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  • How to Help a Drug Addict
  • Help for Prescription Drug Addiction
  • But can a person truly recover when forced into treatment? that these programs don't help and may actually be harming people instead. People with addiction crave and seek out drugs or alcohol no matter what the cost. The biological basis of addiction helps to explain why people need much “The brain actually changes with addiction, and it takes a good deal of work to . We now know more about what causes addiction, why it is so difficult to that relapse is actually a natural part of recovery so you can play an.


    After all the claims we have heard in the past decade about biological discoveries concerning alcoholism, not one of these findings has been translated into a usable treatment. Instead, the same group discussions and exhortations that have been used for the last fifty years are employed in hospital programs.

    Nor is any biological method used to determine whether someone is an alcoholic other than by assessing how much that person drinks and the consequences of this drinking. There is, however, a standard way those who claim addiction is a disease describe addictive diseases. This description has been developed by groups such as Alcoholics Anonymous, by the medical profession, and by various popularizers of the idea that alcoholism is a disease.

    What they say is in every regard wrong. There is no need to look for the causes of the disease in your personal problems, the people you spend time with, the situations you find yourself in, or your ethnic or cultural background. Addiction is bred into you from birth or early childhood.

    Your current experience of life has nothing to do with it; nothing you can do makes you either more or less likely to become addicted. It involves complete loss of control over your behavior. Once involved in your addiction, you are utterly at its mercy.

    You cannot choose whether, or how much, to lose yourself in the involvement. No matter how costly it may be in a given situation, you will go all the way. You cannot make reasonable, responsible choices about something to which you are addicted.

    An addictive disease is like diabetes—it stays with you as long as you live. The mysterious bodily or psychic deficiency that lies at the root of addiction can never be remedied, and you can never safely expose yourself to the substance to which you were addicted. Once an addict, always an addict. It inevitably expands until it takes over and destroys your life. The addiction grows and grows until it devours you, like AIDS or cancer. No rewards, no punishments, not even the most momentous developments in your life can stay its course, unless you completely swear off the addictive substance or activity.

    Thinking you can cure your addiction through willpower, changes in your life circumstances, or personal growth is a delusion like denial , according to disease-theory proponents.

    Addiction is a disease of the body that can be controlled only by never-ending medical treatments. It is also a disease of the soul requiring lifetime membership in a support group like Alcoholics Anonymous. Your kids are going to get it, too.

    Since addiction is an inherited disease, the children of addicts are considered at high risk for developing the same disease— no matter what you or they do or how careful you are. Logical deductions from this viewpoint are that you should have your kids tested for their genetic predisposition to alcoholism or addiction before they start school, or that you should simply teach them never to touch a drop of alcohol or expose themselves to whatever your addiction is.

    Obviously, this approach presents special difficulties in dealing with addictions to eating, shopping, and making love. Where did these notions come from—notions that, when examined in the clear light of day, often seem quite bizarre and contrary to common experience? The disease theory takes a set of precepts that were made up by and about a small group of severe, long-term alcoholics in the s and applies them inappropriately to people with a wide range of drinking and other life problems.

    The original members of Alcoholics Anonymous, realizing they would soon die if they did not give up alcohol, adopted wholesale the dogma of the nineteenth century temperance movement. The one major difference was that the A. Obviously, with the rejection of Prohibition, the United States had decided against a national policy that everyone should abstain from drinking.

    Yet American society continues even today to show a deep unease about alcohol and about intoxication, which many people seek even while fearing its disturbing effects. But, as this book will make clear, the operative assumptions about addiction have never arisen directly from biological sciences. Rather, they have been superimposed on scientific research, much of which directly contradicts the assumptions of the disease theory.

    This is true even for alcoholism and drug addiction, let alone the many other behaviors that plainly have little to do with biology and medicine. No biological or genetic mechanisms have been identified that account for addictive behavior. Even for alcoholism, as the following chapter will show, the evidence for genetic inheritance is unconvincing. By now, probably every well-informed reader has heard announcements that scientists have discovered a gene that causes alcoholism.

