Changing the Voice of Addiction

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Years ago, I directed the Stress Management Department at the Pain Unit of Boston's Spaulding Rehabilitation Hospital. My first mind-blowing exposure to addiction came when a diabetic patient communicated her physician's warning that if she did not stop smoking, she risked having her legs amputated. Several days thereafter she was discharged from the pain unit. Three months later she returned to the hospital, this time with stubs for legs. Still she continued to smoke...

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Addiction is prevalent at all levels of society and is linked to a vast range of disorders such as heart disease, diabetes, asthma, hypertension, certain types of cancer, anxiety, depression and many stress related diseases. For example, women remaining in unhealthy relationships who resort to food, cigarettes, drugs and alcohol as coping mechanisms, often find themselves not just psychologically impaired, but physiologically impeded as well.

Interestingly, addiction extends far beyond toxic substances like drugs and alcohol and can include food, shopping, work, gambling, sex, pornography, television, perfectionism or chasing after a youthful appearance, money, or the ideal relationship. Each of us desires pleasure, comfort and inner peace. When reaching for an addiction of choice, one's objective is to reduce stress, discomfort and suffering and soothe the self.

Eventually these pleasure-seeking (or pain-reducing) behaviors can take on a life of their own and a vicious cycle emerges with the result ultimately causing more pain than pleasure. For example, if you smoke a cigarette you might temporarily reduce your anxiety level, but then the self-deprecation, guilt, or shame that follows may potentially create more suffering, which can lead to the impulse for another cigarette...

Scientists do not yet fully understand what occurs in the brain that ultimately causes addiction in some, but not in others. However, in a comprehensive study led by Dr. Vincent Felitti and Dr. Robert Anda, they discovered strong evidence indicating that children with negative childhood experiences were far more at risk for developing self-destructive and compulsive behaviors as adults that included substance abuse, alcoholism, smoking, eating disorders and depression.

When basic needs are not met, even when trauma is not involved, children and adults may resort to creative outlets to soothe themselves. Healthy relationships and maintaining a strong inner core are the best antidotes to combat addictive behaviors. Strengthening our relationships and inner well-being requires practice and often learning certain key strategies.

When practices such as meditation, breathing and connecting with trustworthy friends are woven into our daily lives, eventually the propensity to addiction can begin to quiet down. That is, we begin to reach for the thing that we really crave, rather than the quick fix.

Any behavior you engage in enlists neural circuitry and becomes etched in the brain. Behaviors that are repeated over time generate strong neurological patterns that are either destructive or supportive to our well-being. Repeating the practice of meditation strengthens certain pathways in the brain that become self-reinforcing. Similarly, repeating the practice of overindulging in negative behaviors such as chronic overeating also becomes self-reinforcing. Meditation however, when practiced regularly, reduces anxiety and enhances an authentic sense of well-being; whereas a negative addiction may temporarily reduce anxiety but it also diminishes a true sense of well-being and self-esteem.

Changing the Pattern of Addiction or Dependency

Change begins with the ability to observe the destruction associated with a certain behavior and becoming aware that a behavior no longer serves you. Knowledge is power and developing the most accurate understanding of addiction or dependency helps with recovery.

For the most part the medical model treats addiction as an acute problem, rather than as a chronic, relapsing medical issue. This is why medical interventions often do not work, or if they do work, the positive outcomes are only temporary.

Alcoholics Anonymous (or OA, GA, NA, SA) has been shown to be effective for those willing to build their lives around "being in recovery." These programs work, although sadly more than 80 percent of those identified as struggling with addiction do not go into programs or receive any formal treatment. I have also observed that programs like AA work for those who attend regularly, but their addictions or dependencies become transferred over to "the program."

Counting 1 year, 2,321 days, 22 hours, since one's last drink or cigarette seems to me like another form of addiction. Learning to authentically soothe one's self and connect with others seems like the most gratifying and long-lasting tonic of all. The benefit of AA and similar programs comes in the form of newly fostered relationships with fellow meeting attendees and sponsors.

