All of the information on this page has been reviewed and verified by a certified addiction professional. David embarked on his journey into sobriety in June of , which led him to his current career path as a Certified Professional Addiction Recovery Coach in private practice in Greater Nashville. David is also a public speaker and the author of two books.
David is cohost of the weekly Positive Sobriety Podcast, as well as being a frequent contributor to various articles and recovery based materials.
As a member of the National Association of Alcohol and Drug Abuse Counselors NAADAC , David works closely with Nashville area treatment centers, nonprofit recovery organizations, and consulting with faith-based groups trying to bridge the gap between the recovery communities and faith-based organizations who wish to understand addiction.
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Heroin Addiction And Abuse Heroin is among the most dangerous and addictive substances known to humankind. It's also a relatively inexpensive drug, but those who become addicted can spend hundreds of dollars a day on the habit. Start the road to recovery.
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How Do I Prepare for Rehab? How Long Does Detox Take? Moreover, if addiction were truly a progressive disease, the data should show that the odds of quitting get worse over time. In fact, they remain the same on an annual basis, which means that, as people get older, a higher and higher percentage wind up in recovery. This is not an argument in favour of relapsing; it simply means that your odds of recovery actually get better with age!
So why do so many people still see addiction as hopeless? That is, journalists and rehabs tend to see the extremes: given the expensive and often harsh nature of treatment, if you can quit on your own, you probably will. And it will be hard for journalists or treatment providers to find you.
Similarly, if your only knowledge of alcohol came from working in an ER on Saturday nights, you might start thinking that prohibition is a good idea. All you would see are overdoses, DTs or car crash, rape or assault victims. Basing your concept of addiction only on people who chronically relapse creates an overly pessimistic picture.
This is one of many reasons why I prefer to see addiction as a learning or developmental disorder, rather than taking the classical disease view. But if addiction is seen as a disorder of development, its association with age makes a great deal more sense. The most common years for full onset of addiction are 19 and 20, which coincides with late adolescence, before cortical development is complete.
In early adolescence, when the drug taking that leads to addiction by the 20s typically begins, the emotional systems involved in love and sex are coming online, before the cognitive systems that rein in risk taking are fully active. Taking drugs excessively at this time probably interferes with both biological and psychological development.
The biological part is due to the impact of the drugs on the developing circuitry itself — but the psychological part is probably at least as important. Alternatively, if you do hone these skills in adolescence, even heavy use later may not be as hard to kick because you already know how to use other options for coping. Very few people without a prior history of addiction get hooked later in life, even if they are exposed to drugs like opioid painkillers.
If we see addiction as a developmental disorder, all of this makes much more sense. I had absolutely no pain during my recovery, but still, I was given a prescription for Oxycodone. I can understand how opioid adiction can grow from pills to heroin injection in some individuals. It is not easy and very uncommon to get a prescription for these drugs in Europe. I think changes in that respect in the US could help the next generation.
Nieto Barcelona. From beginning this piece you were citing the power of non scientific folklore and tradition and you transition to end with personal opinion. Plus the discovery that inhibition of the N methyl D aspartate system mediate depression, plus, central hormonal deficits e.
Unknot, polymorphisms occur at greater frequency than previously thought. Patent Centered, Individualized Care is where we should be going, Until then, we can only do what the best available evidence tells us and what works for most—not outliers.
These brain regions undergo prominent developmental changes throughout childhood and myelination during adolescence, and thus may be particularly susceptible to the adverse cognitive effects of marijuana.
Adolescents who use marijuana regularly have increased volumes in the cerebellum, possibly from failure to prune synapses effectively. These adolescent marijuana users also show increased brain processing effort on fMRI during an inhibition tasks and task performance, even after 28 days of abstinence.
Now loss of points of IQ has been established. So stating that cannabis offers neuroprotection or is a treatment for epilepsy is misleading the public. Thank you for your posts. Much of what you stated in your post is contested. For example, the study that purported to show a point IQ drop was roundly debunked as this drop was entirely explained by socioeconomic factors that the authors neglected to factor in.
If a person is abusing and the abusing is leading to negative outcomes then abstinence will form part of the solution. But if the person is no longer abusing and is therefore not producing any negative outcomes then does abstinence still form part of the solution?
That seems to be the 6 million dollar question that individuals must answer for themselves based on their ability to predict outcomes. This has been a very honest and stretching discussion and makes me think of a person who walks along a brick fence 2 feet wide with a half mile drop off the side.
If you do this walk you will need to possess confidence and knowledge before hand. Very enjoyable read. Thank you. Regardless of the suggestions for recovery he maintains a resistance to proven methods, as if to leave the door to relapse available, and opens it frequently, with ever worsening results. After 13 years of this its hard to maintain hope when no avenues appear to remain. It seems from where we are looking that addiction DOES last a lifetime.
