The Rise of Online Support Groups

Female employee engaging in online support groups for substance abuse highlighting the ease of access through digital virtual meetings with diverse colleagues

Online recovery support groups are virtual communities or platforms where people struggling with mental and substance use disorders come together to seek help, share experiences, and provide mutual support in their journey toward recovery. These groups use various online tools and platforms, like websites, social media, mobile apps, and video conferencing software, to connect people who may be geographically separated but share common goals of sobriety and healing.

Overview of the Rise of Online Support Groups

Online support groups have been a part of the digital landscape for years. This is thanks to the widespread availability of the internet and the proliferation of smartphones. However, it was COVID-19 that truly changed the dynamics and importance of these recovery forums. The pandemic, which made physical gatherings and in-person support meetings risky, prompted a widespread shift towards virtual interactions. People who previously relied on face-to-face support found themselves turning to online platforms as a safe and convenient alternative. 

Digital support groups became the lifeline for those grappling with mental health and substance use disorders. These virtual communities offered a safe and accessible space for people to meet and interact.

Why Are Online Support Groups Popular?

Woman engaged in online support groups discussing substance abuse emphasizing the ease of access while brainstorming on a video call with diverse colleagues

Virtual therapy and support have become so popular in recent years thanks to several key factors, including the following:

They Eliminate Geographical Barriers

One of the most significant advantages of online sobriety support groups is their ability to transcend geographical limitations. Traditional face-to-face support groups often require individuals to travel to specific locations, which can be particularly challenging for those living in rural or remote areas. 

Online support groups eliminate this barrier, ensuring that people from all corners of the world can access the support they need from the comfort of their own homes. This inclusivity not only broadens the reach of recovery resources but also fosters a sense of belonging in a global community of individuals facing similar challenges.

24/7 Availability

Online recovery support groups are available around the clock, making them a lifeline for individuals in crisis or those who require support during non-traditional hours. This ease of access is crucial because addiction does not adhere to a strict schedule; cravings, triggers, and emotional distress can strike at any time. The 24/7 availability of online groups means that help and encouragement are never more than a few clicks away, offering a safety net for those navigating the unpredictable terrain of recovery.

Reduce Stigma

The stigma surrounding substance abuse remains a significant barrier to seeking help for many individuals. Traditional in-person support groups may necessitate revealing one's identity and addiction history to others in the community, which can be intimidating and discouraging. Online recovery support groups offer a level of anonymity in recovery that reduces this stigma. Participants can choose to share as much or as little personal information as they feel comfortable with, enabling them to open up and seek support without the fear of judgment or discrimination.

Offer Privacy and Discretion

Privacy is a crucial concern for individuals in recovery, as they often grapple with feelings of shame and vulnerability. Online support groups provide a private and discreet platform where individuals can discuss their challenges and progress without the risk of their personal information becoming public knowledge. This level of discretion is especially valuable for those who wish to keep their recovery journey confidential from family, friends, or employers while still benefiting from peer support.

Reduced Travel Time and Costs

Attending physical support group meetings often involves significant travel time and associated costs, such as transportation expenses and childcare arrangements. Online support groups alleviate these burdens, allowing individuals to participate from the comfort of their homes. This not only saves time and money but also removes potential barriers that might deter someone from seeking help, making recovery more feasible for a broader range of people.

Normalization of Virtual Interactions

As the world becomes increasingly interconnected through technology, virtual interactions have become a standard part of daily life. The normalization of video calls, online communities, and digital relationships has extended to the field of addiction recovery. Many individuals now view online support groups as legitimate and effective means of seeking help and support, further contributing to their popularity and acceptance.

Integration with Traditional Recovery Methods

Online recovery support groups are not seen as replacements for traditional methods of addiction recovery but as complementary tools that can enhance the overall treatment experience. Many addiction treatment centers and therapists now incorporate online support groups into their treatment plans, recognizing the value of this additional layer of support. This integration demonstrates the growing acceptance and acknowledgment of the positive impact of online recovery communities in the broader context of addiction treatment.

