by Justin Mckibben | Aug 9, 2017 | Drug Policy, Law Enforcement, Naloxone, Prescription Drugs, Recovery, Stigma
President Donald Trump promised a “major briefing” via his favorite publication… twitter… this Tuesday morning. Many people were expecting something big related to the request from the national opioid commission to declare a state of emergency for the opioid epidemic. But alas, this was not the case. President Trump made no announcement on new policies in the fight against opioids. Instead, he made a comment that sounds a lot like Nancy Reagan telling everyone to ‘just say no’ in the 80s, and we all know how well that worked.
This is concerning to so many who put stock in President Trump when he said he would make fighting the opioid epidemic a priority. Yet, so many feel like he is absent on the subject when it comes to establishing any initiatives or taking proactive action.
President Trump vowed on Tuesday that the United States will “win” the battle against the heroin and opioid outbreak. But instead of presenting a plan to support and reinforce treatment initiatives and other programs, the focus on his comments were claims to-
“- protect innocent citizens from drug dealers that poison our communities.”
The closer we look at the administration’s latest actions, the more it seems like this administration prefers the failed ‘just say no’ and War on Drugs mentality than actually offering a progressive answer.
President Trump Says Drugs are Bad
Probably the one part people are most annoyed with is when President Trump stated:
“Maybe by talking to youth and telling them ‘no good, really bad for you in every way’, but if they don’t start it will never be a problem.”
I feel like most of us did a good old fashion face-palm on this one… because DUH! We know drugs are bad (thanks Mr. Mackey) and we know talking to kids about drugs matters. That is why programs like Drug Abuse Resistance Education (D.A.R.E.) have been around for decades. However, we also know from D.A.R.E.’s track record that this kind of program hasn’t been particularly successful at stopping drug use either!
While giving this latest briefing from his 17 day “working vacation” from his golf club in Bedminster, New Jersey, President Trump also stated:
“The best way to prevent drug addiction and overdose is to prevent people from abusing drugs in the first place,”
“I’m confident that by working with our health care and law enforcement experts, we will fight this deadly epidemic and the United States will win.”
Now while it is true that addiction can’t technically develop if someone never uses substances, this still sounds a lot like ‘just say no’, which we all know does not work as a drug policy. Prevention is key and maybe with more detail about Trump’s plan on how to prevent drug use we could see where this comment is going. But as it stands, these comments just sound like more of the same.
After all, Trump’s Attorney General Jeff Session does seem to agree with the old War on Drugs tactics. Why, we may never know.
It is incredibly frustrating to advocates and experts involved in the addiction recovery community, as well as for citizens all across the nation who are hoping for some real change. Why- because we know that ‘just say know’ failed. We tried to just tell kids that drugs are bad for them and not to do them, but the epidemic still happened! And needless to say, just saying no is not going to help us with the overwhelming rates of addiction, overdose and death that we are already dealing with.
Far beyond that, understanding and overcoming addiction is about a lot more than just knowing its bad for you.
Is President Trump Ignoring Suggestions?
The president himself appointed the opioid commission, chaired by Republican New Jersey Governor Chris Christie. Only a week ago the panel urged President Trump to “declare a national emergency”, citing the tragically high overdose and death rates across the country. In the report issued by the opioid commission there were numerous recommendations that many were hopeful would come to fruition as soon as possible. Among these recommendations there is:
- Expanding treatment facilities across the country
- Educating and equipping doctors about the proper way to prescribe pain medication
- Equipping all police officers with the anti-overdose remedy Naloxone
All of these suggestions seem like they would make a pretty big impact on the current predicament. Empowering treatment providers in more of the U.S. can help get more addicts off the streets and introduce them to the option of getting well. Putting more power in the hands of doctors to safely and effectively provide medications could help reduce the staggeringly high prescription drug abuse rates. Giving the overdose antidote to more first responders could save so many more lives.
