How Nitrous Oxide (Whippets) Became a Fixture at Music Festivals

Nitrous oxide (N₂O), commonly known as laughing gas, has a long history as both a medical anesthetic and a party drug. In 1799, English chemist Humphry Davy famously hosted “laughing gas” soirees, where aristocrats inhaled N₂O for its euphoric, giggly buzz. For more than 200 years, it’s been used in dentistry and medicine, often with oxygen, to safely relieve pain.

But today, nitrous oxide has taken on a new life at concerts and music festivals. Young people inhale it from whipped-cream canisters (“whippits”) or balloons for a brief high, and many assume it’s harmless. In reality, the party drug reputation hides its serious health risks.

By the latest estimates, nitrous oxide has become one of the most popular party drugs among teens and young adults. A Home Office survey in the UK found that 350,000 young people used “hippie crack,” aka: laughing gas, in one year. Annual figures on drug misuse show that 6% of all 16 to 24-year-olds had tried it. This makes it the most popular drug among teens and young adults, after cannabis.

The gas is cheap and legal to possess, and it produces uncontrollable laughter and light hallucinations. These facts have turned N₂O into a festival staple. Discarded nitrous balloons and empty canisters litter music festival fields – a scene all too common.

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A Quick High: Euphoria and Dissociation

When inhaled, nitrous oxide causes an immediate, short-lived high. Users report a head-rush of euphoria, tingling sensations, light-headedness, and a fit of giggles. (This is why it’s called laughing gas.) Like a mini-anesthetic, N₂O disrupts brain neurotransmitters for a few seconds to a minute, producing dizziness, auditory and visual distortions, and a feeling of floating outside one’s body.

The high is that brief, which explains why many festivalgoers cycle through one balloon after another. Users may inhale directly from a whipped cream canister or fill a balloon or mask. Many prefer balloons so they can continue breathing air between shots of gas.

Medical experts warn that while nitrous oxide feels easy and playful at first, it can quickly cause serious acute effects. Inhaling pure nitrous oxide displaces oxygen in the lungs, so a person can easily suffocate if they pass out. “If somebody straps on nitrous oxide with a mask and loses consciousness, their oxygen level isn’t being monitored,” explains an LA County health official, “and they’re breathing N₂O, and now they’re anesthetized. People can die from suffocation”.

Frequent Use and Cumulative Harms

Nitrous oxide may look like an easy addition to a live-music vibe, but its effects on the nervous system snowball quickly. Because the high is so short-lived, many young adults keep taking balloon after balloon, and that’s where the real damage starts.

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Vitamin B12 Crash → Nerve & Spinal Injury

Every inhale oxidizes vitamin B12, spikes methylmalonic acid, and starves nerves of a critical co-factor. Over weeks or months, users can slip into subacute combined degeneration: numb hands and feet, wobbly gait, brain fog, and, in severe cases, paralysis. Extra B12 won’t fix it while the gas keeps flowing; the only remedy is to stop using hippie crack altogether.

Hypoxia & Cardiovascular Stress

Pure N₂O pushes oxygen out of the lungs. Repeated hits can lead to hypoxia, seizures, irregular (tachycardic) heartbeat, and even deep-vein thrombosis. In other words, a few minutes of “laughing gas” can strain the heart and brain long after the music fades.

Freeze Burns, Aspiration & Sudden Death

Dragging gas straight from a whipped-cream charger can drop temperatures low enough to freeze airway tissue. Add alcohol or opioids, and the risk of vomiting (and then inhaling that vomit) rises sharply, a lethal combo that EMTs at Phish concerts know too well.

Mental-Health Fallout

Chronic use can amplify anxiety, depression, and dissociation, which are issues many festivalgoers already battle. When fun begins to start to feel like self-medication, that’s a red flag for escalating substance abuse.

Festivals, “Whipped-Cream” Canisters and the Nitrous Mafia

The music-festival setting uniquely encourages nitrous use and even overlooks it. Many concert organizers ban aerosol sprays and mask kits, but dealers still smuggle in bags of charged canisters. Journalists have dubbed the syndicates running festival nitrous supply “the Nitrous Mafia”. In one report, undercover buyers witnessed organized dealers selling dozens of balloons per minute outside concerts.

At multi-day campsites (like jam-band or EDM festivals), these crews might burn through hundreds of tanks, filling up to 350 balloons from each steel cylinder. For customers, it’s dirt cheap: one tank yields many 5 or 10-dollar balloons that go fast in a long set. But after a festival, security guards find balloons littered like spent bullet shells across campsites every dawn. The scene signals how deeply nitrous is woven into the current music festival culture.

Many fans have fond memories of the “old days” when someone would casually pass around a baloon as part of a communal vibe. But heavier commercialization means the drug is no longer a mellow pastime; it’s now pushed aggressively. Some musicians and crew openly complain that nitrous sales are out of control at shows.

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Festivals also provide peer pressure and cues that normalize nitrous use. Among young audiences, pulling out a whipped-cream canister or balloons is almost a rite of passage. Social media amplifies this: TikTok videos and influencers often show “galaxy gas” or colored whippets as fun tricks or life hacks. Some big-name artists even glamorize it.

Rapper Kanye West publicly joked about using nitrous oxide to relieve stress. Another rapper (Lil Uzi Vert) rapped about being on “that NOS” (a slang term) on stage. These public figures make it look common and low-risk, but health experts worry this glamorization conceals the hidden harm.

Warning Signs and What Parents Should Watch For

Here’s what parents and guardians should watch for:

What to Look ForWhy It Matters
Balloons & whipped-cream chargers tucked into backpacks, glove boxes, or bedroom drawersA clear sign of nitrous access—dealers known as the nitrous mafia sell these for quick, short-lived highs
Dizzy or giggly spells after parties or live music eventsSudden euphoria followed by confusion is classic nitrous exposure
Sweet or metallic breath odorInhaling N₂O leaves a telltale scent on clothes and skin
Dilated pupils, wobbling gait, numb or tingling hands/feetEarly nerve stress from rising methylmalonic acid and looming vitamin B12 deficiency
Headaches, chest tightness, mood swings, or new anxiety/depressionOxygen depletion + B12 loss can damage the nervous system and overall mental health

From Party Drug to Public-Health Alarm

What started as a quirky balloon hit at music festivals is now a fast-moving public health issue across the United States. As alcohol and pills lose their shine for some young adults, “legal highs” like nitrous oxide, ketamine, and psychedelics are filling the gap, reinforced by nitrous mafia on every concert's shakedown street. Because N₂O is still legal for culinary “whipped-cream” use, smoke shops and online stores make it look safe, yet poison-control data show nitrous-related ER visits are on the rise.

No matter how harmless “hippie crack” seems in the glow of live-music lights, every refill edges closer to real substance abuse. If you, or someone you love, has crossed that line, More Than Rehab (MTR) is here to help with evidence-based inhalant and polysubstance abuse treatment. Reach out today, before a few balloons become a lifelong battle.

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Cocaine and the Heart: The Underrated Physical Dangers of Stimulant Abuse

Cocaine's psychological effects are widely known, but its impact on the heart is often dangerously underestimated. This potent stimulant places immense strain on the cardiovascular system, even in young adults with no prior history of heart disease. Cocaine use can trigger heart attacks, aortic dissection, and fatal arrhythmias. 

Let’s explore how cocaine harms the heart, the science behind its toxic effects, and why cardiac screening is essential in managing substance use disorders.

