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

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

Bottom line, any variety of addiction is a bio-psycho-social and spiritual illness, problem, defect (you choose the term you like) that requires a multidisciplinary approach to treatment.

We should learn and acquire the skills to recognize the signs and symptoms of potential problems with drugs and alcohol whether in patients, colleagues or friends and family members, and learn how to intervene or at least inform others who may be more adroit at doing so.

We should be careful not to allow personal judgment and attitudes blur our clinical vision and in taking appropriate actions.

Perhaps we have exhausted this subject.

Specializes in ED.

You are very couragous for telling your story:yeah:. And very honest as well.

Now here are my :twocents:. I agree that addiction is not something that is cured, most definatly not easily treated. When you start to tell yourself that you are cured, you deny yourself the the ability to say that it is possible to happen again and more easily relapse. It is possible that it can happen again. Whether or not it does happen is up to the addict.

Specializes in LTC, Med/Surg, Peds, ICU, Tele.
The way that one poster described AA as "addiction replacement" makes it seem that ANY hobby is an addiction,, WT HECK? okay, whatever. You lost me there. After that, you are just filling the pages with words as far as I'm concerned.

Replacing bad habits with good habits is actually the best results. One things miss about their addictions is the ritual involved. I remember the whole pleasure, when I was a pothead in high school, of rolling joints. It was a ritual that I enjoyed.

Many people who drink enjoy the social aspect of going to taverns and bars. So, they replace that with getting together with others who need the fellowship without the booze. That's a good thing!

Specializes in M/S, Travel Nursing, Pulmonary.

I agree, AA is not the ONLY way to go if you want to straighten out your life after realizeing you rely on the bottle or pill too much.

If you've seen my article "Talked into a career in nursing by Stephen King", you'll see I went through a period where the primary focus of my day to day activities was to get work over and done with so myself and the guys could go to the local pub. I had a couple friends in AA at the time, and they attempted an "intervention" as they call it on me. I gave AA a chance, but for the most part, was turned off by a lot of the people in ran into in those rooms. I wont go into details, but from the second I walked in the door.........I felt smothered and quickly grew tired of being talked down to. Never went back. Awhile later, as the article goes, I decided it was sink or swim time and decided to swim.

I just cant wrap my head around the idea that I have to sit in a church basement for the rest of my life patting myself on the back for "not taking a drink one day at a time".

Like I said, I do not subscribe to the theory that addiction is a "disease". I think that is just a politically correct way to shifting the blame for one's actions.

Ever hear of the French philosopher Sartre? I think he sums it up best when he says:

"We are defined by what we do, no by the reasons for what we do."

In other words, the end result of our actions is what matters. The music and symantics we decorate our actions with (like........I'm the victim of a disease) mean much less.

Whether it is a disease or not is heresay. What matters is, what are you doing with yourself today. OK, so you believe you are an addict. Thats fine, go get the help you think you need for that. In the meantime...........stop diverting pain meds, dont beat your kids, stop neglecting the wife, dont be the biggest problem worker at your job making everyone else miserable. Those are the things that matter.

Realizeing you have a "disease" (if thats what you believe) is useless if the behavior doesnt change. Too many people stop there. Claim to have a disease and expect that to make everything alright with everyone else around them, as if it were an explination for the wrongs committed while useing.

The way that one poster described AA as "addiction replacement" makes it seem that ANY hobby is an addiction,, WT HECK? okay, whatever. You lost me there. After that, you are just filling the pages with words as far as I'm concerned.

Any hobby CAN be an addiction.

Um... haven't you ever noticed the people that obsessively exercise 6+ hours a day for no reason? My HR person exercise every single minute to the point of illness. She literally has multiple injuries and illness from over exerting herself yet she won't stop. She used to have a food addiction. She was over 300 pound. Now she's pushing 90... Are you telling me that isn't an addiction???

There is no need to be rude. It's a fact. Almost every activity CAN be an addiction.

There are MANY things people do to the point of excluding everything else in their life.

I know quite a few smokers that replaced smoking with another activity and no do that other activity compulsively.

We are supposed to be in the nursing field. Maybe some research is in order...

Replacing bad habits with good habits is actually the best results. One things miss about their addictions is the ritual involved. I remember the whole pleasure, when I was a pothead in high school, of rolling joints. It was a ritual that I enjoyed.

Many people who drink enjoy the social aspect of going to taverns and bars. So, they replace that with getting together with others who need the fellowship without the booze. That's a good thing!

Indeed. No one said addiction replacements were bad. They CAN be bad but I never said that.

I just think an addiction replacement is not always the best answer.