And yet, President Trump did not address a single one of these recommendations, or event suggest that one of them was on his current to-do list.
Instead, he went back to his go-to argument for solving all of our problems… our borders. Again, President Trump doesn’t give any indication as to planning for expanding treatment or Naloxone access. Nope… he just promises to be-
“-very, very strong on our Southern border.”
Did he talk about training doctors in order to avoid issues with prescription drugs? Nope. Instead he claimed:
“We’re talking to China, where certain forms of man-made drug comes in and it is bad,”
Yes, again we understand… ‘drugs are bad… mmmkay.’ But seriously, this is not the first time that this administration has shifted the focus from helping treat those who have suffered from drug addiction to ‘tough on crime’ tactics and border security. But time and time again experts in law enforcement and drug policy insist that the answer is not in attacking the supply side, but in treating those who suffer now.
Health and Human Services Secretary Tom Price told reporters they haven’t taken anything off the table, but that they believe at this point the necessary resources and focus can be addressed without an official declaration. However, looking at what declaring the emergency would have done, why would doing it be a bad thing?
Why a National Emergency Matters
The reality is, we are all well aware of the severity of the opioid epidemic by now. However, declaring a national emergency does actually count for something.
If President Trump were to declare a national emergency it would speak volumes to the scope of the issue on a national platform. Also, coming from one of the highest authorities in the nation, it would have opened the door to making those other suggestions happen.
According to Juliet Sorensen, a professor at Northwestern University Pritzker School of Law, Trump’s declaration could have:
- Allowed the executive branch to direct federal funds to expand treatment facilities
- President Trump would have also been able to direct funds to equip police with Naloxone
- Allowed him to provide the FBI, the Drug Enforcement Agency and other law enforcement agencies with more money to focus on the manufacturers and smugglers of dangerous drugs like fentanyl
But maybe one of the biggest impacts it could have had would have been on the rest of the House and the Senate. Fighting the opioid epidemic is one of the very few topics in politics right now that has bipartisan congressional support. Declaring a national emergency could give President Trump the perfect opportunity to unite both sides of the aisle and create cooperation and momentum.
This is a vital issue that should absolutely be a priority. Therefore, the idea of returning to an archaic, outdated philosophy concerning drug use is annoying at the least and potentially terrifying for some. The epidemic shows no sign of stopping anytime soon. Maybe it is time to do more than just tell people drugs are bad. If we want to do some good, we need to support each other with compassion.
Palm Healthcare Company values compassionate, comprehensive and innovative holistic treatment opportunities to help save the lives of those that are suffering, and we encourage professionals, community leaders and family members to get involved in helping change lives for the better. If you or someone you love is struggling with substance abuse or addiction, please call toll-free now.
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by Justin Mckibben | Aug 7, 2017 | Heroin, Methadone, Naloxone, Narcan, Opioids, Prescription Drugs
Narcan is a brand name for the opioid overdose antidote Naloxone hydrochloride. Technically speaking, the opioid antagonist is a synthetic congener of Oxymorphone that is structurally different in that the methyl group on the nitrogen atom is replaced by an allyl group. In the past couple years Narcan has gradually become a household name. With the opioid epidemic in America continuing to ravage many communities across the nation, Narcan has become one of the first lines of defense. For some people, while they know now what this powerful substance is, they are still unsure how to use Narcan to stop an opioid overdose.
NOTE: All instructions in this article come from the Harm Reduction Coalition website. You can also look for Narcan/Naloxone training in your area. Different brands may provide more specific instructions. Be sure to real labels and warnings on Narcan or Naloxone kits.
