Author: Shernide Delva
A few weeks ago, my sister told me about an upcoming concert that would celebrate popular acts such as DMX and several others. The event was called the “Ruff Ryders and Friends – Reunion Tour – Past, Present and Future” and would be in Miami on September 7th.
Tickets were cheap so I figured why not. I opened my computer and prepared to purchase the tickets for the show until I read the letters in red: “Canceled.” This was certainly not what I had hoped for.
Why did the show get canceled?
In fact, why did the entire tour get canceled? I could not believe my eyes as I glanced over the list of cancellations. Cancelling an entire tour is practically unheard of. What happened? Sadly, the answer involves drug addiction.
After some careful searching, I discovered a TMZ article which reported back in April that DMX had to cancel his shows due to an “unspecified medical issue.” Sources at a Los Angeles show state the rapper had been drinking heavily.
His history with substance abuse is not anything surprising. In the past, the rapper was open about his journey to addiction recovery. Therefore, when news of his drinking spread, relapse concerns heightened.
It turns out DMX has reportedly sought treatment for drug addiction. Addiction treatment reports surfaced a couple weeks after the rapper was put on house arrest for violating bail conditions.
According to speculations, the 46-year old is undergoing treatment in the Nashua, New Hampshire area or is living in a sober home. The Nashua Telegraph reported that DMX, whose real name is Earl Simmons, was spotted at a local Buffalo Wild Wings, a Shaw’s supermarket, and a Walmart.
Along with addiction troubles, Simmons is facing charges that he allegedly owes $1.7 million in back taxes dating back to 2000. He has pleaded not guilty to these charges and was freed on $500,000 bail, according to Billboard. Still, while he was on bail, the rapper failed drug test four times. These test found cocaine, opiates, and pot in his system. Because of these results, Manhattan Federal Judge Jed Rakoff put him under house confinement on August 11.
During the hearing, the judge stated that Simmons had violated bail “probably more times than I can remember,” according to Court House News. He chose not to send the rapper to jail, although he described Simmons’s drug addiction as “gross.” He said that his past run-ins with the law exemplified that he’s had “more than a passing acquaintance with illegal drugs.”
After that hearing, DMX told a reporter, “When God is for you, who can be against you?”
The judge reportedly lifted Simmons’s house arrest on the condition that he enter a sober program and travel with a sober coach around the clock. According to court documents reviewed by TMZ, the rapper would need permission to leave New York State.
According to his lawyer Murray Richman, the rapper has decided to go to rehab on his own.
“This is a voluntary move on his part,” Richman said.
It is clear that DMX has struggled on and off with drug addiction. We wish him the best as he seeks a life free from the grips of substance abuse. Recovery is possible, and it is the answer out of this cycle. If you are struggling with drugs or alcohol dependency, please call now. We are here to help. Do not wait.
CALL NOW 1-800-951-6135
(This content is being used for illustrative purposes only; any person depicted in the content is a model)
Author: Shernide Delva
Over the weekend, I watched the movie To the Bone starring Keanu Reeves and Lily Collins. The film took us inside the life of Ellen, a 20-year-old woman who has consistently struggled with an eating disorder. She enters a residential treatment program with several other women struggling with eating disorders.
The film received a plethora of controversy as many thought it was triggering. However, after watching the movie, I felt it did an excellent job of allowing the viewer to understand the urgent and severe nature of an eating disorder. Often, films only focus on how little the patient is eating or how much weight they have lost. Yet, this is only a small component of having an eating disorder. Eating disorders go much deeper psychologically, and weight is simply part of the problem.
While the movie does an excellent job explaining what it is like to have an eating disorder, it does not explain what causes eating disorders in the first place. Eating disorders are complex with a broad range of variables.
Treatments for eating disorders vary in efficacy. There is no one size fit all treatment. This is elaborated in the movie as we watch Ellen transfer from one treatment center to another. Finally, she ends up at a treatment center she connects to and has a great therapist played by Keanu Reeves.
Often patients deny the severity of their condition at first. The lack of seriousness only progresses the disorder further. For example, in To the Bone, the women struggle to understand why their eating behaviors are considered abnormal. In fact, they believe that their compulsive eating behaviors are necessary to their survival. The idea of eating any other way is difficult to grasp.
