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Monthly Archives: March 2018

When Helping an Addict Turns Into Enabling

There’s often a fine line between giving a drug addict your support and enabling self-destructive behavior. How do you know when you’re enabling instead of helping?

  • Your help perpetuates the addiction. Examples might be paying an addict’s rent when he’s spent all his money on drugs or letting him use your cell phone to set up deals.
  • You’re covering up the addict’s behavior. If you’re often calling an addict’s boss or family to lie about her erratic behavior, you’re enabling rather than helping.
  • You feel like you’re being manipulated. Addicts can be extremely manipulative. If your intuition tells you that an addict is lying to you or playing with your emotions in order to get your help, you’re probably right.
  • Helping the addict endangers your own welfare. If you’re late paying your own bills because you’ve been lending money to an addict, or you’re giving him rides to sketchy neighborhoods so he can score, it’s time to stop enabling and start looking out for yourself.

10 Most Common Signs and Symptoms of Drug Use and Addiction

If you or someone you love is addicted to drugs or alcohol, they could exhibit a few or all of the following signs and symptoms:1

  1. Cravings. People may experience intense urges or cravings for the drug as their addiction develops.
  2. Physical dependence. Physical dependence to drugs can develop as people grow accustomed to the persistent presence and influence of the substance. The changes in physiology that accompany this process leave people feeling bad or functioning sub-optimally when the drug is no longer in the system.
  3. Tolerance. Over time and with prolonged use, people can build up a tolerance to the drug, meaning they need more of the drug to achieve the desired effects.
  4. Withdrawal symptoms. Some people experience withdrawal symptoms when they attempt to stop using abruptly or when they wean themselves off the drug over a period of time. This is the presence of a withdrawal symptom that indicates that physiologic dependence is at play.
  5. Poor judgment. When an individual is addicted to drugs, he or she may do anything to obtain more, including risky behaviors such as stealing, lying, engaging in unsafe sexual activity, selling drugs, or crimes that could land the person in jail.
  6. Drug-seeking. People may spend excessive amounts of time and energy finding and getting their drug of choice.
  7. Financial trouble. People may spend large amounts of money, drain their bank accounts, and go outside their budgets in order to get the drug. This is a major red flag.
  8. Neglect responsibilities. When people choose using or getting the drug over meeting work or personal obligations, this is a classic sign of addiction.
  9. Develop unhealthy friendships. When people start using new substances, they may spend time with others who have similar habits. They may hang out with a new group of people who may encourage unhealthy habits.
  10. Isolate. Alternatively, they may withdraw and isolate themselves, hiding their drug use from friends and family. Some reasons for this may include perceived stigma or increased depression, anxiety, or paranoia as a result of their drug addiction.

Source

  1. Mayo Clinic. (2014). Symptoms.

ONE DAY AT A TIME

One of the most common slogans in addiction recovery is “One Day at a Time.” But what does it really mean? What is it about this slogan that can help someone in recovery gain perspective and hope?

Bill W. suggested that we live “one day at a time,” and that day is today!  All life takes place in the present, this very moment and this moment is a gift, that’s why it is called the present.

We have gathered below, from observations and time-proven strategies spoken in the rooms of recovery, some of the best ways to approach living one day at a time. These are easily achievable by anyone who’s serious about embracing recovery-and even those who doubt that they can actually do it.

