Substance Use Disorder Quotes

[Sociopaths] may have a history of many sexual partners… They may have associated disorders… substance use disorders… and other disorders of impulse control… [They] also often have personality features that meet criteria for other personality disorders, particularly borderline, histrionic, and narcissistic personality disorders. —DSM-V2 As

The latest research on substance use disorder from Harvard Medical School shows it takes the typical opioid-addicted user eight years—and four to five treatment attempts—to achieve remission for just a single year. And yet only about 10 percent of the addicted population manages to get access to care and treatment for a disease that has roughly the same incidence rate as diabetes.

Let us call Mithridatization the result of an exposure to a small dose of a substance that, over time, makes one immune to additional, larger quantities of it. It is the sort of approach used in vaccination and allergy medicine. It is not quite antifragility, still at the more modest level of robustness, but we are on our way. And we already have a hint that perhaps being deprived of poison makes us fragile and that the road to robustification starts with a modicum of harm.

When substance use progresses to the point of addiction, a person no longer chooses to use drugs or alcohol; they are compelled despite the consequences

Maybe my addictive tendencies weren't limited to my zest for things I could drink. Like maybe (I learned while working with my therapist) I had broader issues with control and addiction and using substances to dial down my anxiety. And maybe self-medication is a real dangerous way of trying to quiet the noise of a mental health disorder. And maybe alcoholism also runs in the family.

It was easy to understand the connection between joblessness and hunger, to get that hunger fuelled some of that crime. It was growing clearer, too, that the federal disability program was becoming a de-facto safety net for the formerly employed, a well-intentioned but ultimately disastrous way of incentivising poor people to stay sick, with mental illnesses and chronic pain conditions that are hard to prove and frequently associated with mental health and substance use disorders - prompting the majority of disability awards.

Far more than a quest for pleasure, chronic substance use is the addict’s attempt to escape distress. From a medical point of view, addicts are self-medicating conditions like depression, anxiety, post-traumatic stress or even ADHD (attention deficit hyperactivity disorder). Addictions always originate in pain, whether felt openly or hidden in the unconscious. They are emotional anaesthetics. Heroin and cocaine, both powerful physical painkillers, also ease psychological discomfort. Infant animals separated from their mothers can be soothed readily by low doses of narcotics, just as if it was actual physical pain they were enduring. The pain pathways in humans are no different. The very same brain centres that interpret and “feel” physical pain also become activated during the experience of emotional rejection: on brain scans they “light up” in response to social ostracism just as they would when triggered by physically harmful stimuli. When people speak of feeling “hurt” or of having emotional “pain,” they are not being abstract or poetic but scientifically quite precise. The hard-drug addict’s life has been marked by a surfeit of pain. No wonder she desperately craves relief.

In studies of first-episode bipolar patients, investigators at McLean Hospital, the University of Pittsburgh, and the University of Cincinnati Hospital found that at least one-third had used marijuana or some other illegal drug prior to their first manic or psychotic episode.10 This substance abuse, the University of Cincinnati investigators concluded, may “initiate progressively more severe affective responses, culminating in manic or depressive episodes, that then become self-perpetuating.”11 Even the one-third figure may be low; in 2008, researchers at Mt. Sinai Medical School reported that nearly two-thirds of the bipolar patients hospitalized at Silver Hill Hospital in Connecticut in 2005 and 2006 experienced their first bout of “mood instability” after they had abused illicit drugs.12 Stimulants, cocaine, marijuana, and hallucinogens were common culprits. In 2007, Dutch investigators reported that marijuana use “is associated with a fivefold increase in the risk of a first diagnosis of bipolar disorder” and that one-third of new bipolar cases in the Netherlands resulted from it.13

