The Brain Disease Model of Addiction

addiction

Our understanding of addiction has come a long way in a relatively short period of time; how the disease is viewed and treated are perfect examples of the progress we have made. Not too long ago, society’s answer to addiction was to dismiss those who used drugs and alcohol to the point of despair as having a shortage of willpower and perpetually hedonistic. The government’s response was to arrest and jail people who sold or abused mind altering substances, essentially branding millions of Americans as social pariahs for something that they were unable to control.

After decades of draconian drug policies, U.S. jails and prison populations exponentially grew, costing taxpayers billions of dollars each year. What’s more, when offenders with substance use disorders were released, more often than not they would be re-incarcerated for similar offenses.

Advances in medicine and our understanding of the brain has given scientists the ability to see that addiction is not a voluntary lack of self-determination and personal responsibility, but rather a disease of the brain; and, like any disease, for one to recover they require intensive treatment. Today, in most states people with substance use disorders are given the option of treatment in lieu of jail, and for those who are willing to do the work – recovery is possible.

Treating addiction as a mental illness is still a hard pill for many people to swallow, the reasons for this vary. One reason for this is that neurobiology is difficult to understand, another may be that the idea that using drugs and alcohol is a voluntary decision. The list goes on, but treating addiction as a mental illness has allowed experts to develop more effective treatments and sound prevention methods.

A review of available research conducted by the director of the National Institute on Drug Abuse (NIDA), Nora Volkow and colleagues, about addiction as a brain disease was published in the New England Journal of Medicine (NEJM). The goal was to enlighten those who question the brain disease model of addiction. The review of research produced a clear outline supporting the model, and we encourage you to read it in full. Dan L. Longo, M.D. writes:

“Advances in neurobiology have begun to clarify the mechanisms underlying the profound disruptions in decision-making ability and emotional balance displayed by persons with drug addiction. These advances also provide insight into the ways in which fundamental biologic processes, when disrupted, can alter voluntary behavioral control, not just in drug addiction but also in other, related disorders of self-regulation, such as obesity and pathologic gambling and video-gaming — the so-called behavioral addictions.”

Recovering Addicts Beware! Many E-Cigarettes Contain Alcohol

If your program of recovery involves attending 12 Step meetings, then it is highly likely you have seen people puffing on e-cigarettes – devices that vaporize liquid containing nicotine for inhalation. Over the last few years, many cigarette smokers have experimented with e-cigarettes. In some cases people have stopped using traditional tobacco products in favor of ‘vaping;’ in other cases people will use the devices concurrently with tobacco. While there remains to be little conclusive research on e-cigarettes as effective smoking cessation devices, there are a number of health experts that believe they are likely to be less harmful to your health than cigarettes.

Whether or not e-cigs are safer than cigarettes may be a moot point, at least when it comes to people in recovery. New research indicates that many commercial vaping products contain small levels of alcohol, enough alcohol to affect motor skills, CNBC reports. Researchers at Yale University found that about three-quarters of commercial e-cigarette liquids (tested) contained less than 1 percent alcohol. The finding was published in the journal Drug and Alcohol Dependence.

The researchers tested two groups of people, one using an e-cigarette with higher alcohol content and the other group using a device with lower levels, according to the article. While both groups reported not feeling any different, the group that vaporized an e-liquid with higher levels of alcohol showed a worse performance when given psychomotor tests.

“They didn’t actually know they were under the influence of alcohol,” said study co-author Dr. Mehmet Sofuoglu, a professor at the Yale School of Medicine. “It still influenced their performance.” 

The findings are especially troubling when you consider that many of the people in recovery who use commercial e-cigarettes may be unsuspectingly exposed to alcohol. It is highly recommended that people working a program of recovery avoid any mind altering substance, regardless of how minute the exposure may be; this goes for certain cough syrups, fermented drinks, some mouthwash brands and even certain foods. Even infinitesimal levels of exposure could have an effect that leads to a relapse.

If you are in recovery and would like to continue using your e-cigarette, it is important that you find nicotine liquids that do not contain alcohol.

Alcohol-Related Brain Damage is Under Diagnosed

Alcohol-Related Brain Damage

It is no secret that alcohol can cause insidious harm to the human body; excessive alcohol use has been linked to a number of forms of cancer and can cause serious harm to one’s liver and/or pancreas. Every year, new research is published showing what can result from prolonged heavy drinking, yet the majority of adults who consume alcohol do not heed the findings. What’s more, one can abuse alcohol without meeting the criteria for alcoholism, and still experience the long term side-effects that can accompany use.

