Can Addiction be "Cured"

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So, I am a recovering addict. I like to think of my addiction as "acute" "in remission" or dare I say it "cured".

I never tried a drug until I became a nurse. I didn't take them simply because they were accessible. I took them initially after a surgery for pain and then I took them because my body craved them so intensely that I would stoop to any level to get them.

I made my decision making "drug focused". Every action I took could be related to finding the drug, getting the drug and using the drug. I worked in the ICU and used 10 mg Morphine vials multiple times for post-op patients.

When a patient comes out of surgery it is really fast paced. The process of signing out and then wasting each unused drug took precious time away from patients. Why waste 8 mg's of MS when you will probably be giving an additional 2 mg's Q 10 mins for the 1st hour post-op anyway. So, you would give 2 mg's and put the vial in your pocket and pull it out each time you needed it until the patient was comfortable. Then you would chart the doses and waste what was left with another nurse.

One morning when I got home from work, I had forgotten to check my pockets. There it was. 6 mg's of MS. So, I set it aside and planned on taking it back on my next shift. But I had to put it someplace safe so no one would see it. What would they think.

It happened over and over again, intentionally, maybe, maybe not. Never used it, just put it in the drawer. I think I was afraid to use it cause what if I had a reaction? Or took too much and my kids found me on the floor unconscious?

One day, I put it in my hip. I felt like I was energized. I got so much done at home that day. After about a month of IM Demerol and Morphine, I had a patient on dilauded.

Took the excess drug home........along with an insulin syringe. I must have tried for 30 minutes to find a vein. I can find them blind-folded on my patients, but it is more difficult when your doing it upside down. After another month, I was shooting MS and demerol 4 or 5 times a day. But I did not believe I was an addict.

It all started with the Lortab after my tonsillectomy. I felt efficient, loving, attentive, smarter and focused when I took opiates. I didn't have to use every day. I was PRN so I would go a week without working and without using. I went on vacation for 2 weeks and didn't have any problems.

When I came back I worked 1 shift, took some dilauded and used it when I got off. I was called in the next day, I thought to work a shift, and was confronted by the DON, HR and several Admin nurses. I denied diverting but said I had partied while on vacation and would probably test + on the UDS.

Ignorant as I was, I gave them the urine and went home totally freaked out. I knew it would be positive and could not begin to imagine what would happen next. Looking back, I should have just quit and dealt with "suspicions" of diversion instead of giving them a dirty drug screen. But I didn't know I had a choice.

I broke down and told my husband that I was suspected, tested and probably terminated for using. But I didn't tell him what I used or that I was diverting. Told him it was Lortab, but I didn't have a current RX for it. So, when I was terminated and reported to TPAPN, I had to finally tell him what really happened. He reamed me up and down. Not supportive, did not recognize a "problem", just called me a junkie and was more concerned that I had potentially screwed my career. Our marriage is fine, believe it or not, and we only bring it up when we are really angry.

I have been sober since June 2 2006, the day after I got caught. Been through treatment, meetings and so on. I am working in LTC and have access to Lortab, MS tablets and Roxinal. Do I have cravings or feel compelled to take them? Nope. Did I learn my lesson? Yep.

But if you ask the professionals if I am "cured" they say there is "no cure". Once an addict, always an addict. But why? If I never did drugs until they were prescribed and have quit without issue and have proven my ability to be around the same drugs that I was addicted to?

Simply because I am the child of an alcoholic, the sister of an addict and the daughter of an undiagnosed and untreated mother with depression and bi-polar. Since I was molested as a child and my father died when I was 16. Since I slept around during high school so I could avoid the abuse at home. Since I dated men twice my age looking for a father figure until, Thank GOD, I met my husband and became a responsible adult and a mother.

Do all of these characteristic combined with the exposure to and subsequent physical addiction to Lortab define me as an addict for the rest of my life. Does that mean AA and NA meetings forever? Does that mean I can't drink at parties and dinner with friends because I might relapse and start using?

Someone please explain this to me. All addicts deny the addiction at some point in recovery, but don't people recover from the physical addiction and are strong enough to make the right choices when confronted with similar situations? HELP!! Thanks

I don't know that that is really a grey area, though. Behaviour includes (IMO) personal assessment and actions such as being pulled over, killing someone and being too hungover to catch a med error. I'm not referring only to how ones behaviour appears to external observers....

My husband hardly knew I was drunk until I was vomiting all over everything. I was a happy drunk; always silly. I was able to, always, consume alcohol and no one would ever suspect that I was anything but mildly tipsy even if I was in a blackout, which I was that night. How someone behaves has nothing to do with it, really.

And these fuzzy lines, all this grey area wherein one has to make their own choices in life is where it is so easy for someone to convince themselves that it's all ok. Until they are pulled over for drunk driving, or killing someone, or too hungover to catch a med error and killing a patient, etc etc etc.

