; _ HOPE
Learning Center
Plans & pricing Sign in
Sign Out
Your Federal Quarterly Tax Payments are due April 15th Get Help Now >>



  • pg 1
									                                      INSIDE ADDICTION: e Magazine
                                             JANUARY/FEBRUARY 2011


                                   & HOPE
            e Magazine

                                       NEW YEAR,
 Headlines, News,
    and Views
                                     NEW RECOVERY
  Drugs        pg. 7

                          F R O M C AT H O L I C S C H O O L 2
                              TO C OL L E C T IN G C A N S
 Alcohol       pg. 14

                            A S T O RY O F S T R E N G T H 4

 Smoking        pg. 22

                                  A L L B E T S A R E O F F 11

                                    W h e r e v e r Yo u G o 19
Other News/Views pg. 27

                                        T h e r e Yo u A r e

                                  ...AND MORE!!
Monthly Motivational
                               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
Addiction will address the sensitive issues surrounding the current
epidemic 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

   anks for reading,

Dean E. Hale, Co-Editor
Theresa A. Seeley, Co-Editor
Joseph Kernozek, Co-Editor
                                                                           JANUARY/FEBRUARY 2011

FACTS AND FICTION ABOUT ADDICTION...................1                                        HEADLINES: ALCOHOL............................................................14

FROM CATHOLIC SCHOOL                                                                         MONTHLY MOTIVATIONAL.........................................17/18
TO COLLECTING CANS.............................................................2
                                                                                             WHEREVER YOU GO THERE YOU ARE...........................19
A STORY OF STRENGTH.............................................................4
                                                                                             A FATHER TO MANY, SUPPORTING SOBRIETY.......20
PRISON SENTENCES.....................................................................5       HEADLINES: NICOTINE...........................................................22

OUT OF PRISON, INTO THE ROOMS.................................6                              INSIDE OPTIONS: RECOVERY COACHES.....................25

HEADLINES: DRUGS......................................................................7      OTHER NEWS AND VIEWS......................................................27

UNDE GE AND UNDER THEIR                                                                      ASK US..................................................................................................31
INFLUENCE PART 2.....................................................................10
                                                                                             INSIDE ADDICTION CROSSWORD...................................32
ALL BETS ARE OFF........................................................................11
TO THE ROOMS OF RECOVERY..........................................13

                          CONTACT INSIDE ADDICTION:

                                                             1025 Outer Drive
                                                          Schenectday, NY 12303

                                                                      (518) 788-8974
    e Magazine                                                                                                   1


Drug Abuse Leads To Addiction

FICTION: A better phrase is “drug abuse often precedes dependence”. The myth suggests that drug abuse causes drug
dependence, when in actuality they are two different drug-use conditions. In many people dependence is preceded by
abuse, but some people develop dependence without going through the progression of drug use, abuse, and
dependence. In addition, many people abuse drugs for many years without developing the disease of chemical
dependence. Not everyone who abuses alcohol and or drugs becomes an addict.

Treatment Doesn’t Work, Or People Wouldn’t Relapse

FICTION: People who don’t understand addiction will often point out that relapse (“falling off the wagon”, using again
after treatment) occurs, so that the treatment must not have worked. We need to remember that relapse also occurs
with other diseases (diabetes, cancer, hypertension, etc.), so this is a prejudicial view about dependence treatment.
Treatment plants the “seeds” and educates addicts about their choices and consequences; a better life; recovery is an
“inside job”.

After Treatment Alcoholics And Addicts Can Use Socially

FICTION: Then why haven’t they already? There are a few scientific studies that suggest this. But most of these studies
look at “problem drinkers”, and do not differentiate between “ alcohol/drug abusers” and “pathological alcohol/drug
dependence”. “Abusers” can drink/use socially (that is, under control), whereas truly dependent individuals cannot. The
obvious question to ask is “What is the logical reason why someone whose life has been devastated by alcohol/drugs
wish to drink socially?” If they could have wouldn’t they have ALREADY? Once again I’m reminded of a saying,” The
definition of insanity, doing the same thing and expecting different results”.
    e Magazine                                                                                                             3

IA: Until when?                             IA: What did?
                                                                                          IA: And that was it?
Wayne: I lost my job through my use         Wayne: I got arrested for the rst time
and those “cool guys” that were             back when I was 8, then again when I          Wayne: I called the number; 2 days
hustling took me under their wing. I        was 11, my rst drug arrest was around         later I got on a bus and went to
already lived in a crack house so it        17 or 18 years old went to Riker’s            treatment never turned back.
worked out, it was easy, I even ended       Island, then arrest, a er arrest, a er
up selling to my own mother.                arrest.                                       IA: How’s your life changed, any advice
                                                                                          for someone still suffering?
IA: And…                                    IA: But you’re clean now, for how long
                                            and how?                                      Wayne: Everyone deserves the chance
Wayne: It was the 80’s, there was this                                                    to get clean a new way of life. You are
big drug dealer, drove a white Volvo,       “Everyone deserves                            worth it, the reward is worth it, the way
red leather seats, phones in the car. One                                                 you feel spiritually, you can get that
day we were driving he said you ever try     the chance to get                            feeling 10 X more NOT using. I’m a
this (crack) I tried it and just like                                                     certi ed Substance Abuse Counselor,
everything else I tried once I tried it      clean a new way                              I’ve traveled all over the world, and I’m
once I was hooked.                                                                        a good father, a good ancé, a good son,
                                                  of life”                                a good brother. e same person I sold
IA: What did that lead to?                                                                crack to (my mother) is not using we
                                            Wayne: 19 years sober. I had go en            have a good relationship now. I
Wayne: ere was a time I was ge ing          shot, I knew be er I went to Catholic         appreciate every part of my story, I
money, I stayed a oat for 6-8 months        School, I think that was my saving            think if those things didn’t happen I
then it was downhill, the guy that got      grace. rough everything from 19-23            wouldn’t be where I am or who I am
me hooked got shot, but it didn’t stop      years old, using, going to jail, using,       today.
me.                                         going to jail, the last time I got arrested
                                            they set my bail at $1, I couldn’t even       IA: You’ve come a long way.
                                            make it, I sat in jail for 13 days, a
                                            corrections officer nally gave me a
                                            dollar and I got out. My clean day was
                                            Oct. 3rd 1991. At the end I was
                                            collecting cans, stealing a loaf of bread
                                            and bu er to eat everyday from March-
                                            October 3rd, 1991. I had known a
                                            friend in September of 1991 I saw him
                                            he had gone to treatment and go en
                                            clean, he looked good, he gave me a
                                            number to call.
                                                                                                    INSIDE ADDICTION
    2                                                                                                   e Magazine
He grew up going to a Catholic School. He     IA: What else?
found drugs and ended up collecting cans
on the streets of New York City to support    Wayne: I’ve learned that my behaviors
his addiction. Today he is a substance        made my addiction easy to start, my
abuse counselor. INSIDE ADDICTION              rst drink was 8 or 9 years old, a nip out
recently sat down with Wayne G. a             of my father’s drink.
recovering addict with 19 years sober as he
shared his story om a ending Catholic         IA: When did other drugs start?
School to ge ing hooked on crack to now
being a substance abuse counselor in          Wayne: My rst use of harder drugs
upstate New York. Welcome to Wayne’s          was marijuana at age 11, I remember in
World, what it was and what it has            the Bronx I’d hang with guys older 14-
become.                                       15 years old and from that point on I
                                              used every day.
IA: How was it growing up, what sticks
                                                                                                       Wayne G.
out in your mind?                             IA: Everyday?
                                                                                           IA: You nished school?
Wayne: I grew up in the Bronx, NY also
Queens, NY a lot of moving back and
                                               “...we sniffed right in                      Wayne: I had a scholarship to play
forth with my mother and grandparents
when times got rough.
                                              the classroom teachers                       basketball for college, when I turned 15
                                                                                           my parents started smoking crack, I

IA: Any siblings?
                                                   never knew it.”                         stopped coming home a er school,
                                                                                           never made it to college.
                                              Wayne: Except for a couple stints when
Wayne: I’m the oldest of 3, younger           I was in jail and even when I was in jail    IA: What happened?
brother, younger sister. Growing up           I’d get high sometimes.
started off ok, my father le when I was                                                     Wayne: We didn’t have a lot of
young but he was always in my life. I         IA: Any other drugs?                         “ xings” (luxuries) my friends had their
wound up ge ing a step-father that was                                                     own room, a tv, radios, I lived in a
really abusive.                               Wayne: I smoked marijuana exclusively        house with no heat, no lights, sleeping
                                              from age 11-13, that’s when I started        on my parents oor trying to stay
IA: How so?                                   sniffing coke (cocaine).                       warm, my parent’s house had turned
                                                                                           into a crack house.
Wayne: ere was always drugs and               IA:   e whole time going to school?
alcohol around my household.                                                               IA: How did that work out?
                                              Wayne: Yeah, I went to Catholic
IA: What are your rst memories of             School, I played basketball, I was an        Wayne: I was still going to school, I
addiction?                                    athlete, and there were a lot of drugs in    graduated, I wound up ge ing a job in
                                              Catholic School. ey were                     the World Trade Center in the
Wayne: I didn’t start using at rst, I         Columbian, they had connections, we          mailroom, I started seeing guys “hustle”
started stealing at the age of 5, I stole     were 13 years old doing coke in a            but thought I’ll never do that
out of my mother’s pocketbook, I stole        Catholic School. We had more money
from the teacher’s pocketbook in              than the kids in Public School, we
school.                                       sniffed right in the classroom teachers
                                              never knew it.
                                                                                                         INSIDE ADDICTION
      4                                                                                                      e Magazine
                                      A STORY OF STRENGTH
She came om a happy home, but she
wasn’t happy. She began using marijuana          IA: at relationship, how did it affect
at age 14, cocaine at 16. She graduated          you and your addiction?
  om High School, went to college, she
  unked out of college. She found a              Amber: It became very abuse
boy iend, heroin, then crack. INSIDE             emotionally and physically, I started to
ADDICTION sits down with Amber and               use more to numb myself and cope with
hears her story of strength. How she went        the abuse. I ended up leaving him and
  om one lifestyle to another and how her        met someone else also into drugs.
life is now.
                                                 IA: How did that work out?
Amber: I started using when I was about
thirteen years old, the rst thing I started      “I kept using more
using was pot.
                                                 drugs as I got older
IA: How was it growing up?                                                                                      Amber
                                                   one thing led to                             help me. She told me if she got me out of
Amber: Everything was great. My family
was small. My parents have been married               another”                                  jail she thought I would die. She was
                                                                                                probably right, I really hated her for a
for 25 years and still are. I have an older
                                                 Amber: I overdosed multiple times, it got      long time for that, but she did me a favor.
brother and a younger sister. My parents
                                                 pre y lethal. We ended up selling drugs        I was looking at 2-4 years in prison. I had
never used. I just wanted to escape from
                                                 to maintain our habits. I couldn’t hold a      no one le that’s how strong of a hold
reality, I never liked myself, I had a low
                                                 regular job, my family was out of the          drugs had on me.
self-esteem. Once I felt the high I just
                                                 picture they were too hurt seeing me this
wanted more and more of it. I kept using
                                                 way. I couldn’t go to my parents house,        IA: How did you get help?
more drugs as I got older one thing led to
                                                 wasn’t talking to them. I had nowhere to
another, cocaine, psychedelics, and more.
                                                 go, I was the black sheep of the family.       Amber: A er being in jail someone from
                                                 (At this point in the interview she began      a drug program came to see me and I was
IA: How was school?
                                                 to cry) e drugs became my family they          accepted to the program. I chose to get
                                                 were everything to me. I got up to using       help over si ing in jail. I didn’t know
Amber: I went through high school but
                                                 15 bags of heroin a day, every day. I          where to go I was alone. I knew I needed
don’t remember much of it, then I went
                                                 started to get arrested the lifestyle          help. I stuffed a lot of things by using
to college. I went for a year I didn’t take it
                                                 progressed; I was slipping further and         drugs. I went to rehab for 21 days then
seriously, I was too far into drugs, and
                                                 further away.                                  went to another program. I nally felt like
  unked out and moved back home. I
                                                                                                I belonged to something and that people
slowed down for a li le bit I got a job. I
                                                 IA: How old were you then?                     cared about me. en I went to a sober
was still using but not as heavily as I
                                                                                                halfway house I got structure in my life. I
used to.
                                                 Amber: At the age of 20 and I got my rst       went to outpatient.
                                                 felony, I went to jail. I had to detox from
IA:    en what?
                                                 heroin in jail on nothing. ey put me in        IA: How’s your life now?
                                                 a cell by myself, there I was alone. I tried
Amber: I ended up meeting a guy who
                                                 to call my mom but she wouldn’t                Amber: My family is back in my life they
ended up turning into a relationship with
                                                                                                are proud of me. I didn’t know I had the
him heroin and crack cocaine. A er that
                                                                                                strength I have. I’ve seen a lot of people
it was off to the races. I jumped in feet
                                                                                                come and go and that’s hard. I have great
  rst and didn’t look back.
                                                                                                sober friends. I got a chance, anyone can.
    e Magazine                                                                                           5
He started stealing as a child,         started selling drugs at 17, using
drinking at age 10, smoking             heroin at age 19.
marijuana at age 13, selling drugs at
17. He found heroin at age 19 and       IA: Which led to?
that love affair lasted 17 years. A er
45 Misdemeanor Convictions and          David: Drama, pain,
two state bids, INSIDE                  3 commitments to psych centers,
ADDICTION had the opportunity           depression, you name it I was
to sit down with David, a recovering    there. Ultimately 45
addict now Quali ed Healthcare          Misdemeanors, 2 felony
Professional (QHP) as he shared         sentences, 2 parole violations and
his story, a road to redemption, his    two state bids (prison sentences.)
road to recovery!                                                                      David M.
                                        IA: How fast did it all happen?
IA: You’ve been named one of the
12 spotlight stories for the 2010- David: It seemed like almost              turned out to be heaven. It taught
2011 OASAS “Your Story             overnight.                                me how to help others besides
Ma ers Campaign” quite an                                                    just helping myself to what you
accomplishment, thanks for               “Recovery is an                     had. I now have a daily schedule,
                                                                             get rest; know my weaknesses so
sharing your story with us David.        inside job. You                     they can become my strengths.
David: Yeah, quite an                      have to take                      I’m now a substance abuse
accomplishment, a hell of an
accomplishment for somebody             responsibility for
                                                                             IA: Any advice for someone
who tried to stay low-pro le for a
long time. I was raised in
                                          your actions.”                     suffering?
Brooklyn, I’m an only child.            IA: You went to prison.
                                                                             David: Recovery is an inside job.
IA: How was it growing up?              David: Two times, but more           You have to take responsibility
                                        importantly I stopped making         for your actions. Go to meetings, I
David: I was raised by a single         excuses then and you like I can      have a sponsor. I don’t blame
parent, I know she did the best         recovery one day at a                others anymore. Negative
she could but I always used that        time.                                thoughts equal negative
as an excuse to do whatever and                                              behaviors and results so stay
whenever I wanted to do it. She         IA: What worked for you?             positive!
wasn’t home a lot I wanted to be
someone else, I was alone, I was        David: e Dept. of Corrections
scared so I decided at a young age      became a power greater than
I was gonna be a “street king.” I       myself and took me away for 42
started drinking at age 10,             months, I thought it was hell it
smoking marijuana at age 13, and
                                                                                                 INSIDE ADDICTION
    6                                                                                                e Magazine
                           OUT OF PRISON, INTO THE ROOMS
Released from prison a er 29 years          Wendell: Prison, I was saved that I
incarcerated we met Wendell G. at a 12      went to prison so I didn’t kill myself.
step convention in Albany, N.Y. So how      Before I went to prison I use to fall
has his life changed since being on both    asleep in my garage with a shotgun in
sides of the bars?                          my mouth. I was drinking and doing
                                            drugs, commi ed a crime and went to
IA: anks for taking time to share           prison when I had just turned 18 years
your story with us, so what’s your story?   old.

