Sobriety

Running Away From Unhealthy Behaviors

Drug abuse changes all aspects of an individual’s life.  There are so many detrimental behaviors that become ingrained throughout active addiction, one of which is inactivity.  Moreover whatever healthy aspects of an addict’s life are overshadowed by the atrocious amounts of toxins in their system.  Therefore it is crucial in sobriety to be active and healthy, in fact, it may be able to reverse or at least improve some of the damage done.  Scientists have known for some time that exercise sparks growth of new brain cells in mice, particularly in the hippocampus, the area related to memory and learning. They recently also found that it boosts the production of a protein called brain-derived neurotrophic factor (BDNF), which stimulates the rate at which nerve cells bind to create new pathways, increasing the brain’s storage capacity. Getting your body in motion gets your mind moving—both enhancing mental agility in the short term and protecting against cognitive decline in the long term.

man on the beach running

Running for A Healthy Mind

The best brain-boosting results come from heart-rate-raising exertion—specifically, running. In a study conducted by Charles Hillman, PhD, and published in the journal of the American College of Sports Medicine, when subjects were given memory tests both before and after 30-minute bouts of running on a treadmill, lifting weights, or sitting quietly, those who ran were significantly quicker and more accurate on the second round of tests, while the others demonstrated no change at all.

“Other types of exercise, such as yoga, might have a stress-reducing meditative component,” Baker says, “but it’s aerobic exercise that seems to make the most difference to the brain.”

There are a few theories as to why this might be: One is that dramatic changes in blood flow could bring more growth factors to the brain from other parts of the body, helping to limber up connection-forming neurons, whereas with an activity such as weight-lifting, those growth factors are likely to remain in the muscles. Another is that it improves energy metabolism, ensuring that the noggin receives sufficient glucose and fuel. And a third is that it literally clears out the gunk that makes us dullwitted. Evidently, our brains, similar to our hearts, teeth, and lifestyle can suffer from a buildup of bad stuff.  Getting regular exercise over time can increase both gray and white matter in the brain and make a huge difference in how well you process and track information, stay on task, and allocate your mental resources.  Considering that addicts and alcoholics have had time depleting those resources it’s about time to put all that new found energy in sobriety to good use.

Wide Awake….

Drug addiction exacts a variety of ill effects on a user’s health. Among other things, drug addicts often experience disrupted sleep. The mechanism behind how the substances may change a user’s circadian rhythms remains unknown but new research on mice is providing some insight.  Sleep is extremely important and our R.E.M. cycles are important, circadian rhythm genes help to regulate the brain’s reward system and could influence the addictive properties of drugs such as cocaine.  Circadian gene deficient animals exhibited increased activity in the dopamine neurotransmitter system in the brain, which is heavily stimulated by cocaine use.  The next step is to ascertain the affects of this gene in humans and perhaps find a link between those with low levels and the connection to habitual drug use.

wide awake

Wide Awake

For example, in one study, human patients addicted to cocaine took much longer to fall asleep. Also, EEG measures of their brain activity showed that they experienced much less deep sleep than did people who did not use the drug. When the subjects were sleep deprived, their immune system had a reduced ability to fight infection.  In another study, heroin patients with less than one year of methadone treatment had poor sleep, the possible cause of which could be measured at the molecular level, Gordon says. Magnetic resonance spectroscopy imaging of these patients showed some energy-indicating molecules in their brain had failed to recover properly after sleep deprivation.  Scientists also have determined that cognitive deficits characteristic of people who regularly use the street drug ecstasy may be based on drug-induced changes in sleep neurobiology. Their altered sleep patterns, cognitive deficits, and impulsivity may be worsened by high levels of catecholamines, brain chemicals that the body produces in response to stress.

Although the neurobiology underlying the sleep disturbance can be directly related to the disease process itself, it is often impossible to determine cause and effect.  Therefore, it is important to study both sleep and the disease simultaneously to get a full understanding.  Researchers also are trying to identify the neurobiological factors that help explain a recovering addict’s vulnerability to relapse.

Drug addiction is characterized by compulsive drug taking, which occurs even though addicts understand that the behavior is harmful to them. It is also a chronic disorder. Addicts find it extremely difficult to suppress drug taking and often relapse, even after years of abstinence,” says Laura Peoples, PhD, of the University of Pennsylvania Medical School.

The compulsive nature of the behavior and the ever present vulnerability to relapse suggests that drug addiction is accompanied by long-lasting changes in those parts of the brain that control motivation and behavioral choice.  Recent findings have led to a new hypothesis, that experience- and activity-dependent adaptations cause a progressive and persistent increase in the response of specific neurons to specific signals that promote drug-seeking relative to the signals that facilitate other motivated behaviors.

The Dark Side of Sex…

sex scene

Can't Stop?

Sexual addiction is best described as a progressive intimacy disorder characterized by compulsive sexual thoughts and acts.

