Author Archives: Reflections Recovery Center

Tramadol and Alcohol

Tramadol and Alcohol

Tramadol is an opiate analgesic (or narcotic). To this end, its purpose is to treat moderate to severe pain. As an opiate, there’s a significant risk of addiction and this increases with long-term use.* For the most part, it’s meant to help people that need 24/7 help for their pain. The need for continuous pain management contributes to the potential for long-term use – something medical professionals should monitor. Tramadol, like any opiate, should only be used under medical supervision. Likewise, it should not be stopped without medical supervision. Of course, someone taking tramadol might not always disclose use of other substances. In spite of the danger of mixing substances, a somewhat common combination is tramadol and alcohol. 


The mixture of tramadol and alcohol might not result in overdose every single time, but there is always the risk. Indeed, excessive alcohol intake significantly increases the risk, according to the Centers for Disease Control and Prevention (CDC). Further, they state there is no safe use of alcohol and opioids. Additionally, most people likely do not realize how few drinks it takes to reach excessive or binge-drinking levels. Increased consumption of alcohol heightens the effects of alcohol increasing the risk when combined with tramadol. To this end, excessive alcohol use can depress the central nervous system, impairing breathing. Likewise, a side effect of opioids is also suppressed respiratory function. As stated by the CDC, there is really no safe combination of tramadol and alcohol, and the risk increases the more either substance is used.

How long does tramadol stay in your system?

Tramadol comes in different forms (tablets, capsules, drops, injections, etc.) as well as slow-acting and fast-acting forms. According to the National Health Service (NHS-UK), fast-acting will work within 30 to 60 minutes. This is better for pain that is expected to only last for a short term. Slow-acting will be released into the body over 12 to 24 hours and will take longer to work, but will last longer. Thus, this is better for long-term pain management. What is more, it’s important to take Tramadol only under medical supervision. 


Depending on the dose and length of time, someone might have different reactions with tramadol and other substances. Above all, it’s important to communicate consumption of any other substances with medical professionals. According to the Mayo Clinic, tramadol and Tylenol (acetaminophen), is a safe combination. However, it is still best for anyone taking tramadol to communicate with their doctor if they are taking any other type of medication.

Tramadol Side Effects

Some common side effects of tramadol can include:

  • Headaches
  • Dizziness
  • Fatigue, low energy
  • Trouble concentrating
  • Sweating

These symptoms are common and not immediate cause for concern. However, anyone should always communicate with their doctor any concerns. 

Tramadol Withdrawal Symptoms

Under proper medical supervision, tramadol should not cause serious issues or withdrawal. However, it is possible for someone to mistakenly take an extra dosage, miss one or more doses, mix with other substances that cause issues, or even of course be using tramadol illegally. Ultimately, any of these possibilities, and many others, can cause someone to experience tramadol withdrawal symptoms. Equally important, sudden disuse of tramadol is more likely to cause withdrawal, so when possible it’s best to taper off with the help of a medical professional.

Tramadol withdrawal symptoms may set in 12-20 hours after the last dose. Symptoms can include:*

  • Numbness
  • Tingling
  • Tinnitus

Psychiatric withdrawal symptoms might include:

  • Hallucinations
  • Paranoia
  • Panic attacks
  • Confusion

With this in mind, it’s important for anyone experiencing tramadol withdrawal symptoms to seek medical help right away. Moreover, it’s important to call 911 if anyone’s in immediate danger or in fear of overdose.

Tramadol Overdose

Under proper medical supervision overdose is not common. However, even someone using under supervision may accidentally take too much tramadol. As a result of tramadol misuse, from 2005 to 2011, emergency-room visits from tramadol misuse tripled to 21,469. In regards to what tramadol overdose looks like, the a Wall Street Journal article states, “Excess tramadol intake tends to cause seizures and a fast collapse.” 

According to a U.S. National Library of Medicine resource, other symptoms of overdose include:

  • Difficulty breathing
  • Extreme drowsiness
  • Unconsciousness 
  • Slowed heartbeat
  • Muscle weakness

Again, under proper medical supervision the chance of overdose should be extremely low. However, mistakes happen as well as abuse being a common reality. It’s important for anyone using tramadol to be aware of the signs, as well as those with loved one’s using tramadol. Should you or anyone experience these symptoms as a result of tramadol use, it is important to call 911 as soon as possible.

Treatment

Most resources affirm that low-dosage, short-term use of tramadol under medical supervision shouldn’t result in addiction or serious health problems like withdrawal or overdose. Nonetheless, many people react differently and it’s always important to watch out for side effects and other problems. In many countries, this has led to a lack of oversight over the usage of tramadol. Moreover, in the United States, it was not controlled at a federal level until a few years ago. This allowed (and continues to allow) widespread use and abuse around much of the world. While it’s not as strong as morphine, it’s still an opioid and has the potential for abuse and addiction. 

If you or a loved one are struggling with tramadol abuse or addiction, we can help at Reflections Recovery Center. We can provide help and resources for intervention, if needed. Initially, each client goes through an assessment, which will help us determine if detox is necessary. We offer a 5-day detox program. Throughout treatment, we will help our clients improve their physical and mental health as well as providing the skills to maintain sobriety long after treatment. In addition to this, each client goes through an assessment so that we can determine what exactly they need. No person is the same, nor is their experience with addiction the same. Therefore, we form a treatment plan around each person’s unique needs. If you or a loved one needs help, please reach out today.

*Resources:
Tramadol: MedlinePlus Drug Information. (2019, June 17). Retrieved July 23, 2019, from https://medlineplus.gov/druginfo/meds/a695011.html

Alcohol Screening and Brief Intervention for People Who Consume Alcohol and Use Opioids. Retrieved July 23, 2019, from https://www.cdc.gov/drugoverdose/pdf/prescribing/AlcoholToolFactSheet-508.pdf

Tramadol. (2018, November 26). Retrieved July 23, 2019, from https://www.nhs.uk/medicines/tramadol/

Tramadol And Acetaminophen (Oral Route) Description and Brand Names. (2019, May 01). Retrieved July 23, 2019, from https://www.mayoclinic.org/drugs-supplements/tramadol-and-acetaminophen-oral-route/description/drg-20062870

Epstein, D. H., Preston, K. L., & Jasinski, D. R. (2010, September 22). Abuse liability, behavioral pharmacology, and physical-dependence potential of opioids in humans and laboratory animals: Lessons from tramadol. Retrieved July 23, 2019, from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2943845/


Epstein, D. H., Preston, K. L., & Jasinski, D. R. (2010, September 22). Abuse liability, behavioral pharmacology, and physical-dependence potential of opioids in humans and laboratory animals: Lessons from tramadol. Retrieved July 23, 2019, from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2943845/

Scheck, J. (2016, October 20). Tramadol: The Opioid Crisis for the Rest of the World. Retrieved July 23, 2019, from https://www.wsj.com/articles/tramadol-the-opioid-crisis-for-the-rest-of-the-world-1476887401

Schedules of Controlled Substances: Placement of Tramadol Into Schedule IV. (2014, July 02). Retrieved July 23, 2019, from https://www.federalregister.gov/documents/2014/07/02/2014-15548/schedules-of-controlled-substances-placement-of-tramadol-into-schedule-iv

Is Alcoholism a Disease?