Wendell: I was recently released from          “My disease of
                                                                                                   Wendell G.
prison a er twenty-nine years. I started
using at the age of 7, drinking and loved   addiction progressed,
it from the beginning. I came from a         I continued to use
broken home; I was raised in the                                                           e issue wasn’t so much emotional it
country.                                      more and heavy”                           was the addiction that made me
                                                                                        ashamed. I couldn’t get past the crime I
IA: Why drinking?                           IA: Did that stop you?                      had commi ed until 2007. en I was
                                                                                        able to deal with other things mentally.
Wendell: It was exciting to me. I came      Wendell: I continued to use in prison. I    I had a lifetime of pain. As a young kid I
to believe it was the only way I could      used drugs off and on while I was in         was lost. Now I’m found just like the
have fun and laugh. I always had            prison. It took me 8 years in prison        song Amazing Grace.
problems with expressing emotions, we       before I got in an altercation over drugs
moved around a lot when I was a kid. I      at that point it dawned on me I was         IA: It sounds like a struggle. (Wendell
held a lot inside, I wouldn’t say nothing   already in prison and still doing the       began to tear up at this point in the
to nobody. I created a time bomb over       same dumb sh-t that got me there.           interview, released from prison a er 29
the years.                                                                              years he sat in front of me in tears)
                                            IA:   at was your turning point?
IA: What happened?                                                                      Wendell: It’s not easy. All I can say is
                                            Wendell: Yeah I started doing things to     give it a shot. If you’re afraid confront
Wendell: My disease of addiction            prepare myself for ge ing out someday.      your fears, step to your business. I don’t
progressed, I continued to use more         I went to school while I was in prison      want to go back to the penitentiary. I
and heavy. e cycle of addiction made        got a degree, went some more and got        did more than half my life in the
me feel sorry for myself; I thought         another one. I got a bachelors degree in    penitentiary. Now I got a taste of
nobody cared about me. I got to the         psychology, I gure if I could x myself      freedom. I’m on parole; my parole
point of suicide when I commi ed the        I’d be ok. I last used alcohol and drugs    officer knows where I’m at. If you do
crime I commi ed (undisclosed).             in 1989, but I wasn’t in recovery. I        the right thing nobody is going to be
                                            started working on my behaviors. I          knocking your door down. I’ve been
IA: Which resulted in?                      started doing step work (12 steps).         out for 8 months, I’m clean!

                        HEADLINES, NEWS, AND VIEWS: DRUGS
    e Magazine                                                                                                  7

   United States Navy Helping           clinical psychologist."One of the       in cold medicine and used to make
     Support Sailors With               main reasons for relapse is the loss    meth. ey also said the company
           Addictions                   of that connectivity during early       violated federal drug regulations in
                                        recovery," said Hazelden vice           at least ve states.
Source: Join Together                   president Nick Motu. "We believe
                                        that if you can maintain a real solid   CVS Chairman and CEO omas
    e Navy has signed a ve-year         recovery platform for the rst 18        Ryan says the company
contract with Hazelden to provide       months, the chances of your success     unacceptably breached its policies
online recovery support services for    and long-term recovery are much         and has worked to x the problem.
sailors. e new, $3.25 million           higher."
program was developed in                Sailors, retirees, and their families      Pain Management Without
partnership with Hazelden for the       will be able to use MORE to access                 e Addiction
10,000 patients in the Navy's           12-step recovery materials, a suicide
Substance Abuse and Rehabilitation      hotline, and treatment for post-        Source: Florida Society of
Services program. Although the          traumatic stress. ey'll also be able    Interventional Pain Physicians
program is tailored for younger         to connect online to support groups,    (FSIPP)
sailors and those on active duty,       "recovery coaches," and
retired Navy personnel and family       counselors in real time.                "When the body doesn't heal itself
members will also be able to access                                             naturally, pills aren't the only option
it. According to a 2005 Department                                              to bring relief," says Lora Brown,
of Defense study, individuals in the       CVS Fined $75 Million For            MD an interventional pain
military age 18-25 drink more              Selling Meth. Ingredients            physician and board member of the
heavily than civilians the same age.                                            Florida Society of Interventional
While illegal drug use has dropped,     Source: MSN                             Pain Physicians (FSIPP), the
17 percent of Navy personnel say                                                organization behind e Pain Truth
they are heavy drinkers -- meaning      CVS Pharmacy Inc. has just agreed       campaign. "Technology has brought
they have ve or more alcoholic          to pay $75 million in nes for           us many pain management therapies
beverages at least once a week.         allowing repeated purchases of a        that can alleviate pain and give
Hazelden developed the program,         methamphetamine ingredient that         people back their lives."
called Navy MORE (My Ongoing            led to a rise in California’s drug
Recovery Experience), for sailors       trafficking and abuse.It was the      It's estimated that over 40-million
who have completed addiction            largest civil penalty under the     Americans suffer with chronic
treatment but who need help staying     Controlled Substances Act.CVS, the  pain. e physicians working with
clean and sober.                        nation's largest operator of retail
                                                                                e Pain Truth campaign, which
                                        pharmacies, will also forfeit $2.6
                                                                            was established to combat
"It's when they go back to their        million in pro ts from
homes, when they go back to their       pseudoephedrine.
                                                                            Florida's increasing prescription
ships, when they go into the                                                drug addiction problem, are
increasingly stressful environments     Why?                                dedicated to educating the public
in which they work that they require                                        on alternatives available for when
these continuing care services," said   CVS didn't adequately monitor sales the pain just won't go away. ey
Navy Capt. Richard D. Bergthold, a      of pseudoephedrine, which is found suggest:
                                                                                          INSIDE ADDICTION
    8                                                                                         e Magazine

