Are Psychiatric Medications Overused in Addiction Treatment?

Addiction treatment can be complex and challenging, mainly when underlying mental disorders exist. As a result, psychiatric drugs like antidepressants, antipsychotics, and mood stabilizers are often prescribed to individuals with addiction to help manage these conditions and improve their chances of recovery. However, the use of psychiatric medications in addiction treatment is a controversial topic.

Some argue that these drugs are often used as a substitute for other treatments or to control behavior. There are also cases of overuse, especially when patients receive drugs for conditions they aren't suffering from.

Psychiatric medications can be effective in managing symptoms of mental disorders. But there's a growing concern about their potential for misuse or abuse and their side effects. With that said, the decision to use psychiatric drugs in addiction treatment should be made on a case-by-case basis. Treatment providers should carefully weigh the potential benefits and risks of these drugs and use them in conjunction with other evidence-based treatments, such as behavioral and group therapy. 

What Are Psychiatric Medications?

Psychiatric medications are prescription drugs used to treat various mental health conditions, such as depression, anxiety, bipolar disorder, and schizophrenia. They work by altering the chemicals in the brain that are associated with these conditions.

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In addiction treatment, psychiatric medications help manage the symptoms of underlying mental health conditions that may be contributing to the addiction. According to SAMSHA, mental health and substance use disorders often co-occur, with each condition leading to the other about 50% of the time. Someone with depression or anxiety may turn to drugs or alcohol to cope with their symptoms, and vice versa. A comprehensive approach to dual diagnosis can help ensure both conditions are addressed, helping patients manage their addiction more effectively.

Use of Psychiatric Drugs in Addiction Treatment

Psychiatric drugs can be effective in helping individuals manage the underlying mental health conditions that contribute to their addiction. They can:

Overuse of psychiatric drugs in addiction treatment

While these medications can effectively treat symptoms and improve the quality of life for some patients, there are concerns about overprescribing and potential side effects. Studies show that many Americans take prescribed medication that may be inappropriate or not work for their mental health problems.

Prescription medications are not always the safest or most effective route for patients. Atypical antipsychotic drugs like Chlorpromazine, Fluphenazine, Haloperidol, etc., have been shown to cause deviations in blood pressure and Tardive Dyskinesia, a movement disorder characterized by abnormal, uncontrollable, and repetitive movements of the torso, face, and other body parts.

They also cause common side effects like blurred vision, confusion and agitation, erectile dysfunction, hallucinations, and drowsiness. Yet, many Americans go to their primary health care providers and leave with a prescription drug without knowledge of other evidence-based treatments that might be more effective and without the side effects.

According to the CDC, many patients are now receiving psychotropic medications without proper evaluation by mental health professionals. This is concerning as proper evaluation and diagnosis by a mental health professional is essential to determine the appropriate course of treatment for a patient's specific condition. Additionally, overreliance on medication as the sole treatment option can overlook other critical interventions, such as therapy or lifestyle changes, that can improve a patient's mental health and well-being.

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In addition, some medications used to treat mental health conditions, such as benzodiazepines or stimulants, can have the potential for dependence and withdrawal symptoms if not properly managed. And to worsen the situation, some withdrawal symptoms can mask mental health conditions, leading to misdiagnosis and overprescription of medication. Such cases can cause life-threatening consequences, exacerbate underlying conditions, increase the risk of self-harm and suicidal thoughts, and compound mental health issues.

Overusing psychiatric medicines may create neurobiological changes that affect long-term mental health recovery. According to research, these permanent changes can turn transient symptoms into chronic and lifelong mental disorders.

Alternative Treatment Options to Psychiatric Drugs

While psychiatric medications can effectively manage certain mental health conditions, they should not be the only treatment option offered to patients. Instead, a comprehensive approach to treatment that includes therapy, counseling, and lifestyle changes should be considered alongside medication use.

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Psychotropic drugs can be beneficial in addiction treatment and can be life-saving for some patients. However, it is essential for a mental health professional to prescribe psychiatric medications after proper evaluations that include a patient's family history of mental health conditions and any past experiences with medication.

At More Than Rehab, we take a holistic approach to addiction treatment, utilizing evidence-based therapies and medications as appropriate and prioritizing individualized care that addresses the root causes of addiction. Our team of mental health professionals is dedicated to ensuring that medications are used responsibly and appropriately as part of a comprehensive treatment plan.

We recognize that psychotropic drugs can have significant side effects and potential for dependence and therefore prioritize careful evaluation and monitoring of each patient's medication use. Ultimately, our goal is to help patients achieve lasting recovery and improved quality of life through a personalized approach to addiction treatment.

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Misdiagnosis of Withdrawal Symptoms as Mental Health Issues

Withdrawal symptoms are a natural and expected part of quitting addictive substances. They occur because the body and brain have become accustomed to the presence of the substance and have adapted to its effects. When the substance is removed, the body and brain need time to readjust, which can result in emotional, psychological, and social symptoms. The misdiagnosis of withdrawal symptoms, which include sweating, nausea, tremors, seizures, anxiety, depression, irritability, and hallucinations, can often mimic symptoms of mental health disorders.

For example, withdrawal from meth can cause extreme paranoia, anxiety, and hallucinations, which might be mistaken for symptoms of schizophrenia or other mental health conditions. Meth use can also cause long-term changes in the brain, which might lead to signs and symptoms that resemble mental health disorders even after the drug use has stopped.

Similarly, withdrawal from opioids such as heroin or prescription painkillers can cause anxiety, depression, and irritability, which can be misdiagnosed as generalized anxiety disorder or major depressive disorder.

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These symptoms may persist for weeks or even months after the drug use has stopped, making it difficult to distinguish between withdrawal symptoms and underlying mental health conditions. In such cases, a doctor might prescribe an antidepressant to treat symptoms. But this only worsens the situation since depression isn't the primary issue. Eventually, the patient might end up with issues like emotional blunting after stopping antidepressants.

The Negative Impact of Misdiagnosed Mental Illness

Misdiagnosing withdrawal symptoms as mental health can lead to psychological and physical health issues. It can:

Exacerbate the underlying condition

If a person is misdiagnosed with a mental health disorder and prescribed medication to treat that disorder, the medicine may not address the underlying issue of withdrawal, and the person's symptoms may persist or worsen. Moreover, when misdiagnosed with a mental health disorder, they may be prescribed medications that can worsen their withdrawal symptoms or cause new ones.

