Abuse
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Jun 17, 2008
Abuse Victims or Abuse Survivors
When people live through abuse of any kind, should they be referred to as victims or survivors?
Last week, I wrote a web site review about the online community at PatientsLikeMe:
Online Support for Abuse Victims. Although I have no personal experience with abuse, I am a member of the site because of my
Generalized Anxiety Disorder , and I have made acquaintances with a number of people who have suffered various types of abuse.
When I asked people to take a look at the site review, it was brought to my attention that some people dislike the term
abuse victim, and instead prefer to identify themselves as
abuse survivors.
Do you consider
victim and
survivor to be interchangeable? Is
survivor an attempt to sanitize one's abuse history and make it more politically correct? Or is there a distinction between the two?
I can see making a distinction between past and ongoing abuse. Perhaps someone whose abuse is in the past might identify as an abuse survivor, while someone who is still suffering abuse might identify as an abuse victim. The only problem with that is that people who are being abused may not recognise the behavior as abuse, and therefore
abuse victim would only be a label applied to them by other people.
Perhaps it has more to do with a state of mind. Someone who has reconciled their abuse as being in the past, someone who is far along in the healing process may be more likely to call himself or herself an abuse survivor. Someone who has not been able to put their abuse in the past, who may still be experiencing flashbacks, may be more likely to call himself or herself an abuse victim.
I would love to hear feedback concerning this terminology, and I will consider it when writing new articles and editing old ones.
Jun 10, 2008
National Men's Health Week
During National Men's Health Week this week, learn about and acknowledge different types of abuse and how they affect men's health.
In case you hadn't heard, this is
National Men's Health Week, which purports to "heighten awareness of preventable health problems and encourage early detection and treatment of disease among men and boys."
While the organizers of this awareness week may have had things like prostate cancer and heart disease in mind, I think that varying types of abuse are preventable health problems that should not be ignored.
Substance Abuse and Men's HealthSubstance abuse among men can lead to many different physical health problems affecting the heart, liver, brain and more. I would urge all men (and women, of course) who are struggling with substance abuse issues to use Men's Health Week as the mark on the calendar where you start your recovery.
Relationship Abuse and Men's HealthWhile the media doesn't give as much attention to
male victims of domestic violence as they do to female victims,
husband abuse (and boyfriend abuse) is a very real threat to men's health. If you know of or suspect that one of your male loved ones is being abused, use this week as your motivation to extend your support to him, and support him in getting the help he needs to stop the abuse.
Happy National Men's Health Month!
Mar 26, 2007
Ketamine K Facts
Ketamine, commonly known as "Special K" is a pharmaceutical drug, intended for veterinary and sometimes human use as a tranquilizer.
Physical tolerance & dependence: Moderate
Street Names: K, Special K, vitamin k, kit cat, cat valium, jet.
Packaging: may be powder, liquid, or pill form; small plastic bags or tied off corners for pills and powder, usually original pharmaceutical packaging for liquid form.
How it's Used: Pill form taken orally or crushed and smoked or mixed with water and injected. Powder form either as above, or mixed in food or beverages (often covertly). Liquid form injected intramuscularly.
Symptoms during Use: Hallucinations, including visual and auditory distortion which may last longer than 24 hours, disorientation, delirium
Effects on the Body: incapacitation (hence its use as a “date rape” drug), slowed heart rate and breathing
Long Term Effects: severe cognitive dulling, amnesia and other memory problems, depression, high blood pressure, respiratory problems
Withdrawal signs and symptoms: Moodiness, anxiety, sweating, agitation
Symptoms & Effects of Overdose: loss of motor control, unconsciousness, coma; death
More Quick Drug Fact Pages:
Crack Cocaine Facts Heroin Facts Methamphetamine Facts Sources:
NDICDEA
Mar 16, 2007
Marijuana as a Safe Alternative?