It is important to keep that in mind, considering that many “baby boomers” who are reaching old age and may begin to experience the adverse effects of alcohol. Alcohol-related brain damage often goes undiagnosed, according to experts, and many times it is misdiagnosed as Alzheimer’s disease or dementia, The Wall Street Journal reports. When people’s memory begins to slip, it is often attributed to getting older, but alcohol may be the culprit instead.

“As we get older, we all lose a little gray-matter volume and white-matter integrity, but in alcoholics, those areas break down more quickly. It looks like accelerated aging,” says Edith Sullivan, a professor of psychiatry and behavioral science at Stanford University.

Modern brain scanning technology shows that excessive alcohol use over long periods of time can actually damage white-matter fibers that connect the various areas of the brain together, according to the article. It can also alter brain structure, negatively affecting gray-matter cells responsible for:

  • Learning
  • Memory
  • Decision-Making
  • Social Behavior

Brain scanning allows doctors to diagnose “alcohol-induced neurocognitive disorder” and “alcohol-related dementia.” Researchers point out there is no way of knowing the threshold that, when crossed, could result in the aforementioned health problems, the article reports. Alcohol affects everyone differently, and there are a number of factors to consider when determining the effects of excessive use, such as:

  • Genetics
  • Age
  • Sex
  • Patterns of Use
  • General Health

If you believe that your alcohol consumption may be impacting your health, it is best to cease drinking. It’s possible that you may struggle with such a goal and may need outside assistance. Harmony Foundation can help you begin living a life free from alcohol.

A New Year In Recovery

Harmony Foundation would like to wish everyone in recovery a Happy New Year. We hope that everyone made it through the conclusion of the holiday season without picking up a drink or drug – a noteworthy accomplishment to say the least. Arguably, more alcohol is consumed on New Year’s Eve than any other day of the year and it can be difficult to resist the temptations all around.

We hope that everyone took a moment to think about how far you have come in recovery, even if you have only been clean and sober for a short period of time. Everyday sober is a blessing, and is another day of working towards a productive future. On the 1st of the year, it is always wise to reflect upon the people and things in your life for which you are grateful. Even if it is a short list, it will probably consist of more than before you got sober. Living from a place of gratitude is conducive to continue, long term recovery; a goal which every recovering addict and alcoholic strives to achieve – one day at a time.

If you happen to still be active in your addiction, perhaps recovery is a New Year’s resolution you have set for yourself. We would like you to know that breaking the cycle of addiction is possible, and worth it. The holidays can serve as a litmus test, showing you all the people and things that addiction has taken from you. Let 2016 be the year where you start working towards living a life free from drugs and alcohol, and in doing so you will begin to repair the damage of your past. What better time than now, why not start the new year on a sober footing?

While some addicts and alcoholics can begin to recover in the rooms of Alcoholics Anonymous or Narcotics Anonymous from the beginning, others may need extra assistance in starting the process, such as medical detoxification and a safe place away from the ever looming, omnipresent temptations. Long-term residential treatment can provide the setting which will ensure a greater chance of success.

At Harmony Foundation, we can help you begin the journey of recovery. Our affordable, residential addiction treatment program located in the beautiful Rocky Mountains is the perfect environment to start the process of turning your life around. If you or a loved one needs assistance, please contact us as soon as possible.

Putting Recovery First This Christmas

recovery

With Christmas less than a day away, those in recovery should already have a plan in place for navigating through the day without using a drink or a drug. It is important, even if you are traveling, to put your recovery first during the holiday; failing to do so can be dangerous and potentially lead to a relapse. Everyone wants to take part in the festivities, but for those in recovery it is paramount that we make safe and smart decisions. If you are new to recovery then it is always best to run your plan by your sponsor or recovery mentor, they can tell you if your plan is both sound and conducive to recovery.

If you are away from your family or your family is not a part of your life, it is best to make plans with your recovery peers. The people who are in your support network are both your friends and allies, being around them during the holiday will better ensure that you will make it through the day sober. Addicts and alcoholics often want to isolate themselves, especially when they are emotional. However, being alone for a significant amount of time can be a slippery slope that can lead to a relapse.

