Author: Justin Mckibben
As someone who struggles with anxiety, I can understand the desire to find something that can help protect yourself from haunting feelings of dread that cripple your peace of mind. Anxiety is a complicated condition that can creep in from the most unexpected places, and people experience it in many different ways. While some may think it’s based in fear or weakness, the reality is far more complex. Those people may say all you need to overcome anxiety is a more grounded and positive outlook. But the truth for most people with an anxiety disorder is that battling anxiety goes a lot deeper than promoting optimism. Especially when your condition convinces you that all levity is just you lying to yourself. Sometimes, you need a little outside help, and anti-anxiety drugs can be very useful when a physician and an individual decide on the right route to take.
However, anti-anxiety medications can also be dangerous. These anti-anxiety drugs may not be in the spotlight the way opioids are, they are commonly abused, extremely addictive and can be just as lethal.
With recent reports showing a rise in deaths associated with anti-anxiety medications, some experts are saying there is a hidden epidemic being overshadowed by the opioid crisis.
Anti-Anxiety Drugs Underestimated
It is true that opioids are doing massive damage all across the country, but that doesn’t mean the death rates due to anti-anxiety drugs should be ignored. While focusing on prescription opioids, heroin and synthetic opioids is important, we should also keep in mind the other dangerous medications out there.
The usual suspects are benzodiazepines, which include drugs like:
While these anti-anxiety drugs may be useful in helping some people, they still carry their risks, which can be devastating and even lethal.
According to the director of the Scripps Mercy Hospital emergency department Dr. Roneet Lev, benzodiazepines are responsible for more drug deaths in San Diego County than people may expect. She says,
“That comes from people who come into our trauma center from car accidents because they’re on benzodiazepines, people who come in because they’re falling down because that affects their balance and coordination on benzodiazepines,”
“We’ve seen terrible withdrawals, when they’re used to having it, with seizures, that end up in the ICU.”
And it isn’t just people who are buying these drugs off the street. Concerning drug-related deaths by legal prescriptions, benzodiazepines are not as far behind opioids as people may think. Dr. Lev adds that while oxycodone is the number one prescribed drug associated with death, hydrocodone is second, and benzodiazepine is in third place.
But San Diego County is definitely not the only area experiencing a surge in benzodiazepine-related deaths. According to the National Institute on Drug Abuse (NIDA), deaths involving these anti-anxiety drugs have more than quadrupled between 2002 and 2015.
Something that does make these medications even more treacherous is when they are mixed with opioids.
Mixing Meds Causing More Deaths
As if opioids or anti-anxiety drugs weren’t hazardous enough on their own, the fact that many people mix these two medications makes them even more deadly. The San Diego County Medical Examiner has concluded that 83% of benzodiazepine-related deaths also involved opioids. Nathan Painter is an associate professor in pharmacy at UC San Diego. He explains how the chemicals interact with the body, and how mixing them only amplifies these effects.
“The benzodiazepines themselves can cause respiratory depression, or your breathing slow down, and so can opioids. So when you combine them, especially in the case of not using them on a regular basis, or being new to the benzo or the opioid, if you give too much, or combine it with other things like alcohol or other medications, then it can cause that breathing to slow down, or even stop.”
What could make this even worse? Well, many of the people mixing these medications may have just been following instructions as prescribed by their doctor. Painter notes that sometimes the prescribing physicians aren’t necessarily aware of all the drugs that someone is taking, and may not be as conservative or as slow in starting the medicines as they could be. So some people may be unknowingly consuming dangerous amounts of these drugs.
Sadly, there are areas of our current culture that put people at elevated risk of death by anti-anxiety drugs.
One of the more vulnerable populations is our veterans. In fact, the Veterans Association Healthcare System has to deal with the issue of mixing medications in particular, as many veterans end up using both benzodiazepines and opioids. Dr. James Michelsen is a physician at the VA. According to Michelsen,
“Anxiety related to their combat time, problems with sleep, post-traumatic stress disorder. And traditionally these conditions benzodiazepines have been used to treat. Additionally, many of our veterans came back with physical wounds, as well.”
This becomes a serious issue when there is a lack of communication between networks of doctors, which can happen if a veteran visits a non-VA doctor and receives a prescription.
It’s not just veterans and hospitals that have problems with benzodiazepines. In fact, benzodiazepines are some of the most prescribed medications in the United States. But it has gone beyond that and even made it into pop culture.