Unchopping a Tree. Start with the leaves, the small twigs, and the nests that have been shaken, ripped, or broken off by the fall; these must be gathered and attached once again to their respective places. It is not arduous work, unless major limbs have been smashed or mutilated. If the fall was carefully and correctly planned, the chances of anything of the kind happening will have been reduced. Again, much depends upon the size, age, shape, and species of the tree. Still, you will be lucky if you can get through this stages without having to use machinery. Even in the best of circumstances it is a labor that will make you wish often that you had won the favor of the universe of ants, the empire of mice, or at least a local tribe of squirrels, and could enlist their labors and their talents. But no, they leave you to it. They have learned, with time. This is men's work. It goes without saying that if the tree was hollow in whole or in part, and contained old nests of bird or mammal or insect, or hoards of nuts or such structures as wasps or bees build for their survival, the contents will have to repaired where necessary, and reassembled, insofar as possible, in their original order, including the shells of nuts already opened. With spider's webs you must simply do the best you can. We do not have the spider's weaving equipment, nor any substitute for the leaf's living bond with its point of attachment and nourishment. It is even harder to simulate the latter when the leaves have once become dry — as they are bound to do, for this is not the labor of a moment. Also it hardly needs saying that this the time fro repairing any neighboring trees or bushes or other growth that might have been damaged by the fall. The same rules apply. Where neighboring trees were of the same species it is difficult not to waste time conveying a detached leaf back to the wrong tree. Practice, practice. Put your hope in that. Now the tackle must be put into place, or the scaffolding, depending on the surroundings and the dimension of the tree. It is ticklish work. Almost always it involves, in itself, further damage to the area, which will have to be corrected later. But, as you've heard, it can't be helped. And care now is likely to save you considerable trouble later. Be careful to grind nothing into the ground. At last the time comes for the erecting of the trunk. By now it will scarcely be necessary to remind you of the delicacy of this huge skeleton. Every motion of the tackle, every slightly upward heave of the trunk, the branches, their elaborately reassembled panoply of leaves (now dead) will draw from you an involuntary gasp. You will watch for a lead or a twig to be snapped off yet again. You will listen for the nuts to shift in the hollow limb and you will hear whether they are indeed falling into place or are spilling in disorder — in which case, or in the event of anything else of the kind — operations will have to cease, of course, while you correct the matter. The raising itself is no small enterprise, from the moment when the chains tighten around the old bandages until the boles hands vertical above the stump, splinter above splinter. How the final straightening of the splinters themselves can take place (the preliminary work is best done while the wood is still green and soft, but at times when the splinters are not badly twisted most of the straightening is left until now, when the torn ends are face to face with each other). When the splinters are perfectly complementary the appropriate fixative is applied. Again we have no duplicate of the original substance. Ours is extremely strong, but it is rigid. It is limited to surfaces, and there is no play in it. However the core is not the part of the trunk that conducted life from the roots up to the branches and back again. It was relatively inert. The fixative for this part is not the same as the one for the outer layers and the bark, and if either of these is involved

The Cycle of Addiction (What Keeps Us Stuck) The cycle of addiction, the second part of the Two-Part Problem, is a response to what’s happening at the root—that brings with it its own set of problems. Addiction is essentially a symptom of those root issues that becomes its own “disease”—when we use any substance or behavior to manage our underlying pain, and use it repeatedly, we enter into a cycle, or a feedback loop. To understand what the cycle of addiction is, or in the case of alcohol what would be classified as Alcohol Use Disorder (AUD), we need to look at how alcohol dependence is formed. When we consume alcohol, our body reacts to the substance by releasing artificially high levels of dopamine. Dopamine is the neurochemical of wanting and motivation, and it lives in the midbrain—the part of our brain that is tasked with ensuring our survival. Typically, our midbrain releases dopamine when we encounter something that keeps us alive or that aids in procreation, like when we eat a piece of chocolate or have good sex. Dopamine is released in order to tell our brain that some activity or substance is good for survival, and the higher the levels of dopamine that are released, the more we are programmed to repeat the activity. When dopamine floods into the brain, it sends a signal that the activity is good for survival, and in order to make sure we repeat the behavior, our brain releases another neurochemical called glutamate to lock in the memory of the event, so that we are wired to do it again.

