Cure My Addiction For Real

Cure My Addiction For Real

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Scientific American is part of Springer Nature , which owns or has commercial relations with thousands of scientific publications (many of them can be found at www.springernature.com/us ). Scientific American maintains a strict policy of editorial independence in reporting developments in science to our readers.
Actor Charlie Sheen, known for his heavy cocaine use, has been stating in interviews that he freed himself of his drug habit. How likely is that?
When asked recently on The Today Show how he cured himself of his addiction, Two and a Half Men sitcom star Charlie Sheen replied, "I closed my eyes and made it so with the power of my mind."
Until last month, he was the highest paid actor on TV, despite his well-known bad-boy lifestyle and persistent problems with alcohol and cocaine. After the rest of his season's shows were canceled by producers, Sheen has gone on an interview tear with many bizarre statements , including that he is on a "winning" streak. His claims of quitting a serious drug habit on his own, however, is perhaps one of his least eccentric statements.

A prevailing view of substance abuse, supported by both the National Institute on Drug Abuse and Alcoholics Anonymous , is the disease model of addiction. The model attributes addiction largely to changes in brain structure and function. Because these changes make it much harder for the addict to control substance use, health experts recommend professional treatment and complete abstinence.

But some in the field point out that many if not most addicts successfully recover without professional help. A survey by Gene Heyman , a research psychologist at McLean Hospital in Massachusetts, found that between 60 to 80 percent of people who were addicted in their teens and 20s were substance-free by their 30s, and they avoided addiction in subsequent decades. Other studies on Vietnam War veterans suggest that the majority of soldiers who became addicted to narcotics overseas later stopped using them without therapy.

Scientific American spoke with Sally Satel , a resident scholar at the American Enterprise Institute for Public Policy Research and lecturer in psychiatry at the Yale University School of Medicine, about quitting drugs without professional treatment. Satel was formerly a staff psychiatrist at the Oasis Clinic in Washington, D.C., where she worked with substance abuse patients.

[ An edited transcript of the interview follows. ]

Is it possible to cure yourself of addiction without professional help? How often does that happen?
Of course it's possible. Most people recover and most people do it on their own. That's in no way saying that everyone should be expected to quit on their own and in no way denies that quitting is a hard thing to do. This is just an empirical fact. It is even possible that those who quit on their own could have quit earlier if they sought professional help. The implicit message isn't that treatment isn't important for many—in fact it should probably be made more accessible—but it is simply a fact that most people cure themselves.

How do addicts stop on their own?
They have to be motivated. It takes the realization that their family, their future, their employment—all these—are becoming severely compromised. The subtext isn't that they just "walk away" from the addiction. But I've had a number of patients in the clinic whose six-year-old says, "Why don't you ever come to my ball games?" This can prompt a crisis of identity causing the addict to ask himself, "Is this the type of father I want to be?"

If not, there are lots of recovery strategies that users figure out themselves. For example, they change whom they associate with. They can make it harder to access drugs, perhaps by never carrying cash with them. People will put obstacles in front of themselves. True, some people decide they can't do it on their own and decide to go into treatment—that's taking matters into one's own hands, too.

What do professional drug addiction programs offer that is difficult to replicate on one's own?
If you're already in treatment, you've made a big step. Even for court-ordered treatment, people often internalize the decision as their own. You get a lot of support. You get instruction in formal relapse prevention therapy. You might get methadone for withdrawal and medications for an underlying psychiatric problem.

Most experts regard drug addiction as a brain disease. Do you agree?
I'm critical of the standard view promoted by the National Institute on Drug Abuse that addiction is a brain disease. Naturally, every behavior is mediated by the brain, but the language "brain disease" carries the connotation that the afflicted person is helpless before his own brain chemistry. That is too fatalistic.

It also overlooks the enormously important truth that addicts use drugs to help them cope in some manner. That, as destructive as they are, drugs also serve a purpose. This recognition is very important for designing personalized therapies.

