Tag Archives: Addiction and substance abuse

Handling Anxiety and a Drug Addiction

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We’ve talked much about mental disorders and their relation to drug addiction through this blog. However, just like any of these disorders, anxiety is an illness that can be looked into at great length for its effects on treatment are just as strong as the addictions it may cause.

Many anxious people require substances of some sort that allow them to feel at ease.  Medications that cause their central nervous system to slow down and relieve them of constricting thoughts are most common, however alcohol is also very common due to its wide availability.

Benzodiazepines are a class of drugs typically prescribed to alleviate symptoms of anxiety within a patient.  Commonly prescribed benzodiazepines include Xanax, Ativan, Klonopin, and Valium.

These medications, while highly effective, are also highly addictive and are cause for concern when taken regularly.  The most commonly abused benzodiazepine is Xanax due to it’s effectiveness and sedating effects.  The risk for dependence is high, even with a legitimate prescription from a doctor.

When considered, one of the biggest problems with addiction is the cycle of constantly looking for a quick fix.  Seeking out something to alter our moods in order to ease those unwanted emotions.  This is why dual diagnosis has been taken much more seriously in the last couple decades rather than before.  For those unaware, a dual diagnosis is when an addiction is diagnosed alongside a mental disorder.  It’s becoming apparent to many professionals that without treating the two together, further complications will inevitably follow after treatment.

For in the end, the goal of addiction is beyond getting one into a sober life.  Rather, it’s about changing one’s perspective on what life can be.  Changing their perspective into a drug-free and productively optimistic future.

 

Understanding Anxiety and its Effects on the Mind

The American Psychological Association distinguishes anxiety as an emotion of pure tension.  A rigidity of worried thoughts that even come with some physical changes – such as increased blood pressure.  Everyone has anxiety to some regard, as it’s a natural way of reacting to stress.

However, what will be discussed throughout this blog is that of an anxiety disorder – a condition where anxiety is prominent to a person’s overall emotional stability and controls them on a day-to-day basis.  With that, those with this condition generally seek out some kind of coping method, whether it be prescription medication from a doctor, cognitive behavioral therapy, or different self-medication methods such as alcohol or drug use.

To a person with anxiety, using substances is a means of self-medicating. It’s a way these individuals go about coping with their symptoms. In comparison to the general population, substance abuse is much more common in people with anxiety. In fact, the National Institute of Drug Abuse estimates that people with the disorder are twice as likely to seek out something that will sufficiently alter their mood.

This is important in regards to treatment because it also gives anxious individuals more problems within rehab. For one, it’s been scientifically proven that people of the disorder experience more severe addiction withdrawal symptoms. To top it off, they all have more of a chance at relapse. The situation after addiction rehabilitation where someone goes back to abusing a substance.

If only anxious individuals were aware that drugs do anything but medicate their emotions. Rather, they actually make anxiety worse. It’s a ruthless cycle when really considered. People of the disorder seek out something to calm their tension.

Though the tension might be calmed for a moment of time, it always returns as the drug wears off. This leads them to feeling the necessity for more. And as a tolerance is built to certain chemicals, there will be the need to intake more in order to feel the calming effects. With the need for a drug constantly growing and building, so one’s anxiety.

For us to continue on the subject, it’s vital we differentiate the difference between anxiety and an anxiety disorder. As mentioned above, everyone experiences anxiety from one time to another. An anxiety disorder is when these tense feelings become so prominent, it leaves a large impact on one’s life.

 

What to Look Out For

There are some things to look out for if you’re skeptical that a loved one has an anxiety disorder. People who suffer generally tend to avoid certain day-to-day activities that the general population finds no problem with. They do this as a means of avoiding anxiety.

Sometimes, people of the disorder also experience uncomfortable physical sensations. This inevitably could lead to physical health problems.

The following are symptoms of an anxiety disorder. If you’re skepticality matches some of these conditions, you might want to think about talking to your loved one. Anxiety disorders are treatable and should be done so through a professional manner. For without that, one may end up seeking self-medication.

