Adolescents – Opiate Nation

(Translation into most languages at tab to the right.)

Eleven years ago today my husband John and I woke up thinking it would be just another normal, hot August Saturday morning. But when the sheriff knocked on the door, the day – and our lives – were no longer normal. It is surprising how quickly our lives can go from normal to abnormal.

I was sorting through some files and found a drawing that our son, John Leif (JL) had done when he was around nine. It was obviously of Van Gogh’s “Starry Night” but it was also obviously done by a normal nine-year-old – not an artistic prodigy. And it made me think about how JL was just like any other normal kid growing up in middle-class America in the 1990’s-2000’s. He learned to ride a 2-wheel bike at around five, he played with Lego’s, he took swimming lessons, he loved monster trucks and lasagna and macaroni & cheese with ketchup. But something so abnormal for normal young teenagers ended up ruining some of what should have been the best years of his life and ultimately taking his life – and the lives of many of his friends and hundreds of thousand other normal kids.

What was abnormal was the criminal promotion and availability of highly addictive medicine to young kids by Purdue Pharmaceuticals and the Sackler family. Never before had American kids been exposed to legal drugs (that were promoted as “non-addictive”) that they experimented with as if they were simply trying a joint. And the results were the devastation of the Opioid Epidemic. Which is not over, especially for the once normal kids who are still alive and living with the cancer of addictions. We see many of them on the street corners and under bridges, living from hand to mouth, barely surviving, living anything but a normal life.

Sadly, seeing these shells of once normal kids has become a “new normal” as our society doesn’t seem to agree on how to best provide lasting recovery options with a continuum of care – or whether we even should. In my last Substack podcast and article with special guest Sam Quinones we discuss some ideas from his book “The Least of Us” for how to help get these once normal kids from normal families the help they need to try to return to something like a normal life. (1) Let’s not forget that those addicted people were once normal kids.

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(Translation into most languages at tab to the right)

I want to continue with the thoughts from my November blog on The Cycle of Harm and how we now know that the War on Drugs has failed miserably. And especially in attempting to dissuade teens and young adults from using drugs, a punitive approach to drug use has failed spectacularly. There are many reasons for this: the development of the teen brain, the growing need for autonomy, and the influence of culture and their friends, among other things.

There have been innumerable research studies on the teen brain. “The rational part of a teen’s brain isn’t fully developed and won’t be until age 25 or so. In fact, recent research has found that adult and teen brains work differently. Adults think with the prefrontal cortex, the brain’s rational part. This is the part of the brain that responds to situations with good judgment and an awareness of long-term consequences. Teens process information with the amygdala. This is the emotional part.” (1)

While the teen years are when our brains can comprehend and store new information at its highest rates, the ability to process that information in light of future consequences just isn’t there yet. And during these years there is a need to separate from our parents and begin the process of becoming an adult.

David Robson, in an article for the BBC, says, “Adolescents often desperately crave the approval and acceptance of their parents. So while they certainly do want independence, it is not at any cost. Brain imaging studies show that the regions of the brain associated with reward generally develop more quickly than those associated with inhibition and self-control. They have greater activity in their dopamine signaling – a neurotransmitter associated with pleasure and curiosity – compared to both adults and younger children, with bigger spikes when they experience something that is novel or exciting. In this light, it’s little wonder that teens are more likely to be tempted to try new experiences…with impulsive and risky decision making.” (2)