Partners In Crime: Mental Health & Addiction

Addiction is a cunning monster, but it doesn’t always work alone. Often times, it has a ready and willing accomplice that allows it to thrive. There are a lot of components to addiction, and a lot of different behaviors and mentalities contribute to its ability to destroy lives. However, the number one partner to addiction has always been and will always be mental health.

Over half of all people with a substance abuse problem are diagnosed with an additional mental illness. This number is staggering, especially when you consider how many people out there have a mental illness and have not been diagnosed. There is also the issue of misdiagnosis among addicts, because their use effects the way their disorder presents to a professional. Many people are diagnosed with mental illnesses while they are in active use, or in early recovery, and then find that the medications they are prescribed are not working, so they ditch them.

It is important to remember that mental illness has no cure, just like addiction. It is a living problem, that continues to grow and shift and change as time goes on. Our daily lives can affect our mental health. Our progress in recovery can affect our mental health.

So many factors contribute, and it is vital to our recovery that we continue to work on our mental health just as hard as we work on our recovery.

Reluctance to treat these mental illnesses sometimes stems from involvement with the Twelve Steps. While the original program promotes the treatment of medical issues, including behavioral ones, many groups have twisted the intentions of the founders and built this renegade program that frowns upon medications of any kind. Some people believe that the use of any drugs, including those that treat mental illness, means you are not truly “clean”. Other people believe that their problem is strictly a spiritual malady, and that their symptoms will be cured by working the program of AA or NA. This is one of the many problems caused by this program. The fact that each group is autonomous allows for some of them to plant the seeds for warped perceptions of their literature and this is very dangerous when it comes to people who need treatment for their underlying mental illness.

Then of course we have the shame factor. People can admit that they made a mistake with their addiction. They can admit that they did something wrong, maybe they were weak then, but they get into recovery and say “that was then and this is now”. They want to say that today they are better. Admitting that there is still something wrong with them, and that they have an issue that they have no control over, makes many addicts uncomfortable.

Mental illness, just like addiction, is a chemical problem that masquerades as a behavioral problem.

It walks around in disguise, making people look and act crazy. Depression, for example, is a problem caused when serotonin is not properly absorbed by the receptors in the brain. This is a chemical problem, not something you can think yourself out of. When pathways are damaged and neurotransmitters aren’t firing correctly and their reuptake is interrupted, medication corrects what is broken. It allows the brain to work as intended. Selective Serotonin Reuptake Inhibitors, or SSRIs, are the most common medications prescribed for depression and anxiety. They literally act like a lid, holding the serotonin down in the receptor so it can be absorbed as intended. It is not some kind of happy pill that helps you forget your problems.

Some drugs, like lithium, have less information available about how they work in the brain. We just know that for some people, like myself, they are lifesavers. When my kidneys revolted against lithium earlier this year, I was and still am devastated. After fifteen years, I had to go back to the drawing board and find a new base to my medication cocktail.

Finding the right drug or combination of drugs for your unique mental illness is complicated and takes time. You have to allow the drugs time to work, which can take a few weeks. Then, if you are not seeing desired results, you have to make the decision to try and change the dose, or toss it out and start over with a different drug. It is all about trial and error, and no matter how good your doctor is, no one can predict which drug is going to work for which person with 100% accuracy. Be patient, and don’t give up on a drug right away. I had to go back and try drugs that didn’t work for me ten years ago and give them another chance. I’m glad I did, because after almost a year I’ve finally found a combination that seems to be working okay.

There is also the issue of psychiatric drugs with the potential for addiction. Benzodiazepines are the number one culprit for opiate addicts to get addicted to. Some people find that they really help, and they are willing to take that risk. Buyer beware, these drugs can reignite the monster for some people. If you have any reservations about this, tell your doctor that you don’t want to take any benzos and would prefer to try drugs that are not a risk for becoming habit forming. Common benzos are Valium, Clonopin, Ativan, Librium and Xanax. These drugs are also a risk for those on Methadone or Suboxone, as they can cause respiratory depression when combined.