Furthermore, patients lie about the severity of their condition which hampers their treatment options.
Most clinicians agree eating disorders stem from a variety of factors:
These factors range from:
It is possible there is a genetic link that causes eating disorder. Significant studies on depression and anxiety allow reason to be hopeful. Many people had anxiety and depression prior to the development of their eating disorder. Eating disorders can be a reaction to mental illnesses, in an attempt to manage symptoms of depression and anxiety.
Anxiety can be controlled through food restriction and purging. Symptoms of an eating disorder can elevate the mood as sufferers rely on their weight to fit in with society. Since depression and anxiety have a genetic component, there could also be a clear genetic connection to eating disorders.
Neurobiology is a branch of biology concerned with anatomy and physiology of the nervous system. When it comes to eating disorder, individual ones like anorexia nervosa over activate the inhibition control networks and under activate the reward systems. When looking at bulimia nervosa, there seems to be a dysregulation of both the inhibition control networks and reward pathways. These abnormalities are common among eating disorder patients. However, it is uncertain whether these abnormalities are the result of eating disorder behaviors, or if these abnormalities were present prior to the development of an eating disorder.
The Psychology of Eating Disorders
Needless to say, there is a strong psychological component to eating disorders. Most of what we read regarding eating disorders discusses the psychological component. Psychological elements of an eating disorder range from familial, relational, cultural and social. Most researchers agree that eating disorders and psychological disorders are co-occurring.
Some treatment processes focus on behavior and cognitive changes. These treatments include Cognitive Behavioral Therapy (CBT), Dialectical Behavioral Therapy (DBT,) Family Based Treatment (FBT,) and others. However, there is more research needed on how to treat the behaviors rather than solely focusing on the cause. In addition, families need to understand the root of eating disorders in order to understand how to best respond to them.
Overall, the reality is there is so much to be learned when it comes to eating disorders. Eating disorders are a result of a variety of factors. Furthermore, just like addiction, eating disorders are not a choice. People with eating disorders need treatment. If you are struggling with an eating disorder, mental illness or addiction, please call now. You do not have to do this alone.
CALL NOW 1-800-951-6135
Author: Shernide Delva
In the past, we’ve talked about the potential of opioid vaccines. These vaccines could have a major impact on lowering a number of opioid overdose deaths. They could completely shift the direction of how we treat opioid addiction. However, is the future of opioids imminent or far, far away?
Sadly, it will be a long time before we see opioid vaccines available for widespread use. Experts all agree that although the future of opioid vaccines looks bright, the process of getting a drug into the market is a lengthy one and we should not hold our breath just yet.
Recently, Health and Human Services Secretary Tom Price mentioned opioid vaccines as an exciting new development in the war against opioid abuse.
“One of the exciting things that they’re actually working on is a vaccine for addiction, which is incredibly exciting,” Price said during a briefing about the drug epidemic.
However, experts say it won’t be made public for years… if ever.
The process of a drug going from the research phase to the production phase is a long, tedious process. Opioid addiction vaccines have not even begun human trials yet. Researchers would have to put drugs through phase one, two and three trials before submitting them for approval by the Food and Drug Administration (FDA), given that the trials are successful.
“He may be a physician, but he’s not terribly well-informed about addictions,” said Dr. Thomas R. Kosten, a psychiatry professor at the Baylor College of Medicine with a concentration in addiction vaccines. “I can’t imagine the vaccine would be on the market before the Trump administration is over.”
Dr. Kosten knows all about vaccines. He worked on cocaine vaccines for 16 years before deciding that it “just didn’t work well enough” to continue. Today, he is working on a vaccine for fentanyl, an opioid painkiller up to 100 times stronger than morphine. Fentanyl has been a major culprit for overdose deaths in the current opioid epidemic.
Those who previously used painkillers turn to heroin due to the lower price and easier access. Unfortunately, often heroin is not just heroin and instead is laced with powerful painkillers like fentanyl which make a user much more susceptible to an overdose.
Dr. Kosten hopes his work on the vaccine will pan out, but he wants to ensure people are not holding their breath. These things take time.
“There are no opiate vaccines that have been in people at this point,” said Dr. Kosten.
Even if the vaccine passes trials and goes into full-scale production, it would only be used therapeutically, not as a preventative measure.