For example, benzodiazepines, often used to treat anxiety, are addictive and can worsen withdrawal symptoms if a person is already experiencing them. Misdiagnosis can also delay or prevent patients from receiving appropriate attention for their withdrawal, leading to worsening the underlying condition.

Potentially life-threatening consequences

Some withdrawal symptoms, such as seizures, delirium tremens, and respiratory depression, can be life-threatening if left untreated. But when these symptoms are misdiagnosed, and appropriate treatment is delayed or not given, the patient may end up with potentially life-threatening complications, including coma or even death.

Increase the risk of suicidal thoughts and self-harm scenarios

Withdrawal symptoms can lead to intense emotional distress and increase the risk of suicidal thoughts and self-harm scenarios. And the risk is even higher when healthcare providers misdiagnose the symptoms as mental health issues and offer inappropriate medication.

Psychological consequences

Misdiagnosis can also have psychological consequences, leading to a feeling of hopelessness and frustration for the individual. Patients with misdiagnosed mental conditions can end up feeling deflated, confused, and frustrated when they notice that the treatment prescribed is not working. Sometimes, they might feel hopeless or like failures and turn to drugs or alcohol to self-medicate. In extreme cases, they may self-harm or even commit suicide.

Increased risk to self-medicate

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Mental health issues often co-occur with substance use disorders. In fact, according to the National Institute of Mental Health, people with Drug abuse issues may also struggle with mental health issues like bipolar disorder, ADHD, schizophrenia, and personality disorders. This is mainly because these co-occurring disorders share the same contributing factors, including environmental and biological factors. 

A misdiagnosis, coupled with a lack of access to the proper psychiatric treatment can further drive one to addiction as they self-medicate to mask the symptoms, trying to make themselves feel better. Conditions like marijuana, cocaine, and opioid use disorder are common because they bring euphoria and escape from the reality of an undiagnosed mental issue.

Causes of Misdiagnosis of Withdrawal Symptoms

There are several potential causes of misdiagnosis of withdrawal symptoms, including:

Prevention and Treatment

Misdiagnosing withdrawal symptoms as mental health issues can significantly affect a patient's health and well-being. However, there are steps that healthcare professionals can take to prevent misdiagnosis and provide appropriate treatment.

  1. One of the most critical steps to prevent misdiagnosis of withdrawal symptoms is to increase education and awareness among healthcare professionals. Healthcare professionals should receive education and training on the common symptoms of withdrawal to improve their understanding and ability to recognize them. This education can help reduce the number of misdiagnosed cases.
  2. Open communication between healthcare professionals and patients is also essential. Patients should disclose their history of substance abuse and the extent of their withdrawal symptoms. This information can help healthcare professionals make a proper diagnosis.
  3. Proper assessment and diagnosis of withdrawal symptoms are crucial to providing the correct treatment. Healthcare professionals should assess and diagnose withdrawal symptoms properly. This assessment can help identify the root cause of the symptoms, leading to proper treatment.
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Once a patient is correctly diagnosed, the appropriate treatment can be administered. Treatment for withdrawal symptoms may include medications to manage physical symptoms, such as nausea, vomiting, and seizures. Behavioral therapies may also address psychological symptoms and help individuals manage their cravings and triggers. Patients can also try out natural remedies for antidepressant withdrawal.

At More Than Rehab, we offer comprehensive, evidence-based treatments to address withdrawal symptoms and support long-term recovery. Our treatment plans are personalized to meet each individual's unique needs and may include a combination of medications, behavioral therapies, and other supportive services. Therapies are especially critical in managing withdrawal as it helps patients handle stress better.

We offer a comprehensive assessment and evaluation process for misdiagnosed clients to determine the underlying causes of their addiction or related issues. This process involves gathering information about the individual's medical and psychiatric history, as well as their substance use, related behaviors and known side effects. If a client has been misdiagnosed, we work with them to re-evaluate their diagnosis and develop an appropriate treatment plan that addresses the underlying causes of their addiction or related issues.

We aim to provide personalized, compassionate care to help individuals achieve and maintain recovery. We are committed to providing the best substance abuse treatment and ongoing support and care to promote long-term success. Call us today. We are available to help 24/7.

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Examining Racial Disparities in Addiction Treatment

Recent research has shed light on racial disparities in addiction treatment, highlighting the need for a more culturally competent and socially-aware approach in the addiction treatment industry. While many acknowledge drug abuse is a leading public health crisis in the country, racial disparities in addiction treatment are too widespread to ignore. 

According to SAMHSA, more than 41 million Americans had a substance use disorder in 2020, yet only 2.7 million received treatment. Of those who needed treatment, white people got help 23.5% of the time, while blacks and Hispanics were 18.6% and 17.6%, respectively. 

Another study revealed that Black people were 70% less likely to get a buprenorphine subscription at their visit when controlling for age, sex, and payment method. Most of them have to queue at public clinics every morning for a methadone dose. Buprenorphine is a great alternative to methadone as it can be prescribed by a healthcare provider and taken in the comfort of a private home. No stigma, distrust, or standing in line.

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There's also a health equity study of privately insured people who had an overdose and were treated at an ER. The study found that Black people were half as likely to receive overdose treatment compared to white patients. And with the opioid crisis spreading among other ethnic groups like Hispanics and Blacks, this finding is particularly concerning. 

The evidence presented in the research demonstrates racial disparities in addiction treatment in the United States. White people are more likely to receive addiction treatment than Black and Hispanic people, which is troubling, as it suggests that certain groups are being underserved and overlooked in the healthcare system. Here's a look at drivers of racial disparities.

Systemic Racism in Healthcare

Although disparities in treatment are multifaceted, race ethnicity is a common theme all through. Systemic racism in healthcare and society at large may contribute to the disparities in addiction treatment outcomes. For example, structural barriers such as limited access to quality healthcare and social determinants of health may disproportionately affect communities of color, leading to greater challenges in accessing and completing addiction treatment.

Inadequate Health Insurance

Inadequate insurance coverage is another major contributor to health disparities. Despite significant efforts to expand access to mental healthcare, many individuals, especially those from racial minority groups, still do not have adequate insurance coverage. Medicaid is the largest payer of mental health services in the United States, and the Affordable Care Act (ACA) expanded Medicaid eligibility to cover more individuals.

