Category: Narcotics Anonymous

Just for Today in Narcotics Anonymous (NA)

Narcotics Anonymous (NA) is a global, community-based organization that offers a 12-step recovery program for individuals struggling with substance abuse. At the heart of NA’s philosophy lies the principle of “Just for Today” – a simple yet powerful approach that encourages members to focus on the present moment, rather than dwelling on the past or worrying about the future. This guiding principle, also referred to as JFT for short, serves as a beacon of hope, empowering individuals to take their recovery one day at a time and find the strength and resilience to overcome the challenges of addiction.

What is Narcotics Anonymous’ Just For Today?

Just For Today is a daily meditation book first introduced to Narcotics Anonymous in 1992. It includes a short reading passage accompanied by a brief actionable item (“Just For Today I…” for each day of the year. Since its creation, JFT has become a cornerstone resource that serves as a guiding light for individuals in NA offering a wealth of wisdom, inspiration, and practical guidance. 

The philosophy behind the reading emphasizes the importance of self-care, personal growth, and connection with others. Through the daily meditations and the guidance of the NA community, you will learn to prioritize your physical, emotional, and spiritual well-being, cultivate healthy coping mechanisms, and forge meaningful relationships with individuals who are also on the path to recovery.

Where to find it

The book is available in different formats by different publishers, many of which can be ordered online. However, you can also find the entirety of Just For Today in PDF form, which can be accessed or downloaded for free. 

How to incorporate Just For Today into your recovery

Each entry in the Just For Today daily meditation book is designed to provide a moment of reflection, a source of encouragement, and a reminder of the principles that underpin the NA program. 

The book covers a wide range of topics that are essential to the recovery process from exploring the importance of self-care and mindfulness to delving into the significance of community and personal growth. The concise format makes it an accessible tool that can be used in a variety of settings from personal reflection to group discussions and meetings.

Here are a few tips for getting the most out of this resource: 

  1. Begin your day with a reading

A helpful way to think about the “Just for Today” philosophy in Narcotics Anonymous is like a daily mantra. Each passage has a different focus, giving you something specific to reflect on and actively work towards. Starting your day this way sets a positive tone and provides maximum time to put the day’s reading into practice. You don’t have to match the current date with the date of the reading, but it’s the easiest way to keep yourself organized and remember your place. 

  1. Stay mindful of the message throughout the day.

Continue to refer back to the day’s meditation (perhaps reread it too) to reaffirm your day’s intention and make sure that your thoughts and actions are in alignment. To do this, you might want to set reminders on your phone to pause and reflect, keep a gratitude journal to document the small blessings throughout your day, or actively resend yourself through exercise and meditation.

One key reason why JFT is so effective and widely loved is that it breaks down the recovery process into manageable, day-to-day steps. By training yourself to stay cognizant of your daily intention, it’s easier to build momentum to achieve small victories, and gradually reclaim your sense of control and agency. 

  1. Reflect on the day

At the core of the Just For Today concept is the idea of taking things one day at a time. This simple yet powerful approach encourages you to focus on the immediate tasks and challenges at hand, rather than becoming overwhelmed by the past or anxious about the future. Put this into practice by taking a moment at the end of every day to think about how your actions and thoughts of the day aligned with the day’s reading. 

There’s no right or wrong way to use the short passages from Just For Today readings. This booklet is used in Narcotics Anonymous chapters around the world, each incorporating it as best serves them. The same can be applied to reading JFT as an individual. Some people treat Just For Today as prayer while others consider it an act of daily meditation. 

Just For Today can be a valuable tool in your journey towards sobriety and personal growth. To learn more about the JFT philosophy and how it can support your recovery journey, visit a Narcotics Anonymous group near you today. 

Embracing Sobriety: One Day at a Time with AA

Focusing your energy and attention on the present is essential to recovery. Instead of worrying about the possibility of a relapse or mulling over past mistakes, concentrate on the next 24 hours and what you can do to recover within that time. It sounds simple, but it has helped many people embrace their sobriety. Let’s explore the infamous “one day at a time” mindset and how it can help you stay on track with your recovery goals.

What is “One Day at a Time”?

Alcoholics Anonymous (AA) offers different mantras and affirmations to remind you that you’re making progress every day, little by little.

“One day at a time” is one of those mantras. While not unique to the 12-Step Program, it aims to make the long process of maintaining sobriety achievable when it can feel impossible.

Many people recovering from alcoholism find it impossible to picture a life without addiction or drinking, especially in the beginning. This saying is a reminder to stay in the present, leave the past behind, and not obsess over the future.

“One day at a time” helps by giving them a task they can achieve right now: avoid drinking for the next 24 hours. Don’t think about tomorrow. It doesn’t matter if you drank yesterday. What you should be focusing on is the here and now.

The Benefits of Living “One Day at a Time” in Recovery

Studies have shown that alcoholism significantly changes the way the brain works. Managing cravings is not a matter of willpower or a moral flaw when your brain has rearranged itself around addiction. But you can reverse this rearrangement by following the 24-Hour Rule. 

Promotes Self-Awareness in Recovery

When you only think about the end goal of “someday I’ll be fully sober,” you’re not really experiencing your recovery journey. For many, it’s not as cut and dry as quitting cold turkey and going on with their lives as if nothing happened.