What this suggests is that ‘widely used’ obstetric and infant drugs such as phenobarbital dysregulate the infant’s dopaminergic (dopamine-activating) system, permanently reducing his potential for pleasure and creating an imbalance he later seeks to redress through dopaminergic compulsions – substance-use disorders involving drugs such as cannabis, heroin, or LSD, say. Or sexual addiction. And, while the nature of pornography is determined by the culturally sanctioned birth abuses of mothers and babies, the impact of pornography is determined by the susceptibility created by drugs given to mothers and children.

In a nationwide survey The Center for Behavioral Health found that 95.4% of those classified as needing treatment for their substance use problems did not think they needed treatment. Despite being classified as having a substance use disorder that needed treatment, they thought they were fine. They denied the problem, or like me they were impervious to the idea that it even existed. Denial, they say, is the first sign of addiction, but denial, by nature, hates to be found out. It manifests in anger, blame, and avoidance. It manifests in excuses, lying, and rationalization. Our world crumbles around us and it is always everyone else’s fault but our own.

Magnesium is the natural element your body uses to prevent excess calcium from entering these cells and to maintain normal blood pressure. Magnesium is indeed our natural calcium blocker. Dr. Sherry Rogers, a leading proponent of integrative medicine, has written extensively about magnesium’s benefits for disorders caused by abnormal muscle constriction. “In order for a muscle to contract, it needs calcium. In order to relax it needs magnesium.”11 Hypertension is one of the conditions for which Dr. Rogers uses magnesium. Magnesium is also necessary for the health of the endothelium, the tiny cells that form the thin inner lining of the blood vessels. Endothelial cells play an active role in prompting the smooth muscle cells to constrict or relax by producing substances such as prostacycline, thromboxane, and endothelin. Magnesium increases the endothelium’s production of prostacycline, which induces artery relaxation, and it inhibits the production of thromboxane and endothelin, which promotes artery constriction.12 Magnesium also directly influences the ability of cells to use potassium, which also induces artery relaxation. Dr. Mildred Seelig, one of the first pioneers of magnesium research, states, “Low potassium, by itself, can bring on high blood pressure. But even adequate potassium intake cannot normalize high blood pressure if magnesium is too low. Without enough magnesium (and potassium) in our bodies, we cannot expect normal blood pressure.”13 THE PROBLEM WITH THE STANDARD MEDICAL TREATMENT OF HYPERTENSION With the exception of the common cold, hypertension accounts for more visits to doctors in the United States than any other condition. Most often, the treatment recommended is some type of prescription drug. Sometimes these drugs are necessary, and there is no doubt their ability to lower blood pressure can prevent many of the severe complications of hypertension.

The National Survey on Drug Use and Health stated in their 2018 report that in America alone 20.3 million people (twelve years and older) battled a substance disorder.

First things first: studies show policing is hard. At a minimum, they prove many LEO’s struggle to cope with what they are exposed to. For example, research indicates that while 8.2% of the general population suffers from an active alcohol or substance abuse addiction, up to 23% of public safety personnel, including law enforcement officers, are engaged in the same struggle. Furthermore, due to the constant exposure to violence, conflict, death, pain and suffering, coupled with the extremely stressful and draining nature of their work, police run a significant risk of experiencing Post-Traumatic Stress Injuries (PTSI)/Post-Traumatic Stress Disorder (PTSD). Lastly, research by Dr. John Violanti in 2004 indicates a combination of alcohol use and PTSD produces a tenfold increase in the risk of suicide. This small snapshot of research paints a grim picture on how policing can negatively impact those that take up its calling.

You may have also experienced the damaged relationships, job loss, poor school performance, substance use, and other negative outcomes that can result from having bipolar disorder. Perhaps

Indeed, today, more people than ever before see themselves as addicted or recovering from substance addiction: 1 in 10 American adults—more than 23 million people—said they’d kicked some type of drug or alcohol addiction in their lifetime, in a large national survey conducted in 2012. At least another 23 million currently suffer from some type of substance use disorder. That doesn’t even count the millions who consider themselves addicted to or recovering from behaviors like sex, gambling, or online activities—nor does it include food-related disorders. With the 2013 declaration by the American Medical Association that obesity, like addiction, is a disease, up to one in three Americans may now qualify due to their body weight.