However, 12 states are yet to adopt ACA Medicaid expansion. Of these 12 states, 7 are in the southeast region, where most of the US Black population resides. States like Florida and Mississippi have a Black population of 15% and 37%, while the US has a population of 12.4%. This lack of insurance coverage in these states disproportionately affects Black individuals, limiting their access to addiction treatment and other mental healthcare services.

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Older Americans Seeking Help and Blacks Being Terminated from Treatment

Current research also highlights two often overlooked aspects of substance use disorder trends. These aspects include facts that Americans 50+ years are increasingly seeking substance treatment and that older Black citizens starting treatment have higher rates of being terminated from treatment and not finishing treatment compared to their white counterparts. 

Lack of Culturally Competent Healthcare Providers

A lack of cultural competency among treatment providers may result in an inadequate understanding of black patients' unique challenges and needs, leading to suboptimal treatment approaches. 

The Need to Ensure that Care is Ethnically, Racially, and Culturally Appropriate

The addiction treatment industry needs to be more socially aware of systemic racism and its impact on treatment outcomes and people's lives. Substance use disorders affect individuals from all racial and ethnic backgrounds, but access to care and treatment outcomes are unequal across these groups. Historically, communities of color have faced significant barriers to accessing addiction treatment, including a lack of culturally appropriate care and systemic racism in healthcare systems.

To ensure that care is ethnically, racially, and culturally appropriate, the addiction treatment industry must recognize and address systemic racism in healthcare systems. This means increasing diversity among treatment providers and staff, acknowledging and addressing implicit biases, and providing training and education to ensure that providers have the cultural competence necessary to provide effective care to all patients. This includes healthcare training at schools of medicine across the country. 

Cultural competence is the ability of healthcare providers to understand and address the unique needs and perspectives of patients from different cultures and backgrounds. In addiction treatment, cultural competence means understanding how addiction and substance use disorders impact different communities and developing treatment plans tailored to each patient's individual needs and preferences.

Research has shown that culturally appropriate care can improve treatment and health outcomes for patients of color. Studies have found that patients are more likely to remain engaged in addiction treatment when they receive care from providers who understand their cultural experiences and can provide culturally appropriate care in addition to the standard of care. Besides, other steps like partnering with local leaders and organizations that aim to reduce inequalities have increased trust and minimized stigma against treatment, which is essential in mental health and addiction treatment.

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In addition to improving treatment outcomes, providing culturally appropriate care is a matter of social justice. The addiction treatment industry must recognize that systemic racism and other forms of oppression play a significant role in addiction and substance use disorders and work to address these issues in their policies, practices, and treatment approaches.

The addiction treatment industry must take a socially-aware approach to ensure that care is ethnically, racially, and culturally appropriate.

This requires acknowledging and addressing systemic racism in healthcare systems, increasing diversity among treatment providers and staff, and providing training and education to ensure that providers have the cultural competence necessary to provide effective care to all patients. By doing so, the addiction treatment industry can improve treatment outcomes and promote social justice for all patients. 

At More Than Rehab, we support this approach to addiction treatment and strive to provide culturally competent care to all our patients. We recognize the importance of addressing racial disparities in addiction treatment and are committed to promoting equity in our services. We believe every patient deserves to be treated with respect, dignity, and compassion, regardless of race, ethnicity, or cultural background.

Our team of highly trained and diverse professionals is dedicated to providing individualized care that considers each patient's unique needs and circumstances. We believe that by taking a socially-aware approach to addiction treatment, we can make a positive impact on our patients' lives and contribute to creating a more just and equitable society.

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Examining Holistic Approaches to Addiction Recovery

Addiction is a complex and multifaceted disease that affects millions of people worldwide. It impacts the individual's physical health and mental, emotional, and social well-being. Traditional approaches to addiction recovery focus on treating the physical symptoms of addiction. But they often neglect the underlying psychological and emotional factors contributing to addiction. That's why many rehab centers now integrate holistic approaches to addiction recovery.

Holistic therapy recognizes that addiction is not just a physical disease but a disease of the mind, body, and spirit. It seeks to address the underlying causes of addiction by taking a comprehensive and integrated approach to treatment. This includes managing the individual's physical, emotional, and spiritual needs and any underlying mental health issues or trauma.

This article will explore some of the most common holistic approaches to addiction recovery. We will also discuss the benefits of a holistic approach and how it can complement traditional addiction treatment methods.

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Understanding Holistic Approach to Addiction Recovery 

Holistic therapy is an approach to treating addiction that addresses the whole person, including their physical, social, emotional, spiritual, and intellectual well-being. It focuses on one's overall well-being while treating symptoms of substance use disorders, including withdrawal symptoms and health conditions that develop while using drugs or alcohol. 

Holistic addiction therapy can involve various techniques and practices, including mindfulness meditation, yoga, acupuncture, massage therapy, nutritional counseling, and other alternative therapies. These techniques aim to help the individual in recovery to heal their body, mind, and spirit.

Traditional approaches to addiction treatment typically focus on detoxification and abstinence. But holistic therapy seeks to help individuals in recovery develop a more balanced and healthy lifestyle. This may involve learning coping skills to manage stress and emotional triggers, improving nutrition and exercise habits, and building a support system for friends and family members. 

Holistic therapy can work in conjunction with traditional approaches to addiction treatment, such as medication-assisted treatment, behavioral therapy, and 12-step programs. By combining traditional techniques with holistic therapies, individuals in recovery may achieve greater success in overcoming addiction.

Holistic Approaches to Addiction Recovery

Alternative therapies such as acupuncture, yoga, Tai Chi, and mindfulness meditation have recently gained popularity as complementary treatments for addiction recovery. These holistic approaches aim to address the whole person's physical, emotional, and spiritual needs and support their long-term recovery from addiction. Here are some examples of holistic practices and their potential role in supporting long-term recovery from alcohol and drug addiction:

Massage and Acupuncture

These holistic therapies focus on using touch and pressure on specific points in the body to promote relaxation and alleviate physical and emotional tension. Massage can help reduce muscle tension, improve circulation, and promote relaxation. Acupuncture involves the insertion of needles into specific points of the body to stimulate the nervous system and release natural painkillers. Both these therapies have been shown to be effective in reducing symptoms of anxiety, depression, and stress, which are common triggers for relapse in addiction.

