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    Navigating Pain Control (as painlessly as possible)

    By Nico Arturo (RN Expert)


    Nico Arturo is an RN with more than a decade of experience in nursing, specializing in medicine and trauma, as well as the Bestselling Author of the Novel “Compensate”. Through blogging and social media, she works to promote a culture of support, awareness, and humor in nursing, as well as developing a greater understanding of the challenges and triumphs most prevalent in the field today.


    Ask any nurse out there, and they will tell you, one of the most divisive issues today in healthcare is pain control. There are more than a few players in this game, more than a few factors to consider when adequately assessing and managing a patient’s pain, and there are always exceptions to the rule. The idea that pain and its elimination is so pivotal to the quality of a patient’s hospital stay and their ultimate outcome is a relatively new one.

    As reimbursement (there’s THAT word again) models have changed and the criteria for patient satisfaction has become such a major factor in how we all get paid, pain control has risen to the forefront of our discussions and practices. It seems now, that, in order to keep patients happy, you have to keep them pain free. That isn’t unreasonable, except that the only person who can truly determine how much pain they are in is the patient.

    Since the introduction of such top shelf drugs as Dilaudid and oxycodone, it seems that pain has suddenly gotten a whole lot worse, since we now have the opportunity to not only eliminate pain with opiates, but also provide a pretty good high to go along with it, and who doesn’t want that, right? Euphoria and graham crackers, how much better does it get? Please don’t think that I am totally heartless, I don’t want people to suffer, (it’s actually none of my business what you think, but still), but I also think there is a pretty blurred line between “My pain is coming back” and “My high is wearing off”.

    Opiate pain control has always been a little bit controversial, mainly because it can cause a lot more problems than it solves. When you give someone a dose of Dilaudid, fentanyl, or oxy, the medication binds itself to opiate receptors in the spinal chord, the brain, and sometimes other parts of the body. This reduces, and often eliminates, the sending of pain signals from the body to the brain, and creates a general feeling of euphoria, which makes for a pretty happy patient. Right?

    Because not only does this binding disrupt pain signals, but, through a process a little more complicated, it signals the release of more dopamine, creating a surge of this neurotransmitter, who’s primary responsibility is controlling the brains reward and pleasure centers. This dopamine flood makes for a great few hours, and then when it’s over, what else would you look for but to bring that feeling back.

    It’s almost hard to blame a person. It’s a pretty similar set up to cocaine, which works by preventing the re-uptake of dopamine into the cells, signaling for it in the first place, which creates a huge dopamine build up. Which ultimately disrupts the brains normal functioning and offers that high. But we probably wouldn’t go around suggesting to our patients that they start snorting lines off their tray tables to feel better, would we? Hell naw. So why are we so free and loose with the opiates?

    Let’s say a patient comes in with pancreatitis, one of my personal favorites. They are often in a lot of pain, rightfully so, and now, rather than trying to manage the dysfunction causing the pain, we immediately push for pain control. Which generally involves opiates, because they are quick, easy, and affective. However, they can also cause anxiety, nausea and vomiting, and the most dreaded of conditions, constipation. But who’s counting? Then we bring the patient back to hemodynamic stability, and, if we’re lucky, this means the disruption causing the pain is eliminated, and thus the pain is too, right?

    Perhaps. But we’ve offered this person several blissful days of cloud nine, and now we are sending them crashing back to reality, which is going to suck, no matter who you are. See, after a period of time, the body develops a tolerance to the medication, meaning you need to increase the dose to maintain the same affect. Which means you have that much more to come down from. Then there is the potential for addiction, which is very real, especially in this day and age where we are all accustomed to immediate gratification and the virtual absence of suffering.

    Addiction is a little different from dependence, because it’s more about the compulsive use of the drug rather than a use of need, but both create the ugly potential for withdrawal, which can sometimes be harder on the body than whatever was causing the pain in the first place. Diarrhea, anyone? How about some vomiting and muscle pain? Want to be extra grouchy for a few days? Or extremely anxious? Sounds like a good time, right? Of course not.

    So let’s say that same patient has that, all too common, addictive personality. After a while, they learn the system, and they know that a pain level of 1-5 will land them a smaller dose of something good, while 5-10 (10 being the worst pain of your life, btw), will bring out the big guns. And when their tolerance starts building up, they ask for their pain meds sooner, which eventually means a call to the MD to ask for a one time dose to hold them over til the next real dose is due. Do that enough times, and the frequency and/or dose is increased, which means the opportunity for compulsive use is that much more prevalent.

    And again, let me be clear when I say that not every patient is doing this, but lets also be clear that the ones who are ruining it for everyone else in terms of perception. Trust me, I know the difference between real pain and 10/10 every time. When I’m the nurse, and I go into a patient’s room to assess their pain, and they tell me it’s a 10/10, while they are texting, snacking, laughing, and painting their finger nails, it’s kind of a hard sell. You know?

    Zero nonverbal indicators of pain. Not even an elevated blood pressure, and trust me, I’m going to check for that, especially when you’re asking whether or not you can have pizza delivered to your hospital room. But because pain is whatever the patient says it is, and because patient satisfaction comes before anything else, I have to go and give that 8mg of hydromorphone knowing full well that I’m helping someone create an ugly habit.

    There is nothing, and I mean nothing, pretty about drug addiction. I promise you that. And then, in two to four hours, that patient leans on their call light again, and reminds me their pain meds are due. And then I remind them that pain meds are “as needed”, and ask if they have pain? Of course they do and of course it is the worst pain of their, life once again, and could I bring in a ginger ale, graham crackers, toast, and a magazine when I come in? Sure. Of course. And next time, could I just wake them up to give them their pain meds when they are due, so they don’t have to set the alarm on their cell phone to wake them up?