As an addict not using, let me just say that he will not respond to any treatment until he is ready to do so. No matter how many times you put him in rehab, it simply will not work. He will need to hit bottom and then figure out who he is and what he wants to do about it! Keep loving him, but stop the rehab! Have you tried medications? A modern scientific team with recovery coaches, therapists, doctors who are up to date on the latest research? That might be a lot more effective than rehab….
You might want to look at this area of investigation to see what is going on in the brain at a physiological and chemical level. I understand that this group gets good results and long term outcomes including recommendations for the carer.
While supportive families are known to be a powerful ally and assist to a loved one with SUD, they are seldom helped or brought in to help the treatment team.
Either way; get support for yourself as well as your son. Recovery is possible. I partially agree with Dr. Grinspoon on having an affinity for one class of drug. I myself have abused every substance that alters a persons perception of reality. Hopping from one substance to another is not necessarily the brain looking for the ultimate high but could be explained as simply no longer having access to a particular substance or diminishing returns from a growing tolerance.
The Dr. Every person is in a constant state of change and every drug is not the same and has different effects on people through there lifetime. My brother asked me a question that if i had the answer it would be the epiphany of epiphanies.
I have heard an old saying that the body craves what it needs , so if this holds true for the body then it must for the brain. I agree with the Dr. My thinking is that people are treating themselves for a reason. Finding the reason incorporates every aspect of the patient.
I am just wondering if the chemical structure of the brain is altered during traumatic experiences to the point where the individual requires a substance to alleviate the imbalance. I agree with Philip Bettin. I have been sober for almost 30 years. However I do not feel it warrants any congratulations since that seems to miss the point. For me the reward of sobriety is that I now have a meaningful life that I carefully guard.
I can understand the frustration among the professional experts on how to fix addiction since relapse is the hallmark of SUD. I do question the motive when a medical doctor who is himself in recovery uses his professional authority to claim it may be safe to return to drink or use again.
Are you completely honest with yourself? I have met enough people who were sober for over two decades only to die withing a short span of time after relapsing. Why risk it when the stakes are so high? The point of the article was, at least in part, about asking hard questions, and examining whether there actually is ANY basis for doing what we have been doing for almost years, and whether things can be improved.
There is so much folklore and misinformation in the recovery treatment world that it is essential for all of us to question our assumptions. I am in my 41st year of recovery from alcohol. Why would I? I knew I was addicted to alcohol for 10 years before I joined a fellowship of recovering alcoholics where I got sober.
At the time that was all that was available. Treatment centers only opened when insurance companies were required to pay for treatment. As for substitute addictions…you betcha…sugar and shopping both of which I seem to have modulated. I quit smoking 22 years ago. Why would I risk my recovery for something that means nothing to me today. What sponsor?? The beauty of it is that there are many different paths to recovery.
I am interested in knowing what the author thinks about a genetic relationship to alcohol or drug addiction. I have been in recovery for 24 years, abstinent from all drugs and alcohol. I am a proud member of A. I personally would not encourage anyone to substitute. I like to use the analogy that substituting one drug for another is like changing seats on the titanic.
More than likely you are going down sooner or later. Addiction is not something to be played with. I always encourage total abstinence. That is a point of view that many, many people share. Addictions are known to resolve without any treatment at all in a large percentage of people, these are just not the cases we hear about. I remember quite specifically when the Vietnam war ended there was no longer a reason for me to be angry, no longer a reason to protest.
I stopped smoking pot, put down the wine, went back to college and got a degree. I stayed sober for about 12 years and fell off the wagon once when I fell in love with a beautiful, smart, well educated, fun woman who had the same interests as me.
Her only fault was she snorted cocaine every day. Dating her for two years was fun but damaged my life severely and so I gave up the woman and the cocaine. It CAN be done. I have no cravings today 30 years later.
This is a question I hear often from the user as well as the family members. If you can live without than do so. And go to meetings of some kind. Truly a good article, thank you. Thank you for connecting and sharing your thoughts. Having over 27 years if sobriety from alcohol, marijuana, cocaine and shrooms.
Through one 21 day rehab stay. Holding two master degrees pre sober and post sober, I understand your points. I do believe I have an addictive personality and have substituted healthier options for that bring me the same focus and mind quietness that came from alcohol and drugs. Not sure about different classes of drugs not bothering me as much as those of choice.. As a progressive disorder, all those who tell me they picked up after years of sobriety go way over the edge and are lucky to return having not killed themselves or anyone else.
My ex husband was an alcoholic who would stay sober for a year or nine months and then decide it was ok to drink again, because he was able to stop for the long period of time. It turns out he could have a drink and another and another and make me crazy.
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