Addiction to Drugs/Addicted son

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My 22 year old son has been struggling with a heroin addiction for about 2 years now...he felt some success in AA and had about 10 months clean and sober under his belt when he relapsed.  He has been on Saboxin for about a month now but still suffers depression, sleeplessness and general anxiety.  What are the long term uses of Saboxin?How long should he lean on it? How can I help him return to AA?  I'm heartsick and afraid.  

Answer
Dear Mom-

If he were my son I would urge him to go into a long term residential rehab. There he will have a safe environment to establish a foundation. Its hard for any heroin addict to stay clean- being 22 its a double wammy. Unfortunately its a lot easier to realize the devastation of this affliction after many years of incomprehensible demoralization. The therapeutic value of living with others going through the same challenges can be very helpful and supportive as well.

I would propose it to him in a positive manner. "Honey it will be so much easier staying clean there" etc.It absolutely will be easier.

The emotional challenges (depression) are very typical. The heroin was a great painkiller and now he is facing life with out his crutch. It is very common. It takes about a year of being clean and recovery work for the brain to start functioning normally. He stimulated the endorphins and pleasure chemicals in the brain artificially for some time. It will take time and healthy living to start functioning normally and naturally.

Suboxone is terrible. The only sub treatment I would endorse is a quick detox (decreasing amounts)for a week or two max while initially getting off the heroin. Its extremely addictive in its own right and the withdrawal is WORSE then the organic dope.I freaking hate suboxone. The fact that doctors will subscribe a maintenance regiment of this evil bullshit is infuriating to me. Some folks  will stay on sub for the rest of there lives- many for years and suffer greatly trying to get off. Its a synthetic opiate, alters the personality, adversely affects the body and spirit. I was on it for 8 months- ghastly. He's probably on 8 mgs- which is extremely high- too high to jump off at. He needs to start weaning himself off over a period of time you'll work out with the doc- and then jump off at about 1 mg. Hopefully at this point its right into the recovery home.

Best to both of you. Know that its entirely possible for your son to get clean and have a wonderful life. It will take time and work.

Addiction to Drugs

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Daniel A. Toth

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Any questions related to: drug abuse,recovery and opiate withdrawal. Friends and family questions are also welcomed- however there's very little I can suggest if the person has no willingness to change.I will only answer NON- PRIVATE questions as my objective is to help as many people as possible- use a fake name. PLEASE DO NOT SUBMIT QUESTIONS REGARDING DRUG TESTS OR HOW LONG YOUR DOPE WILL STAY IN YOUR SYSTEM! My energy is directed at those wishing to stop self destructing.

Experience

Fourteen years active addiction;Eleven years to cocaine and heroin.
I've used every drug I've known about except PCP Any comments are from personal experiance, and do not necesarily reflect any programs.
SEE UPDATE AT THE BOTTOM OF THIS STORY! This was for an article in a teen magazine hence the youth perspective: I was a good kid. A diligent student with a 3.5 GPA through 9th grade. Now I was somewhat shy and didn't have a lot of friends. I discovered that by smoking weed I had instant friends. It was great at the time. All of a sudden I knew all these people, was getting invited to parties- hanging out after school getting high. Pretty soon getting high at lunch and even before school and then ditching school all together. In the beginning it was the social activity, not the "high" that was the major attraction. I just knew I would stop smoking it soon, perhaps after I got a cool girlfriend. Well then I started really enjoying the high- Having a bad day? Forget about in and get stoned. The parents getting on my case? Forget about it and get stoned. This girl I really like doesn't know I exist, better just get stoned. I found a way to great way to cope with all my problems. Well my grades started dropping, my hobbies such as all ocean activities and sports where only done high and then slowly not at all. Nothing was "cool" or important except getting high. With or without my friends. Then I was introduced to Meth or "crystal" Would I have considered it if not for my weed habit? Of course not. Plus I am just going to try it this one time. Wow! Now I could easily talk to girls. In fact I could talk and talk for hours to anyone about anything. And you know I'm one cool, smooth dude. Man I feel good. Then after it wore off I would struggle with depression and smoke a lot of weed until I got more meth. Now high school was over. I had no ambition for college but I did work in the family business. I still could hold a job with these habits. Now a friend tells me about this drug (heroin) that is just like pot except there’s no "burn out" He doesn't address it as heroin but a harmless sounding slang name. I observe him and his friends smoking this brown powder for months. They seem to be having a good time. They don't die. In fact there having more fun than I am. I wanted to try it. Just once, too see what it feels like. I would never try it again. Again it was the new friends at first and then the drug that became the major attraction. But it was o.k. because I'm going to never smoke it again after this next time. Oops, I did it again. O.K. but next week I'm going to quit for sure! Now the heroin made me feel nice, but the cocaine smoking was awesome. Plus no crash because I'll just smoke a little heroin. Before too long I was injecting a cocaine and heroin solution (speedball) into my veins as often as I could. Working did not accommodate my lifestyle. How could I work anyway in heroin withdrawal? I had to get some dope! Let’s see, my family has disowned me, I've sold everything I ever had. I've robbed every friend or family member than I had contact with. What am I going to do? Some how I got my fix every day. Not once but three or four times average. But it was still o.k. because I'm going to quit, maybe even tomorrow after I get high. I went for years thinking this way. I've been arrested many times. I even admitted myself many times to detox to get over the addiction but found myself planning my next high before I even left. I just couldn't cope with life. I didn't know how. But that won't matter, as soon as I get my fix everything will be alright. And it was..., for a little while. At this point I had long stopped kidding myself. I knew I was a hopeless addict. In fact three of my close friends overdosed and died. Another got sent to prison for years, and none of these guys did anything I didn't do. I knew I was on a dead end course to jails, institutions or death. I would put myself into one recovery home after another only to leave to get high. Why? I wasn't ready to admit I was completely powerless over my addiction and my life had become unmanageable. Only after I completely surrendered was I ready to listen to suggestions from the wonderful people in Narcotics Anonymous. (twelve step program) Today I enjoy many blessings of recovery. I have a wonderful family that loves and trusts me. I work every day, pay bills, support myself and even help others where I can. I love to travel and do as I can afford to. I still have problems but today I don't escape with artificial substances. I have learned coping skills, and realize that life isn't always wonderful but it could be a heck of a lot worse. I don't want to wake up one day an old man, and wonder what I could have been. I'm going to find out! You see, I'm one of the lucky ones and am extremely grateful for that. UPDATE 5/24/2005: Relapsed with painkillers about one year ago, and have been struggling since. I have about 30 days clean as of today 5/24. It's no big mystery/shocker. I stopped doing what I needed to do (program) and made a stupid decision. A couple vicodins woke up the dragon. I'll be ok if I do what I did to get the five yrs. Good luck to all of us! 2/14/06 Doing really well today (one day at a time). I also went through and am still very much going through the most difficult thing I ever have without using any drugs. Not hiding from emotional pain today by artificial means but rather accepting my emotions as natural and moving forward. I'm focusing today on not denying my emotions but acting constructively despite. I realize today that any artificial numbing may help in escaping short term pain but then complete facilitate suffering. Today I recognize my self destructive habits.

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