How Cocaine Affects the Cardiovascular System

Cocaine is a stimulant drug. It’s derived from the coca plant and is known for producing intense feelings of energy, alertness, and euphoria. 

People use it as a recreational drug - and it acts by blocking the reuptake of norepinephrine, dopamine, and serotonin. This leads to prolonged stimulation of the sympathetic nervous system. This “fight or flight” state results in vasoconstriction, leading to high blood pressure and reduced oxygen delivery to vital organs, especially the heart. 

Excessive stimulation also increases heart rate and myocardial oxygen demand, further stressing the cardiac system. This results in a perfect storm for cardiovascular emergencies as stated below:

Vasoconstriction and Hypertension

When blood vessels constrict, the heart must work harder to pump blood through narrowed arteries. This increases blood pressure (hypertension), a known risk factor for heart failure and coronary artery disease. Unlike gradual-onset hypertension, cocaine-induced spikes are abrupt and extreme. This sudden increase in pressure can rupture blood vessels, including the aorta, causing aortic dissection, a life-threatening emergency where the inner layer of the aorta tears.

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Case Study: Cocaine-Induced Aortic Dissection

A 48-year-old man with recent cocaine use was presented with chest pain and back pain. Further tests revealed a Type-A aortic dissection. Despite emergency surgery, he succumbed to these complications. Diagnostic imaging confirmed an acute aortic dissection. Toxicology results were positive for recent cocaine use. Notably, he had no conventional cardiovascular risk factors. 

Cocaine and Myocardial Infarction (Heart Attack)

Cocaine can cause myocardial infarction (MI), or heart attack, by inducing coronary artery vasospasm. Unlike typical MIs caused by plaque buildup, cocaine-related MIs often occur in arteries that appear otherwise normal. The intense vasospasm restricts blood flow, depriving the heart tissue of oxygen, resulting in damage or death of cardiac muscle cells.

A study summarized by the American College of Cardiology found that 25% of patients under age 30 presenting with acute coronary syndrome admitted to recent cocaine use. Alarmingly, many had no traditional cardiovascular risk factors like diabetes, smoking, or high cholesterol.

Accelerated Atherosclerosis and Long-Term Side Effects

Chronic cocaine use contributes to the buildup of plaque in the arteries (accelerated atherosclerosis). This narrows the coronary vessels, increasing the risk of coronary artery disease and heart failure over time. Additionally, cocaine-induced oxidative stress damages the endothelium (the inner lining of blood vessels), fostering inflammation and plaque formation.

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Cocaine-Induced Cardiomyopathy

Cardiomyopathy is a disease of the heart muscle that reduces its ability to pump blood effectively. Cocaine can cause both acute and chronic cardiomyopathy. Repeated use weakens the heart muscle, lowering the ejection fraction (the percentage of blood the heart pumps with each beat). This leads to symptoms such as shortness of breath, fatigue, and fluid retention.

Case Study: Dilated Cardiomyopathy in a Young Man with Cocaine Use

A young adult male presented with symptoms of heart failure, including extreme fatigue and shortness of breath. Cardiac imaging revealed a severely reduced ejection fraction of 25%, consistent with dilated cardiomyopathy. He had no history of hypertension, diabetes, or coronary artery disease. Further evaluation confirmed recent cocaine use. With no other identifiable cause, his condition was attributed to cocaine-induced cardiomyopathy.

Arrhythmias and Sudden Cardiac Arrest

Cocaine disrupts the heart’s electrical system, increasing the risk of arrhythmias (abnormal heart rhythms). These can range from palpitations to life-threatening ventricular fibrillation, where the heart quivers instead of pumping. In some cases, this leads to sudden cardiac arrest, which is fatal if not treated immediately.

Electrolyte imbalances and increased myocardial oxygen demand from stimulant use further exacerbate these risks. Even minor lapses in rhythm can be deadly in the presence of underlying congenital heart disease or structural heart changes.

The Risk of Mixing Cocaine and Alcohol

When cocaine and alcohol are used together, the liver metabolizes both substances simultaneously. During this process, instead of breaking each down separately, the body forms cocaethylene, a unique and toxic metabolite that remains in the bloodstream much longer than cocaine. While cocaine’s effects may wear off within an hour or two, cocaethylene can persist for several hours, exerting prolonged and intensified pressure on the cardiovascular system.

Why Is Cocaethylene So Dangerous?

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Cocaethylene is more cardiotoxic than cocaine. That means it damages the heart muscle and blood vessels more aggressively. Several studies have shown that cocaethylene toxicity increases the risk of:

It also lowers the threshold for fatal arrhythmias, especially ventricular fibrillation, a condition where the heart's electrical activity becomes disorganized and ineffective, leading to cardiac arrest if not immediately reversed.

The Need for Cardiac Screening in Addiction Treatment

The effects of cocaine can be silent until a serious event occurs. Therefore, people with substance use disorders, especially those who combine cocaine and alcohol, should undergo routine cardiac evaluation as part of their recovery process.

Recommended cardiac screenings include:

Early screening, even in those who are asymptomatic, can identify heart conditions that may be reversible with early intervention and sustained abstinence. A proactive approach, especially for those with a history of stimulant use, can make the difference between recovery and a silent tragedy.

If you need help getting off of cocaine, we can help. Our team has extensive experience in cocaine use treatment and can help you regain control of your life.

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The Role of Sleep Disorders in Addiction & Mental Health

Sleep is essential for maintaining emotional stability, enhancing memory, and promoting brain recovery. But if you're in addiction recovery, you might find it challenging to catch a good night sleep because of withdrawal symptoms, nutrient deficiencies, and the effects of past substance use on the body's natural sleep-wake cycle. Sleep disorders are another common concern in addiction recovery.

In fact, the impacts of addiction on the natural sleep regulation process have been thought to cause or exacerbate sleep disorders. And the relationship is bidirectional. Sleep disorders, too, can lead to addiction and mental and physical health issues. The three are closely intertwined, with studies showing that one increases the risk of the other.

The Bidirectional Relationship Between Sleep Disorders and Addiction

Sleep disorders and substance use disorders are closely linked through complex neurobiological mechanisms. Each condition can both contribute to and exacerbate the other, creating a cycle that is difficult to break without integrated care.

How Sleep Disorders Can Contribute to Addiction

Sleep disorders such as restless leg syndrome, circadian rhythm disruptions, and obstructive sleep apnea can increase the risk of substance use. The underlying science points to several key mechanisms:

1. Altered Reward Processing

Chronic sleep deprivation affects the brain’s reward circuitry, particularly the dopaminergic system. Lack of sleep causes the brain to become more sensitive to rewards, which can heighten cravings and impulsivity. This heightened sensitivity can increase the likelihood of using substances—such as alcohol, cannabis, or sedatives—as a means of achieving short-term relief or pleasure.

2. Impaired Emotional Regulation

Sleep is essential for regulating mood and managing stress. Inadequate sleep diminishes the function of the prefrontal cortex (responsible for decision-making and self-control) while increasing amygdala reactivity (associated with stress and emotional responses). This imbalance contributes to mood swings, anxiety, and poor judgment—factors commonly associated with increased substance use and relapse risk.

3. Activation of the Stress Response System

Persistent insomnia and other sleep disorders activate the hypothalamic-pituitary-adrenal (HPA) axis, the body’s central stress response system. Chronic activation leads to elevated cortisol levels, which are associated with higher rates of depression, anxiety, and subsequent self-medication with substances.

