Judul : Lorain County Health And Dentistry
link : Lorain County Health And Dentistry
Lorain County Health And Dentistry
>> the following is apresentation of the well, a multimedia presentation projectbrought to you by wviz ideastream. funding comes from the dr. donald j. goodman and ruthwebber goodman philanthropic
Lorain County Health And Dentistry, fund of the clevelandfoundation, the margaret clark morgan foundation, the mcgregorfoundation, the woodruff foundation, the communityfoundation of lorain county. >> with this disease, you gethelp and become sober, you go to
jail and you die. >> it took away my livelihooddid its shattered dreams. >> small-town america with a bigproblem. >> heroine nowadays is killingour youth. >> their brains have beenhijacked. >> and diction to go over myfamily. sometimes you literally die. >> it destroyed my family. it destroyed my self-respect.
it wiped out everything. >> more than 23 million peoplein the united states struggle with addiction but less than 10%get treatment. in ohio, more people die fromdrug overdoses and from car accidents. hello, i am rick jackson. we'll hear from people who livedthrough addiction, whether it is prescription drugs, heroin,alcohol or gambling. once, experts who will describethe mystery of relapse come a
look and sign the brain of anaddict and much more. if you want to understandaddiction and how to better your odds of beating it, then watchthis show. here is another alarmingstatistic. it is often called a youngperson's disease. ed is because 90% of addictedadults started abusing drugs or alcohol as teenagers. in our first story, we meetbrandy, a 30-year-old recovering drug addict and alcoholic whohas been sober almost three
years. like most addicts, brandiesbattle began early. >> when i was a kid, i did notsay i wanted to be an ex-con when i grow up. i didn't look at my parents andsay i think i'm going to be a three-time convict did drugaddict with no future. my goal was not to lose controlof my life and become a junkie. you know, i was from brunswickin the suburbs, middle-class. we warned -- we weren't poor.
my parents weren't drug dealers. they want out of politics. you know, it just happens. sometimes it happens to the bestof us. alcoholism and addiction doesnot discriminate. it doesn't care what color yourskin is, how much money you have or where you come from. it attached to it wants toattack. >> as a little girl, brandyexperienced lots of trauma.
>> i had gotten attacked by adog when i was almost eight. the scars on my four head, mynose, and my lip. >> brandy's parents divorcedwhen she was four and she says that some of the men in hermother's life or abusive. >> i think that is a lot were myanger and my depression came from, not knowing how to handlethose situations. >> at age 13, brandy beganthinking. then came hot and eventuallyheroine. >> when heroine hits your veinsfor the first time, it is
overwhelmingly powerful. it is a little euphoria. nothing else in the worldmatters. i instantly became the type ofperson my family and friends would them over to my house, ifthey left their wallet out, i would take their money out of itand i would take their wallets, help them look for it. i mean, i was conniving,manipulative. i was a tornado.
and i would destroy whoever'slife i would come in contact with, just spinning out ofcontrol. >> in late 2009, brandy ended upat ib h, the insurable brother hood home in akron. >> we get the people who need aremoval and need time away to be able to address everything. we do get the sickest of thesick. >> a large majority of thepeople that have substance abuse problems also have some kind ofco-occurring mental disorder,
whether it be some sort of mooddisorder or anxiety disorder or posttraumatic stress disorder. brandy had a plethora ofdifferent issues, all kinds of trauma ranging from physical,emotional abuse to sexual abuse to violent traumas. she was diagnosed with ptsd. >> ibh follows a 12 step modelfor recovery. clients must accept they arepowerless over their addiction and they need help from a higherpower.
>> we do not say you have tosubscribe to god or jesus. it's anything greater thanyourself. you must be able to surrenderthat you are no longer in control of your life. we have the perfect environmentto allow someone to reflect on what they are doing and who theyare and what they want to become. >> so when did things start toclick? what was your turning point?
>> everything just kind of cametogether around the same time, i would say, my third month in. i started flying out from yearsof being numb and i started comprehending what was going onand i didn't want to live my life like that anymore. >> brandy learned new ways tocope without drugs or alcohol. and she gained self-esteem. >> and i arrived at ibh, i wasmissing my forefront teeth at the gum line from variousthings, getting beat up, having
seizures, not taking care ofmyself. it played a very big role in mylack of self-esteem. and broken chains ministry raisethe money for a partial so i can have some teeth. i smiled for the first time in avery long time without having to hide, you know. it was amazing. i felt like a human being. i felt not like a junkie.
