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WHO Adds Gaming Disorder to the ICD

gaming disorder

The World Health Organization’s (WHO)11th edition of its International Classification of Diseases (ICD), released Monday June 18, 2018, includes "gaming disorder." The addition of “digital-gaming” or “video-gaming” addiction to the ICD as a new mental health condition probably doesn’t come as much of a surprise for most people; especially considering just how far the industry has come since the advent of games like pong and how many people are spending multiple hours a day “leveling-up.”

Once video games found their way into people’s households with Atari, followed then by the Nintendo Entertainment System (NES), it was clear that the sky was the limit. Today, the myriad of games and various types of games is unbelievable; and, the emergence of online gaming allows users the ability to play endless games endlessly. Yes, that’s right, there isn’t a finish line or final stage in the most popular titles people are engaging with; ostensibly, an individual can play ad infinitum. Even if someone manages to find the end of a particular maze, game developers will promptly release a patch expanding the border of the playable realm.

Not long ago there were limits on how far a person could go in a game and the amount of money they could spend. Take a game like Super Mario Brothers for instance; people bought the game and played it and there was a final stage with a boss to be vanquished. Upon beating the boss that was all she wrote! Sure, you could play the game again, but you were not going to spend more than your initial purchase. Conversely, the games people play today, regardless of the gaming system (i.e., PlayStation, XBOX, or PC), offer players downloadable content(DLC); attaching credit card numbers to "Gamertags" allows users to buy DLC to give their character an edge or a custom look.

How Many People Play Video Games?

It’s safe to say that there was a time that the majority of people playing video games in the early day were young males. While young men continue to make up the market share of gamers, a good many females play regularly. There was, and still is, a number of stereotypes that people attach to gamers, social recluses, and nerds to name a few; however, as the technology gets better and more take part, it becomes difficult to blanket label the types of people who game. The result: gaming becomes normalized; a significant number of celebrities fancy “first-person shooters” or racing games. There isn’t anything inherently wrong with digital-gaming, to be sure.

When we talk about gaming, we would be remiss if we fail to point out that smartphones open up a whole new market. App games like Candy Crush eat up a significant amount of time of millions of people each day; even though they lack some of the bells and whistles video game systems boast, apps are quite captivating and allow people to play-on-the-run.

The annual Global Games Market Report shows that there are 2.2 billion active gamers in the world in 2017; of which, 1.0 billion players (47%) spend money while playing and generated $108.9 billion in game revenues. People pay to play smartphone games which produced revenue of $46.1 billion in 2017, claiming 42% of the market. The above figures make clear that an unbelievably significant number of people are not only gaming, but they are also spending money to play after the initial purchase. It is also safe to contend that some individuals are spending money they don’t have to continue to chase after an in-game item, often called “loot,” the acquisition of said item elicits a particular feeling. Sound familiar?

What is Gaming Disorder?

WHO’s website defines “Gaming Disorder” as a pattern of gaming behavior (“digital-gaming” or “video-gaming”) characterized by impaired control over gaming, increasing priority given to gaming over other activities to the extent that gaming takes precedence over other interests and daily activities, and continuation or escalation of gaming despite the occurrence of negative consequences.

For gaming disorder to be diagnosed, the behavior pattern must be of sufficient severity to result in significant impairment in personal, family, social, educational, occupational or other important areas of functioning and would normally have been evident for at least 12 months.

Preëexisting Mental Health Conditions

There is still much to learn about the dangers of devoting increasing amounts of time to offline and online gaming. However, the available research shows stark similarities between problematic gaming and other forms of addiction. Researchers who had a hand in the World Health Organization's landmark decision to include gaming disorder to its list of mental health diseases write, “Gaming disorder shares many features with addictions due to psychoactive substances and with gambling disorder, and functional neuroimaging shows that similar areas of the brain are activated.”

You probably would have guessed that there are critics of WHO’s decision to include gaming disorder to the ICD. Some opponents are working for the industry, so we all should meet their opinions with some skepticism; however, Dr. Netta Weinstein, a senior lecturer in psychology at Cardiff University, tells The Guardian, “I just feel like we don’t know enough yet.”

Weinstein points out that only a statistically small number (nearly half that of gambling disorder) of gamers experience adverse symptoms that affect their lives. A big concern of hers is about comorbidity, having more than one mental health condition. In the field of addiction medicine, more times than not, people presenting symptoms of addiction also meet the criteria for a co-occurring mental health disorder such as depression, PTSD, or bipolar disorder. In many cases, mental illnesses like depression often give rise to addiction via the process of self-medication. Could it be that people are excessively gaming to the point of disorder, in order to cope with a preëxisting mental health condition? Weinstein says:

We need to know that it is about the gaming [gaming disorder] itself, or we’re treating something that’s not the actual problem.”

Dual Diagnosis Treatment

If you or a loved is struggling with alcohol or substance use disorder and any one of many mental health diseases, please contact PACE Recovery Center. We offer clients gender-specific, extended care treatment for males win the grips of progressive mental health disorders.

If you have suicidal ideations, please contact the National Suicide Prevention Lifeline: 1-800-273-8255

Suicide Rates Steadily Rising In America

suicide

The majority of people with a history of alcohol and substance abuse wrestles with the life and death quandary of how — and whether or not — to live. It is probably fair to say that most people in recovery can remember a time when they gave some consideration to calling it quits (i.e., suicide) on the enterprise of existence. In the darkest hours of one’s addiction the mind is no longer an ally; and, it can be hard to move forward when an individual can no longer trust him or herself to make rational choices. A quote from William Burroughs, “every man has inside himself a parasitic being who is acting not at all to his advantage,” might tolerate an update; each person living with a mental illness, has inside himself a parasitic…

The desire to end one’s life is compounded too when attempts at sobriety fall flat; adopting a program of recovery is no simple matter, and those who might characterize themselves as chronic relapsers are apt to lose hope. If the term “chronic relapser” resonates with you, it is worth trying to keep in mind that relapse is part of many people’s story; there are a good many people with long-term sobriety who came in and out of the rooms of recovery for years before finally grasping what was necessary for lasting progress.