As the world debates the medical uses of marijuana, certain facts still remain about the use of mind-altering substances by those in recovery from substance abuse
Marijuana, one of the most widely used illegal drugs, is one that faces great debate. For some, it provides relief of physical ailments and symptoms just as narcotics are used under medical supervision. Others may use the drug occasionally, and although it is illegal, have not suffered major consequence. They may imbibe in such a way that one might have a single glass of wine at the end of an evening.
But what of those with substance abuse issues? Doctors may agree that a glass of red wine is “good” for your heart, but surely an alcoholic would not risk sobriety to test this theory – perhaps he would choose to take up running instead. Where those who do not have chemical dependencies may indulge occasionally in a few extra beers, a joint or bong hit, or even a harder drug on occasion, for a person who struggles with any sort of addiction taking a mind-altering substance into their body is like playing Russian roulette with their life.
Even after sustained periods of abstinence, people with substance abuse histories will set the addictive process back in motion instantly once they introduce a mind altering chemical to their bodies, which is one reason those in recovery often seek a great deal of support when facing surgeries or other times when narcotics or other drugs are required, even if they were not their drug of choice. This concept may be very difficult to understand for those who have not experienced addiction firsthand, yet anyone who has experience with recovery will agree entirely.
Although there is no physical addiction or withdrawal to THC, the psychoactive chemical in marijuana, there is a strong psychological dependency that forms with continued use. As well as its potential for relieving physical symptoms, many feel that marijuana helps them relax mentally and relives them from the stresses and realities of everyday life, especially at first. Contrary to popular belief, both a physical and psychological tolerance to the drug does occur over time, requiring the user to use larger quantities and more frequently in order to feel the expected and perceived results and relief desired. This type of dependency, just as any other, does not happen in every person – chemical dependency is an individual phenomenon governed by many factors.
I strongly feel that it is unwise to say that marijuana is either bad or good; but I will share what I would ask myself as a recovering person (or a mother, a human being) before I spark up a joint:
-Am I willing to risk my family and freedom for a few hours high? (Are the potential consequences of possessing and illegal drug worth it?)
-Am I willing to risk reversing a path of successful recovery just to test a theory or make a political statement? (Is this really worth it?)
-If I am truly trying to solve a problem, are there any alternative solutions, and what other potential problems am I creating for myself and others by putting an illegal substance in my life and my body?
Feb 21, 2007
Junkys Can't Get Clean
During my month-long stay in rehab seven years ago, I heard over and over that it was impossible for a heroin addict to get clean and stay that way. I was determined to p
As the youngest person on the residential treatment unit at the Brattleboro Retreat, I was already feeling insecure. Most of the other patients had already been to some sort of treatment center at least once, usually four or more times. At least half of us were there for a primary self-diagnosis of heroin addiction. My second night there, as I sat on the back porch freezing with a cigarette in my hand, a seasoned veteran of rehabs & fellow junky "M" informed me in a matter-of-fact tone that heroin addicts just plain can’t get sober. That would not be the last time I heard this - it came from discouraged roommates, and plenty of other people during my stay. I even heard it at "outside" AA meetings a few times from disgruntled members, who for whatever reason were terribly misinformed.
I was troubled deeply. If I knew one thing at that point in my life, I knew I didn’t ever want to go back to the way I had been living for the past year or two. So why this terrible curse? Was I doomed forever, no matter how hard I tried? Was recovery all a big lie? Did it only apply to alcoholics, to
pill poppers, cokeheads and pot smokers? I refused to believe that I would never be able to keep
heroin out of my life. So I started asking WHY.
I realized after not too long that the people who stuck by this prophecy were the ones who were relapsing, leaving treatment before they were released with drugs already in their system. I began to think that maybe they had been defending their right to go back out and do it again. And then I began meeting other junkys - heroin addicts that had been sober for a long, long time. At first I didn’t believe it, my first sober junky friend had been clean for 16 years when I met him, and was working at another treatment center as a counselor. The number astounded me - it seemed impossible. "He must have just tried it once or twice, he can’t be a
real addict" I thought. But I heard his story, and realized that he was just like me - worse, actually - he had been homeless, lost his family, everything, was addicted for years and years. Most of what I lost had been self respect.
