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It is not so far-fetched to be told that someone whose life is consumed with drug or alcohol dependency can find themselves facing the emotional and mental fallout. When dealing with mental health issues, it is not rare for people to also struggle with substance use disorder. Co-occurring conditions such as these tend to feed off of each other, or even help create one another.
It is almost like when someone has high blood pressure, we are not surprised when they develop heart problems. Sometimes side effects and symptoms of one condition can nurture new ailments.
According to so researchers, there are some more common combinations of co-occurring disorders with addictions. So which addictions are most likely to co-exist with each mental health condition?
Here are 5 of the most common co-occurring disorders with addictions (not in any particular order):
Schizophrenia with Marijuana Addiction
One disorder that commonly co-exists with a substance use disorder is schizophrenia. The American Journal of Psychiatry released a study that suggests approximately half of all people with schizophrenia also have a substance abuse disorder.
But one substance stands out the most when looking at people living with schizophrenia- marijuana.
The exact cause of schizophrenia is unknown, but many suspect a combination of environment, genetics and altered brain chemistry and structure to all play a part. So it is unclear why people with schizophrenia would abuse marijuana. Especially since this drug typically produces many of the same symptoms these people experience when in the midst of a schizophrenic episode. Some of these symptoms include:
- Short-term memory problems
- Unusual or dysfunctional ways of thinking
- Difficulty beginning and sustaining activities
- Impaired executive functioning
While not all symptoms are the same for everyone, some of these more common symptoms definitely overlap between the two. While it may not be obvious why, research suggests it is pretty obvious that marijuana is most popular for people with schizophrenia.
Alcoholism and Anti-Social Personality Disorder
You might be surprised with this one because most people assume alcohol is most commonly matched with depression.
Anti-social personality disorder is easier to understand when one explains the concept of personality disorders in general.
To put it simply, a personality disorder is an enduring pattern of personal experience and behavior that deviates noticeably from the expectations of the individual’s culture, which leads to personal distress of impairment. So antisocial personality disorder (ASPD) is characterized by a tendency to disregard and even violate the rights of others. Symptoms can vary from egregious to outright dangerous. They include:
- Lack of remorse
- Consistent irresponsibility
- Lack of stability in a job and home life
- Disregard for society and laws
- Violation of the physical or emotional rights of others
Often the more intense cases earn the titles of sociopathic or psychopathic.
Alcohol abuse very frequency co-occurs with other mental health disorders. However, according to the National Institute on Alcohol Abuse and Alcoholism (NIAAA), the disorder with the closest connection to alcoholism is anti-social personality disorder.
In fact, people who drink to excess on a regular basis are 21 times more likely to deal with ASPD when compared to people who don’t have alcoholism.
The NIAAA also states that both of these disorders typically develop early in life. However, alcoholism can actually make the underlying mental illness worse. Intoxication can lower an individual’s inhibitions, which makes their antisocial behaviors more prevalent. This may also lead to more dangerous manifestations of the disorder.
Anxiety Disorders and Cocaine Addiction
Cocaine is an extremely powerful narcotic stimulant, which gives users feelings of intense euphoria. However, the tradeoff is a very steep price to pay considering how dangerous this drug really is. Continued cocaine use typically leads to symptoms that essentially mirror an anxiety disorder, including:
- Difficulty concentrating
Because cocaine is a stimulant, it speeds up and amplifies activity of the brain’s neurotransmitters. Certain neurotransmitters at higher levels induce anxiety. So anxiety is actually a symptom of cocaine use already. Cocaine use also has the potential to create psychotic episodes. Some people even experience severe mental symptoms as a result of use.
As a long-term effect of cocaine use, brain circuits are more sensitive while struggling to respond to natural stimuli, and the results are often related to mood and mental health. Statistics show that there is a very high risk of anxiety and cocaine abuse occurring together. Then if you already have an anxiety disorder, the risk becomes even higher that you will develop a severe emotional problem when using a drug like cocaine.
While the adverse effects of cocaine use can eventually fade for those able to achieve a long-lasting sobriety, sometimes the damage lingers. Those unusual thoughts and behaviors can continue even long after someone has given up the drug.
Prescription Opioid Addiction and PTSD
Post-traumatic stress disorder (PTSD) is a mental illness that takes hold in the aftermath of an intense and traumatic experience. Often, people who survive tragedies, war and other dangerous or life-altering events will experience PTSD.
In some circumstances, people will leave their experience with serious physical injuries, and often, those injuries are treated with prescription painkillers. This is just one way that prescription opioids have contributed to a huge epidemic that has been hurting America for the past several years.
Prescription opioids often boost feelings of pleasure and calm inside the brain, and sometimes people who have PTSD end up abusing these medications in order to experience euphoria and numb themselves to not just their physical agony, but also their emotional trauma. This can become an endless cycle of self-medicating. This is especially true with veterans. In fact, some research indicates that veterans with pain and PTSD are 3 times more likely to receive opioids compared to those without any mental health disorders.
It is true that having effective pain medications is very important to improve the quality of life for those with physical pain, especially chronic pain patients. However, mixing powerful opioids like prescription painkillers with PTSD can lead to tragic outcomes. With increasing rates of veteran suicides over the past several years, one can only image what impact the surging opioid crisis may have had on those struggling with PTSD.