It’s a common practice in the mental health world to treat substance abuse as a distinct entity from other mental illnesses, such as severe depression, bipolar disorder, or schizophrenia, although drug use frequently overlaps with these disorders. “So what about

In studies of first-episode bipolar patients, investigators at McLean Hospital, the University of Pittsburgh, and the University of Cincinnati Hospital found that at least one-third had used marijuana or some other illegal drug prior to their first manic or psychotic episode.10 This substance abuse, the University of Cincinnati investigators concluded, may “initiate progressively more severe affective responses, culminating in manic or depressive episodes, that then become self-perpetuating.”11 Even the one-third figure may be low; in 2008, researchers at Mt. Sinai Medical School reported that nearly two-thirds of the bipolar patients hospitalized at Silver Hill Hospital in Connecticut in 2005 and 2006 experienced their first bout of “mood instability” after they had abused illicit drugs.12 Stimulants, cocaine, marijuana, and hallucinogens were common culprits. In 2007, Dutch investigators reported that marijuana use “is associated with a fivefold increase in the risk of a first diagnosis of bipolar disorder” and that one-third of new bipolar cases in the Netherlands resulted from it.13 Antidepressants have also led many people into the bipolar camp, and to understand why, all we have to do is return to the discovery of this class of drugs. We see tuberculosis patients treated with iproniazid dancing in the wards, and while that magazine report was probably a bit exaggerated, it told of lethargic patients suddenly behaving in a manic way. In 1956, George Crane published the first report of antidepressant-induced mania, and this problem has remained present in the scientific literature ever since.14 In 1985, Swiss investigators tracking changes in the patient mix at Burghölzli psychiatric hospital in Zurich reported that the percentage with manic symptoms jumped dramatically following the introduction of antidepressants. “Bipolar disorders increased; more patients were admitted with frequent episodes,” they wrote.15 In a 1993 practice guide to depression, the APA confessed that “all anti-depressant treatments, including ECT [electroconvulsive therapy], may provoke manic or hypomanic episodes.”16

The National Longitudinal Study of Adolescent Health, which examined the reasons for well-being among more than 36,000 seventh- to twelfth-grade students, found that family connectedness was the strongest protective factor against distress, eating disorders, and suicidal thoughts. But it also found that feeling connected at school—a child’s next most important community—was strongly protective against substance use, early sexual initiation, and risk of unintentional injury, such as drinking and driving.

Ah, so using marijuana was no longer about feeling good. He had to use marijuana just to keep from feeling bad, a classic sign of substance use disorder.

Only one in ten addicted Americans gets any treatment at all for his or her substance use disorder.

Addictive Personalities. When a person is struggling with addiction, they will frequently lie, deny, exploit, manipulate, threaten, and do everything in their power to make sure their addiction gets fed. It can be difficult to tell if their problematic behavior is a result of their addiction or if it's their true personality. In order to be able for you or a mental health clinician to be able to determine this, the person with the addiction would need to be sober for at least eighteen months. However, a person can have both a personality disorder and a substance use disorder. It's also possible for a person to become emotionally stunted at whatever age they first began abusing a substance.

Bipolar disorder, previously known as manic depression, is a mental disorder characterized by periods of depression and periods of abnormally elevated mood that each last from days to weeks. If the elevated mood is severe or associated with psychosis, it is called mania; if it is less severe, it is called hypomania. During mania, an individual behaves or feels abnormally energetic, happy or irritable, and they often make impulsive decisions with little regard for the consequences. There is usually also a reduced need for sleep during manic phases. The risk of suicide is high; over a period of 20 years, 6% of those with bipolar disorder died by suicide, while 30-40% engaged in self-harm. Other mental health issues, such as anxiety disorders and substance use disorders, are commonly associated with bipolar disorder. While the causes of this mood disorder are not clearly understood, both genetic and environmental factors are thought to play a role.

