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Sialkot where can I buy cocaine
I had no idea what to expect. She was angry and resentful the last time I saw her. She had been cloistered inside a rehabilitation facility in Karachi since late and was fiercely resisting treatment. She was furious at the bind she found herself in — admitted to the facility by her family, and unable to voluntarily opt out of the programme. There are guards at the gate here. I am told to wait in a conference room on the ground floor. A woman walks down the stairs. But she has the shuffling, slow gait that I know well — her feet drag with each step, her head droops. I brace myself. When my mother does appear, the first thing I notice are her high, full cheekbones. Last time, they were anchored by puffiness. Her hair is combed. She wears berry-coloured lipstick. Her clothes are clean and ironed. Has it? I am embarrassed by the attention. You look nice too, I tell her bashfully. She pauses. The hair, the job — she remembers me as I was five years ago. As wound down to a close, her driver found her early one morning on the kitchen floor, unconscious from an apparent overdose of prescription medication. We were told she had been lying on the floor for longer than that. My mother has never made peace with her childhood. Her resentment at being left behind in Pakistan as a young girl, raised by relatives while her parents travelled the world for work, festered for decades. Her doctors say her depression, and later her substance abuse, find their roots there. She would get high, she tells me now, because she wanted to be numb. I thought, 'I'll overcome the pain' Problems didn't exist when I would get high. She liked the small buzz she got, she once explained. A little over a decade ago, the headaches became debilitating migraines, and she was prescribed a stronger painkiller — an opioid analgesic — which needed to be injected. At what point did the migraines ease while the prescription continued to be filled? I cannot remember. I can only recall before and after. Before: I am seven years old and have a pair of purple and white roller skates, bought on a trip to London in My mother holds me by the hands and propels me through Hyde Park. In Karachi, we celebrate Christmas every year in honour of my Christian nanny with a small fake fir and snow that comes out of a spray can. After: Those hands are unable to operate because they are so swollen from the medication she injects herself with. She begins to eat the same paan slaked with the addictive and euphoric mix of tobacco and areca nut that she researched for years as one of the first to uncover its inevitable link to oral cancer. I am 17 and living in London, waiting each day for a phone call from Karachi after she tries to kill herself and ends up on a ventilator in the ICU. She loses track of days, months and then years, not knowing when her five daughters graduate from college or begin working. There are 8. In less than three years, 2. In five countries including Pakistan, the non-medical use of pharmaceutical drugs was found to be higher among women , who buy medication such as Xanax or Lexotanil to counter everything from anxiety, stress and insomnia to marital problems and weight gain. The medication is often doled out to friends as well. The Drugs Act of regulates the sale, manufacture, storage and distribution of such drugs in Pakistan and prohibits the sale of certain drugs without a prescription. The UNODC survey revealed that those wanting to seek treatment for addiction in Pakistan deemed private treatment centres to be more effective; only 20 percent said they would trust a government facility. Yet, a staggering Even as an estimated Pakistanis die each day from drug-related complications — even more than the number of lives lost to attacks by armed groups, an estimated 39 a day — the government severely neglects the health sector. On June 3, the government announced the proposed budget for In its current form, spending on health has been slashed, with less than 1 percent of the budget, or In comparison, defence spending is up by 11 percent, with Another institute in the same city handcuffs patients suffering from withdrawal symptoms to their beds. One facility with branches in Islamabad and Lahore bases its treatment on a regimen of prayers five times a day, spiritual counselling and Quranic education. Finding it is the first of many hurdles to recovery. According to the UNODC survey , 99 percent of respondents said there were no inpatient treatment options they could access where they lived. For the lucky ones with facilities in their area, It is the reason a place like TRH exists. Six years ago, three siblings who were unable to find a suitable rehabilitation facility for two family members suffering from mental illness founded the small bed facility. As a psychiatric rehabilitation centre, TRH works on the premise that substance abuse problems can be symptomatic of untreated or mismanaged psychological or psychiatric issues. TRH is