“The purpose is not to “mass-immunize a whole bunch of kids,” Dr. Kosten said. “That’s not at all what they’re designed for.”
For now, the vaccine is proving to be effective in animal testing. However, this is not necessarily good news.
“Sometimes, the translation from animals is not necessarily the same in humans. So we have to do the human studies,” said Dr. Ivan Montoya of NIDA’s Division of Therapeutics and Medical Consequences.
The goal of the vaccine is to allow the body’s own immune system to combat opioids before they can reach the brain and take effect.
“We don’t have to modify the brain to produce the effect,” said Dr. Montoya. “You take advantage of your own immune system and prevent access of the drug to the brain.”
In the future, Dr. Montoya hopes to come up with a vaccine that can block the effects of a wide range of opioids including fentanyl, heroin, and OxyContin.
While the prospect of opioid vaccines sounds promising, we are still far away from this becoming a reality. Therefore, stating vaccines as an exciting solution to the opioid epidemic is a bit of a stretch for now. Instead, the focus should be placed on increasing access to treatment. With the right program, recovery is possible. If you are struggling with substance abuse, call now. Do not wait.
CALL NOW 1-800-951-6135
Author: Shernide Delva
These are just a few of the incentives doctors have received from prescription opioid companies. Did these goodies get you your last opioid prescription?
Could incentives be responsible for our current opioid epidemic?
That’s exactly what researchers set out to understand.
A recent report confirmed what many have suspected: doctors are receiving incentives from major opioid makers. In fact, one out of every 12 U.S doctors gets money, lunch or something else of value from companies that make opioid drugs, the study concluded.
Furthermore, companies are spending more time and effort marketing opioids to doctors than they are other less addictive painkillers. These finding will help understand why doctors have played such a major role in the opioid addiction crisis.
“A large proportion of physicians received payments — one in 12 physicians overall,” said Dr. Scott Hadland of the Boston Medical Center. “Tens of millions of dollars were transferred for marketing purposes for opioids.”
Dr. Hadland and colleagues went through databases from the Centers for Medicare and Medicaid Services, the federal government office that oversees public health insurance.
The 2010 Affordable Care Act includes the Physicians Payments Sunshine Act. This act required medical product makers to report any offerings or goodies made to doctors or to teaching hospitals. However, incentives are often disguised as something else.
“In some cases, they are money provided directly to physicians — for example, the speaking fees, the consultant fees and the honoraria. In other cases it is reimbursement for things like travel,” Hadland said.
On average, doctors get a single “payment,” usually a mean worth of $15 about once a year. Still, there are a select few doctors that are reaping the most benefits.
“The top 1 percent of physicians (681 of them) received 82.5 percent of total payments in dollars,” the team wrote in their report, published in the American Journal of Public Health.
These incentives could influence doctors to prescribe opioids to their patients:
“One of the main drivers of the epidemic has been the vast overprescribing of prescription pain medications,” the study notes.
Between 2013 and 2015, the team found 375,266 payments totaling 26 million distributed to more than 68,000 doctors.
While larger fees mostly accounted for speaker fees, more leisurely incentives like food and drink accounted for 94 percent of the payments.
“I do think the practice is exceedingly common. Increasingly, medical schools are restricting the ability of pharma companies to come to speak to medical students and even faculty,” Hadland said.
With all this said, do small incentives really make a difference? After all, can a doctor really be bought for the price of a boxed lunch?
The research indicates that, yes, these little goodies do influence prescribing. Last year, a study revealed that physicians who accepted even one meal by a drug company were more likely to prescribe a name-brand drug to patients later.
This is not the first time investigations were conducted on possible incentives. After earlier controversies and studies, the Pharmaceutical Research and Manufacturers of America issued a voluntary code of conduct to curb the once widespread practice of handing out free mugs, prescription pads, and other swag covered in drug brand names.
Some cities and states especially hit by the opioid abuse epidemic have even sued drug makers saying their practices have helped fuel the problem. The CDC states doctors have contributed to the addiction crisis by prescribing opioids to too many patients. These prescriptions are often prescribed at high doses for too long which only increases the vulnerability to addiction.
The result is deadly.
There were more than 30,000 fatalities in the United States in 2015, the federal government said.