  • Pace Yourself – acclimate yourself to being clean and sober, take the time to learn and practice various coping strategies. Have your to-do list prepared but don’t overwhelm yourself. Know your limits and go slowly but surely.
  • Setting the Standard – Your Commitment to Sobriety – It is not going to be easy but you have to promise not to give up on yourself. Be open to admit you don’t know everything about recovery and know when and where to seek support. Stick to your schedule and meetings.
  • Don’t Miss the Moment – pause and reflect on life and what’s real right now. We are often so caught up with we set ourselves to do that we miss out on appreciating or lives.
  • Set Priorities – your to-do list must be enormous, but learning how to set priorities early in recovery will help you maintain the necessary balance in your day-to-day life.
  • Do What Is Compatible and Doable – whatever it is that you’re attempting to do, start with items or projects in which you are compatible with or are easier for you to accomplish. This will not only make you feel good about yourself, but it will also make you move faster through your list without being stuck at something that may be more challenging for you to get done.
  • Embrace Who You Are – This courageous and determined new individual you have become might have flaws and you may not like them. Make the adjustments you find necessary so that you find your new you, the person who you want to be. For example, if you are a procrastinator and you hate that about yourself, you know you should be working on it.
  • Recognize that Anger, Worry, and Unnecessary Stress Lead to Burnout – If you are often or mostly angry about something, you should try to root out the source of your anger. Identify the problem and work on changing it, modifying the situation, or learning how to accept what you cannot change.
  • Learn How to Deal with Tough Issues Step-by-Step – Difficult or tough problems and issues take time to be solved. Understanding that the best approach to face these problems is one step at a time will help you in not only solving them but also keep you from getting stressed out. If you are stuck and need help, talk to your sponsor and group members in the rooms of recovery. Even if they are not able to come up with suggestions to help you, their support and encouragement will help you to get through the day.
  • Have Faith and Take the Time to Dream – Trust your abilities, have faith in a Higher Power, and in yourself. Dream and set goals to achieve your dreams, they are the stepping stones to reach your dreams.

If you try all of these ways to approach living one day at a time, you should find that it gets easier every day. Don’t be so hard on yourself, especially if you don’t get everything done on your to-do list. In the end, it isn’t how much or how hard you work, but what you get out of it that counts. You will be in recovery is for the rest of your life, enjoy the journey and embrace the here and now. Remember to live in the present one day at a time, because a successful recovery happens one day at a time and the lessons you learned through the 12 steps are transferable to all areas of your life and to everyone.

CHOOSING WHERE TO GO FOR REHAB – Part II

In our previous blog, CHOOSING WHERE TO GO FOR REHAB (Part I) we have mentioned a few components of a quality addiction treatment program. Although there are many approaches to alcohol and drug addiction treatment, the primary objective of any attempt at addiction recovery should be the definitive and sustained recovery. 

In addition to our previous article, you may also be interested in reading CHOOSING DRUG AND ALCOHOL REHAB PROGRAMS IN FLORIDA

We, at Florida Center for Recovery (FCR), hope that the information we provide in our blog posts and website will help you in choosing a treatment program that will bring lasting recovery. We are sure you understand that even the best treatment in the world will most likely not work if treatment is imposed and not sought. Individuals seeking addiction treatment must be ready and willing to work the program no matter where they receive treatment. The reality is that detox and therapeutic counseling does not offer any guarantee for life long sobriety. Relapse can happen and for that matter, relapse prevention is part of the recovery process.

In an extra effort to help you or your loved one in your journey to recovery, we have gathered below a list with the answers provided by families who took part in our Intensive Family Therapy sessions.

The question asked was: “What factors do you believe made the greatest impact on the recovery of your loved one?”

Below are the answers that were the most given by the families.

  • My loved one willingness to get better.

  • My loved one received effective trauma therapy.

  • The bond of trust and chemistry between client and therapist, counselors, and medical professionals at the rehab facility.

  • My loved one’s ability to realize meaning in life and go after it, as well as the therapist’s ability to convey the message of “possibility and hope” for new meaning to life.

  • The level of experience and professionalism in the rehab center’s staff.

  • Fair and practical expectations of the rehab center.

  • Affordability of treatment and gaining health coverage by insurance companies.

All of us at Florida Center for Recovery wish you the best on your journey to recovery.

 

Choosing Where to Go for Rehab – Part I

An important decision for individuals seeking addiction treatment for themselves or their loved ones is whether to stay close in their own town or to travel to another state. 

Deciding where to go to get alcohol or drug addiction treatment involves more than just finding a convenient location for the treatment. One obvious reason to travel is that the best fit isn’t located close by, or the treatment available at the nearby facility is not as comprehensive as the one found elsewhere. However, there is another reason which may compel one to seek treatment at a facility far from home. Generally, home is where the individual is engaged with substance abuse. There is a place where the support network for the abuse exists. The struggling addict knows where to find the money, where to get the drug, and where it is a safe place to use it. This is the support network sustaining the habit. Obviously, the first item on the agenda for someone trying to quit and start the recovery process is to disrupt this routine and start a new one conducive to recovery.

