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After using mindfulness skills to successfully titrate off opioids with the help of her primary care provider, she began exercise therapy which she found helped with her pain and social isolation. One day she has a fall, which landed her in the emergency room with a broken ankle. Without knowing the patient’s opioid misuse history, the attending physician unwittingly prescribes an opioid medication and advises the patient to wait several weeks before resuming physical activity. As a result of the self-awareness cultivated through daily mindfulness practice, the patient may recognize the cravings that arise as she holds the prescription slip in her hand. To prevent relapse, she might use mindfulness skills to deconstruct the experience of craving and contemplate the consequences of relapse versus maintaining abstinence. As the craving abates, she may choose to not fill the prescription, use a non-opioid pain reliever, and attend the exercise therapy class for social support even if she cannot participate physically in the exercises.

Evidence-based success rates of MBIs

• You can use Recovery.com to find rehabs and outpatient programs that treat alcohol addiction.
• For instance, MBI non-responders might need a supplementary course of motivational enhancement therapy, computerized cognitive remediation, or booster sessions (see “The Need for Dose/Response Research” below) to enhance outcomes.
• People surviving addiction to fentanyl and other toxic street drugs are often still profoundly unwell.
• Neuroscience provides the framework for how addiction affects the brain, while behavioral therapies offer the tools to change these neural pathways.

For instance, one study indicated that the probability of relapsing was reduced by 54% for individuals utilizing a combination of MBRP and standard relapse prevention techniques, highlighting mindfulness’s potent role in prolonging sobriety. Clinical research supports the efficacy of mindfulness-based interventions (MBIs) in treating substance use disorders. Meta-analyses indicate that MBIs like Mindfulness-Based Relapse Prevention (MBRP) lead to substantial reductions in substance cravings and use. Studies found that mindfulness not only decreases the recurrence of substance-related challenges but also enhances emotional regulation and resilience against addiction, creating a robust foundation for sustained recovery. Given that SUDs are chronically-relapsing conditions,50,58 any intervention for substance use should acknowledge the risk of relapse and take steps for prevention. In addition to relapse prevention, drug addiction individuals with SUDs must also prepare for coping with a relapse.

Medical Detox and the Use of Tapering Protocols

A holistic approach to emotional health encompasses various dimensions of well-being. This includes mental, physical, emotional, social, and spiritual aspects that all interconnect and influence an individual’s overall health. Strong emotional wellness not only supports individual well-being but also strengthens social connections. Healthy emotional states foster relationships that serve as pillars of support during recovery. Individuals with sound emotional health are often more open and capable of forming and maintaining connections, which can provide a crucial network of support while navigating the complexities of recovery. Meditation can also help you deal withprotracted withdrawal, which involves symptoms like anxiety, difficulty making decisions and strong drug cravings that last for several months after drug use is stopped.

Relationship between self-awareness and addiction recovery

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• This non-reactive approach allows individuals to acknowledge their discomfort and feelings of craving, thus reducing the likelihood of impulsive substance use.
• Holistic practices such as mindfulness, yoga, and art therapy can alleviate stress and anxiety, while aiding in emotional healing.
• Incorporating meditation as a lifestyle choice creates a foundation for ongoing self-awareness and emotional stability.
• Explore office-based opioid treatment options for effective addiction recovery and a path to a healthier life.
• According to the National Institute on Drug Abuse (NIDA), inpatient rehab is particularly effective for severe addiction cases, with studies showing that long-term residential treatment improves recovery outcomes.
• This self-awareness helps you refine your mindfulness practice and stay motivated.
• Luxury rehab offers high-end accommodations and holistic treatment options, including spa treatments, gourmet meals, and private therapy sessions.

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“In some ways, counting bodies is easier than counting the amount of trauma and infections and other harms that people are experiencing from an unregulated drug supply,” Dasgupta said. Still, Dasgupta — and other addiction experts interviewed by NPR — said this isn’t a moment to declare victory. People surviving addiction to fentanyl and other toxic street drugs are often still profoundly unwell. The latest CDC provisional data did show five low-population Western states experiencing an uptick in drug deaths, including fentanyl, in 2024. The cumulative rise of roughly 260 fatal overdoses was clustered mostly in Nevada.

No matter what stage our guests enter treatment, we strive to meet them right where they are. Learn proven methods on how to quit drinking alcohol and unlock the benefits of a sober lifestyle. Discover when your loved one doesn’t need a formal intervention and explore personalized support options today. Discover why rich people do drugs, exploring the complexities and paradoxes of wealth and addiction.