>> i looked at brandy when shefirst came in as kind of this really prickly cactus. she was very just hard and, youknow, she liked to push people away. she was a cactus. then through being here, shebecame a cactus with a flower. good job. i love you. >> i love you, too.
the foundation is the mostimportant thing in recovery. part of my foundation isspirituality and part of it is the 12 step meetings. i met someone while attendingthe meetings. we've been together for a coupleof years now. i have been diagnosed withdepression and i take a very low dose of a very commonantidepressant medicine and that helps as well.
life is good. i mean, we've got a house now. he has a career. i am a manager at a well-knownfast food restaurant. i am a productive member ofsociety today. >> the national alliance onmilton will -- on mental illness estimates that 50% of the mentalhealth population also has another issue. the term diagnosis means thatthe person with addiction also
has another underlyingcondition. >> research shows there isprobably more than one reason or a combination of reasons. a lot of times, it can be thegenetics or the genetic predisposition running in thefamily. but also environment really hasan influence on those that maybe had early trauma histories as inbrandy's story that sets them up to have likely experiencedsymptoms with mental illness as adulthood as well as thesubstance abuse problem.
>> in brandy's case, doesone precede the other? >> sometimes, by the timesomeone comes from heal -- comes for help, we don't knowwhich happened. in her case, early trauma andhaving her reach for some alcohol to self medicate areaearly on. but you really don't know. without the alcohol, sheprobably still would have had it is hard to say which one camefirst. >> when she comes in there andyou don't know which issue came
first, how do you know which oneto treat first? >> a lot of times, it depends onwhat they come in the door with. the door may be the emergencyroom in the health-care care system where they might be incrisis that really needs to have that focus on whether it isintoxication or withdrawals. that would be more of asubstance abuse problem. whereas she might come inbecause of a suicide attempt which is around the mentalillness problem. a lot of, we focus initially onthe original reason for coming
for help and then uncover thelayers, so to speak, of what is going on underneath. >> so you are treating themsometimes in conjunction. she different sets of doctors totreat different disorders. >> a lot of times, a gets quitedifficult because there are two debian systems of care in thatway. one focuses more on the mentalon this. one will focus more on thesubstance use disorder. but really both need to betreated in conjunction,
together. sometimes, there is an order,but both need to be treated at some point. >> is there somebody out thehospital who is overseeing the idea of this doctor treats this,this doctor treats this segment? does the family have to keepeverything in a row? who is in control? >> physicians who specialize inmental illness and substance abuse are usually psychiatrists.
they are trained for the wholescope of mel will -- of mental illness and substance abusedisorders. although, they might have someone be involved withanother allied health professional. there are counselors who arespecialists in addiction. and they work actually withpatients and families. you bring up a good point,having the family as a support system because the person cannotnavigate that system by themselves and will need supportfrom families or friends.
>> will we look at brandy'sstory, it looks like a success story. >> substance use disorders tendto be recurring conditions herod . usually we see the recurringepisodes before someone actually gets to the point of continuingrecovery. brandy's story is one where sheis in recovery continuously everyday. a lot of times, we see thedifficult steps and the setbacks
, but progression is what isimportant. >> thank you for sharingtime with us today. we turn our attention to thescience behind addiction. people can be addicted to allkinds of things, drugs, alcohol, cigarettes, gambling, evenpornography. no matter what the problem is,all addicts have one thing in common. what is happening in theirbrains. in this segment, we explore thebiology and chemistry of
addiction and how it hijackssomething we all have. call it our pleasure pathway. human beings are designed tofeel pleasure naturally in order to survive. eating keeps us alive. sex keeps us multiplying. >> so all human beings have thispathway in the brain that we commonly refer to as the rewardpathway. it basically tells us when weencounter stimuli and the
environment each ones we oughtto pay attention to, which ones are important for survival. food and sex are excellentexamples of natural things in the environment that activatethose pathways. >> similar to how peoplecommunicate when one person talks and the other one listens,brain cells also talk. they use chemicals calledneurotransmitters and one of them is called dopamine. it speaks the language ofpleasure.
when the reward half isactivated, dopamine is sent from one cell and received by thenext. >> it is this neurotransmitterdopamine that is transmitted through the pathway that letsthe organism know that this is a pleasurable thing. >> the chemicals of drugs, nearthe brain to a reward pathway. instead of natural little burstsof dopamine, drugs create a surge, hitting the brain like abolt of lightning. doctors believe the same sort ofprocess occurs with certain
behaviors like compulsivegambling. be it from gambling or drugs,the brain tries to adjust to abnormally high levels ofdopamine and things go haywire. important connections are lost. fuses are blown, so to speak. the brain loses it's normalability to process dopamine and the brain loses its baselineability to feel pleasure. he or she must continue theharmful behavior just to feel normal.
