Can Addiction be "Cured"

Nurses General Nursing

Published

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'm not talking about why people start using- I am referring to whether it is a physical/biologic or psychologic condition- whether addiction is seated in the body or the brain.

Yes- it is a highly debated topic- which is why I am saying that for some people- making the statement that it is "once addicted, always addicted" can be beneficial while for others it may be detrimental. Because it IS so debated. Addiction may be considered a chronic illness- but is that because it is not able to be overcome or because people choose to view it that way? (Part of the debate :) )

It's a chicken or egg question. Some people start using for a variety of reasons: to fit in socially because the drug crowd accepts everyone as long as you do what they do, to stifle psychological pain and trauma, to take care of physical pain and illness, or to expand their awareness. Once addiction kicks in, these issues tend to blend and snowball into one another hiding the original intent.

Cure really depends on a lot of factors. Could depression be cured before the person chose to drug as a coping skill? It depends on if the depression was a neurochemical imbalance or a situational depression. Could physical pain be cured before someone chose to abuse pain killers? Again, it depends on where the pain originated. These issues with addiction become very convoluted. The problem with that is that it leaves a lot open to interpretation as we have seen here.

Once present, addiction is considered a chronic illness. The popular view of science is, that like any chronic illness, there is not cure, only management.

It's a chicken or egg question. Some people start using for a variety of reasons: to fit in socially because the drug crowd accepts everyone as long as you do what they do, to stifle psychological pain and trauma, to take care of physical pain and illness, or to expand their awareness. Once addiction kicks in, these issues tend to blend and snowball into one another hiding the original intent.

Cure really depends on a lot of factors. Could depression be cured before the person chose to drug as a coping skill? It depends on if the depression was a neurochemical imbalance or a situational depression. Could physical pain be cured before someone chose to abuse pain killers? Again, it depends on where the pain originated. These issues with addiction become very convoluted. The problem with that is that it leaves a lot open to interpretation as we have seen here.

Indeed.

Another consideration is the onset of the addiction. The physical aspect of the addiction is clearly a separate aspect than the psychological aspect.

If someone starts self medicating, which is what a lot of drug use is, can they get out of it BEFORE the addiction set's in.

There are also people that succumb to the physical addiction but never develop the psychological addiction. While others are so addicted psychologically that even when they are detoxed and the drug is gone their mind is fiending.

Both aspects need separate management.

While I'm no scientist and have no hard data I am inclined to believe that if the psychological addiction hasn't set in that the person doesn't have a problem. Sure, they may have withdrawal effects and such but without the psyc component there is no impetus to reengage in that behavior.

Many people drink to cure various ills for a long time and when those ills are addressed the drinking stops and is never an issue again. While others always have the issue for the rest of their lives.

I think the whole cookie cutter concept of 'once an addict, always an addict' is harmful overall because we haven't even really defined addiction. What part of addiction are we talking about and what behavior actually indicates addiction? Why are some people able to shed the addiction and some people have to fight it tooth and nail? Is the first person not addicted or do they have a different form of it?

Many people live and breathe the mantras taught by anti-addiction experts. They NEED those mantras. They replace their primary addiction with another addiction. Being clean. That is the same approach as replacing heroin with methadone. It DOESN'T address addiction in and of itself. They also apply these mantras to everyone else they think has a problem.

The problem is that these mantras DON'T apply to everyone. Not everyone has to take the same steps to eb clean. Not everyone follows the same pattern or exhibits the same behavior. Not everyone that exhibits the behavior and patterns is subject to the life long battle. Not everythign an addict says is an excuse or rationalization. Even if it goes against what you personally believe.

Specializes in Home Care, Primary care NP, QI, Nsg Adm.

"The problem is that these mantras DON'T apply to everyone. Not everyone has to take the same steps to eb clean. Not everyone follows the same pattern or exhibits the same behavior. Not everyone that exhibits the behavior and patterns is subject to the life long battle. Not everythign an addict says is an excuse or rationalization. Even if it goes against what you personally believe."

