Most people view police officers, firefighters, and EMT workers as those people that have it together and help others out with their problems. But what happens when it’s the police officer or firefighter that is suffering and in need of help? Public safety workers are constantly dealing with trauma and seeing things that most people don’t have to deal with, and while they are trained for such work, sometimes tragedies become too much to handle.

9/11 and PTSD

A study done after 9/11 showed that one in eight rescue and recovery workers at the World Trade Center suffered from Post Traumatic Stress Disorder. Post Traumatic Stress Disorder (PTSD) is a disorder that is generally caused by experiences of fear or terror. Anxiety is often associated with this disorder, and the cause can be any kind of trauma, such as war, accident, or personal injury. Many people who suffer from it develop family and work problems because of their fear, anxiety, trouble sleeping, emotional stress, and flashbacks. Drug and alcohol abuse are also common results of PTSD.

During the rescue and recovery of the 9/11 terrorist attacks, public safety officers encountered awful sights as they cleared up the wreckage and bodies of victims, including many of their colleagues. It may be natural to think that seeing those sights would cause someone to be filled with anxiety afterward, and turn to alcohol and drugs.

All part of the job?

While 9/11 was the most troubling task rescue workers have had to endure in our country, public safety officers face life-changing trauma every day. Firefighters are constantly putting themselves in danger; many times fearing they will not make it out alive. Police officers have to deal with the bad things people do, and the results of their horrific crimes. EMT workers see and treat injuries and attempt to save lives destroyed by accidents or trauma. Sometimes it is the stress of a few incidents that builds up over time, sometimes it is one tragic or scary event, but public safety officers are at risk for mental disorders such as PTSD, as well as substance abuse.

Bring it into the open

There are things we can do to help our public safety officers, the main one being to shed a light on the subject of mental illness and substance abuse. Since these workers are viewed as being the country’s rescuers and protectors, there is a feeling of pride associated with the job. To admit that there is a problem can be a difficult thing to do. Many workers suffer in silence today, when help can actually be very effective.

Getting help

Help is out there. Once the problem has been identified, PTSD can be treated with intense therapy and sometimes medication. The more time that passes before treatment begins, the worse the effects of the disorder will be. Anxiety will increase, depression could occur, and the risks of substance abuse increase. By talking about PTSD and the fact that real people suffer from it, we can encourage others to get treatment for PTSD.

Sources
Stress Disorder.” ScienceDaily 30 August 2007

McCooey, Paula Firefighter reveals pain to help save others The Ottawa Citizen October 6, 2008

Former firefighter fights mental health stigma Sept. 30, 2008

public saftey, addiction treatment, mental health

Countless studies have been done relating to drug and alcohol abuse and its treatment. However, every once in a while a study is done that seems to elude to some new substance addiction treatment, but for whatever reason there is little follow-through, and the results go unnoticed. Without subsequent studies, it is hard to say if the original scientist was on to something or not.

Perhaps one example is a study done last year by Steven LaRowe, from the Medical University of South Carolina, which showed that cocaine addicts that were given an amino acid, NAC, had a significant decrease in their desire to use cocaine. However, since that time, there have not been any subsequent studies about amino acids and drug addiction.

Drug Addiction and the Brain

The background for LaRowe’s study has to do with the effects of food on drug addiction. When an individual uses drugs like cocaine, the drugs interfere with the brain’s normal signals for things such as pleasure and relaxation. Some drugs mimic the brain’s neurotransmitters, while others increase the signals, all of which cause the body to stop sending the signal on its own. When this happens, a person’s body needs the drugs in order to carry out the signals, and addiction has resulted.

Food and Neurotransmitters

A new theory is out there because of research like LaRowe’s, which says that diet may be able to play a part in drug rehabilitation. The human body turns amino acids found in certain foods into the neurotransmitters needed to send signals in the brain. One amino acid is N-acetylcysteine (NAC), which is found in nuts and seeds and was studied by LaRowe and his colleagues. A second one is tryptophan, which is found in meat, brown rice, fish, and milk. Other studies have shown that increasing these amino acids can promote relaxation and reduce depression.