advancements in scanningtechnology now allow researchers to actually visualize thesechemical changes inside the brain. this is a healthy brain/the redcolor indicates normal brain chemistry in the reward pathway. and here is the brain of aheroin addict. the absence of red indicates theblown fuses due to drug abuse. repeated drug abuse damagesother areas of the brain, too, such as those involved injudgment and self-control.
how anyone can become addicted,some people are more genetically prone to it than others. that's why addiction tends torun in families. one other important note,drug and alcohol abuse is part to give problematic for teensbecause their brains are still developing. addiction not only messes withtheir brain chemistry, it also stunts their emotional growth. this program is out of ideastreams ongoing multiple media
series called be well. watching this show, you mayrealize you need help or know someone who does. go to health.idea stream.orgwhere you will find a library of new stories, journal articles,and studies about addiction. you can also call 211 to belinked to services in our region that can help you, your family,or a friend. addiction can lead people to dounspeakable things. children steal from theirparents.
parents abandon their kids. in fact, that is exactly whathappened in our next story. charlene is a woman who spent 30years addicted to drugs and alcohol. >> for me, the journey that iwent on was a roller coaster journey because there were somany times i promised i wasn't going to use again and i broke alot of promises and broke a lot of hearts. addiction cost me my life.
my family. my god. i missed a lot of time. i lost a lot of family reunionsand graduations. it's like i woke up and mychildren were a certain age. i was really forgetting how oldthey were. i was older. some of the people, some of myfamily members were gone and i didn't even make it to theirfunerals.
>> in your 20's and 30's,charlene was a mother of two and her husband was a good provider. but charlene had a dark secret. she was addicted to alcohol anddrugs. >> i tried to be a mother but iwasn't because there is no way that you can be a real mother toyour children and you are using and still sneaking around eventhough you are in the house. i took my family through a lot. just not showing up, going tothe store and maybe to go
grocery shopping or something,maybe not to come back for a couple of days, not calling forweeks and months at a time. >> crack to overcharlene's. life. >> he could not do it anymore. i would disappear and they wouldwonder where i was eyed. when they would call me, hewould make up excuses for me. it just became too much for him. >> in 2010, charlene ended up atthe edna house.
it is set on the ground for theold convent. it is designed to help addictedwomen stay sober and get back on their feet. >> we incorporated these 12-stepstep program. i think people look at the 12steps to be the medicine for the disease of alcoholism and drugaddiction. throughout the day, the womenthat are in the first phase of the program, they attend groupsessions that are held by volunteers.
and then in the evenings, thosesame women and many other volunteers from the localrecovering community pick these women up and take them tooutside 12 step meetings. >> i was so broken when i wentto the edna house. it is just something about thathouse. the women came to me, they weretaking time out of their lives unselfishly to help anotherwoman that is struggling trying to stay sober. >> charlene stayed at edna housefor two years and she calls it
miracle on 65th street. before charlene's mother died,she got to see her daughter sober. >> that is one of the gifts. she had a chance to see me soberafter so many years of talking to me, praying for me, nevergiving up on me. >> edna house helped charlenefind inner peace and find a job. now she works as a receptionistand lives just down the street from her ex husband anddaughter.
>> i feel safe here. i'm not on the run any longer. >> the drugs and the alcoholreally had you on the run. >> every day. that was my life. that had become my life. addiction cost me my family,myself, a lot of years. but right now, i am starting toget it back. >> like many people, charlene isstaying sober by regularly
participating in a 12 steparound. -- 12 step program. twelve-step programs are basedaround up all it's anonymous that started here in akron ohio. they believed in gettingstrength to overcome the disease from a higher power and wasteless emphasis on the science of treating alcoholism. the first meeting in accra spurthe creation of 12-step program zoeller the united states andtoday there are ada meetings in
180 countries all over theworld. let's spend a few momentsfocusing on 12 step programs. i am here with dr. coates. welcome. how are the twelve-step programsstructured? >> at a meeting, what happens is there are threedifferent types of meetings. meetings are the principles andpractice of aa. so the different types ofmeetings are a league meeting, step meeting or discussionmeeting.
at a league meeting, -- at alead meeting, a person stands up and tells their story and peoplecommunicate how they relate to that story. a step meeting, folks pick out astep, one of the 12 steps to work on, and they focus on thatstep. the discussion meeting issomeone will pick out a topic and they will have a topic ofrecovery that everyone discusses. >> i know some folks say this isnot necessarily the best idea.