  • Dizziness/fainting
  • Nervousness/restlessness/and a consistent feeling of tension
  • Rapid heart rate
  • Increased of heavy sweating
  • Weakness or lethargy
  • Loss of concentration or focus
  • Fear of large amounts of people
  • Insomnia and/or poor rest
  • Chest pain
  • Nausea/vomiting
  • Feelings of constant danger/dread/or panic
  • Rapid breathing/hyperventilation
  • Muscle trembles/twitching
  • An overwhelming sensation of fear/panic/uneasiness/nervousness/worry
  • Inability to relax or get comfortable
  • Excessive sweating
  • Muscle tension/soreness

There are three different anxiety disorders to be aware of. Each are of their own context, but there are instances where individuals will experience more than one of these at once.

Generalized Anxiety Disorder (GAD)

To sum it up, GAD is when a person feels – what seems to be – unexplainable anxiety on a day-to-day basis.

Studies have found that a little more than 3% of the U.S. population suffers from GAD. Less than half of those people are receiving treatment.

Panic Disorder

If an individual feels a consistent stream of panic attacks, they could be suffering from a panic disorder. Often, these co-occur with depression.

Social Anxiety Disorder

To put it simple, individuals with SAD generally only feel anxious in social situations. Which is much more frequently than some understand. Whether it’s work, school, a family/friendly event, we find ourselves in social situations on a day-to-day basis.

People with SAD find it hard to handle these day-to-day situations. It makes them feel tense. And their comfortable preference is in alone corders.

 

Seeking Treatment

As mentioned above, anxiety disorder is something that can be treated. Parallel to this, drug addiction can, likewise, be treated. With a dual diagnosis, you’re given the ability to not only enter sobriety, but to take away the problems that have led to substance abuse.

When seeking alcohol and/or drug treatment, an important aspect to remember is that you find a facility that can properly handle treating an anxiety disorder. If you’re preparing yourself to undergo such a huge life change, you’re going to want to receive only the most professional help available.

This is due to the fact that a dual diagnosis is much more difficult to treat in comparison to just drug addiction. When considered, the professionals at hand are in charge of guiding you out of two illnesses.

Typically, individuals who receive a dual diagnosis enter an inpatient program or an intensive outpatient program. Since a dual diagnosis is such a big (and often complicated) problem in an individual’s life, there’s lots to be done in terms of treatment. So much so that it’s vital the individual takes the time and effort to completely focus on these problems and finding a solution. An inpatient or outpatient program offers just this along with the safety of being under professional guidance.

When talking about anxiety, it’s fairly common for people going through substance abuse detox to experience attacks – usually due to the lack of “self-medication”. When the body undergoes a drainage of chemicals that have always made it feel good, the mind has the tendency to not know how to handle the situation. Therefore, it doesn’t come to much of a surprise that anxiety attacks can occur.

If an individual were to do this on their own terms, it may be all too difficult to handle. To top it off, there’s also more of a risk they’ll seek out means of self-medication. However, within an inpatient program or an intensive outpatient program, individuals are assured their under proper professional guidance. Inevitably, making the possible anxiety attacks more of an ease to experience.

It must be considered that under this professional help, you will have the ability to let yourself open up emotionally. And when undergoing such a life changing process, this is very important to the better of yourself as an individual.

If you or anyone you love has anxiety and/or a substance addiction or you’re looking for more information on the subject, Stonewall Institute Treatment Center is more than happy to help. Please, give us a call at (602) 535 6468 or email us at [email protected].

Is It Safe To Take SSRIs For Depression While In Recovery?

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Selective Serotonin Reuptake Inhibitors (SSRIs) are one of the most frequently prescribed drugs for Major Depressive Disorder (MDD). Depression is more common among addicts and alcoholics than other groups. During recovery, symptoms can worsen. If you’ve been diagnosed with depression, SSRIs can potentially improve brain chemistry and ease recovery.

SSRIs are in a class of drugs that don’t have the same addictive qualities as opioids and benzodiazepines (Xanax). Their onset is gradual, and the effects can take weeks to take effect. In the rest of this article, we’re going to discuss how SSRIs behave in the brain and how to determine if they’re appropriate for you or your loved one while in recovery.

Many seeking recovery from alcohol and drug use are diagnosed with a co-occuring disorder.  Many times, these co-occuring disorders include anxiety and depression.  Treatment for co-occuring disorders is very common within the realm of addiction recovery.