Is Alcoholism a Disease and can it be a Genetic Predisposition?

Language is, of course, one of the most important ways that humans communicate. The words we use are meaningful, especially so when it comes to serious issues like addiction. Over time, language shifts to fit our needs and our understanding of the world around us. With regard to addiction, much of the language has changed from someone being an addict to someone dealing with or suffering from addiction. This is not without reason. The more we understand, it’s apparent that addiction is about more than just personal choices or character defects. Many people wonder, “Is alcoholism a disease?” In modern times, there is the disease theory of alcoholism which theorizes that alcoholism, and other addictions, are a disease of the brain. Some experts disagree with this, though they concede it may still of course have something to do with genetics.

From the National Institute on Drug Abuse (NIDA), a government resource, they state, “Relapse rates for addiction resemble those of other chronic diseases such as diabetes, hypertension, and asthma.”* Other diseases require constant, life-long treatment and someone might see relapse after some time without symptoms. Unfortunately, many people often take addiction relapse as a sign that they themselves or treatment has failed. However, as NIDA states, “This is not the case: Successful treatment for addiction typically requires continual evaluation and modification as appropriate, similar to the approach taken for other chronic diseases.”* Obviously people have different genetics, and how their genes affect their susceptibility to addiction will differ. Mental health is also a big part of genes and can play a part of alcoholism for many people. At Reflections, we take this into account when forming a treatment plan as well as a relapse prevention plan. With the prevalence that alcohol has in society, it is not an easy thing to avoid.

Genetically Predisposed

For various illnesses, diseases, and even character traits, you’ll often hear someone say, “It runs in the family.” There are numerous causes; genetic factors are part of it, as well as societal and historical factors. Trauma, a common element in addiction, is something that can impact multiple generations. Each generation might not go through the same exact trauma. However, it can still affect the next generation and play a part in their issues. Per the National Institute on Alcohol Abuse and Alcoholism (NIAAA), “Research shows that genes are responsible for about half of the risk of AUD [Alcohol use disorder].”* Genetic predisposition is a factor in many people’s struggle with alcohol, but clearly it is not the only factor. 

At Reflections, we take a look into people’s life up until they have come to us for treatment. We do so through laboratory testing, to understand their genetic history, as well as understanding their family history. This gives us an idea of the social factors that also play a part in contributing to their addiction. If we understand as many factors as possible, we can provide a more thorough and effective treatment. Dr. Lisa Parsons, our Medical Director, is interested in understanding biochemical imbalances. She works to identify any vulnerabilities in someone’s DNA that make them prone to addiction. This allows her to develop the best treatment for each client.

Alcohol and Mental Health

According to NIAAA, It is possible for an AUD to coincide with, add to, cause, or be caused in part by, mental health disorders.* Mental illness does not mean someone will inevitably have an AUD, but it is possible to be a factor behind AUD. It is possible for mental health disorders to be passed through genetic and environmental circumstances. It’s important that treatment providers distinguish the various types of mental health disorders, how they are caused, and what is possibly making them worse. NIAAA notes that mental health is affected differently based on whether someone is currently drinking, intoxicated, going through withdrawal, or sober.* Depending on severity and length of use, it may take longer for someone to recover physically and mentally. Co-occurring disorders develop frequently with addiction. When this happens, it’s essential to treat each disorder fully to give patients the best chance at recovery.

According to NIAAA, it’s also possible for someone to have depression, anxiety, or another mental health issue without it being severe enough to be classified as a “disorder”. If this is the case for anyone, they should not feel that their mental health issues are not as bad and therefore do not deserve the same care. We will work with each patient to treat any issues and to improve their mental health, regardless of classification. It’s necessary to remember that mental health is not a final achievement to reach. It’s something to work on continually. That shouldn’t discourage anyone; even people with seemingly few mental health problems need to put in effort and take care of themselves.

Recovery

According to the World Health Organization (WHO), “Worldwide, 3 million deaths every year result from harmful use of alcohol…” This includes health problems from drinking as well as accidents. It’s possible victims of harmful use may not have consumed any alcohol. The best time to seek help is now. Everyone should want to prevent all deaths and any harmful actions that happen as a result of alcohol use. Alcohol use does not have to result in death to destroy lives. It’s not easy to acknowledge that you, or even a loved one, has a problem with alcohol. Once again though, now is the best time to do that. Don’t let alcohol steal anything else from you or your loved one. Call us today.

*Resources:
Principles of Drug Addiction Treatment – NIDA
Genetics of Alcohol Use Disorder – NIAAA
Alcoholism and Psychiatric Disorders – NIAAA

Movies about Addiction

Movies about Addiction and Alcoholism

Some good news is that alcohol consumption is down in the United States, a trend for the past few years.* However, while it is going down, there are still many people who struggle with abuse and addiction. Because alcohol is a widely accepted substance, it’s difficult to know it’s a problem. Further, it is also legal and for many it could never be something as bad as illegal substances. Movies about addiction are not incredibly common, nor are they seen as frequently as other movies.

Media plays a big part in our culture; the way alcohol is presented in media is incredibly important. Our consumption of media has significant influence on how we live and what we perceive to be okay. 
Portrayals of alcohol in television and film is a common occurrence. Frequently, alcohol in film depicts people having a fun time. Many movies, like The Hangover, are about a wild night fueled by alcohol and other substances. There may be some consequences shown, but generally the films are about the humorous effects of drinking too much. While of course not all consumption of alcohol is going to end in disaster, these films give the impression that the negative aspects of binge-drinking and abuse are outweighed by the good. Movies about alcohol addiction are just as important to show what can happen with alcohol abuse and addiction.