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How Substance Use Contributes to Sleep Disorders

Substance use can directly impair sleep quality and disrupt the brain’s natural sleep architecture. These effects may continue well into recovery, particularly during post-acute withdrawal.

1. Circadian Rhythm Disruption

Many substances—including alcohol, stimulants, and opioids—interfere with the suprachiasmatic nucleus (SCN), which governs circadian rhythms. Disruption of this internal clock leads to irregular sleep-wake cycles, delayed sleep onset, and daytime fatigue.

2. Neurotransmitter Imbalances

Substances affect key neurotransmitters that regulate sleep:

3. Long-Term Impact on Sleep Architecture

Substance use can cause lasting alterations in sleep structure. Reduced slow-wave (deep) sleep and REM sleep lead to non-restorative sleep, memory impairment, and emotional instability. These disruptions often persist during early recovery, contributing to post-acute withdrawal syndrome (PAWS)—a set of lingering symptoms including insomnia, irritability, and poor concentration.

The Cycle of Sleep Disruption and Substance Use

Together, these factors create a bidirectional and self-reinforcing cycle:

This cycle not only impairs quality of life but also undermines recovery efforts if not properly addressed.

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Why Sleep Matters in Recovery

Quality sleep is essential for rebuilding emotional and cognitive balance during recovery. Sleep supports key functions like emotional regulation, impulse control, and decision-making—skills that are often challenged in early sobriety.

When sleep is disrupted, the brain’s ability to manage stress and resist cravings declines, increasing the risk of relapse. Sleep disturbances can also worsen symptoms of post-acute withdrawal, such as anxiety, mood swings, and low energy.

Structured routines are critical in recovery, but disorders like insomnia or circadian rhythm disruptions can make consistency difficult. Poor sleep undermines progress, making it harder to stay engaged in therapy, maintain relationships, and follow recovery plans.

Healing Your Sleep

Left unaddressed, chronic sleep disturbances can push you to self-medicate in an effort to feel “normal” again. But using substances to cope with sleep loss only restarts the cycle, making both sleep and recovery harder to maintain.

Given the strong interplay between sleep and substance use disorders, treating sleep disturbances should be a core component of addiction recovery. These evidence-based interventions can help restore sleep health and support long-term recovery outcomes:

1. Cognitive Behavioral Therapy for Insomnia (CBT-I)

CBT-I is a non-medication therapy widely recommended for sleep issues in addiction recovery. It targets the root causes of insomnia through:

CBT-I helps you sleep better without the risk of developing a dependency on a new substance. This is huge if you’re in recovery.

2. Sleep Hygiene Habits

Practicing good sleep hygiene helps reinforce your body’s natural rhythms and reduce sleep latency (the time it takes to fall asleep). Some useful habits include:

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These changes may seem small, but they can greatly improve your sleep quality and mental clarity.

3. Medication-Assisted Treatment (MAT) and Sleep

If you're receiving addiction treatment programs involving MAT (e.g., methadone or buprenorphine), your medication could be affecting your sleep. It's worth discussing any sleep issues with your provider. They may adjust your dosage or suggest timing changes to minimize impact.

Non-habit-forming medications, such as trazodone, gabapentin, or melatonin, may be used temporarily under supervision. These options can offer relief from insomnia symptoms without the risks of traditional sleeping pills.

Always avoid over-the-counter sleep aids unless approved by your healthcare provider, especially during recovery. Many OTC sleep aids contain antihistamines, which can lead to next-day drowsiness and long-term tolerance. It is also essential to follow the instructions provided when using the sleep aids.

Sleep As a Recovery Tool

Sleep is not a luxury but rather a necessary part of the work, especially as you progress through your recovery journey.

If you’re struggling with sleep, don’t ignore it. Addressing it can make everything else a little easier. Consult with your provider, explore available support options, and take it seriously. It will help you get the rest you need at night and stay on track during the day. Set one small sleep goal tonight. That’s a real step forward.

Need help navigating recovery and sleep? Reach out to More Than Rehab today. We are here to support your healing every step of the way.

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Political Anxiety: How Hopelessness Leads to Substance Abuse

Let’s be honest. It’s hard to stay hopeful when everything feels like it’s falling apart. You open your phone, and it’s politics. You turn on the TV, and it’s worse. Your social media feeds are a constant doomscroll of fights and emotional responses — friends, family members, strangers yelling into the void. Everyone’s angry, everyone’s scared, and you’re just trying to hold it together. But between inflation, political polarization, and whatever new crisis just dropped, for many, it feels like the world is spiraling out of control.

But, you keep it moving during the day. You go to work, you pay bills, and you show up again the next day. But at night, when it’s quiet, the anxiety starts to creep in. What happens if the “wrong” person wins the next presidential election? What if policies change and your community suffers? What if your voice, your vote, doesn’t seem to matter anymore? This is political anxiety. And it’s a much bigger issue than most people think.

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This Isn’t Just About Politics—It’s Personal

When the side you support loses, it doesn’t just feel like a policy shift. It feels like you lost. Like your values, your beliefs, your place in this country suddenly don’t count. It can be exhausting – especially for people living in swing states. Every ad feels like it’s targeting you. The pressure feels constant. Everyone wants something; your vote, your support, your attention, and you seemingly never get a break from it all.

Now add financial stress, economic hardship, climate grief, or just trying to raise a family in this chaos — and it can be a lot. You start to feel like you’re just surviving. Waiting for the next hit. That helplessness? That’s what drives people toward the edge. Not because they’re weak, but because they’re tired.

How Hopelessness, Stress and Anxiety Causes Substance Abuse

The cycle of political anxiety can mess with your brain in ways you don’t always notice right away. Your nervous system doesn’t know the difference between a real physical threat and constant mental stress, so it stays activated. Your body keeps pumping out stress hormones like cortisol, which, over time, messes with how you sleep, how you focus, and how you feel.

Self-Medicating With Drugs and Alcohol

Eventually, your brain stops regulating itself properly. You feel disconnected, flat, and worn down. And when nothing feels good anymore, your brain looks for something... anything, to bring relief. Drugs and alcohol often feel like the fastest way to escape the tension, albiet briefly. According to one study, 21.9% to 24.1% of people with anxiety disorder report self-medication with alcohol and drugs.

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Tolerance Builds Up

Once substances enter the picture, the relief is fast but temporary. You may feel calmer, lighter, maybe even numb. That escape can become addictive, both chemically and emotionally. Your brain floods with dopamine, and you start associating that high with safety, control, and peace. But eventually, your brain starts to adapt. It notices that dopamine is being supplied artificially, so it reduces its own natural production.

Over time, this leads to dopamine depletion, which makes it harder for you to feel pleasure from everyday things like food, music, conversation, or even rest. Your reward system gets thrown off balance, and now the only thing that gives you a sense of relief is the substance itself. Tolerance kicks in when your brain becomes less sensitive to the same amount of the substance, so you need more of it to get the same effect.

Meanwhile, the parts of the brain responsible for judgment, impulse control, and emotional regulation—especially the prefrontal cortex—start to weaken. You may act impulsively, struggle with focus, or react more intensely to stress. The substance that once gave you a break from anxiety now amplifies it when you’re not using.

Substance Abuse and Addiction

During this process, the body begins to depend on the substance just to maintain balance. This is physical and psychological dependence. Without the substance, withdrawal symptoms set in: irritability, restlessness, insomnia, and even panic. At this stage, you're no longer using to feel good. You're using it to avoid feeling worse. And because the root issue—election anxiety, hopelessness, and chronic stress—remains unresolved, the cycle deepens.