Instead, it’s a lifelong process. 

By focusing only on the future, you fail to see the progress you make every day. The 24-hour Rule makes you think about everything you’ve accomplished in just one day – big or small, it all adds up.

Encourages Mindfulness Throughout Recovery

The “one day at a time” approach helps you stay in the moment and connect with yourself, which can be especially useful during stressful situations or when you are overwhelmed by complex emotions. In those cases, coming “back to earth” can turn your day around for the better.

You can control feelings of anxiety by focusing on physical sensations. If you find yourself overwhelmed by everything that needs to be done at home or have a backlog of unfinished tasks at work, try to tune in to your senses first. List things you can see, feel, hear, smell, or taste. Even out loud if you think it will help.

Don’t spend your time and energy catastrophizing. Instead, try to calm down first and then return to your tasks.

Makes Recovery Seem More Manageable

How do you ensure you’ll stay sober for the rest of your life? Can you be sure that you will never relapse? That you will never have a bad day and fall back on old habits? 

It can be daunting to think of recovery like this, but you can make the process more manageable by focusing on what you can do right now. One day at a time means you can learn to focus on managing the small aspects of life instead of constantly worrying about the future and what you can’t control. 

“One day at a time” asks you to take your recovery day by day instead of planning out the rest of your life. There’s a place for long-term plans, but executing them requires a “day-by-day” approach.

How to Practice Living One Day At a Time?

Living one day at a time is easier than you think. Here are some strategies to help you get started:

  • Repeat Mantras: You’ll hear a few common phrases in group meetings and recovery circles. Mantras and slogans that help you keep the core beliefs of the 12-Step Program in mind when you need them. Feel free to pick and memorize your favorites or write them down somewhere you’ll see them daily, like a whiteboard, journal, or bathroom mirror.
  • Use Affirmations: Telling yourself you are strong in your weakest moments might initially feel insincere, but this isn’t about lying to yourself. Affirmations are promises you make to yourself, reminders of your worth and progress. Remember, affirmations aren’t goals. It’s not “I will be strong” but “I AM strong!” Being kind to yourself in this way while trying to do your best goes a long way.
  • Reflect/Journal: Living in the now doesn’t mean you never spare a thought for the past or future. Planning is still important, and looking back on your efforts toward sobriety lets you see just how far you’ve come, no matter where you are in your journey. Try to make time to meditate or simply sit in silence and check in with yourself occasionally. Journaling is also a powerful, fulfilling tool.

Living One Day at a Time Benefits Your Recovery

Addiction is a complex condition with many factors. It’s not shameful to recognize how powerful and easily it gets overwhelming. Thinking about perceived past failures or future challenges can be paralyzing, which is why taking things “one day at a time” helps you focus on what you can do now rather than overthink what was or could be.

Try to take your recovery 24 hours at a time, and you will eventually notice how being in the moment helps you be more mindful and appreciate the small daily victories.

3 Alternatives to Buprenorphine (Suboxone)

Although buprenorphine-based medications, Suboxone and Subutex, are widely used as part of opioid addiction treatment (and are considered to be safe and effective), there are plenty of good reasons why someone would be interested in buprenorphine alternatives. Here are 3 other options that can be used instead.

Naltrexone

Naltrexone is the generic name for another FDA-approved medication used for the treatment of opioid addiction (Vivitrol is the brand name version). Unlike buprenorphine, Naltrexone is not an opioid. It’s an opioid antagonist like naloxone, the deterrent component in Suboxone, which blocks the effects of opioids.

Since it can’t occupy and activate opioid receptors in the brain, there’s no risk of naltrexone causing a high. That can be a double-edged sword since it also means that naltrexone can’t provide relief for opioid withdrawal symptoms. This medication is purely for disincentivizing relapse and is best suited for someone with less severe opioid addiction and who’s at a lower risk of relapse.

Methadone

Methadone is the predecessor to medications like Suboxone and Subutex, and was one of the first medications approved to treat opioid addiction. It’s a full opioid agonist (compared to buprenorphine’s partial opioid status) that’s powerful and long-lasting. This makes it highly effective for providing relief from opioid withdrawal symptoms but also gives it significantly higher misuse potential. 

One benefit of methadone over a buprenorphine-based medication is that it does not require the patient to already be in a state of withdrawal, and it can be used at any time. Methadone can only be acquired through federally certified opioid treatment programs (OTPs). 

Suboxone Alternatives

If you’re okay with using buprenorphine but instead looking for an alternative to Suboxone in particular, you’re in luck. Zubsolv is the brand name of another buprenorphine/naloxone combination. The primary difference is the form of the medicine: Suboxone is a film that’s dissolved under the tongue whereas Zubsolv is a tablet.

One benefit of this Suboxone alternative is for patients who require higher doses. Zubsolv is more bioavailable (more of the medicine is absorbed and used in the body), so it requires less of this medication to have the same effects as a larger dose of Suboxone.    

Reasons Why You Might Want Buprenorphine Alternatives

Not all people will respond to medications the same way. Differences in physiological or mental health, diet, lifestyle, and a whole range of other factors will affect how a drug works in the body. Then there are differences in treatment preferences to consider, which can also vary based on individual circumstances and medical needs. 