Don't most studies show that addicts do better with professional help?
People who come to treatment tend to have concurrent psychiatric illness, and they also tend to be less responsive to treatment. Most research is done on people in a treatment program, so by definition you've already got a skewed population. This is called the "clinical illusion," and it applies to all medical conditions. It refers to a tendency to think that the patients you see in a clinical setting fully represent all people with that condition. It's not true. You're not seeing the full universe of people.

Based on his public interviews, does it seem likely that Charlie Sheen cured himself?
I doubt it. Of course, I haven't examined him, but based on what one sees, one would be concerned about ongoing drug use and underlying mental illness.

Is there brain damage from drug use? Is it possible to recover from such damage?
The only drugs that are neurotoxic are alcohol, methamphetamine, probably MDMA [ecstasy], and some inhalants.* Cocaine can lead to micro strokes. That's brain damage. Yes, addiction changes the brain but this does not doom people to use drugs forever. The most permanent change is memories. Some people have stronger memories and they are more cue-reactive [more reactive to stimulus that triggers the reward pathway]. Nonaddicts won't show that level of cue-reactivity.

For some people the addiction and withdrawal will be more intense through genetically mediated problems. Those people have a harder time stopping.

What else might account for Charlie Sheen's strange behavior in those interviews?
One would want to explore the possibility of underlying psychiatric problems. The grandiosity, the loose associations, the jumbled flow suggest a thought disorder. Heavy, heavy drug use could cause that. Stimulant use can cause temporary thought disorder or intensify an underlying thought disorder or hypomanic state. To try to make a good diagnosis, whatever ongoing drug use there is would have to stop. After the withdrawal phase is resolved clinicians would then need to see if an underlying thought or mood disorder persisted. That would aid in parsing how much of a confusing clinical picture is due to drug use and how much is due to a primary mental disorder.
*Correction (3/7/11): This sentence was edited after posting. LSD and methadone were removed, whereas methamphetamine and MDMA were added to the list of neurotoxic drugs.
Hal Arkowitz and Scott O. Lilienfeld
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I made an update for chapter 5, fixing a lot of typos. Thanks to Splamo and ThL.

