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orange tablets of stimulants or smart drugs

How Dangerous Are Smart Drugs?

Smart drugs are stimulant prescription medications that people use to enhance their mental performance. Smart drugs can make you feel more awake, more motivated and improve aspects of memory and learning. Like all stimulants, however, they pose serious health risks, and abusing smart drugs can lead to heart problems, psychosis, paranoia, and addiction.

Why Do People Use Smart Drugs?

Smart drugs such as dextroamphetamine (Adderall®) and methylphenidate (Ritalin®) increase the signaling of dopamine in the brain. Dopamine is a chemical that produces feelings of euphoria and may enhance cognitive functions.

Doctors prescribe Adderall and Ritalin for certain psychiatric disorders like attention-deficit/hyperactivity disorder (ADHD) and narcolepsy. However, there is a growing trend of the misuse of smart drugs by healthy people without any medical need. This includes:

  • Professionals to increase their productivity
  • Older people to slow declining cognition
  • High school and college students to improve academic performance.  Research suggests that in North America, up to 25% of students may have used smart drugs

What Are The Short-Term Dangers of Smart Drugs?

While smart drugs may cause short-term improvements in brain function, they can also have uncomfortable and dangerous side effects. 

Common adverse effects include headaches, dizziness, nervousness, and insomnia, though some people have more extreme reactions. Taking smart drugs can cause psychotic episodes, extreme paranoia, and suicidal thoughts.

Taking high doses of smart drugs also puts you at risk of an overdose. Stimulant overdoses, while not normally fatal, can be extremely dangerous. You may develop a dangerously high body temperature, fast or irregular heartbeat, cardiovascular failure, and have seizures.

What Are The Long-Term Effects of Smart Drugs?

While it may be tempting to use smart drugs to help you do better in college or be more productive at work, repeatedly using smart drugs can lead to a range of severe health problems. 

Using smart drugs may lead to psychiatric disorders such as insomnia, anxiety, and depression. These conditions can have an immense impact on your mental well-being and decrease your productivity and performance in the long run. 

Repeated use of smart drugs can also lead to addiction. When you take smart drugs, it activates the reward pathway in your brain, producing urges to seek and reuse the substance. It also interferes with your ability to resist these urges. These effects may be stronger on a developing brain, putting young people at greater risk.

Addiction is a serious illness that can be devastating to your health, work, and social life. It is a chronic brain disease that causes physical changes in the brain, which can be long-lasting or even permanent. Recovering from addiction requires commitment and support, usually from a rehabilitation center or professional treatment program.

Do Smart Drugs Improve Mental Performance?

Most people misuse smart drugs to try and improve their mental performance. However, scientific research offers contradictory evidence on their effectiveness. Several studies suggest that for healthy individuals, smart drugs do little to improve most cognitive functions. 

A systematic review of studies found that Modafinil did increase wakefulness and attention, even in healthy individuals. However, it also made individuals feel more confident, making it difficult to assess its impact on other aspects of cognitive performance. 

Similarly, a study on the effects of Adderall on young people found that there was no improvement in cognitive functions such as working memory, control, creativity, and intelligence for most people. However, as with Modafinil, participants did perceive their mental skills to be enhanced. This overconfidence may hinder someone’s ability to complete tasks and work effectively, outweighing any benefits of the drug.

Smart drug abuse and addiction can cause serious damage to your health, social life, and work performance. At Enlightened Recovery, we offer our clients tools to use as they move forward in a sober lifestyle. 

Our treatment program focuses on healing the whole person and not just addiction. Our individualized recovery plans are rooted in the 12-step philosophy and provide a range of treatment modalities, including cognitive-behavioral therapy (CBT), family constellation therapy, art and music therapy, acupuncture and chiropractic care, and equine-assisted therapy. 

Our treatment facilities are located near the southern shore of New Jersey, allowing us to provide optimal healing and relaxation throughout your stay. If you struggle with addiction, or if someone close to you does, please call us at (833) 801-5483 for more information.

The Pitfalls of Painkiller Addiction

The Pitfalls of Painkiller Addiction

Painkiller addiction and abuse are serious public health problems in the United States. Over eleven million people abused these drugs in 2017. Painkiller addiction can lead to long-term health problems such as kidney and liver failure and be devastating to your work and social life.

Addiction is a chronic disease with complex causes. However, it is possible to recover, and most people benefit from some form of treatment. With commitment and support, you can live a fulfilling life of sobriety.

What Are Painkillers and Why Do People Use Them?

Painkillers are powerful prescription drugs. Doctors usually prescribe them following an accident or post-surgery and occasionally for chronic pain. Most addictive painkillers contain opioids, and according to the National Institute of Drug Abuse, New Jersey doctors wrote 38.9 opioid prescriptions for every 100 people in 2018.

While opioid painkillers are incredibly useful in treating short-term pain, many people misuse them. Misuse is defined as using pain medication more often or in higher doses than your prescription requires or to experience its pleasurable effects. It is possible to develop a painkiller addiction using them exactly as your doctor prescribes, but abuse makes it much more likely.

Why Are Painkillers Addictive?

Using opiates repeatedly over time can lead to chemical changes in the brain and produce strong urges to seek or use painkillers that can be very difficult to resist. These changes may be long-lasting and persist even after years of sobriety.

Repeatedly using painkillers may also lead you to develop a physical dependence on the drug. Your brain becomes used to the increased levels of opiates in the body and adapts by decreasing its natural production of opioids. You begin to need higher and higher doses to experience the same effects, and eventually, you can become dependent on the drugs just to feel normal.

While everyone’s experience of addiction is different, certain factors make developing an addiction more likely. These include:

What Are Some Types of Addictive Painkillers?

Opiate Painkillers

Opiates are natural sedative drugs derived from the seeds of the opium poppy, such as morphine and codeine. Opiates can produce experiences of euphoria in the user and relieve physical and emotional pain.

