Category Archives: Drug Treatment

Never Give Up On Yourself

methadone39I had the pleasant good fortune of seeing a former client the other day who had entered methadone treatment for his opiate addiction about 7 years ago. I remember him struggling for the first 2 years with relapses (mostly to cocaine, not opiates) and our clinic offering a variety of different treatments to help him get on track.

Due to a string of drug tests always positive for illicit substances, we were critically close to detoxing him from our methadone program. As you might imagine, he was a daily prisoner in his addiction and the pieces of the recovery puzzle were just not connecting yet in a way that worked for him.

As a last chance run in formal treatment, he attended a Day Treatment program that we offered which provided group and individual counseling, psycho-educational classes, and activity therapy Monday through Friday from 8:00 am – 3:30 pm. It was at this time that he obtained his first clean drug test. This first success led to a second clean test, and then a third.

I remember believing in this person's sincerity. He wanted to change, and he needed the unconditional support of others who were not willing to give up on him … even when he was close to giving up on himself. Toward the end of treatment, there was a noticeable shift in his sense of hope. He had come to believe that recovery was possible for him. And where he used to see only a dead end, he now saw a light on the path just ahead of him getting brighter and brighter with each passing day.

When we sat and talked the other day, he was celebrating 5 uninterrupted years of recovery – no drugs, no probation, no jail, no longer financially destitute. He continues to take methadone and has enjoyed an ever-improving life in which he is meeting personal goals including: employment, home ownership, and the ability to care for his sickly, aging father. This is a great source of pride for the client being able to care for his father. It's a commitment he keeps every single day. Recovery, via methadone assistance and counseling, made this possible.

I am reminded how easy it is to judge addicted people, and to give up on them. But there is a reality that we must never forget. And it is that a suffering addict may be just one step away from turning the corner and passing through that doorway into a new life of recovery. We must not extinguish that dim light, that glimmer of hope, that helps people hold on just one more day. Recovery is always possible. As a counselor, I learned a long time ago that you cannot predict who will make it, or when. Never should we be so presumptuous or jaded.

Never give up! I believe in that. Congratulations to all of those who are still trying. Recovery may be closer than you think.

Addiction Is A Brain Disease

methadone33Former U.S. Surgeon General, Dr. C. Everett Koop, speaks in this short SAMHSA video about the need in America for ready access drug treatment. Many diseases and health conditions, including drug dependency, can be effectively managed through proper medications and best practice treatment interventions.

Drug addiction is a true brain disease. Drug use causes disruption in the brain's normal production of many natural chemicals including neurotransmitters essential to mood stability and emotional regulation.

Opioid addiction is not just about heroin or traditional "hard drugs". There has been a rapid increase in the use, and abuse, of prescription pain killers in America. Government estimates now put prescription pain pill abuse considerably ahead of heroin addiction. For more on this important topic, consider Dr. Jana Burson's book, Pain Pill Addiction: A Prescription for Hope.

Opioid dependency is a treatable illness. Addiction can be effectively managed. Detox, outpatient counseling, inpatient rehab, 12 Step support, and medication assisted treatment (such as methadone or suboxone) can all play a role in helping individuals to establish a healthy, drug-free life. 

Opiate Addiction and Recovery

methadone35With an estimated two million people in America dealing with an opioid problem, finding solutions is obviously important to a great many individuals and families. Drug addiction treatment has been around for many decades as have Alcoholics Anonymous and Narcotics Anonymous self-help programs.

Opioid dependency, in particular, can be a very tough addiction to live with due to the powerful physiological addiction (and withdrawal syndrome) that opiate addicts must face. However, people find recovery every day. Or perhaps more accurately said: People choose the path of recovery every day.

Recovery from opiate addiction is entirely possible and always available. Unfortunately, addiction tends to wear people down and sap one's energy. For this and other reasons, individuals will sometimes put off seeking treatment telling themselves "I'll call for help tomorrow." When tomorrow comes, something else seems to inevitably pop up delaying the decision yet another day.

Recovery is literally waiting. It is an open door. And one only needs to decide they are willing to step forward to get the process started. This first step is sometimes a simple phone call, or asking someone to help you find a recovery resource. There is an old saying "Today is the first day of the rest of your life."

Recovery represents an investment in the rest of one's life. Waiting for things to change does not work. But you do not have to wait around. Decide to take action, and set the wheels in motion. Your recovery … begins with an honest desire to get help. Do something today. Choose recovery. Make the call. Ask for help. The rest of your life is waiting for you.

Vivitrol in Opiate Addiction Treatment

viviVivitrol® is a new product of Alkermes (a U.S. based pharmaceutical company who specialize in disease management medications). Vivitrol received FDA approval in October 2010 for use in the prevention of opioid relapse following opioid detoxification. It is an extended release formulation of naltrexone designed to be administered through a once monthly IM (intramuscular) injection.

The medication is a non-addictive, opioid antagonist that blocks the effects of opioids, and thus discourages opioid misuse since no subjective euphoria is experienced. Opioid addicted individuals are often at high risk for relapse following opioid detox, and intensive support is very helpful in assisting these individuals with establishing a comfortable, lasting sobriety following successful opioid detox.

Vivitrol must be administered by a healthcare professional, and recipients should not have active liver disease complications since naltrexone (the active ingredient in Vivitrol) is contraindicated for those with acute hepatitis. Like any medication-assisted intervention, Vivitrol should be used in conjunction with ongoing behavioral health counseling in order to maximize a client's chance of successful long term recovery through skill development and lifestyle change.

The medication is not inexpensive (obviously a patented medication with no available generic equivalent). But considering its potential benefit to those in early recovery, it may be a worthwhile short-term investment in the first 30 to 90 days when recovering persons are at highest risk for opioid relapse. An obvious benefit of Vivitrol is that the patient does not have to take a daily pill, so either accidental or purposeful missed doses are not a concern.

Methadone Clinics in the Community

client79Methadone clinics provide a vital medical service to those with an opioid addiction. However, many people in society have a distorted view of what a methadone clinic represents. Clinics almost always operate smoothly and quietly while blending into the background of the communities in which they are located.

A recent article highlights the irrational fear, and obvious bias, that some uninformed individuals hold toward those in methadone treatment. Habit OPCO Inc. sought to open a clinic in Dunmore, PA but received considerable opposition even though the proposed site for the clinic was located in a commercial zone.

In reference to the proposed clinic, the town of Dunmore instituted an ordinance requiring that a methadone clinic not be constructed within a half mile of a church, school, playground, day care, senior center, charitable institution, liquor store, or any hotel that serves alcohol. These prohibitions show a serious degree of paranoia which only perpetuates unrealistic stereotypes of those who seek methadone treatment as a service.

Habit OPCO have challenged Dunmore's ordinance citing its discriminatory nature and that Dunmore are placing conditions on methadone clinics that are not applied to other medical facilities and services.

The stigma around methadone clinics, and their clients, is unfair and unjustified. Communities are actually safer when life saving treatments are made available to those with an opioid addiction. There is no reason for any community leader to take an alarmist position in regard to the opening of a methadone clinic. People with an addiction who are seeking help should not be discriminated against. In time, this will change. Fortunately, it already has in some communities.

Read the position of Methadone.US, here -> "A Message to the Community"