Archive for the 'Asked / Answered' Category

Flavored Cigarettes Banned

djsp20a

I started smoking when I was fifteen years old. Couldn’t inhale regular without hacking, so tried clove cigarettes. Bing bing bing!

There’s a reason they’re flavored. The clove helps suppress the gag reflex. The taste helps attract young new smokers.

No more.

The Family Smoking Prevention and Tobacco Control Act was introduced in the US Congress and signed into law by President Obama, giving the FDA significantly more regulatory power over tobacco; one of the provisions in the law includes a ban on the use of flavors in tobacco, other than menthol. As of today, flavored cigarettes are outlawed in the US.

A good step, but I believe we can all bring up the topic of health costs to our friends who still smoke. There’s no upside. Smoking kills. Shaves life off the body.

Change begins. – Brad

Silence

crash

What in the world can you do when faced with the addiction, the dependency of someone you love?

The news is this – the woman driving the wrong way on the highway, who crashed and killed eight including herself – was drunk and high. A broken Absolut bottle in the car, along with the autopsy report tells the tale of a woman gravely impaired. Behind the wheel, on the road, driving a time bomb.

A relative reports he knew something was wrong, but…

Fear gets in the way.

“She won’t talk with me again!”

“She’ll be mad at me.”

“She’ll leave!”

These are some of the excuses I hear folks using when deciding they’ll stand by rather than act to help change someone they love get better. Their loved on is stuck in the vice-grip of impaired behavior and fear stops family and friends in their tracks.

Stand by and pray? Hope against a history that tells you things don’t change, unless you change them?

Prayer without action is worth little in getting someone you love to breakthrough a drug or alcohol dependency to accept help.

Be brave. Step in. Speak up.

Give voice to fear you feel and turn it into the hope of action.

Brad: On WPIX this morning

 

Hash Hash or Dash.

Pot
Hash
Where’s My Stash?
Chronic pot smoker clients are as addicted as any others we see. I’m torn on the issue of legalization however. I would like to see expanded access to treatment rather than prisons filled to overflow with addicts and those who support the sale/distribution. Perhaps with the new health care path, we’ll see that occur. Standing by…

- Brad

____

19pot1901
The New York Times
July 19, 2009

Marijuana Is Gateway Drug for Two Debates

IT was as if she woke up one day and decades of her life had disappeared.

Joyce, 52 and a writer in Manhattan, started smoking pot when she was 15, and for years it was a pleasant escape, a calming protective cloud. Then it became an obsession, something she needed to get through the day. She found herself hiding her addiction from her family, friends and co-workers.

“I would come home from work, close my door, have my bong, my food, my music and my dog, and I wouldn’t see another person until I went to work the next day,” said Joyce, who like most others in this article asked that her full name not be published, because she does not want people to know about her past drug use.

“What kind of life is that? I did that for 20 years.”

She tried to stop, but was anxious, irritable, sleepless and lost. At one point, to soothe her cravings, she took morphine that she found at her dying father’s bedside. She almost overdosed.

Two years ago, she checked into the Caron Foundation, a treatment center in Wernersville, Pa. Even there, she said, some other addicts — cocaine and heroin users or alcoholics — downplayed her dependence on marijuana.

“The reality is, I was as sick as them,” Joyce said. She now attends Alcoholics Anonymous, which is also open to drug addicts, and recently married.

Smoking pot, she said, “was a slow form of suicide.”

Marijuana, the country’s most widely used illicit drug, is typically not thought to destroy lives. Like alcohol, pot has been romanticized by writers and musicians, from Louis Armstrong to Bob Dylan, and it has been depicted as harmless or silly in movies like “Harold and Kumar.” And addiction experts agree, marijuana does not pose as serious a public health problem as cocaine, heroin and methamphetamine. The drug cannot lead to fatal overdose and its hazards pale in comparison with those of alcohol. But at the same time, marijuana can be up to five times more potent than the cannabis of the 1970s, according to the National Institute on Drug Abuse.

And this new more-potent pot and the growing support for legalization has led to an often angry debate over marijuana addiction. Many public health officials worry that this stronger marijuana has increased addiction rates and is potentially more dangerous to teenagers, whose brains are still developing. And officials say the movement to legalize marijuana — now available by prescription in 13 states — plays down the dangers of habitual use.