Struggling with addiction means that you are in the process of recovery and have reason to be hopeful. The more times you try to liberate yourself from an addiction the more likely you are to succeed. Learning and internalizing the strategies that support you in feeling more comfortable in your own skin as in mindfulness practices and relationship building, are the most promising routes to take in a recovery program. These are skills that take time and practice to develop. When one slips or fails in the recovery from this chronic condition the key is to get back to one's practice in building core strength and healthy relationships.

Keys to Changing the Pattern of Addiction

• Understand that this behavior is no longer serving you.

• Commit to changing the behavior, knowing that the choice is self-destructive.

• Forgive yourself for past behavior so that you can move forward in your life.

• Get support while you are going through the 'recovery process', which means building healthy relationships that last.

• Commit to connecting with others when you feel overwhelmed, anxious, sad or lonely.

• Practice mindfulness exercises like meditation, prayer, affirmations, abdominal breathing etc.

• Set clear intentions for yourself in the future that support your goals and dreams.

Take steps every day towards reaching your potential, all the while practicing your mindfulness strategies and building in the support of others. This is especially necessary when you have slipped back into the addictive behavior.

Know that slipping back into old patterns of behavior is often part of the process. However, the more times you try to change or extinguish a behavior, the more likely you are to succeed. Find activities that engage your mind and body in compelling ways. Most importantly surround yourself with people who support you and your efforts to improve the quality of your life. Remember that fostering healthy, authentic connections with others is the best antidote for the need to pursue the illusive, unreliable, unpredictable balm found in the addictive object.

Have you ever personally struggled with, or known someone who struggled with addiction? Please feel free to share your experiences.

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family Dynamics of Addiction and recovery - What to Do When Your Child Relapses Just After rehabilitation

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When your young adult or immature offspring is exhibiting all the symptoms of using again after just leaving the treatment center, there are some things you can do. If in your child's removal planning, s/he was planning to return to the family home, you, the addict, and the treatment team, probably industrialized a formal relapse contract before discharge. This contract spells out parental expectations in regard to continuing recovery behavior in replacement for being allowed to live in the family home (and any other benefits identified). If you didn't do that before s/he left treatment, you can still do that. A behavioral relapse contract and its contents is not about punishment. It is about setting and maintaining appropriate buildings and boundaries that can assist the newly recovering someone to stay on the path to recovery, and once off that path, to return to recovery quickly.

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Parents who believe that their child is once again using should think drug testing him or her to take off all doubt and to cut down on the denial and protestations of innocence. A home test kit for a wide range of drugs can be purchased at your local drug store. Or the parent can send him/her to the local hospital or health agency for a urine drug screen. When you confront her/him about using, chances are very good that s/he will deny it. If you have results from a urine screen, it is more difficult for the addict to argue you out of the truth.

If your child is living in the family home, you are probably allowing him/her the use of your house, your car(s), your television, your cell phone, etc., any of which, may have motivational meaning to him/her. If that is the case, with your determined Ua, you can manufacture a behavioral contract that spells out concretely the consequences of hereafter relapse.

A relapse contract should have the following elements:

1. That in replacement for living in the family home, along with room, board, (whatever else is involved), the alcoholic/addict agrees to allege abstinence from any and all mood altering drugs, together with alcohol (with inherent irregularity for psychiatric medications prescribed by a psychiatrist).

2. That if a relapse does occur, the addict agrees to go back to patient treatment, a half-way house, or some other therapeutic facility, that you have pre-agreed to.

3. That as a consequence to the gift relapse, that s/he will lose privileges to the car, television, cell phone, etc. (whatever you think is appropriate and anything has meaning to him/her) for a specific amount of time, or until parents have seen a turn in behavior and attitude indicating that s/he is once again on a recovery path. (The criteria should be observable behavioral change).