There will be many 12-step meetings that you can attend tomorrow, and everyone in recovery should make an effort to attend at least one. Attending multiple meetings on a holiday is not uncommon, and if you are having a hard time tomorrow it is wise to go to as many meetings as you need. Even if you are not struggling, it is safe to say that somebody else will be; you may be able to help another work through their problem.

Remember to take a moment tomorrow to reflect on that for which you are grateful. If you are working a program and staying abstinent, then you probably have a lot to be grateful for. It is likely that a number of people helped to you get where you are today, and it can be beneficial for you to let them know how happy you are to have them in your life.

Harmony Foundation would like to wish everyone in recovery a Merry Christmas. Never forget that the hand of recovery is always there for those who reach for it.

Making It Through Thanksgiving, Sober

Thanksgiving is tomorrow, which, for those in recovery may be a challenge. The majority of people in recovery would drink a lot over the holidays, so it is important to create new rituals and traditions that do not involve mind altering substances. This can be difficult, but it is possible; many recovering alcoholics now look forward to the holidays.

For those who are new to recovery, it is vital that you stay connected to your sponsor and recovery peers over the course of the day. Remember that people have walked the road you are on ahead of you. Learn from their past experiences, the dos and don’ts of recovery over the holidays.

Attending holiday dinners and/or parties should be approached with caution. Alcohol is likely to be in the hands of your peers, and you want to keep your distance as much as possible. It is always smart to bring a friend in recovery to such events, having someone around who is working towards a common goal can be a huge help. If you are having cravings you talk about it with them, if the urge does not dissipate then it is best to leave the event.

Family gatherings can really test the strength of your program. If you plan to attend, it is a good idea to leave early before people become intoxicated. It is never any fun being around drunk people when you are in recovery. If your family is not an active part of your life, spend time with your recovery family.

On Thursday, there will be 12-step meetings happening all day long. If you miss your homegroup, there are many other meetings you can attend. A number of meeting houses will be holding Thanksgiving events, such as a dinner and a meeting. Recovery events can be a great time, and a perfect opportunity to create a new ritual for the holidays. If you have time, volunteer your help, it is a great way to get out of your head. They are also a great opportunity to meet other members in your recovery community.

Harmony Foundation would like to wish everyone in recovery a safe and sober Thanksgiving. __________________________________________________

If you are or a loved one is one is active in their addiction, please contact Harmony Foundation to begin the journey of recovery. Harmony is a state-of-the-art, affordable, residential addiction treatment program located in the Rocky Mountains.

Concerns About Kombucha Alcohol Levels

Working a program of recovery requires eternal vigilance; it is crucial to stay away from risky situations and all mind altering substances. Many people, upon finding recovery, will begin looking for ways to lead a healthier life, one that usually includes exercise and eating well. Today, every health oriented grocery store and most general groceries carry a product called kombucha – a type of tea. While there are many claims made about the health benefits of kombucha, such as healthier digestion and having the ability to cure a number of illnesses, there is very little evidence to support such claims.

There are a number of people in recovery who drink kombucha, a drink which is unique when it comes to teas in that it is made by a fermentation process using a “symbiotic ‘colony’ of bacteria and yeast” (SCOBY). One the byproducts of the process includes the production of relatively minute amounts of alcohol – typically .5 percent by volume. Commercial kombucha makers are required to place a warning label about the presence of alcohol on each bottle, but the drinks can be purchased by minors because the drinks are considered to be non-alcoholic.

Unlike beer and liquor, kombucha continues to ferment after being bottled, which means it is possible for there to be more alcohol present at the time of consumption than what is labeled. United States law says that a drink with an alcohol content above half of one percent is considered an alcoholic beverage, which makes it subject to different rules and regulations.

The Alcohol and Tobacco Tax and Trade Bureau (TTB) sent warning letters to some kombucha makers, for selling products which had alcohol levels above one-half of 1 percent, The Wall Street Journal reports. Last month, two consumer complaints seeking class action status were filed in California – alleging that Millennium Products Inc. (one of the largest kombucha manufacturers) engaged in deceptive practices in alcohol-content labeling.

One of the consumer complaints claims that some of Millennium Products Inc. drinks had alcohol levels of up to 3.8 percent. One beer typically contains an alcohol content of 5 percent, according to the article.

“There are people who can’t drink [alcohol] for religious or health reasons. Folks deserve to know what they’re drinking,’’ said Thomas Hogue, a spokesman at the Alcohol and Tobacco Tax and Trade Bureau.