“We need to be very mindful of what we are unleashing out of a Pandora’s Box here,” said Dr. Richard N. Rosenthal, chairman of psychiatry at St. Luke’s-Roosevelt Hospital in Manhattan and professor of clinical psychiatry at Columbia University. “The people who become chronic users don’t have the same lives and the same achievements as people who don’t use chronically.”

More adults are now admitted to treatment centers for primary marijuana and hashish addictions than for primary addictions to heroin, cocaine and methamphetamine, according to the latest government data, a 2007 report by the Substance Abuse and Mental Health Services Administration.

Even though alcohol and opiates (which includes painkillers and heroin) are the two leading primary addictions, the percentage of those seeking treatment for marijuana addiction, compared with 10 years ago, has increased significantly to 16 percent in 2007 from 12 percent in 1997. The percentages of those seeking treatment for cocaine (13 percent of admissions in 2007) and alcohol addiction (22 percent in 2007) declined slightly.

Advocates for legalizing marijuana and some addiction specialists say these concerns are overwrought. The admissions data, they say, is deceiving because it was collected by government agencies that oppose legalization; 57 percent of those admitted for marijuana addiction treatment were ordered to do so by law enforcement. (The percentage of those ordered into treatment was lower for other drugs, except for methamphetamine. For alcohol abuse, 42 percent were ordered into treatment.)

Advocates and even some addiction specialists say cannabis is an effective treatment for medical and emotional problems, and can even help some battling addictions to harder drugs.

The risk of addiction, they say, is less problematic than for alcohol and other drugs. For instance, of the people who had used marijuana, only 9 percent became addicted, according to a 1999 study by the Institute of Medicine of the National Academies, a nonprofit research organization on science and health. Of those who drank alcohol, 15 percent became addicted. For cocaine, the figure was 17 percent, and heroin, 23 percent. (These are the latest figures from the institute; advocates and addiction experts said there were no more recent data available.)

“The word addiction is so fungible in our society, and cannabis just doesn’t fit that tidy definition, though it can be abused,” said Allen St. Pierre, executive director of the National Organization for the Reform of Marijuana Laws, a legalization advocacy group. “Science really has proven, if anything, that cannabis is likely one of the safest substances we can interact with.”

Many people can smoke marijuana every day without ill effects, advocates say, just as many casually drink wine in the evening.

These marijuana users do not meet the clinical definition of addiction, which includes an inability to stop using the drug, an uncontrollable obsession with it and increased tolerance. Javier V., a 24-year-old supervisor in an industrial park in Miami, said he has smoked pot regularly, without a problem, since he was 14. “After a busy day at work,” he said, “I come home, roll up a J and — I mean, it’s stress relief.”

Then there are people like Milo, 60, who recently attended his first Marijuana Anonymous meeting in Los Angeles. He said he started smoking pot at 13, and has struggled to quit.

He is also an alcoholic, he said, but has not had a drink since the early 1980s.

“I’m a pothead, a marijuana addict, a stoner, we call ourselves a million things,” he said. He is trying to quit, he said, because his girlfriend is threatening to leave him. Besides, the drug no longer alleviates his depression and anxiety.

“I’m losing things and people,” Milo said after the meeting. “I’m estranged from my children. I’ve lost two houses, and I’m living in my R.V., basically homeless.”

He added, “There are a whole lot of pieces, and I can’t get them together.”

Many addiction experts would say marijuana abuse has, at the very least, added to Milo’s problems. And the drug’s new potency has made the likelihood of addiction that much greater, public health officials say.

“It’s like drinking beer versus drinking whiskey,” said Dr. Nora D. Volkow, director of the National Institute on Drug Abuse, a government agency and a strong opponent of legalizing marijuana. “If you only have access to whiskey, your risk is going to be higher for addiction. Now that people have access to very high potency marijuana, the game is different.”

A 2004 study in the Journal of the American Medical Association suggested that the stronger cannabis is contributing to higher addiction rates. The study, conducted for the National Institute on Drug Abuse, compared marijuana use in 2001 and 2002 with use a decade earlier.

While the percent of the population using the drug remained stable during that time, dependence or abuse on the drug increased significantly, particularly among black and Hispanic men. Higher concentrations of delta-9-tetrahydrocannabinol, known as THC, the study said, was the likely reason for the growing dependency.