Depression with Heroin Addiction
Throughout one of the worst drug epidemics in American history, heroin has been a driving force behind countless overdoses and skyrocketing death rates. Heroin isn’t just devastating physically, but also mentally and emotionally crippling. The connection between these adverse effects and depressive disorders is remarkable.
The allure of heroin is that is can make users feel an overwhelming sense of pleasure for a short time. However, long-time use of heroin can burn out the portions of the brain responsible for producing natural signals of pleasure, leaving them incapable of feeling good on their own without the drug. The drug alters brain chemistry and creates mood changes.
Advances in Psychiatric Treatment estimates that 48% of opioid users have experienced depression at some point in their lives.
Extended use of heroin can eventually cause a form of brain damage that leads to depression. Users can become physically incapable of feeling happiness unless the drug is present. Withdrawal symptoms from heroin can also exacerbate symptoms of depression. Many of them are actually overlapping symptoms, such as:
- Slow thinking, speaking or body movements
- Loss of interests
- Sleep problems
- Physical pains
- Changes in appetite
The combination of depression and heroin addiction is incredibly common. Sometimes it can be difficult for people to tell which issue came first, but ultimately they can both be exceedingly debilitating, or even deadly.
Dual Diagnosis Treatment
Dual diagnosis means that a person is dealing with two medical conditions that are co-occurring. In regards to the field of drug addiction, dual diagnosis specifically means that someone is struggling with both substance use disorder and another mental or behavioral health issue. Sometimes it is because prolonged drug use has contributed to developing a mental health issue, while other times it is because someone has tried to self-medicate when facing a mental health issue.
Dual diagnosis treatment is so important because it provides the opportunity to treat both co-occurring disorders simultaneously. For those suffering with more than one disorder, it is not nearly as effective to focus on treating one while ignoring the other. Holistic healing is all about addressing every aspect of each individual to help them find success in every part of their life.
Palm Healthcare Company believes in providing holistic addiction resources to help treat not just the addiction, but also any other issue that could be holding you back from achieving a full life of lasting recovery. If you or someone you love is struggling, please call toll-free now.
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Maintaining Mental Health and Well-Being
by Thomas G. Beley, Ph.D., LCSW
Executive Director of Palm Healthcare Company
We hear a lot about the importance of mental health. However, exactly what is mental health. If one looks at the research literature there is not very much written about what constitutes mental health. Often times, by default, mental health has been referred to or alluded to as the absence of a mental illness. To complicate the situation further, the literature seems to be overly ripe with how to treat various mental disorders as well as how to reduce the specific symptoms a person may be experiencing. Unfortunately, our society has become overly preoccupied with treatment focusing on the reduction of a person’s symptoms as an indicator of a mentally healthy person. Although treatment and symptom reduction are important facets of a person’s mental health, neither treatment nor symptom reduction guarantees a sense of well-being.
In examining the various disorders as outlined in the DSM IV and the plethora of research that has been conducted on how to treat these disorders, there appears to be a common thread that seems to exist between all of these disorders and conditions. The common thread appears to be an on-going interrelationship between the biological or neuro-chemical make-up of a person; the existing stress factors that may be presented in a person’s life; and the actually coping skills or mechanisms that a person uses as a way of dealing with everyday life. Furthermore, it appears that all three of these influences have the ability to impact the other for the better or for the worse. This article will examine these various influences on a person’s mental health and how these influences are involved in maintaining a person’s sense of mental health and well-being.
Stress is a constant in everyone’s life. Hans Selye, the father of the stress response, defined stress as “any change.” So the fact of the matter is that stress is a constant in one’s life. In essence, the moment a person opens their eyes in the morning, that’s stress. The moment that same person gets out of bed, that’s more stress. And, the moment that person jumps into the shower, even yet more stress. In most instances, our bodies are able to handle this stress much of which is attributed to a person’s balanced neurobiology and neurotransmission.
Much of this can be explained through the “fight or flight response” of a person. This mind-body connection, which has been a part of human evolution, has worked the same way over hundreds of thousands, if not millions, of years, the same way. Any time a person’s brain, either conscious or unconscious, senses any type of danger whether real or not, there are a whole host of stress hormones that are being released into the body (neurotransmission) gearing the person’s body up to do one of two things, to run away from that danger or to fight that danger. In either scenario, the body has to be an efficient machine. Although a person doesn’t necessarily have to hunt for their food any longer per se or run away from man-eating animals, a person is still faced with the everyday modern dangers of life such as unemployment, finances, marital problems, parenting, etc. The list is endless. The important point, here, is that regardless of what that perceived danger, the mind, and body via neurotransmission, kicks into action.
A problem that arises, however, is that once the mind and body have turned it up a notch to deal with the stress, it takes the body a longer time to calm down. The mind or more specifically the neocortex (the thinking part of the brain) is able to easily dismiss stress and false alarms of stress in a relatively short manner. A person can become instantly alarmed at the prospect of their electric being shut off from a notice received in the mail, however, instantly “feeling” a sense of relief realizing that the notice is not meant for them but for the neighbor. Although the mind has dismissed the danger, the stress hormones have already been released to key parts of the person’s body. Studies have shown that these stress hormones or the signaling of the mind to the body to calm down can take anywhere between six hours to seventy-two hours for the body to receive the signal of no danger. So what can actually happen is that a person can be walking around “feeling good” and the least little thing can happen, the proverbial straw that breaks the camel’s back, that can send a person into a stressed or panic state.