Healthier Ways to Process Political Disappointment

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No, you can’t control election results. You can’t fix every policy. You can’t change the political climate overnight. But you can learn to protect your mental health and handle political disappointment in a healthier way.

1. Unplug intentionally

Politics is one of the primary sources of depression and anxiety in today's society. It’s okay to disconnect – even from participating in a healthy political discussion. Take breaks from the news and social media every once in awhile. Not because you’re avoiding reality but because your brain needs recovery time. Boundaries aren’t ignorance. They’re survival.

2. Move your body

Stress lives in your nervous system. Physical movement, walks, yoga, stretching, helps release it. You don’t need a gym. Just move.

3. Reconnect with people you trust

Political tension breaks relationships, but healing starts with honest conversations. Talk to friends or family members who feel safe. You don’t need to agree on everything; you just need to feel heard.

4. Invest in self-care, even if it feels small

Eat. Hydrate. Sleep. These basics sound simple, but they rebuild resilience. Caring for your body creates the foundation your mind needs to recover.

5. Channel your energy into action

Hopelessness shrinks when you do something. Volunteer. Organize. Support a cause that matters. Even small actions within your own community can help build back your sense of purpose.

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When It’s Time to Get Help

Sometimes, it’s deeper than a rough week or a bad election cycle. If you’ve been using substances to numb out, if you’re noticing a pattern that’s hard to break, or if you just feel like you’re not okay anymore, please don’t wait for it to get worse.

Reaching out for help doesn’t mean you’re broken. It means you’re ready to feel better. Therapy helps you unpack the pressure you’ve been carrying. It gives you tools to deal with stress and manage anxiety without needing to self-medicate with alcohol, illicit drugs or controlled substances.

Support groups are also critical as they allow you to connect with like-minded individuals. If you’re dealing with a substance use disorder, treatment options range from outpatient care to detox and structured support.

The first step? Say something. Even if it’s just, “I need help.”

Talk to Us

At More Than Rehab (MTR), we understand how deeply political anxiety and chronic stress affect your mental health. We also know how easy it is to fall into unhealthy patterns when hope feels out of reach. Whether you’re struggling with anxiety, substance use disorders, or just feel stuck, you’re not alone—and you don’t have to figure it out on your own.

We offer comprehensive care that meets you where you are. No shame. No judgment. Just a path forward. You deserve to feel like yourself again. Let’s take the next step together.

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Understanding Fentanyl: Why It’s So Dangerous & How to Stay Safe

The growing reports of opioid overdose deaths are overwhelming. And the rising numbers don’t make it any easier. If you’re feeling worried—about yourself, your family, or someone close to you—you’re not alone. According to the CDC, fentanyl is now involved in about 76% of opioid overdose deaths in the United States, a statistic that underscores just how serious this crisis has become.

What makes it even more frightening is how often fentanyl is mixed into other drugs without anyone realizing it. It’s understandable to feel concerned, even helpless, in the face of these risks. But understanding fentanyl, its dangers, and how to stay safe can help you take meaningful steps to protect yourself and those you care about.

What Is Fentanyl?

Fentanyl is a synthetic opioid that can be up to 50 times stronger than heroin. Doctors sometimes prescribe it to treat severe pain, especially after surgery. It is often used in hospitals under close supervision. However, fentanyl is now found more often in illegal drug markets. People sometimes buy what they believe to be prescription opioids or other drugs, only to end up with substances laced with fentanyl.

When misused or without medical supervision, fentanyl can be very harmful. Because it is so powerful, even a minimal amount can be life-threatening. This risk becomes worse when fentanyl gets mixed with other substances like cocaine or ecstasy. Sometimes, people do not even know they are taking fentanyl. That is one reason authorities are saying "one pill can kill" as so many recent overdose deaths have been attributed to unexpected fentanyl contamination in other drugs.

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Why Is Fentanyl So Dangerous?

The main danger lies in its strength. Small doses can slow your breathing so much that your body shuts down, leading to an opioid overdose. This can happen before you even realize you are in trouble. When fentanyl is mixed with other drugs, it becomes even more unpredictable. People might think they are taking one substance but receive a much stronger opioid.

This often leads to a dangerous situation where just one pill or one dose can be enough to cause an overdose. As a result, the number of deaths from fentanyl overdoses continues to grow. Public health experts warn that using any non-prescribed pill is now a high-risk activity, especially if it might contain fentanyl.

How Fentanyl Can Appear in Other Drugs

Part of the reason fentanyl is dangerous is its invisibility. You can’t see, smell, or taste it, which means you cannot know if it’s there without testing the drug.

Drug dealers and drug cartels frequently lace substances with fentanyl because it’s inexpensive to produce and dramatically increases the potency of their products. This practice puts unsuspecting users at extreme risk. Fentanyl has been found in pills disguised as prescription opioids like oxycodone, in fake pills made to look like medications, and even mixed with drugs like cocaine and ecstasy.

How to Stay Safe and Reduce Risks

1. Avoid Drug Use Altogether

The safest option is to avoid using drugs entirely. This might sound simple, but it can be challenging if you or someone you care about struggles with substance use disorder. If that is the case, please know help is available. You do not have to face this alone.

2. Use Fentanyl Test Strips

If you or a loved one does feel at risk of encountering fentanyl, fentanyl test strips can detect whether the drug is present in a powder or a crushed pill. They are not foolproof, but they do lower the risk of an unexpected overdose. Remember, a negative result does not guarantee total safety, so caution is still necessary.

3. Recognize Overdose Signs

An overdose can happen suddenly. If you see someone who has very slow or stopped breathing, is unconscious, or has bluish lips or fingertips, treat that as an emergency and call 911 right away. You should also give naloxone (often known by the brand name Narcan) if it is available. Naloxone reverses opioid overdose by blocking the opioid’s effect on the brain, and it can save a life.

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4. Carry Narcan (Naloxone)

Naloxone kits are available at many pharmacies and community organizations. You do not need a prescription in most places. Having a kit on hand can make the difference between life and death if an overdose occurs. Public health agencies often provide Narcan at low or no cost, so you can ask about free programs in your area.

5. Harm Reduction Approaches

Some communities focus on harm reduction to lower the risk of infection, overdose, and other health issues. Harm reduction programs often offer clean syringes, naloxone training, and information about safer use practices. Their goal is to support people who use drugs and to prevent further harm. They also serve as a point of contact for people to enter drug addiction treatment programs or other forms of help.

Mental Health Care and Fentanyl Use

Many people who develop a substance use disorder are also dealing with emotional pain or stress. Mental health care can address underlying issues like anxiety, depression, or unresolved childhood trauma. Counseling or therapy helps you learn healthier ways to cope. You also gain support that can help you move away from drug use.

Remember, you do not have to handle everything on your own. A licensed therapist, psychiatrist, or counselor is there to guide and support you. They help you work on a treatment plan for your needs and challenges. This plan often includes therapy, medication, and group support.

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Finding Treatment for Substance Use Disorder

1. Drug Addiction Treatment Programs

Drug addiction treatment programs offer structured help through inpatient or outpatient settings. They often include detox services, counseling, and medication-assisted treatment. These programs give you the tools to stop drug use and maintain long-term health.

2. Support Groups

Groups like Narcotics Anonymous or other community support groups can provide a sense of connection. They let you share experiences with people who understand your challenges. They also offer encouragement to stay on track. Support from peers makes a big difference in your addiction recovery journey.