Dr. Volkow, who spearheaded federal research into treatment for marijuana withdrawal, had studied cocaine in the 1970s and early 1980s. Back then, she said, she was unsuccessful in winning grants to study cocaine addiction.

“People thought cocaine was a very benign drug,” she said.

Government statistics show the number of emergency room visits linked to the use of marijuana, which can lead to psychotic episodes and was cited in other medical emergencies, has risen significantly.

With marijuana, “it’s going to take some real fatalities for people to pay attention,” Dr. Volkow said. “Unfortunately that’s the way it goes.”

Only after the basketball player Len Bias died of a cocaine overdose in 1986, and the crack epidemic began, did the government start a campaign to warn of cocaine’s dangers.

Like any addiction, quitting pot can be daunting. Jonathan R. has been a member of Marijuana Anonymous in Los Angeles since the early ’90s, shortly after the 12-step program was founded. He has seen many members in meetings say they would rip up their medical marijuana cards, available in California and used to fill prescriptions for problems ranging from severe pain and discomfort from cancer, to headaches and insomnia.

But then, inevitably, he said, they secure another one, much like “an alcoholic who pours booze down the drain and then goes out to get another bottle.”

The difficulty in quitting has spurred psychologists and psychiatrists to debate whether “Cannabis Withdrawal Syndrome” should be in the next edition of the Diagnostic and Statistical Manual of Mental Disorders.

Yet, marijuana withdrawal is not nearly as severe as withdrawal from most other drugs. Giving up drinking can cause fatal seizures. Heroin users vomit and sweat for days; sudden withdrawal can be fatal.

In fact, some doctors specializing in treating addicts would rather prescribe marijuana for anxiety and insomnia than sleeping pills or Valium and Xanax, which are highly addictive.

“I see people every day dying from alcohol, stimulants and opiates,” said Dr. Matthew A. Torrington, an addiction specialist and clinical researcher at the University of California, Los Angeles. “Marijuana may be an up and comer, it may be transforming into something that will become a bigger problem in the future, but at the moment I don’t see that.”

Still, even one of Dr. Torrington’s patients, Jonathan James, has concerns about his own marijuana use. Mr. James, 50, a former choreographer, has been a regular pot smoker for 35 years.

He said smoking marijuana helped inspire some of his most original ideas. But Mr. James is afraid to stop smoking, even after kicking heroin and cocaine. When he stopped the harder drugs, he stayed off pot for six months. When he started again, he planned to smoke only a few times a week.

After a month or so, “I started smoking it more,” he said. “Two months later, I was smoking it in the morning, and four months later I was smoking all day.”

He said he would be more successful without pot.

“It keeps me back — from engaging in the dreams and aspirations I have,” he said. “I would like to feel I don’t need to take anything to feel better.”

Nancy Grace Last Night:

nancy-grace

NANCY GRACE, HOST: Straight out to Brad Lamm, board certified interventionist www.changesomeoneyoulove.com. Brad, thank you for being with us.

BRAD LAMM, BOARD REGISTERED INTERVENTIONIST, CHANGESOMEONEYOULOVE.COM: Thank you.

GRACE: You`re hearing all this about a staged intervention, Jackson locking the family out of Neverland, sticking his fleet of bodyguards on his own family. Not taking calls from his 79-year-old mother. That`s not unusual behavior for a drug addict.

But, Brad, here`s my question. To use this drug, as like your sedative, in the OR, the operating room, you`ve got to be hooked in. That means the doctor has got to be there the whole time you`re hooked in and we know the personal chef that we just saw says he sees oxygen tanks coming in and out and that a doctor would come at night and leave in the morning.

LAMM: Well, I think it`s speaks to the relationship between a person and the drug which is as close as a lover. You know when you step in and try to intervene, it`s like pealing the bark off the trees. So as we here reports about them trying to step in, they did a few things that could have been better.

One, showing up en mass and not taking no for an answer. Really, at an intervention NO is a conversation starter. And, two, and this is really important and I think a lot of people can relate to this. If the kids are involved like in this case they were, you step in and you get the kids out of the situation and oftentimes that will be the thing that will help break through the denial of addiction.

GRACE: But it`s just amazing to me that a doctor — can you just imagine.

LAMM: But Nancy.

GRACE: Can you conjure up the image of a doctor there in a mobile unit, a van, shooting Jackson up and keeping the catheter in the arm overnight?

