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Posts Tagged ‘dependent on’

Elizabeth Vargas: ABC '20/20' newswoman in treatment for alcohol abuse
In a statement, Vargas wrote: "Like so many people, I am dealing with addiction. I realized I was becoming increasingly dependent on alcohol. And feel fortunate to have recognized it for the problem it was becoming. I am in treatment and am so thankful …
Read more on Los Angeles Times

Cleveland City Councilman Zack Reed reportedly doing 'very well' with alcohol
Ferenc said Reed's probation officer reported the councilman is attending all of his court-ordered treatment programs at the Cleveland Clinic, and will continue to wear the alcohol-monitoring bracelet until early December. Reed will remain on active …
Read more on Plain Dealer

Alcohol detox centres provide a safe and structured environment in which to under treatment for alcohol related issues.

As society and pressures in daily lifestyles change for an ever growing population, more and more people are turning to alcohol in a bid to relax and take their minds off their problems. For many people, what starts off as a harmless drink or two in the evening can progress into a drink problem.

For some people, they suddenly find that they are unable to stop drinking on their own and so turn to the help of an alcohol detox centres. These centres are able to offer all the help and support needed for anyone wishing to stop drinking but unable to do so without the medical and emotional support of alcohol detox centres.

There are a number of alcohol detox centres spread up and down the country and all offer various degrees of accommodation, facilities, length of time for a treatment programme but fundamentally, they all offer the chance to help you stop drinking once and for all.

Most alcohol detox centres offer a detox programme which usually lasts between 7 to 14 days depending on the severity of the alcohol related issue. The alcohol detox centres tend of have staff on hand 24/7 during a detox programme as withdrawing from alcohol can have risks and medical supervision is highly recommended.

Alcohol detox centres offer medication to the client so that they can withdraw from alcohol in a comfortable and safe environment. For some people with a drink problem, it can be dangerous to try and stop drinking without any medical support or supervision. Some of the risks involved are fits, shakes, vomiting etc.

Some alcohol detox centres focus purely on a short-term stay based on the client purely undergoing a detox from alcohol. Others offer a detox programme followed by the option of undergoing a treatment programme over the course of 28 days and up to 3 months. These programmes are designed to help you withdraw from alcohol initially and then undergo treatment with highly qualified counsellors and therapists to help you stay off alcohol for good.

Of course, its all dependent on what is the right treatment for you but whether you decide to stay on to do a treatment programme, a detox programme initially at alcohol detox centres is the first step to helping you with any alcohol related issues.

Christopher Knight
Alcohol Detox Centres

Emotional eating is not always “just” emotional eating. Sometimes, it is a full-fledged addiction with obvious-and very serious-consequences. Acknowledging this addiction is the first step. Just ask yourself how many people you know who have endangered their health through eating! The fact is, once food is “installed” in an individual’s mental computer as a way to deal with problems or stress, it can become so deeply embedded in his or her mind and so important that he or she would literally die to keep it.

It is hard to describe the intensity of this addiction because it is so commonplace and so easily disguised and blended into “just” eating. As one of my patients said so clearly, “Nothing is going to get between me and my eating. I am always ravenously hungry, and when the burrito stand is in view, I must eat.”

No one can stop me.

I don’t want to stop.

I can’t stop.

I won’t let anybody try to trick me into wanting to stop.

Stay away! This is sacred territory that I will defend with all of my strength.

These are the sorts of messages you receive when you just ask a person to consider their emotional eating patterns. This is what happens when you just suggest that maybe you are confusing emotional hunger with biological hunger. The resistance to dealing with this addiction at all is the strongest indicator of how much the addicted person is motivated to stay addicted. Yes, once you are addicted, you are also motivated to stay that way.

How Does One Become Addicted to Food?

The beginning of food addiction is a bit different for everyone because it can start at different ages. However, there is one universal theme. Somewhere along the lines you learned that eating can soothe the ordinary hurts in life. We all learn that, because it is true, has always been true an always will be true.

All addiction follows the same basic pattern. You are in a distressed state of mind, and the substance-whether it be alcohol, nicotine, marijuana, cocaine, or a cupcake-offers you almost instant, albeit temporary, relief from your distress. If it works the first time, you do it again and again. When it becomes the mechanism of choice, that’s when you become addicted. It is the short route to the resolution of personal unhappiness. But if you are addicted now, it means you became too dependent on this mechanism and you created a short circuit to feeling good that now works against you.