Correct, that's why addiction treatment, like mental health treatment must be individualized.

Dear Longhornfan

As a woman recovering and an RN, I would prompt you to ask these important questions of your sponsor. If you ask family members, colleagues and people who do not have experience of recovery, you might find the answers you are fishing for, which may lead you to conclude that you can drink safely. I would advise you to take these questions to your sponsor. If you don't have a woman sponsor, with long-term recovery, I strongly suggest you get one. If you are having difficulty breaking through your denial that alcohol is a drug, I suggest you bring that up at a meeting or attend some AA meetings. And if you feel sorry for yourself for any reason, I suggest getting some service commitments or working with a newcomer who is still shaky and needs help getting started in the program.

I am clean and sober for 26+ years and have never stopped attending meetings. I probably have averaged more than 1 a day over the years because I needed 2-3 a day in the beginning. I try to reach out my hand to newcomers because it helps me to keep it green. I don't usually break my anonymity in public, but figure this venue is anonymous anyway.

I have met many medical professionals in the rooms who lost their licenses due to diversion. You are very lucky to have a job and still have your family. You have much to be grateful for.

The AA and NA programs of recovery are not methods of stopping the abuse of substances. They are tools for living a sober and honest life, with dignity and peace of mind. The 12-step program is a template we place upon every situation in our lives, a way of getting into right relationship with ourselves and others, a way of living a life that agrees with our values.

If you put 1/10 of the effort into the program that you put into using and lying and covering for your addiction, I guarantee that you will be amazed before you are halfway through.

I hope we meet one another as we trudge the road to happy destiny.

Specializes in ICU.PACU.

I haven't met an alcoholic or addict that has come to recovery that doesn't have alot of baggage to deal with. And I've never seen anyone in their "right mind" just walk through the doors of AA thinking it's a good place to kill time. If you come in with the attitude that your case is "different or special". You'll have lots of people smash that idea quickly. these people have worked the steps, know the big book,service work, etc. WE all have WAR stories.

I don't know if saifuden is in recovery or not, nor do I think that working in the field really makes you knowledgable, if you haven't been through the hell, felt the pain and loss, as those who really WANT recovery have.Then you really don't know.

Correct me if I'm wrong, but I believe the most success rate in dealing with alcohol or drugs has been through working the 12 steps, having that fellowship.

And there are alot of people who aren't convinced.... so do the field work, perhaps going to a lower bottom is necessary. We all have another drunk or druggin in us, but do you feel lucky? thinking it will be different this time? It might not happen today, next week or next year, but if you are truly an alcoholic or addict....it will come back..all the problems, misery and more .

Success rates of AA/NA have been highly overrated... Most estimates from a variety of sources put AA success rates at 4-8%.

There is a high rate of recovery among alcoholics and addicts, treated and untreated. According to one estimate, heroin addicts break the habit in an average of 11 years. Another estimate is that at least 50% of alcoholics eventually free themselves although only 10% are ever treated. One recent study found that 80% of all alcoholics who recover for a year or more do so on their own, some after being unsuccessfully treated. When a group of these self-treated alcoholics was interviewed, 57% said they simply decided that alcohol was bad for them. Twenty-nine percent said health problems, frightening experiences, accidents, or blackouts persuaded them to quit. Others used such phrases as "Things were building up" or "I was sick and tired of it." Support from a husband or wife was important in sustaining the resolution.

Treatment of Drug Abuse and Addiction — Part III, The Harvard Mental Health Letter, Volume 12, Number 4, October 1995, page 3. (See Aug. (Part I), Sept. (Part II), Oct. 1995 (Part III).)

Part of AA, unfortunately is addiction. AA is an addiction replacement. Not an addiction treatment. Of course, if it works for even just 1 person it is worth it.

Specializes in ICU.PACU.

