Category Archives: Drug Rehab

Can I force my loved one into rehab for their addiction? 

After 10 years of working in the field of addiction treatment I have seen and learned a lot. Every day I receive phone calls from all types of people including many who have a loved one who is spiraling out of control, caught in the cycle of an addiction. An addiction to alcohol, prescription medications, heroin, methamphetamines and other drugs including marijuana. Although now legal in CA and some other states marijuana these days is stronger than ever and the number of reported cases where an individual is delusional, paranoid and hallucinating is skyrocketing. Most people minimize marijuana but let me tell you, the weed these days is no joke. At the end of the day, the substance isn’t really the most important factor. If an individual is using any type of substance and causing damage to their bodies, their families, their work life, the bottom line is that they need professional help. But what do you do if you try talking to this person and desperately try to beg and plead with them to get help but they just wont?

The simple truth is that the individual with the addiction is unlikely to change until they feel some serious pain from their own consequences.

Addicts and any of us for that matter usually don’t want to change until they themselves are faced with the harsh reality that their behavior and choices are beginning to cause them to lose any and all of the relationships, income, possessions, , their job, food and any other resources of value in their life. Most often times the loved ones in their lives can see clearly what is happening and take on all the negative emotions and consequences that the addict should be dealing with themselves.

The only way an addiction treatment center can help someone change is if an individual truly wants to change. They don’t always need to be fully excited about going into treatment, I mean who really dreams about going to rehab but you can help a loved one find their willingness to change and accept help for their drug and alcohol addiction. When a loved one rescues their addict out of the consequences of their addiction the addict really hasn’t felt the full magnitude of their own choices and behavior. You see an addict addict has an impaired brain and their frontal cortex has been damaged. That’s the part of our brain that provides us with the ability to have good judgement. When this is impaired they lose the ability to clearly understand how their addiction is not only ruining their lives but also greatly affecting their loved ones. So where most people can see that getting a DUI and getting arrested will cost substantial time and money and hardship which will likely cause them to make a different choice the next time they are faced with choosing to drink and drive or call an Uber the next time, the addict may minimize the incident if mom or dad is taking out loans to bail their son out of jail and pay for an attorney to help him reduce the penalties associated with the DUI. Consequences and clear boundaries are what make all the difference in the world when it comes to an addict finding their willingness to receive help.

For about the last year I have received a phone call every few months from the same woman with a son who is in his 40’s. She calls frantically looking for help for her son usually after something bad has just happened. She is often exhausted and overwhelmed and has  usually been bringing him food to his house and in pure emotionally agony begging her son to go to a treatment center for help.  He has now been charged with 4 DUI’s and is facing prison and she is beside herself with worry and fear. Yet her son has never called us once to do the over the phone assessment we need to do. The willingness to even talk to a counselor about how he can begin to change is not there. It looks like prison is the likely path for him. The best thing she can do is seek support and help for herself because the worry is literally killing her. This is so so sad because she is suffering so much but she could learn how to step back and focus on taking care of herself instead of putting so much energy into someone who is unwilling to change. This would likely help her son wake up and call us or another treatment center and ask for help. She could simply hand him the number and say I hope you get help and leave the number with him. He is capable of dialing the number. We will answer and all he has to do is say I need help. Some people just won’t ever seek help but that doesn’t mean that 2 people or a whole family have to suffer because 1 person is unwilling to change. Many years ago when I was caught In the codependency cycle myself and my own life was sinking because I was so focused on my significant other who had a raging alcohol addiction that I thought I could change, someone helped me by shining a light on my situation and gave me this analogy. They said, “He’s the Titanic and you are holding on to a sinking ship and he is taking you down with him. You can’t control it. “ At that moment, it clicked for me because at that time I was completely exhausted, emotionally, physically, my work was suffering, my health was suffering and I was completely obsessed to the point of totally neglecting myself in every way. I was going down too and I had to stop or I was going to end up worse off than he was. My happiness was my own responsibility but I was giving all my power away to someone else and not taking responsibility for my own life.

Addicts will take out everyone and everything in their path as long as they are allowed to. So here is where things can change…..

What about having an intervention? Will this work?

