Can Addiction be "Cured"

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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

Specializes in Rehab, Infection, LTC.
Southern, I like your straight forward, balls to the wall advice. (err hope I don't get in trouble for saying that)

Sometimes it is what a person needs to hear, no matter how hard it might be to listen to. Early on in my recovery someone had a similar conversation with me. It helped. A lot. I just hope she hears us.

sometimes i cant help myself. i think thats why i suck at being a sponsor, lol. i want to just shake people and say "if you listen to me i can help you!" like anyone lissns to that, lol.

i had a counselor in treatment that was loud, obnoxious and so blunt. he told me one day in treatment "if you will do what i tell you, you will get sober". then he asked me "if i told you to go sit in a corner and stack greasy bee bees all day, would you do it?". i said "you cant stack greasy beebees!!" he said "yeah i know...but you'd be sober while you tried wouldnt you?"

something about that little lesson really stuck with me. thats when i jumped into my treatment with both feet after that day. i did anything and everything they told me to do. after all, they DID promise me sobriety and recovery if i did what they said, right? so i did it.

and darned if i am not still doing it and am about to have my 5th birthday:yeah:

Specializes in ICU.
Depends on your point of view Mag...I know of at least 2 people who would disagree...Stan and my ex-wife.

hehe :)

OKay, anyway,,,,,,, I will say that different ways of recovering for different kinds of people. Some people choose aa/na,, some people choose counseling or other support groups. Some people get support from their family and some people supplement their support online.

Me, I chose a little bit of it all.

Then, of course, some people choose not to get support at all. And just pretend that they are cured,, eventually forgetting that they ever had an addiction. What happens then? DO they live happily ever after? Like Shrek and Princess Fiona??

Then, of course, some people choose not to get support at all. And just pretend that they are cured,, eventually forgetting that they ever had an addiction. What happens then? DO they live happily ever after? Like Shrek and Princess Fiona??

No one thinks they do. Well maybe the OP does. I don't for sure.

I only contend that some people have chosen their own path to recovery and maintained their sobriety. Not that they don't have to work on it.

ETA:

And I maintain that there is a distinct difference between an abuser and an addict and only that person really knows which they are.

Specializes in Rehab, Infection, LTC.
Yea, I guess I was being unclear.

I wasn't trying to say Ray Charles was 'cured' but that he DID beat the disease.

Addiction is a mental illness of sorts and the usual 'join a program' DOESN'T work for everyone. But yes, I can agree that the addiction disease and process itself never leaves.

Many times the addiction is just replaced.

ETA:

At no point was I trying to say the addiction is gone...

Maybe we aren't on the same page???

i guess where we dont agree is where you say Ray "beat" the disease.

you don't beat addiction. the minute you think you have beat it, the minute you get that cocky with your sobriety, thats when it will rear it's ugly head.

i know for me, i will never be cured. and i'm ok with that. i'm an addict. its a part of me. not good, not bad....just a part of me. it has helped shape me into who and what i am today and i'm happy with myself for the first time in my life. i have no problem saying i'm an addict.

i read where you said you beat addiction, or something to that effect. yet you still drink a few times a year. to me, that is a relapse. obviously to you it isnt. thats where we differ i suppose.

but i know i cant have tht one drink. but i look at it like a diabetic. they cant have sugar. me? i cant have mind altering substances. if i do, i crash....just like a noncompliant diabetic.

Specializes in Rehab, Infection, LTC.
No one thinks they do. Well maybe the OP does. I don't for sure.

I only contend that some people have chosen their own path to recovery and maintained their sobriety. Not that they don't have to work on it.

ETA:

And I maintain that there is a distinct difference between an abuser and an addict and only that person really knows which they are.

now here we agree on something!

i also believe there are many roads to walk in order to be sober and live in recovery. like that old saying theres a thousand ways to skin a cat. some people like meetings, some do better one on one with a therapist, some people go to church..all kinds of stuff.

i guess i can kinda see a difference in an abuser and an addict. i have had many friends that can abuse alcohol and get drunk off their butt for that one night and then go on with no problem. thats abuse to me. and then theres me, that cant do that...thats an addict to me.

but where the OP is concerned.....i call addiction all night long!