-- Don't live through the pain - early   found that the two main neurons (D1       A   EN: Parents.. Family Dinners
treatment can help pain from             and D2) in the nucleus accumbens                  Deter Addiction
becoming more severe. Seek medical       region of the brain, an important part
a ention if pain continues or worsens.   of the brain's reward center, exert      Source: CASA
                                         opposite effects on cocaine reward.
-- Be speci c in describing your         Activation of D1 neurons increases      American teenagers who regularly
condition, it will help physicians to    cocaine reward whereas activation of    have family dinners are much less
properly treat your pain.                D2 neurons decreases cocaine reward.    likely to have used drugs, alcohol or
                                                                                 marijuana compared to their peers
-- Quali ed pain physicians will         " e data suggest a model whereby        who have family dinners infrequently,
suggest options other than on-going      chronic exposure to cocaine results in according to a new study - e
addictive medications. Newer             an imbalance in activity in the two     Importance of Family Dinners VI -
therapies including, Spinal Cord         nucleus accumbens neurons:              carried out by researchers from e
Stimulation, Intraspinal Infusion        increased activity in D1 neurons        National Center on Addiction and
Pumps and Platelet-Rich Plasma           combined with decreased activity in     Substance Abuse (CASA), Columbia
therapy can bring pain relief            D2 neurons," said Dr. Lobo. " is        University. ose de ned as having
                                         further suggests that BDNF-TrkB         family dinners frequently did so from
-- Be vigilant when increased pain is    signaling in D2 neurons mediates this     ve to seven times per week, while
experienced; explain the progress to     decreased activity in D2 neurons."      those who had family dinners fewer
your physician.                             e study was conducted using          than three times a week had
                                         optogenetics, a technology to optically infrequent family dinners.
"Acute pain is not a progressive         control neuronal activity in freely
condition. Not everyone will             moving rodents. ” is new                   e authors found that 72% of
experience chronic pain," said           information provides fundamentally      teenagers in the USA believe that
Deborah Tracy, MD, president of          novel insight into how cocaine          regular family dinners with parents are
FSIPP. "However, pain does come in       corrupts the brains reward center, and either very or fairly important.
varying degrees, and patients need to    in particular how cocaine can              e study reveals that teenagers who
understand that without a proper         differentially effect two neuronal        do not have occasion to talk to their
diagnosis of their condition, pain has   subtypes that are heterogeneously       parents regularly during family meals
the potential of becoming worse and      intermixed in the nucleus accumbens," are twice as likely to have used
more persistent."                        said Eric Nestler, MD, PhD, Chair of    tobacco products compared to peers
                                         Neuroscience, Nash Family Professor, who regularly meet up at the dinner
   New Research About Cocaine            and Director of e Friedman Brain        table with their parents. Marijuana use
           Addiction                     Institute at Mount Sinai and co-author was found to be one-and-a-half times
                                         on the study. "We can use this          more likely. According to the report,
Source: Mount Sinai                      information to potentially develop      teens who gather with their family at
                                         new therapies for cocaine addiction,    the dinner table infrequently are twice
Led by Mary Kay Lobo, PhD,               possibly aimed at altering neuronal     as likely to be able to get hold of
Postdoctoral Fellow in the               activity selectively in either neuronal prescription drugs to get high or
Department of Neuroscience at            subtype."                               marijuana within an hour, compared
Mount Sinai School of Medicine and                                               to other teens.
 rst author of the study, researchers
    e Magazine                                                                                              9
On the other hand, a much higher      People who smoke potent strains of    researchers found that people
percentage of teens who have family   cannabis that are low in cannabidiol  smoking cannabis containing a low
dinners frequently say they cannot    (such as skunk) are pu ing            percentage of cannabidiol
get hold of marijuana or prescription themselves at far greater risk of acute
                                                                            performed much worse on the
drugs to get high.                    memory loss than people who           memory tests when they were
                                      smoke other types of the drug. Two    intoxicated than when they were
    e investigators also found that   major constituents of cannabis are    sober. In contrast, those smoking
fewer teenagers who have frequent     9-tetrahydrocannabinol (THC) and      cannabis high in cannabidiol
family dinners have friends who use cannabidiol. THC is the main            performed just as well on the tests
substances. e authors write that      psychoactive ingredient which         when they were intoxicated as when
the number of teens reporting         makes users feel 'stoned', and        they were sober. ere were no
having frequent family dinners has    produces psychotic-like symptoms      differences in the THC content of
stayed about the same, at 60% over    such as delusions and paranoia. In    the cannabis smoked by any of the
the last ten years.When compared to contrast, cannabidiol does not          participants. Professor Valerie
those who have ve to seven family     induce these symptoms and may         Curran, from UCL, said: "We asked
dinners each week on a regular basis, counteract the effects of THC.         the participants to recall a short
teenagers who have fewer than three Levels of cannabidiol in cannabis       passage of prose, immediately a er
per week:                             can range from virtually none, to up  hearing it and again a er a short
                                      to 40%.                               delay. We found that people who
• Have a 1.5 higher probability of                                          were smoking cannabis low in
having friends who use marijuana         e researchers, from UCL            cannabidiol experienced memory
and alcohol regularly                 (University College London), tested   impairment and remembered less of
                                      134 cannabis users aged between 16    the prose than they could when
• Have a 1.5 higher chance of having and 23 years. e participants were      sober. However, people who were
friends who abuse prescription        invited to take a series of memory    smoking high cannabidiol strains
medications to get high               tests on two separate occasions -     were still good at these tests. Indeed,
                                      once while they were smoking their    their performance when intoxicated
• Have a 1.25 higher chance of        own preferred type of cannabis and    was virtually indistinguishable from
having friends who use cocaine, acid, were intoxicated, and once when       when they were drug-free.
methamphetamine, heroin or            they had not smoked for the last 24   "Over the last 20 years, the
ecstasy.                              hours and were sober.                 constituents of street cannabis have
                                                                            changed, with low-cannabidiol
  Marijuana and Your Memory,            A sample of the cannabis each       strains like skunk now dominating
 "Skunk” May Lead To Stinking           participant smoked was taken on the the market. But our study suggests
              inking                    intoxicated day and analyzed for    that these strains can increase the
                                        levels of THC and cannabidiol.      risk of cognitive harm.
Source: British Journal of Psychiatry   Saliva samples were also taken from
                                        each participant, and analyzed for
                                        levels of THC and cannabidiol. e
                                                                                                              INSIDE ADDICTION
    10                                                                                                            e Magazine
                UNDE               GE AND UNDER THEIR INFLUENCE PART 2
Last month we shared the story of Niki, one of     IA: How did your alcoholism affect your
over 8 million children living in a household      family?
with an addicted parent. is month we are
speaking with Niki’s mom (Nora) and hearing        Nora: My older daughter had to protect my
 rsthand how it was raising children while         younger daughter (Niki) it made her grow
being under the in uence, her response to Niki’s   up too fast. My husband became an enabler
interview, and how her life has changed in         he had to chauffer me everywhere so I
recovery.                                          didn’t drive. e whole family was involved.
                                                   When I went to treatment at e Be y Ford
IA: We spoke with your daughter in our last        Center my whole family needed help too,
issue and how it was growing up with you,          not just me. My kids went to the children’s
her mother, an alcoholic. What was your            program my husband went through the

                                                                                                                    Nora S.
turning point, your bo om?                         family program.

Nora: My absolute bo om was when my
daughter Niki was 9 she came to me with
                                                   “People die om this                              they have the knowledge now.
her big brown eyes and said was it                  disease. I knew if I
something I did that caused you to drink?                                                           IA: How has your relationship with your
                                                   didn’t go I might not                            kids changed?
IA: She was 9 years old?
                                                         make it”                                   Nora: Our relationship is great now. If I
Nora: Yeah, at that point I really thought I’d     IA: What changed?                                hadn’t go en help I probably wouldn’t have
rather be dead, something just clicked and I                                                        custody of my kids, my husband would have
knew I would do anything to get sober and          Nora: It was spiritual for me I had to change    le with them. If I had continued drinking I
stay sober. Up until that point I wasn’t ready     my insides. Niki came to me and thought it       would have died. Our relationship, mine
to go to any lengths.                              was her fault that was the point of no return.   with my kids is open.

IA: How was it being a mom and raising a           IA: What were some of the challenges you         IA: How’s life now?
child while being an alcoholic?                    faced ge ing treatment?
                                                                                                    Nora: I just got a new job. A er 30 years, I
Nora: During the day I was like supermom           Nora: Being away from my kids. I was at the      may go back to school to be a substance
running around ge ing everything                   opposite side of the country. I cried the        abuse counselor.
accomplished, I had my eye on the prize the        entire way. On the plane there was an
drink at the end of the day. Every day I was       alcohol cart going up and down the aisle I       IA: Any advice for those still sick and
running around one day I had an injury and         just knew I may not make it back. People die     suffering?
started drinking for the pain. My drinking         from this disease. I knew if I didn’t go I
started earlier in the day. It was difficult at      might not make it. Insurance didn’t cover it,    Nora: To other mothers- the sooner the
that time my kids were 1 and 3. I had a neck       I drained my bank account because I knew I       be er get help. Even if you’ve done damage
injury the pain was so bad I was put on            had to get help.                                 in relationships you can always repair them.
muscle relaxers my addiction took off. I had                                                         Communicate with your kids, talk about it.
all I could do to get everything taken care of     IA: Are you concerned your daughters will        It’s a taboo it needs to be addressed; we
making meals. I was drinking for the pain.         become alcoholics?                               need to get rid of the stigma. is is a
I’d get up in the morning do my grocery                                                             disease; kids are highly affected by it
shopping if I didn’t drink I had the shakes.       Nora: My kids have been educated they            growing up in this kind of atmosphere.
                                                   have a good head on their shoulders. ey          Recovery is great, it’s awesome. I wake up
IA: Was there ever a point you could stop?         know about alcoholism, I never did. For          with serenity in my heart, in my soul. It’s
                                                   years I thought I was just a social drinker. I   wonderful to be able to share in my kid’s life
Nora: Not until she (Niki) turned 9 and            always drank for effect. Looking back I           100%!
asked was it her fault, then I knew I would        showed every single sign, I was a blackout
do whatever it took to stop. Being caught up       drinker since age 13. ey know (her kids)
in my addiction fed my pain level.
    e Magazine                                                                                                              11
                                             ALL BETS ARE OFF
Lying, manipulating, stealing, followed by   I had my own business making money
pain, shame and guilt and she couldn't       I’d go to bingo 3 x a day.
stop. is is the story of Lesa and her 7
year ba le with Compulsive Gambling.         IA: How old were you then?
From a successful young entrepreneur to
living in a tent and losing it all. INSIDE   Lesa: Between the ages of 24 and 27 I
ADDICTION sat down and heard her             was spending hundreds of dollars a
story about winning and losing and the       week then day from my late teens to
vicious cycle of Compulsive Gambling.        early twenties. I was making money at
                                             my business it supported my addiction.
IA: How was it growing up, where did
you, how was it?                             IA: What did that lead to?

                                                                                          IA: is led to and o en leads to in any
Lesa: I grew up in the state of Maine, I      “ e shame and guilt,                        addiction lies, stealing, and
have two sisters, from a very young age
I was very involved in sports, kind of a      makes you not want to                       manipulation did it for you?
superstar athlete. My family was very          live with yourself. “                      Lesa: e lies to my family and friends
involved and active with us. We were a
middle class family, typical family trying   Lesa: e turning point for me was a           why I needed money I told them my
to get by.                                   trip I took to Aruba I started playing       business was failing when it was doing
                                             video poker, I won $1,200 it was in the      great, I needed more money for
IA: So growing up was pre y good?            paper they made a big deal out of it. I      gambling. I lied to my clients at work,
                                             was with somebody I loved at the time,       that for me is really tough to talk about,
Lesa: I was very active in sports, class     I think at that point I latched onto it as   I still have a lot to do to make up. I’d go
president, I was the prom queen, I was       something that was really rewarding to       away for four days at a time to gamble, I
offered a full athletic scholarship to        me. It felt good, I got involved in theses   became good at manipulating my work
college to play eldhockey.                   cycles internet poker , spending             schedule so I could go to the casino.I
                                             thousands of dollars and not realizing       manipulated and lied to everyone
IA: So you went to college?                  the progression.                             including myself, there isn’t a single
                                                                                          person in my life I hadn’t lied to.
Lesa: Yeah, I did really well, I started     IA: How long did this last?
my own business at age 24 as a wellness                                                   IA: How about shame and guilt?
coach, from that point forward that’s        Lesa: At the age of 31 I was spending
when the gambling pieces of my life          thousands of dollars a week . My             Lesa: e shame and guilt, makes you
came together.                               business was very strong, I was making       not want to live with yourself. at’s
                                             money but I found myself working to          when the vicious cycle happens, the
IA: How so?                                  support my addiction . I found myself        progression of wanting to take you own
                                             going to work just to make money to          life. I felt remores le ing people down, I
Lesa: I started young with bingo. I use      gamble. I found myself basically lying       was a professional woman and felt
to work at the bingo parlor when my          my way through my thirties. I had to         desperate and hopeless. e only way
mom was going there, when I was old          the best I could to hold down my             to get away from the shame and guilt
enough, making money as a waitress in        business, my relationship, and my            was to do it more to escape from the
High School I’d skip school and go play      gambling addiction which was my              guilt. It wasn’t even about the money at
bingo. en I got involved with scratch-       priority.                                    that point.
off tickets that didn’t last long but when
                                                                                                  INSIDE ADDICTION
  12                                                                                                  e Magazine

IA: How did compulsive gambling              my own life.                                wrong time to do the right thing, I have
affect you, in what ways?                                                                 life in front of me!
                                             IA: What was the hardest part of
Lesa: I would say the abuse of alcohol       reaching out for help?                      IA: What’s hard about it?
came from gambling, I‘d drink while I
was gambling from morning to night.          Lesa: I’d been wanting to get it for        Lesa: Ge ing people to trust me, I have
I’d drink before I went to the casino, I’d   awhile. e hardest part was knowing I        a path of destruction behind me. I’m
eat a lot of food, self-abuse, self-         had to change certain things in my life.    not married, I don’t have children, I’m
destruction all part of it. e nancial        Treatment was the only option for me.       not in a relationship but I’m working
piece began in my twenties. I ended up       It was a life or death situation for me.    my way through emotional stuff.
living in a tent for six months, I wasn’t    Rehab was hard but it was what was
paying my bills, my cars were                needed. I had to peel away the layers of    IA: What don’t people know about
repossessed. I made those choices so I       unresolved issues.                          problem gambling, what advice do you
had money to gamble. e truth is                                                          have for others?
nothing was paid, a tremendous
                                              “Gambling is something
amount of debt was made.                     that progresses to jail and                 Lesa: People don’t understand the
                                              suicide. It has the highest                progression and disease. is addiction
IA: How did you get help?                                                                requires treatment. It’s not identi ed or
                                                  suicide rate of all                    respected as much as it should be.
Lesa: I knew this wasn’t going to              addictions. If you need                   Gambling is something that progresses
change so I reached out for help to my                                                   to jail and suicide. It has the highest
family and for treatment. I got involved
                                                  help, reach out! “                     suicide rate of all addictions. If you
in therapy. I started doing what I           IA: What’s the best part of recovery?       need help, reach out!
thought was what I needed to do to get
be er. I stopped for ve months. When         Lesa: e best part is feeling con dent,
I went back to gambling it was hard. I       feeling free, my addiction will always be
  nally went to treatment for gambling       there but right now I don’t wake up
in Maryland. e mental and emotional          feeling like I have a noose around my
pain was the worse, I almost had taken       neck. I have hope today. ere’s never a
    e Magazine                                                                                         13
He was born and raised in the 50’s.   myself a lot, nd my own
He le Mississippi and moved to        solutions to my “problems.”
Chicago but he was never
comfortable with himself. INSIDE      IA: What problems?
ADDICTION sat down with
Charles and heard his experience,     Charles: I was never comfortable
strength, and hope and how no         “in me” or who I was. I was told to
ma er where you go there you are.     be in my place, stay in my place,
                                      and watch out. e lies, I taught

