Once upon a time, cosmetic surgery was a little more taboo. With exception to correcting physical deformities, surgery of fashion instead of function was a little less mainstream. Today, it is widely accepted and the doctors highly trained and respected in their field. Over time, as more people have sought cosmetic surgery, another trend has come to the surface- cosmetic surgery addiction.
Often when we talk about addiction, most people instinctively think of the opioid crisis in America. It has become just a prominent issue that it has dominated the conversation when it comes to substance use disorder, treatment programs, and mental health. Yet, there are still other forms of addiction that are affecting a lot of people. Smartphones and tablets have ushered in a discussion on social media addiction, and a handful of scandals have highlighted sex addiction.
So what do we know about cosmetic surgery addiction?
Body dysmorphic disorder
While you may not be likely to become physically addicted to plastic surgery, it is still possible to develop a cosmetic surgery addiction. According to Canice E. Crerand, PhD, psychologist in the division of plastic surgery at the Children’s Hospital of Philadelphia,
“It is more of a psychological issue than a physical addiction.”
The underlying psychological issue is attributed to body dysmorphic disorder or BDD. According to the Anxiety and Depression Association of America (ADAA):
- BDD affects 1.7% to 2.4% of the general population
- That comes out to about 1 in every 50 people
ADAA also states that people with body dysmorphic disorder think about their real or perceived physical flaws for hours each day. Their obsessive thoughts may lead to severe emotional distress and can even interfere with everyday life.
An individual suffering from BDD can dislike any part of their body, but most often they find fault with:
One study actually suggests that 1/3 of patients who receive nose-jobs show symptoms of BDD. Other reports show:
- BDD most often develops in adolescents and teens
- Research shows that it affects men and women almost equally
- BDD occurs in about 2.5%of males in America
- It occurs in about 2.2 % of females in America
- According to the American Psychiatric Association, BDD often begins to occur in adolescents 12-13 years of age
Someone with body dysmorphic disorder can see their flaws as significant and prominent, even if they are barely minor imperfections. Still, body dysmorphic disorder is a condition that can drive people to go under the knife again and again. The desire to fix the perceived ‘defect’ can ultimately create a cosmetic surgery addiction.
Plastic Surgeons and Cosmetic Surgery Addiction
Experts suggest that while plastic surgeons are trained to perform these cosmetic procedures, they should also have the ability to identify cosmetic surgery patients who may develop a cosmetic surgery addiction. So what are some warning signs doctors could be watching for? Crerand said a few examples may be:
- Patients are often unhappy with the results of their cosmetic surgeries and take their frustrations out on surgeons in extreme cases.
- The individual may have very unrealistic expectations about surgery, thinking it will gain them a better job or a better relationship.
- May be satisfied with the requested surgery, but then “suddenly realize” another feature is unacceptable and desire even more procedures.
Crerand also says there are many challenges in trying to determine if someone is suffering from BDD. But many also believe that a cosmetic surgeon has an ethical responsibility to weigh the risks and potential benefits of a surgery. If a plastic surgeon suspects that a patient may have a cosmetic surgery addiction or body dysmorphic disorder, they should refer the patient to a consulting psychologist or psychiatrist.
Another important aspect is that people who have body dysmorphic disorder are likely to have another psychiatric disorder such as:
So someone showing signs of cosmetic surgery addiction may also be suffering from another issue that is causing them to abuse drugs and alcohol as well as put themselves through repeated surgery.
Combination of Addictions
Cosmetic surgery is not the only way that people suffering from body dysmorphic disorder try to ‘fix’ their flaws. Some will turn to very dangerous drugs in hopes of improving their bodies. This self-medicating can also lead to substance use disorder.
According to the Harvard Medical School, men who develop BDD often focus on weight and muscle size. Unfortunately, the disorder prevents them from feeling as though they’ve developed an adequate amount of muscle so they may turn to steroids. Sadly, anabolic steroids are commonly associated with intense addictions that form in an incredibly short amount of time.
Women can also develop body dysmorphic disorder symptoms relating to their muscles. They may also develop preoccupations with their weight and with the size of specific parts of their bodies. This obsession can lead to the use and abuse of stimulant drugs. These substances are known as side effects that reduce the appetite and allow people to skip meals without feeling either hungry or deprived. Stimulants can also leave chemical damage behind, even when the person feels sober. All this chemical damage can cause compulsive use and abuse of drugs.