does this work, the 12 stepidea? >> there is compelling evidencethat 12 step programs to work. historically, there didn't useto be much research. but in the last 15 years, therehave been quite a few studies that suggest they are veryeffective. there are many paths to recovery. twelve-step is one of thoughones that help most people most of the time. >> charlene made the referencethat she goes to these meetings
four times a week. is it important to keep going tothe meetings? >> again, the research showsthat people that stay participating in twelve-stepprograms in an ongoing way have better outcomes than those whodon't. >> pretty much, that is acommitment, not just for now, but a commitment for the futurethat you're going to stay clean, stay sober. >> it is a commitment and youreceive support from fellowship.
you have role models that showsobriety. it is also the affiliation andthe identity with other people who have sustained sobriety thatis helpful. >> we heard the reference in thepiece to higher power. we saw charlene on her knees. explain the higher power tenantfor us. >> many people have themisperception that aa is a religious entity and it's not. the basis of it is spirituality.
spiritual growth is theessential philosophy of aa and it is about having a higherpurpose and meaning in life. in the steps, higher power is asyou understand him. some people believe in god andsome people have a different higher power, again, as theyunderstand it. >> some people i know walk awayfrom the 12 step program. are they always welcomed backin? the have to go back to thebeginning or can you pick up where you left off?
>> absolutely. no one is ever turned away fromaa. it is the desire to stopdrinking that is important. >> dr. margie coates fromuniversity hospital. they do so much for being here. go to health.ideastream. .org that shows resources. not all addictions involve adrug or a drink. it is estimated that more than100,000 people will become
compulsive or problem gamblersdue to the opening of ohio's new casinos. gambling is not categorized thesame way as drug and alcohol addiction. but that may change in 2013. cleveland has played a pivotalrole in the quest to get compulsive gambling recognizedas a true disease. the nation's first inpatienttreatment program for compulsive gambling started here incleveland at the veterans
administration hospital whichhas since moved to university circle. our next story is about pete. he lives in detroit but he was-- is gambling started as a hobby. he liked to play blackjack butslowly the hobby turned into a habit. >> was born in queens, new york. i lived with my mom and mygrandparents.
i didn't know my father. he died when i was just born. i went through public schools upuntil the fourth grade when i then went to a boarding school. when i was in the eighth grade,my mom passed away and my uncle and aunt, without hesitation,took me in and showed me a lot of love and attention. >> after high school, peteserved six years in the army and then he attended.
-- the university of michiganand he got a lot agreed. he opened his own firm indetroit. let's pick up your story in thelate 1980's. you are a successful lawyer. you have a family. tell us about your life. >> life was good. and fax, we were financiallysecured. my office was growing.
we were churchgoing. we took family vacations. i coached the kids lacrosseteams, their baseball teams, whatever the kids needed,whatever the family needed. i was able to provide for them. >> how did ganley fit into yourlife at that point? >> ganley was just a recreation. it was more -- gambling was justa recreation. it was more of a hobby,something to relax with.
>> pete played blackjack. he learned to count cards andgot good at it. so the more you one, the moreyou liked it. >> correct, yes. >> and the lifestyle also luredyou in. you are getting comps from thecasinos, a lot of free things to get you in the door. >> yet, that is an addictivething. the casino puts you one level up, things that you wouldn't
normally do. they seem to be able to providefor you. >> pete was laying in las vegasand the local casinos in detroit and the stakes kept doing higherand higher. >> i mean, there were times iwould have $10,000, $20,000, $50,000 on the table at onetime. the more danger there was, thehappier i seemed to be at the time. >> we are going to get to thebig event where everything came
tumbling down. but first, i want to take aminute and have you reflect back on what you know now. were there some warning signsthat you are really crossing the line and getting into sometrouble? i wasn't spending as much timeat work as i used to. i had built a mini casino, ablackjack table in my basement. i started buying books onblackjack. i thought about it day.
i thought about it at night. i dreamed about it. my personal relationshipssuffered here in i business relationships suffered. i was going to or three times aday and my day would begin at 5:00 in the morning. >> at the casino. >> they are open 20 47. they are always there for you.
>> take us back to the day. >> i entered the casino atapproximately 5:00 in the morning and i went to myfavorite like jack table and i sat down and i sat down withapproximately $250,000 in chips and $50,000 in cash. within hours, i had not onlylost $180,000 that i had won, but i lost the 200 $50,000 ibrought with me plus the $50,000 and i began writing checks atthe casino cage. >> so you lost a total that theyof $3 million within eight
hours? >> that's correct. >> than what happened? >> i couldn't pay it back. eventually, i was sued. i was arrested and i wasconvicted of a felony. i was disbarred and i wasabsolutely one of the worst days of my life. >> you had to close your lawpractice.
