Can Addiction be "Cured"

Nurses General Nursing

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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

There might also be 'LEVELS' of addiction.

I killed alcohol and another drug off pretty easily. They were full blown addictions. I was exhibiting all the behavior, etc., suffered the physical withdrawal. The psych issues were minimal though other than random tastes, smell. I even drink now occasionally (3 or 4 times a year) with no relapse.

Food has been a long, slow process but it's about dead.

Smoking though... Ugh

Cigarettes have been an ABSOLUTE PITA.

When I fight the smokes they fight back. Hard... The physical withdrawal is cake but the psych problems are tough. Mood swings, extreme anger, thinking of smokes all day, dreaming of cigarettes, smelling and tasting constantly.

So, maybe the psychological part of the addiction you had was not that strong???

Of course, there is a BIG difference between physical and psychological addiction.

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

I agree Stanley. There are different levels of addiction and different factors affecting each individual.

But Lortab didn't just pop itself into your mouth one day. You made the decision to put it there. You can't blame inanimate objects for what happened; that's just a cop out. I'm glad you came back to clarify that you are taking responsibility and not just blaming the drugs.

"Does that mean I can't drink at parties and dinner with friends because I might relapse and start using?"

The fact that you are disappointed that you can't drink speaks for itself. While you may feel "cured", I think there's something else that might be going on with you (perhaps not related to the addiction at all; maybe problems at home or with your past.) Like others suggested, I think you should find a therapist and see them regularly. It's amazing how much they can help!

Congratulations on your sobriety! That's an excellent achievement, and not an easy one by any means. The fact that you have no desire to use is very interesting to me because it doesn't seem like there has been an explanation for that. If an addict is "always" an addict, then why don't you want to use? Don't most addicts always kind of have that feeling? Are you still an addict, even though you're not using? I'll admit that I don't know much about this topic though, so I could be way off.

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

Like I said before, I had and still have issues that I need to work through. But to answer your question, yes, I was a very happy woman all things considered. I am sure I can identify several events that could be considered antagonists. Those events combined with unresolved issues with the sexual abuse may very well have put me just at the edge. Had I not had surgery, I had already set up appointments with both a psychiatrist and a family therapist. My therapist just recently moved and I have been looking for the right person who can help me with these issues. Someone who will call me on my BS and not just nod and say "HHHMMMM" or "that must have been difficult". So, keeping my life organized and working on coping skills has been beneficial for everyone around me, especially my family. Thanks to all who have offered advice.

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

I do think there can be triggers, such as the fact that you were exposed to opioids after your surgery. You were pre-disposed because of your past issues.

I do not believe in the "once an addict, always an addict" mantra, mostly because it flies in the face of my belief in the power of God to heal and change a person. Plus, it seems to provide justification to addicts who just want to keep using. After all, they are being told over and over that they will always be addicts! What kind of hope is that???

That said, there definitely seems to be a predisposition for addiction in some people, and the allure of whatever comforts them is something that has to constantly be kept in check.

Also, life is an ongoing sorting process of the crap that has been thrust upon us, the bad choices we have made, life lessons..... and learning what it means to love and be loved. Longhorn, I congratulate you in your sobriety and may your quest to "sort it all out" be accompanied with joy. Life is too short not to have joy on the journey!

Specializes in Psychiatry (PMHNP), Family (FNP).

I was surprised no one here I read mentioned "the alcoholism and addiction cure" by C. Prentiss, whose book is frequently touted on CNN. I am NOT affiliated with the book or anything related, however, when I read the book I found myself agreeing with the premise, that addiction CAN be cured. A very refreshing paradigm...I have been in nursing a loonnngg time and 12 step is the gold standard. Its great to have new ideas - I now think addiction can be cured - and I have seen it happen!!

Specializes in trauma, ortho, burns, plastic surgery.

Longhorn, I am very sad reading all these postings.

An addicted could be cured as soon as any structural or functional changes was happend with him/her. In the moment when your mind/body developed changes and not works in a reagular way, these changes are ireversibles, and on that moment, an addiction could not be cured ever. Is not scarry the addiction by it self, the scarriest facts are the IREVERSIBLE behaviors, functional and structural changes in fact, that it could develope.

If you are out from 2 years, it's great, stay out and find a good support group and a good therapist, change your mind change your life!