the first place where my mother has received treatment from people who understand how a psychiatric illness and an addiction can tear through the lives of those who love her. A gynaecologist by training, she first arrived at the institute with an MBA and a desire to work in administration, but with little understanding of addiction and rehabilitation. She changed her mind once she witnessed patients having psychotic episodes. The real turning point came when she heard the stories of parents who brought their children to TRH for addiction treatment. She combed the country for a facility that could help him. She found that while many followed the practices of his former rehab, some did not allow her to enter the facility to see what it was like. Ultimately, she decided to help her son herself. Under the supervision of a psychiatrist, she detoxed her son at home. Most people in Pakistan, and this includes doctors, believe that using or abusing a substance is a choice and it is within your control. When he attempted to leave the house to buy heroin, she decided to drive him to his dealer and administer his drugs herself. The key, she feels, was the intensive therapy process that helped him understand the roots of his addiction. TRH takes its cues from this form of rehabilitation, focusing on psychological and social interventions rather than chemical or pharmacological ones. There are trips to the beach and a bowling alley. The process, she says, can take months, and even then TRH cannot guarantee that the patient will not relapse. And the risk of relapse in patients with substance abuse is very, very high. They stop expecting much. While TRH tries to educate families about the nature of psychiatric disorders or addiction, many parents refuse to attend sessions. Once the patient is not being violent and eating three meals a day, the family says that is adequate. All patients who leave the facility are strongly urged to follow up, but Ambareen has found that those who have been prematurely pulled out of the programme, and especially those with chronic relapses, rarely do. Instead, they are often committed to long-term mental hospitals, as many people believe mental illness or addiction cannot be treated or managed. TRH donors currently sponsor some patients. The goal is to expand the facility to a bed space, with 30 percent of the beds free of cost. But I do know what it is like to lose someone every day. The loss is renewed with each relapse. Every schoolteacher or family friend who tried to mother my sisters and me only underscored the absence. This is not to suggest that my mother is perfect. She can be vain, foolish with money, quick-tempered, dramatic and selfish. She can be impossible to care for. It is difficult to remember her most endearing qualities. She was a woman with beautiful style; she paired hand-painted silk scarves with simple cotton shalwar kameezes and saved her Ferragamo and Ungaro purses for her daughters. That is what I remembered when we found her walking around her house without a stitch of clothing on early one morning. She was a wonderful cook, and loved to throw dinner parties, listening to ghazals as she dressed for the evening. We never hear from those dinner guests any more. My mother has no friends today. I cannot blame them. I did not talk to her for a year at one point. I don't know the pain of a parent's death. The pain of losing her, I thought, could not be as bad as the suffering of watching her disappear. After five months at TRH, however, my mother is a stranger to me. I learn that she loves to play Scrabble. She meticulously records details about her day in a diary. She is reading again. Every evening, a cook at TRH brings her a cup of tea and sits with her as she teaches him the English names for everything he cooks and sees in his kitchen. She uses an Urdu-to-English translation book bought on one of her trips to a bookstore. One weekend, he visited an island near Karachi. When he returned, he asked her to teach him the English words for what he saw. She taught him how to talk about the boats and fish, the sea and sky. She makes detailed plans for what she will do once she leaves TRH. Her daughters are married or live abroad, and she is separated from my father. She wonders how she will occupy her time or live alone. What kind of gathering is it? Do I see someone I am interested in? Do they give off happy vibes or do they look nice? How do they talk? If I want to make a friend, I would approach that person, say hello and try to get to know them. Are you a speaker or a listener? It was really nice to meet you. I hope we meet again soon. By Sanam Maher. Published On 4 Jul 4 Jul The author with her mother in Karachi around \[Courtesy of Sanam Maher\]. She grew up in this city, living with relatives while her parents travelled for work \[Courtesy of Sanam Maher\]. This photograph was taken shortly after she arrived in the city from Karachi \[Courtesy of Sanam Maher\]. Sponsored Content.
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