    In fact, as one of us wrote in The Atlantic, this is far from the case, and the study that prompted these claims has already been refuted by another study in the same journal. Would it be related to smoking? Would it also cause compulsive gambling and overeating?

    If so, this would mean that everyone with any of these addictions has this genetic inheritance. Indeed, given the ubiquity of the problems described, the person without this inheritance would seem to be the notable exception. How could an addiction like smoking be genetic? Why are some types of people more likely to smoke than others about half of waitresses and car salesmen smoke, compared with about a tenth of lawyers and doctors?

    Returning to alcohol, are people really predestined biologically to become alcoholics and thus to become A. Think about the rock group Aerosmith: The idea that genes make you become alcoholic cannot possibly help us understand how people develop drinking problems over years, why they choose on so many occasions to go out drinking, how they become members of heavy-drinking groups, and how drinkers are so influenced by the circumstances of their lives. Genes may make a person unusually sensitive to the physiological effects of alcohol; a person can find drinking extremely relaxing or enjoyable; but this says nothing about how the person drinks over the course of a lifetime.

    People do not necessarily lose control of themselves whenever they are exposed to the object of their addiction. On the contrary, many practice their addictions quite selectively. Orthodox Jews who smoke heavily abstain from smoking on the Sabbath, showing that their religious values mean more to them than nicotine does. When something they really care about is jeopardized if they continue to drink, smoke, or whatever, most people will stop or cut down accordingly. Addiction usually does not last a lifetime.

    It leaves people two choices: Sadly, a small number of people do die of their addictions; and another group succeeds in quitting drinking, drug taking, or whatever by maintaining the role of the recovering addict. But most people are more resilient and resourceful than that. Most people who have addictive habits moderate or eliminate these habits over the course of their lives. Remember that, today, a majority of the adult Americans who have ever smoked have quit and nearly all did so without treatment.

    Progression is not inevitable—it is the exception. The progression of addictive problems only seems inevitable after the fact. For example, the great majority of college overdrinkers, even those who black out at fraternity parties, become moderate drinkers in middle age. Treatment is no panacea. Contrary to all the advertising we hear, treatment for addictions is often no more effective than letting addiction and recovery take their natural course. The vast majority of people who have given up addictions beginning with more than 90 percent of the forty-four million Americans who have quit smoking[ 7 ] have done so on their own.

    This does not mean that treatment for addictions cannot work—research has shown that some forms of treatment are effective. But the ones that are more effective are not the ones that have become popular in the United States. What about joining support groups such as Alcoholics Anonymous? Here, too, research reveals the opposite of what we have been led to believe.

    A is a valuable community resource for those who find support in a certain type of religiously oriented group ritual. But the best we can say about A. A is that it works for those for whom it works. There is no scientific evidence that A. In fact, the evidence is that the people who are now often compelled to attend A. A—after being arrested for drunk driving or being sent by a company Employee Assistance Program—do worse than those who are left on their own. How can we reconcile this finding with the glowing testimonials we hear about A.

    The people we see in A. And as we show below, those who seriously try to stop drinking on their own are more likely to maintain their abstinence than those who attend A. In addition, since many more people try to quit on their own than through therapy or joining a group, the number of self-curers is triple or more the number of successful treatment or A.

    These, then, are the key fallacies of the popularly held view of addiction. Even generally well-informed people may be astonished that we contradict such widely held beliefs.

    All of our refutations of conventional wisdom are carefully documented in the notes at the back of the book. Just check it out against your own experience and observation.

    How many of them did it by going through a medical program or joining a support group, and how many finally just decided to quit and made good on that resolve?

    What happened to all the people you knew who used illegal drugs in college, some quite heavily? If we simply examine the cases of most of those we are close to personally, we will see how addictions usually do not follow the disease course. Some people feel comfortable thinking of their addiction as a disease and are able to function better on this basis for a time.

    But whatever short-term benefits medical, disease-oriented treatment produces are double-edged even for the individuals who claim it has helped them. Meanwhile, for the majority of people, the disadvantages of the disease approach clearly outweigh the advantages from the start. The disadvantages of the disease approach are that it:.

