Detox Recovery

Posts Tagged ‘drug withdrawal’

One of the first and most difficult steps that any person faces when entering a drug or alcohol rehabilitation center is detoxification – the medical process of riding the body of the toxins it has stored during years or decades of drug or alcohol abuse. This process can be devastating from both a psychological and physical standpoint, which is why people who enter an alcohol or drug rehab program often will need detox in order to get through the painful withdrawal symptoms that otherwise might lead them to give up on the idea of quitting.

Detox at an addiction center can take days or even weeks, depending on what the person was abusing, how much they were using and for how long. However, just because a person has completed medical detox doesn’t mean that they are through with their rehab program. In fact, detox is just one small step in the larger process of freedom from drug and alcohol dependency.

When a person becomes addicted to drugs or alcohol, they aren’t just addicted to the substance they are abusing – they become addicted to the flood of pleasurable stimuli that the substance provides to them. No drug rehab program can be successful without changing the mindset of a person and helping them to understand how their addiction has changed them and what they need to do to move forward.

In addition to the lessons about moving forward that are taught at a rehab center, addicts also must address the root causes of their addiction. The majority of addicts start abusing drugs or alcohol because of other factors such as genetics, unhappy childhoods or unstable current lives. Without addressing these underlying factors, most people will eventually fall right back into their patterns of addiction and dependence.

For all of these reasons, it’s important to do more than just “get dry” when trying to quit drinking. Long-term abstinence requires a total rehab program that addresses every aspect of the drug or alcohol addiction.

By Sarah Michaels

When I first began using pain medicine it was innocent enough, I had a back injury from a car accident and was prescribed Vicodin by my physician.  I had 2 herniated discs and the first few months after my accident I was in almost constant pain and needed the pain killers in order to function.  I was going to work everyday and performing to the best of my ability.  I was also still leading a very active social life but I began to feel the need for more and more pain medication.  My descent into addiction was quick and began when I found myself taking more medicine than I was prescribed.  I was supposed to take three pills a day, as needed for the pain, and I can still remember the first time I took an extra dose of Vicodin and thinking to myself that it might not be a good idea.

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!

What causes drug abuse and addiction?

What makes one person abuse drugs to the point of losing their home, their family and their job, while another does not? There is no one simple reason. Drug abuse and addiction is due to many factors. A powerful force in addiction is the inability to self- soothe or get relief from untreated mental or physical pain. Without the self-resilience and support to handle stress, loneliness or depression, drugs can be a tempting way to deal with the situation. Unfortunately, due to the changes drugs make to the brain, it can only take a few times or even one time to be on the road to addiction. Some other risk factors include:

• Family history of addiction. While the interplay between genetics and environment is not entirely clear, if you have a family history of addiction, you are at higher risk for abusing drugs.
• History of mental illness. Drug abuse can worsen mental illness or even create new symptoms. See dual diagnosis for more information on mental illness and drug abuse.
• Untreated physical pain. Without medical supervision, pain medications or illegal drugs like heroin can rapidly become addictive.
• Peer pressure. If people around you are doing drugs, it can be difficult to resist the pressure to try them, especially if you are a teenager.

Signs and symptoms of drug abuse & addiction

How can I tell if a loved one has a problem with drugs?

Although different drugs may have different effects on overall physical and mental health, the basic pattern is the same. Getting and using the drug becomes more and more important than anything else, including job, friends and family. The physical and emotional consequences of drug abuse and addiction also make it difficult to function, often impairing judgment to a dangerous level.