“I think that first and foremost we have known that one of the main drivers of the epidemic has been the vast overprescribing of prescription pain medications,” said Michael Botticelli, former director of the White House Office of National Drug Control Policy, and now executive director of the Grayken Center for Addiction Medicine at the Boston Medical Center.
According to Botticelli, the answer is independent education, free of the need to promote a specific product.
“At the federal and state level (we may need to) move toward mandatory prescriber education to counteract industry’s influence over prescribing behavior,” he said. “Clearly, guidelines are not enough.”
For a long time, prescribing opioids was one of the first responses to pain management. Now other alternatives are being promoted such as pain management devices and holistic alternatives.
Botticelli agrees that while pain is a major problem, the answer is not more opioids.
“Yes, we want to make sure people’s pain is appropriately treated, but we know that longer and higher doses have significantly added to the addiction problem that we have in the United States,” he continued.
What are your thoughts? Did you know about these incentives? More studies are coming out revealing the back story to what led to the prescription opioid epidemic.
Opioid addiction has become a public health crisis. Now, more than ever is the time to seek treatment. Recovery is possible. You do not have to feel out of control. There is a solution. If you are struggling with substance abuse, call now. Do not wait.
CALL NOW 1-800-951-6135
Author: Shernide Delva
Overconfidence in Recovery:
Confidence is supposed to be an excellent quality. We are always told to believe in ourselves in every endeavor we pursue. Whether it is a sport or a school exam, having confidence is touted as the key to success. However, when it comes to addiction recovery, can too much confidence actually become harmful?
Overconfidence Can Lead to Relapse:
The reality is too much confidence is not great in recovery. While it is great to have confidence in your program, it is important to stay humble. The emotions that arise from overconfidence can block underlying issues. Having an overconfident mindset can hinder your recovery process. It is important to make recovery a priority regardless of how much time you have.
Why Overconfidence Encourages Relapse:
- Distorted Self-Image: A major part of recovery is staying humble. Overconfidence makes someone believe that they are not as bad as newcomers. They may start to feel they no longer need their program and start to ponder if they are an addict at all. Overconfidence encourages the belief that it is not a huge deal to have a drink or use casually, which is far from true for an addict.
- Irrational Thoughts: Overconfidence can lead an addict to believe they deserve certain rewards in conjunction to their success. They might feel they are worthy of a celebration. They quickly convince themselves that one drink is not going to hurt them because they are now “in control” of their addiction. This is risky behavior and can lead someone down a slippery slope.
- Complacent Behavior: This is when an addict starts to believe that their addiction is not nearly as bad as they once thought. They start believing that they can now live normally due to the length of time they have been sober. They think they are cured so they slowly stop going to meetings and stop thinking of themselves as an addict. This leads to new addiction or a relapse.
Signs of Overconfidence Include:
- Rejecting suggestions from others
- Seeking immediate results
- Belief in having all the answers
- Always seeing your situation as unique from everyone else
- Feeling that you deserve preferential treatment
- Feeling “healed” or “in control”
- Always wanting to lead instead of listening
It is crucial to understand that addiction will not simply disappear. Regardless of how long you have been sober, addiction can always creep up again. Addiction is not a curable disease; it is a manageable disease that does not have room for overconfidence.
How We Become Too Confident:
Overconfidence may be a trait acquired in recovery, or it can be a trait a person struggled with before sobriety. In fact, most addicts battle overconfidence their entire life. For example, those times you tried to use and thought no one would notice.
Sadly, this behavior can persist after recovery even after hitting rock bottom. Even those with no history of overconfidence can start to become overzealous in their recovery program. They start to believe that they are above the rest of their friends and family because of the work they have done in their recovery.
Consequences of Overconfidence:
When you act too confident, you hurt yourself and others. You hurt others who are still learning to trust the person you have become. You hurt yourself because overconfidence increases the vulnerability to a relapse. It is important to remember that recovery is something that takes effort every single day. Regardless of how much time you have, stay humble in your program. It is better to be safe than sorry.
Remember to support others struggling, and stay focused on your recovery. Overconfidence is not a quality anyone should strive for. Instead, focus on staying sober every single day. If you are struggling to stay sober, or are currently having issues with substance abuse. Please reach out. We want to help you get back on track.
CALL NOW 1-800-951-6135