Beyond what you learn in treatment, once you’re back in the real world, it may seem tough at times to remember what it is you’re supposed to do to remain clean and sober. Here are some tips that may help.

1. Have a Plan – for Every Day – You wouldn’t set off on a cross-country journey without a map and an itinerary for how to get there and what to do along the way. The same principle holds true for how you plan to live the next few years of your life in recovery. Hey, it’s a whole new world for you now. The old habits and routines simply won’t cut it anymore. Not only are they dangerous and can quickly land you back in trouble, but it’s just foolhardy not to have a plan. If you have been tardy in drawing up your plan, now’s the time to get going on it.

Where should you begin? Start with today. What are your goals for today? What do you want to achieve? It could be as simple as being on time for all your appointments, your job, seeing that you get all your errands done, make dinner for the family, work on your homework or hobby, whatever. The point is to put it down on paper. Jot everything down you can think of and then start prioritizing according to what’s most important to get done and what would be nice to get done. Go all the way through the list until you’ve assigned a priority to each item.

Next, map out your plan for tomorrow, and then the rest of the week. Don’t worry if you can’t think of everything to put down all at once. This will get easier the more you do it. And you can add items as you think of them. Also, remember to cross things off your list as you complete them. This is important as it builds your self-esteem and self-confidence as you reach your goals, however minor or major.

Now, get to work on doing the things on your list. Time management experts advise that it’s tempting to go for the easiest items, leaving the tougher ones for last. That may work for some people, but most of us waste our time doing the small stuff and never get to the big jobs. Even though we’re talking about recovery here, the point is valid. Try to balance doing easy tasks – cleaning your desk, picking up supplies – with the more challenging ones – assembling materials for tax returns, painting the garage, etc.

2. Acknowledge Relapse Could Happen – There’s no sense hiding behind a wall of denial. You can’t avoid a relapse by refusing to recognize that the potential is there, and it’s real. Experts recommend that you acknowledge that you could falter, give in to a craving or fall in with the wrong crowd again. Just acknowledge that relapse could happen despite your best intentions. Just because you say it aloud (or think it) does not mean that it will happen. Just the contrary. By stating that you know the potential is there gives you the power to be more in control over your actions. Remember, it isn’t the thought that causes relapse, but the action that follows. By expressing the truth – relapse could happen – you deprive the thought of the power to haunt you and make you feel as if you can’t do anything about it. You can, and you will, be able to deal with the pitfalls of relapse.

3. Don’t Dwell on It – After you’ve acknowledged that relapse could happen, don’t dwell on the thought. You need to get on with your life and the business of daily activities. The more you are actively involved in something productive – whether it’s with your hands or your mind – the less likely you are to get caught up in the quagmire of wondering what if, how long, why, and what can I do thinking. A good practice to follow – and this holds true whenever the ugly thought of relapse pops into your head – is to get out and take a walk. Physically get up and go out of the house or office and walk around the block, or parking lot, or on a trail, in the mall, wherever, just walk. The act of walking and breathing fresh air will deflate the blockage of nasty thoughts. It may be a diversion, but it’s a healthy one, and one that will produce a dramatic change of mood.

4. Replace Negative Thoughts with Positive Ones – Here’s another easy and effective strategy. When something bad occurs to you, a negative thought or series of thoughts that plague you and keep you from your tasks, or sleeping, eating, or enjoying any activity, make a conscious effort to replace the negative thought with a positive one. Let’s take an example. Say you begin thinking about all the fun you’re missing by not being with your drinking friends, or you long to be with your buddies smoking a joint and knocking back beer. Turn that negative into a positive by thinking instead about how happy your son or daughter is when you give them a big hug or the joy you feel when something you say or do makes your wife smile. What you’re doing, in effect, is transforming a negative emotion into a positive one. Once you’re in the positive mode, it’s pretty hard to slip back into the negative. You have to really try hard to do that – and who wants to be negative, anyway? So, the next time negative thoughts threaten to derail your sobriety, veer your thinking toward something uplifting, positive, loving and promising. And this time, do allow the positive thinking to remain with you.

