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VIEWS: 36 PAGES: 60

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									                                   INSIDE ADDICTION: e Magazine
                                                MARCH/APRIL 2011
                                           INSIDEADDICTION.ORG




                             EXPERIENCE,
                              ST R E NGT H ,
            e Magazine

                               & HOPE


Headlines, News, and
       Views


  Drugs        pg. 10


 Alcohol       pg. 23

                          Huff Today Gone Tomorrow 2
 Smoking        pg. 32
                                               18 or Life    6
Other News/Views pg. 37

                          From 2 Packs To Tobacco-Free 34
 Monthly Motivational
     pg. 20/21
                                    Inside Acupuncture 44
                                   ...AND MORE!!!
                               e Magazine
Inside Addiction’s goals are to raise awareness and lower the stigma
about addiction and recovery, to educate people about treatment
options, and to help everyone affected by addiction. Inside Addic-
tion will address the sensitive issues surrounding the current epi-
demic of alcohol and drug addiction with the help of locally and
nationally sought a er and recognized experts in the eld of health
care and addiction. Each magazine will include the latest headlines,
news, and views about addiction and recovery including alcohol,
drugs, nicotine, gambling, and more. We’ll put to rest some of the
facts and ction about addiction, look into options for treatment
and recovery, and hear the rst hand experience, strength, and hope
from recovery addicts and the people who love and are affected by
them.

   anks for reading,

Dean E. Hale, Co-Editor
Theresa A. Seeley, Co-Editor
Joseph Kernozek, Co-Editor
                                                                               MARCH/APRIL 2011


FACTS AND FICTION ABOUT ADDICTION...................1                                   FROM SMOKING C                              CK TO GIVING BACK...............28

HUFF TODAY GONE TOMORROW.....................................2                          HEADLINES: NICOTINE...........................................................31

18 OR LIFE: TYLER’S STORY......................................................6        FROM 2 PACKS A DAY TO 22 YEARS TOBACCO-FREE.....34

SMALL TOWN, BIG PROBLEM ................................................7               HOWARD’S STORY.......................................................................35

HEADLINES: DRUGS...................................................................10   OTHER NEWS AND VIEWS......................................................37

SAM’S STORY (THE ROAD TO REDEMPTION)..........14                                        INSIDE ADDICTION CROSSWORD...................................43

STEVE’S STORY: SET BACKS AND COMEBACKS.......16                                         INSIDE OPTIONS: ACUPUNCTURE..................................44

MONTHLY MOTIVATIONAL.........................................20/21                      ASK US..................................................................................................50

HEADLINES: ALCOHOL............................................................23        RESOURCES......................................................................................51




                     CONTACT INSIDE ADDICTION:
                                                       info@insideaddiction.org

                                                          1025 Outer Drive
                                                       Schenectday, NY 12303

                                                                   (518) 788-8974
INSIDE ADDICTION
    e Magazine                                                                  1



FACTS AND FICTION ABOUT ADDICTION
E-Cigarettes Are Safe

FICTION: It has been shown the vapor from e-cigarettes contains anti-freeze.
They are not currently FDA approved and no one can really tell you what is in
those vials that are put in them except for nicotine. Who knows what else is in
there. Take cigarettes for example. There are 4,000 chemicals/ingredients in each
cigarette. Can you name them all? Didn’t think so. New York State is currently in
the process of attempting to be the first state to actually ban E-Cigarettes. E-Ciga-
rettes resemble a cigarette and produce a vapor that looks like cigarette smoke
and we know how far non-alcoholic beer will get an alcoholic right? Looks like a
beer, tastes like one, next thing you know you are drinking a real one.

Marijuana Is Addictive

FACT: Admissions to substance abuse for marijuana as a primary drug of choice
are on the rise. The latest research indicates that for all of the people who have
ever tried marijuana, 4% of them are currently meeting criteria for dependency
on the drug. In retrospect, 7% of heroin users also become dependent. That’s
pretty alarming. Take a minute and think about that. It’s ONLY a 3% difference
and you wouldn’t think twice about saying heroin is addictive would you?

If Your Parents Were Addicts You Will Be Too
FICTION: Here’s something we have all heard a lot. It’s totally false. Everyone has
examples in life. Each person has the ability to choose whether to use each exam-
ple as a good one or bad one and something they want to be like or not. Even if
you have a family history of addiction, recovery can also run in the family and be
passed down through generations. If you have a family history of addiction use it
as a warning not unlike if diabetes or cancer “runs” in your family. Take steps to
prevent it.
                                                                                                    INSIDE ADDICTION
    2                                                                                                   e Magazine
                                    HUFF TODAY GONE TOMORROW
Kim and Marissa Manlove have both              sea shing. He was reserved and
been affected by addiction. eir son             quiet. In some ways he had a person-
David’s life was cut short at the age of 16.   ality of humility. Humility was one
We recently had the opportunity to meet        of his strongest points. He was very
with them at the Partnership’s National        active in sports but he didn’t show
Headquarters (formerly the Partnership         off. He took everything in stride. He
for a Drug-Free America) in New York           a racted other people- the kind of
City to discuss how their son’s death af-      kid parents wanted their kids hang-
fected them and also how it inspired them      ing out with. He was a polite child.
to reach out to others.                        Others gravitated towards him.


                                                                                           Kim and Marissa Manlove
IA: ank you for your willingness to            IA: Did this affect his upbringing?
share your story of how addiction has
affected you both. Tell me about your           KIM/MARISSA: He might have go en            IA: Did teachers or coaches ever men-
son David.                                     away with more because no one would         tion anything?
                                               have thought he would do some of the
KIM/MARISSA: David was born De-                things he ended up doing.                   KIM/MARISSA: Teachers and
cember 11, 1984. He was our second                                                         coaches would always say he was the
child. His brother was 3 years older      “He started smoking
                                                                                           kid that was a pleasure to have in class.
than him. David was born a day earlier marijuana.         at affected his                   He had a great personality. His grades
than a scheduled c-section so even                                                         were declining but they always gave
from day one he wanted to do things grades and began the vicious                           him high marks. We hoped it was only a
his way, on his time and terms. He was               cycle.”                               phase he was going through.
a good kid but he was very curious. He
seemed to always learn the hard way.    IA: You said he was active in sports.              IA: When did you realize it wasn’t a
He was a wonderful li le boy.           How was he in school?                              phase?
                                               KIM/MARISSA: He was active at a
                                               very early age. He started with soccer at
                                               age 3 then baseball ages 5-15. He also
                                               played basketball and football as well as
                                               cross country. He was awarded an
                                               MVP [award]. He also played golf. He
                                               was a natural. ere were not too many
                                               sports he didn’t excel at. He was an
                                               above average student through elemen-
                                               tary and middle school. e transition

            David M.
                                               to high school was a struggle. He had
                                               been on the honor roll through middle
IA: How was David growing up?                  school and then found high school a
                                               challenge and stressful. He started
KIM/MARISSA: David was a very af-              smoking marijuana. at affected his
                                                                                                   Kim and David M.
fectionate child and young man. He             grades and began the vicious cycle.
had a personality of risk taking- taking
chances from riding a bicycle to deep
INSIDE ADDICTION
    e Magazine                                                                                                            3

KIM/MARISSA: e rst time we                                                              at a party. He came home. His eyeballs
knew he was using substances [was           IA: How did that go?                        were huge. We went back to treatment
when] he was in the 7th or 8th grade.                                                   again!
We had gone on vacation without the         KIM/MARISSA: A er the Christmas
boys (David and his brother). ey            holiday he came home one night and          IA: How did that go?
were supposed to be with relatives but      we noticed his pupils were very dilated.
had snuck out and went back home and        He had been at a party and taken some       KIM/MARISSA: A er a couple weeks
drank. ere were several occasions           acid. We realized he was in trouble and     he started to admit he was an addict.
when I found a pipe that fell out of his    we were in trouble too.                     Over time he seemed to take to it. We
backpack. He’d say it was his friends.                                                  also engaged in outside therapy as well.
We grounded him and had the conver-         IA: What did you do?
sation about alcohol and drugs. David                                                   IA: en something happened. Some
told us all the things we wanted to hear.    “We found ourselves                        thing changed.
Before his freshman year of high school
he went to a party. It was the Fourth of       unintentionally
July weekend. Our older son came to us
and told us there was something wrong         making excuses for
with David.
                                                   David.”
                                            KIM/MARISSA: We took him for an-
                                            other evaluation and they recom-
                                            mended intensive outpatient. It was

                                                                                                        David M.
                                            2001. He went into treatment and we
                                            also started a ending a parent educa-
                                            tion group at the same time.

            David M.
                                                                                        KIM/MARISSA: He was in treatment
                                            IA:   at went well?                         for two months then went into their af-
IA: Which was?                                                                          tercare program. He signed a contract
                                            KIM/MARISSA: Our oldest son was in          that he would get a sponsor, work 12
KIM/MARISSA: [David] had a ght              college and started calling us saying he    steps, and pass drug screens. It was June
with his girlfriend and had begun cut-      heard from friends that David was still     9th, 2001. We got a phone call. Kim
ting himself. He was upset. We realized     messed up. He told us we were giving        was out of town with his dad and his
when we sat down with him he was            him too much rope and leeway. We            brother. I was alone with David and
very high. We took him to get [a drug       found ourselves unintentionally mak-        Josh. David got up early that day to
and alcohol] evaluation. ey told us         ing excuses for David. We eventually        mow the lawn. He asked if he could go
he wasn’t suicidal but he had a drug and    did confront David and he admi ed to        out with a friend. David had been
alcohol problem to the point he was al-     still smoking marijuana. We took his        showing he was on the road to recovery
ready having blackouts. ey recom-           bong (glass pipe used to smoke mari-        as far as I could see. I let him go. I was
mended treatment at that time we were       juana) from him. We told him this was       outside. It was a beautiful day. I was
going on a planned vacation so for the      his last chance.                            reading a book. I felt [that] nally I
next six months we tried to work with                                                   have a sense of security. At 2 o’clock I
him ourselves. We got our own home          IA: And…                                    told him I would call him and check in
drug screens and thought we were                                                        with him. At 2:10 my oldest son Josh
watching him closely.                       KIM/MARISSA:          e next night he was   brought me the phone.
                                                                                                  INSIDE ADDICTION
  4                                                                                                   e Magazine


IA: What had happened?                         members and David’s girlfriend. I went      thank the paramedics for trying to save
                                               into the room where they were working       David’s life. On my way there a red-
KIM/MARISSA: It was the mother of              on him. ey had been working on him          tailed hawk swooped down in front of
David’s friend. She said David and his         for 45 minutes. e Dr. said, “I don’t        my car. I knew it was symbolic. Now we
friend had been huffing computer                 know how much longer we can work            use that to remember David. I (Kim)
duster all morning. ey had also been           on him.” I needed to know and be able       got a red-tailed hawk ta oo and
swimming in their pool. ere had                to tell my husband [who was out of          Marissa wears red-tailed hawk jewelry.
been an accident.                              town]. ey did everything they could         My older son, Josh and I (Kim), also
                                               to save David. ey had. We decided to        got the number 24 ta ooed on our
IA: Did you go to their house?                 have them stop working on him.              arms. (It was David’s baseball number.)
                                                                                              e rst Christmas and holidays the
KIM/MARISSA: I drove to David’s                IA: How were those rst days, weeks,          rst year was a huge change in our lives.
friend’s house with my oldest son Josh.        and months a er David’s death?              Kim bought and registered a star in
I had learned about inhalants in the                                                       David’s name. We decorated the tree in
parent’s program so I knew it wasn’t           KIM/MARISSA: When we got home               stars. You expect holidays will be tough
going to be good.                              from the hospital there were kids every-    so you are prepared for them. It’s the
                                               where on our lawn. e word had               small things that blindside you like
IA: You get to the house where David           spread. David’s cell phone was ringing      going to the grocery store and seeing
had gone to and what do you remem-             off the hook from friend’s who had           the cereal [David] liked. Songs on the
ber from that day 9 years ago?                 heard but he was gone.                      radio can be like emotional landmines.

                                              “ ey were straddling him
                                               doing CPR. His feet were
                                              blue. I already thought he
                                                       was gone.”
                                               I had to answer those calls. It was like
              David M.                         an out of body experience. It was sur-
                                               real- a dream but like a nightmare. I
KIM/MARISSA: We drove up. David                couldn’t help but scream. e reality
was on a gurney. Paramedics were               kicked in. (At this point Marissa began
wheeling him down the driveway. ey             to cry.) e rst night I got in his bed
were straddling him doing CPR. His             holding the clothes he had on that day.
feet were blue. I already thought he was       It made me feel close to him. ey
gone. We followed the ambulance to             smelled like him. At the wake before
the hospital. I was trying to get a hold of    they closed the casket we cut a lock of
my husband who was out of town one             his hair. I carry the envelope with his
minute and calling the [outpatient]            lock of hair in my purse everywhere I
treatment facility David had gone too          go. David use to love red-tailed hawks.
as well. I’m not sure what I was thinking         e day we went to the church to dis-
they could do about it. My sister              cuss the funeral service we topped a hill
worked in the ER of the hospital but           and a red-tailed hawk ew in front of
she had the day off. ey took David              the car chasing a bird. e day a er that                   David M.
into the shock room. I had to call family      I went to the re station with cookies to
INSIDE ADDICTION
    e Magazine                                                                                                              5
                                           back to their lives. I felt like ours had     KIM/MARISSA:             e fact that addic-
                                           stopped. (Kim began to get choked up          tion was recognized as a disease in
                                           at this point). For a long time I cursed      1956 by the American Medical Associ-
                                           the dawn.                                     ation has not ended the negative a i-
                                                                                         tudes towards those with substance
                                           IA: How do you keep David’s memory            abuse problems. Ignorance, stereotypes
                                           alive?                                        and intolerance continue to be at the
                                                                                         root of the bigotry against addiction
                                           KIM/MARISSA: We share our story.              and enables stigma to remain a power-
                                           Every year on the fourth of July we go        ful barrier to families seeking help for
                                           to his grave, sneak in and light re-          their loved ones. Marissa and I, like
                                           works. On his birthday every year we          many other parents, felt the dark
                                           go out to dinner and eat his favorite         shadow of that shame and the feeling of
                                           foods of [potatoes soup and hot               guilt that somehow we had failed at

              David M.
                                           wings]. is keeps us close to him. We          being good parents, and ulti-
                                           stayed connected with his friends for         mately…had failed our son. But today
                                           years and still do. We take all the special   we begin to remove the stigma of sub-
IA: Looking back, what else sticks out     days off from work. [On his birthday] I        stance abuse and replace that shame
in your mind?                              take cookies to the re station, the ER,       and despair with hope. And if we can
                                           and treatment center he went to. To           li this shadow of stigma and denial it
KIM/MARISSA: I (Kim) thought this          this day we still have to crawl up in a       will move our society closer to provid-
has to be the worst thing that could       ball at times and get emotionally blind-      ing the help for people with addiction
happen to a parent. en I remem-            sided but those times are less now. It’s      when they need it the most. Over the
bered a neighbor of mine who had a         been nine and a half years. Some feel-        past nine and a half years Marissa and I
young child go missing. It was pre y       ings never go away. You don’t get over        have learned many things. We have
clear a er a period of time [that be-      [a child’s death from addiction].             learned the power of sharing our per-
cause of] the young age of the child                                                     sonal story. We have learned that by
they had no clues. She was likely dead     IA: What message do you have for our          speaking out we put a face on the cost
at that point. I thought I know what       readers?                                      of the disease of addiction. And most of
happened to David. At least we had a                                                     all we have learned that by speaking out
body. Someone always has a loss                                                          we honor our son’s struggle with this
greater than yours. We had a lot of sup-                                                 disease. If you need help reach out.
port at rst but a er a while people go
                                                                                                           INSIDE ADDICTION
    6                                                                                                          e Magazine
                                                   18 or Life: Tyler’s Story
He grew up in an abusive home. Addiction ran       IA: When did your use become a problem?
in the family. His father died om his addic-
tion, his grandfather an alcoholic. He was lost,   TYLER: A er about a year, my father had
following his father’s footsteps. He ended up      commi ed suicide I was 15 years old. He
using, stealing, becoming homeless, sleeping in    was an alcoholic. I drank to stuff my feel-
parks, breaking into cars, ge ing arrested, and    ings at that point.
was in and out of jail all at age 17. INSIDE
ADDICTION met Tyler just before his 18th           IA: Looking back, how did that affect you?
birthday. He was recently released om jail
and he shared his story of the decision he ulti-      “I switched to
                                                                                                                   Tyler
mately had to make- will I die before I’m 18 or
do I want to live and have a life?                prescription drugs and
TYLER: I was born in Albany, NY and
                                               started breaking into houses
                                                                                                  IA: At this point you are drinking, doing
lived with my mother, brother and father.          and robbing people.”                           Xanax, and smoking weed?
We moved to a small town called Middle-
burg. I remember my mom le my dad                  TYLER: When I drank, all the feelings          TYLER: It also turned into cocaine and
when I was young. ere was a lot of abuse           would come out. I was emotionally drink-       LSD. I thought I wasn’t that bad because I
by my stepmom. I was terri ed half the             ing. It was a downward spiral.                 never did heroin.
time. I got locked in closets and had to
drink tobacco sauce when I was like 4 years        IA: What did that lead to?                     IA: How did you get help?
old. I remember ge ing slammed onto
beds and having to stand in corners for            TYLER: I got my drivers license when I         TYLER: I was locked up in 2010 for break-
hours at a time.                                   was 17 and started driving around and par-     ing into cars over $8.22. I got out and got
                                                   tying. ings got out of control. It hap-        rearrested 18 days later. I had moved to
IA: Was there addiction in the household?          pened fast. I switched to prescription drugs   Florida at this point in my life and all the
                                                   and started breaking into houses and rob-      people around me were bad people.
TYLER: I don’t remember back then. I               bing people.
guess my parents drank a bit.                                                                     IA:   en you reached out for help?
                                                   IA: How did that end up happening?
IA: Do you remember the rst time you                                                              TYLER: I called my grandparents in New
drank?                                             TYLER: I was with a group of people and I      York and went to stay with them in the
                                                   just wanted to t it. at night I started        country.
TYLER: My brother was 17 years old. He             doing Xanax. It made things worse. I ended
came home from a party one night and               up ge ing kicked out of my house.              IA: How’s your life changed?
gave me a bo le of malt liquor. I didn’t
drink it that night. I hung onto it. One           IA: Which led to what?                         TYLER: I love the change. It keeps me out
night I had a ght with my girlfriend and                                                          of trouble. I got a job and I’m no longer
decided that might make me feel be er so I         TYLER: I was homeless and had to do            homeless. I got my GED and I’m working
took it out and drank it.                          what I had to do- breaking into cars and       on ge ing my record expunged and I’m
                                                   continuing to steal things and rob people      preparing to go into the military. [All of
IA: How did your use progress?                     and their houses. I was sleeping on park       this happened] in 5 months. I don’t wake
                                                   benches and I was 17 years old with            up with a hangover. I’m in control of my
TYLER: I was barely 15 years old and was           nowhere to go. I’d hop from one couch to       life today. Most people my age have a
hanging out with my best friend and we             another sleeping at friend’s houses when I     lifestyle that includes drinking or drugs. I
started drinking a er school. at lasted            could. Seven months into being homeless I      can’t do that. One swig of beer I’m in trou-
for a few months then we started smoking           broke into my parents’ house and stole a       ble. I realize that.
weed. It was April 20th (4:20) in my fresh-        survivor’s check they received from my fa-
man year. [4:20] is a symbolic day for mari-       ther’s suicide. I was hungry and I wanted to
juana use, kind of a holiday.                      get high.
INSIDE ADDICTION
    e Magazine                                                                                                 7
                                   SMALL TOWN, BIG PROBLEM
Note om Dean Hale:
In 2009 I was contacted by a con-      Sco : When I rst got sober, on
cerned mother om Galion, Ohio with     March 4th 2009, I was sort of forced
a population 10,669. Her son was over  into it. I had the option of either
his head in addiction. He was currentlygoing to rehab in Las Vegas, or fac-
in jail. His father had recently died and
                                       ing multiple felony charges.
she was a aid he was about to also.    Momma didn’t raise no fool. I did
Without thinking twice, I got on a     feel a huge sense of relief when
plane with one thing on my mind-       someone was trying to step up and
reaching out to help another sick and  help me because for so long I tried
still suffering addict. I’ve kept in touch
                                       to help myself, but that only seemed
regularly with him and his family sinceto make things worse. When I went
we rst met. I recently asked him if he to rehab in Las Vegas I knew I could

