Friday, November 23, 2012

Dealing with an addicted loved one during the holidays



Ah, Christmas!
The very thought of it brings to mind warm, loving families, cozy fireplaces, sugar plum fairies, and the very gifts you’ve been secretly hoping for.
Definitely the most wonderful time of the year…
Unless…
Unless you are the loved one of someone with an addiction—and then that beautiful snapshot can look completely different.
In truth, the Christmas season is the most difficult time of the year for people who love someone struggling with addiction. The anxiety that accompanies the holiday season is often unbearable for both addicts and their loved ones. But the difference is that there is a lot of help out there for people with addictions—and not very much at all for the family and friends who suffer and struggle right along with them. And, of course, the irony is that for every addict, there are numerous loved ones affected by that person’s addiction.
EVERYONE IS AFFECTED
Think about it—for every one person dealing with an addiction, there are mothers, fathers, sisters, brothers, aunts, uncles, grandparents, cousins, friends, teachers, fellow students, co-workers, bosses, doctors, therapists, and often countless more people whose lives are touched by this devastating situation—even beloved pets can be affected!
And unless loved ones are going to a support group such as Al-Anon, Ala-Teen, ACOA (Adult Children of Alcoholics/Dysfunctional Families), or CODA (Codependents Anonymous), they are far more likely to keep their emotional turmoil to themselves rather than talk to other people about what they are going through. This creates an increased sense of isolation and shame, because loved ones of people with addictions often don’t realize that a great many other people just like themselves are also isolated in their own feelings of shame and guilt.
OUR SECRETS KEEP US SICK
When we grow up in a climate of addiction—whether the addictive behavior is alcohol, drugs, disordered eating, smoking, gambling, sex or relationship addiction, or compulsive overspending—we learn at an early age how to pretend that everything is okay. We watch others in our families do that, so we basically learn from ‘experts’ how to present that stiff upper lip. Sometimes we keep that façade going well into adulthood, trying desperately to control everyone and everything in our lives so that others won’t know what’s really going on for us behind our closed doors. Essentially, we vow that we won’t let anyone truly know us, so that we won’t be judged or abandoned by our friends—or even by other family members.
HEALING REALLY IS POSSIBLE
When we can begin to understand that keeping these secrets is often a family legacy – one that we don’t have to buy into anymore—we can also begin to heal. We learn that we can make different choices that will actually help the situation instead of just enabling it to continue.
How can we do that? We heal by talking with others about what is truly going on and how we really feel about it, without having to put on that façade of everything being ‘in control’. I deeply believe that our real strength shines through when we decide to be authentic in our relationships with others, allowing ourselves to be emotionally vulnerable—the very thing most of us were taught in our families not to be.
Please know that it takes tremendous courage to go against our family values, to do whatever is necessary to move away from being in the problem and choosing instead to be in the solution. Until that decision is made, even by only one person in the family system, no healing can take place for anyone involved.
WHAT YOU CAN DO DIFFERENTLY
If you are the loved one of an addict or alcoholic, you are most likely facing this upcoming holiday season with equal portions of fear, anxiety, shame, and guilt. Those very feelings fly in the face of the often ridiculous hype we see in the ads portrayed on TV during the months leading up to that one day of the year when we are all supposed to be loving and jolly.
For those of you who have experienced year after year of increasingly stressful and unhappy holiday times, I would like to pose the good ol’ Dr. Phil question: How’s that been working for you? Like most loved ones of addicts, your answer is probably something like “Not very well.” And if that is your answer, then my next question to you is: Are you willing to try something different this time?
Many of you will respond with a resounding “YES!!” followed closely with “But what should I do? How can I make this year’s holiday different than other holidays have been?”
Let me suggest a few guidelines to help you do exactly that:
1.     If your friend or family member has an addiction that overtakes the joy of the holiday season, you might want to decide not to have them in attendance. It’s been said that insanity is doing the same thing over and over, expecting different results. If, this year, you allow your addicted loved one to once again negatively dominate your family functions, what makes you think you’ll get a different result than the one you had last year, or the year before that?
2.     If you find it difficult to set clear and healthy boundaries with your addicted loved one, try to enlist the support of other friends or family members to assist you when you talk with him or her. Although this may mean sharing the truth of your situation for the first time, a united front is generally far more effective when setting boundaries with addicts who may have a tendency to become verbally or physically abusive when challenged. There can be safety in numbers.
3.     If you have any questions or confusion about what your boundaries are in this situation, know that there are skilled professionals who can help, such as counselors, therapists, and interventionists. Many counseling services are now also available via telephone, Skype, and email. Try to seek out someone who is trained in dealing with addiction—from the point of view of both the addict and the loved ones. It’s very common to not know what boundaries to set at first—or how to go about maintaining them, which is equally important. Don’t hesitate to reach out to us if you need help—that’s what we’re here for.
4.     Once you know what kind of boundaries you want to set, it will be a good idea to tell your addicted loved one before the holidays arrive. For example, you may want to say, “We love you and we’d very much like you to be part of our family gathering this year—as long as you don’t drink or use drugs 24 hours before you arrive, or during the time you’re with us. If you agree to this but you don’t uphold your end of the agreement, you will be asked to leave and escorted out if necessary.”
5.     If the addict/alcoholic is likely to become abusive during the holidays—or any other time—and you know they won’t honor your request for them to leave, it may be a good idea to have an exit strategy planned for yourself (and your children) if that becomes necessary. Every time you allow someone else to act this way toward you, your tremendously important self-respect is affected, perhaps more than you realize. You do not have to tolerate anyone else’s verbal or physical abuse, and it’s best to nip it as early as you can to prevent it from escalating.
6.     Keep in mind that if you don’t set and maintain clear and healthy boundaries with people who behave inappropriately, you are enabling their dysfunctional behaviors as well as your own codependency. This is not a loving act toward either of you, and creates a definite lose-lose scenario. You can choose to empower yourself to act differently this time around.
GIVE THE GIFT OF SELF-RESPECT
Being the loved one of someone who is actively participating in any self-destructive, addictive behavior is tremendously difficult at the best of times. When we add Christmas festivities to the mix, a great many more anxieties can bubble to the surface for all concerned. It is, therefore, vitally important to have a clear sense of how you’d like your holiday to be this year, and take the steps necessary to help achieve that goal.
Remember—we cannot change or control another person. We can only change our own choices, reactions, and behaviors. Let’s all make the choice to give ourselves the gift of becoming as self-aware and self-respecting as we can possibly be—at Christmas time and all year round.
I wish all of you a wonderful and blessed holiday season.