4. That additional buildings will be implemented to assist the newly recovering someone to regain abstinence and allege it. Such additional buildings could be a specific amount of 12 step meetings a week, random urine analyses, a curfew, day treatment, patient counseling (whatever you think is appropriate at this time).

5. That should relapse re-occur that the patient may lose his/her privilege to live in the family home.

The parents get to decree what they are willing to live with and what they are not willing to live with. If you have a "bottom line" that says that you will not tolerate an addict in active addiction living in your home, you can put that in your contract. If you cannot uphold this bottom line if and when relapse occurs, it is not a "bottom line", and merely a threat. Threats are not beneficial and in fact, make matters worse. If you have a bottom line, name it. If not, don't say it. The contract should be written out, signed and dated by all parties. If your "child" is an adolescent, you cannot "abandon" him/her. So, if your child forfeits living in the family home by continuing to drink/use, you must find him/her an alternative place to live. A more structured therapeutic environment, together with long term patient treatment, halfway house, or other youth facility. If you do not have the financial means for such a facility, a local community mental health or chemical dependency treatment center will have the names and phone numbers of programs that have state contracts and a sliding scale.

Parents can and should begin to go to Al-Anon on a regular basis, and find a sponsor that has dealt with chemical dependency of a child (or adult child). Look for a local "Parents Helping Parents" withhold group. Look in your local Sunday Paper under clubs, organizations, or meetings. If your local newspaper does not have such a section, call a local chemical dependency treatment center and ask them when and where the meetings are. Or you can all the time do an internet hunt and find an Al-Anon meeting that way.

Learn all that you can about addiction and remember that it is not your fault. All parents feel guilty, regardless of whether they have a chemically dependent child. Remember that you did not cause it, that you cannot operate it, and that you cannot fix it. It is up to him or her. Remember too, that alcoholism and other drug addiction is an illness. It is not something that they are deliberately trying to do to destroy themselves and the family.

Learn about family dynamics of addiction and recovery and learn what you can do to stop enabling and allow the addict to suffer the natural, negative consequences of his/her addiction, so that s/he will become motivated to change. You can supply resources that assist him/her in changing (i.e., treatment, ride to meetings, reading materials, etc.), but you cannot make them change. You could also supply them the resources to continue to drink and use, and to continue their downward spiral in addiction (i.e., bailing them out financially, legally, socially, etc.). Although it is harder for family members to stop enabling, it is better for the recovering person's recovery.

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Dear Addiction, A Letter from a mum

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Dear Addiction: You have been around for centuries. Way before I was born. You can appear in many shapes & forms. You can be a cigarette, a joint, chocolate cake, a bottle of beer, French fries, pills, sex or white powder. You ruined many holidays for me. You made me feel separate from all the other kids at school. You made me feel ashamed of my family. You caused me to do poorly in school. You made me keep so many things inside-fear, shame, anger, worthlessness. You made my mother distant & cold. You made my father negative & unlikable. You made my childhood miserable. You made me act & think like an adult when I should have been playing kick ball surface with my friends. You made me who I am today. Because of you, I am strong & confident. I can deal with any crisis that comes my way. You forced me as an adult to tackle many difficult emotions. I am still standing. I am who I am because of you… But, that’s me….

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How is Dear Addiction, A Letter from a mum