The Spectacular Now (2013)

For many young people, and even their families, the possibility of having a serious problem with alcohol seems far-fetched. After all, they’re young and being irresponsible is a part of growing up. While many underage people are exposed to alcohol and are able to eventually drink responsibly, many people also begin to develop alcohol abuse and addiction at an early age. In The Spectacular Now, Sutter is an 18-year-old who is popular and has a seemingly happy life. He’s constantly drinking, and driving as well, but sees this as a normal part of being a teenager. Others around him are drinking though not as heavily and constantly, but he fails to see any difference.

Sutter always idolized his father, despite him being absent. When they reconnect, it’s quickly apparent that his father is an alcoholic. Sutter realizes his father is mostly to blame for his parent’s divorce and for being absent from his life. Despite this, he doesn’t recognize how alcohol is similarly ruining his own life. Sutter’s abuse of alcohol leads him to fail his senior year of high school, quit his job because he cannot remain sober, and ruin romantic relationships.

He does eventually begin to see that he is using alcohol to mask his fear of failure and of an uncertain future. The Spectacular Now is a great film for anyone, but especially for young people and families to watch. It depicts how teen drinking is often normalized making it difficult to recognize it as a problem, but also how it can ruin a life even if the person is young.

Smashed (2012)

In Smashed, Kate is an elementary school teacher in her 20s. Throughout the film, we see her struggling with how alcohol is affecting her life through work and relationships. In the beginning, she drinks all night and then continues to drink in the morning before she goes to work. She throws up in front of the kids she teaches, which she covers by saying she is pregnant. This is followed by a series of embarrassing situations which prompt her to accept her coworker’s invitation to attend AA. In trying to justify her drinking, she says, “I’ve always drank a lot. Everyone I know drinks a lot. So I never really thought it was a problem.” Her husband is an alcoholic, her mother is, and her father was until he left her mother after getting sober.

When Kate is sober for the first time, she begins to have problems with those around her. Her mother thinks AA is evil and what ruined her marriage. Kate’s husband also begins to resent her for attending AA, saying she is brainwashed because of it. She wants to take responsibility for her actions, including at work which causes her to lose her job. Kate does relapse before celebrating a year of sobriety at the end of the movie. She reflects on sobriety, noting that she lost her job and her marriage fell apart while sober, something she didn’t expect. Smashed presents a real, and touching, look at addiction and how alcohol can ruin one’s life through relationships and work. It shows that sobriety is a constant journey which can be difficult, and that relapse is a part of that.

Why Movies about Addiction are Important

Media influences us. Movies are frequently, though not always, a reflection of our culture, values, and what is important to us. We absorb their messages, whether consciously or unconsciously, and take them with us throughout our lives. It’s not impossible for every person to responsibly consume alcohol, but it is difficult and for some people it may be impossible. A New York Times article cites a study from the University of Dayton, which showed that 20% to 25% of students changed their opinions on political issues after watching films about the government.* The decision to change one’s mind or how we understand issues after a movie might not always be so clear-cut. Movies about alcohol addiction make a difference.

The two movies listed above are important in the way they show how alcohol can negatively affect us. They show how difficult it is to recognize the problem in the first place, and how hard it is to get help especially when those around you make it harder. In Smashed, in particular, many of Kate’s family and friends have the same destructive habits and enable her behavior. Both films do a wonderful job of showing that our entire life, and environment, influence us. They’re well-made films for anyone, but they can also be a great choice for anyone looking for something that reflects their own experiences or their loved one’s experiences. Neither film shames or stigmatizes the characters or their addiction, but rather seeks to understand them and their journey. Something that is incredibly important when it comes to movies about addiction. If you or a loved one needs help with alcohol addiction, please reach out to us today.

*Resources:
Americans are Drinking Less Alcohol – Wall Street Journal
How Movies Can Change Our Minds – The New York Times

Painkiller Addiction

What Does Painkiller Addiction Look Like?

There is no clear image or description of what addiction is like. Still, for many people they at least had an idea that it was “hard” and illegal drugs like heroin or meth. It wasn’t something that would be a part of the lives of people with jobs, social circles, or supportive families. It’s also difficult to ever admit that you might be the one with a problem. Prescription drugs, which are widely and successfully marketed in the U.S., are meant to help. Under medical supervision, that should be the case. Because of the above reasons, and more, it is difficult for people to recognize they could have a problem. By the time people, or those around them, realize there is a problem they could be dealing with full-blown addiction. 

All prescription drugs have the potential to be abused. Prescription painkillers carry a significant risk, even when taken under supervision. The most common type of prescription painkiller that people are familiar with is opioids. Some common opioids are Codeine, Fentanyl, Hydrocodone, Oxycodone, Morphine and Methadone. In part due to the reasons listed above, the opioid crisis seemingly took over the United States overnight. It happened over time, but unfortunately public awareness has been slow to catch up. Many people still lack understanding of just how dangerous prescription painkillers can be. Often people also think they are not susceptible and can control their use. For many, addiction is not obvious until access to the drugs is cut off or restricted. 

Painkiller Addiction in the Male Population

Painkiller addiction is a very real problem for both men and women. A study conducted in 2018 by the Centers for Disease Control and Prevention (CDC), showed that men’s deaths caused by painkillers has gone up by 265% since 1998.* The gap between men and women is closing, but it is still very much a problem for men. The National Institute on Drug Abuse, cites a study revealing, “Men are more likely than women to use almost all types of illicit drugs, and illicit drug use is more likely to result in emergency department visits or overdose deaths for men…”*

Exactly why men have higher rates is not entirely clear. However, in a study published in the U.S. National Library of Medicine, the authors believe it is possible men have more exposure and opportunity.* In our culture, and many others, men are supposed to be strong and able to take care of themselves. It’s possible that this leads to men hiding addiction, refusing to acknowledge problems, and subsequently failing to receive treatment. 

Clearly, with painkillers it is common for someone to begin using them following a serious injury or surgery. In a controlled study, where patients had no pre-existing pain, scientists found that male patients needed higher doses of morphine after medical procedures. While these patients were not addicted, it’s an interesting study regarding different aspects that are important to consider with gender. Morphine overdoses, just like any opioid overdoses, are still a constant reality at a time when public awareness has been slow and ill-equipped to deal with them.

The Risks of Using Painkillers

Men are more likely to use various substances, also known as polysubstance abuse, which is particularly dangerous. This can strengthen the side effects of each substance and significantly increase risk of permanent damage or overdose. 