>> and let all those people go. that is something i think aboutevery symbol they. -- every single day. it took away my self-esteem. it took away my livelihood. it shattered dreams. >> eventually, heat gottreatment at the veterans hospital in cleveland and he hasbeen clean for over three years. >> i had an artist paint apicture showing addiction and
what it can do to you. how it ruins your mind, whetherit be gambling, alcohol, pills, it hijacks your brain. i would look in the mirrortowards the end and i really didn't recognize the face i waslooking at. now when i look in the mirror,slowly but surely, the old pete is coming back. >> when is something shiftedfrom recreational use or a hobby to a problem?
how do you recognize that beforeyou hit rock bottom like pete did. joining me now is a psychiatristwith the cleveland clinic. what are the warning signs? what should we look for? >> in most people, they realizethat they have a problem when they start asking that questionof themselves. for the general, recreationalgambler or recreational drinker, they don't ask that question.
they simply have a drink everynow and then, maybe with dinner or maybe they go to thehorseshoe and decide to go in and lay $50 on the slots andthey leave when they are done. it never rises to the levelwhere they would even ask themselves or begin to thinkthat they may have a problem. >> addiction is described as abehavior of mood altering behaviors with consequences. >> once a behavior becomes anaddiction, it becomes an addiction and compulsion, like aniche they have to scratch/that
pertain to gambling. that pertains to substance abuseand alcoholism. but it becomes such an obsessionand a compulsion they can't control it. even though it is causingdestruction in their lives and all sorts of negativeconsequences, they will continue to use because they feel drivento. they have to. >> i know you specialize in drugand up a whole addiction.
does the criteria for thatstretch into other things? >> some of the other addictionslike pornography are not yet old into our dsm fore, our bible, ifyou will, of diagnostic criteria. >> is there a gray area? >> there is a bit of a grayarea. it comes to the fore withinternet addiction, as you already pointed to, sexualaddiction and those sorts of things.
>> what constitutes as a problemfor one person and may not be a problem for somebody else? quest i think most of us, again,are looking for the success of compulsive behavior, that reallysets it apart from the average regular user. the gambler and the alcoholicalike will spend an inordinate amount of time in pursuit oftheir endeavor. they will spend time in thecasino at the expense of perhaps a business meeting or at theexpense of perhaps a family
gathering that they weresupposed to attend. so they start spending aninordinate amount of time doing that where it becomesproblematic and it leads to consequences. the alcoholic, if he is notdrinking or not sitting physically at a bar may bethinking in the back of his mind throughout his work day aboutwhen he is going to drink that night. >> defined for me the keyfeatures of addiction.
>> the key features of addictionnot only involve, for chemical dependency, not only involve aphysical dependence that we often talk about, the tolerance,the need to drink more to achieve the same effect orexhibiting withdrawal symptoms in the absence of having alcoholpresent, but also involves the use of larger amounts about thehall for a longer periods of time than originally intended. the alcoholic may say i will gointo the barn had two beers and then i am going home and spendtime with my wife.
24 beers later and several hourslater, they are stumbling out of the bar. >> they have rationalized. >> the point is that they haveused much more than they intended over a longer periodthan they intended. the alcoholic may make repeatedattempts to cut down or control their usage but to no avail. he can't control his use. he can't cut down on his ownwithout professional help.
despite the deleteriousconsequences, he will spend an inordinate amount of timeengaged in this activity or recovering from his activity,nursing the effects of a hangover the next day, forinstance, thinking about where he is going to get his next todrink or his next drug. those are some of the keyfeatures of chemical dependence. >> you made the referenceearlier about a person who asks if they have a problem. if i know enough to ask, is theanswer yes?
>> i believe it is, even thoughyou will not find that as a die gnostic criteria in any of our-- as a diagnostic criteria in any of our manuals. once someone gets to the pointwhere they are wondering whether or not they have a problem, ibelieve there is a high likelihood they do. let's face it, people don'toften get to the point where they ask themselves whether ornot they drink too many ice-ts or drink too many pops.
i think there is something alittle different in that question when it rises to thefore that he just maybe they do have a problem. maybe they havealready noticed at some level that they drink it from the downthere -- drink differently than their loved ones or theirfriends. >> pete was a gambler for thelast 25 years, but only in the last five he knew he had aproblem. is that normal? >> that is very common.
we never know when it is goingto cross the line, escalate out of control and become a problem. you will find many people am afor instance, who will be recreational drinkers for yearsand all of the sudden the use starts to escalate and spiralout of control and it is as though a switch has flipped andthey go down that path to becoming an alcoholic or anaddict or a problem gambler. >> dr. jerry from the clevelandclinic, thank you for being here.