Drugs and Food

Because drugs target the same signal-sending molecules as some foods, it has been suggested that by increasing these foods in the diet of a drug addict, we should be able to reduce their addiction. It is thought that in some cases the amino acids in the foods will allow the body to send its own signals again, thus reducing the craving for the drugs, while others will give the individual a more positive outlook on their life as they break from the drug abuse. Some are suggesting that food could reduce drug withdrawal symptoms including depression, anxiety, and sleeplessness, which would give the addict a boost in breaking the habit.

More Research

As is often the case, while these ideas may appear to be scientifically sound, they have not been explored in depth. Last week, Food for the Brain organized a conference in London centered on the use of dietary changes to treat drug addiction. Perhaps this topic will now be in the forefront of research, and some much needed studies will be done to either develop this idea, or explain why it may or may not be feasible.

Sources

Treatment on a plate. A dietary approach to treating addiction seems worth investigating Oct 16th
A look at substance abuse, awareness, treatment and recovery in Emery County October 14, 2008
LaRowe, Steven Is Cocaine Desire Reduced by N-Acetylcysteine? 2007 American Journal of Psychiatry
Ross, Julia The Role of Diet in Mental Health Excerpted from The Diet Cure

food, addiction treatment, studies. addiction, drug abuse

A friend of Treatment Solutions Network, Carolyn Jacobson has asked us to help her spread the word bout cervical cancer prevention. This is her latest in the good work that her and her organization are doing to improve the health and lives of women

This year, 11,070 women will be diagnosed with cervical cancer and 3,870 will die of the disease. Women aged 65 and older comprise 20% of all new cervical cancer cases and are 35% more likely to die of the disease versus younger women.

The Women’s Health Task Force of the National Council of Women’s Organizations is launching a new campaign to help older women understand that cervical cancer can affect them and that they may benefit from the same advanced screening technologies as younger women. The Note to Older Women: Ask About Cervical Cancer Screening, Ask About HPV Testing campaign is an online effort that encourages all women to tell the older women in their lives what they need to know.

Visit the Note to Older Women: Ask About Cervical Cancer Screening, Ask About HPV Testing campaign website (http://www.womenshealthtaskforce.org/olderwomen) to learn more and get involved. Here’s what you can do:

1.) Send an e-postcard (http://www.womenshealthtaskforce.org/olderwomen/epostcard) to the older women in your lives and to your friends and colleagues so they can share it with the older women in their lives.

2.) Post the campaign button (http://www.womenshealthtaskforce.org/olderwomen/get_the_button) on your Facebook or other personal web page so others can learn about the campaign and get involved.

Carolyn J. Jacobson
Coalition of Labor Union Women (CLUW)
815 16th St., 2nd Floor South
Washington, DC 20006
202-508-6901 (Direct)
202-508-6968 (Fax)
cjacobson@cluw.org
Cervical Cancer Prevention
does work!
To find out what to do, click here:
www.cluw.org/cervcancer.html

Many in the recovery community claim to be “Clean and Sober” But, what exactly does this mean? Clean refers to living without using drugs. Sober is used in the same context. However, the definition of “Sober,” also reveals a path, and a desired character. A path, and character, prescribed and modeled, by the founders of the 12 Step Fellowships. A path, and character, prescribed for spiritual living. Let us begin with the basics. Following is the dictionary definition for “Sober:”
1. Habitually abstemious in the use of alcoholic liquors or drugs; temperate.
2. Not intoxicated or affected by the use of drugs.
3. Plain or subdued: sober attire.
4. Devoid of frivolity, excess, exaggeration, or speculative imagination; straightforward: gave a sober assessment of the situation.
5. Marked by seriousness, gravity, or solemnity of conduct or character. Marked by circumspection and self-restraint.

The first, and second, parts of the above definition are about abstinence. The other three parts describe attributes. The person that displays these attributes is Sober, not just abstinent from chemicals, not just clean. His, or her, Sobriety is manifested in “all their affairs:”This person practices Sobriety, with a capital S.