How to Use Narcan: More about Narcan
Narcan works by blocking the effects of opioids and can actually reverse an overdose in order to get medical attention to someone who is in need. The life-saving opiate antidote is used for the complete or partial reversal of opioid depression, including respiratory depression. An opioid overdose can cause breathing to slow down or stop completely, putting someone’s life in immediate danger. Some examples of opioid overdoses Narcan may be used to reverse include the drugs:
- Heroin
- Morphine
- Codeine
- Oxycodone
- Methadone
- Vicodin
One major plus is that Narcan has no euphoric effects and cannot get someone “high” so abuse is not an issue. The overdose antidote is essentially harmless if there are no opiods present in someone’s system. If given to a person who has not taken opioids, there will be no effect. Narcan can still be effective when alcohol or other drugs are present with opiates. However, some of the incredibly potent synthetic drugs such as Fentanyl and carfentanil have shown to be somewhat resistant to Narcan treatment, meaning those overdosing due to carfentanil require extra doses to be stabilized.
Administration to opioid-dependent individuals may cause symptoms of opioid withdrawal, including:
- Restlessness
- Agitation
- Nausea
- Vomiting
- Fast heart rate
- Sweating
There are other measures that can be taken to help ease these symptoms as well.
How to Use Narcan: Intravenous Infusion
The most rapid onset of action is achieved by intravenous administration, which is recommended in emergency situations. Narcan may be diluted for intravenous infusion in either:
- Normal saline
- 5% dextrose solutions
2 mg of Narcan mixed in 500 mL of either solution provides a concentration of 0.004 mg/mL. Narcan should not be mixed with preparations containing:
- Bisulfite
- Metabisulfite
- Long-chain or high molecular weight anions
- Any solution having an alkaline pH
No drug or chemical agent should be added to the mixture unless its effect on the chemical and physical stability of the solution has first been established. To use the injectable Narcan:
- If the person is not breathing perform rescue breathing for a few quick breaths.
- Use a long needle (called an IM or intramuscular needle) which about 1 – 1 ½ inch. NOTE: If there isn’t a big needle, a smaller needle is OK and inject under the skin, but big needles are better.
- Remove the pop off orange top from the vial
- Draw up 1cc (1cc=1mL=100u) of antidote into the syringe
- Inject into a muscle, the best being thighs, upper, outer quadrant of the butt, or shoulder. NOTE: Inject straight in to make sure to hit the muscle.
- After injection, continue rescue breathing 2-3 minutes.
- If there is no change in 2-3 minutes, administer another dose and continue to breathe for them.
NOTE: If the second dose of naloxone does not revive them, something else may be wrong— either it has been too long and the heart has already stopped, there are no opioids in their system, or the opioids are unusually strong and require more naloxone (such as Fentanyl or carfentanil).
For more information, you should be able to find instructions in the Narcan kit, or inquire when picking up a Narcan kit about any opportunities to receive more in-depth training.
How to Use Narcan: Nasal Spray
Another resource that has helped make huge progress in fighting opioid overdose death rates is the Narcan (or Naloxone) nasal spray kit. The variation has made training people to administer the overdose antidote much easier and much less dangerous. Without needles, the nasal spray system helps eliminate the issue of blood contamination.
According to instructions posted through the Harm Reduction Coalition, there are about 5 steps for how to use Narcan with nasal spray.
- If the individual is not breathing perform rescue breathing for a few quick breaths.
- Attach the nasal atomizer (applicator) to the needleless syringe and assemble the glass cartridge of naloxone.
- Tilt the head back and spray half of the naloxone up one side of the nose (1cc) and half up the other side of the nose (1cc).
- If there is no breathing or breathing continues to be shallow, continue to perform rescue breathing for them while waiting for the naloxone to take effect.
- If after about 3 to 5 minutes there is no change, administer another dose of naloxone and continue to breathe for them.
NOTE: If the second dose of naloxone does not revive them, something else is wrong—either it has been too long and the heart has already stopped, there are no opioids in their system, or the opioids are unusually strong and require more naloxone (such as Fentanyl or carfentanil).
Regardless of if you use an intravenous Narcan kit or a nasal spray kit, Narcan should never be used as substitute for emergency medical care. In the event of an opioid overdose one should always call 911 right away, even if the individual wakes up. Narcan can wear off between 30-90 minutes, while the effects of the opioids can last much longer. It is possible that after Narcan wears off the overdose can return.