Online Support Group Formats

Male employee engaged in online support groups for substance abuse utilizing the ease of access to have a digital conference with diverse colleagues

Online support groups come in a variety of formats, each catering to different preferences and needs of individuals seeking support and connection. Here are some of the most common formats:

Text-Based Forums (like Reddit's r/StopDrinking and r/redditorsinrecovery)

Text-based forums allow members to post messages, questions, and share their experiences in text form. They’re usually organized into specific topics or categories related to addiction and recovery, allowing users to navigate discussions that align with their interests.

 Video Meetings (like Alcoholics Anonymous, and Narcotics Anonymous)

Video meeting groups replicate the traditional group meeting experience but in a virtual setting. Participants use video conferencing software like webchat, Google Meets, Zoom, etc., to interact in real-time, enabling face-to-face communication. These meetings often have scheduled times and may follow structured formats, such as 12-step programs or therapy sessions.

Chat Groups (like LifeRing, Hello Sunday Morning, Women for Sobriety (WFS))

Chat groups, sometimes referred to as chat rooms or instant messaging platforms, provide real-time text-based communication among members. Users can join specific recovery chat rooms dedicated to various topics related to recovery, providing a dynamic and immediate way to connect and share experiences.

Social Media Support

Social media platforms, like Reddit, Facebook, or Twitter, host dedicated groups and communities focused on recovery. Members can engage in discussions, share resources, and offer support within the context of these platforms, leveraging the reach and familiarity of social media.

Dedicated Recovery Apps  (like Loosid)

Recovery apps are mobile applications specifically designed to support individuals in their journey to sobriety. These apps often include features like progress tracking, goal setting, peer support, and access to recovery-related content. Users can connect with others in the app's community.

These varied formats cater to the diverse preferences, comfort levels, and schedules of individuals seeking recovery support. Whether someone prefers the anonymity of a text-based forum, the face-to-face interaction of video meetings, or the convenience of a mobile app, there are online recovery support options available to meet their specific needs.

The Effectiveness of a Holistic Approach in Addiction Treatment

The impacts of addiction extend beyond physical dependency. It infiltrates the mind and spirit as well. The holistic approach seeks to address the interplay between these three components – mind, body, and spirit - to facilitate comprehensive healing and recovery.

Here's a quick look at the underlying premise of holistic therapy:

Mind

The mind is at the forefront of addiction's battles. It's where cravings take root, triggers are recognized, and self-destructive thought patterns emerge. Holistic treatment acknowledges the importance of mental well-being by incorporating practices such as meditation, mindfulness, and cognitive behavioral therapy. These techniques help individuals gain control over their thoughts, manage stress, and develop healthier coping mechanisms.

Body

Addiction also affects the body, affecting its systems and organs. Holistic treatment strongly emphasizes restoring physical health through nutrition, exercise, and specialized therapies. Nurturing the body fosters resilience and lays the foundation for lasting recovery.

Spirit

The spiritual aspect of addiction encompasses an individual's sense of purpose, connection, and inner peace. Holistic treatment recognizes that addiction can erode one's spirit, leaving a void that substances attempt to fill. Practices such as yoga, meditation, and art therapy are integrated to support individuals in finding meaning beyond addiction and rebuilding a sense of purpose.

Holistic Treatment Modalities

Young woman in a therapy session exploring holistic treatment options for substance abuse and rehabilitation

Holistic treatment focuses on the whole person rather than the symptoms in isolation. As mentioned earlier, it addresses a person's physical, social, and psychological needs. In addition to 12-Step approaches, many addiction rehab programs provide holistic approaches that may include:

Meditation and Recovery

Meditation is a simple yet powerful technique with many benefits. It involves focusing the mind on a particular object, thought, or activity to achieve a state of mental clarity and relaxation. There are various forms of meditation, including mindfulness, loving-kindness, and guided meditation. All these forms of meditation aim to synchronize the mind and body for better mental well-being and quality of life. Meditation can help reduce stress and anxiety, regulate emotions, manage cravings, and improve self-esteem, which is beneficial in recovery.