This approach emphasizes personal responsibility, community support, and the development of coping skills to navigate withdrawal symptoms. Advocates believe that true recovery is achieved through total independence from substances, often relying heavily on counseling and support groups. Randomized controlled trials suggest that MBIs are a promising treatment for substance misuse and exert their effects via increases in levels of mindfulness across a wide array of substance-misusing behaviors and clinical populations. Twenty-eight of the reports presented the first published findings from the related study and six reports presented results of secondary analyses. Any given study could contribute findings only once to meta-analyses conducted within outcome domains. The adequacy of randomization was examined in all studies and analysis of covariance and linear mixed modeling were often used to control for any remaining pretreatment differences.

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• Prolonged substance use can lead to significant changes in brain regions such as the basal ganglia, extended amygdala, and prefrontal cortex.
• Medical detox is the first step in inpatient rehab, helping individuals safely withdraw from substances such as alcohol, opioids, and benzodiazepines.
• Discover essential substance use disorder helplines for compassionate support and effective treatment options.
• Their collective expertise shines through in each article, offering readers valuable guidance, the latest in addiction science, and inspiring stories of healing and transformation.
• Using physical health as an analogy, maintaining a healthy diet and regular exercise across the lifespan is integral to wellbeing.
• Research suggests that MBIs can effectively reduce both the frequency and intensity of substance use.
• These two factors are vital for maintaining sobriety, as stress often triggers cravings and negative emotional states can lead to relapse.

By continuing to evolve, meditation can provide crucial strategies for navigating emotional challenges and enhancing overall well-being. Mindfulness-Based Interventions (MBIs), like Mindfulness-Based Relapse Prevention (MBRP), have proven effective in reducing substance use and improving overall psychological resilience. Techniques such as ‘urge surfing’ enable individuals to recognize cravings without succumbing to the impulse to use substances. Mindfulness meditation provides profound therapeutic benefits for emotional regulation and coping mechanisms. It encourages individuals to cultivate present-moment awareness, which allows them to observe their thoughts and feelings without judgment.

Setting boundaries is essential for protecting your values, well-being, and sense of self. Coping mechanisms give you a constructive way to process emotions, which prevents peer pressure from overwhelming you. A how to deal with peer pressure reliable network allows you to feel secure and grounded, reducing the need to seek acceptance elsewhere. Self-compassion is like building an inner sanctuary where outside pressures lose their grip. Seeking professional support goes beyond normalising – it can unearth root causes behind sensitive topics that peers may unconsciously prey upon. As a college student, recognising when you might benefit from different types of therapy is crucial for your overall well-being.

• This type of peer pressure can be exemplified in fashion choices, personal interactions, social behaviors, teams, parties, media, and groups of friends, among others.
• Develop skills to negotiate or manage conflicts that may arise from resisting peer pressure.
• This often occurs when students join groups that encourage disengagement from school, which has a negative impact on academic practices.

It’s okay to feel confused or struggle with peer pressure. Everybody faces it at some point in their lives.

• Peer pressure plays a pivotal role in a person’s mental health; it can force them to do something which can be either less harmful or have more serious consequences.
• Know that you are not alone and there will always be someone who will want to listen to your experiences and want the best for you.
• Finding healthy ways to deal with the stress of peer pressure means taking control of this influence and reclaiming your personal power.
• Other great influencers of children, youth, and adolescents are teachers.
• This can include cyberbullying, online shaming, or promoting negative behaviors like substance abuse.

According to the latest Pew research, the majority of teens (68 percent) feel pressure to get good grades. Middle and high school students are under more stress than ever before. The majority of students (60 percent) feel constant stress over homework and feel overwhelmed. Developing romantic relationships is also a normal part of teenhood, but it can also lead to lots of peer pressure. Teens may feel pressure to do things in a romantic relationship that they are not ready for, just to prove that they care about the other person.

How To Tackle Peer Pressure: Types, Strategies, Examples

Turn to parents or guardians for backup while dealing with peer pressure situations that feel beyond your coping skills. An outside adult perspective can help decode complex social dynamics you feel confused or hurt by. The main ingredient about speaking to parents is that if they ever made poor choices when younger, then their wisdom around past regrets and lessons learned can prove to be a valuable reference to you.

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For instance, a teen may know it’s wrong to drink alcohol while underage, Drug rehabilitation but they may do it anyway because they want to be accepted by the group. To understand how these factors impact a teen, tools like the Adverse Childhood Experiences (ACES) test can be used, which can help measure childhood trauma. Although ACES is a useful tool, it doesn’t account for all stressors, such as bullying or discrimination, which can also make teens more susceptible to peer pressure. Positive peer pressure can encourage you to engage in beneficial or healthy activities. However, it’s essential to distinguish between positive and negative peer pressure and use your resiliency skills to make informed decisions that are right for you. Peer pressure is usually used to persuade individuals to join in on group activities.