Those who were once the epitome of hopelessness find themselves, now, living fulfilling lives; what finally changed in each of the individuals mentioned above is subjective, but more times than not treatment reignites the fires of hope for a meaningful life. Such people ultimately find the courage to carry on, even when their disease tries to reassert itself, vying for the spotlight once again.

Suicide in America

There is only one really serious philosophical question, and that is suicide. —Albert Camus, The Myth of Sisyphus

Vital Signs, a report by the Centers for Disease Control and Prevention (CDC), shows that the rate of suicide in the United States increased 28 percent from 1999 to 2016; almost 45,000 Americans age 10 or older died by suicide in 2016. In the last half-decade, we’ve seen many notable people succumb to suicidal ideations; attempting to understand why individuals who have everything (seemingly) would opt for deliberately killing oneself has had a lasting effect on all of us.

Robin Williams committed suicide in 2014. Nearly four years have passed, but doesn’t it feel like yesterday? It is difficult to not think about all the remarkable people that left indelible marks on society and then checked out prematurely. Even a cursory inquiry reveals several parallels between famous people committing suicide; mental health disorders are a foregone conclusion and, more times than not, substance use plays a significant role. And finally, the ever insidious stigma of mental illness continues to prevent people from getting help.

There is almost too much to consider when it comes to trying to make sense of the driving forces behind felo de se (Latin for "felon of himself"). The act of deliberate self-destruction is a discussion that we have to have, especially in the light of the recent deaths of fashion icon Kate Spade and culinary raconteur Anthony Bourdain. In every sense, the Internet is abuzz with rumor and speculation regarding the untimely demise of both stars; and, in almost every case, that which people are focusing on misses the most salient point. Rather than blaming, we must center our attention on dismantling stigma and encouraging treatment.

Stigma is The Key

The topic of stigma is one that comes up often; in fact, this blog features several articles on the subject. The two recent suicides, occurring just days apart, demand that we discuss stigma at greater length. Some of the reports circulating the web right now include interviews with people close to both Kate and Anthony. One such instance is an interview between the designer's older sister, Reta Saffo, and the Kansas City Star; the other is an open letter from actress and activist Rose McGowan who was close friends with Anthony and his partner, Asia Argento.

In order, Reta Saffo tells the newspaper that Kate’s death was not unexpected. Saffo says that on numerous occasions she made attempts to get Kate into treatment, “we'd get so close to packing her bags, but — in the end, the 'image' of her brand (happy-go-lucky Kate Spade) was more important for her to keep up. She was definitely worried about what people would say if they found out." Kate’s husband published an open letter in the New York Times stating that she was seeing a doctor for the past five years and was taking anxiety medication for a mood disorder but was not abusing alcohol or drugs. There seem to be differences in opinion regarding Kate’s relationship with alcohol; some fashion insiders claim that her drinking was significant.

If Saffo view is accurate, that concerns about brand and image stood in the way of Kate seeking treatment, it something that millions of people can relate to today. Being “branded” as mentally ill prevents people from seeking the care they need; without treatment, such people are exponentially more susceptible to suicidal ideation and making good on their intentions. The case of Bourdain, it seems, is something altogether different.

Men Don’t Ask for Help

In an interview, Bourdain gave to addiction expert, and father of an addict, David Sheff (Beautiful Boy), Anthony says he struggled with cocaine and heroin since he was around 13-years old. When asked about getting clean in the 1980’s, he reveals a less-than-orthodox approach to recovery; while he gave up the coke and heroin in rehab, Anthony never wholly turned his back on marijuana and alcohol. Instead, he tells Mr. Sheff:

I reached a point where I thought, This is horrible. I’m not saying it’s any particular strength of character or anything like that. I’m definitely not saying that. This notion that I’m so f*cking tough and such a badass that I can kick dope without a 12-step program—that’s not what I’m saying. I don’t hold myself up as an example or an advocate or as anybody, okay? I made my choices. I’ve made f*cking mistakes. I made it through whatever confluence of weird, unique-to-me circumstances—I’m not going to tell anybody how to live, how to get well or any of that sh!t.

In the end, though, it wouldn’t be heroin that killed Mr. Bourdain; instead, a decade's long battle with depression, likely compounded by the use of alcohol. In McGowan’s open letter at the behest of Asia Argento, Rose points out that Anthony was the product of a generation that solves problems on sheer will alone. Hubris, perhaps?

Don’t Let Stigma and Pride Stand In the Way of Recovery

The life-and-death problem of whether, and by what method, to exist was likely on the minds of both Kate and Tony. Countless people will offer insight into their suicides; some will get things right and others will not. We will never know for sure what was going on in the troubled minds of the above icons, and that is OK. Moving forward, we all must set ourselves to task in reinforcing the possibility of recovery; Our mission is to encourage people to look past the barriers to treatment and fight for their lives. There is no shame in asking for help!

