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 have been clean and sober since 1989 when I entered treatment at age 24; I was not a nurse at the time. I have no urge, no feeling of wanting to tempt myself in any way. I counsel women who are in early recovery. I also never ask myself the questions you are asking yourself because I would never tempt fate! I do not feel "loss" in my life because I can't use or drink like "normal" people. Always remember that alcohol is also a drug. I do not like the distinction between "alcoholics and drug addicts". Addiction is addiction.

"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"

This sentence in your post really stood out at me! There is a lot more to your story than just using Lortab. Your need for using caused you to divert and you were injecting patient drugs. This is incredible denial to me. There is a so much more to recovery than just going to meetings and complaining about our days. There needs to be an inner change in our being that only comes from taking a good look at what got us to shooting up patient drugs but thinking we only had a problem with Lortab.

I read through many of your other posts from different forums. The majority of your posts are along the same theme that you have written about today. I believe you are searching for an answer. Therapy is a place to start dealing with "how" you got to where you were when you using. Therapy will help you deal with the issues of family, childhood etc. Then only you can decide if you want to move forward in your sessions about changing the way you view addiction and how you set yourself apart from others in it's classification.

Addiction is only a symptom of an underlying deep manifestation of self-loathing. The root of this manifestation can only be released by daily commitment and desire to want to be healthy in mind, body, and soul. It is hard, hard work. I feel you are at the jumping off point. You have to crave the "want, need, and desire" to change the way you think. Or a person convinces themselves they can use and have no consequences. It can terribly frightning to take a good look at ourselves and admit to what got us to the place of desperation.

My hope for you is that you will take the right road. Talk "HONESTLY" with your therapist and quit playing mind games with yourself. All the ifs, ands, or buts-and the "am I one", how come I can'ts" will land you right back to where you were 2 years ago. It almost seems as if you are seeking someone to tell you it's okay to use.

"Our marriage is fine, believe it or not, and we only bring it up when we are really angry. "

Why does your addiction become apart of your arguments with your spouse? This is wrong from either one of you. I feel your husband obviously has many unresolved issues himself and needs to find a place for himself to work this out. Alanon is an awesome program designed for him! You can't move forward if the two of you are always looking in the past!

You are at a crossroad. You are seeking answers. Posting on a forum is a wonderful way to express yourself and get feedback. But it is time to take action.You can post until your fingers hurt! But only setting a plan of action will get you where you need to be. And where you need to be is working on yourself, digging deep into your soul, seeking answers and truths,finding solutions, and then learning how to apply this to your daily living plan. So in the future when you awake in the morning, you will be at peace; not at odds at why you can't drink or use like "normal" people.

Remember-Addiction is just a symptom. Relapse begins long before we actually pick up that first drink or drug.

I hope you seek out the help you so deserve, to be able to have the wonderful life you also deserve. God bless you.

I absolutely agree with everything you said. Addiction is only a symptom of the underlying issues. Recovery is a lifelong process of digging deep and becoming honest with our most vulnerable self. I started using when I was 13 and found recovery when I was 28. Although I came to peace with the fact I will always remain an addict when I first became clean, it wasn't until many years after recovery that I realized just how jacked up I was emotionally and what lead to me using. Both of my biological parents were heroin addicts when I was concepted so that made my changes of addiction even greater. Guess what.. (BINGO) I hit the jackpot. I see a therapist several times a year to help me work through my emotional issues and mild depression.

Like you, I no longer have any urges but as I mention in my previous post, I do not put myself in situations where I may be tempted. Addiction and recovery is something I feel very passionate about and I would like to do some counseling. I thought about specializing in this area when I become a nurse.

Specializes in Acute/ICU/LTC/Advocate/Hospice/HH/.

Ok all, I am not denying that I have many issues that need to be resolved. I am however saying that I choose to address these issues without resorting to drugs and alcohol. The choice to see a therapist, the choice to treat any underlying depression, the choice to work as a nurse even though I am exposed to addictive drugs, are choices I am ready to make and have already put into practice. I am also saying that I choose not to use drugs. Which, in turn, will resolve the bodies chemical addiction to drugs. Some people choose AA, NA, sponsor, steps to avoid the desire to use. I have no desire to use. Also, I am well aware that I was way beyond lortab when I was diverting. I am trying to point out that had I never taken it after surgery it would not have triggered the chemical aspect of the addiction process. Lortab was my gateway drug. It gave me energy and motivated me to get up off the couch (depression). Hence, morphine and demerol gave me more energy. I get the same motivation from and hour on the treadmill or ephedra as I did the narcotics. So, what I use to motivate is not the question, why I am not motivated in the first place is the issue I am working on. Thanks

Specializes in ICU/Critical Care.

It seems like you are blaming Lortab for your addiction. The lortab did not cause your addiction, you caused your addiction. I'm glad you are sober and doing well. I'm not trying to be harsh, just honest.

Specializes in LTC, Med/Surg, Peds, ICU, Tele.

The fact that Lortab gave you 'energy' is a big redflag to me. Most likely that is because it deadened your psychic pain. Lortab isn't exactly a stimulant.

there is an awful lot of intellectualizing and rationalizing from you, longhorn.

there are just some events in life, that we cannot talk our way through.

it really doesn't matter what you say to us, so much.

you will find your answers when you are totally honest with yourself.

find a special therapist to take that journey with.

and great job on 2 yrs sobriety.:balloons:

leslie

Specializes in Acute/ICU/LTC/Advocate/Hospice/HH/.