Medications are not the only ways to treat mental illness. It is a fact that proper exercise and nutrition work wonders to increase the production of serotonin and improve one’s mood and state of mind. Exposure to sunlight also helps, just remember to wear your sunscreen! Many people are able to get insurance to cover a sun lamp, which can be great especially for people who suffer from Seasonal Affective Disorder (SAD). Another old school method is ECT, Electroconvulsive Therapy. This procedure gets a bad rap because it used to be very invasive and scary. However, today it can be done outpatient in your doctor’s office in as little as a half hour to an hour. The brain is an electrical system, and sometimes it just needs a little shock to the system to get it working right. Don’t rule these options out, especially if you are adverse to medications or have health issues that make taking medications impossible.

Some people suffer relapse after relapse while refusing to address their mental health. Taking care of your complete self is key to long term sobriety. Do not be afraid to seek professional help if you believe you are suffering from some kind of mental health issue.

Of course, finding a doctor is tough, especially for those on state insurance. A great place to look is in your town or city to see if they offer counseling services as part of their community programs. Many treatment centers provide medication management and therapy services to their clients, and sometimes it can be worth it to enroll in an outpatient substance abuse program, even if you don’t feel like you need it, just so you can gain access to their psychiatric services. They will then help you get a more permanent support system in place when you discharge from their program. Some programs do not want to work with clients on Methadone, which is based mostly out of prejudice, and is truly a shame. This is why finding a comprehensive program is critical if you are a Methadone client. Make sure you enroll in a Methadone clinic that offers support for your mental health as well as your addiction.

There is so much to talk about when it comes to mental illness, especially as it relates to addiction. For this reason, our next workshop will focus on this topic. Please join us Wednesday, March 1, 2017 at the Mildred A. Wakeley Recreation Center at 7 Linsley Street in North Haven from 6:30 to 8:30pm. We will discuss mental illness as it relates to addiction and have resources available for those who need them.

Please keep in mind that this workshop is a SAFE SPACE for those interested in attending. Don’t worry about feeling ashamed or embarrassed that you or your loved one is dealing with addiction and mental health issues. Everyone else who is there is dealing with the same problems you are, so no one is there to judge you! We always provide index cards so that you can ask any questions anonymously if it makes you more comfortable. We are here to support you!

If you have any issues related to mental health and addiction that you would like us to address during the workshop, please let us know! As always, if you have a topic you would like us to feature in a future workshop, let us know that as well! In Angel’s Arms is here to serve the community and meet your needs in whatever ways we can!

©Copyright 2017 In Angel’s Arms and Lauren Goodkin

Unpopular Opinions: Recreational vs. Hard Drugs

When we talk about prevention, we’re always focused on the parents. We have forums for parents to learn about drugs. We send home notices and we publish articles. We try to reach parents so that they can try to reach their kids. But the problem is that the message that reaches our kids is not sufficient. It isn’t working. “Just say no” and “drugs are bad” is not, nor has it ever been, effective at stopping kids from experimenting with drugs.

By the time they graduate high school, almost HALF of American teens will have tried marijuana at least once. Kids are inclined to try recreational drugs, which includes alcohol, because alcohol IS a drug. There are so many reasons that drive kids to experiment with drugs. Celebrity culture glamorizes drug use. Kids want to do anything that makes them feel older, like an adult. More than anything else, drugs can be fun. Just like the average person goes to the bar, has a few drinks and has a good time, recreational drugs can provide that same social energy and party atmosphere. People do it because it’s fun.

But heroin addicts are not having a good time. Drug addiction is NOT fun. There is no social, party time atmosphere for most junkies. There is a difference between recreational drugs and hard drugs. This is an unpopular opinion. Parents and school administrators want to cast all drugs as bad, and leave no wiggle room for experimentation. This is totally unrealistic, and just as ridiculous as abstinence only sex education.

We know that in areas that promote comprehensive sex education and access to contraception, the benefits are enormous. Teens are 50% less likely to get pregnant than those who receive abstinence based education according to a study by the National Survey of Family Growth. Advocates for Youth reviewed comprehensive sex education programs and found a significant delay in first sexual encounters; declines in pregnancy, HIV and other STIs; increased use of condoms; increased use of other contraception; reduction in the number of sexual partners and increased monogamy; and reduced incidences of unprotected sex. Despite all this success, comprehensive sex education is still fought by conservatives.

