Mental Health & Addiction

John and I just returned from San Diego where we spoke at the 13th Annual CAHM Forum (Community Alliance for Healthy Minds https://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”

Dreamland (Young Adult Adaptation): The True Tale of America’s Opiate Epidemic by Sam Quinones (2019)

I am devoting this blog to a review by Shelf Awareness of an essential book in the battle against early exposure to opioids which has destroyed so many young lives – our son’s included – in the past 20 years. Please give a copy of this book to every teenager and young adult you know and love.

Journalist Sam Quinones’s lauded 2015 Dreamland was, according to our review, “a comprehensive and empathetic investigation into the Mexican pipeline feeding the United States heartland’s growing appetite for opiates.” This adaptation, pared down for a young adult audience, is a sharp, engrossing work of narrative nonfiction.
Dreamland snares the young reader immediately with the story of Matt Schoonover from Columbus, Ohio, who began using prescription opiate painkillers in high school, became addicted and moved to black tar heroin when the “street OxyContin” became too pricy. A day after returning from three weeks in rehab, at the age of 21, Matt fatally overdosed. Continue reading “Dreamland (Young Adult Adaptation): The True Tale of America’s Opiate Epidemic by Sam Quinones (2019)”

What We Wish We Had Known…

August 2nd was the 5th anniversary of our son, John Leif’s, death by overdose from heroin. As we look back over the years, there is so much information available now than there was for the families of young people addicted to opioids in the early years of this century. So much we wish we had done differently with this son of our hearts – if we had only known.

In the early years of his addiction and recovery programs, we learned how co-dependency and enabling went part and parcel with alcoholism and addiction in family systems. We read all we could about it and worked hard to change from enabling and need-based love to detaching and loving with “tough love.” Sadly, as we now understand, tough love does not work for opioid addiction, because as Dr. Nora Volkow, director of the National Institute on Drug Abuse, says: “The concept of letting children hit bottom with opioids is not the best strategy, because in hitting bottom they may die.” Continue reading “What We Wish We Had Known…”

GMO Poppy Seeds & Opium – Thanks to China and the Taliban

In 2007, Afghanistan – which supplies approximately 80% of the world’s illicit opium – had an estimated world market value of $4 billion for their crops. Then, in 2015, there were reports of mysterious new high-yield opium poppy seeds resulting in bumper crops of opium. What would the value of these crops be and where were these super-seeds coming from?

In 2016, the United Nations Office on Drugs and Crime (UNODC) reported that there was a 43% surge in Afghan opium production in that coincided with a genetically modified organism (GMO) seed that was developed in China and farmed ‘legally’ for the pharmaceutical industry. The GMO seeds allow poppies to be grown year round instead of the normal 1-2 crops per year while using less water. The bulbs of the poppies grow bigger and the bulbs can be scored to extract resin twice, almost doubling yield. It is clear that China lost control of their new seed to the Afghan illicit opium industry, which has had beneficial consequences not only for the worldwide heroin market, but for the Taliban. Continue reading “GMO Poppy Seeds & Opium – Thanks to China and the Taliban”

ANXIETY, Part 2: Appeal of Opioids to Millennials

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”

ANXIETY, Part 1

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”

American Pain

From my earliest memories, I have had leg aches. They come on fairly suddenly for no apparent reason. It wasn’t until my 20’s when I figured out they related to the weather and changes in barometric pressure. I know, it sounds like folk-magic. But it’s true . As I was growing up, my parents would wrap my knees in stretch bandages and rub my legs with witch hazel. One thing they never did was offer me a pill for my pain. Never. In the pre-1980’s world, pain was part of life and mostly bearable.

My how things have changed. America­­­–with 5% of the world’s population–went from consuming less than 5% of the world’s prescription opioids in the 1960’s to now consuming some of the highest percentages of prescription opioids such as oxycodone, morphine, fentanyl, etc.

In 2015, John Temple,  an investigative journalist and journalism professor, wrote American Pain. It was one of three key books released that year in response to our opioid epidemic, the other two being Dreamland and The Big Fix. The title is taken from the “king” of the Florida pill mills, American Pain, a mega-clinic expressly created to serve addicts posing as patients. From a fortress-like former bank building with security guards, American Pain’s five doctors distributed massive quantities of oxycodone to hundreds of customers a day, mostly traffickers and those addicted, who came by the van load. Former strippers operated the pharmacy, counting out pills and stashing cash in garbage bags. Under their lab coats, the doctors carried guns. Continue reading “American Pain”