Also look into Narcan training programs in your area.
How to Use Narcan: Get More Help
When someone has to be revived from an opioid overdose it can be a pretty clear cut indication that something needs to be done in order to help them stay safe.
Another difficult aspect of how to use Narcan is that naloxone can cause uncomfortable opioid withdrawals. Because Narcan blocks the action of opioids in the brain, people can wake up feeling withdrawals practically immediately and try to use again. Of course this could result in another overdose.
Beyond administering Narcan to save someone’s life, take this as an opportunity to seek resources and start a conversation about getting them the help they need. Preserving life is important, but saving a life by changing a life can make a world of difference. There are empowering and innovative addiction treatment programs that specialize in addressing this chronic, progressive and fatal substance use disorder. After surviving an overdose presenting someone with the opportunity to get treatment may be the best chance they get.
Holistic addiction treatment allows people who were once hopeless build the foundation of hope again. If you or someone you love is struggling with substance abuse or addiction, please call Palm Healthcare Company. We want to help.
CALL NOW 1-888-922-5398
by Justin Mckibben | Aug 2, 2017 | Addiction, Drug Abuse, Heroin, Opana, Opioids, Prescription Drugs
America knows all too well the devastation of opioid addiction. With an overdose outbreak that has been progressively damaging and related death rates becoming increasingly alarming, we have reached new depths of drug-induced desperation. Therefore, the news from the Commission on Combating Drug Addiction and the Opioid Crisis is not all that shocking. The panel charged with examining the nation’s opioid epidemic is now urging the President to declare a national public health emergency to combat the ongoing crisis.
When we look at the history of American presidents announcing a ‘state of emergency’ it typically has to do with national security, foreign policy and war, or natural disasters and viral illness. So, to put the issue of addiction up next to these drastic calls to action might just bring a new level of intensity to battling opioid addiction in America.
American overdose deaths involving opioids have quadrupled since 1999. From 2000 to 2015, more than 500,000 people died of drug overdoses. The majority of these overdose deaths have opioids involved.
In America, drug overdoses now kill more people than gun homicides and car crashes combined.
Opioid Commission Calls for Action
The Republican New Jersey Governor Chris Christie was enlisted as the chair of the opioid commission back in March. The opioid commission also includes:
- Democrat Governor Roy Cooper of North Carolina
- Former Democratic Representative Patrick Kennedy of Rhode Island
- Republican Governor Charlie Baker of Massachusetts
At the time the commission was created Chris Christie said the idea behind the administration’s new approach to fighting addiction would focus a lot on assisting the Center for Disease Control and Prevention (CDC). This week the opioid commission’s statement calling for the President’s immediate action states:
“Our citizens are dying. We must act boldly to stop it. The first and most urgent recommendation of this Commission is direct and completely within your control. Declare a national emergency.”
While insisting that the administration put forth an emergency declaration, the specially appointed opioid commission said that Trump is the-
“-only person who can bring this type of intensity to the emergency and we believe you have the will to do so and to do so immediately.”
The opioid commission was deliberate in the details, acknowledging that with 142 Americans dying every day from drug overdoses-
“America is enduring a death toll equal to September 11th every three weeks.”
When you think about it in this context, the statistics become even more startling and horrifying. The fact that so many men, women and even children in America are losing their lives to drugs like heroin and prescription pain medication. The opioid commission went on to say:
“Your declaration would empower your cabinet to take bold steps and would force Congress to focus on funding and empowering the Executive Branch even further to deal with this loss of life,”
“It would also awaken every American to this simple fact: If this scourge has not found you or your family yet, without bold action by everyone, it soon will.”
In the last few months there has been some waves of criticism against the opioid commission after missing two deadlines to release this report in June and July. Now that the report is finally here, what can be done to address the concerns the opioid commission brings with it?
