Commonly Asked Questions about Addiction and Treatment
How does drug addiction affect the family unit?
Drug addiction can have far-reaching consequences not only for the individual struggling with substance use, but also for their family unit. Family members may experience various emotional, social, and financial challenges as a result of a loved one's addiction. Some of the ways drug addiction can impact the family unit include:
- Emotional strain: Family members may experience a range of emotions, such as fear, anger, frustration, guilt, and sadness, as they grapple with their loved one's addiction. These emotions can be overwhelming and may lead to mental health issues, such as anxiety or depression, among family members.
- Family dynamics: Drug addiction can alter family dynamics, leading to increased conflict, mistrust, and communication breakdowns. This may result in a dysfunctional family environment and strained relationships among family members.
- Role changes: Family members may be forced to take on new roles to compensate for the challenges brought on by the addiction. For example, a spouse or older child may assume additional responsibilities for managing the household, providing financial support, or caring for younger siblings.
- Neglect of responsibilities: The individual struggling with addiction may neglect their responsibilities as a parent, spouse, or sibling, leaving other family members to bear the burden of these responsibilities.
- Financial strain: The costs associated with obtaining drugs and potential job loss due to addiction can place a significant financial burden on the family. This may result in debt, inability to meet basic needs, or even homelessness.
- Legal issues: Family members may face legal problems as a result of their loved one's drug-related activities, such as theft or drug possession. Legal issues can create additional financial strain and emotional stress for the family.
- Safety concerns: Drug addiction can expose family members to unsafe situations, such as violence, drug-related criminal activities, or the presence of dangerous substances within the home.
- Impact on children: Children in families affected by drug addiction may experience emotional, behavioral, and developmental challenges. They may be at greater risk for academic difficulties, mental health disorders, and substance abuse themselves later in life.
- Social isolation: Family members may become socially isolated due to stigma, shame, or fear associated with their loved one's addiction. This can lead to a loss of support networks and further emotional strain.
Can I go cold turkey to stop abusing opioids?
While going "cold turkey," or suddenly stopping the use of opioids, might seem like a fast way to begin recovery, it's generally not recommended due to the severity of withdrawal symptoms and potential health risks.
Opioid withdrawal can be intensely uncomfortable and, in some cases, hazardous. Symptoms can include severe cravings, restlessness, muscle and bone pain, insomnia, diarrhea, vomiting, cold flashes, and involuntary leg movements. In severe cases, withdrawal can lead to serious dehydration or electrolyte imbalances.
Furthermore, abruptly stopping opioid use can significantly increase the risk of relapse. The discomfort of withdrawal symptoms may make it more difficult to stay abstinent, and an individual may be tempted to use again just to relieve these symptoms. If a person relapses and takes the same dose they were previously accustomed to, the risk of overdose is high because the body's tolerance to the substance has decreased.
For these reasons, opioid withdrawal should ideally be managed under the supervision of healthcare professionals. Medication-assisted treatment (MAT), which includes medications like methadone, buprenorphine (Suboxone), and naltrexone, can be used to help reduce withdrawal symptoms and cravings. These medications work by acting on the same brain receptors targeted by opioids, but they do so in a safer manner that helps to manage withdrawal and reduce the risk of relapse.
In addition to MAT, counseling and behavioral therapies are typically part of a comprehensive treatment program for opioid use disorder. These approaches can help individuals develop the skills and strategies needed to maintain recovery in the long term.
What is smart recovery?
SMART Recovery (Self-Management and Recovery Training) is a global community of mutual-support groups that provide a structured, scientifically grounded program to help people manage their recovery from any type of addictive behavior, including substance abuse and behavioral addictions.
SMART Recovery's approach is different from other recovery programs like Alcoholics Anonymous or Narcotics Anonymous, which are based on the 12-step model. Instead of focusing on the concept of "powerlessness" over addiction, SMART Recovery emphasizes self-empowerment and self-reliance. It promotes the ability of individuals to change their own thoughts and behaviors to overcome addiction.
The SMART Recovery program is based on principles of cognitive-behavioral therapy (CBT) and motivational interviewing. It is designed around a 4-point program:
- Building and maintaining motivation: This helps individuals to build their motivation to change and avoid relapsing.
- Coping with urges: This gives individuals the skills to deal with urges or cravings as they arise.
- Managing thoughts, feelings, and behaviors: This is about developing healthy thoughts, emotions, and actions in place of the destructive ones that can lead to addictive behaviors.
- Living a balanced life: This involves individuals identifying what they truly value in life and building their lives around those values, leading to satisfaction and fulfillment beyond their addiction.
SMART Recovery meetings, both in-person and online, are facilitated by trained volunteers and are free to attend, though donations are appreciated. The program also offers a variety of tools and techniques for self-empowerment and self-directed change, available in various formats such as handbooks, worksheets, and online resources.