5. Find an Outlet – Let’s face it. We all need something we can turn to that occupies our time, and our concentration. You need to find an outlet, something you enjoy or think you may enjoy. It doesn’t matter what it is, either. It could be that you’ve always wanted to learn how to snowboard or parasail or take up golf. Maybe you hanker to create jewelry or paint in oils or water colors. Fancy conquering a foreign language? Becoming a pastry or gourmet chef? Working with your hands in carpentry, woodworking, sculpture, or ceramics? For some in recovery, going back to school is high on their list of priorities. Completing or beginning a degree program, learning a trade, or just taking some classes is certainly well within reach. You don’t have to go full-time. There are part-time, weekend, and evening classes that may work out for you. This applies to learning anything new. If you have the will, there will be a way. Look into what you can work into your schedule and, yes, put this on your list of things to do.

6. Seek Support – No one expects you to be able to figure everything out on your own all the time. You’d have to be superhuman to be able to do that, and none of us is that perfect. In fact, we’re all human beings, and, as such, we need the help of others from time to time. This is not a sign of weakness, but strength. You will find that if you seek the support of others when you encounter a rough patch, or stress builds up and you feel that you are at a breaking point, or you just need someone to talk to that understands, being with others in your support group can make all the difference in the world. In fact, it may very well be the single most important part of your recovery, the needed bit of assistance that allows you to remain clean and sober.
Your support network could be members of your immediate family – your spouse, children, and other adult family members – or your trusted friends, co-workers, member of the clergy, therapist or other counselor. For many in recovery, their support network includes their 12-step group sponsor and members. The beauty of your 12-step alliance is that it is always available to you. Your group asks nothing of you except your uncompromising desire to be clean and sober, and to help others with your support as you are able. Besides, these people have all been in situations like yours. Each of them has struggled with the cravings and urges. Many have relapsed and gotten back on track with the support and encouragement of fellow members.

Whatever your support network consists of, don’t be afraid to use it. Sometimes you just need someone to listen, not talk. The shoe may very well be on the other foot later on in your recovery. At that time, you will be in the position to be able to give back to another in need of assistance. For now, make good use of your support system. It’s one of the best things you can do to conquer your fear of relapse.

7. Be Prepared – The old adage that “The best defense is a good offense” is especially true when it comes to recovery. Another is, “Be prepared for any eventuality.” What do these two sayings have in common? They both involve careful preparation. Here we are talking about the preparedness or readiness list you should have in place just in case you are tempted to relapse.
What does such a list entail? First of all, it should include a list of names and telephone numbers of people whom you trust that you can call for help. If you find yourself tempted to go into a bar or are already there and feel you may not be able to stop yourself from drinking, call your sponsor or friend and have them talk you through it or come get you – whatever it takes, whatever you need. It could also be a series of things that you will do to prevent you from giving in to your cravings. Again, this will be unique to you, and only you know what may work or not. You could discuss this with your therapist or 12-step sponsor or group members, but in the end, it is your personal preparedness list. In fact, when some people find they’re at the end of their rope and are about to pick up a drink or get back into drugs, they head right off to a 12-step meeting. That alone may be enough to sidetrack the temptation and keep them clean and sober.

8. Don’t Beat Yourself Up – It’s important to keep things in perspective when it comes to your recovery. Some days will be up days. Some will be down. That’s not only the nature of being in recovery. It’s the fabric of life. We all have our ups and downs. Being in recovery tends to make us think our lives are more difficult or different than everyone else’s, but that’s only true to the degree that we believe it to be so. It isn’t really that our lives are so unique or that our challenges are any more or less formidable than the next person’s.