These are just a few examples of how the same issues that lead to cosmetic surgery addiction can also create serious substance use disorder. This is why dual diagnosis treatment is so important. For people who struggle with co-occurring disorders, the recovery process can be extremely difficult if both issues are not addressed. Having a comprehensive and holistic recovery program with dual diagnosis resources can make all the difference.
For people who may be dealing with cosmetic surgery addiction, there may be a much more serious disorder just beneath the surface. The best option for healthy recovery is a treatment for both. If you or someone you love is struggling with substance abuse or addiction, please call toll-free now.
CALL NOW 1-800-951-6135
Author: Justin Mckibben
Introducing… Cersei Lannister of the House of Lannister, Light of the West, Widow of Robert Baratheon, Queen of the Andals and the First Men, ruler of the Seven Kingdoms, Protector of the Realm and Lady Paramount of the Westerlands!
Or, as she was known before her stunning and captivating performance on HBO hit series Game of Thrones, the lovely and talented Lena Headey! This amazing actress recently reached out to her fans on Twitter to speak on something very personal; her experience with anxiety.
With GOT fever in full swing now that we are a mere 3 months away from the highly anticipated 7th season (which I cannot possibly be more excited for), it is nice to see a different side of one cast members true story.
Long Live the Queen
Lena Headey’s portrayal of Cersei also earned the No. 1 spot on a Rolling Stone Magazine ranking of the “30 Best Game of Thrones Villains”, being described as the:
“Most dangerous human being in Westeros” as well as “one of the most complex and fascinating characters on television.”
Truly, Cersei is that villain you love to hate until you hate to love her. Headey received a showering of award nominations for the character of the Queen of the Seven Kingdoms and a few wins for Best Actress.
A recent report stated that in 2017, Headey became one of the highest paid actors on television, and is suspected to earn $1.1 million per episode of the 7th season of Game of Thrones.
Before dominating the screen with the chillingly cunning character of Cersei Lannister, Lena Headey has starred in other awesome roles, including the Spartan epic 300. With her powerful and unflinching portrayals of these kick-ass characters, Headey is still a woman who faces some real difficulties in the real world. Beyond the roles in front of the cameras, she took on another powerful role as a voice to fans who asked for her perspective.
Speaking to the Fans
While the character may have once walked naked through the streets of Kings Landing to the Red Keep with the infamous “shame” bell lady behind her (yes… she had a body double… and yes I cried a little), Headey did not shy away when asked a personal question by a fan that got quite a few people talking. A follower on Twitter asked Headey,
“Do you ever get insecure Lena?”
The response was a few tweets which stated:
“I overthink for sure. I am familiar with depression.” She then continued by saying, “I get HUGE anxiety (always fun [frowny face]) Insecure, not really.”
Another tweet from Lena Headey on the subject came after stating:
“Anxiety is a beast. You have to talk to beasts. Release them back into the wild. Easier said than done I know but still. Good to Practice.”
But her majesty the awesome wasn’t quite done. She went on to tweet:
“It’s been lost to greed and aspiration, no wonder we have anxiety, no wonder we overthink ..we’re slammed with bullshit. …”
“Tricked into thinking. You don’t have enough. You’re not enough. Pretty enough. Thin enough. Rich enough. Capable enough. Successful enough.”
“Well here’s the truth. You are enough… in fact you’re who you’re meant to be which is BEAUTIFUL… Don’t be afraid to let someone really see you…Magic happens when you are vulnerable and truthful and human.”
“Anxiety. Depression. It’s real and it’s chemical. It’s also spiritual. .. stay with me everyone (and before you ask, yes I’m ok)”
Looking through these tweets, the fans showed up with a flood of support for her statements. Many shared personal experiences and thoughts on her comments, while others thanked her for putting words to the way so many of them felt.
Advocate for Anxiety
This is not the first time Headey has spoken about such personal adversity and shown support for those struggling with mental health. A while back she opened up during an interview with More magazine about her bouts with depression and anxiety. In this piece she shared an experience of “massive grief” after her marriage had been dismantled. In her statements she shows her willingness to accept anxiety as part of life, but that getting older and becoming a mother taught her to “become less serious about it all”.