Opioid Painkillers

Opioids are natural, synthetic or semi-synthetic drugs that have similar effects to opiates. Some common opioid painkiller brands are:

  • Lortab
  • Vicodin
  • Zohydro
  • Percocet
  • Hycodan
  • Roxicet
  • Percodan
  • OxyContin

What Are the Dangers of Painkiller Addiction?

If untreated, painkiller addiction can be devastating to your health, relationships, and work-life. Effective treatment, however, can be life-changing and can put you on the path to a life free from addiction.

How Does Painkiller Addiction Affect Your Health?

Painkiller addiction can cause long-term and short-term health problems, including

  • Liver and kidney damage
  • Seizures
  • Overdose, which may lead to respiratory failure and even death. In New Jersey in 2018, over 2500 people died from a drug overdose involving opioid painkillers.

How Does Painkiller Addiction Affect Your Social and Work-Life?

Painkiller addiction and abuse can take over your life. You eventually spend most of your time acquiring and taking painkillers, losing interest in activities you used to enjoy, and neglecting work and social responsibilities. Some users are driven to commit crime to fund their habit.

Addiction can also strain relationships with family members and other loved ones. You may lie to hide your addiction from those around you or prioritize your drug use over your relationships.

What Are the Signs and Symptoms of Painkiller Addiction?

Sometimes it can be hard to tell if you or a loved one has a painkiller addiction. However, there are certain signs and symptoms you can look out for. These signs can be behavioral, mental, and physical.

Behavioral signs of painkiller addiction include:

  • Using painkillers even when the pain has gone away
  • Lying about pain to get medication
  • ‘Doctor shopping’ – getting multiple prescriptions for the same medication
  • Slurred speech
  • Thinking and talking about painkillers frequently
  • Spending less time with friends and loved ones
  • Prioritizing painkillers over work and family life
  • Taking high doses of the drug

Mental and physical signs and symptoms may include:

  • Sweating profusely
  • Coordination problems
  • Sleeping difficulties
  • Itchiness
  • Difficulty concentrating
  • Confusion
  • Dizziness
  • Hallucinations
  • Mood swings
  • Depression
  • Anxiety

Painkiller addiction is a serious illness that can take over your life. At Enlightened Recovery, we provide clients with the tools you need to overcome your addiction and move forward in your sober life. Our individualized programs are rooted in the 12-step philosophy, and we focus on healing the entire person. Our treatment modalities include talk therapy and group support, as well as holistic healing methods such as equine therapy and meditation. As a co-occurring treatment center, we treat any underlying mental health issues alongside your addiction. Our treatment center is on the southern shore of New Jersey, the perfect place for healing and relaxation.

If you struggle with addiction, or if someone close to you does, please call us at (833) 801-5483 for more information about our treatment options.

Benefits of Group Therapy

What Is Group Therapy?

Group therapy is an effective treatment approach for Substance Use Disorder (SUD). It supports individual therapy and medication in a multi-pronged approach to addiction recovery(1). The idea of group therapy can be daunting for many, as people often fear opening up and becoming vulnerable in front of others. These fears usually subside after beginning group work.

Johan Hari says the ‘opposite of addiction is connection.’ Addiction can be a very isolating experience. When we participate in group therapy, we learn to connect and empathize with others. Ultimately, this leads to greater self-compassion and growth, which are two key factors for long-term recovery.

A trained mental health professional leads group therapy sessions. Clients get the chance to share their stories, thoughts, and experiences, and listen to others in the group share similar experiences. This cultivates a sense of understanding and compassion in the room.

Addiction impacts our mental and physical health. It also affects our well-being(2). It is common for those struggling with addiction to feel guilt and low self-worth. Many live with an internal voice that criticizes their life and choices, and the internal chatter, thoughts, and beliefs that come with addiction can be exhausting. 

In group therapy, clients learn that many others also experience these self-criticisms. Groups help us understand that such negative thoughts result from:

  • Addiction
  • Unresolved trauma
  • Other mental health issues

We learn that these thoughts are not a reflection of our worth or validity as a person. 

What Are the Benefits of Group Therapy?

Group therapy is a cornerstone of addiction and mental health treatment. It increases self-awareness and promotes positive therapeutic outcomes. Group therapies for SUD target specific substances. Others in your group will also be in recovery from a given substance, and members may be at different stages of their recovery journey. 

Common benefits of group therapy for SUD include:

  • Compassionate support and encouragement
  • Perspective on one’s experience
  • Improved behavioral health
  • Improved communication skills
  • Reduced sense of isolation and loneliness
  • Connection to others

According to SAMHSA, ‘the lives of individuals are shaped, for better or worse, by their experiences in groups. People are born into groups. Throughout life, they join groups. They will influence and be influenced by family, religious, social, and cultural groups that constantly shape behavior, self‐image, and both physical and mental health.‘(3)

As such, group work is a powerful healing tool. Through connection with and understanding of others, clients in group therapy get the chance to shift their perspective on their circumstances. One of the principles of group work is fostering a greater connection to ourselves and others.

What Types of Group Therapy Are Available?

Treatment providers use various group-based treatment models to help clients achieve lasting recovery. Groups usually consist of members who share treatment needs, and common types of groups used in addiction recovery programs include:

Psychoeducational Groups

Clients learn about the nature of addiction and mental health issues. Psychoeducation (PE) groups cover addiction, medication, mental health conditions, and lifestyle. Topics covered in PE encourage self-exploration, and clients explore how topics relate to their own circumstances.

Support Groups

Support groups provide peer support and a sense of accountability in clients. They encourage resilience and maintenance of sobriety. 

Cognitive Behavioral Therapy

This group helps clients recognize limiting patterns of thoughts and beliefs. Clients in this group learn to:

  • Develop practical problem-solving skills
  • Set realistic goals
  • Identify maladaptive behaviors and emotions

Skill-building groups

Skill-building and development groups teach clients about relapse prevention and self-management. In this group, clients learn how to set healthy boundaries. They learn how to manage difficult emotions, how to relax, and how to cope with triggers and stress. 