There are three key points that need to be remembered about stress.
The first key point is that stress is a constant in anyone’s life by virtue of the constant change a person is going through from the moment they wake up in the morning to the time they go to bed at night. All too often a person thinks of stress as “nothing bad has happened to me lately.” It is irrelevant to ask the question whether a person is stressed, it is more appropriate to think in terms of whether that person’s neurobiology is handling that stress in an appropriate manner.
Secondly, the body doesn’t really know the difference between “good stress” and “bad stress.” It may be more relevant for a person to think in terms of how much and to what extent has that person experienced change during the course of the week or the month regardless of whether that change has been “good” or “bad.” The more change the person has experienced, the more stress that has been absorbed into the body.
And, finally, the third key point is that the body is a very slow responder. It takes the body a much longer time to calm down than the cognitive processes that are occurring in the brain. A person needs to be mindful that just because they are “feeling relaxed” doesn’t necessarily mean that their body is relaxed.
It is not always feasible to assume that lowering the stressful situations in one’s life is the answer since many people may be unable to avoid a stressful lifestyle. Firefighters, police officers, emergency room medical staff, are all faced with potential chronic conditions of stress. It is not fair to say these individuals will be excluded from feeling a sense of well-being because they are in constant stressful situations. It is important for a person to be aware of trying to lower stress in their life where they can, but for those individuals who are in situations where stress is a constant, it will be more important for that person to develop the necessary coping skills to deal with stress such as exercise, nutrition, yoga, or meditation.
Research in the neurosciences in recent years has continued to shed new light on a person’s brain chemistry and how neurotransmission impacts a person’s sense of well being as well as behavior. There have been numerous studies conducted on certain neurotransmitters of well being such as serotonin, GABA (gamma-aminobutyric acid), dopamine, and others to suggest the necessity of these neurotransmitters for the person to function at an optimal level. This is where the explosion of new prescription drugs has come on to the market to solve the ills of the world. Needless to say, pharmaceutical companies have long since been proponents of this neurobiological research due to the ability to develop newer and more efficient drugs to attempt to balance a person’s neurochemistry. An important aspect that has evolved over the years, however, is the recognition of, not only the importance of a person’s neurobiological chemistry to be in balance for a sense of well-being, but also the fact that a person’s biochemical makeup can be extremely delicate and subject to a whole host of outside influences such as stress, medical conditions, nutrition, and behavior that can throw a person’s neurochemistry off creating a variety of symptoms. As a result, there continues to be a growing movement toward alternative methods of treatment to address brain chemistry issues such as acupuncture, nutrition, or chiropractic intervention to intervene and/or to enhance a person’s brain chemistry.
Regardless of whether you are a proponent of Prozac or a devotee to acupuncture, the important point to emphasize is that a person’s neurochemistry plays an important role in a person’s sense of well-being and contentment. Furthermore, the imbalance of neurotransmission in the brain can interfere with that person’s overall level of functioning and well-being.
Coping with everyday life situations is another area which is an important influence on a person’s ability to achieve a sense of well-being. A person needs to feel a sense of satisfaction about how they handle given situations that confront them whether if it is with themselves or with others. However, in order to do this effectively, a person needs to have a repertoire of coping mechanisms to choose from. All too often, a person doesn’t develop or change the necessary coping skills needed to deal with life situations. An interesting point to make, here, is that the human species, which is supposed to be at the top of the so-called food chain of life, is the only species that will continue to do the exact same behaviors to problem solve a situation despite the fact that these problem-solving behaviors may have repeatedly failed in the past. For a variety of reasons, it appears that change is often difficult for a person to make. In order to effectively cope with a situation, it is of vital importance for a person to maintain a degree of flexibility, adaptation, and a willingness to change regarding any given situation.
In a sense, a person’s self-esteem can be viewed as being borne in a series of “failures.” Once a person makes a decision to do something, it is usually followed by a series of behaviors or actions. Often times these initial behaviors and actions are not going to be a success since doing something for the first time often leads to a number of miscues or possible “failures.” However, if a person is willing to persist at following through with these behaviors and actions or be willing to try something different in an attempt to reach their goal, there is a greater likelihood the person will develop a sense of competence in that area. Once that person achieves that level of competence, a person’s self-esteem will increase. Once a person’s self-esteem has increased, the easier it becomes for that person to make decisions and take action in other areas of life and the cycle begins all over again.
The important part of coping is that both coping mechanisms and skills need to be constantly reviewed and refined by a person. There is no guarantee that a particular coping skill or mechanism is going to work in all situations. As a person begins to adapt to the various complexities of life, the greater the need for a more complete range of coping skills to maintain that sense of well-being.
