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 none.

Also, while I'm on the subject, I disagree fundamentally with many assertions made by 12 step programs and similar addiction treatments, chiefly the religious aspects of them. I'm an agnostic and I find it highly offensive that many of the basic tenets of these programs revolve around 'accepting God' or 'recognizing a higher power'. Indeed, when I look at the 12 steps as published by Alcoholics Anonymous, it seems like they're more concerned with proselytizing and selling their religion (Christianity) than they are with helping their patients treat their addictions. This bugs me on a very deep level.

It's hard not to think so when 7 out of the 12 steps (http://en.wikipedia.org/wiki/Twelve-step_program) revolve around God or spirituality.

I do not believe in God or the supernatural, and it had absolutely nothing to my recovery from addiction. I beat the addiction entirely through my own efforts, and I find it amazing that a stink hasn't been raised about these programs being Christian vehicles. If these programs receive federal funding, it also raises interesting questions about the separation of church and state, and whether the government is pushing or favoring a religion. For it's no secret that it is the Christian God they are referring to in these steps. In today's xenophobic society, I pity any atheists, muslims, or non-religious in these programs. I can't imagine they would receive much support from their fellow addicts or counselors (who, according to recent statistics, would be Christians 8 out of 10 times) if they challenged the validity, veracity, and efficacy of these tenets. People are very judgmental like that.

I do recognize that finding God does help some, or even most with their addictions, but I think it is utterly ridiculous and discriminatory to say that it is a key to beating addiction.

I believe the only key to quitting is a deep down desire to truly quit. If you want it enough, you will find a way to make it happen. Most people who claim that they want to quit still desire on some level to keep one smoking (or your drug of choice) and simply aren't ready. Sure, it helps having a support base such as family or a group of people in similar situations, but you do not need to believe in God(s) or higher powers to overcome it.

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

In response to DITN's post, I believe you were and are very blessed as the disease of addiction was not truly "activated" (for lack of a better word) in you. A true addict would not have that ability to use logic the way you seemed to. Best of luck.

Specializes in none.
It sounds like you are very young, and you did the right thing by stopping all the drug use early on.

I believe that had you kept going, you would have ruined your life. I also believe that you DID escape from something while using the drugs, you escaped into feeling HIGH. You are very lucky that you had the will power to stop.

I would catagorize your drug use as drug use,, and not addiction. From what you're explaining, you were never addicted to the drugs you took,, you merely were taking them and having fun. This is a totally different thing than addiction,, therefore you're not "cured" from anything,, you were never addicted. You never had withdrawls, you never sold your car to get an ounce of coke or meth, or whatever. You were never addicted. So, your situation does not apply to recovery, or addiction.

I actually do believe I was addicted. Not physically, but psychologically. The desire to get high was all-consuming. It was all I thought about, and everything I did went towards procuring the drugs. And yes, during the time I was addicted, I did many horrible things to get the money to support it, such as robbing cars, houses, and even my own family.

I exhibited many classical addictive behaviors, including denial and rationalization, and it took a few hard 'bottoms' before I truly desired to quit. Once that happened it wasn't long before I quit. To say that I was never addicted is false. Addiction isn't just chemical. It is as much in the mind as it is in the body.

Ahem. A little late to the party I know.

No it cannot be cured. It requires one to be vigilant always. Also, one is not "in recovery" if one is using.

:twocents:

Specializes in ICU.
I actually do believe I was addicted. Not physically, but psychologically. The desire to get high was all-consuming. It was all I thought about, and everything I did went towards procuring the drugs. And yes, during the time I was addicted, I did many horrible things to get the money to support it, such as robbing cars, houses, and even my own family.

I exhibited many classical addictive behaviors, including denial and rationalization, and it took a few hard 'bottoms' before I truly desired to quit. Once that happened it wasn't long before I quit. To say that I was never addicted is false. Addiction isn't just chemical. It is as much in the mind as it is in the body.

See, you didn't say this in your first post. Basically you came off as a teenager who was getting high to have fun. Now that you say this, I can understand a little better.

Also, regarding your other post about AA/NA... it is not federally funded. It is funded by private individuals and private companies, also small donations each meeting. The "higher power" does not have to be God. For me it was the BON. The BON was my higher power. I was doing all of this to save my life and to save my nursing career, and it was not God. Your higher power can be a door knob for anyone knows, but it is something that you would save your life for, something that you cherish... something that can hold power over you.. like a baby daughter,, or like I said, for me, my state's BON.

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

I find that quite amazing. You must fall into some tiny percentage of the addicted population. And there were probably a great number of people praying for you even if you were'nt . Where is Jackstem when we need his professional insight ?