Will the White House Take Action?
According to initial reports the White House intends to “immediately” review the recommendations of the opioid commission. In the statement from the White House:
“The opioid crisis is a tragedy that has been harming America’s communities for far too long. We appreciate the Commission’s hard work on this important interim report. We will immediately begin reviewing its recommendations, and eagerly await its final report.”
The final report from the opioid commission is expected to be submitted during October. Still, many are hoping the Trump administration does not wait that long to start planning for a response.
The opioid commission made many recommendations in the interim report for efforts to curb the opioid epidemic and the increasingly high death rates. Those recommendations include:
- Rapidly increase treatment capacity for those who need substance abuse help
- Establish and fund better access to medication-assisted treatment programs
- Make sure that health care providers are aware of the potential for misuse and abuse of prescription opioids by enhancing prevention efforts at medical and dental schools
- Equipping all law enforcement in the United States with naloxone to save lives
Naloxone is the opioid overdose antidote used by first responders to save people overdose victims. So far access to Naloxone and Narcan, the name brand, has expanded, but many think not nearly enough.
With the fight for healthcare in Congress seeming to hit every rough patch possible on the road to settling on legislation, people are already worried about how coverage may or may not change for tens of millions of Americans. So the concern for how to face a growing addiction problem while simultaneously afflicted with a potential healthcare crisis is very real for a lot of people.
Time will tell if the Trump administration acts on the suggestion to declare a state of emergency to call more action toward the opioid epidemic. And if they do declare it, what will change?
Palm Healthcare Company Offering Holistic Health
While Palm Healthcare Company is not qualified to fix all the problems in politics, we do believe in providing quality care to as many men and women struggling as possible. Palm Healthcare Company facilities create a safe, comfortable and effective environment to experience powerful and life-changing courses and treatments focused on holistic health.
While the opioid epidemic may not be an easy issue to solve, Palm Healthcare Company believes in helping those who have suffered from addiction to opioids and/or other drugs find a new way and a second chance. With medical detox, personalized inpatient and outpatient treatment options and aftercare opportunities such as Recovery Coaching, Palm Healthcare Company wants to support every part of your journey.
Overcoming the opioid epidemic means helping those who have suffered heal.
Drug abuse and addiction is a devastating and deadly disease, and providing effective and compassionate treatment makes a lifelong difference. If you or someone you love is struggling with substance abuse or addiction, think about who you want to be working with to find a real solution. Please call toll-free now.
CALL NOW 1-888-922-5398
by Justin Mckibben | Aug 1, 2017 | Addiction Treatment, Drug Abuse, Drug Policy, Inpatient Treatment, Law Enforcement, PAARI, Recovery, Vivitrol
Against the back-drop of divisiveness about the relationship between the public and law enforcement, it is important to recognize the police departments and citizens working together to triumph over the greatest obstacles our communities face. All across America the words ‘protect and serve’ still mean something, and many of the brave men and women behind the badge are fighting to help addicts get a second chance.
The Gloucester Police Department in Massachusetts set an inspiring new precedence back in 2015 when they began an initiative to allow drug users come to the police to ask for help. Users were told they could submit drugs to local law enforcement without fear of punitive action, and ask for help getting into inpatient treatment. This amazing shift in approach created a new sense of compassion for the addicts struggling to get clean, setting up a new system to try and heal the community instead of punish it. Police helping addicts into treatment has since become a growing trend in several states as more and more officials realize that the old ways aren’t really working.
A study published December of 2016 in The New England Journal of Medicine found the Gloucester program was showing admirable success.
Community advocates, police officers and political officials across America have begun modeling new programs after this approach, while others are pushing for similar opportunities. Some of these programs have been especially successful, while others have not been particularly sought after. Checking in on the way different areas are handling the opioid crisis and overdose outbreak, these initiatives make us believe there is still hope on the horizon.
