitations
- Hypertension
- Sweating
- Fever
- Impaired respiration
There are other side-effects that happen when combining Xanax with other substances, especially with other depressant type drugs such as alcohol. When combining Xanax with alcohol, it can create even more serious health problems, like:
- Behavioral changes
- Intoxication
- Severe sedation
- Psychomotor agitation
- Seizures
- Coma
- Death
Withdrawal from either substance can be risky, but the combined effects can be lethal.
What Are the Side Effects of Xanax: Important Factors
When it comes to the Xanax side effects, or side effects for any drug, there are important factors that come into play. For instance, the amount of the substance used matters. If someone takes a higher dose of Xanax more frequently, they will most likely experience side effects different than someone who takes lower doses less frequently. The method of use can also impact the side effects.
Also, any additional substances or medications being used along with Xanax can cause the side effects to become more severe. Someone combining Xanax with other sedatives may experience side effects in a different way than someone combining Xanax with stimulant drugs.
Finally, side effects may also vary for anyone dealing with pre-existing health conditions or co-occurring mental health disorders. If an individual already has kidney or lung problems, their side effects may be very different than someone who is physically healthy but struggles with a mental illness like bipolar depression.
What Are the Side Effects of Xanax: Addiction
Out of all the side effects for Xanax, addiction is definitely a serious problem. Developing a physical dependence that then evolves into a substance use disorder can not only cause extensive damage to the individual’s life, it can exacerbate all other side effects and symptoms.
Extended use of a drug like Xanax can cause new health problems. With the brain, benzo drugs can cause malfunctions in coordination and damage brain cells. It can affect how the brain operates and have lasting psychological effects. One of these can be the cravings for the drug, as well as dramatic mood shifts.
Some research published in 2016 actually suggests that long-term use of benzodiazepine drugs like Xanax significantly increases the risk for brain, colorectal, and lung cancers.
Addiction is something that doesn’t only manifest in a physical form. Drug addiction also takes a mental and emotional toll. All the effects can be extremely difficult to overcome, and can even be dangerous when unmonitored. Anyone trying to overcome Xanax addiction should attend a safe medical detox program. Even with some prescriptions of symptom controlling medications, a quick detox can be very tough and uncomfortable. A drastic drug detox should never be attempted without medical supervision.
With Xanax addiction treatment, there should be a strong medical staff to assist in a comfortable transition from active substance abuse. There should also be levels of personal and professional therapy and a specialized team dedicated to designing an aftercare program that meets the specific elements of a long-term recovery plan. If you or someone you love is struggling, please call toll-free now.
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by Sher Delva | Jun 20, 2017 | Addiction, Addiction Stigma, Drug Abuse, Mental Health, Stigma, Therapy, Uncategorized
Autopsy reveals Carrie Fisher had cocaine, ecstasy, and heroin in her system before death
Six months after Carrie Fisher’s death, new reports reveal the cause of death.
Coroner’s officials ruled that Fisher died from sleep apnea and a combination of other factors. The “Star Wars” actress fell ill on the plane last year, but investigators could not determine what impact drugs had on her death.
New Toxicology Reports
Now, toxicology reports reveal that Fisher had cocaine in her system and could have taken cocaine three days prior to the December 23 flight on which she had a heart attack. Fisher died four days after the flight.
The reports also say traces of heroin, other opiates, and ecstasy were found, but they could not determine when Fisher took these drugs. The findings were based on toxicology screenings taken when the “Star Wars” actress arrived at a Los Angeles hospital.
The full report contains a detailed explanation of the results, such as why investigations believe cocaine was taken by the actress at least three days prior to her flight. It also states that while heroin is detectable in the system for a briefer period of time, investigators could not determine when Fisher took it or ecstasy. Toxicology tests also found opiates in Fisher’s system, including morphine, although reports state this could be a byproduct of heroin.
“Ms. Fisher suffered what appeared to be a cardiac arrest on the airplane accompanied by vomiting and with a history of sleep apnea. Based on the available toxicological information, we cannot establish the significance of the multiple substances that were detected in Ms. Fisher’s blood and tissue, with regard to the cause of death,” the report states.
Other Potential Factors
Among the factors that contributed to Fisher’s death was the buildup of fatty tissue in the walls of her arteries, a condition known as atherosclerosis.