>> i appreciate it. >> if you are watching the showand thinking you need help or perhaps you know someone elsewho needs help, go to health. -- health.ideastream.org. you will find all the content wehave created for this series plus stories we have done thismonth on addiction. you can also call united way211. 211 is available 24 hours a dayseven days a week. just dial 211 and operators willput you in touch with low or
no-cost services close to yourhome. addiction is a disease whichnever really goes away. it lies dormant waiting to rearits ugly head if and when a recovering addict lets down herguard. in our next story, we meetclifford. click my name is clifford and iam an addict. my clean date is two/16/12. thank out i don't have anydesire to change it here >> this is rod tuesday, group counselingsession at whitehaven.
>> i don't want to die. i don't want to be in that pinebox. >> it was like a fear, like ihad this big fear of how people was going to look at me or how iwas going to be received because i keep relapsing, i keeprelapsing, i keep relapsing. >> clifford has been atwhitehaven for five months. it is a program run by the ymcaof greater cleveland for homeless men suffering fromsubstance abuse. in his mid-20's, cliffordbattled crack.
he got clean and states over 12years. but in 2008, he relapsed andwent into a four-year using binge. the memories are vivid. clifford was at the height ofhis career working at a wastewater treatment plant. >> once i got introduced towastewater treatment, i almost fell in love with that. it was, like, wow, this is rightfor me.
i was living my dreams. the night that i relapsed, iremember sitting in my car, right? and my life was just, like themuch in front of me. i see faces of people that ilove. i see my daughter's face. i see my boss's face. i see my grandmother, my mom. but that wasn't enough to determe from using.
ice melt that rock that nightand i could actually feel my brain go bing, like a light cameon. once that happened, i foundmyself back and forth to the bank. i couldn't stop it. that $20 rock set off a chain ofdistrict of events that wouldn't stop until february 16, 2012. >> i remember when cliff camethrough the doors of whitehaven full of shame, full of guilt,and full of embarrassment.
and one of the first things thathe told me as his counselor was i had 12 years, you know, and irelapsed. so we got to talking and, youknow, i said, well, what did you stop doing? usually, when you relapse, youstop doing what works. >> i wasn't attending meetingson a regular basis. i stopped talking to my sponsor. i had stopped talking. no really kind of communicationwith other recovering addicts.
>> you have some people in yourlife that you can call upon, that you can reach out to, thatyou can talk to. >> clifford is learning thevalue of having a support network in place when cravingsarise. >> what's up, man? all right. but the only way to keep fromusing is to keep doing this, recovery-related act tvs on adaily basis. and the thought of using, thefeeling of using is just a
feeling. all feelings, given enough time,will pass. i fear relapse. i fear relapse so much that i amwilling to do whatever it takes to not have to live through thatexperience again. >> how are you all tonight? >> clifford is facing fear andconfronting pain. >> we started the family programin order to show our guys that you have some -- that in factthey have hurt their family he
played. -- family deeply. what i am going to ask you to dois to tell your dad how his use did affect you and how it madeyou feel. >> i was hurt. angry. you just cared more aboutyourself than me. >> what i have learned isactually sometimes the word sorry ain't enough.
some things we do that we regretfor a long time. but i am learning that, youknow, i got to learn how to live with that, you know, and find away to forgive myself. when i first got here, ashleywouldn't even call me dad. but when i came in here and isurrendered and i got clean, she calls me dad. >> clifford's story is all toocommon. recovering addicts live with aconstant shadow called relapse. dr. ted ferrin, welcome.
does relapse happened to someoneovernight? >> relapse occurs overnight interms of that first use. relapse begins as a progressivephenomenon that is sort of an avalanche that overtakes aperson's life. however, if you carefullyinterview people, you find that the traps that set up therelapse often preceded the relapse by a few weeks if notseveral months. >> when we saw him referring tonot talking to my sponsor, that is a trigger?
>> not talking to my sponsor,not going to meetings, not thinking about a recoveryprogram in an active way every day in a person's life. certainly, those are some of thetriggers. the others often are beginningto slip and hang around with other people who drink, who dodrugs, because you get this false sense of security. >> is relapse a little bit morecommon than we would think? >> relapse is very common.
up to 85% of people who'll tomillie get sober and stay sober for a long apd of time have -- along period of time have at least one if not severalrelapses during the course of that time until they get sober. >> 85%, a stunning figure. we talked about 12 step programsand other ways of helping, particularly for someone tryingto kick a substance-abuse problem. one medication that you referredto is one called suboxone for
those who are addicted toprescription drugs. >> suboxone is an opiate. it is a narcotic. but it is a narcotic thatproduces a relatively little of high or euphoria. it satisfies the cravings,relieves withdrawal, but it doesn't make a person real highand a person can take it as a detox medicine or typically as amaintenance medicine for between 18 months and two to five years.
as they are nailing down theother bits of sobriety in their >> the other drug treatment isnot truck sound is for aqua hose him -- for alcoholism. it is an anti-opiate. naltrexone is an opiate blocker. it works like those child safetycaps that you put in the light receptacles in your house so youknow that the kid can't stick things in and shop themselves. no caps on doesn't lack of thesame thing in the brain when --
naltrexone does exactly the samething in the brain. >> when you are talking to apatient, how do you decide which goes to which patient? >> typically, we recommendnaltrexone first because it is not a narcotic and because anydoctor can prescribe it. it is quite safe. if a person has continued torelapse despite trying now tracks on with a dash --naltrexone, then we talk about a maintenance program.