Like all addictions, its negative impact on the addict and on family members increases as the disorder progresses. Over time, the addict usually has to intensify the addictive behavior to achieve the same results.  Contrary to popular belief, sex addicts are not all sex offenders, and vice-versa.  The National Council on Sexual Addiction and Compulsivity has defined sexual addiction as “engaging in persistent and escalating patterns of sexual behavior acted out despite increasing negative consequences to self and others.” In other words, a sex addict will continue to engage in certain sexual behaviors despite facing potential health risks, financial problems, shattered relationships or even arrest.

The same compulsive behavior that characterizes other addictions also is typical of sex addiction. But these other addictions, including drug, alcohol and gambling dependency, involve substances or activities with no necessary relationship to our survival. For example, we can live normal and happy lives without ever gambling, taking illicit drugs or drinking alcohol. Even the most genetically vulnerable person will function well without ever being exposed to, or provoked by, these addictive activities. Sexual activity is different. Like eating, having sex is necessary for human survival.

There are many co-occurring disorders that go hand in hand with sex addiction.  For example, Alcohol and drugs are used to cover the guilt and shame of the inability to stop the “sexual behaviors”  which in turn lead to the same demoralizing behavior which begins a vicious cycle. Drugs alter libido, enhancing it early in drug addiction and inhibiting it later. There is a pattern in cocaine addiction of selling sexual favors for cocaine. As the cost of drug addiction increases, the drug addict usually can’t afford the drug from ordinary job income, and must resort to (either/or) stealing, drug dealing or prostitution to support their habit. Many drugs cause blackouts or amnesia during the drug using experience, and if sex is coupled with that drug using experience then the details of the sexual experience may not be remembered.

Sex addiction is very real and there is help for this disease.  It is not hopeless.  More and more the public is coming forward with their issues and seeking a better life and a permanent solution.

It’s Harder If You Start Young

the girl ripping her face off

Young and Loaded

A NIDA-funded study has demonstrated that the relapse rate for heroin addicts increases with time and that the probability of long-term abstinence depends on the age of first drug use. Those who start daily heroin use at a younger age are more likely to relapse than those who start later. Heroin is not the only type of  drug that has ill effects if consumed at a young age.

Long-term studies of high school students and their patterns of drug use show that very few young people use other illegal drugs without first trying marijuana. For example, the risk of using cocaine is much greater for those who have tried marijuana than for those who have never tried it. Using marijuana puts children and teens in contact with people who are users and sellers of other drugs. So there is more of a risk that a marijuana user will be exposed to and urged to try more drugs.  To better determine this risk, scientists are examining the possibility that long-term marijuana use may create changes in the brain that make a person more at risk of becoming addicted to other drugs, such as alcohol or cocaine.  Therefore, if during the crucial developmental stages there are chemicals added to the brain chemistry evoking feelings of happiness, belonging, and/or excitement; the brain will be more likely to consistently resort to those methods (drugs) in order to experience those emotions due to the lack of practice in experiencing those feelings organically.

Health Care Costs and Addiction…A relationship.

The Bill

Health Care

The interrelationship between addiction treatment and general health was noted in a report by the Institute of Medicine, a branch of the National Academy of Sciences. In 2006, an Institute study bureau found that improving the nation’s general health and resolving the major problems of the overall health care system will require attending equally to the major problems of mental and substance use health care.

“Some of the destructive medical consequences of drug abuse and addiction are temporary – the conditions improve after patients receive treatment and are able to stop their drug use. Other consequences may be more persistent, diminishing the quality of patients’ health long after drug use has stopped. Whether short-lived or chronic, the growing list of recognized health consequences of abuse and addiction underscores the fact that drug abuse is not just a brain disease that exists in medical isolation – it manifests itself throughout the body with a broad array of medical consequences.”

–Feb 2004  Dr. Nora Volkow. Director, National Institute on Drug Abuse

Treating people for addiction disorders reduces expensive health care use. Without a doubt, there is a health care justification for treating addiction, but there also is a proven economic justification. Addiction treatment programs result in significant cost-savings for health care systems compared with the cost of not treating addictions. In addition, treating addiction will save money from the reduced costs of treating other general medical and chronic illness conditions such as diabetes and hypertension.

When addiction is treated, the overall health of patient improves. The mountain of evidence shows that these patients fare better with their other health issues and use fewer costly medical services. Several studies have found that substance abuse treatment reduces the medical costs of patients with alcohol and drug use disorders, who utilize health care services at a much higher rate than other patients.

Addiction is pervasive in the United States. An estimated 23 million Americans suffer from alcohol and drug addiction, according to the most recent government survey. Yet only one in 10 of these persons – 2.4 million – get treatment.  With advances in our health care system we, as a nation may be able to arrest, no pun intended, our mental health problems and save our money.  Every little thing we do has an effect on the rest.