Science illustrates to us that education actually decreases the dangerous behavior that parents are afraid of. The same is true of drug education. Providing fact based, scientific drug education is likely to have the same results as providing fact based sex ed.

Kids are autonomous. They make their own choices. Yes, they are influenced by their parents, and parents should always outline expectations for risky behaviors including sex, drinking, and drug use. Parents should make it clear what they will not tolerate, what the consequences are, and what the real dangers associated with the behavior can be.

But maybe we need to let kids make their own choices, since they go ahead and do that anyway. Focusing on the difference between recreational and hard drugs allows kids to see that not all drug use is the same. If they smoke pot or drink a few beers and don’t suffer any of the scare tactic consequences they heard about from adults, they start to believe that all drugs are the same and none of them have real consequences. They start to believe that only weak people become addicts, and that they can totally control this, and it’s just all in fun. This is a direct consequence of painting marijuana and heroin with the same brush, and the same scheduling by the government. Both drugs are Schedule I, meaning they have no medical purpose, even though many states have begun recognizing medical marijuana. This allows the justice system to prosecute all drug offenders the same way.

In every direction in our society, we are lumping all drugs together, calling them all bad, and then calling it a day.

Make no mistake, I am not advocating for the use of any drugs. I suggest we attempt to influence our youth not to pick up any drugs, no matter how harmless they may seem. However, we need to be realistic. Kids should understand that all drugs are dangerous, but some drugs are even more dangerous for different reasons.

Only 9% of marijuana users develop what professionals call an addiction to the drug. This is an unlikely consequence for those who try smoking pot. However, those who try prescription painkillers thinking they are also a recreational drug are in for a rude awakening. Those who try prescription painkillers are almost TWENTY TIMES more likely to try heroin. Four out of five heroin users today started with prescription painkillers. Those are pretty significant statistics. Kids, and adults included, look at medications like recreational drugs because they come from a doctor and are legal when prescribed, which implies that they are considered safe to use.

Opioids, along with methamphetamine and crack cocaine, are the most dangerous and habit forming drugs out there. These drugs are NOT recreational, party time drugs. There is a big difference between going to a party and dropping some ecstasy on a Friday night and picking up one of these dangerous drugs, thinking it’s going to be a one time thing. Kids know meth is dangerous, they’ve seen the pictures of the addicts with missing teeth and open sores on their faces. They know crack is dangerous, they’ve joked about crackheads picking lint out of the carpet thinking they’ve found a tiny rock to smoke. And of course, they know heroin is dangerous. They’ve heard the stories of famous musicians living under bridges and shooting dope. It’s the prescription painkillers that they don’t understand the danger of.

Kids should be taught that prescription painkillers and street heroin are the same thing, because that is the truth. They should know that when they pick up one of those little blue pills, they are doing pharmaceutical grade heroin, and their brain and body interpret it as heroin. If they swapped that blue pill for a bag of dope, and ingested it in the same manner, they would experience the same high. These drugs are the SAME.

I did a lot of partying in high school, and spent many Friday nights drinking, smoking weed, rolling on E, and blowing lines of coke off of my math book. I partied pretty hard and so did a lot of my friends. Not a single one of us became addicted to any of these drugs. Not a single person became a felon because of these drugs. Everybody still graduated from high school and went to college. The behavior was dangerous, illegal, and extremely risky. I don’t condone it, and I don’t recommend it, but that is the reality of life for many high school students in America. They party. They have a good time. They still succeed in school and play sports, and they still go to college and become productive adults. The vast majority of people I did recreational drugs with in high school are all doing just fine today as adults.

The people who are not fine, are the ones who picked up the painkillers. While a handful of people did experiment with the pills and were able to move on, most of the people I know who got caught up in prescription narcotics in my graduation year of 2006, are still dealing with the ramifications of that choice today, in one way or another.

