(Fifth in a series of topical blogs based on chapter by chapter excerpts from Opiate Nation. Translation into most languages is available to the right.)
After many years of not having a dog, we decided to adopt one from our local shelter. We found a beautiful German-shepherd/wolf mix who was 18 months old. Bella was docile, sweet and quiet. The next day, as I headed out to the grocery store, I gave her a hug and saw her watch me through the window as I got into the car.
When I returned an hour later, I was met with a shock. I found her, panting rapidly and pacing nervously in our bedroom where our wooden shutters were open and had bite marks. She had tried to escape while I was gone. I had no idea why. I immediately called the shelter. “She is having separation anxiety: she needed to escape being left alone.” We found out that she had been with two families previously when she was dumped at the shelter because she continued to try to escape when she was left alone for hours on end. They gave us the name of a dog behaviorist and we started down the long road of helping Bella manage her fear when we had to leave her at home.
Children and adults can experience separation anxiety when someone they are attached to leaves them. They can have recurrent and excessive distress just anticipating being separated from loved ones and the anxiety can be so intense that it is hard to function in everyday life. Panic attacks and physical symptoms such as nausea and headaches can occur. For me and my husband, on the morning of our son’s death from overdose, standing over our son in that body bag we experienced the ultimate separation anxiety. The overriding emotion we felt was fear: fear of the unknown future we were facing. We couldn’t visualize how we would survive without our son as part of our lives and the future we thought we all had together. He had not only been an integral part of our lives for 25 years but he was literally a part of us–the combination of our DNA that formed him as a particular and unique human being. To say that it was like having part of you taken away doesn’t describe it. This was having our hearts torn out.
We would never embrace or kiss or stroke the cheek of our son again. We were facing an existential crisis, shaken to the core, questioning our reason for living. Regardless of our strong faith that had seen us through many other deaths in our families, this separation seemed incomprehensible and cruel. It was only by falling down on our faces and waiting for Mercy to gradually pick us up that we were able to survive this traumatic separation from our son and move forward again in life.
We are a global community – like it or not. We are connected down to the minutia of life, from what we breathe, to what we eat, to what we think, to what infects us. And right now, the world, our world is in a life-or-death struggle with a microscopic enemy that seems to keep gaining the upper hand. The result in just one area is massive unemployment and the subsequent loss of access and funding for public and private support services.
I don’t want to get in to the politics of whether economies should be opened up regardless of Covid-19 and suffer the consequences in lives lost, verses lives ruined by no work and massive personal and societal debt. What I am concerned about are the consequences of what so many millions of people are facing from having lost their means of livelihood, and in particular, those whose lives were already balanced on a knife edge on a daily basis.
John and I just returned from San Diego where we spoke at the 13th Annual CAHM Forum (Community Alliance for Healthy Mindshttps://www.cahmsd.org/ ). Our dear friends, Rex & Connie Kennemer, began CAHM after their 25-yr-old son, Todd, died by suicide. The theme this year was “The Power of Your Story” and we were among the presenters who shared our story of living with our son and his decade-long battle with opioid addiction. We then led a break-out group where we answered questions and discussed the nature of addiction and treatment.
Some may wonder what an addiction story has to do with a forum on mental health. The answer is simple: everything. Now that we have available data covering decades, the connection between individuals who struggle with the entire spectrum of mental health issues and those who are struggling with any addiction co-exist in almost half of those populations.
According to the National Survey on Drug Use and Health (NSDUH), “45% of people with addiction have a co-occurring mental health disorder. Individuals who frequently abuse drugs or alcohol are likely to develop a co-occurring behavioral or mental health disorder. While it is widely accepted that a mental health disorder can induce a substance addiction – and vice versa – researchers are uncovering what causes both conditions to occur simultaneously.” Continue reading “Mental Health & Addiction”
Is there a particular reason that opioids have such an appeal to Millennials? In an article in the New Yorker Magazine (http://nymag.com/intelligencer/2018/02/americas-opioid-epidemic.html) entitled “The Poison We Pick,” Andrew Sullivan discusses the modern American life that we pioneered and how “epic numbers of American are killing themselves with opioids to escape it.” Sullivan goes on to say: “It is a story of pain and the search for an end to it. It is a story of how the most ancient painkiller known to humanity has emerged to numb the agonies of the world’s most highly evolved liberal democracy. Just as LSD helps explain the 1960’s, cocaine the 1980’s, and crack the 1990’s, so opium defines this new era. I say era, because this trend will, in all probability, last a very long time. The scale and darkness of this phenomenon is a sign of a civilization in a more acute crisis than we knew, a nation overwhelmed by a warp-speed, postindustrial world, a culture yearning to give up, indifferent to life and death, enraptured by withdrawal and nothingness.” Continue reading “ANXIETY, Part 2: Appeal of Opioids to Millennials”
In the summer of 2005, we discovered our 16 year old son was smoking “BT” ––Black Tar Heroin. A few weeks later, while we were in the midst of his withdrawal and simply putting one foot in front of the other as we searched everywhere trying to find the next step, I was rushed to the ER. After going to bed one night, my heart began racing and pounding out of my chest. After an hour, John called 911. At the hospital, I was given tests to see if I was having a heart attack. No. The diagnosis: extreme anxiety––deep, un-verbalized, foreboding. I was given IV morphine and as my heart rate slowed down, I slept. Who else but our children can affect our hearts at such a fundamental and unconscious level? Continue reading “ANXIETY, Part 1”