                                                                                   Charles S.
IA: How did you get involved in       myself self-hatred.
drugs?                                                                      IA: How’s life in recovery now?
                                      IA: And you turned to drugs.
Charles: I was born and raised in                                           Charles: My life is about living.
the ies I grew up not feeling      Charles: Yeah, I did but I came          We have a disease that has the
good about who I was, it killed my into the program (recovery) in           power to kill you if not make you
hope.                              1990, stayed for 15 minutes, went        want to kill yourself. is is about
                                   back out for ve years. I came            life and death. I no longer wanna
IA: It was a struggle growing up   back in not to stop but because          die, I wanna live. I’m enjoying
black in the ies?                  drugs had whooped my ass.                recovery, it’s amazing, you don’t
                                   Forget prison I had done worse a         have to die.
Charles: I had to deal with a      self- imposed prison through my
whole lot of issues that didn’t    addiction.
have to do with drugs but more so
of who I was, I had to teach

                                                                                                INSIDE ADDICTION

  14                                                                                                e Magazine

      STATES BAN FOUR                        drinking on campuses. It argued that
    LOCO/OTHER ALCOHOL                       the Liquor Control Board did not
       ENERGY DRINKS                         adequately justify its use of an                ALCOHOL THE MOST
                                             emergency ban and that other                    DANGEROUS DRUG!
SOURCE: JOIN TOGETHER                        “caffeinated liquor products” would
                                             remain on the market.                     SOURCE: ISCD/EMCDDA
   e state of Washingon’s Liquor
Control Board has outlawed alcoholic                 A   ENTION TEENS                  Alcohol is a more dangerous drug than
energy drinks. Regulators acted at the                                                 both crack and heroin when the
request of Washington governor               SOURCE: Health Day News                   combined harms to the user and to
Christine Gregoire in the wake of an                                                   others are assessed, British scientists
October incident where nine Central          New research found adolescents who        said Monday.
Washington University students were          abused marijuana and alcohol scored
hospitalized a er consuming                  lower on a ba ery of intellectual         Presenting a new scale of drug harm
caffeinated alcohol drinks. e state’s         aptitude tests than their drug-free       that rates the damage to users
emergency ban began Nov. 18 and will         peers. University of New Mexico           themselves and to wider society, the
last 120 days, to give the Liquor            (UNM) investigators asked 48 teens        scientists rated alcohol the most
Control Board time to prepare a rule         aged 12 to 18 to undergo a ba ery of      harmful overall and almost three times
that would permanently ban the drinks.       tests to assess the effects of chronic     as harmful as cocaine or tobacco.
   e state’s legislature may also consider   substance abuse on their intellectual
a ban next year.                             function. e tests measured a range of     According to the scale, devised by a
                                             neuropsychological skills, including      group of scientists including Britain's
   e maker of Four Loko, one of the          verbal reasoning, executive function,     Independent Scienti c Commi ee on
alcoholic energy drinks blamed for the       visuospatial ability, memory, and         Drugs (ISCD) and an expert adviser to
hospitalization of the nine students,        processing speed. Nineteen of the         the European Monitoring Center for
issued a statement saying that the ban       participants had a diagnosis of           Drugs and Drug Addiction
"does li le" to deal with underage           substance abuse or dependence, 14         (EMCDDA), heroin and crack cocaine
drinking on campuses. It argued that         were abstinent but had a parent who       rank as the second and third most
the Liquor Control Board did not             abused alcohol, and 15 were abstinent     harmful drugs.Ecstasy is only an eighth
adequately justify its use of an             controls with no family history of        as harmful as alcohol, according to the
emergency ban and that other                 alcohol abuse.                            scientists' analysis.
“caffeinated liquor products” would
remain on the market. e state’s                 e researchers found that teens         Professor David Nu , chairman of the
emergency ban will begin Nov. 18 and         reporting the highest substance use had   ISCD, whose work was published in
last 120 days, to give the Liquor            lower test scores across the board. In    the Lancet medical journal, said the
Control Board time to prepare a rule         particular, teens who abused alcohol       ndings showed that "aggressively
that would permanently ban the drinks.       scored substantially lower on the test    targeting alcohol harms is a valid and
   e state’s legislature may also consider   measuring executive function, while       necessary public health strategy."
a ban next year.                             teens who abused pot scored lower on
                                             measures of memory                        Drugs were then scored out of 100,
   e maker of Four Loko, one of the          performance.Interestingly, teens who      with 100 given to the most harmful
alcoholic energy drinks blamed for the       were abstinent but had a parent who       drug and zero indicating no harm at all.
hospitalization of the nine students,        abused alcohol were also affected,            e scientists found alcohol was most
issued a statement saying that the ban       scoring lower on the test for             harmful, with a score of 72, followed by
"does li le" to deal with underage           visuospatial ability.                     heroin with 55 and crack with 54.
    e Magazine                                                                                                          15
Among some of the other drugs                                                          study to evaluate the compound's
assessed were crystal meth (33), cocaine                                               efficacy and potential bene ts in treating
(27), tobacco (26), amphetamine or              TREATING ALCOHOL AND                   both alcohol and nicotine dependence.
speed (23), cannabis (20),                      NICOTINE DEPENDENCE                       e other compound is PF-4575180.
benzodiazepines, such as Valium (15),                                                  Both were developed by P zer.
ketamine (15), methadone (14),              SOURCE: MEDICAL NEWS TODAY
mephedrone (13), ecstasy (9), anabolic                                                 "Alcohol and nicotine addiction are
steroids (9), LSD (7) and magic             Researchers at the Ernest Gallo Clinic     o en treated as separate disorders,"
mushrooms (5).                              and Research Center at the University      Bartle says, "despite the fact that 60 to
                                            of California, San Francisco, and P zer    80 percent of heavy drinkers smoke
  BASEBALL’S TEXAS NGERS                    Inc., have determined that two new         tobacco. ere are very few effective
     SUPPORT RECOVERY                       compounds may be effective in treating      strategies for treating these disorders
                                            both alcohol and nicotine dependence       separately, let alone together. Our data
SOURCE: MAJOR LEAGUE BASEBALL               at the same time. researchers showed       suggest that by targeting speci c
                                            that alcohol consumption in rodents        nAChR subtypes, it may be possible to
   is playoff season when the Texas          was signi cantly decreased by two          treat both alcohol and nicotine
Rangers won the American League             compounds that target neuronal             dependence with one medication."
Divisional Series, and then the A.L.        nicotinic acetylcholine receptor
Championship Series (ALCS), the Ale         (nAChR) subtype (alpha)3(Beta)4.           DRINKING PA          ERNS
of choice -- Ginger Ale -- was a welcome
surprise.                                   nAChRs are proteins found in the brain     SOURCE: JOURNAL OF STUDIES ON
                                            and broader central nervous system that    ALCOHOL AND DRUGS
   e Rangers gave dual celebrations --      mediate the effects of substances such as
one nonalcoholic -- out of respect for      nicotine. Recent human genetic studies     Problem drinkers in the general
their ALCS MVP center- elder Josh           have shown that the genes encoding the     population may reduce the amount of
Hamilton, who is sober and in ongoing       α3ß4* subtype are of signi cant            alcohol they consume over a period of
recovery. ey also gave a separate           importance for susceptibility to both      years but not to the level of the average
champagne party for players.                alcohol and nicotine dependence.           adult, according to a new study. "Most
(Major League Baseball must have liked      " e problem has been translating these     heavy drinkers maintain a steady level of
the Rangers trend se ing non-alcoholic      important genetic ndings into more         heavy alcohol consumption over time,"
option. Before the World Series began,      effective medications for people," said     said lead researcher Kevin L. Delucchi,
teams were noti ed that they must           co-senior author Selena E. Bartle , PhD,   Ph.D., Professor of Biostatistics in
provide a non-alcoholic option for their    director of the Preclinical Development    Psychiatry at the University of
players, as well as keep alcohol off the     group at the Gallo Center. e lead          California San Francisco. "It's pre y
 eld, among other limitations, said Rob     author of the study is Susmita             toxic, but somehow they manage to
Manfred, the executive vice president       Cha erjee, PhD, of the Gallo Center.       keep drinking at a fairly sustained level.
for MLB.)                                                                              Our people were functional, for the
                                               e work was done in collaboration        most part. ey had addresses, a lot of
For those few moments, kids -- and          with scientists led by co-senior author    them had insurance at baseline, and
adults -- watching the games got to see a   Hans Rollema, PhD, in the                  they're not at the 'bo om of the barrel,'
sports celebration without the booze.       Neuroscience Research Unit at P zer        which is interesting."
We saw a team sticking together,            Inc.
commi ed to each other for both the         One of the new compounds, CP-                 e researchers say their study is one of
on- eld and off- eld ba les. e               601932, has been shown in a clinical       the rst to examine heavy alcohol use in
Rangers didn't win the World Series, but    study to be safe in humans, notes          the general population.
they sure won my respect.                   Bartle . She recommends a clinical
                                                                                                        INSIDE ADDICTION
   16                                                                                                       e Magazine
            HEADLINES, NEWS, AND VIEWS: ALCOHOL (Continued)
Most studies have focused on the most           eighth overall. e ndings were presented        shows men are up to twice as likely to
severe drinkers -- those who were already       at the American Association for the Study      develop alcoholism as women.
in a treatment program, said Delucchi.          of Liver Diseases 61st Annual Liver            Researchers from Columbia and Yale
"Not everyone who has an alcohol                Meeting in Boston.                             studied male and female college-age social
problem is in treatment or is in a program,"                                                   drinkers in a laboratory test of alcohol
said Delucchi. "People are out there on          CELEBRITY SPEAKS OUT ABOUT                    consumption. A er consuming an
their own."                                           HER ALCOHOLISM                           alcoholic or non-alcoholic drink, each
                                                                                               participant underwent a specialized
    e researchers also examined which           Source:   e Partnership                        positron emission tomography (PET)
factors appeared to be linked with                                                             scan, an imaging technique that can
continued heavy drinking. Participants             e Partnership for a Drug-Free America       measure the amount of alcohol-induced
who received help from Alcoholics               has a new name and a new spokesperson          dopamine release.
Anonymous or community social service           in actress Melissa Gilbert. e 46-year-old
agencies were likely to drink less.             Melissa Gilbert will serve as the              Dopamine has multiple functions in the
However, those who had heavy-drinking           Partnership's rst-ever long-term celebrity     brain, but is important in this context
friends in their social network, received       spokesperson. Gilbert, who starred on          because of its pleasurable effects when it is
general suggestions that they do                "Li le House in the Prairie," is now a         released by rewarding experiences, such as
something about their drinking, and went        mother and stepmother to four children         sex or drugs.
to a formal treatment program were              and has had her own struggles with drugs
actually likely to drink more. Delucchi said    and alcohol.                                   Despite similar consumptions of alcohol,
they were unable to determine why formal                                                       the men had greater dopamine release
treatment appeared to be linked with            "I myself am a recovering alcoholic, six       than women. is increase was found in
continued elevated drinking, although the       years sober," Gilbert said. "As a young teen   the ventral striatum, an area in the brain
researchers theorize that perhaps those         in the 1980s, I more than dabbled in drugs     strongly associated with pleasure,
who sought this type of treatment were          and alcohol."She stated that parents today     reinforcement and addiction formation."In
likely to have experienced the greatest         face a challenge when talking with their       men, increased dopamine release also had
level of alcohol-related problems and,          children about drugs and alcohol. "We          a stronger association with subjective
therefore, were more likely to have sought      can't actually say to our children, you        positive effects of alcohol intoxication,"
such treatment.                                 shouldn't do it, because I never did," she     explained Dr. Nina Urban, corresponding
                                                said. "It's a whole different conversation."    author for this study. " is may contribute
 MORTALIITY TES FROM LIVER                      Gilbert stated that she thought the online     to the initial reinforcing properties of
  DISEASE, UNDERESTIMATED                       resources at drugfree.org would help           alcohol and the risk for habit formation."
                                                parents feel less isolated. She also thinks    Dr. Anissa Abi-Dargham, senior author on
SOURCE: CENTER FOR DISEASE                      her example can be helpful to them. "I'm       this project, notes that "another important
CONTROL AND PREVENTION                          hoping that they'll come away with ... the     observation from this study is the decline
                                                thought that the stigma of being a parent      in alcohol-induced dopamine release with
Statistics from the Centers for Disease         with a child who is going through              repeated heavy drinking episodes. is
Control and Prevention (CDC) rank               addiction issues is nonexistent," Gilbert      may be one of the hallmarks of developing
mortality related to chronic liver disease      said, "because it can happen to anyone."       tolerance or transitioning into habit."
and cirrhosis as the 12th most common
cause of death in adults in the U.S. Using a         MEN TWICE AS LIKELY TO                       ese ndings indicate that the ability of
modi ed de nition that includes diseases              BECOME ALCOHOLICS                        alcohol to stimulate dopamine release may
such as viral hepatitis, liver cancer and                                                      play an important and complex role in its
obesity-related fa y liver disease (liver       Source: Columbia And Yale University           rewarding effects and abuse liability in
diseases), Mayo Clinic-led researchers                                                         humans.
have found that liver-related mortality is as   Alcohol is one of the most commonly
high as fourth for some age groups, and         abused substances, and new research
                                                 JANUARY 2011