Paradigm Malibu is devoted to the provision of state of the art Teen Drug Treatment, Adolescent Behavioral Health, Mental Health and Emotional Health Treatment. To learn more about our services, please visit our web site at: www.paradigmmalibu.com

Thursday, November 22, 2012

Heroin use increasing on North Shore of Chicago


By John P. Huston

One day three years ago Meghan Murrin was a New Trier High School senior. And she had just died for a few minutes.
Her increasing experimentation with illegal drugs had led her to heroin, and on Oct. 3, 2009, an overdose almost killed her. Her heart stopped beating, but she was brought back to life after three shots of adrenaline, said Murrin, 21, of Northfield.
Murrin was one of the lucky ones. But several north suburban police departments are seeing an increase in heroin use — more arrests, more overdoses, more deaths.
"It's currently more available than it probably has been in a couple decades," said Wilmette Police Chief Brian King, noting the relative cheapness of the drug. "You can get a bag for $10."
King plans to launch a public information campaign aimed at educating parents, as well as youth.
"We don't want a paranoid community; we want an informed community," he said.
On Jan. 9, police officials will host a heroin forum at the Wilmette Public Library, similar to those hosted recently in Glenview and Northbrook.
"We're really trying to put some information out there and encourage parents of young adults to communicate about this heroin dynamic," King said, noting that a police social worker provides confidential referral services to families or users.
Wilmette police recently had two incidents in which people apparently returned from buying heroin, possibly in Chicago, exited the Edens Expressway and pulled into nearby parking lots to inject themselves.
In one case, two Glenview women in their early 20s were arrested in their car behind a Dairy Queen. In the other, a 32-year-old Skokie man was found overdosing on the drug outside his vehicle in the Edens Plaza parking lot.
Numbers show an uptick in the drug's popularity, King said. Through October, there were seven heroin overdose reports, deaths or possession charges in Wilmette. Last year, there were 10. In 2010, there was only one.
Offenders have ranged from 19 to 41 years old, King said.
But sometimes the numbers don't provide the total picture. Sometimes the heroin influence can be more difficult to identify, and show up in other criminal reports. In May, a former Wilmette resident committed several armed robberies in the North Shore village and several surrounding suburbs to support his heroin addiction, King said.
Northfield has anecdotally noticed an increase, though arrest numbers don't necessarily back it up, said Police Chief Bill Lustig.
"I would say we are seeing more of a use in heroin with few arrests," he said, noting the common age for using the drug is between 17 and 19.
Winnetka Deputy Police Chief Joseph Pellus said his community hasn't seen a similar trend. This year, Winnetka has only had one heroin-related possession arrest.