I didn’t understand that these drugs were different from all the other drugs I tried. I didn’t understand that this wasn’t a party drug. I didn’t know there was a physical dependence, meaning that I would get physically ill from withdrawal, and that it would happen whether I was mentally addicted or not.

We need to focus on the difference. We need to highlight what separates opioids from recreational drugs. I know this is an unpopular opinion. I know that no parent out there wants to think of their kid playing beer pong in their garage after school while parents are at work, or smoking weed in the woods behind the house. This is reality. You know this, because when you were a kid, you probably experimented with drinking and some recreational drugs yourself. You know in your heart there is a good chance your kid will experiment. You need to make sure they know the difference between smoking a joint and taking a opioid medications (which probably seems less harmful to them than the joint).

Ideally, kids would stay away from drugs and not drink until they turn 21. This is not reality for most young people. This is why we need to focus on highlighting the dangers of hard drugs vs. recreational drugs. We need comprehensive, fact and science based drug education that illustrates these differences. We need to work on harm reduction, and we will be much more likely to see positive results.

Think about this when you talk to your kids about drugs. Remember that when you misrepresent the dangers of some drugs, you undermine the danger of other drugs. Don’t undermine the danger of opioids by putting them in the same basket as marijuana and beer. Opioids love it when you underestimate them, and they have become the star of their very own epidemic based solely on the public underestimating their danger. Tell the truth about drugs, and the unique differences between them. This allows kids to make informed choices, and leave the propaganda behind.

Kicking In Custody

If you’ve ever seen an opioid detox, or lived through one, you know how frightening of an experience it is for addicts. We will do anything in our power to avoid going through that withdrawal, including lie, beg, borrow, and steal. The very thought of going through withdrawal sets an addict in motion first thing in the morning, just like someone who gets up and heads to work, they get up and start scheming. Where will the money come from? Do I have some method of getting money that doesn’t hurt anyone but me? Can I sell a treasured heirloom of mine? How about one that belongs to someone else? They’ll understand, right?

The time I feared withdrawal the most was when I got arrested in Waterbury a few years ago. I had taken the bus from my sober house in New Haven and sat the hour long ride into the dirty water. I had to get off and catch another bus to get to my dealer’s spot. You know in rap songs when they talk about the trap house? People love to quote those rhymes. Trust me, a trap house is not a glamorous place and you don’t want to be a trap queen either. The trap queens I’ve met live a dangerous and terrifying life. They take all the risks. The live in squalor. In this particular trap, there’s a broken crib in the kitchen where a baby plays with a cardboard box. It always smells like dirty diapers, because they save them to stash drug trash in so they can throw it out and not worry about it leading back to them.

So I got what I needed and I then walked a few miles to a Home Depot nearby. They have public restrooms that nobody really uses or pays attention to, or so I thought. I had a stress fracture in my foot at the time, and was walking through the snow and ice on it, just making the whole situation worse.

It was during a particular cold spell, and I had on two scarves, two pairs of pants, and two pairs of gloves. This is how badly a person will fight against impending withdrawal.

An another note, my mother had already picked me up and taken me to the Yale Hospital branch in Guilford to have a look at my foot. During registration they asked about allergies, and as was our policy at the time I stated that I was allergic to opiates. As Robert Downey Jr. once said, “They make me break out in handcuffs.” When I eventually see the APRN who is assigned to me, she is short and rude with us from the moment she walks in the room. I immediately know and understand that I’m being profiled, treated as drug seeking, and my very real injury is being ignored.

This is a common occurrence for addicts, whether they are in recovery or not. If someone is using, it doesn’t make their injury or sickness any less real. It still demands the same attention and treatment that a normal person would receive. I wasn’t even looking for pain medication, I never even asked for it. I wanted her to fix my broken foot. Simple as that. She told me it was a sprain, gave me an ace bandage and some crutches and sent us on our way. No x-rays, no imaging of any kind. I was living on the third floor of an old mansion in New Haven that was my sober house. It had been a plantation long ago, and was old and the stairs were steep and narrow. So crutches were not going to help me at all.