                                                                           #                    &                          (                      +

             $            %           ' 

              "        %)*                   


,                     .                                                                                                                     #
 "   -
    / '
  / '                   0                                              %  '"  




&                    (                           +                        ,                   .                                              
%  '           1                       )      

                                                #                        &                   (               +                               ,
             2 "
 4                          5 
                        "  "


                                    FEBRUARY 2011

         !"                 $        


%                     )                  ,                           .                        0                                              
&  '

(     *  +    -                      *

     1        2 $ 


                                        #                        %                       )                     ,                         .
       -                 3  
        4    ( (          &   (   


0                                                                                                            #                         %
-  $    
      2 $(
  (               (       
    & ' 
 (               & '  $
$                                                                / 

           6(       (7
                                                                        '                                          5  (               

)                    ,
      &  (

    e Magazine                                                                                                             19
                           Wherever You Go                                 ere You Are
She was born in Barbados, a different       Wilma: In a ma er of a month or two
country, but the same disease. INSIDE      my behaviors picked up all over again. I
ADDICTION spoke with Wilma, a              wasn’t even aware of them it was a way
recovering addict from another country     of life for me. I got here in 1974 I had a
who le there, came here, but brought       baby by time it was 1975. Her father
her, with her. No ma er where you are      went to prison and I started moving
there you are, Wilma shares her            really quick. I raised my rst child
experience, strength, and hope and how     alone. 11 years later I had a son who
you can run but you can’t hide from        was 2 lbs.15 ounces due to my

                                                                                                       Wilma S.
this disease.                              addiction. en right a er that I had
                                           another child who died due to my
IA: You’re from Barbados, how did you      addiction. I used hard. I ran hard, I used
get to the United States.                  hard.                                        I didn’t come into this process willingly.
                                                                                        I moved upstate with a friend who said
Wilma: I’m from the West Indies, at        IA: So what changed?                         I needed to do something different.
around age 15 , I decided I was going to                                                   ey didn’t have a problem but they
take on my own life in the process of                                                   told me if I wanted to stay there I had to
doing so I found people who were           Wilma: Somewhere along my whole              get help. I went to outpatient.
interesting to me. I dropped out of        process of running the things that were
school and took a different path. I got     instilled in me as a child stayed with me.   IA: When?
pregnant when I was 16 years old and       I was always able to get a job but I
lost the baby due to my addiction. I was   couldn’t keep it. I didn’t understand        Wilma: December 29, 1995. I’ve been
de ant, I had abandonment issues , all     that. Using was my way of life my            in this process ever since. It’s a beautiful
that came up 30 years later. I got to a    success were stagnated by failures           thing. I now run with people in
point that I was doing some dangerous      through using. I just kept going and         recovery. I bought a new package the
things, people wanted to hurt me, I had    used until 1995.                             best package there is RECOVERY!
to get off the island. My mother was in                                                  Even in my bad relationships including
the United States so I came here.          IA:   en what?                               two marriages that ended I never used.
                                                                                        I’ve lost people, I still didn’t use, I don’t
IA: Did that change your path?             Wilma: I moved out of Yonkers, NY            have to anymore one day at a time.
                                           because I owed back rent and owing
                                           some other money.
                                                                                             INSIDE ADDICTION
   20                                                                                            e Magazine
It began on the mean streets of an inner    and you refer to it as “ e ree
city, drug dealers, prostitutes, and        Legged Stool” in which you address
poverty. He saw a need, he ful lled it.     3 distinctive parts of the recovery
INSIDE ADDICTION recently had               process in which when one is
the opportunity to sit down with Father     overlooked can and o en does lead
Peter Young, one of the pioneers who        to relapse and continued drug and
began the shi om incarcerating              alcohol use.
addicts to rehabilitating them. Over the
past ve decades he has helped               Father Young: I didn’t really come
hundreds of thousands and their             up with it, the guys at “the gate” did.
families get back on track through          I worked in prison for 33 years and
treatment, housing, and employment          when I’d see and meet people
                                                                                            Father Young
opportunities.                              ge ing ready to go home a er
                                            completing their sentence I would
IA: How did you get involved in             say , “You’re all set to go” and they     go to Father (me) I monitored them
substance abuse treatment and what          would say, “All dressed up and            and reported back (to the court).
initially got you interested and            nowhere to go” they knew what they        Every day in the ies there would
motivated to help and work with             needed. To have recovery they             be 50-60 people in court I’d take
people and a population with a              needed somewhere clean, safe, and         them out of court. I took over a lot
substance abuse problem?                    sober, they needed a job. I decided       of abandon buildings; I put 80+
                                            to retire from the Dept. of               ma resses on a gym oor, another
Father Young: It was back in the late       Corrections and began to plan and         100 in another building, I began by
   ies when I came to Green Street          create somewhere on the outside for       housing them. I was a Chaplin to the
in Albany, NY it was a pre y tough          all of these people to go.                court helping ll a need I saw. ere
place at that time a lot of people,                                                   were no detoxes back then, these
houses of prostitution, gambling and        IA: Which resulted in Father Peter        were decent guys who needed to be
drugs it was about a twelve block           Young Programs?                           in a safe place where they weren’t
area, they had no regard for law. I                                                   choking on their own vomit going
became the pastor in that area for          Father Young: We now have over            through withdrawals.
about 12 years. ey said it’s going          118 locations from Buffalo to
to exist so let’s contain it we’ll put it   Brooklyn.
in one place and that was Green
Street.                                     IA: Who are some of the people
                                            you’ve dealt with throughout the
IA: So how did you get involved?            years in your continued efforts to
                                            providing services and change for
Father Young: I saw people that had         people suffering with the disease of
a need, problems with criminal              addiction?
justice, housing, drugs, alcohol, I
simply responded to the need I saw.         Father Young: I worked with police
                                            court in the beginning, people had
IA: Your approach is very unique            the choice, go to court, go to jail, or
    e Magazine                                                                                            21

IA: What did you learn from that     need to help them. I was                and their willingness. e hardest
experience?                          introduced to Bill Wilson in Ohio       part is the lack of resources.
                                     (Founder of AA) and I began
Father Young: I’d meet with men      ge ing all the help I could get to      IA: What still needs to change in
the day a er I brought them in,      help these people with this disease.    regards to treatment of addiction?
they wake up and say, ‘Father        I learned to become a matchmaker
where did you get those 12 stitches  not a counselor I’d have people in      Father Young: We need to give
in your head?” I’d tell them ,”you” Irecovery share their stories with the   public voice and support for
began to realize this is a disease,  people who needed an example. I         programs. People are backing off
blackouts, etc. these were sick      started working with the legislature    from treatment they are de-funding
people, very nice when they were     and with Governor Rockefeller, I        services discriminating against
sober. ey were beautiful people      started writing legislature.            people with this disease. is is a
and I thought something is wrong                                             continuing struggle. e dollar is
here. ey could not control their      IA: What do you think people need      ge ing squeezed and people are
drinking, I went to Yale and then to to know about addiction and             looking at every disease under
Rutgers to learn more about the       recovery?                              scrutiny.
                                      Father Young: We have to take          IA: What advise do you have for
IA: en where did it take you?         away the barriers that are there.      someone themselves or who loves
                                         e stigma is a big barrier. You      someone suffering with the disease
Father Young: 35,000 meetings to have to open a door people don’t            of addiction?
change the law over 14 years of my want to be called criminals; they
life to change the law to a           have a disease they need to be         Father Young: What’s best for
treatment based model. at began treated. It’s each one teach one.            most in or seeking recovery over
which is now the Office of Alcohol         e people I see are amazing, they    the past 50 years I’ve seen is P.P.T.
and Substance Abuse. It was a         are paying taxes, buying cars,         the people, places, and things. Get
journey to a de-stigmitazation        houses, they are working.              yourself support get to know the
because now we treat people                                                  disease. A person takes a substance,
instead of incarcerate them.          IA: What’s the best part of your       the substance takes a substance
                                      job, what keeps you coming to          then the substance takes the
IA: Five decades how many people work a er ve decades helping                person. ese are good people
have you helped?                      others with the disease of             they need help. ose that want
                                      addiction? What’s the hardest part?    recovery can get it. When we treat
Father Young: We try to keep an                                              people their lives improve.
open door, we try not to turn         Father Young: e best part of my
anyone away. ese people need          job is seeing people,ge ing le ers
services; others turn them away we and emails all day of success stories
  Father Peter Young and his services can be reached by visiting WWW.PYHIT.COM
                                                                                                      INSIDE ADDICTION
                        HEADLINES, NEWS, AND VIEWS: NICOTINE
                                                                                                          e Magazine