Interpersonal Process Groups

Interpersonal process groups focus on clients issues and offer effective solutions. A client discusses an issue and works with group members to find solutions. Interpersonal groups offer the chance to practice communication and problem-solving. Clients then apply these skills to their relationships outside treatment.

Each of the above group models has benefits for clients struggling with SUD. A trauma-informed, expert-trained group leader facilitates a powerful therapeutic experience for each group. The type of group offered to a client must suit their treatment needs. 

At Enlightened Recovery, we offer our clients tools to use as they move forward in their sober lifestyle.  We focus on healing the whole person rather than merely treating the addiction. Enlightened Recovery is a licensed co-occurring treatment center, meaning that we can treat both substance use disorders and the mental health issues that frequently accompany addiction.  Our treatment program rooted in the 12-Step philosophy offers each client an individualized recovery plan. At Enlightened Recovery, we offer a range of treatment modalities, including cognitive-behavioral therapy (CBT), family constellation therapy, art and music therapy, yoga and meditation, acupuncture and chiropractic work, and equine-assisted therapy.  Our location near the southern shore of New Jersey allows us to provide optimal healing and relaxation. If you struggle with addiction, or if someone close to you does, please call us at (833) 801-5483 for more information about our treatment options.

 

(1) Center for Substance Abuse Treatment. Substance Abuse Treatment: Group Therapy. Rockville (MD): Substance Abuse and Mental Health Services Administration (US); 2005. (Treatment Improvement Protocol (TIP) Series, No. 41.) 1 Groups and Substance Abuse Treatment. Available from: https://www.ncbi.nlm.nih.gov/books/NBK64223/

(2) Lanier, C A et al. “Drug use and mental well being among a sample of undergraduate and graduate college students.” Journal of drug education vol. 31,3 (2001): 239-48. doi:10.2190/R7T3-T266-JN9E-UX3W

(3) Center for Substance Abuse Treatment. Substance Abuse Treatment: Group Therapy. Rockville (MD): Substance Abuse and Mental Health Services Administration (US); 2005. (Treatment Improvement Protocol (TIP) Series, No. 41.) 1 Groups and Substance Abuse Treatment. Available from: https://www.ncbi.nlm.nih.gov/books/NBK64223/

How Long Does Cocaine Stay in the Body?

What Is Cocaine?

Cocaine, also known as coke, blow, and white, is a powerful stimulant drug. SAMHSA explains that stimulants increase activity in the central nervous system, resulting in a powerful, euphoric high.

The effects of cocaine are intense but brief. They peak within 15 minutes of use and subside within 45-60 minutes. The effects are highly desirable, so the short-lived nature of the high drives many users to take more once the effects begin to wear off. Frequent cocaine use leads to mental dependence, making it extremely difficult to stop.

 

How Long Does Cocaine Stay in the System?

When you use cocaine, the body breaks it down into chemicals known as metabolites, which are what show up in drug tests. There are four standard tests used to detect cocaine. These are:

Blood test

Cocaine metabolites remain in your blood for up to two days after last use.

Saliva test

Cocaine metabolites remain in your saliva for up to two days after last use.

Urine test

Cocaine metabolites remain in your urine for up to four days after last use.

Hair test

Hair sample tests can detect cocaine metabolites for up to 90 days after last use.

 

What Factors Influence How Long Cocaine Stays in the Body?

The above tests and timelines are not exact. They are an approximate timeline for how long cocaine metabolites remain in the system and can be detected. 
Several factors influence how long cocaine remains in the body. These include:

  • How much cocaine has been used – higher doses of cocaine lead to higher concentrations of metabolites.
  • The method of consumption – cocaine can be snorted, dabbed on the gums, smoked, or injected. Snorted or dabbed cocaine remains in the system for longer than injected or smoked cocaine. 
  • Frequency of use – regular use of cocaine keeps metabolites present for longer than they would remain after one-time use.
  • Polydrug use – simultaneous use of cocaine and alcohol can keep metabolites in the system for longer than they would remain if cocaine were used by itself. 
  • Weight and metabolism – cocaine remains in the system for longer in those with a high percentage of body fat.

 

What Are the Signs Symptoms of Cocaine Addiction?

If you have recently used cocaine or know that a loved one has recently used cocaine, it’s essential to understand the signs and symptoms of abuse. 

Primary Care explains that cocaine has a high potential for abuse. Dependence and addiction can happen after even a short period of misuse. If you believe that you or a loved one may be struggling with cocaine addiction or is likely to develop an addiction, be aware of the following symptoms, as outlined in the Journal of the National Medical Association:

  • Anxiety, panic
  • Insomnia
  • Psychosis
  • Paranoia
  • Mood swings
  • Difficulty in cutting down or stopping use
  • Stealing, borrowing, or begging for money to fund cocaine use
  • Lies and secrecy about drug use
  • Feeling that you need cocaine to function in daily life

If you have noticed any of the above signs and symptoms in yourself or a loved one, seek professional help. Effective, evidence-based cocaine addiction treatment is available. Addiction is a progressive condition, which means it gets worse the longer a person goes without treatment. The earlier you seek treatment, the greater your chance of successful recovery.

Psychotherapeutic and behavioral interventions are available to help you overcome cocaine addiction. These approaches consider your history of substance use and your personal background. Addiction often has its roots in other issues, such as unresolved trauma, so it’s essential that treatment addresses the entire person.