Food addiction is a short circuit in many ways. Literally, it is the fastest route to feeling better. But it is also a short circuit in another sense, the more you use this mechanism, the more you bypass some essential work of life and short circuit the new learning and new ways of managing your feelings that can make life more fulfilling and a lot easier. You are trading the short-term gain for a real long-term loss.

The more you use it as a short circuit, the more you avoid doing what is necessary to resolve the unhappiness in real life, in real time. The more you avoid, the less you learn about how to manage your mind and your life, or at least those critical parts of you that have not fully matured and have been brought under rational control. It’s a vicious cycle. The more you avoid learning, the more you need the cure, which makes you avoid learning all the more, which…makes you eat!

Why Can’t I Just Stop?

It is our contention that since this addiction is a learned pattern, you can unlearn it! It is not mysterious, even though it seems so because it is so powerful and so embedded in ordinary thinking patterns. That’s the good news.

While it is a learned behavior, we are not suggesting that the unlearning process is just a matter of education. No, once food has become installed as a primary way to regulate moods and emotions, it almost becomes an essential part of the person’s mind. That’s the bad news.

In cases where emotional eating has become food addiction, food is no longer food. The taste is largely irrelevant.  It’s the mental effect that is being looked for in the meal, not the calories or the flavor. Some have described their relationship between themselves and food as that of jealous lovers who want to possess, horde, hide and clandestinely have one another for their own.

There is a great deal of truth in that description, but it doesn’t quite get to the quality I hear in my patients. What I hear sounds more like the eating pattern has become a part of their mental selves the same way an arm is part of their bodily selves, and is defended similarly. You wouldn’t let anybody convince you to cut off your arm. In the same way, the person addicted to food won’t let anybody convince them to give up this mechanism of internal control.

The bottom line is that food addiction has the same imperative quality as addiction has in the heroin addict who has to have his “fix,” or the smoker who must have one more drag, or the alcoholic who must have one more drink. Food addicts can’t bear the thought of refusing themselves satisfaction through food.

Florence Williams, a mother, describes the incredible experience between mother and child during nursing, and reveals the primordial power of food addiction in this quote from a New York Times Magazine article on Sunday, January 9, 2005:

“…every time we nurse our babies, the love hormone oxytocin courses out of our pituitaries like a warm bath. Human milk is like ice cream, Valium and Ecstasy all wrapped up in two pretty packages. For a mother and child, nursing is perhaps the most intimate of acts. Evolutionary biologists call it matrotrophy; eating one’s mother. My daughter is not only physically attached to me; she is taking from me all that I can give her. Each time I lift my shirt, she pants and flaps her arms and legs as if it were Christmas. Then she settles in, both of us wholly reassured that this is the best, safest and most satisfying food she could eat.”

Although not all mothers nurse, this is still the prototypic experience of the kind of bliss that we seek to recreate, in one way or another, the rest of our lives-especially when turning to food for comfort. We seek the temporary pleasure and relief, the sense that for now at least everything seems all right, when moments before it seemed as if everything was all wrong. And when this natural desire becomes addiction, most people refuse to believe that they can continue to function if they give it up.

Roger Gould, M.D.
Psychiatrist & Associate Clinical Professor, UCLA
One of the world’s leading authorities on emotional eating and adult development
Author & Creator of Shrink Yourself
Shrink Yourself is the Proven Online Program Designed to End Emotional Eating

Question by Michael Brian: What addictions does the APA recognize as actual addiction disorders?
I know technically anything can be an “addiction” but I’m trying to find a list that the APA has put out that lists the actual addictions someone can be diagnosed with.

Best answer:

Answer by Peachy Perfect
Depends on what you count as an addiction. The DSM-IV (current edition of the Diagnostic and Statistical Manual of Mental Disorders) doesn’t have a definition for the word “addiction” and doesn’t use it.

As far as what *you* might classify as an “addiction”, you can be diagnosed with either Substance Abuse or Substance Dependence, depending on the severity of the addiction. This involves either the dependence on or abuse of substances, like alcohol, heroin, caffeine –yes, I said caffeine–, cocaine, nicotine, etc.