As with addiction to other substances, painkiller addiction can cause a lot of chaos in the life of the person using the substances as well as the lives of those around them. Someone suffering from addiction will put their relationships, familial and otherwise, at risk. Maintaining employment is difficult the more severe addiction becomes. When a person is addicted to painkillers and is unable to maintain access, they turn to what’s more easily available. Counterfeit pills are available on the street but, as we have seen, they are laced with other substances. They frequently contain fentanyl, which is 80-100x stronger than morphine and even incredibly small amounts result in overdose. Oftentimes people will turn to heroin, which is easier to get, and dangerous on its own. Heroin now frequently contains some amount of fentanyl.

Someone struggling with addiction is unfortunately likely to turn to substances that are cheaper and easier to get, without regard to what they might be laced with. Prescribed, legal opioids can cause health issues even when used under medical supervision. They can cause drowsiness and respiratory depression, which is slow and ineffective breathing. This plays a major part of overdosing on painkillers. As men often combines substances, this can be enhanced and is particularly dangerous with alcohol. Proper education on the the topic is lacking; people don’t realize just how dangerous alcohol and painkillers are when mixed. Alcohol depresses the Central Nervous System. Combined with opioids it can appear that someone is sleeping, without realizing they are not breathing, and it may be too late before anyone realizes.

Overcoming Painkiller Addiction

The good news is that awareness about painkiller addiction is increasing, with more information widely available. The unfortunate reality though, is that many people do not think they will face abuse or addiction with painkillers. It is also difficult for people to acknowledge addiction, because of the shame and stigma surrounding it. This can leave those suffering from painkiller addictions, and even their loved ones, with a sense of hopelessness. Men, in particular, are loathe to admit they have a problem and to admit to something perceived as a weakness. 

As a men’s only rehab, we are able to focus on the unique challenges and needs that men have. Recognizing that there is a problem is an important first step. Admitting to addiction is not easy, but the risks to one’s well-being and the lives of those around them are significant. At Reflections Recovery Center, we work to remove the shame and stigma. Initially, we evaluate clients and their need for detox. Throughout treatment, we will work with clients to understand their life and the different factors that contributed to addiction.

 Our goal is to help clients overcome their addiction through initial sobriety, as well as helping them learn behaviors and skills to maintain sobriety. Recovery is not linear and it is life-long. Relapse is, of course, a part of many people’s recovery. With that in mind, we will work with clients to create a relapse prevention plan to ensure they have the best possible chance at recovery. If you or a loved one needs help with painkillers, please contact us today.

*Resources:
Prescription Painkiller Overdoses – CDC
Sex and Gender Differences in Substance Use – NIH
Sex Differences in Drug Abuse – U.S. National Library of Medicine
Influences on Gender Postoperative Morphine Consumption – NIH


Addiction in the LGBTQ Community

Why addressing specific communities is important

Addiction is complex not only because of substances and how they affect bodies, but also because of the people dealing with it. When treating someone, it is important to take into consideration that person as a whole. This includes, but is not limited to, economic background, family history, age, gender, ethnicity, mental illness, and culture. The National Institute on Drug Abuse (NIDA), a government resource, states, “No single treatment is right for everyone. The best treatment addresses a person’s various needs, not just his or her drug abuse.”* People within the LGBTQ community face unique challenges and struggles. If their background is ignored, then treatment will not adequately help them. According to NIDA, those in the LGBTQ community frequently deal with, “…social stigma, discrimination, and other challenges not encountered by people who identify as heterosexual. They also face a greater risk of harassment and violence.”*

Furthermore, NIDA cites surveys that have found, “…sexual minorities have higher rates of substance misuse and substance abuse disorders (SUDs) than people who identify as heterosexual.”* The point of stating all of this, is not to make it seem like some kind of competition over who has it worse. The point is different groups of people deal with a variety of factors. If we treat each client the same, we will fail to help them. People have unique backgrounds and they deserve to have their unique needs met. Addiction is not simply a matter of picking up a substance and becoming addicted. There are many steps that lead to addiction, and it’s important to treat each of those steps. Getting off of a substance is one thing. It’s another to maintain long-term sobriety and be able to recover from relapses if and when they occur.

Substance Abuse in the LGBTQ Community

It is an unfortunate and common truth that many, if not most, people in the LGBTQ community face shame and discrimination throughout their lives. They are also at a high risk of violence, or threat of violence, because of their sexuality. Trauma is a frequent theme in addiction; many LGBTQ people have trauma from treatment because of their sexuality. Until 1973, homosexuality was considered a mental illness.* It was only in 2003, that sexual activity between consenting adults has been legal nationwide, following a ruling by the U.S. Supreme Court. There is no federal law outlawing discrimination, leaving many people vulnerable. When people are targeted, isolated, and without full legal protection, it’s understandable they deal with trauma and other unique challenges.

For many people, of all backgrounds, substance abuse is a common way to cope with one’s problems. Substances also provide a way for many people to feel at ease socially, and to feel like they fit in. For people in the LGBTQ community that have been made to feel uncomfortable about who they are, substance use can be a way to cope and to feel more comfortable with their sexuality. For many people, including in the United States, sexual orientation discrimination is a very real part of their lives. When society, and even governments, are telling you that who you are is wrong that frequently results in severe damage. In a guide published by SAMHSA, the authors write that the discrimination often causes those in the LGBT community to use mind-altering substances and alcohol to cope with the stress.*

Why Inclusive Environments Matter

Treatment for everyone needs to be comprehensive. This means it should take into consideration their life up to the present. In doing this, providers also need to be sensitive to different aspects of a client’s background. Education is incredibly important; ignorance on the part of staff can lead to client withdrawal and create barriers that result in ineffective treatment. Not all clients will feel comfortable disclosing their sexuality or fully discussing it. With that in mind, counselors and staff should be respectful of what clients are comfortable with discussing. An inclusive environment allows clients to feel comfortable. It also allows them to receive thorough treatment to achieve and maintain sobriety. 

At Reflections, we have therapists who specialize in working with the LGBTQ community. We also have local AA meetings specifically for the community. Every day our staff works to provide a safe and inclusive environment. We want clients to know they’re welcome and that we care about who they are in their entirety. It’s important for any clients in the LGBTQ community to know that any discrimination, violence, threats, or other negative actions they have faced are not their fault. The SAMHSA guide states, “Counselors and clients should recognize that these effects result from prejudice and discrimination and are not a consequence of one’s sexuality.”* It is a lot of prejudice to dismantle, but something we are willing to work on with clients. If you or a loved one are in need of an LGBT friendly rehab or resources, contact us today!