Many times per week I also receive phone calls from people who call up saying, “I have a son and our family is going to have an intervention tomorrow, we want to know if you have a bed in your facility?” This is where I want to say “WAIT! STOP RIGHT THERE, Is there a professional leading the intervention?"

Addiction is a highly complicated brain disorder that causes the brain of an addict to become hijacked. Which in turn causes the individual with the addiction to lie cheat steal and focus solely on one thing, getting more of their drug of choice and to stop at nothing until they do. Dealing with an addict requires highly skilled professionals who know that the hell they are doing. It requires a great deal of education and understanding. An intervention done by the family without a professional usually ends in a worse disaster. If you are reading this and considering doing your own intervention….. PLEASE do not do it. Stop and get some professional guidance. What is most likely to happen is a huge family argument and lots of emotions being spilled out all over the place, threats, physical fights and in the end? The addict runs off faster and harder to their first love, their drug of choice to numb the pain and sink deeper into their addiction and isolate themselves from their loved ones ever more than before. Basically a home made intervention done with inexperienced individuals will almost always cause a greater disaster than where you began. This will push your addict deeper into their addiction.

What a trained interventionist provides is a great deal of education and leadership on how to most effectively change the direction of the entire family dynamics and to help the loved ones learn what is enabling the addiction to continue and how to set proper boundaries with the addict . An interventionist will educate and walk you through the process and be there for you every step of the way. An interventionist also provides an emotionally detached person who cannot be manipulated by the addict when it comes times for the actual intervention. They are your quarterback. Don’t do it alone.

When 3 or 4 people who are close to the addict all get on the same page and simultaneously begin to get clear on what is helping and what is harming and start to say no I will no longer help you until you get some help for your addiction, then the addict loses the power to be able to manipulate their loved ones and the addict will begin to become more concerned with human survival than scoring more heroin or running off to the liquor store.

When you let a loved one move into your house and provide them food and money to keep their cell phone working, insurance covered, car payment covered, you are enabling their addiction to survive and thrive. This is harming them. It is not helping them at all.

Most people do not by any means intentionally try to bring harm to their loved one. They usually are providing for their addicts basic human needs while worrying themselves sick, secretly hoping they can control or coerce their loved one into getting help.

All the begging, pleading, criticizing, arguing and tell their loved one how much they need to get help and how hard all of this is and how they are spending all their money on trying to help them. Trying to guilt and shame them into getting help almost never works.

So how do you help a loved one find their willingness to seek help for their addiction? Clear boundaries and follow through works almost every time

Here is a simple statement that you can use for guidance.

I love you and it’s become clear that I cannot help you get past this addiction. You need help from experts who know about your illness. I can no longer provide any help to you financially, emotionally or in any way until you are willing to seek help for your addiction. I am willing to help support you financially and/or emotionally until you decide to seek help. Until then I will no longer provide any help financially and or emotionally and I will no longer allow you to live in my home, buy you food, pay for anything at all for you because it is not helping you and the stress is causing harm to me.

Now, the most important part of speaking these type of words is making 100% sure that you can and will follow through on what you speak. NEVER set a boundary and then allow anyone and especially the person who is addicted to violate the boundary. If you speak it and then don’t follow through you render yourself powerless and the addiction will gain more power over you and your loved one.

Most loved ones need help and support to actually be able to do this. It’s not easy for a parent to actually cut off any type of support and contact with their adult child who is actively destroying their life. It is natural for us all to attach to those we love and it can be excruciatingly difficult to have your adult kid begging for food or money. Excruciatingly painful to kick them out of the house and know that they are living outside in harsh conditions and not feel extreme anxiety and worry about them. These emotions are difficult and you need support from qualified people to get through this. However if you provide your loved one with the choice to either choose help or choose addiction then the choice has become theirs. It is necessary and healthy to give your loved one a choice. Choose to become healthy or choose to stay in addiction. By stepping out of the chaos and taking care of yourself by seeking support and guidance through this extremely complicated time you are helping your loved one find the survival skills within them to fight for their own life. Addiction is no joke and it takes lives every day. The drugs these days are harder and stronger than ever and if you want to help your loved one you need to seek help and put on your own oxygen mask for yourself first. Hand the consequences back to your loved one and let them deal with their life themselves. By helping them pay their bills, provide them food, provide them shelter, hire them an attorney to minimize consequences you are helping them avoid the very crisis they need to wake up and accept help.