So back to Waterbury and the Home Depot. I have my dope, I’m in a bathroom stall, and I am trying to not only get high but medicate the injury that I am aggressively aggravating traipsing around the state on foot in the snow and ice. I guess I overdid it. I passed out. I wake up and about seven Waterbury police officers, all men of course, are standing outside my stall in the Women’s bathroom yelling and pounding on my door. They think they’re so smart and make a big show of searching all my possessions, but since they were so busy shaming me and calling me a junkie they didn’t even find all my drugs or paraphernalia that I had on me. Should have focused on actually doing their jobs, I guess.

They insist on putting me in handcuffs, behind my back, and parade me out through the store like a trophy. Every single person in the store turns to stare at me, mouths gaping, eyes wide. I am a spectacle, just like they want me to be. There are five cruisers out front, and a transport van to bring me to the station. No ambulance, I notice. I guess they didn’t care if I might have needed Narcan or medical attention. No one even asked me if I was okay or needed any help. Their concern was primarily with punishing me as an addict, embarrassing me as much as possible, and belittling me to their little hearts’ content.

I have already been arrested a few times in my life and I know I am running out of get out of jail free cards. I am worried they’re going to hold me for bail. This means I will start to detox in custody, with no medical attention. I have never been more terrified. I am in a cell that is the definition of cold and dark. I have nothing but a metal ledge to sit on and a toilet. I have to ask for toilet paper so I can go to the bathroom while they watch me through the bars. Luckily, after all the years of supervised drug tests, I’m pretty good at peeing in front of strange women. Now I learn how to pee in front of strange men.

Law enforcement may just be doing their jobs in arresting addicts. The cops on the street have little say in what they do and who they choose to arrest. I imagine that any sympathetic cops are likely paired with a hard ass partner, so they are forced to arrest people who they may have been inclined to let go. They don’t make the laws they enforce. I will never be mad at a nice, sympathetic, understanding officer who is just doing their job. I’ve been in trouble before, and that didn’t mean the officers I was dealing with had to treat me like the scum of the earth. They were kind, curious, wanting to know what went wrong for me and encouraged me to get help.

On the other hand, I’ve encountered officers who thrived on my pain and discomfort. The first time I got arrested, the cop’s father worked for my father. He drove the cruiser to my house, with me in the backseat, and made me watch from the driveway as he personally went to the door to notify my father. Not exactly protocol, but he definitely got his rocks off on it. “So your dad is a big boss up in Cheshire, huh?” he says to me as he cuffs me. I didn’t even know at the time that my father was anyone’s boss, let alone this cop’s fathers. For the first time in our then troubled relationship, I actually feel heartbroken for my father and how he will feel walking in to work the next morning. This cop went out of his way to personally embarrass me, and then my completely innocent father. This is what makes it difficult for an addict to have any kind of relationship with the police, even in recovery. I still remember every word this cop said to me, over a decade ago.

The people who determine that we get locked up and incarcerated without medical detox, ultimately, are the lawmakers in our states and in congress. I personally feel that before anyone is allowed to introduce or vote on any drug legislation, that they should have to experience a full blown opiate withdrawal in a jail cell. I guarantee you, if they knew what kind of inhumane practice they were encouraging, every single addict would be administered medication before they even got into holding.

If an addict commits a burglary, or some other violent crime, then yes there should be a criminal punishment for that. It is unfortunate that because of the lack of access to treatment, that addicts are forced to commit these terrible crimes in order to avoid withdrawal.

But why, if an addict is only in possession of drugs for their own private use inside of their own private hell, do we need to put them through our broken criminal justice system?

And for the love of God, why do we need to put their names in the paper and their faces on TV? In case the addict themselves is not sufficiently shamed or embarrassed, let’s make sure to drag their innocent families into the mix. Let’s make sure everyone knows the terrible struggle this person is dealing with. For what purpose? Who does it benefit? Who is helped by knowing that John Doe in Town X was caught in possession of narcotics? How does that make anyone’s day better? It doesn’t. This antiquated practice should be done away with immediately, and I will fight for this until the day I die. So now a person has been forced to withdraw cold turkey in a jail cell and on top of all that, be publicly dragged through the mud all because they have a disease.