                                                                                               Scott
would share his story. Here it is.     stop using heroin, just long enough
                                       to allow my life to stabilize and be-
Sco : About four months ago I was come bearable again. But to never
                                                                                Sco : For as long as I can remem-
asked to share my experiences,         use again was complete nonsense. It
                                                                                ber, I have always been on some sort
strengths and hopes of my heroin       was impossible; I had absolutely no
                                                                                of prescription medicine. In rst
addiction and recovery. In that        hope whatsoever. I never really ac-
                                                                                grade, I was prescribed Tylenol with
story I would have told you that I     cepted the fact that I had an incur-
                                                                                Codeine for migraines. In middle
had 19 months of sobriety. I would     able disease, and it took me having
                                                                                school I was ge ing Demerol shots
have told you how great my life had to start over on sobriety a er 19
                                                                                for the migraines. I can still to this
become, and how I had nally found months, to nally surrender. My ex-
                                                                                day remember how bad those mi-
the peace and happiness I have al-     periences have proved to me that I
                                                                                graines were back then. I can also re-
ways been looking for. I did, in fact, do in fact have this disease that only
                                                                                member in elementary school,
have a li le more than a year and a    a power greater then myself could
                                                                                wanting nothing more than to go
half without any mind altering sub-    recover me from. When sharing
                                                                                home and watch Scooby-Doo, so I
stances. My life was indeed great,     your story you’re supposed to share
                                                                                would fake a migraine. I would go
compared to the life I had been suf- how things were before, what you
                                                                                home tell my mom I had a migraine.
fering through for so many years al- did about it, and how things are
                                                                                She would give me my Tylenol with
though I’m sure almost any other       now. I don’t really want to go in
                                                                                Codeine, I would take a short nap,
way of life would seem great, when     great depth about the way things
                                                                                and when I would awaken, I would
comparing it to the one of a strung    were when I was using. Although we
                                                                                imitate an airplane, with my arms
out heroin junkie, who has pushed      all have many different, unique expe-
                                                                                stretched out like the wings, and re-
away anyone who ever cared for         riences in our using, we all share a
                                                                                peatedly tell my mother how great I
him. Everything I would have shared common pain. I will share a quick
                                                                                felt. Looking back now, I can see
would have in a sense been true. Ex- background of myself and of my
                                                                                that even then, I may have had a
cept that story would have been        using.
                                                                                problem.
lacking one thing- heart.
                                       IA: How did your use start?
IA: How did you rst get sober
Sco ?
                                                                                          INSIDE ADDICTION
   8                                                                                          e Magazine


IA: How did your use progress?          life?                                     a recent trip home for the holidays, I
                                                                                  had to go to the funeral of a friend
Sco : If I enjoyed the side effects of    Sco : is lifestyle was pure Hell. I      who I have known since I was four
my pain medicine like that when I        had lost the will to live. For awhile,   years old. He overdosed on a mix-
was six or seven years old, it would     every time I shot up, I prayed it        ture of opiates and benzodiazepines.
only make sense to go on to bigger,      would be the last thing I did. is        From what I heard he had only been
be er things as I got older. at is       horrible lifestyle couldn’t help me      using for a few months. e opiate,
exactly what happened. When I was        quit. My mother, my brother, my sis- especially heroin, epidemic is hi ing
15, started stealing and abusing my      ter, all my friends, the court system, my town like the black plaque hit
mother’s Oxyco on. My disease            the loss of friends, or anyone else      Europe in the 1300’s. A few years
progressed like wild re. Before I        couldn’t get me to quit using. I was     ago there was an episode of the
knew it I was shooting up a hundred      hopeless. And I wasn’t the only          Oprah Winfrey show about how bad
dollars worth of heroin every day. As    hopeless one. e town I grew up in the opiate problem was in the area
one would expect, I started the          has a population of around 11,000        where I live. You know it’s bad if
proverbial downward spiral. I got ar-    people. It is a small, blue collar farm- Oprah does a show about it.
rested and charged with two felony       ing community in Ohio, about an
counts of drug possession. I             hour north Columbus, called              IA: What was the hardest part about
dropped out of college, lost numer-      Galion. When I rst started using in ge ing help?
ous jobs, hung out in places I never     high school there was just a small
would have imagined myself hang-         number of people I knew who used         Sco : e hardest part is that there
ing out at, with people I never would    heroin. We pre y much all knew           are a lot of people suffering and
have hung out with otherwise. I suc-     each other.                              there is not a whole lot of help. I
cessfully pushed away everyone who                                                went to state correctional rehab fa-
ever cared for me. I watched many of    “ e hardest part is that cilities, but I had to get a felony sen-
my friends die from overdoses. I          there are a lot of people tence to do it. Since I was sick, and
spent two and a half years incarcer-                                              there was not much professional
ated. I locked myself in my pitch       suffering and there is not help out there, I felt as though I was
black bedroom. My windows were               a whole lot of help”                 stuck shooting heroin until the day I
blacked out. I removed the lamps                                                  died. When I was offered to go to
from the room, so the only illumina-                                              rehab in Las Vegas, I was relieved
tion came from the glow of my tele-      IA: How has that all changed?            but at same time I felt like it was a
vision. e worst part of all of this                                               waste of time. Nothing could help
was the fact that all this psychotic      Sco : Nowadays it seems as if that      me. I ew to Las Vegas a er walking
hell I was enduring, became natural      small number of people is that of        out of the local county jail where I
to me and the things I did, didn’t       those who don’t use. Since I started spent the previous three weeks. A
even bother me anymore. I was soul-      using, the number of people that I       limousine picked me up at the air-
less.                                    knew who have died either from           port and took me rehab. I was going
                                         overdose, automobile accidents           into rehab in style. I completed a 14
IA: What sticks out most in your         from driving while intoxicated, and      day program, and then moved into a
mind about that dark period of your      even murdered, was close to 20. On sober living facility.
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IA: Were there any setbacks in your         gram in order to stay sober, and I -      gram, and ever having that happi-
recovery?                                   nally had the willingness to do it. For   ness ever again. I have been going on
                                            the time being that was. A er about       li le two or three day benders that
 Sco : A er about 9 months of               seven months I became complacent.         take me a week to recover from.
being sober, I gured I served
enough time clean and I had ex-              “I now know that I do not                IA: But you bounced back.
ceeded the expectations everyone                have to be stuck in the
had on me. It was time to get high.                                               Sco : I went back to meetings. I am
Problem was I couldn’t. I couldn’t         situation that I am in. ere            going through the [12] steps. And I
  nd anything. I tried for over a week        is help out there. ere is           still believe that a power greater than
to get some dope and couldn’t. I was                                              myself can and will keep me sober,
completely miserable. It was worse
                                                   hope out there. ”              when nothing else in the world can.
being sober wanting to get high then                                              So even though I am still struggling
being high wanting to get sober. I          I slowly stopped going to meetings, sometimes with my addiction, my
was more miserable at nine months           then I stopped doing step work, then story is here to share- that even
without any mind altering sub-              I stopped praying, then I isolated    someone as hopeless as myself, did
stances than I had been in the previ-       from all my friends in recovery. As     nd hope. I know there is another
ous eight years of using. My                the 12 step programs book pre-        way to live life that is so much be er
suffering gave me the willingness to         dicted, I did end up using again. For than the one I have been living for so
do something that I once had ab-            about three weeks I hit hard- right   long. I now know that I do not have
solutely did not believe in. I started      back into the heroin. e pain I felt to be stuck in the situation that I am
a ending a 12 step program. I did           when I went back to using this time in. ere is help out there. ere is
the step work and felt relief instantly.    was worse than ever had been. So on hope out there. And I can and will be
I nally became free from the                Halloween I decided that the next     the person that everyone wants me
bondage of myself. I felt be er than        day I would detox and get myself      to be. ank you for le ing me share
I had in years. is lasted for quite         back on track. at I did for about a this with you.
awhile. ere are a few simple things         month. en one day I completely
you have to do in the 12 step pro-          gave up on myself, the 12 step pro-
                                                                                                  INSIDE ADDICTION
   10                                                                                                 e Magazine
                        HEADLINES, NEWS, AND VIEWS : DRUGS
Cocaine Vaccine                            are not big mice," he said.                   Hsu says acupuncture addresses pain in
                                                                                         two ways. It stimulates the body to pro-
Source: Weil Cornell Medical College       Acupuncture Instead of Opiates                duce naturally occurring pain-killing
                                                                                         chemicals, and it interferes with pain
An experimental vaccine tested on mice     Source: Aol Health                            signals to the brain. "With chronic pain,
appears to nullify the effects of cocaine                                                 it's a good front line of defense," he
addiction by keeping it from affecting      While plenty of people who receive            adds. "With (nonsteroidal anti-in am-
the central nervous system. According      acupuncture for the relief of chronic         matory drugs), you have to take more
to the National Institute on Drug          pain swear by its effectiveness, the west-     and more for them to continue to
Abuse (NIDA), about 1.1 million            ern medical community has long re-            work." He also points out that NSAIDs
Americans abused cocaine in any form       mained skeptical of this increasingly         constrict blood vessels and can also be
in 2008. When smoked, injected, or         popular alternative treatment. More           hard on the liver with continued use.
snorted, the well-known addictive sub-     and more research studies, however, are       "When you receive acupuncture, you're
stance causes euphoria and a height-       con rming the idea that acupuncture           not only decreasing pain but increasing
ened sense of energy in users. It can      has its place in western medicine. e          blood ow," Hsu explains. "And be-
also dangerously accelerate heart rate     latest, a study out of the University         cause there are very few side effects, it
and increase blood pressure.               Hospital in Essen, Germany, suggests          can be tried in just about anyone."
                                           that acupuncture transforms the way
   e new cocaine vaccine, developed by     the brain processes pain.Using func-          Hsu says he receives many patients who
a team of researchers led by Dr. Ronald    tional magnetic resonance imaging             have tried everything to stop chronic
Crystal at Weil Cornell Medical Col-       (fMRI), researchers led by Dr. Nina           pain and seek out acupuncture as a last
lege, is a combination of "an inactive         eysohn from the University Hospi-         resort. Hsu says it varies from patient to
common-cold virus with a chemical          tal's department of diagnostic and inter-     patient how well acupuncture works.
that imitates cocaine.It works by stimu-   ventional radiology and neuroradiology        Some people see immediate relief a er
lating the auto-immune system to cre-      were able to observe the areas of the         one treatment, while others have to re-
ate antibodies that prevent cocaine        brain that typically deal with pain per-      ceive continued therapy over a period
from "passing through the blood-brain      ception and response. By studying 18          of months.
barrier."                                  healthy volunteers who received an
                                           electronic pain stimulus to their le an-      Teen Marijuana Use Up
In the study, vaccinated mice injected     kles, radiologists discovered that when
with cocaine showed no reaction. Un-       acupuncture needles were placed on            Source: National Institute Of Health
vaccinated mice "went crazy," Crystal      the right side of the subjects' bodies, the   America's teens are using more mari-
said, becoming agitated and hyperac-       activation of the brain's pain processing     juana and less alcohol, according to an
tive. He said the results were "very       areas was substantially reduced.              annual government study of eighth-,
promising."                                    eysohn's ndings were presented at         10th- and 12th-graders across the
                                           the Radiological Society of North             country.Some 6.1 percent of high-
Crystal hopes the vaccine can be tested    America's annual meeting in Chicago.          school seniors reported using mari-
on humans in about two years. He said                                                    juana this year, up from 5.2 percent in
that if the vaccine works on humans, it       e results of this latest study, though     2009, according to the Monitoring the
might be adapted for use with nicotine,    small, are no surprise to Dr. Daniel          Future survey released by the National
heroin, and other addictive substances.    Hsu, a doctor of acupuncture and              Institutes of Health.Marijuana use by
Additional testing of the cocaine vac-     herbal medicine at New York                   10th-graders climbed from 2.8 percent
cine will be needed on mice, rats, and     AcuHealth. " is is just one more in a         to 3.3 percent, and for eighth-grade stu-
donkeys before it can be tested on hu-     growing number of studies that con rm         dents it edged up from 1.0 percent to
mans. " is looks terri c but humans        acupuncture helps with chronic pain."         1.2 percent."
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HEADLINES, NEWS, AND VIEWS: DRUGS (Continued)
   ese high rates of marijuana use dur-  sive care treatment of opioid depend-          mothers who received buprenorphine
ing the teen and preteen years, when     ence in pregnant women.                        compared to those who received
the brain continues to develop, place                                                   methadone throughout pregnancy
our young people at particular risk,"    " e baby comes into the world ad-              needed signi cantly less morphine to
said Dr. Nora D. Volkow, director of     dicted to what the mother was taking,"         treat their neonatal abstinence syn-
the National Institute on Drug           Martin said. "And everyone who comes           drome, had shorter hospital stays (10
Abuse.On the other hand, binge drink- in touch with these unfortunate babies            days vs. 17.5 days), and shorter dura-
ing is on the decline. While 23.2 per-   realizes that they are very uncomfort-         tion of treatment for neonatal absti-
cent of high school seniors reported     able and incessantly restless.                 nence syndrome (4.1 days vs. 9.9.
having ve or more drinks in a row,       "From this study we can say that both          days).
that's down from 25.2 percent a year     the mothers and the babies did equally
earlier. e binge rate for this age group well taking buprenorphine or                      e authors state that improved treat-
peaked at 31.5 percent in 1998.          methadone.                                     ment options should reduce the public
                                                                                        health and medical costs associated
On other topics the survey found:            "However, we demonstrated a statisti-      with the treatment of neonates exposed
• Use of ecstasy, which had declined in      cally signi cant improvement above         to opioids, estimated at $70.6 million to
the early 2000s, is on the increase again.   the standard of care in important out-     $112.6 million in 2009 in the United
• ere was a small increase in teens in-      comes in the babies of mothers who re-     States.
jecting heroin, but only among 12th-         ceived buprenorphine during the
graders.                                     pregnancy compared to those who               e research was funded through mul-
• Use of cocaine remained low a er de-       were administered methadone," he said.     tiple RO1 grants awarded to investiga-
clining from levels in the 1980s and            e eight site, international, double-    tors at each site, a special NIH funding
1990s.                                       blind, double-dummy, exible-dosing,        mechanism that allows large clinical tri-
   e survey conducted by the University      randomized controlled trial is part of     als to examine geographic and other di-
of Michigan covered 46,482 students in       the MOTHER project, which stands           versities.
396 schools.                                 for Maternal Opioid Treatment:
                                             Human Experimental Research.               Prescriptions And          eir Abuse
Babies And Buprenorphine                     Buprenorphine had previously not           On e Rise
                                             been well studied in pregnancy, al-
Source: Science Daily                        though it is now widely prescribed to      Source: Pediatrics
                                             treat opioid addiction.
Babies born into the world addicted to                                                  Adolescents and young adults are most
drugs because of their mother's de-          "It was only a ma er of time before        likely to abuse prescription medica-
pendence on pain medication, or opi-         women who were receiving buprenor-         tions. Yet prescription rates for con-
oids, may be weaned off the substance         phine while they become pregnant           trolled medications, or drugs the Drug
more comfortably, with a shorter hospi-      were faced with the decision to con-       Enforcement Administration deems as
tal stay and at a reduced cost, if the       tinue it or change to methadone, the       having the potential for abuse, have
mother receives a new treatment op-          standard of care," Martin said.            nearly doubled for those age groups in
tion during pregnancy. Vanderbilt's                                                     the past 14 years, according to a recent
Peter Martin, M.D., director of the Di-      "For this reason, it was considered very   study published in Pediatrics. Overall, a
vision of Addiction Psychiatry, found        important to determine whether             controlled medication was prescribed
that the newer buprenorphine is at least     buprenorphine was at least as safe as      for young adults at approximately one
as good for both mother and child as         methadone, so that doctors would           out of every six visits and for young
the standard care methadone, when            know how to advise their patients."        adult by adolescents one out of every
both were combined with comprehen-           Study results showed that babies of        nine encounters. "
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  12                                                                                                 e Magazine
           HEADLINES, NEWS, AND VIEWS: DRUGS (Continued)

