Tag Archives: outpatient rehab for alcohol

The Impact of Toxic Relationships In Recovery

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Toxic habits like drug and alcohol addiction tend to attract toxic people. When you’re using, you may not be aware of the toxic relationships that are closest to you. Even non-addicts get sucked into emotionally destructive relationships.

This article discusses the pitfalls of toxic relationships in drug and alcohol recovery, how to avoid them, how to recognize them, how to get out of them, and how to recover.

How Toxic Relationships Start in the First Place

In the psychology of relationships, like attracts like. A common thread among addicted individuals is a turbulent family background. Drug and alcohol addiction can stunt emotional development and lead to poor coping skills. You repeat what you know, and before you realize it, you’re in a stormy relationship surrounded by negative people. These relationships can easily threaten alcohol and drug recovery.

Don’t be too hard on yourself! Your predisposition to unhealthy relationships is part of a well-documented phenomenon called assortative mating. It’s the natural process of selecting friends and partners who are similar to yourself.

How to Identify Toxic Relationships In Recovery

The first step towards weeding out toxic relationships is to identify them. How does that person make you feel? Do they help you feel more positive or negative? You’re going to need all the positivity you can get throughout alcohol and drug recovery, and there’s no room for negative deadweight.

Do they take part in destructive activities, like doing a lot of drugs, drinking frequently, and hanging out with the wrong crowd? Other toxic behaviors include stirring up excess drama, self-centeredness, and violating personal boundaries.

To simplify the process of identifying toxic people, see if you can categorize them into one of these five categories: Narcissist (self-absorbed), Underminer (back-stabbing, deceptive), Chronic Downer (depressed, negative), Flake (unreliable), or Critic (judgemental).

Keep a log of how your emotions change when you’re around them. After a few weeks of logging, their impact will be obvious. Making a record of your feelings makes it easier to decide to exit the relationship. The decision will already be on paper and more difficult to ignore.

How to End a Toxic Relationship

Addiction is a toxic habit that can feel impossible to break. Toxic relationships can be equally hard to end. You have to value your survival and ultimate happiness above all else. As you grow into the person you’re becoming, you’ll need to shed old relationships like a snake sheds its skin. You don’t have to stop loving the person, but you may very well need to stop seeing them.

There’s no easy way to end an intimate friendship or romantic relationship, just like there’s no easy way to get clean and sober. Chances are, it’s going to hurt. Keep in mind that your decision to end the relationship could be the wake-up call they need. When you run into them years down the line, they may thank you for inspiring them to turn a pivotal corner in their life.

How to Recover From a Toxic Relationship

In the aftermath of ending a toxic relationship, it’s important to surround yourself with positive friends. Positivity is contagious. You’ll need to soak up all the good energy you can in the wake a painful breakup.

Allow yourself to rest. In the midst of great change, having time to reflect is critical. Give your emotional equilibrium time to adjust. Build some alone time into your weekly routine. Fill that time with exploring things that interest you. Connect with productive activities. When it’s time to build new relationships, you’ll have positive interests to bond over.

Evaluating New Relationships In Recovery

According to Linda E. Weinberger, professor of clinical psychiatry and behavioral sciences at the Keck School of Medicine of USC, idealization blinds people to the “red flags” of toxic relationships. You’re drawn to partners due to unconscious or semi-conscious drives that are influenced by cultural and biological forces.

Ask yourself a few simple questions to determine if a new friend will make a positive impact on your alcohol and drug recovery.

Do you feel more stressed around them?
Do you feel needy for their affirmation?
Do you feel manipulated or controlled in any way? Do they come across as jealous or possessive? Are they involved in destructive relationships?
Do they lack productive goals?

If the answer to these questions is a giant “NO,” then they may be a good candidate for a new relationship.

The Effects of Toxic Relationships on Health

When you’re in the midst of a toxic relationship, the adverse effects may be obvious to everyone but you. Toxic relationships can make you distrust the voice inside your head that points out red flags.

