© change addiction now wisconsin united we c.a.n
TRANSCRIPT
©
Addiction and RecoveryWhat I Wished I Had Known
Change Addiction Now
Wisconsin United We C.A.N.
*Source: JAMA Psychiatry Journal
90% of heroin users are white 52% of users seeking treatment are women 23 is the average age of someone with an
opiate addiction 75% live in small cities and non-urban areas 81% of first time heroin users abused
prescription drugs first
Face of Addiction has Changed
3
Prescription Opiates
4
What is Addiction?
5
Every user has the potential to be an abuser.
Non Use
Experimental Use
Occasional Use
Regular Use
Abuse
Dependency /Addiction
Stages of Use
Adolescents move through these stages at a greater rate of speed than adults.
Unless there is a predisposition to addiction, it takes 8-10 years for an adult to travel from experimentation with alcohol and/or other drugs to becoming dependent
It takes a Adolescents anywhere from 3-15 months.
Stages of Use Progression
6
Addiction by the Numbers
1 in every 3 families impacted
Source: Substance Abuse Mental Health Services Administration (SAMHSA)
3 out of 10 become addicted
22 million in active addiction from substances
8
Most Significant Impacts on Society
Alcohol Most AddictiveHeroinMost Long-term ImpactsMeth
Most Harmful Drugs
9
What Determines Addiction? Biology
◦ Genetics (Family with addiction)◦ Brain Chemicals (Dopamine levels)◦ Age (Younger brains more susceptible)◦ Chemical Interaction Specific Drugs◦ Mental Health Issues
Environment◦ Family/Friend Influences◦ Social/Economic Status◦ Low Self-esteem◦ Traumatic Experience◦ Physical/Emotional Pain◦ Stress
Environmental influences can reduce dopamine levels in the
brain
It’s In the Brain
10
Dopamine and The Brain Dopamine is natural neurochemical that produces
feelings of pleasure Dopamine is increased by many drugs thus
causing pleasure The human body accounts for this and decreases
the natural amount of dopamine This now lower level of dopamine can encourage
increased future use of substances
Dr. Michael MillerMedical Director, Herrington Recovery Center, Clinical Adjunct Professor Addiction Medicine, UW School of Medicine, Assistant Clinical Professor Department of Psychiatry & Behavioral Medicine, Medical College of WI
12
Addiction is a Brain Disease. Period
Addiction Changes Thinking
Use of deceit (to others and ourselves) Victim stance Rules do not apply to me Over reaction, hostile or angry Neglecting goals, things enjoyed Forgetfulness: losing everyday things such
as car keys, wallet, money Isolation from family Don’t care about looks, dress New friends
14
Life with Addiction
Disrupts stability of the home◦ Addiction-related behaviors are central to everything
Breaks up family and marriage unity ◦ Unable to leave house/do things together◦ Isolation and withdrawal from each other◦ Financial disagreements◦ Discord over how to handle situations with child actively using
Impacts siblings◦ Feel alone and unimportant
◦ Develop anxiety and depression
◦ Develop anger towards parents
◦ Turn to same behaviors as addictive siblings
Stresses mental and physical health Depletes finances
Addiction is a Family Disease
Lie to protect it? Manipulate to protect it? Steal to protect it? Hurt someone to protect it?
Brain Drug most important thing their body needs, so get at all costs!
16
What Can You Lose?
Recognizing Warning Signs of Abuse and Addiction
Need more for same effect
Use to avoid or relieve withdrawal symptoms
Constant anticipation of using
Life revolves around using it; abandon activities you used to enjoy
Neglect of responsibilities
Problems in relationships
Use under dangerous conditions or taking risks while using (like driving under the influence)
Continue to use despite knowing it’s hurting you
Legal trouble resulting from use
17
Recovery is Possible!
18
19
Treatment Cycle
Outpatient
Support Groups Inpatient Sober
LivingRecovery
Coach
Home Job Friends Family Activities Entertainment Places Frequented
20
Why Recovery is so Hard
What I Wish I had Known Addiction is a brain disease
◦ Some people are born with a genetic disposition to addiction
◦ Drugs, behavior, trauma, etc. changes the chemical processes in the brain, so not being able to “just quit” isn’t because they are weak
How to recognize abuse and addiction◦ Abuse: get an OWI and you stop drinking/driving
◦ Addiction: get an OWI but can’t change your behavior
How to talk to a friend who needs help◦ Don’t judge or shame, but offer acceptance and understanding
How to find help◦ County crisis lines, 211, support groups, school counselor, AODA
counselors
21
It Would Happen To Me
Change Your Conversations I’m allergic. No thanks, I’m not into it. I don’t want it to impact my ability
to…(play sports, play music, be in a club, be a good parent, etc.).
I don’t need to (drink/do drugs) to have fun.
Tried it and didn’t like it. I like to stay in control. No!
◦ (FYI…No is a complete sentence)
22
23
Question:◦ I’m worried about your partying lately…do you
feel like things are getting out of control? Persuade:
◦ I really care about you and you to find help. Refer:
◦ I think talking to [someone] is a good idea and I can go with you.
QPR is CPR
TeacherCounselor
ParentFriend’s
ParentOlder Sibling
CrisisCenter
24
My Son is NOT his Disease
Bringing the family voice to addiction and
recovery through support, education, and
advocacy25
Wisconsin United We C.A.N.Change Addiction Now
www.changeaddictionnow.org/wisconsin.html