Side Effects

Some of the most common side effects of buprenorphine-based medications like Suboxone include tiredness, nausea, constipation, headache, and dizziness (but these occur in less than 10% of patients). Symptoms may be more severe in some individuals than others, especially if they have an opioid sensitivity, which could merit finding a different medication. 

Allergies

It’s not common, but some people may be allergic to buprenorphine (or in the case of Suboxone, to the compound naloxone). Symptoms can include a rash, hives, and pruritus. Typically, a person allergic to buprenorphine is allergic to all opioids — so if you’ve never had a reaction before, you’re likely not at risk. Some of the more serious, but highly rare, symptoms can be trouble breathing (anaphylactic shock), low blood pressure, or loss of consciousness. 

Concerns for risk of abuse

Though buprenorphine-based drugs are considered to be “safe”, it’s technically still an opioid and therefore has the potential to be abused, and in some cases, to even result in addiction. 

Preferences in medication administration

Suboxone and other buprenorphine medications are typically taken sublingually as a thin film that’s dissolved under the tongue, or in tablets. However, different formulations such as long-acting injectable buprenorphine, oral tablets, or transdermal patches, may be a better fit based on a person’s medical history, lifestyle, or personal beliefs. 

Co-occurring disorders

A person with a co-occurring disorder may be on one or multiple prescriptions and could potentially have adverse reactions when taken with buprenorphine medications. Some of the most common drugs known to have interactions with drugs like Suboxone include: 

  • Alcohol
  • Antifungal medications, antibiotics, or antiretroviral drugs that affect the liver
  • Antidepressants (particularly monoamine oxidase inhibitors)
  • Antipsychotics
  • Barbiturates or other sedatives
  • Benzodiazepines
  • Erythromycin
  • Hormonal contraceptives
  • Phenobarbital
  • Rifampin
  • HIV protease inhibitors

Plus, some medications may simply be better suited to managing both the addiction and the other medical needs simultaneously.

Ease of access

At the end of the day, what good is a medication that you can’t get your hands on? Accessibility is a major factor in the viability of using some medications over others. For instance, Suboxone is only available through specially licensed medical professionals, many of which are limited to specific clinics. 

However, accessibility doesn’t just refer to the ability to physically get the medication but also cost. In some cases, certain medications might be more affordable or more readily available. A treatment option that’s always free and readily available is support groups like Narcotics Anonymous. Find an NA meeting near you today. 

Source: https://www.ncbi.nlm.nih.gov/books/NBK541393/ 

The Crucial Role of Step Work in Addiction Recovery

Recovery is a journey; for many, step work is integral to this process. Research suggests that step work, in conjunction with therapy, might not only lead to increased rates of addiction recovery but also sustained sobriety. Let’s explore the crucial role of step work in addiction recovery. 

Understanding Step Work

Step work is primarily rooted in the traditions of Alcoholics Anonymous (AA). Founded in 1935, AA is perhaps the most well-known step work program. It emphasizes the importance of admitting powerlessness over alcohol and seeking a higher power for guidance. 

Narcotics Anonymous (NA) and Al-Anon, a program designed for families and friends of addicts, have very similar step programs. 

This structured approach to recovery involves a series of actions and self-reflections designed to help individuals confront their addiction and build the foundation for sober living. Each step builds on the previous one, focusing on self-awareness, acceptance, and growth. 

The Importance of Step Work in Recovery

The philosophy behind the 12-Steps addresses not just the physical aspect of addiction but also the emotional, mental, and spiritual aspects. 

  • Personal Transformation: Step work is not just about abstaining from substances; it’s about personal growth. Individuals undergo a profound transformation by confronting past mistakes, making amends, and setting new intentions.
  • Building a Support System: Recovery can be a lonely journey, but step work emphasizes the importance of community. Through group meetings and shared experiences, individuals build a support network crucial for long-term sobriety.
  • Accountability and Responsibility: Step work teaches individuals to take responsibility for their actions. This sense of accountability is a powerful motivator for staying sober and making positive life choices.

Challenges and Criticism

While many have found solace and support in step work, it’s not without its critics. Some argue that the emphasis on a higher power can be alienating for non-religious individuals. Others feel that the structure can be too rigid. Here are some obstacles during the process of healing-by-step work:

  • Resistance to Change: It’s hard enough when the individual has to accept that they are an addict. By doing this, they face everything in their life that they have to change. Also, facing a new sober life may give them a sense of uncertainty by not knowing what lies ahead in their recovery journey. This fear can create resistance to change.
  • Fear of Overwhelming Emotions: Since the steps require a lot of self-analysis and trips to the past, it’s common to be afraid to remember stressful situations. For many, this can turn into a trigger challenging to manage, leading them straight into the road of relapse without proper guidance.
  • Lack of Professional Support: While the steps are an excellent option to start addiction recovery, it’s not the best route for everyone. People with dual diagnosis (struggling with addiction and mental illness) might not receive the assistance and help they need in such a program. It also doesn’t involve professional therapy since group talks are not led by trained therapists but by other members.

However, it’s essential to remember that recovery is a personal journey, and what works for one person might not work for another. Finding a path that resonates with you and supports your unique needs is crucial.