Nutritional Therapy

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Nutritional therapy involves using specific diets, supplements, and lifestyle changes to support the body's natural healing processes. Many individuals struggling with addiction may have poor diets, nutritional deficiencies, or imbalances that can contribute to physical and emotional instability. Nutritional therapy can help address these imbalances, improve overall health, and support long-term recovery.

Exercise and Recreational Therapy

Exercise and recreational therapy involve physical fitness and activity, such as individual and team sports, tai chi, dance, or other forms of movement that can help improve mood, relieve stress, and promote physical health. Regular exercise effectively reduces cravings, improves sleep, and reduces symptoms of anxiety and depression, which can contribute to relapse.

Mindfulness Meditation

Mindfulness meditation is a type of meditation that involves focusing attention on the present moment without judgment. It can help individuals develop self-awareness, reduce stress and anxiety, and improve emotional regulation. Mindfulness meditation has been shown to effectively reduce substance use and cravings and improve your overall mental health.

These holistic therapies and others, like spiritual work, art, and animal-assisted therapy, can support long-term recovery from addiction to drugs and alcohol. By addressing physical, emotional, and spiritual needs, these therapies can help individuals develop the skills and resources needed to manage cravings, cope with stress, and maintain sobriety over time. 

Traditional Vs. Holistic Methods

Traditional medical treatment methods are essential components of addiction treatment. These methods provide a scientifically proven and evidence-based approach to addressing addiction and its associated physical and mental health conditions. On the other hand, holistic approaches provide additional complementary therapies that address individuals' emotional, spiritual, and mental health needs in recovery.

Combining traditional and holistic methods offers a more comprehensive and integrated approach to addiction treatment, addressing the whole person and promoting overall health and well-being. For example, medication-assisted treatment can help manage withdrawal symptoms and reduce cravings, while acupuncture and meditation can help reduce stress and promote relaxation. Other techniques paired with holistic methods include group therapy, MAT, one-on-one counseling, and support groups like AA and NA.

Therefore, the most effective approach to addiction treatment combines traditional medical treatment methods with holistic practices. 

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Benefits of Holistic Therapy

After treatment, you'll need to learn how to replace your old, dangerous coping skills with new, healthier ones. The holistic approach sets the groundwork for new behaviors to help you stay sober. Here are some other benefits of holistic therapy: 

Holistic therapy offers many benefits for individuals seeking addiction treatment, such as treating the whole person, reducing stress, promoting self-healing, and improving the overall quality of life. When used with traditional medical treatment methods, holistic therapy can provide a more comprehensive and integrated approach to addiction recovery.

At More Than Rehab, we believe in the power of a holistic approach to addiction treatment. We offer a range of evidence-based traditional medical treatment methods and complementary, holistic therapies to provide a comprehensive and individualized treatment plan that addresses all aspects of your health and well-being. 

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How Naltrexone Implants Work for Alcohol & Opioid Addiction

Opioid and alcohol use disorders are a growing concern in the United States, especially with the rise in overdose deaths. In 2021 alone, 107,622 drug-involved overdose deaths were reported in the country, and opioids accounted for 80,816. In the same year, there were over 52,000 alcohol-induced deaths in the US. 

The increase in substance abuse and overdose cases indicates the need for addiction maintenance treatments. While traditional treatments for opioid and alcohol use disorder do a great job of helping people get off of drugs, they do little to prevent overdose cases. Once a recovering addict leaves the treatment facility, they may face triggers that can result in relapse and overdose. 

That's why many medical institutes worldwide are still trying to find innovative ways to enhance the convenience and chances of long-term sobriety. Naltrexone implants are one such innovative treatment option. These implants provide long-term maintenance from alcohol and opioids by reducing the risk of cravings and relapse.

What are Naltrexone Implants? 

Naltrexone implants are small pellets that contain the medication naltrexone. Naltrexone is an opioid antagonist medication that blocks the effects of opioids and alcohol on the brain, thus helping manage cravings. 

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The principle behind this medication-assisted treatment is that if someone can't feel the desired effect of drugs, they won't be motivated to use them. Over time, the positive association with opioids or alcohol will fade, and temptations won't be present.

When the implant is inserted under the skin, it slowly releases Naltrexone into the body over several weeks to months. This extended release can help reduce cravings for opioids or alcohol and prevent relapse. In some cases, it can also help curb opioid overdose cases.

Naltrexone implants have shown promising results in treating alcohol and opioid addiction, mainly when used in conjunction with other forms of evidence-based treatment, like medication, counseling, and support groups. This holistic approach addresses substance use disorders and the mental health aspect. 

How Naltrexone Implants Work for Alcohol and Opioid Addiction

Naltrexone is an opioid antagonist medication that works by blocking the opioid receptors in the brain. The implants provide a constant level of medication in the body, which can help to keep the opioid receptors blocked and reduce the risk of relapse.

Naltrexone implants have several advantages as they:

Weakness of Naltrexone Treatment

Despite the advantages of Naltrexone, there are some downsides as well. These include:

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How Are Naltrexone Implants Administered?

Naltrexone implants are small, sterile pellets implanted under the skin in a minor surgical procedure. The procedure is usually done in an outpatient setting, meaning you won't need to stay overnight in a hospital.

First, a healthcare professional will clean and numb the area where the implant will be inserted. This is done with a local anesthetic, so you'll be awake during the procedure but won't feel any pain.

Next, the healthcare professional will make a small incision in your lower abdomen skin. They'll then insert the naltrexone implant into the pocket they've created under the skin and close the incision using stitches or adhesive strips. They will also apply a sterile dressing to the area to protect it as it heals. 

The procedure usually takes about 20 minutes or less you can go home the same day. 

Side Effects of Naltrexone Implants

Naltrexone is generally safe. But like any medication, it can cause side effects. Here are some of the potential side effects of naltrexone implant:

  1. Pain, swelling, or redness at the implant site
  2. Infection at the implant site
  3. Bleeding or bruising at the implant site
  4. Itching or rash at the implant site
  5. Nausea or vomiting, headache or dizziness
  6. Diarrhea
  7. Anxiety or nervousness
  8. Fatigue or weakness
  9. Liver problems
  10. Allergic reactions

It's important to note that these side effects are usually mild and temporary, and most people tolerate the medication well. However, if you experience severe or persistent side effects, you should contact your healthcare provider immediately. 