Programs with Police Helping Addicts into Treatment
Let’s look at some of the programs that have adopted this new approach to supporting their suffering neighbors instead of trying to punish their way out of the problem.
-
Safe Passage
The Safe Passage program was also started 2 years ago by the Police Department of Dixon, Illinois. Since then it has extended to a few other close by counties. Safe Passage has helped place 170 people into treatment, and so far the Police Chief Danny Langloss reports that more than half of those who got access to treatment through the program have had success after rehab.
Chief Langloss claims that in 2016, misdemeanor and felony drug arrests dropped by 39%, and he believes Safe Passage had a lot to do with it.
-
A Way Out
Police helping addicts into treatment in Lake County have joined forces from several areas to offer participants a change to receive addiction treatment. A Way Out launched a year ago, and according to their sources an average of around 12 people a month have reached out for help through the program. If this went on for a steady 12 months that means at least 144 people have been given a chance at getting help.
A Way Out accepts participants no matter where they live. According to Mundelein Police Chief Eric Guenther some families have brought their loved ones from different states to get access to treatment. Some instances there have even been individuals with criminal charges who have their warrants waived to enter the program.
-
Connect for Life
Naperville, Illinois also has a strong force of police helping addicts into treatment. Their version, called Connect for Life, directly connects individuals in need of treatment with social workers and recovering addicts who have stayed clean after treatment called ‘recovery liaisons’.
The idea here is to stay connected with each individual through the process of finding treatment, and beyond that to help them with finding sober homes, employment opportunities and other resources.
-
Kindness
Anaheim Police Department in California has its own program offering free treatment to any drug users willing to ask for help. Part of the Kindness initiative with police helping addicts into treatment is the offer to receive the Naltrexone implant, which is designed to block the effects of opioids and alcohol in the brain.
Law enforcement officials in Anaheim acknowledge that they cannot arrest away addiction. They are hopeful eliminating the fear of asking for help will be instrumental in saving more lives.
-
HOPE
In Nashville, North Carolina the Police Department started an initiative called HOPE, modeled after the Gloucester Police Department’s program. Since it launched back in February of 2016, about 172 people from multiple states have sought treatment through HOPE.
Again, police notice a profound impact on their community, crediting a 40% drop in crimes related to substance use disorder to the HOPE program.
-
Chatham Cares 4 U
A year ago in July, the Chathman, New York Police Department teamed up with PAARI to create the Chatham Cares 4 U Outreach Initiative Program. The police helping addicts into treatment urged their communities to feel safe coming to the police station to turn over drugs and paraphernalia, and to ask for help with treatment.
Chatham Cares 4 U and the success it has brought to the community has inspired other police departments in the state to create similar addiction recovery initiatives in their communities. Chathman Police Chief Volkmann also travels around New York to speak to police departments and other organizations about the program.
-
Safe Stations Program
In Maryland, Anne Arundel County Police and Fire Departments are collaborating with the Annapolis Police and Fire Departments to offer help to drug users in their area. The Safe Stations program launched in April of this year, opening the doors to the combined 38 stations for individuals seeking help with their addiction. Safe Stations was the first of its kind in Maryland, with locations open 24 hours a day, 365 days a year to people needing help.
In just the few months it has been open, this initiative of police helping addicts into treatment has already placed over 18 people into treatment.
The Police Assisted Addiction and Recovery Initiative
The PAARI program is a nationwide nonprofit organization that was started to support any local police departments in their efforts to work with opioid addicts. In the midst of the opioid epidemic there has been a massive movement toward innovative strategies for helping people, and the PAARI united after the Gloucester Police Department instituted their revolutionary program to focus on saving lives and changing them for the better.
The PAARI works with various elements across the country, including:
- The medical community
- Science-based recovery programs
- Police departments
PAARI is made up of private citizens, philanthropists, business owners, law enforcement leaders, and prominent members of the academic community who all share the same mission of helping those addicted to drugs in their area get the help they desperately need. PAARI coordinates with volunteers, corporate partners and treatment centers, along with police helping addicts into treatment.
