Uncategorized – Opiate Nation

Slavery or Freedom?

(Translation into most languages at tab to the right)

I’ve been thinking about slavery and the people throughout the millennia who have been slaves – and the estimated 50 million people worldwide who are currently enslaved. (1) Every empire from the beginning of recorded history has functioned and prospered on the backs of slaves: people captured during war or kidnapped, enslaved against their will.

In the modern world, people can end up in ‘slavery’ in a variety of ways: economic, sexual, labor, etc. They may have been enticed or tricked into their captivity by promises of adventure or money, coerced or blackmailed because of a past circumstance, or forced into it due to poverty and debt.

How does it feel to be enslaved? Much of the time, it destroys one’s sense of personhood. Your ability to exercise your will and make choices has been stolen from you. Control and exploitation by another person or entity has robbed you of your dignity and ability to determine the direction of your life. It can feel like being on endless stairways that lead nowhere.

One thing is certain: no one ever consciously chooses to be enslaved. No one. But the many lures currently dangling in front of young people to have fun and feel free and to be in control of their own life and happiness can be so deceptive. Yet they are not mature enough to be capable of discerning that they are actually making a choice to become imprisoned – whether it is with alcohol, drugs, promiscuity, gambling, power, success, etc.

I think it is safe to say that anyone who has struggled with any type of addiction knows they are enslaved. They are in servitude to an all-consuming, dominating, master. Their world is restricted due to the demands their addiction places on them. I saw this play out in pitiful detail in our son’s long struggle with heroin and alcohol. I didn’t understand why he would want to cut a trip short or not go at all if we were flying. It was due to needing to use and/or maintain a supply of illegal drugs. As he became unable to focus on his university classes, he had to drop out and work at jobs frustratingly inconsistent with his interests and well below his God-given abilities.

He was not free in any sense of the word.

What is real freedom? Is it to be ‘a free agent’ able to do whatever one wants regardless of society or others’ thoughts or needs? To not be responsible to anyone? To chant the modern mantra that individual freedom is our right and supersedes all other claims? Or is it something more, something that starts in our mind and soul and that results in the ability to make good choices in order to be healthy and safe and productive and of service to others? Webster’s Dictionary describes freedom as “the absence of necessity, coercion, or constraint in choice or action; liberation from slavery.” Liberty is not the power of doing what we like, but the right to do what we ought. (John Dalberg-Acton)

Once someone is addicted, how can they escape the slavery of addiction? We need reformers and abolitionists who know specifics of ‘the slave trade’ and how to liberate individuals. And also, how to reform not only the laws and principles of society but how we think about addiction in order to accurately view those who are enslaved. In the past, in whatever culture slavery was embraced, the way a society could justify its policies was to consider those people as ‘less than’ – less than human, less than worthy of normal rights, even less than deserving of wanting another way of living. And even further, that these slaves should be content with their bondage.

I love this song by Kim Hill, She’ll Come Around. It speaks to this point.

https://www.youtube.com/watch?v=uwf6rQnqkXQ

We all know that is not true because if we put ourselves in their place for a moment – walk a mile in their shoes – we would do anything to be free. But do we all understand and admit that most people who are living in addiction, if given a choice and a viable option, would choose to be free? If so, let’s get rid of denigrating thoughts and words and help change public policies to teach preventative measures to parents and young people and provide restorative solutions to those fighting addiction. (2) And may each of us encourage those who struggle by helping them find real, lasting solutions to the weight of bondage they stagger under.

Our freedom can be measured by the number of things we can walk away from.
Vernon Howard

Mark Heard’s Victims of the Age is a song all about what young people have been and continue to be struggling with growing up in the modern world.

Enjoying the Ride or Reaching the Destination?

(Translation into most languages available at tab on the right.)

My husband and I learned years ago that in many areas, we see and experience the world in very opposite ways. I live in the future, he enjoys the present. I am content with less, he needs more. I want to get to the destination, he enjoys the ride. Our theme song is The Beatles Hello Goodbye: ‘You say Goodbye, and I say Hello’. After living together so many years, some of our ingrained predispositions have begun to change as we have rubbed off on each other – and this is a good thing as I believe it makes us each a more balanced human.