Sacramento California Alcohol And Drug Abuse Rates And Statistics

Sacramento California Alcohol And Drug Abuse Rates And StatisticsSubstance abuse has become prevalent across the country. Heavily populated and urban areas, such as Sacramento, have seen a marked increase in usage rates in the past decade. In 2007, 29.7 percent of adults in California participated in binge drinking. Sacramento, meanwhile, showed a rate of 30.2 percent.

Fortunately, these numbers are beginning to fall for the first time. Sacramento has seen 29 percent fewer drug- and alcohol-related hospital admissions since 2012. This may be seen as a sign that prevention and treatment methods are working, but it does not mean that the danger in Sacramento has passed.

Indicators Of Sacramento California Alcohol And Drug Abuse Issues

There are two ways that information is gathered about drug and alcohol use. The first is through admission rates from treatment centers and hospitals. Additional statistics typically come from surveys conducted through medical facilities, schools, employers and other sources.

There are five major indicators that are used to gauge substance abuse:

  • Admissions to treatment facilities
  • Arrests in drug- and alcohol-related crimes
  • Motor vehicle accidents that happen under the influence
  • Hospitalization
  • Deaths

Admission Rates To Alcohol And Drug Treatment Centers

Admission rates are a reliable source of information, but they may not show the whole picture. According to estimates from the National Institute on Drug Abuse, or NIDA, only a fraction of addicts seek help. In 2009, 2.6 million individuals across the country received treatment at a specialized facility. This is out of 23.5 million people who reportedly needed treatment for substance abuse – meaning that only 11 percent were finding help.

A Growing Trend Of Addiction Treatment

sacramento-california-alcohol-and-drug-abuse-rates-and-statistics

The number of individuals seeking treatment has been climbing for many years, and experts attribute the lower overall usage rates to the fact that more users are finding help. After all, it can be difficult or even impossible to overcome addiction without professional assistance and support.

In 2000, only 5,708 people in Sacramento were admitted to treatment facilities for substance abuse. More than half of those patients, or 3,092, were female. By 2008, that overall number had grown to 8,756 and treatment was more prevalent among men. In fact, men have consistently been admitted more frequently to treatment programs since 2002.

Methamphetamine abuse was the most common reason for seeking treatment in Sacramento for several years, but in 2012, marijuana overtook the No.1 spot. Both of these are slightly surprising considering alcohol is the most prevalent cause in the rest of the country.

Back in 2000, 26.2 percent of total admissions in Sacramento were related to methamphetamine. The rest were:

  • 6% heroin
  • 2% alcohol
  • 4% cocaine
  • 1% marijuana
  • 5% other drugs

Substance Abuse Patterns In Age And Race

Substance abuse does not discriminate: Anyone can be drawn into the use of drugs and alcohol. That said, Caucasian patients make up most of the recorded cases at 45.6 percent. African Americans and Hispanics comprise 24.3 and 21.5 percent, respectively. All other racial groups comprise the remaining 8.6 percent.

Nearly half of the admissions (45.2 percent) came from adults aged 25 to 44 years in 2008. The second largest group is 17 and younger, with the smallest number of admissions coming from seniors 65 years and older.

Arrests Related To Drugs And Alcohol

sacramento-arrests-related-to-drugs-and-alcoholThe initial harm from substance abuse is to the user and his immediate family. The rest of the population begins to feel the effects when addiction results in crime – most notably, violent crime. An effective way to track drug-related crime is to examine the number of corresponding arrests.

The number of arrests in Sacramento has actually dropped since 2000 (when it was 9,720), although it peaked in 2006 at 10,931. These numbers include both felonies and misdemeanors. Drug-related crime rates in Sacramento are comparable to the rest of California, but remain slightly lower.

A majority of the arrests involve male culprits. From 2000 to 2008, an average of 76 percent of these arrests involved boys and men, ages 10 to 69. However, only 68 percent of treatment admissions were male, hinting that women may be more likely to seek help.