The first annual report for the PAARI made a very exciting statement, saying:
“Communities that have joined PAARI have observed as much as a 25% reduction in crimes associated with addiction, cost savings by diverting people into treatment rather than triggering the criminal justice system, as well as an enormous increase in trust from their communities.”
Participants in the program speak in overwhelming praise of the PAARI program’s methods.
More Compassion Changing the World
While some people are still pushing the argument that ‘tough on crime’ and the War on Drugs are the best way to end the addiction issue, we have seen time and time again that we cannot punish and imprison our way out of addiction. Compassionate programs using community resources to help people get better instead of making their lives worse seems like a better way of taking care of each other.
We are happy to see so many police helping addicts into treatment all over the country, and we hope more communities chose to use resources to help those struggling find a chance to change their lives.
Palm Healthcare Company knows that compassion is a key element of comprehensive and effective care for substance abuse and addiction treatment. Our hope is that more community leaders, politicians and law enforcement officials continue working together to make everyone’s lives better. If you or someone you love is struggling, please call toll-free now.
CALL NOW 1-888-922-5398
by Justin Mckibben | Aug 1, 2017 | Depression, Dual Diagnosis, Heroin, Mental Health, Mood Disorders, Suicide
(This content is being used for illustrative purposes only; any person depicted in the content is a model)
For many who have struggled with substance abuse it comes as no surprise that a link can be drawn between their drug or alcohol use and their mental health. A lot of people who struggle with addiction have experienced some form of emotional distress, trauma or abuse that has made a definite impact on their lives. While this may not be the sole reason behind their use, issues concerning mental health can contribute to drug or alcohol use in a dramatic way. With heroin and depression, the two tend to feed off of one another, creating an intense and deeper connection.
Understanding Depression
Depression is a very common but also very serious mood disorder, also referred to as:
- Major depressive disorder
- Clinical depression
This mental health condition causes a variety of symptoms that impact how an individual thinks, feels, and handles their day to day lives. A depression diagnosis depends on symptoms being present for at least two weeks, and some forms of depression will differ, or develop under unique circumstances. Some specific forms of depression include:
-
Persistent Depressive Disorder (Dysthymia)
This is a depressed mood lasting for at least two years. Sometimes the episodes of major depression is experienced in periods of less severe symptoms, but still the symptoms persist for two years or more.
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Psychotic Depression
This is pretty straight forward. It happens when someone experiences severe depression along with some form of psychosis, such as:
These psychotic symptoms typically revolve around a particular depressive subject like guilt, poverty or illness.
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Seasonal Affective Depression
This is the onset of depressive symptoms during winter months when there is less natural sunlight, which is why some call it ‘winter depression’. It is commonly characterized by:
- Social withdrawal
- Increase in sleep
- Weight gain
This depression typically disappears during spring and summer months as better weather returns, but comes back around every year.
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Perinatal Depression
Many women experience relatively mild depressive and anxiety symptoms after delivery, usually only lasting around two weeks. However, perinatal depression is much more serious.
Mothers with perinatal depression experience full-blown major depression during pregnancy or after delivery, commonly known as postpartum depression. Feelings that accompany perinatal depression include:
These can make it difficult for new mothers to complete daily care activities for themselves and/or for their babies.
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Bipolar Disorder
While bipolar disorder is technically different from depression, individuals with bipolar disorder do experience episodes of intensely low moods that qualify as major depression- referred to as ‘bipolar depression’.
However, someone with bipolar disorder also experiences extreme high moods, either irritable or euphoric in nature. These moods are also called ‘mania’, or the less intense with are called ‘hypomania’. This is why bipolar disorder was once called ‘manic depressive disorder’.
Beyond these five there are other forms of depression, and symptoms of depression may vary from person to person. But for most people with depression the symptoms they do experience are consistent on an almost daily basis.
