Addiction Treatment Close to Home – Do’s and Don’ts

The very first question I get asked when someone calls me for help is, “Do you have a treatment program close to my home?” Sometimes the parent or wife of the addict is asking this question and sometimes it is the drug addict him/herself.

Artist: Tony Bylsma

Artist: Tony Bylsma

I completely understand the question. It is one that makes total sense from the perspective of the person asking. The drug addict feels secure in the area and wants to stay close to familiar things; the parents or wife want easy access so they can come and visit to keep their loved one from feeling lonely or abandoned. But from a rehab point of view, the perspective is very different.

The whole concept of rehab includes removing the person from the area where they are doing drugs.

There are many triggers that can cause a person to want to use again. The first six weeks of treatment are the toughest because the person is still struggling with cravings and the emotional effects of the drugs leaving the body. There is a balance that has to be achieved physically and emotionally and that process takes time. Triggers interrupt the process and take the addict back to the beginning – a drug addict on drugs.

As an example, I had a kid arrive in detox just a few weeks ago. The detox was about two hours from his home. He completed the five days in the medical detox center and then he was to go to the rehab program to complete his rehabilitation. After the first five days in the detox, he considered himself “done” and left. Just walked out. Someone he knew picked him up and off he went on a two week binge. His mom had no idea where he was, she was sick with worry and we were on the phone talking almost every day.

The story continues. He shows up two weeks later and says he is ready this time. He goes back to the same detox. He walks out of detox three days later only to get picked up by the police that same day for probation violation. He is now in jail awaiting sentencing.

The point is that he was willing to go to rehab, he was there and ready to get started. But the addiction was so strong and had such a pull on him, he just could not overcome it. Being so close to his drug source was too much of a trigger and made the decision to walk out a lot easier.

If he were in a different state, in a facility that was not in an urban area and without easy access to transportation, the story would have ended up differently – he would have overcome his cravings and he would have continued on to a drug-free life – because he really did want that for himself.

So when you are looking for addiction treatment remember that there may be many reasons you could have for wanting the drug addict close to home but few are actually reasonable. One example would be a legal enforcement by a court that the would prevent a person from going out of state or even a county. But most anything else is just an excuse and a detriment to the person’s progress. As a rule of thumb, treatment needs to be at least a state or two away from the location of drug use.

Will the drug addict feel lonely at first? Maybe. Will the family miss him while he is gone? Possibly. Will the drug addict be drug-free and on his way to a happy and productive life? Definitely!

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Is the doctor’s advice the right advice?

tree“John”, a personal friend of mine, called me this morning with the sad news that last night his eight year old son was diagnosed with autism.

The doctor’s “solution” was the antipsychotic, Prolixin (generic name: fluphenazine).

Fortunately “John” already knew that this is a very dangerous drug. His mother was prescribed the drug before and as a result developed tardive dyskinesia (a sometimes permanent impairment resulting in involuntary movements of the tongue, lips, face, trunk, and extremities); a common effect of antipsychotics (also called major tranquilizers and neuroleptics).

“John” was furious! How could a doctor, a person that we are supposed to be able to trust, say that an eight year old child, with a growing body and brain be given an antipsychotic! No problem, the doctor backed down and suggested Cymbalta (duloxetine) – a drug that is known to increase suicidal thinking or behavior in children.

So what is a parent supposed to do in this situation?

For starters, get informed. Learn all you can about what the doctor is telling you and especially about the medications that are recommended. Doctors are not always right. They are like you and me in that they listen to sales pitches from the pharmaceutical companies. We, as consumers, listen to commercials on the radio and TV; doctors get visits from sales reps from different pharmaceutical companies, which by the way offer them incentives to use their particular drug. So it is really our own personal responsibility to open our eyes and ears and really do the research. After all, we are the ones that have to live with the consequences, not the doctors.

Here is a list of questions that I would want answers for:

1. What is the cause of the illness?
2. Is a drug going to fix the cause of the illness or is it going to suppress or “manage” the symptoms?
3. What are the known side effects of the drug? Physical and mental.
4. Are there alternative treatments that don’t require medications?

You may sometimes get the answer that the cause is unknown or you might get the answer that it is a “brain chemical imbalance”.

If the cause is “not known”, then a drug is likely going to be used to suppress the symptoms, not cure or fix anything. Consider the side effects, which by the way are very real — not just “might happen” to you but could very likely happen to you – and put that on your list of pros and cons.

If the answer is a “brain chemical imbalance”, my next questions are:

1. How do you know?
2. Is there an objective test that shows a brain chemical imbalance?
3. Are there standards for how much of each chemical is supposed to be in my brain?

I already know the answers to these questions, by the way: there is no proof of any brain chemical imbalance – no doctor will ever be able to prove to you that you have such a condition.

So here is the point: not all drugs are necessary. Some drugs are there to suppress or “manage” symptoms but in fact they can make the original problem a lot worse — and that would of course require more drugs.

There are many alternative solutions out there and some are very simple.

So be responsible for your own health and do your research. Learn what there is to know about your illness or the drugs prescribed.

Here are a couple of links to help you get started in your research:

http://www.cchrint.org/psychdrugdangers

http://www.fda.gov/Drugs/DrugSafety/PostmarketDrugSafetyInformationforPatientsandProviders/ucm111085.htm

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Marijuana Smoke Listed as Known to the State of CA to Cause Cancer

My father, Ami Adini, an environmental engineer, just received this notice and he forwarded it to me:

OFFICE OF ENVIRONMENTAL HEALTH HAZARD ASSESSMENT (OEHHA) Most Recent Prop 65 Chemical Listing: Marijuana Smoke Listed As Known To The State Of California To Cause Cancer. OEHHA of the California Environmental Protection Agency added marijuana smoke to the Proposition 65 list, effective June 19, 2009.

Marijuana smoke was considered by the Carcinogen Identification Committee (CIC) of the OEHHA Science Advisory Board at a public meeting held on May 29, 2009. The CIC determined that marijuana smoke was clearly shown, through scientifically valid testing according to generally accepted principles, to cause cancer. Consequently, marijuana smoke is being added to the Proposition 65 list.

Here is the web site: Proposition 65

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How do I handle my boyfriend?

Today I received a call from a very nice woman that wanted advise on how to handle her boyfriend. Just today, she moved all her belongings out of his place, left the key in his mailbox and did not leave him a note. Her boyfriend is a meth addict but is in complete denial about his use. He is also very abusive.

Her question was, should she call him to let him know that she is gone.

That is a tough one for anyone to advise on. Only she has all the information about the complete situation and only she can judge what would be best. I could not advise, but I could give her my opinion on what I would do.

My opinion is that being upfront is always best. Letting the person know why you are gone could prompt them to get help. Deep in side, an addict knows that he/she is doing wrong and hurting themselves or others. Letting them know that you care about them but won’t put up with the situation cannot hurt and might help.

In the end, my advise was for her to follow her heart and do what she perceives to be best because only she could know the answer.

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Welcome to my blog…

I have been working in the drug prevention and drug rehabilitation field for more than 10 years. I have seen a lot, read a lot, learned a lot.  Many people have asked me for advise over the years and I have successfully helped hundreds of families in one way or another. This blog is so that anyone can ask questions, get answers, share their story and find solutions to drug addiction. I wish you every success on your way to recovery and in helping others do the same.

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