 

How SSRIs Work

Serotonin is known as the “happy,” “feel-good” neurotransmitter because it increases feelings of general well-being. SSRIs treat depression by temporarily preventing serotonin from being reabsorbed into the bloodstream. When serotonin is absorbed into the bloodstream it gets returned to the inside of your brain’s neurons. To be actively influencing how you feel, serotonin needs to be outside of your brain’s neurons and in the synaptic gap between them. Once here it can get to work at making you feel happy. SSRIs work by allowing serotonin molecules to stay suspended in the synaptic gap for an extended period before reabsorption.

Serotonin has multiple functions in the body and brain, but its main job is to keep you upbeat and content. Folks that have too little serotonin in the synaptic gaps between neurons are more prone to feelings of depression and nervousness.

 

How Depression Influences Addiction

Someone who’s chronically depressed early in life is more likely to self-medicate with drugs and alcohol. This gets the ball rolling, and genetic tendencies for addiction pick up the momentum from there.

Not all people with depression have low serotonin, and not everyone with low serotonin is depressed. Depression can also be caused by imbalances of dopamine and norepinephrine. For people who are both depressed and low in serotonin, SSRIs can be helpful at managing symptoms during alcohol and drug recovery.

 

How Recovery From Addiction Impacts Brain Chemistry

Recovery throws your brain chemistry into chaos. In a state of addiction, the brain relies on substances as an external source of the happy neurotransmitters it would otherwise produce on its own. In the depths of addiction, your brain balances on shaky legs. When you stop taking drugs and alcohol, those legs get kicked out from under you. Recovery is the process of re-establishing healthy brain chemistry that isn’t dependent on substances.

This transitional period can last over a year before your brain returns to its pre-addiction baseline. It’s during this time that untreated depression can create the most risks for recovering addicts.

 

Depression Increases The Risk Of Suicide In Recovering Addicts

One study suggests that the suicides of alcoholics contribute to 25% of the total suicides nationwide. John H. Krystal, M.D. is the chair of the Department of Psychiatry at Yale University School of Medicine. In his opinion, although therapy alone can be helpful, persistent depression is best treated with a combination of therapy and antidepressants.

 

Antidepressants Can Increase The Risk Of Suicide

For some recovering addicts, taking SSRIs can increase the risk of suicide. For others, taking antidepressants can significantly decrease the risk. This makes it critical to work closely with a psychiatrist who’s experienced in dealing with both depression and addiction. The first few weeks of taking SSRIs, and anytime that doses are changed, are high risk periods for suicide. During this time, depression can get worse before it stabilizes. Patients ages 25 and under report the highest occurrences of such episodes.

 

SSRI Side Effects

The biggest risks associated with SSRIs are suicide and decreased sex drive. Aside from these, SSRIs can cause the following side effects: weight gain, nausea, nervousness, dry mouth, fatigue, rash, diarrhea, increased perspiration, trouble sleeping, and headaches.

 

The goal of recovery is to live a long and happy life. For people with depression, taking SSRIs can be lifesaving in its ability to decrease suicidal thoughts. While abstaining from antidepressants may be appropriate for people with mild or intermittent depression, chronically depressed individuals should rely on the opinion of their psychiatrist to help them make the final call. If you or someone you know lives in the Phoenix, AZ area and is in need of treatment for addiction, our 10-week Intensive Outpatient Program is here to help support you through this challenging time.

 

Prescribing SSRIs (How Psychiatrists Evaluate The Need)

Only a psychiatrist can weigh in on the question of whether or not SSRIs are right for your recovery. More likely than not, if you were already taking SSRIs, your doctor will recommend you continue taking them throughout recovery. Discontinuing use will only create further chaos in a brain that’s scrambling to rewire itself post-addiction.

When deciding whether or not to start an SSRI, your doctor will look at your mental health history. If you weren’t consistently depressed leading up to getting clean, your psychiatrist will likely discourage the use of SSRIs.

If you do have a history of chronic depression, your psychiatrist may diagnose you with Major Depressive Disorder. This would warrant getting you started on an SSRI.

Finding Which Antidepressant Works For You

Most antidepressants take several weeks to build up in your system and become effective. This is a long time to be in limbo for someone struggling with depression, thoughts of suicide, and recovery from addiction. It isn’t unusual for a patient to spend an entire year rotating through different medications before finding one the works. The following are antidepressants that your psychiatrist may suggest for you.