Limit Exposure to Toxic Social Environments

There will come a time when important decisions are made for future life. Teens should learn that every action has consequences and that if they do something negative, they will have to face them. It would be good for teens to surround themselves with people their age who have the same interests and share the same behavior. This can affect anyone at any given age, but it takes a tool mostly in adolescents because as they try to develop friendships and fit in, they end up falling prey to social pressure. To seek social acceptance they end up imitating behaviors of the same social group, i.e wearing the same clothes as their friends, listening to the same music, and watching the same tv shows. You’ll feel less alone when pressured if you have even one friend committed to avoiding risky behaviour, too.

• A new survey report from Pew Research Center regarding American teens reveals that they are facing a host of challenges—the most common being depression and anxiety, especially at school.
• Listen to the Mel Robbins Podcast twice per week, every Monday and Thursday, to create a better life.
• Effective communication techniques, such as ‘I’ statements and active listening, can help articulate your stance while acknowledging others’ perspectives (Bishop, 2004).
• If you feel pressured by people to do things you’re uncomfortable doing, there are lots of ways to respond.

Encouraging honest, non-judgmental conversations allows teens to feel safe sharing their struggles and concerns without fear of criticism. This open line of communication not only empowers teens to make informed decisions but also reassures them that they have a supportive adult to turn to when faced with challenges. In most scenarios on how to deal with peer pressure, it turns out to be unable to tackle the feelings that come when you avoid peer pressure. While dealing with peer pressure, you can start documenting your emotions in a journal that provides a healthy approach after submitting to negative peer influence. Start asking yourself reflective questions without judgment to understand what happened.

Examples of Positive Peer Pressure

Negative pressure from peers can also result in engaging in risky activities, such as experimenting with drugs, unsafe sex, or reckless driving. It can also result in negative behaviour changes such as shop-lifting, bullying or absenteeism. Additionally, two potential consequences could be derailing a responsible and respectable lifestyle or incurring of legal penalties. This could be age, similar interests, place of work or school, friends or attending the same events. Peer pressure happens when a peer or peers influence your thinking or behaviour in a specific direction. The result is conforming to the wants and actions of those around you.

Elevated cortisol levels can Drug rehabilitation increase fatty acid mobilization and ketogenesis. Growth hormone can enhance precursor fatty acid release and ketogenesis during insulin deficiency. Catecholamines, particularly epinephrine, increase fatty acid release and enhance the rate of hepatic ketogenesis. Alcoholic ketoacidosis most commonly happens in people who have alcohol use disorder and chronically drink a lot of alcohol.

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If history does not rule out toxic alcohol ingestion as a cause of the elevated anion gap, serum methanol and ethylene glycol levels should be measured. In 1940, Dillon et al1 described a series of nine patients who had episodes of severe ketoacidosis in the absence of diabetes mellitus, all of whom had evidence of prolonged excessive alcohol consumption. It was not until 1970 that Jenkins et al2 described a further three non‐diabetic patients with alcoholic ketoacidosis a history of chronic heavy alcohol misuse and recurrent episodes of ketoacidosis. This group also proposed a possible underlying mechanism for this metabolic disturbance, naming it alcoholic ketoacidosis. Ketoacidosis is a metabolic condition that occurs when the body produces high levels of ketone bodies, including β-hydroxybutyrate (BHB), acetone, and acetoacetate, leading to a buildup of acids in the blood which can be fatal.

• Alcoholic ketoacidosis is attributed to the combined effects of alcohol and starvation on glucose metabolism.
• The research team tested the POC test for its analytical performance in measuring BHB and glucose in decedent whole blood and vitreous humor from 100 autopsy cases, including both ketoacidosis and non-ketoacidosis deaths.

Symptoms and Signs of Alcoholic Ketoacidosis

Two distinct cannabinoid receptors, CB1 and CB2, have been identified in human and animal models. The CB1 and CB2 receptors function as G-protein coupled receptors that act by inhibiting adenylate cyclase 7. In the brain, CB1 receptors are localized to the cerebral cortex, hypothalamus, anterior cingulate gyrus, hippocampus, cerebellum, and basal ganglia 8. In the gastrointestinal system, CB1 receptors are found on both intrinsic and extrinsic neurons, with the enteric nervous system serving as the major site of action 9. Other organs where CB1 receptors have been identified are the spleen, heart, liver, uterus, bladder, and vas deferens 10.

• The only clear and universally effective way to get rid of CHS symptoms is to entirely stop cannabis.
• Perhaps even more importantly, these genetic differences are also a risk factor for a range of other conditions – including addiction, chronic pain, depression, anxiety, coronary artery disease, dementia and type 2 diabetes.
• When pediatricians are aware, CHS symptoms can be the canary in the coal mine, leading patients to multidisciplinary support, insight, motivation, and long-term recovery.
• Cannabis can paradoxically act as an antiemetic during acute ingestion at low doses, whereas persistent high-dose ingestion could result in vomiting, a behavior similar to cyclical vomiting 6.