I disagree with you Turn, I believe if I had never taken Lortab I would not have experienced what I perceived as positive effects from them, energy and such. Also, Lortab is a highly addictive drug in and of itself, even when taken as prescribed. Tonsillectomy is a very painful surgery for adults and the recovery time is significantly longer than for children. I was on the couch for almost two weeks before I could swallow anything other than liquids. I did not fully recover for nearly 6 weeks. By then, my body, not just my mind, was dependent on the narcotic. I took what was prescribed, until they ran out. That's it. I did not go doctor hopping or ER bouncing for more meds. None the less, my body was physically addicted. I simply did not recognize what was happening. So, in addition to the physical withdrawal, my decision making ability was compromised and I rationalized my way into diverting drugs from work to satisfy my physical need for the opiate. I know where the blame lies. First and foremost with me. I am my own decision maker and take full responsibility for the consequences of my actions, however, the physician should have recognized, after a thorough review of my family medical history, the potential for addiction as well as the physical symptoms I was manifesting during my final follow-up visit. Scratching, fidgeting, tearfulness, biting the tongue, inability to concentrate, lots of other things similar to an ADD child. But instead of searching for a root cause of these symptoms, he chose to medicate them and prescribed Valium. Which I did not take cause it slowed me down. So, I am not in as much of a state of denial as most seem to think. I did the whole 12 step thing. Dug deep into the past and found hidden reasons I never thought of to blame my addiction on. But in the end. I am responsible. I am who I am today because of the choices I have made and will learn from the experiences and try to avoid the same pitfalls. God will guide me and put me where I am supposed to be. I still have faith in that.

Specializes in Acute/ICU/LTC/Advocate/Hospice/HH/.

I appreciate you revising your previous post. No, no one forced me to take the lortab, i chose the medication without educating myself on the potential for addiction. I failed to fully accept my fathers drinking and my brothers drug addiction and felt superior to them somehow, surely I could not become an addict, i am a nurse and a mother and on the PTA for pete's sake. I guess that was my first true act of denial. I guess I expected more from myself and I didn't live up to my own expectations. That is ultimately the root cause of most of my issues. I demand perfection from myself and there is only one perfect being, God. So, now I dont push myself to be perfect, just excellent. That is what therapy has taught me. I wanted, needed to be perfect as a nurse and a mother and a wife and I started slacking off after my surgery, the depression probably, so I reached for something that gave me a boost, gave me a false sense of security, I felt I was able to meet the demands of everyone, everything, everytime when I was medicated. Now I know that was just the drug. So, I acknowledge my mistakes, apologize when I realize and truely strive to change myself, not everyone else, to prevent it. Thanks a bunch for all your input.

Specializes in School Nursing.

i think you are very smart to know what you are dealing with. i won't beat up on you. i pray that you will come out of this victorious !

praiser :heartbeat

Hmm... let me keep it short.

I do think addiction can be cured but it starts with you.

You either kill the addiction or it's going to kill you. Period.

Killing the addiction starts with killing the excuses.

Specializes in LTC.

My personal opinion is that no addiction like this can be totally cured but that doesnt mean its hopeless....my best friend and fellow nurse is a raging alcoholic outside of work but its affected every single aspect of her life from her multiple failed marriages and relationships w/ men and friends and family to her job....shes never came to work drunk or anything like that....shes the smartest nurse and person in general that i know. she just has an addiction....a child of 2 addicts herself (alcoholic)...and has a sister who is in prison for drugs.....and then theres my sis in law who has been addicted fiercely to narcs and benzos x 20 yrs ...in and out of jail and always gets out with a free ride...no job no bills no nothing.......and has yet to go to rehab which she desperately should go. hers too started with a surgery yrs ago and when she was in an accident had to have emerg. surgery and there ya go....pills was her life. it came before her kids, her family,...everything. i would suggest continued counseling and support groups like na and aa...whatever is out there to keep you on the right track.....it wont do anything except benefit you and others with addiction. good luck and god bless

Specializes in Acute/ICU/LTC/Advocate/Hospice/HH/.

finally, someone who can apply pathophysiology to a disease instead of the "once an addict, always an addict!!" or my personal favorite "your in denial". i can explain it a hundred times, but it is a difficult topic to wrap your brain around. it's kind of like the ada view on addiction as a disability. if you are actively using drugs then you are considered disabled, but if you are actively using drugs then you are not protected by the ada, if you are sober then you are protected under ada laws and statutes, but if you are sober, you are not considered disabled. makes perfect sense to me. i am so thankful for you post. it better explains my point. i too consider myself cured or at least in remission. thanks again. :yeah::redpinkhe:bow::banghead:

Firstly, congratulations on your sobriety - it's a big deal, and a lot of hard work, and a work in progress (as we all are!). Secondly, my question to you would be - before you took the Lortab post-op, were you happy with yourself and your life? Just because you weren't using doesn't mean there wasn't a lot of pain there and other patterns of coping that were consistent with an addict's behavior (stuffing emotions down, withdrawing).

(Also, a sidebar - I'm the adult child of an addict who was in recovery, and your pain as you're writing these things and struggling with this is obvious. Please know this isn't criticsm, just a little food for thought. Recovery's a lifelong process and I wish you all the best with it.)

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