Archive for the 'Nature vs. Nurture' Category

Cocaine Addiction Aid

As important as the headline, is that this study is funded by the National Institute on Drug Abuse – a gov body that’s not interested in the stock price of anyone.

It’s good research and encouraging how Rx might help with cravings. Keep an eye out! – Brad

cocaine-addiction1
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CHICAGO (AP) —
Vaccine-like shots to keep cocaine abusers from getting high also helped them fight their addiction in the first successful rigorous study of this approach to treating illicit drug use

The shots didn’t work perfectly, but the researchers say their limited success is promising enough to suggest the intriguing vaccine approach could be widely used to treat addiction within several years.

“It is such an important study. It clearly demonstrates … that it is possible to generate vaccine that could interfere with cocaine actions in the brain,” said Dr. Nora Volkow, director of the National Institute on Drug Abuse, which funded the study.

The results come just days after that government agency announced plans for the first late-stage study of an experimental nicotine vaccine designed to help people quit smoking. The NicVAX vaccine has been fast-tracked by the Food and Drug Administration, and the research will be paid for with federal stimulus money.

The cocaine and nicotine vaccines both use the same approach, stimulating the immune system to produce antibodies that attach to molecules of the drugs and block them from reaching the brain.

In the new study, cocaine-fighting antibodies helped prevent users from getting a euphoric high and led nearly 40% of them to substantially cut back or stop cocaine use at least temporarily.

With more than 2 million cocaine abusers nationwide and no federally approved treatment, the results “are good enough — better than having nothing,” said lead author Dr. Thomas Kosten of Baylor College of Medicine in Houston. He developed the vaccine used in the study.

The study appears in October’s Archives of General Psychiatry, released Monday.

Volkow said the research exemplifies a “transformative” perspective on drug addiction.

“By targeting it as a medical disease as opposed to a moral dilemma, we’re likely to come up with solutions that have a much longer impact,” she said.

The research involved 115 cocaine abusers also addicted to heroin who sought methadone treatment at a New Haven, Connecticut clinic. Methadone treats heroin addiction, not cocaine, but it requires repeat clinic visits. That made it easier for the researchers to work with and track the cocaine abusers, Kosten said.

Over 12 weeks, nearly all participants got five shots of cocaine vaccine or a dummy substance. They were followed for an additional 12 weeks. All participants also attended weekly relapse-prevention therapy sessions, had their blood tested for antibodies and their urine tested for cocaine and heroin.

Overall, 21 vaccine patients — 38% — developed cocaine antibody levels high enough to prevent a cocaine high. In this group, 53% stopped using cocaine more than half the time during the study, versus 23% of those with lower antibody levels.

Despite the limited success, the results are exciting and show that the vaccine approach is a good one, said Dr. Kyle Kampman, a University of Pennsylvania addiction researcher who was not involved in the study.

My OP-ED piece in today’s Journal News

Wrong Way Crash

The Schuler crash: Dispelling the shock and disbelief
Brad Lamm

Like everyone else, I have been reading the coverage of the Diane Schuler case and the tragic loss of eight lives and trying to make sense of the tragedy. Most reading the coverage mourn the lost Hance family children and the unsuspecting victims in the other vehicle struck by wrong-direction driver Schuler, but I see it through a different lens and with a different empathy. In no way do I minimize the profound tragedy – but I see a larger and more dangerous story: That Schuler may have had an alcohol problem that no one saw and that it was on such a grand and deadly scale.

We need to replace the shock and disbelief with a teaching opportunity, in the hope that some meaning might emerge from our collective lament. My lens is different because each day I deal with families that have a living, breathing Diane Schuler in their midst, one that hasn’t had a horrible automobile crash, yet. These families are doing one of two things: enabling and nurturing a vicious cycle of addiction pathology through inaction and fear, or crying out for solutions while at their wits’ end. I feel uniquely poised to direct traffic at these crossroads as I was once very much like Diane Schuler, driving out of control on the wrong side of the highway of life.

My family (like the Hances and the Schulers) was largely unaware of the severity of my addiction to crystal meth, alcohol, cocaine and anything I could drink, snort, smoke or swallow. For 20 years I was the upwardly mobile life of the party, good friend and listener. At home I was a closeted addict and alcoholic, hiding in plain sight with secrets most of my loved ones, family and friends had no idea about. I went to tremendous lengths to keep the truth of my addictions away from those who loved me. I would explain my increasingly off-kilter behavior as “I have a fever . . .” or “My blood sugar must have gotten too low . . . ” or “I have a seizure disorder . . . .” I had the resume of a model citizen, not a common drunk. I was a nice person, from a decent middle-class family. And, yet, I couldn’t beat my addictions. I tried and failed many times.