This Sobriety with a capital S is manifested in the way people live their lives, not in what they say. Sobriety is life lived in the pursuit of simplicity, and “serenity;” a way of life that avoids “excess.” For excess is the way of addiction. Addiction is excess in everything. Excess in using chemicals, and in exaggerated thinking, and behaving. The addict is addicted to extremes, and drama, as much as he, or she, is addicted to a chemical. To incorporate the above described attributes into a Sober character is the antidote for addiction. And, the acquisition of this character is the foundation of recovery. As well as, the goal of any program, or therapy, that seeks to treat addiction.

To counter the addicted character, an addict must be confronted with a person that has developed a Sober character. A person that is capable of modeling what this character is. That is capable of displaying it in daily living. Capable of showing the addict how life can be lived Sober. Modeling for the addict new ways of dealing with the challenges of life from a Sober perspective.

Then, by observation, and practice, an addict begins to substitute old patterns of thinking, and behavior. Through exposure to a Sober character, they can begin to live “as if” they had this character. By ‘faking it, till they make it,” they get a sense of what Sober life is. When their new behaviors begin to yield responses that reinforce them, they become incorporated into a new pattern of dealing with life. Through this process, a new character is formed.

In the process of this new character formation, the presence of a Sober sponsor, mentor, or therapist is fundamental; the presence of a person that personifies Sobriety. If the sponsor, mentor, or therapist has not internalized, and manifest the attributes of Sobriety, all that the addict is exposed to is another role to play: The role of “recovering person.” Because addicts are adept at role playing, the modeling of a person who is clean, but not truly Sober, will invite the addict to create yet another persona, or mask. Recovery becomes a new way to act, speak, and relate to others, without true change, without authenticity.

Many in the recovering world have adopted the persona of a recovering addict. A person can become “clean,” if this is the price that he, or she, pays for sustaining new friendships, lovers, work, or status. For, they now belong to a community where respect, admiration, business opportunities, and popularity are founded on “clean time.” However; such a person is clean, not Sober. This kind of recovery is dangerous. It is dangerous to those who practice it, and for those who are seeking recovery.

A person with “clean time,” regardless of character development, is in a position to be a sponsor, a therapist, or even to run a treatment center. They can be in a position to dictate the process of addiction treatment. They can place themselves in a position of authority. They can be in a position of power. They can be in a position to do harm.

For, without the grounding influence of a Sober character, power, money, and status, become tools of the ego. They become tools for exploitation. They become means that allow the clean, but non-Sober addict to indulge in their addictive character traits. Under the guise of recovery, and “helping,” a clean, but non-Sober person can indulge in drama, chaos, blaming, and self-righteousness. They can exercise control over the lives of others, for self-gratification. They continue to act from the basis of their “defects of character,” even if they are not using chemicals. They harm themselves, and others.

The goal of the 12 Step programs, therapy, and all interventions of addiction treatment, is to “remove” these “defects of character;” not to find a new way to manifest them under the disguise of being “clean.” According to the founders of the 12 Step programs, in order to remove these defects of character, a person must engage in a spiritual path, seek a “spiritual solution.” A spiritual solution that is ancient, and Universal. A spiritual solution that has been taught by every spiritual master in history. This solution is to become free from the “bondage of self.”

What is this “bondage of self?” It is the bondage of a flawed self that the addict has constructed through the process of his, or, her life. Once this self became chronic, the addict constructed a character to protect it, to defend it. But, this self, and character are false. They were constructed as protections, and maladaptive strategies for survival. They cover up the true Self: the Self that was created by a Higher Power. So, every true spiritual path seeks the return to this true Self. Every true spiritual path offers a way, a method, and a program, to return to true living; to return to living life on “life’s terms,” to live Sober.