On that night in Waterbury, they continue to screw me. I start to wish they would keep me overnight so I’d already be in town to pick up first thing in the morning, if they let me out at all. I’m still terrified they’re going to demand a bond and I’m pretty sure my mother wouldn’t pay it at this point. They decide to wait until all the buses stop running for the night and set me free.

I have to call a friend in Florida and ask for her to give me her credit card number so I can charge a taxi all the way back to New Haven. It costs about a hundred dollars. I promise to pay her back. Of course, I never do. I arrive back at the sober house in my cab and act like nothing happened. Just like after my overdose. I just bury it all and deal with it on my own.

I wind up taking a bus to court for my first appearance, before my mother inevitably finds out what happened and drives me going forward. The prosecutor tries to offer me a suspended sentence, leaving me with a felony on my record, for the nonviolent, victim-less crime of possessing drugs. Luckily, I’ve done my research and I know there is a program available to me because of my mental health history. I ask him about it and he says no. So now I have to get a public defender.

The preferential treatment I receive from the judge becomes customary to me. White girl, in a suit, people mistake me for a lawyer rather than a broke addict with a public defender. I am back in sobriety at this point, enrolled in treatment, and I know for sure I’ll be walking out of there with community service. I watch the black and Hispanic drug offenders get clacked into handcuffs before me. I watch the poor people of every race get harsher punishments, more community service, bigger fines, less chances. This has become routine for me as it is now my fourth arrest, and by default I’ve been in the courtroom more than my fair share of times.

I know if I was not who I am, not privileged, that I would’ve needed to be bailed out in Waterbury. Sure, they embarrassed me, belittled me, made me cry, and called me names. Sure they let me out into the streets of Waterbury in the middle of the night with no way home. But in the world of addiction, with opioid withdrawal as a consequence, they still did me a favor. They made sure that I wouldn’t be going through detox in a cell. Forget about medication, you don’t even have the comfort of a bed for your incredibly sore muscles. You don’t have a shower to sit in, where you can flash the water from cold to hot to try and soothe the erratic temperature shifts. You don’t have a basin to throw up in, so you’re crawling to the metal toilet on the cold concrete. You don’t have anyone to take your blood pressure, in case you’re someone with a pre-existing condition who is susceptible to actually dying from withdrawal. I cannot imagine a more painful and unpleasant experience.

I wouldn’t wish it on anyone, except lawmakers and police. I think that collectively, if the people who determine when non-violent drug offenders are going to detox in jail knew what they were signing someone up for, things would change very fast.

We would see laws that protect addicts, rather than demonize them. We would see tax dollars dedicated to building treatment facilities, not prisons. But things are changing, believe it or not. If you’re new to the world of addiction, things probably seem pretty bleak to you. Just thank your lucky stars you weren’t dealing with this ten years ago. There are resources out there now, and people like myself, who make themselves available to shorten your learning curve and minimize your pain. You are spoiled with resources and you don’t even know it. So please, ask for help. You deserve it.

©Copyright 2016 In Angel’s Arms and Lauren Goodkin

DISCLAIMER: This is not intended to be an attack on police officers. There are many honest, caring officers out there who risk their lives every day doing their job. I commend any man or woman who goes to work each day to serve and protect their community. This blog reflects my personal experience with the criminal justice system as a whole, including the officers I’ve encountered in that process. If the shoe fits, then wear it. If it doesn’t, then it doesn’t apply to you or your loved one in law enforcement.

The Devil Wears A Time-Release Coating

By now you’ve heard about the opioid epidemic. Maybe you’re wondering how we got into this mess in the first place? How are all of these people becoming addicted to street heroin when they come from upper middle class families and are college graduates? If you’re paying attention, you’ve likely already heard that most of the heroin addicts out there in this demographic started with prescription painkillers, and that is where the story starts.

Prescription narcotics are controlled substances, so why are they easier to pick up than a 30 pack of beer? Well if you dig just a little bit you will find the culprit, who has already been caught red handed on multiple occasions. The source of the overflow of opioid pain medications is your friendly neighborhood drug company Purdue Pharma.