As far as other “addictions” to non-substances go, the ones found under the “Impulse Control Disorders” category include:
– Pathological Gambling (people addicted to gambling)
– Kleptomania (people addicted to stealing)
– Pyromania (people addicted to setting fires)
– Trichotillomania (people addicted to pulling their hair out — yes, I’m serious)

There are lots of other disorders, including but definitely not limited to pedophilia and hypochondriasis, which you might consider addictions (pedophilia being when you are “addicted” to sexual endeavors with children, hypochondriasis being when you are “addicted” to being sick), but I don’t really count those under the “addictions” category, personally.

However, in the DSM-5, which is set to come out in May 2013, they are going to add a ton more disorders involving addictions under the category “Substance Use and Addictive Disorders”. But mostly the only change that will be made is specifying the type of substance that one is abusing, dependent on, and/or suffering withdrawals from. For example, instead of being diagnosed with plain “Substance Abuse” with alcohol listed as a side note, an alcoholic would be diagnosed with “Alcohol Use Disorder”, “Alcohol Intoxication”, and/or “Alcohol Withdrawal”.

Know better? Leave your own answer in the comments!


by colros

Emotional eating is not always “just” emotional eating. Sometimes, it is a full-fledged addiction with obvious-and very serious-consequences. Acknowledging this addiction is the first step. Just ask yourself how many people you know who have endangered their health through eating! The fact is, once food is “installed” in an individual’s mental computer as a way to deal with problems or stress, it can become so deeply embedded in his or her mind and so important that he or she would literally die to keep it.

It is hard to describe the intensity of this addiction because it is so commonplace and so easily disguised and blended into “just” eating. As one of my patients said so clearly, “Nothing is going to get between me and my eating. I am always ravenously hungry, and when the burrito stand is in view, I must eat.”

No one can stop me.

I don’t want to stop.

I can’t stop.

I won’t let anybody try to trick me into wanting to stop.

Stay away! This is sacred territory that I will defend with all of my strength.

These are the sorts of messages you receive when you just ask a person to consider their emotional eating patterns. This is what happens when you just suggest that maybe you are confusing emotional hunger with biological hunger. The resistance to dealing with this addiction at all is the strongest indicator of how much the addicted person is motivated to stay addicted. Yes, once you are addicted, you are also motivated to stay that way.

How Does One Become Addicted to Food?

The beginning of food addiction is a bit different for everyone because it can start at different ages. However, there is one universal theme. Somewhere along the lines you learned that eating can soothe the ordinary hurts in life. We all learn that, because it is true, has always been true an always will be true.

All addiction follows the same basic pattern. You are in a distressed state of mind, and the substance-whether it be alcohol, nicotine, marijuana, cocaine, or a cupcake-offers you almost instant, albeit temporary, relief from your distress. If it works the first time, you do it again and again. When it becomes the mechanism of choice, that’s when you become addicted. It is the short route to the resolution of personal unhappiness. But if you are addicted now, it means you became too dependent on this mechanism and you created a short circuit to feeling good that now works against you.

Food addiction is a short circuit in many ways. Literally, it is the fastest route to feeling better. But it is also a short circuit in another sense, the more you use this mechanism, the more you bypass some essential work of life and short circuit the new learning and new ways of managing your feelings that can make life more fulfilling and a lot easier. You are trading the short-term gain for a real long-term loss.

The more you use it as a short circuit, the more you avoid doing what is necessary to resolve the unhappiness in real life, in real time. The more you avoid, the less you learn about how to manage your mind and your life, or at least those critical parts of you that have not fully matured and have been brought under rational control. It’s a vicious cycle. The more you avoid learning, the more you need the cure, which makes you avoid learning all the more, which…makes you eat!

Why Can’t I Just Stop?

It is our contention that since this addiction is a learned pattern, you can unlearn it! It is not mysterious, even though it seems so because it is so powerful and so embedded in ordinary thinking patterns. That’s the good news.

While it is a learned behavior, we are not suggesting that the unlearning process is just a matter of education. No, once food has become installed as a primary way to regulate moods and emotions, it almost becomes an essential part of the person’s mind. That’s the bad news.

In cases where emotional eating has become food addiction, food is no longer food. The taste is largely irrelevant.  It’s the mental effect that is being looked for in the meal, not the calories or the flavor. Some have described their relationship between themselves and food as that of jealous lovers who want to possess, horde, hide and clandestinely have one another for their own.

