Commonly Asked Questions about Addiction and Treatment
Facts about fentanyl
Fentanyl is a powerful synthetic opioid analgesic that has garnered significant attention in recent years due to its role in the opioid crisis. Here are some essential facts about fentanyl:
Potency: Fentanyl is estimated to be 50 to 100 times more potent than morphine and 25 to 50 times more potent than heroin. Due to its high potency, it is prescribed in micrograms (mcg) rather than the milligrams (mg) typically used for other opioids.
Medical use: Fentanyl is primarily used in medical settings to manage severe pain, such as chronic pain or breakthrough pain in cancer patients. It is also used as an anesthetic during surgical procedures. Fentanyl is available in various forms, including transdermal patches, lozenges, tablets, and injections.
Illicit use: Fentanyl has become a significant concern in the illicit drug market due to its potency and relatively low production cost. Illegal fentanyl is often mixed with other drugs, such as heroin, cocaine, or counterfeit prescription pills, increasing the risk of overdose for unsuspecting users.
Overdose risk: Fentanyl's potency makes it particularly dangerous, as even a small amount can cause an overdose. Signs of fentanyl overdose include slow or shallow breathing, unresponsiveness, pinpoint pupils, cold and clammy skin, and loss of consciousness. Fentanyl overdoses can be fatal if not promptly treated.
Naloxone: Naloxone, also known as Narcan, is an opioid antagonist that can rapidly reverse the effects of a fentanyl overdose by displacing the drug from the opioid receptors in the brain. Due to fentanyl's potency, multiple doses of naloxone may be necessary to reverse an overdose effectively.
Fentanyl analogs: There are numerous fentanyl analogs or derivatives, such as carfentanil, acetylfentanyl, and furanylfentanyl. These analogs can have varying potencies, often significantly stronger than fentanyl itself, which can further increase the risk of overdose and fatalities.
Legal classification: Fentanyl is a Schedule II controlled substance in the United States, indicating that it has a high potential for abuse and dependence but also has accepted medical uses. Illicit fentanyl and its analogs are often classified as Schedule I substances, indicating that they have no accepted medical use and a high potential for abuse.
Addiction and dependence: Fentanyl, like other opioids, carries a risk of addiction and physical dependence. Chronic use can lead to tolerance, requiring higher doses to achieve the same effect, and withdrawal symptoms if usage is reduced or stopped abruptly.
Why do drug addicts blame everyone but themselves?
Drug addiction can significantly distort a person's thinking patterns and perceptions, leading them to behave in ways that are often self-protective and defensive. One of these behaviors can be a tendency to shift blame onto others. This occurs for a few reasons:
- Denial: One of the key psychological symptoms of addiction is denial. This is a defense mechanism that allows individuals to avoid confronting the reality of their addiction and its negative consequences. By blaming others, they deflect responsibility and maintain their state of denial.
- Avoiding Shame and Guilt: Addiction often carries a heavy burden of guilt and shame. Blaming others can be a way for individuals struggling with addiction to avoid these painful feelings and protect their self-image.
- Rationalizing Behavior: Blaming others can serve as a way for individuals to justify their drug use and associated behaviors. If they can convince themselves that their actions are a response to the actions of others, they may feel more justified in continuing their substance use.
- Fear of Consequences: Acknowledging personal responsibility could mean having to face significant consequences, including damage to relationships, legal issues, or the need for treatment. Blaming others allows the person to avoid these potential repercussions.
- Altered Brain Function: Drug abuse can lead to changes in the brain that impact judgment, decision making, learning, and behavior control, which might lead to a tendency to shift blame onto others.
What is a typical day like in an inpatient drug rehab?
Inpatient drug rehab provides a structured environment for individuals recovering from substance use disorders. The specific details of a typical day can vary between facilities, but most will follow a general schedule that includes therapeutic activities, meals, free time, and sleep. Here's a rough outline of what a day in an inpatient rehab might look like:
- Wake Up: Residents typically wake up early to start their day. Some facilities may offer morning activities like yoga or meditation to help residents start their day in a calm and mindful way.
- Breakfast: A healthy meal is provided to start the day. This is also a time for social interaction with other residents.
- Group Therapy or Counseling: After breakfast, residents often participate in a group therapy session. This could be a general therapy session or a specific type of therapy such as Cognitive Behavioral Therapy (CBT) or Dialectical Behavior Therapy (DBT).
- Lunch: After morning therapy sessions, residents will have lunch, often followed by a short break.
- Therapies: The afternoon is typically filled with various therapeutic activities. These could include individual counseling, specialized therapies (like art or music therapy), or educational sessions about addiction and recovery.
- Dinner: In the evening, residents will have dinner, which, like all meals in rehab, is typically designed to promote overall health and wellness.
- Evening Group Session: Many rehab centers host an evening group session, which might be a support group, a 12-step meeting, or another form of group therapy.
- Free Time: After the day's structured activities, residents usually have some free time. They might use this time to relax, read, journal, or socialize with other residents.
- Bedtime: To ensure adequate rest, lights-out times are typically enforced.
Throughout the day, residents may also have scheduled times for medication (if applicable), physical exercise, and meeting with their treatment team. The goal of this structured daily routine is to provide a stable, supportive environment that promotes healing and recovery.
It's important to note that the exact schedule and types of activities will vary between different rehab centers and individual treatment plans. When choosing a rehab center, it can be helpful to ask about the daily schedule and types of therapies offered to ensure it aligns with your needs and preferences.