Motor Vehicle Accidents Involving Alcohol And Drugs

Another way to measure the impact of substance use is by examining the number of related motor vehicle accidents. Intoxicated drivers are involved in more than 57 percent of all motor vehicle crashes in California. More than 3,700 individuals were killed in single-vehicle incidents in 2004 alone.

There were more than 180,000 arrests for DUI in the same year, equaling 1 in every 121 licensed drivers throughout the United States. Thousands of people were killed in traffic crashes, and another 2,000 pedestrians and cyclists were struck by an impaired driver.

fatal-accidents-involving-drugs-and-alcohol-in-sacramento-californiaMost of these cases involve alcohol rather than other drugs. There also is a noticeable pattern of convicted individuals. Almost 75 percent of these offenders are regular heavy drinkers or full-fledged alcoholics, which leads many experts to believe that these people regularly drive while intoxicated.

The number of fatalities caused by DUI motor vehicle accidents has been steadily declining. There are two reasons attributed to this trend: newer vehicles have better safety engineering, and fewer people are drinking and driving. The Insurance Institute for Highway Safety (or IIHS) has been awarding crash-test ratings for many years, and new technologies have emerged that help compartmentalize the vehicle, provide increased support for the heads of occupants and more effectively restrain bodies during a crash.

Fewer people are involved in accidents involving impaired driving. From 1988 to 1998, the number of fatalities dropped an impressive 57.3 percent and has continued to steadily fall. In 1988, there were 18,503 deadly crashes involving alcohol. By 2014, there were only 9,967. The number is still too high, but the improvement is encouraging.

Hospitalization As A Result Of Substance Abuse

Sacramento HospitalizationThe Sacramento area also shows a lower rate of hospitalizations due to drugs and alcohol. In 2007, there were 205 cases for every 100,000 people statewide. Sacramento County, though, showed just 169 per 100,000. This equated to approximately 2,300 instances. The statistics include overdoses, but also take other accidents into account, such as falls or infections (as long as they were linked to substance abuse).

In 25 percent of hospitalizations, the gender was unspecified on the report, but the known cases show little difference between men and women: 38 percent were male and 36 were female, while the rest were unspecified.

Alcohol And Drug-Related Deaths

Death, of course, is the most serious potential danger of substance abuse. Cause of death reports are a sobering yet reliable way to gather information about those affected. Sacramento County showed fewer hospitalizations than the state average, but it has consistently seen a higher mortality rate. In 2002, there were 25.4 deaths per 100,000 people in the county, as compared to 20.1 per 100,000 in the state. By 2005, those numbers were 31.8 and 21.4, respectively.

There has been a noticeable decrease in deaths in the county since then. The state number was unchanged in 2007, yet Sacramento County saw its rate fall to 27.05. Of these deaths, 64 percent were male.

The Biggest Killers

Accidental drug poisoning is the most common cause of drug- and alcohol-related death. Out of 387 cases in Sacramento, 157 of them were related to overdoses. Alcoholic liver disease is a close second with 126 confirmed cases. Psychosis, dependence, myopathy, intentional overdoses and alcohol poisoning are some of the remaining causes.

Hope For The Future

Despite the growing national numbers, Sacramento County appears to be on the path to decreasing drug- and alcohol-related tragedies. Increased access to information and treatment centers likely contributed to the favorable statistics, but only time will tell how far they’ll drop and if such tactics can be deployed across the nation.

At Pathways Recovery, We Are Striving to Help the Sacramento Community Deal with the Problem of Substance Abuse in a Positive Manner, through Outreach and Therapeutic Treatment.

Contact Pathways Recovery

Here at Pathways Recovery, we pride ourselves on the services we provide for those seeking to heal from any drug and alcohol addiction. Weather yourself or a loved one, we provide the best treatment for any drug and alcohol addiction one might be experiencing. Our services include, but not limited to, drug and alcohol addiction treatment, outpatient treatment, and holistic services depending on each special individual’s needs. Our medical staff are well versed in the world of drug and alcohol addiction and have years of experience with helping many people through addiction. Here at Pathways Recovery, we are equipped to help with the difficulties of addiction and want to be part of your journey to a better you.

Call us, to speak with one of our well-informed associates to see how we can help you today on the journey of recovery.