Where this sense of perspective is important applies to days when it seems to us as if we’re not accomplishing our goals fast enough, or that we have failed to get where we believe we should be at this time. Again, this is not unlike your neighbor down the street or the guy at work or the student you attend class with. Each of those individuals has times when he or she feels disheartened about progress or lack thereof. Instead of harping on our failures, the better strategy is to look forward to the rest of today and tomorrow, and to devising new and more creative ways of realizing our dreams, coming to grips with our problems, and overcoming our obstacles. Beating yourself up over your shortcomings – real or perceived – won’t accomplish anything other than to make you feel worse than you should. Life in recovery, like life for everyone else, is a series of incremental steps. Not all steps are in a straight line forward. Some are lateral first and then forward. Some backtrack and then move forward. The point is that the journey continues. Keep the horizon in view and take the steps necessary to move forward.

9. Get Back on Track – Okay, some of us will relapse. We’ve acknowledged right at the outset that it could happen. So, if it does happen, then what? You get right back on track, that’s what. Addiction treatment professionals say that the worst mistake those in recovery can make is to give up, to feel that they are failures and are doomed to a life of downhill spiral. If you falter, take a drink, smoke a joint, pop too many pills, you need to resume your regimen of 12-step meetings, counseling, seeking support and redouble your resolve to live clean and sober. It’s as simple as that. You just get back on the schedule that worked for you before. In fact, figure out what worked best to keep you from relapsing and then do more of that. Your support network (sponsor, counselor, therapist, spouse, etc.) may have other suggestions that you can try.

10. Learn From Your Missteps – If you do have a relapse, and many in early recovery do, the best thing you can do for your future is to learn from what went wrong. This goes beyond tips and techniques to keep you from caving in to your cravings and urges. It also applies to your overall strategy, possibly your goals. Perhaps you have been thinking too short-term. Lacking a long-term goal, many in recovery become disillusioned and disheartened when things don’t turn out the way they want or planned in the short haul. You need something to work toward that is far enough off that it requires a series of steps, or mini-goals, to achieve. In other words, you need something of value to work towards. This should involve a meaningful goal, perhaps for you, but also for your family. It could be providing for your child’s or children’s college, or buying your first or new home. It could be finally becoming financially independent, or again being financially stable after a period of debts due to your addiction.

You may also find that you need to cultivate a new group of friends. If part of what went wrong is that you wound up hanging out with friends that use drugs and/or alcohol, you know that you need to stop being around others who will only tempt you back into your old habits. You simply cannot afford to be around alcohol, drugs, or other addictive behaviors. Period.

Bottom line: Relapse does happen. It isn’t the end of the world. With the support of your loved ones, trusted friends, 12-step sponsor, members, counselor or therapist, you will be able to get through it and past it and resume your recovery. So, rather than worry and be afraid of the what if and why and how could this happen, concentrate more on the business of charting your plan for your future. Then go out and make it happen.

Source: Drug Addiction Treatment

Probably the most challenging area for health care providers is diagnosing patients who truly have a dual diagnosis. The reason a dual diagnosis is so difficult to determine is because more cases than not, a mental illness is coupled with a substance abuse and addiction situation. It is for this reason that many of these patients are placed in addiction treatment homes or centers only to discover that they are in fact dealing with a dual diagnosis. The problem is that substance dependence can masquerade as a psychiatric disorder, so many times the mental illness is not discovered or revealed until much later than at the initial evaluation.

It can be a very difficult situation to identify a patient with dual diagnosis. Most times they are in denial about their substance abuse so when the addiction is discovered, they overlook the fact that the mental illness is still exacerbating the substance problem and vice-versa. Therefore only one of the two issues is identified. And with teens it is even more difficult. With kids going through puberty and all of the emotional fluctuations that accompany that, how can you be sure that this young man or woman are actually suffering from a bi-polar disorder or even depression? For that very reason it is imperative that when seeking an addiction treatment center you find one that has an acute awareness of this dual disease. It is only then that you can truly have hope for a full recovery.

by Groshan Fabiola

This is NA Fellowship-approved literature.

Copyright © 1983, 1988 by

Narcotics Anonymous World Services, Inc.