>> it is still up to the patientto be accountable for their own >> the bottom line is a dictiontreatment providers advise patients or clients. we introduce them to skills onhow to live sober, in a community that is sort ofcommitted all the time. but the reality is the personthemselves has to take the responsibility to practice thosesobriety skills on a daily basis. >> and when they are goingthrough this, working with you,
taking these drugs, whicheverthey may be, is it good to work in a 12 step program, some otherkind of program so we have as much reinforcement as possible? the reality is, a formalcounseling program as an outpatient worse, a recoveryprogram with a 12 step community which is sort of self-helphelps, and the medications help. in of those three by themselvesis weaker than the combination of all three. >> dr. ted ferris, thank you somuch for coming in.
>> you are very welcome. >> watching the show, you mayrealize you need help or know go to health. ideastream.org oryou will find stories, journal articles, and studies aboutaddiction. up to this point, we focused onthe struggles and hardships that addicts themselves face in theirquest to get clean and stay the caregivers, the familymembers who are friends of addicts also struggle. in our final story, we meetkelly who shares her journey as
the mother of a recoveringaddict. >> kelly became the officemanager to an half years ago. that was also when she wasshocked to learn her 21-year-old son was addicted to drugs. >> with my son, you know, he wason a roll. did everything right. i did everything i thought wasright as a mom. it can happen to anybody. >> kelly's son appeared to havea storybook high school career.
he was a champion bowler andcaptain of the golf team. as a single mother, kelly wasproud. he earned a full ridescholarship to college. >> so he basically dideverything that i wanted or expected, any parent expects. no trouble, no anything. so i thought, here we go. >> the kelly's son had a secret. he was addicted to painkillers.
it began in high school after aminor traffic accident. a doctor prescribed vicodin. >> i thought, ok, you know,doctors know best and he took them. but i definitely feel thatthat's where he got his first feeling of enjoying and likingthese prescription drugs. >> midway through her son'ssophomore year of college, it became apparent something waswrong. >> i had been noticing somedifferences, asking for more
money. he wasn't being himself. so i started going through hisroom. i was finding straws and spoonsand foil. i was finding baggies. >> kelly confronted her son andhe admitted it. >> i went from the proudest mom,you know, out there to oh, my god, you know. what is happening?
i kept trying to control it andi kept trying and trying. the more i tried, the worse itgot. when he was using and on this,he was a monster. so finally, i kicked him out ofthe house. >> you had to do tough love. >> oh, yes. i did the tough love. no cell phone, no money, no car. close on your back, go.
>> how hard was that as a mom? >> terrible. i didn't sleep, bleed for thefirst four days. -- i didn't sleep probably forthe first four days. >> but kelly took him back againand again. he would pull at yourheartstrings? they are manipulators. they will tell you whatever theywant. i don't have food.
you are a mom. you want to fix it. you want to help. >> finally, kelly had enough. she cut off all resources. she accepted that her son wouldlikely die. so you said you actually planhis funeral. >> i did. i planned it.
it was in my head. even if i tried to get it out,it wouldn't matter. but at this point, i felt like ihad given up hope and it was what i had to do in order for meto be able to function. >> so that became the turningpoint for you to separate yourself from this disease. >> yes. at that point, it was ok, now igot to do this for me. >> so i made a timeline ofstuff.
>> kelly became an activist. she joined salus lorain county,part of a statewide network fighting prescription drugabuse. >> what solace is about isgetting the word out to everyone. kids are dying left and right. it is an epidemic. bottom line is, with thisdisease, you either get help and become sober, you go to jail oryou die.