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You stole my son’s youth. You robbed him of his innocence. You made him feel like he wasn’t normal. You made him steal, lie, & cheat. You all the time were, and all the time will be a part of his life. Even when he was in my belly, you were there. As much as he doesn’t want you-you will all the time be there. You’re that annoying someone riding his tail on the highway. He looks in the rear view mirror & there you are. He can speed up or slam on his brakes but that won’t get rid of you. You’re that ex girlfriend he can’t shake, the annoying, possessive, controlling, all too bright person, he can break up with a girl friend; he can’t break up with you. You will all the time come back to haunt him. You’re that first pimple, on his perfectly, clear complexion-that never goes away. He doesn’t want to go to school because kids will stare at his pimple, every person notices it but no one says anything. He looks in the mirror & there you are. You are all the time lurking. You’re that big Biology test we all had to take. We studied for hours on end, sleepless nights lying in bed worried, stressed out about how I will do? Will I pass? Will I have to re-take it? What if I fail? What if I let myself down? But you’re not a Biology test that goes away at the end of the semester or school year. You are so different. You cause my son stress & anxiety every day. You never go away, not even for a minute. You are air, water, a constant nagging reminder. He looks in the mirror, opens the frig, puts gas in the car, goes to work, watches the Super bowl, goes to the mall, church, sees a pretty girl & there you are. He can’t even get away from you when he’s sleeping, he dreams about you. You are his skin, his soul, his heart, worst of all, you are his mind. every person deserves a break, but you, you don’t give up.

You are cruel & evil. You don’t care whose lives you ruin. Doctor’s, lawyers, plumbers, pregnant mothers, there is no discrimination or age barriers with you. You invade 13 year olds & continue haunting them well into their 90’s, if they live that long. You confuse many people. You make others think that my son is weak. If they only knew how strong he must be to keep you away. It takes durability to keep you out of his life. More citizen would feel comfortable asking me how he is, if he had cancer. How’s he doing? Is the chemo working? What do the doctor’s say? would be questions I would hear. Few citizen understand you or believe you are a disease. You’re not concrete, not every person can grasp you. But me, I have lived with you in one way or another, my whole life. If you weren’t my grandfather, you were my father or my brother, now you are my son. Since we have lived with each other for so long, we should be friends by now. You used to be my enemy. Now, I accept you. You won’t ruin my life any longer. I am a fighter, remember?-you made me that way? You made me a survivor. You have made me be able to cope through the most difficult times. I have watched my mother & my 39 year old brother take their last breath. Because of you, I am still standing. You made me drop my 18 year old son off @ rehab on that cold February morning. The Steelers had just won the super bowl 12 hours before. My son should be at college celebrating with friends. But no, you made him go to rehab for heroin……..

When my son was in high school, I was suspicious of you. I agonized about your control over him. I had him evaluated on separate occasions, I had caught him drinking, found weed. You are very sly. He was able to keep you from me & the therapist. You had become his incommunicable now. You made me feel crazy at times. I worried on a daily basis that you had control over my son. Worrying is worse than knowing the truth. The “what if’s in life can destroy you. Once you know something, you are able to face it head on, deal with it. It is what it is…. The worrying & crazy reasoning made me crusade my son’s room, desk drawers, or back pack, turning his room upside down every time he left the house. Sometimes my crusade came up clean. This is when I tried to convince myself you were not gift in his life. Other times, I found Visine or a lighter. Funny thing about you, is even when you are right in front of me, I was able to tell myself it was general juvenile use. I chalked it up to general experimentation. He lied about his “new friends”, all the time told me he was going out with the kids I liked. Sometimes I am madder at denial than I am at you. You both seem so noteworthy at the time. I grew up with you, how could I not see you? Funny thing about being the mother now, not the daughter or the sister of you, was deep down I knew you were lurking. I had an uneasy feeling, gut feeling, mother’s premonition I guess. Then one day, I realized He was one of the “potheads” at school. The kid that every person dismisses, looked at in disgust, as a no good loser. My son was not a loser, he was My son. The same minuscule boy I brought home from the hospital as a newborn, my first born. I rushed him to the pediatrician when it was just a stuffy nose. I stayed up with him when he had the flu, I was there when he hit his first homerun, threw his first touchdown pass. I talked to him about girls, manufacture good grades, he cared about life, and he wanted to succeed. He was not & never will be a loser in my eyes. You are the presuppose ignorant citizen judged my son. I had a feeling you were there. Yet, to some degree, I was wearing blinders. Now, finding back you were as clear as day. The red eyes, the lies, the late nights, sneaking out of the house, the smell of marijuana, but still, I believed the lies that came out of my son’s mouth. I grounded him when he broke the rules.

