Welcome to Come Let Us Reason

Sometimes feeling worse means you are taking steps to get better

Alcohol and/or other drug use mixed up your thinking patterns. For those in early recovery, your brain needs time to adjust to life without chemicals. As this happens, you can have feelings that don't make any sense, such as:



Feeling like you've been asleep for years and can't handle the simplest situation without using.
Feeling grief in letting go of your use.
Feeling stranded and wonder "what now?"
Feeling like you lost the friends or family who are still using.
Feeling that sobriety is like punishment or being deprived.
Feeling strange during ordinary activities because you have forgotten how to do things sober.
Pain from other problems can suddenly resurface.
You can have trouble thinking clearly.
You might struggle with anxiety or depression.
You might "space out".
Impulsive behaviors can pose a challenge.
Your emotions can run to extremes with anger, self-pity, hopelessness, or defensiveness.
It might be difficult to remember things.
It can be difficult to commit to things.
Your physical coordination might not work as well.
You might have trouble sleeping.
You might constantly stress about every aspect of life.
You might feel numb or "drugged" with emotions-depression, anger, helplessness-just like when you were using.


These emotions mean your brain is recovering now that the alcohol or drugs are gone. During this time:



Don't expect too much of yourself. Your physical coordination and ability to concentrate won't work as well for a while.
Try to avoid doing things that could make you feel worse, like eating junk food or drinking coffee.
Find humor in situations instead of feeling sorry for yourself.
Remind yourself that your emotional state will get better soon if you stay sober.
Get as much sleep as possible. Don't worry too much about sleep disturbances. You will sleep better soon.
Eat well, including healthy snacks if you are hungry.
Take vitamins to restore needed nutrition.


As time goes by, you may notice that your head is clearer. Instead of fighting your impulses, you can relax and just go through your day. You can think about the weeks ahead, instead of just today. You are moving into longer-term recovery.



YOU CAN DO THIS!!



The Next Step...Toward a Better Life SAMHSA
Adopt-A-Vet!

You can make a difference in the life of a homeless veteran this holiday season!


Dear Friends and Supporters,

Each year, in advance of the holiday season, we reach out to the community to collect gift items for the veterans in shelters and living on the streets. This provides a homeless veteran with the opportunity to receive gifts such as new clothing, toiletries, gift cards, and other desired items. As a participant in the holiday Adopt-A-Vet program, you, your family, company, or organization can make a big difference to a veteran who is homeless!

You can make a difference today by donating hygiene items(zip lock bags with soap, face towels, deodorant, shaving cream and disposal shaving blades).

To Adopt-A-Veteran, please contact Carl Wilson via comeletusreason@clur.org for more information.

Your support this holiday season is greatly appreciated.

Thank you for sharing in the spirit of giving!

From all of us at
Come Let Us Reason

Managing Stress: How to Cope With Change

Managing Stress: How to Cope With Change

Posted: 05 Nov 2010 11:00 AM PDT

Stress affects us physically and psychologically, and is generally a result of changes we experience in our lives. We can't control everything in our environment, but we can control how we respond to those experiences. Learning how to manage our paradigms and assumptions, taking care of ourselves physically, practicing one or more stress relieving techniques, and developing a personal support system with people we love and trust can all help with making sure that stress doesn't bring us down.
Medicated Assisted Substance Abuse Recovery, A Good Alternative?

Drug addiction is a complex illness that is often characterized by intense and, at times, uncontrollable drug craving, compulsive drug seeking, and use that persist even in the face of devastating and often deathly consequences. The path to drug addiction begins with the involuntary; medically prescribe pain management and the voluntary act of taking drugs. Often, over time a person's ability to choose is compromised and the consumption the drug becomes a compulsive disorder. It is because of this fact, that drug abuse and addiction have so many dimensions, disrupting the many aspects of an individual's life. Treatment is not simple, and effective treatment programs are a far and in between.

Addiction recovery must help the individual stop using drugs, maintain a drug-free lifestyle, and achieve productive functioning in the family, at work, and in society (NIDA, 2009).

Addiction is typically a chronic disease; people cannot simply stop using drugs for a few days and be cured. Clients can require long-term or repeated episodes of care to achieve the ultimate goal of sustained abstinence and recovery of their lives. Which brings us to the question of medicated assistance in substance abuse recovery, a good alternative? This is a tricky question that requires intense research and objective review. Treatment professionals are faced with a quagmire when it comes to rendering a favorable response to medicated assistance in substance abuse recovery. Medications can be used to help reestablish normal brain function and to prevent relapse and diminish cravings. “Currently, we have medications for opioids (heroin, morphine), tobacco (nicotine), and alcohol addiction and are developing others for treating stimulants (cocaine, methamphetamine) and cannabis (marijuana) addiction. Most people with severe addiction problems, however, are polydrug users (users of more than one drug) and will require treatment for all of the substances that they abuse” (NIDA, 2009.)