“Physicians must balance the need to        as headaches and back pain. While the      being shared with those who have not
treat patients' symptoms while remain-      study did not examine the appropriate-     been prescribed the medication.
ing aware of the possibility that pre-      ness of prescriptions, researchers sug-    While researchers acknowledged that
scription medications can be misused        gested that physicians take                prescribing more controlled medica-
or shared with others. At times, it can     responsibility for monitoring patients     tions does not necessarily foster abuse
be a delicate balance between treating a    receiving controlled medications to en-    or diversion -- sharing medications with
problem and inadvertently causing           sure that the treatment is effective and    others -- they advocated for more vigi-
one," said Robert J. Fortuna, M.D.,         that the medications are being used ap-    lance when physicians prescribe med-
M.P.H., principal investigator of the       propriately.                               ications to young adults and
study and assistant professor of Pedi-                                                 adolescents.
atrics and Internal Medicine at the Uni-    Researchers partly a ributed the rising
versity of Rochester Medical Center.        trend in prescriptions for narcotics       "Physicians need to have open discus-
   e study found that between 1994          among young adults to evolving state       sions with patients about the risks and
and 2007, prescription rates for con-       and federal regulations increasing advo-   bene ts of using controlled medica-
trolled medications nearly doubled          cacy for pain management. For exam-        tions, including the potential for misuse
from 8.3 to 16.1 percent among young        ple, prescriptions for narcotics rose      and diversion," Fortuna said.
adults and rose from 6.4 to 11.2 percent    a er 2001, when the Joint Commission
in adolescents. is increase was ob-         on Accreditation of Healthcare Organi-
served for both males and females and       zations launched an initiative to moni-    New Drug Same Impulsivity
across multiple se ings -- ambulatory       tor and treat pain as a h vital sign
offices, emergency departments, and           (along with temperature, pulse, respira-   Source: Science Daily
for injury related and non-injury related   tion and blood pressure).
visits.                                                                                Researchers at the universities of Lei-
                                            Sedative medications were increasingly     den, Amsterdam and Granada were the
   e study examined prescription pat-       prescribed to young adults and adoles-       rst to investigate the effects of the drug
terns for teens 15- to 19-years-old and     cents. Researchers tied the rise to a      khat on a person's ability to inhibit un-
young adults 20- to 29-years-old, using     heightened awareness of insomnia and       desirable behavior. Frequent use was
data from the National Ambulatory           anxiety, the availability of new pharma-   shown to decrease self-control, with all
Medical Care Survey (NAMCS) and             ceuticals and widespread direct-to-con-    the potentially dangerous conse-
National Hospital Ambulatory Medical        sumer marketing.                           quences this implies. In view of the in-
Care Survey (NHAMCS). e study's                                                        creased number of khat users, this is an
authors compared data with data about          e study found adolescents were also     alarming development. e Leiden
prescription pa erns from 1994 from         increasingly prescribed stimulant med-     cognitive psychologist Dr Lorenza
NAMCS and NHAMCS.                           ications. While reports between 2002       Colzato and her colleagues at Leiden
                                            and 2008 showed that the overall mis-      University, the University of Amster-
   e study broke down clinical visits by    use of stimulant medications like Ri-      dam and the University of Granada
classi cation of drug prescribed, type of   talin has decreased, a recent study        asked khat users to carry out a stop-sig-
visit, place of visit and demographic       found that poison centers are increas-     nal task. e subjects were asked to
and geographic factors. Drugs were          ingly receiving calls from those who       look at a screen and to press the correct
classi ed as narcotics (or opioids),        have intentionally misused stimulants,     bu on as soon as a green arrow ap-
sedatives and stimulants.                   which could mean that the smaller          peared pointing either right or le . If
                                            numbers of those misusing stimulants       the colour of the arrow immediately
Controlled medications were o en pre-       are doing so more intensively. Further,    changed to red, the subjects were not
scribed for common conditions, such         stimulant medications are increasingly     supposed to press any bu on.
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HEADLINES, NEWS, AND VIEWS: DRUGS (Continued)

In terms of accuracy and speed of re-        painkillers. e report, conducted by         when given a compound that blocks
sponse with the green arrows, khat           the Substance Abuse and Mental              speci c brain receptors. More than 2.4
users performed as well as non-users,        Health Services Administration              million Americans are in some sort of
but they found it much harder to re-         (SAMHSA), reviewed national trends          rehabilitation program for drug use. Yet
strain themselves when the arrow             in admissions to treatment for sub-         40 to 60 percent of drug addicts relapse
turned red. On the basis of these re-        stance abuse between 1998 and 2008.         when trying to get sober, o en because
sults, the researchers conclude that         In 1998, only 28 per 100,000 Maine          of stressful situations. Scientists use ani-
long-term use of khat impacts inhibi-        residents sought treatment for non-         mal models of drug use to further un-
tion, i.e. the ability to repress certain    heroin opiate addiction. By 2008, that      derstand addict-like behavior and
stimuli. is can be dangerous because         ratio had jumped to 386 per 100,000         relapse, training rats to press a lever to
diminished self-control impacts social       residents -- well above the national av-    self-administer heroin or other illicit
and personal functioning. For instance,      erage of 45 per 100,000.                    drugs. Previous studies employed food
it leads to more reckless driving and                                                    deprivation as the stress "trigger" for
criminal behavior. e researchers             "At this point," said Guy Cousins, who      potential relapse in drug-deprived ani-
think that it can even play a role in cre-   directs the Maine Office of Substance         mals. ese studies showed that rats ex-
ating addiction: the more someone            Abuse, "prescription drugs are nearly as    posed to a short period of intense
uses the substance, the less they are        readily available as alcohol in Maine       hunger quickly seek out drugs, mimick-
able to prevent themselves from using it     homes."                                     ing the behavior of a relapsed addict.
again. e situation is becoming more                                                         e new results suggest that a molecule
alarming due to the fact that the num-       Cousins' office has conducted a multi-        known as NPY, which is released into
ber of khat users has dramatically in-       pronged campaign to address the prob-       the body in times of food restriction,
creased in the last decades, not only in     lem; it educates doctors and other          also acts as a trigger for drug-seeking. In
Eastern Africa, where khat has been          prescribers of the drugs, monitors and      this study, Concordia University re-
used for centuries, but also in other re-    tracks prescriptions to eliminate "doc-     searchers found that rats given a chemi-
gions. As a result of migration, khat is     tor-shopping" and over-prescription,        cal that blocks the NPY brain receptors
now used in ethnic communities               and promotes the adoption of alterna-       don't search for heroin. Moreover, the
throughout the world. In the Nether-         tive pain management approaches, in-        authors observed no side effects from
lands, khat is included in the Opium         cluding methadone and the opiate            the drugs in the rats, such as weight loss
Law, and is therefore legal. Chewing on      replacement drug Suboxone.                  or behavioral changes.
khat leaves releases juices which have a
lightly stimulating effect.                      e agency also works with law en-         "Our ndings suggest a novel approach
                                             forcement and community partners to         to the treatment of drug addiction, at
What State Has e Highest                     hold drug take back programs to re-         least for addicts who also have eating
Admissions For Prescription                  duce the number of prescription drugs       disorders," said Uri Shalev, PhD, the
                                             diverted from patients to the black mar-    study's lead author.
Pain Killers?
                                             ket.
                                                                                         Research was supported by the Natural
Source: Bangor Daily News
                                             Hungry For Heroin                           Science and Engineering Council of
                                                                                         Canada, funds from the Canada Re-
New government data shows that
                                             Source: Neuroscience 2010                   search Chair to the United States, and
Maine consistently outstripped other
                                                                                         the Fonds de la recherche en santé du
states over the past decade when meas-
ured by the number of residents seek-        A behavioral study of food-deprived         Québec.
ing treatment for prescription               rats shows that the animals were less
                                             likely to return to heroin-seeking habits
                                                                                                    INSIDE ADDICTION

                      SAM’S STORY (THE ROAD TO REDEMPTION)
   14                                                                                                   e Magazine


From the tough streets of Brooklyn in the      would be. at is what prepared me to
60’s to prison to recovery.                    be tough. [I was] trying to be cool and
We sat down with Sam W. recently as he         accepted by the community.
shared his journey into recovery and how
he once lived a lifestyle he now recognizes    IA: How did that shape you as a child?
as a death style and take a look at his road
to redemption.                                 SAM: I found myself doing things to
                                               make others accept me and then and
IA: Where did you grow up? How was             only then could I accept myself and feel
it growing up?                                 good about myself. I needed others’ val-
                                               idation.                                                     Sam
SAM: I grew up in Brooklyn, NY. I had
one brother and two sisters. We lived in       IA: How was school for you?                 using, I would seek it out regularly.
a single family home and my mother
raised us as my father le when I was           “ e reality began and I                     IA: How did your use progress?
about four or ve years old. My mother
did the best she could. I grew up in a          didn’t know how to go                      SAM: From the point of drinking and
tough neighborhood during a tough              home when the party was                     smoking weed, my disease progressed
time                                                                                       rapidly. I stopped ge ing it from other
.                                                       over.”                             people and began coping it myself. I
IA: How so?                                                                                was still in public school and I went to
                                               SAM: I did real good academically but       get some weed and the guy didn’t have
SAM: My mother struggled with keep-            the crowd wasn’t impressed by that. I       any but he had some dust (angel dust,
ing us safe. My neighborhood was a             went to some of the most prestigious        PCP). He convinced us- “Hey one of
challenge. ere was a lot of poverty. It        schools in New York City. Eventually        these joints will do more than a bag of
was the 60’s and we were black. We             school became a bother to me though. I      weed.” I tried it. It was crazy. My dis-
didn’t have a lot of guidance. My heroes       wanted to t in so I started doing bad       ease continued. I made more and more
wore shark skin suits. I remember              things.                                     bad decisions. [My] criminal behavior
around the time I was nine it was a fast                                                   began [by] robbing people. I became
paced neighborhood. ere were a lot             IA: How did you end up using alcohol        the person I never liked. By time I was
of drugs and hustling going on.                and drugs? Do you remember the rst          16 years old I was ge ing high every
                                               time?                                       day. I went to school but missed three
IA: What still stands out about that                                                       months of it. I would go to school and
time as a kid?                                 SAM: First time I used was in the h         get high and gamble all day. We were in
                                               grade. I gave a wino some money who         the bathrooms in school ge ing high
SAM: It was a struggle sometimes to            bought some alcohol for us. Later that      and I eventually dropped out of school
even make it to school ge ing past drug        night one of the school bullies was in      in the tenth grade. I moved but I took
dealers and bullies. Even at the age of        the same park as us and had some weed       me with me. ings were moving rap-
  ve I remember seeing this guy run past       and I found myself behind school            idly in the wrong direction.
me, police behind him. It caught my at-        smoking weed. I felt noticed. I felt rec-
tention. It was a hot summer night and         ognized. I felt accepted. It was fun. e     IA: How so?
I followed them around the corner and          reality began and I didn’t know how to
see the police had shot him. Never             go home when the party was over. As
knew it was a prelude of what my life          early as the h grade once I started
INSIDE ADDICTION
    e Magazine                                                                                                                15

SAM: It got to the point I found myself        was limited. I was self-centered. It got in   existed. I thought and had really ac-
in front of a judge. I knew I had a prob-      the way of what I wanted to do. I got         cepted I was going to die for a long
lem when he read my name and then              out of the Army and went back home.           time. When I had about 30 days
read a whole bunch of years a er my                                                          [sober] I missed the lifestyle- not an-
name. I’ll never forget- “Seven to four-       IA: What happened then?                       swering to anybody, doing whatever
teen, seven to fourteen, seven to four-                                                      and whenever I wanted to do. It was
teen.” Wow! Did he have the right guy?         SAM: I got introduced to crack cocaine        scary. It was unknown. I just wanted the
I was abbergasted, at a loss for words.        and went back to my “old” friends and         pain to stop.
Everything I loved I put in jeopardy be-       the saga continued. I dove in way too
cause of my addiction and lifestyle. I         deep. I had no clue what [crack] would        IA: And the pain eventually stopped.
can’t really say lifestyle. It was more of a   do.                                           Now what’s the best part of recovery?
death style because it was killing all my
dreams and sucking the life out of any-        IA: You needed help. Did you get help?        SAM: Wow. e best part of recovery?
thing good. I was a garbage head-                                                            I can’t do it justice in words. It’s amaz-
smoking weed, sniffing cocaine, and              “Keep the faith. You need                     ing! e best part is I regained my fam-
drinking 40 ounces. At age 18 I went to                                                      ily. ey love me. I achieved several
prison.                                         to nd people who don’t                       academic degrees. I can now help the
                                                want anything om you                         community I was a menace to. My life
IA: You got released a er some years                                                         is positive. I know how to feel again. I
(undisclosed)?                                  but want everything for                      can love myself and others.

SAM: Yeah. I kissed the ground when I
                                                         you”                                IA: What message do you have for oth-
got out of prison and vowed I would                                                          ers?
never go down like that again and I            SAM: I’m 6 foot 4 and weighed 160
joined the military. It was crazy. Every-      pounds. I knew I needed help. My fam-         SAM: My message is to anybody af-
where I went I took me with me. In             ily was frustrated, sad, and was ashamed      fected by addiction themselves or a
basic training I was smoking weed              of me. Crack was eating me alive. I           loved one. I pray a lot and it takes time.
again! I always found drugs or they            made a decision. I sought and received        Keep the faith. You need to nd people
found me. It got to the point I was a sol-     help.                                         who don’t want anything from you but
dier by day, drug dealer by night. I was                                                     want everything for you. It takes work
totally reckless and out of control. I         IA: Was it hard asking for help?              and you can do it. You need to go to the
convinced myself I wasn’t an addict but                                                      same lengths and extents to stay sober
a dealer with a habit. I found myself glo-     SAM: e hardest part of ge ing sober           that you did to get drugs. It takes pa-
rifying this whole situation. I got mar-       was breaking off that love affair rela-         tience. Accept all the help you can get.
ried and got divorced within 2 years.          tionship with drugs and alcohol. I had        Don’t give up. If you fall, get back up!
My abilities to maintain a relationship        never lived without it and didn’t think it
                                                                                                       INSIDE ADDICTION

             STEVE’S STORY: SET BACKS AND COMEBACKS
   16                                                                                                      e Magazine

He came om an alcoholic family. He              IA: Did it help you?
started using himself at 13 years old. He
was arrested for the rst time at age 15.He      STEVE: Growing up was dysfunc-
started selling drugs at age 16.He quit         tional. Maybe it wasn’t. I guess I tried to
school and went to rehab at age 17. He          make sense of it.
was re-arrested at 23 and sent to prison.
He’s now a substance abuse counselor and        IA: How about the rest of your family?
helping others turn their lives around like
he did. It wasn’t always easy but it was al-    STEVE: I have a younger brother. I
ways worth it. We recently met with Steve       hated him. He played with and broke
G. and he shared his experience, strength,      my toys. My family never really owned

                                                                                                              Steve
and hope. *Recovering om addiction.*            a house. We were always moving. I un-
Recovering om a lifestyle.* His setbacks        derstand now it was a lack of nancial
and his comebacks.*                             stability from the alcoholism. I didn’t
                                                really get along with my mom. She was
IA: Recovering from not only addiction          angry when I was growing up living            STEVE: Yeah, probably around age 15
but also from the lifestyle-tell me how it      with an alcoholic (my father).                or 16. I started thinking I could make
started. How was it growing up?                                                               money. I got arrested for the rst time
                                               “It made me feel numb so                       at age 15 a er a high school dance. A
STEVE: Growing up, I didn’t realize it         I didn’t have to focus and                      ght broke out. Police came. I get ar
was dysfunctional until I was about 11                                                        rested for possession of marijuana. At
years old. My father was never there for
                                                   didn’t have to feel                        that point I was smoking marijuana
                                                                                              every day.
family functions. He was an alcoholic. I                anything”
would seek him out at times and try to
bond with him. e rest of the family             IA: How about school?                         IA: Why?
made a stink about it.
                                                STEVE: I played sports and did well           STEVE: It made me feel numb so I did-
IA: What about that do you remember             until I got into Junior High School.          n’t have to focus and didn’t have to feel
the most?                                          at’s when I really started drinking        anything. I knew my family was dys-
                                                with my father and a friend introduced        functional. My other friends didn’t have
STEVE: My father would go to work,              me to marijuana. I really got into using      these problems at home.
come home and be drunk. My mother               in Junior High.
would yell and I’d play with my toys                                                          IA: Marijuana led to what else if any-
until my mother stopped yelling then I          IA: How did that affect you?                   thing?
would go seek him out in his world (the
couch) to get closer to him. I’d curl up        STEVE: I got away from being athletic.        STEVE: At 16 years old I tried cocaine
with him.                                       I played baseball and football, but then      for the rst time. What an experience!
                                                welcome to the wonderful world of ad-
IA: You have a good relationship with           diction. My grades started declining. I       IA: How so?
him?                                            wasn’t pu ing out on the team (sports)
                                                in the past. I had been an All-Star. I        STEVE: I was nervous and scared but
STEVE: I got closer to him and tried to         could play any position. I could have         when I tried it I liked it. It made me feel
bond more with him in my early grow-            go en a scholarship but I favored the         superhuman. I started selling and by
ing stages. I was trying to understand          addiction world.                              age 17 I was in rehab.
him. I started occasionally taking sips of
his beer then vodka.                            IA: It kept progressing?                      IA: Within a year from starting?
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    e Magazine                                                                                                             17