The day I was unable to continue burying my head in the sand or continue pretending life was general was when my husband called & told me I had to go to the school, there was disciplinary action taken against my son. Many reasons for the call would commonly run through a frantic mother’s mind. Not mine; my first notion was my son was caught smoking weed at school. It was more, it was much worse than that. There was a police officer, the principal; my son was in a separate room. I was told he had stolen asset from the school & if he had been 18 at the time he would have been handcuffed & taken to jail. The notion of my son in jail made me cry, call my husband trying to speak in the middle of sobs so he knew what was going on, but what was easily going on? That was the beginning of my new life. This was his senior year; he should be excited as this is his last year in high school, playing baseball, going off to college soon, persisting memories forever. There would be no baseball; he was not permitted to play. New words filled my son’s vocabulary, clean & serene, sobriety.

Life is about choices & with every choice comes a consequence. Today, my son is choosing life over you. There are easily only three choices when it comes to you, jail, death or recovery. I prided myself that I was separate from my mother, I am open & honest with my kids about you, I don’t sweep you under the rug like she did. We easily talked about you at the evening meal table, in the car driving to baseball games. The fact that you ruined my childhood was known in my family. My kids were aware of you-almost to the point they may have tuned me out. Don’t get me wrong, I wasn’t a martyr, I was just very open & honest with your affects on my father & brother. You were a part of our gene pool; I felt I had to talk about you to my children.

He is not the only young someone whose life you have contaminated. No one is exempt from you. You influence nearly every human beings life in some way or another, a loved one, a friend or a neighbor knows you too well. I’m not angry at you. The best revenge against someone or something is simple- Living Well…… I live with you, I learn from you. You have become my driving force, my passion, my purpose. I won’t run from you or keep you a incommunicable as I did when I was a kid. I will embrace you, I will scream from the rooftops about you. I am only as sick as my secrets. You have been exposed. You are out there for every person to see. My son won’t hide either. He did for a few years but he’s on to you now. He is so bright, so intuitive. You made him become a man. He is a man at 19 years old, wiser than most adult men I know. I am finding the good side of you. I all the time try to see the bright side of what initially appears to be a dim situation. Again, that is because of you, when I was young you forced me to look at a bad situation and say, “Hey, it could all the time be worse.” That’s how I have survived many hardships in my life. I realized other citizen had it worse than I did, so who was I to complain?

I know that’s how I was able to deal with myself when my son told me he needed help. As I watch my son cry and tell me he wished he was normal. He said he needed help. “It’s worse Mom, its heroin….” There You were when the worst moment of my 18 years as a mother had just smacked me in the face. I said to my son, “Eric, it’s not cancer, We will get through this”. I hugged him & we both cried. As I held him, I wondered how I was able to utter any words; I didn’t think I had air in my lungs. Finally, you were out in the open!!!! The other shoe had fallen, the “what ifs” was now reality & it was time to confront You…… I called one of my sisters, the nurse, the strong one, and the one that holds her emotions in. I told her I needed to get my son, her nephew, her godson into rehab Asap. As I heard the gasp & the whimpers she tried to hide from me, I thought, “Wow, if this rocks her, this is really, easily bad. I am a “fixer”, a results oriented person, I believe I focused on what to do next, who to call and where will he rehabilitate. I was in overdrive. Because of you being a house member of mine, I also knew I could support my son, but this was his battle. There was no easy fix, no band aid to place over the wound. No antibiotic would cure this in 10-14 days. Hearing these words come from my son’s mouth, not the district attorney’s office or the coroner, was extremely encouraging to me. I knew that night, at that exact moment; I would stand by my son forever and ever as he worked on his life without you. I later, had received a note from a dear friend that said, “Parenting can be easy when things are going smoothly, as they should be, it is when we are faced with difficult situations that we put our skills to work.” You taught me these skills as a child. I never doubted my quality to cope with this situation.