3. Family Involvement

Family members can play an essential role in recovery. They often notice changes in behavior before anyone else. When a family learns how to support a loved one and set healthy boundaries, it creates a more stable environment for healing. Encourage open, non-judgmental communication. Offer to help with finding resources or simply be there to listen.

If you or someone you care about has a substance use disorder, please remember that help is available. A treatment plan can involve drug addiction treatment programs, therapy, and support groups like Narcotics Anonymous. You also have the option of including family members who want to help. All these resources work together to keep you or your loved one safe and supported.

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Breaking the Cycle: How Addiction Affects Future Generations

You’ve probably heard people say, “The apple doesn’t fall far from the tree.” It’s often about physical traits or quirks—like having your mom’s smile or your dad’s stubborn streak. But it also applies to things we don’t always talk about, like how addiction affects future generations.

Addiction often has deep roots in a family’s history. If your family history includes substance use disorders, you’re at a higher risk of developing them yourself. Why? It’s partly genetic and partly environmental.

On the genetic side, research shows that some people are more vulnerable to drug addiction due to inherited traits that affect how their brain responds to substances. But it’s not just biology—what you see growing up also plays a huge role. If your family members struggled with substance use disorders, you might have grown up in an environment where drug or alcohol use seemed “normal” or even as a legitimate way to cope with stress.

When these patterns go unaddressed, they don’t just affect you—they affect future generations.

Family Dynamics and Emotional Patterns

Your family dynamics shape your understanding of emotions, relationships, and challenges. If addiction was part of your family environment, it likely caused emotional instability or even trauma. For example:

These learned behaviors often follow a generational cycle of addiction, where emotional wounds and unhealthy habits are unintentionally passed down to children.

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Environmental Factors and Addiction’s Impact on Families

It’s not just genetics or behavior—it’s also about the environment you grew up in. Living in a household where addiction is present creates stress and unpredictability. Children in these homes often experience neglect, anxiety, or even abuse, which increases their risk of mental health disorders or substance use disorders later in life.

The pressure to keep the family functioning often falls unevenly on different age groups. For example, older siblings might take on a caretaker role, while younger ones may act out to seek attention. These dynamics reinforce unhealthy roles that can persist into adulthood, further contributing to the history of substance abuse in the family.

Inherited Behavioral Patterns Across Generations

Behavioral patterns, like how you handle stress or conflict, are often modeled by parents and caregivers. If addiction was part of your family’s story, you may have learned these patterns without even realizing it. For instance:

Over time, these inherited behaviors create a ripple effect. They don’t just impact you; they shape how future generations navigate life. Without intervention, these cycles can continue indefinitely.

Breaking the Cycle of Addiction with Evidence-Based Treatments

The good news is that with the right support and evidence-based treatments, it’s absolutely possible to break the cycle of addiction and create a healthier future for yourself and your family.

How CBT Helps Break the Cycle

Cognitive Behavioral Therapy (CBT) is one of the most effective tools for treating substance use disorders. Why? Because it focuses on changing the thought patterns and behaviors that keep addiction alive.

Here’s how it works:

  1. Identifies triggers: CBT helps you recognize the situations, emotions, or environmental factors that lead to substance use. For example, if stress at work or unresolved family conflict is a trigger, CBT helps you develop healthier ways to cope.
  2. Builds healthy coping mechanisms: Addiction often develops as a way to deal with pain or stress. CBT teaches practical tools for handling these challenges without turning to drugs or alcohol.
  3. Prevents relapse: One of the biggest benefits of CBT is its focus on preventing relapse. You’ll learn strategies to stay on track even when life gets tough, like how to manage cravings or avoid high-risk situations.
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The Role of Family Therapy in Addiction Treatment

Addiction doesn’t happen in isolation—it affects the entire family. That’s where family therapy comes in. This treatment focuses on improving communication, resolving conflicts, and addressing the underlying issues that contribute to addiction.

Here’s what makes family therapy so powerful:

Why Community Support is Critical

While therapies like CBT and family therapy are essential, recovery doesn’t end there. A strong support network is just as important. Groups like Narcotics Anonymous provide a space to connect with others who understand what you’re going through.

NA meetings offer:

Combining evidence-based therapies with community support is a powerful way to stay committed to your recovery and prevent relapse.

Why Evidence-Based Treatment Works for All Age Groups

One of the best things about these addiction treatment approaches is that they can work for anyone, no matter their age or background. Whether you’re a young adult trying to overcome early substance use or a parent wanting to break the cycle for future generations, these treatments meet you where you are.

By focusing on both the individual and their environment, evidence-based treatments help you address the root causes of addiction while equipping you with the tools to build a healthier life.

Ready to Break the Cycle?

Addiction is tough, but it doesn’t have to define your family’s story. With evidence-based approaches and support from groups, you can overcome the challenges of addiction and have a brighter future for you and your loved ones.

If you’re ready to take that first step, More Than Rehab is here to help. We can help you break intergenerational trauma and addiction so you can heal and thrive.  

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Recognizing the Signs: How Drug Use Leads to Skin Wounds & Infections

Many people who abuse drugs try so much to hide their secrets. And most of them manage to do so, especially in the early stages. But the thing about drug use is at some point, the signs start to show – either through psychological, behavioral, or physical signs. In this article, we’ll discuss how to recognize the warning signs of drug abuse through skin wounds, scabs, and lesions.

Which Drugs Affect the Skin?

Drug use and addiction don’t just cause negative mental health and physical issues. It can also lead to a range of skin and soft-tissue issues. Here are some common drugs that cause skin problems:

Methamphetamine (Crystal Meth)

Meth is one of the most well-known drugs for causing issues like skin wounds. It’s highly addictive and affects the central nervous system. People who use meth often experience intense itching, which leads to skin picking and scratching. Methamphetamine abuse can also lead to "meth mites," a sensation where users feel like bugs are crawling under their skin, further driving them to scratch and harm their skin.

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Heroin

Heroin is typically injected, which is why people who use it often develop track marks—bruised, damaged areas along the veins. Repeated injections can lead to scarring, abscesses, and infections, especially if non-sterile needles are used.

Heroin users also practice skin popping, where they directly inject the drug under the skin instead of the vein. And with obsessive picking, users are likely to get necrotizing skin lesions and infections. And let’s not forget that heroin suppresses the immune system, making it easier for skin wounds to get infected and harder for the body to heal.

Cocaine

Cocaine, particularly when snorted or smoked, can cause skin damage around the nose and mouth. However, when injected, it also causes track marks and abscesses, much like heroin. Cocaine use can make you feel restless and lead to obsessive skin picking. Over time, this can cause open wounds, lesions, and serious infections. The stimulant effects of cocaine also cause blood vessels to constrict, leading to high blood pressure, poor circulation, and a higher risk of skin damage.

Synthetic Opioids (e.g., Fentanyl)

Fentanyl and other synthetic opioids can lead to similar skin problems as heroin, including track marks, abscesses, and infections from repeated injections. They also affect the immune system, making it harder for your body to fight infections. Opioids also cause dehydration, leaving the skin dry and prone to cracking, which creates even more opportunities for bacteria and fungi to enter and cause bacterial and fungal infections.

Alcohol

While alcohol might not directly cause skin wounds like meth or heroin, it can lead to severe skin issues. Alcohol dehydrates your body, making your skin dry and flaky. Over time, heavy drinking can lead to a yellowish, jaundiced appearance due to liver damage. Alcohol also weakens your immune system, making you more susceptible to infections and other skin problems.