During the following years, I met many more heroin addicts in long-term successful recovery, as well as watched others get and stay clean and sober, while hearing the same old rumor from time to time that it couldn’t be done.
Feb 12, 2007
Crystal Methamphetamine Facts
Crystal Methamphetamine Basic Facts: Street Names, Signs and Symptoms of Use, Effects on the Body, Packaging, Effects of Overdose
Physical tolerance & dependence: Very High
Street Names: meth, ice, tin or tina, crank, tweak, chalk, crystal, glass, speed, blade, chrome, CR, Cristina,
Packaging: Small plastic baggie, twisted off corner or wrapped in aluminum foil
Photos of Crystal MethamphetamineHow it's Used: Smoked, infrequently injected (IV) or ingested nasally (snorted)
Symptoms during Use: decreased appetite, increased breathing rate, paranoia, insomnia, excessive sweating, excessive speech, irritability, euphoria, compulsive behavior, hallucinations (most often the sensation of bugs crawling under the skin)
Effects on the Body: Elevated heart rate, increase in body temperature, physical addiction & dependence, severe nerve damage within brain, severe and rapid tooth decay
Withdrawal signs and symptoms: cravings, anxiety, aggression, moodiness, restlessness, drug seeking (i.e. theft to access money, lying to achieve goals, etc)
Symptoms & Effects of Overdose: hallucinations, psychosis, stroke, heart attack; death
More Quick Drug Fact Pages:
Crack Cocaine FactsHeroin FactsMarijuana Facts
Feb 11, 2007
Prescriptions in Recovery
Argued over time and by laymen and medical experts alike, the use of certain medications has always been risky for those recovering from drug and alcohol abuse.
A talk this morning with a long-time friend, recovering addict, and sufferer of a major anxiety disorder left me with more questions than answers.
In the years that I have been in recovery and working in the field, I have been relatively staunch in my opinion that certain
prescription medications are off-limits to addicts and alcoholics alike, especially when used as a course of treatment over the long-term. I have not been alone in my opinion – many others agree that the use of
narcotics, benzodiazepines, stimulants, and even nicotine may trigger certain receptors in the
addicted brain and greatly increase the chances of relapse (the return to active addiction).
Yet when looking at the problems that face those with
co-occuring issues such as severe
anxiety and phobias, adult
ADHD, and chronic pain, it seems that there has to be a middle ground.
It seems that for my friend, this middle ground has been reached successfully. After a rocky start, attempting to stay sober and battle both chronic pain and severe anxiety using both narcotic and non-narcotic
medication and non-addictive anxiety treatments, this man has finally found relief. Through both successful surgery without the use of narcotics for aftercare, the use of a longer acting form of an anti-anxiety
medication, support groups and friends, and most importantly a deep level of self-honesty, he has maintained sobriety for over four years.
So I am forced to regroup, take a look at my black-and-white thinking, and remind myself that everyone is different. What works for me may not work for you, or maybe just a part of it – which is why everyone
sharing their stories is so important to recovery.
And please remember, nothing said here should be taken as advice – it is simply my observations and opinions!
Jan 28, 2007
Cabin Fever
Stuck inside in the same old rut? Sometimes it can be the simplest of things that can pull us away from those cravings…
Here in New Hampshire, it has been cold, very cold. Even the most seasoned in
recovery can find themselves feeling pretty negative after the pipes have frozen twice, the furnace quit, the kids can’t go outside for more than 10 minutes, and it takes 45 minutes for the car to heat up. So, as I was clenching the steering wheel with two frozen fists a few days ago, I realized that I had come to that cynical, unhappy mindset that is no place for someone in recovery. Flipping on the radio, I found my answer.
Time and time again, when my mind has been fixed on some negative thought or stuck in the blues, it was music that pulled me out of it. Not the music I hear every day, but always one of those songs from long ago – something outrageous that I’d never admit to my friends that I like (like C&C Music Factory – yeah, clean the house to that and just try to feel bad afterward!).