    How can therapy that so many people believe in and swear by actually do more harm than good? This program first detoxified the alcoholic in the hospital, then mandated A. When the psychiatrist running the program, Dr.

    George Vaillant, evaluated how well his patients were doing two years and eight years after treatment, however, he found they had fared about as well as comparable alcoholics who received no treatment at all! How could Vaillant have been so wrong as to think his patients were doing phenomenally well, when actually they were doing no better than if he had left them alone completely?

    Naturally, he wanted to think it worked. But his research prevented his rose-colored views from distorting the actual results of his treatment.

    When he counted all his patients, not just his successes, when he scrutinized and verified what they were telling him in order to see exactly how well they were doing, and when he compared them with alcoholics out on their own instead of just assuming that all these people died without the help of treatment like his, Vaillant found that his expensive hospital treatment was close to useless.

    Very few people in the treatment industry or in A. When we hear from A. The same is true of treatment programs. They parade their best stars up front. Yet Vaillant, in a book that is cited as the major source of support for the benefits of treating alcoholics according to the disease model, concluded as follows: What are the dangers of this kind of disease treatment?

    Here are explanations of the disadvantages listed at the beginning of this section:. It sets people up for failure. Is it possible that such a message can do more harm than good?

    William Miller and Reid Hester, reviewing all the comparative studies on treatment for alcoholism, made a surprising finding: Why would people be more likely to relapse if they entered A. There are several reasons. For one, people who enter A. Therefore, if they should stop attending A. Accepting the disease-oriented philosophy of inevitable loss of control thus makes it more likely that the alcoholic will binge if he or she ever has a drink.

    Yet, Vaillant found, nearly all alcoholics will drink again at some time. It makes matters worse than they are. Rudy found that most people had to learn their role as alcoholics. When alcoholics introduce their experiences and symptoms in or treatment, the group or therapist homogenizes them through interpretation and clarification. For example, most people who enter have not had blackouts, which are more typical of long-term alcoholics than of the younger drinkers now flooding into treatment and A.

    When newcomers to A. As one member put it to a newcomer: If it fogs your brain now after not drinking for a few days it must have fogged your brain before. See, you must have had blackouts then. When Dwight Gooden entered the alcoholism-andcocaine program at the Smithers Alcoholism Center, he described being assailed by his fellow residents there during the constant group-therapy sessions.

    I cried a lot before I went to bed at night. After he left the Betty Ford Center, Chevy Chase reported that he had often been angry at the counselors, who heckled the residents mercilessly, constantly denigrating them and claiming they had been living worthless lives. Does all this sound like good therapy technique?

    It is simple common sense that belief in your personal value and your own strength is superior to having these things denigrated for getting your life under control. It stigmatizes people for life. The disease model puts a label on you that you can never outgrow. Once diseased, always diseased. It brutalizes and brainwashes the young.

    The largest single age group of people undergoing hospital treatment today for chemical dependency, eating disorders, depression, and so forth is adolescents.

    Nonetheless, virtually none of these young people meet clinical standards of alcoholism or drug addiction. Indeed, numerous cases have been identified in which young people have been hospitalized for smoking marijuana or even for being suspected of using drugs.

    What is the impact of treatment that forces teenagers to take on the identity of addicts or alcoholics or children of alcoholics? Young people are warned that their substance abuse is a permanent trait, even though we have seen that a large majority will outgrow substance-abuse problems as they mature.

    Presenting this message to the young can only prolong or exacerbate their substance abuse, since it denies their own capacity for change and forces them to believe that any substance use for the rest of their lives will lead them back to excess, addiction, and drunkenness. These programs fairly frequently involve emotional abuse. Certainly, it is crucial to prevent children from harming themselves, and it can be worthwhile to remove children from a problem home, whether through a residential program or a visit to a sympathetic relative.

    But brainwashing, emotional blackmail, denigration, and psychological torture never work, except to make people so unsure of who they are or what they value that they will temporarily consent to the demands of those in charge. It presents the alcoholic or addict as someone to emulate. Prominent graduates of treatment programs, like Drew Barrymore, Betty Ford, Kitty Dukakis, and a host of athletes now lecture to others about chemical dependency.