Specializes in none.
See, you didn't say this in your first post. Basically you came off as a teenager who was getting high to have fun. Now that you say this, I can understand a little better.

Also, regarding your other post about AA/NA... it is not federally funded. It is funded by private individuals and private companies, also small donations each meeting. The "higher power" does not have to be God. For me it was the BON. The BON was my higher power. I was doing all of this to save my life and to save my nursing career, and it was not God. Your higher power can be a door knob for anyone knows, but it is something that you would save your life for, something that you cherish... something that can hold power over you.. like a baby daughter,, or like I said, for me, my state's BON.

Well when you put it like that, I guess my 'higher power' was my own future, which was one of my chief motivations of quitting. I did not want to work in McDonald's for the rest of my life, provided I didn't OD and DOA before that.

I still object to these programs forcing God on their patients, but if they are privately funded then that is their right, as repulsive as it is to me.

I have been sober in AA 14 years and I confess that the quasi religious aspects of AA never bothered me until I went in this country. Using the Lord's prayer and sharing about Jesus as a personal savior. Unreal. As for how atheists are treated in AA meetings...shocking!

Also, while I'm on the subject, I disagree fundamentally with many assertions made by 12 step programs and similar addiction treatments, chiefly the religious aspects of them. I'm an agnostic and I find it highly offensive that many of the basic tenets of these programs revolve around 'accepting God' or 'recognizing a higher power'. Indeed, when I look at the 12 steps as published by Alcoholics Anonymous, it seems like they're more concerned with proselytizing and selling their religion (Christianity) than they are with helping their patients treat their addictions. This bugs me on a very deep level.

It's hard not to think so when 7 out of the 12 steps (http://en.wikipedia.org/wiki/Twelve-step_program) revolve around God or spirituality.

I do not believe in God or the supernatural, and it had absolutely nothing to my recovery from addiction. I beat the addiction entirely through my own efforts, and I find it amazing that a stink hasn't been raised about these programs being Christian vehicles. If these programs receive federal funding, it also raises interesting questions about the separation of church and state, and whether the government is pushing or favoring a religion. For it's no secret that it is the Christian God they are referring to in these steps. In today's xenophobic society, I pity any atheists, muslims, or non-religious in these programs. I can't imagine they would receive much support from their fellow addicts or counselors (who, according to recent statistics, would be Christians 8 out of 10 times) if they challenged the validity, veracity, and efficacy of these tenets. People are very judgmental like that.

I do recognize that finding God does help some, or even most with their addictions, but I think it is utterly ridiculous and discriminatory to say that it is a key to beating addiction.

I believe the only key to quitting is a deep down desire to truly quit. If you want it enough, you will find a way to make it happen. Most people who claim that they want to quit still desire on some level to keep one smoking (or your drug of choice) and simply aren't ready. Sure, it helps having a support base such as family or a group of people in similar situations, but you do not need to believe in God(s) or higher powers to overcome it.

Specializes in ICU.

I am not trying to be mean at all, or judgmental,, I am the last one here that can judge another. But when I put your first post together with your last post, I feel like you are either 1. not telling us something or 2. in complete denial.

I don't know why you would do either, this is an anonymous board, but it just does not make any sense to me. At first you were a happy teenager just out getting high,, and then you were this terrible addict that needed the drugs and did terrible things to get them.

In the first one you say you didn't use them to fill a void, you just wanted to get high and have fun... in the last post you said

" The desire to get high was all-consuming. It was all I thought about, and everything I did went towards procuring the drugs. And yes, during the time I was addicted, I did many horrible things to get the money to support it, such as robbing cars, houses, and even my own family"

It just doesn't make any sense, and you have to agree. Go back and read what you wrote. It's right there on the page.

It has been scientifically proven that the brain of an addict reacts to drugs differently than a non addict. It has also been scientifically proven that the brain of an addict never goes back to the brain they had before they were addicted to drugs.

Supporting literature......

http://www.dana.org/news/brainwork/detail.aspx?id=14380

http://www.greenfacts.org/en/psychoactive-drugs/l-3/3-drug-addiction-brain.htm

http://www.nida.nih.gov/about/welcome/aboutdrugabuse/chronicdisease/

Either you are and will always be an addict/recovering addict,,, or you never were. There is no complete cure. Is it possible that you were drug dependent instead?

There is just no way in this world that any true drug addict will ever be completely cured. There is scientific proof that the brain is altered after addiction sets in.

Specializes in none.
I am not trying to be mean at all, or judgmental,, I am the last one here that can judge another. But when I put your first post together with your last post, I feel like you are either 1. not telling us something or 2. in complete denial.

I don't know why you would do either, this is an anonymous board, but it just does not make any sense to me. At first you were a happy teenager just out getting high,, and then you were this terrible addict that needed the drugs and did terrible things to get them.