Real Recovery 2021-10-13T15:07:17-04:00 September 10th, 2020 | Recovery |
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We’re going to tell you two things you probably already know:
Anyone who has found themselves struggling with any addiction understands how easy it is to lose hope. Any attempts to break free can feel fruitless, and after sinking back into old habits time and time again, it can even feel easier to accept your “new” broken self than to continue fighting for your old life.
But make no mistake: freedom still waits. No one has ever fallen so far into addiction that they can’t be helped out of it. It’s only a matter of finding inner strength and surrounding yourself with the right combination of addiction recovery resources. The following 7 steps break down that process, from addiction to recovery, and offer concrete tips and resources along the way that can help you reach freedom and stay there.
Sadly, there are so many individuals who will never make it beyond this stage in the addiction recovery process, simply because they cannot admit to themselves and to their peers that they have an issue. Strength isn’t found in ignoring our issues; it’s found in admitting our weaknesses, and together overcoming them. Admitting that you have a problem, both to yourself and to the friends and family members you’ve chosen to accompany you on your addiction recovery journey, is the first step toward reaching the freedom that waits on the other side.
Support from family members and friends during your recovery process can make the difficult days (and the easy ones) that much better. However, you’re also going to want to find professional help during your recovery process, from licensed mental health specialists who understand the struggles, the challenges and even the victories you’re likely to experience along the way. Whether you opt for virtual counseling, face-to-face addiction therapy or even anonymous support groups led by certified mental health authorities, make sure that you infuse your addiction recovery process with a healthy dose of professional mental health treatment.
No matter the addictive substance or activity you’re looking to remove from your life, the detox period will likely prove a difficult one. Once you’ve committed to removing the addition from your life, and once you’ve surrounded yourself with individuals and professionals who will accompany you and support you, it’s time to detox.
It’s time to quit the addiction, and weather the detox period to come.
Whenever you remove an addiction from your life, the abstinence period can yield all sorts of personal responses. You’re likely to experience all sorts of physical and emotional reactions, as your body and mind together cope with the removal of the addiction. Let’s make one thing very clear: every second you spend fighting against the effects of your detox period, every second you spend free of your addiction, is a victory. Even if you’re only seconds, minutes or hours into your detox, you’ve already accomplished something you couldn’t or didn’t before: an attempt to distance yourself from the worst thing in your entire life.
Beyond the physical responses your body might have to a detox, you’re also likely to experience one or several emotional responses. These can include temporary anxiety or stress, difficulty falling or staying asleep, emotional discomfort, even an inability to concentrate on anything else.
Remember: the effects that a detox period has on your body and mind are temporary. But the freedom that results from the detox? As long as you protect it, that freedom is permanent.
There’s a reason why you first succumbed to your addiction. Maybe you reached a low point in your life; maybe you endured a particularly difficult relationship, experienced severe trauma or simply found comfort in an addictive substance. No matter the reason, free people make free choices. And your key to reaching and maintaining freedom lies in how successfully you can rewrite your daily routine, so that you never, ever fall into those habits again.
Take time to examine your entire daily and weekly routine, focusing on junctures where you would typically fall prey to your own addiction. What contributed to those moments? Did you initially resist before giving up? How can you avoid the moments of isolation, loneliness, vulnerability or temptation that directly fed your addiction? Whether it’s a mobile application for hourly accountability, daily check-ins with a therapist or simply the self-discipline to avoid old habits, rewrite your old habits to pave the way for a better, more productive, entirely less dependent you.
Even before you’re totally home free, you’ll start to experience small victories like you haven’t since before your addiction began or significantly worsened. You’ll notice sunny days; you’ll finally find the energy to clean the house, take a walk or enjoy a movie; you’ll find it easier to speak to friends and family members with kindness; you’ll opt for healthy choices more easily. When these moments happen, no matter how small, take the time to thoroughly enjoy them, before thoroughly congratulating yourself. Even though there are hard moments to come, these moments are a sign that you’re well on your way toward a happier, sober you. And that’s something worth the celebration.
During your addiction recovery process, setbacks are going to be somewhat unavoidable. Just as there are going to be little victories along the way, there are likely to be times when you can begin to slip back into the same depression that contributed to your fall into addiction the first time.
And now that you’re beginning to distance yourself from your addiction, and all of the negative consequences it imposed on your life, relapse becomes a real threat. The first step in avoiding relapse is simply learning to recognize the triggers you first identified in step four. Learn to avoid moments of weakness or vulnerability, and you’ll avoid relapse tendencies that see so many people fall back into the same damaging addiction cycles.
And after you’ve reached personal freedom, a freedom from addiction that you likely once believed was impossible, don’t you dare fall back into those same old habits. Make sure that the new habits you established in step four become permanent ones. Make sure that you take the time to enjoy all of the benefits your freedom has afforded you. And make sure that you take the time to remember the despair, the loneliness and the desperation that were all regular emotions when you were victim to your own addiction, to ensure you’re taking steps to prevent ever sinking to that place again.
No one said that addiction recovery was an easy process. However, it’s a journey that is every bit as sweet as you thought it would be once you reach the conclusion. Addiction recovery is possible in your life, no matter the addiction, no matter the intensity. After you admit to yourself and to your loved ones that your addiction is more than you can handle on your own, and after you’ve put the right building blocks into place to survive detox and install new habits, you’ve already done more than you thought was ever possible. And once you’ve restored your previous quality of life and distanced yourself from the damaging habits that once controlled your life, you’ll start to wonder what else is possible now that you’re addiction-free!
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