The Systemic Relationship of Neurobiology, Stress, and Coping
In considering these various influences on a person’s mental health and well-being, it is vital to understand the interrelationship that exists between them. One must comprehend that all three of these influences are constantly impacting one’s functioning and a person cannot focus on one of these areas without taking into consideration the ramifications it will have on the other areas. There is a cyclical force that each area has on the other areas and vice versa. For instance, if a person is experiencing an inordinate amount of stress, whether it is “good stress”
or “bad stress,”
the neurochemistry of the brain is going to be impacted. If the neurochemistry of the brain is affected, there is a greater likelihood that this imbalance is going to affect the neurotransmission which can result in symptomatic behaviors such as panic, anxiety, depression
, or other symptomatic behavior. As a result of the symptomatic behavior the person may be experiencing, the person’s coping mechanism and problem-solving abilities are probably going to be compromised at least to some degree. If the person is unable to cope with a given situation in an effective manner, there is the potential of the stress level increasing again. As a result, there is a cyclical process of impact.
Balance and Well-Being
It appears that a key factor for a person maintaining mental health and a sense of well-being is the ability to monitor and balance the areas of neurobiology, stress, and coping. The challenge, however, that confronts a person is the ability to maintain this balance on an on-going basis. One of the difficulties stems from the fact that it is not always clear as to what a person needs to attend to at any given time. For instance, let’s say that a person’s depression may simply be stemming from their genetic make-up. If this is the case, it would probably be more prudent for that person to be prescribed the appropriate anti-depressant medication to correct the neurobiological issue as opposed to getting involved in therapy or attempting to reduce stress. Although the latter two methods can be extremely effective in the long run, the more effective and efficient intervention may be from a pharmacological approach.
On the other hand, let’s say a person is depressed as a result of a great deal of existing stress that is occurring in their life, let’s say from being fired from their job, or the person has limited coping skills to deal with real-life traumas like the death of a loved one. In this scenario, a pharmacological intervention may be of little value, since the depression may be more a product of “normal” life situations that would be better addressed through support and the development of better and more appropriate coping skills for that given situation. In these situations, yoga, meditation, and exercise may be extremely efficient in addressing stressful situations whereas psychotherapy can be effective in developing better coping skills. In many instances, it is not necessarily the fact that a person’s anti-depressant or anti-anxiety medication is not working, the fact of the matter is that the person’s life is still a mess and they need to begin to put it in order. Unless the person is able to address these matters, the likelihood of a person responding effectively to a pharmacological intervention is going to be minimal.It is safe to say that one’s mental health and sense of well-being is not a given in anyone’s life. Just because a person has a positive outlook on life, doesn’t mean that their genetic make-up couldn’t play a factor in that person’s level of functioning. Or, the person who has savvy coping skills in dealing with incredible amounts of stress, doesn’t mean that the accumulative effects of those stressors will not take a physiological toll on that person via heart disease or cancer.
Maintaining mental health and well-being needs to be worked at on an on-going basis, not too different than an athlete needs to train to maintain peak performance. In the arena of mental health and well-being, a person needs to monitor and train how they are performing in the areas of neurobiology, stress reduction, and the development of more effective and positive coping skills. The ability of a person to attend to these areas through the use of yoga, nutrition, exercise, diet, meditation, stress reduction techniques, psychotherapy, hypnosis, just to name a few approaches, the greater likelihood the person will maintain that sense of well-being. A question that a person needs to ask themselves is what is it they are doing to ensure the balance of these three key areas of their life.
For over 25 year, Thomas G. Beley, PhD, LCSW has worked in the field of addictions and mental health. Over these two-and-a-half decades of helping people who struggle with mental health and substance use disorders, he has proven to be an expert clinician and innovative and compassionate leader. Palm Healthcare Company is proud to have an executive team with experience and incredible commitment to helping others. If you or someone you love is struggling, please call toll-free now. We want to help.
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When we talk about fighting the addiction problem in America and better understanding substance use disorder, we have to acknowledge those who are at a specific risk for suffering from substance use. Far too many American soldiers come home only to fight another devastating, heartbreaking battle.
With addiction being considered a mental health issue, it should be clear the contribution of overall mental health makes to causing substance use disorder (SUD) in many cases. Depression, bipolar disorder, generalized anxiety disorders and post-traumatic stress disorder (PTSD) are all mental health issues that often associated with addiction.
Some of those susceptible to mental health disorders and substance abuse are those who fight for the safety and freedom of our country; our Veterans. So we need to acknowledge the mental health issues that the men and women who sacrifice everything for this nation are suffering through. We need to talk about how to best understand these conditions, and how to best treat those in need.
Veteran Mental Health Disorder Statistics
According to the RAND Center for Military Health Policy Research:
20% of Veterans who served in either Iraq or Afghanistan suffer from either major depression or PTSD
5% of Veterans in these two categories have suffered a traumatic brain injury
According to the U.S. Department of Federal Affairs:
More than 2 out of 10 veterans with PTSD also suffer from SUD
In the wars in Iraq and Afghanistan, about 1 in 10 returning soldiers seen in VA have a problem with alcohol or other drugs.
Almost 1 out of every 3 Veterans seeking treatment for SUD also has PTSD.
War Veterans with PTSD and alcohol problems tend to be binge drinkers.
Among all U.S. adult deaths from suicide, 18% (7,403) were identified as Veterans of U.S. military service
Probably one of the most troubling statistics comes from a study by the Substance Abuse and Mental Health Services Administration (SAMHSA) which tragically revealed:
Only 50% of returning vets who need veteran mental health treatment will receive these services.
That is an extremely troubling number. It says a lot about how Veterans are struggling to get the help they need when you realize that only around half of them ever get it.