*Resources:
Seeking Drug Abuse Treatment: Know What To Ask -NIH
Substance Abuse and SUDs in LGBT Populations – NIH
A Provider’s Introduction to Substance Abuse Treatment for Lesbian, Gay, Bisexual, and Transgender Individuals – SAMHSA

Addiction and Isolation

A Cycle of Addiction and Isolation

Addiction steals from people. It steals time and destroys relationships and communities. Often, people suffering from addiction end up increasingly isolated. This could be due to their own guilt and shame, and they then cut themselves off from those around them. With the stigma around addiction, many communities may also knowingly or unknowingly cause others to become isolated. The many causes and effects of addiction may be rooted in loneliness, isolation and mental health disorders, which are often in turn made worse by addiction. This creates a cruel cycle that continues until someone, or many people, can help break it.

Isolation due to Mental Illness

It is an unfortunate truth that there is a stigma around mental illness. When someone is struggling with their mental health, others may have a hard time relating. Even those with mental health problems may hold a self-stigma around the issue. In an article published by World Psychiatry, the authors wrote that in addition to views held by the general public, “…even well-trained professionals from most mental health disciplines subscribe to stereotypes about mental illness.”* They also found 3 common views regarding people with mental illness:*

  1. People with mental illness are to be feared and kept away
  2. They are dangerous and reckless; need to be controlled
  3. They are like children and cannot make decisions for themselves

Given the information above, it’s understandable that resources are difficult to find or that people are reluctant to seek help. If anyone is dealing with addiction and mental illness, they may be more reluctant to get treatment and their isolation will increase. Without a support system, someone might turn to substances to cope with their problems.

How Technology Isolates Us

Technology has provided humans with a lot of incredible opportunities, particularly when it comes to connecting. There are of course downsides to this and many of the issues can lead to increased isolation. As people give more attention to devices, they take away from time to give to family, friends, coworkers, and neighbors. This can be harmful to maintaining strong relationships with those around you. When someone is dealing with addiction and/or mental health problems, a strong community is essential to their health. As technology is still a newer phenomenon in terms of history, a lot still needs to be done in the way of research. Certain studies do show connections between technology and isolation, though the exact cause and effects are not conclusive.

Still, a study reported on by NPR revealed that it is possible social media increases people’s perception of isolation.* Social media allows us to present our lives in any manner we want, and show only the good times. According to the study, some people may feel excluded because they were not there in the moment, or even because their life does not look as good as what they see online.

A feeling of isolation is not going to absolutely result in substance abuse or addiction. However, it is possible that some people will turn to substances to cope with being lonely or socially isolated. Many substances, and especially alcohol, seemingly make it easier to connect with others. Advertising for alcohol is incredibly effective in presenting the idea that alcohol will allow you to be social, and to always have fun when it is consumed. Social media can further this notion with people posting about the fun they are supposedly having, with alcohol being a constant presence.

Rebuilding

Issues with mental health, loneliness, and technology do not mean someone will struggle with substance abuse or addiction. Not everyone who is isolated is going to always struggle with these problems. They are just a few factors that might play a part.

Many different steps can and should be taken to remedy these problems. One is to work on removing the shame and stigma around addiction and mental health disorders. Another action, that everyone can be a part of, is to build strong communities. Someone in recovery is in great need of community to have a better chance at maintaining long-term sobriety. Relapse is a normal part of recovery, but someone with a community around them has a better chance at overcoming any relapses. Addiction is complicated and it is hard to fight. It is something that absolutely requires the effort of multiple people.


Someone might have lost most of their community while they were struggling with addiction. They also might have lost contact at any point in their lives because of mental illness, technology, or any other number of causes. Whether or not someone has a strong community on the outside, Reflections will work with each patient to provide that. We help our clients rebuild a community and provide the tools they need to succeed after treatment. At Reflections, we work with clients to remove the shame from addiction and mental illness. It is important that people know that treatment is possible and that they do not have to be alone. If you or a loved one needs help, please contact us today.

Resources*:
Understanding the impact of stigma on people with mental illness – World Psychiatry
Feeling Lonely? Too Much Time on Social Media May Be Why – NPR


Substance Use in Media

Media and Addiction

With the rise of technology and media, it may or may not be obvious to say media has a significant impact on our lives. Advertising has been around for a long time and has changed rapidly in recent years. Companies and individuals seek to impact our lives through movies, music, radio, television, magazines, and so much more. As much of this has happened rapidly, society has struggled to recognize problems that have come up and how to deal with them. Substance abuse and addiction are complex topics and the way the media portrays them is equally complex. In our society, there is a conversation around how much companies and individuals in the media are responsible for the content they present.

In the U.S., media plays a massive part of most people’s lives in some ways. From the Pew Research Center, at least 69% of Americans use social media in some way.* From a government census, 78% of American households have a laptop or computer desktop.* In regard to television, Nielsen estimates that there are 119.6 million TV homes for the 2017-2018 season.* Clearly, media will reach most people one way or another. Looking into the various forms of media and understanding how they might influence addiction can be essential for many people. If you or a loved one is dealing with addiction, it can help to know how the media might play a part. It is even helpful to take a deeper look, to see how media can influence your or a loved one’s understanding of when substance use turns to abuse and addiction.

Drugs and Alcohol in Television and Film

The way people watch television is rapidly changing, but television consumption overall is still a major part of American life. Alcohol and drug use are common depictions, in varying situations. Any portrayal of substance use and addiction is not itself a bad thing. They are realistic parts of life; always avoiding taboo subjects and pretending they do not exist causes more harm in the long run. In fact, the stigma around drug and alcohol use often hinders people from seeking help. A common discussion in society is what portrayal is needed versus what is glorifying substance abuse? An important factor is the age group of target audiences, or who has access to content regardless of who the target group is.

With commercials, advertising for alcohol is incredibly successful and influences people of all ages. Commercials for alcohol do not necessarily glorify substance abuse or addiction, but they do present alcohol use as an avenue to a happier life. While they come with a warning to drink responsibly, the primary focus is the fun that alcohol provides. Groups of people are at a club, a party, a beach, or any number of pleasant scenarios.