Perhaps these people fell under the abused category not addicted and e-v-e-n-t-u-a-l-l-y did return to their "normal" life and can rely on their own power. Self-will, I guess can be a great thing....as long as you aren't an alcoholic or addict, sure we have a choice, but we lose it after that 1st drink/drug. we can't stop on our own willpower. and we don't stop for other people, places, or things, as normies or abusers can. Being sober or clean is not the same as recovery...it's a way of life.

Perhaps these people fell under the abused category not addicted and e-v-e-n-t-u-a-l-l-y did return to their "normal" life and can rely on their own power.

Possibly...

Self-will, I guess can be a great thing....as long as you aren't an alcoholic or addict, sure we have a choice, but we lose it after that 1st drink/drug. we can't stop on our own willpower. and we don't stop for other people, places, or things, as normies or abusers can. Being sober or clean is not the same as recovery...it's a way of life.

Not all addicts exhibit the same behavior or have to fight the same fight. The blanket approach is believed to be causing much of the problems in recovery from addiction.

One size doesn't fit all for ANY disease. Not even addiction.

Specializes in Rehab, Infection, LTC.
Success rates of AA/NA have been highly overrated... Most estimates from a variety of sources put AA success rates at 4-8%.

Part of AA, unfortunately is addiction. AA is an addiction replacement. Not an addiction treatment. Of course, if it works for even just 1 person it is worth it.

AA is an addiction replacement???

lord have mercy, is this post for real?:uhoh3:

AA is an addiction replacement???

lord have mercy, is this post for real?:uhoh3:

It IS an addiction replacement.

You replace your old behavior with a new set of behaviors.

;)

You think the obsessive going to meetings and such AREN'T a replacement behavior?

Is that for real?:uhoh3:

Specializes in Rehab, Infection, LTC.
It IS an addiction replacement.

You replace your old behavior with a new set of behaviors.

;)

You think the obsessive going to meetings and such AREN'T a replacement behavior?

Is that for real?:uhoh3:

i am going to regret even acknowledging your posts but i cant stop myself!

AA is NOT an addiction replacement. working the 12 steps teaches you to live life...the ups, the downs and the inbetweens. the 12 steps teach you that you are not unique and that you are not alone. the 12 steps teach you to learn to accept love and learn to accept support, something addicts and nonaddicts alike have trouble with.

it's sad you think this way. i really hope you arent in recovery and have little experience with the 12 steps. that would explain your opinion.

you don't obsessively go to meetings. you learn that you can't quit and live in recovery on your own. you learn to share your experiences with others in meetings. doing this helps you to figure out "hey, they feel just like i do". in learning that, you then can begin healing yourself. you spend every minute of every day getting your drug, using your drug or thinking about your drug. going to meetings teaches you a positive way to not use. no matter what is going on, no matter how bad you feel, you are NOT using drugs for that hour. and thats what helps.

working the 12 steps basically teaches you to live like Jesus taught us to live, but it teaches that in a nonreligious way. your higher power could be the door knob for all i know, as long as it works for you.

coming from someone that has worked the 12 steps...the 12 steps opened up a life i never knew existed! i can love and be loved, i can let things go, i dont have to live in the past....i live today for today and do it the best i can. at the end of the day i look back on the day and see the good things i did or the things i could have done differently. if i am wrong then i tell the person "i am sorry" quickly. it's called "normal life". the 12 steps give those who don't know what that is a chance to live one.

i'm shutting up now because i know in my heart that i should just go outside and beat my head on the brickwall...it would be less painful than reading your upcoming posts on how AA is just another addiction.

I haven't said AA doesn't work. In fact I only posted a Harvard study showing it's inefficiency and followed that up with 'if it works for 1 person it is worth it.'

Have you ever noticed though that those that DO follow the 12 steps route tend to have this my way or the highway view?

12 steps is not the only method of getting help. It's not the only way for people to be recovered and apparently the success rates are low...

I'm glad it worked for you. Next you might want to work on the anger though. Anger eats at you just as much as any other addiction. ;)

ETA:

Of course, if you provide any non-anecdotal evidence that shows AA isn't an addiction replacement or that it's success rates are much higher I'd gladly read them. :D

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