Selective Serotonin Reuptake Inhibitors (SSRIs)

These are usually the first types of antidepressants that your psychiatrist will start you on. They tend to have the least side effects and highest success rates. SSRIs include fluoxetine (Prozac), sertraline (Zoloft), paroxetine (Paxil, Pexeva), escitalopram (Lexapro), and citalopram (Celexa).

 

Serotonin And Norepinephrine Reuptake Inhibitors (SNRIs)

This class of antidepressants targets the neurotransmitter norepinephrine as well as serotonin. These include venlafaxine (Effexor XR), duloxetine (Cymbalta), levomilnacipran (Fetzima), and desvenlafaxine (Khedezla, Pristiq).

 

Tricyclic Antidepressants

Your psychiatrist will likely try other antidepressants before suggesting tricyclics due to their higher rates of complications. Examples of tricyclics include nortriptyline (Pamelor), imipramine (Tofranil), and desipramine (Norpramin).

 

Atypical Antidepressants

These are antidepressants that don’t fit nicely in any category. They include vilazodone (Viibryd), trazodone, mirtazapine (Remeron), bupropion (Wellbutrin, Aplenzin, Forfivo XL), and vortioxetine (Trintellix).

 

Monoamine Oxidase Inhibitors (MAOIs)

This is another class of antidepressants that your psychiatrist may wait to try. They can have serious side effects and require a strict diet when taking them. MAOIs don’t combine well with SSRIs.

 

SSRIs Don’t Get You “High”

SSRIs are notoriously slow at making an impact on brain chemistry. The best case scenario is that after several weeks the drug will begin positively impacting on how you feel. You never “get high” in the same way that you do with opioids or benzodiazepines. In fact, after being on SSRIs for a while, you probably won’t notice any change until you stop taking them.

 

SSRIs Don’t Cause Withdrawal Symptoms, But You Do Notice When They’re Gone

SSRIs aren’t considered addictive. You will start to feel different, however, if you miss a few doses or if you stop taking them altogether. Stopping SSRIs causes what the doctors call “discontinuation syndrome.” Discontinuation syndrome can result in nausea, dizziness, and flu-like symptoms in addition to feelings of uneasiness. Let your psychiatrist know if you want to stop taking SSRIs. He or she will put together a plan for gradually decreasing your dose in a way that minimizes undesirable symptoms.

 

 

Only you and your psychiatrist can decide whether or not taking SSRIs is right for you. For certain individuals, SSRIs can reduce depression and be a critical component of a safe and successful recovery. SSRIs’ lack of addictive properties makes them safe for recovering addicts to take, so long as they meet the right requirements and are closely monitored by health professionals. If you or anyone you love is currently dealing with drug or alcohol addiction, it’s vital to keep an eye out for developing dependence. Stonewall Institute Treatment Center is more than happy to answer any questions you may have. Call us today at 602-535 6468 or email us at [email protected].

 

What Causes Drug Abuse?

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Everyone grows up in this world differently. Therefore, not everyone’s drug abuse is triggered by the same causes. In fact, the causes for drug abuse can be so versatile, it’d be impossible to pinpoint every single source. Yet, there are common cases we have noticed amongst a good sum of addicted individuals. Likewise, these individuals also hold common aspects that sustain and fuel their addiction.

 

Genetic Susceptibility

It’s been scientifically stated that a person’s genetic makeup is accountable for half of their exposure to addiction. If your mother or father has suffered from addiction, there’s the tendency for the children to, likewise, experience similar sufferings.

This explains the commonality of families facing addiction together. Though it’s usually not the only probable cause for drug abuse, it remains a key factor in an individual’s decisions and behavior.

 

Personality Traits

Going off genetic susceptibility, there are certain personality traits people are born with that makes them more vulnerable to drug addiction. For example, if an individual feels experimental in terms of socializing, they may end up experimenting with drugs in a social regard.

It should be noted that though these personality traits come from one’s DNA, it’s not to say that the DNA held the trait of addiction. Rather, the DNA held traits that can lead to addiction if not disciplined properly.

 

Mental Health

In recent years, one of the biggest contributors to drug addiction has been mental health disorders. There are two reasons for this:

1. People suffering from mental health issues usually end up receiving prescription they become dependent on.

2. People suffering from mental health may seek out substances as a way of relief.

Another probability we’ve been noticing is there are occasions where non-mental health individuals develop mental health problems after addiction.