For, in Sobriety, life is again experienced, as it is. When the false self no longer rules a person, its demands for power, money, status, reputation, excess, drama, etc. no longer rule that person’s thoughts and actions. As a result, the person becomes free. The person is free to enjoy simplicity. Free to recognize the mystical of the everyday. And, through this recognition, a free person can find joy, pleasure, contentment, and fulfillment in the ordinary. They can again embrace life with the joy of a child at play, not because everything is perfect, but because it is all part of life; and life is good enough in its own terms. This is spiritual living. This is Sobriety.

This Sobriety is hard to attain. It is not easy to live Soberly in a culture that is increasingly hysterical. In a culture that prizes image above substance. We live in a culture of hysterical “personalities.” A culture of dramatic, “reality” television shows, screeching religious leaders, flashy gurus, “spiritual guides,” and shocking, instantaneous, psychotherapies. It is not surprising that the development of a Sober character is not a modern, or popular quest. However; for a recovering addict it is the essential quest. Just as it was for the suffering addicts that found their salvation in it, and prescribed it to future generations; as all spiritual seekers before them had done. In order for many to stay clean, many have to become Sober.

J. E. Lesende

Sober Definition From Answers.com

It is a problem that has been around for decades. Adolescents feel stress from personal or family problems, high expectations at school, and peer pressure. One way teens deal with the pressure is to turn to drugs. In the past it was marijuana, LSD, heroin or cocaine that lead curious teens to try drugs. There are countless stories of teens who have suffered severe consequences because of abuse of drugs such as these. Brain damage, seizures, toxicity, and death are only some of the side effects of drug abuse.

With all the anti-drug campaigns in communities today, it seems that teens may be getting the point about the dangers of some of these “street drugs” and are actually turning away from them in some cases.

Prescription Drugs

Today, however there are many more drugs available to teens, and different drugs of choice are making their way into schools and homes. Prescription painkillers like oxycodone and Vicodin® have been used more and more by adolescents in recent years. Many teens today believe there is nothing wrong with prescription drugs when taken once and while for fun, yet statistics show that oxycodone and Vicodin® are the most common drugs involved in fatal overdoses by young people.

The risk with these drugs is that young people do not believe they are dangerous or illegal because they are prescribed by a doctor. Another danger with these prescription drugs is that teens are able to get them for a very low cost or even free from friends or relatives. The easy accessibility of these drugs leads to a higher number of teens getting their hands on them, simply stealing the pills from their parents’ medicine cabinet.

Drugs such as oxycodone and Vicodin®, when used under the supervision of a physician, can be very beneficial to patients. On the other hand, the abuse of these drugs can cause strokes, seizures, comas, addiction, and even death. These prescription drugs can be just as addictive as street drugs, and the effects can be serious on the bodies and minds of young, developing teens.

Prevention

Even though the problem seems staggering, there are ways for parents to help prevent the misuse of drugs in their homes. Parents need to keep track of their prescription drugs, and be aware that their children may be able to get drugs from family members or friends very easily. Parents should talk with their children about the use of medication, and alert them to the severity of abusing prescription drugs.

While it seems that many anti-drug campaigns have been beneficial in the past, funding is becoming an issue when it comes to teen drug prevention. Every year, Congress gives money to states for drug treatment prevention, allowing the states to divide up the money among some of the programs they wish. A recent trend shows many states often spend very little of the money on adolescent drug prevention. With the new problem of prescription drug abuse in teens, it seems it is important that organizations that educate teens on prevention and treat teen addicts would receive funding to continue to fight this national problem.

Sources

More Kids Dying, New York Times July 18, 2008

Heroin’s Hold on the Young, New York Times Jan. 13, 2008

OxyContin, Vicodin Grow Popular as Teen Drug Use of Choice, Think and Ask nonprofit news February 2007

Teens Turn Away from Street Drugs, Move to Prescription Drugs, New Report Reveals ONDCP Press Release February 14, 2007

Rx—A New Intentional High for Teens National Youth Anti Drug Media Campaign, Greater Dallas Council on Alcohol and Drug Abuse 2006

More From Carolyn Jacobson

Sometimes it can be hard to understand addiction. If you have never experienced it, it may be hard to sympathize. Some even wonder why drug addicts can’t quit on their own!