Only you can answer this question.

This may not be an easy thing to do. All through our usage, we told ourselves, “I can handle

it.” Even if this was true in the beginning, it is not so now. The drugs handled us. We lived to

use and used to live. Very simply, an addict is a person whose life is controlled by drugs.

Perhaps you admit you have a problem with drugs, but you don’t consider yourself an addict.

All of us have preconceived ideas about what an addict is. There is nothing shameful about being

an addict once you begin to take positive action. If you can identify with our problems, you may

be able to identify with our solution. The following questions were written by recovering addicts

in Narcotics Anonymous. If you have doubts about whether or not you’re an addict, take a few

moments to read the questions below and answer them as honestly as you can.

1. Do you ever use alone? Yes ? No ?

2. Have you ever substituted one drug for another, thinking that

one particular drug was the problem? Yes ? No ?

3. Have you ever manipulated or lied to a doctor

to obtain prescription drugs? Yes ? No ?

4. Have you ever stolen drugs or stolen to obtain drugs? Yes ? No ?

5. Do you regularly use a drug when you wake up or when you go to bed? Yes ? No ?

6. Have you ever taken one drug to overcome the effects of another? Yes ? No ?

7. Do you avoid people or places that do not approve of you using drugs? Yes ? No ?

8. Have you ever used a drug without knowing what it was?

or what it would do to you? Yes ? No ?

9. Has your job or school performance ever suffered

from the effects of your drug use? Yes ? No ?

10. Have you ever been arrested as a result of using drugs? Yes ? No ?

11. Have you ever lied about what or how much you use? Yes ? No ?

12. Do you put the purchase of drugs ahead of

your financial responsibilities? Yes ? No ?

13. Have you ever tried to stop or control your using? Yes ? No ?

14. Have you ever been in a jail, hospital,

or drug rehabilitation center because of your using? Yes ? No ?

15. Does using interfere with your sleeping or eating? Yes ? No ?

16. Does the thought of running out of drugs terrify you? Yes ? No ?

17. Do you feel it is impossible for you to live without drugs? Yes ? No ?

18. Do you ever question your own sanity? Yes ? No ?

19. Is your drug use making life at home unhappy? Yes ? No ?

20. Have you ever thought you couldn’t fit in or have a good time

without drugs? Yes ? No ?

21. Have you ever felt defensive, guilty, or ashamed about your using? Yes ? No ?

22. Do you think a lot about drugs? Yes ? No ?

23. Have you had irrational or indefinable fears? Yes ? No ?

24. Has using affected your sexual relationships? Yes ? No ?

25. Have you ever taken drugs you didn’t prefer? Yes ? No ?

26. Have you ever used drugs because of emotional pain or stress? Yes ? No?

27. Have you ever overdosed on any drugs? Yes ? No ?

28. Do you continue to use despite negative consequences? Yes ? No ?

29. Do you think you might have a drug problem? Yes ? No ?

“Am I an addict?” This is a question only you can answer. We found that we all answered

different numbers of these questions “Yes.” The actual number of “Yes” responses wasn’t as

important as how we felt inside and how addiction had affected our lives.

Some of these questions don’t even mention drugs. This is because addiction is an insidious

disease that affects all areas of our lives—even those areas which seem at first to have little to do

with drugs. The different drugs we used were not as important as why we used them and what

they did to us.

When we first read these questions, it was frightening for us to think we might be addicts.

Some of us tried to dismiss these thoughts by saying:

“Oh, those questions don’t make sense;”

Or,

“I’m different. I know I take drugs, but I’m not an addict. I have real emotional/family/job

problems;”

Or,

“I’m just having a tough time getting it together right now;”

Or,

“I’ll be able to stop when I find the right person/get the right job, etc.”