Anthony was 61, the same age my father was when he died. My father also suffered from intermittent deep depression, and like Anthony, was part of a “pull up your bootstraps and march on” generation. The a “strong man doesn't ask for help” generation. I know before Anthony died he reached out for help, and yet he did not take the doctor's advice. And that has led us here, to this tragedy, to this loss, to this world of hurt … Anthony's internal war was his war … There is no one to blame but the stigma of loneliness, the stigma of asking for help, the stigma of mental illness, the stigma of being famous and hurting. —Rose McGowan CC: Asia Argento

Help is available to all who can bring their self to surrender. Each time a person seeks help the stigma of mental illness becomes weaker and snowball recovery is a real possibility. When people seek treatment and find recovery they empower others to do the same; a life in recovery is not perfect but the joy of striving for something meaningful outweighs the alternative.

Dual Diagnosis Treatment

Life is complicated, made even more challenging when substance use and misuse accompany mental illness; but, you are not alone, treatment works, and recovery is attainable! If you would like to begin a journey of lasting recovery, PACE Recovery Center can help. Please contact us today.

The Gentlemen of PACE Recovery Center would like to offer our heartfelt condolences to the friends and families of Kate Spade and Anthony Bourdain.

If you have suicidal ideations, please contact the National Suicide Prevention Lifeline: 1-800-273-8255

PTSD Awareness Month: Learn, Connect, and Share

PTSD

June is PTSD Awareness Month; we can all help those affected by post-traumatic stress disorder. PTSD is a severe iteration of mental illness that requires treatment and daily maintenance; those who recover rely on a combination of trauma-focused psychotherapy, counseling, and non-narcotic medications. Unfortunately, the overwhelming majority of individuals living with the affliction never receive the kind of care they require; such persons are apt to turn to drugs and alcohol to cope which only serves to make the underlying condition more serious.

Those of you in recovery from alcoholism and substance use disorder are no strangers to trauma; after all, people’s active addiction often involves one uncomfortable experience after another. In some cases, traumatic experiences precipitate the use of mind-altering substances; in other scenarios, people’s substance use puts them into situations where experiencing trauma is almost a foregone conclusion. Human beings are capable of putting themselves at great peril due to mental illness; as a result, one both inflicts wrongs upon others or are their self the victim of another person's’ wrongdoing; in either case, being OK in one’s skin and sleeping at night is not an easy endeavor.

The painful incidents that occur during active addiction often lead to a vicious cycle; using leads to trauma and one of the reasons people continue to use is to quiet the internal echoes of one’s past discomforting episodes, and at a certain point, one loses sight of where the trauma ends, and they begin.

Trauma is a time traveller, an ouroboros that reaches back and devours everything that came before." —Junot Díaz

Signs and Symptoms of PTSD

Not surprisingly, PTSD is one of the more common co-occurring mental health disorders accompanying alcohol and substance use disorder. While treatment is effective and long-term recovery is possible, people living with the afflictions like PTSD often struggle accessing assistance. Encouraging people to seek help is of the utmost importance, and society benefits when those struggling receive aid.

In order for individuals to get treatment we first need to discuss what the condition looks like; the signs manifest differently in each person, but the National Center for PTSD lists four symptoms:

  1. Reliving the event (also called re-experiencing symptoms). You may have bad memories or nightmares. You even may feel like you're going through the event again. This is called a flashback.
  2. Avoiding situations that remind you of the event. You may try to avoid situations or people that trigger memories of the traumatic event. You may even avoid talking or thinking about the event.
  3. Having more negative beliefs and feelings. The way you think about yourself and others may change because of the trauma. You may feel guilt or shame. Or, you may not be interested in activities you used to enjoy. You may feel that the world is dangerous and you can't trust anyone. You might be numb, or find it hard to feel happy.
  4. Feeling keyed up (also called hyperarousal). You may be jittery, or always alert and on the lookout for danger. Or, you may have trouble concentrating or sleeping. You might suddenly get angry or irritable, startle easily, or act in unhealthy ways (like smoking, using drugs and alcohol, or driving recklessly.

PTSD, Self-Harm, and Suicide

Most people associate post-traumatic stress with combat; those returning from conflicts overseas often experience lingering effects from exposure to trauma. However, PTSD doesn’t just affect veterans, a noteworthy percentage of general public struggles with the condition, as well; in fact:

  • About 7 or 8 out of every 100 people (or 7-8% of the population) will have PTSD at some point in their lives.
  • About 8 million adults have PTSD during a given year. This is only a small portion of those who have gone through a trauma.
  • About 10 of every 100 women (or 10%) develop PTSD sometime in their lives compared with about 4 of every 100 men (or 4%).

In the absence of treatment, people rely on using drugs and alcohol to cope with their feelings of hopelessness, shame, and despair. While mind-altering substances may quiet one’s anxiety and depression, alcohol and substance use tend only to exacerbate the underlying condition. It’s worth mentioning again that self-medicating mental illness is a vicious cycle; the behavior is a sure path to addiction, self-defeating behaviors, and self-harm. There is a robust association between PTSD and suicidal ideation or attempts. If you or a loved one is contending with thoughts of self-harm, please call the National Suicide Prevention Lifeline: 1-800-273-TALK (1-800-273-8255).

Encouraging PTSD Treatment

Greater understanding and awareness of PTSD will help Veterans and others recognize symptoms, and seek and obtain needed care." - Dr. Paula P. Schnurr, Executive Director of the National Center for PTSD

During June, the National Center for PTSD asks that everyone take some time to Learn about PTSD and the valid forms of available treatments; Connect with support services for yourself or a loved one—reach out for help; and Share what you learn about PSTD with the world via social media. When we work together to take the mystery out of mental illness, we can encourage more people to seek help.