Mindfulness

Mindfulness is a specific type of meditation that involves being fully present in the moment observing thoughts, emotions, and sensations without judgment. Mindfulness is an integral aspect of holistic treatment for addiction recovery due to its profound effects on various levels. Clinical trials of mindfulness in recovery have connected the approach to relapse prevention, reduced impulsivity, reduced cravings, and decreased stress and substance use.  

Yoga

Yoga combines physical postures, breathing exercises, and meditation to promote physical and mental well-being. It can help improve flexibility, strength, and balance while reducing stress and promoting relaxation. Yoga can be particularly beneficial for those in recovery as it reduces the physical discomfort associated with withdrawal and fosters a sense of inner peace. Studies also show that yoga reduces substance use and substance-related cravings.

Acupuncture

Acupuncture is an ancient Chinese practice that involves inserting thin needles into specific points on the body. It is believed to balance the body's energy flow and promote healing. In addiction treatment, acupuncture may help reduce withdrawal symptoms, anxiety, and cravings and improve overall mood.

Behavioral and neurochemical evidence shows that acupuncture helps reduce the effects of negative and positive reinforcement in opiate addiction by modulating mesolimbic dopamine neurons. Acupuncture also promotes a sense of calm and well-being, which is essential during withdrawal.

Nutrition

Proper nutrition plays a crucial role in addiction recovery. Balanced diets rich in essential nutrients can help repair the damage caused by substance abuse and support overall physical and mental health. Nutritional therapy can also help stabilize blood sugar levels, improve mood, and boost energy, reducing the risk of relapse.

Exercise

Regular physical activity releases endorphins, which are natural mood enhancers. Engaging in exercise can alleviate stress, improve self-esteem, and enhance overall mental health. It also helps individuals rebuild their bodies after the toll of substance abuse and provides a positive outlet for energy and emotions. A review of 43 studies with over 3000 participants found that regular exercise was linked to reduced use in about 75% of the studies on the impact of exercise on substance use.

Art Therapy

Art therapy involves using creative processes such as painting, drawing, sculpture, or music to express and process emotions. It provides non-verbal communication and can be especially helpful for individuals with difficulty expressing their feelings verbally. Artistic activities can promote self-discovery, emotional healing, and stress reduction.

Benefits of Holistic Modalities in Addiction Treatment

Multiracial group celebrating progress in holistic treatment for substance abuse and rehabilitation during a therapy session

Comprehensive Healing

Whole-Person Approach

Self-Empowerment

Long-Term Recovery

Reduces Reliance on Substances

Stress and Anxiety Reduction

Emotional Healing

Improved Physical Health

Enhanced Mindfulness and Self-Awareness

Increased Self-Esteem and Self-Compassion

Spiritual Growth and Meaning-Making

Community and Connection

Sustainable Lifestyle Changes

Integrative Approach

At More Than Rehab, we understand that addiction is a complex issue with deep-rooted causes. Our holistic approach allows us to delve into the underlying factors that contribute to addictive behaviors, helping individuals to heal from the inside out. We offer a range of evidence-based therapies alongside holistic treatment modalities. This integrated approach ensures that each person receives a personalized treatment plan that addresses their unique needs and circumstances for a successful sober life.

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High on Drugs, High on Risk: The Impulsive Gambler

Gambling is common in the US and worldwide. People gamble on everything from card games to sports and even casino games. For some, gambling is a harmless pastime; for others, it's quick cash. In moderation, gambling can be a fun activity. However, some people lose control of their gambling and end up being an impulsive gambler (or participating in problem gambling). And the thrill of gambling can be a much greater issue when substances are involved.

What is Impulsive Gambling?

Gambling involves risking something of value to get something of even greater value. As mentioned, people participate in sports betting, card games, etc., for entertainment. However, if a person cannot control their gambling to the level that it negatively affects their lives, they're said to have a gambling problem or impulsive gambling.

Impulsive gambling is a condition where a person cannot control their gambling behavior, despite its negative consequences. As Mayo Clinic puts it, this impulse control disorder is characterized by a persistent and uncontrollable urge to gamble and a preoccupation with gambling even when it interferes with daily life activities.