    If alcoholics and drug abusers suffer from a disease and are now recovering, then they can educate others about the disease and even about how young people should live and behave.

    If, on the other hand, we think of them as people who are tremendously poor at self-management, then it is indeed stupid for the rest of us, who have not been seriously addicted, to ask them for advice and information. Someone like former football star Bob Hayes explains that he took and sold drugs as a result of an inherited disease. Alcoholics and addicts like Hayes regularly come into schools to relay their tortured drinking experiences and to reiterate that alcohol is a dangerous drug.

    But nearly every child in these schools will drink. In all types of twelve-step groups, the most severely debilitated person tends to become the leader and model for others, so that the most out-of-control shopping addict tells others about the nature of their problems. Who should be counseling whom? In the case of drug abuse, a number of reviews have found that informational and scare lectures by recovering addicts produce the worst results of all prevention programs. These programs have never yet been found to reduce drug use; on the contrary, several studies have found increased drug use in their aftermath.

    But by adopting the disease identity as her protection through the rest of her life, the youthful convert guarantees that she cannot grow beyond the limitations of her adolescent family life. Can people hope for more than this? Ignoring dynamics like these leaves the drinker unable to cope with the things that led him or her to need to drink—such as doubts about self-worth, a difficult relationship with a spouse, roles such as homosexuality that create conflict for the person, and so on.

    If the labeling of alcoholism as a disease provides welcome relief from the shame of overdrinking. It traps people in a world inhabited by fellow disease-sufferers. This is a frequent hang-up for recovering alcoholics who attend A. One of us has treated a number of A. One man, who was regularly asked to head his local A. Unfortunately, all of these relationships had ended in bitterness and mutual recriminations. But when he tried to date outside the group, he discovered that nonalcoholic women found him overbearing and compulsive.

    It excludes other approaches, many of which are more successful. Even if one accepts that many A. The National Council on Alcoholism and Drug Dependence NCADD [ 24 ] frequently announces statistics about the continually rising costs of alcoholism and the increasing number of alcoholics in our society. But, then, the NCADD is capable only of calling for more of the standard approach to treating alcoholism that has accompanied these increases, while discouraging all alternative approaches.

    Why should things improve all of a sudden if we simply do more of the same? Meanwhile, greater numbers of Americans are being forced to enter private treatment centers and A. Despite the almost universal belief that compelling people to attend standard treatment programs is helpful, these programs regularly demonstrate they are no more effective than self-initiated programs for curing addictions. Psychologists William Miller and Reid Hester, reviewing all the comparative studies on treatment for alcoholism, made a surprising finding: Nonetheless, most American treatment personnel seem hell-bent on eliminating any other treatment for alcoholism besides twelve-step programs.

    This issue is important because the United States spends more money on health care than any other country—and the percentage of our gross national product that we spend on health care is growing faster than that in any other country.

    The fastest-growing component of the health-care system is substance abuse and related mental-health treatments. This is one reason so many companies are being forced to cut insurance benefits or are asking employees to pay a greater share. What if your insurance rates were raised to pay for a fellow employee who was undergoing a repeat treatment for cocaine addiction, since he had relapsed one or more times?

    How would you feel about sharing the bill for a colleague who entered an expensive hospital eating-disorders clinic? Do you think that smokers who want to quit should enter treatment programs and be excused from work, with pay, while they concentrate on quitting? The most common form of care for addicted individuals, long-term inpatient treatment offers many advantages. In this setting, patients will stay in a non-hospital treatment center for a month or more, working through withdrawal and the negative side effects of addiction.

    Learn more about our Inpatient Residential Treatment.? A shorter form of long-term inpatient care, short-term rehabilitation often lasts from three to six weeks and uses a modified form of the 12 Steps. Most short-term programs are followed by extensive time in outpatient care. Outpatient care , or treatment from drugs or alcohol that takes place while living at home and commuting to a center, offers a flexible alternative to residential treatment. However, outpatient programs are often hard for individuals to stick with and function much more effectively at the conclusion of an inpatient program.