While controversial, assisted medicated addiction treatment has become common among drug treatment facilities. It is suggested that prescription drugs are the single most effective treatment. According to a recent article entitled, “Emerging Issues in the Use of Methadone,” methadone is becoming increasingly available. “The amount of methadone distributed or delivered by the manufacturers rose dramatically from 2000 to early 2007, with increases ranging from 9 to 22 percent annually” (Emerging Use of Methadone, 2009). Drug users are abusing substances such as benzodiazepines, other opioids, cocaine, or alcohol with methadone.

Methadone, a synthetic, long-acting opioid, has been used for more than 40 years in the treatment of opioid addiction. During the past 10 years, its use for treating chronic pain has increased. For this purpose, the question is being asked; are drugs a safe and effective use in the battle of substance abuse recovery? If chemical dependence is a chronic disease that leads to the uncontrollable use of drugs and or alcohol, despite negative consequences; are prescriptions drugs a safe tool in the recovery process? Is there a safer alternative then a drug like methadone? Unlike methadone treatment, non-psychotic medications like Suboxone, are ideally suited for addicts because of the lower abuse potential; however, counselors argue that treatment medications are simply a band-aid for the underlying psychological issues behind substance abuse.

The review of this article finds that there is concern and reason to issue an advisory regarding the increase in deaths related to methadone, particularly in combination with other drugs or substances, but stresses that methadone is effective and safe in the treatment of opioid addiction and chronic pain when it is used appropriately.

In light of the rise in fatalities associated with the use of methadone, it is important to prevent harm to patients and clients who use methadone for addiction treatment and in managing chronic pain (2009.) Research into this question will provide a rational in reference to the importance of oversight, improved monitoring and intense counseling for clients using medicated assistance in the recovery process.

Much of the literature examining the controversy of medicated assistance in substance abuse recovery is split down the middle. Professionals within the counseling community are in desperate need for anything that will assist the client in breaking the cycle of substance abuse and relapsing.

"Scientific studies since the mid–1970s shows that medicated treatment can help patients addicted to drugs stop using, avoid relapse, and successfully recover their lives. Based on this research, key principles have emerged that should form the basis of any effective treatment programs” (NIDA, 2009.)

The purpose of this study is to answer the question, is medicated assistance in substance abuse recovery a good idea? The answer to this question is no easy task. Intense research and an objective review of the evidence surrounding medicated assistance in the treatment and recovery process is warrant giving the alarming death and side effects of medicated assistance in substance abuse recovery.

References

Center for Substance Abuse Treatment. (2009). Emerging Issues in the Use of Methadone. HHS Publication No. (SMA) 09-4368. Substance Abuse Treatment Advisory, Volume 8, Issue 1.

Center for Substance Abuse Treatment. (2005). Medication-assisted treatment for opioid addiction in opioid treatment programs (Treatment Improvement Protocol Series 43, HHS Publication No. SMA 05-4048). Rockville, MD: Substance Abuse and Mental Health Services Administration.

Center for Substance Abuse Treatment. Medication-Assisted Treatment for Opioid Addiction in Opioid Treatment Programs Inservice Training. HHS Publication No. (SMA) 09-4341. Rockville, MD: Substance Abuse and Mental Health Services Administration, 2008; reprinted 2009.

Detoxification and substance abuse treatment; A treatment improvement
protocol (2009). Rockville, MD: US Department of Health and Human Services.

National Institutes of Health. (2009). Treatment Approaches for Drug Addiction. U.S. Department of Health and Human Services Retrieved July 8, 2010 from http://www.drugabuse.gov/infofacts/treatmeth.html

Camf, J. Mechanics of disease; drug addiction (2003). New England Journal of Medicine. U.S. Department of Health and Human Service. (2009). Clinical guidelines for the use of buprenorphine in the treatment of opioid addiction: A Treatment improvement protocol (2009). Rockville, MD

U.S. Department of Health and Human Service. (2001). Detoxification and substance abuse treatment; A treatment improvement protocol. Rockville, MD:

Gordon AJ, Trafton J, Saxon AJ, Calabrese VS, Gifford AL, Goodman F, McNicholas L, Liberto J. (2007). Implementation of Buprenorphine in the Department of
Veteran Affairs: Results of the first three years. Drug and Alcohol Dependence, 90: 292-296.

Hser, Y. I., Hoffman, V., Grella, C. E., & Anglin, M. D. (2001). A 33-year old follow- up of narcotics addicts. Archives of General Psychiatry, 58.
Is suboxone a miracle drug? Retrieved November 1, 2009 from Opiate Withdrawal website: http://www.vicodinwithdrawal.org/buprenorphine/suboxonebuprenorph

Johnson, R., & Strain, B.C. (2003). Buprenorphine; How to use it right. Drug Alcohol Dependence.