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How to Identify the Warning Signs of Drug Abuse

If you’re concerned that a loved one is abusing drugs or alcohol, looking out for physical signs is a good starting point. Sores, skin wounds, or infections can be early indicators, but there are other changes to watch for:

Look for Sudden Changes in the Skin

If someone’s skin starts to look different—either more irritated, pale, or unhealthy—that can be an early sign of drug use. Watch for sudden outbreaks of acne, random scabs, or red, irritated skin. Drugs like methamphetamine can cause severe acne or sores from skin picking, which often appear out of nowhere. If you notice these changes and they don’t seem to heal, that’s a sign something might be wrong.

Notice Track Marks or Unusual Bruises

Track marks are one of the more apparent signs of drug use, especially with substances like heroin or Fentanyl. These marks usually appear as minor, dark bruises or scars along veins, especially on the arms, legs, or hands. Repeated injections damage the veins and leave behind noticeable scars. If you notice bruising or marks that don’t seem to have an explanation, it could be a sign of intravenous drug use.

Pay Attention to Frequent Skin Infections

Skin infections, like abscesses (painful, swollen lumps filled with pus), can be a clear indicator of drug use, especially with those who inject drugs. These infections happen because non-sterile needles allow bacteria to enter the skin, leading to infections like staphylococcus aureus or necrotizing fasciitis. If someone has recurring or unexplained skin infections, that’s a major red flag.

Watch for Skin Picking or Scratching

Some drugs, like meth or cocaine, cause a sensation that feels like bugs crawling under the skin, leading to obsessive scratching or picking. If someone is constantly scratching, picking at their skin, or creating sores that won’t heal, this is a sign they may be using drugs. These skin wounds can get infected and turn into scars if left untreated.

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Be Aware of Changes in Skin Color

If someone’s skin starts to look paler than usual, or if you notice a yellowish (jaundiced) tint, it could indicate liver problems from alcohol or opioid abuse. A jaundiced appearance is often linked to liver damage, which happens when your body can’t correctly filter toxins. A pale complexion can also suggest poor circulation due to drug use, especially with substances that affect blood flow, like heroin.

Look for Signs of Premature Aging

Drugs like methamphetamine can make someone look older than they are. You might notice deeper wrinkles, sagging skin, or a tired appearance. This happens because drugs dehydrate the body and break down collagen, which keeps skin firm and youthful-looking. If someone seems to age rapidly, especially in their skin, drug use could be the cause.

Keep an Eye on Sun Sensitivity

Some drugs make the skin more sensitive to sunlight, causing sunburns or dark spots more easily. If you notice that someone’s skin seems to be burning faster or developing dark patches, especially when they’re outside, this could be a side effect of drug use.

Look for Vascular Issues

Discoloration in the skin, especially around the hands, feet, or injection sites, can be an early sign of drug-related vascular problems. Poor circulation caused by drug use can turn skin a bluish or purplish color, especially in the extremities. This is a sign that the veins or arteries are damaged and the skin lacks oxygen.

Can You Reverse the Effects of Drug Use on Your Skin?

If you’re worried about your loved one’s skin issues due to drug use, the good news is that many of the effects can be reversed with the right care. Once they stop using, their body can begin to heal. Minor wounds, sores, and infections often improve with proper hygiene and medical treatment. However, more serious conditions, like deep scars or severe infections, may need more intensive care. The sooner your loved one seeks help, the better their chances of healing their skin and overall health.

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When to Seek Help

If your loved one is showing signs of drug use, it’s essential to act quickly. These could be early signs of a larger issue that may worsen if left untreated.

Here’s when you should think about getting help:

Seeking help doesn’t just mean addressing the physical effects of drug use. Finding treatment for their substance use disorder is critical to a full recovery. You can also look into harm reduction strategies to lower their risks until they’re ready for treatment. Encouraging them to seek help is one of the best things you can do for their health and your peace of mind.

It’s never too late to take that first step and ask for help. Give us a call today, we are available 24/7, 365 days a year:

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Borderline Crisis: How Fentanyl is Crossing the US-Mexico Border

Synthetic opioids like fentanyl are the leading course of overdose deaths in the US. New data from the CDC’s National Center for Health Statistics shows that there were an estimated 81,083 opioid-related deaths in 2023. While this marks a slight decrease from the 84,181 deaths recorded in 2022, the numbers remain staggering and underscore the ongoing threat fentanyl poses to communities nationwide. Most of the fentanyl in the United States is smuggled across the US-Mexico border.

Our border with Mexico has become a major front in the fight against the opioid crisis. Despite efforts to tighten security, traffickers keep finding new ways to sneak the drug in. Mexican drug cartels have set up complex smuggling operations. They recruit US citizens to carry fentanyl across the border, hiding it in cars, trucks, and personal items.

How Fentanyl is Crossing the US-Mexico Border

Seizure reports show that the pounds of drugs seized at the border are trending down. But this is mostly only true for heavier, less potent drugs like marijuana. Seizures of fentanyl, which is 100 times more potent than morphine, is up significantly. In fact, it’s 480% higher at the southern border in 2023 compared to 2020.

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The US-Mexico southern border stretches approximately 1,954 miles, crossing four states: California, Arizona, New Mexico, and Texas. This long expanse includes about 26 official land ports of entry, where people, vehicles, and goods are legally allowed to cross between the two countries. These ports are crucial points for trade and travel but also serve as primary routes for smuggling fentanyl and other illicit drugs into the United States.

So, how does fentanyl get in the country?

You might be surprised to learn that most of the fentanyl coming into the US isn’t being smuggled by migrants—it’s often US citizens doing the job. Cartels recruit Americans because they can cross the border without drawing as much attention. They get paid well to hide fentanyl in cars, trucks, and even everyday items like food packages or clothes. Most of this drug trafficking happens right at official border crossings, like the busy ports of entry in San Diego and El Paso.

The Mexican cartels—mainly the Sinaloa and Jalisco New Generation cartels—have this down to a science. They use all kinds of tricks to get fentanyl past border agents. We’re talking about false compartments in cars, blending drugs with legal goods, and even hiding fentanyl pills or powder in shoes or personal items. It’s a cat-and-mouse game that’s constantly evolving, and the cartels are always finding new ways to beat the system.

Despite increased security measures, the sheer size of the border and the volume of traffic make it a challenging task for border patrol and customs agents to effectively monitor and intercept every illegal shipment that passes through.

What the US is Doing to Fight Back

The Biden Administration has been trying to crack down on this by going after the supply chain, especially the chemicals used to make fentanyl. Most of these chemicals come from China, and without them, cartels can’t produce fentanyl at the same scale.

Since 2019, China has cut down on sending fentanyl directly to the US. This is a big change noted by the DEA. However, China still plays a major role in the fentanyl crisis as it supplies the chemicals used to make fentanyl in Mexico and other Central American countries. These chemicals are shipped to Mexico, where cartels turn them into the fentanyl that floods the US.

So, the US has been pushing a foreign policy with China that will help tighten the rules on these chemicals. It’s a step in the right direction because if we can cut off the supply of these chemicals, we can slow down the production of fentanyl.

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Federal law enforcement is also working hard to break up cartel operations. They’re going after the money trails that fund these groups and are working with Mexican authorities to shut down labs where fentanyl powder is made. At the same time, US agencies are stepping up their game at the border, using more advanced tech like X-ray machines and drug detectors to spot hidden stashes of fentanyl. They’re also training customs and border protection agents to spot the tricks smugglers use.