Getting away from “people and places” that are part of one’s addiction routine is and has been a strong reason to get away from the environment that perpetuates or allows using. This arguably should be a good enough reason to travel far from the circle of friends and those who have played, knowingly or unknowingly, the enabler role in the person’s drug use.

Many say that getting away from family and friends and attending an inpatient drug or alcohol rehab away from home encourages the individual seeking treatment to immerse himself or herself in a new community of recovery. This setting often establishes real positive changes at a mental, physical, and spiritual level, helping recovering individuals avoid triggers found at their place of residence that may cause a relapse. An unfamiliar environment can also promote recovery providing an opportunity for the recovering individual to stop, think, and focus on the changes needed to achieve lasting recovery. In addition, as in most cases, admission to an addiction treatment facility is voluntary, and being far away from home can deflect some of the temptation to walk away from a rehab program.

Regardless of the choice of distance for the addiction treatment facility, it is recommended to make a call to schedule a tour of the facility you are going to choose and sit with the clinical director to talk about the treatment plans offered. If the tour of the facility is not an option, you should at least call and talk to someone from the medical or clinical department to ask any questions you may have.

A successful drug or alcohol addiction treatment may need to incorporate detoxification in addition to counseling, and medications may be prescribed if necessary. One more thing you want to know is if detox is offered on-site or the patients are transported off-site for detox. This is important, as facilities providing onsite detox have to go through stricter licensing procedures that the ones without on-premises detox. Knowing what to expect from treatment makes it easier for both recovering individuals and their loved ones to make the final decision when it comes to the treatment facility and the location.

With more than 14,500 specialized drug rehab centers in the United States, it is the due diligence in choosing the right drug and alcohol rehab that can increase the odds in favor of a successful recovery.

Below are a few suggestions that you may find helpful in finding a reliable rehab center:

  • Be wary of any treatment center that claims “miraculous” success rates
  • Find out if the facility has been around long enough to have established experience
  • Check the website to see if they provide actual photos of their facility (grounds, lounge area, bedrooms, meeting space, etc.)
  • Check the Website to see staffing information
  • Check Website for licensing information
  • When you call you should get a live person instead of a voice recording
  • When you call you should be given sufficient time to get your questions answered
  • Phone service available evenings and weekends to contact someone at the facility
  • When you call you should feel emotionally supported if fear and anxiety overcome you during the phone conversation
  • Find out if the facility offers travel assistance to facilitate the admission (booking flights, shuttle service, flight layover assistance, etc. – It is illegal to pay for travel expenses to the facility)
  • Whether intake Personnel perform a comprehensive medical, psychological analysis upon admission
  • The facility has established procedures to discharge clients that use drugs or alcohol during their stay
  • The facility has onsite medical doctors and nurses
  • The facility is located within reasonable driving distance to a hospital for medical emergencies
  • Drug testing when the staff has reasonable grounds to suspect a client of drug or alcohol consumption

Red Flags:

  • Facility offering travel expenses for out of town/state clients
  • Facility performing excessive urine tests that is out of the norm
  • Any officers of the facility have been involved in medical/insurance fraud
  • The facility has a high turnover for medical or therapy staff
  • The therapy and the residences are located in a different part of town

 Program Qualities:

Although there are as many approaches to alcohol and drug treatment as there are treatment facilities, a quality substance abuse treatment program will have sufficient:

  • Intensity (sufficient to keep clients engaged)
  • Focus (trying not to do too much, too soon)
  • Variety (therapy, education, recreation, nutrition, etc.)
  • Flexibility (adjusting the program to meet the needs of a client)
  • Portability (the ability to apply the curriculum to life after treatment)
  • Aftercare and Discharge Planning

Florida Center for Recovery in Fort Pierce, FL – Detox and Drug and Alcohol Rehab 
If you or a loved one is looking for addiction treatment consider Florida Center for Recovery. We offer a comprehensive treatment plan and a supportive team of professionals to help individuals who are diagnosed with addiction and co-occurring mental health disorders. Our drug and alcohol rehab center in Florida relies on the latest evidence-based therapeutic treatments as well as holistic therapies to give our clients the very best chance of a successful recovery.