LAMM: Unfortunately, I can. And if you and I were to step out the studio here at CNN and walk two blocks, we could get these drugs and other drugs within blocks of CNN here. It`s just that easy.

GRACE: Diprivan? You can get that.

LAMM: Absolutely.

GRACE: How?

LAMM: There are just that many doctors.

GRACE: I`ve never in all my years of prosecuting drug use, drug trafficking, I`ve never heard of a Diprivan addict, ever.

LAMM: Well, I think if you can equate a drug dealer with a doctor that`s mis-prescribing, you`ve got a pretty good correlation there.

GRACE: Have you ever seen a case where somebody takes Diprivan every night to sleep intravenously?

LAMM: I haven`t seen Diprivan but I`ve seen other intravenous opiate to use like this.

GRACE: Overnight?

LAMM: To sleep.

GRACE: Or 10 straight hours?

LAMM: I`ve never seen anything like this, to be honest. Yes.

GRACE: You said we could get it a block from CNN?

LAMM: No, I`m sure we could go get Diprivan, though.

This morning on WFAN

pills

Take three and call me in the morning. Three breaths that is. I invite you to do something different. Different action yields different results. I promise.

I spent an hour on WFAN this morning, the nation’s biggest AM radio station. I share it with you here: http://podcast.wfan.com/wfan/1821613.mp3

Onward,
Brad

Family Lamm.

cloud-is-blog

I am flying on a plane now. Internet working. Amazing.

My Grandma Lamm – Leona Lamm to be precise – told me back in 2002 at her 100th birthday that she was most amazed by:

1) her family and friends and the love she shared + gave

2) the incredible jaw-dropping technological advances her eyes had seen

Leona was a school teacher in Nebraska before the big old depression gave everyone fits for a bit. She married Charles, a farmer, and they lived in wedded hard working bliss until the Great Depression hit and just like that the old family farm that had been passed down, was gone.

Not to be discouraged to pause, they kept moving. After all, they had four young boys and a lot of love. They were hungry sometimes, but they never starved.

Headed west on a train they stepped off in Boise, Idaho and settled just outside Boise in a Quaker community called Greenleaf. They lived in a tent for more than a year, put apple box wooden slats on the dirt “floor” to make it less about  sleeping on the ground.

Amazing.

No telephones, no wifi, no emailing while you fly right across the country just like that!

In tough times she was always resilient, and sweet really. She’d tell you she wasn’t always sweet, but I would. She was strong as an ox and pretty as a lady could be. She raised four boys just fine, and they all lived to tell about it their hide still on’em.

What I remember most about my Grandma Lamm was that she was kind and brimming with love. She made the best of tough times, and kept moving, knowing that an unkind word wouldn’t do anybody a bit of good, and that forward action would yield results. Maybe not always the best results, but soon that apple cart box floor gave way to an apartment and then their own home. Change back then was achingly slow sometimes, but make it through they did.

One minute at a time sometimes.

Here’s to Leona. A good woman, and fine lady, and the woman who shaped me as much as anybody, into the man I am today through her practice of resilience and love.

- Brad

Speaking and Teaching

Just home this evening from the Association of Intervention Specialists (AIS) conference in Denver. What a great time! I presented a case study on Jason B.. With his family we intervened to help three + years back. I hadn’t spoken with Jason in over a year, and moments after I presented an email arrived from him, sending love and gratitude and good weather wishes from Hawaii. I share it with you because it means a lot to me:

___

Aloha Friday!Brad,
Sending a little shout out from the big island of Hawaii.
Congratulations! you are a wonderful human being. Thank you for all
the help along this journey. We are grateful for the important work
you bring into  this world. it would be great to hear an update of
your story. what is new? what is old? is the book out yet? inquiring
minds would love to know.
talk to you soon, Love Jason

___

UKESAD

UKESAD

Heading to London on Wednesday next to present at UKESAD. Very exciting times these are. To change!

- Brad

Headline News: A Pill?

Interesting article. Check this out!
Some will say, “a pill?! never!!!”
I’m not so sure. A small percentage of folks who express a desire to stop, will actually stay stopped through 12 Step. So here’s to medicine and thought and remaining teachable.
___
CLICK CLICK:
http://www.npr.org/templates/story/story.php?storyId=102974699&sc=fb&cc=fp

A Minute & Change – February 28, 2009