Veterans and Substance Abuse
One of the hardest issues to address when examining the veteran mental health issue is substance abuse and SUD. It is also one of the most important aspects of Veteran mental health treatment that need to be acknowledged.
The National Institute on Drug Abuse (NIDA) reports that substance abuse among veterans is strongly connected to their experiences in combat and how they struggle to cope with these traumas. Various NIDA studies indicate that:
25% of Veterans returning from Iraq and Afghanistan showed signs of SUD
In 2008, active duty and veteran military personnel abused prescription drugs at a rate that was more than twice the rate for the civilian population
In 2009, the VA estimated that around 13,000 vets from Iraq and Afghanistan suffer from alcohol dependence syndrome and require veteran mental health treatment for this problem.
PTSD and SUD
A lot of people, even those who are not Veterans but have experienced great trauma, use substances to self-medicate and deal with PTSD. Even for those who have never had an issue with substances or may never have even used substances, PTSD increases the risk an individual can develop a drinking or drug problem or SUD.
To make matters worse, PTSD and SUD can likely lead to other problems in life, including health. These Veteran mental health issues can often be associated with:
Ultimately, using drugs or alcohol in combination with PTSD might seem to make things easier, but will actually make them a lot worse. It creates a vicious cycle of numbing and re-traumatizing.
Better Treatment for Veteran Mental Health and Addiction
Many advocates for Veteran services, including the National Veterans Foundation (NVF), believe:
- More funding needs to be allocated for Veteran mental health care services so that every veteran has easy access to this type of care.
- Excessive wait times at local VA facilities need to be addressed in order to grant people the access they need to these services.
The NVF website states:
“We can no longer look the other way or continue to underfund the mental health care system that our veterans use.”
This should absolutely be a priority. Strengthening the system that provides mental health care not just to citizens who are suffering, but to our vets who have given so much and desperately need help, is crucial to saving lives from substance use disorder.
Not only does Palm Healthcare Company understand the importance of providing quality addiction recovery treatment, but we also know how important dual diagnosis treatment is for those who suffer from serious mental health conditions like PTSD or major depression along with addiction. Better treatment means addressing both conditions simultaneously, to help the individual heal holistically.
Palm Healthcare Company also knows how important it is to help those first responders and Veterans that put their lives on the line every day. That is why we are a proud sponsor of the Harrigan Foundation’s Annual Run to the Rescue 5K to raise money for the treatment of first responders and veterans.
To find out more about this event, visit the link here:
Harrigan Foundation’s Annual RUN TO THE RESCUE 5K
Mental health care and addiction treatment for vets is an important resource that can save lives and our veterans put their lives back together after experiencing trauma and hardship that causes PTSD and the devastation of substance abuse. If you or a loved one is struggling, you don’t have to fight alone. Please call toll-free now.
CALL NOW 1-888-922-5398
There are many national observances every month, all year round, that remind us of issues that may not always be on the forefront of our minds. These issues are typically not something everyone will put much thought into each day, but when we pause to acknowledge them for a few days at a time we may realize these are real problems that affect real people every single day. Some of these issues go unseen, like mental health disorders. One of these observances for the month of October is National Antidepressant Death Awareness Month.
If you never realized this was an actual observance, then that is kind of the point. The fact that this is enough of an issue to acknowledge for one month out of a year should speak volumes. The fact a lot of people don’t even realize it is happening says a lot too.
Let us be clear: this article is NOT to discredit or denounce the use of antidepressant medications. It is simply to acknowledge the importance of awareness and education.
So what does this observance mean?
The purpose of National Antidepressant Death Awareness Month is to remember those who have been injured or killed as a result of antidepressant use. Part of this commemoration is to urge people to always report any adverse reactions while taking any drugs to the FDA, especially in cases that end in death. Depression is a common mental health disorder in the United States. In fact, recent data shows:
- More than 300 million people suffer from depression globally
- Approximately 16 million adults in the US had at least one major depressive episode in 2012
- Depression is the leading cause of disability worldwide
- 11% of adolescents have a depressive disorder by age 18
- 10%-20% of new moms will experience postpartum depression
- 30% of college students report feeling depressed enough it disrupted their performance in school
- 50% of Americans with major depression don’t seek treatment
Needless to say, depression is a prominent condition that impacts a lot of people across America. So of course, antidepressant medications are a valued resource in mental health treatment. However, excessive use of antidepressant medications or dependence on these drugs can lead to some devastating consequences.
Too often people joke about needing to “pop a Prozac” or “borrow a Zoloft” to relax, but these medications are nothing to play around with.
Antidepressants and Suicide
In 2016 reports came out about a suicide epidemic in America. According to the World Health Organization suicide was the 3rd leading cause of death in 2015, representing a 60% increase worldwide over 45 years! A report from the Center for Disease Control and Prevention (CDC) found an estimated 9.3 million adults in the United States (3.9% of the adult population) reported having suicidal thoughts in that past year.
With such shocking statistics, researchers decided to examine data on suicides and the antidepressants associated with some cases. Of most of the medications the most disturbing revelations were those for:
- Selective Serotonin Reuptake Inhibitors (SSRIs)
- Serotonin-norepinephrine Reuptake Inhibitors (SNRIs)
The review revealed that these antidepressants actually seemed to double the rate of suicide and aggressive behavior for adolescents and young people under the age of 18.