Tips for Working the 12 Steps

Step work is an excellent way to kickstart your journey to sustained sobriety and long-lasting recovery. Here are some tips to help you work through the steps:

  • Keep an Open Mind: Approach the steps with curiosity and openness. Remember, it’s a personal journey, and everyone’s experience will differ.
  • Find a Sponsor: A sponsor has worked the steps and can guide you. They offer support, wisdom, and a listening ear.
  • Attend Regular Meetings: Regular meetings provide a sense of routine and a supportive community.
  • Journal Your Journey: Journaling can be a therapeutic way to process emotions and track progress.
  • Focus On One Step At a Time: Recovery is not a race. Take time with each step and ensure you fully understand and internalize its lessons.
  • Stay Connected: Lean on your support system, whether it’s family, friends, or your group. They’re there to help you through the tough times.
  • Find Service Work: The last of the 12 steps is about carrying the message to others that need it. Consider volunteering at meetings, helping newcomers, or contributing in different ways.  

Find Recovery offers a comprehensive list of AA meetings for those interested in starting their step work journey or seeking additional support. Remember, recovery is a personal process, and finding the path that best supports your unique needs and challenges is essential.

The Serenity Prayer: Do You Know the Long Version?

When most people think of the Serenity Prayer, they often recall the powerful opening lines: “God, grant me the serenity to accept things I can not change, the courage to change the things I can, and the wisdom to know the difference.” These lines have provided strength, comfort, and guidance to those in recovery for decades. 

“God, grant me the serenity to accept the things I cannot change” is a plea for inner peace. It’s about acknowledging that aspects of life are beyond our control. “The courage to change the things I can” is a request for strength and bravery. It’s about recognizing we can make changes when necessary and that we know these changes might be difficult, so we ask for courage and wisdom. Finally, “the wisdom to know the difference” is perhaps the most vital part of this prayer. It’s about understanding our limitations and recognizing our potential. 

But have you ever wondered if there’s more to this prayer than meets the eye? Did you know a more extended version dives deeper into acceptance, courage, and wisdom? Let’s delve into this often-overlooked part of the Serenity Prayer and see how to use it.

The Complete Serenity Prayer  

The longer version of the Serenity Prayer, attributed to theologian Reinold Niebuhr, says:

“God, grant me the serenity to accept the things I can not change,

The courage to change the things I can,

And the wisdom to know the difference.

Living one day at a time, enjoying one moment at a time,

Accepting hardship as a pathway to peace,

Taking, as Jesus did, this sinful world as it is, not as I would have it,

Trusting that You will make all things right if I surrender to Your will,

So that I may be reasonably happy in this life,

And supremely happy with You forever in the next. Amen”

Understanding the Extended Verses: Acceptance, Trust, and Happiness

As we dissect the extended version, we can see it dives further into principles crucial in addiction recovery and life itself. 

“Living one day at a time, enjoying one moment at a time.” This echoes the well-known recovery principle of ‘one day at a time.’ it encourages us to focus on mindfulness and presence and embrace the present moment, regardless of what it holds. 

“Accepting hardship as a pathway to peace.” This speaks to the transformative power of acceptance. Both in addiction and recovery. It’s a call to recognize and embrace adversity, not as a block but as a stepping stone to inner peace and sobriety.

“Taking, as Jesus did, this sinful world as it is, not as I would have it.” This powerful sentence reminds us that the world may not always align with our desires and expectations, which is okay. It’s a reminder that acceptance and letting go of control is important for our inner peace. Like other critical values in addiction recovery, it’s a call to surrender to a higher power. 

“Trusting that You will make things right if I surrender to Your will.” Again, an emphasis on faith. Understanding that we’re not alone in our struggles and that trusting a higher power can help restore order and provide solace. 

“So that I may be reasonably happy in this life and supremely happy with You forever in the next.” At last, the prayer ends on a note of hope. It’s an assurance that while we may not achieve complete happiness in this life, a reasonable measure of happiness is possible, and supreme happiness awaits us in the future. 

A Richer Understanding of This Prayer

When you look at the full context of the Serenity Prayer, you realize it’s much more than just three lines. When we understand its full meaning, we can use it to draw a richer level of comfort and guidance. Whether recovering or navigating life’s ups and downs, this prayer offers a strong mantra for resilience, surrender, and inner peace. 

So, next time you find yourself whispering of reading the Serenity Prayer, take a moment to remember its full depth. Let its words sink in, guide you, and give you the strength and acceptance you seek. It is, after all, more than a prayer; it’s a roadmap for life, in its joys and struggles. 

Cocaine and Alcohol Abuse: The Benefits of AA, NA & CA for Quitting

Alcoholics Anonymous (AA), Narcotics Anonymous (NA), and Cocaine Anonymous (CA) are non-professional addiction recovery meeting groups that have been around for decades.

AA is the oldest, founded in the 1930s as a safe space for people recovering from alcohol abuse. In the meetings, people ready to quit drinking gathered to share their experiences in open discussions. Over time, The 12-Step Program created for AA became popular, and other organizations adopted it for other substances, such as cocaine and narcotics.

Attending support group meetings is a huge part of addiction recovery. It’s said that participation in these groups can bring tremendous benefits, including long-lasting recovery. 

1. Offers Ongoing Support And Accountability

Attending support group meetings means being surrounded by a group of people who have gone or are going through similar struggles as us. Feeling heard and understood helps create a sense of community. At the same time, being part of a community helps us feel like we belong, contributing to a sense of safety and security.