This thought came to mind this week as I began to work on this blog post. Sometimes I am so focused on my destination or goal and being faithful to stick with it that it takes a while for me to realize I am not enjoying the ride. As I wondered why, I realized that it’s not that I don’t feel passionately about advocating for those struggling with addiction and mental health issues. Rather, it’s that I have begun to feel stretched too thin – which is not comfortable or healthy. With the holidays approaching, there are increasing family commitments and events that I want to enjoy and not just endure until they are over. The path to this goal is to be more realistic about what I can and cannot do within my finite energy and allotted time.

This contrast in ideologies applies to recovery strategies as well. When our son was trying to recover from opioid addiction 10-15 years ago, the goal was to complete a recovery program and once and for all become clean and sober – get to the destination. As unrealistic as this seems to us now, it is still a prevailing goal for many recovery programs. Sadly, what it did for our son – and for us – was to set us up for discouragement and shame with every inevitable relapse. Failure.

What I hear from current recovery advocates is that recovery is a goal and a process. If your desire and goal is to become clean and sober, you will embark on a plan of some sort. It is absolutely essential that you get to your destination because with many drugs, continued addiction often leads to death. But it’s also absolutely essential that you understand that it will be a journey with many ups and downs – and that you need to be able to enjoy the ride, the process, as much as possible so that you will have the continued desire to make it to the goal. And that those who are advocating for you, riding with you, will understand and assist you on your journey.

So, in attempting to take my own advice, I am going to discontinue weekly blog posts for a while. Instead, I will write blogs as often as I can and I look forward to your comments and ‘likes’ – every ‘like’ helps with visibility and brings new readers. After almost four years of posts on all aspects of addiction & substances, grief & loss, and mental health, if you search the site, you should find something to bring insight and encouragement for the issues that you are facing today. Let’s enjoy the ride as much as possible as we head toward our destinations.

World Mental Health Day

(Translation into most languages at tab to the right)

Mental Health and Addiction

Individuals who struggle with mental health issues and those with any addiction co-exist in almost half of both those populations, as the data shows after decades of research by the National Institutes of Health (NIH). Not surprisingly, individuals who frequently abuse drugs or alcohol are likely to develop a co-occurring behavioral or mental health disorder. There is evidence, for example, that abusers of marijuana have an increased risk of psychosis while those who abuse opioid painkillers are at greater risk for depression. Regular methamphetamine use causes psychosis, anxiety and panic attacks, memory loss and depression. Cocaine users have increased anxiety, paranoia, delusions and depression.

Self-medicating to minimize our inner conflicts is not new, but it has reached new heights in the 21^st century – perhaps due to the ease of availability. In Woman of Substances, Jenny Valentish discusses self-medicating at length. She says “In the initial pursuit of partying, people are likely to find themselves drawn to certain families of substances, and they will discover that these additionally offer relief to symptoms of mental illness, distress, or emotional pain.” Why do stimulants calm most people who have ADHD while they have the opposite effect on the rest of us? Why do some antihistamines sedate most people but for some others, cause stimulation? Clearly, their brain chemistry needs something different than the ‘average’ person. It is for the same reason that for many, their drug of choice is a sedative. Their brains need something to turn off the rapid-fire stimulation that can be almost constant.

Informative and concerning statistics on mental health in the US:

Reaction Recovery

Translation into most languages at tab to the right.

A few weeks ago, John and I were interviewed by Jeff Simone for his Surviving the Opioid Epidemic podcast (see YouTube link). We had a really great conversation about our family living with a teenage son with opioid addiction and how his death from overdose affected us and changed our lives. Jeff serves the addiction community with a coaching service called Reaction Recovery.

https://reactionrecovery.com

Here are some insights into his recovery approach.

Reaction Recovery is a private coaching service designed to help individuals thrive in their life of recovery from substance use disorders. It is a one to one, intensive behavioral approach to help individuals identify areas to make focused and intentional lifestyle modifications. Dr. Simone has been formally trained in clinical pharmaceutical and dietary supplementation advisory and management. He has earned degrees in nutrition, physiology, is a certified life coach, and has personally worked with over 200 people recovering from substance addictions.