Fate brought an intervention, rehab and finally recovery. I have since devoted my life to helping families that have a person like me among them, or a person like Diane Schuler – an alcoholic hiding in plain sight. Some of us are enabled. Some of us are obstructed. All of us are equally deadly, and we walk and drive among you.

The real sadness for me in this story is that it’s not at all shocking but completely routine. It’s my story and it’s the story of the family I met last night, and last Saturday and a year ago, and the family I will meet next week. It’s the quintessential addiction tome. The collateral damage one collects as addiction flourishes seems to be the luck of the draw, so a tragedy like the Schuler crash appears unusual to us. But that perspective, until changed, will serve to enflame the pandemic and periodically provide news stories like the Taconic crash.

So I argue that the greater horror is the reality of how many mothers make it home each night as their chronic disease state goes untreated. These afflicted people wreak a slow havoc on the children that make it out of the back seat. They are a catalyst for a lifetime of alienation, and their deterioration is nurtured by those closest to them who are too fearful to take action. They are ticking time bombs driving the wrong way in life . . . only we don’t sober up until someone crashes. I know because I see it every day in my professional capacity, but I really know because I am them and they are me.

Addiction is the only medical disease with its own social support system – friends, spouses and family actually assist the pathology through self-interest or fear. No other ailment enjoys this embrace. No other ailment is as abrupt and unforgiving and actually kills innocent bystanders while hiding in plain sight. And none, as typified by the Shuler story, is as preventable through brutal honesty, invitation and loving engagement for change. If Diane Schuler’s alcoholism was acknowledged for what it was and treated, would eight people be dead today? The answer is no. I know because I was that person.

The writer is a board-registered interventionist who does work in the Lower Hudson Valley. Learn more at ChangeSomeoneYouLove.com.

www.InterventionSpecialists.org

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Brad: On WPIX this morning

 

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

10 Thoughts on Effective Addiction Treatment

Hooked

I read the following in RecoveryToday online, and have edited for clarity to share here.

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On any given day in the United States, one million people are in treatment for alcoholism or drug addiction. It is not getting into treatment, however, that makes the difference. Instead, it is what a person gets out of treatment. The fact that many people do not find success in treatment on their first attempt is due in part to a lack of understanding about what makes effective treatment.

1. There is no treatment formula that will work for everyone.

Occasionally, people looking for treatment will come across other individuals who are already in recovery and who insist that the only path to recovery is whatever path the recovering individual has taken. This simply is not true. The ultimate success of each individual entering treatment depends on finding the right treatment setting and methods for the individual, and everyone’s needs are different.

2. Medically supervised withdrawal is only one step in addiction treatment; alone it will do little.

Frequently, it is necessary for addicts and alcoholics to go through a medically supervised withdrawal period before they can safely enter treatment. However, some people confuse this short 3 to 7 day period with treatment, which it is not. Some people cycle in and out of these withdrawal episodes convinced that they should be able to maintain abstinence afterwards, but never finding success. Seemingly tragic, this allows some addicts to continue in their addiction while giving the appearance that they are attempting to get healthy.

3. Length of treatment counts

The appropriate duration for an individual depends on his or her problems and needs. Research indicates that for most patients, significant improvement is reached at about 3 months. The research suggests that this may be residential, outpatient or a combination of both depending on the individual’s needs. After this initial period, additional treatment can produce further progress toward recovery.

4. Drug addiction is a multidimensional problem, and treatment needs to address all of an individual’s needs

Effective treatment must address the individual’s drug use, but also any associated medical, psychological, social, vocational, or legal problems.

5. Counseling (individual and/or group) is a critical part of effective addiction treatment.

Many alcoholics and addicts mistakenly believe that if they could just stop using for a week or two they could stop using forever. In reality, they need therapy. In therapy, addicts examine their motivation, build skills to resist drug use, replace drug-using activities with constructive and rewarding nondrug-using activities, and improve problem-solving abilities. Additionally, therapy helps individuals to rebuild and re-learn family and social living patterns.

6. Medications are an important part of treatment for many people. Medications such as suboxone, methadone and LAAM can all be effective in helping certain individuals stay away from illicit drugs. Some times frowned upon by some individuals in recovery the truth is that these medications allow millions of individuals to live normal, productive lives.