 

The Age When You Begin

Due to the fact that a teenager’s brain is still developing, if they take drugs at a young age, they are more likely to be dependent on them.

When an adult intakes drugs for the first time, after their brain has developed, they are less likely to be addicted. Reason being they didn’t allow their brains to grow while under the influence.

 

Environment

If you find yourself surrounded by other addicts on a daily basis, it’s going to be hard to avoid addiction within yourself. As the saying goes, we are a product of our environments. These surroundings are that of the following:

● Poor relations with family

● Lack of parent supervision

● Easily accessible drugs within community

● Being close with other addictions

 

Conclusion

Stonewall Institute Treatment Center is here to answer any questions you have on drug abuse. If you or a loved one is abusing drugs and are seeking out treatment, give us a call for more information on our facility at 602 535 6468 or email us at [email protected].

How to Properly Determine if a Loved One Needs Help

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Have you noticed any changes in your loved one’s behaviors? Are their physicalities slowly changing without explanation? These are the two general questions to ask when someone in your life is acting in a way that’s unfamiliar to you.

Be careful of misguided beliefs. A person’s behavior is viable to change with or without the use of substances. There are many forces in our lives that can control our behaviors and physical appearances. The goal of this blog is to pinpoint the forces related to drugs and alcohol and to clear up those questions you’re asking for the sake of helping the person you love.

The Physical Signs

Due to the fact that each drug works differently on the body, it’s going to be difficult to accurately determine the exact substance you may be skeptical of. The information below is based upon what common physical impacts the majority of drugs have.

Addicts commonly have irregular schedules. Since drugs cause an internal physical change, the way one’s daily agenda goes tends to circle around when they’re high or not. For example, an individual most likely isn’t going to sleep unless the high’s over. Likewise, with their appetite, a person might not eat if the substance helps them ignore hunger. If you find any irregularities in your loved one’s sleep and/or eating patterns, you have reasonable superstition.

To follow this up, you can observe their physical health. Though it tends to take some time before these signs have their impact, there’s a variety of hints you can monitor.

● A change in the eyes; a redder tone, watery, enlarged or decreased pupil size.

● Unable to properly coordinate average physical movements.

● Poor hygiene and/or health (as if one’s sick with a virus).

● Overly active or underly active.

These changes may or may not be noticeable unless one is under the influence while you’re making the observations. You’re going to want to keep a keen eye out for this because when an individual is high, their behavior will usually show it.

The Behavioral Signs

An intoxicated person will often show off differences in their mood. However, even when an addict is sober, there are indications to look out for. First, there are changes usually made in their private lives (though this may depend on the person’s age).

● More often taking to solitude (secretive) or frequently trying to stay away from home.

● A fall in school grades or work performance.

● A change in outfits and/or styles.

● A decline in one’s self-esteem and/or motivation.

Secondly, you’ll want to observe the way this person interacts with others. Whether it be you, other loved ones, friends, or even strangers.

● Are relationships damaging around the individual?

● Are they often asking for money?

● Are they noticeably forgetful or dishonest?

● Have they lost interest in other loved ones?

● Have they become oversensitive and/or sporadic?

We understand that it may seem more convenient to sit down with your loved one and properly talk out any concern. Or, better yet, have them take a drug test for safe measure. Although these tactics may give us peace of mind, many individuals struggling with addiction are unwilling to admit to their habits and will go great lengths to hide it.

This has a multitude of reasons. The prime cause being guilt. That’s why we at Stonewall Institute Treatment Center make it our goal to give you all the information sustainable for handling addiction and properly caring for it.

If your concern has discovered an addiction in a loved one, we encourage you to call us for assistance at 602-535-6468 or email us at [email protected].

Drug Treatment Arizona

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Stonewall Institute has Arizona’s best drug treatment facility for anyone looking for help with addiction or substance abuse.  The best drug treatment in Arizona is now available in an Intensive Outpatient Program that is both affordable and provides coping tools to meet life on life’s terms.   Now is the time to start your drug treatment in Arizona by calling Stonewall Institute offices in Phoenix, Arizona at 602-535-6468 or visiting our website at www.stonewallinstitute.com.