    Of course. Because if I don’t, then in the morning they will complain to anyone who will listen how their nurse last night was a real douche, refusing them pain meds and making them suffer. That will end up in my file, and turn up on a performance review, and I’ll feel the residual for a lot longer than they would feel the actual pain if they just toughed it out a little. So I’ll contribute to their habit, because what choice do I have?

    Pain control is the number one problem I have with nursing right now. It is literally exhausting. Chasing the clock, patient after patient, night after night, wondering if there is any actual healing going on, or am I just a legal drug dealer. The patients we see coming in over and over, the “frequent flyers”, or “repeat offenders”, as I like to call them, are nine times out of ten coming in for the same thing, “uncontrolled pain”. The first thing they ask for when they get to the floor are pain meds.

    We know who they are, we see their names come up on the ED roster and we cringe, because we know pretty soon, we’re about to start that vicious cycle of bullshitting one another, the patient saying their pain is unbearable (but not so unbearable that they can’t take down three turkey sandwiches and a pint of ginger ale while flipping through the channels), and us pretending we believe it.

    I provide the education, I say, “on a scale of one to ten, one being ‘I can handle this’, and ten being ‘I’ve just been set on fire and pushed in front of a truck'”, I offer alternate pain control options, and I try to start out giving them the benefit of the doubt. But every time I go in a few minutes past the two hour mark because I was helping with a code, or medicating a CMO patient, and I’m greeted with a condescending, “You’re late”, it makes it a little bit harder to stomach.

    How we perceive and manage pain has changed a lot over the years. We aren’t cutting off limbs in dirty tents out on the battle field with old saws, with just a shot of whiskey to take the edge off, or offering laboring women a stick to bite down on while they force a human head out of their vagina. Events that were once coupled with pain as a matter of course are now considered to be intolerable, and where we once “toughed it out”, we now seek the immediate and thorough refuge of medicinal intervention, unwilling to suffer at all, even for a minute.

    Our approach to pain has changed from viewing it as a necessary part of inhabiting these bodies, of the healing process, something that can be lessened and managed, to total eradication, the idea that even the slightest twinge is unacceptable and shouldn’t be tolerated. But, here’s the thing. Getting hurt is supposed to hurt. Let that sink in for a minute. Pain is painful. I know, I know. Ridiculous, right? I’m here to tell you, as a professional pain controller, a legal drug dealer, if you will, that every once in a while, you’re going to be uncomfortable, and, worse still, you’re going to have to deal with it. So let that sink in, while I go and get your Dilaudid.


    ooOoo


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    The articles on this website are provided as a community service for information purposes only. BlackRefer.com does not accept any responsibility or liability for the use or misuse of the above article content. Use this information with caution and at your own risk.

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    "ANGELS WITH OUT WINGS" PLAYWRIGHT PAM REA SPEAKS OUT ON K2 EPIDEMIC


    NEWARK, NJ--Accomplished playwright Pam Rea, whose stage drama, Angels With Out Wings, explores the intersection between addiction and recovery, recently spoke out about the ongoing epidemic of a new street drug called K2, sometimes referred to as "spice", "legal weed", "Scooby snax", or "synthetic marijuana", which has swept through America's cities. Easily and cheaply obtainable, K2 is highly potent, often producing severe, dangerous side effects.

    ANGELS WITH OUT WINGS


    The drug, which has been known to cause brain blood vessels to swell, leading to hemmorrhages, or strokes, among its users, is causing the very addictions Ms. Rea's play depicts. "My play, Angels With Out Wings, deals with the behavior which leads to the addictions," Ms. Rea observes, "and the origins of that behavior. I believe people can become broken by things they no longer remember or environmentally inherited." In her play, addicts find strength and help with their addictions from others who come into their lives--the "wingless angels" of the title.

    Originally written by Ms. Rea as a "ministry", the drama was developed as a pilot program for one of New Jersey's largest addiction treatment centers. Its theme has been described as ""thought-provoking", and during its Off-Broadway run in New York City, Angels With Out Wings was firmly established as a "powerful message" to addicts that "their community stands by them" when they decide to opt for recovery.

    "I, desiring to be a world-changer in this war, made efforts to make my community and politicians in my new community aware of this menace," Ms. Rea says of her play and the K2 issue. "It is now illegal to sell these substances, however it is still no law against possessing and using it yet!" She has devoted herself to facilitating recovery and relapse prevention through the medium of her art, and vows to "continue as an advocate until this war is won."

    New York City officials have characterized the K2 craze as a "public health crisis", with NYPD Commissioner Bill Bratton decrying the outbreak of K2 usage. "This is a scourge on our society, affecting the most disadvantaged neighborhoods and our most challenged citizens. It affects teenagers in public housing, homeless in the city shelter system, and it's quite literally flooding our streets," Bratton noted, saying the city was "redoubling its efforts" to fight the problem. Ms. Rea sees Angels With Out Wings as an important, effective tool in waging that struggle. "The war on drugs still continues after more than 30 years after Nancy Reagan's 'Just Say No' campaign, without a victory in sight," Ms. Rea declared. The play continues to be adapted, refined, and produced nationwide.

    https://www.facebook.com/pages/Angels-With-Out-Wings/225720130448


    ooOoo


    Disclaimer:
    The articles on this website are provided as a community service for information purposes only. BlackRefer.com does not accept any responsibility or liability for the use or misuse of the above article content. Use this information with caution and at your own risk.

    No Implied Endorsement:
    BlackRefer.com does not endorse or recommend any article on this site or any product, service or information found within said articles. The views and opinions of the authors who have submitted articles to BlackRefer.com belong to them alone and do not necessarily reflect the views of BlackRefer.com. Resources/links that may be included in said articles are only suggested as sources for the reader to explore but we can't confirm or take responsibility for it's accurateness, timeliness, or completeness.






    Offering hope to those struggling with addiction!