If you have any medical conditions or take other medications, inform your healthcare provider before starting a naltrexone implant to ensure it's safe and effective for you.

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Starting Naltrexone Treatment

Before starting Naltrexone, you must undergo an assessment to ensure you're suited for treatment. A good candidate for Naltrexone treatment would typically meet the following criteria:

Naltrexone implants are a cutting-edge treatment for addiction to opioids, heroin, and alcohol. But the FDA has not approved the implantable version of Naltrexone for use in America. The treatment is only available in Europe and Australia. Still, many centers offer other forms of Naltrexone, which also offer long-term maintenance.

For more details about Naltrexone, reach out to More Than Rehab today.

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Can Psychedelic Assisted Therapy Help Addiction Treatment?

Psychedelic-assisted therapy is currently drawing a lot of attention. There has been a resurgence of interest in the therapeutic potential of psychedelic drugs such as psilocybin (found in magic mushrooms), LSD, and MDMA (commonly known as ecstasy) for the treatment of various mental health conditions. 

Re-emerging clinical research suggests that psychedelic-assisted therapy has the potential to serve as an alternative treatment for substance use disorder, depression, and anxiety. For example:

There are also numerous stories and testimonies from individuals who have undergone psychedelic-assisted therapy and reported significant improvements in their mental health.

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Many of these stories are shared publicly, in the media, or through personal channels, creating a positive and powerful narrative around the potential of psychedelic-assisted therapy. Patients have reported feeling more open, connected, and attuned to their emotions and thoughts and having a deeper understanding of themselves and their place in the world.

All this is very encouraging. However, it's worth noting that we've been here before with psychedelics. In the 1950s and 60s, numerous studies were happening across the United States to explore the potential of psychedelics in treating various mental health conditions.

Media outlets like CBSNews even covered the story of Arthur King, who received LSD as part of his treatment for alcoholism in 1966. After 6 months of treatment with LSD, Arthur King was able to curb his addiction and was still sober in the 27-year follow-up.

But as these drugs became synonymous with substance abuse, hedonism, and countercultural activities, they were made illegal. LSD was made illegal in 1966, followed by mushrooms in 1968, and most research into the therapeutic potential of psychedelics ground to a halt. At the moment, the use of psychedelics for their therapeutic potential is still highly regulated and not yet widely available. But the renewed interest and investment have fueled further research, much of which is ongoing.

What is Psychedelic-Assisted Therapy? 

Psychedelic-assisted therapy is a therapeutic approach that uses psychedelic substances, such as psilocybin, Ketamine, and MDMA, to facilitate therapeutic experiences. These substances are administered in a controlled and supportive environment, usually with the guidance of a trained health professional, to help individuals achieve altered states of consciousness that may lead to increased self-awareness, insight, and emotional processing. 

The goal of psychedelic-assisted therapy is to provide individuals with a unique and profound experience that allows them to gain new perspectives on their thoughts, feelings, and behaviors and to work through emotional and psychological challenges.

For example, cancer patients who took part in two different studies reported mystical experiences or spiritualistic experiences after taking psilocybin for their anxiety and depression. According to the studies, psilocybin reduced cancer-related anxiety, hopelessness, and dread immediately after the dose, and the improvements persisted for up to 6.5 months in about 80% of the patients.

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Psychedelic-Assisted Treatment and Addiction

A growing body of research suggests that psychedelic-assisted treatment may have promise in easing some of the symptoms of addiction. One way psychedelics may help with addiction is by reducing other mental health symptoms that often co-occur, such as depression and anxiety.

For many people struggling with alcohol and opioid addiction, these symptoms can be a significant barrier to recovery, as they can make it harder to stay motivated and engaged in treatment. By addressing these underlying mental health issues, psychedelics may make it easier for individuals to quit abusing substances.

Psychedelic-assisted treatment may also work by promoting changes in brain function and increasing self-awareness. For example, research suggests that psychedelics may help to "reset" the brain by fostering new neural connections and reducing negative thought patterns. By facilitating these changes in the brain, psychedelics may help individuals break free from patterns of addictive behavior and develop healthier coping mechanisms. 

Studies have shown that psychedelics reduce both alcohol use and smoking. The success rates are higher than what doctors see with other therapy or medication alone.   

How Does Psychedelic-Assisted Therapy Work?

While researchers do not fully understand how psychedelics work in the brain, several potential mechanisms have been proposed. 

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Risks of Psychedelic-Assisted Therapy for Addiction Treatment

While psychedelic-assisted therapy for addiction treatment may hold promise, there are also potential risks associated with using these substances. They include: 

While psychedelics have shown promise as a therapeutic tool, they're not a panacea and don't work for everyone. Factors like dosage, setting, and individual differences in brain chemistry can all impact the effectiveness of psychedelic-assisted therapy. Also, trained professionals should always supervise these substances in a controlled environment, as they can be potentially dangerous if misused.

If you're considering using psychedelics outside of therapy for different reasons, you should seek the support of a Psychedelic harm reduction and integration therapist. A PHRI therapist will help you plan to minimize risks and increase the chances of positive therapeutic outcomes. 

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How Medication-Assisted Treatment Can Aid Addiction Recovery

Addiction to drugs or alcohol can cause long-term changes to the structure and functioning of the brain. These changes make it hard for someone to quit using despite the harm it causes. Even in addiction recovery, people can experience relapses due to cravings - it's why addiction is often referred to as a relapsing disease.

The reason is that repeated substance abuse causes the brain to build much stronger connections between the substance and associated cues or triggers. Cues can be feelings, things, places, or people that make them want to use substances again.

Understanding how these substances affect the brain and the body is critical to understanding how medication-assisted treatment (MAT) works. This article will discuss how MAT can help addiction recovery and relapse prevention. But first, let's ensure we're on the same page.

What is Medication-Assisted Treatment (MAT)?

Medication-assisted treatment (MAT) is a type of treatment that helps people struggling with addiction overcome their dependence. It combines FDA-approved medications, such as opioid antagonists and pain relievers, with counseling and behavioral therapies to provide short-term relief from cravings and long-term recovery support.