Alcohol and drug use are frequent topics in television. They can influence people of all ages, but might make a more significant impact on younger people who are more easily influenced. The Council on Communications and Media wrote, “On prime-time television, 70% of programs depict alcohol use. More than one-third of the drinking scenes are humorous, and negative consequences are shown in only 23%.”* They also found, “Drug scenes are more common in movies…and no harmful consequences are shown more than half the time.”* This kind of message presents substance use as harmless or even humorous.

Social Media and Substance Use

While technology has been around for a while, social media is a more recent creation. It’s quickly become something that an astounding number of people in the U.S., and around the world, use. With the rapid creation and use of various social media platforms, societies have struggled to manage issues that arise. A lot of studies regarding the effects of social media are new and they will naturally continue for as long as we use it. What we do know currently, is that social media can be highly influential and misleading.

Social media can present use of substances in an appealing light, with little regard to the consequences. There are many popular accounts on Instagram that share funny text messages regarding substance use. People use illicit drugs or drink to the point where they are blackout drunk, which is then shared via text. Despite engaging in reckless behavior they hardly remember, the events are seen in a humorous light. Teens could be more susceptible to this, but anyone might view substance use as less risky as a result. In a study done by multiple Ivy League schools, the authors found, “When social media users are frequently and repeatedly exposed to or engage in such substance-promoting communications, they may become more accepting of or immune to these risky behaviors.”* Furthermore, this type of content makes it hard for someone to recognize if they already have a problem.

How Media Impacts Us

Much of media including film, TV shows, commercials, and social media is a recent phenomenon as far as history is concerned. When we study how they affect substance use, abuse, and addiction, we are only beginning to gain an understanding of these topics. Not all substance use has to necessarily be a bad thing. The purpose of prescription drugs is to help people. Truly responsible consumption of alcohol could be possible, but is difficult to actually maintain.

The point of the information above is not to be a scaremonger. Rather, to help others understand the prevalence of drugs and alcohol in media and how to navigate that. It’s helpful to understand if you have teenagers in your life. It’s also good to be wary of how the media might influence your own perception of the risk of substance use. Someone could have a drug or alcohol problem, but validation from media makes that hard to recognize or accept.

It will not be easy to figure out solutions to resolving these problems. Losing any reference to alcohol or drugs is certainly not the solution. They’re realistic parts of life. Hiding that will cause people to hide it from others, making help unlikely or impossible. Just like the accounts on Instagram, there should be resources to provide help provide education on substance abuse and addiction. Having these discussions is also essential so people are aware of how the media influences us and what to look out for.

*Resources:
Social Media Fact Sheet – Pew Research Center
Computer and Internet Use in the United States – Census.gov
Nielsen Estimates 119.6 Million TV Homes – Nielsen
Children, Adolescents, Substance Abuse, and the Media – The Council on Communication and Media
Scaling Up Research on Drug Abuse and Addiction Through Social Media Big Data – NIH

Movies about Addiction

Substance Abuse in Media

Movies have significant cultural impact and movies about addiction are important. Substances have been portrayed in a variety of ways, ranging from casual use, to abuse and addiction. Many films, including The Hangover, are centered around wild nights fueled by alcohol. In The Wolf of Wall Street, many of the characters engage in binge-drinking and abuse of various illicit substances. While both films do touch on consequences in some ways, the movies present the substance abuse in a comedic manner. As heroin is highly-addictive and considered a “hard” drug, it is not usually thought of or portrayed in a light manner that abuse of other substances might be. There are, of course, some movies like Trainspotting which is considered a “black comedy”. This type of movie usually takes a comedic look at topics that are taboo, like heroin addiction.

In a study done on illicit substances in media, researchers found, “Media can influence audiences in four key ways…” which includes, “…indirectly shaping individual and community attitudes toward risk…”* With heavy-drinking often portrayed as comedic, it’s understandable that many do not recognize it as a problem in real life.  With heroin, this is less likely, but how it is portrayed in a movie can still have a significant impact on viewers. Movies about addiction affect our views whether we consciously or unconsciously recognize it.

Trainspotting (1996)

Trainspotting follows a variety of characters, with Mark Renton being the main character we see. Mark, and many of his friends, are lower-class in Scotland. For them, heroin addiction is a way of coping with their problems and they often express that it makes them feel better about their place in life. At one point in the film, Mark expresses the sentiment that their lives have little meaning outside of addiction. Various events, including arrests and a death, cause the group to reconsider this at certain points. A couple of times, Mark maintains maintain sobriety for a short time, determined to stay sober. However, something, whether a traumatic event or simply craving heroin, draws him back in. As most of his friends are struggling with addiction, it is difficult for Mark to maintain sobriety for a long amount of time.

True to real life, addiction is often a way that people cope with their lives. For some it is a past trauma. For others, it is something like their social and economic class, which can be traumatic in its own way. While Trainspotting is a black comedy and finds some humor in it, the movie does accurately depict how difficult it can be to break the cycle of addiction. When the majority of your social group engages in the same behaviors, this can make sobriety more difficult to achieve.

Wild (2014)

Wild is based on a memoir written by author Cheryl Strayed. The movie primarily follows her journey to walk 1,100 miles of the Pacific Crest Trail. She embarks on this journey in hopes of continuing her recovery from addiction and other issues in her past. While hiking, the movie presents flashbacks that take the viewer through her life to help understand her actions. As a child, Cheryl grew up with an abusive, alcoholic father before her mother finally divorced him. Her mother was her closest friend and when she died at 45 years old from cancer, this caused Cheryl to spiral into a deep depression.

Following her mother’s death, Cheryl turns to heroin and anonymous sex in an attempt to cope with the pain. In the process, she strains relationships with her husband (they eventually divorce), family, and friends. Her addiction and depression also prevents her from finishing her education or developing a career. At one point, Cheryl denies her addiction and states that she is in control and is just experimenting. Heroin is not the sole focus of Wild, but it is a topic that is present for most of it. They do a good job of subtly showing how people might turn to addiction, their denial or reasoning, and how it destroys different areas of their life.

Many people dealing with addiction often have trauma in their lives, whether from before or after addiction. Cheryl had a traumatic upbringing with her father and then the death of her mother at a young age. The abuse of substances obviously varies, but it is incredibly common to numb pain through addiction.

Requiem for a Dream (2000)

An interesting fact about Requiem for a Dream is that the word heroin is never said by a character. There are various illicit substances used and the film does touch on different addictions. There is Harry Goldfarb, his mother Sara, his girlfriend Marion, and his friend Tyrone. At the start of the film, Harry and Tyrone are pawning Sara’s TV, which they do regularly after she buys it back, to fund their heroin addiction. Sara suffers from a food addiction and, after going to a doctor, begins to take amphetamines. Harry expresses concern for his mother and wants her to stop using drugs. Despite his concern, he is not capable of acknowledging his own addiction and how it is ruining his life.