At PACE Recovery Center, we can help you or a loved one learn how to navigate life without resorting to drug and alcohol to cope with symptoms of post-traumatic stress disorder. Our highly qualified team of addiction professionals can address your co-occurring mental health disorders and provide you with tools for dealing with symptoms. Please contact us today to learn more about our programs.

Addiction Recovery: Summer Action for Winter Security

addiction recovery

Summer is knocking on the door, and most people are welcoming the uplifting season with open arms. The winter months are especially trying for some individuals working programs of addiction recovery; rain, snow, and cold weather are not conducive to warm feelings and thoughts, generally. If you also consider that a large percentage of men and women in the program struggle with a co-occurring disorder like depression, then you can probably understand that chillier months may contribute to dampening the spirits of some.

A good many people’s general outlook on life and feelings of worth seem inextricably linked to the weather. Seasonal affective disorder (SAD, a fitting acronym) is a condition that plagues a significant population; SAD is a type of depression that's related to changes in seasons which usually manifests between fall and spring. Naturally, those living with the disorder are likely to fare better in the Southwest; but, for those individuals residing in higher latitude environs, coping with the depressive snowdrifts of the soul during winter is a chore.

Those working programs of recovery whose psyche is sensitive to the weather must take measures to protect their recovery from fall to spring. Men and women who know that their feelings are susceptible to less hospitable climes must go above and beyond during the winter months to prevent relapse. Some of the tactics people employ to stay ahead of their seasonal depression are exercising, light therapy, psychological support via the program and professionally, and taking vitamin D. If you find it difficult, and potentially on the precipice of relapse when sunlight-deprived, it’s paramount to utilize some the above methods. At PACE, we are hopeful that recovering addicts and alcoholics were able to keep their SAD at bay this winter.

180° for Addiction Recovery

If your first year in recovery traversed the 2017/2018 winter and you found yourself struggling to keep afloat, it’s possible that you were not aware of techniques that could’ve helped. Perhaps the best way to prepare yourself for the many more cold seasons to come is taking a proactive approach during summer. Establishing a routine during this time of year will make life easier in 6 months. It’s worth noting that when you are feeling “down” it is difficult to motivate yourself, depressive symptoms beget depressive inaction. However, those feeling blue that get up and take a walk, exercise, and absorb available sunlight end up experiencing feelings of higher self-worth.

The weather is more approachable, now, and people in recovery will find it helpful to get outside and seize the day. Get outdoors as often as possible, exercise regularly, and eat foods conducive to a healthy mind and body. Did you know research shows that vitamin D along with marine omega-3 fatty acids, eicosapentaenoic acid (EPA) and docosahexaenoic acid (DHA), are critical for serotonin synthesis, release, and function in the brain? People recovering from a use disorder and co-occurring psychological conditions can benefit from incorporating the above supplements into their dietary regimen. Since more than half of people managing an alcohol or substance use disorder also have a dual diagnosis, it’s fair to say that a good many people will find vitamin D and omega-3 useful to long-term recovery.

Before you make any significant changes to diet, first please discuss it with your physician and therapists. Anyone looking to be more active should also consider any physical limitations they may have before doing anything drastic.

Physical and Spiritual Fitness

Even if you are unable to hit the gym and weight train or commence doing cardiovascular exercises you can still do things to promote physical and spiritual wellness. Merely sitting outside with a book for a few hours or going for a swim can significantly improve how you feel, both inside and out. The more active you are during the summer months makes managing your anxieties and depressive symptoms next winter. The smallest of changes can produce essential benefits; when you encounter undesirable feelings next January, you’ll discover that you have tools to counter malaise.

It helps to look at addiction recovery as an agreement between mind, body, and spirit. The health of one affects the wellbeing of the other two; keeping active in the program and life, and with the aid of a healthy diet, is a recipe for long-term recovery. We encourage clients at PACE Recovery Center to place great stock in the physical and spiritual connection. Those who adopt healthier approaches are more likely to stay the course and make continual progress. We hope that anyone working a program takes advantage of the summer months to strengthen their recovery.

Addiction Treatment

At PACE Recovery Center, we can help you or a loved one learn how to navigate life without resorting to drug and alcohol to cope. Our highly qualified team of addiction professionals also address clients’ co-occurring mental health disorders and provide tools for coping with one’s symptoms. Please contact us today to learn more about our programs.

National Prevention Week: Action Today. Healthier Tomorrow!

National Prevention Week

Preventing substance use initiation, also known as "first-time use," can spare many young people from experiencing significant challenges later in life. While most drug and alcohol prevention efforts target adolescents, we cannot overlook the fact that there is a remarkable number of individuals who use drugs and alcohol for the first time after leaving home for college. What’s more, the late teens and early twenties are when many young people develop unhealthy relationships with mind-altering substances.

Illicit drug and alcohol use is pervasive in high school; however, many teens can avoid situations that could precipitate substance use. Some parents can successfully impress upon their children the dangers of tobacco, alcohol, and cannabis use; and, when young people fully grasp the potential consequences, they are more likely to make informed decisions.

There will always be teens who disregard the pleas of their parents and teachers to refrain from alcohol and substance use, and fortunately, the majority of such teens will not develop a use disorder down the road. Although, given that it is impossible to predict who will suffer from addiction later in life, it is critical that health experts, college faculties, and parents work together to prevent substance use initiation as long as possible. Furthermore, the use of drugs and alcohol can still cause severe injury or death even without the presence of a use disorder in an individual.

SAMHSA National Prevention Week (NPW)

A teenager or young adult can begin using drugs or alcohol at any time of the year; however, research shows that there are certain months that young people are more likely to start using mind-altering substances. For instance, the National Survey on Drug Use and Health indicates that college students most often use a drug or alcohol for the first time during June or July. The Substance Abuse and Mental Health Services Administration (SAMHSA) believes that May is an excellent time to focus on prevention efforts. The hope is that as the school year or second semester comes to a close, young people will think twice before using drugs and alcohol.