STEVE: Yeah. I had quit school and I        STEVE: I decided to leave New York           IA: Did you stay out of trouble?
needed some help. I knew I needed           and go to Atlanta, Georgia to see a
help. I was crashing hard.                  friend for a job opportunity. I get on a     STEVE: I thought I had everything
                                            bus- drugs, gun, and all. Bus stops in       under control but addiction, this dis-
IA: How was rehab?                          Baltimore, Maryland. I get off, roll a        ease is very powerful. I got addicted to
                                            joint, and turns out I do it in front of a   work and ipped one addiction for an-
STEVE: at’s where I learned how to          cop.                                         other. I didn’t give myself any breathing
deal with my feelings and said to myself,                                                room and thought maybe I can use just
“I want to do something different with       IA:    en what?                              once. at was the biggest trick I ever
my life.” Interestingly enough my father                                                 played on myself. 90 days later I’m fully
shortly therea er also went to rehab.       STEVE: Cop takes my bags off the bus          addicted all over AGAIN. I violate my
He came to the same one I was at.           and nds my loaded pistol. Off to jail.        parole [and] go on the run. ey nd
                                                                                         me 90 days later. Back to prison [for]
IA: Wow! You and your father in rehab       IA: How was that?                            another year and a half.
together.
                                            STEVE: Hell in a cell. I do my time,         IA: De nition of insanity is doing the
STEVE: Maybe I inspired him. We             come home and move in with my father         same thing and expecting different re-
were both doing something to change.        who is in active addiction.                  sults.
It was pre y powerful for me.
                                            IA: How did that work out for you?           STEVE: I’m 27 years old. My friends
IA: Did you complete rehab?                                                              and other people my age are graduating
                                            STEVE: I stayed with my father for a         from college, moving on with their lives
STEVE: Yeah, but when I came home I         li le while and got a job, but I was use     and I’m going back to prison with a
relapsed then went back to rehab for        to making more money [selling drugs]         GED. I’m asking myself, “What am I
another week.                               so I started selling again and get my        doing with my life?”
                                            own apartment. Sure enough, I again
IA: You and your father then get out of     become my own best customer. I’m             IA: You go back to prison again. What’s
rehab?                                      now 23 years old and heavily addicted        different this time?
                                            to cocaine, thinking I’m a mobster, get-
STEVE: Yeah but he came home and            ting violent tendencies, no remorse. I       STEVE: I started reading. I became in-
that’s when everyone realized my par-       get in a ght one night with a couple         trigued. I realized I had skills that I
ent’s marriage was over. at was a           guys and have a ri e. [I] re a couple        could use for something positive in-
shocking blow to me. It was a tough         rounds and back to prison- 3 ½ year in-      stead of what I had. I started a ending
next three years.                           terim sentence, 5 years parole.              meetings in prison (12 step, AA/NA)
                                                                                         and heard how others who had been
IA: How were those three years a er         IA: Not good.                                where I am got a be er life. It was very
rehab?                                                                                   powerful. I realized THIS is my pur-
                                            STEVE: Prison is a world outside of a        pose.
STEVE: At age 21 I had become heav-         world you could never know- fear, lone-
ily addicted to cocaine- using and sell-    liness, guilt. I was a thousand miles        IA: What’s that?
ing. en I became my own best                away from home with 2,000 other in-
customer.                                   mates and felt completely alone. I man-      STEVE: I can help people. Talk to peo-
                                            aged to nish my term and came home           ple. Share my story.
IA: So what do you do?                      in 2004.
                                                                                         IA: What else happened in prison?
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   18                                                                                                  e Magazine


STEVE: My father died when I was in          substance abuse counselor. I am going
prison in 2006. I had to go to his wake      back to school for psychology. I get a       STEVE: Stop running. You can’t run
in cuffs. ey gave me an hour to say           job helping others. I get certi ed as a      from yourself. Being in prison is fairly
good-bye. It was difficult but my father       personal trainer. I also got engaged,        easy. No structure. On the count. On
was an alcoholic and an addict for 40        bought a house, bought a car, [and] got      the chow. Aren’t you tired? Give your-
years. It ultimately took his life through   a dog. Life is good. I listen to classical   self a chance. Reach out for help. Be
a heart a ack. He had destroyed his          music- never would have thought it. It’s     about something positive. Going in and
body internally.                             soothing. I’ll always be an addict but I     out of jail is not for a responsible per-
                                             know how to arrest it one day at a time.     son. It’s for cowards- people who are
IA: You get released from prison. Now        Today I live life!                           afraid, running from themselves. You
what?                                                                                     deserve be er!
                                             IA: What message do you have for oth-
STEVE: I went back to school to be a         ers who are affected by addiction?




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INSIDE ADDICTION

                HEADLINES, NEWS, AND VIEWS: ALCOHOL
    e Magazine                                                                                                           23

Too Smart To Get Sober                      plores that subject in detail and found      "Young adults who drink alcohol may
                                            that alcohol dependence was a strong         want to consider the longer-term con-
Source: CDC                                 predictor of both delays in marriage         sequences for marriage," said Waldron.
                                            and early separation.                        "If drinking continues or increases to
In a rst-of-its-kind report, the Centers                                                 levels of problem use, likelihood of
for Disease Control and Prevention          According to Mary Waldron, an assis-         marriage, or of having a lasting mar-
(CDC) broke down data on health dis-        tant professor at the Indiana University     riage, may decrease."
parities by race, ethnicity, income, and    School of Education and lead author,
education. e report included data on        few studies have examined the impact         Gene-Speci c Medication
the impact of alcohol and drug use on       of alcohol involvement on timing in
different segments of the United States      marital transitions across development.      Source: UVA
population. For example, more Ameri-        "Previous research documented associ-
cans now die from prescription drug         ations between adolescent substance          For the rst time in alcohol addiction
overdoses than from illicit drugs. In       use and early marriage or cohabitation,      research, UVA investigators have suc-
particular, White, non-Hispanic deaths      but much of this work did not follow         cessfully treated alcohol-dependent in-
from prescription drug overdoses out-       participants past their 20s," she said.      dividuals with medication that is
number those of African-Americans.                                                       tailored speci cally to match their ge-
   e "trend switched in 2002, a er doc-        e researchers recruited over 5,000        netic pro le.
tors began prescribing more powerful        Australian twins in the early 1980s, as-
painkillers, antidepressants and antipsy-   sessing physical, psychological and          "Our ndings suggest a new paradigm
chotics - more easily obtained by peo-      physical manifestations of alcohol use,      for the treatment of alcoholism, as well
ple with health insurance." Many of the     including age at onset of alcohol de-        as a major breakthrough in individual-
health disparities, like obesity or to-     pendence. e researchers also estab-          ized medicine for predetermined geno-
bacco use, worsened for individuals         lished age of rst marriage and age of        types," says Bankole Johnson, MD,
with low incomes, or who lacked edu-        separation from the marriage in twins        PhD, study leader and professor and
cation or insurance. One exception was      who were between the ages of 28 and          chair of the UVA Department of Psy-
binge drinking, which is on the rise. Un-   92 at last assessment. Although early        chiatry and Neurobehavioral Sciences.
like many other health disparities, the     drinking is one of the best predictors of
problem -- consuming four drinks at a       later alcohol dependence, the results            e study tested 283 genetically pro-
si ing for women, and ve for men -- is      showed that there was a strong associa-        led alcoholics for the efficacy of on-
more common among those with                tion between alcohol dependence and          dansetron, a serotonin antagonist drug.
higher incomes and be er education.         delayed marriage, as well as early sepa-     Previous research by UVA scientists
                                            ration. It was also found that genetic in-   has found that speci ed variations in
Unhappily Ever A er                           uences contributed to these                the serotonin transporter gene,
                                            associations for both men and women.         SLC6A4, play a signi cant role in in u
                                            According to Waldron, while heritable        encing drinking intensity. Further-
Source: Indiana University School of Edu-
                                            risks appear to be important, additional     more, past UVA research has identi ed
cation
                                            research is needed to be er understand       ondansetron as a likely pharmaceutical
                                            the role of genes and their interplay        target for serotonin-related genes.
   ere has been an abundance of re-
                                            with environmental in uences.                Serotonin is a brain chemical that is in-
search on the associations between
drinking behavior and marital status,                                                    volved in the regulation of pain percep-
                                            While follow-up studies with more di-        tion, sleep, mood and other
but many questions remain regarding
                                            verse samples are also needed, the re-       psychological processes. Studies have
the timing of when an individual gets
                                            sults of this study underscore the fact      shown that serotonin mediates the re-
married and divorced and if there is any
                                            that problem drinking affects more            warding effects of alcohol.
relation to alcohol use. A new study ex-
                                            people than simply the alcoholic.
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   24                                                                                                 e Magazine
             HEADLINES, NEWS, AND VIEWS: ALCOHOL (Continued)

In this latest study, UVA researchers        hyde dehydrogenase, a group of en-
randomized alcoholics by genotype            zymes that metabolize alcohol and are        Source: Health Day
(LL vs. Sx and vs. Gx) in a con-             thus responsible for alcohol tolerance,
trolled, double-blind clinical trial. Sub-   Juan Asenjo, who heads a team of re-         A new study indicates that regular at-
jects received either ondansetron or         searchers at Chile's Faculty of Sciences     tendance at Alcoholics Anonymous
placebo for 11 weeks, and all received       and Mathematics and the private lab          (AA) meetings appears to have a posi-
standard cognitive behavioral therapy.       Recalcine, told the French news agency       tive impact on reducing drinking
A majority of subjects were white            Agence France-Presse.                        among women released from incarcera-
males, and more than 65 percent of                                                        tion. e researchers, led by Yael
subjects completed the study in its en-          e vaccine would work like a cigare e     Chatav Schonbrun, a research fellow in
tirety. e study was funded by the Na-        patch, but would speci cally target liver    psychiatry at Brown University, pro-
tional Institute on Alcohol Abuse and        cells, he told the news service. e idea      vided brief AA interventions to over
Alcoholism (NIAAA) of the National           is to reduce the habit by 90 to 95 per-      200 women at the Rhode Island De-
Institutes of Health (NIH). (View            cent, he said.                               partment of Corrections Adult Correc-
NIAAA press release). Study ndings                                                        tional Institute before and a er their
show that ondansetron is indeed a            According to a press release by the uni-     release. en they followed up with
promising therapeutic agent for the          versity, the vaccine would reduce un-        them at one month, three months, and
treatment of severe alcohol consump-         ease, nausea and accelerated heart rate,     six months.
tion among alcohol-dependent individ-        helping alcohol addicts kick their habit.
uals with the predicted genetic marker -     “ e therapy has been tested in rats          According to the study abstract, the
a marker that's responsible for the          that are genetically alcoholics, and has     women were assessed with the Alcohol
amount of pleasure certain people may        worked successfully to decrease the ad-      Use Disorders Identi cation Test. AA
perceive while drinking or may perceive      diction by 50 percent,” Asenjo said in       meetings were provided to women clas-
as a craving when they stop drinking,        the press release. “In one to two years      si ed as "hazardous drinkers" -- those
Johnson explains.                            we will start testing patients. If the re-   who consumed "4 or more drinks at a
                                             sult in humans is similar to the results     time on at least 3 days in prior 3
" e treatment response among those           we saw in animals, one shot a month          months." Over half the women (54 per-
who received ondansetron was remark-         would be sufficient at the beginning to        cent) said they a ended AA meetings
able," says Johnson. "What this tells us     … help alleviate the addiction.”             during the follow-up period. ose who
is that we have measurable evidence                                                       a ended at least once a week reported
that personalized medicine is indeed a          e announcement comes three                that they drank less o en and suffered
viable treatment for alcohol depend-         months a er researchers at the Univer-       fewer negative alcohol-related conse-
ence.                                        sity of North Carolina at Chapel Hill        quences.
                                             School of Medicine announced they
Alcoholism Vaccine?                          had discovered a gene variant,               My oughts: Hey it works if you work
                                             CYP2E1, that was sensitive to alcohol.       it right!
Source: Chile's Faculty of Sciences and      Another study, published in Proceed-
Mathematics and Recalcine                    ings of the National Academy of Sci-         Spirituality e Key To Success
                                             ences, found evidence that a molecular       (For AA Anyway)
A team of researchers in Chile are           pathway in the brain was a promising
working to come up with a vaccine            new target for the treatment of alco-        Source: Alcoholism Journal
against alcoholism. If successful, the pa-   holism.
tient will get a shot a month and not                                                     According to new research, spirituality
crave alcohol anymore.                                                                    may be a key part of what makes Alco-
                                             AA Helping Female Offenders                   holics Anonymous (AA) effective.
   e genetic therapy is based on alde-       When Released
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    e Magazine                                                                                                             25
HEADLINES, NEWS, AND VIEWS: ALCOHOL (Continued)
Investigators tracked 1,726 adults           strengthening — the risk of becoming          a combination of sugar, salt and fat —
through their recovery from alcohol de-      obese, for people with alcoholics in          that appeal to what are commonly
pendence for 15 months. According to         their family, is higher now than in the       called the reward centers in the brain,"
the study abstract, a ending AA meet-        past, the researchers said. e re-             Grucza said. is effect on the brain’s
ings resulted in "increases in spiritual     searchers said a possible explanation for     reward centers may be what obesity
practices," and spirituality played a part   obesity in those with a family history of     and the addictive behaviors seen in al-
in reduced use of alcohol.                   alcoholism is that some individuals may       coholism have in common. "Alcohol
                                             substitute one addiction for another.         and drugs affect those same parts of the
Lead author John F. Kelly said, "Al-         A er seeing a close relative deal with al-    brain," Grucza said. Because the same
though this is not the only way that AA      cohol problems, a person may shy away         brain structures are being stimulated,
helps individuals recover, I think these     from drinking, but high-calorie, hyper-       overconsumption of unhealthy foods
 ndings support the notion that AA           palatable foods could stimulate the re-       might be greater in people with a pre-
works in part by enhancing spiritual         ward centers in their brains, and give        disposition to addiction.
practices." Kelly directs the Center for     them effects similar to what they might
Addiction Medicine at Massachuse s           experience from alcohol, the re-              Already In 2011: Hospitals Hit
General Hospital and is an associate         searchers said.                               Hard With Underage Drinkers
professor of psychiatry at Harvard
Medical School.                              "Ironically, people with alcoholism tend      Source: Fox News
                                             not to be obese," said study researcher
He added, "We have also found that AA        Richard A. Grucza, an assistant profes-       Hospital emergency visits due to un-
participation leads to recovery by help-     sor of psychiatry at Washington Uni-          derage drinking jumped on New Year's
ing members change their social net-         versity School of Medicine in St. Louis.      day.
work and by enhancing individuals'           " ey tend to be malnourished, or at
recovery coping skills, motivation for       least under-nourished because many            According to the latest statistics, there
continued abstinence, and by reducing        replace their food intake with alcohol."      were an estimated 1,980 visits to emer-
depression and increasing psychologi-        Further, the study showed men and             gency rooms in the United States on
cal well-being."                             women with a family history of alco-          January 1, 2009 related to underage
                                             holism were more likely to be obese in        drinking, nearly four times the 546 such
   e study, "Spirituality in Recovery: A     2002 than members of that same high-          visits on an average day that year. We’ll
Lagged Mediational Analysis of Alco-         risk group had been in 1992.                  see how 2011 compared when the
holics Anonymous' Principal eoreti-                                                        numbers are released.
cal Mechanism of Behavior Change,"               e rise in this risk over one decade in-
will appear in print in the journal's        dicates that some change in the envi-         " at's a big jump," said Frances Hard-
March 2011 issue.                            ronment, rather than in people’s genes,       ing, director of the Center for Mental
                                             is at work, Grucza said. Grucza said the      Health Services at the Substance Abuse
Alcohol Craving And Obesity (         e      environmental changes at work may be          and Mental Health Services Adminis-
Connection)                                  in the food we eat, and the fact that         tration, or SAMHSA, whose depart-
                                             more of the foods that are available to       ment released the study.
Source: msnbc                                us interact with the same brain areas as
                                             addictive drugs.                              Emergency visits involving underage
People with a family history of alco-                                                      drinking around New Year's Eve ex-
holism, especially women, have an ele-       "Much of what we eat nowadays con-            ceeded those of two other popular U.S.
vated risk of also becoming obese,           tains more calories than the food we ate      holidays -- Memorial Day weekend and
according to a new study. And the link       in the 1970s and 1980s, but it also con-      the Fourth of July weekend.
between the two appears to be                tains the sorts of calories — particularly
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   26                                                                                                e Magazine
            HEADLINES, NEWS, AND VIEWS: ALCOHOL (Continued)