Toxic relationships elevate stress hormones. The constant tension from the relationship can keep the body’s fight-or-flight response engaged continuously. This may lead to chronic fatigue, a weakened immune system, poor digestive health, and hormonal imbalances.

The Whitehall II study was a landmark body of research on the effects of toxic relationships on stress and health. Researchers analyzed more than 10,000 people over the course of 12 years. They found that people who stay in negative relationships have an increased risk of dying from strokes and heart attacks. The effects have to do with a mechanism in the body called the CTRA (conserved transcriptional response to adversity). The CTRA is overactive in people who stay in toxic relationships, leading to increased inflammation and low immunity.

Other research has found that hostile relationships can even slow the healing of wounds.

Final Thoughts on Toxic Relationships and Recovery

Toxic relationships can be challenging to identify. It’s critical to your drug and alcohol recovery that you end toxic relationships and replace them with positive ones. Recovery is a time of dramatic change. Not everyone who you’ve bonded with during addiction will be a healthy presence as you move forward. Make a log of how the people closest to you make you feel. If their impact is thoroughly negative, they’ll have to go. Your health and recovery are at stake.

If you or someone you love is struggling with drug or alcohol addiction, Stonewall Institute Treatment Center is happy to answer any questions you may have. Call us today at 602-535 6468 or email us at info@stonewallinstitute.com.

What Makes Xanax So Dangerous to Take Recreationally?

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What Makes Xanax So Dangerous to Take Recreationally?

The medical community first made Xanax, an anti-anxiety medication, available as a prescription in 1981. Today, drug dealers produce fake Xanax at alarming rates. The problem is that these pills are often pressed with other substances, including the lethal opioid fentanyl. As a result, overdose cases are increasingly common. In the rest of this article, we’re going to discuss the addictive properties of Xanax and why it’s so deadly when combined with fentanyl.

Xanax Drug Facts

Xanax, whose chemical name is alprazolam, has been heavily popularized by contemporary rap music. Its recreational use has skyrocketed over the last few years, and the prevalence of fake Xanax has gone up with it. A drug dealer can easily buy a pill press for $20 on the internet, crush up whatever substances they like, and sell it as prescription-grade alprazolam.

Mechanism of Action

Xanax is in a class of drugs called benzodiazepines, which act on the brain by binding to specific GABA receptors. GABA is one of the primary neurotransmitters that impact anxiety. It’s inhibitory, meaning that GABA tells other neurotransmitters to calm down when they’re overactive. In the case of GABA, it communicates with the neurotransmitter glutamate. When you’re having anxiety, the over-expression of glutamate can be part of the cause. In cases such as these, a benzodiazepine like Xanax can suppress the expression of glutamate, resulting in decreased feelings of anxiety.

About Legal Xanax

Today, Xanax is one of the most widely prescribed drugs in the United States and is the most frequently prescribed benzodiazepine. Other benzodiazepines include diazepam, estazolam, quazepam, and clonazepam, among others. For most people, their first experience with Xanax is a legal prescription from their doctor. The most classic indication for Xanax is persistent anxiety accompanied by depression. Xanax is also prescribed for panic attacks, but since the development of selective serotonin reuptake inhibitors (SSRIs), benzodiazepines have become a secondary line of defense in such cases.

Xanax is Highly Addictive

Even with the blessing of your doctor, you should exercise extreme caution when taking Xanax. The tendency for Xanax addiction is high with benzodiazepines compared to other prescription drugs, and the withdrawals can be severe. In fact, benzodiazepines are the only class of drugs besides alcohol that can cause seizures upon withdrawal.

Withdrawal Symptoms of Xanax

Users who are trying to quit after a long period of use are most at risk for seizures. Other symptoms of withdrawal from long-term Xanax use include psychotic episodes, hallucinations, and suicide. Long-term use is described as daily Xanax use for three months or longer.