7. Drug testing during treatment is important.

Drugs are found everywhere, even in drug treatment. Whether treatment is offered on an outpatient, inpatient or in a jail drugs are available to individuals in treatment. This puts individuals in treatment at risk for reusing even while in treatment. It also means that every individual in treatment should be monitored for drug treatment on an ongoing basis. In this manner treatment, plans may be modified to increase the chance of ultimate success.

8. Alcoholics and addicts with mental health disorders should be treated for both at the same time.

An alcoholic or addict who also has a mental health disorder is said to have “co-occurring” disorders. In the past, the question has sometimes been should the person be treated for the mental health problem or the addiction first. People may be using drugs to deal with the mental health problem or they may have the mental health issue because of their drug use. The most effective way to deal with these two “co-occurring” disorders and deal with the addiction is to treat them at the same time.

9.Addiction Treatment works even for people who don’t choose it of their own free will.

It used to be believed that someone had to want to go into treatment before it could be effective. New research has shown that this is not the case. In fact, treatment is just as effective for individuals who are court ordered to do treatment as it is for people who figure out the need for it on their own. Families and employers can be just as effective at getting unwilling addicts into treatment. Stephen King, in his autobiography “On Writing,” tells about the intervention his wife and family performed on him. King did not want to go into treatment. He was seemingly happy doing coke and drinking mouthwash, but his wife Tabitha and his children were not happy with the situation and performed an intervention. Forced to choose between family and drugs, King made the right choice. Interventions are most successful when done correctly and with the help of a professional. For more information on interventions visit www.interventionresources.net

10. Don’t give up.

As with other chronic illnesses, relapses can occur during or after successful treatment episodes. Addicted individuals may need lengthy treatment and more than one time in treatment before they can enjoy long-term abstinence and full restoration to a drug free life. The period after treatment is just as important as being in treatment. Finding support and continuous work to stay drug free will be necessary. A slip or relapse is just an indicator that more work, and possibly more treatment, is necessary. Don’t give up.

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

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.
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CLICK CLICK:
http://www.npr.org/templates/story/story.php?storyId=102974699&sc=fb&cc=fp

Big though.

supersize-child

The deal is this – it’s not metabolism or genes. It’s the food we put in our bodies that make them swell and hurt and grow beyond what they are intended. From the headlines today, the not-so-shocking claim that one in five preschoolers are obese.

We see them on the street, at the store, in our own home. It’s not the food – but it’s the food.

Huh!?

We confuse our wants with needs, then over time these become cravings answered as a matter of habit. We are dying to eat.

So here is the wake up call to every parent, caregiver, aunt, uncle, brother or sister – the answer starts with you. I call you to share and model how to eat, how to move, how to live in relationship with food rather than being enslaved by it.

You are the change you seek.

Talk it out and be in relation with one another instead of in relation to food. Listen for that tiny bell that signals FULL. Let your conversation expand; allow your love and care be a balm to living. A thing that fills you up on the inside that doesn’t expand your outside.

- Brad

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20% of U.S. preschoolers are obese

CHICAGO — A striking new study says almost 1 in 5 American 4-year-olds is obese, and the rate is alarmingly higher among American Indian children, with nearly a third of them obese.

Researchers were surprised to see differences by race at so early an age.

Overall, more than half a million 4-year-olds are obese, the study suggests. Obesity is more common in Hispanic and black youngsters, too, but the disparity is most startling in American Indians, whose rate is almost double that of whites.

The lead author said that rate is worrisome among children so young, even in a population at higher risk for obesity because of other health problems and economic disadvantages.

“The magnitude of these differences was larger than we expected, and it is surprising to see differences by racial groups present so early in childhood,” said Sarah Anderson, an Ohio State University public health researcher. She conducted the research with Temple University’s Dr. Robert Whitaker.

Behavioral Patterns: Learned or Genetic?

Where in the world did I get this behavior? I swear it started young young, before I’d learned it from anyone. Don’t get me started on why. Why, why why!?

A friend I’ve worked with for the past year asked me to jump in with him on a discussion of the origin of his addiction. He walked out of treatment after five days, and wonders still why his family is not “supporting him in his recovery” even though each time recovery pops up he turns the other way and runs.

He is sidetracked by the why and the where questions. Where did I get this? And why? 

From my experience the origin has to do with genetics, family of origin, and experience. One, two or a mixture of three in various states of undress. The question of why though is a distraction. I had to stop, and stay stopped, and then the question of why began to reveal itself. 

One way we look at this question is with the Family Map. It’s called the genogram, and shows in patterns, shapes, and dates the history and how it relates to the now. A tool in helping understand and get our heads around the problem in the effort to solve it.

The Fix. It’s not impossible, no matter how it feels right now.