Unnecessary post. See next one. ;)

Sorry, I meandered all over...

MY point is that I abused alcohol but was never addicted. Not psychologically or physically. I was addicted to the crack cocaine physically but the psychological addiction wasn't fully entrenched and quitting it didn't result in me losing anything.

Food and cigarettes own my soul. And really cigarettes are my drug. I've gone without food to have smokes.

I've quit 20+ times. I exhibit all the typical junkie behavior when it comes to cigarettes...

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

Just found this survey on my AANP Smartbrief and provides a good point about treatment of smokers. It can be carried over to other forms of addiction as well.

"Many Smokers Don't Tell Docs About Their Habit."

"But doctors need to treat smokers with respect, said Dr. Norman H. Edelman, chief medical officer of the American Lung Association. "Everybody who smokes was addicted as a teen or preteen," he said. "They don't deserve to be treated with scorn or as if they've inflicted this disease on themselves."

Specializes in ICU.
now here we agree on something!

i also believe there are many roads to walk in order to be sober and live in recovery. like that old saying theres a thousand ways to skin a cat. some people like meetings, some do better one on one with a therapist, some people go to church..all kinds of stuff.

i guess i can kinda see a difference in an abuser and an addict. i have had many friends that can abuse alcohol and get drunk off their butt for that one night and then go on with no problem. thats abuse to me. and then theres me, that cant do that...thats an addict to me.

but where the OP is concerned.....i call addiction all night long!

I agree,,, totally.

Specializes in Med-Surg.
No one thinks they do. Well maybe the OP does. I don't for sure.

I only contend that some people have chosen their own path to recovery and maintained their sobriety. Not that they don't have to work on it.

ETA:

And I maintain that there is a distinct difference between an abuser and an addict and only that person really knows which they are.

I completely agree with you and the others that are many ways to becoming clean and sober. One size doesn't fit all. This is a big issue in nurse recovery programs because sometimes they force NA and AA on them.

One can't make blanket statements. Such as you're statement that that addict and abuser really knows which they are. Some if not most addicts are entrenched in denial and you ask them they are unable to be honest with you or themselves and admit they are an addict. They might admit they have a problem, and are an "abuser", but it's something they have a handle on. This is why people lose their jobs and families, the denial is so entrenched. Then again there are those that start taking drugs, see they have an addiction, quit cold turkey and live happily ever after.

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

I just got a PM saying that "they never met an addict who wanted to go back"

Here is my reply.

Clarify, they may not want to go back to the consequences, but they want to go back to the "feeling" or there would be no talk about "triggers" and the whole relapse prevention mantra. I am not saying I did not have a major problem, I am just saying, I quit because I got caught. No rehab, no withdrawals, no step work, the consequences far outweighed the "benefits". I have already been through therapy and have done some major "work" and have found the "ROOT CAUSE" for my switch from pills to IV drugs. I had to be perfect. I was always the good kid, the peace-maker and I said and did anything I had to do to make everyone happy. I felt smarter, efficient, patient with my kids and my husband, less and less like the mother I feared I would become (my mom was abusive/physical/mental) and I was performing so well in my RN courses/clinicals that the instructor had me teaching the other students. I was getting so much + feedback while I was using, I had no desire to quit. I knew it was wrong to take the meds, but don't we all have some moment where we knowingly do the wrong thing? Something we are really ashamed to admit. I had no impulse control before I started on the lortab. I had done some horrible, awful, shameful, unforgivable things, things I have only admitted to my therapist. When I was taking lortab, I was in control of my anger. But, now I have developed better coping skills and I have come to accept that I don't need meds to be patient, I just need to put in the effort. With the pills, it was effortless, they did the work for me. So, anyway. I have no cravings, no AA, no steps, just my guilt, my GOD and my desire to change.

Why can't this be enough?:banghead:

Specializes in Acute Care Cardiac, Education, Prof Practice.

Could you please clarify the time-line of your "troubles". I am unclear as to how you were "performing so well in my RN courses/clinicals" while at the same time able to access IV narcotics in an ICU setting. I suppose maybe LVN's in your area were able to do so? Or was this the time when you were taking the Lortab, and then subsequently began diverting as a new RN to the ICU?

Just a little confused,

Tait

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