This guy said it best. The idea of a functional addict is a myth that has been debunked. They may APPEAR 'functional' but in all reality they aren't.

to clarify, when i brought up "functional" drunks appearing "fine", in no way was i suggesting that they are fine.

but that's what makes it so scary...

because looks can be so darned deceiving.

and appearing fine is not synonymous with being fine.

my husband is an alcoholic and for years, he would deny incidents that i brought up.

but he wasn't denying...

he genuinely did not remember!!

it was maddening and even more frightening...

and very 'convenient' for him.

because he couldn't feel remorse for something he couldn't remember.

anyways geek, you have a lot of insight and i appreciate the honesty in which you talk.

thank you.

leslie

Specializes in Intensive Care , Coronary care emergecy.

Can an addiction be cured???

My answer is yes. It can be cured; I was an alcoholic and mixed alcohol with drugs. I have many reasons for that. Job stress, as a paramedic/fire-fighter then a nurse, pain in my shoulder after being assaulted by a patient, then needing a shoulder repair, my wife dying of C.A, and some other financial / family issues. All of these issues built up so I drank, to numb the pain of my body and of life.

I got help and kicked the addiction. I still drink but not every day/night. I enjoy a social drink with friends, where I am under the influence of alcohol and having a merry time. But I can also be the designated driver at a function where there is alcohol and other things going on and not be tempted.

This was put to the test in February of this year. I live in Victoria Australia, and we had the worst Forest/wild Fires in Australia's history. In 12 hrs they killed 210 people and wiped out over 2000 homes, and the continued to burn for 4 weeks. And burnt 280000 ha and wiped out complete towns. I was caught in the middle of this firestorm, and the death and destruction that I witnessed as a volunteer fire fighter, was beyond anything that I could ever imagine. Burnt bodies of children, homeless people, nearly loosening my family, and all the destruction that goes with such a disaster.

This put me to the test both emotionally and physically, and I did not start to drink or take and drugs, even though the nightmares had started, and it would have been so easy to have a drink or take something to help me sleep, I did not feel the urge.

I still drink socially and love a nice red wine, but never to excess.

So can an addiction be cured......

For me YES.

I wish you all the best, as I know how hard it can be, but just remember life is better than oblivion.

I am so proud of you and what you have done, keep up the great work.

Gaffa:specs:

Thanks for your honesty. I have to agree with shelly304, I believe your setting yourself up to use again. I've heard this (your) kind of talk for almost 18yrs ie; the if's, but's, why's As long as your asking, I would suggest you stop screwing around and get to work on finding out why you choose to take narcotics from work and shoot them in your thighs? Your marriage, job should be low on your priority list. If I were you (and I was) I would be more worried about life. Clean and Sober in SEA and loving life!

Specializes in ICU.
Take it on a case by case basis, but in general, there is no reason to drink three drinks in an evening, other than to continue that feeling.

I think lots and lots of people can fool themselves into thinking it's acceptable to drink and oops be drunk a few times a year, but that's called binge drinking.

I totally and completely understand having a glass or two of wine with dinner or enjoying a microbrew or two, or whatever floats your boat, but if you are ever drinking enough to be drunk, even if only a few times a year, you're a binge drinker. Take that as you will. As I said, earlier, you make your own reality. But a binge drinker with kids risks having his kid seeing him or her drunk as a skunk, and I think that's offensive. Some people have no issue with that. I happen to have serious issue with that.

Geek, have you really ever been around a "real" binge drinker? Maybe you have, but it sounds like you haven't. Really. No offense,, but I have. And it is not just a few drinks, and it is NOT just drunk,,, just a few times a year.

TO me,, and I may be wrong on this one... but to me, a binge drinker is one that takes the drinking into another day.... He/she's drinking one night, having fun,, and wakes up the next morning and starts drinking again.

I grew up with an alcoholic father, thank God Almighty he has been sober for ten years. When he would go on his "drunks" as my mom would call it,,, he'd leave for weeks. Eventually we knew where to go and find him. On "skid row" as it is called in Houston. We'd find him sitting outside of an old honky tonk/beer store with other "Hobo's" just living it up. Drunk as all get out. Homeless. And this is a man that was very educated, his salary was in the six figures each year, back in the 80's and 90's. But still,, he would stay drunk for days/weeks on end. Until finally he got so old that he almost killed himself doing it.

THAT IS BINGE DRINKING.

I'm sorry, but just a few drinks, and getting drunk just a few times a year,, to me is not binge drinking.