Purdue Pharma is the drug company responsible for the much loved OxyContin, the drug that I personally became addicted to before making the inevitable switch to heroin. So how does a drug company get their product out onto the streets in such large numbers? Simple and far from surprising: They lie.

OxyContin is a time released form of oxycodone. It has a coating on it that allows the active ingredient to be released slowly over a twelve hour period. So if you do the math, that means the drug should be prescribed at the appropriate dose, TWICE DAILY.

But that’s not enough for our friends at Purdue, so they send their reps out into doctors’ offices all over the country and start telling them that it’s a great idea to start prescribing this drug three and four, sometimes more than eight times a day.

They do this under the guise of “off label” uses, which means ignoring what the FDA approval is and just making up their own rules. It’s the policy that allows a lot of drugs to be used for things they aren’t designed for, which helps a lot of people especially in psychiatric medications. But in this situation they are abusing it all the way to the bank. Not only do they manipulate the dosing schedule, they suggest prescribing the medication for all kinds of things that it wasn’t designed for. It was meant for serious illnesses like cancer, not for sprained ankles and papercuts.

Maybe you’re thinking that these doctors are negligent to be prescribing such an addictive medication in such large quantities. Well, the lies keep coming. Purdue Pharma also launched a campaign completely denying the addictive properties of the drug. They KNEW that it was just as addictive as heroin, considering it’s basically the same exact drug, but they put profits ahead of people and before you know it their pants were on fire.

Now these aren’t just speculations or conspiracy theories. Purdue paid out lawsuits for both of these destructive business practices. In 2007, when the epidemic was still underground to the world at large, they paid out a $600 million dollar lawsuit for lying about the drug’s potential for abuse and addiction. That’s certainly not the only lawsuit they’ve paid either. A quick google search will unearth the whole sad saga to anyone who knows enough to start digging.

Now you can plainly see the consequences. Patients were being prescribed so much extra OxyContin, it allowed for a huge surplus to be available on the street. People with legitimate illnesses would take what they needed from their script, and sell the rest. It’s easier than trying to work when you’re chronically ill and disability pays you peanuts. And the time release aspect just boiled down to peeling or washing the coating off of the solid pill underneath. I’d just dump a handful in the sink and rinse that time release coating right off in minutes.

In desperation, you could just pop it in your mouth and spit out the residue, leaving you with a perfectly clean dose of lab quality heroin substitute, ready to snort, smoke or inject.

The cost of these drugs on the street is astronomical, which is how so many addicts make the natural transition into street heroin. Today, most dope is cut with high quality opioid medications anyway, like Fentanyl for example, which I’m sure you’ve heard about on the news. The switch from narcotic painkillers to heroin is seamless and easy. Your body doesn’t know the difference in the slightest.

As time goes on, Purdue Pharma continues to strengthen its relationships with politicians and lobbyists. They continue to push on doctors and hospitals. So who is going to do anything to try and stop them? Not the state of Connecticut, which is so broke that not even us Democrats can come up with excuses for it anymore. But good old Purdue Pharma is located right here in Stamford, CT and they provide jobs to almost 2000 people. They provide tax revenue to our desperate economy. Nobody is going to suggest we bite the hand that feeds so many people, even while its responsible for killing hundreds of thousands of others in the process.

So if you were wondering how all of this got started, now you know. And if you’re wondering how we’re going to stop it, welcome aboard. As long as companies like Purdue can continue saturating the market and making prescription narcotics as prevalent as ibuprofen in our country’s medicine cabinets, the heroin problem will only grow larger and more out of control.

The more people who use prescription painkillers (legally or illegally), the more people will become addicted. The more people who become addicted to prescription painkillers, the more people will switch to heroin.

It is true that these medications help a lot of people in chronic pain, and I would never want to take that away from them. I’ve never been one of those people promoting an all out ban on narcotic painkillers. What I am promoting is responsible development of new drugs, responsible prescribing of these drugs, and honest, factual information about how addictive these drugs truly are. The best weapon we have is to educate the average person on why they should think twice before filling that prescription. We have to educate young people on the dangers of these drugs, despite how safe a legal medication might seem.