Non-Addictive Cigare es A Research          "Nicotine addiction sustains tobacco use.      approach.
            Priority?                       Qui ing tobacco can be as difficult to
                                            overcome as heroin or cocaine                       Smokeless Doesn’t Mean Safe!
Source: Science Daily                       addiction," said Hatsukami, director of
                                            the University of Minnesota's Tobacco          Source: American Heart Association
A er a major review of scienti c            Use Research Center and the Masonic
information, six leading tobacco research   Cancer Center's Cancer Control and             Smokeless tobacco products have a high
and policy experts have concluded that a    Prevention Research Program "Reducing          risk of addiction and returning to
nicotine reduction strategy should be an    the nicotine in cigare es to a level that is   smoking and should not be used as an
urgent research priority because of its     non-addicting could have a profound            alternative to cigare es, cigars or pipes,
potential to profoundly reduce the death    impact on reducing death and disability        says the America Heart Association in a
and disease from tobacco use. According     related to cigare es and improving             recent policy statement. Smokeless
to this new report, reducing the amount     overall public health."                        tobacco products are not as safe as many
of nicotine in cigare es to non-addictive                                                  people believe; they are linked to an
levels could have a signi cant public       Hatsukami adds that studies to date have       increased risk of certain cancers, fatal
health impact on prevention and             found that substantial reduction in            stroke and fatal heart a ack. If you want
smoking cessation. Over time, the move      nicotine in cigare es does not lead to         to quit smoking, nicotine replacement
could dramatically reduce the number of     smokers smoking more lower-nicotine            therapy, in the form of nicotine gum or a
annual deaths related to cigare e           cigare es because it is harder to              nicotine-releasing skin patch is a much
smoking by decreasing adolescent            compensate for very low nicotine intake.       safer alternative to smokeless tobacco
experimentation with cigare es              "In addition, studies have shown a             products.
preventing a progression to addiction,      signi cantly lower number of cigare es
and by reducing dependence on tobacco       are smoked when low-nicotine cigare es         According to clinical studies, there is no
among currently addicted smokers of all     are used, resulting in eventual abstinence     link between using nicotine replacement
ages.                                       in a considerable number of smokers,"          therapy and increased heart a ack or
                                            she said.                                      stroke risk.
Dorothy Hatsukami, Ph.D., University of
Minnesota Medical School, and Mitch         "Imagine a world where the only                Smokeless tobacco products have been
Zeller, J.D., Pinney Associates in          cigare es that kids could experiment           entering the US market in response to
Bethesda, MD, led the overall effort as      with would neither create nor sustain          the recent smoke-free air laws, which
co-chairs of the National Cancer            addiction," Zeller said. " e public health     forbid tobacco smoking in many places.
Institute's Tobacco Harm Reduction          impact of this would be enormous if we         Smokeless tobacco products may refer
Network. ey convened several                can prevent youthful experimentation           to:
meetings of researchers, policy makers,     from progressing to regular smoking,           • Dipping tobacco, it is placed between the lower
tobacco control advocates and               addiction, and the resulting premature         or upper lip and gums.
                                                                                           • Chewing tobacco..
government representatives that             disease and death later. Reducing the          • Snuff, it is insufflated or "snuffed" through the
explored the science base for a nicotine    nicotine content in cigare es may be a         nose.
reduction strategy.                         very effective way to accomplish this           • Snus, a Swedish product similar to dipping
Currently, about 44 million (or 20          major impact," he added.                       tobacco.
percent) of adults in the United States                                                    • Creamy snuff, a uid tobacco mixture marketed
                                                                                           as a dental hygiene aid, albeit used for recreation.
smoke cigare es. Other research cited by    Hatsukami, Zeller, and their colleagues        • Tobacco gum.
the authors had found that reducing         recommend engaging scienti c, research         • Dissolvable tobacco.
nicotine to non-addictive levels could      and government agencies to conduct the         • Topical tobacco paste, it is applied to the skin.
potentially reduce smoking prevalence to    necessary research and set priorities and      • Tobacco water, a mixture of water and tobacco.
about 5 percent.                            goals as the next step toward determining
                                            the feasibility of a nicotine reduction
    e Magazine                                                                                                          23


Source: USA Today                                                                       "A lot of the demand is just coming
                                                   A USE FOR TOBACCO                    from people realizing that smoke
Heavy smoking in midlife increases an                                                   doesn't stay in one unit," said Rita
individual's risk of developing             Source: Join Together                       Turner, deputy director of the Center
Alzheimer's disease by more than 157                                                    for Tobacco Regulation, Litigation and
percent, according to a new study           Turns out that researchers looking to       Advocacy at the University of Maryland
sponsored by Kaiser Permanente.             help tobacco farmers have found a new       Law School. "Buildings are designed to
Researchers suspect the link could be       use for tobacco and nicotine – as what      breathe."
explained by the increased                  else, guess.. a pesticide.
in ammation that is present both in         According to new research, a “bio-oil”         e Centers for Disease Control and
smokers and in individuals with             gleaned from tobacco leaves cooked in       Prevention say secondhand smoke can
Alzheimer’s disease. A review of records    a vacuum at extremely high heat kills a     cause asthma, respiratory and ear
of more than 21,000 men and women           range of insects, fungi and bacteria. It    infections, sudden infant death
found that compared with nonsmokers,        was more effective with nicotine in it,      syndrome, heart disease and lung
those who smoked more than two              but was still toxic without it.             cancer. " ere is no risk-free level of
packs of cigare es a day had a more         Apparently, this isn’t news to gardeners,   exposure to secondhand smoke," the
than 157 percent greater risk of            who have used tobacco and water to kill     agency says on its website.Such
developing Alzheimer's and a 172            pests for a long time, but the              concerns have led to efforts to ban
percent greater risk of developing          researchers hope that their “bio-oil” can   smoking not only in common spaces of
vascular dementia. Principal                help tobacco farmers hurt by dropping       buildings, but also in individual
investigator Rachel Whitmer, Ph.D., a       demand.                                     apartments. e Department of
Kaiser Permanente research scientist,                                                   Housing and Urban Development
said a follow-up study will seek to             More Landlords/Apartment                issued a notice last year encouraging
determine whether qui ing smoking              Developers Are Banning Bu s              public housing authorities to consider
might lower dementia risk.                                                              smoke-free policies, and many have,
                                            Source: MSNBC                               officials said. Some private developers
   e study followed subjects beginning                                                  also are doing so.
in middle age for an average of 23 years.   No Smoking signs are popping up at
A total of 5,367 subjects were              some apartment complexes and                   e Alaire, in Rockville, Md., lists
diagnosed with dementia in their later      condos, barring people from lighting up     among its "green" features a saline
years, and 2,367 of these individuals       even in their own homes. And in places      swimming pool without chlorine
were smokers. A total of 261 people in      where smoking is permi ed, tenants          chemicals, a solar-powered trash
this group were classi ed as heavy          and owners are beginning to seek            compactor, the use of recycled soda
smokers.                                    protection from the secondhand smoke        bo les on its roof for plants — and a
   is is another good reason not to         they say is seeping into their              smoking ban.When asked how it has
smoke!                                      apartments.                                 affected his rentals, "Without a doubt,
                                                                                        this has driven far more residents to us
                                                                                        than it has detracted," said Ma
                                                                                        Blocher, senior vice president of
                                                                                        marketing for the JBG Companies,
                                                                                        which own the complex.
                                                                                                  INSIDE ADDICTION
   24                                                                                                 e Magazine
             HEADLINES, NEWS, AND VIEWS: NICOTINE (Continued)
SMOKING AND BREAST CANCER                  Cancer Prevention Research                    team leader. "Our analyses show there
                                           Conference, held in Philadelphia.             is signi cant toxicity in harm reduction
Source: University of California, San                                                    products, and our data show that
Francisco                                      Harm- Reduction Cigare es,                reduction of carcinogens in harm
                                                  NO SUCH THING!                         reduction mainstream smoke does not
Being a current smoker or having a                                                       necessarily reduce the toxicity of
history of smoking signi cantly            Source: University of California, Riverside   un ltered sidestream smoke."
increased the risk of breast cancer
progression and overall death among a      To reduce the toxicity of cigare e            Her group also found that sidestream
group of multiethnic women with            smoke, tobacco companies have                 smoke was consistently more potent to
breast cancer, according to the results    introduced "harm reduction cigare es,"        the embryonic stem cells than
of a large prospective cohort study.       o en marketed as safer than                   mainstream smoke, regardless of
Women who are current smokers or           conventional brands. But stem cell            whether the cigare e brand was harm
have history of smoking have a 39          scientists at the University of               reduction or conventional.
percent higher rate of dying from breast   California, Riverside have found that
cancer, even a er taking into account a    even sidestream smoke (which burns            " is information should be valuable to
wide array of known prognostic factors     off the tip of a cigare e) from harm           potential users of harm reduction
including clinical, socioeconomic and      reduction cigare es impairs growth of         cigare es and should be taken into
behavioral factors," said Dejana           human embryonic stem cells more than          account when establishing policies
Braithwaite, Ph.D, assistant professor,    sidestream smoke from a conventional          regarding the sale, advertising, and use
division of cancer epidemiology,           brand.                                        of harm reduction products," Talbot
department of epidemiology and             "Harm reduction products are not              said.
biostatistics at the University of         necessarily safer than their
California, San Francisco.                 conventional counterparts," said Prue
Researchers presented these results at     Talbot, the director of UC Riverside's
the Ninth Annual AACR Frontiers in         Stem Cell Center and the research
    e Magazine                                                                                                                     25
                            INSIDE OPTIONS: RECOVERY COACHES
William (“Bill”) White is a Senior Research    increasing the long-term recovery
Consultant at Chestnut Health Systems,         orientation of addiction treatment,
past-chair of the board of Recovery            wrapping treatment in a more extensive
Communities United, and a volunteer            menu of sustained recovery support
consultant to Faces and Voices of Recovery.    services, and radically altering how this
He has a Master’s degree in Addiction          country views recovery. And it is rapidly
Studies from Goddard College and has           spreading to Europe, Asia, and Africa.
worked full-time in the addictions treatment   What this movement has achieved in the
 eld since 1969. Bill has authored or co-      past decade is beyond anything imagined
authored more than 300 articles and 16         by those of us who met in St. Paul. It has
books, including Slaying the Dragon: e         been a privilege to witness and document
History of Addiction Treatment and             the cultural and political awakening of
Recovery in America and Let’s Go Make          individuals and families in recovery.
Some History: Chronicles of the New
Addiction Recovery Advocacy Movement.          IA: What is a recovery coach?
His collected papers can be found at

                                                                                                         William White
www.williamwhitepapers.com. INSIDE             Bill White: Historically, we have had two
ADDICTION recently had the opportunity         types of recovery support roles. ere are
to discuss the new recovery movement           addiction and allied health professionals      impersonal professional service system, and
including Recovery Coaches (RC.)               who screen, evaluate, medically and            will serve, for some, as an alternative to that
                                               psychologically treat, and then discharge      system. I see the RC as the person who
IA: What got you interested in the New         individuals and families affected by            has your back through the process of pre-
Recovery Movement?                             addiction. And there are the                   recovery engagement, recovery initiation,
                                               sponsors/guides who provide temporary or       the transition to stable recovery
Bill White: A blend of personal activism and   prolonged peer-based guidance within           maintenance, and the achievement of
my fascination with the history of addiction   particular recovery mutual aid societies. e    enhanced quality of personal/family life in
recovery. In the late 1990s, I was writing     recovery coach (RC) is a new role that         long-term recovery.
about the restigmatization,                    stands between the professional and the
demedicalization, and recriminalization of     sponsor. RCs differ from the professional in    IA: How do you envision recovery coaches
addiction throughout the 1980s and 1990s.      that they are experientially credentialed      being utilized?
As a recovery historian, I knew that these     rather than professionally credentialed, and
conditions o en sparked grassroots             they provide no medical or counseling          Bill White: RCs are now being employed
advocacy movements led by recovering           services. RCs differ from the sponsor, in       within addiction treatment organizations
people and their families and allies, but I    part, because they work with people across     (particularly in the areas of outreach and
failed to predict just how quickly that        multiple pathways of recovery, not just        post-treatment continuing care) and child
movement would emerge. By 2000, that           within a single recovery fellowship. RCs       welfare and criminal justice initiatives. ey
movement was already taking shape, and in      provide outreach to people in need of          are working in paid and volunteer roles
2001, recovery advocates from around the       recovery, assertively link people to           within recovery community organizations,
country met in St. Paul, Minnesota to cast     professional treatment and to communities      and they are working in independent roles
the future of the movement. We had no          of recovery, and provide long-term, stage-     within a new form of private practice.
idea just how historic that meeting would      appropriate recovery education and             Everyone else in the system is acting like
be.                                            support.                                       recovery is a hundred yard dash; the RC is
                                                                                              saying, “Pace yourself, this is a marathon!”
   is past September, more than 100,000        IA: What is your personal vision of the
recovering people and their families           recovery coach role?                           IA: How does this role t into Health Care
participated in some 200 Recovery Month                                                       Reform?
activities. e recovery advocacy                Bill White: My personal vision is that the
movement is birthing hundreds of new           RC will provide the human connecting
recovery community organizations,              tissue within an increasingly fragmented and
                                                                                                               INSIDE ADDICTION
   26                                                                                                              e Magazine