Throughout the film, it’s clear that all four characters are delusional and using substance abuse to cope with something in their life. Sara is a reflection of many older people in real life; her husband is dead, her son suffering from addiction, which she enables, and she is incredibly lonely. Tyrone hopes to escape the ghetto. Quite often, people are trapped by economic circumstances and it is an unfortunate reality that they then turn to addiction as a means of coping. Harry and Marion are both struggling with mental health issues. They use heroin, and other substances, as a means to cope and feel something.

Sara’s husband died at some point and Harry is all she has. Because of this and her own addiction, she fails to recognize or try to help her son’s addiction. Harry, Marion, and Tyrone are all unable to see what their addiction is doing to their lives. Their relationships with one another rapidly deteriorate as they make compromises, face violence and arrest, and lose any sense of purpose to feed their addiction. As far as movies about addiction are concerned, Requiem shows how addiction can vary and how it impacts those around you.

Using Movies about Addiction to Better Understand Addiction

All of the movies about addiction mentioned above have had significant impact on our culture. While other substances are frequently talked about or shown in media, heroin has been and is still a taboo subject. They all accurately show the depths to which heroin addiction can take people. Each film also portrays the way addiction reaches the community around you, and how it affects your friends and family. Different people may be able to get varying messages from the film. For people watching their loved one go through addiction, it might help provide insight into the causes and the path that led them there. Anyone who has struggled with addiction, or still is currently, it can show that they are not alone in their experiences. Trainspotting, in particular, shows that relapse is a very normal part of addiction and does not mean anyone should give up in their efforts to maintain sobriety.

*Resources:
Illicit drugs and the media – NIH

Xanax and Alcohol Mixed

Alcohol and Xanax (also known as Alprazolam) are both substances that are legal. They are also both substances that are widely available and commonly abused. This can make it difficult to recognize any issues. In regard to alcohol and Xanax, mixing the two can be incredibly risky even without a severe addiction to either. In moderation, alcohol does not cause severe damage every time it is consumed. Xanax is a controlled substance, that medical professionals issue to often help with anxiety disorders or panic attacks.

However, it is possible for them to both easily become an abused substance. Alcohol and Xanax can both have negative side effects. Mixing them can magnify what each substance does and cause greater harm. Combined alcohol and Xanax use increases risk for overdose, something many people may not realize.* To understand this better, it can help to know how each substance affects people and what happens they are mixed.

What is Xanax and what does Xanax do?

Xanax is the brand name for Alprazolam, which is a short-acting benzodiazepine often used to treat anxiety, panic attacks, or even nausea from chemotherapy. It is the most commonly prescribed psychiatric drug in the United States and often frequently abused. Like other legal drugs, there are counterfeit pills that can be found on the black market. While they may be similar, they are often cut with other substances and can cause significant harm. From McGill University, “GABA is a chemical messenger that is widely distributed in the brain. GABA’s natural function is to reduce the activity of the neurons to which it binds.”* Neurons can become overexcited, which can lead to anxiety. Benzodiazepines, like Xanax, work to enhance the actions of GABA, which depresses the over-excited central nervous system, and provide a sense of calm.

Clearly, when done legally and under medical supervision, Xanax is meant to be helpful and it has helped people. However, like any medication, it can have adverse side effects. Symptoms will vary for different people and will range in severity. Some common side effects can include: memory or concentration problems, depression, fatigue, suicidal ideation, or trouble breathing. Withdrawal from Xanax can be severe, and should be done under the supervision of a medical professional. Xanax is a short-acting drug that processes quickly and leaves the body quickly. This leaves you at a higher risk for withdrawal, since your body has less time to adapt to working without the drug.* Listing these symptoms is not a scare-tactic, but rather a way to convey issues that can arise. Further, it is helpful to understand the side effects to then understand how mixing alcohol will interact with Xanax.

What is alcohol and how does it affect us?

Simply put, alcohol is an organic compound; it is alcohol ethanol found in alcoholic beverages, which occurs by fermenting sugar with yeast. The alcohol humans drink acts as a suppressant to the central nervous system, similar to Xanax. It can boost one’s mood and increase their inclination to be social, while calming any over-excited nerves that usually make a person anxious. Many people drink for just these reasons. The negative aspects for alcohol, which become worse the more one drinks, are numerous, but the severity will affect individuals differently. Short-term effects might include nausea, vomiting, dizziness, anxiety, and fatigue. Alcohol can be addictive, which can lead to dependence and withdrawal. Long-term effects include liver damage, neurological damage, and various forms of cancer. Furthermore, the abuse of and addiction to alcohol can also lead to significant problems in one’s social and professional life.

Despite many of the negative aspects listed above, alcohol is one of the most common recreational substances. It has been around for thousands of years and it’s prevalence makes it widely accepted. In an article from National Geographic, archaeologist Patrick McGovern said, “Alcohol is central to human culture and biology because we were probably drinking fermented beverages from the beginning.” What is more, in modern times alcohol is marketed as a way to more fun and a better life. Even some of the adverse effects of alcohol, primarily concerning behavior during drinking and hangovers, are seen as humorous. This attitude combined with the popularity of alcohol makes it hard to recognize when it becomes a problem. Or that it can even become a problem at all. With that in mind, it is understandable how many people can then miss the dangers of drinking combined with something like Xanax.

Alcohol and Xanax Mixed

Alcohol and Xanax both suppress the central nervous system and mixing the two can intensify the actions of both substances. From an article published by the National Institutes of Health (NIH), alcohol enhances the effects of Xanax which includes drowsiness, sedation, and impaired motor skills.* As both substances are sedatives, they significantly impair breathing when combined. As more alcohol is consumed, the areas of the brain that regulate “basic life-support functions—such as breathing, heart rate, and temperature control—begin to shut down.”* Consumption of alcohol and Xanax at any amount can be dangerous, but the risk of overdose becomes even more dangerous the more alcohol is consumed. Alcohol impairs one’s ability to think clearly, which makes recognizing symptoms of overdose even more difficult.

When taking Xanax, there is a warning not to consume alcohol. However, many people may either disregard this or not realize the severity of mixing the two substances. When dealing with addiction, someone might not be in a place to consider or assess the risks at all. What is more, with addiction, it is likely that someone could turn to using unregulated Xanax. This increases the risks with unknown substances added.