Gambling, like drugs or alcohol, stimulates the release of dopamine, a neurotransmitter often associated with feelings of pleasure and reward. This can create a cycle where the brain seeks out more of that reward, leading to a desire to gamble more frequently or at higher stakes. When one has a problem gambling, they may continually chase bets that lead to losses. Eventually, they'll use up all their savings and go into debt, trying to pursue a win. They will make the extra effort to conceal their actions and even turn to fraud or theft to support their addiction.

Gambling Addiction and Substance Abuse

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Gambling and mental health issues can reinforce each other. This means that a person with a mental health issue may gamble to escape or cope with the signs and symptoms. At the same time, a person with a gambling problem might develop mental health issues due to loss, feelings of shame, etc.

Similarly, gambling addiction and substance abuse have a high co-existence rate. In fact, those addicted to substances or gambling are already predisposed to thrill-seeking behaviors. 

According to one study, people diagnosed with impulsive gambling also end up having substance use disorder. This could be due to:

Besides, most casinos in the US offer free drinks for those who spend their money at slots or tables. This is a much bigger problem because, like drug abuse, problem gambling is considered a compulsive behavior.

The Effects of Being High While Gambling

Being high while gambling can have significant effects on a person's behavior and decision-making in the following ways:

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Drugs that Exacerbate Gambling Addiction

While no specific drug causes gambling addiction, certain substances may increase the risk of developing a gambling addiction. Research shows that individuals with gambling addiction commonly abuse substances like alcohol, tobacco, marijuana, and stimulants.

Alcohol and other substances can lower inhibitions and impair judgment, making it more likely for a person to engage in behavioral addictions like gambling. Data from a large study in the US found alcohol addiction to be the most common co-occurring disorder among those with pathological gambling. More than 73% of participants diagnosed with problem gambling had an alcohol use disorder.

Stimulants, such as cocaine and amphetamines, tend to increase feelings of excitement and pleasure, which may make gambling more appealing.

How to Help Cure a Gambling Addict

It can be tough to see a loved one struggle with gambling addiction. But the good news is that with help and treatment, they can go back to leading a healthy lifestyle. Here are a few tips to consider:

Remember that many people who develop problem gambling also develop substance use disorders. Neither addiction is easy to manage without professional help, so it's essential to encourage the person to seek help for both issues. At More Than Rehab, we offer treatment for gambling addiction and dual diagnosis, which means addressing both gambling addiction and any co-occurring substance use disorders. We utilize evidence-based therapies such as cognitive behavioral therapy (CBT) to help individuals understand the underlying reasons for their addiction and develop healthy coping mechanisms.

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Where to Buy Fentanyl Testing Strips in Texas

If you're concerned about the presence of fentanyl in drugs you or someone you know may be using, fentanyl testing strips (FTS) can be an essential tool to help ensure your safety. These testing strips detect the presence of fentanyl in a sample of drugs, allowing you to make informed decisions about your drug use and potentially avoid overdose.

This article will outline where to buy fentanyl testing strips in Texas and provide information on their availability. But first, let's look at the fentanyl crisis in Texas and what the state is doing to combat the spread of fentanyl and save lives. 

 

What are Fentanyl Testing Strips?

Fentanyl testing strips are small pieces of paper coated with a chemical reagent that reacts to the presence of fentanyl. They work by detecting the presence of fentanyl in different drugs (heroin, meth, cocaine, etc.) and drug forms (powder, injectables, and pills). These drug testing technologies serve as harm reduction strategies, providing essential information about fentanyl in the illicit drug supply so they can take steps to reduce the risk of overdose. 

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Image courtesy of Centers for Disease Control and Prevention

 How to Use Fentanyl Test Strips:

  1. Prepare a small amount (at least 10mg) of the substance you want to test and place it in a clean, dry container.
  2. Add water to the container and mix the substance and water. For most drugs, you need ½ teaspoon of water. However, if you are testing methamphetamines, use one full teaspoon.
  3. Take the fentanyl test strip out of its packaging and hold it by the end without the wavy lines.
  4. Dip the wavy end of the test strip down into the mixture, ensuring the end is fully submerged in the liquid.
  5. Hold the strip in the liquid for about 15 seconds, allowing it to absorb the mixture fully.
  6. Remove it from the liquid and put it on a flat surface.
  7. Wait 2 to 5 minutes for the test results to appear.
  8. A single pink line indicates the presence of fentanyl or fentanyl analog in the drugs.
  9. Two pink lines indicate the absence of fentanyl or a fentanyl analog in the drugs. 