We have to keep fighting, because you can rest assured that companies like Purdue Pharma are not about to start playing by the rules any time soon, no matter how many people they kill in the process.

©Copyright 2016 In Angel’s Arms and Lauren Goodkin

The Disease of Addiction for Dummies

If I had a dollar for every time someone suggests that addiction is a choice, not a disease, I’d be very wealthy. Because addicts are the source of their own illness, it’s easy to see why people have a hard time accepting addiction as a real disease. It is true that there are choices involved in the decision to start using and the decision to stop using. However, none of that disqualifies it as a disease.

Type Two Diabetics make the unhealthy choices that lead them to their disease. However, no one is trying to claim that the disease isn’t real. You can be the cause of the problem and still have a medical condition. Just because it is your fault doesn’t mean it isn’t real. Diabetics also make the choice to recover. They seek medical attention, they monitor their blood sugar and they use insulin.

Addiction is no different. We make that choice to start using drugs. But let’s remember that in the opioid epidemic, thousands of people only took the drugs that were prescribed to them by their doctor for a legitimate reason. Due to the abysmal health education in this country, the average person may not know the risks. It’s even less likely that they understand that prescription painkillers are just lab made, pharmaceutical grade heroin. If this was more widely understood, I bet a lot less people would be accepting prescriptions for OxyContin for their headache or sprained ankle. These are serious drugs that were developed for serious problems. The reason they are being prescribed left and right for ridiculous ailments has to do with the reckless greed of Purdue Pharma, the makers of OxyContin. I will elaborate on that sorry situation in a future post.

So even when justified, addicts have made the choice to start taking drugs. Legally or illegally, it doesn’t matter. With the genetic predisposition in place and the correct environmental factors at play, the addiction takes hold. Withdrawal is not a choice. The pain of true opioid withdrawal is proof that the devil is real. The need to stop this pain is a choice in the way that a starving person chooses to eat a sandwich.

Getting clean is also a choice. We have to decide we are ready to change our lives. But that choice alone is simply not enough for most of us. Diabetics choose to get well, but they still need medical assistance in most cases to change their way of life. The same is true for addicts. Medical detox, in-patient treatment, and out-patient clinics all play a part in our journey of recovery. Just like most conventionally sick people, we cannot do it alone.

It is undeniable that there are choices involved in addiction, but that does not invalidate the fact that addiction is a disease. It is recognized by the Center for Disease Control and the Surgeon General. Doctors, therapists, psychiatrists and nurses will tell you that it’s a disease. If you don’t believe these people, who are you holding out for? What expert are you waiting to hear from before you’ll finally concede that you are not, in fact, smarter than all of these experts?

There are four very important attributes to addiction that indicate that it is a disease:

  1. Progressive: If left untreated, it will get worse.
  2. Chronic: It doesn’t just go away. It is long term, and persistent even with the help of treatment.
  3. Genetic: Addiction runs in families. Science tells us there are genetic differences in the brains of people predisposed to addiction.
  4. Fatal: Without intervention, most addicts will die from complications of the disease. Whether it is an overdose, a drug related crime, or liver or other organ failure, this disease kills.

Given all of these facts, some people out there still don’t believe addiction is a disease. Keep in mind there are also a disturbing number of people out there who believe the earth is flat and that the moon landing was faked. There are conspiracy theorists for anything and everything controversial. Even years from now when science has blown this debate out of the water, there will still be people who refuse to accept it. In the face of overwhelming evidence to the contrary, they will not only stand by their ignorance but double down on it.

The problem with this is that these people can be the partners or parents of addicts who are in need of support and understanding. Getting and staying clean is so much harder when you have people who are supposed to be close to you undermining your illness. So much of recovery happens emotionally, and having that support makes the fight a little easier to win.

So if you love an addict, put your pride to the side. Get behind them and help them fight this disease the same way you would if it was any other illness.

The battle rages on and trust me, we need all the help we can get.