So drugs intended to treat depression actually increased risks of harmful side-effects. But even more disheartening is the fact the Big Pharma companies behind these medications were documenting “serious underestimation of the harms.” Meaning they believe drug makers misreported their findings from case studies. In many cases, researchers concluded more serious side-effects were being recorded as something else.
Side-Effects of Antidepressants
Antidepressant drugs can be very useful, but they are still drugs and should always be taken seriously. Not only can antidepressants be detrimental to emotional stability, but they cause various physical side-effects as well.
Some of the more common side-effects of antidepressants include:
- Blurred vision
- Increased appetite
- Weight gain
- Sexual dysfunction
- Dry mouth
There are other more serious health concerns that certain antidepressant drugs can contribute to as well, including:
Depending on the particular substance, some of these adverse effects of symptoms may differ. One should always speak with their doctor about the possible adverse effects of any medication and be sure to discuss all treatment options.
Be sure to consult your doctor before discontinuing any medications as well. Some of these medications can cause adverse effects when abruptly discontinued. Again, the point of this conversation is not to scare anyone away from antidepressant medications; it is simply to encourage anyone who may be taking these kinds of medications to be aware and make informed decisions with the help of your doctor.
The connection between antidepressants and addiction isn’t as clear as other drugs. Doctors still debate the addictive nature of antidepressant medications, with most considering them non-addictive. However, it is possible to develop a dependence on antidepressants.
Antidepressant medications alter the brain’s chemical activity. So a lot of people use antidepressants excessively because they feel like they cannot function normally unless chemical changes in their brain activity take place. So while antidepressants may not be as addictive as other narcotic medications, people can depend on the drug to feel ‘normal’.
Antidepressant dependence commonly forms in people who never needed the drug for medical reasons. Some people receive an incorrect diagnosis of depression and thus end up on antidepressants. According to one study, doctors misdiagnosed almost 2/3 of patients with depression and prescribed unnecessary antidepressants. Still, others will abuse antidepressants for a psychostimulant-like effect.
The use of the drugs also becomes even more dangerous when combined with alcohol. People suffering from addiction to other drugs, including alcohol, also run a higher risk of abusing their antidepressants.
Combining alcohol and antidepressants can cause problems such as:
- Worsened depression or anxiety
- Intense sedation
- Dangerously high blood pressure
- Impaired coordination
Abuse of antidepressants can lead to overdose. Symptoms of antidepressant overdose often include:
- Impaired coordination
- Uncontrollable shaking
- Irregular heartbeat
Safety before Stigma
Of course, no one should ever be afraid or embarrassed about taking an antidepressant medication. That kind of assistance can be an essential piece of someone’s balance in life, and there is no judgment.
In the realm of recovery from drug or alcohol addiction, it is important for people to understand the difficulties that others may face and accept that medical assistance might be necessary for some people to safely and comfortably grow while letting go of other dangerous substances. As long as people are willing to be mindful of how a medication effects them and take appropriate steps to protect themselves, recovery with the help of antidepressants is absolutely possible.
Approximately one in every eight adults in America take antidepressants, which are among the most commonly used medications. These medications can be life altering and important to overall health, but they must be taken seriously. This month we remember all those who have suffered through depression and been adversely affected by antidepressants. We remember those who lost their lives due to complications related to antidepressant medications, and we strive for better understanding and use of these medications to preserve lives.
Abusing prescription medications like antidepressants is extremely dangerous, and if you are trying to overcome an addiction or mental health disorder this can put you in even more danger. Getting the right kind of treatment can make all the difference. If you or someone you love is struggling, please call toll-free now.
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Holistic methods of drug and alcohol addiction treatment are so effective because they are designed to heal all the unique aspects of an individual’s life. This style of comprehensive care delivers empowering and personalized recovery strategies to help each person find their way to a lasting transformation. Holistic addiction treatment doesn’t just save a life; it helps people to discover a new quality of life in recovery.
Part of creating a customized plan of recovery means making a complete appraisal of the individual’s needs and how best to serve them in a healthy and productive environment. Part of the initial assessment includes what some refer to as the Addiction Severity Index (ASI).
Every program may not use the term Addiction Severity Index directly. However, an intake assessment is always a critical step toward a comprehensive treatment. So what is the ASI and why does it matter?
What is the Addiction Severity Index?
The ASI is a semi-structured interview with an individual seeking care for issues with substance abuse. The interview is designed to address seven potential problem areas relevant to substance use disorder in potential patients, including:
Employment and support
The input given by the individual is important because it helps providers determine the best way to engage in safe and effective treatment. All information gathered for the Addiction Severity Index is treated as confidential.
In each of the 7 areas, the individual will be asked to answer questions based on a 1-to-5 scale system. The individual will be asked how bothered they are by problems pertaining to each area. They will then be asked how important treatment is for them in those areas. The scale is:
1- Not at all
Of course each individual has the right to refuse to answer any question, especially if a topic is:
Considered too personal
Uncomfortable to the patient
If this is the case the individual should be instructed not to answer. While the individual should be made aware of the benefits of answering as many questions as they can in order to prepare a more comprehensive treatment plan, they should also be allowed to avoid unnecessary distress.