At Enlightened Recovery, we offer our clients many tools to move forward in their sober lifestyle.  We focus on healing the whole person rather than just treating the addiction. Enlightened Recovery is a licensed co-occurring treatment center. We can treat both substance use disorders and the mental health issues that frequently accompany addiction.  Our treatment program is rooted in the 12-Step philosophy and offers each client an individualized recovery plan. At Enlightened Recovery, we offer a range of treatment modalities, including cognitive-behavioral therapy (CBT), family constellation therapy, art and music therapy, yoga and meditation, acupuncture and chiropractic care, and equine-assisted therapy.  Our facility near the southern shore of New Jersey allows us to provide optimal healing and relaxation. If you seek relief from addiction, or if someone close to you does, please call us at (833) 801-5483 for more information about our treatment options.

The Problem of Prescription Drug Abuse

Prescription drug abuse and misuse have increased over the past several years. According to a research report published by the National Institute of Drug Abuse (NIDA), the past 15 years have seen increased visits to emergency rooms as a result of prescription medication abuse, deaths from overdoses of these drugs, and an increase in the number of people seeking treatment for prescription drug use disorders.

The NIDA research report, published in June 2020, discusses the widespread nature of prescription drug abuse. In 2017, it was estimated that 18 million people had misused prescription drugs at least once. Among 12th-grade students, prescription drug abuse is ranked fourth behind alcohol, marijuana, and tobacco. Also, young people who misuse prescription drugs are more likely to use street drugs.

Prescription Drugs Most Frequently Misused

The types of prescription drugs most often abused are opioids, central nervous system (CNS) depressants, and stimulants.

Opioids are medications used to treat pain by acting on opioid receptors along the spinal column and in the brain. These drugs also control pain by affecting areas of the brain that control emotion. Drugs of this nature include Vicodin, OxyContin, Percocet, morphine, codeine, and fentanyl. Opioids are also used in medications for coughs (codeine) and severe diarrhea (Lomotil).

In addition to inhibiting the transmission of pain signals, opioids also cause drowsiness, mental confusion, and reduced respiration. Opioids also activate the brain’s reward centers, which can cause euphoria, particularly when taken in amounts higher than prescribed. If opioids are snorted or injected, there is an increased risk of medical issues.

As opioids react with the brain’s reward center, there is a chance of developing a dependence or addiction even if they are taken as prescribed. Since opioids interact with the part of the brainstem that controls breathing, an overdose can be fatal. According to the NIDA, opioid overdose deaths were five times higher in 2016 than in 1999.

CNS depressants are also frequently abused. These drugs include benzodiazepines, prescribed primarily for anxiety; barbiturates, used during surgical procedures and for seizure disorders; and non-benzodiazepines (also called hypnotics), prescribed for insomnia. Benzodiazepines include Xanax, Valium, and Klonopin; barbiturates include Luminal and Nembutal; and hypnotics used for insomnia include Ambien, Lunesta, and Sonata.

As a class, CNS depressants have a calming effect and induce drowsiness. These medications can be addictive. Withdrawal from benzodiazepines can be problematic, and barbiturate withdrawal without medical supervision can be life-threatening.

Stimulants are also abused. Stimulants are prescribed for attention-deficit hyperactivity disorder (ADHD), narcolepsy, and occasionally for depression that isn’t responding to conventional treatment. Stimulants, including Adderall, Ritalin, and Concerta, increase wakefulness, motivation, learning, and memory. If misused, stimulants can lead to hostility, paranoia, psychoses, seizures, irregular heartbeat, and cardiovascular failure.

Symptoms of Prescription Drug Abuse

Symptoms of prescription drug abuse vary depending on the drug being misused. Signs of opioid abuse include drowsiness, confusion, and poor coordination. Symptoms of CNS depressant abuse are low concentration, memory problems, and slurred speech. Anxiety, agitation, and reduced appetite are symptoms of stimulant abuse.

Why Is Prescription Drug Abuse So Prevalent?

Experts at Enlightened Recovery, a drug and alcohol treatment center located in New Jersey, state that there are several reasons for the increased addiction to prescription drugs. As these drugs are only available by prescription, many people assume that these medications are less harmful than street drugs and therefore safe. Additionally, the advertising campaigns done for these medications can lead to the belief that these drugs are safe.

Although these drugs are only available by prescription, they are readily available. Prescription medications are stolen by people either for their own use or to sell. In some instances, people are willing to share prescriptions with family members and friends. Also, some people “doctor shop” or visit multiple doctors for the same complaint to obtain multiple prescriptions for their drug of choice and have them filled at different pharmacies.

Treatment for Prescription Drug Addiction

Treatment for prescription drug abuse is available and often includes detox with medical supervision and therapy. The method of therapy used for prescription drug abuse is often cognitive-behavioral therapy (CBT). In CBT, people learn to change unhealthy patterns of thinking and behaviors. During contingency management, another therapy method, patients are rewarded for positive behavioral change. In therapy, patients will explore the underlying painful issues in their lives or past traumas which made them more prone to developing an addiction to these drugs. They will work to develop healthy coping skills and resolve past issues.

Prescription drug abuse and misuse are serious and growing problems that can range from taking a family member’s leftover Percocet for a headache to grinding up Adderall tablets and snorting the powder. At Enlightened Recovery, we provide treatment for prescription drug abuse. We are licensed to treat co-occurring disorders, so in addition to substance abuse, we also treat the mental health issues that frequently accompany addiction. One of the treatment modalities we offer is cognitive-behavioral therapy (CBT), which is useful in treating prescription drug abuse. We provide a range of holistic therapeutic methods, including art and music therapy, equine-assisted therapy, yoga and meditation, and family constellation therapy. We also offer traditional psychotherapy and support groups rooted in the 12-Step philosophy. We are located near New Jersey’s southern shore, and we offer each client an individualized treatment plan. If you are struggling with an addiction to prescription medication or are concerned that someone close to you may be, please call us at (833) 801-5483 for more information and help.

 

Common Misunderstandings About Marijuana and Addiction

Although marijuana is illegal in the United States at the federal level, many states have legalized marijuana for recreational use, medical use, or both. Many people regard marijuana as harmless because of its legal status in many states.