So here’s my suggestion for the day if you’re feeling stuck in the dumps: Take a few minutes to surf your favorite music engine – most will only charge 99 cents per song, and find some of those old feel-good favorites. The ones that remind you of driving on a sunny day when you first got your driver’s license, or of the one junior high dance that didn’t embarrass you. You’ll be amazed at how fast you find some great stuff – that will pull you right out of that funk.
For less than what you would pay for a case of
beer or a bag or your
drug of choice, you can download a custom-made set of songs for your CD player or iPod that you can use any time you need to snap out of that space.
What are some of my other secret feel-good songs? Aha’s “Take on Me”, Marky Mark and the Funky Bunch (hope my friends aren’t reading this!), and the David Bowie songs from the
Labyrinth soundtrack.
What are some of yours?
Jan 9, 2007
Crack / Cocaine Facts
A quick reference for friends, family and co-workers.
Physical tolerance & dependence: High
Street Names: coke, “C”, powder, snow, blow; rock, poor man’s coke, freebase
Packaging: plastic bags, usually slid into a corner and tied off to make the smallest package possible, or tiny zip-type baggies
Photos of Cocaine & Crack How it's Used: Cocaine is most often ingested
nasally (“snorted”) or mixed with water and injected
intravenously. Crack is a chemically modified form of cocaine that is smoked.
Symptoms during Use: increased heart rate, dilated pupils, dry mouth, decreased appetite, decreased need for sleep, restlessness, paranoia, anxiety, grandiosity, euphoria, numbness of nose & mouth if inhaled, fast paced speech, hallucinations
Withdrawal signs and symptoms: cravings, shakiness, irritability; physical withdrawal varies
Symptoms & Effects Overdose: extreme increase in heart rate, severe anxiety, heart attack, death
For more information:
National Institute on Drug Abuse (U.S.)US DEA (Drug Enforcement Agency)Narcotics AnonymousMore Drug Facts Pages:Heroin - Facts, Street Names, Use & Withdrawal SymptomsMarijuana - Facts, Street Names & Symptoms of UseCrystal Methamphetamine Facts
Dec 21, 2006
Gratitude in Sobriety
Someone once said, "A grateful heart won't drink" - The holidays can be stressful and even depressing for some. A little Gratitude will go a long way.
As the
hoiday season whizzes by, most of us are at best feeling a bit overwhelmed by the expectations put on us by our children, spouses, friends, and neighbors to be ready to deliver the perfect family celebrations in all their glory. For those in recovery, a time of extra stress is perfect to pull out one of the most valuable tools available to staying sober: Gratitude
Gratitude, appreciation, thankfulness - usually associated with the Thanksgiving holiday - is more than a token "thank you". For a recovering
addict / alcoholic, a true sense of gratitude can mean the difference between falling into the pit of despair and choosing to use again, and realizing that sobriety is truly worth the effort - that a drink won't fix the electric bill, and that life would be far worse if drugs and booze were still part of it all.
As a writer, I find it easiest to write down what i'm grateful for when I'm feeling down. If there are days that seem far too hopeless, I start with the simple things, and move my way up from there. "I am grateful for...my wonderful children, my sobriety" What else? "My health" The basic needs of life are being met, whereas they are not for many other in the world. "I am grateful that I have a home, water, and electricity".
Just a simple list begun like this can be the spring from which hope can bloom, at the very least turning thoughts of drinking or drugging into the realization that our problems are not all-encompassing, that we all have positive things in our lives. Some of us have our health, others have fulfilling jobs, wonderful pets, people who depend on them and love them dearly, so many things that make us incredible people when we are sober.
So this weekend, as you are in a frenzy of worry and despair over finding "TMX Elmo" or getting the table set just right, take a moment to stop and think about what you DO have, the stuff that really matters - and thank whovever or whatever you believe is in charge of the universe.
Someone, somewhere said, "A grateful heart won't drink"
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