Drugs have always been part of the music industry. History shows us how hallucinogens like LSD influenced rock like the Beetles, and how cocaine coexisted with disco, or how heroin lingered along with jazz and blues over the years. It’s still hard to find a country song that doesn’t glorify good ol’ boys with whiskey and beer. Now, pill-popping in hip-hop and pop music is so mainstream it can be unsettling.
Along with that spotlight came greater influence. Some musicians try to paint that pretty picture with abusing anti-anxiety medications, but these drugs have taken the lives of some of the great artists of a generation. In the last several years alone we lost:
There are even others like Chris Cornell, who’s wife believed that the anti-anxiety medication he was taking is partly to blame for his suicide. Even with all the death caused by these drugs, some still glamourize prescription drug abuse in our culture. Not to mention the issue of mental health and substance use disorders already growing across the country.
Fighting Anxiety and Addiction
Personally, the risks involved with anti-anxiety drugs is troubling because a lot of my anxiety is rooted in health. It manifests at times in the side-effects of even the most mundane of medicines. Some days I can’t take an Aspirin without a secret part of me wondering if my kidneys will shut-down (which is ironic considering the years I spent polluting my body with hard drugs and excessive drinking). So while everything is going fine on the outside, my inner dialog is trying to measure and analyze every muscle movement or twitch as an indication of a terminal illness.
In reality, anti-anxiety drugs can be the difference between an everyday struggle to endure the rush of nameless terror and a window into serenity and stability. For people who can take advantage of the opportunity, it can be life-changing.
However, these drugs are nothing to take lightly, and plenty of people develop severe addictions to these drugs. Anti-anxiety medications can be fatal. Some might think they are an easy way to get a rush, they can be just as lethal as opioids. Just because they are not painkillers doesn’t mean we should underestimate their capacity to do harm.
Fighting anxiety is extremely important for people with anxiety disorder. But we have to remember the risks that come with these drugs and find a way to stay safe. This is especially true for those of us in recovery from addiction. Dual diagnosis treatment is a way to create comprehensive and holistic recovery that addresses both anxiety and addiction simultaneously in order to help people overcome their anxiety in the healthiest way possible.
If you or someone you love is struggling with anxiety, or any mental health disorder, please seek help. If you struggle with substance use disorder, drugs or alcohol is not the answer. There is real help out there. Please call toll-free now.
CALL NOW 1-800-951-6135
Author: Justin Mckibben
Since late last week, the tragic story of the sudden death of rock legend Chris Cornell has taken some heartbreaking and bewildering turns. While the initial reports held no details of the singer’s unexpected death, more recent reports have indicated the cause of death was suicide. However, as the story continues Chris Cornell’s family is skeptical and openly critical of this conclusion. Now some are speaking out saying it was drugs, and not depression, responsible for the sudden passing.
Born Christopher John Boyle, the 52 year old Seattle, Washington native was one of the most recognizable voices of American rock music. His famous and powerful vocal belting technique along with an impressive voice range has inspired countless artists and soothed the rock genre with its passionate and often brooding words. The guitarist, singer and songwriter is best known as lead vocalist for the bands:
Cornell was also the founder and front man for Temple of the Dog, a tribute band dedicated to his friend, the late Andrew (Andy) Wood. Andy, Chris Cornell’s roommate who played in the band Mother Love Bone, died in 1990 from a heroin overdose.
He is also known for his numerous solo works, soundtrack contributions since 1991. Cornell is credited as one of the architects of the 1990’s grunge movement
Chris Cornell was found in the MGM Grand Detroit in the early hours of Thursday morning, May 18, 2017. He had only hours earlier been on stage performing with his Soundgarden band.
Since his teenage years Chris Cornell struggled through multiple battles with addiction and roads to recovery. In one 2006 interview Cornell actually talked about having a bad experience with PCP at age 14 and developed a panic disorder. He admitted that as the child of two alcoholics, drinking ultimately led him back to drugs in his late 20s.
The rocker managed to get off of drugs and alcohol between around the year 1980 up until 1997. Around 1997 his first marriage was failing, and the band Soundgarden had split up. Cornell resorted to using substances including the powerful prescription opioid OxyContin.
In 2002 Cornell checking into rehab, and afterward commented on the experience stating:
“It was a long period of coming to the realization that this way (sober) is better. Going through rehab, honestly, did help … it got me away from just the daily drudgery of depression and either trying to not drink or do drugs or doing them and you know.”