Our rehab programs are offered to both men and women 18 and older and we provide specialized programs for expectant mothers, chronic relapsers, and for individuals who are struggling with trauma through RAPID RESOLUTION THERAPY®.

Below are a few highlights of our Florida Rehab in Saint Lucie County.

  • A complete individualized approach to treat addiction and mental health disorders
  • All-Inclusive Inpatient Medical Detox
  • Medical and Psychological Evaluation
  • Addiction Treatment Assessment
  • Integrated Treatment for Co-Occurring Disorders
  • Group and Individual Psychotherapy
  • Gender-Specific Counseling
  • Grief / Loss Therapy
  • Rapid Resolution Therapy® (Trauma Therapy)
  • Intensive Family Therapy
  • Relapse Prevention
  • 12 Steps & SMART Recovery® (Non 12 Step)
  • Biofeedback Therapy
  • Recovery Educational Workshops
  • Life Skills Training
  • Nutritional Counseling
  • Spiritual Counseling
  • Yoga
  • Mindful Meditation
  • Bodyweight Cardio
  • Art Therapy
  • Drum Therapy
  • Recreational Activities
  • Aftercare Programming
  • Discharge Planning

Connect with someone who can help you now by calling Florida Center for Recovery at toll-free: 800-851-3291. Our recovery advisors are available from 8:30 am to midnight to assist you with any treatment-related information and guidance.

Please find below-related articles about rehab centers and addiction treatment:

REHAB CENTERS – WHAT DO I NEED TO KNOW WHEN CHOOSING ONE?

ADDICTION TREATMENT AND THE FAMILY MEDICAL LEAVE ACT

 

What is SAMHSA?

SAMHSA stands for Substance Abuse & Mental Health Services Administration. SAMHSA is an agency within the U.S. Department of Health and Human Services which was created in 1992 to replace the Alcohol, Drug Abuse, and Mental Health Administration.

SAMHSA seeks to improve the quality and availability of prevention, treatment, and rehabilitation services in order to reduce illness, death, disability, and cost to society resulting from substance abuse and mental illnesses. This agency works on expanding access to mental health care, promoting safe and effective programs for people suffering from or at risk of developing mental conditions, advocate for families of those suffering from mental disorders and facilitate greater mental healthcare overall. At times SAMHSA has taken public stances on controversial issues such as homosexuality and transgender identity and treatment of heroin addiction. In addition, SAMHSA makes grants to various agencies to prevent and treat addictive and mental disorders and furthers its work through public campaigns, system reform, policies, and program analysis.

With more than 22 million Americans aged 12 or older diagnosed with some type of substance abuse or dependence in 2005, and an additional 25 million American aged 18 years or older living with a serious mental health condition, SAMHSA seeks to reduce the physical and emotional toll of these illnesses by prevention and early intervention, through research, services, and support.

Three centers and five offices comprise SAMHSA:
The Center for Substance Abuse Treatment (CSAT)
The Center for Substance Abuse Prevention (CSAP)
The Center for Mental Health Services (CMHS)

With respect to Substance Abuse, SAMHSA provides a resourceful link where individuals seeking addiction treatment or their loved ones can search for private and government based treatment options. Although generally, the first step in starting a search for either private or government addiction treatment programs is the on-line search, due diligence is a must in deciding the most appropriate rehab center. Online reviews about the treatment facilities are highly recommended. Check the link below for more information about what you should be looking for when choosing a drug or alcohol addiction rehab facility and treatment program.

Florida Rehabs in the News

Recently we got a post on our Facebook account from someone that was raising a red flag about rehab centers, sober living homes, half-way houses, and pretty much every place and organization with any connection to the drug rehab industry in the whole state of Florida. Yes, every drug rehab related place in the entire state of Florida. If this may sound a bit overreaching and irrational, it is exactly that. This might be the classical definition of the rhetorical statement “painting with a wide brush”.

The person making the statement had got her information from the national media which has been portraying Florida, specifically Palm Beach County, as the place for “on-going patient brokering and fraud”.