    - Substance abuse is a major concern across the US. In fact, everyone on the Prevention Coalition team has been personally affected by some form of addiction, whether we witnessed a loved one fall victim to the perils of drugs or alcohol, or struggled ourselves. What we’ve also learned through our experiences is that there are many ways to seek support on the path to recovery. Below are a few resources that offer helpful insight to those who may be struggling (or love someone who is). -


    The Science of Addiction

    20 Secret Signs of Addiction

    Suicidal Thoughts and Alcohol Abuse: Tackling Both Problems Head On

    Treatment Approaches for Drug Addiction

    The Benefits of a Sober Summer and How to Achieve Them

    7 Tips for Mothers of Adult Addicts

    Addiction in the Waiting Room: How to Go to the Doctor in Sobriety

    http://thepreventioncoalition.org/

    ooOoo


    Disclaimer:
    The articles on this website are provided as a community service for information purposes only. BlackRefer.com does not accept any responsibility or liability for the use or misuse of the above article content. Use this information with caution and at your own risk.

    No Implied Endorsement:
    BlackRefer.com does not endorse or recommend any article on this site or any product, service or information found within said articles. The views and opinions of the authors who have submitted articles to BlackRefer.com belong to them alone and do not necessarily reflect the views of BlackRefer.com. Resources/links that may be included in said articles are only suggested as sources for the reader to explore but we can't confirm or take responsibility for it's accurateness, timeliness, or completeness.






    Sex Addiction 101: A Basic Guide to Healing From Sex, Porn, and Love Addiction


    - By Robert Weiss -

    "Clearly, this work is intended to enlighten not only the clinical population, but actual sex addicts and those who love them. If you are a therapist, my sincere hope is that you will find something here that helps you to help others, and if you are a sex addict or the partner thereof, my hope is that you will come away with a better understanding of this complicated issue, and also with some useful ideas on how to overcome this very serious addiction.” —David Sack, MD

    Deerfield Beach, Fl, November 11, 2015 - In Sex Addiction 101: A Basic Guide to Healing from Sex, Porn, and Love Addiction (HCI Books—October 2015--$14.95) Robert Weiss acknowledges and defines the loosely used term "sex addiction.” With his exensive background in the mental health and addictions field, Robert is able to give his readers real life testimonials of people who have been diagnosed with having a sexual addiction, and people whose sexual addiction is ruining or has already ruined their family, career, or health. All of the material in Weiss' book is presented tastefully, and suitable for professionals and the general reader, including sex addicts and their loved ones.

    Many people believe an addiction to consist only of drugs and alcohol, but Robert acknowledges that addictions can arise in all things done excessively. People suffer from addictions to their cellphone, social sites, gambling/spending, and even love. A lot of people believe the above addictions to be attributed to having some sort of compulsive disorder, but Sex Addiction 101 recounts the importance of recognizing the difference between compulsions and addictions, seeing as many people confuse the two and try to use them interchangeably.

    Sex Addiction 101 is broken down into 18 simple chapters, where Robert is detailed in providing clear and simple explanations of all aspects involving sex addiction. The chapters range from topics that address common questions about sex addiction like, What is Sex Addiction,Treating Sex Addiction, and Gay Men and Sex Addiction to subjects that may be harder to address like, Teens and Sex Addiction, Sexual addiction vs. paraphilia vs. sexual offending, and The fusion of stimulant abuse and sexual behavior. Sex addicts are individuals who have lost control over their sexual fantasies and behavior; this book is a primer for understanding this complicated disease.

    Highlights from the book include:

    Common Signs and Symptoms of Sexual Addiction:

    Obsessive Sexual Fantasy and Preoccupation and Loss of Control
    Related Adverse Consequences
    Tolerance and Escalation
    Withdrawal and Denial

    The Cycle of Sexual Addiction

    1. Triggers (Shame/Blame/Guilt/Other Strong Emotions)
    2. Fantasy
    3. Ritualization
    4. Sexual Acting Out
    5. Numbing
    6. Despair (Shame/Anxiety/Depression)

    The Downside of Sex Addiction:

    Addiction Hopping/Related addictions
    Significant directly related Negative Life Consequences
    Physical and Mental Health Problems
    Career and Legal Issues
    Relationship Instability and Difficulty Rebuilding Familial Relations

    About the Author:

    Currently serving as the Senior Vice President of Clinical Development, Robert Weiss is in charge of various treatment programs around the United States. Along with his already bountiful schedule, Robert provides sexual addiction treatment training internationally to psychology professors, addiction treatment centers, and the US military. In 1995 Robert founded the Sexual Recovery Institute in Los Angeles, which became one of the first facilities anywhere in the world that offers treatment for sexual addiction and its related issues. The author of Robert's foreword for Sex Addiction 101, David Sack, characterizes Robert as, "… the face of and driving force behind understanding and treating profound intimacy disorders like sexual addiction.” Robert Weiss is not just an author and Clinical expert, he is a humanitarian who cares about more than just the well being of himself. Readers and viewers interested in learning more about Robert can visit his website at: www.RobertWeissMSW.com.

    Available wherever books are sold or to order directly from the publisher, contact:
    www.hcibooks.com or (800) 441-5569
    Sex Addiction101: A Basic Guide to Healing From Sex, Porn, and Love Addiction
    Robert Weiss
    ISBN: 9780757318436
    $14.95 – October 27, 2015

    Author Interview

    1. What can you tell me about the genesis of Sex Addiction 101?

    Actually, a much shorter version of the book was published a couple of years ago, in 2013. I wrote that mini-book as a basic introduction to the concept of sex addiction, and the plan was to give it away to clients and potential clients of the sex addiction treatment centers that I oversee. That was it. We never planned to sell the book to the general public, but somehow people all over the world started buying it. I was a bit shocked, really. At that point I had to do a bit of soul-searching, because the material as initially written was almost painfully incomplete. I felt that if people were going to pick this up and use it as the basic text on modern-day sex addiction, I needed to go back and write something much more comprehensive, while still being easy to read and understand. That's what we've got now. All of the basics of sex addiction are covered in a way that is both accessible and complete. So this new version of the book lives up to the title.