In addition to an overall sense of support and community, support groups may help participants develop personal accountability by interacting with others in similar circumstances. 

Seeing how others have dealt with the consequences of their addiction gives attendants context on how to manage life as a recovering addict. It helps them understand how to enforce personal accountability for their actions and the benefits of doing this.

2. Gives Participants Structure And Routine

Structure and routine are fundamental factors of success in addiction recovery. Boredom and a lack of a consistent day-to-day routine can significantly trigger cravings and increase the risk of relapse.

Life during recovery can be chaotic, unbalanced, and unpredictable. One of the best ways to set the foundation for successful recovery is to establish and stick to a daily structure. This is why many rehab programs focus on strict routines. This helps infuse a sense of organization in a life that can be otherwise very disorganized.

Something as seemingly simple as going to bed at the same time every day and meditating daily can create a sense of productivity conducive to recovery. Regularly attending group meetings can be a form of structure, too, or at least become one of the pillars that support an addiction-free future. 

3. Helps Participants Expand Their Coping Skills

Coping skills are the strategies people use to reduce psychological stress. In addiction recovery, developing coping skills provides multiple benefits, including identifying triggers for cravings and learning how to avoid thought patterns associated with drug use.

Group meetings allow members to exchange recovery-oriented coping strategies with each other. More than textbook knowledge, this way, they can learn from each other as they explore the triggers that put them at higher risk of relapsing and the methods they use to alleviate them.

Different events trigger different people. By listening to the experiences of others and how they handle triggers, attendees expand their coping skills.

4. Offers Spiritual And Emotional Support

Social support and healthy relationships are key elements of the recovery process. When you have a strong emotional support system, it can help:

  • Prevent feelings of social isolation that could lead to relapse.
  • Bridge the vulnerable period between stopping substance use and developing coping skills that help people get through life without using substances.
  • Receive encouragement from others who have been down a similar path and who personally understand your struggles. 

Support groups like AA, NA, and CA provide a space where people can express their feelings about recovery and listen to the perspectives of others who are going or already went through that process.

Additionally, the 12 Steps are highly spiritual by nature. The spirituality of their message may help those in recovery to see their process as something larger than themselves as individuals. This may help them find purpose and meaning in their recovery, motivating them to stay on course.

5. Promotes Long-Term Recovery

Hard stats on success rates for support groups are hard to come by, and different sources provide very different numbers. The anonymous nature of these groups makes it difficult to get stats. Still, research shows that a combination of support groups with other forms of treatment can be highly effective.

Some research shows that those who participated in formal medical treatment and support groups were more likely to stay abstinent after one and three years than those who only entered formal treatment and those who only used support groups.

This shows that group meetings can be a legitimate source of recovery when integrated into a larger recovery plan. Increasing the likelihood of staying abstinent reduces the risk of relapse and improves overall well-being.

Another study found that higher levels of attendance to AA are related to higher rates of abstinence and that prior AA attendance is predictive of subsequent abstinence. The support provided by AA and all other groups spawned from its methods is proven to be effective.

AA, NA, & CA Can Be A Legitimate Source Of Recovery

Given these benefits and scientific evidence of the effectiveness of participation in support groups like AA, NA, and CA, it should be clear that integrating them into a recovery program can be a great way to strengthen coping habits and form stronger relationships with those around you.

Cocaine and alcohol are among some of the most socially accepted, yet addictive chemical substance around. They are found in clubs, bars, beyond and are often used together. If you struggle with alcohol and cocaine use, or any substance use, seeking treatment as soon as possible is essential. Once you do, attending support groups can be great for expanding coping skills, enjoying the benefits of social support, and developing productive structures to guide everyday life during recovery. 

Talk to an addiction recovery specialist today about the right treatment program. They can also help you locate support group meetings in your area. 

10 Signs of Opioid Addiction

Opioids can be natural (opium, morphine, codeine, etc.), semi-synthetic (heroin), or fully synthetic (fentanyl, methadone, etc.). These drugs have legitimate medical uses, generally for chronic and post-surgery pain. However, they also have a high potential for abuse and addiction. 

As of 2022, opioid use disorders affect over 16 million people worldwide and close to 3 million in the US alone. Over 120,000 deaths every year are attributed to opioids. Being so widespread, learning to recognize the symptoms of opioid abuse and addiction is essential to help someone struggling with addiction. 

While some signs of opioid addiction are easy to recognize, others can indicate different ailments. Here are the most common symptoms of opioid addiction to watch out for. 

1. Constricted Pupils

“Opiate pupils” are a common sign of opioid abuse. When people use opioids, their pupils shrink, and they no longer change size as a response to different intensities of light exposure (as they usually would).

One of the side effects of abusing opioids is altering how the iris sphincter muscle works, making it permanently contract while the opioid is in effect. Opioid abuse has other potentially severe but little-known effects on vision, such as eye infections that could lead to pain, eye discomfort in bright light (photophobia), and vision loss.

2. Borrowing or “Losing” Medication

People addicted to opioids will likely ask friends or family members for their prescriptions. They won’t necessarily ask for specific drugs, but they’ll go to great lengths to get their hands on some medications. They might also claim that they “lost” their medication and need a refill or will ask someone for multiple pills until their refill is ready. 