Chris Cornell also noted in an interview in 2011 that the biggest difference he had noticed when Soundgarden had reunited and began making music together was that the presence of alcohol was no longer constant. Without conversation, it had just been removed from the picture.
Wife Vicky Refutes Suicide Reports
Although he was a profoundly emotional musician with a catalog of melancholy or blues melodies, many have called into question whether Chris Cornell would actually knowingly take his own life, including his wife, Vicky. Reports have said Vicky does not believe Cornell was suicidal. Less than 24 hours after the Wayne County Medical Examiner’s Office determined that Chris Cornell had died as a result of suicide by hanging himself, Cornell’s wife and attorney openly challenged that conclusion. Lawyer Kirk Pasich said in a statement:
“Without the results of toxicology tests, we do not know what was going on with Chris – or if any substances contributed to his demise,”
The statement also said the family found these implications disturbing, and that Chris Cornell was a recovering drug addict who had been taking a prescription anti-anxiety medication Ativan. The statement added:
“The family believes that if Chris took his life, he did not know what he was doing, and that drugs or other substances may have affected his actions,”
The statement included medical literature indicating that,
“Ativan can cause paranoid or suicidal thoughts, slurred speech and impaired judgment.”
The Night Of
Vicky shared her heartbreak over the loss of her husband of 13 years, the father of their two pre-teen children, and told interviews that Cornell, a devoted husband and father, had come home to spend Mother’s Day with his family between shows, and flown to his next stop Wednesday.
“When we spoke before the show, we discussed plans for a vacation over Memorial Day and other things we wanted to do,”
“When we spoke after the show, I noticed he was slurring his words; he was different. When he told me he may have taken an extra Ativan or two, I contacted security and asked that they check on him.”
In her own words Vicky reasserted the belief that his anti-anxiety medication had played a bigger role in the tragic events, stating:
“What happened is inexplicable and I am hopeful that further medical reports will provide additional details. I know that he loved our children and he would not hurt them by intentionally taking his own life. The outpouring of love and support from his fans, friends and family means so much more to us than anyone can know. Thank you for that, and for understanding how difficult this is for us.”
Cornell leaves behind his wife Vicky, their two children- Toni, 12 years old and Christopher, 11 years old- as well as his 16 year old daughter Lillian Jean from his first marriage to Susan Silver, the former manager for Soundgarden.
Chris Cornell on Black Days
Some might argue the following statement supports the suicide claims, but others could argue it supports the doubts presented by Cornell’s family. Back in 2014, Chris Cornell had spoken in depth with Rolling Stone magazine for a 20th anniversary edition of his band Soundgarden’s ground-breaking Superunknown album. When asked about the song “Fell on Black Days” he had said,
“I’d noticed already in my life where there would be periods where I would feel suddenly, “Things aren’t going so well, and I don’t feel that great about my life.” Not based on any particular thing. I’d sort of noticed that people have this tendency to look up one day and realize that things have changed. There wasn’t a catastrophe. There wasn’t a relationship split up. Nobody got in a car wreck. Nobody’s parents died or anything. The outlook had changed, while everything appears circumstantially the same.”
“No matter how happy you are, you can wake up one day without any specific thing occurring to bring you into a darker place, and you’ll just be in a darker place anyway. To me, that was always a terrifying thought, because that’s something that – as far as I know – we don’t necessarily have control over. So that was the song I wanted to write.”
What this may suggest is that beneath how happy Chris Cornell was with his family and his future, some part of his perspective could have made him even more vulnerable to a sudden shift created by a powerful medication designed to impact emotions.
Anti-Anxiety Drug Ativan
Is it possible that anti-anxiety medication could have played a part in Chris Cornell’s apparent suicide? According to the list of side-effects for Ativan and the common opinion of experts as to the risks associated with these drugs, absolutely.
Ativan is the brand name for lorazepam. This prescription drug calls into the category of benzodiazepine (benzo) medications. Lorazepam is typically used for treating:
- Anxiety disorders
- Sleep problems
- Active seizures
- Alcohol withdrawal
- Nausea or vomiting from chemotherapy
According to the U.S. National Library of Medicine, serious side effects of using Ativan include:
- Worsening depression
- Unusual mood or behavior
- Suicidal thoughts
- Dizziness, drowsiness
- Slurred speech
- Lack of balance or coordination
- Memory problems
The truth is, Ativan is intended for short-term use, specifically for treating anxiety. In fact, the FDA advises against using any benzodiazepines, such as lorazepam, for longer than four weeks. There is a very real risk of dependence, withdrawal symptoms and even overdose.