    e data was collected by the Drug         National Women’s Law Center and             more days abstinent than those with
Abuse Warning Network, a public              Oregon Science & Health University,         the same genotype who got the
health surveillance system that moni-          nds that overall, women’s health gets     placebo. Subjects with other forms of
tors drug-related hospital emergency         an “unsatisfactory” rating — only one       the 5-H genotype did not appear to
room visits. New Year's holiday is espe-     step above failing. No state gets the top   bene t.
cially risky because teenagers and           “satisfactory” rating and only two —
young adults under the legal drinking        Massachuse s and Vermont — get the             e 5-H gene plays a role in the
age of 21 may drink more during this         second-highest, “satisfactory minus.”       brain's serotonin system. Some varia-
holiday than other times of the year.        Put it this way: if the nation had par-     tions of it can, according to the L.A.
Holidays generally involve greater ac-       ents, this report card would be worth       Times, "increase the risk of psychiatric
cess to alcohol and lax parental over-       hiding from them. is report incorpo-        disorders, such as depression, anxiety,
sight, the report said."Parents need to      rates some of the Healthy People 2010       obsessive-compulsive disorder and ad-
be very clear in giving their children       indicators and adds others to the           diction." Ondasetron works by block-
under the age of 21 the message that it's    mix. ere’s not much change since the        ing serotonin.
not acceptable for them to be drinking,"     last such assessment, from 2007. But
Harding said in a telephone interview.       there is a disturbing new F mark, for       Kids Cope By Drinking
"It's against the law because it's danger-   binge drinking, the NWLC says. e
ous. It is hard for young people to hear     percentage of women who report hav-         Source: Radboud University
but it is true."Each year, she said, there   ing ve or more drinks on at least one
are more than 5,000 deaths in the            occasion during the past month rose to      New research shows that heavy drink-
United States related to underage            10.6 percent from 7.3 percent in 2007.      ing among adolescents to alleviate neg-
drinking.                                                                                ative feelings may have a genetic
                                             What Does Cancer And Alco-                  component. A new study explored the
My oughts: I’m all for raising aware-        holism Have In Common?                      relationship of drinking to remove or
ness but not just on or around one time                                                  supress negative emotions (known as
of the year, those 5,000 deaths weren’t      Source: L.A. Times                          drinking to cope) with two different
all on one day. is is a 7 day a week,                                                    genes: DRD2 and SLC6A4 ese re-
365 day a year issue and needs to be ad-     New research suggests that an anti-nau-     sults indicate that binge drinking and
dressed that way!                            sea drug approved for ghting the ef-        alcohol-related problems were strongly
                                             fects of chemotherapy may help some         associated with drinking to cope and
Binge Drinking Problematic                   alcoholics -- particularly those with a     the presence of DRD2.
For Women                                    certain genetic variation -- cut back on
                                             their drinking. Researchers randomized      Drinking is a popular pastime for most
Source: Fox News.com                         283 adults dependent on alcohol in an       adolescents, but when copious
                                             11-week controlled, double-blind ex-        amounts of alcohol are consumed
As a nation, we’re not doing so well in      perimental trial. All participants re-      (known as binging) on a regular basis,
reaching the goals included in Healthy       ceived cognitive-behavioral therapy         it could be indicative of a deeper prob-
People 2010, the every-decade govern-        and either a placebo or a medication,       lem. erefore, researchers in the
mental assessment of different health         ondansetron (Zofran), twice a day.          Netherlands set out to answer two
measures. And drilling down into                ose with a speci c genotype know as      questions: Why do some adolescents
women’s health, things aren’t great ei-      5-H LL who were given on-                   engage in binging so frequently, and is
ther, according to a new report. e re-       dansetron drank on average 1.62 fewer       there a possible genetic component?
port card, which is produced by the          drinks per day and spent 11.27 percent
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    e Magazine                                                                                                                        27
HEADLINES, NEWS, AND VIEWS: ALCOHOL (Continued)
Carmen S. van der Zwaluw, senior author           replicated to show that it was correct and      ondary school. "Given that personality
of the study and PhD candidate at Rad-            not just an anomaly.                            traits are present from childhood, what we
boud University in the Netherlands, said                                                          do is to study these characteristics at the
that this study is the rst to examine the         "[ e next step] would be examining              age of 12, when he or she has sufficient ca-
possible association between different             whether other genetic variants increase the     pacity to answer personality question-
genes, coping drinking, and risky alcohol         risk for drinking problems, and if this risk    naires, and alcohol consumption is still
use in adolescents. "Other studies have           can be decreased by learning other coping       very minor." e different reports made in
shown that alcohol use, and especially risky      styles to handle the problems."                 Spain put the start of alcohol consumption
alcohol use, is partly heritable," said van der                                                   between 13 and 14 years. Its main trigger-
Zwaluw. " ese studies did not show, how-          Alcoholism: A Personality                       ing factor is the in uence o friends. e
ever, which speci c genes are involved in                                                         group continued the study on psychologi-
                                                  Trait?
the genetic predisposition for risky alcohol                                                      cal and social variables of these same
use. us, one of the things that alcohol re-                                                       teenagers during four years. ey found
searchers are now trying to clarify is which      Source: Universitat Jaume I                     that "if we study personality and other psy-
genes make up the genetic vulnerability for                                                       chological and social variables, at the age of
alcohol (mis)use."                                    e personality traits of a child under 12    12 we can signi cantly predict alcohol con-
                                                  years can predict his or her predisposition     sumption at the age of 16".
   e researchers examined 282 Dutch ado-          to alcohol abuse in later years. is scien-
lescents that had consumed alcohol at least       ti c breakthrough allows the development           ese ndings have been corroborated by
once during their lives, collected DNA            of more effective programs and prevention        another transversal study, carried out with
samples and administered questionnaires           campaigns because it takes into account         college students, and two cross-cultural
to determine their reasons for drinking and       the psychological characteristics of the        projects carried out in collaboration with
the intensity of alcohol-related problems         most vulnerable people. More extroverted        Scotland and Canada. e most innovative
that they had experienced.                        people, novelty seekers, with a low respon-     line of research is the study of genetic vari-
                                                  sibility (uninhibited personality) and im-      ables, explains Ortet. In these tasks, re-
For the DNA analysis, variations in two dif-      pulsive people are more exposed to alcohol      searchers at the UJI collaborate with
ferent genes were examined: the dopamine          abuse, always depending on other variables      biologists from the Universitat de
D2 receptor gene (DRD2) that is involved          such as its combination with other person-      Barcelona. In the aforementioned cross-
in the reward pathway, and the serotonin          ality traits or with the social context.        sectional study with 500 college students,
transporter gene (SLC6A4), which plays a                                                          personality and other variables, such as
role in emotional states. e results                  e chair professor of Psychology of Per-      psychological, social and biological dimen-
showed that the risk allele of the DRD2           sonality, Generós Ortet, points out that        sions, were included. "We know that per-
variation, and not in the SLC6A4 gene, im-        "these personality traits in themselves are     sonality has an hereditary component. e
plicates a genetic vulnerability for both         neither good nor bad; it depends on their       genetic in uence on the way we are is
binge drinking and alcohol-related prob-          combinations, but knowing these variables       about 50%," says Ortet. From these investi-
lems that may only appear if they drink to        allows us to foresee many different areas."      gations we can deduce that there are genes
suppress or eliminate negative emotions.          He also highlights that "if we can detect the   associated with both alcoholism and per-
"I am thrilled about the gene-environment         pa erns in which the problem, alcohol           sonality characteristics which are linked to
interaction that was found in this study in-      consumption, appears, we can issue pre-         alcohol consumption, for example, genes
dicating that the relation between coping         vention campaigns aimed at these people         linked to dopamine transmission associ-
motives and alcohol consumption was               in greater risk situations". To get to know     ated with a greater possibility of being a
stronger among the DRD2 risk allele carri-        these pa erns, the research group coordi-       novelty seeker (uninhibited personality)
ers," said Helle Larsen, a PhD candidate at       nated by him has developed several studies      and also of suffering some type of alcohol
the Behavioural Science Institute, Rad-           which have been nanced by Bancaja, the          disorders. us, the link between personal-
boud University. " is relation should de -        Spanish Ministry of Education and Science       ity and alcohol consumption also has a bio-
nitely be investigated more thoroughly in         and the National Drug Plan.                     logical basis, not only environmental and
future research."                                                                                 learning variables.
                                                  In 2003, researchers at the UJI launched a
Van der Zwaluw agrees that since the re-          prospective longitudinal study with a sam-
search is the rst of its kind, it must be         ple of about 500 teenagers from the sec-
                                                                                                  INSIDE ADDICTION

                     FROM SMOKING CRACK TO GIVING BACK
   28                                                                                                 e Magazine


We recently sat down with Ann D., a re-     eighth grade. We stole wine from my
covering alcoholic and addict, on her 14    mother and drank it on the way to the
year anniversary as she re ected over the   dance. I didn’t get drunk but I suddenly
past few 24’s and shared her experience,    became the cool kid. Even before that,
strength, and hope. At one point, she       about six months prior, I remember
thought she wouldn’t and couldn’t gradu-    there was a keg party and I didn’t go. I
ate om high school. Now she is a teacher    was so disappointed I didn’t go. I had to
to many.                                    do something else with my family.
                                            Looking back now, this was the rst
IA: Fourteen years! Quite an accom-         sign for me- even before I picked up my
plishment! Congratulations! at’s a            rst drink.
lot of “one day at a times.” Days [turn]

                                                                                                           ANN
into weeks, into months, and into years.    IA: So you started drinking?
Take us back to the beginning. How
was it growing up?                          ANN: In the ninth grade I was cheer-         ANN: I went to a local college, moved
                                            leading and hanging out with older kids      into the dorms, never opened my
ANN: I am the youngest of four chil-        and I wanted to drink more. By the           books, got called into the Dean’s office
dren and moved to a small town in the       10th grade I was drinking [beer] every       and le shortly a er moving back in
second grade. My dad is retired from        weekend on the back roads. I started to      with my parents. I got a job at a grocery
the Navy and we moved around a lot          want to drink more than weekends             store where I ended up drinking every
when I was growing up. Both my par-         shortly a er. at was also the year I         day. At 18 years old I was hanging out
ents were from a small town and de-         tried marijuana, which also became on        in bars and was introduced to cocaine. I
cided they wanted to move back [to          a regular basis. By the 11th grade I was     loved it. It was the beginning of the end.
that town].                                 going to school high, ge ing high dur-       I met a guy and three months later I
                                            ing school and that was the norm for         ended up ge ing pregnant and married
IA: How was school?                         me.                                          by 19.
                                              “ I hadn’t used in nine
ANN: School was tough for me. I had a                                                    IA: is is when you had your rst
low self-esteem. School was a struggle        months and thought I                       child?
for me. I felt like I couldn’t achieve. I    deserved to. Four months
had difficulty in math and was in a spe-                                                   ANN: And eight days later I went out
cial class. In eighth grade, I became a
                                            later I’m pregnant again.”                   drinking. My daughter was eight days
cheerleader and that’s how I t in. I was    IA: What was this doing for you?             old. I hadn’t used in nine months and
a real social person but academically, it                                                thought I deserved to. Four months
wasn’t my thing. I even unked gym           ANN: It made me feel a part of               later I’m pregnant again.
class. I barely made it through school      [things]. By the 12th grade my drinking
with two visits to summer school- [the      had become a need. I drank during the        IA: At this point, how’s life?
summers of] 10th to 11th grade and          week. At this point it was not just on the
11th to 12th grade.                         weekend anymore. I had a fake ID and I       ANN: I was 21 with two children. I
                                            did whatever I had to do. My friends         stayed married for ten years and at that
IA: When did you rst use [alcohol or        were ge ing ready for college and I had      point my addiction really progressed.
drugs]?                                     nothing planned.                                ere was domestic violence; I drank to
                                                                                         cope with it. By the time my kids were
ANN: e rst thing I used was alco-           IA: What did you do next?                    in kindergarten and the second grade I
hol. I was 13 years old. It was a school                                                 began using cocaine all the time. I
dance. It was the last dance of the                                                      started to feel desperate.
  INSIDE ADDICTION
      e Magazine                                                                                                           29

IA: What sticks out in your mind about       pearing. I weighed 90 pounds. My hair        something different. I wanted to be a
that time in your life?                      was falling out. My eyes were sunk in        be er mom.
                                             but I thought I looked good. at’s the
ANN: I remember my kids were at a            lie addiction tells you. I thought when I    IA: What has recovery taught or shown
school skating party. I totally forgot to    run out of money I’ll stop. I ran out of     you?
pick them up. I remember another time        money but didn’t stop hating myself
my kids were young and my daughter           the entire time doing what I had to do       ANN: It’s amazing. I didn’t think I
couldn’t wake me up. So being hungry,        to get high.                                 would have graduated from high
she tried to heat up chicken nuggets on                                                   school. I went back to school and n-
our furnace. e more things hap-              IA: At what point did you know you           ished a ve year degree in four. I was
pened, the more I felt guilt. My kids        needed help?                                 able to regain custody of my two kids.
were in the fourth and h grades when                                                      I’m a grandmother! e best part has
I got my rst DWI and I was a teacher’s       ANN: I knew I needed help when I just        been that I was taught to reach outside
aide at their school. It was the night be-   couldn’t function. I didn’t go to work       my comfort zone and go to any lengths
fore the rst day of school. What parent      for a week. I couldn’t eat. My brother       to achieve whatever I want. I don’t run
is out drinking the night before the rst     had gone to rehab a year earlier and I       away from my past anymore. Recovery
day of school? at was what addiction         went to my parents and told them I           makes life be er. ere is hope. e
did to me. It was on the news [and] in       needed help too. I went to rehab for 28      longer I’m in recovery, the be er my
the paper. I was embarrassed but it did-     days, got out and relapsed a er three        life gets!
n’t stop me.                                 weeks. I met another man. I moved to
                                             another state and my ex-husband
IA: You kept using?                          wouldn’t let me take my kids. I used this

                                                                                          Note: Ann is now a Clinical Su-
                                             as another excuse and continued to use

                                                                                          pervisor in a 20 bed inpatient
ANN: Yeah. Drinking and cocaine              for another year and got arrested again.

                                                                                          rehab in western New York,
went hand in hand for me. At this point      My mother, at that point, said to me, “I

                                                                                          helping others find their way as
I was 30 years old and tried crack. I        hope you never have to watch one of

                                                                                          she found hers. Unfortunately,
couldn’t take care of myself or my two       your kids die in front of your eyes.” I

                                                                                          her one brother recently died at
children so I le my husband and              had become a person I didn’t recognize.

                                                                                          age 58 as a result of the dis-
moved in with my parents. I thought I’d      I ended up going to another rehab and

                                                                                          ease of alcoholism. Her other
get be er but I only got worse. I was        decided this is it! Alcohol and drugs

                                                                                          brother recently celebrated 16
smoking $100 [a day worth] of crack.         were my problem. It took me a long

                                                                                          years sober!
Instead of buying clothes and food for       time to realize that. I went to outpatient
my kids, I bought crack. I started disap-    for a year a er rehab. I knew I needed
                     INSIDE ADDICTION
30                       e Magazine




ADDICTION IS THE
  ONLY DISEASE
 THAT CAN MAKE
YOU BELIEVE YOU
DON’T HAVE IT SO
DON’T FORGET IT!
       visit www.insideaddiction.org
 INSIDE ADDICTION
     e Magazine                                                                                                            31
                    HEADLINES, NEWS, AND VIEWS: NICOTINE
FREE Cigare es For Black Kids                                                             tion against le ing people smoke in cars
                                             He may have avoided being caught on          with children. An analysis was con-
Source: MSN                                  camera in the act, but President Obama       ducted to se le the ma er of risk to
                                             has publicly acknowledged his struggle       children when in a car with second-
A jury has ruled the Lorillard Tobacco       to quit smoking. So when the Surgeon         hand smoke. e authors of the study
Co. tried to entice black children to be-    General's 30th tobacco-related report        also wanted to show that although
come smokers by handing out free ciga-       was released this morning, it was a good     smoking in cars is not 23 times more
re es and has awarded $71 million in         bet that White House Press Secretary         toxic in a car than in a home it can still
compensatory damages to the estate           Robert Gibbs would be asked about the        be very harmful to children.
and son of a woman who died of lung          issue.
cancer. Willie Evans alleged Lorillard in-                                                "We hope to show that, though the rele-
troduced his mother, Marie Evans, to         "I have not seen or witnessed evidence       vant data are rich and complex, a simple
smoking as a child in the 1950s by giv-      of any smoking in probably nine              conclusion is possible," writes Dr. Ray
ing her free Newport cigare es at the        months," Gibbs said today when asked         Pawson, School of Sociology and Social
Orchard Park housing project in              how hard the president had been work-        Policy, University of Leeds, United
Boston, where she lived. He said his         ing to stop the deadly habit. " is is not    Kingdom with coauthors. " e evidence
mother smoked for more than 40 years         something that he's proud of. He knows       does not show an absolute risk thresh-
before dying of lung cancer at age 54.       that it's not good for him. He knows         old because a range of environmental,
   e jury awarded Marie Evans' estate        that it's -- he doesn't like children to     biological and social factors contribute
$50 million in compensatory damages          know about it, obviously, including his.     to the risk equation. e evidence does,
and gave her son $21 million.                I think he has worked extremely hard."       however, show conditional truths, and
                                             Today's Surgeon General's report, enti-      the careful enunciation of each contrib-
A hearing on punitive damages is yet to      tled "How Tobacco Smoke Causes Dis-          utory condition is the task of public
come. e lawsuit was believed to be           ease: e Biology and Behavioral Basis         health science."
the rst in the country to accuse a ciga-     for Smoking-A ributable Disease,"
re e-maker of targeting black children       notes that there is no safe level of expo-   While trying to determine the risks in-
by giving away cigare es in urban            sure to tobacco smoke, that second-          volved, the authors rst looked at the
neighborhoods, said Edward A. Sweda,         hand tobacco smoke can cause vascular        mixture of chemicals that make up sec-
senior a orney for the Tobacco Prod-         problems linked to heart a acks and          ond-hand smoke and its concentration
uct Liability Project at Boston's North-     strokes, and that the danger from to-        in cars under different conditions such
eastern University School of Law. He         bacco smoke is immediate.                    as volume, speed and ventilation. Sec-
said the jury's decision is "quite signi -                                                ond, they looked at how long a person
cant and groundbreaking here in Mas-         Gibbs said he believed the president         would be in the car. ird, they ob-
sachuse s for a plaintiff in a tobacco        continued to chew nicotine replace-          served how long a person would be ex-
case."                                       ment gum to curb his cravings.               posed to the second-hand smoke.
                                                                                          Fourth, the extent of difference between
Sweda predicted it could lead to similar     More Research On Second-                     how second-hand smoke affects chil-
lawsuits around the country by people        Hand Smoke                                   dren compared to adults was added to
who also recall ge ing free cigare es as                                                  the risk equation and nally, the authors
children.                                    Source: Canadian Medical Association         looked at the health impact, which is
                                             Journal                                      hard to determine because of all the dif-
President Obama Quits Smoking                                                             ferent chemicals and toxins a person is
                                             While the evidence is incomplete there       exposed to in their lifetime.
Source: NBC                                  is enough available to support legisla-
                                                                                                    INSIDE ADDICTION
    32                                                                                                  e Magazine
              HEADLINES, NEWS, AND VIEWS: NICOTINE (Continued)