A phone message left for Fisher’s brother, Todd, was not immediately returned. Todd Fisher said in a statement Friday that he was not surprised
“I would tell you, from my perspective that there’s certainly no news that Carrie did drugs,” Todd Fisher said.
Carrie Fisher has been open about her drug use to the media and wrote about her struggles extensively. Many of the drugs were prescriptions by doctors to help Fisher overcome her mental health conditions, Todd Fisher noted. Fisher had long battled drug addiction and mental illness.
Fisher started smoking marijuana at 13, used LSD by 21, and was diagnosed with bipolar disorder at 24. Doctors treated her with medication and even electroshock therapy.
“I am not shocked that part of her health was affected by drugs,” Todd Fisher said.
So what was the cause of Fisher’s death?
Todd Fisher believes it was a combination of Fisher’s heart condition along with her smoking habits, and the medications she took.
“If you want to know what killed her, it’s all of it,” he said.
Carrie Fisher opened up in 2016 about her life-long struggles with insecurity. She admits she dealt with it extensively in the original “Star Wars” movie in the 70s. She even admitted to an affair with co-star Harrison Ford, at only 19 years old, in which she felt tremendous guilt.
Furthermore, Fisher has revealed challenges with body image after gaining weight. Before filming “Star Wars: Episode VII”, Fisher admits she was told to lose 35 pounds.
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Fisher’s life has not always been easy. However, we will always love and appreciated her work. Addiction is a disease and should be treated as such. Fisher’s struggles are not a reflection of who she is as a person. She struggled with the disease of mental illness and addiction like many do. If you struggle with the same issues, please reach out. We want to help you before it is too late. Call now.
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by Justin Mckibben | Jun 19, 2017 | Anxiety Disorder, Drug Abuse, Mental Health, Panic Disorder, Prescription Drugs
The American Generation X faced high rates of depression, but it seems now the millennial age is plagued with an outbreak of American anxiety.
Anxiety on an occasional basis is a pretty standard part of the human experience. When we are faced with difficult tasks, frightening news or even critical decisions, we will naturally experience some form of anxiety. There is a big difference between these feelings of worry and a developed anxiety disorder. With serious anxiety disorders the feeling isn’t fleeting, it can linger and grow worse over time. Anxiety disorders can cripple our ability to complete everyday activities, and it can take many forms, such as:
- Panic disorder
- Social anxiety disorder
- Generalized anxiety disorder
Of course our outside world can have a drastic impact on these feelings, and our ability to face them. Here in America some believe that anxiety has evolved with society and now impacts more and more people. According to the Anxiety and Depression Association of America:
- Anxiety disorders affect over 40 million adults age 18 and over in the United States, accounting for 18% of the population
- GAD (generalized anxiety disorder) affects 6.8 million American adults
- Panic Disorder affects 6 million American adults
- Social Anxiety Disorder affects 15 million American adults
- Specific Phobias affect 19 million American adults
Other disorders are closely related to anxiety disorders, such as:
- Obsessive Compulsive Disorder (OCD)– affecting 2.2 million
- Post Traumatic Stress Disorder (PTSD)– affecting 7.7 million
- Major Depressive Disorder– affecting 15 million
This doesn’t even begin to address the various related disorders that often co-occur with anxiety disorders, such as eating disorders or substance abuse. So is American anxiety a mental health epidemic?
An Anxious Nation
Earlier this month there was an article in the New York Times entitled “Prozac Nation Is Now the United States of Xanax” In the piece the author recounted how American society has seemingly grown into a nation where an anxiety diagnosis is now as common as a diagnosis of depression. The author, Alex Williams, suggests:
“Anxiety is starting to seem like a sociological condition, too: a shared cultural experience that feeds on alarmist CNN graphics and metastasizes through social media.”
Williams includes some pretty damning numbers to support the conclusion, such as:
- Anxiety disorders are now more common than depression on college campuses, which has always been the leading mental health disorder among university students.