Why ‘Reaction’ Recovery? Who is reacting and to what?

Reaction Recovery was started as a “reaction” to the current treatment approach to addiction. The medical community is doing a good job offering short-term acute care crisis management for addictive disorders, but are doing poorly offering long-term treatment for those who have become abstinent but not yet stabilized. This describes our son’s – and most others we know – situation perfectly. Addiction needs long-term care and support.

The basic coaching approach addresses the physiology of the addiction, post-acute withdrawal syndromes, nutritional interventions, dietary supplementation, and how this all can safely integrate with other pharmaceutical treatment strategies that might already be on board.

Based on what Dr. Simone has called the ’12 Daily Rules for Recovery,’ their coaching techniques will systematically and methodically help the individual identify specific areas to be adjusted and then develop individually tailored strategies to affect real change.

The 12 Rules focus on building up a support community – first and foremost – then developing a healthy and consistent morning routine, understanding the importance of full-day nutrition, ensuring the body is receiving all nutrients necessary to support a strong and optimal brain and body, establishing a safe and appropriate dietary supplement regimen, expanding the mind with helpful books and information, developing a realistic exercise routine, carefully auditing the external distractions in our lives, constructing a regular nighttime routine, and more.

When these considerations get repeated across thousands of iterations, and with a little guidance and accountability, they become a foundation upon which the rest of the individual’s recovery will be built. Eventually – through ruthless repetition – new neural pathways begin to form until eventually this life of abstinence doesn’t feel so difficult and a sustainable, meaningful recovery is able to take shape.

Jeff’s approach of community as essential and creating new, healthy habits to replace old, destructive ones has been the topic of several of my blogs (see below). Whatever habits we create will become automatic and will serve us and our life-goals well as we go through each day.

2021 Aug 15, Connection is Crucial

2021 March 28, The Freedom of Habits

2021 Jan 03, Who is My Neighbor?

2020 Dec 27, Missing Community

2020 Aug 15 & 22, Loneliness

Australian Real Drug Talk

Translation into most languages at tab to the right.

One of the things I have come to appreciate about the Australian way is their straightforward approach to life. They are easy-going yet they say what they mean and you know where you stand. A lack of pretense – with a large dose of slightly off-color humor added in.

I think that is why they are more advanced in their drug policies and treatments than America – they are more honest and have less taboos. They benefit from having had comprehensive public health for decades which has facilitated progressive drug policies such as clean needle exchanges, safe-injecting sites, and medication assisted treatment.

John and I had an interesting conversation a few weeks ago here in Australia with Jack Nagel. Jack does the “Real Drug Talk” podcast from Melbourne and also runs the Connection Based Living Recovery Programs. We were preparing to record a podcast with Jack – see links below – and were asking about his experiences and what the current trends are here with drugs of abuse.

https://podcasts.apple.com/us/podcast/saying-goodbye-to-my-son-in-a-body-bag/id1507177011?i=1000533422150

About

In discussing opioids, I wondered why methamphetamines seems to be the main drug of choice and why heroin is not as common here as it is in the States. Jack said that in the 1990’s there was a big problem with heroin coming in from the Golden Triangle of SE Asia and lots of overdose deaths. And the heroin use was IV, not smoking. So, there is a collective memory of street people using heroin and dying which created a lot of stigma and fear associated with IV use.

After that trend slowed, people began using meth – young people like Jack –because smoking or snorting meth seems more innocuous and a less intrusive way to take a powerful drug than IV. Jack said that there is a huge cohort of people who don’t live on the streets and who smoke meth for years. Sadly, they don’t seek help because the public messaging that portrays meth addicts as homeless people with sores and missing teeth doesn’t apply to them. But meth addiction will eventually burst that bubble and ruin their lives too.