The truth of the matter is that yes there have been many facilities in Florida that have been involved in various fraudulent activities and there have been, rightly so we may add, exposed, prosecuted and their owners and operators have ended up with jail terms. The truth is that the spotlight has shined the light on the criminal acts of the few and has resulted in a new law against patient brokering which has put forward guidelines that describes unethical behavior in the rehab industry. The Florida Law is the step forward in regulating an industry that for many years, many ethical players of the industry have been asking for. The Florida law statutes cover any rehab center in any state that has an organization in the state of Florida which will go a long way in protecting the consumers of the addiction treatment providers against unethical and irresponsible addiction treatment providers.

According to a 2015 article in Forbes, the addiction treatment industry generates 35 billion dollars a year. Florida’s yearly share is reported by ABC News to be $1 billion dollars. There is money and competition for it. Wherever there is money, there are bound to be bad actors trying to enrich themselves. This industry is no exception.

Patient brokering is not a Florida phenomenon. Various forms of patient brokering such as paying for a client’s travel expenses to reward them for coming to the facility has been going on in many other states as well. There are other states with heavy concentration of rehab related facilities, such as California, Texas, Arizona, and New York that will benefit from Florida’s experience in cleaning up this very much needed industry. Sooner rather than later, the Florida law will have the intended positive effect in those states as well. This should be the good news or better yet the silver lining that the clients and the ethical operators of this industry should be looking at.

We are losing close to 150 lives a day due to the heroin/opioid epidemic in the United States. We need more than ever, facilities that provide effective treatment that saves lives. The unfair negative publicity has left many good, honest operators of addiction rehab facilities with no choice to close their doors or at best, struggling to financially survive. 

The Florida Legislature’s Patient Brokering Act, CHAPTER 2017-173, provides jurisdiction on all hospitals, mental health, addiction treatment centers, and sober livings and allows prosecution against patient brokering.

Chapter 2017-173, makes providing any remuneration to any health care provider or facility for referrals a criminal act.

Our treatment facility, Florida Center For Recovery, has been operating as an ethical addiction treatment facility for 16 years. We welcome the scrutiny on the bad actors and the punishment for the operators of unethical facilities, in hope of ridding the industry of the existing black mark. We are certain that we are not the only facility that supports the closures of fraudulent facilities.

What Is the Difference Between Opioids and Opiates?

Nowadays the words “opioid” and “opiate” have been used interchangeably; however, there are differences between them.

Opioids

Opioids also called analgesics, are prescription medications used by doctors to treat moderate to severe pain. Opioids were also referred to as narcotics, however, due to the negative association the term “narcotic” has with illegal drugs, it has fallen out of use in medical settings.

The term opioid refers to the drug that acts on opioid receptors in the brain. The term opioid comprises of all drugs, synthetic, semi-synthetic, and naturally occurring substances that act at one of the three main opioid receptor systems (mu, kappa, and delta).

Opioids can be categorized as:

Opiates

According to the American Council on Science and Health, the term opiate refers to a subset of opioids that are either derived from poppy or synthesized from any drug that is found in poppy or synthesized from one, either naturally occurring or synthetic.

Opioids encompass both naturally occurring and synthetic drugs, so do opiates. For example, heroin is not found in nature. It is synthesized from morphine. Yet it technically belongs in the opiate class simply because its synthetic precursor happened to come from poppy.

Some of the most commonly used medications on the list of synthetic opiates include:

List of Semisynthetic Opiates

Both synthetic and natural opium alkaloids go into the making of semisynthetic opiates. Small concentrations of natural opium alkaloids exist in various amounts depending on the type of drug.

As part of the list of synthetic opiates, semisynthetic medications hold their own in terms of abuse and addictive potential when compared to strictly synthetic opiates.

Semisynthetic opiate medications include:

  • Oxymorphone – contains the natural alkaloid, thebaine
  • Hydrocodone – contains the natural alkaloid, codeine
  • Oxycodone – contains the natural alkaloid, thebaine
  • Hydromorphone – contains the natural alkaloid, morphine

Opioids and opiates are both chemically related and interact with opioid receptors on nerve cells in the body and brain. Opioid pain relievers are generally safe when taken for a short time and as prescribed by a doctor, but because they produce euphoria in addition to pain relief, they can be misused (taken in a different way or in a larger quantity than prescribed, or taken without a doctor’s prescription). Regular use—even as prescribed by a doctor—can lead to dependence and addiction and, when misused or used in combination with other substances, opioid pain relievers can lead to overdose incidents and deaths.