The National Institute of Mental Health reports:
- 38% of teenage girls have an anxiety disorder
- 26% of teenage boys have an anxiety disorder
Politics and Anxiety
If anyone out there is like me, this one may hit close to home. Every time I come across a story about the state of national affairs, or even about a controversial piece of legislation in another state, it gives me pause. I am not going to point the finger at anyone, but needless to say I am an idealist and I think we could do much better. My anxiety flows from the intensity with which some people attack those they cannot compromise with, and what that may say about our future. Politics frequently contribute to many people’s anxieties.
Another article on anxiety was published in the New York Times back in April of this year, where the author looked at the issue of American anxiety from both a social and generational view, comparing the issues of past generations with the social construct the newer generation of Americans face today. With wondering what to worry about, some would say to pick your own panic flavored poison. From the side of political anxieties people could choose between:
- Economic anxiety
- Racial anxiety
- Cultural anxiety
- Demographic anxiety
In the grander scheme of things, American anxiety was the “profound unease” and the more our politics seem to revolve around our racial, economic or cultural differences the more unease sets in.
While the news is constantly informing us of another contention with legislation on education, health care and immigration, we are also dogged by the drama of foreign influence and relations. While no average American is in control of such things directly, we can easily adopt anxieties over these outcomes, especially in the current political climate. Far too many have developed the “us VS them” attitude of party politics, and it only fuels more anxiety through division and distrust.
Technology and Anxiety
Of course the concept of smartphones and social media comes hand in hand with examining how American anxiety has reached such heights. We have these constant tools of connectivity that some have said simultaneously make us feel more detached. When social media, instant messaging and texting has us on the constant look out for communication, validation or distraction we can easily become far too reliant on technology for peace of mind. On top of that, studies have indicated people develop an urge to constantly check their phones for updates and interactions. This need to be tethered to our iPhones has fed into our nervous behavior.
Another new wave of technology, if you can even call it that, is the hand-held toys specifically designed for people dealing with fidgeting. We all remember stress balls, and now a recent phenomenon of the “fidget spinner” device has seen incredible spikes in sales. These types of toys were originally developed to help children with anxiety, ADHD or autism. These toys come in various shapes and designs to replace the incessant clicking of a pen or tapping of a finger. Lately children, adolescents, and young adults appear to use these toys. One may see it as a fad taking off, but could these tedious decoys be actually serving a purpose by alleviating anxious feelings?
Is the seemingly ridiculous popularity of “fidget spinners” happening because more people are subconsciously trying to overcome their own anxieties?
Anxiety and Substances
Anxiety is notably a product of uncertainty. Many of us addicts use to seek out a measure of escape or comfort. So when we are looking to diminish our anxiety, wouldn’t it make sense that we ask for some semblance of certainty? Some might argue substances, legal or otherwise, provide some much needed consistency. I know personally, as someone who struggled with serious anxiety for years, that I would try to use drugs to be numb to the fear. However, I ultimately found that the drugs and the drinking fed my fear, which in turn exacerbated my anxieties.
Anti-anxiety medications, like Xanax, are some of the most prescribed drugs in America. It is possible to become convinced that a pill can fix everything, especially in a world where pills are everywhere and we are so used to instant gratification. And yet, many of these pills are potent and dangerous; they come with their own baggage. Xanax may be helpful to some, but it is also one of the top prescription drugs being abused in America.
Others will seek out a way to dull their anxieties through illicit substances. They may seek a calm release from their nerves through abusing alcohol or drugs, especially depressant drugs or “downers”. Opioids, such as OxyCodone or heroin, are the most commonly abused depressants next to alcohol. In the midst of an opioid epidemic, we may be seeing how growing rates of American anxiety have fed into a devastating drug addiction crisis. With mental health and substance use disorders, dual diagnosis treatment becomes essential.
Underneath all of this is a constant fact; American anxiety is real. What are we most worried about? That may be subjective. Freud explored the concept of “anxiety neurosis” which we today commonly call GAD. This Freud describes as a fear that could be attached to any appropriate idea. So no matter what our circumstances, we could attach fear to it and then it would become our focal point to the extent it may be debilitating. The fear is there, even in the home of the brave.
For those struggling with substance use disorder and an anxiety disorder, dual diagnosis treatment with a holistic approach can make all the difference. For someone to create lasting coping skills and break out of self-destructive and counter-productive habits, holistic treatment can be a game changer. If you or someone you love is struggling please call toll-free now.
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