There is also a growing problem with cocaine. While once considered the drug of the wealthy city dweller with some high-flying users in Australia spending $10-$20K per week, statistics reveal cocaine usage has now spread much further. Consumption has grown in other areas and demographics where prosperity has increased such as middle-class teachers, tradesmen, etc. Australia is now the highest per capita user of the drug in the world. And the rise in use is being driven by men aged in their 20’s, with Sydney leading the country in use. The most recent stats reveal that there are nearly 1 million weekly cocaine users in Australia out of a population of 26 million. (1,2,3)

We also talked with Jack about what the entry drugs are for kids here in Australia. After alcohol and pot, they usually begin with hard “party” drugs used at house parties and concerts like ecstasy/MDMA, benzodiazepines, GHB/GBL. All mood-altering drugs that create different types of euphoria, but which are dangerous because many times they are mixed with alcohol and other drugs, sometimes without the user’s knowledge.

Even though heroin is in the background in Australia, it is still available and becoming more dangerous due to fentanyl being mixed in to the supply of much of the heroin, and all opioids, along with other drugs of abuse. (4)

When our son, JL, began using Oxy’s he never thought he would even try heroin. Then, as Oxy’s became more expensive and heroin was cheaper, he started smoking heroin. He then swore he would never stick a needle in his vein – the danger and stigma to him was clear. Eventually, just like 95% of heroin users, he did just that. He was living under the delusion that smoking opioids – or any drug – would never lead him to become a “junkie”, an IV drug user.

My concern for the young people and families of Australia is that, as The Age reported in 2020, pain management with opioids has increased here too, although not to the degree it had in the States. Opioid-related deaths have increased in the past decade and today at least three people die from opioid harm each day and 150 are hospitalized. (5) Fentanyl is showing up in wastewater testing and drug overdoses of cocaine and meth, drugs where the users are not expecting a potent narcotic. Because it is synthetic and cheaper to produce in China and India, it brings its criminal networks a greater profit margin.

As I’ve said before and will continue to say: We will not treat our way out of the opioid/drug epidemic. Prevention is key. Let’s continue to stay aware and educated about what we all can do to keep our children and their future safe and healthy.

http://www.RealDrugTalk.com.au

1. Why cocaine is most used drug in Australia behind cannabis

https://www.heraldsun.com.au/news/national/why-cocaine-is-most-used-drug-in-australia-behind-cannabis/news-story/0fa9bbcec60dfe0ecfb52a5cb58a38f5

2. Australia the highest per capita cocaine user in the world

https://www.news.com.au/national/australia-the-highest-per-capita-cocaine-user-in-the-world/news-story/c91869d4e2b2adeef266917d82f705e0

3. Sydney and cocaine: an illicit love affair for the ages

https://www.smh.com.au/national/nsw/sydney-and-cocaine-an-illicit-love-affair-for-the-ages-20210225-p575uz.html

4. Fentanyl in the Australian illicit drug market

https://adf.org.au/insights/fentanyl-australian-illicit-drug/

5. Australia’s opioid crisis: How pain management got out of control

https://www.theage.com.au/national/australia-s-opioid-crisis-how-pain-management-got-out-of-control-20200204-p53xrn.html?login_token=6k67UOPLwp5Xl2j0rc4YRnMBCQfFMYmi_oQ7Wy-FhUoshvJtqTVUQRQtnZMeXk9e6ZvG2rO1y9HCtcf1QfpRxw&expiry=1659821531

Teenage Perils

(Translation in most languages available at tab on right)

Int’l Overdose Awareness Day Sale on eBook & Paperback through Sept 1st

Most of us have heard that the category of “teenager” came about after WWII. Before that, in a mostly agrarian society, you were either a child or an adult and the demarcation was when you went from being directed and cared for by your parents to being responsible for yourself and caring for others.

The word “teen” was introduced as early as 1818 referring to a person who was 13-19, “teener” from 1894, and “teen-ager” from 1922 (1). But the terms didn’t stick and didn’t carry a sociological group identity until after WWII. Being a teenager became its own sub-culture that revolved around like-ness, popularity and a fear of being on the outside.

Increasingly, the modern teenager relies more on peer-pressure than family relationships and values. And, peer pressure and group dynamics is known to be one of the highest risks for adolescent drug and alcohol experimentation and use. In one chapter of Hit Makers: The Science of Popularity in an Age of Distraction, Derek Thompson discusses teenagers at length (2). He writes, “Psychologist Laurence Steinberg, put people of various ages in a simulated driving game. Adults drove the same, whether or not they had an audience. But teenagers took twice as many “chances” when their friends were watching. Teenagers are exquisitely sensitive to the influence of their peers.”