    2. What, exactly, is covered in Sex Addiction 101?

    The book is soup to nuts, really. I start with a general explanation of sexual addiction – what it is, what causes it, what it looks like, how it escalates, the impact of digital technology, etc. Then I look at the different populations affected by sexual addiction, followed by a short discussion about the ways in which sex addiction interacts with other addictions. Then I discuss the process of healing – everything from therapy to support groups to exercises that help sex addicts develop and maintain sexual sobriety. Throughout, I try to present a hopeful tone, letting people know that sex addiction is not a life sentence and healing is possible.

    3. A lot of people seem to have no real idea what sex addiction actually is. Can you briefly explain it?

    Sex addiction, like other addictions, is a coping mechanism gone awry. Essentially, sex addicts turn to compulsive sexual behavior as a way to escape from stress and other forms of emotional discomfort. When life is not going well, sex addicts use the pleasure of sex (and sexual fantasies) as a way to avoid and "not feel” their problems. This is also why alcoholics get drunk and drug addicts get high. The drive toward addiction is the same no matter the addiction. As for sex addiction in particular, it is generally diagnosed based on the following three factors:

    1. Preoccupation to the point of obsession with sexual fantasies and behaviors

    2. Loss of control over sexual fantasies and behaviors, typically evidenced by failed attempts to quit or cut back

    3. Directly related negative life consequences – relationship trouble, issues at work or in school, declining physical health, depression, anxiety, diminished self-esteem, isolation, financial woes, loss of interest in previously enjoyable activities, legal trouble, etc.

    Unsurprisingly, these criteria mirror the criteria used for diagnosing alcoholism and drug addiction. The only significant difference is that the "high” is caused by sex rather than a substance.

    4. What are the most common misconceptions that people have about sex addiction?

    The first is that sex addiction is fun. It isn't. Sex addiction isn't any more fun than heroin addiction. Yes, the behavior might start out fun, but it doesn't stay that way. The second is that a diagnosis of sexual addiction provides an excuse for bad behavior. This one crops up when people who get caught red-handed engaging in inappropriate, problematic, possibly even illegal sexual behavior try to blame their actions on sexual addiction. They do this because they're hoping to avoid or at least to minimize the judgment and/or punishment they experience. Once in a while these individuals really are sexually addicted, but just as often they are not. Either way, a diagnosis of sexual addiction does not justify bad behavior or let people off the hook for what they've done. Another common misconception is that sex addiction is linked to same-sex attractions, fetishes, and the like. It is not. Nevertheless, there are therapists out there who try to use the sex addiction label to enforce their personal or religious moral code. They mistakenly label same-sex attractions and the like as sexual addiction. In reality, being gay, lesbian, or bisexual does not make you a sex addict any more than being straight makes you a sex addict. Yes, gay people can be sexually addicted, but only if their behavior meets the criteria for a sex addiction diagnosis: obsession, loss of control, and negative consequences.

    5. What causes sex addiction?

    Generally speaking, addicts of all types are influenced by a combination of genetic and environmental risk factors. For instance, a combination of genetic predisposition, alcoholic parents, childhood trauma, and early exposure to an addictive substance or behavior occurs relatively often, nearly always creating a witch's brew of ongoing life problems – not just addiction, but numerous other emotional and psychological issues. Unsurprisingly, in cases where early-life sexual abuse is part of the mix, the odds of sexual addiction vs. another addiction are greatly increased, though childhood sex abuse is by no means a prerequisite for adult-life sex addiction.

    6. What does sex addiction look like? How does it manifest?

    First of all, sex addicts are not hooked on sex. Instead, they're hooked on the escapist euphoria induced by their intense sexual fantasies and patterns of behavior – including their almost endless search for sex. In other words, sex addicts typically find as much escape in fantasizing about and searching for their next sexual encounter as in the sex act itself. They typically spend many hours, sometimes even days, in this elevated state – high on the goal/idea of having sex – without ever engaging in any concrete sexual act. Because of this, sex addicts usually spend much more time engaged in the fantasy and ritualized pursuit of sex than in the sex act itself. In our increasingly digital world, this obsessive pursuit of sexual intensity often involves online pornography, the compulsive use of hookup apps, and endless amounts of sexting and web-camming, along with typical in-person sexual activities – affairs, prostitutes, casual/anonymous sexual encounters, and the like.

    7. Does sexual sobriety mean total abstinence from sex?

    Happily, no. Unlike sobriety for alcoholism and drug addiction, sexual sobriety is not defined by long-term abstinence. Instead, sexual addiction treatment addresses sobriety much as it is handled with eating disorders – another area in which long-term abstinence is simply not feasible. Instead of permanently abstaining from all sexual activity, recovering sex addicts learn to be sexual in non-compulsive, non-problematic, life-affirming ways. Of course, many sex addicts new to recovery ask, "If sexual sobriety doesn't require lasting sexual abstinence, what does it require?” However, there is no cut-and-dried answer to this question. In actuality, each sex addict arrives in recovery with a unique life history and set of problems, along with highly individualized goals for his or her future life. As such, each sex addict, usually with the help of his or her therapist or some other accountability partner, must craft a personalized version of sexual sobriety.

    Basically, recovering sex addicts must delineate the sexual behaviors that do and do not compromise and/or destroy their values (fidelity, not hurting others, etc.), life circumstances (keeping a job, not getting arrested, etc.), and relationships. Then they commit to avoiding all of their problem sexual behaviors while engaging in non-problem sexual behaviors only moderately and appropriately. As long as their sexual behavior does not violate these highly individualized boundaries, they are sexually sober. Because the definition of sexual sobriety takes into account each person's values, beliefs, goals, and life circumstances, sexual sobriety looks different for every addict. For instance, sexual sobriety for a 28-year-old single gay man will probably look very different than sexual sobriety for a 48-year-old married father of three. The goal is not conformity; the goal is a non-compulsive, non-secretive, non-shaming sexual life.