If you are in recovery, it is always a safe bet to refrain from consuming alcohol at any content level – cough syrups, near-beer, and kombucha. An alcohol content level below half of one percent is still “alcohol,” consuming even small amounts of booze could lead to cravings and a potential relapse.
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If you are or a loved one is abusing alcohol, please contact Harmony Foundation to begin the journey of recovery. Harmony is a state-of-the-art, affordable, residential addiction treatment program located in the Rocky Mountains.

Addiction and recovery news provided by Harmony Foundation.

Families Want Young People to Learn from Their Sons’ Mistakes

driving-high

Driving under the influence of any mind altering substance is extremely dangerous and can result in loss of life. Most teenagers and young adults have been warned about the dangers of driving drunk or high, yet, every year, young adults lose their life because they thought they could drive on drugs or alcohol.

The general public hears about such tragedies in their communities, everyone empathizes for the family’s loss, but sadly – everyone knows it will happen again. One family has decided to use the tragedy that befell their children for good. This year, two young British men, Kyle Careford (20) and Michael Owen (21), lost their lives while driving high at speeds in excess of 90 mph and crashed into a stone church wall, according to Mirror Online. What’s more, the victims were filming the incident.

What makes this accident unique is what the victim’s family decided to do with the film. The Carefords and Owens chose to release the footage of the last moments of the children’s lives, the article reports. The families publicly justified their choice, Michael’s mother Kat said:

“If all this stops one person from making the same mistake, then some good has come from showing this video. I’m hoping it will have an impact on young people and make them see that a bit of fun can have such devastating consequences.”

“I would like all the young people out there to take notice and realize that you are not invincible and take seriously how precious your lives are to yourselves and others. I want young drivers to consider how much devastation it causes to the families and loved ones that are left behind.”

“Watching the video was very upsetting, but I’m hoping it can be used in a positive way, by showing young people what could happen to them.”

If you are or a loved one is abusing drugs or alcohol, please contact Harmony Foundation to begin the journey of recovery. Harmony is a state-of-the-art, affordable, residential addiction treatment program located in the Rocky Mountains.

Addiction and recovery news provided by Harmony Foundation.

Quiting Smoking Reduces Risk of Relapse

relapse

For many people, alcohol and cigarettes often go hand in hand. Some people who do not regularly smoke cigarettes will concede to doing so when they are drinking. The correlation between alcohol and nicotine may be more important than you think when it comes to addiction recovery.

Recovering from any addictive substance is challenging, anything one can do to make the experience less trying is recommended. Those in recovery usually give up cigarettes last, but it turns out that alcoholics who quit smoking when they stop drinking may find a greater chance at success.

New research suggests that smokers with a history of alcohol abuse are at an increased risk of relapse three years later if they continue smoking, Science Daily reports. The study was conducted by researchers at Columbia University’s Mailman School of Public Health and the City University of New York.

The findings come from a sample of 34,653 adults with a past alcohol use disorder. The researchers found, when compared to nonsmokers, daily smokers and nondaily smokers had about double the odds of relapsing to alcohol, according to the article.

Across the country, many substance use disorder treatment facilities do not require patients to give up cigarettes. Although, most will encourage smoking cessation, offering access to a number of current therapies. Some treatment centers believe that quitting drinking and smoking at the same time is too difficult. While that mindset may have some merit, in the long run quitting both at the same time may be more fruitful.

“Quitting smoking will improve anyone’s health,” says Goodwin, an associate professor in the Department of Epidemiology at the Mailman School of Public Health. “But our study shows that giving up cigarettes is even more important for adults in recovery from alcohol since it will help them stay sober.”

The findings held even when factoring in:

  • Anxiety
  • Illicit Drug Use
  • Mood
  • Nicotine Dependence

The findings appear in the journal Alcoholism: Clinical and Experimental Research. __________________________________________________________________________________

If you are or a loved one is struggling with alcohol, please contact Harmony Foundation to begin the journey of recovery. Harmony is a state-of-the-art, affordable, residential addiction treatment program located in the Rocky Mountains.

Addiction and recovery news provided by Harmony Foundation.

Behavioral Health is Essential to Overall Health

Recovery-Month

Recovery is a cause for celebration, whether you are 24hrs sober or 24 years; abstaining from drugs and alcohol is a huge accomplishment. Substance use disorders plague the lives of millions of people, leaving wreckage in its wake; the brave individuals who have made the decision to free themselves of the bondage of addiction are worthy of commendation, working towards repairing the damage of their past and practicing a set of principles to ensure a healthy future. September is National Recovery Month, now in its 26th year the National Recovery Month is a time to honor the millions of people who have worked a program of recovery for nearly a century.