But let’s be real—the cartels are always adapting, so it’s a constant battle. For example, fentanyl comes in many forms, and each version can be made using different chemicals. Cartels keep switching up how they make the drug, finding new chemicals that are easy to get.

It’s like a never-ending chase between cartels trying to make money and governments trying to stop them. It’s a dangerous game, and both sides are constantly trying to outsmart each other.

The Real Impact of Fentanyl

Illicit fentanyl is incredibly dangerous. It only takes a tiny amount—just two milligrams, about the size of a few grains of salt—to be deadly. That’s why fentanyl is so lethal and why it’s driving the overdose crisis in the United States. Here are some dangerous impacts of fentanyl and why it’s a public health concern:

Why Fentanyl is So Dangerous?

Fentanyl is often mixed with other drugs like cocaine, methamphetamine, and fake prescription pills. This isn’t an accident; it’s a deliberate move by cartels to make their products more potent and addictive. But it’s incredibly risky because users often don’t know fentanyl is in what they’re taking. This turns every dose into a deadly gamble.

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Fentanyl Overdose Deaths

Fentanyl remains the deadliest drug in the United States, and despite a slight drop in 2023, the crisis is far from over. For the first time since 2018, overdose deaths declined, but the numbers are still staggering. Over 100,000 Americans lost their lives to drug overdoses last year, and fentanyl was responsible for about 75,000 of those deaths.

It’s Everywhere and It’s Overwhelming

Fentanyl has flooded the streets, and it’s not just in big cities. It’s in small towns, suburbs, and communities that never thought they’d face a drug crisis like this. It’s cheap to make and easy to transport, which is why it’s turning up all over the country.

The strain on our healthcare system is enormous. Emergency rooms are overwhelmed with overdose cases, and the cost of treating these emergencies is skyrocketing. First responders use drugs like Narcan every day to save lives, but it’s just a Band-Aid on a much bigger wound.

The battle against fentanyl is tough, but it’s one we can’t afford to lose. Let’s take action now to protect our loved ones and build a safer future.

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Maximizing Texas’s Opioid Settlement: Investing in Treatment & Rehabilitation

The US has been experiencing an opioid crisis since the mid-90s. This was around the time when there was a shift in how doctors prescribed pain medication. Pharmaceutical companies downplayed the addictive potential of opioids, and doctors were encouraged to prescribe them more liberally for chronic pain. Sadly, this led to a significant increase in the number of people taking prescription opioids like Percocet and OxyContin.

As more people were exposed to opioids, rates of addiction and misuse skyrocketed. Many who became addicted to prescription drugs eventually turned to cheaper, more dangerous alternatives like heroin, further inflating overdose deaths. The rise in opioid overdose deaths paralleled the increase in opioid prescriptions, highlighting a clear link between the two. 

After the CDC survey that found over 10 million patients misused prescription opioids in 2018, it, along with states like Texas, declared an opioid epidemic and changed prescription standards. Texas and 13 other states took the drug companies to court, with both Democrat and Republican attorneys general teaming up to sue. 

In July 2021, a significant agreement was made: Johnson & Johnson and three drug distributors agreed to cough up $26 billion to settle the case. But other settlements, including with OcyContin manufacturer Purdue Pharma, are still pending. Texas is expected to get about $1.6 billion from six companies over 18 years as part of these settlement agreements.

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The Current State of Opioid Addiction in Texas

Texas is experiencing a drug poisoning epidemic. According to surveys, deaths from poisoning in the state increased by more than 75% in just five years. In 2017, the rate was 9.4 deaths per 100,000, and that nearly doubled to 15.8 deaths per 100,000 residents in 2021.

Although the prescription of opioids by doctors in Texas has reduced over the last few years, overdose deaths from illegally manufactured fentanyl continue to rise. A CDC report estimates 5,566 drug-related deaths occurred in Texas between August 2022 and August 2023. 45% of these deaths involved fentanyl.

The human cost of opioid addiction is immense. For every statistic, there’s a person and a story—a family member, a friend, or a neighbor whose life has been affected. Beyond that, the opioid epidemic is putting a strain on all levels of care. Hospitals and emergency services are overwhelmed by the number of overdose cases they handle daily.

This strain makes it harder for everyone to get the care they need. Local resources such as law enforcement and social services are also stretched thin trying to manage the wide-ranging consequences of the opioid crisis. 

The Potential Impact of Strategic Investments 

The $1.6 billion settlement presents a significant opportunity for Texas to combat the opioid crisis effectively through strategic investments. Proper allocation of these funds can profoundly impact the state's ability to support the people who are struggling with addiction, improve public health, and reduce the overall burden of the crisis.

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Let’s explore some key areas where strategic investments can make a difference:

Expansion of Treatment Facilities

There’s a need for more treatment facilities so more people can get the help they desperately need. With more money, we can build new treatment centers and improve upon the ones we already have. This means people won’t have to wait so long to get care. These centers can offer a variety of services like detox, inpatient and intensive outpatient treatments, and special treatments for mental health conditions. More facilities means increasing the number of beds, doctors, and nurses, which ultimately leads to saving more lives.

Enhancement of Recovery Support Services

The money can also go to recovery support to give people the tools they need to rebuild their lives. This includes access to counseling and therapy, which are crucial for long-term recovery. Programs that offer stable housing and job training can help people recover and stay sober.

We can also create peer support groups and mentorship programs where people who have been through recovery can offer support and advice. These services build a strong support network that can make a huge difference.

Implementation of Prevention Programs

Preventing addiction before it starts is key to tackling the opioid crisis. When we invest in prevention programs, we can educate communities about the dangers of opioid misuse and teach healthy coping strategies.

Schools, workplaces, and community centers can run educational programs to raise awareness. Early intervention programs can identify at-risk people and help them before things worsen. Strengthening prescription monitoring systems can also prevent misuse and diversion of opioids. Prevention efforts can stop the cycle of addiction before it starts, saving lives and reducing the impact of the crisis. 

Misallocation of Opioid Settlement Funds Raises Concerns

In the wake of the opioid crisis, states across the country have received significant settlement funds intended to combat addiction and support affected communities. However, there are growing concerns about how these funds are being used. Instead of directing the money towards prevention and treatment options, some states are spending it on things like new police cars and slush funds that don't directly help those struggling with substance use disorders.

Police Cars and Equipment

In several states, portions of the opioid settlement funds have been used to buy new police cars and other law enforcement equipment. While law enforcement is crucial in addressing the crisis, these expenditures don’t provide the necessary treatment or support for individuals battling addiction.

Filling Budget Gaps

Some states use the funds to cover general budget shortfalls or unrelated projects. This means the money isn’t going to addiction treatment or prevention programs, which undermines efforts to combat the opioid epidemic.

Lack of Transparency

In some instances, funds have been placed into slush funds with little oversight or accountability. Without explicit tracking, it’s hard to ensure the money is being used to help those who need it most.

The Need for Transparency and Accountability

Unless the state and local governments put the funds to good use, they won’t help those affected. The state can ensure this happens by:

  1. Establishing robust oversight mechanisms. This includes transparent reporting, regular audits, and involving community stakeholders in decision-making processes.
  2. Learning from the missteps of other states, where funds have been diverted to unrelated expenses like new police cars and slush funds, Texas must commit to using the settlement money exclusively for addressing the opioid crisis.
  3. Strategically allocating funds to areas with the highest need and potential impact. This way, Texas can maximize the benefits of the settlement, supporting recovery, reducing overdose deaths, and ultimately diminishing the overall opioid crisis in the state.
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How to Track Fund Usage in Your Community

There are several resources available to help track the allocation and use of opioid settlement funds:

News Sites

While the information might not be readily available, some platforms, like KFF Health News, have made it public after negotiations.