3. Doctor and Pharmacy Shopping

To help control opioid addiction, doctors and pharmacies have stringent prescription guidelines to follow. The idea is that if patients no longer have access to prescribed opioids, they will discontinue their use. 

However, people addicted to opioids will engage in “doctor shopping,” a practice that involves going to different doctors to obtain multiple prescriptions. This way, they can continue to maintain a supply of opioids. 

4. Noticeable Changes in Appearance

When someone abuses opioids, they’re more likely to neglect their appearance and personal hygiene. You’ll likely notice unexplained weight loss, less care for their appearance, and poor hygiene, like not bathing or washing their hair. You will also notice puncture wounds, scabs, and sores if they use IV drugs.

5. Changes in Social Circles

Surrounding one’s self with others who use drugs or otherwise enable drug use is one way to justify what would otherwise be a clear poor choice. It is a way to avoid guilt for making bad decisions. aturally, people can and do change and expand social circles. That’s not a cause for alarm on its own. But if a loved one shows signs of opioid abuse and has a sudden change of social circles, that may be an additional cause for concern.

6. Neglecting Responsibilities

When someone is addicted to a drug, their entire life eventually revolves around obtaining and consuming them. This makes establishing or maintaining personal and professional relationships with them hard due to the excessive attention they place on their drug use and recovering from drug use. 

7. Risky Behaviors

Being addicted to any substance impairs judgment and may lead someone to risk their health and the health of others by engaging in risky behavior. This may include unprotected sexual relations and driving under the influence. 

8. Obsession with Obtaining and Using Opioids

Drug addiction is characterized by drug-seeking behaviors, compulsive drug use, and the inability to interrupt use regardless of negative consequences. People addicted to opioids may try to manipulate their loved ones into providing them with opioids, spend large amounts of money on opioids, visit multiple doctors searching for prescription opioids (doctor shopping), and engage in other drug-seeking behaviors.

Bear in mind that they will not hesitate to lie about pain to receive prescriptions for opioids. They will go to lengths to steal from friends and family to continue their opioid supply. 

9. Changes in Mood

Opioid addiction is associated with various behavioral changes, including unexpected and sudden mood changes. This looks like going from extreme joy to anger in short periods due to unpredictable triggers. People abusing opioids may also experience sudden, unprovoked outbursts, mainly when dealing with withdrawal symptoms. 

Other psychosocial symptoms include depression, paranoia, and irritability. 

10. Withdrawal Symptoms

Withdrawal syndrome is an array of symptoms caused by the absence of the drug that the body has become used to receiving. Withdrawal symptoms may appear 12 to 48 hours after the last use and may last 10 to 20 days. Suddenly interrupting opioid use without treatment for withdrawal symptoms can be risky, so going through withdrawals in a medical setting is essential.

The most common opioid withdrawal syndrome symptoms are:

  • Severe anxiety
  • Restlessness and insomnia
  • Goosebumps and shaking
  • Frequent yawning
  • Runny nose and watery eyes
  • Abnormally dilated pupils
  • Aches around the body
  • Profuse sweating
  • Vomiting, nausea, diarrhea, and stomach cramps
  • Fever
  • Rapid breathing and heartbeat
  • High blood pressure
  • Hallucinations
  • Seizures

The Importance of Identifying the Signs of Opioid Addiction

Identifying signs of opioid addiction early and seeking treatment can be a lifesaver for loved ones who would’ve otherwise never sought help by themselves. 

If you notice these signs in a loved one, seek help to schedule a professional intervention. When your loved one is ready, support them in seeking addiction treatment. Recovery is a long and uphill battle, but it’s worth fighting for. Be there for your loved one every step of the way, and seek help and support for yourself. 

4 Reasons Why Opioids Are Addictive

The US is going through what has been deemed an “opioid epidemic,” caused partly by the increased availability of legal and illegal opioids. Another critical factor is that opioids are simply naturally addictive for various reasons. This article will explore the way opioids work and how it makes them ripe for abuse, provide statistics about opioid abuse in the US, and give you four specific reasons why opioids can be highly addictive.

1. Opioids are designed to take advantage of nervous system chemistry

Opioids work by attaching to the natural opioid (Mu) receptors in our brains. Our body creates natural opioids (endogenous opioids), including endorphins and dynorphins. When secreted, these endogenous opioids make us feel pleasure and pain relief.

What exogenous (not produced by our bodies) opioids like morphine do is generate an exaggerated response in our opioid receptors, leading to powerful pain relief effects and euphoria.

While this can be extremely useful in controlled medical settings where experts make informed decisions based on the patient’s needs, it can easily lead to addiction in people who misuse them without supervision. 

2. Opioids can cause dependence very quickly

Dependence and addiction are complex issues caused by factors such as past drug abuse, genetics, and more. Some people may experience intense euphoria when taking opioids, even when used as prescribed by their doctors, while others may not.

Experiencing euphoria from medical opioid use may be a warning sign that someone is vulnerable to opioid addiction. The exact number of days of opioid use necessary to cause dependence varies individually. Still, it may be as early as five days for opioid-naive people.

Taking opioids for longer increases the probability of becoming addicted within one and three years.