It is always refreshing to hear people who seem to be living the dream of spot-lights, red carpets and award shows step off that stage and show the people who adore their characters and their performances that they too are still people with a lot of the same problems. That beast of anxiety is much like any other mental health disorder in that it doesn’t care who you are or how glamorous things appear. A beast is a beast.
Some of the most powerful moments of the Game of Thrones series are scenes stolen by the Lady of Casterly Rock, and we are lucky to have them. This tweet and the conversation are a great example of how important it is to raise awareness and talk about things like anxiety and depression, to break the stigmas and provide support.
Even a queen needs a little help sometimes.
Spreading hope and stories of success even through these troubling experiences is a vital way to show others there is life beyond our obstacles. Mental health issues like depression and anxiety often go hand in hand with self medicating and even substance use disorder. Getting the right kind of help and coping skills can make all the difference. If you or someone you love is struggling with substance abuse or addiction, please call toll-free now. We want to help.
CALL NOW 1-800-951-6135
Author: Justin Mckibben
Remember the movie Forrest Gump? If not, I am so very sorry. Spoiler alert: it’s about a southern gentleman (Tom Hanks) who tells the incredible story of his amazing life to total strangers while waiting on a bench. He taught the world that life was like a box of chocolates, and that going for a run once in a while will change your life.
While on that bench, Forrest shares a lot of himself, and it has a pretty deep impact on some of the random folks he sits next to. Not to mention all the people watching the film who were moved by the experiences and emotions he shares.
Well this whole idea of making friends on a bench and soothing the soul by opening up to the strangers you sit with has taken new life in a place very, very far from the little park in Georgia that Forrest found himself in. The ‘Friendship Bench’ program in Zimbabwe is changing lives for those struggling with mental illness. A recent study proves that even just sitting on a bench and talking to a new friend can improve your mental health symptoms.
The Beauty of the ‘Friendship Bench’
The program is carried out by Zimbabwean lay health workers, who give brief but effective psychological treatment to the public. Instead of a big medical office, you find them conducting their problem solving therapy sessions on simple wooden seats. These health workers, or community “Grandmothers” carry out this practice with a personal touch in several major cities in Zimbabwe. The benches themselves are located on the grounds of health clinics.
The lay health workers are trained to listen and support patients living with common mental disorders such as:
The beauty is in the simplicity of the system, and the fact that it is showing to be so influential for countries where access to modern mental health treatment is limited or even nonexistent.
Studying this Solution
The study of the ‘Friendship Bench’ was published in JAMA. As a randomized controlled trial funded by the Government of Canada through Grand Challenges Canada, multiple sources contributed to the trials, including:
- The University of Zimbabwe
- The London School of Hygiene & Tropical Medicine
- King’s College London
After a six month period, following six weekly sessions of “problem solving therapy” on a ‘Friendship Bench’ with a health worker, data showed a significant difference. The severity of depression, anxiety and suicidal thoughts was noticeably reduced. This is based on locally validated questionnaires:
- The Shona Symptom Questionnaire (SSQ)
- Patient Health Questionnaire (PHQ)
- Generalized Anxiety Disorder scale (GAD)
The Big Results of the ‘Friendship Bench’
According to the research:
- 50% of patients who received standard care still had symptoms of depression– Compared to only 14% who participated in the Friendship Bench (based on PHQ)
- 48% of patients who received standard care still had symptoms of anxiety- Compared to only 12% who received Friendship Bench care(based on the GAD)
- 12% of patients who received standard care still had suicidal thoughts- Compared to 2% who used the Friendship Bench program(based on SSQ)
The Friendship Bench intervention was also shown to be well suited to improve health outcomes among highly vulnerable individuals. Out of all the ‘Friendship Bench’ program participants:
- 86% were women
- Over 40% were HIV positive
- 70% had experienced domestic violence or physical illness
With CDN being granted $1 million in funding from Grand Challenges Canada earlier this year, the ‘Friendship Bench’ program has since been expanded to 72 clinics in the cities of Harare, Gweru and Chitungwiza (total population 1.8 million). The plan is for this growing movement to keep expanding. In 2017, the team plans to focus on extending the model to other vulnerable populations, including youth and refugees.
The Need for New Methods
Forgive me if my math and comparison is a little off, but I tried to put all this in perspective.
Zimbabwe has a population of 15 million. 25% of the primary care patients suffer from depression, anxiety or other common mental disorders. In a country with 15 million, there are only 10 psychiatrists and 15 clinical psychologists!