In the first one you say you didn't use them to fill a void, you just wanted to get high and have fun... in the last post you said

" The desire to get high was all-consuming. It was all I thought about, and everything I did went towards procuring the drugs. And yes, during the time I was addicted, I did many horrible things to get the money to support it, such as robbing cars, houses, and even my own family"

It just doesn't make any sense, and you have to agree. Go back and read what you wrote. It's right there on the page.

It has been scientifically proven that the brain of an addict reacts to drugs differently than a non addict. It has also been scientifically proven that the brain of an addict never goes back to the brain they had before they were addicted to drugs.

Supporting literature......

http://www.dana.org/news/brainwork/detail.aspx?id=14380

http://www.greenfacts.org/en/psychoactive-drugs/l-3/3-drug-addiction-brain.htm

http://www.nida.nih.gov/about/welcome/aboutdrugabuse/chronicdisease/

Either you are and will always be an addict/recovering addict,,, or you never were. There is no complete cure. Is it possible that you were drug dependent instead?

There is just no way in this world that any true drug addict will ever be completely cured. There is scientific proof that the brain is altered after addiction sets in.

Yes, originally I just liked to get high every now and then. The rate of use eventually increased from a few times a week to many times a day over a period of months. It was all about getting high, and a person who has never done IV heroin will never be able to understand it. You don't know what lengths someone will go to get that high. I could get out a dictionary and still not find enough adjectives to describe the high one gets from it.

I never suffered withdrawal, as I mentioned, but I desired the rush and bliss beyond anything. It became what I most valued and all that I cared about. The high itself was addicting, even if I wasn't chemically addicted.

As to whether my brain is permanently damaged or changed, well, I haven't noticed anything that would lead me to believe that is true. And as I said, I don't have any lingering desire to get high, so even if my brain is changed on some level, it has no bearing on my thoughts or actions. So yes, I do believe I am cured.

I don't have the time to read the links you provided, but I'm sure they are very insightful. I guess in your mind I was not a true drug addict, because I can say with all honesty that I believe I am cured and will never relapse. That is not simple hope, as I have no desire whatsoever to go back to my old ways.

I really don't want to argue what constitutes being 'cured', because it seems to be a semantic argument, with differing definitions. Whether I am 'scientifically' cured is unknown and probably unknowable. The first three definitions of 'cure' do seem applicable to me though:

1. To restore to health.

2. To effect a recovery from: cure a cold.

3. To remove or remedy (something harmful or disturbing): cure an evil.

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

Cure or no cure; does it really matter? I'm not sure. Working in addiction I don't know if it is really important. The issue for me is dealing with the individual and helping that person first get over the denial of their addiction (assuming they are in denial and most, if not all are, at least initially, but then some just stay in denial and go to their death that way), then understand what their drug(s) has done, is doing and will likely do to their brain, body, mind, emotion, life, etc. Important for me is to teach the addict the symptoms of post acute withdrawal (PAWS) because the symptoms of PAWS (S=syndrome) can be very disturbing and a cause for craving and the desire to use in order stop or control the symptoms. Also, addicts deal with stress by using, so understanding how to deal with stress, be it physical, emotional, social, etc., is very important. Its very stressful especially when the symptoms of PAW are not understood. After that, teaching the addict that life long vigilance is necessary to stay sober. I have seen many who have been sober for years have a slip or lapse. Not the end of the world, unless they cannot get 'back in the saddle' so-to-speak.

The idea of the addiction being a (primary) disease is a concept that I think people can understand and in that I believe it is effective. I definitely agree, addiction is a disease of the brain; it alters chemical and structural functions and affects the memory of drug use and things associated with it. That is one of the reasons we teach the addict to change 'persons, places and things' in order to maintain sobriety and recovery.

Addiction usually begins as casual use but in those predisposed (for a variety of reasons) may go on to addiction. What one poster said about the inability to describe the feeling of the heroin rush is true from what many describe and a reason to keep using. "Chasing the dragon" is what we often say, meaning looking for that first rush, which I am told just is never the same, but I don't know from experience.

So, curable or not, once the one who is addicted tastes a healthy recovery, they usually understand what it takes for them to stay clean. Especially, if they relapse. Experience can be an excellent teacher but it does not mean it won't happen again. It is a complex issue that again requires vigilance and maintenance to stay in recovery.

You can't pull yourself out of quicksand by tugging on your own hair. Hence the need for a higher power. For many, that is God. For others it is friendship or children or accomplishing a long-range goal that is incompatible with alcohol or drugs. Don't waste time getting angry over groups whose members want to focus on God. The important thing is to find what works for you and do it. And keep doing it. And keep doing it.

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