Commonly Asked Questions about Addiction and Treatment
What will a rehab do to help me get through my withdrawal symptoms?
Rehabilitation centers use a combination of medical, psychological, and supportive care to help you manage and overcome withdrawal symptoms during the detoxification stage of recovery. Here's what you can expect:
Medical Supervision and Care: During withdrawal, you'll be under the constant care of medical professionals who monitor your vital signs and general health. This is crucial because withdrawal from certain substances can be life-threatening.
Medication-Assisted Treatment: Depending on the substance you're withdrawing from and the severity of your symptoms, the medical team may administer medications to alleviate discomfort and reduce cravings. For example, methadone or buprenorphine might be used for opioid withdrawal, while benzodiazepines might be used for alcohol withdrawal.
Psychological Support: Mental health professionals provide psychological support during withdrawal. This might include individual counseling, group therapy, or cognitive-behavioral techniques to help manage cravings and cope with the emotional stress of withdrawal.
Comfort Measures: Rehab centers often use comfort measures to help manage withdrawal symptoms. These might include a quiet and comfortable room to rest in, nutritional support, hydration, and complementary therapies such as acupuncture, massage, or yoga.
Preparation for Ongoing Treatment: Detox and withdrawal management are just the first steps in the recovery process. While helping you through withdrawal, staff at the rehab center will also be preparing you for the next phases of treatment, which may include therapy, medication management, and skill-building to maintain long-term sobriety.
Peer Support: Many rehab centers facilitate peer support groups, where you can share experiences and coping strategies with others who are going through a similar process.
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.
Suicide risks from drug abuse among lgbtq+ youth
Substance abuse significantly increases the risk of suicide, particularly among vulnerable populations such as LGBTQ+ (lesbian, gay, bisexual, transgender, queer, and others) youth. This heightened risk stems from a combination of factors associated with both substance abuse and the unique challenges faced by LGBTQ+ youth. Here's a closer look at these factors:
Mental Health Disorders: Substance abuse often co-occurs with mental health disorders such as depression, anxiety, and bipolar disorder, which are known risk factors for suicide. LGBTQ+ youth experience these mental health conditions at higher rates than their heterosexual and cisgender peers, partially due to the minority stress they face.
Minority Stress: Minority stress refers to the chronic stress experienced by marginalized groups, including LGBTQ+ individuals. It can include experiences such as discrimination, stigma, bullying, and family rejection, which can increase feelings of hopelessness and contribute to both substance use and suicidal ideation.
Substance Use and Suicidal Behavior: Substance use can lead to increased impulsivity, decreased inhibition, and intensified feelings of despair, making a person more likely to attempt suicide. It can also exacerbate feelings of isolation and hopelessness, further increasing the risk.
Social Isolation: Many LGBTQ+ youth feel socially isolated, either because they are not out to their peers or because they face rejection after coming out. This isolation can lead to increased substance use and a higher risk of suicide.
Family Rejection: Family rejection related to an individual's sexual orientation or gender identity can lead to increased substance use and heightened suicide risk. LGBTQ+ youth who do not receive support from their families are particularly vulnerable.
Lack of Access to Mental Health Services: Many LGBTQ+ youth struggle to access mental health and substance use treatment services, which can help manage risk factors for suicide. Barriers to access can include lack of insurance, stigma, and a shortage of providers who offer LGBTQ+-inclusive care.
Intersectionality: LGBTQ+ youth who belong to other marginalized groups (e.g., racial/ethnic minorities) often face additional layers of discrimination and stress, which can further increase their risk of substance abuse and suicide.
Efforts to prevent suicide among LGBTQ+ youth include providing access to culturally competent mental health and substance use treatment, fostering supportive environments in schools and communities, and advocating for policies that protect LGBTQ+ youth from discrimination and harassment. It's also crucial to provide support for families of LGBTQ+ youth, as family acceptance has been shown to protect against suicide risk.