Even as unavoidable as I was, my heart was shattered. You must love tearing people’s hearts open & stomping on them. You create havoc with all house members. I have 1 brother, 4 sisters, & 21 nieces & nephews. Each and every one of them was affected by you & your control over my son. Dealing with you is very personal. My daughters were angry at their brother. He all the time got more attention. You caused him to. They are great young girls, extremely bright & responsible. They didn’t understand why their brother, who caused so many sleepless nights & fights continued getting more of their parents attention. They did all they were supposed to do & it seemed no one noticed. I noticed their valiant attempt but I didn’t all the time commend them for it. You sucked the energy out of me at times. I dealt with you differently than my husband did. You roughly caused a divorce but I came to my senses. Believe it or not, realizing I was powerless over you is when I was able to move ahead. I can’t fight you anymore. I won’t fight you anymore.

My son found Na and it saved his life. He now feels normal. He has learned how you can be replaced. The 12 Step program is bigger & stronger than you. I often wonder why the whole world doesn’t effect these easy steps. My son goes to daily meetings & meets with his therapist weekly. You are still present, all the time will be, but Knowledge = Power. He talks about you & reads books about you, works his 12 Steps. The power of addiction is mighty, but the power of saving is mightier…..

He realizes even though he is not using drugs, many of the same behaviors still exist. Rather than being significant of others, he is taking his own moral inventory. He focuses on his character defects and will make amends to those he harmed when he is ready. He knows a journey of a thousand miles begins with a singular step. That first step is the hardest. Realizing your life is unmanageable is the start, a noteworthy start. Whose life isn’t unmanageable at some point? Each step that is taken away from you gets a minuscule easier. If he could just run as fast as potential from you, it would be easier. This isn’t a sprint, it’s a lifelong marathon. This is a process, a very long & difficult process. Life is progression not perfection. He is well aware you can cause a relapse while he is recovering from you. This happened once. It can happen again & again if he gets over unavoidable & thinks he has you “licked”. That’s why he goes to meetings daily, he needs to be reminded of the pain you caused him that made him get to the rooms of Na. He can’t resent you either, that won’t work. He has to accept you as part of his daily life, part of his every breath. He knows all too well that should he choose a life with you, he will be living on the streets. I won’t stand for you being in my house. Tough love isn’t that tough for me. I made my son leave once; it lasted for 14 days. I love him and will not stand by and watch him die a slow death because of you. I pray you will stay away. Because of you, I take one day at a time. When I have to, I take one minuscule at a time.

Anyone who has known you and who has survived you is brave. My son is my hero. His force amazes me. His quality at such a young age, to see you were ruining his life and ask for help takes courage. You may have taken his youth but you haven’t taken his life. He can live a perfectly salutary life. He will be happier without you. He will find a wife & have children. You may or may not be a part of my grandchildren’s lives. If you are, my son will deal with it. He, just like me, is a survivor because of you. You have caused us pain but at the same time, you have given us the quality for pure pleasure. Without pain, we would never fully appreciate the joy. I have met some noteworthy citizen because of you. People, whose lives you have touched, are the salt of the earth. There is no phoniness, they are not trying to “keep up with the Joneses”, and they are real citizen with real stories & experiences to share. They care about living for today & being the best someone they can be. You have humbled them. finding back on my life, you may have caused me great pain, but I am not bitter. I am able to see situations more clearly and focus on the positives life has to offer.

I pray that you will keep your distance. Let’s face it, that’s all I can do. I am powerless. I pray every day; I thank God for all I have. I have so much more than you in my life now.

I’m sure I will be finding you around. Mary Ps Please don’t take my son from me. He has so much to offer to others. Don’t make me bury him……………

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Pain Pill Addiction - 3 Steps To Quitting

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Not 3 easy steps of course, because there is limited easy about an addiction to opiate type narcotic pain pills; but people do quit every day, and although it's tough, it's very possible. With a bit of courage, some maintain and a lot of determination, you too can get off those pain pills that drag you down, and get on with a happier and healthier life.

