Addiction2Recovery

Negative core beliefs have the ability to keep a person with a substance use disorder(s) in the trap of addiction. Not just self-esteem or confidence, core beliefs are one's inherent and internal self-believed truths. When a person with a SUD carries with them a negative core belief, they often find themselves externalizing their recovery, a slippery slope for return to use. We'll discuss this concept as well as how one with a SUD can help themselves reframe situations that may have led to these beliefs. We will also discuss how families and loved ones can use this information to support their person through their journey. Celebrity highlight- Sir Elton John

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Pain is a universal experience. However, as this opioid epidemic has shown, there is a fine line between treating chronic non-cancer pain and the concern for the development of opioid use disorder. The Centers for Disease Control (CDC) developed guidelines in 2016, and have since revised them, to help guide prescribers in their pursuit to care for their patients needs' while also cautioning the slippery slope of addiction possibility. We will discuss the data around this very concept in order to demonstrate what the risk actually is. Finally, we review where the 'sweet spot' is in terms of not only the dose of opioid medications but also how long ends up being too long after an injury or surgery. 

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Meet Brian. Describing his biggest risk factors as poverty and abuse he also states that his personality is one that wants to take care of people and that he got his self-worth from people valuing him. He describes how this turned into a short-lived promise with a friend to never use drugs. This promise quickly became a multi-drug sales business until he met his first rock bottom. 

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Student athletes are often under a lot of pressure to perform, to win, to be the best. Some of their pressures may come from parents, peers, internally and/or coaches; however, coaches can play an important role in mentoring and supporting their athletes. Coaches often spend more time with their athletes than parents and many are seen as role models and confidants. Unfortunately, most schools have sanctions for substance use or possession that are outdated and punitive, setting these youth up for failure by removing them from their prosocial activities rather than recognizing the disease state associated with substances. We are joined again by Dr Sarah Polley, adult and child addiction psychiatrist. 

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Having been a witness of his sister's substance use disorders, William Stoehr, an artist, began his mission to start the conversations and to end stigma. He paints only faces stating, "I try to create an environment where you don't just see a pair of eyes but you engage with those eyes." His art exhibition is called "Victims, Witnesses, and Survivors" for we are each one of those and at the exhibition one walks around as if in a sea of people, each one telling a story. The art, however, isn't the only purpose, for the goal is also to spark conversations about the disease of addiction in order to further break down stigma. His exhibitions also feature panels and resources to educate and empower and bring care and help to those with SUD and their loved ones. This episode not only starts Bill's conversation but it also motivates and inspires. To see more of Bill's work, visit: home | Mysite (williamstoehrart.com)

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What happens when a patient in recovery is 'triggered?' This is a very important topic and should be understood by a person in or wanting to achieve recovery but also for those who have contact, or love, someone in this situation. We will discuss what actually 'happens' when someone is met with a 'cue' that results in a trigger, even if a craving doesn't follow. We will explain it from the person who was triggered point of view (with some analogies not substance related) as well as explain the brain chemistry level. The most important thing to remember is that regardless of what causes the trigger or even how far along you are in recovery when triggered, a trigger should not elicit shame because it truly all is 'in your head' (the reptilian brain and NOT the adulting brain!)

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Xylazine- Initially thought to be a 'contaminant' in the fentanyl supply, xylazine is now being intentionally added into (cut into) the fentanyl supply, amongst other substances it's being cut into as well. It is said to 'give fentanyl legs', lengthening, in a synergistic manner, the effects of fentanyl. Since it is not an opioid, it does not respond to naloxone (but stay tuned for newer studies that do question this a bit), thus making treating an overdose much harder- BUT never stop giving the naloxone if there's any question! Xylazine also has a very classic necrotizing skin lesion side effect, also contributing to the morbidity and mortality of those suffering from this disease. 

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How are eating disorders and substance use disorders related? From the neurobiology view they are both bio-psycho-social disorders/diseases, as we previously alluded to, but what else makes them so similar? Does the type of eating disorder speak to certain things such as prognosis or mental health concerns and what are the different types of eating disorders? We will review some of the actual data around eating disorders and the types as well as discuss the overlap of eating disorders with substance use disorders. Heather will sneak a bit more of her story in as well! We end with our 'celebrity' highlight- you don't want to miss!

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Fentanyl 101... What exactly is fentanyl and why are more people dying of opioid overdoses than ever before? If it is causing so many more deaths, then why are people using it? What makes this 'street' fentanyl different from fentanyl given in a hospital? We will answer all of these questions and more! This episode is a HUGE primer for upcoming episodes where we will dive deeper into other extremely concerning happenings in this awful epidemic. 

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We interview Janis on this episode! She, currently, is a life-coach in Southern Florida, but the story to get there was anything but smooth. Growing up in a very loving family, she describes herself as a shy child who didn't even have her first drink until high school, however, once she started drinking, she never stopped. She will describe her journey with alcohol use disorder and what it was that led to her surrender point. Finally, she touches on how her faith remained, even during the hardest times.  Janis will then return to the podcast in a future episode to describe how she uses her path to help others. 

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