Throughout the month, SAMHSA sponsored events are being held to celebrate the countless men and women who are working a program of recovery, and everyone who works in the field of addiction or mental health – helping people live a life free from the insidious effects of drugs, alcohol and mental illness. People who have found recovery and those who work in the field, remind the general public that addiction is a disease not a moral failing. It is an illness that requires treatment, not incarceration.

The nation has long been in the grips of an opioid epidemic. While terrible, the scourge of opioid abuse has touched people from every class, race and demographic; reinforcing the fact that anyone can be caught in the grips of addiction. Ridding the world of the stigma of addiction will drive more addicts toward the rooms of recovery, and fewer people to the morgue. Dismantling the stigma of addiction is one of the main goals of the National Recovery Month. According to SAMHSA:

“Recovery Month promotes the societal benefits of prevention, treatment, and recovery for mental and substance use disorders, celebrates people in recovery, lauds the contributions of treatment and service providers, and promotes the message that recovery in all its forms is possible. Recovery Month spreads the positive message that behavioral health is essential to overall health, that prevention works, treatment is effective and people can and do recover.”

President Obama has Proclaimed September:

NATIONAL ALCOHOL AND DRUG ADDICTION RECOVERY MONTH,
2015
– – – – – – –
BY THE PRESIDENT OF THE UNITED STATES OF AMERICA
A PROCLAMATION
Every day, resilient Americans with substance use disorders summon extraordinary courage and strength and commit to living healthy and productive lives through recovery. From big cities to small towns to Indian Country, substance use disorders affect the lives of millions of Americans. This month, we reaffirm our unwavering commitment to all those who are seeking or in need of treatment, and we recognize the key role families, friends, and health care providers play in supporting those on the path to a better tomorrow.
This year’s theme is “Join the Voices for Recovery: Visible, Vocal, Valuable!” It encourages us all to do our part to eliminate negative public attitudes associated with substance use disorders and treatment. People in recovery are part of our communities — they are our family and friends, colleagues and neighbors — and by supporting them and raising awareness of the challenges they face, we can help eradicate prejudice and discrimination associated with substance use disorders, as well as with co-occurring mental disorders. Prevention and treatment work, and people recover — and we must ensure all those seeking help feel empowered, encouraged, and confident in their ability to take control of their future. Americans looking for help for themselves or their loved ones can call 1-800-662-HELP or use the “Treatment Locator” tool at www.SAMHSA.gov.
My Administration remains dedicated to pursuing evidence-based strategies to address substance use disorders as part of our National Drug Control Strategy. Seeking to widen pathways to recovery, our strategy supports the integration of substance use treatment into primary health care settings and the expansion of support services in places such as high schools, institutions of higher education, and throughout the criminal justice system. In the wake of public health crises related to non-medical use of prescription drugs and heroin in communities across our Nation, my Administration has pledged considerable resources to help Federal, State, and local authorities boost prevention efforts, improve public health and safety, and increase access to treatment in communities across the country. And the Affordable Care Act has extended substance use disorder and mental health benefits and Federal parity protections to millions of Americans.
Behavioral health is essential to overall health, and recovery is a process through which individuals are able to improve their wellness, live increasingly self-directed lives, and strive to fulfill their greatest potential. During National Alcohol and Drug Addiction Recovery Month, we reaffirm our belief that recovery and limitless opportunity are within reach of every single American battling substance use disorders, and we continue our work to achieve this reality.
NOW, THEREFORE, I, BARACK OBAMA, President of the United States of America, by virtue of the authority vested in me by the Constitution and the laws of the United States, do hereby proclaim September 2015 as National Alcohol and Drug Addiction Recovery Month. I call upon the people of the United States to observe this month with appropriate programs, ceremonies, and activities.
IN WITNESS WHEREOF, I have hereunto set my hand this thirty-first day of August, in the year of our Lord two thousand fifteen, and of the Independence of the United States of America the two hundred and fortieth.
BARACK OBAMA
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If you are or a loved one is struggling with addiction, please contact Harmony Foundation to begin the journey of recovery. Harmony is a state-of-the-art, affordable, residential addiction treatment program located in the Rocky Mountains.