So why do people tend to have mental health problems in more unequal places? Psycholigst and journalist Oliver James uses an analogy with infectious disease to explain the link. The 'affluenza' virus, according to James, is a 'set of vlaues which increase our vulnterably to emotional distress' which he believes is more common in affluent societies. It entails placing a high value on acquiring money and possestion, looking good in the eyes of others and wanting to be famous. These kinds of values place us at greater risk of depression, anxiet, substance abuse and personality disorder...

So why do people tend to have mental health problems in more unequal places? Psychologist and journalist Oliver James uses an analogy with infectious disease to explain the link. The 'affluenza' virus, according to James, is a 'set of vlaues which increase our vulnerability to emotional distress' which he believes is more common in affluent societies. It entails placing a high value on acquiring money and possessions, looking good in the eyes of others and wanting to be famous. These kinds of values place us at greater risk of depression, anxiety, substance abuse and personality disorder...

Dependence” itself is pathologized, when, as we’ve seen, dependence isn’t the real problem in addiction: compulsive and destructive behavior is. (And indeed, the DSM-5, published in 2013, recognizes this, replacing “dependence” with “moderate to severe substance use disorder.”)

In Australia, for example, antidepressant use increased 352% from 1990 to 2002, with a further 95% increase from 2000 to 2011. Similar increases in antidepressant and other treatments occurred in Canada, England, and the United States...Nevertheless, no reduction in the prevalence of mood, anxiety, or substance use disorders was observed in any country... The limited efficacy of commonly prescribed antidepressants has been recognized for at least two decades... A recent exhaustive meta‐analysis of published and unpublished antidepressant trials found an almost identical effect of antidepressants over placebo

The next time you go to the supermarket, take a moment to scan the ingredients list on the foods you buy. A good rule of thumb: Anything with more than five ingredients probably contains stuff that’s not food. You probably already know that high-fructose corn syrup is a man-made sweetener that many researchers believe is worse for you than sugar, but you might not be on the lookout for some other additives that are in many, many packaged foods. Stuff like BHA (butylated hydroxyanisole, a preservative made from petroleum), sodium nitrate (an antimicrobial substance), silicon dioxide (it’s sand!), cellulose (it’s wood chips!), L-cysteine (a dough conditioner made most often from human hair), tartrazine (a yellow food dye linked to learning and concentration disorders), and about three thousand other additives that can be legally used to “enhance” our food.

There are controlled ACT studies on work stress, pain, smoking, anxiety, depression, diabetes management, substance use, stigma toward substance users in recovery, adjustment to cancer, epilepsy, coping with psychosis, borderline personality disorder, trichotillomania, obsessive–compulsive disorder, marijuana dependence, skin picking, racial prejudice, prejudice toward people with mental health problems, whiplash-associated disorders, generalized anxiety disorder, chronic pediatric pain, weight maintenance and self-stigma, clinicians’ adoption of evidence-based pharmacotherapy, and training clinicians in psychotherapy methods other than ACT. The only sour notes so far are the use of ACT for more minor problems, where existing technology exceeded ACT outcomes on some measures (e.g., Zettle, 2003).

RESISTANCE AND SELF-MEDICATION Do you regularly ingest any substance, controlled or otherwise, whose aim is the alleviation of depression, anxiety, etc.? I offer the following experience: I once worked as a writer for a big New York ad agency. Our boss used to tell us: Invent a disease. Come up with the disease, he said, and we can sell the cure. Attention Deficit Disorder, Seasonal Affect Disorder, Social Anxiety Disorder. These aren't diseases, they're marketing ploys. Doctors didn't discover them, copywriters did. Marketing departments did. Drug companies did. Depression and anxiety may be real. But they can also be Resistance. When we drug ourselves to blot out our soul's call, we are being good Americans and exemplary consumers. We're doing exactly what TV commercials and pop materialist culture have been brainwashing us to do from birth. Instead of applying self-knowledge, self-discipline, delayed gratification and hard work, we simply consume a product. Many pedestrians have been maimed or killed at the intersection of Resistance and Commerce.

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