The SAMHSA Center for Behavioral Health Statistics and Quality (CBHSQ) reports that 2,100 to 2,500 full-time college students aged 18 to 22 used alcohol for the first time in June and July; compared to between 1,100 to 2,000 young people using alcohol for the first time during other months of the year. The organization finds that tobacco, marijuana, and inhalant use initiation among college students aged 18 to 22 peaks over the course of the summer, as well.

Each May, SAMHSA hosts National Prevention Week! Before young people break for summer, the administration helps schools and organizations host prevention-themed events aiming to strengthen the community, school, and family bonds that can shield adolescents and young adults from substance use. SAMHSA’s primary goals this week are to:

  • Involve communities in raising awareness about behavioral health issues and implementing prevention strategies;
  • Foster partnerships and collaboration with federal agencies and national organizations dedicated to behavioral and public health; and
  • Promote and disseminate quality behavioral health resources and publications.

NPW Prevention Challenge: Action Today. Healthier Tomorrow!

Given that not everyone can take part in a National Prevention Week event in person there are other avenues of participation. There are several webinars up in the form of YouTube videos that you may find of interest. The NPW Prevention Challenge is another way young people can take a proactive approach to avoiding the trappings of drugs and alcohol. The theme for NPW 2018 is Action Today. Healthier Tomorrow. SAMHSA asks you to write a video letter to yourself and, if you feel comfortable, upload it to social media. You can find an example below:


If you are having trouble watching, please click here.

NPW 2018 Prevention Challenge: #DearFutureMe encourages others to take action today for a healthier tomorrow!

PACE Academy

National Prevention Week is an important event that can steer young people toward making healthy decisions. For some young people, however, the cycle of addiction is already in full force, and there is a need for more significant attention. There is a substantial number of college students struggling with drugs and alcohol who require treatment. Unfortunately, a remarkable number of people who need help are resistant to it because they don’t want to get behind in school. The good news is that individuals can address their alcohol and substance use disorder with only a slight disruption to their education.

At PACE Academy, we help young people break the cycle of addiction and equip them with the tools necessary for working a program of long-term recovery. We help clients working towards an associate or bachelor’s degrees at several community colleges and universities. At PACE Recovery Center, we can help you or a loved one keep addiction from derailing one’s future; please contact us today to learn more about our programs.

Opioid Addiction in America Accountability

opioid

The effort to rein in the prescription opioid problem here in America continues even though there hasn’t been an announcement from the Office of National Drug Control Policy (ONDCP) on how it plans to tackle the issue. While state and Federal lawmakers tirelessly work to bring about change and hold those responsible for their actions, the pharmaceutical industry has been less than cooperative. It probably shouldn't come as a surprise, after all the prescription painkillers are a multibillion-dollar industry in the U.S. Taking even a modicum of responsibility for misleading doctors and patients about the dangers of opioids would be to acknowledge profiting off suffering and death.

All roads lead to the pharmaceutical industry no matter from what angle you examine the American opioid addiction epidemic. There is a plethora of evidence showing the tactics of companies, like Purdue Pharma, beginning in the late 1990s. Methods including promotional videos assuring doctors that the number of patients who might develop an opioid use disorder was statistically irrelevant. Before long, and with the bonus of incentives to prescribe, primary care physicians began doling out drugs like OxyContin for all things pain.

Naturally, the opioid scourge in America wasn’t the doing of just one entity; we need to consider that there are many stops along the way from the poppy fields to the medicine cabinet. The onus of the problem affecting millions of people falls on many private companies, health organizations, and government agencies like the FDA. In fact, some of the companies which profited the most from addiction in America were pharmaceutical distributors, those in the business of getting drugs from manufacturers to the pharmacy. Even a cursory look reveals that wholesalers turned a blind eye to filling suspicious orders.

Opioid Addiction Accountability

Yesterday, the leaders of five pharmaceutical distributors sat before a House panel hearing fielding questions regarding their practices in the state of West Virginia. The population of the “Mountain State” is roughly 1.80 million, according to today’s estimates and yet, 780 million hydrocodone and oxycodone tablets went into the state between 2007 and 2012, CNN reports. The town of Kermit, WV, for instance has a total population of 400 people and yet, over the course of just two years almost 9 million painkillers were sent to one local pharmacy.

At one point during the hearing, House Energy and Commerce Oversight and Investigation Subcommittee chairman, Gregg Harper (R-MS) asked McKesson Corp., Cardinal Health, AmerisourceBergen, Miami-Luken and Smith Wholesale if their companies had a role in the opioid epidemic? All the distributor heads but Dr. Joseph Mastandrea, chairman of the board of Miami-Luken, answered Harper unequivocally, “NO!”

Despite the fact that Rep. David McKinley, (R-WV) was not a member of the subcommittee he was able to sit in and allowed to share some thoughts with the distributors, according to the article. He points to the companies' "lack of attention on your algorithm and your core operation. And deflecting responsibility, saying, 'I just had to fill the order' -- no, you had a role. You had a role." Adding, "And for several of you to say you had no role whatsoever in this I find particularly offensive."

I just want you to feel shame in your roles, respectively, in all this," said McKinley. "I am so frustrated for the people of West Virginia and this country that you all have not stepped up and took more responsibility for this.