Ultimately, the Addiction Severity Index is typically used as a standard assessment tool for evaluating substance use disorder and determining treatment options. Having a higher score on the ASI can be an indication of a greater need for treatment in the listed areas.
According to the World Health Organization (WHO) the Addiction Severity Index, Lite version, also known as ASI-Lite, is a shortened version of the ASI. In other words:
- A typical ASI gauges problems within the previous 30 days and calculates a lifetime worth of information about problem behaviors.
- ASI-Lite contains 22 fewer questions than the ASI, and omits items relating to severity evaluations, and a family history grid.
The abridged version of the Addiction Severity Index is not an extremely uncommon method. It simply utilizes a portion of the data to outline treatment options.
Why Does it Matter?
While not everyone may be familiar with the term Addiction Severity Index, it is easy to guess as to why its important. When dealing with such a complex and intimate issue as substance use disorder the more information you have to build a foundation the better. This offers more potential to address every part of the problem. With a holistic addiction treatment program there is typically an intake process that helps clinicians and medical staff best understand the individual’s needs.
If the individual has struggled with legal, professional and/or financial issues, their recovery plan can be more focused toward how to overcome these adversities.
If they are dealing with a medical issue while trying to repair damage done to their personal and familial relationships they can build their plan around coping with these obstacles.
A complete picture like the Addiction Severity Index can be crucial when addressing dual diagnosis patients. In order to effectively address someone who may be struggling with a mental health disorder, such as clinical depression, while also dealing with addiction both co-occurring disorders must be simultaneously treated. If someone ignores one to focus on the other it frequently instigates a relapse of the untreated issue.
The point of evaluating the Addiction Severity Index and using holistic addiction treatment is to heal all parts of the person’s life; not just the addiction.
Palm Healthcare Company is proud to have some of the most trusted holistic drug and alcohol treatment programs in South Florida. Our innovative and personalized approach helps create lasting healing and comprehensive transformation. If you or someone you love is struggling with substance abuse or addiction, please call toll-free now. We want to help.
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When Jimmy Harding was just ten years old, he started mowing lawns around his neighborhood for extra cash. During these early years, he acquired an entrepreneurial spirit that has carried with him ever since. Harding would spend the rest of his life developing his businesses and despite the ups and downs, achieve the personal freedom he always desired.
On an episode of The Real Deal On…, Harding sat down with Dug McGuirk for a conversation about reinvention. He discusses his business troubles and the pivotal moments that made reinvention possible in both his personal and professional life.
Harding started his career in construction, eventually becoming a construction mogul and dominating the industry. However, through a series of twists and turns, he fell into marketing. He is now a sought-after marketing guru who helps other businesses reach their full potential.
When it comes to reinvention, Harding has been through quite a few:
“I don’t believe there’s one reinvention per se. I think we go through a series of them,” he says.
Harding started his career in construction and grew his construction firm from the ground up.
“It started off as basically me and a helper and a pickup truck, and by the time that business got to its height, we were building like ten to twelve fast-food restaurants per year and then like a luxury home every single month on the residential side, so we really grew that thing up.”
During his time in construction, Harding learned valuable lessons.
Often, people place their failure on a lack of resources; however, Harding always knew the importance of being resourceful. Therefore, when he wanted to learn how to build a particular type of cabinet, instead of hiring someone to build it, Harding began working at a cabinet shop to find out how to build it himself.
“There was a particular type of cabinet that I didn’t know how to build and I went and got a job at a cabinet shop while I owned my own business just to learn how to build that so I can see the process, come back and use it in the project we were about to start,” he explains.
“There’s always a way. It’s just how do we figure it out. You can either pay someone to show you or you can pay someone to teach you to do it,” he continues.
Gaining Personal Freedom:
Ultimately, Harding’s goal was always to achieve personal freedom. Entrepreneurship was a vehicle to achieve that goal, he says. Over the years, he developed a passion for helping others achieve that freedom on their own. From the beginning, he always had a passion for helping others.
“I would go get my friends that would have you know $100,000 in debt from going to college, and they couldn’t even get a job. I’m like, ‘No, this is how you create your own economy,’ so I always would give people a hand up, people younger than me…,” he says
“That saying that it takes money to make money is B.S.,” he explains. “I’ve never had startup funding or whatever. Whatever I was going to do, I would go out and help other people, get paid for it, and use that [money] as the capital to start up my business.”
The Impact of Hurricane Katrina
Despite a struggling economy and weakening housing market, Harding’s construction firm continued to boom throughout the early 2000s. Then, Hurricane Katrina happened.
“All of a sudden, Hurricane Katrina comes along, and we’ve got 13 properties under construction, all in my name that I own,” he says. “We ended up having anywhere from like two to 13 feet of water in nine of the 13 properties, and it was pretty devastating. We had to recover from that and then there was a big need in the community.”
Despite the hurdles, Harding’s construction company thrived as they were able to help families rebuild their homes and contribute to the community in various ways.
“It was really a great time for us and contributing to the community, and we were rewarded handsomely for it because we helped like 87 people get back in their home,” he explains.
It was a hectic time. Families lived in FEMA trailers on the front lawn while their houses were being built, Harding says. The goal was to build these homes as soon as possible. Therefore, Harding’s company was able to grow and employ a lot of new people.