While it is true that many people use marijuana from time to time without suffering any ill effects, some people do experience harm as a result of their marijuana usage. Some users do become dependent. A report published by the National Institute on Drug Abuse (NIDA) states that in 2015, approximately “four million people in the United States met the diagnostic criteria for a marijuana use disorder,” and 138,000 sought treatment. Thirty percent of users have some degree of a marijuana use disorder, and about nine percent develop a dependency. People who begin using marijuana before the age of 18 are “four to seven times more likely to have a marijuana use disorder than adults,” and approximately 17% of them develop a dependency.

Potential Effects

Although most people who occasionally use marijuana report positive effects (euphoria, relaxation, heightened sensory perception, altered sense of time), some people have less pleasant experiences and report sensations like fear, anxiety, distrust, and panic. According to the NIDA, when using large amounts of marijuana, some people experience hallucinations, delusions, and a loss of their sense of personal identity.

Today, an issue facing marijuana users is that the plant’s concentration of THC has increased compared with its potency in the 1990s. The following figures are based on an analysis of confiscated marijuana and included in the research report published by NIDA referenced in the second paragraph. In the early 1990s, the level of THC, the chemical responsible for marijuana’s psychoactive effects, was less than four percent. In 2018, the level of THC was more than 15%. Marijuana plants have been bred to have increased potency.

Possibility of Dependence

Dependence on a substance means that the user will experience withdrawal symptoms when they stop using the drug. According to the research report on marijuana released in July 2020 by NIDA, dependence can occur when large amounts of the substance are used. Large amounts of marijuana cause the brain to reduce the amount and sensitivity of its endocannabinoid neurotransmitters, part of the endocannabinoid system. People who have become dependent on marijuana and its effects may experience withdrawal symptoms that include irritability, sleep problems, decreased appetite, restlessness, cravings, and physical discomfort. Withdrawal symptoms might last up to two weeks.

As with all substance use, marijuana becomes a problem when it interferes with your daily life or if you are suffering from legal or health issues because of its use.

Problems Associated With Marijuana Use

Physical and mental problems associated with marijuana use can be divided into three categories:

  1. Acute: Present during intoxication
  2. Persistent: Lasting beyond the time when the user is intoxicated but not permanent
  3. Long-term: Cumulative effects caused by repeated, frequent use

During the acute phase (intoxication), marijuana users may experience impairment in cognitive functions, including short-term memory formation, attention, and judgment. They may also have trouble with balance and coordination, and their heart rate may increase. They may also experience anxiety, paranoia, and psychosis, although this is not common.

Persistent health issues (lasting longer than just during intoxication but not considered long-term) include impaired learning and coordination and sleep difficulties. Long-term physical and mental problems can consist of possible addiction and impairments in learning and memory loss. Impairments in learning and memory loss can lead to a potential loss of IQ; however, this is not common and is thought to be limited to people who began using marijuana heavily during adolescence and have continued to be heavy users. Also, some research summarized in the NIDA report indicated that heavy users of marijuana are at an increased risk of schizophrenia if they also have a genetic vulnerability to that disorder. Marijuana use can result in a chronic cough and bronchitis, lung hyperinflation, and may play a role in suppressing the immune system.

Treatment for Marijuana Use Disorder

Fortunately, treatment is available for people with marijuana use disorder. According to NIDA, certain types of therapies might be useful for marijuana use disorder. These are cognitive-behavioral therapy (CBT), contingency management, and motivational enhancement therapy.

  • CBT is a form of psychotherapy that teaches people to change their unhelpful thoughts and behaviors, gain better control of their emotions, and develop coping strategies for their problems.
  • Contingency management is a therapeutic technique that monitors the desired behavior and rewards it.
  • Motivational enhancement therapy is an intervention that is intended to bring about change. It uses the person’s inner resources to bring about the desired change and stay involved with treatment.

Marijuana is widely considered to be safe and non-addictive. For some people, however, using marijuana can cause problems, including dependence and addiction. It can be challenging to admit that you have a problem with marijuana because so many external voices say it’s “perfectly safe” and “nothing to worry about.” At Enlightened Recovery, we understand that marijuana use can lead to abuse, and it is one of the addictions that we treat. We are a licensed co-occurring treatment center; we treat alcohol and drug use disorders and the mental health issues that often accompany addiction. Our treatment program is rooted in the 12-Step philosophy, and we create an individualized recovery program for each client. Our focus is on healing the whole person and not just on treating the addiction. We offer a range of treatment modalities, including cognitive-behavioral therapy (CBT), family constellation therapy, art and music therapy, yoga and meditation, acupuncture and chiropractic work, and equine-assisted therapy. We are located near the southern shore of New Jersey. If you are struggling with an addiction to marijuana, or are concerned about someone close to you, call us today at (833) 801-5483 for more information.

Urge Surfing: Riding Out the Craving

They walked across the sand in the early morning light, surfboards under their arms. They strode into the surf. As the water grew deeper, they stretched out on their boards and paddled out. They turned to face the shore, waiting for a wave. A wave came, and they rode it to shore, feeling the ocean’s power beneath them.

Surfing is one of the fastest-growing sports in the world. In 2019, the International Surfing Association estimated that 35 million people worldwide surfed and anticipated that the number would rise. Surfing has captured our imaginations and been the subject or backdrop for many movies and songs. It has also inspired a method called “urge surfing” to “ride out” a craving.

Background of “Urge Surfing”

“Urge surfing” is a type of mini-meditation. The term is ascribed to G. Alan Marlatt, Ph.D., founder and director of the Addictive Behaviors Research Center at the University of Washington.

