Commonly Asked Questions about Addiction and Treatment
When do you walk away from a loved one that is a drug addict?
Deciding to distance yourself from a loved one who is struggling with addiction is a deeply personal and difficult decision. There's no universal right or wrong answer, as it depends on the individual circumstances, the severity of the addiction, the impact on your wellbeing, and other factors. However, there are a few circumstances where walking away might be the appropriate course of action:
- Self-preservation: If the relationship with the loved one is causing significant harm to your mental, emotional, or physical health, it may be necessary to establish boundaries or distance yourself for your own wellbeing. Remember, you can't effectively support others if you're not taking care of yourself.
- Enabling Behavior: If your actions are enabling the individual's substance abuse rather than supporting their recovery, creating distance might be beneficial. Enabling can include covering up for their substance use, providing financial support for their habit, or repeatedly rescuing them from the consequences of their behavior.
- Lack of Respect for Boundaries: If your loved one consistently ignores or disrespects boundaries that you have established, it might be time to consider distancing yourself.
- Abuse or Violence: If your loved one becomes abusive or violent under the influence of drugs, prioritizing your safety is crucial. In such instances, it's critical to seek help from local authorities or a domestic violence hotline.
- Unwillingness to Seek Help: If your loved one consistently refuses to seek help, denies they have a problem, or repeatedly relapses without making an effort towards recovery, it might be necessary to consider distancing yourself.
What is the purpose of drugs such as methadone, suboxone and subutex in the recovery process?
Methadone, Suboxone (a combination of buprenorphine and naloxone), and Subutex (buprenorphine) are medications used in Medication-Assisted Treatment (MAT) for opioid use disorders. Their primary purpose in the recovery process is to help manage withdrawal symptoms and reduce cravings, facilitating a safer, more comfortable transition to abstinence or long-term management of the disorder. Here's a more detailed look at how each of these medications function:
Methadone: Methadone is a long-acting opioid agonist, which means it activates the same receptors in the brain that other opioids like heroin, morphine, or prescription painkillers do. However, it does so more slowly and for a longer duration, without causing the intense euphoria associated with misuse of those drugs. This helps to mitigate withdrawal symptoms and cravings, enabling individuals to function more normally in daily life.
Suboxone: Suboxone contains two active ingredients: buprenorphine and naloxone. Buprenorphine is a partial opioid agonist, meaning it activates the opioid receptors in the brain, but to a lesser extent than full agonists like heroin or methadone. This can help manage cravings and withdrawal symptoms without producing the high associated with opioid misuse. Naloxone is an opioid antagonist, meaning it blocks the effects of opioids. It's included in Suboxone to discourage misuse of the medication; if someone tries to inject Suboxone, the naloxone will trigger withdrawal symptoms.
Subutex: Subutex is the brand name for buprenorphine alone. Like in Suboxone, buprenorphine in Subutex serves to lessen withdrawal symptoms and reduce cravings. It is typically used in the initial stages of treatment, while Suboxone is more commonly used for maintenance.
These medications are typically used as part of a comprehensive treatment plan that also includes counseling and behavioral therapies. It's important to note that while these medications can be highly effective in supporting recovery, they should be used under the guidance of a healthcare provider due to the risk of misuse and potential side effects. Each individual's treatment plan should be tailored to their unique needs and circumstances to ensure the best possible outcomes.
How can I support my adult child in their recovery process?
Supporting an adult child in their recovery process can be a challenging yet crucial role. Here are some ways you can provide support:
Educate Yourself: Learn about addiction and the recovery process. Understanding the nature of your child's struggle can help you provide more effective support and reduce misperceptions and stigma.
Encourage Treatment: Encourage your child to seek professional help and stay engaged with their treatment plan. This could involve therapy, counseling, medication-assisted treatment, and/or participation in a recovery support group.
Be Patient and Understanding: Recovery is a long and challenging process that often involves setbacks. Be patient with your child's progress and provide emotional support and encouragement.
Promote Healthy Lifestyle: Encourage your child to maintain a healthy lifestyle. This could involve supporting them in adopting healthy eating habits, regular physical activity, and adequate sleep. Also, help them find healthy coping mechanisms and hobbies to replace substance use.
Support Their Independence: It's important for your adult child to feel capable and independent. While it's important to support them, avoid taking over their responsibilities. Instead, encourage them to take charge of their own recovery.
Set Boundaries: Clear, healthy boundaries are crucial in any relationship, but especially when dealing with addiction. Communicate your limits openly and honestly. For example, you might make it clear that you won't provide financial support for substance use.
Attend Family Therapy: Consider participating in family therapy or counseling. This can help you understand how to better support your child, improve communication, and address any issues within the family dynamic that may contribute to the substance use disorder.
Join a Support Group: Consider joining a support group for parents of adults with substance use disorders. These groups can provide understanding, advice, and resources.
Take Care of Yourself: Remember, you can't pour from an empty cup. Ensure you're taking care of your own physical and mental health too. Seek support when you need it, and take time for self-care.