No drugs, means, NO FOR ANY DRUGS!

A lot of support for you and promise me that you will smart your self and others in a good way.. STAYING OUT from all drugs!

Specializes in LTC, assisted living, med-surg, psych.

No, I do not believe addiction can be cured. It can only be managed.

I've been sober for over 17 years, and I still crave alcohol from time to time. The fact that I have consistently said "NO" to the cravings for the better part of two decades does not make me cured, and I know in my heart of hearts that the day I start thinking I am is the day I will pick up that first drink and succumb to my disease.

That is my worst fear. And that is what keeps me in line, along with the support of my loved ones and my Higher Power. I'm not really interested in finding out whether or not I can be "cured" of my dependency.......not when I've rebuilt my entire life out of sobriety. But, that's just me. :D

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

I'm really enjoying this discussion, lots of thoughtful input here.

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

The prevailing idea in addiction is that addiction is a chronic disease of the brain. It is like other illnesses, usually, chronic, needs ongoing control and lapse/relapse occurs frequently and considered part of the disease.

The issue is not so simple and you may be sober since 2006 but are you in recovery? Sobriety is not necessarily recovery. Why I mention that is in a good recovery program a chemically dependent person comes to understand that relapse is part of the problem and can occur for a variety of reasons, generally with signs that a person is heading to relapse. Denial is frequently a big barrier and in my experience working in addiction as DON in large treatment facility when a client begins thinking they are cured that's when they start setting themselves up for relapse.

The issue of the brain is important. Drugs and alcohol damage the brain. Imaging studies reveal changes in both structure and function. The areas involved is the limbic system, including the frontal cortex, nucleus accumbens and ventral tegmental area. Dopamine is the chief neurotransmitter involved in the euphoria caused by drugs. Dopamine surges affecting the above mentioned neural circuits occurs with drug use. As dopamine is responsible for the feeling of pleasure, as it gets depleted and receptors get use to surges in it, more drug is required to get the same affect, hence, the increasing tolerance found leading to addiction.

Also, operant conditioning occurs and cues (persons, places and things) can cause power cravings that if not recognized and if not aware of how to deal with these cravings, relapse is usually the fall-out. The limbic system is involved in memory and memories of drug use, the rush, etc,. are powerful and part of the cue-triggers.

Addicition is a biopsychosocial and spiritual problem. To have gone from PO pain meds for a tonsillectomy to diverting and mainlining is a serious issue. What you mentioned about your husbands response then stating your marriage is fine, might be, but if I was working with you I would explore family dynamics in more detail.

Finally, you ask if it is possible to get over the physical addiction. The issue is that opiate addiction is psychological and physical. The physical aspect passes with detox, but may persist in ome ways in the form of post acute withdrawal syndrome (PAWS). But, the psychological aspects and what is going in the brain, including cues is of concern.

My suggestion is that you follow up in a good center and be assessed. Do you need psychotherapy? Are there issues in your life that may cause you to relapse in the future. And what about your nursing license, do you have to follow up with urines or is that done? Regarding 12 steps for rest of your life; I don't know. Many who swear by it will say yes. At the least the fact you posted this problem and are looking for guidance, to me reveals that you need help to understand your problem. if you have been clean since 2006 and are just now posting then it seems issues or at least the fear of relapse still exists. Don't wait for it to happen again because statistically the chances are very good that it will and you have a lot to lose if you repeat the same scenario.

NIDA is a good place to start for information for both the layperson and professionals.

http://www.nida.nih.gov/NIDAHome.html

if you have been clean since 2006 and are just now posting then it seems issues or at least the fear of relapse still exists.

wonderful, informative post, saidfudin.

viva, you too...really enjoyed your insight.

i read longhorn's posts and noticed she's been discussing this very problem, for the past year in different forums.

it 'appears' that it is indeed a struggle.

and it concerns me that she admonishes being labeled as an addict.

i do think that if/when she ever accepts her addiction as a condition that requires lifelong vigilance/mgmt, i.e., that it really cannot be cured, then she will do everything humanly possible to ensure she stays clean.

as it stands now, she takes responsibility but only to a certain degree.

doctors are also to blame as well.

while i do believe they can be contributing factors, the sole responsibility belongs to the addicts.

i do pray she continues with sobriety.

more important, i pray for her peace.

leslie

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