According to Marlatt’s interview in the magazine Inquiring Mind, Marlatt worked with a man who wanted to quit smoking. The man happened to be a surfer, so Marlatt used surfing terminology in conversation with the man. Marlatt explained that urges, like ocean waves, grow bigger and bigger as they near the shore, and then they dissipate. Urges don’t last forever, and neither do waves; both dissipate. The smoker was learning to meditate as part of the center’s program; Marlatt encouraged him to think of his breath as a surfboard that would enable him to “ride out” the urge. The smoker used the surfing analogy as he worked to ride out the urge to smoke, and after about five weeks, he had stopped smoking completely.

How to Urge Surf

If you want to try urge surfing, remember that it is a form of mindfulness. Urges will pass by themselves, but urge surfing gives you a different way of outlasting the craving.

As you begin to experience an urge for whatever substance or behavior you have given up, imagine that the urge is a wave in the ocean that will start, crest, and subside. Urges generally start small before growing in size or strength and then go away. To practice urge surfing the next time a craving comes up, follow the steps below:

  • Sit quietly and comfortably
  • Observe your breath without trying to change it
  • Notice your thoughts
  • Bring your attention back to your breath without judging, feeding, or fighting your thoughts
  • Notice where the craving affects your body. Where in your body are you experiencing the craving?
  • Bring your attention to an area of the body where you feel the craving and notice what is happening in your body; see if these bodily sensations change as you inhale or exhale
  • Bring your attention to another part of your body where you are feeling the urge and repeat the process
  • Be curious about the urge of craving and how it changes 

Why You Should Practice Urge Surfing

Urge surfing is another tool to use in maintaining sobriety. The key to urge surfing is that instead of wishing the craving would go away, trying to suppress the craving, or fighting the urge, you are exploring the urge; you are becoming curious about the urge. You are going into the urge and are interested in the experience. As you study the craving and changes in it over time, you might find that the urge subsides.

In the interview with Marlatt that appeared in Inquiring Mind, he described urges and cravings from a Buddhist perspective. He said that you cannot eliminate urges and cravings. They will happen, and you can find a way of recognizing what’s happening inside as you experience the cravings. By “riding the urge out,” you can accept the urge without giving in to your cravings.

As you practice urge surfing more, you will find that urges don’t last as long. If you fight an urge, however, you are giving it more energy or feeding it. Trying to fight a craving has been likened to trying to stop a wave or a waterfall.

Likewise, we are sometimes told not to think about whatever it is we are craving. The more you try not to think about something, like eating chocolate cake, the more you think about eating chocolate cake.

Consider our surfers from the opening of this post. They didn’t fight the wave, and they didn’t try to suppress or ignore the wave. Instead, they went with the wave. They used the immense power of the ocean to get them to the shore.

As people go through your journey of recovery, they will need to deal with urges and cravings. “Urge surfing” is another tool to use to maintain sobriety. At Enlightened Recovery, we offer our clients different tools to use as they move forward in their sober lifestyle. We are a co-occurring treatment center, and, as such, we treat not only addictions but also mental health issues that frequently accompany substance abuse. Our programs are rooted in the 12-Step philosophy, and we focus on healing the whole person and treating the addiction. Our treatment modalities include talk therapy and group support. Also, we offer many holistic healing methods, including yoga and meditation, sound therapy, acupuncture and chiropractic work, and equine therapy. We are located on New Jersey’s southern shore, and we offer each client an individualized treatment program. If you seek relief from an addiction, please call us at (833) 801-5483 to find out what we can offer you.

 

How to Tell Your Children About Your Addiction

Her drinking started when her children were young. She was helping to take care of her aging aunt. The situation was stressful, and she found that having two glasses of wine with lunch made it easier to cope. Her kids were at school, so she thought her drinking would not affect them, as they wouldn’t notice.

Gradually, her drinking increased. She was late picking up her kids from school because she fell asleep. She had been drinking at lunch. The experience was frightening for them and humiliating for her. Episodes like that began to happen more often–running late, forgetting commitments, not keeping promises. She realized that she needed to get help for her drinking and have an honest conversation about what was happening.

If you recognize yourself in the illustration above, you are not alone. While talking about your addiction with your children may seem frightening, it’s an important conversation to have.

Why the Conversation Matters

Telling your children about your addiction is vital for several reasons. Your children may not recognize your addiction to drugs or alcohol, but they likely know that there is a problem, that something is “off.” Although you may think that you are somehow protecting your children by not discussing your addiction, you aren’t. It is better for your children to know the truth about the situation than to be afraid of something they are unsure of. What they imagine about the problem could very well be worse than the reality.

One of the most important messages you can give your children is that your addiction is not their fault. They didn’t cause your addiction, and it’s not their responsibility to try to “cure” it. Living with a parent who has a substance use disorder can cause children to feel insecure and uncertain. While knowing that mom or dad has a drinking or drug problem won’t necessarily make them feel safer, they will have a better understanding of why they feel the way they feel. Children need to recognize and acknowledge their feelings and to know that whatever they are feeling is real.

Children also need to know that they are not alone–that other families have the same experiences. They also need to know that they can talk about the experience with you. It is also helpful to identify another adult that children can talk to, possibly a relative, family friend, or maybe a teacher or counselor.

Having the Conversation

Finding the right time and place to have the conversation is essential. Have the conversation when the children are relaxed, when there is time to answer any questions that may come up, and when you won’t be interrupted. Be prepared to have more than one conversation–your child may need time to process the information and may come back to you with more questions later. Needing time to understand this issue is typical and expected.

Explaining Treatment

Tell the children about the treatment you will be getting. If you are going to a residential treatment program, tell them where it is, what it’s like, and how long you will be there. If you won’t be able to talk to them for a few days, make sure they know. Let them know when you can have visitors and when you can see them or talk with them on the phone. Make sure that they know that family therapy may be part of the treatment plan. Let them know who will be taking care of them while you are away and when you expect to return from treatment. Also, they must understand that when you return from treatment that you will probably be seeing a therapist regularly and that you will be attending some sort of support group meetings.