    8. Does sex addiction look different for men and women?

    Yes and no. The disorder is the same, but female sex addicts are often more difficult to diagnose and treat than male sex addicts. This is due, at least in part, to Western socio-cultural attitudes about female sexuality. Whereas men who have a lot of sex are often celebrated as "studs” and "players,” hypersexual women are typically denigrated as "sluts,” "whores,” and "nymphomaniacs.” As such, male sex addicts are usually quite willing to discuss their sexual adventuring in treatment; they may even be quite proud of their sexual prowess despite the repeated and continually escalating negative consequences wrought by their sexual adventuring. Conversely, female sex addicts – even when they're fantasizing about, chasing, and having sex just as frequently, in the same ways, in similar venues, and with the same basic consequences as their male counterparts – tend to downplay their sexual involvement, instead discussing their behavior in terms of relationships, dating, and/or intimacy. As such, clinicians treating women must sometimes read between the lines, looking and listening for romance-oriented language.

    9. When and how does sex addiction intermingle with other addictions?

    Sex addiction is not always a standalone issue. In fact, most of the time it's not. One survey of more than 1600 self-identified sex addicts found that 69% of heterosexual men, 79% of heterosexual women, and 80% of homosexual men admitted to a secondary addiction. A lot of the time stimulant drugs like cocaine and methamphetamine are the co-occurring drug of choice. Unfortunately, stimulant abuse is highly destructive in its own right. Exacerbating matters is the fact that when stimulants are consistently fused with the hunt for and experience of intensely arousing sex, these paired behavioral patterns can become mutually reinforcing. Over time, even simple sexual fantasies and/or memories of past sexual acts can become a psychological trigger for stimulant drug abuse, and vice versa. Eventually, stimulant drug use and sexual activity can become so tightly paired that engaging in one behavior inevitably leads to the other. For this type of dually addicted individual, getting high and seeking/finding/having sex becomes a single coexisting and complementary addiction.

    10. How does one heal from sexual addiction?

    Sex addicts nearly always require outside assistance if they hope to heal. If they could change things on their own, they would, but they can't, so they don't. This need for outside assistance is present with all forms of addiction, not just sex addiction. Put very simply, recovering sex addicts nearly always need the insight and the accountability that only objective outsiders and fellow recovering addicts can provide. Shame and remorse about compulsive sexual behaviors and related consequences are just not enough to keep a sex addict from backsliding. Without external support, willpower alone doesn't cut it, and sex addicts' promises to change – made to themselves and/or others – almost inevitably fall by the wayside.

    The good news is that with proper guidance and support, as discussed in the latter half of Sex Addiction 101, lasting behavior change and a happier, healthier life are absolutely possible. The process of healing from sexual addiction is not easy, of course, but it is always well-worth the effort, fostering a rediscovery of self and a more rewarding life.


    ooOoo


    Disclaimer:
    The articles on this website are provided as a community service for information purposes only. BlackRefer.com does not accept any responsibility or liability for the use or misuse of the above article content. Use this information with caution and at your own risk.

    No Implied Endorsement:
    BlackRefer.com does not endorse or recommend any article on this site or any product, service or information found within said articles. The views and opinions of the authors who have submitted articles to BlackRefer.com belong to them alone and do not necessarily reflect the views of BlackRefer.com. Resources/links that may be included in said articles are only suggested as sources for the reader to explore but we can't confirm or take responsibility for it's accurateness, timeliness, or completeness.






    Healing Neen


    - Author, Advocate, Speaker, Team Leader, National Center for Trauma-Informed Care -

    BIO
    For two decades, Tonier Cain hustled on the streets of Annapolis, Maryland, desperately feeding an insatiable crack addiction and racking up 83 arrests along the way. Rapes and beatings were a routine part of life; home was underneath a bridge or inside the locked cage of a prison. In 2004, pregnant and incarcerated for violation of parole, she was provided the opportunity to go to a community trauma, mental health and addictions program.

     Tonier Cain



    Feeling safe for the first time in her life, ‘Neen’ confronted the haunting childhood memories that she tried to numb with drugs: filth and chronic hunger, sexual assaults by neighborhood men, routine physical and mental abuse dished out by her drunken mother. Realizing for the first time that she had been a victim, she began to heal and reclaim power over her life. Today, she works for the National Center for Trauma-Informed Care, dedicating her life to being a voice for those still lost and silent as she travels the country, speaking and working one-on-one with women in prisons and hospitals.

    MORE ON THE BOOK
    Healing Neen isn’t just another story about victims and survivors or recovery and redemption. Ultimately, it’s a testament to God’s grace and presence. It’s the story of one woman’s path to salvation and a propitious glimpse into the potential buried deep within some of society’s most vulnerable people.

    It’s also about the value of human life, the depth of suffering, and the heights of grace. And, not to be overlooked, it’s a convincing cri de Coeur for better practices in the way we treat and counsel those caught in the cycles of trauma, addiction, and serial incarceration. Cain brings us face-to-face with the ubiquitous corruption, neglect, and abuse in some of the systems meant to safeguard at-risk women and children, yet she leaves us with hope that things can change for the better.

    BOOK DETAILS:
    Sept 2, 2014
    Paperback, 264 pages
    HCI
    ISBN-10: 0757317960
    ISBN-13: 978-0757317965

    http://www.amazon.com/Healing-Neen-Womans-Salvation-Addiction/dp/0757317960


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    Disclaimer:
    The articles on this website are provided as a community service for information purposes only. BlackRefer.com does not accept any responsibility or liability for the use or misuse of the above article content. Use this information with caution and at your own risk.