If you are an addict, you must first admit that you have a problem with drugs before any

progress can be made toward recovery. These questions, when honestly approached, may help

to show you how using drugs has made your life unmanageable. Addiction is a disease which,

without recovery, ends in jails, institutions, and death. Many of us came to Narcotics

Anonymous because drugs had stopped doing what we needed them to do. Addiction takes

our pride, self-esteem, family, loved ones, and even our desire to live. If you have not reached

this point in your addiction, you don’t have to. We have found that our own private hell was

within us. If you want help, you can find it in the Fellowship of Narcotics Anonymous.

“We were searching for an answer when we reached out and found Narcotics Anonymous.

We came to our first NA meeting in defeat and didn’t know what to expect. After sitting in a

meeting, or several meetings, we began to feel that people cared and were willing to help.

Although our minds told us that we would never make it, the people in the fellowship gave us

hope by insisting that we could recover. […] Surrounded by fellow addicts, we realized that we

were not alone anymore. Recovery is what happens in our meetings. Our lives are at stake. We

found that by putting recovery first, the program works. We faced three disturbing realizations:

1. We are powerless over addiction and our lives are unmanageable;

2. Although we are not responsible for our disease, we are responsible for our recovery;

3. We can no longer blame people, places, and things for our addiction. We must face our

problems and our feelings.

The ultimate weapon for recovery is the recovering addict.”

People looking for treatment for prescription drugs in Florida are basically addicted to three categories of drugs. The first types of drugs are opiates. They are taken to relieve pain. Codeine, Demerol, Dilaudid, Morphine and Vicodine are some of the commonly prescribed drugs under this category. Anyone taking these medicines over a longer period of time can easily get addicted and treatment for addiction is necessary, especially in the initial stage of withdrawal. The second category of drugs is CNS depressants. It can be divided into two sub-categories – barbiturates and benzodiazepines. Nembutal and Mebaral come under barbiturates and are given to people suffering from anxiety and sleep disorder. Halcion, Librium, Valium and Xanax come under benzodiazepines and are taken for panic attacks and anxiety. Stimulants belong to the third category. Ritalin and Dexedrine are examples of the Stimulants that are commonly used today. They are provided to stimulate the brain in order to make a person more agile and active. Treatment for prescription drugs should immediately the initiated once the addiction is detected.

Treatment for prescription drugs in Florida involves inpatient therapy, outpatient therapy and group therapy. The inpatient treatment requires patient to be admitted to a detox treatment facility. The patients are carefully examined by physicians and taken off of their particular drugs safely and securely. The whole procedure may take 7 to 10 days. After the detox treatment is complete patients are referred to counselor who then makes further arrangements for individual and group therapy. They are subjected to number of educational lectures and group discussions in order to make them understand the drug addiction and its consequences. This helps them to rehabilitate successfully. In the outpatient program patients are treated through various interventions that include detox treatment, massage therapy, acupuncture sessions and hydro-therapy. Patients are required to visit the treatment facility from time to time in order to be examined and to determine the extent of their addiction and the progress of their individual treatment plan. Patients are also encouraged to take part in various recreational activities like swimming, running, exercising, playing outdoor games and others that are provided at the treatment facility. In group therapy patients are encouraged to participate in meetings that are designed to educate them about Alcoholics Anonymous (AA) and Narcotics Anonymous (NA) programs. Emphasis is laid on social interaction as most take to drug addiction because of the feeling of loneliness.

Treatment for prescription drugs in Florida is based upon the philosophy that every individual is important and unique and should be treated with distinction and respect. The main purpose of the treatment is to help the individual to become healthier and lead a drug free life.

By Gen Wright

I began to run out of my prescriptions early and be left with nothing to treat the very real pain that I still had plus the drug habit that was growing.  I would go to the pharmacy and make up all kinds of stories to tell the pharmacist in order for him to fill my medications early.  At that point I knew that I had a drug problem and that I might be a drug addict, but I was not ready to quit.  I continued to use for three miserable years until I finally had enough.  I was waking up sick every morning and needed to swallow up to ten pain killers in order to get myself out of bed.  When I was ready I knew that I had to go to a medical inpatient detox and come off of the prescription medication slowly.  I never thought that I would be able to stop using drugs and now I am in recovery and loving life again!