    Our admissions counselors would be happy to talk to you about your specific needs and which program, whether we provide it or not, would be the best fit for you. In general, rehab is extremely effective, providing a safe, secure environment in which to overcome the depths of addiction. However, the specifics of efficacy vary greatly. Many stats combine results from treatment centers with varying levels of competency. Some include patients who have been court ordered, and are thus, less willing participants.

    Others fail to measure long-term outcomes, or use a sample population resistant to seeking help. These studies can mistake improper treatment for treatment failures, marring the reputation of effective treatment programs.

    In reality, a customized combination of medical, behavioral, and holistic care offers significant advantages and shows strong success rates among a large population of users. Rehabilitation also works best in a longer-term setting. Getting clean in a few weeks is deceptively challenging, with most patients responding positively to care that extends months or more.

    This provides adequate time to change habits and mindsets, helping patients to better focus on the future. Relapse is a reality, even after rehabilitation. According to the National Institute on Drug Abuse,?

    Relapse can be affected by issues that may have little to do with initial treatment success, including periods of high stress or mental illness. Rehabilitation works for many reasons, ranging from the ameliorating effects of medication during detox to the efficacy of group and individual counseling.

    One of the main goals of residential treatment is to eliminate distractions. While in treatment, patients will be unable to speak to old friends who may have been codependent in the addiction, visit their old environments, or attend social gatherings where drugs were available. Instead, patients are kept in a restrictive, but enjoyable setting in which sobriety is the sole focus for weeks or months.

    Medical professionals have plenty to offer in rehabilitation. With services including prescription medications to mitigate the pain of detox to around-the-clock care to treat emergency situations, patients are safe and secure in rehab. Additionally, counselors are available throughout care to help patients come to terms with addiction and find healthier ways to cope.

    Rehab cuts off access to your old life, replacing patterns of use and activities centered around use with safe, healthy alternatives. Many addicted individuals use substances as a crutch, turning to alcohol or drugs in times of stress, frustration, sadness, or anger. Rehab makes this impossible, forcing patients to learn and use more effective coping techniques when dealing with challenging emotions. Through group and individual counseling, users can get to the root of addiction and explore alternatives to use.

    At The Treatment Center we provide a host of specialized programs to individualize your treatment. Some of these include Vivitrol Treatment , which utilizes a new medication to discourage relapse. Out variety of classes including Relapse Prevention are also keys to our efficiency. Rehabilitation can ease these fears and insecurities, offering a supportive, inclusive environment that works on building patients up, not tearing them down. In reality, rehabilitation is only as effective as you are willing for it to be.

    Mindset is a big part of success in treatment. Those who enter treatment unwillingly or who believe treatment is a waste of time are unlikely to see any long-term success. Instead, these patients are far more likely to return to old habits within months or even weeks of leaving a treatment center.

    Relapse rates are extremely high among those who do not believe in the resources rehab can offer, making a stay in an inpatient treatment center rather worthless. Patients that succeed are those who truly want to be sober. If you have been considering treatment for yourself or a loved one, The Treatment Center is here for you. As a comprehensive rehabilitation option that combines counseling with medical care, we are able to help patients work through withdrawal and learn coping strategies that promote long-term sobriety.

    How to Help a Drug Addict

    This actually makes addictions the psychiatric disorder with the highest odds of In both cases, maturity can help correct the problem but doesn't always do so. What evidence supports it? Most important, what good does it do us to believe it? Will it really help you or someone you care about to overcome an addiction?. 7 There is no simple cure for addiction; however, effective treatment can help you become and stay sober.7 You will.

    Help for Prescription Drug Addiction



    This actually makes addictions the psychiatric disorder with the highest odds of In both cases, maturity can help correct the problem but doesn't always do so.


    What evidence supports it? Most important, what good does it do us to believe it? Will it really help you or someone you care about to overcome an addiction?.


    7 There is no simple cure for addiction; however, effective treatment can help you become and stay sober.7 You will.


    Drugs, Brains, and Behavior: The Science of Addiction. Share? Medications are also available to help treat addiction to alcohol and nicotine.


    Does rehabilitation work? Learn more about why rehabilitation treatment works, how works, and why patients must be motivated to effectively seek help.

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