If you are not truthful or only partially truthful with your treatment providers, how can you expect a good outcome? If you miss appointments, demand controlled medications, don’t pay clinic fees, or purposefully mislead your healthcare providers, what can you expect as an outcome? Abraham Lincoln said:
“You can fool all of the people some of the time, and some of the people all of the time, but you cannot fool all of the people all of the time.”
Not being …show more content…
If you smoke cigarettes or drink alcohol to reduce anxiety, what is to stop you from relapsing on opioids when the next stress comes your way? As examples, addiction to nicotine increases the risk of abuse of opioids (http://bit.ly/1Awr2EL) and addiction to marijuana increases the risk of abuse of other drugs and alcohol (http://bit.ly/1R63F9P).
A more intensive treatment program with heavy emphasis on substance abuse therapy is necessary for persons with polysubstance addiction.
Note: I appreciate that stopping smoking cigarettes can be difficult. Working toward ending all addictions should be a part of your overall goal toward wellness. Your doctor can help you find effective ways to quit smoking.
CROSS-ADDICTION
Cross-addiction develops when one addiction ends and another takes its place. It is easy to turn to another addiction when you stop using opioids because relying on substances has become such an integral part of your life. Since dopamine is the common denominator for all addictions, it is not surprising that cross-addictions are likely to develop if you are not careful.
Here are a few examples of behaviors that can replace opioids if you are not careful:
• Addiction to another drug, alcohol, or person (codependence).
• Exercising, shopping, eating, or gambling …show more content…
Chapter 20
Medically Supervised Detoxification
“You never fail until you stop trying.”
─Albert Einstein
“A smooth sea never made a skilled mariner.”
─English Proverb
A medically supervised detoxification is the safest way to detox from opioids, other addictive drugs, or alcohol. The patient enters a medical facility that specializes in detoxification from drugs and alcohol. The facility may be a freestanding unit or part of a full-service hospital. Physicians, psychologists, nurses, and social workers provide treatment and supportive care.
There are two types of medically supervised detoxification from opioids:
• General medical detoxification.
• Rapid detoxification.
GENERAL MEDICAL DETOXIFICATION
General medical detoxification is the safest approach. The patient discontinues all drugs and alcohol when entering the treatment center. Trained medical staff closely supervises the detoxification around the clock. Medical checks, such as monitoring the intensity of withdrawal symptoms, blood pressure, pulse, and electrolytes, are frequent. Medications are provided to ease withdrawal