There is a great deal of truth in that description, but it doesn’t quite get to the quality I hear in my patients. What I hear sounds more like the eating pattern has become a part of their mental selves the same way an arm is part of their bodily selves, and is defended similarly. You wouldn’t let anybody convince you to cut off your arm. In the same way, the person addicted to food won’t let anybody convince them to give up this mechanism of internal control.

The bottom line is that food addiction has the same imperative quality as addiction has in the heroin addict who has to have his “fix,” or the smoker who must have one more drag, or the alcoholic who must have one more drink. Food addicts can’t bear the thought of refusing themselves satisfaction through food.

Florence Williams, a mother, describes the incredible experience between mother and child during nursing, and reveals the primordial power of food addiction in this quote from a New York Times Magazine article on Sunday, January 9, 2005:

“…every time we nurse our babies, the love hormone oxytocin courses out of our pituitaries like a warm bath. Human milk is like ice cream, Valium and Ecstasy all wrapped up in two pretty packages. For a mother and child, nursing is perhaps the most intimate of acts. Evolutionary biologists call it matrotrophy; eating one’s mother. My daughter is not only physically attached to me; she is taking from me all that I can give her. Each time I lift my shirt, she pants and flaps her arms and legs as if it were Christmas. Then she settles in, both of us wholly reassured that this is the best, safest and most satisfying food she could eat.”

Although not all mothers nurse, this is still the prototypic experience of the kind of bliss that we seek to recreate, in one way or another, the rest of our lives-especially when turning to food for comfort. We seek the temporary pleasure and relief, the sense that for now at least everything seems all right, when moments before it seemed as if everything was all wrong. And when this natural desire becomes addiction, most people refuse to believe that they can continue to function if they give it up.

Roger Gould, M.D.
Psychiatrist & Associate Clinical Professor, UCLA
One of the world’s leading authorities on emotional eating and adult development
Author & Creator of Shrink Yourself
Shrink Yourself is the Proven Online Program Designed to End Emotional Eating

When someone becomes dependent on alcohol, it affects them physically. If their body does not get the alcohol it has become used to, withdrawal symptoms result. These often occur within 24 hours of having the last drink. The effects vary very much from person to person.

Side effects include shaking, perspiring, vomiting and even hallucinating. Without alcohol, these symptoms can carry on for up to a week and can become very severe. However, they are not just unpleasant, these symptoms can be potentially very serious, making a person very ill or even potentially causing death in the worst cases. This is why anyone who has been drinking heavily over a long period of time should always consult a medical professional before suddenly giving up drinking.

Alcohol detox, through medication, can help to manage the worst of these symptoms. Often the medication prescribed is chlordiazepoxide and the detox can be done under the supervision of a GP or in a rehab clinic. Each patient will be assessed individually to evaluate exactly what their detox needs are – highly personalised treatment has a greater chance of successes than a standard package for everyone.

Usually the first day without alcohol will be managed with a strong dose of the medication. This dosage will gradually be reduced over the course of a few days. This process stops or minimises the worst withdrawal symptoms. Patients can not drink any alcohol whilst they are taking detox medication. In a rehab clinic, clients may be expected to take a breathalyser test to prove they are not drinking.

Some people find detox better in a rehab clinic rather than as an outpatient.

This is often the case for people who don’t have support at home or who suffer especially badly with withdrawal symptoms. It can also be beneficial for people who have tried and failed a number of times to stop drinking. Alcohol detox in a rehab clinic means round-the-clock supervision and support and this appeals to many people, especially those with illnesses caused by alcohol abuse. The comfortable, safe and relaxing environment of a rehab clinic can also help many people cope with stopping drinking.

During managed detox, some people feel fairly well. However, there can still be some side effects, even if they are minimised. Common issues include mild anxiety, light insomnia and bearable nausea.

People undergoing detoxification may also be prescribed vitamins to help boost their health. B1 – Thiamine – is often prescribed because heavy drinkers tend to be deficient in it.

It’s very important to note that detox is not a magic cure or a silver bullet to beating alcoholism. Even after detox, therapy, willpower, counselling and aftercare will still be needed to stop drinking permanently.

Wellington Lodge is an established not-for-profit specialist alcohol rehab provider. We offer triage, screening and rehabilitation at our comfortable in-patient facility at Wellington Lodge in North London. We also offer out-patient facilities at specialist clinics in Harley Street, London or at Queens Square in Bath, Somerset.

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