Although opioids are technically categorized under the term narcotic, due to the negative association the term “narcotic” has with illegal drugs, it has fallen out of use in medical settings. The narcotic definition pertains to an agent that produces insensibility or narcosis.  When thinking about these terms broadly, you can think of opiates as being a subclass of opioids, and opioids as a subclass of narcotics.

No matter how these prescription painkillers are classified as, or how it was created, it’s important to speak with a healthcare provider and understand their effects before taking them as an estimated 1.9 million Americans have become addicted to opioid painkillers. It is shocking to know that Americans take an estimated 80% of the world’s opioid painkiller supply.

Considering the growing opioid epidemic, before starting on any prescription painkiller one should be wary and consider the risks and benefits of the treatment. Having an open dialogue with a health care provider and discussing valid concerns in regards to long term or even short term use of opioids can “bring to the table” other treatment options that can be effective as well.

If you or a loved need help with opioid addiction, Florida Center for Recovery in Saint Lucie County offers comprehensive treatment through an all-inclusive inpatient detox.
To learn more contact our admissions office at: 800-851-3291 from 8:00 am to midnight.

For more information about our opioids and treatment visit:

Opioid Addiction Treatment in Florida

How to Recognize an Opioid Overdose?

Looking for Opioid Addiction Treatment?

Yoga for Addiction Recovery

Yoga has been embraced by many addiction treatment facilities around the world as a complementary therapy to aid recovering individuals in overcoming deep-rooted psychological and physical hardship.

One of the unique qualities of yoga is the practice of mindfulness which teaches individuals to sit quietly to calm the body and mind, practicing breathing while learning how to seek and experience feelings of peace and comfort.

Besides teaching the practice of mindfulness, teaching simple yoga postures such as Downward Dog and Child’s Pose can give recovering individuals the skills needed to tolerate the uncomfortable feelings and sensations that can lead to relapses.

As researchers find more about how yoga affects the physiology of our bodies, we get more clues as to why yoga can be so beneficial to those in recovery. For example, yoga has been found to be very effective at regulating the stress hormones cortisol and adrenaline, says Sat Bir Khalsa, director of the Kundalini Research Institute and an assistant professor at Harvard Medical School. He also points out that an imbalance of those hormones has been associated with anxiety disorders, depression, and posttraumatic stress disorder as well as substance abuse. “These chronically high levels of hormones are toxic to the body and central nervous system, and we know yoga can help reduce or balance the stress hormones in the body. It makes sense that if you’re less stressed, you may not be so quick to seek substances to cope.”

According to the Yoga Journal, a 2007 pilot study published in the Journal of Alternative and Complementary Medicine, funded in part by a grant from the National Institute on Drug Abuse, demonstrated that yoga may be able to change brain chemistry. The study compared a session of reading to a session of yoga and concluded that the yoga session resulted in increased levels of the neurotransmitter GABA in the brain, while the readers experienced no change. Low levels of GABA are also associated with anxiety and depression which are conditions often considered to underlie addiction.

In addition, at a psychological level, people who practice yoga gain a new improved level of clarity in their daily life, such as learning how to remain calm at times of great distress or anxiety. Yoga helps relax individuals, allowing them to think more positively, and thus, relieving tension even when things get tough.

In short practicing yoga during addiction recovery and beyond can support recovering individuals bringing them to a restorative inner state that integrates mind, body, and spirit.

Florida Center for Recovery incorporates yoga and meditation into its inpatient addiction treatment programs at no extra charge, offering early morning classes for those who want to embrace the practice.  Although yoga is available, clients are under no obligation to attend yoga sessions. All clients are welcome to try and continue with the classes if they choose so.

For most recovering individuals, one of the most valuable life lessons to be learned on the mat is about letting go of their habits of control and perfectionism.

 

 

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