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By combining pharmacological interventions with evidence-based therapies, MAT offers a comprehensive approach to addiction recovery, offering people the best chance of successful long-term sobriety.

MAT is used to treat various substance use disorders, including alcohol use disorder and opioid addiction. It can also prevent or reduce opioid overdose. The medication normalizes brain chemistry, normalizes body functions, relieves physiological cravings, and blocks the euphoric effects of substances. And since everyone is different, the clinically driven program is customized to meet each patient's needs. 

How Does MAT Work?

MAT works by reducing cravings and providing a "safety net" that helps people recovering from addiction stay away from drugs or alcohol. It's important to understand that MAT medications are not a magic cure for addiction but rather a tool to help individuals recover.

MAT works by targeting the reward circuitry of the brain. The reward pathways make us feel good when we engage in certain behaviors, like eating sweet foods or taking drugs. MAT medications help reduce cravings by targeting the same brain pathways responsible for our drug-seeking behavior.

For instance, MAT medications like buprenorphine can reduce the reward we feel from taking opiates and make it easier to resist cravings. Other MAT medications, like naltrexone, can block the receptors in our brains that would usually be activated by opiates or alcohol. This helps reduce cravings and the euphoric effects of drug or alcohol use.

MAT medications can also help restore balance in our brain chemistry that has been altered by substance use. This can help reduce withdrawal symptoms and cravings, allowing people to focus on therapy, healthy lifestyle changes, and other components of their recovery program.

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How Effective Are MAT Medications in Addiction Recovery?

MAT medications can be a powerful tool in addiction recovery. When used as part of an integrated treatment plan, MAT has been found to:

While it's hard to pinpoint a single seminal paper in the field, there's a substantial body of evidence that speaks to the efficacy of MAT. For instance, one study found that opioid overdose deaths were reduced as buprenorphine became more popular in Baltimore. Another review paper found that Methadone can keep those dependent on heroin in treatment programs and reduce their use of heroin. 

Limitations of Medication as a Sole Approach 

MAT medication can help reduce cravings and withdrawal symptoms but cannot address the underlying issues that contribute to the addiction. Mental health, trauma, and lifestyle issues may have been a factor in the person's development of a habit, and these cannot be addressed through medication alone.

For this reason, MAT should be used as part of an integrated treatment plan that includes counseling, behavioral therapies, and ongoing support structures - like 12-step programs, sober living arrangements, etc. The word "assisted" in medication-assisted treatment emphasizes that medications are only one part of the overall treatment plan.

MAT Medication

The FDA has approved several medications for the treatment of addiction. The most common types are:

Opioid Use Disorders Medications

Methadone, Buprenorphine, and Naltrexone are used to treat opioid dependency. These MAT medications work for opioids like heroin and prescription painkillers.

Alcohol Use Disorders Medications

Acamprosate, Disulfiram, and Naltrexone are used to treat alcohol use disorders.

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Opioid Overdose Prevention Medication

Naloxone is used to treat opioid overdoses. It works by blocking the effects of opioids in the brain and reversing an overdose. Naloxone is available in a nasal spray and can be used by family members or friends to treat an overdose.

While prescribed medications can be a powerful tool in addiction recovery, they are only one piece of the puzzle. MAT should be combined with therapy, lifestyle changes, and other strategies to achieve maximum success in recovery. With the right approach, MAT can provide an effective and safe pathway to recovery.

Find MAT Treatment

If you or someone you love is struggling with addiction, exploring MAT medications as part of your treatment options may be helpful. Many substance use treatment centers offer MAT-based health services. At More Than Rehab, we offer MAT treatment as part of our primary care model. Our doctors, nurses, and counselors work together to provide personalized care and the best possible outcomes for each patient.

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The Importance of Counseling & Therapy in Addiction Treatment

Addiction is a complex and debilitating condition that affects millions of people worldwide. It causes physical and psychological harm to the individual and affects their relationships and ability to function in society. While various treatment options are available, counseling and therapy are often considered essential components of an effective addiction treatment plan. These therapies can help individuals understand the underlying causes of their addiction, develop coping strategies, and rebuild their lives in a healthy and sustainable way.

This article will explore the importance of counseling and therapy in addiction treatment and discuss some of the key benefits and methods involved.

What is Addiction Therapy, and How Does it Help?

Addiction therapy is a multifaceted approach to treatment that helps individuals address the psychological, physical, and social factors that contribute to their addiction. It includes various techniques such as behavioral therapy, motivational interviewing (MI), and family therapy. All these aim to help the individual:

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Alcohol or drug use can interfere with how a person functions. It can change how they think, act, learn, remember, or even pay attention. Addiction counseling and therapy can help restore cognitive functioning and provide the individual with essential tools for managing their addiction.

In cases where one struggles with mental illness and addiction, therapy and counseling can help them manage both conditions. It can also educate them on the relationship between their mental health and substance use and strategies for managing both.

How Addiction Counseling and Therapy Works

Counseling is an integral part of the addiction treatment process. It's always used in conjunction with other treatments, such as detox and medication, and typically happens in a professional rehab center. Different types of rehab options exist, including:

Inpatient rehab: Where an individual stays at the facility for a while, usually between 30 days to 6 months.

Outpatient rehab: Where an individual receives treatment at the center regularly, such as daily or weekly, but does not stay overnight.

During therapy, you'll work with your counselor to understand the root causes of your addiction and develop strategies for managing it in day-to-day life. Therapy sessions may include individual, group, or family counseling, depending on the treatment plan.

But since addiction is a relapsing disease, likely, you will still have cravings that draw you back to abusing substances. Long after you rid your body of the drugs, the brain will still remember the pleasure it felt when you used drugs and will continue to send signals of wanting more. That's why ongoing therapy is so important in addiction recovery.

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Behavioral therapies

These therapies focus on helping individuals change the behaviors and thought patterns that lead to addiction. Examples of these types of treatment include:

Cognitive-Behavioral Therapy (CBT)

Cognitive-behavioral therapy (CBT)is an effective treatment for addiction and mental illness. It helps individuals to identify and change negative thought patterns and behaviors that contribute to addiction. CBT is based on the idea that an individual's thoughts, emotions, and behaviors are interconnected and that changing one aspect can lead to changes in others. 