What are Cannabinoid Hyperemesis Syndrome signs and symptoms?

His father had diagnoses of post-traumatic stress disorder, major depressive disorder, and schizophrenia. The pharmacist should alert other health care professionals involved in the patient’s care if they suspect CHS. 13,14 Anecdotally, cannabis concentrates (e.g. dabs chs syndrome and shatter) may also cause CHS.

Cannabinoid Hyperemesis Syndrome

As cannabis legalization continues to spread across the country, doctors are sounding the alarm about the potential health risks of the quickly changing drug. One rare condition is sending chronic marijuana users to emergency rooms. Researchers are attempting to spread awareness about that condition, cannabinoid hyperemesis syndrome (CHS), and the need for more government oversight in the legal cannabis industry. People with CHS also tend to have a strong urge to take very hot showers or baths. That’s because hot water can help ease cannabinoid hyperemesis syndrome symptoms like nausea. The hot temperature affects a part of the brain called the hypothalamus, which regulates temperature and throwing up.

Cannabinoid Hyperemesis Syndrome Diagnosis

CHS is a relatively new disorder that is not only difficult to diagnose but to manage. To lower the morbidity, CHS is best managed by an interprofessional team. It tends to affect people drug addiction who use cannabis at least once a week and happens more often in adults who’ve been using cannabis since their adolescent years.

Patients may also experience social distress, impaired job performance and absenteeism. CHS may go undiagnosed for years,6 resulting in repeated hospital and physician visits, fruitless investigations and ineffective treatment. A history of compulsive bathing or showering suggests the diagnosis of CHS. As CHS is a relatively recently recognized and studied phenomenon easily confused with other diseases, there is a paucity of sizeable randomized control studies. Most resources and recommendations come from case studies and expert opinions. In addition to appropriate antiemetic therapy, fluid resuscitation, and management of the patient’s symptoms, patients must recognize behaviors and exposures that place them at risk for their pathology.

• While more people are becoming aware of the condition, there are several factors that can delay diagnosis and treatment.
• Ultimately, the treatment of any illness is the removal of precipitating factors, not merely the management of its symptoms.
• The exact prevalence of CHS is hard to assess due to its variable presentation.
• A recent review has explored numerous potential explanations regarding various pharmacokinetic and pharmacodynamic factors of the cannabinoids 72.
• The best characterized endocannabinoids are anandamide and 2-arachidonylglycerol (2-AG) 9.

Certain individuals may have a genetic polymorphisms in the cytochrome P450 enzymes responsible for the metabolism of the cannabinoids 62,72. This could result in excessive levels of pro-emetic cannabinoids or emetogenic metabolites. Such genetic variations have yet to be studied in patients diagnosed with CHS and represent an area for future research. Δ9-tetrahydrocannabinol (THC) has several well-established effects in the central nervous system, such as alteration of psychomotor behavior, impairment in short-term memory, stimulation of appetite, and analgesia 8. Rimonabant, a CB1 antagonist, blocks the appetite stimulating qualities of the cannabinoids in the hypothalamus and has been marketed for the treatment of obesity and metabolic dysfunction 34. In animal models, CB1 receptor activation in the dorsal vagal complex of the brainstem mediates this effect 35,36.

• Chronic cannabis use can lower pituitary hormone levels, including the growth hormone, follicle-stimulating hormone, and luteinizing hormone, which has been shown to normalize after stopping use 23,24.
• Researchers aren’t sure exactly why weed causes CHS symptoms only in some people.
• Appetite is typically unaffected during this phase, but researchers note that consumers tend to administer more cannabis as a nausea remedy.
• Tetrahydrocannabinol (THC) is the primary psychoactive compound in cannabis.
• The majority of reported cases that have provided follow-up included a period of less than one year 6,52,54,56–60,62,68,71.
• Studies indicate that when patients trust their physicians, they are more likely to disclose sensitive health-related behaviors and adhere to medical recommendations 107.
• Figure 1 shows the suggested workup and management of cannabinoid hyperemesis syndrome (CHS).

Medical

Dronabinol (synthetic THC) and nabilone (a CB1 receptor agonist) are two commercially available cannabinoids for the treatment of chemotherapy-induced nausea and vomiting 37. The onset of CHS tends to affect people “after years of using marijuana many times a week,” per the American College of Gastroenterology. The initial symptoms include nausea, belly pain and persistent vomiting. A rare but severe condition, cannabinoid hyperemesis syndrome is caused by heavy cannabis use and is “marked by nausea, vomiting and pain,” said The New York Times. It can lead in some cases to extreme dehydration, seizures, kidney failure and cardiac arrest. Due to the rise in CHS prevalence, likely from cannabis legalization in more states, public health outreach programs can play a crucial role in bringing awareness and prevention to this condition.