Psychology of Heroin
For those who don’t know, heroin is a synthetic drug produced from morphine. Morphine is a powerful analgesic derived from the opium poppy plant. The effects of heroin are a result of the substance binding with receptors in the brain that respond to opiates. Once ingested, heroin converts to morphine in the brain, and this potent compound effects the brain in ways that influence psychology.
Morphine slows the neurological activity in the brain, creating sedation. This sedation creates the desired effect of many heroin users, which is the sense of profound relaxation.
Yet, the National Alliance on Mental Illness warns that people with psychiatric disorders (such as depression) are more likely to experience very negative side-effects. So while people with depression may try to use heroin to numb themselves to feelings of sadness, guilt or despair, they actually create a chemical reaction in the brain that exacerbates their depressive symptoms.
Heroin and Depression
Heroin and depression have a symbiotic relationship that creates a viscous cycle. The two fuel each other. An individual may use heroin to try and escape their depressive feelings, but using heroin frequently worsens symptoms such as:
Thus these feelings make the depression worse, the individual will use more heroin to escape, and the cycle continues.
With heroin and depression, the physical consequences of heroin use can also cause severe emotional distress. Physical effects of heroin that can increase feelings of depression include:
- Respiratory illness
- Blood-borne disease
- Muscular weakness
- Vascular damage
And heroin’s impact on an individual’s personal life can make depression even worse, such as:
- Financial problems
- Job loss
- Legal trouble
- Relationship issues
Again, these issues can cause a heroin user to abuse the drug more in order to cope with these difficulties, which continues to feed into their problems and exacerbate the issues even more.
Withdrawal from Heroin and Depression
Withdrawal from heroin is one of the typical reasons that many people trying to quit the drug are unsuccessful. These unpleasant side effects of not having the drug often pushes people trying to give up heroin back to the drug just to feel relief, and for those with depression the withdrawals from heroin can seem even more relentless.
Trying to abruptly discontinue heroin use without the help of medical detox will cause uncomfortable and sometimes extremely painful symptoms such as:
- Nervousness
- Intense cravings
- Restlessness
- Involuntary leg movement
- Sweating
- Muscle pain
- Sleeping problems
- Runny nose
- Stomach Pain
- Nausea
- Vomiting
- Diarrhea
Heavy use over an extended period can also lead to seizures. But while the physical withdrawal symptoms are already pretty bad, the psychological side effects can seem impossible to overcome, especially for someone with depression or other mental health issues.
Dual Diagnosis Treatment for Heroin and Depression
One of the most critical parts of treatment for heroin users with depression is to find the root cause of the depression, which is also one of the most challenging aspect of recovery for heroin users. Depression is not just a bad mood, and it does not simply stem from one source. Some of the most common sources of depression include:
- Genetics
- Brain chemistry
- Psychological trauma
- Physical disability
- Stressful social environment
- Drug or alcohol abuse
Dual diagnosis treatment is crucial for someone struggling with heroin and depression because the two conditions have such similar symptoms, which make each other worse. In many cases, it is difficult to even discover what came first, depression or heroin addiction. Either way, a huge factor to overcoming heroin and depression is with comprehensive and holistic dual diagnosis treatment.
Simultaneously addressing both issues and giving equal attention to both conditions gives way for more complete recovery. If one of the two is ignored, then it has the potential to eventually cause a relapse into the other. The deeper connection with heroin and depression is that these each of them is commonly inspired by similar circumstances, including genetics and trauma. Both will thrive through the impact of the other. Both are damaging and potentially fatal. But there is also help for each, and when treated in tandem they can each be overcome.
At Palm Healthcare Company, the idea of treating all parts of each individual is the core concept of our holistic approach to substance use disorder treatment. We believe that by providing personalized and effective care for each individual helps create lasting health, freedom and happiness in every aspect of life. If you or someone you love is struggling, please call toll-free now.
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