Many drug addicts actually feel this way themselves. Especially in the beginning, they feel that they can quit on their own – that they have complete control and power over their addiction. Either out of shame over their addiction or pride in their will, they try to stop without treatment. Long-term resistance usually is not accomplished in these situations.

Long-term drug abuse has long-lasting and significant effects on the human brain. These problems can continue long after the individual ceases using drugs. This can include the continued compulsion to use drugs as a behavioral effect, despite the well-publicized consequences of the habit.

Realizing that drug abuse has such biological effects can explain why that person has such difficulty maintaining their resistance to drug abuse without proper treatment and rehabilitation. Relapse occurrences are especially more common when these biological effects combine with locations and objects that remind one of their past with drugs, running into people from their drug-using days, or even the stress and pressures of family or work.

The important thing to remember is that all of these can be overcome with proper treatment from a professional. Research supports the notion that even the most severely addicted individual can actively participate in a treatment and rehabilitation program. This active participation is crucial to the success of the treatment and encourages the continued long-term abstinence from drugs and addiction.

With proper help, the drug addicted person learns the appropriate strategies for coping with their addiction and cravings. This includes ways to avoid drugs and prevent relapse, as well as dealing with a relapse if such a thing occurs. Behavioral therapy, including psychotherapy, cognitive therapy, and counseling, can be a huge benefit to an addict learning these strategies and the proper behavior. Treatment can also include medications to combat some of the biological effects, like the ones that were discussed above.

The best treatment programs are tailored to meet the needs of the individual, as factors such as age, race, gender, culture, history of abuse, and type of addiction can all contribute to the variables of the addiction. This can include behavioral therapy, medication therapy, or a combination of both.

The drug addict is not alone, and it is important to ensure them that they are not. Through proper treatment and rehabilitation, they can succeed in overcoming this problem.

If you feel your friend or family member is steeped in a dangerous addiction, staging an intervention can be an effective way to get that person to seek help. The key is it has to be done well. Here are a few tips to ensure that you put together an effective intervention:

Plan it out.

Go to the people around him or and speak to them privately about the idea of an intervention. You want the people closest to him, who care about him, and who he cares about as well. Even if you do not like someone who he cares about, it’s important to let these biases be put aside for the purpose of this. If he doesn’t care about the people confronting him, it won’t work. He has to respect these people, and value their opinions. The threat of these people walking out on him needs to have great impact. Keep the group on the smaller side: no need to invite the whole, extended family. Try to keep the number in single digits, if you can. A more intimate group will be more effective. It also has to be clear that this intervention is a surprise, to keep the addict from avoiding the situation.

Seek additional help.

It may be beneficial to talk to an interventionist, who can guide you through the intervention process and, if requested, be present during the intervention. Having an addiction specialist present can help moderate the group if the group does not know what they are doing.

Prepare in advance.

With or without the interventionist, the group should meet beforehand to lay out how they will approach the addict and what they will say to him. Treatment options should be researched in advance, so that help can be suggested and offered immediately. It may be good for everyone to have a speech or something to say written out beforehand, so that everyone’s impact can be felt on the person. That way, everyone can adjust their speeches if they sound too blaming, rather than loving. The tone of the intervention is extremely crucial. Everyone then also should offer an ultimatum to push the addict to action. It may be difficult to do this for many, but it is one of the keys to an effective intervention. Preparing in advance can also clue in the group to any rejections or resistance that the addict may show towards the group.

Be careful during the intervention.

Keep the atmosphere positive. You want the addict to know you are here to help, not to blame. Also, keep the discussion about “I” and not “you.” By doing this, you are speaking about your feelings, and not pointing fingers. This person will be defensive, so don’t insult or berate him. If the interventionist is there, he can help talk through the objections.

Take immediate action.

Following the intervention, the addict will either admit it or deny it. If he admits it, escort him to his place, help him pack a bag, and take him to a treatment center for admission. If he denies it, unfortunately, the ultimatum’s consequences must begin immediately. Hopefully, the lack of his loved ones supporting him will prompt him to take action in a few days.