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    From This Day Forward: A Love Story of Hope, Faith and Forgiveness


    - A Miraculous Story Of Rebuilding A Life From Rock Bottom -

    "I did a very bad thing. An unforgiveable thing. A thing that destines you to be a leper, someone with an A branded across your chest (though mine could also be a D), a person that people talk about with disgust and awe and an "aren't you so glad you're not her" tone. I drove drunk. With my two children in the car. And we got in an accident."

    From the intro of From This Day Forward

    Oxford, PA, August 13, 2014 - Amy Baumgardner had a unique opportunity to share her story with the world when she was a guest on Oprah's "Lifeclass,” working with the dynamic and confrontational life coach, Iyanla Vanzant. On a segment focused on overcoming guilt she shared her two-year struggle with alcohol, its horrendous effect on her marriage, and living with the crippling guilt that followed a car accident that left her five-year-old daughter in critical condition.

    Since then, with her husband, Matt, she has written, From This Day Forward: A Love Story of Hope, Faith and Forgiveness (HCI Books – September 2014 - $15.95 – ISBN: 9780757318054), in which she bares the details of her struggle, her newfound sobriety, and the rebuilding of a marriage that was also near death.

    From This Day Forward combines the heart wrenching blow-by-blow devastation of Beautiful Boy, and the inspiring devotion found in The Vow. It has all the drama of a Lifetime Movie, with a universal message for anyone who strives to love one person no matter what happens.

    With heartrending honesty Matt and Amy tell a story that will keep readers on the edge of their seat. It is a story with the power to help others find the strength to take that first step in the right direction, to start a conversation with the one they love, to repair, rebuild, and restore, because once we understand the power of forgiveness, no relationship is ever past hope.

    Some might say, it's a story of miracles.

    Please watch the video of Amy on Oprah's Lifeclass at: www.mattandamyb.com. There you will also see the emerging foundation that the Baumgardners have started to help people in treatment complete their programs when money is an issue; The4GiveFoundation.

    From This Day Forward: A Love Story of Hope, Faith and Forgiveness

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    Disclaimer:
    The articles on this website are provided as a community service for information purposes only. BlackRefer.com does not accept any responsibility or liability for the use or misuse of the above article content. Use this information with caution and at your own risk.

    No Implied Endorsement:
    BlackRefer.com does not endorse or recommend any article on this site or any product, service or information found within said articles. The views and opinions of the authors who have submitted articles to BlackRefer.com belong to them alone and do not necessarily reflect the views of BlackRefer.com. Resources/links that may be included in said articles are only suggested as sources for the reader to explore but we can't confirm or take responsibility for it's accurateness, timeliness, or completeness.






    THE FIX


    - A Film by Laura Naylor -

    SOHO International Film Festival Screening and Q & A:

    THE FIX



    Who: Director Laura Naylor and subjects Junior Alcantara, Ivan Flores, and Collete Roche from THE FIX will all be in attendance and participating in a Q & A following the screening.

    What: Screenings of THE FIX followed by Q&As

    When: Monday May 19th -- Wednesday May 21st

    Press Check in at 8:15 pm -- Press Check in at 5:15 pm

    Arrivals at 8:30 pm -- Arrivals at 5:30 pm

    Screening at 9:00 pm -- Screening at 5:45 pm

    Where: Village East Cinema- Auditorium #3
    189 2nd Avenue (12th Street), New York, New York

    About THE FIX
    Junior, a young father trying to turn his life around after years of heroin addiction, joins forces with a group of fellow hepatitis-C-infected former junkies in the Bronx to fight the disease in their community. Knitting personal narratives together with a profile of innovative programs at a methadone clinic, the film explores the concept of storytelling as an instrument of change and gives a powerful voice to marginalized members of society. Ultimately a very personal story of redemption and hope, THE FIX puts a human face on addiction and disease with sensitivity and grace.

    The fix is directed by Laura Naylor (Duck Beach to Eternity).

    ooOoo


    Disclaimer:
    The articles on this website are provided as a community service for information purposes only. BlackRefer.com does not accept any responsibility or liability for the use or misuse of the above article content. Use this information with caution and at your own risk.

    No Implied Endorsement:
    BlackRefer.com does not endorse or recommend any article on this site or any product, service or information found within said articles. The views and opinions of the authors who have submitted articles to BlackRefer.com belong to them alone and do not necessarily reflect the views of BlackRefer.com. Resources/links that may be included in said articles are only suggested as sources for the reader to explore but we can't confirm or take responsibility for it's accurateness, timeliness, or completeness.






    'Deacon's Choice'


    - Quality stage productions and events throughout Illinois -

    Not only will this film break records and win awards, it will also be used as a fundraiser for many organizations across the world whose mission is to support recovery for affluent addicts, women and teen girls.

    Deacon's Choice

    We reap what we sow…good or bad, and sometimes the decisions we make end up affecting and hurting the ones we love. "Deacon’s Choice” is described as a powerful story of an Ex-Chicago Politician and his family’s tug-of-war battle to overcome a secret that has lain dormant for 30 years. It embodies the trickle effect of selfishness, cover-ups, addiction and consequence that has chipped away one young lady’s heart, passion and esteem.

    The intensity of this film is just as stimulating as “Requiem for a Dream” & “Precious” yet its cultured like the movie “Fire Proof.” This compulsive tale of a family’s secret reminds us that life for each of us has its own individual journey.

    Take a moment to check it out on Indiegogo and also share it with your friends. All the tools are there. Get perks, make a contribution, or simply follow updates. If enough of us get behind it, we can make 'Deacon's Choice the movie' happen.

    http://www.indiegogo.com/deaconschoicemovie?a=322462&i=emal
    http://igg.me/p/250175?a=322462

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    Disclaimer:
    The articles on this website are provided as a community service for information purposes only. BlackRefer.com does not accept any responsibility or liability for the use or misuse of the above article content. Use this information with caution and at your own risk.