At the ripe young age of say....about...42, I crossed over the line of social drinker to alcoholic. Was that something I had aspired as a little kid,to be in my future ? Nope. The disease sunk it's claws in me with such an ardent force, I did'nt know what hit me...until now (recent years). Yet, when toying with cocaine years before, I had the foresight to realize, "Wow!" this is really something I could love ! And Boy, did I run like hell ...."I'm not getting hooked on this,I said ! ". So I stopped . And, somehow I did'nt get hooked on it. How come I could'nt do that with alcohol ? My methods for sobriety, Rehab., and continue to be AA meetings, knowledge,prayer ,gratitude and vigilance. With my mind so cloudy , emotions so raw and vulnerable in those earlier days, I was very impatient with myself and suspicious of "those AA cult people" !. Until I checked out other meetings to find the people I prefered to connect with for my healing. Whether it's important to argue semantics,"Am I cured now?" "not an addict anymore?" I'd rather not go back to do more research on it.... Hope something resonates...:icon_roll

I'm certainly not saying that AA is a bad thing. I agree with others who have said that if it's something that helps someone maintain their sobriety- then it's definately a good thing. Step back and leave the personal aspects out of this for a moment though- and perhaps you can see how some do take an unhealthy addiction (alchoholism) and replace it with a far more healthy addiction (meeting attendance/obsessing over AA 'culture'). I'm not saying that everyone who stops 'using' their substance of choice is indeed "cured"- but I've seen enough former alcoholics who can now have an occasional glass of wine with dinner and whatnot to speculate that it *can* happen. This is not to say that I think everyone should test the theory- only that the whole "once an addict, always an addict" can be as detrimental to some as it can be helpful to others- and that some DO overcome their addiction and can be said to be 'cured'. So- save the eyerolls- I'm not suggesting you need to personally go out and get tanked just to play researcher. ;)

Specializes in Intensive Care , Coronary care emergecy.

thank you to all those that replied to my post on can an addiction be cured. without devolving my story, i took the original question to my critical care students. the result was amazing.

the result was 15 of the 16 students said "no... an addiction can not be cured."

the other student whom had been down the road of addiction said "yes. it can be cured"

an interesting out come.

the discussion was very broad, and some of the suggestions that some of these nurses came up with, to me were horrific. had i had to go through some of what my students were suggesting, i think not only would i have quit nursing but i would have quit life.

some of my student's background were varying in background, religion, and up bringing. from those who were subject to alcohol abuse, and those who had been around people who had consumed alcohol responsibly. so it was a nice cross section of nurses both in experience and in up bringing.

i know that some people may say that within what i wrote on my original post that i am setting myself for a large let down but.....i don't think i am. i now believe that i am strong enough to maintain both physical strength and mental strength to stay healthy and free of addiction. if the events of february 7th which has been named (black saturday) didn't pressure me into drinking to excess or to start taking ms contin because my shoulder was hurting then i don't believe there is much in my life that could lead me back to temptation.

i still feel that addiction can be cured and not just held in remission, for the next time, life gets to hard.

but... just like all illness and conditions we can not cure everyone, and those we can we try to help.

Specializes in Med-Surg., Agency Nursing, LTC., MDS..

Oh, i thought Longhornfan1 was the original starting this post. I believe the original poster is placing too much emphasis or meaning on the saying "once an addict,always an addict", which in my opinion bears an extremely negative connotation. How about just being a "grateful,recovering addict ". Congratulations on two years C&S !! :yeah:

Specializes in M/S, Travel Nursing, Pulmonary.
Oh, i thought Longhornfan1 was the original starting this post. I believe the original poster is placing too much emphasis or meaning on the saying "once an addict,always an addict", which in my opinion bears an extremely negative connotation. How about just being a "grateful,recovering addict ". Congratulations on two years C&S !! :yeah:

Yeah, I thought the same thing. Maybe longhorn changed her screen name or something. IDK.

Specializes in LTC, Med/Surg, Peds, ICU, Tele.
thank you to all those that replied to my post on can an addiction be cured. without devolving my story, i took the original question to my critical care students. the result was amazing.

the result was 15 of the 16 students said "no... an addiction can not be cured."

the other student whom had been down the road of addiction said "yes. it can be cured"

an interesting out come.

the discussion was very broad, and some of the suggestions that some of these nurses came up with, to me were horrific. had i had to go through some of what my students were suggesting, i think not only would i have quit nursing but i would have quit life.

some of my student's background were varying in background, religion, and up bringing. from those who were subject to alcohol abuse, and those who had been around people who had consumed alcohol responsibly. so it was a nice cross section of nurses both in experience and in up bringing.

i know that some people may say that within what i wrote on my original post that i am setting myself for a large let down but.....i don't think i am. i now believe that i am strong enough to maintain both physical strength and mental strength to stay healthy and free of addiction. if the events of february 7th which has been named (black saturday) didn't pressure me into drinking to excess or to start taking ms contin because my shoulder was hurting then i don't believe there is much in my life that could lead me back to temptation.

i still feel that addiction can be cured and not just held in remission, for the next time, life gets to hard.

but... just like all illness and conditions we can not cure everyone, and those we can we try to help.

are you the original poster? i'm confused.

Oh, i thought Longhornfan1 was the original starting this post. I believe the original poster is placing too much emphasis or meaning on the saying "once an addict,always an addict", which in my opinion bears an extremely negative connotation. How about just being a "grateful,recovering addict ". Congratulations on two years C&S !! :yeah:

Yeah, I thought the same thing. Maybe longhorn changed her screen name or something. IDK.

Are you the original poster? I'm confused.

gaffas joined this discussion on page 15, post #146.

he is not the op.

and yes, his post is extremely confusing.

leslie

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