Government Websites

Check state and local government websites for information on fund allocation and spending. Look for sections on budget reports, public health initiatives, or opioid response plans. BrownGeer, a court-appointed firm administering the settlements, also shares the information on a public website.

Public Records Requests

You can file public records requests to obtain detailed information about funds' use. Do this through state or local government offices handling public information requests.

Community Advocacy Groups

Local advocacy groups focused on addiction and public health, such as the Texas Harm Reduction Alliance and the Texas Overdose Naloxone Initiative (TONI), can be valuable resources for information and action.

Opioid Addiction Treatment at More Than Rehab

At More Than Rehab, we’re committed to making a real impact. We offer comprehensive care, from detox and therapy to long-term support and education. Our mission is to provide a safe, supportive environment where people can recover and thrive.

With the right investments and a commitment to transparency and effectiveness, we can make a significant difference in the fight against the opioid crisis in Texas. Let’s work together to ensure these funds are used to their fullest potential, helping those in need and building healthier communities across our state.

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The Connection of Substance Abuse & Mental Health

Substance abuse and mental health issues often co-occur. According to reports, about 50% of people with severe mental problems also grapple with substance use disorders (SUD), and vice versa.  When SUD and mental illness coexist, it's often referred to as a dual diagnosis or co-occurring disorder. 

Substance abuse and mental health issues are both complex challenges that affect millions of people in the United States. SUD involves a compulsive pattern of drug or alcohol use despite negative consequences.

Mental health issues encompass a range of conditions like anxiety, schizophrenia, depression, bipolar disorder, etc. Each of these conditions can be hard to deal with on its own. However, when they co-occur, it creates a particularly challenging situation for those affected.

Understanding the Link between SUD and Mental Health: 

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People with mental illness are at risk for SUD and vice versa than those who don’t have these conditions. While one condition doesn’t necessarily directly lead to the other, studies have established a strong correlation between the two. The 2022 NSDUH report found that about 21.5 million adults in the US have co-occurring disorders. This happens due to a range of reasons, including: 

Trying to Self-Medicate the Symptoms of Mental Health Issues

Sometimes, when people are experiencing mental health issues like depression, anxiety, or PTSD, they might turn to alcohol or drugs as a way to cope with their emotions. It's like trying to ease the pain they're feeling. So, if they’re down because of depression, they might drink alcohol to try to feel better temporarily.

However, while it might seem like it helps at the moment, it tends to make things worse in the long run because substances mess with the brain and make mental health problems even harder to manage.  A study by the National Institute on Drug Abuse found that people with anxiety disorders are about twice as likely to have SUD compared to the general population.

Substances Can Increase the Underlying Risk for Mental Disorders

Alcohol and drugs have been shown to interfere with the way brain cells work. They alter the way neurons process and transmit information. So when someone uses alcohol or illegal drugs excessively over time, their behavior, thought process, perceptions, and feelings change. As a result, they may become more vulnerable to mental disorders

Substances Can Worsen the Symptoms of Mental Health Issues

Even if someone already has a mental health problem, using alcohol or drugs can make their symptoms even worse. For example, if someone is struggling with anxiety and starts using drugs, it can make them feel even more anxious and paranoid. Likewise, if someone is dealing with depression and they drink alcohol, it can make them feel even more down and hopeless. So, instead of helping with the mental health problem, alcohol and drug abuse can make things much harder to handle.

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Dual Diagnosis Treatment

Dual diagnosis treatment is all about recognizing that when a person is struggling with both a substance use disorder (SUD) and a mental health issue, you can't just focus on treating one while ignoring the other. That’s because each condition can exacerbate the other, leading to a vicious cycle of symptoms and challenges.

Treatments for dual diagnosis typically lead to the best outcomes because they address both substance use disorders and mental health conditions concurrently. Usually, the healthcare provider works closely with the patient to understand how the SUD or mental disorder affects the other. They will then determine the proper treatment. Treatment usually involves:

How to Help a Loved One Struggling with Dual Diagnosis

There’s still so much stigma around addiction and mental health issues. People assume that these disorders are a sign of personal weakness or moral failing, which is never the case. Both these conditions rewire the brain and make it hard for people in recovery (or active addiction) to function or manage their lives as they normally would. 

If your friend or loved one is struggling with a dual diagnosis of addiction and mental health issues, supporting them requires understanding, patience, and active engagement. Here are several ways you can help:

  1. Learn about the nature of addiction and mental health disorders. This will help you understand the nature of these conditions and how they affect the brain. You will also be able to recognize symptoms and understand the challenges your loved one faces.
  2. Approach your loved one with compassion and empathy. Let them know you are there for them without judgment. 
  3. Help your loved one find and access effective treatment programs specializing in dual diagnosis. These programs are better equipped to handle the complexities of treating both mental health issues and substance abuse and often include a range of therapies that can be tailored to individual needs.
  4. If appropriate, join your loved one in therapy sessions and participate in family programs offered by treatment centers. Understanding the recovery process and what your loved one is learning can help you provide better support and create a home environment conducive to recovery.
  5. Social media can be a powerful tool to connect with support groups and resources for people in recovery and their families. However, be mindful of the privacy and sensitivity surrounding your loved one’s condition. Use these platforms to promote positive support and to educate others, helping to reduce stigma.
  6. Help them keep track of medications and appointments
  7. Understand that relapse is part of the process. Just like heart disease or diabetes, addiction is a chronic illness, and up to 60% of people relapse within a year of leaving treatment. Educate yourself about preventing relapse and recognize the early signs. This way, you are better prepared to support your loved one through these challenges.
  8. Help create a stable, stress-free environment that reduces triggers for substance use and mental health symptoms. 
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How to Ask for Help from Your Loved Ones

Like most people in recovery, you might feel as though asking for help is a sign of weakness. But that’s not true. Asking for help is a sign of strength. Besides, support from your friends and family members can go a long way in helping you manage and overcome the challenges associated with recovery from a dual diagnosis.

With that said, here’s how you can ask for help: 

  1. Find a quiet, comfortable setting to talk without interruptions. Ensure you and the person you are talking to are not rushed or distracted.
  2. Start the conversation with honesty and openness. Express your feelings, struggles, and the specific areas where you need support. For example, you might say something like, “I’m finding it really challenging to manage my recovery on my own, and I could really use your support.
  3. Sometimes, friends and family want to help but don’t know how. Provide them with information about your condition, what you’re experiencing, and what kind of support would be most helpful.
  4. Be clear about the type of support you need. Whether it’s accompanying you to appointments, helping with medication schedules, or listening when you need to talk.
  5. Give them a chance to respond and share their feelings. They may have their concerns or suggestions that could be helpful. Communication should be a two-way street.
  6. Acknowledge their willingness to help and express gratitude for their support.
  7. After your initial conversation, keep the lines of communication open. Update them on your progress and continue to express your needs as they evolve.

As we observe Mental Health Awareness Month this May, let’s commit to action, understanding, and empathy. Addiction and mental health issues are complex issues that affect millions of people worldwide. But with the right support, recovery is possible.

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