Treatment

It is possible, and often likely, that someone dealing with addiction will be facing issues with more than one substance. With alcohol and Xanax, it is tough to recognize that you or a loved one might have a problem.

At Reflections Recovery Center, we offer a detox center with a 5-day program. Withdrawal from alcohol and Xanax can both be dangerous to do alone. Our highly qualified team of medical professionals will work with clients to ensure a safe detox process. We also offer inpatient and outpatient treatment programs, with many resources available to create a unique and thorough treatment plan. Reflections can also treat co-occurring disorders, providing essential treatment for mental disorders and substance abuse disorders. Our goal is to help each client through every step of the process and to provide tools to maintain sobriety long after treatment. Alcohol and Xanax can be an incredibly dangerous combination. If you or a loved may be struggling with this, contact us today for help.

*Resources:
Understanding the Dangers of Alcohol Overdose – NIH
Side Effects of Benziodiazepines – Mind.org
Were Humans Built to Drink Alcohol? – National Geographic
Alcohol and Medication Interactions – NIH

Nutrition in Recovery

Nutrients found in food are essential to life. They provide calories and energy that is needed so we can go throughout our days. It is possible though to consume food without much nutrition and feel like you’re able to go about your day with no problems. The connection between food and health might not always be so clear to everyone. What may or may not seem obvious, is that food impacts our health and how we deal with daily life. With processed foods, it begins to lose most if not all of the nutrition it may have had. This type of food can leave someone feeling sick, lethargic, and can greatly affect one’s mood. Processed food puts the body into a state of inflammation, which leaves people feeling depressed and anxious.

Naturally, your body adjusts to what you regularly consume. For Psychology Today, Dr. Nicole Avena writes, “Without even realizing it, most food choices are made based on taste, convenience, and familiarity. The gut will not be primed for digestion of fibrous fruits and vegetables, and there exists a strong preference for food that is salty (chips) or sweet and easily digestible (sweetened cereal with milk).” If you eat only junk food, that is what you crave and what triggers the reward center in your brain. With nutrient therapy, we want to show that it is possible to feel better by eating better. Addiction significantly deprives the body of nutrients. For a thorough recovery, it is essential that we work with patients to repair their health through nutrition.

Alcohol and Nutrition

The vagus nerve is a nerve that helps your gut and your mind communicate. The food you consume directly affects this nerve, and naturally so does consumption of alcohol. When something is permeable, it becomes more absorbent or more easily allows substances to pass through. Some permeability in the gut or intestines, for example, is okay, but when it increases it can become a problem. A study done in 2014 found that alcohol-dependent subjects may have higher gut permeability, which can affect behavioral changes and mood.

The authors also wrote, “Alcohol-dependent subjects frequently develop emotional symptoms that contribute to the persistence of alcohol drinking.”* Someone might drink to cope with other issues and then develop issues from drinking, which will then lead to continued heavy drinking. This can clearly create a negative cycle; it will damage the gut and can lead to anxiety and depression, which then may be self-medicated with alcohol.

Furthermore, alcohol impedes a body’s ability to break down nutrients into molecules that the body desperately needs. Excessive consumption of alcohol can deprive the body of vitamins and minerals. A deficiency in Vitamin K, for example, can cause delayed blood clotting and will result in excess bleeding. Furthermore, according to the U.S. National Library of Medicine, “…eighty percent of bipolar sufferers have some vitamin B deficiencies (often accompanied by anemia).”* A vitamin B deficiency is not the sole cause, nor will everyone with a deficiency suffer from bipolar disorder. However, it is an important facet to consider and increasing vitamin B levels can help to alleviate some symptoms.

Other vitamin deficiencies can cause severe neurological damage. Mineral deficiencies can result in a number of health problems including calcium-related bone disease, zinc-related night blindness and skin lesions.* For clients seeking treatment for alcohol addiction, we will identify any malnutrition or micro-nutrient deficiencies. When we know what to address, we can form a plan with food, nutrition and other necessary medicine to restore balance.

Drugs and Nutrient Deprivation

Drugs also clearly deprive the body of essential nutrients and can lead to severe malnutrition. Opiates (including codeine, oxycodone, heroin, and morphine) can cause gastrointestinal problems which can include diarrhea, nausea, and vomiting. This can result in a lack of nutrients and electrolytes, like sodium or potassium.* With stimulants, like meth, crack, or cocaine, appetite is reduced and this leads to weight loss and poor nutrition. Long-term use can result in permanent memory problems.* There are, of course, many other possible issues. Substance abuse is a disease that can drastically destroy the mind and body. However, with proper help and treatment there is hope.

When someone is in recovery, particularly after abusing stimulants, it is possible they might turn to overeating. At Reflections, we want to work with clients on a plan to return their health to a good place and to learn new, healthy habits. This can start with eating at regular times, eating food that is high in nutrition, and even learning to prepare healthy food for oneself. Nutrition is essential to having energy, maintaining body structure, and bodily function.

A better mood and mental state is a good defense against relapse in many ways. It can encourage someone to engage in other healthy behaviors. As good food makes the body and mind feel better, physical activity will be something clients feel they can engage in. Being active can be a significant help in recovery. Overall, we want our clients to develop good nutritional habits that will reach every other area of their lives.

Utilizing Nutrition in Recovery

At Reflections, each client will go through an initial evaluation. This allows us to take a comprehensive look at our client’s health. With laboratory testing, we can identify the vitamins and minerals where there is a deficiency. This helps us identify how their health is affected, physically or mentally, and how we can proceed with treatment. We can begin to introduce food and other healthy methods of restoring balance in the body. Our goal is that each client will feel better physically, which can lead to improved mental health. We also want clients to know that they can take control of their health and what they eat, and thus play a big part in their sobriety.

If we can teach our clients proper nutrition, we can allow them to take control. Learning about nutrition regarding food, drinks, and supplements is something clients can take with them after treatment. When clients are feeling better physically and mentally, they may feel more capable of engaging in physical activity. An active life in turn further benefits their physical and mental health, creating a positive cycle. At Reflections, we all truly want each client to walk away with the skills to continue a positive life and to maintain sobriety.

*Resources:
Psychology Today – Nutrition in Recovery from Addiction
Intestinal Permeability – PNAS
Alcohol and Nutrition – National Institute on Alcohol Abuse and Alcoholism
Substance Use Recovery and Diet – MedlinePlus