Bill White: I think some version of the RC        personally de ne what “peer” means to them.        like something, organize and change it.
role will be integrated into the health care      For some, the most important ingredient in            at’s precisely what we’re trying to do.
reform process as a reimbursable service. We      that is recovery status, but age, gender, sexual   Anyone who wants to help can contact Faces
are already seeing some managed care              orientation, and all manner of other               and Voices of Recovery or their local or state
companies reimburse these services based on       characteristics may be essential to the mutual     recovery advocacy organization.
their experience that sustained monitoring        identi cation that is such a critical aspect of
and support from a recovery coach reduces         the recovery support partnership.                  IA: What do people need to know about
the costly recycling of people through                                                               recovery?
multiple episodes of addiction treatment.         IA: Do you see online and telephone
                                                  coaching increasing?                               Bill White: If by people you mean the public,
IA: Why did you personally think there was                                                           they need to know what it is (most of the
a need for recovery coaches?                      Bill White: Yes. I don’t think we can even         public sees recovery as people who are trying
                                                  begin to fathom how new technologies will          to get their lives together rather than as an
Bill White: I felt something very important       be mobilized as instruments of recovery            achieved and stable status). ey need to
was lost in the addiction treatment eld           support in the future. e growth of                 know that recovery is a vibrant reality in the
through the diminished recovery                   telephone- and internet-based recovery             lives of millions of individuals and families.
representation among addiction                    checkups and coaching are already spreading           ey need to know that there are many
professionals (from more than 70% in the          exponentially. is is the new frontier of           pathways and styles of recovery. And they
early 1970s to about 30% today) and               recovery support and will be particularly well     need to know that participation in
through the over-professionalization of the       suited for such groups as women,                   professional treatment, peer-based recovery
role of addiction counselor. I saw the            adolescents, status conscious professionals,       support services, and recovery mutual aid
recovery coach as a way to retrieve part of       and people who are homebound or living in          societies are particularly important for
that lost value. I think the RC can once again    areas lacking recovery support resources.          people with the most severe and complex
bring to the treatment environment the                                                               substance use disorders. ey need to know
living proof that long-term recovery is           IA: What do you think is the biggest barrier       that recovery ourishes in supportive
possible and I think it will restore to           to people seeking and receiving help?              communities. Communities cannot expect
treatment experiential knowledge of the                                                              recovery if they do not provide the physical,
long-term recovery process and local              Bill White: When we ask the 90% of people          psychological, and social space for it to grow.
recovery cultures                                 who need but do not seek help why they do
                                                  not seek assistance, they tell us they 1) don’t    IA: You have been quite open about your
IA: Who becomes and how does someone              have a problem, 2) have a problem but can          own recovery status. How has this personal
become a recovery coach?                          handle it on their own, 3) can’t afford             experience informed your professional work?
                                                  treatment, 4) don’t believe treatment is
Bill White: Most people serving as RCs draw       effective, or 5) fear the social stigma involved    Bill White: My recovery drew me to the eld
on their personal or family recovery              in addiction treatment. Now, we can shake          and has repeatedly affirmed my commitment
experiences as a foundation and then go           our heads with great condescension and             to this work, but I try to maintain a
through some specialized training about how       blame individuals for such a itudes, but the       reasonably clear boundary between the work
this role differs from that of a sponsor or        fact is we as a country and as a professional      I do professionally (the clinical research and
addictions counselor. ere are an                    eld are doing li le to alter those perceptions   consultations and my writing for scienti c
increasing number of training programs to         among our most important constituents.             journals) and what I do as my personal
prepare one for this role.                        Nor are we doing enough to enhance                 avocation (my advocacy work and my
                                                  treatment access and quality and post-             writing on the history of recovery). is
IA: New York Recovery Coaches currently           treatment recovery support.                        work has been more personally and
represent special populations such as                                                                professionally ful lling than I can adequately
prisons, reentry, LGBT, veterans, seniors,        IA: How can people help this change?               express.
etc. Is this a common trend for recovery
coach services?                                   Bill White: ese are precisely the kinds of
                                                  conditions those involved in the new
Bill White: It is a natural extension of the RC   recovery advocacy movement are seeking to
role as the individuals served get to             change. A er all, this is America; if you don’t

                              OTHER NEWS AND VIEWS
    e Magazine                                                                                                                      27

  More Employers Helping Employees              Administration (NHTSA) and the                  relievers including OxyContin, which can
          With Addiction                        Substance Abuse and Mental Health               produce a euphoric feeling, become more
                                                Services Administration (SAMHSA), the           common, the Drug Enforcement
Source: Join Together                           BIG Initiative has secured corporate            Administration said.
                                                sponsorships from nine employee
A broad coalition of Employee Assistance        assistance companies, and the participation        e databases alert physicians and
Programs (EAPs), employers, federal             of employers like Caterpillar, UPS, and J.P.    pharmacies to patients who see several
officials, researchers, and behavioral health     Morgan Chase. e initiative’s co-                doctors to collect multiple prescriptions,
care providers wants to see EAPs screen         facilitator, Tracy McPherson, Ph.D., said in    le ing them judge whether to refuse a
and provide brief intervention for problem      a phone interview that one of the reasons       potential abuser. Law officers say the
drinking on a routine basis by October          the BIG Initiative is important is because      databases allows them to document a
2011. e BIG initiative (named for the           problem drinking is linked to drunk driving.    pa ern of abuse a er investigations or
Brief Intervention Group) set the ambitious     "Although the connection is obvious, it         informants point to a suspected pill dealer
goal of increasing the number of people         doesn't get mentioned enough.”                  or dirty doctor.A 2006 report conducted for
identi ed by EAPs as having alcohol                                                             the Justice Department said prescription
problems by 100% between October 2008           Editor’s Note: Finally someone is               drug databases cut the supply of painkillers
and October 2011.                               recognizing that DWI is a symptom of a          and stimulants, reducing the probability of
                                                BIGGER problem, the disease of addiction!       their abuse. e rate of painkiller abuse
According to e BIG Initiative Manual                                                            would have been 10 percent higher by 2003
(PDF), 66 percent of people with alcohol          In 2011 States Will Begin Working             without the databases, the report said.
abuse disorders work full-time, and 16            Together Against Prescription Drug
percent work part-time, which suggests that                     Abuse                               e Prescription Monitoring Program
the workplace may be a good place to                                                            Information Exchange would swap
identify them and intervene where               Source: Council On State Governments            information through a central hub at Ohio's
appropriate. e manual goes on to say that                                                       Board of Pharmacy. State databases were
75 percent of businesses in the United          Starting next year, dozens of states will       checked more than two million times in
States now use EAPs to provide behavioral       begin kni ing together databases to watch       2008, the Justice Department said. e
health care for stress, depression, mental      prescription drug abuse, from powerful          databases agged prescription activity on
health, and substance use for their             painkillers to diet pills. With federal money   nearly 500,000 more potential abusers.A
employees.                                      and prodding, states are being asked to sign    proposed interstate compact will be
                                                onto an agreement allowing police,              unveiled in time for legislatures to consider
   is means that EAP services are available     pharmacies and physicians to check              it when they assemble next year, said John
to an estimated 100 million Americans,          suspicious prescription pill pa erns from       Mountjoy, policy and research director of
about ve to seven million of whom use           Nevada to North Carolina.Civil liberties        the Council of State Governments, a
them each year. However, alcohol is             and privacy advocates have objected to the      national nonpro t based in Lexington,
identi ed as a signi cant issue in only about   state databases, which would be linked with     Ky. e contract would preserve state-by-
160,000 EAP cases each year, although the       technology and standards developed by the       state differences that include control of the
incidence of problem drinking is thought to     Justice and Homeland Security                   databases by law enforcement agencies in
be much higher. Unpublished preliminary         departments.                                    Texas and California, health departments in
data indicate that businesses can save as                                                       North Carolina and Alabama, and
much as $1,400 a month per employee                irty-four states operate databases to ght    pharmacy boards in more than a dozen
screened and identi ed by EAP staff for          a drug problem authorities say is growing       states.
substance abuse.Savings come from               more deadly than heroin. Nationally, there
improved productivity and reduced               were 27,658 overdose deaths from                Doctors are encouraged to check the
absenteeism.                                    prescription medication in 2007 - more          databases, but in 19 states the law says they
                                                than heroin and cocaine combined, the           aren't required to do so, according to the
Based at George Washington University           Centers for Disease Control and                 National Alliance for Model State Drug
and supported with seed money from the          Prevention reported in July. e threat is        Laws.
National Highway and Traffic Safety               increasing as the most addictive pain
                                                                                                       INSIDE ADDICTION
   28                                                                                                      e Magazine
             OTHER NEWS AND VIEWS (Continued)

Death Rates Reduced By Raising Taxes          rates remain in effect today. "Because of        the view that mental illness and substance
                                              the effects of in ation over the years,          abuse are rooted in neurobiology.
Source: Medical News Today                    Florida's alcohol taxes in real terms are       Researchers from Indiana University and
                                              now only a quarter of what they were back       Columbia University decided to test
Adjusting the alcohol tax in Florida to       in the 1960s," according to Wagenaar.           whether these efforts had changed public
account for in ation since 1983 would         "Simply returning the real tax rates to their   perception, support for treatment, and
prevent 600 to 800 deaths each year in        levels in the 1960s would save the lives of     a itudes about people living with
that state from diseases caused by chronic    some 1,500 Floridians per year from             disorders.
heavy alcohol use, according to a new         alcohol-related disease. "
study from the University of Florida. e                                                           e researchers compared responses of
Florida legislature last increased alcohol       e cause-of-death data for the Florida        American adults to surveys given in 1996
taxes in 1983.                                study came from the US National Vital           and 2006. Participants were asked to
                                              Statistics System of the National Center        listen to short vigne es describing
   e new study, which analyzed death rate     for Health Statistics, and are based on         individuals suffering from major
and tax data from 1969 to 2004, is            information physicians provide on each          depression, alcohol dependence, and
published in the journal Alcoholism:          individual death certi cate. e study            schizophrenia, and then answer questions.
Clinical and Experimental Research            used those data through 2004, the last
(ACER). It was conducted by Mildred M.        year for which such data were available         While 54 percent of respondents believed
Maldonado-Molina, Ph.D., and Alexander        when the study was started. e study             that major depression had
C. Wagenaar, Ph.D., of the Department of      controlled for many other factors using         neurobiological causes in 1996, 67
Epidemiology and Health Policy                data on economic conditions and non-            percent believed that a decade later. e
Research, University of Florida, College of   alcohol-related deaths in Florida as well as    proportion who supported treatment for
Medicine, Gainesville.                        similar data from other comparison states.      depression, schizophrenia, and alcohol
                                                                                              dependence also increased over the same
"Previous studies conducted in the United        e study used population-based alcohol-       period. While 61 percent supported
States and other countries have clearly       related deaths from January 1969 to             psychiatric treatment for alcohol
shown that increasing alcohol taxes is        December 2004 for Florida as well as            dependence in 1996, 79 percent did so in
associated with reduced overall               comparison states, analyzing the trends         2006, and the percentage supporting it for
consumption of alcohol as well as reduced     over time with statistical models to ensure     major depression jumped from 75 percent
heavy drinking. is new study shows that       that the reduction in death rates were          to 85 percent.
increasing taxes on alcohol also in uences    speci cally due to the effects of alcohol           ose who believed that the disorders
the death rate from liver cirrhosis,          taxes, not other factors also changing over     were diseases were more likely to support
pancreatitis, gastric diseases, some          time.                                           treatment, but stigma did not decrease.
cancers, and cardiovascular diseases                                                          "Where associated, the effect was to
caused by heavy alcohol use," according to         e Disease Concept And Reducing             increase, not decrease, community
Maldonado-Molina. e University of                             Stigma                          rejection," the authors wrote.
Florida study did not include deaths from
traffic crashes, crime and violence             Source: Health Day News                            e research team recommended that
associated with alcohol use, and therefore                                                    advocates and treatment providers
understates the total health effects of        New survey results show that although           rethink their approach to reducing stigma.
alcohol taxes.                                more Americans now believe that mental          Bernice Pescosolido, the Indiana
                                              illness and alcohol dependency are              University sociologist who led the
   e Florida legislature last increased the   medical or genetic in origin than did so in     research, said that future efforts should
per gallon tax on beer in 1983 from $0.40     the mid-1990s, they are just as likely to       emphasize the person and his or her
to $0.48, the per gallon tax on wine from     reject those who suffer from them.               abilities instead of the disease.
$1.75 to $2.25, and the per gallon tax on         roughout the late 1990s and early
spirits from $4.75 to $6.50, and those        2000s, public health advocates promoted
    e Magazine                                                                                                                 29