Fentanyl Crisis in Texas

Fentanyl is a synthetic opioid 50 times stronger than heroin and 100 times stronger than morphine. When used for medical reasons, prescription opioids, including fentanyl, are safe and effective for pain relief. However, illicitly produced and distributed fentanyl is life-threatening and has contributed to the ongoing opioid crisis in Texas and the US. 

In recent years, fentanyl has been increasingly found in other illicit drugs such as counterfeit pills, heroin, cocaine, and methamphetamine. And considering the potency of fentanyl, even a small amount can be deadly. This has led to a sharp increase in overdose deaths related to fentanyl use, as many people may not realize they are consuming the drug.

The opioid crisis is a public health crisis in Texas. According to the CDC, there were over 5,000 drug overdose cases in Texas between October 2021 and October 2022. Fatalities involving fentanyl in Texas increased 399%, from 333 deaths in 2019 to 1,662 deaths in 2021. And as mentioned earlier, most people who ingested "their substance of choice" had no idea it was laced with the synthetic opioid.

Drug dealers and suppliers often cut illicit drugs with substances like fentanyl to increase potency and profit margins. This has created a dangerous and unpredictable drug market in Texas, where individuals unknowingly risk their lives every time they use drugs.

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What's Being Done to Combat the Fentanyl Crisis?

The recent push for the legalization of fentanyl testing strips in Texas is part of a larger effort to combat the ongoing opioid crisis in the state. Like many other states, Texas has seen a surge in fentanyl-related deaths in recent years, and lawmakers are looking for solutions to this crisis. 

In response to the opioid epidemic, the state launched the "Texas Fights Fentanyl" campaign in 2021 to raise awareness about the dangers of fentanyl and promote prevention efforts. Furthermore, on April 11th, 2023, the Texas House of Representatives overwhelmingly voted to legalize fentanyl testing strips, with the bill now heading to the Senate for approval.  

The bill, authored by Rep. Tom Oliverson, R-Harris County, would allow the sale and distribution of fentanyl testing strips to the public, which can help individuals test their drugs for the presence of fentanyl. 

If the bill is passed, it would mean that drug users could test their drugs for fentanyl before consuming them, potentially saving countless lives. Employers could also use fentanyl testing strips to test their employees for drug use, particularly in industries where safety is a concern. 

Are Fentanyl Testing Strips Banned in Texas?

Unfortunately, at the moment, these strips are classified as paraphernalia and are, therefore, illegal for people to perform tests for recreational use. This legal classification has limited the availability and accessibility of these life-saving testing strips, leaving many individuals at risk of accidental fentanyl poisoning.

Accessing Fentanyl Test Strips in TX

Currently, fentanyl test strips are banned in Texas, and carrying them is a crime. However, if you are a healthcare professional or a law enforcement agency looking to purchase fentanyl test strips for legitimate purposes, you may be able to obtain them from your local health department, needle exchange program, community-based organization, or online retailers that specialize in drug testing products. Some reputable companies that sell fentanyl test strips include bankpolice.com, amazon, and dancesafe.org. 

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More Drug Overdose Prevention Strategies

Fentanyl testing strips is just one tool in the toolbox of effective drug overdose prevention strategies. Other strategies include the following:

As the fentanyl crisis continues to devastate communities in Texas and across the United States, it's essential to take action to protect yourself and your loved ones. A critical tool in this fight is fentanyl testing strips, which can help identify the presence of this dangerous drug in other substances.

However, these strips are not foolproof and should be used with other harm reduction strategies, such as seeking professional addiction treatment.

If you or someone you know is struggling with addiction, we highly recommend seeking the help of a reputable treatment center like More Than Rehab. Our experienced and compassionate team can provide the support and guidance needed to overcome addiction and start on the path to recovery. We offer various services, including detox, inpatient and outpatient, and mental health services. Remember, addiction is a disease, but it is treatable.

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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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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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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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