But, like you said, getting drunk as a skunk,, with kids around,, that is bad. I just don't know if I would call it binge drinking if it only happened a few times a year. Maybe that's just me.

gaffas I do not know your background but I will say again that I do not believe that everyone who uses or abuses drugs/alcohol is an addict. It sounds to me like you were in a deep depression, masking your symptoms with drugs and alcohol. An addict really doesn't need a reason to drink or use. They like the feeling. Oh sure, they look for reasons- my boss yelled at me, my wife is a bi*, but they don't need reasons. Still, I believe that you either were not really addicted, or you are in denial and are lucky to have kept it in check this long. I used to drink too, back when I was young. I went out with friends, dates, the nurses after a 3-11 shift. We definitely abused alcohol. Now I am an old 47 year old mom and no desire to go to a bar or drink. Yuck.

Was I an alcoholic because I let the good times roll and got drunk a few times? No. I did not drink at work or lose work because of it. I did not drink just to drink. I drank to have fun with friends. I did it by choice when I wanted to. Had I continued to do that long enough or often enough, maybe it would have become an addiction. I don't know. I just know that I had goals and things other than drinking and I got to a point where it seemed that I was too old to be doing that anymore so I stopped. I don't know that there is a clear line of division between use/abuse/addiction. It may be a continuum with different levels of each. I only know that if you can't stop- there's a problem. If it is screwing up your life- there's a problem.

Binge drinking... Yup...

Most college students that drink qualify for 'binge drinker' status.

While some people consider binge drinking alcoholism it is a separate creature. It also doesn't always lead to addiction.

Specializes in cardiac, ortho, med surg, oncology.

I haven't read all the posts so forgive me if this is a repeat. CNN will be showing a special on addiction and it's effects on the brain etc on April 18th & 19th at 8pm ET.

Specializes in Rehab, Infection, LTC.
generally i agree w/your post, equinox.

but when i came to your last statement, re how one behaves...

i kind of tilted my head and did a "hmmmm".:)

because i know of many "functional" drunks:

where they can swill down a bottle of vodka and appear just fine.

those are the ones who typically scare me, since you can't anticipate any forthcoming behaviors/actions.

but yes, i do agree there's a big difference between 3 drinks in 20 min vs 3 drinks over sev'l hrs.

leslie

you have a great point, leslie.

us alcoholics....we don't know how to"socially" drink. it's allout for us. when i was in active addiction, i would immediately order double tequillas straight up and drink 3-4 in the first hour. all the while, my friends might have consumed 1 drink. my brain works differently than my "normal" friends. they dont understand why i have to drink that much so fast and i dont understand how they don't drink that much so fast.

in the summer i watch all the college kids at the pool. it drives me nuts how they can nurse i can of beer for hours! i always laff and tell my husband "amateurs", lol. but seriously, my brain...my addict brain...doesnt understand that.

i'm different than most people. my brain thinks differently. so for me that old AA saying of "one is too many and a thousand is never enough" is soooo true!

living in recovery, i realize now that i can NEVER have that first drink. if i do then it's off to the races with me.

i remember the first year i was clean. i took tylenol and ibuprofen four at a time. i thought that was what i needed. i realize now, after so many years, that i can't even take tylenol like a "normal" person. my brain just doesnt get it.

so if i decided "hey, im cured!" then i'm putting myself close to relapse because thats when my disease gets excited. because it knows all it has to do is get me to take that first sip or that first pill and then herewegoagain.

so regardless of whether or not the OP admits she's an addict, denying it will only lead to relapse one day. it's a fact of the disease of addiction, IMO.

it's like denying you have cancer or diabetes. you can only deny those diseases for so long before they consume your body. but if you do everything you have to to stay healthy, you can fight them. same with addiction...keep denying it and one day BAM! you are using again before you even know what happened.

thats why recovery is so important. it gives you those tools you need to resist that urge impulse to use. the addict brain says "now now now" and you use before you even think about it. but the recovering brain thinks about it before picking up that first drug or drink. we "play the tape all the way to the end" if you will. then and only then can you make an informed decision for yourself and decide if you REALLY want to use or if that is your disease talking.

and it never goes away.

i'll be 5 yrs sober in 2 weeks. every single time i open that narcotic box to give a med to a patient, my disease says WOOHOOO LOOK AT ALL THOSE DRUGS!! PARRRTAY!

sometimes i dont hear my addiction until later on, after i've given the med....but i always hear it. it never shuts up.

if i werent in recovery and had the tools to tell my disease to "shut up!" then i'd be using again in a heartbeat.

i think the OP is lying to herself, IMO.

if i werent in recovery and had the tools to tell my disease to "shut up!" then i'd be using again in a heartbeat.

i think the OP is lying to herself, IMO.

... Do you view your addiction as a physical/biological disease or a psychological disease?

Specializes in Rehab, Infection, LTC.
... Do you view your addiction as a physical/biological disease or a psychological disease?

i believe the AMA says it is a psychological disease, dont they?

i believe that it is a psychological disease too. not to say "its all in my head", but really...it IS all in my head, lol. and my husband says that is one BAD neighborhood to live in, lol.

Specializes in Psych, education.

Addiction is a holistic disease. It effects people physically, psychologically, socially, and spiritually.

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