The Health Effects Of Marijuana Usage

Pathways -- The Health Effects Of Marijuana Usage -- 08-23-16The Negative Health Effects Of Marijuana Usage Are Numerous

Although there is a large segment of the population that promotes legalization of marijuana and marijuana usage for recreational as well as medicinal purposes, research indicates that marijuana usage can result in many different health problems.  Being the most commonly used illicit drug in the United States, means that there is a large body of data available to gather information from.

Smoking Versus Ingestion of Marijuana

When marijuana is smoked it affects users almost immediately and depending on the strength of the marijuana its effects can last from 1 to 3 hours.  When eaten in food the effects take longer to begin, but they can also last longer.

 The short-term effects of marijuana usage include:

  • Loss of coordination
  • Distorted perception (sights, sounds, time, touch)
  • Increased heart rate, reduced blood pressure
  • Problems with memory and learning
  • Trouble with thinking and problem-solving

Sometimes marijuana usage can also produce anxiety, fear, distrust, or panic.

Active Chemicals In Marijuana

THC Marijuana ChemistryThe active ingredient in marijuana, delta-9 tetrahydrocannabinol or THC, affects cannabinoid receptors on nerve cells and influences the activity of those cells. Some brain areas have many cannabinoid receptors, but other areas of the brain have few or none at all. Many cannabinoid receptors are found in the parts of the brain that influence pleasure, memory, thought, concentration, sensory and time perception, and coordinated movement.

Mental Symptoms of Marijuana

With the strength of the marijuana available today, higher doses of THC are delivered to the brain and marijuana usage can cause the following symptoms:

  • Hallucinations
  • Delusions
  • Impaired memory
  • Disorientation

Not long after after smoking marijuana, the heart will begin to beat more rapidly and the blood pressure will drop. Smoking marijuana can cause the heart rate to increase by 20 to 50 beats per minute, and this can increase even more when other drugs, such as alcohol, are used simultaneously.

Marijuana Usage and Low Blood Pressure

Marijuana Heart ProblemsAs a result of the lower blood pressure and higher heart rate, research has shown that marijuana usage can increase the risk for a heart attack as much as four times within the first hour after smoking marijuana, compared to the general risk of heart attack when not smoking.

Smoking marijuana, even infrequently, can cause burning and stinging of the mouth and throat, and cause heavy coughing. Scientists have found that regular marijuana smokers can experience the same respiratory problems as tobacco smokers do, including:

  • Daily cough and phlegm production
  • More frequent acute chest illnesses
  • Increased risk of lung infections
  • Obstructed airways

Most marijuana smokers consume a lot less cannabis than cigarette smokers consume tobacco, however the harmful effects of smoking marijuana should not be ignored. Marijuana contains more carcinogenic hydrocarbons than tobacco smoke and because marijuana smokers typically inhale deeper and hold the smoke in their lungs longer than tobacco smokers, their lungs are exposed to those carcinogenic properties longer, when smoking.

Although one study found that marijuana smokers were three times more likely to develop cancer of the head or neck than non-smokers, that study could not be confirmed by further analysis.

Marijuana Smoke and Cancer Rates

Marijuana Lung CancerBecause marijuana smoke contains three times the amount of tar found in tobacco smoke and 50 percent more carcinogens, it would seem logical to deduce that there is an increased risk of lung cancer for marijuana smokers. However, researchers have not been able to definitively prove such a link because their studies have not been able to adjust for tobacco smoking and other factors that might also increase the risk.

Studies linking marijuana smoking to lung cancer have also been limited by selection bias and small sample size. For example, the participants in those studies may have been too young to have developed lung cancer yet. Even though researchers have yet to "prove" a link between smoking pot and lung cancer, regular smokers may want to consider the risk.

Is Marijuana Addictive?

While originally not thought to be addictive, recent studies have indicated that this is not necessarily the case.  Changes to the plant brought about by intentional breeding by the growers has made the amount of THC in the marijuana currently available much higher than in the past.  As a result the euphoric effects of marijuana are much greater today than they were in the past.  So anyone seeking an escape from reality can easily turn to marijuana as their drug of choice, just as much as heroin or other addictive narcotics.

While the jury is still out on the addictive nature of marijuana usage, studies are leaning more and more in the direction of it being addictive rather than just habit forming.