In comparison, (hypothetically) if even only 1/4 of the population of Zimbabwe suffers from a mental health disorder… That is still 3,930,000 people. Even if you could split them up between 25 mental health professionals evenly, it’s still 157,200 patients per person!
26.2% of adults over 18 in America suffer from mental health disorders. That’s 57.7 million people out of 318.9 million people (population as of 2014). If the United States had such a cripple mental health care system, it would be catastrophic.
At the end of the day, holistic treatment is all about healing mind, body and spirit through innovative and effective strategies. The value of sitting down with another human being and getting the support and therapeutic connection we need is paramount. Therapy can come in all shapes and sizes, and developing a unique and personalized treatment program can make all the difference. If you or someone you love is struggling, please call now. We want to help.
CALL NOW 1-800-951-6135
By Cheryl Steinberg
Public support for the use of psychedelic drugs in a therapeutic setting is rapidly growing, as we’ve already reported. Cases such as the use of LSD to treat depression and possibly addiction are indications of that. MDMA has been used to treat PTSD. There’s ayahuasca-assisted therapy to treat drug addiction. LSD for cluster headaches and psilocybin for nicotine addiction.
Well, the latest news on the alternative medicine front has to do with the therapeutic use of MDMA – the pure form of the club drug Ecstasy – for use in treating specific situations involving a psychological disorder. The U.S. Drug Enforcement Administration (DEA) has just approved the first clinical trial using MDMA in psychotherapy sessions in order to treat anxiety in people who are also suffering with life-threatening illnesses, researchers told Al Jazeera on Tuesday.
So, as it stands, MDMA is not being used to treat anxiety, alone; rather anxiety in people who are already sick.
The DEA approved the project on Friday, says Brad Burge, the communications director for the Multidisciplinary Association for Psychedelic Studies (MAPS). He added, “The tide has changed for psychedelic research.” MAPS is a California-based nonprofit research group that is sponsoring the study. Researchers at MAPS study medicinal uses for psychedelics as well as marijuana.
On the MAPS website, the distinction between Ecstasy or Molly, which are street names for MDMA, and actual, pure MDMA. The stuff sold on the street and in clubs is often “cut” with other drugs and chemicals so as to bolster profits for dealers, putting the user unknowingly at risk. But, the MAPS website says, pure MDMA has been proven “sufficiently safe” when taken a limited number of times in moderate doses.
First Clinical Trial for MDMA Use in Therapy
Unlike psychedelics such as LSD and psilocybin, MDMA does not produce hallucinations, which is some people may find disturbing. Rather, MDMA can be induces feelings of calm, trust and confidence, all of which can be extremely useful for people suffering from anxiety due to life-threatening illnesses, when used in combination with psychotherapy.
The clinical trial will be held in Marin, California, and has purposely been designed to take place in a psychologist’s office, instead of a hospital setting, Burge said. The patients will lie on a couch with a therapist nearby who will lend support and facilitate conversation.
The trial will consist of 18 subjects who have been diagnosed with life-threatening illnesses and who suffer from anxiety as a result. The participants will attend psychotherapy sessions over the course of several months, with MDMA being incorporated in only some of those sessions, in order to facilitate the process, Burge said. The outcome will be measured at the end of the sessions by the patient’s self-reporting and the therapist’s assessments regarding whether using the drug helped to reduce people’s anxiety.
Of MDMA, Burge said, “It opens [patients] up and makes them more comfortable with the therapist while reducing fear and making them more able to talk about difficult emotions.”
If this pilot clinical trial is a success, MAPS has plans to continue the research with larger studies that involve more participants as well as different approaches. For now, though, the goal of the researchers is to establish basic safety and effectiveness.
The trial is part of a larger $20 million plan to make MDMA an FDA-approved prescription medicine by 2021, Burge said. MAPS is the only organization in the world funding MDMA-assisted psychotherapy trials, he added.
Changing the Stigma
Researchers hope to add to and bolster already-existing (and growing) evidence that psychedelics have legitimate therapeutic uses — as well as to challenge the stigma that has demonized them as harsh drugs that destroy the mind.
“That’s what the really good science shows, despite decades of propaganda and government misinformation,” Burge said. “Just a couple weeks ago, a phenomenal study showed that there are no long-term associations between psychedelic use and mental illnesses.”