"Policy based on science and evidence         did not disclose their habit on a health
has to exist amid uncertainty and this is     questionnaire.How did they catch the         Source: Aol Health
managed by acknowledging the contin-          deception? ey took blood samples
gencies," write the authors. " us, i) be-     from the women to measure levels of             e city's campaign to scare smokers
cause of the con rmed cabin space, and        cotinine -- a byproduct of nicotine that     with grotesque images of decaying teeth
ii) under the worst ventilation condi-        serves as a marker of exposure to to-        or a diseased lung wherever tobacco
tions, and iii) in terms of peak contami-     bacco smoke. eir analysis included           products are sold was struck down
nation, the evidence permits us to say        994 pregnant women and 3,203 non-            Wednesday by a federal judge who con-
that smoking in cars generates ne par-        pregnant women.                              cluded that only the federal government
ticulate concentrations that are, iv) very                                                 can dictate warnings that must accom-
rarely experienced in the realm of air-       Overall, 13 percent of pregnant women        pany the promotion of cigare es. U.S.
quality studies, and that will thus consti-   and 30 percent of nonpregnant women          District Judge Jed S. Rakoff handed a
tute a signi cant health risk because, v)     were active cigare e smokers. e preg-        victory to the nation's three largest to-
exposure to smoking in cars is still com-     nant smokers smoked an average of 11         bacco manufacturers and the retailers
monplace , and vi) children are particu-      cigare es a day, while the nonpregnant       who sell their products when he ruled
larly susceptible and vii) are open to        smokers averaged close to 14 cigare es       on the legality of a 2009 city Board of
further contamination if their parents        a day.According to the investigators, far    Health code change requiring the dis-
are smokers."                                 more pregnant than nonpregnant               play of smoking cessation signs where
                                              smokers failed to disclose their habit -     tobacco products are sold.
   e authors conclude that there is           23 percent versus nine percent - and
enough evidence to make a valid deci-         were identi ed by their cotinine con-        "Even merchants of morbidity are enti-
sion to legislate against smoking in cars     centrations.                                 tled to the full protection of the law, for
with children.                                                                             our sake as well as theirs," Rakoff said.
                                              For a variety of reasons, such as the fact   He released the wri en decision just
A en: Smokers, STOP Lying                     that pregnant women's bodies break           days before an agreement among the
It’s ONLY To Yourself                         down cotinine faster, the researchers        parties to delay enforcement of the rule
                                              think the results "likely underestimate"     was to expire on Saturday.He said the
Source: Reuters Health                        the true number of pregnant women            federal Labeling Act, rst enacted in
                                              who smoke and don't say so. Among            1965, sought to balance public and
Overall, about one in four women who          both pregnant and nonpregnant smok-          commercial interests with a compre-
smoke while pregnant deny it, a new           ers, those most likely to keep this infor-   hensive federal program to deal with
study hints. e numbers could be even          mation to themselves were women aged         cigare e labeling and advertising. He
higher in certain groups of women, like       20 to 24, as well as those with Medicaid     said it was created in part to prevent "di-
those in their early 20s. In the United       or other source of government-funded         verse, nonuniform and confusing ciga-
States, smoking by moms-to-be is one          health insurance and those with less         re e labeling and advertising
of the most common preventable                than a high school education.                regulations." Part of the law dictated
causes of illness and death among in-                                                      that no state law could impose a re-
fants, Dr. Patricia Dietz from the divi-      My oughts: Goes back to what some-           quirement or prohibition with respect
sion of reproductive health at the            one once told me, "If you have to hide it    to advertising or promotion of ciga-
Centers for Disease Control and Pre-          or lie about it you probably shouldn’t be    re es, he noted. e city also banned
vention in Atlanta, and colleagues note       doing it.                                    smoking in indoor workspaces, in-
in their report.In their study, they esti-                                                 creased cigare e taxes, initiated educa-
mated how many pregnant and non-              Anti-Tobacco In          e News              tional campaigns and promoted
pregnant smokers aged 20 to 44 years          (And Courts)                                 smoking cessation programs.
 INSIDE ADDICTION
     e Magazine                                                                                                          33
HEADLINES, NEWS, AND VIEWS: NICOTINE (Continued)
As part of his ruling, Rakoff included       to think about.                             thickening or development of the tis-
some of the statistics that encouraged                                                  sues that the vessels are supposed to be
the city to enact the regulation: that      A ention Smokers: Cigare es                 supplying with blood."He said the nico-
one-third of smokers die of tobacco-re-     Are inning Your Brain!                      tine and chemicals in cigare e smoke
lated diseases and roughly 7,500 people                                                 are what cause capillaries and other
die in New York City from smoking an-       Source: Biological Psychiatry Journal       blood vessels to tighten, slowing or even
nually -- "more than from AIDS, homi-                                                   stopping blood from passing through
cide and suicide combined."                 As if there aren't already enough rea-      them altogether." is is another exam-
As part of the campaign, the Depart-        sons not to light up, a new study has       ple of why smoking is one of the worst
ment of Health designed three signs for     found that smoking cigare es can thin       things you can do for your health over-
tobacco retailers to display. e judge       your brain.                                 all," Horovitz said.
said they contained "graphic, even grue-
some images" of a stroke-damaged            Researchers compared the thickness of       Researchers said their ndings also may
brain, a decaying tooth and gums and a      the cerebral cortex in volunteers who       point to the reasons behind nicotine ad-
diseased lung along with the phrase         smoked and in those who never               diction.
"Quit Smoking Today - For Help, Call        smoked. None of the participants had a
311 Nicholas Ciappe a, a city a orney       history of mental or psychiatric illness.      e orbitofrontal cortex has already
who handled the case, said the city was        e ndings, published in the journal       been associated with drug addiction.
"disappointed that this important health    Biological Psychiatry, showed that             e study authors say that their ndings
initiative was rejected by the court."      smokers had thinning in the le medial       suggest cortical thinning due to smok-
"We are studying the decision and con-      orbitofrontal cortex, while the non-        ing could raise the risk of addiction, in-
sidering our legal options," he             smokers did not.                            cluding one to nicotine.
said.Floyd Abrams, a lawyer who repre-
sented store owners, said the ruling will   Furthermore, the cortex was thinner in      "Since the brain region in which we
come as a relief to retailers who had       heavier smokers: those who smoked           found the smoking-associated thinning
agreed to post the advertisements even      more cigare es a day and had had more       has been related to impulse control, re-
though they were not yet required to do     exposure to tobacco smoke during their      ward processing and decision making,
so.He said the store owners lost some       lives. Subjects who smoked fewer ciga-      this might explain how nicotine addic-
business from even nonsmokers who           re es with less overall exposure to         tion comes about," lead author Dr. Si-
"didn't want to look at disgusting im-      smoke had thicker cortexes.                 mone Kühn said in a statement. "In a
ages" as they tried to buy candy bars,                                                  follow-up study, we plan to explore the
cookies and other items.Abrams said            e cortex controls memory, language       rehabilitative effects of qui ing smoking
the city could legally put anti-smoking     and the ability to process information. A   on the brain."
advertisements around the city but          diminished cortical thickness has been
could not force the messages on store       linked not only to aging but to an im-      " e current ndings suggest that
owners.                                     pairment of cognitive functions.            smoking may have a cumulative effect
                                                                                        on the brain," Dr. John Krystal, the edi-
My oughts: Curious if the judge or          "All of this makes sense because smok-      tor of Biological Psychiatry and profes-
a orneys in this case are smokers or if     ing constricts blood vessels, and that      sor and chair of psychiatry at Yale
any of them had the experience of           means low blood ow," Lenox Hill Hos-        University, said in a statement. " is
watching one of their loved one’s die       pital pulmonologist Dr. Len Horovitz        concerning nding highlights the im-
the slow painful death of lung or any of    told AOL Health. "It follows perfectly      portance of targeting young smokers for
the other cancers associated with nico-     that something that is a chronic pro-       antismoking interventions."
tine dependence. Would this have af-        ducer of low blood ow, cigare e smok-
fected their ruling, interesting thought    ing, would not allow adequate
                                                                                                              INSIDE ADDICTION
    34                                                                                                            e Magazine

             FROM 2 PACKS A DAY TO 22 YEARS TOBACCO-FREE
Everyone knows smoking is bad for your            said not to smoke but everyone was doing
health. Most smokers deep down inside wish        it. It was the 60’s.
they never started. e nancial and physical
costs of tobacco addiction continue to rise. We   IA: At age 15, you had been smoking for
recently sat down with David H. who shared        three years now. How much were you
his story of “kicking bu ” a er smoking for 26    smoking a day?
years and how his life has changed.
                                                  DAVID: By time I was 15 years old, I was
IA: Twenty-two years tobacco-free! Con-           smoking a pack a day. I started rolling my
gratulations! Take us back to the beginning.      own Bugle Boys (cigare e tobacco). Smok-
Where did you grow up? How did you start          ing was symbolic, a rite of passage, and a
smoking?                                          sign of growing up.

DAVID: I grew up in a small rural commu-          IA: So your smoking progressed to how                                 David
nity in northern Rensselaer County in up-         much?                                             aunt and being so young is what really af-
state NY called Johnsonville. I had three                                                           fected me.
sisters and one brother. ey all smoked.           DAVID: At one point it got to two packs a
My step-father smoked.                            day.                                              IA: How did you do quit?
                                                                                                    DAVID: I quit cold turkey. I’d simply wait a
IA: So you were surrounded by it?                 IA: When did you decide to quit?                  half hour if I wanted a cigare e and usually
                                                                                                    a er 10 minutes the craving le me. I’d
DAVID: My mother was the only one who             DAVID: I tried to and actually quit dozens        have dreams about smoking here and there
didn’t smoke.                                     of times. When packs increased in price and       but a er about a month I completely lost
                                                  a er high school people started to “not like      the desire to smoke and threw out my last
IA: How old were you the rst time you             it.” It was slowly becoming socially unac-        pack. I ate a lot of sour hard candy.
smoked?                                           ceptable.
                                                                                                    IA: Anything you remember about that
DAVID: e rst cigare e I ever smoked               IA: Why did you smoke?                            time in your life? Any difficulties?
was when I was 12 years old. Everybody at
that time was smoking. It was a pack of           DAVID: I smoked to relax and it was always        DAVID: People said I was irritable at rst.
KOOL’s and cost 30 cents. ey would sell           when I drank also. Drink smoke, smoke               e biggest thing is I started tasting food
cigare es and beer to anybody. ey were            drink. ey went hand in hand. Get up in            again.
easy to get.                                      the morning have a cigare e. A er dinner,
                                                  when I was socializing, looking back now it       IA: What advice would you give others?
IA: How did you pay for cigare es at 12           wasn’t until a er I quit that I truly under-
years old?                                        stood it is an addiction. I had shortness of      DAVID: Don’t start in the rst place if you
                                                  breath for years but blamed it on other           haven’t. If you have do whatever it takes, get
DAVID: I mowed lawns and shoveled snow            things. (David was an automobile painter.)        off them. Food tastes be er and since I quit
in the winter. I worked on a farm and sold                                                          smoking I’ve saved over $160,000. I’ve
[greeting] cards door to door. I always had       IA: How did you ultimately quit? What             gone on vacation and traveled throughout
money.                                            made you want to a er 26 years?                   Europe and across the United States. I’ve
                                                                                                    been able to by a second house.
IA: Did your parents know you were smok-          DAVID: In 1989 my Aunt Liz died from
ing at that time?                                 cancer in her early 40’s. I saw her in the hos-   IA: What could make you want to or actu-
                                                  pital the day before she died. at was a           ally smoke again?
DAVID: [ ey did] when I started ge ing            moment of clarity. She died in February. A
thrown out of school. At age 15 I got ex-         few months later, I got up May 5, 1989, and       DAVID: NOTHING!
pelled for smoking in the boy’s room and          decided I’m not going to do this anymore! I
my parents found out. Of course everybody         knew other people who had died but my
 INSIDE ADDICTION

                                                 HOWARD’S STORY
     e Magazine                                                                                                                     35

From shooting heroin in one country to an-       years.
other to becoming the director of a substance
abuse treatment facility in New York City, we    IA: How many times did you try to stop?
recently talked with Howard J. and heard his
story.                                           HOWARD: It brought me to my knees
~From being a hopeless dope end to a dope-       many, many times. I a empted to stop. I’d
less hope end.                                   stop then and relapse in and out of hospitals
                                                 detoxing. ere wasn’t a lot of treatment
HOWARD: I grew up in the Bronx, NY, in           back then. I’d sign myself in and a er two
a middle-class environment. My parent            days I’d sign myself out [of detox].
were both immigrants who came to the
United States and wanted a be er life. ey        IA: What were some of the things you re-
thought the streets were paved with gold         member from that time in your life?
and it was the land of opportunity.
                                                 HOWARD: I was arrested at least a half
                                                                                                                Howard
IA: So how was it growing up?                    dozen times. I was in my late 20’s and I was
                                                 hopeless. I didn’t think I could change. I
HOWARD: Most of the people I grew up             was looking at prison time so I decided to
with came from similar backgrounds. We           leave the country. I went to England and        HOWARD: I have a good network. I’ve
played a lot of sports. We got older. We         got prescribed heroin from a doctor.            learned how to reduce stress through medi-
dated girls but the real value was on educa-                                                     tation. I’m no longer reactive. I look at my
tion.                                            IA: How’d that work out?                        options now.

IA: Which meant what for you?                    HOWARD: I thought that I could manage           IA: What’s the best part of recovery?
                                                 but it became out of hand for me. I sought
HOWARD: Graduate from high school                more drugs and got arrested again. is           HOWARD: I’ve been sober for 40 years. I
and go to college. I stayed for awhile then      time I got deported back to New York. I         was in the full madness of addiction. I have
dropped out and joined the Army. is part         had my drugs but I still couldn’t manage.       come to understand self-destructive behav-
of my life had absolutely no drug use.                                                           ior is based on a belief system that you
                                                 IA: You came back to New York?                  don’t like yourself. I like myself today. I
IA: So when did the drug use start?                                                              have changed and have changed the way I
                                                 HOWARD: I entered [Odyssey House],              think and feel. I have no need to medicate
HOWARD: When I went back to college              another treatment facility. I got hope and      feelings now.
and graduated, I got into the party scene. I     got the opportunity to talk about my feel-
was a musician in the jazz scene at Birdland     ings and dreams there.                          IA: What message do you have for addicts
and at the Latin dance scene at the Palla-                                                       or their loved ones?
dium. It took about a year or so and I saw       IA: How has your life changed?
people were wearing masks. ey were not                                                           HOWARD: People suffer from depression
as happy as they looked. Someone in the          HOWARD: I’m a responsible person. Re-           and faulty belief systems. We can no longer
crowd had heroin. I had tried pot and            covery is more than just being sober. I         punish addicts for being addicted. We need
mescaline in the past. I gured I’d do it one                                                     to treat them, not lock them up or push
time.                                            had a serious addiction to heroin. I would      them away. People who use drugs and alco-
                                                 shoot up 10-15 times a day. I don’t do          hol are in pain. Don’t give up hope. You can
IA: How was it?                                                                                    nd your way out. Keep trying. Keep mak-
                                                 that today. ere are many doors to recov-        ing a empts. If change is to happen it has to
HOWARD: I fell in love with it. No doubt         ery. It takes many paths. I give back.          come from the individual. Families can only
about it. e rst time I used I fell in love                                                       offer support and get help for themselves.
with it. I wasn’t hooked but I was in love. It   IA: What keeps you going?                       Recovery takes change on everyone’s part.
took me to a blissful place. It lled a void.                                                     It’s a lot of work. You need to be commit-
A er a few hours of the rst use I wanted                                                         ted. Millions of us have recovered. You can
more and continued for the next seven                                                            too.
THINK POSITIVE

 BE POSITIVE

STAY POSITIVE
    visit www.youtube.com/insideaddiction
 INSIDE ADDICTION
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                                        OTHER NEWS AND VIEWS
     e Magazine