The Dangers of Legal Drugs
Back in March 2016 we wrote about how data shows that in the last two decades deaths by overdose of anti-anxiety drugs have quadrupled, which coincides with a tripling rate of these drugs being prescribed. What is even worse, independent reviews from different research groups showed that in many cases the pharmaceutical companies were misrepresenting suicides or suicidal thoughts in their own research reports.
Could the unusual behaviors and slurred speech Vicky described of Chris Cornell be signs of something else at play? Could a lifetime of struggling with a panic disorder, depression and drugs have been exacerbated by the presence of a chemical that worsened his depression, throwing his mood into chaos and flooding his vulnerable state with thoughts of suicide have been the cause of such a heartrending and desperate act? Drugs, legal or not, can devastate.
Now, there is definitely a shadow on the sun.
We have seen time and time again how legal, medical drugs have destroyed amazing and talented individuals. We saw it with Michael Jackson and Prince. We’ve seen how depression plays into the same tragedies, such as with the loss of Robin Williams. Still, one thing Chris Cornell spoke of with addiction is that it becomes glorified by the fact drugs kill famous people, and the world weeps, while ignoring the everyday tragedies of the unknown but extraordinary, everyday people. 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
Between 1/3 and 1/2 of all Americans have some level of insomnia and complain of poor sleep, and many of them have opted to the quick fix and looked into sleeping pills to solve that problem. While these medications may be effective at ending your sleep problems, this solution should definitely be only considered short-term. It is important to make sure you understand everything you need to know about sleeping pills, because it is very possible to become addicted to sleeping pills. That includes knowing about sleeping pill side effects. Most sleeping pills are labeled as ‘sedative hypnotics’. That’s a specific class of drugs used to induce or maintain sleep. Sedative hypnotics include benzodiazepines, barbiturates, and various hypnotics.
Benzodiazepines include anti-anxiety medications such as:
While these drugs may be useful short-term, all benzodiazepines are potentially addictive, so it is especially easy to become addiction to sleeping pills of this category.
Barbiturates is another drug credited to this sedative-hypnotic class. These medications depress the central nervous system and can cause sedation. Short or long-acting barbiturates can sometimes be prescribed as sedatives or sleeping pills, but more commonly these hypnotic drugs are limited to use as anesthesia. Side effects of prescription sleeping pills can include:
- Burning or tingling ligaments
- Changes in appetite
- Constipation and/or Diarrhea
- Dry mouth or throat
- Stomach pain or tenderness
- Uncontrollable shaking of a part of the body
- Unusual dreams
If you have been relying on sleeping pills long enough, it is very possible you have become addicted to sleeping pills. While some may just feel like it becomes a habit that can be easily stopped but excuse it as a minor inconvenience, they are only ignoring a real problem and prolonging a possibly painful recovery. Being addicted to sleeping pills is a struggle, in every waking moment for most addicts. To help identify the problem, here are 9 signs you’re addicted to sleeping pills.
- You find it hard to cope without sleeping pills
Like any addiction, when the substance is removed the coping skills go right out the window. This is just as true with sleeping pills as with any other illicit narcotic.
- You experience withdrawal symptoms
There is a possibility of having serious physical withdrawal once you have stopped using sleeping pills. Like most drugs, a physical dependency on the chemical develops after a period of using long enough.
- You have an obsession for trying to obtain these drugs
It is no secret that when you are addicted to sleeping pills, like every other addiction, you will develop an obsession with getting more of the drug. Whether you excuse it with seeking out sleep, experiencing withdrawal, or just need it to feel OK.
- Increased tolerance to the drug
After using sleeping pills for long enough and becoming addicted to sleeping pills, your tolerance for the effects of the medication will increase. Your body will get used to the chemical reaction, and you will require more and more of the substance to get the desired effect.
- Loss of interest in hobbies
One of the most underestimated characteristics of any addiction is how it effects the things we are most passionate for. When you are addicted to sleeping pills, you lose interest in your hobbies and the things in life that make you happy. Your attention will focus on those pills, how to get more, and sleeping them off in between using.
- Deterioration of hygiene
Drug addicts tend to stop taking care of ourselves when we give all our focus to chasing and abusing drugs. Being addicted to sleeping pills also does real damage to hygiene and grooming.