Talking with your children about your substance use disorder will be hard, but it is imperative to your children’s emotional well-being. Pretending that the problem doesn’t exist will only make the situation worse. Honest, open communication, difficult as it can be, will improve your relationship with your family. Your children will learn how to talk about difficult topics, and they will learn that challenges and difficulties are a part of life and how to solve them. By admitting that you have a problem with drugs or alcohol and getting help, you provide them with a healthy example of how to handle issues like addiction. As a result of your honesty and treatment, your family can become closer, and you can all end up in a much better place in terms of mental health.

If you have a substance use disorder, your whole family is affected. It is essential that you talk about your disorder, especially with your children, if you have any. Your family members may participate in one or more counseling sessions with you during your treatment. At Enlightened Recovery, we will include your family in your treatment plan, and we offer education and support programs for family members. We also can help you gain the communication skills you need to talk about your addiction with your family. We are a licensed co-occurring treatment center, and as such, we treat substance use disorders and the mental health issues that frequently accompany addiction. Our program is rooted in the 12-Step philosophy. It includes traditional talk therapy and many holistic treatment modalities such as yoga and meditation, acupuncture and chiropractic treatment, and art and music therapy. Our facility is near the southern New Jersey shore, and we customize treatment for each client. Our focus is on healing the whole person rather than just treating the addiction. If you seek recovery and relief from addiction, please call us at (833) 801-5483.

 

Your Brain and Body on Meth

The last time Sam used meth was following a breakup. She was terribly depressed and lonely, and she thought that meth would help her feel better. Instead, she said, it turned her into a “monster.” She recalls that when she was using meth she felt invincible and like she could do no wrong. In reality, she says, she was letting down the people she loved. The high she had experienced didn’t last and became more and more elusive.

In reality, she explained, meth turned her into a selfish, horrendous person. When you are high on meth, you can go for several days without sleep or food. You can’t hold a job when you use meth, she says, because your thinking and behavior becomes completely erratic and frequently violent. When your high wears off, you frequently feel depressed, anxious, extreme fatigue, and intense cravings for more meth so you won’t feel depressed, anxious, and exhausted. And so the cycle continues. Also, meth users can lose the ability to feel pleasure from daily activities. The only thing that brings them pleasure is the drug.

What Is Meth?

Meth, short for methamphetamine, is a synthetic drug made from pseudoephedrine, a nasal decongestant used in cold and allergy medicine, and common household substances like acetone, drain cleaner, brake cleaner, battery acid, lithium, and others. According to the Department of Justice, meth can be produced in two types of labs: “superlabs,” which produce large quantities of the drug and supply organized drug traffickers or small labs that can be in homes, motel rooms, and cars, among other locations. (Meth labs also produce incredible amounts of toxic waste and are an environmental hazard.)

Methamphetamine comes in several forms (crystal, rocks, powder, and tablets) and can be swallowed, snorted, smoked, or injected. According to the US Drug Enforcement Administration (DEA), the drug goes by a number of names on the street including meth, speed, ice, shards, bikers coffee, and crank, among others. Meth is also referred to as “poor man’s coke.”

Scope of the Problem

Meth use is prevalent in the United States. According to the 2017 National Survey on Drug Use and Health (NSDUH), more than 14.7 million people, or approximately 5.4% of the population, have tried meth at least once, 1.6 million people actively used meth in the year before the survey was conducted, and 774,000 people used in the past month. Meth is more widely available in the West and Midwest. The NSDUH is directed by the Substance Abuse and Mental Health Services Administration (SAMHSA) and the information gathered is used to guide public policy concerning drug use. According to staff members at Enlightened Recovery, a drug and alcohol rehab center located in New Jersey, meth addiction frequently co-occurs with depression and anxiety.

Meth’s Effect on the Body and Brain

According to a report published by the National Institute on Drug Abuse (NIDA), the effects of meth on the body and brain can be devastating and long-term. 

Perhaps the most common physical problem associated with meth use is the severe dental problems that can accompany the addiction. Commonly known as “meth mouth,” meth users frequently experience severe tooth decay and tooth loss. Meth users are frequently malnourished and lose unhealthy amounts of weight. In addition, meth users frequently have sores and scabs on their face, arms, torso, and legs. These sores come from users scratching nonexistent insects that they imagine crawling under their skin. Meth also leads to cardiovascular problems including rapid and irregular heartbeat and elevated blood pressure. In addition, meth users are at an increased risk of having strokes or developing Parkinson’s disease.

Meth’s effects on the brain are damaging as well. People who use meth experience severe anxiety, confusion, insomnia, and mood disturbances and can become violent. People who use meth can develop psychotic features including paranoia, visual and auditory hallucinations, delusions, and the sensation of insects crawling under their skin. According to the National Institute on Drug Abuse, these psychotic symptoms can occur months or even years after the person has stopped using meth.

Research discussed in the report has shown that meth causes structural and functional changes in parts of the brain. Imaging studies have shown changes in the dopamine system associated with “reduced motor speed and impaired verbal learning.” These studies have also shown that there are changes in areas of the brain associated with emotion, memory, decision-making, and the ability to stop engaging in “behaviors that have become useless or counterproductive.”

Signs That Someone May Be Using Meth

If you think that someone you love is using meth, there are indicators to watch for. Overall, he or she will lose interest in activities and people that used to be important, like career, family, and hobbies. Signs to look for include the following:

  • Insomnia
  • Periods of no sleep followed by periods of excessive sleep, like 24-48 hours
  • Profuse sweating
  • Sores that won’t heal
  • Skin breakouts
  • Visible dental problems 
  • Non-stop or rapid talking
  • Short temper
  • Irritability
  • Paranoia
  • Shaking
  • Twitching
  • Delusions
  • Hallucinations
  • Repetitive, compulsive behavior

Help for Meth Addiction Is Available

While meth is a very dangerous drug, the good news is that treatment is available. Treatment begins with detox. It is best if detox from meth is done in a treatment facility so the user will have medical supervision and be away from the environment where he or she was using. Following detox, treatment can begin. Cognitive Behavioral Therapy (CBT) has been found useful for meth recovery. CBT focuses on learning new ways to think about and cope with environmental stressors.  A type of treatment called contingency management interventions is also helpful and involves providing incentives for people in recovery to stay in treatment and abstain from drug use. The woman mentioned in the opening paragraphs sought treatment for meth use. She says that recovery was difficult but worth it. She also says that she will never touch meth again.

