OxyContin is a powerful opiate medication most commonly used for the treatment of postsurgical pain or chronic pain. OxyContin is an extended-release version for the narcotic drug oxycodone, which is also the main ingredient in various other medicines, such as Percocet.
All opiate drugs come from opium, which is extracted from the poppy plant, or they are synthetic copies of substances in the poppy plant. Oxycodone, like all opiate drugs, is an opiate agonist that readily attaches to the neurons in the brain that are specialized to be involved in the natural suppression of pain, stress, exertion, etc. These drugs have extremely high potential for abuse and the development of physical dependence.
The DEA classifies narcotic medications like OxyContin as Schedule II controlled substances. These substances are highly regulated and can only be legally obtained with a prescription from a physician. In addition, due to numerous issues with the abuse of narcotic medications, the federal government has started monitoring their distribution much more tightly than it monitors the distribution of some other Schedule II substances. Despite the extra attention paid to this class of drugs, opiate drug abuse still remains a major concern among law enforcement agencies, politicians, medical personnel, and citizens.
A substance use disorder represents a severe form of a mental health disorder that occurs when an individual experiences issues associated with their use of alcohol, some type of drug, medicine, or illicit substance. The term substance use disorder is now the preferred clinical term for what was previously referred to as either substance abuse or substance dependence (addiction). This is because research in the area of addictive behaviors indicates that there is no finite line between earlier designations of abuse and dependence, and these occur on a continuum. Individuals who develop a substance use disorder as a result of abusing narcotic drugs like OxyContin would be formally classified with an opiate use disorder, specifying that their substance use disorder is centered on the abuse of opiate drugs.
According to the medical textbook Substance Use Disorders, an opiate use disorder involves a number of behavioral symptoms that are used by clinicians in the diagnosis of the condition. These include:
Individuals who develop opioid use disorders have very severe mental health conditions that require professional intervention. Because there is a very strong potential that individuals who abuse these substances on a regular basis over a period of several weeks or more have developed physical dependence on them, it is extremely important that individuals who enter recovery programs for opiate abuse are thoroughly evaluated. The evaluation should consist of a full physical, psychological, and emotional evaluation, assessment of one’s social and living situation, and a full cognitive evaluation to determine the individual’s ability to become engaged in aspects of treatment. These evaluations will help the individual’s treatment providers to design a targeted plan that will specifically address their strengths and weaknesses and also treat any co-occurring mental health disorders or medical conditions.
Once the physician has ascertained an initial starting dose where the recovering individual does not experience significant withdrawal symptoms, the physician will slowly taper down the dose of the medication at periodic intervals to help the individual wean off opiate drugs altogether. The process is lengthier than stopping use of opiates suddenly; however, the individual’s withdrawal symptoms can be managed so they remain comfortable and able to engage in other aspects of recovery.
Other medications may be used as needed to address specific symptoms or co-occurring conditions. Withdrawal management programs are ideally suited to be delivered on an inpatient basis; however, in very specific instances, they may be initiated for individuals on an outpatient basis.
Individuals diagnosed with any form of addiction are often also diagnosed with other mental health disorders, such as anxiety, major depressive disorder, bipolar disorder, etc. Research into treatment for substance use disorders has indicated that is imperative that co-occurring psychological disorders be treated along with the substance abuse issue. Trying to treat only one condition is counterproductive and will not result in significant recovery. Co-occurring disorders need to be treated concurrently.A key factor in recovery is that individuals maintain their participation in the recovery program for a significant length of time. Research indicates that individuals who maintain participation in recovery programs for 5-7 years after they had been abstinent have higher rates of long-term or lifelong success. This is why resources like social support groups can be extremely useful for ongoing recovery.
Part of the role of an interventionist in Pennsylvania is to educate the family about addiction. They provide information about the disease and help prepare the family members for what to expect during the intervention.
The goal of the process is to encourage the addict to get help. It is supposed to be an organized process where family members and close friends share their concern about the situation with the addict. It’s not to be used as an opportunity to berate or shame the person who is addicted. Ideally, the intervention stays on track, even if the addicted family member is defensive.
If the addicted loved one agrees to go to treatment, the interventionist can escort them to the treatment facility immediately following the intervention.
Families may seek out an interventionist when their efforts to find help for a loved one with a substance abuse problem fail. They may not know how to start a conversation about getting help or find that they have had the “same” conversation about getting help many times, but nothing changes in their addicted loved one’s life.
The addict may deny they have a problem or downplay the seriousness of the situation. They may claim that they can deal with the issue on their own, or say that they aren’t hurting anyone but themselves.
The truth is that this is a difficult situation for any family. Asking for a help from a professional interventionist makes good sense. Feel free to contact us here for more information. All calls are free and confidential!
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