Those who take Xanax less frequently are still susceptible to a long list of side effects when they try to stop. These can include headache, nausea, palpitations, sleep disturbance, panic attacks, irritability, anxiety, poor memory, muscular pain and stiffness, hand tremors, and increased tension.

Gradually reducing your dosage over time can help to minimize withdrawal symptoms. It is not safe to abruptly discontinue long-term benzodiazepine use.

What Law Enforcement Has To Say About Fentanyl Use

According to the Drug Enforcement Agency’s (DEA) website, fentanyl is a banned opioid substance and is largely responsible for the recent nationwide spike in drug overdoses. Fentanyl, initially synthesized over 50 years ago, has enmeshed itself into the international drug supply. One of the most common final destinations for illicit fentanyl is the inside of an illegally pressed Xanax pill.

Why It’s So Easy to Overdose On Xanax That’s Laced With Fentanyl

Fentanyl is a cheap, synthetic opioid that’s far too potent for recreational use. Ironically, this is precisely why its use is so widespread. By sprinkling just a little bit of fentanyl into their Xanax concoction, dealers can significantly amplify the high. The danger is that adding even slightly too much fentanyl can result in a drug overdose. The likelihood of overdose increases when combined with a high Xanax dosage, other drugs, or alcohol.

Symptoms of Overdose From Xanax/Fentanyl

According to the U.S. Drug Enforcement Agency, fentanyl is 100 times more potent than morphine. Drug dealers can press the pills so that they look indistinguishable from the real deal. The user has no idea that their pills are laced with fentanyl until they start to take effect.

If you’re suspicious that you or someone you know has possibly taken Xanax that’s been laced with fentanyl, be on the lookout for the following symptoms:

Symptoms of Fentanyl Overdose

  • Pinpoint pupils
  • Confusion
  • Pale face
  • Vomiting
  • Dizziness
  • Seizures
  • Low blood pressure
  • Limp body
  • Excessive drowsiness
  • Frequently losing consciousness

Symptoms of Xanax Overdose

  • Repeated loss of consciousness (including fainting)
  • Poor balance and coordination
  • Muscle weakness
  • Feeling lightheaded
  • Confusion

Notice that vomiting, pinpoint pupils and seizures are overdose symptoms of fentanyl but not of Xanax. Be on high alert for these signs when taking Xanax recreationally.

The Current Drug Overdose Epidemic

Over the last three years, deaths from drug overdoses have exploded in number, thanks largely to the massive influx of fentanyl into the drug supply. When officials released the figures from 2016, the statistics were staggering. Nationwide, statisticians estimate that 64,000 deaths were caused by drug overdoses in the year 2016 alone. That’s a 22% increase from 2015. Over this same time, drug overdoses involving fentanyl had more than doubled.

Xanax and Fentanyl Awareness Is On The Rise

On November 15th of 2017, the 23-year-old rapper, Lil Peep, died of a lethal drug overdose just hours before he was scheduled to perform in Tuscon, AZ. The young star was found unconscious and unresponsive on his tour bus after taking Xanax he had gotten from a fan. According to the coroner, no alcohol was found in Lil Peep’s system, and the official cause of death was a lethal overdose of Xanax and fentanyl.

The death of Lil Peep has sent shockwaves through the rap community. Several rappers who knew or were inspired by Lil Peep are now speaking out against Xanax use, including Lil Xan. Formerly a benzodiazepine addict himself, Lil Xan is now the leader of Xanarchy, a movement that’s dedicated to discouraging the use of Xanax.

On their own, Xanax and other benzodiazepines are dangerously addictive medications that have the potential for severe side effects and life-threatening withdrawal symptoms. When combined with the opioid fentanyl, the potential for overdose is high. More people are dying every year form fentanyl-related drug overdoses, and the numbers are staggering. When you choose to take Xanax other than what you’re doctor prescribes, you’re not just running the risk of becoming addicted to benzodiazepines. You also have an excellent chance of your pills being laced with a potentially lethal dose of fentanyl.