Paying for Opioid Use Disorder Treatment

Lawmakers’ ire is fervent toward manufacturers as well, with many reasoning that since the companies had a role in creating the problem, the least they can do is help cover the cost of treatment. Currently, some 15 states have legislation in the works that would tax prescription opioids; the revenue would then fund addiction treatment services, The Chicago Tribune reports. Of course, bringing such laws to fruition is, unfortunately, a David and Goliath scenario given the powerful ‘big pharma’ lobbies. To date, only the state of New York has been able to pass an opioid tax measure.

The industry is up-to-its-eyeballs in lawsuits and protracted litigation, owing mainly to the staggering death toll in the last twenty years. The general public and lawmakers (some of whom have lost loved ones to overdose) want the industry to do what’s right, take responsibility, and be a part of the solution. Such companies can afford to help, especially when you consider the amount of money opioid developers spend in efforts to defeat common sense legislation. The big opioid producers spent $880 million on politics and lobbying from 2006 through 2015, according to AP and the Center for Public Integrity.

So, what is the manufacturers and distributors argument, you ask? The companies contend that an opioid tax is wrong and would lead to patients or taxpayers eating the cost in the long run. As you can probably imagine some lawmakers are at their wit's end with the lack of accountability, state Sen. Julie Rosen (R-MN) walked out of a meeting with big pharma reps, the article reports. She said:

They know that they're spending way too much money on defending their position instead of being part of the solution.

Opioid Use Disorder Treatment

If you are a young man struggling with opioid addiction, PACE Recovery Center can help. Our team of experts can teach you the skills and provide you the necessary tools for leading a productive life in recovery. Please contact us today to learn more about our program.

Mental Health Awareness Month 2018 Cure Stigma Quiz

mental health

May is Mental Health Month; a time to raise awareness, fight stigma, provide support, educate the public. At PACE Recovery Center, our primary focus is treating addiction and coöccurring mental health disorders; we have made a commitment to do all that we can to end stigma and encourage individuals to seek help. Over the course the month we will cover a number of topics regarding mental illness, addiction, and stigma with the hope of helping those still struggling to understand they are not alone. We know your suffering and grasp the difficulty of reaching out for help.

Only 41% of adults in the U.S. with a mental health condition received mental health services in the past year, according to the Substance Abuse and Mental Health Services Administration (SAMHSA). Among adults with a serious mental illness, 62.9% received mental health services in the past year. It is worth noting that more than half (10.2 million) of people living with a substance use disorder also have a co-occurring mental illness. What’s more, recovery is dependent upon treating both disorders simultaneously; there is no way around it, ignoring one condition will compromise the efforts made in treating the other.

One of the most significant obstacles standing in the way of treatment is stigma; in fact, stigma prevents the 1 in 5 Americans with mental health conditions from seeking help, according to the National Alliance on Mental Illness (NAMI). When the general public doesn’t have all the facts, as is the case with brain diseases, people base their opinions on what it “seems" is going on with an individual. Large swaths of society believe that those suffering can choose to look at things differently; as if they can just walk-off their mental illness like a skinned knee and get back into the game of life.

Together, We Can #CureStigma

In reality, mental illness is not a choice! When people come to conclusions without the facts, it has a parasitic effect and creates an environment of shame, fear, and silence. When individuals don’t seek help because they worry about what other people think, it is a detriment to all. The overall wellbeing of society, like the links of chain, is only as healthy as it’s sickest citizens. When those suffering can’t access help, everyone pays the price in some way. It is worth remembering that there is not a single person on the planet who doesn’t know or care for someone with a mental illness; rarely is a family spared of the consequences of mental health conditions. 1 in 5 adults in the United States lives with a mental illness.

Even when there are mental health problems in the family, it is not uncommon for some members to view the afflicted negatively. What ends up happening is that the person suffering convinces his or her self that their illness is a byproduct of doing something wrong. As a result, such people shroud their behaviors in secrecy and are less likely to seek help for fear of judgment and ridicule. We cannot stress enough the importance of resisting the temptation to act in such ways in response to the ill-conceived notions of others; on the other hand, it is vital that everyone take some time and evaluate their views about mental illness.

Mental Health Month CureStigma Quiz

Examining your behaviors toward people living with mental illness and making adjustments (if necessary) can go a long way; doing your part to avoid contributing to the stigma of mental health disorders can save lives. NAMI believes that stigma towards mental illness is 100 percent curable, and there is a simple way to determine if stigma has infected you, take the CureStigma Quiz.

Please take a moment to watch a short PSA:


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Co-Occurring Disorder Treatment

If you are a young man struggling with addiction and a coöccurring mental health disorder, PACE Recovery Center can help. Our team of dual diagnosis experts can teach you the skills and provide you the necessary tools for leading a productive life in recovery. Please contact us today to learn more about our program.

Addiction Treatment Week and Take Back Day

addiction treatment

As Alcohol Awareness Month (AAM) concludes, it only fits that this week is National Addiction Treatment Week. Each April events are held to educate the general public, especially young people, about alcohol, alcoholism, treatment, and recovery. Alcohol use disorder is a severe mental health condition; while there is no cure for the disease, nor any form of addiction for that matter, treatment works, and recovery is possible.

One of the most significant obstacles standing in the way of people and addiction treatment is the stigma surrounding mental health disorders. Health experts and addiction medicine professionals expel tremendous energy and time spreading the message that alcohol and substance use disorders are not a moral failing but instead, a disease of the mind—the symptoms of which—can be deadly.

Please join PACE Recovery Center and the American Society of Addiction Medicine (ASAM) during National Addiction Treatment Week (April 23rd through April 29th). Help us raise awareness that addiction is a disease and that evidence-based treatments are available. Use disorders are an urgent matter in the U.S., with nearly 20.5 million Americans struggling with substance use disorder (SUD), according to the Center for Behavioral Health Statistics and Quality. What’s more, only 1 in 10 people with a SUD receive treatment.