Dialectical behavioral therapy (DBT)

Dialectical Behavioral Therapy (DBT) was developed specifically for individuals with Borderline Personality Disorder, but it is effective in the treatment of addiction as well. DBT focuses on both acceptance and change, helping individuals to accept their current situation while also working towards positive change. It helps one understand the cycles between intense emotions and impulsive behavior, as well as how these can be effectively managed.

Motivational interviewing (MI)

Motivational interviewing helps individuals overcome ambivalence and develop strategies to cope with existing problems. It focuses on the individual's capacity for self-change, inviting them to consider the consequences of addiction, explore values, and negotiate goals leading to meaningful change. MI practitioners use active listening techniques and specific questions to support clients as they engage in an interactive conversation about their intrinsic motivation and potential roadblocks.

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Contingency Management

Contingency management uses positive reinforcement to encourage individuals to abstain from substance use. It rewards individuals who remain abstinent with tangible rewards, such as vouchers or other incentives, whenever they engage in desired behaviors, such as attending support groups or social activities. This can help individuals stay motivated while developing healthier habits and behaviors.

Family and Individual Therapy

Family therapy helps to repair and strengthen relationships between family members. It also often focuses on understanding how addiction has impacted the entire family, identifying needs, and developing strategies for communication and problem-solving. Individual therapy can help individuals process past traumas, build relationships and activities outside of substance use, and foster healthy coping skills for managing their addiction.

12-Step Programs

12-step programs provide a support system for peers in recovery and can help individuals recognize their powerlessness over the substance. These programs emphasize accountability, acceptance, and responsibility to foster self-improvement. The 12-step fellowship helps individuals to identify their addiction as a disease and provides them with a structure and support system to help them cope with the complex emotions that often accompany addiction. Depending on the substance of use, one can join Alcoholics Anonymous, Narcotics Anonymous, Marijuana Anonymous, etc.

Get Help Today

It's never too late to seek help for addiction. With the right combination of therapy and support, recovery is possible. If you or a loved one are struggling with substance use disorder, contact us today.

You don't have to go through this alone – help is available now. Reach out today and take the first step on the road to recovery. We're here for you.

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How Prescription Drugs Helped Fuel the Drug Overdose Epidemic

The opioid epidemic is a serious public health crisis that has been ravaging communities in the United States for years. While many of us may associate illicit drugs such as heroin with causing drug overdoses, prescription drugs have also played a significant role in this devastating trend. The widespread availability and ease of obtaining these medications, combined with their powerful strength and addictive properties, have resulted in an alarming rise in overdose deaths due to prescription drug misuse.

Data from the Centers for Disease Control and Prevention's statistics indicate about 107,622 drug overdose deaths in the US during 2021. Synthetic opioids like fentanyl were responsible for a large portion of the deaths, accounting for 71,238 deaths. But prescription opioids (such as oxycodone and hydrocodone) were also major contributors to the crisis. According to the CDC, natural or semi-synthetic drugs accounted for 13,722 overdose deaths in 2020 and 13,503 in 2021.

These deaths were attributed mainly to over-prescribing opioid painkillers like OxyContin, which has led to numerous cases of physical dependence and addiction. In 2016, the CDC issued a national guideline on pain management to help improve appropriate opioid prescribing and minimize opioid-related risks. The guideline got a lot of support from Americans, especially in two key elements: advising physicians to issue less than a three-day supply of opioid painkillers for acute pain and trying other treatment options before considering opioids for chronic pain.

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Understanding Prescription Drugs Misuse

Prescription drugs are obtained with a doctor's prescription. They treat medical conditions, including pain, anxiety, and depression. However, they can also be abused due to their powerful effects.

Prescription drugs, like any other drug, can lead to substance use disorders as an unintended consequence. It is well-documented that these medications can be highly addictive and are major risk factors for people developing opioid use disorder.

The false sense of safety that comes with obtaining these medications from a doctor or pharmacy can lead some people to take them in ways they weren't prescribed. For example, they will:

Besides, since many people store these drugs in the medicine cabinet, they can be easily accessible to others, including young people. This increases the risk of them being taken and abused without the supervision of a healthcare professional. Taking someone else's medication can lead to dangerous side effects and death.

How Prescription Drug Abuse Contributes to the Overdose Crisis

Prescription painkiller abuse has become a major contributor to the overdose crisis in the United States. These drugs are often prescribed for legitimate medical conditions, such as pain management or attention deficit hyperactivity disorder (ADHD). However, when used improperly or for non-medical reasons, they can lead to substance use disorders, addiction, and even overdose deaths.

There are several ways in which prescription drugs like Oxycontin, Adderall, etc., contribute to the overdose crisis:

One of the ways is through the development of opioid dependence. People prescribed opioids for an injury or chronic pain may start to rely on them for relief, leading to a physical dependence on the drug. As their tolerance builds, they may need to take higher doses to achieve the same level of pain relief, increasing their risk of overdose.

Another way is through the use of street drugs. When people become dependent on prescription opioids and cannot obtain them, they may turn to street drugs like heroin to manage their withdrawal symptoms. Heroin is often cheaper and more readily available than prescription opioids, making it an attractive option for those struggling with addiction. However, street drugs are often more potent and can lead to a higher risk of overdose.

Polydrug use is also an issue, particularly when people combine opioids with alcohol or other sedatives. This practice often increases the risk of overdose and can be deadly.

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Who is to Blame for the Opioid Crisis?

It's important to note that the misuse of prescription drugs is not solely the patient's fault. Physicians have been criticized for overprescribing opioids, with some labeled as "pill mill doctors." They were seen as contributors to the crisis due to their over-reliance on opioid prescriptions to manage pain rather than exploring alternative treatments.

Pharmaceutical companies such as Purdue Pharmaceuticals have also been blamed for the crisis. Purdue, the real co-conspirator, was accused of downplaying the risks of addiction and exaggerating the benefits of OxyContin. It was also blamed for aggressively marketing the drug to physicians and misleading the public about the safety of its products.

The third guilty party is the American Pain Society, with its "pain as the 5th vital sign" campaign. This campaign promoted the idea that pain should be treated as a vital sign, like temperature, pulse, etc. However, it didn't come with any device to objectively measure pain as the previous vital signs, pulse temperature, respiratory rate, and blood pressure.

The 5th vital sign campaign was the first and only subjective vital sign. It led to a significant increase in opioid prescriptions, as doctors were pressured to treat patients' pain more aggressively.