Physical signs of abuse and addiction

Drug abuse affects the brain and body directly. While high, the drug affects the entire body, from blood pressure to heart rate. Stimulants like cocaine and methamphetamine “amp up” the body, increasing blood pressure, metabolism and reducing the ability to sleep. Drugs like opiates and barbiturates slow down the body, reducing blood pressure, breathing and alertness sometimes to dangerous levels. Some physical signs of abuse and addiction include:

• Cycles of increased energy, restlessness, and inability to sleep (often seen in stimulants)
• Abnormally slow movements, speech or reaction time, confusion and disorientation (often seen in opiates, benzodiazepines and barbiturates)
• Sudden weight loss or weight gain
• Cycles of excessive sleep
• Unexpected changes in clothing,  such as constantly wearing long sleeved shirts, to hide scarring at injection sites
• Suspected drug paraphernalia such as unexplained pipes, roach clips or syringes
• For snorted drugs, chronic troubles with sinusitis or nosebleeds
• For smoked drugs, a persistent cough or bronchitis, leading to coughing up excessive mucus or blood.
• Progressive severe dental problems (especially with methamphetamine)

Mental and emotional signs of abuse and addiction

Abuse and addiction also affect mood, as drugs are abused for the temporary good feelings they provide. These feelings can vary depending on the drug used. Some mental and emotional signs include:

• Cycles of being unusually talkative, “up” and cheerful, with seemingly boundless energy.
• Increased irritability, agitation and anger
• Unusual calmness, unresponsiveness or looking “spaced out”
• Apathy and depression
• Paranoia, delusions
• Temporary psychosis, hallucinations
• Lowered threshold for violence

Detoxing from alcohol and drugs is something that should be done with medical advice and care, and should be backed up with counseling in order to help the alcoholic get past the psychological dependence as well as the physical dependence on alcohol. The first goal in an alcohol and drug detox program will be to help the person get through the symptoms they will experience from withdrawal, including any psychiatric problems they may experience. This is usually the first step in a total detox program and can be very effective if done under the right circumstances.

Everyone goes through detox differently and what any one individual may go through will depend largely on a person’s age, frequency and amount of use, as well as any underlying medical issues they may have. For the most part, one can expect to experience withdrawal symptoms such a nausea, vomiting, tremors, sweats and anxiety. In extreme cases some people also may have convulsions or seizures. These are just a few of the reasons why it’s important to have proper medical support in order to help with an alcohol and drug detox program. Many of these effects can be lessened with medications and with proper supervision. On the other hand, some people get through it with very few symptoms. There is no way to tell how any one person will react. Supervised detox is always the best approach. It helps knowing that you have support there if you need it.

Once you have gone through the detox part of the program it’s important to realize that this is just the first step. You’ve managed to eliminate alcohol and drugs from your body but there are still steps that need to be done to ensure that you don’t return to drinking or using again. In order to have a complete recovery it’s important to understand that you now will need to make lifestyle changes in order to increase your odds for a sustained recovery. Learning to live without alcohol as a crutch can be very difficult, but the longer-term benefits of a new and happier life are well worth it.

During the first 30-90 days of a detox program is the time when people are most vulnerable. This is why it’s important to effect changes in your lifestyle as well as getting psychological support. Lifestyle changes can mean staying away from friends who are heavy drinkers, and who may not understand what you have gone through and what you are now trying to accomplish. Staying away from bars or other places where alcohol is served, including your home. Your family will be able to understand the need for you to not be around other people who are drinking. It’s also important to understand the meaning of a dry drunk. This is a person who has ceased drinking and eliminated alcohol from their system, but has done nothing to change the emotional aspects of abuse. This is another aspect of how your lifestyle must change. The more you work with a counselor, the more you will understand that it also takes emotional changes in order to remain sober.

Emotional support from friends and family is also crucial when you are going through alcohol detox. Rehab treatment centers that help people detox also provide support for them through counseling or through a 12-step program such as AA. It is important for the alcoholic to take actions to help in their recovery, and going to counseling regularly is a part of that. If you are on medications you need to take them as directed and never stop it without consulting a doctor. It’s also important to include the family of anyone going through alcohol detox, and allow him or her to offer support and help and be a part of the recovery process. In the end though it is up to the alcoholic to do the necessary work to effect a complete recovery, and then take the needed steps to remain in recovery.