National Addiction Treatment Week

While this time is vital for raising awareness about treatable mental health conditions, it is also a call to action to young people considering working in the field of addiction. ASAM is urging clinicians to enter the area of study; the organization is hosting events and webinars for physicians and medical students about the pathways to addiction medicine certification. If you have a personal or professional interest in this vitally important area of study, you can discover more information at TreatAddictionSaveLives.org.

Raising awareness that addiction is a chronic brain disease, and not a moral failure, and qualifying more clinicians to treat addiction is vital to increasing patients’ access to treatment.” said Kelly Clark, MD, MBA, DFASAM, president of ASAM. “National Addiction Treatment Week supports ASAM’s dedication to increasing access and improving the quality of addiction treatment, and helping physicians treat addiction and save lives.

Addiction treatment and working a program of recovery provides countless opportunities to be of service to society. A not insignificant number of young men and women in recovery make the decision to pursue a career in addiction medicine after treatment, becoming counselors, therapists, and doctors. One might even argue that people with a history of addiction are uniquely equipped to help others struggling with the disease; they can relate with patients and clients on a level that your average clinician might find challenging. After all, doctors in recovery have been "there" and know firsthand what recovery asks of an individual.

DEA National Rx Take Back Day

addiction treatment

Aside National Addiction Treatment Week, there is another important event taking place on Saturday, April 28, 2018, starting at 10:00 AM. Across the United States, the general public has an opportunity to do a small deed that can help prevent drug addiction and overdose deaths. Saturday prescription drug collection sites are available in every state for the DEA’s 15th National Take-Back Day.

Did you know that the majority of prescription drugs used non-medically are obtained from family and friends, according to the 2015 National Survey on Drug Use and Health? At that time, 6.4 million Americans engaged in nonmedical prescription medication use, many of whom found the pills in the home medicine cabinet. Last October, a total of 5,321 take back sites collected 912,305 lbs. (456 Tons) of unused medication. Perhaps this April America can set a new record and help save lives in the process. If you would like to know where you can find a collection site in your area, please click here.

Please take some time to watch a short PSA:


If you are having trouble watching, please click here.

Addiction Treatment Saves Lives

If you are a young man struggling with an alcohol or substance use disorder, PACE Recovery Center can help you break the cycle of addiction. Our dedicated team can teach you the skills and provide you the necessary tools for leading a productive life in recovery. Please contact us today to learn more about our young adult rehab program.

John Goodman’s Battle With Alcoholism

alcoholism

Before John Goodman was a cultural icon known as Walter, the off-kilter, Jewish convert, Vietnam Vet who ‘doesn’t roll on Shomer Shabbos in “The Big Lebowski,”’ he was best known for his role as Dan Conner in “Roseanne.” Many of our readers may not remember that in the 1990’s, “Roseanne” dominated television ratings thanks to the humorous and touching interplay between Goodman and Roseanne Barr. Those of you who were regular watchers of the show may find it surprising to learn that all was not well on the set of the show during its first nine seasons, owing to John Goodman’s alcoholism.

Those of you familiar with John Goodman's body of work know that he is an immensely capable actor whose roles leave a lasting impression. From Hollywood to Broadway, he is notorious for stealing the scene; a powerhouse actor in Academy award-winning films, such as The Artist (2011) and Argo (2012). His honors for television include both Emmy and Golden Globe Awards.

After 21 years off the air, "Roseanne" returned to television with the original cast. Just to give you an idea of how successful the first show run (1988-1997) was, the current series premiere held the attention of more than 18 million viewers. Naturally, both Roseanne Barr and Goodman are fielding interviews left and right; and some of the questions people are asking Goodman concern his battle with alcoholism.

Addiction Beneath the Surface

In a recent interview with TODAY’s Willie Geist, Goodman discusses what finally occurred for him to seek addiction treatment. The combination of starring in a hit television show and his newfound loss of anonymity, Goodman says he began using alcohol to cope. He says he almost didn't see the series through to its end; he admits that drink on set was a regular occurrence; “My speech would be slurred.”

I got complacent and ungrateful. And after nine years—eight years, I wanted to leave the show,” he said. “I handled it like I did everything else, by sittin' on a bar stool. And that made it worse.

Some ten years ago after going on a severe bender, he found himself with shaking hands in need of help, according to the interview. Goodman called his wife, and from there he went into treatment.

I was shaking, I was still drinking, but I was still shaking," he said, recalling that weekend. "I had the clarity of thought that I needed to be hospitalized.

Please take some time to watch the interview:

If you are having trouble watching, please click here.

Alcoholism Standing in the Way

One takeaway from Goodman’s decade-long sobriety is that life and work are possible without using alcohol as a coping mechanism. He was unable to appreciate life when he was at the top of the world in the 90’s because of his alcoholism; the reboot is an opportunity for him to do things differently, to do things right. It goes to show that when drugs and alcohol are out of the picture, one has the opportunity to be grateful for life and all the many blessings.

If you are a young man caught in the grips of alcoholism, PACE Recovery Center can help you break the cycle of addiction and begin the journey of recovery. Please contact us today to learn more about our program.

Addiction: The Unforeseen Consequences of Stigma

addiction

What we say to one another matters, perhaps more than some are willing to admit; few people can grasp this as much as the addict. It isn’t just what we say to each person that is worth discussion, how we talk about groups of people can a lasting impact and unforeseen consequences. As the U.S. nears the end of the second decade of unprecedented opioid use and overdose rates, some hard questions are worth asking. If addiction is a mental health disorder, and the NIDA considers the condition a long-term, treatable brain disease; why does much of society continue to view the illness with scorn, ridicule, and judgment?