- Defensiveness or denial
Drug addicts are notorious for not wanting to admit to our problems. We often fight back and become overly defensive or protective of our drug use, and can spend a decent amount of time in denial that there is even a problem. With those who are addicted to sleeping pills this may be especially true because they believe it is a necessity to get rest, and these pills are the only way to do so. This denial will hold them back from getting real help.
- Lack of Responsibility
Letting hygiene and hobbies fall apart is one thing, but letting everything that you are personally and socially responsible for suffer as a result of you being addicted to sleeping pills is a definite sign you need to seek help. When you are risking your job, your home, or especially your family over sleeping pills, it has crossed a line and getting help is vital.
- Inability to reduce dosage
When you are unable to stop taking as much as you have gotten used to, or even lower the dosage a little bit without suffering from painful and troubling withdrawals, than you need to seek medical help, and more specifically substance abuse treatment. This shows that you are physically as well as mentally addicted to sleeping pills and the physical dependence can be even more dangerous.
Newer medications help reduce the time it takes to fall asleep. These sleep-inducing drugs are said to be non-habit forming. They work quickly to increase drowsiness and sleep. There are also more natural methods of sleep-aid that are available, and if you seek treatment for being addicted to sleeping pills you will most likely be educated on more health and sustainable alternatives. Sleep is an important part of life, but if you are addicted to sleeping pills, it might be time to wake up to the dangers your exposing yourself to. If you or someone you love is struggling with substance abuse or addiction, please call toll-free 1-800-951-6135
Panic disorder is a type of anxiety disorder that is characterized by repeated attacks of intense fear that something bad will happen.
The cause of panic disorder is not known however it is believed that genes may play a role. Panic disorder is twice as common in women as it is in men. Symptoms of a panic disorder usually begin before the age of 25 but can begin to occur in the mid 30’s. Panic disorder can occur in children even though it is most likely not diagnosed until they are older.
Panic disorder is categorized by panic attacks that begin suddenly. Panic attacks that are associated with a panic disorder usually peak within 10-20 minutes. Some symptoms can go on for as long as an hour or even longer. A panic attack is even sometimes confused for a heart attack.
Panic attacks include anxiety. This anxiety could be about any kind of situation where escape is difficult such as being in a crowd or traveling in a car or bus. A person with a panic disorder often lives in absolute and total fear of another attack. The person with the panic disorder may be afraid to be alone or far from medical aid.
People with a real panic disorder usually have at least 4 of the following symptoms during a panic attack:
- Chest pain or discomfort
- Feelings of detachment
- Fear of losing control or impending doom
- Feelings of unreality
- Nausea or upset stomach
- Feeling of choking
- Fear of dying
- Dizziness or faintness
- Numbness or tingling in the hands, feet, or face
- Trembling or shaking
- Sweating, chills, or hot flashes
Panic disorders have the ability to change a person’s behavior at home, school, or work. People with a panic disorder often panic about the effects of their panic attacks. People with a panic disorder may also have:
- Drug Addiction
Many people with panic disorder will go to the emergency room because they think they are having a heart attack. The doctor or health care provider will then perform a physical exam including a psychiatric evaluation. Blood tests will be done. Other mental health or medical disorders must be ruled out before panic disorder can be fully diagnosed. These kind of disorders are quite frequently related to substance abuse. Sometimes the person may just be on a substance and not even having a panic attack.
The treatment for panic disorder is fairly simple. Panic disorder treatment goals are to help you function in your day to day life. A mixture of medication and cognitive behavioral therapy works best for those with a panic disorder. Antidepressant medications are most often the medication prescribed for anyone with a panic disorder. These usually include:
- Anti-seizure medicines are used in really severe cases and benzodiazepines such as Valium, Xanax, Klonopin, or Ativan can be used for a short amount of time
There are some things that can help with panic disorder in order to reduce the number of panic attacks you may have. For instance:
- Eating at regular times
- Exercising regularly
- Getting enough sleep
- Reducing or avoiding caffeine, cold medicines, and stimulants
Panic disorders last for a long time and can be really hard to treat and cannot be cured. Some people with panic disorder may not ever be cured with treatment. Most people with panic disorder do get better though with a combination of medicines and behavioral therapy.
If you or someone you know needs treatment for their Panic Disorder please call us at 800-951-6135 or visit us online at www.palmpartners.com.