If you or anyone you love is suffering from benzodiazepine addiction, or would like more information on the topics discussed above, please, give Stonewall Institute Treatment Center a call today at (602) 535-6468 or email us at info@stonewallinstitute.com.

An Explanation to Dual Diagnosis

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An Explanation to Dual Diagnosis

Around twenty years ago, dual diagnoses began to see light. The simple definition for one is when a drug or alcohol addiction co-occurring with a mental disorder.  The National Institute on Drug Abuse has claimed that individuals who abuse substances are twice as likely to suffer from a disorder of some sort.

According to the Substance Abuse and Mental Health Service Administration, close to nine million Americans are currently experiencing dual diagnoses.  The unfortunate truth is, only 7.4 percent of those Americans receive drug and alcohol treatment for both their drug and alcohol addiction and co-occuring mental disorder.  More than half don’t receive any treatment at all.

These statistics give us some insight as to how dual diagnoses are still all too unknown.  More often than not, individuals suffering from substance addiction don’t realize there are drug treatment options out there to care for both issues.  Therefore, it becomes very difficult to treat one issue when another one is still present.

Drug Abuse and Mental Illnesses are Commonly Combined

 

As mentioned above, it’s very common for individuals struggling with substance use to also face some sort of mental disorder.  There are also instances where drugs can commence a mental disorder.  In an example, psychedelic substances (such as LSD, PCP, or mushrooms) have been known to cause schizophrenia in certain individuals.

More commonly, however, the opposite is true – a person with a mental disorder will seek out alcohol and/or other substances to self-medicate which in turn may cause dependence or addiction.  This is not only true for alcohol and street drugs, but also for prescription drugs given to them by their doctor.  Benzodiazepines tend to be the most commonly abused prescription drugs, specifically Xanax.  Xanax treats anxiety disorders and can be highly addictive.  Even those with a prescription from a doctor can fall into dangerous dependence on the drug and experience serious withdrawals after even one week of continued use.

And even if somebody with anxiety doesn’t go to a doctor, there are substances widely available that make people feel more socially calm.  The most notable being alcohol.

Diagnosing and Integrated Treatment

 

In order to properly dual diagnose an individual, they must undergo an integrated screening protocol or a clinical evaluation for drug and alcohol use. According to the Substance Abuse and Mental Health Service Administration (SAMHSA), these individuals who’re admitted into addiction treatment should immediately be screened for both addiction and mental health.  With each problem being assessed at the same time, only then can a solution be worked towards.

It should be noted that treating an addiction and nothing more tends to be less effective than that of treating both an addiction and mental illness.  The reason being – as the statistics above have told us – many individuals who suffer from addiction usually suffer from a mental disorder as well.

Further, individuals who only get treated for one issue generally don’t have the tools to handle the other.   Let’s say someone has recovered from drug addiction, yet, continues to face a large amount of anxiety.  If they do not seek proper medical attention for their anxiety, this can lead them down either of two paths:

  1. Relapse; going back to substances as a means of relieving anxiety.
  2. Absolute confusion; without proper guidance, individuals are still in danger of harming themselves and others (even without drugs) due to the fact that they are unaware of how to control their emotion.

The purpose of integrated drug treatment is to reduce an individual’s use of substances while improving their mental health.  It can be expected that integrated treatment will help one problem in relation to the other.  The goal of dual diagnosis is to let individuals understand the source of their past experiences as a means of discovering how to solve future dilemmas.

Though drug therapy sessions can be expected in addiction treatment, with dual diagnosis, one can expect pharmacotherapy as well.  Along with this, one can expect psychotherapy (or talk therapy) as well.  The purpose of this is to help patients discover the true influences of both their addiction and their mental illness.

Which Treatment is Best for Dual Diagnosis?