3. Opioids relieve intense pain

Some people become addicted to opioids initially prescribed for chronic pain.

Patients may misuse prescription opioids by taking them in ways other than recommended by their doctors, such as taking them at higher frequencies or in larger quantities. They may also take someone else’s prescription opioids or use them to get high rather than for pain relief.

It’s also possible to become addicted to them when taking them as prescribed if they’re vulnerable to opioid or drug addiction.

4. Opioid medications are sometimes overprescribed

A considerable amount of opioid prescriptions are handed to patients in the US every year. In 2015, about 92 million individuals in the US used prescription opioids.

Millions of Americans suffer pain and are often prescribed opioids to treat it. Due to their abuse potential, prescription drugs are often misused, and pain patients may become dependent on them. Sometimes, patients continue to use prescription opioids indefinitely with no intention of stopping or gradually reducing doses.

Despite the increase in opioid prescriptions since the 90s, pain reported by Americans has not decreased. Furthermore, the amount of opioids in morphine milligram equivalents (MME) prescribed per person is around three times higher than in 1999. MME measures how many opioids are available in a given place at a given time.

Opioid Statistics to Understand

Opioid abuse has skyrocketed in the 21st century, and opioids are by far the drugs associated with the most overdose deaths in the US. The following are some statistics related to opioid abuse in the US:

  • Around 3 million persons suffer from opioid addiction in the US.
  • In 2015, almost 92 million persons used prescription opioid medications in the US.
  • More than 106,000 persons died from drug-involved overdoses in 2021 in the US. Approximately 80,000 of those deaths involved opioids.
  • Every year, almost 10 million people misuse opioids in the US. It’s estimated that 3.8% of American adults abuse opioids each year.

Opioid misuse is a severe public health issue in the US and continues to increase yearly. Informing yourself about the risks of opioid abuse is the first to avoid it.

Opioids can be helpful but also risky

Opioids can be beneficial in treating chronic pain under controlled medical settings, but their use is fundamentally risky due to their high potential for abuse and addiction.

If you or some you know misuses opioids, whether prescribed or illegal, seek help. Opioids get a firm hold of your nervous system and are nearly impossible to leave alone. Seek treatment from addiction professionals to have a better chance of recovering and laying the foundation for a sober rest of your life.

What is the Philosophy Behind the 12 Steps of Recovery?

The 12 Steps are designed to help people who struggle with addiction by promoting spiritual and character growth. This will help them better understand themselves and the world around them, providing a framework for a sober, productive life. The 12 Steps were created for Alcoholics Anonymous but have been the direct inspiration of many other addiction recovery frameworks, like Narcotics Anonymous. 

While Steps are not a cure for addiction, they can be essential to recovery. For many people, working through the steps is an ongoing process that helps them stay on track and maintain their sobriety.

What is the Philosophy Behind the 12 Steps of Recovery?

The philosophy behind the twelve-step program is that rather than targeting the immediate problem of dependence on a particular substance, it aims to reshape the individual into a more positive version of themselves. 

The core basis of it has allowed the 12-Steps program to remain an effective tool over the years, despite criticism within the medical field. Its philosophy focuses on strengthening each individual to be better prepared against future temptations and reducing their risk of relapse.

Although the 12 Steps are often attributed to Bill Wilson, the initial steps or principles are said to be influenced by the founders’ experience with The Oxford Group. This Christian organization helped improve members by teaching a formula for spiritual growth. 

The Oxford Group created these steps to help people overcome what they saw as destructive patterns of behavior and live more productive lives through a series of spiritual exercises that centered around confession, restitution, guidance, and fellowship with other members of their group who had also confessed similar issues in their lives.

Even though it’s not technically a religion, many people who practice 12-step recovery feel it can be spiritual at times. For those who struggle with this, the 12-Steps call to tap into a spiritual or Higher Power belief system. Whatever fuels you to do better tomorrow.

The Therapeutic Goals of the 12 Step Program

The 12 step program is a spiritual, not religious, program. In fact, the only requirement for membership is a desire to stop drinking. No fees are associated with this self-help group, and people can attend meetings as often or as infrequently as they like.

The 12 step program isn’t just about recovery from addiction but also about maintaining sobriety in general. 

The steps are meant to help you build healthy relationships with others. At the same time, you work on rebuilding your own life and identity away from alcohol or drugs that may have been part of your problem behaviors before entering treatment programs.

How the 12 Steps Work in Alcoholics Anonymous

The 12 Steps aren’t meant to be followed blindly; each step is intended to be applied and understood individually before moving on to the next one. As you work through each step, you’ll begin recognizing your own attitudes and behaviors while reflecting on how they positively and negatively affect your life. This can help you figure out which changes need to be made for you to stay sober.

The philosophy behind the 12 steps will help you understand why they work so well – and how they can help you achieve lasting sobriety even if you don’t believe in God or any traditional deity (or aren’t sure what you believe).

It’s about recognizing how spirituality influences your journey toward sobriety and can improve it as well by giving purpose, direction, meaning, and hope to your life once again – a life free from alcohol addiction.

The 12 Steps Have Led To Many Successful Recovery Stories

In a world where people are constantly seeking new ways to improve their lives, it is good to know that there is something that has stood the test of time. The 12 Step Program has been around for over 75 years and has helped millions of people recover from addiction. 