Experts and law enforcement officials say it's an issue that needs to be addressed in suburban communities. According to an August 2012 Illinois Consortium on Drug Policy study, heroin overdose deaths have increased from 2007 to 2011 by 115 percent in Lake County, 100 percent in Will County, and 50 percent in McHenry County.
A similar study conducted by the consortium in 2010 found a 27 percent increase in teens in suburban Cook County discharged from hospitals for heroin use from 2008 to 2009.
One alarming sign is that many younger heroin users report to police that they were unaware that heroin was more dangerous or more addictive than other drugs, King said.
"It doesn't have the stigma that is used to in the past," King said. "People are generally unaware of the dangers that maybe other generations were conscious of."
Murrin first began dabbling with drugs started as a freshman at New Trier High School. She got caught, which subsequently got her kicked off the volleyball team for violating the code of conduct, she said.
That led her more free time to hang out with friends who seemed to also have an interest in trying different drugs, Murrin said.
She did heroin three or four times, by her estimation, until the night her heart stopped. She later sobered up after attending an outpatient treatment clinic and alcoholics anonymous meetings.
Murrin said she's not surprised that heroin is becoming a larger problem in the suburbs, even among North Shore teens.
"Most kids don't have to work," Murrin said. "They get allowances. They don't have to pay for anything. They don't have responsibilities. As long as they get good grades their parents don't ask question."
Her advice for cutting down on the problem is for parents: Keep a watchful eye.
"Sometimes you have to be the bad guy and not let them go out," Murrin said.




Paradigm Malibu is devoted to the provision of state of the art Teen Drug Treatment, Adolescent Behavioral Health, Mental Health and Emotional Health Treatment. To learn more about our services, please visit our web site at: www.paradigmmalibu.com


Wednesday, November 21, 2012

UK Hunger games: Teen gymnasts reveal dark side of sport that left them with eating disorders


UK Gymnasts, Amber Ballantyne-Styles and Rhiannon Owen say they were weighed repeatedly and required to starve themselves

TEEN gymnasts claim they are being driven to the brink of potentially deadly eating disorders by intense pressure to lose weight.
Lifting the lid on the overwhelming demands to be thin, two girls say they were weighed ­repeatedly during intense training sessions.
Amber Ballantyne-Styles and Rhiannon Owen, both 18, say the sport, which is more popular than ever thanks to Team GB’s Olympics triumphs, required them to starve themselves as they strove for success
- Weighed several times in three-hour training sessions.
- Told to eat low-carb diets.
- Needed medical care after suffering panic attacks because of the intense pressure.
- Ordered to keep food diaries and present them to trainers on a weekly basis.
Now their parents are calling for governing body British Gymnastics to crack down and make sure all coaches abide by a strict code of conduct.
Amber’s mum Cherry-Ann, from Garsington, Oxfordshire, said: “Gymnastics is meant to be fun.
“In fact the sport was destroying their mental and physical health because of the way in which the coaches approached the sport as though it was life and death.”
Rhiannon, now 18, from Milton Keynes, was enrolled in a gymnastics class aged four. When she was 14, she was ready to compete at an international level.
But as training became more intense the pressure mounted. She said: “I was told I was getting too heavy. If I had even put on a kilo I was told I was too fat to do a tumble.”
At under 9st she was a healthy weight but comments about her size were relentless. Rhiannon said: “It made me feel scared and I got into quite a state one session. I believed what I was being told about my weight because the person was in a professional position. I started crying. I said, ‘I don’t know how you expect me to do this in a healthy way’. Comments about my weight made me feel I should restrict my calorie intake.”
Rhiannon put herself on a 600-calorie-a-day diet – the recommended daily intake is 2,000 calories for women.
At 18 Rhiannon was about 6½st, which is seriously underweight, and could barely walk.
She said: “If I walked more than 10 steps, my legs would seize up. There were about four times I was hospitalised because I fainted and blacked out.”
Her parents Yvette and Paul realised something was seriously wrong and she was referred to Cotswold House, an NHS-run eating disorder rehab centre in Headington, Oxon. She had to be put on a drip several times.
In July Rhiannon was discharged after recovering, with her weight returning to a healthy level. She is now happy and positive about the future.
Amber’s mum Cherry-Ann knew something was wrong when her daughter, who had been a healthy 9st, started suffering night terrors and sleep- walking. Amber, then aged 13, who represented Great Britain three times, said she had been harangued about her weight at training.
Cherry-Ann claimed: “She was continually told, ‘The reason you cannot do certain elements of gymnastics is because you’re too heavy’. She was devastated and would cry all the way home after every training session.” After Cherry-Ann withdrew her from the sport Amber was very down and her weight dropped. She then began to binge-eat, gaining more than two stone.
She recovered after Cherry-Ann confronted her about the issues and is now a healthy 10st for her height of 5ft 8ins.
The girls’ parents complained to British Gymnastics but felt their concerns were not ­thoroughly investigated.
Cherry-Ann says: “Amber has recently opened her own art exhibition depicting curvy women. It’s been cathartic and instrumental in her recovery. It’s a huge relief that something good has come from something so awful.”
Dr Pippa Bennett, chief medical officer for British Gymnastics, said: “Gymnastics has been identified as a potential high risk sport for eating disorders and we have liaised closely with specialist centres in Loughborough and Swansea to provide support to our gymnasts. If an issue is raised our welfare and medical departments can be contacted for advice.”