Meth is a dangerous drug that can destroy lives because of its devastating physical and psychological effects. Enlightened Recovery is licensed to treat co-occurring disorders, which means that we can treat the anxiety and depression that frequently accompanies meth addiction. One of the treatment modalities we offer is Cognitive Behavioral Therapy (CBT), which has been shown to be one of the effective treatments for meth addiction. We also offer a range of holistic treatment modalities including art and music therapy, equine therapy, family constellation therapy, yoga and meditation, acupuncture and chiropractic care, and sound therapy. In addition, we offer traditional psychotherapy and support groups rooted in the 12-Step philosophy. We develop a treatment plan for each individual client. If you are struggling with a meth addiction and the devastation that it causes, please call us at (833) 801-5483. We are located on the picturesque New Jersey’s southern shore for optimal healing and relaxation.

Healing From the Outside In

A big part of addiction recovery is psychotherapy, also known as talk therapy. When most people think of therapy, that’s what they think of. The patient and the therapist talk. The patient talks about issues of concern and the therapist actively listens, guiding the conversation as necessary to help the client. Many types of talk therapy are used today and can be extremely beneficial.

But sometimes, we might feel like we are “talked out.” Maybe we have talked and talked and talked and it seems as if nothing has changed. We are tired of talking or we don’t want to talk. In the case of unresolved trauma, we might not be able to talk.

Fortunately, healing can happen in other ways. In addiction recovery, both the mind and the body need to heal. We can use the mind-body connection for healing. We can access the mind through the body. We can use various forms of touch in a therapeutic setting.

The Power of Massage

If you have had the good fortune to have a massage from a licensed massage therapist, you know how relaxing it can be–it’s hard for your mind to stay anxious when your body is relaxed. That is the mind-body connection in action. Psychological stress can be stored in our muscles and it can be massaged away. Although being in treatment for addiction is very beneficial in the long run–lifesaving even–it can be very hard work and stress can arise during treatment. In addition, anxiety is a common withdrawal symptom and a frequent co-occurring mental health disorder. Massaging away that anxiety is good for both the mind and the body and can create a profound sense of calm.

Acupuncture: An Ancient Healing Modality

Acupuncture is an ancient method of healing that originated in China. Very thin needles are placed at specific points in the patient’s body to treat various health conditions, both physical and mental. (The needles usually don’t hurt and many patients don’t feel them at all.) The goal of acupuncture is to improve the flow of the body’s energy, called the chi, along the body’s energy pathways, called meridians.

In the 1970s, acupuncture began to be used in addiction treatment and was found to reduce the stress experienced during withdrawal and cravings. The protocol used to treat addiction concentrates on five points on the ear and calms the nervous system, relieves anxiety, promotes healing of your organs, supports the work done by your liver, regulates emotions, and increases the strength of your breath. The benefits of acupuncture include increased energy, improved mood, reduced cravings, better sleep, inner peace, and relaxation. In fact, some patients become so relaxed during acupuncture sessions that they fall asleep.

Chiropractic Care: Connecting the Body and the Mind

A chiropractor once told a patient that the phrase “pain in the neck” was more than just a figure of speech. The idea that the weight of the world is on your shoulders is more than just a commonly used phrase. Many of us carry emotional stress and pain which manifests as physical pain in our bodies, particularly in our neck, back, and shoulders. If we are struggling with an addiction, the stress and pain we carry are even greater.

Chiropractic care is another treatment modality in which treating the body can have a powerful healing effect on the mind. The theory behind chiropractic care is that proper alignment of the skeleton and muscles, especially in the spine, will allow the body to heal itself. Chiropractic care is particularly effective for conditions involving muscles,  joints, bones, and connective tissue throughout the body. Chiropractic adjustments can be a very powerful way to relieve pain. Chiropractors also work to improve the range of motion in the body’s joints and include exercise and physical rehabilitation in the treatment plans they develop for patients. The overall goal is to restore function and prevent injury in addition to relieving pain.

In treating addiction, a chiropractor will correct misalignments in the spinal column. When the spinal column is in alignment, the nervous system can function properly and can better process the natural “feel-good” chemicals that the brain produces. When this happens, addiction is easier to treat. Also, because the patient’s physical health has been restored, addiction is easier to treat.

The Value of Human Touch

Massage, acupuncture, and chiropractic care are all holistic treatment modalities that involve therapeutic touch–direct human contact. The therapeutic relationship–the bond between the patient and the provider–is part of the healing. When we were in the life of addiction, our relationships with other people may not have been healthy or based on trust. Part of recovery is learning to trust again. Building a therapeutic relationship with a health-care provider can be part of that process.

Sometimes when you are in therapy, you reach a point where you feel like you are “talked out.” You might have an issue that you don’t want to talk about or you may have experienced trauma and are not able to talk about it. Fortunately, the mind can be reached through the body and healing can be brought about that way. This can happen through treatment modalities that involve therapeutic touch, including massage therapy, acupuncture, and chiropractic care. These treatment methods are among the holistic treatment modalities that we offer at Enlightened Recovery. We are a drug and alcohol treatment center located on New Jersey’s southern shore. We are licensed to treat co-occurring disorders that frequently accompany substance use disorder. If you are struggling with an addiction and are ready to seek treatment, call us at (833) 801-5483. We can help you build a life free from the pain and destruction of substance abuse.