What Would They Say?

(Short topical blog based on Opiate Nation – translation into most languages in tab on right.)

August 2^nd is the seventh anniversary of our son’s death. JL died of a heroin overdose in the early morning hours of that Saturday in 2014. He was 25 years old.

In 2020 alone, 93,000 people died of drug overdoses in the USA – hundreds of thousands more worldwide. Millions in the past few decades. These were beloved daughters, sons, partners, parents, friends, relatives. I think I can confidently say they did not want to be addicted and if they could have turned back the clock to the time before they began using drugs, they would have.

Ghost Stories

(Short topical blogs based on Opiate Nation – translation into most languages in tab on right.)

When we hear the phrase “ghost stories” most of us think of scary and spooky stories shared around a campfire with the intended, and predicable, consequence of keeping us awake at night.

But when H Lee (aka Harris Insler) decided to call his new podcast series “These Ghosts Must Be Heard”, it wasn’t because he would be interviewing people with paranormal experiences. And although the stories his guests share aren’t scary in the ghoulish sense, they have kept their narrators awake at night for days, weeks, and months on end. John and I included. (To hear our interview with Harris, see links below for Podbean, Amazon, Spotify.)

https://theseghostsmustbeheard.podbean.com/

https://music.amazon.com/podcasts/3392919b-b8bc-46b4-a486-5e34b7d8dd1d/episodes/580578a3-691f-418a-a179-8bc5f72dd138/these-ghosts-must-be-heard-episode-2-jl

These are real-life experiences and these “ghosts” are the spirits of our deceased loved ones: children, friends, partners who have succumbed to premature and preventable deaths from opioid overdoses.

Mirror Mirror

(I am re-posting this from July 4th for those who were on holiday and missed it.)

Topical blogs taken from OPIATE NATION. Translation into most languages at tab on right.

I was listening to a young man who had been heavily addicted to crystal meth. As he told his story, one of his “ah-ha” moments was walking into a bathroom in his parents’ home and seeing himself in the mirror. As he looked at the vestige of his former self – an emaciated, festered, hollow-eyed man – he remembered who he once was: a happy and carefree young person with good friends, a star athlete, a kind and honest person, a loving son. That moment of realization caused him to reach out and ask for help which eventually led to the beginning of his recovery journey.

As I heard his story, a photo flashed before my eyes of my son, JL – one we found on his phone after he died from a heroin overdose. It was a selfie he had taken after he had relapsed, just days before he died, standing in front of a full-length mirror in a public bathroom. He was dressed for work in slacks and a dress shirt. No smile. I have always wondered why he took that photo. Was it to remind himself of who he really was? To be able to be honest with himself when he might look at it later when he was high? Was he attempting to make himself stop using? To ask someone for help?

Mirror Mirror

Topical blogs taken from OPIATE NATION. Translation into most languages at tab on right.

I’ll never know.

But after listening to this other young man, I’m guessing my son had similar thoughts going through his mind. Yet, what seems to have happened is that his addicted mind told himself that he could handle it on his own – that he could just cut down his use and not have to go through withdrawal one more time, not have to be embarrassed by telling us he had relapsed after 6 months of sobriety, not have to start all over again.

Perception refers to how we interpret things and it is the motivation behind our actions and reactions. His perception of his ability to use his willpower was skewed, because our self-perception is influenced by many factors including our perceived needs, our experiences, and our expectations.

Beneath self-perception is our self-concept, our view of our self, which influences our decisions, our feelings, and our judgement. It may include genuine self-knowledge or varying degrees of distortion.

Many times, we choose – albeit unconsciously – to be self-deceived because it is too painful to be honest with ourselves, to interpret what we see in the mirror with unbiased and accurate judgement. There is a saying written in the first century AD that sums this up:

“Those who hear (a clear direction) and don’t act are like those who glance in the mirror, walk away, and two minutes later have no idea who they are or what they look like.”

Because of this very human tendency, we all need a few close friends and a safe community who love us enough to honestly reflect back what we saw in the mirror – which we can so conveniently forget.