Janis, S., (2004). Wonder Drug. Baltimore City Paper, retrieved July 14, 2010 from http://www.citypaper.com/news/story.asp?id=7033

Ling, W., & Wesson, D. R. (1984). Naltrexone treatment for addicted health-care professionals: A collaborative private practice experience. Journal of Clinical Psychiatry, 45.

Marti, W., Jasinski, D., & Mansky. (1973). Naltrexone, an antagonist for the treatment of heroin dependence. Archives of General Psychiatry.

O’ Brien. C.P., Woody, G. E., & McLellan, A. T. (1986). A new tool in the treatment of impaired physicians. Philadelphia Medicine, 82.

O’ Brien, C. (2006). Naltrexone for probationers and parolees. Journal of Substance Abuse Treatment, 31.

Office-based treatment of opioid-dependent patient (2005). Richmond, VA; Reckitt Benckister Pharmaceuticals. Publication manual of the American Psychological Association (3rd Ed.). (2001). Washington, DC: American Psychological Association.

Suboxone talk zone. Retrieved November 1, 2009, from http://www.blogcatalog.com/blogs/suboxone-talk-zone-1/posts/tag/buprenorphine/
Suboxone vs. Methadone. Retrieved November 1, 2009, from http://www.thatspoppycock.com/library/addiction/Suboxone_vs_Metha done.php

Spreading quality improvement in methadone clinics. Retrieved November 1, 2009 from http://www.queri.research.va.gov/sud/wwd/oat/oat-projects- abstracts.com

Sack, R., (2009). The Psychology of No, and Why It Causes Problems for Drug Addicts. Retrieved July 14, 2010 from http://www.everythingaddiction.com/addiction-treatment/the-psychology-of-no-why-it-causes-problems-for-addicts/

Widdifield, J. What every student should know about citing sources with APA documentation. (2006). New York: NY. Allyn & Bacon.

Beauty

What do you imagine when you hear the word beauty? The colors of a midsummer sunset? the fragrance of a rose? the roar of the ocean waves crashing on a cliff?

Often we use that term to describe a person or their physical attractiveness. As women of God we know that there is so much more to genuine beauty than what appears on the outside. For generations, mothers have told daughters, "Beauty is only skin deep" and "Pretty is as pretty does".

Provers 31:30 tells us that, "Charm is deceptive, and beauty is fleeting; but a woman who fears the Lord is to be praised"

The world would try to persuade us and our children that true beauty can come from a jar, that it can be painted on, powdered up, nipped or tucked, but my momma would say "It's what is on the inside that really counts"

Beauty that exalts the mind and spirit comes from the Lord. We are made in His image, beautifully crafted by the Master. As we grow and follow after Christ we become more like Jesus in love and service.

How do we visualize the beauty of Christ? That beauty comes from His infinite love. The psalmist prayed "One thing that I ask of the Lord, this is what I seek: that I may dwell in the house of the Lord all the days of my life, to gaze upon the beauty of the Lord and to seek him in his temple" (Psalms 27:4)

Yes, we all have "bad hair days", days we don't feel "pretty". Our mirrors reveal flaws and imperfections, but those things do not define who we are. Knowing, trusting, loving, and serving God makes us beautiful. We need to look in to His "mirror" which is His Word to see the loveliness reflected in us.


~ Tina

Are You A Big Deal??

I received this devotion this morning and wanted to share:

Are You A Big Deal??

To your family, that is. Sure, people may know you. They may know about you. They may be aware of something fancy you did. That's all fine and good. There's nothing wrong with people thinking you are special.

But when you walk through the door to the place where you call home, do the people who live with you think you hung the moon? When you go visit your parents, sibling, nieces or nephews, do they smile when they see your face? When you kiss your spouse at the end of the day, do they know they are loved?

This year, my firstborn will turn 11. Before he entered my world in 1999, I had no idea how unexplainable and unimaginable the love I'd have for him would be. It is truly something that I wouldn't trade for anything.

It doesn't matter how many people read my blog. It doesn't matter if someone thinks I've hung the moon because I extended forgiveness. It doesn't matter if someone enjoys my company. It doesn't matter if I shared something with a group and they had an a-ha moment.
While I like that people read my blog and think I'm nice and enjoy my company and think that I have something important to say, there is one thing that is more important.
My family. I want to be a big deal to them.

Scripture Of The Day: "A good man leaves an inheritance to his children’s children." - Proverbs 13:22a (NKJV)

Author: Cindy Beall

This article made me think about myself and my role as a mother, wife and friend. It does not matter how many people I help or the accomplishments I made that day, if I cant be that strength or shoulder to lean on for my family then it means nothing. I have found that I am lacking in some areas, but this article has made me realize that even in my failures that I am still a BIG DEAL!

by: Tina, wife to Carl and mommie to Carleon, Cazine and Carena