    No Implied Endorsement:
    BlackRefer.com does not endorse or recommend any article on this site or any product, service or information found within said articles. The views and opinions of the authors who have submitted articles to BlackRefer.com belong to them alone and do not necessarily reflect the views of BlackRefer.com. Resources/links that may be included in said articles are only suggested as sources for the reader to explore but we can't confirm or take responsibility for it's accurateness, timeliness, or completeness.






    Tobacco Use More Prevalent among African-American Adolescents Living in Public Housing Communities, Researcher Says


    - Researcher says early interventions needed to curb youths’ tobacco use -

    COLUMBIA, Mo. – Today, nearly 4,000 adolescents in the United States will smoke their first cigarette, and about a fourth of those youth will become daily smokers, the U.S. Department of Health and Human Services reports. A recent study by a University of Missouri researcher found that African-American youths who live in public housing communities are 2.3 times more likely to use tobacco than other African-American youths.

    “Compared to their same-aged peers, youth living in public housing were more likely to use tobacco and have positive attitudes about using tobacco,” said Mansoo Yu, an assistant professor of social work and public health. “As previous research suggests, early use of tobacco increases individuals’ chances of using more serious drugs later. In addition, early drug use is related to other serious problems, such as delinquent behaviors and family and social problems.”

    Mansoo Yu
    Mansoo Yu, an assistant professor of social work and public health, found African American youths living in public housing communities were more likely to use tobacco than their peers.

    Yu and his colleagues surveyed 518 urban African-American youths ranging from ages 11 to 20 who resided in public housing communities in three large U.S. cities. The survey measured adolescents’ attitudes toward tobacco use, depressive symptoms and delinquent behaviors.

    Youths living in public housing might be more likely to be fearful, live around crime problems, have poorer social relationships and have higher levels of psychological strain. These factors could contribute to the increased rates of tobacco use, Yu said.

    “Smoking cessation programs for young African Americans living in public housing communities should focus on reversing their positive attitudes toward tobacco use,” Yu said. “In addition, programs should help address the youths’ depressive symptoms and keep them from getting involved in delinquent behaviors.” Additionally, Yu said tobacco prevention programs should target young children in public housing communities.

    “Early interventions are critical for these individuals since the likelihood of being exposed to risky behaviors dramatically increases as the children age,” Yu said. “In public housing communities, adolescents may have easier access to drugs and social activities where drugs are used.”

    Yu is an assistant professor in the School of Social Work, which is part of the MU College of Human Environmental Sciences, and also teaches in the Master of Public Health Program. The study, “Understanding tobacco use among urban African-American adolescents living in public housing communities: A test of problem behavior theory,” was published in Addictive Behaviors. Yu’s coauthors included researchers from the University of Illinois at Chicago, Boston College and the University of South Carolina.

    Story Contact: Jesslyn Chew, ChewJ@missouri.edu, (573) 882-8353

    View this news release on the Web at:
    http://munews.missouri.edu/news-releases/2012/0710-tobacco-use-more-prevalent-among-african-american-adolescents-living-in-public-housing-communities-mu-researcher-says/

    For more news, visit:
    http://munews.missouri.edu/

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    Disclaimer:
    The articles on this website are provided as a community service for information purposes only. BlackRefer.com does not accept any responsibility or liability for the use or misuse of the above article content. Use this information with caution and at your own risk.

    No Implied Endorsement:
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    Addiction Does Not Discriminate: A Ground-Breaking Equal Opportunity, Self-Help Recovery Manual That Works For Everyone!


    New York, NY, May 9, 2012 – In light of Whitney Houston’s demise and others who have been tragically hurt by addiction, Dr. Peter Sacco was asked in a recent interview: ‘Why do so many people have addictions, engage in bad habits, and seem so miserable?’ His response pinpoints why people often become dependent on a ‘fix.’ He said, “Most people today are having what I call near-life experiences--they endure life, withstand it, tolerate it and become indifferent. The problem is too many people stopped enjoying and engaging life way too young, when they were told their dreams are ridiculous, impossible and that they should grow up. Until you awaken the little kid in you again, you are not having a real-life experience!”

    Addictions
    In Sweet Acceptance Versus Bitter Resistance (Booklocker and Andrews UK Publishing), author Dr. Peter Sacco breaks new ground, combining psychology with spirituality by using cognitive behavioral therapy techniques together with the eight Beatitudes from the Holy Bible, to overcome addiction. By applying the principles and tools outlined in Sacco’s book, readers will be on the road to recovery in breaking addiction, dealing with bad habits and/or changing negative thinking patterns.

    Sacco teaches individuals held captive by an addictive personality how to find the self they have been seeking and how to receive what they want in life. No one need ever be a slave to cigarettes, expensive drugs, or a painful drinking habit – Sweet Acceptance Versus Bitter Resistance is the pathway to a better life – without dependency!

    Sacco's groundbreaking self-help book comes on the tails of his recent self-help books (Penis Envy: Does Size Really Matter?, Breast Envy: The Women Who Love Them And The Men Who Lust Them, and The Madonna Complex: Why Men Are Wired To Cheat which are now published on 4 continents. Much of the research in these books (sex addiction, cosmetic surgery/make-over addictions and pornography addiction helped lead to the creation of this latest book).

    Dr. Sacco’s latest book is highly rated and accepted by individuals, regardless of whether they are going through 12-step programs or one-on-one counseling, as well as those with no addictions support. By combining his practical and theoretical knowledge with his revolutionary 3-tier approach of psychology, spiritualism and law of attraction, he provides readers with the necessary tools to overcome their addictions and transform their lives.