You should always focus on the recovery methods that work best for you. 

While the Steps are not a complete solution on their own, they can be an excellent supplement to behavioral therapy and medication-assisted treatment. In fact, some studies suggest participation in peer support groups can help with treatment engagement, relapse prevention, and treatment completion. 

If you or someone you know is struggling with addiction, consider attending an AA meeting near you. That could be the first step in your road to recovery. Additionally, peer support groups work best when paired with behavioral therapy at a rehab facility, so consider speaking with an addiction specialist about your best options. 

College Student’s Guide to 12-Step Recovery

College is the modern rite of passage for young adults, representing new beginnings, finding your identity, meeting new people, and taking on new experiences. So many things come to mind when we think of college, like college parties. 

The party scene is so prevalent among students that we have begun normalizing the “sink or swim” and “drink until you pass out” mottos. Unfortunately, this way of thinking is almost just as dangerous as alcohol itself. 

When You Don’t Think You Have A Problem

Alcohol can undoubtedly inhibit our judgment and decision-making skills. According to a recent study, 60% of college students admit to binge drinking in the last seven days. Binge drinking is the consumption of an excessive amount of alcohol in a short period. 

Creating dangerous habits with alcohol can lead to a decline in your academics, put you in hazardous situations, and risk your health overall. 

However, we don’t see our drinking behavior as a problem if everyone is doing the same thing. In a sense, we have normalized and even enabled the drinking culture in college. Perhaps you are starting to recognize your habits with alcohol as detrimental, but not as an addiction. Programs like AA are incredibly effective in making a lifestyle change. 

Losing The Stigma

A dark shadow seemingly follows when you hear “AA.” The shadow of the doubt might be saying not me; I’m not an alcoholic. Or, what will others think when they hear that I’m attending AA meetings? Many students lack familiarity and direct experience with this readily accessible and potentially lifesaving resource. 

In a journal posted by the National Library of Medicine, a group of students took an experiential approach to an AA meeting and how it relates to college students. Their results were telling. Upon attending a meeting, they were surprised by “how welcomed they felt, even as they identified themselves as students” and “moved by how open AA members were about sharing their own experiences.” 

The authenticity of the meetings is what makes the program so effective. Its raw and organic emotions allow members to connect and guide one another on their journey. 

Bookmark These Helpful Tools: 

What Are The 12 Steps?

The 12 steps to recovery, developed in 1935 by Bill Wilson and Dr. Bob, are the core of the Alcoholics Anonymous (AA) program. They are guiding principles designed to help members reach the end goal of sobriety. It also teaches members who previously battled addiction to sustain a healthy and fulfilled life. These steps have proven to make the program effective as it hones in on mental, spiritual, and physical goals. 

Taking The Next Step

The 12-step recovery program is not limited to one sector or one demographic of society, and the hospitality the students felt in the study is universal across all AA meetings. If the stigma of the meetings is holding you back, trust that a community of 2 million members across 180 nations is waiting to meet you. 

Changing your lifestyle can be challenging, especially when most of the college population is complacent in the drinking culture. Or, like many, they fail to recognize they have a drinking problem. Find AA meetings near me. 

Invite A Friend

College can be difficult, especially if you’re away from your family and close friends. However, it’s also an excellent opportunity to meet new people and make lifelong friendships. 

Inviting a friend to an AA meeting might give you that extra support in your journey to recovery. This support friend can also serve as an accountability partner. Find people who want to change with you because birds of a feather flock together for a reason. 

Not Ready For Face-to-Face?

There are other options if you’re ready to take the next step but still hesitant to meet face-to-face. First, consider joining a virtual AA meeting. A virtual meeting will allow you to learn more about the 12-step program as you work yourself up to meeting in person. Learn more about online intergroup of Alcoholics Anonymous here. 

How To Join an AA Meeting

  1. Deciding to seek help is the first and more important step. 
  2. Find AA meetings near me.
  3. No need to call, make an appointment, or pay anything. Just show up! 
  4. Find a community that fits you! You’re more susceptible to change in a positive and healthy environment. Feel free to try different meetings out to ensure the most impactful experience.

Rising Alcohol-Free Spirits

When you fail to plan, you plan to fail. Keep your college bar stocked with alcohol-free spirits that imitate the flavor without the lingering hangover. Here is a list of the top brands that are leading the way in alcohol-free spirits. 

The Road To Recovery

College can be daunting enough with keeping up with grades, attending lectures, and managing your newfound freedom. Use that freedom to choose today to better yourself. You may not think you’re addicted to alcohol, but you agree that it has negatively impacted your life. 

Join The Sans Bar National Tour, an alcohol-free pop-up 

How often have you missed a class because you’re too hungover to attend? Or do you embarrass yourself in front of others because you drank too much? Or you said something you shouldn’t have because of liquid courage. Nonetheless, there are tangible steps and tools to lead college students into a healthy relationship with alcohol. You can still experience all that college has to offer even while being on the road to recovery. 

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Resources:

Strobbe S, Thompson SM, Zucker RA. Teaching college students about Alcoholics    Anonymous: an experiential approach. J Addict Nurs. 2013 Jan-Mar;24(1):51-7. doi: 10.1097/JAN.0b013e31828768e4. PMID: 24622530.