After I went to detox and rehab I was ready for a greeting card life full of rainbows.  Of course that is not how it worked out, I still had to deal with life on life’s terms.  When I was using drugs I was in a constant state of euphoria and rarely, if ever thought about reality.  When I got clean and sober I was forced to see and feel everything set before me and it wasn’t always easy.  The first few days out of rehab were especially difficult because I was so fragile and used to living in a controlled environment.  In the treatment center mealtime was set by a schedule as was wakeup time and bedtime but in the real world I was responsible for setting these limits for myself.  When I was using drugs I would just do whatever I wanted when I felt like it and I certainly didn’t adhere to any type of schedule.  There were many things I had to relearn about life when I got off drugs.  One of the hardest lessons I had to learn in recovery was that I was not in control of anything or anyone else besides myself- and half of the time I didn’t even feel in control of that either. 

Being newly detoxed from drugs my body was still going through PAWS (Post Acute Withdrawal Syndrome).  PAWS tends to create in individuals an excess of emotion including hyper activity. Even small events of little consequence may loom large in someone’s mind and create strong (not being able to bond thoughts together) reactions. This may lead others to suspect a relapse or create social withdrawal. Shame emotions may be noted. Conversely, they may notice a numbing of emotions. The inability to feel impairs proper emotional bonding with friends and family during the early recovery process. It also impairs the recovery process itself as the individual struggles with trying to feel the resentments, anger, guilt, shame and other emotions common in recovery.  A great resourse to find out more information about addiction and to fill out your own information if you need help is www.painmedaddiction.com.  Go to their website and they can help to guide you in the right direction and answer any questions you may have about addiction.

 Signs of hydrocodone addiction are no different than most other painkiller addictions, or any addiction for that matter. Here is just a short list of some of the things I have experienced in my own life. If any of these things sound familiar whether it’s in your life or the life of someone close to you, it could be the beginning of a hydrocodone addiction.

Not taking the drug as prescribed by your doctor. There are a specific ways to take hydrocodone for it to be effective to treat pain, taking it for any other reason could be a sign of addiction. Taking hydrocodone for sleep, to get high, to relax, to calm the nerves, mixing it with alcohol or other drugs, and taking them more frequently than your doctor recommends. If you are running out of pills long before your next prescription, than you may want to tell your doctor so he can monitor your use better. Doctor shopping is a definite no no when it comes to having pain medication prescribed. Not only is it a sign of drug abuse, it is also against the law.  If you are caught doctor shopping then you may never be able to get pain medication prescribed again. This can be a big problem if you are taking them for legitimate pain.

If you feel ill a lot for long periods of time then you may be going through hydrocodone addiction withdrawal. This can make someone very irritable and lash out to the ones close to them. Withdrawal can make you sick for days on end and if you must come off the pain medication, then it is best to do so under the care of a doctor and enter a detox center. Hydrocodone addiction is a serious issue. If you feel you may be addicted please consult a doctor. Hydrocodone contains acetaminophen, and if over exposed can lead to liver damage in the future. A doctor can best advise proper hydrocodone addiction detox treatment. Then later after the drug is removed from the system, then you can think about drug addiction recovery. There are many great treatment centers available that can be visited around your schedule. A 28 in patient treatment may be the best route, but outpatient treatment is also available. 12 step recovery is also a great way to deal with addiction once released from treatment. This way you can have a form of personal treatment when released into the real world.

Inpatient detox is the best solution for anyone who has an addiction to drugs or alcohol.  I have tried more than once to attend an outpatient detox and the results were not positive for my family or me.  There are many detox centers and drug rehabs that will try to convince you that their services will help you and that they are the best choice.  Very few drug abusers succeed when they choose an outpatient detox because there is a lack of structure and the addicted individual is left in their using environment.  This makes it very difficult to change behaviors and often times the temptation to use drugs is too great and the addict relapses.

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.