Commonly Asked Questions about Addiction and Treatment
How can I tell if I am an enabler?
"Enabling is a behavior often seen in the relationships of individuals struggling with addiction. An enabler, often without realizing it, may protect the individual with addiction from the consequences of their behavior, thus indirectly encouraging continued substance use. If you're unsure whether you might be enabling someone's addiction, consider the following signs:
- Rescuing: If you frequently find yourself covering up or making excuses for the individual's substance use or its consequences - like calling in sick to their job for them, paying their bills, or lying to others to conceal their addiction - this could be enabling.
- Denying: If you downplay the severity of their addiction, dismiss the negative impact it has, or avoid discussing it entirely, you may be enabling.
- Avoiding Conflict: If you consistently avoid confrontations or difficult conversations about their substance use out of fear it may cause tension or lead them to use more, this can be a form of enabling.
- Taking on Their Responsibilities: If you've taken on their duties - like household chores, parenting responsibilities, or work commitments - to compensate for their inability or unwillingness to fulfill them due to their addiction, you could be enabling.
- Providing Financial Support: If you're frequently giving them money, which they could be using to support their addiction, or bailing them out of financial problems caused by their substance use, this is often a clear sign of enabling.
- Ignoring Damaging Behaviors: If you tend to overlook or dismiss destructive or harmful behaviors associated with their addiction, you may be enabling.
Is substance abuse recovery a life long process?
Substance abuse recovery is often described as a lifelong process. This is due to the chronic nature of addiction, which is a brain disease characterized by compulsive drug seeking and use, despite harmful consequences. Like other chronic illnesses such as diabetes or heart disease, addiction often requires long-term or repeated care to manage symptoms and prevent relapse.
Here are key reasons why recovery is often a lifelong process:
- Changes in Brain Function: Substance use can cause long-lasting changes in the brain that persist even after the substance is no longer used. These changes can lead to cravings or triggers for drug use, which can potentially lead to relapse.
- Behavioral Changes: Substance use often involves habits and behaviors that become deeply ingrained over time. Changing these behaviors and developing new, healthier habits can take time and ongoing effort.
- Coping Mechanisms: Many individuals use substances as a way to cope with stress, trauma, or other underlying issues. Recovery often involves learning new coping mechanisms and addressing these underlying issues, which can be a long-term process.
- Support Systems: Recovery often involves building or rebuilding supportive relationships and social networks, which can take time.
- Maintenance of Physical and Mental Health: Substance use can lead to a variety of physical and mental health issues. Managing these conditions and maintaining overall health can be an ongoing part of recovery.
- Relapse Prevention: Relapse rates for substance use disorders are similar to those of other chronic illnesses. Ongoing care, support, and strategies for managing cravings and triggers can help prevent relapse over the long term.
What does fentanyl do to a person?
Fentanyl is a synthetic opioid pain reliever that is 50 to 100 times more potent than morphine. It's typically used to treat severe pain, especially after surgery, or to manage pain in individuals with chronic illnesses who have developed a tolerance to other opioids.
When used under medical supervision, fentanyl can effectively relieve pain. However, when used illicitly or without a prescription, it can have severe, and even fatal, effects. Here's what fentanyl can do to a person:
Physical Effects: In the short term, fentanyl can induce feelings of relaxation, euphoria, and decreased perception of pain. However, it also slows breathing and can lead to unconsciousness or death from respiratory failure, particularly in high doses or when combined with other substances that depress the central nervous system.
Dependency and Addiction: Fentanyl is highly addictive. Regular use can lead to physical dependence, where the body requires the drug to function normally, and psychological addiction, where a person feels a compulsive need to use the drug despite its harmful consequences.
Overdose Risk: Due to its potency, the risk of overdose with fentanyl is high, especially if a person mistakenly believes they're taking a less potent opioid, as illicit fentanyl is often mixed with other drugs. Overdose can lead to severe respiratory depression, unconsciousness, and death.
Withdrawal: Once a person becomes dependent on fentanyl, stopping its use can result in withdrawal symptoms. These can include muscle and bone pain, sleep problems, diarrhea, vomiting, cold flashes, and uncontrollable leg movements.
Long-Term Health Effects: Chronic fentanyl use can lead to an array of health problems, including severe constipation, increased sensitivity to pain, confusion, depression, and increased risk of infections due to needle sharing (if injected).
Due to its potency and high risk of overdose, non-medical use of fentanyl is extremely dangerous. If you or someone you know is struggling with fentanyl or other opioid use, it's crucial to seek professional help immediately.