If you have been using pain medication, benzodiazepines, heroin or any other addictive street drugs than I suggest that you check into an inpatient detox center where you will receive 24 hour medical attention from a trained nursing staff.  It is essential to have the help of a doctor who can slowly wean you off of the addictive substance that you have in your body in a closed environment.  I know that for me the temptation of using drugs was too great when in an outpatient detox center.  I would begin to feel the slightest withdrawal symptoms and my mind would convince me that I could use just one more time to help myself through the detox.  Of course this was part of my sick thinking as an addict not only our bodies become ill but our minds as well.  Inpatient detox’s are equipped to handle people who are suffering from withdrawal symptoms and adjust their detox medication dosages accordingly.

Inpatient detox is much more effective because of the daily structure and comprehensive medical care that is provided. Inpatient detox comes with round the clock nursing and physician assistance while in an outpatient detox program you can only see a doctor by appointment and you are on your own when you return home every evening. In addition to the lack of structure people in outpatient detox are exposed to the same elements as when they were using. In an inpatient detox program, the only people you see are approved by your therapist with your consent. Always look towards inpatient drug detox when looking to discontinue your drug use.

There is hope! With the proper medical care and the right attitude anyone can get clean.  If you want it bad enough then nothing will stop you from achieving your goal.  Just remember to take each day at a time and that if I could do it so can you.

People who use drugs experience a wide array of physical effects other than those expected. The excitement of a cocaine high, for instance, is followed by a “crash”: a period of anxiety, fatigue, depression, and an acute desire for more cocaine to alleviate the feelings of the crash. Marijuana and alcohol interfere with motor control and are factors in many automobile accidents. Users of marijuana and hallucinogenic drugs may experience flashbacks, unwanted recurrences of the drug’s effects weeks or months after use.

Sharing hypodermic needles leads to an increased risk of HIV and some forms of hepatitis. That, along with increased sexual activity among drug addicts can greatly increase the incidence of people becoming infected with AIDS and sexually transmitted diseases.

There are over 10,000 deaths directly attributable to drug use in the United States every year; the substances most frequently involved are cocaine, heroin, and morphine, often combined with alcohol or other drugs. Many drug users engage in criminal activity, such as burglary and prostitution, to raise the money to buy drugs, and some drugs, especially alcohol, are associated with violent behavior.

The user’s preoccupation with the substance, plus its effects on mood and performance, can lead to marital problems and poor work performance or dismissal. Drug use can disrupt family life and create destructive patterns of codependency, that is, the spouse or whole family, out of love or fear of consequences, inadvertently enables the user to continue using drugs by covering up, supplying money, or denying there is a problem.

Pregnant drug users, because of the drugs themselves or poor self-care in general, bear a much higher rate of low birth-weight babies than the average. Many drugs (e.g., crack and heroin) cross the placental barrier, resulting in addicted babies who go through withdrawal soon after birth, and fetal alcohol syndrome can affect children of mothers who consume alcohol during pregnancy. Pregnant women who acquire the AIDS virus through intravenous drug use pass the virus to their infant.

Drug abuse affects society in many ways. In the workplace it is costly in terms of lost work time and inefficiency. Drug users are more likely than nonusers to have occupational accidents, endangering themselves and those around them. Over half of the highway deaths in the United States involve alcohol.

Drug-related crime can disrupt neighborhoods due to violence among drug dealers, threats to residents, and the crimes of the addicts themselves. In some neighborhoods, younger children are recruited as lookouts and helpers because of the lighter sentences given to juvenile offenders, and guns have become commonplace among children and adolescents. The great majority of homeless people have either a drug or alcohol problem or a mental illness-many have all three.

Drug addiction has an effect on all parts of life for the drug user, the family, and society as a whole. The time to get help for an addiction is NOW before its effects become so far-reaching, they cannot be recovered.

by Alden Robinson