That study was published this month in the Journal of Psychopharmacology. In addition, a recent report by Johns Hopkins Medicine showed that the use of psychedelic drugs, specifically psilocybin and LSD, could reduce psychological distress and suicidal thinking.
Addiction and mental illness are often co-occurring conditions in substance use disorder cases. Luckily, there are specially-equipped, intentionally-designed treatment programs that offer dual diagnosis treatment and therapy. These programs, such as the one here at Palm Partners, are adept at treating all conditions simultaneously so that healing can start and the recovery process can be begun. Please call toll-free 1-800-951-6135 today.
Cognitive behavioral therapy in drug treatment is the most common type of therapy in drug rehab; it can be used in group therapy and individual therapy.Cognitive behavioral therapy (CBT), when used in drug treatment, is based on the idea that feelings and behaviors are caused by a person’s thoughts, not on outside circumstances and events.
People are not always able to change their circumstances but, CBT says, they can change their thoughts thus changing how they feel and behave. As for drug addicts, this therapeutic approach brings awareness the way they behaved and felt when using drugs and alcohol. With cognitive behavioral therapy in drug treatment, they can change these destructive behaviors and develop new, healthy ones.
Cognitive Behavioral Therapy in Drug Treatment: What is CBT?
Cognitive behavioral therapy (CBT) refers to behavior therapy, cognitive therapy, and therapy based upon a combination of basic behavioral and cognitive principles. It is a “structured, short-term, present-oriented psychotherapy for depression, directed toward solving current problems and modifying dysfunctional (inaccurate and/or unhelpful) thinking and behavior.”
CBT has been shown to be effective in treating a variety of conditions, including mood, personality, eating, substance abuse, and psychotic disorders. Evidence-based treatment, where specific treatments for symptom-based diagnoses are recommended, has favored CBT over other approaches such as psychodynamic treatments.
Cognitive Behavioral Therapy in Drug Treatment: Mood Disorders
It’s quite common for people who struggle with substance use disorders, such as addiction, to also be suffering with mental illness, such as a mood disorder (i.e. depression, anxiety). Therefore, the most successful programs offer dual diagnosis treatment. Dual diagnosis treatment approaches treating the client for both of their conditions simultaneously for the best treatment outcomes.
Because CBT is useful in treating clients when it comes to addiction as well as those with mood disorder, cognitive behavioral therapy in drug treatment for those with a dual diagnosis is a valid, beneficial and therefore often-used approach.
Most therapists working with patients dealing with anxiety and depression use a blend of cognitive and behavioral therapy. This technique acknowledges that there may be behaviors that cannot be controlled through rational thought, but rather emerge based on prior conditioning from the environment and other external and/or internal stimuli.
Mainstream cognitive behavioral therapy assumes that changing maladaptive thinking leads to change in affect and behavior as well as emphasizes changes in the client’s relationship to maladaptive thinking rather than changes in thinking itself. Therapists use CBT techniques to help clients challenge their patterns and beliefs and replace what they call “errors in thinking such as overgeneralizing, magnifying negatives, minimizing positives and catastrophizing” with “more realistic and effective thoughts, thus decreasing emotional distress and self-defeating behavior.”
Modern Cognitive Behavioral Therapy in Drug Treatment
Modern forms of CBT include a number of diverse but related techniques such as exposure therapy, stress inoculation training, cognitive processing therapy, cognitive therapy, relaxation training, dialectical behavior therapy, and acceptance and commitment therapy. Some practitioners promote a form of mindful cognitive therapy which includes a greater emphasis on self-awareness as part of the therapeutic process.
Cognitive behavioral therapy in drug treatment has six phases:
- Assessment or psychological assessment;
- Skills acquisition;
- Skills consolidation and application training;
- Generalization and maintenance;
- Post-treatment assessment follow-up.
CBT is “problem focused,” meaning that it is used to address specific problems as well as “action oriented” – the CBT therapist assists the client in creating specific strategies in order to address the identified problems.
If you are struggling with a psychological disorder and/or substance use disorder, CBT and dual diagnosis treatment can get you on the path to health and recovery. At Palm Partners, we employ CBT methods as well as several other approaches to treatment, including holistic methods, in order to help our clients reach successful outcomes of their cognitive behavioral therapy in drug treatment program. Please call toll-free 1-800-951-6135 to speak with one of our knowledgeable and compassionate Addiction Specialists; we are available 24/7.