Stigma Keeps Us Stuck                          vere alcohol disorders had a greater like-      e effects of ge ing high in the teen
                                               lihood to seek treatment. Overall, per-      brain are longer-lasting than in the
Source: Columbia University                    ceived stigma was signi cantly higher        adults, she said. Even several days later,
                                               for those with lower personal income,        cannabis can stay in the teen's system,
Despite the existence of effective pro-         lower education, and individuals previ-      affecting the building blocks of learning
grams for treating alcohol dependencies        ously married compared to those who          and memory. at's because there are
and disorders, less than a quarter of peo-     had never married.                           likely more receptors for the drug to
ple who are diagnosed actually seek                                                         bind to in the teen brain than in the
treatment. In a recent study by Colum-         "People with alcohol disorders who per-      adult brain, she said.
bia University's Mailman School of             ceive high levels of alcohol stigma may
Public Health researchers report that          avoid entering treatment because it             ere is also a potential long-lasting ef-
people diagnosed with alcoholism at            con rms their membership in a stigma-        fect of chronic cannabis use among
some point in their lifetime were more         tized group," said Katherine Keyes,          teens particularly, more so than in
than 60% less likely to seek treatment if      PhD, in the Mailman School of Public         adults, she said. Research has shown
they believed they would be stigmatized        Health Department Epidemiology.              that IQ can permanently decrease in
once their status is known. is is the          "Given that alcohol use disorders are        teens who regularly use cannabis.A
  rst study to address the underuse of al-     one of the most prevalent psychiatric        study led by Staci Ann Gruber of Har-
cohol services speci cally with regard to      disorders in the United States, the em-      vard Medical School found that people
alcohol-related stigma. Findings are           pirical documentation of stigma as a         who began using marijuana before age
published in the American Journal of           barrier to treatment is an important         16 and who used it the most performed
Epidemiology.                                  public health nding. Greater a ention        the worst on a test of cognitive exibil-
                                               to reducing the stigma of having an al-      ity. Cognitive exibility means being
Based on a survey of 34,653 individuals        cohol disorder is urgently needed so         able to change your response to some-
in the general population (6,309 of            that more individuals access the effec-       thing based on the context of the situa-
whom had an alcohol use disorder)              tive systems of care available to treat      tion.
drawn from the National Epidemiologic          these disabling conditions."
Survey of Alcohol and Related Condi-                                                        Functional magnetic resonance imaging
tions (NESARC), researchers found              Teen Brain Is More Prone To Alco-            (fMRI) of the brains of cannabis smok-
that individuals with an alcohol use dis-      hol And Drug Damage                          ers shows that the frontal and prefrontal
order who perceived negative stigma                                                         inhibitory areas are affected, Jensen
were 0.37 times less likely to seek treat-     Source: CNN Health                           said.Research in addiction has increas-
ment for their disorder compared to in-                                                     ingly focused on the idea that addiction
dividuals with similarly serious alcohol       Teens may act invincible, but when it        is a form of learning. From that perspec-
disorders who did not perceive stigma.         comes to drugs and alcohol, they're ac-      tive, it makes sense that teens are also
In the general population, younger indi-       tually more vulnerable than adults to        more susceptible to addiction, as new
viduals perceived less stigma, and also        harmful effects on the brain, researchers     research in animals shows. A study pre-
were less likely to seek treatment for an      said at Neuroscience 2010, the Society       sented by Michela Marinelli at Rosalind
alcohol disorder. Men perceived more           for Neuroscience conference in San           Franklin University of Medicine and
stigma compared to women (38.1%vs.             Diego, California, on Monday."Brain          Science found that rats in adolescence
37.7%). Non-Hispanic blacks and His-           development is actively transpiring even     work harder for cocaine and consume
panic adults overall reported a higher         in the teen brain, and [if] you throw in a   more than adult rats." e teen brain
mean stigma compared to Whites (39 %           drug on top of that, you could change        learns so handily; unfortunately it can
vs. 37%) and were less likely to utilize al-   the trajectory of brain development."        get addicted a lot faster, stronger and
cohol services. However, the data also         said Dr. Frances Jensen of Children's        longer," Jensen said.
suggest that individuals with more se-         Hospital Boston.
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    38                                                                                                    e Magazine
              OTHER NEWS AND VIEWS (Continued)

Alcohol may also harm the teenage              from more than 423,000 people aged 16         tually awards lms with characters that
brain more profoundly than in adults,          and over.                                     accurately depict the consequences of
Jensen said. As with drugs, there are                                                        drug and alcohol use with the PRISM
likely more receptors in the brain for al-         ere has been a small drop in the over-    Awards.He says the clergy, the commu-
cohol to bind to, creating more prob-          all number of people driving while            nity and even doctors and nurses should
lems for the developing                        drunk or using drugs. Still, the U.S. Na-     get involved in pu ing a stop to drunk
brain.Researchers led by Toni Pak at           tional Highway Traffic Safety Adminis-          and drugged driving. "It's about parents
Loyola University found that alcohol           trations Fatal Accident Reporting             si ing around the dinner table with
may disrupt connections in the brain           System says that one in three car acci-       their kids and groups talking in a mat-
that relate to stress hormone produc-          dent deaths is the result of driving while    ter-of-fact way at school. When you
tion, throwing off a person's ability to        high on an illegal substance.                 think about the fact that in a year, over
manage stress. And that may lead to                                                          12,000 people were killed in drug and
anxiety and depression later in life.          Peter Delany, director of SAMHSA's            alcohol-related driving accidents...those
                                               Center for Behavioral Statistics and          are all people's parents, or kids, or hus-
40 Million American’s Drive                    Quality, says that although the numbers       bands and wives who are just no longer
Drunk/Drugged                                  are going in the right direction, the sta-    around."
                                               tistics are still sobering.
Source: SAMHSA                                                                               Drinking and Drugging To “Fit In”
                                               "When you get behind the wheel a er
New research reports 30 million Ameri-         drinking or driving, there are three pos-     Source: Fox News Latino
cans are driving drunk each year, while        sible outcomes," he told AOL Health.
another 10 million are ge ing behind           "One is that you get home safe and            Mexican middle school students in the
the wheel while under the in uence of          think -- I didn't get caught. Two is that     Phoenix area are taking up alcohol and
drugs.                                         you get caught and suffer some nancial         marijuana because they feel they are dis-
According to the Substance Abuse and           penalty and embarrassment. ree is             criminated against, according to a new
Mental Health Services Administrations         that you get in an accident, and some-        study.
(SAMHSA), in some states, the number           one is hurt or killed."Delany says that
of drunk and drugged drivers tops 20           programs like SoberRide or using a des-          e study, in the December issue of
percent. It's a startling statistic, consid-   ignated driver are possible solutions,        Prevention Science, said Mexican and
ering all of the media a ention this           but that there needs to be awareness          Mexican American students who were
problem has been given.                        around the clock, not just on New             trying to assimilate to the mainstream
                                               Year's Eve or during prom season. "Par-       U.S. culture had a tough time coping –
   e problem seems to be the most seri-        ents need to get involved and talk to         triggering stress. e stress puts the stu-
ous among drivers aged 16 to 25. Ac-           their kids before they get in the car. Kids   dents at a higher risk for alcohol, ciga-
cording to the survey, drivers in that age     really do connect with what their par-        re es and marijuana dependence, the
group had a high rate of drunk driving         ents say. Do it in a rational way -- sit      study says.
(19.5 percent) compared to those aged          down and talk about your expectations
26 and over (11.8 percent). e 16 to            of your child as a driver, and about your     “As levels of perceived discrimination
25 year olds also had a higher rate of         expectations when it comes to drinking        and acculturation stress increased with
drugged driving than the over-26 group         and using drugs."                             age, so did the risk for substance use,"
(11.4 percent vs. 2.8 percent).                                                              said lead author Jennifer Kam, assistant
                                               While many people have criticized the         professor in the School of Communica-
  e gures from the study are based on          entertainment industry for depicting          tion at Ohio State University
data from the National Surveys on Drug         buzzed driving as something cool or hu-
Use and Health, which involves reports         morous, Delany says that SAMHSA ac-
 INSIDE ADDICTION
     e Magazine                                                                                                          39
OTHER NEWS AND VIEWS (Continued)

   e study, funded by the National Insti-   driving erratically on Interstate 76. He     Should e Government (Medicaid)
tute on Drug Abuse, followed 1,106 h        told a Colorado state trooper he was on      Help People Quit Smoking?
through eighth graders of Mexican her-      his way to Fort Morgan from Arizona to
itage in 29 public middle schools in        visit family. He said the bed of his         Source: Join Together
Phoenix and surrounding areas.              pickup truck was lled with Christmas
                                            presents.                                    You may think,”Hey if they can afford
"Acculturation stress is o en associated                                                 cigare es…” but the latest 10-year plan
with anxiety, anger and depression. It is      e Greeley Tribune reports that troop-     for improving the nation's health sug-
a complex process that involves chal-       ers discovered four large duffel bags         gests that the U.S. smoking rate can de-
lenges and troubles that o en stem          containing more than 270 pounds of           cline from 21 percent to 12 percent
from tension between one's native cul-      marijuana, some wrapped as presents.         through more workplace smoking bans
ture and the mainstream culture,” Kam                                                    and more insurance coverage of smok-
said. “ ese associations are particularly   Careful What You Suck In                     ing cessation treatments including those
stressful when they involve discrimina-                                                  government funded. Smoking was one
tion, and youth may cope with the stress    Source: Green-Bay Press Gaze e               of several health-related areas where
by turning to alcohol, cigare es, and                                                    progress stalled or declined according
marijuana." " ese ndings emphasize          A Green Bay woman found more than            to the most recent 10-year data, which
the importance of addressing discrimi-      just dirt with her refurbished vacuum        will be available in nal form next
nation and may partially explain why        cleaner she received for as a gi this past   spring. While this led to se ing more
national data on adolescent drug use        holiday season. She found a load of          reasonable progress goals in Healthy
has found that Latino students report       drugs.                                       People 2020 (the government's map for
some of the highest alcohol, cigare e,                                                   improving everything from chronic dis-
and other drug use rates in the country,"      e Green Bay Press-Gaze e reports          ease prevalence rates to public health
Kam said.                                   the woman found two pounds of crystal        crisis events), the blueprint's goal for
                                            methamphetamine and 2.2 pounds of            smoking reduction still represents an
Sample questions for the students in-       cocaine shrink wrapped inside the box,       ambitious undertaking.)
cluded: "People don't like me because of    a er receiving the vacuum from her
my ethnic group" and "Kids my age ex-       children. Sheriff's officials estimate the         e government is now suggested that if
clude me from their activities or games     drugs' street value at about                 more state Medicaid programs pay for
because my ethnic group is different."       $280,000.eLt. David Poteat says a            proven smoking cessation treatments,
                                            smuggler likely inserted the drugs in the    the country could make signi cant
Merry Christmas, Not So Happy New           box before it was shipped from the           progress toward reaching a 12 percent
Year!                                       Juarez, Mexico, area, where it had been      smoking prevalence by 2020.
                                            reconditioned.
Source: Times Union, Albany, NY                                                          2010 Treatment Center Survey Re-
                                            Poteat says no one noticed anything, in-     sults Released
A Mexican national who disguised mari-      cluding the department store where it
juana as wrapped Christmas presents         was purchased, until the woman opened        Source: Vendome Group
has been sentenced in Weld County to        the package.Authorities don't plan to
12 years in prison.Ever Eleazar Murri-      charge the woman. Sheriff's officials say          e scenario that o en is depicted
eta-Nieblas will be deported a er serv-     the store is cooperating with the investi-   when characterizing addiction treat-
ing his sentence. e 37-year-old was         gation.                                      ment centers in the health reform era in-
convicted last month of possession of                                                    volves a steady stream of patients newly
marijuana with intent to distribute.                                                     eligible for services and a provider com-
Murrieta-Nieblas was pulled over for                                                     munity ready and eager to serve them.
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    40                                                                                                   e Magazine
               OTHER NEWS AND VIEWS (Continued)

Yet the reality offers a more complex pic-    ment populations and their substance-          minds him of the period of managed
ture. e 2010 Treatment Center Survey         using trends, the types of services the fa-    care's arrival in substance use treatment.
illustrates challenges amid health re-       cilities offer, and some of their census        While the push among providers to stay
form's opportunities and the results are     and business trends and projections.           ahead of the reform curve and be cre-
in.                                                                                         ative has generated some excitement, it
                                                e survey results offered a compelling        has come with the realization that some
Judging from some of the results of Ad-      juxtaposition of recent and projected          trusted forms of public funding support-
diction Professional's 2010 Treatment        census trends for the responding facili-       particularly the federal substance abuse
Center Survey, a substantial number of       ties, 61 percent of which reported serv-       block grant-might signi cantly erode or
treatment centers are predicting no in-      ing mainly a client base receiving             disappear altogether.
crease in census over the short term as a    publicly funded services such as Medi-
result of provisions in the Affordable        caid.                                          “I see an increase in outpatient slots and
Care Act. While addiction treatment ad-                                                     a movement away from residential treat-
ministrators foresee eligibility being en-   More than half of facility-based respon-       ment,” says Curtin, whose organization
hanced for people in need, access still      dents (55 percent) said their patient          primarily offers residential care now, tak-
might be difficult to come by because of       census as it relates to total capacity had     ing many of its referrals from the crimi-
funding constraints and workforce            increased in the past year compared with       nal justice system. “We're going to have
shortages. “ ere will be fewer sources       previous years’ averages, with 28 percent      to treat individuals more intensively with
to pay, and services will be reimbursed at   reporting no change and 17 percent re-         fewer bed days.” In other ndings re-
lower rates,” says survey respondent         porting a relative decrease in census. Yet     garding the patient population, just
William LaBine, executive director of the    when asked about the projected impact          under half of respondents said alcohol
Jackie Nitschke Center in Green Bay,         of health reform on their patient num-         was the primary substance of abuse for
Wis. Having seen most of its county          bers over the next three years, a slightly     the largest number of patients they see.
funding support disappear earlier this       smaller number of respondents said they        Stimulants ranked a distant second on
year, the Wisconsin center has taken to      expected the increases to continue. Just       this list, with marijuana placing low in
more aggressive outreach to employers,       under half (47 percent) said they expect       the survey as the primary substance of
hospitals and other entities in an effort     an increase in the number of patients          abuse in the patient population.How-
to make its services more broadly ap-        they see in the program, with 43 percent       ever, slightly more than half of respon-
pealing in the community. “We have to        expecting no change and less than 10           dents did say that they have seen an
get more of an employed client with          percent expecting a decrease.LaBine of         increase in the number of patients pre-
health insurance,” says LaBine. (Two-        the Jackie Nitschke Center does not see        senting with marijuana dependence in
thirds of the respondents to this year's     an in ux of patients to his facility be-       the past couple of years. In Curtin's New
survey do some work in the insurance         cause of health reform. Although he says       Jersey program, marijuana is the primary
market, while one-third exclude third-       no one is talking about the storm clouds       drug of abuse in the adolescent popula-
party payers.)                               yet, he foresees a situation in which em-      tion served, and its effects still are not
                                             ployers might not be able to afford the         taken seriously enough by youths and by
In its second year, the Treatment Center     cost of providing behavioral health bene-      society, he says. “I don't think we've seen
Survey this year a racted 363 respon-          ts, at the same time that his cash-          an appreciation of the problem of de-
dents who identi ed themselves as            strapped state and others struggle to          pendence,” Curtin says.
working in an addiction treatment facil-     fund Medicaid at needed levels and to
ity (as opposed to a private counseling      deliver reimbursement in a timely fash-        Also, 78 percent of respondents reported
practice or other health and human serv-     ion.                                           that they have seen a more difficult-to-
ices organization). Respondents com-         Jim Curtin, senior vice president of the       treat patient population in the past two
pleted a 27-item online questionnaire in     Daytop Village adolescent treatment fa-        years, stating that their clinicians’ every-
the months of September and October,         cility in New Jersey, agrees that this is an   day work has grown more difficult.
with the survey covering centers’ treat-     uncertain time for providers, saying it re-
 INSIDE ADDICTION
     e Magazine                                                                                                               41
OTHER NEWS AND VIEWS (Continued)
Using Facebook To “Shame”                      Drunken driving laws are aggressively         bolic-androgenic steroids (AAS), and
Alcoholics                                     enforced, and in 2009, there were 1,687       15 (56 percent) also reported current or
                                               DUI arrests.                                  past dependence on opioids, cocaine,
Source: Times Union.com                                                                      and/or ecstasy.
                                               " ere is a saying: Come to Huntington
Police in a city ranked top in the state       Beach on vacation, leave on probation,"          ese ndings suggest that illicit HGH
for alcohol-related traffic fatalities might     said a orney Randall Bertz, who spe-          use is common, and is usually associ-
soon be trying a new tactic to keep            cializes in DUI cases.                        ated with abuse of both AAS and ordi-
drunken drivers off the road: Electronic                                                      nary street drugs.
shaming on Facebook.In a contentious           Here’s what I say shaming didn’t stop
move that has raised the hackles of pri-       alcoholism (which is the source of            " e long-term risks of high-dose HGH
vacy advocates and been met with re-           DUI) in the 70”s and it WON’T in              use are li le studied, but available evi-
sistance from a police department              2011. Address the source NOT the side         dence suggests that long-term high-
fearful of alienating residents, a council-    effects or symptoms if you really want         dose HGH may have serious medical
man in Huntington Beach wants police           change!                                       consequences, including cardiac, en-
to begin posting the mug shots of every-                                                     docrine, and respiratory effects, as well
one who is arrested more than once for         More Young Men Using Growth                   as increased risk for certain cancers,"
driving while under the in uence.              Hormones                                      Brennan notes. "Our ndings suggest
"If it takes shaming people to save lives,                                                   that mounting illicit HGH abuse may
I am willing to do it," said Devin Dwyer,      Source: American Journal of Addictions        represent a dangerous new form of drug
the councilman behind the proposal.                                                          abuse with potentially severe public
"I'm hoping it prevents others from get-       A new study reveals that illicit use of       health consequences."
ting behind the wheel and ge ing ine-          HGH (human growth hormone) has
briated."                                      become common among young Ameri-              Sniffing Salts
                                               can male weightli ers. Additionally, il-
Dwyer initially wanted the police de-          licit HGH use in this population is o en      Source:   e Sacramento Bee
partment to post on Facebook photo-            associated with polysubstance abuse in-
graphs of everyone arrested for DUI in         volving both performance-enhancing            Alarming numbers of adolescents and
the bar-laden beach town just south of         and classical drugs.                          others are ending up in emergency
Los Angeles. He has watered down his                                                         rooms and mental hospitals a er using
proposal — now only repeat offenders            HGH, once an expensive performance-           "fake cocaine" -- a powder legally sold as
would be featured on the virtual wall of       enhancing drug used exclusively by elite      bath salts. e so-called bath salts are
shame — in hopes of winning support            athletes, has become cheaply available        not common brands, but instead spe-
from the rest of the seven-member              for illicit users on the street.              cially-made powders that are sold in
council.                                                                                     convenience stores and specialty shops
                                               Researchers led by Brian P. Brennan,          in half-gram bo les for about $25 to
Huntington Beach, a city of about              MD, MSc, of McLean Hospital and               $30. Users snort them, smoke them, or
200,000 famed for its Surf City alias, an      Harvard Medical School, evaluated 231         inject them like cocaine to experience
off-leash dog beach and a downtown              male weightli ers in the U.S. aged 18-        euphoria.
packed with bars, is ranked top out of         40 and their reports of drug use.
56 California cities of similar size for the                                                 However, they can cause "paranoia,
number of alcohol-related traffic fatali-        Results found that 27 (12 percent) re-        chest pains, and irregular heartbeats,"
ties. In 2009, 195 people were killed or       ported illicit use of HGH and/or its          the Bee reported.
injured.                                       close relative, insulin-like growth factor-
                                               I. All of these 27 men had also used ana-
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    42                                                                                                e Magazine
              OTHER NEWS AND VIEWS (Continued)

   e salts are marketed all over the coun-   stimulant that is not approved for med-     try received 232 calls about the "bath
try, according to the Department of Jus-     ical purposes in the United States. Ac-     salts" in 2010, according to the Ameri-
tice. ey have been linked to "dozens         cording to the Drug Enforcement             can Association of Poison Control Cen-
of hospital visits" in Florida in the past   Agency (DEA), MPDV can cause "in-           ters. e incidence was highest in
year and to two suicides.                    tense panic a acks, psychosis and ad-       Louisiana. Its poison control center re-
                                             diction." Britain banned it in April 2010   ceived 165 calls linked to the salts -- or
"We're seeing teenagers experiment           when several people died a er ingesting     about 57 percent of all such calls nation-
with this," said the chief of emergency      it. e DEA is studying it as a drug of       ally -- thetowntalk.com reported Jan. 7.
medicine at Florida's Broward Health,        concern, though it does not currently          e state's governor, Bobby Jindal,
Dr. Nabil El Sanadi. " ey will do stuff       plan to outlaw it.                          banned MPDV and similar chemicals
that they wouldn't normally do, like dive                                                on Jan. 6.
from a third-story window into a pool.       "It makes people lose touch with real-
It's very, very dangerous."                  ity," said Dr. Cynthia Lewis-Younger,       Two other states have also taken steps.
                                             who directs the Florida Poison Informa-     North Dakota's Board of Pharmacy
Some of the bath salts have been found       tion Center in Tampa. " ey're ending        banned MPDV and related chemicals,
to contain methylenedioxypyrovalerone        up in psychiatric institutions."            and legislation has already been put for-
(MDPV), a central nervous system             Poison control centers across the coun-     ward in Kentucky to outlaw MPDV.
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    e Magazine                                            43