>> i think that is the point. you've got the medications athome. >> my son's status right now ishe is over 100 days sober. every day, i wake up and i knowhe is there. and every day i come home and isee you still there and he is it's a blessing. like i told my son, i can'tcontrol what happens to you or the outcome of, you know, yourjourney. but if i can help one mother soshe doesn't have to go through
what i had to, then, you knowwhat, it is worth it to me. that is what i am about. >> from 1999 to 2010, ohio'sdeath rate due to drug overdose increased 300 72%. experts attribute much of thatdramatic increase to prescription drug abuse. the clinical director of thecuyahoga county alcohol and drug addiction and mental healthservices, welcome. good to have you here.
what do family and friends needto know as they approach a loved one about adding help? >> i think one of the importantthings to know is that this disease is very treatable. even though the person may notwant to accept, a, that they have the illness or, b, thatthey need the treatment, with some strong encouragement fromfamily members, they can actually go into treatment anddo well. so i think that is important forfamily members to hear.
it is not impossible. it will seem impossible attimes, but you are able to get people into treatment. and sometimes, as i saw on thetape with kelly, you have to do exactly what she said, which wasthe tough love. you have to say, if you don'tget help, these are going to be the consequences. >> one thing we didn't see withher is the whole idea of blaming themselves.
i must have done somethingwrong. >> exactly. one of the things that is asupport group for family members of people with alcoholism andaddiction is something known as alanon. it has a phrase that says youdidn't cause it. you can't cure it. and you can't control it. and that is a very importantmessage for family members to
hear because people withaddiction, their disease keeps them in a frame of mindwhere all they are trying to do is keep the disease going. all they are trying to do iskeep the addiction going, whether that means that theyhave to say things that are hurtful or they have to tellother people this is all your fault, if it wasn't for you,then this would have never happened. and one of the things you learnwhen you are in alanon, no, it
isn't anything about you. this is all the disease talkingand you don't have to necessarily take on thosemessages and take on that responsibility because, franklee, it is not yours. >> at the same time, i'd bet alot of caregivers make mistakes in trying to help. >> of course, sure. i think one of the words thatmaybe gets tossed around is the word called enabling.
enabling is when you, because ofyour actions, allow an addiction process to continue. i would say that is a commonlymade mistake. for example, if my wife is drunkand it's monday morning and she is supposed to show up at herjob and i am her husband and she says can you just call me insick to work, and if that happens every monday morning, --if it happens once, it happens once. if it happens every mondaymorning and it is always because
your wife is drunk, that is anexample of enabling. so not allowing them to have thenatural consequences of their illness is enabling. and again, there is a verystrong will to do that as a parent or as a loved one becauseyou don't want to see "anything bad" happened to that person. but at the same time, you may besetting them up later for more trouble because you haven't letthem feel the consequences of what's happened to them to datehere >> enabling or not, you
have to be going through someterrible suffering of your own as the loved one. what i tell people that are theloved ones were the family members of people with addictionis that you need to get help for yourself. addiction is a family disease. it may affect a single person inyour family, but it actually has tentacles that affect everybodythat is touched by the disease, whether you are the one who isthe drinker or the user or you
are the loved one. it is still affecting you. and whether that means you haveto get your own mental health help or you have to start goingto support groups or you have to start talking to other people inyour family, those are things you might have to do foryourself. one of the things that addictiontries to do is isolate people. so one of the ways to reach outor one of the ways to get over that is to reach out to others.
>> is there any quick messageyou can leave for people that are saying what do i do now? >> sure. i think what you need to do isreally figure out is addiction what is going on? once you have that figured out,once you have the answer to that question, the next question isi've got to get help for myself and for the person that has theaddiction. >> thank you so much for joiningus.
i said at the top of theprogram, if you want to understand addiction and ed areyour odds of beating it, then watch this show. in brandy'sstory, we learned that addiction often coincides with a mentalhealth problem, what doctors refer to as dual diagnosis. we dig inside the brain andfounded diction hijacks the pleasure pathway. charlene is staying soberthrough a 12 step program but we learned that, while popular,they aren't always effective and
one key to success is long-termcommitment. pete shared his experiencelosing everything to a gambling addiction and we talked abouthow to recognize signs of addiction before it is too late. clifford's story was a chillingreminder of how relapse can happen any time, any place. and however he recovering addictlives with a constant shadow. and we focused on caregivers. kelly shared her story as themother of a young addict in
recovery and we learned thatcaregivers often need to find help for themselves. addiction is a very complexdisease and it is why this tv show is just one part of athree-week multiple media project by ideastream. resources, stories and a lotmore content is on our website, health.ideastream.org. you will find an interactive mapof our region that will help you find low or no cost recoveryresources in your neighborhood
during you will find links tospecial content created by our partners. and remember, you can callunited way 21 120 four hours a day, seven days a week. operators will -- call unitedway 211 24 hours a day, seven days a week. operators will put you intouch. thank you for watching. ♪♪
♪>> this was a presentation of the well, a multi mediahealth information project presented by wviz pbsideastream. foundation, and the communityfoundation of lorain county.
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