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Step 1

Own up to the problem.

It doesn't matter how you got addicted, it doesn't make your body one bit of contrast what your motivations were, how badly you needed the medications originally, or that your doctor never told you of the risks. Once you are addicted you just have to face facts, move on and start getting better.

Later on, it does literally make a difference, and if you are facing addiction as you have been taking needed pain pills for too long, but have never abused them, then after you have done physical detox you are done. If you have been using them to get high, you will still have some work to do.

But first things first, admit to yourself that you are a drug addict. Being a drug addict doesn't make you a bad person, it doesn't necessarily mean that you buy your drugs from shady dealers; all it means is that you have a psychical dependency to a drug. No morality attached!

Step 2

Talk to your doctor.

You don't have to do it alone, and there is no shame in getting addicted to the drugs your doctor prescribed you. Your doctor knows how addictive these drugs are. Your doctor sees people every day facing addiction to pain pills; they're normally trying to get more pain pills. Tell her your addicted, she won't be surprised, but she will be able to help you. You don't have to go straight through this alone, and trying a cold turkey detox is both dangerous, and very unlikely to succeed.

Get some professional advice, make a plan and stick with it. Your doctor may propose a tapering down of the dosage, she may propose an opiate substitution, or she may propose a hospital detox. Whatever; just start the process, you'll feel good for having legitimized your problem, and your doctor can ensure that the relinquishment and detox pains are kept to an absolute minimum.

Step 3

Get some therapy.

Now if you never once took pain pills to get high, never once took just a limited more than you were prescribed while you were having a tough day, and never once took those pills just a limited more often than intended, firstly you are in the minority, and secondly, you have no need for any therapy.

Those people who do not abuse pain pills (never use them to get high) will not organize a psychological addiction to the drugs. The rest of us, who do come to enjoy the pain pill high; do need some professional help to make sure we never again fall victim to the seductions of intoxication, and never again have to go straight through such a difficult addiction and detox again. Your doctor will help you to find some standard therapy for your situation.

You can get off pain pills, it's not easy, but neither is it complicated. You can expect a bit of a tough road, but you can do it, and you'll never regret getting off those pills.

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Addiction Severity Index - ASI and Assessments

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Rehabilitation Hospital - Addiction Severity Index - ASI and Assessments

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The Addiction Severity Index or ASI is a tool which is used to identify addictive behavior. This assessment is given to those who are suspected of having engaged in drug use. There are many different areas including ones which gather information relating to the patient's past and current employment,the study of medical history, the background of alcohol and drug use and family history. All of these different parts are meant to effectively gather information on the patient to determine whether or not they have an addiction to drugs and if so just how severe it really is.

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The assessment also includes a look at the mental health history. The severity rating goes from o to 9, indicating the severity of each of the problem areas listed. When all of the information is collected and analyzed, an accurate rating can be given regarding the patient's severity of addiction. The Addiction Severity Index or ASI is commonly used in studies which strive to get results for certain treatments which may prove to be useful as a solution to certain drug addictions.

The factors that are analyzed become part of a useful tool in mental health settings, addiction clinics as well as hospitals. The Addiction Severity Index can be used to look into potential drug treatments which are then used in certain rehabilitation facilities. The numbers are analyzed to help determine the effectiveness of certain medications in relation to addiction. Psychological problems are studied in relation to chemical issues and personal history.

This assessment is used in various clinical trials. The ASI has been in use for a number of years and continues to help researchers and medical professionals with finding a better solution to addiction treatments, many of which are being discovered and developed each day. It covers a number of factors, both past and present, to come up with a rating that represents the patient's addiction. Determining the severity of an addiction helps to design the program, treatment and challenges. The many successes in the development of certain addiction solutions is apparent and they were only possible because of the ASI.

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