                   ADDICTION   PERSEVERANCE
                    AL-ANON       POSITIVE
                    CHANGE       RECOVERY
                     COACH         REHAB
                      FAITH        SOBER
                     GOALS        SPONSOR
                   GRATITUDE       STEPS
                    GROUPS        SUPPORT
                      HOPE       TREATMENT
                   INPATIENT     OUTPATIENT
                                     WWW.INSIDEADDICTION.ORG
                                                                                                     INSIDE ADDICTION
    44                                                                                                   e Magazine
                               INSIDE OPTIONS: ACUPUNCTURE
We have all heard of the “traditional”                                                      then sits for 45 minutes quietly and
pathways to treatment such as detox, inpa-     JANICE: It can help with all addictions.     drinks a tea mixture. e needles are
tient, outpatient, and 12 step sober support   It allows a spiritual process to take        taken out in the same order they were
meetings. Perhaps you know someone who         place. It helps unblock energy. I re-        inserted. ere is then a small magnet
has also tried hypnosis? No one way works      ceived acupuncture myself for years and      placed on the back of the ear.
for everyone. Treatment needs to be indi-      decided I would get certi ed. It started
vidualized. We’ve heard the saying, “differ-    through treating withdrawal from             IA: Does it hurt?
ent strokes for different folks.” Recently      heroin and has grown from there.
there has been a trend towards more holis-                                                  JANICE: If anything it feels like a small
tic approaches including mind, body, and       IA: So how exactly does it work?             pinch. One ear may be more sensitive
spirit. We recently had the opportunity to                                                  than the other. Having caffeine may in-
sit down with Janice I. and discussed the      JANICE: First thing we wipe the ear          crease the pinch if you haven’t eaten, or
acupuncture option.                            cartilage with an alcohol swab. e per-       if you smoke a lot, this may also increase
                                               son ge ing the treatment will sit qui-       sensitivity. Certain points may create
JANICE: I am an acupuncture detoxi -           etly- no outside noise, no talking, no       more sensitivity than others. It’s individ-
cation specialist and work with different       TV. I coach the breathing of the subject.    ual to each person.
clients. I’m certi ed by New York State.       Needles [which are very exible thin,
                                               about the thickness of a strand of hair,]    IA: How many treatments do people
IA: What do you do?                            are inserted when the person exhales.        usually get?
                                                  e rst needle is inserted and pin-
JANICE: I tie the mind, body, and spirit       points stress areas and assists in trans-    JANICE: Multiple but unspeci ed. Peo-
together through ve points in the ear.         forming anxiety and stress to calmness.      ple will know when it is time to taper off
It’s been around for thousands of years.          e second needle is inserted and tar-      their own treatment frequency. is is
It has historically been in treatment fa-      gets the spirit gate that controls nerv-     not a compartmentalized treatment spe-
cilities and prisons. I don’t think the        ousness and promotes relaxation. e           ci c to one drug or another. It can be
word has been spread enough outside of         third needle targets essential energy and    used in conjunction with other treat-
those two modalities. It started origi-        alleviates toxicity in the liver. e fourth   ments as well to enhance a positive out-
nally in China. It started in the [United]     targets emotional balance and promotes       come overall in one’s recovery process.
States in the 70’s.                            balance and stabilizes impulsiveness.        Note: For more information visit the
                                                  e last one targets a lung point and as-   National Acupuncture Detoxi cation
IA: What sort of addictions can this           sists with smokers in their efforts to        Association at www.acudetox.com
help?                                          quit. Both ears are treated. e person
Personalized recovery jewelry hand cut slate painted with your sober date. Each necklace includes a 20” leather-like
necklace with a lobster clasp. Each pendant is hand painted with your special date. There is no better gift than that of re-
covery so celebrate yours or purchase for that someone special in your life.

All purchases are shipped within 24 hours of payment received (PayPal Accepted)

Necklaces $15
Pins $5
To order contact us at info@insideaddiction.org

                                                     Clean Slates
                                                         The Story:

  After 15 years of active drug and alcohol use I “hit my bottom”. I finally got “sick and tired of being sick and tired”. O LY
  then, and for reasons O E OTHER THA FOR MYSELF, I began my journey of recovery. I admitted myself to an inpa-
tient program in central ew York. During the following 38 days I attended groups and counseling. In between groups I would
  often sit outside on a patio hanging my head in shame and one day I noticed the patio was made of slate. It had been right in
front of me the entire time. I thought then what an opportunity I have been given to get a “clean slate”, a new beginning! After
successfully completing the program there was a graduation ceremony in which I received a certificate. That is when I thought
there should be something more personal to commemorate my accomplishment. I had become so inspired and touched by this
  new way of life because I hadn’t been truly living at all. This was my opportunity for a new beginning, a fresh start, a “clean
 slate”. I decided to design slate jewelry that would be personalized to each person’s accomplishment. I wanted to help spread
  the message of hope. There are many people with many different addictions- be it to alcohol and drugs like myself, smoking,
                                                        gambling, food, etc.

WE ARE OT ALO E, but know, any addiction we may have has not only been experienced by someone else but it has also
been overcome by someone else. Any addiction can be overcome by anybody, any day, IF THEY WA T IT! If you or someone
you love is celebrating a “clean slate”, remember, there is no better gift than that of recovery.

Thank you for letting me share mine with you, and remember “one day at a time”.

Giving Back:

Partial proceeds are used to purchase and distribute books and literature to inmates, shelters, and elders in senior homes.
These people may have a difficult time getting to a meeting or “receiving the message” due to where they are “located”. I say
“located” because that’s only where they are, OT where they are living. I believe where you “live” comes from within. Home
is where your heart is, not an address.


Dean H.
INSIDE ADDICTION
    e Magazine                                                                                                    49


            To Purchase A DVD Copy of Any of Our Shows About
          Addiction and Recovery For Just $10 Email Us Your Request
                   and Send Your Check or Money Order To:
                                                     Dean Hale
                                                  1025 Outer Drive
                                                Schenectady, Y 12303


 Inside Interventions: We sit down with Ken Seeley, world renowned interventionist, featured on the A&E Series
Intervention and Founder of Intervention 911 and talk about how to get a loved one with a substance abuse problem help.

  o If’s Ands or Butts: We discuss the difficulties and benefits of quitting smoking, tips to quit and what to expect.
Wife of an Alcoholic: Unhappily Ever After: Addiction affects everyone in the family. We sit down with the wife of an al-
                           coholic as she shares how her husband’s addiction affected her.

A Soldier’s Biggest Battle: We had the opportunity to sit down with a Ret. Sgt. From the US Army and the NYS Di-
   rector of Veterans’ Affairs to discuss addiction within the armed forces and how we are serving those who serve us.

 Out of The Closet, Into The Rooms: Karen M. shares her struggles, experience, strength, and hope being a gay black
                                             woman in recovery.

 Inside Gambling: Did you know gambling has the highest suicide rate of all addictions? We go inside gambling ad-
     diction and discuss the high stakes that can take you from rags to riches and back to rags, if you make it back!

  Out of Jail Into Recovery: Hear the stories from those formerly incarcerated and how they’ve turned their lives
                                                 around behind the bars.

Underage And Under Their Influence: We sit down with a mother and daughter and openly discuss how mom’s
                             alcoholism affected the family from a daughter’s point of view.

Inside Rehab: Think you know? You have no idea. We take cameras inside a 28 day rehab in Upstate N.Y. and put to
                     rest some of the myths about treatment showing what it’s like from the inside.


Note: These DVD’s are suitable for both personal use and group educational viewing; we authorize and encourage their
                                                    re-broadcasting.


                       Watch all of our shows on YouTube at www.youtube.com/insideaddiction
                                                                          INSIDE ADDICTION
   50                                                                         e Magazine




ASK US…
Question: I’m currently in an outpatient program in Upstate NY. First of all I love the maga-
zine! Here’s my question: I’ve been with my boyfriend for 3 years. He uses too. I love him very
much but like I said, he uses too. Everyone is telling me I need to leave him if I’m going to stay
sober. What do you think?

Answer: Congratulations on ge ing help for yourself. No one knows you be er than you. Sure
you may be able to be a great example of how recovery works for him but there’s also a saying
that goes like this, “He’ll get you using before you get him sober.” Just be careful with whatever
you decide and remember, who got you clean? You did! He, like you, has to want it. You can’t
want his sobriety more than he wants his sobriety.


Question: My husband is ge ing out of a long term treatment facility in a month and I’m
scared. Treatment was a safe place for him. Besides, I’m really struggling with trusting him be-
cause of what he did when he was using. Our lives for the past 8 months have been calm. So
why do I now feel like it’s the calm before the storm?

Answer: Your feelings are natural. But remember feelings are just that- feelings. ey are not
facts. Long term treatment is a wonderful beginning. Perhaps you can meet with him and his
counselor prior to his discharge and discuss your concerns. Just as he has been in treatment,
you too, should be seeking help and support. When someone goes to treatment and gets help,
they leave loved ones behind at times. He may be feeling be er as a result of hard work and
strong support. But where does that leave you? Reach out now. Might I suggest, in addition to
a meeting with your husband and counselor, you also a end Al-Anon. eir contact informa-
tion is in the resource pages at the back of this issue.


Email us your questions to info@insideaddiction.org
INSIDE ADDICTION
    e Magazine                                                                            51


                   ere Is Hope,                          ere Is Help
SAMHSA TREATMENT LOCATOR

Find a substance abuse treatment facility ANYWHERE in the United States
Online at h p://dasis3.samhsa.gov/


ALCOHOLICS ANNONYMOUS (AA)

International. Founded in 1935. Over 116,000 in-person groups and online. A fellowship of men
and women who come together to share their experience, strength, and hope with the purpose of
staying sober and helping other alcoholics achieve sobriety.
AA has meetings for young people, women, men, gay, law enforcement, and other groups.

AA General Service Office
P.O. Box 459
Grand Central Station
New York, NY 10163
Ph. 212- 870-3400
www.aa.org


AL-ANON FAMILY GROUPS
International. Founded in 1955. Over 24,000 in-person groups in 115 countries. A fellowship of
men, women, and children whose lives are affected by a family member or friend’s drinking. In AL-
ANON the focus is not on the alcoholic but on the family member affected. All family members,
children, spouses, parents, friends, or employers are welcome.

AL-ANON
1600 Corporate Landing Parkway
Virginia Beach, VA 23454-5617
Ph. 888-4ALANON (Toll-Free) or 757-563-1600
wso@al-anon.org
www.alanon.alateen.org
                                                                           INSIDE ADDICTION
  52                                                                           e Magazine

DUAL RECOVERY ANNONYMOUS (D                )

International. Founded in 1989. 880 in-person meetings.
D is a nonprofessional, independent, 12 step based self-help organization for people with dual
diagnosis, that is people who suffer with both substance abuse and mental illness.

Dual Recovery Anonymous World Service
P.O. Box 8107
Prairie Village, KS 66208
Ph. 877-883-2332 (Toll-Free) or 913-991-2703
draonline.org


GAMBLERS ANONYMOUS (GA)

International. Founded in 1957. Approx. 1200 in-person meetings. A fellowship of men and women
who come together to share their experience, strength, and hope with each other to recover from
compulsive gambling by following a 12-step program.

GA has a toll-free national hotline: 888-GA-HELPS or 888-424-3577.

Gamblers Anonymous
International Service Office
P.O. Box 17173
Los Angeles, CA 90017
Ph. 213-386-8789
www.gamblersanonymous.org

METHADONE ANONYMOUS (MA)

International. In-person meetings in most states and online. A fellowship for people recovering
from opiate addiction.

Support@MethadoneAnonymous.us
www.methadonesupport.org
Before Recovery




A er Recovery
                                                                         INSIDE ADDICTION
  53                                                                         e Magazine


NAR-ANON FAMILY GROUPS

International. In-person and online groups. Nar-Anon Family Groups is a 12-step program for rela-
tives and friends who are concerned about the addiction or drug use of another.

Nar-Anon Family Groups Inc.
22527 Crenshaw Blvd.
Suite 200B
Torrance, CA 90505
Ph. 800-477-6291
Nar-anon.org

NARCOTICS ANONYMOUS

International. Founded in 1953. Over 43,000 in-person groups in 128 countries. A fellowship of
men and women who come together to share their experience, strength, and hope recovering from
drug abuse. e ONLY requirement for membership is the desire to stop using drugs. NA informa-
tion is available in several languages, on audio tapes, and in Braille.

Narcotics Anonymous World Service
P.O. Box 9999
Van Nuys, CA 91409
Ph. 818-773-9999
www.na.org


NICOTINE ANONYMOUS (NICA)

International. Founded in 1980. In-person meetings in 36 states within the United States and 35
countries, also online. A fellowship of men and women helping each other to live nicotine-free. e
ONLY requirement for membership is the desire to stop using nicotine. Information available in 13
languages.

Nicotine Anonymous World Service
419 Main Street, PMB # 370
Huntington Beach, CA 92648
Ph. 877-879-6422 (Toll-Free)
www.nicotine-anonymous.org
INSIDE ADDICTION
    e Magazine                                                                                  54

SECULAR ORGANIZATION FOR SOBRIETY (SOS)

International. Founded in 1985. Over 750 groups and online. A network of autonomous, non-pro-
fessional local groups dedicated solely to helping individuals achieve and maintain sobriety. SOS
takes a self-empowerment approach which assists those who have difficulty with the spiritual as-
pects of many other self-help/sober support groups. SOS has family and friend groups.

SOS Clearinghouse
4773 Hollywood Blvd.
Hollywood, CA 90027
Ph. 323-666-4295
www.c west.org


OVEREATERS ANONYMOUS (OA)

A program of recovery not just about weight loss. It addresses physical, emotional, and spiritual
well-being. It does not promote any particular diet but seeks to assist it’s members in stoping their
compulsive overeating.

h p://www.oa.org/meetings/ nd-a-meeting.php
Online/telephone meetings
h p://www.oa.org/meetings/ nd-a-meeting-online.php


SEX AND LOVE ADDICT ANONYMOUS (SLAA)

A 12-step, 12-tradition orientated fellowship of men and women who help each other stay sober.
SLAA offers help to ANYONE who has a sex addiction or love addiction or both who want to do
something about it. ere are gender speci c and co-ed groups.

Find A Meeting:
h p://directory.slaafws.org

NOTE: INSIDE ADDICTION is NOT affiliated with ANY of these organizations. is list is pro-
vided as a possible source of assistance in your recovery process. Remember there are NO magic
pills or cookie-cu er approaches, NO quick xes; the key is perseverance, DON’T GIVE UP!
  “THE BOTTOM LINE”
                              Author: unknown



Face it, nobody owes me anything. What I achieve or “fail” to achieve in
my life is directly related to what I do or “fail” to do.

No one chooses his or her parents or childhood, but I can choose my
own direction. Everyone has “problems” or shall I say challenges in life.
Everyone has obstacles to overcome, but that too is relative to each indi-
vidual. Do you see stumbling blocks or stepping stones? Do you see an
end or a new beginning?

Nothing is carved in stone. I can change anything or any part of my life
at anytime I choose if I want it bad enough. Excuses are for losers. ose
who take responsibility for their actions are the real “winners” in life.
Winners meet life’s challenges head on, give it all they’ve got while
knowing there are NO guarantees.

It’s never too late or too early to begin doing the right thing. Time plays
no favorites and will continue to pass whether we act or not.

Take control of your life or something or someone else will. Dare to
dream and take risks. If you are not willing to work don’t expect others
to. Believe in yourself. Surround yourself by those who want nothing
from you but want everything for you.
INSIDEADDICTION.ORG

								
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