Fourth on the list of blame is the Joint Commission. In 2001, it issued a mandate that required hospitals to use pain scales to evaluate patients' pain.

The commission also published a pain management guide that downplayed doctors' concerns about opioid addiction, tolerance, and risk of death. Additionally, it framed pain management as a patient's rights issue, increasing the pressure to prescribe opioids. Purdue Pharma sponsored this guide. 

Press Ganey is the fifth guilty party on the list. This company helped develop patient satisfaction surveys. The results of these surveys were then used to rank hospitals.

Then enters, the Centers for Medicare and Medicaid Services (CMS) issued a mandate to hospitals in 2002. The mandate threatened their Medicare reimbursement if patient satisfaction scores didn't meet specific standards. Patient satisfaction was based on surveys that included them scoring their satisfaction with pain control.

Inevitably, hospital administrators made it to the blame list. With CMS' mandate, hospital administrators felt pressure to increase patient satisfaction scores by any means necessary. So they started to pressure doctors to prescribe more opioids for pain management and patient satisfaction. This eventually led to overprescribing and misuse of opioids.

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Prescription Drugs Lawsuits

Numerous lawsuits have been filed against major pharmaceutical companies and high-profile figures concerning the opioid epidemic. One notable example is the lawsuit against Purdue Pharma, the maker of OxyContin. The company and members of the Sackler family, who owned Purdue, have been accused of aggressively marketing OxyContin while downplaying the risks of addiction, leading to the widespread abuse of the drug and the opioid epidemic.

In 2019, Purdue Pharma pleaded guilty to federal criminal charges and settled with the Department of Justice. The company and the Sackler family agreed to pay $8 billion in fines and penalties.

States and municipalities have also sued Johnson & Johnson, Teva, and Endo International over their role in the opioid epidemic. In 2021, Johnson & Johnson was ordered to pay $572 million in a landmark opioid trial in Oklahoma and is currently facing lawsuits in several other states.

Teva has settled with New York for $523 million and is working to finalize a nationwide settlement valued at more than $4.2 billion. And Endo which has now filed for bankruptcy has agreed to pay $450 million to support the treatment and prevention of opioid abuse. 

Opioid Abuse Treatment

More Than Rehab offers a range of treatment options to help those struggling with opioid addiction and substance abuse break the cycle and achieve long-term sobriety. The treatment center provides an array of evidence-based therapies, including individual and group counseling, medication-assisted treatment (MAT), relapse prevention training, and more.

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Why Are Older Adults Abusing Drugs More Than Ever?

Substance abuse among older adults is a significant issue that can have severe consequences for the health and well-being of older adults and those around them. Despite this, drug abuse rates among older adults are increasing faster than any other age group. A 2018 Substance Abuse and Mental Health Administration survey found that approximately one million seniors above 65 (or 2% of the senior population) had a substance use disorder in the past year. Some 3% use marijuana, and 1 in 10 engage in binge drinking.

The pandemic didn't help either, as lockdowns disrupted routines, isolation, and fear spread. 2020 reports from the National Center for Health Statistics showed a shocking 53% increase in opioid-related deaths among the baby boomers over the previous year. Alcohol-related deaths, which had already been rising for a decade in this age group, rose by 18%.

All these numbers lead us to the question, why are more older adults in the United States abusing drugs than ever before? This article will explore potential causes of this trend, including loneliness, boredom, mental health problems, and lack of access to appropriate healthcare.

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Prescription Medication

One of the key factors behind increasing substance abuse among older adults is the use of prescription medications. Older adults may face an increased risk of chronic pain, heart disease, and other health conditions as they age.

As part of quality health care, prescription medications can help relieve symptoms and improve the quality of life. However, if the medication is misused, it could lead to abuse. Sadly, many senior citizens abuse prescription medications for reasons like:

Social Isolation

Social isolation, or the lack of social connections and relationships, can be a risk factor for substance abuse in adults of all ages. That's because it can lead to negative emotions such as loneliness, boredom, and stress.

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Older adults may be more vulnerable to social isolation due to retirement, losing a spouse or other loved ones, or limited mobility. They may turn to drugs or alcohol to cope with these negative emotions. Social isolation can also increase the risk of mental health problems such as depression and anxiety, which can increase the risk of substance abuse.

Mental Health Issues

Mental health issues such as depression, anxiety, and cognitive impairments can increase the risk of substance abuse in older adults. These mental health issues may be due to various factors, including the natural aging process, physical health problems, social isolation, or other stressors.

Older adults with mental health issues may turn to drugs or alcohol to cope with their emotions or self-medicate for their mental health problems. Substance abuse can temporarily relieve negative emotions but can also lead to addiction and other negative consequences. Substance abuse can also exacerbate mental health problems and create a cycle of substance abuse and mental health issues.

Other Common Causes of Drug Abuse Among the Elderly

Impacts of Drug Abuse Among Older Adults

Substance abuse among older adults can seriously impact physical and mental health and the overall quality of life. Some of the potential impacts of drug abuse among older adults include:

Challenges in Identifying Addiction in the Elderly

Age-related changes can make it difficult for caregivers and healthcare providers to recognize and diagnose substance abuse in older adults. These age-related changes include changes in metabolism, which can affect how quickly and effectively a person's body processes drugs. In addition, older adults may be less likely to report symptoms of substance abuse, as they may feel embarrassed or ashamed to admit that they are having a problem with drugs or alcohol.

These age-related changes can make it difficult for healthcare providers to identify addiction in an older adult accurately. For this reason, it is essential for caregivers and healthcare providers to be aware of the risk factors and warning signs of substance abuse among older adults.

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Some Warning Signs of Drug Abuse in Older Adults

Some common signs that may indicate an older adult is abusing drugs or alcohol include:

Treating Substance Abuse in Older Adults

Addiction treatment in older adults should be tailored to the individual's age and health status. Treatment options include medication-assisted treatment, behavioral health therapies, counseling, and support groups. In some cases, long-term residential care may be necessary to ensure the individual gets the treatment they need to successfully manage addiction and live a healthy life.

It is also important to remember that addiction in older adults can be caused by underlying medical or mental health conditions. Therefore, it is essential to address any underlying issues to ensure that the individual receives comprehensive care and support.

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