The business continued to boom for about 18 months; then suddenly things started to shift.
“It wasn’t that there was no need for any construction services but what happened is the stuff that we did or the stuff that we were capable of doing, was not available anymore,” he says.
Essentially, the only work left in New Orleans after 18 months was down to the most damaged stuff.
“If you were not a contractor that was set up to do 100 million dollar jobs like big infrastructure and improvement type of stuff, then it came down to very little left to be done,” he says.
Instead of changing his business model, Harding kept thinking things would get better. However, business started to dry up. He had to figure out what to do next. He remembered how heavily competing companies were advertising, so he decided to dive into marketing in an attempt to save his business.
This was the start of a costly journey to understand how marketing and advertising worked.
The last $100,000:
Harding’s quest to figure out why his business was declining led him into the marketing industry. He used the last $100,000 of his business finances to invest in advertising. He hired an advertising company to market his construction company to NFL games.
As a Saint Season holder, Harding thought the affluent market at these games would be a great place to gain new clients for his construction firm. He became the official construction sponsor for all the games. Unfortunately, the results were far from promising.
“The only phone call I got was someone else trying to sell me advertising,” he laughs.
“The first thing that I learned from that is that just because someone sells advertising doesn’t mean they know what they’re doing,” he says.
The experience taught Harding a lot about advertising. He realized the way he was marketing the wrong way.
“In advertising, you need two things: you have to be able to make an emotional connection, and it has to be intellectually interesting,” he explains.
Despite the lessons learned, his construction firm shut down.
“Eventually I ran out of money, and I had to shut it down and give the properties back and start struggling for survival,” he says. “It seemed like everything I touched just fell apart during that time, so that was a long struggle period like from 2008 until 2010.”
After his business went under, Harding decided to go on the road doing disaster cleanup. He had become an “expert on disaster cleanup,” and knew he had the tools to do the job. It seemed like the right direction to go.
“I said okay, I’m going to start going on the road and to these disasters and start doing our disaster cleanup and so I learned a lot of stuff at that time,” he says.
At first, Harding would knock on the doors of residents who had gone through a disaster and offer his services. He learned quickly that this was not the most efficient strategy. Soon, Harding began educating people on how to respond and react to disasters. He created educational brochures to hand out to people and acquired clients through becoming an expert in the field.
“When they would call me, I would go to their house, and I would expand on that education, and so really I was just consulting with them. I was helping them, and like people were literally just pulling out their checkbooks,” he says.
This was a pivotal point in Harding’s career as he learned the importance of educational marketing. To this day, Harding continues to give away tons of information and advice to help people in their own pursuits.
Harding’s disaster cleanup business started to flourish, and he eventually partnered with a friend in the oil industry. Together, they developed a company. During this time, he continued to learn more about marketing. Eventually, his efforts led him to the boardroom of a major oil company.
“That same marketing that was getting people to invite me into their home to educate them invited this big oil company to call us,” he says.
The BP Oil Spill Fiasco
The morning of the big meeting, Harding and his business partner were prepared to sign a seven-figure contract with the major oil company.
“All I had to do was go there, do my presentation, and basically sign contracts,” he says.
However, a major event got in the way: the BP oil spill.
“The morning that we show up in Houston, my partner and I walk into this big giant boardroom, and there’s a flat-screen TV on the wall, and there’s an oil rig on fire,” Harding remembers.
“That night, in the middle of the night before we got there, was the big BP oil spill of 2010,” he says.
“We get there, and all non-essential services are canceled indefinitely. Boom. So I’m going there to get money. We needed this money, and all of a sudden, boom and I was in shock,” he continues.
Despite his shock, Harding remembered something he learned from Tony Robin’s Date with Destiny seminar a few months earlier. During the seminar, he learned “state management,” and knew not to keep repeating the same victim story. Instead of dwelling on the failure and asking why; he asked himself how he could use the experience to help others. That was the moment he decided to open up his own marketing company.
“It was the catalyst to opening a marketing company, and like mastering marketing and changing and moving into the way that I coach and consult now. it was all based off of that thing,” he explains.
Advice to others in reinvention:
Harding went through various reinventions but ultimately learned to gain from his experience rather than create the same story in his head. His marketing company was a result of the ups and downs of his past businesses. Through his experience, he is now able to help others succeed.
“When something traumatic happens, you have to look at the good side, because you know there’s an opposite reaction to everything that happens,” he says.
Harding shares his advice for those wanting to pursue their goals:
“Figure out exactly what you want and then go after it. One of the big mistakes that I made along the way is I knew what I did not want, so I never got specific. I got specific on what I did not want and what I found out is that’s not good enough. […] Figure out what you want and focus on that. Don’t be scared to fail. It’s not a failure unless you quit,” he says.
We highly encourage you to listen to the entire interview to hear more exciting stories from Jimmy Harding. Harding has had every obstacle thrown at him over the course of his career, but despite all of it, he managed to turn it all around.
Reinvention is about going in a positive direction when obstacles are thrown at you. In recovery, reinvention is crucial. You need to stop telling yourself the same old stories of failure. Instead, focus on heading in a positive direction in your life. If you or someone you love is struggling, please call toll-free now.
CALL NOW 1-888-922-5398