Tag Archives: death

Understanding Withdrawal Symptoms

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Going into a detox facility during withdrawal from drugs and alcohol is not only safer but highly recommended to those who are trying to stop using because you will receive a lot of support. Commonly, after one goes through detox, they will be able to work with staff to determine the next steps in their treatment. This can include inpatient or outpatient programs that will help educate and inspire a life of sobriety. 

“You don’t have to go through withdrawals alone. It can be scary not understanding whats going on with your body. Below are a list of symptoms to look out for to assure that, yes, you are going through withdrawal and yes, you need to seek help. 

“I know that I had no idea that I was going through withdrawals when I first experienced it. I was in denial about my addiction and I wish I sought help immediately before I decided to simply replace my drug of choice, thinking they weren’t as bad as the ones I was using before. ” -Love and light, Robyn

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When it comes to alcoholism and drug addiction, going cold turkey is not the right option. Supervised detox is usually safer and may be the best route for you or your loved one.

Treatment for alcoholism or drug addiction involves undergoing therapy to help you mentally and physically recover from theaddiction. In order to get better, you must physically “cleanse” your body of the substance. To avoid a life-threatening reaction brought on by withdrawal from alcoholism or drug addiction, it’s best to seek professional help instead of trying to go it alone.

Ending Drug Addiction: Withdrawal and Detox
Withdrawal — stopping alcohol or drug use — can be extremely dangerous if done on your own, which is why a carefully administered plan for detoxification is the safest way to end your drug or alcohol addiction.

According to James Garbutt, MD, professor of psychiatry at the University of North Carolina in Chapel Hill, and research scientist at the Bowles Center for Alcohol Studies, “Everyone is going to have to go through detoxification to withdraw from a substance. The question is, when is it medically dangerous and when does it require medical oversight?”

Withdrawal from many drugs can bring symptoms such as agitation, sweating, an inability to sleep, and high blood pressure. Opiate and narcotic withdrawal symptoms can be among the most difficult. Opiates and narcotics are classes of drugs that include heroin, codeine, Demerol (meperidine), and Oxycontin (oxycodone), which are taken to achieve a sense of euphoria in those who abuse them.

Other substances that tend to cause more severe withdrawal symptoms, and potentially life-threatening symptoms, are barbiturates, alcohol, and benzodiazepines, according to Stephen Gilman, MD, an addiction psychiatry specialist in New York City. “Withdrawal from these substances should be handled in a hospital.”

Drug Addiction: Symptoms of Withdrawal
Symptoms of withdrawal depend on the object of the addiction. The following symptoms may result:

  • For alcohol: sweating, anxiety, tremors, fluctuations in blood pressure and heart rate, seizures, delirium tremens (the “DTs” — a state of extreme agitation, hallucinations, hyperactivity, tremors, and confusion), psychosis and, adds Dr. Gilman, “ultimately death if not treated by a professional.”
  • For opiates/narcotics: anxiety, insomnia, dilated pupils, increased heart rate, elevated blood pressure, nausea, and vomiting.
  • For stimulants, such as cocaine: excessive tiredness and depression.
  • For barbiturates (such as Amytal, Nembutal, Seconal): nausea, fast breathing, increased heart rate, tremors, muscle pain, insomnia, hallucinations, convulsions, and delirium. If withdrawal is not monitored, the consequence could be death.
  • For benzodiazepines (such as Xanax, Librium, Valium): delirium, muscle twitches, hallucinations, sensitivity to light, sound, taste, and smell, ringing in the ears, tingling, numbness, and insomnia.

Ending Drug Addiction With Medication
Another reason detox in a controlled setting is important: Medical professionals can administer medications to ease withdrawal symptoms. Ironically, sometimes these are the same drugs that are being abused.

From http://www.webmd.com by Linda Foster, MA and medically reviewed by Cynthia Haines, MD

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Why We Smoke SO Much!