Paradigm Malibu is devoted to the provision of state of the art Teen Drug Treatment, Adolescent Behavioral Health, Mental Health and Emotional Health Treatment. To learn more about our services, please visit our web site at: www.paradigmmalibu.com





Tuesday, November 20, 2012

Young teens turning to protein powders, steroids to bulk up: Survey



By 
RYAN JASLOW

More young teens are turning to muscle-enhancing behaviors like extreme dieting, taking protein powders and even using steroids, a new study warns.
The researchers behind the study, published Nov. 19 in Pediatrics, say the trend is "cause for concern" and of "considerable public health importance."
For the study, researchers surveyed nearly 2,800 adolescents from middle and high schools in urban areas who were an average of 14 years old. They were surveyed on whether they engaged in muscle-enhancing behaviors that included changed eating habits, increased exercise regimens and the use of protein powders, steroids or other muscle enhancers like creatine.
The results surprised researchers. More than two-thirds of boys changed their eating to increase their muscle size or tone, and 90 percent reported exercising to bone or bulk-up.
Behaviors the researchers deem "unhealthy" for teen boys were also common, with nearly 35 percent using protein powders or shakes, more than 10 percent using other muscle-enhancing supplements and almost 6 percent of them used steroids like testosterone.
Boys however weren't the only ones turning to these behaviors. A large majority of surveyed girls said they changed their eating and exercise habits, 21 percent turned to protein powders, 5.5 percent used other muscle enhancers and about 5 percent used steroids.
Body mass index -- a ratio of height and weight used by doctors to measure obesity -- correlated with muscle-enhancing behaviors, so overweight and obese girls (BMI 25 and higher) were significantly more likely to use protein powders and shakes than normal weight girls (BMI 18.5 to 24.9). Grade level and participation on a sports team also correlated to a greater likelihood for these behaviors. Asian adolescents were found to be more likely to engage in the behaviors than other surveyed groups.
The study's authors urge pediatricians to talk to their adolescent patients about healthier ways to bull up.
"Given the adverse health effects of steroids and other muscle-enhancing substances, identifying populations at particular risk and understanding patterns of use hold considerable public health importance," the researchers write.
They say an increase in body images shown in media of leaner, muscular men and women has corresponded with an increase in body dissatisfaction among teens. Further, high-profile steroid cases involving athletes and celebrities also raises awareness among youth for potential muscle-building options.

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Study author Dr. Marla Eisenberg, a professor of pediatrics at the University of Minnesota added toMyHealthNewsDaily that teens who engage in compulsive eating behaviors could be at risk for serious disorders down the road.
She also said teens who substitute protein shakes for meals are making an unhealthy choice and may be "missing out on the additional nutrients and other benefits of eating real food."
Steroids can cause prematurely stunted growth in teens that have yet to stop growing by causing the skeleton to mature too fast and accelerating puberty changes, according to theNational Institute on Drug Abuse. Other effects include jaundice, fluid retention, high blood pressure, severe acne and sexual side effects for boys and girls that may impact fertility. Annabolic steroids also may cause mood swings, impaired judgment, depression or irritability.


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Experts also note the supplement industry is not regulated by the Food and Drug Administration, so products may contain other potentially harmful ingredients.
An "old wives' tale" may suggest teens who lift weights and bulk up may stunt their growth. TheAmerican Academy of Pediatrics says that could definitely happen if an adolescent injures the bone's growth plate. Other injuries include herniated disks in the back, muscle strains and tears, bone fractures and cartilage damage.



Paradigm Malibu is devoted to the provision of state of the art Teen Drug Treatment, Adolescent Behavioral Health, Mental Health and Emotional Health Treatment. To learn more about our services, please visit our web site at: www.paradigmmalibu.com