 

One of the most prominent ways to treat individuals who’re dual diagnosed is through behavioral interventions. The following are commonly found in treating dual diagnosis:

  • Cognitive Behavioral Therapy: A means of creating healthier thinking and behavioral patterns for the sake of individuals staying sober. It can be expected that this will work at minimizing problematic beliefs and behaviors.
  • Integrated Group Therapy: A conversation amongst other dual diagnosed individuals that seeks to treat the symptoms of both substance abuse disorders and mental health conditions.
  • Dialectic Behavioral Therapy: Often, substance abuse disorders and addiction go hand-in-hand with self-harming behaviors. This is an effort to diminish that.
  • Individual Psychotherapy: Treats the behaviors often associated with mental health issues and substance abuse.

Due to the fact that everyone has different needs and preferences on how to carry out their treatment, it’s very likely that people will undergo different methods as a means of treating their dual diagnosis.  The only way to properly determine which form of addiction treatment will be most beneficial to you is to speak with a professional substance abuse counselor.

Below, we will look into the options of inpatient treatment and outpatient, however, it is highly recommended you complete an evaluation with a trained mental health professional to figure out which method of treatment will serve your specific circumstance the best.

Inpatient Treatment

 

More often than not, inpatient treatment is recommended for individuals with a dual diagnosis. This is when a person is placed in a residential rehabilitation program where he/she will live under the supervision of professionals.  It was mentioned earlier that individuals in certain environments will react to their addiction or mental health differently.

In an inpatient program, individuals will be in not only a safe environment, but one that’s supervised by professionals.  Dual diagnoses aren’t an easy matter to handle.  Therefore, these professionals along with ongoing support are very much a necessity.

Given, there will be times when the drug and alcohol treatment can feel very intensive.  Dual diagnoses are complex when one is trying to find a solution.  To cure two diseases in one session is to completely change one’s perspective on life and that of which is around them.  With inpatient treatment, individuals will have the opportunity to stay in one place and focus on their dilemma.

With an inpatient treatment, you can expect the following:

  • Daily therapy sessions.
  • The chance to be apart of support groups on a daily basis.
  • A community of a variety of individuals who’re in the same position.
  • The opportunity to receive consistent and professional about substance abuse and mental health.

Outpatient Treatment

 

The difference from an inpatient treatment is an intensive outpatient treatment allows individuals to get the care they need without committing to residency.  Usually taking around 10 weeks, individuals in outpatient treatment are allowed to go about their day-to-day lives if they have important responsibilities; work, school, a family, etc.

You can expect to receive the same kind of counseling and professional help you would from an inpatient treatment, but since you aren’t living in a facility, there’s a larger degree of personal responsibility.  In other words, how seriously you decide to take the treatment is entirely up to your willingness for a change.

Just like the inpatient program, it’s important to have the right motivation.  Individuals shouldn’t be forced into this situation out of their own will.

There’s one vital factor that’s also important to be aware of.  Being that your environment isn’t as controlled, there’s more of a chance to give into substances. Keeping this in mind, it’s essential to have self-control through an outpatient program.  That responsibility is the key to a successful treatment.

With an outpatient treatment, you can expect the following;

  • Group therapy three times a week for three hours a session.
  • The ability to live independently.
  • Peer support, community group, or 12-step program involvement.

If you or anyone you love is suffering from addiction and/or co-occuring mental disorder(s), or would like more information on the topics discussed above, please, give Stonewall Institute Treatment Center a call today at (602) 535-6468 or email us at info@stonewallinstitute.com.

Change is possible, Stonewall Institute Treatment Center can help you change your life.

Drug Rehab Phoenix, AZ

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Stonewall Institute of Arizona offers treatment and counseling for substance abuse and co-occuring disorders. Stonewall is Phoenix’s premier provider for outpatient rehab for alcohol and drug abuse. If you or someone you know is looking for help with an addiction problem or an alcohol and drug rehab Stonewall provides an affordable and supportive addiction treatment program. Substance abuse treatment or “drug rehab” does not necessarily require inpatient service or hospitalization. Stonewalls offers an Intensive Outpatient Program or “IOP” for susbtance abuse issues. Contact Stonewall today at 602.535.6468 or visit Stonewall online at www.stonewallinstitute.com