Searching the internet reveals that treatment works and recovery is possible. If you ask your friends and family members if they know someone in recovery, they will likely say ‘yes.’ Reading books or watching television can illuminate the lives of others who have gone to battle against the seemingly indomitable foe that is an addiction. While such people do not slay the dragon, they do find a way to tame (manage) it with the help of specific programs.

If a person is sick why would anyone want to discourage them from seeking assistance? If that same person gets better, why would people still look at them differently or expect that at a certain point they will fail? It is difficult to explain why some people will always view those whose addiction is at bay through working a program different from one whose cancer is in remission thanks to chemo.

It’s unlikely the answers to most of these questions will reveal themselves by the end of this article, and that is alright. Hopefully, by making inquiries into the nature of addiction, we might encourage people to rethink their views.

Defining Addiction

Better to sleep with a sober cannibal than a drunk Christian. ―Herman Melville, Moby-Dick or, The Whale

Could a drunkard "actually" be more dangerous to the fabric of society than a person who "literally" consumes their fellow man? Of course not, but it depends on who you ask. As health experts and lawmakers continue to seek out novel ways of addressing addiction in America, the word “stigma” comes up in the discussion more often than not. If the addict were a horse, stigma is the wagon it pulls. With that in mind, it might be helpful to contemplate the origins of the words inextricably bound to mental illness.

The word ‘addiction’ results from the Latin ‘addictus,’ from the verb ‘addicere’ [ah-dee-keh-reh]. There are several translations for addicere, but a few stand out; enslavement, extreme religious devotion, and sacrifice. Other definitions can apply, but those above will suit for this article. Nobody can deny that people living in the grips of mental illness find themselves in a form of bondage. Each day, enormous sacrifices are made (against wellbeing) in devotion to the disease. What’s more, it may be worth mentioning that the verb addicere can also mean to judge, sentence, or condemn. It isn't hard to see that the way we talk about mental illness results in stigmatization.

Defining Stigma

stigma

Now, let’s talk about stigma or a mark of disgrace. Half a millennium ago, the word from the Latin Stigmata, meant a "mark made on skin by burning with a hot iron;" from the Greek stigma (genitive stigmatos) "mark of a pointed instrument, puncture, tattoo-mark, brand." Anyone with a Christian upbringing can probably deduce the association with Christ and stigmata. Stigmas "marks resembling the wounds on the body of Christ, appearing supernaturally on the bodies of the devout." The last bit there, and perhaps worth extended focus, is devout; if you remember from above the addict devotes him or herself to the point of slavery, and here we see that stigmas are brands upon such people.

You can easily see the link between addicts and stigmas in America; if we are honest, everyone living with mental illness has come face to face with judgment at some point. The question we should be asking is, ‘to what end?’ There is research with ample support to back it showing that stigma prevents people from accessing treatment, and by default—recovery. Given that addiction is an epidemic, and the symptoms of which are treatable; it begs the question, why does society continue to act and speak in a way that prevents mothers, fathers, sisters, and brothers from getting help?

The perspective of addiction that many people adhere to is somewhat schizophrenic (in the non-psychological sense of the word); to give you an idea, please consider the data below. More than half of Americans believe addiction is a medical problem; however, less than 1 in 5 Americans say they would closely associate with people (i.e., friend, co-worker, or neighbor) struggling with addiction.

The Associated Press-NORC Center for Public Affairs Research Survey

A survey involving 1,054 adults fielding questions online or by phone reveals the kind of troubling findings above. The Associated Press-NORC Center for Public Affairs Research survey shows that forty-four percent believe opioid use disorder is a sign of lacking willpower or discipline; one-third of those participating see opiate addiction as a character flaw, The Washington Post reports. Equally as troubling is the fifty-five percent of respondents favoring a “crackdown” on people misusing drugs.

While two-thirds said policy-makers should expand access to treatment, it appears that respondents fail to grasp how their views of addiction bar people from accessing rehab. Federal research confirms what those working in the field of addiction acutely understand; stigma prevents people from seeking treatment. Over 2 million Americans are struggling with an opioid use disorder; but, only 1 in 5 receive “specialized treatment.”

“When something is stigmatized nobody wants to bring it up, so therefore people who need the help are less willing to come forward,” Dr. Corey Waller, an addiction specialist in New Jersey, told the AP.

Opioid Use Disorder Treatment

In my judgment such of us who have never fallen victims have been spared more by the absence of appetite than from any mental or moral superiority over those who have. Indeed, I believe if we take habitual drunkards as a class, their heads and their hearts will bear an advantageous comparison with those of any other class. —Abraham Lincoln [addressing the Washingtonian Temperance Society, February 22, 1842]

Addicts are people living with a form of mental illness that they can manage and recover from provided, however, they feel compassion from their friends, family, and community. For too long stigma has had a hand in preventing individuals from finding support; we can no longer allow people’s “personal” views about any life-threatening conditions shape our policy. Millions of people are living with an opioid use disorder, and many millions more are battling alcohol use disorder; no family or community is exempt from mental illness. Compassion is far more valuable than judgment; branding our fellows as weak or flawed impacts society in myriad ways.

If prescription opioids or heroin is impacting your life negatively, PACE Recovery Center can help. We specialize in the treatment of young men caught in the vicious cycle of addiction and coöccurring disorders. Please contact PACE to learn more about how we can assist you to begin the process of healing and learn how to lead a productive life in recovery.