GETTING OFF OF XANAX
Discontinuation of benzodiazepines, even after a relatively short duration of treatment, may result in withdrawal symptoms, which are the main sign of physical dependence. The most frequent symptoms of withdrawal are insomnia, gastric problems, tremors, agitation, fearfulness, and muscle spasms. Less frequent symptoms are irritability, sweating, depersonalization, derealization, hypersensitivity to stimuli, depression, suicidal behavior, psychosis, […]
PSYCHOLOGICAL DEPENDENCE
Psychological dependence is a mental disorder that involves emotional symptoms like anxiety and anhedonia after ceasing prolonged drug use. It involves a belief that you need the substance to do certain things like sleeping or socializing, and it develops through frequent exposure to a psychoactive substance. While previous definitions of anhedonia emphasized the inability to […]
DIAGNOSING ADDICTION
If your drug or alcohol use causes significant impairment or distress, you may have a substance use disorder (SUD). Diagnosis usually involves an examination by a psychiatrist, psychologist or a drug counselor, and the most commonly used guidelines can be found in the Diagnostic and Statistical Manual of Mental Disorders (DSM-5). Parameters for the diagnosis […]
DRUG TOLERANCE AND WITHDRAWAL
Drug tolerance describes a user’s reduced reaction to a drug after its repeated use. An increase in dosage may re-amplify the drug’s effect; however, this may also accelerate tolerance, further reducing the drug’s effects. One may also develop tolerance to side effects; when this concerns non-addictive, prescribed medications, tolerance may be desirable. A medical intervention […]
WHAT CAN I EXPECT WHEN I ENTER REHAB?
If you are heading into rehab for the very first time, let me give you some advice, and a sense of where to set your expectations over the next 30-90 days. First off, I’d like to congratulate you; not only are you about to embark upon what is essentially an extended vacation, but it’s actually […]
OUR COMMON WELFARE
At a gathering of our cohort last night, I found myself irritated by a particular meeting-goer. This was not the first time I have noticed him. Last night, he was generally rude and incoherent, and on prior occasions, he has been notably odorous. How do we deal with such members? Shall we cast them out? […]
SPONSORSHIP
To receive the 12th step and sponsor a newcomer is arguably the most crucial and most gratifying component of long-term sobriety. I recently gave step 12 to my first sponsee, and I so look forward to watching him take another man through the steps. What makes a good sponsor in Alcoholics Anonymous? Being new to […]
Staying “Out”
At the time of this writing, a friend of mine from the program (whom I will call “Justin”) is “out”, and has been for well over two months now. Before he abandoned his program, Justin achieved more than a year of sobriety, with multiple commitments and sponsees to his name. I had the opportunity to […]
Is Anybody There?
Is anybody out there? Does anyone read this? Is the writer of this blog casting words into an oblivious void? Here is a poem about loneliness and isolation, courtesy of yours truly: Hardly movement much at all Standing water in the sink Imagined voices down the hall Wasting energy to blink A ponder after my […]
Laziness
Laziness It is useful to one’s growth and development to be given, at the start of step six, a list of character defects. It is even more useful, at the conclusion of the same step, to have formulated a list of contrary actions to counteract them. Unfortunately, there is a hazardous force which divorces one […]