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” When I first started smoking, I thought I was cool. Then I stopped. When I picked up smoking several years later, it was a way to get high. Then I stopped.  It wasn’t until I found myself in recovery that I really started smoking like a chimney. My parents were concerned and frankly annoyed my this new habit. There was a sense of relief  however, when they discovered in their NAMI class (National Alliance on Mental Illness) that this was commonly seen in people who have mental disorders and addiction. So I went on their website and found the article that explains it all! So if your a smoker, you may relate to this bit of text! It does focus on mental illness but a lot of the information can be useful to all.” -Peace, Robyn

Smoking and Mental Illness

People living with mental illness have a very high rate of smoking. A study by The Journal of the American Medical Association reported that 44.3 percent of all cigarettes in America are consumed by individuals who live with mental illness and/or substance abuse disorders. This means that people living with mental illness are about twice as likely to smoke as other persons.

A positive note is that people who live with mental illness had substantial quit-rates, which were almost as high as the group without mental illness. NAMI has led many changes in our mental health system─getting access to the tools to quit smoking is a way to improve the quality and quantity of life. Improving lives is a new advocacy pursuit.

The Connection between Mental Illness and Smoking

There is no one single, certain reason why so many people who live with mental illness smoke. It may be a combination of brain effects, psychological effects and the social world in which we live.

From a brain-based perspective, research is being done to determine if and how nicotine is involved in some of the brain’s memory functions. If nicotine is a factor, then this could explain why so many people living with an illness like schizophrenia or other illness involving cognitive deficits may smoke. Even though smoking is thought to enhance concentration and cognition, the effects are short in duration.

Researchers and the medical community have a great deal to learn about how smoking impacts the brains of those living with mental illness. It is known that people diagnosed with schizophrenia often smoke before the onset of symptoms and that they smoke more often and inhale more deeply than smokers without schizophrenia.

While we still have a lot to learn about why people smoke, there is plenty of information to support the serious health risks of smoking. So while there may be good reasons why you were attracted to smoking, the key is to figure out ways to increase rates of quitting. Nicotine isn’t a health problem on its own, but when smoked and combined with hundreds of other chemicals that are present in cigarettes the practice of smoking is toxic.

Psychologically, all addictions soothe cravings. People often find themselves relaxed and less tense when their addiction is fed. This is true of cigarette smoking. Smoking can also be part of a social norm, one where people in your social circle all hang out and smoke. Some people who live with mental illness learned to smoke in a hospital or in group-living settings. These examples help illustrate how the mental health culture needs to move forward to reduce the tie between socialization and smoking.

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Facts About Smoking

People die from smoking-related illnesses. Every year, smoking kills about 200,000 people who live with mental illness. Smoking harms nearly every organ of your body and diminishes your overall health. Smoking is a leading cause of cancer and of cancer-related death.

Smoking also causes heart disease, stroke and lung disease. With the increased risk of heart disease from second-generation atypical antipsychotic medications (SGAs), individuals living with mental illness must try to quit.

Inhaled cigarette smoke is made up of 4,000 chemicals, including cyanide, benzene, ammonia and carbon monoxide to name a few. There is no safe tobacco product, so switching to a smokeless or chew product will not eliminate your risk of smoking-related diseases.

People are finally waking up to the fact that smoking is a true health hazard, and people need to quit in order to live longer. More psychiatric facilities are going smoke-free, and NAMI is advocating for access to smoking cessation in outpatient settings.

State mental health commissioners and state medical directors are committed to changing the way the public mental health culture relates to smoking. Check out their toolkit (http://www.nasmhpd.org/general_files/publications/NASMHPD.toolkitfinalupdated90707.pdf) to see what policy changes and strategies they are using to create a healthier mental health system environment.

Smoking’s Effects on Symptoms and Medications

Research shows that people living with mental illness do not have worse symptoms after they quit. It is understandable that this is a concern with quitting smoking. Quitting is hard work, and it may take many efforts to be successful. Be sure to get support, talk with your doctor, set a quit date and explore the tools for success (Link to tools for success section) that are available to help you quit.

If you are a smoker and you quit, you can usually get the same treatment results from lower doses of psychiatric medications. Smoking increases the breakdown of medicines in your body, so smokers need to take higher doses to get the same results as someone who does not smoke. Without cigarettes you may need to take less medication. An additional benefit is that a dose reduction will likely reduce side effects of medicines, such as weight gain and other side effects.