    NY Times bestselling author, Robert A. Schuller, had this to say about Peter Sacco’s latest book: "For Years, Peter has been using his cognitive training skills and blending them with the 'Beatitudes.' The results of blending science with the words of Jesus have truly had amazing results. No surprise. What is a gift to humanity is that today he is sharing his secrets with you in this insightful book."

    Peter Sacco is the author of many international, popular selling books, as well as a psychology professor, and former private practitioner/Hypnotherapist. He is the former Editor-in-Chief of Vices: The Magazine for Addictions, Habits and Well-Being, and author of more than 400 magazine articles. As a sought-after speaker, he lectures at universities in the USA and Canada, specializing in relationships, criminal psychology, addictions, sports psychology, and mental health.

    This award-winning author has been a regular resident expert on several television programs as well as hosting the show Mental Health Matters for over two years. To learn more about this inspiring figure, please visit www.petersacco.com

    TIP SHEET:
    Dr. Harry Fisch (radio show host NY/seen on Dr. Oz Show): "Sweet Acceptance Versus Bitter Resistance is a very informative and helpful book that looks at addictions and habits from a variety of approaches."

    Ashley Sather, Writer/Producer: "Sweet Acceptance versus Bitter Resistance is best described as an equal opportunity self-help book!"

    Elena Marouletti (Exec. Producer/Radio Show Host): "A excellent, unique approach to treating addictions and bad habits, as well as creating positive thinking!"

    William D. (in recovery A.A.): "An absolute must read for anyone with an addiction or really bad habit... great if you are in Al-Anon or have a family or friend coping with an addiction. This book really works! It is the first of its kind to offer hope for anyone with addiction by covering every possible way for recovery… “

    Kim Iverson (Your Time With Kim Iverson--Nationally Syndicated Radio Show) "A great book for helping with co-dependency issues and understanding yourself better!"

    Larry Fedoruk (Larry Fedoruk Show 610 CKTB Radio) "A great book for overcoming and treating addictions… Appeals to all walks of life."

    Barbara Bruce (White Mountain Radio Host Arizona) "Excellent how a 3 tier approach to treating addictions and habits is used. First of its kind which is unique!"

    Scott Cluthe (Host Positively Incorrect Radio/TV Show) "A great book for helping people with addiction and bad habits!"

    Deb Goldman (Senior Voice America 1250 WHNZ Radio Producer) "A wonderful book for helping people of all ages with addictions and habits.)

    ooOoo


    Disclaimer:
    The articles on this website are provided as a community service for information purposes only. BlackRefer.com does not accept any responsibility or liability for the use or misuse of the above article content. Use this information with caution and at your own risk.

    No Implied Endorsement:
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BLACK / AFRICAN AMERICAN ADDICTION
   

  1. Addiction Among African Americans...
    The health concerns of African Americans reflect the needs and issues of a diverse, heterogeneous group. Although the term African American is generally applied to individuals in the United States who can trace their ancestry to Africa.

  2. African Americans, Substance Abuse and Spirituality...
    Addiction continues to be one of society’s most complex and prevalent problems.

  3. Alcohol Addiction and Abuse...
    Alcohol abuse is a serious problem in the United States and in many countries throughout the world. Those afflicted with alcoholism suffer from a variety of problems that negatively impact upon many aspects of their lives.

  4. Alcohol and Drug Rehab for Women...
    Website provides information, resources and next-steps for women who are trying to recover from drug and alcohol addiction.

  5. AllTreatment ...
    Our organization is a substance abuse information database and a nationwide rehab network dedicated to addiction recovery. Including us as a resource would aid us to be more resourceful & helpful for the public.

  6. Atlanta Drug Rehab...
    Hugs Recovery Centers for drug and alcohol addiction treatment. Helping people in Georgia regain their lives for 13 years.

  7. Counseling African Americans With Substance Use Disorders...
    NAADAC is the premier global organization of addiction focused professionals who enhance the health and recovery of individuals, families and communities.

  8. Discrimination in Substance Abuse Centers ...
    The persistent problem with race and drug laws invites further analysis, and some interesting insight into the issue can be gained by looking at the history of addiction treatment for African Americans.


    blacks and addiction


  9. Drug treatment effectiveness: African-American culture in recovery...
    African-Americans are overrepresented among drug abusers in the United States when compared to European-Americans, and have lower rates of recovery from drug addiction after treatment.

  10. Health Insurance and Substance Abuse Treatment in the United States ...
    From one side of the United States to the next, substance abuse remains a problem. There are millions of people with an addiction to drugs and/or alcohol, however, some are unsure of what type of treatment is best for them and how they will pay for it.

  11. Nicotine Addiction...
    Nicotine addiction in light smoking African American mothers.

  12. Pornography Addiction Among Blacks...
    Anyone who avidly follows contemporary popular culture and cultural trends in general is probably well aware of the fact that the pornography (adult entertainment) industry is an entity that generates billions of dollars in the United States annually.

  13. Substance Abuse and Addiction in the African-American Community...
    According to the 2012 National Survey on Drug Use and Health, an estimated 23 million Americans age 12 and older use illegal drugs.

  14. The African American Lectionary...
    Addictions are often both physical and psychological compulsions to engage in some specific activity, despite harmful consequences to one’s individual health, spirituality, mental state or social life.

  15. The Family Medical Leave Act...
    We have extracted specific provisions from the FMLAto help you understand what the parameters are for a medical leave, what you have to provide, and some of the employer’s related requirements.

  16. Trauma and Addiction Experiences of African American Women...
    Substance abuse affects African American women at an increasingly alarming rate.


  17. Why Do African-American Families Struggle With Admitting Addiction?...
    There’s something about the innocence of childhood that thankfully protects us from ugly situations we may witness early in life. How many relatives I’ve had that have struggled with drug addiction and alcoholism.












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