                                              teens who have been drinking and it             the current legal limit for driving have a
   Animals, Key To Human Impulse              doesn't even have to be on campus.Since         signi cant negative effect on a person's
         Control/Addiction                    2002, 7th thru 12th graders have been           dexterity. Researchers writing in the open
                                              tested for marijuana and other illegal          access journal BMC Research Notes
Source: Join Together                         drugs.Students who participate in               found that just two single vodka and
                                              extracurricular activities or use parking       orange drinks were enough to make
Canadian researchers have discovered          stickers to park on campus are affected by       senior volunteers struggle at an obstacle
how the rat brain triggers and suppresses     the new policy.It includes two mandatory        avoidance test while walking.
impulsive behavior, which could lead to       tests and four random ones.
new methods for diagnosing and treating                                                       Judith Hegeman worked with a team of
addiction in humans. Poor impulse                e 9-panel drug test costs about $13 per      researchers from Sint Maartenskliniek,
control had been implicated in a range of     student. e alcohol test costs $18.If a          Nijmegen, e Netherlands, to carry out
complex health problems including             student tests positive the rst time, he or      the tests in 13 healthy men and women
addiction, ADHD, and schizophrenia. To        she will miss 20 percent of activities, and     (average age 61.5yrs or 62yrs). She said,
 nd out how the brain mediates impulsive      go through ve hours of counseling. If it's      " e results clearly show that even with
behavior, researchers examined synaptic       a parking issue only, the student can't park    low blood alcohol concentrations,
changes in rats trained to control their      on campus for 10 school days.A second           reactions to sudden gait perturbations are
impulsive response to a given signal.         violation, the student misses 50% of            seriously affected. A er ingestion of 2
                                              activities, undergo 10 hours of counseling,     alcoholic drinks, obstacles were hit twice
Behavioral training not only inhibited the    and can't park on campus for 30 days.A          as o en, response times were delayed and
impulsive response in the rats, but it also   third violation, the student misses             response amplitudes were reduced. ese
led to speci c changes in the prefrontal      activities and parking for a whole calendar     changes were most obvious in situations
cortex, suggesting a neuronal mechanism       year. As for over the counter medicines         with li le available response time".
behind impulsiveness that might be            like cough syrup, the school district says
amenable to new therapies.                    the test is sophisticated enough to             To carry out the test, the volunteers rst
“A clear-cut case of an addiction is          differentiate.                                   started to walk on a treadmill. Once they
choosing the pleasure of the immediate                                                        had a ained a steady walking pace, a thin
sensation of the drug over the long-term      Several schools in Houston have already         wooden block was placed at the far end of
damage and problems that it causes," said     started using this policy. Elgin started this   the belt and allowed to move towards the
Sco Hayton, a doctoral candidate in           alcohol testing policy this year as well.       volunteer. Hegeman and her colleagues
neuroscience at Queen’s University in         Marble Falls has not conducted it's rst         measured the effects of alcohol on how
Ontario and lead author of the study.         alcohol testing yet.                            capable the subjects were of stepping over
Understanding the neurological                                                                this obstacle. She said, "We found that
mechanism behind such impulses may aid        What do you think should Jr./Sr. High           alcohol levels, considered to be safe for
in the development of new drugs to            School Students Be Drug Tested At               driving, seriously hamper the ability to
inhibit them, he concluded.                   School?                                         successfully avoid sudden obstacles in the
                                                                                              travel path. A possible limitation of this
         Drug Testing Students                Email Us dhale@insideaddiction.org              study is the relatively small sample size,
                                                                                              however even with the small number, it
Source: Fox News.Com                                                                          yielded an unequivocal outcome".
                                                      How Much Is Too Much?
Marble Falls, TX - Hundreds of students                                                       Even low alcohol concentrations affect
in Marble Falls will now be subjected to      Source: Medical News Today                      obstacle avoidance reactions in healthy
alcohol testing at school. In addition to                                                     senior individuals.
illegal drugs, the Marble Falls               Just 2 drinks can slow down reactions in
Independent School District is looking for    older drinkers. Blood alcohol levels below
                                                                                                         INSIDE ADDICTION
   30                                                                                                        e Magazine
              OTHER NEWS AND VIEWS (Continued)

                                              more risks while discipline has slipped.         cocaine or other illegal substances.
 75% Of People With Depression Are               e Army counted 160 suicides last year,        Universal Sensors Ltd, of Ickleton,
          Self-Medicating                     the highest total ever. e rate was above         Cambridgeshire, said their Vantix
                                              that of the civilian population for the          biosensor technology could also be used
Source: WHO                                   second year in a row. e study counted            by the police to carry out roadside tests on
                                              an additional 146 deaths in 2009 that it         drivers suspected of driving while under
75% of people with neurological, mental       says were due to drug overdoses or other         the in uence of drugs.
and substance abuse disorders remain          causes the Army lumps together as risky
untreated worldwide, according to             behavior. ere were also 1,713 known                 e company's Commercial Director,
estimates by WHO (World Health                suicide a empts last year. e ramped-up           Kevin Auton, told the press that they
Organization). is includes almost 95          tempo of Army life, with faster                  realize the availability of such a device
million people with depression and over       deployments and too li le time at home,          poses ''huge implications for society",
25 million with epilepsy. WHO hopes that      underlies the problem but is not its sole        reports the UK's Daily Mail.
its simpli ed new treatment guidelines,       cause, Chiarelli said.
called e Intervention Guide may help                                                           Auton said he wasn't sure if parents in the
promote be er management of                   Most suicides occur early in a soldier's         UK were ready for this technology, the
depression, substance abuse disorders,        Army career, and some come before a              "test raises privacy issues," he added.
epilepsy, well as a number of mental          soldier has deployed. e report raises the        Se ing aside the controversial issues, he
disorders in a general practice se ing.       possibility that part of the increase in risky   said the test would enable worried parents
Experts say that approximately 25% of the     behavior comes from an increase in young         to check if their children are using drugs.
world's population will have a mental         soldiers a racted to the wartime force           Auton explained that in the US, parents
health condition at some point in their       precisely because it is dangerous.               currently send samples of their children's
lives. ere is a stigma associated with        "Looking across the Army, the (report)           hair and saliva to labs for drugs testing. If
mental, substance abuse and neurological      team found that there appeared to be an          there is a similar demand in the UK, it
conditions which commonly leave               overall increase in high-risk behavior,"         could be an interesting market, he added.
sufferers neglected and/or abused or self-     including drug and alcohol use/abuse."           "It's as simple to use as a pregnancy test,"
medicating with alcohol and drugs to cope     Leader accountability had atrophied," the        he said, explaining that the company can
with their mental health issues.              report said. " ere were too many gaps            produce 30 billion biosensors a year, so it
                                              and seams in programs and processes that         would be cheap to buy. He added that the
     Army, Addiction, And Suicide             allowed high-risk behavior to continue           company was "very focused on ge ing the
                                              undetected and seemingly unchecked."             test out of the laboratory and onto other
Source: MSN                                   Among dozens of recommendations are              platforms". is means the device could be
                                              increases in drug and mental health staffs        on the market in about two years time and
An Army report on the record number of        and ways to encourage soldiers to seek           selling at around £1.50 a test (about 2.30
soldier suicides says the trend re ects a     help.                                            US dollars). e device would be about
rise in risky behavior including drunken                                                       the size of a small mobile phone, into
driving and drug abuse in a military          Drug Testing Your Kids Just Got Easier           which one inserts a cartridge containing a
stretched to the breaking point by the wars                                                    disposable 5mm wide chip and the saliva
in Afghanistan and Iraq. e report says        Source: Medical News Today                       sample.
the Army is failing its soldiers by missing
signs of trouble or by looking the other      Want to make sure your kids aren’t                   e chip has antibodies impregnated into
way as commanders try to keep to tight        making the same mistakes you did? It may         its surface that react to certain metabolites
schedules required to meet deployment         be ge ing easier. A British company has          of drugs, for instance the THC molecule
schedules. e Army vice chief of staff,         developed a cheap hand-held drug testing         in cannabis. When the chip detects such a
Gen. Peter Chiarelli, said ursday that        device that in 5 minutes can enable              chemical it produces a small electric
statistics on levels of drug and alcohol      parents to check, from a sample of saliva,       current, which is ampli ed in the handheld
abuse suggests that soldiers are taking       whether their kids are using cannabis,           device and turns on a warning light.
    e Magazine                                                                                                     31

Ask Us…
Question: My husband and I are going through a tough time in particular his in delity and obsession with porn. We
have been married for ten years and have two young children. We started going to couples counseling and they have
suggested he may be a sex addict, any advice?

Answer: I’m glad you are seeking professional services as a couple. If it hasn’t already been suggested he may look
into a ending Sex And Love Addicts Anonymous Meetings. ey are a 12 step support network made up of men
and women who have a desire to do something about their sex and/or love addiction. ey do have gender speci c
groups and I would suggest he start with men only groups. To nd a meeting near you and more information visit

Question: I’ve struggled with alcoholism for the past 30 years, I get sober, I relapse, I get sober, I relapse, the longest
I’ve ever been able to stay sober is 16 months. My family has slowly distanced themselves a er multiple
disappointments and let downs of my doing. I’ve tried talking to them and educating them about this disease. ey
just won’t listen!

Answer: First of all congratulations on 16 months, that’s awesome! Perseverance is the word I’m thinking of for you,
get knocked down, get back up, but don’t give up! Alcoholism is a life-long disease not only for you but for your loved
one’s affected by your disease. I would suggest you let them know about Al-Anon if you haven’t already. You need to
take care of you and they need to take care of themselves as well. Sometimes information coming from someone else
even if it is the same as what you are saying can make a difference. ey have an emotional a achment to you, a
history. Al-Anon will give them the opportunity to meet other people in their shoes they can use for support.
Remember you aren’t alone; your family is going through this too.

Question: What’s the difference between methadone and suboxone, is one be er than the other?

Answer: Both can help you get and stay sober. Suboxone has a ceiling effect so that once you have partially occupied
your receptors with the medication you can't get "higher". A er an initial dose stabilizes you the perceived high when
you rst began disappears, so you just feel normal. Someone with a high tolerance to an opiate can't get high from
suboxone. Whereas methadone is like any other opiate you can and will develop tolerance and the ability to get high
will be available via increased dosing. Also with methadone you have to go to a clinic every day (o en referred to as
liquid handcuffs) as it really controls your daily schedule and with suboxone you get a monthly prescription from
your Dr. Only certain doctors can prescribe suboxone and methadone is distributed through a clinic. is is only a
few differences between the two medications, I would suggest you look into this further to ensure you are thoroughly
informed before making a decision what is best for you.
                                                    INSIDE ADDICTION
32                                                      e Magazine





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
recovery 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
inpatient 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
   36                                                                                         e Magazine

               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, NY 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

No If’s Ands or Bu s: We discuss the difficulties and bene ts of qui ing smoking, tips to quit and what to expect.

Wife of an Alcoholic: Unhappily Ever A er: Addiction affects everyone in the family. We sit down with the
wife of an alcoholic as she shares how her husband’s addiction affected her.

A Soldier’s Biggest Ba le: We had the opportunity to sit down with a Ret. Sgt. From the US Army and the NYS
Director of Veterans’ Affairs to discuss addiction within the armed forces and how we are serving those who serve us.
Out of e Closet, Into e 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
addiction 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           eir In uence: 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:      ink 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:     ese 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
    e Magazine                                                                             37

                   ere Is Hope,                          ere Is Help

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


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

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.

1600 Corporate Landing Parkway
Virginia Beach, VA 23454-5617
Ph. 888-4ALANON (Toll-Free) or 757-563-1600
    e Magazine


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


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


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

                                                                         INSIDE ADDICTION
                                                                             e Magazine


International. In-person and online groups. Nar-Anon Family Groups is a 12-step program for
relatives 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


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
information 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


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

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


International. Founded in 1985. Over 750 groups and online. A network of autonomous, non-
professional 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
aspects 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


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


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
provided 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!

To top