Dr. Henry Paul, MD

Psychiatrist, Author and Educator

HE DIED OF A HEROIN OVERDOSE!

July 20th, 2015

A growing number of obituaries of people who have died of heroin overdoses refer to their addiction, The New York Times reports. In the past, these obituaries tended to say a person died “unexpectedly” or “at home.”  Partnership for Drug-Free KidsMore Obituaries Refer to Addiction as Heroin Overdoses Increase”

26559211_sHeroin again! I have written blogs about painkiller and heroin addiction for the past year and the need in this country for more awareness. Now I applaud families who are opening up about their loved one’s addiction, particularly in obituaries. In the past, obituaries referred to overdose deaths as an “undisclosed” or “sudden” illness. Now families are candidly disclosing the cause of death as a drug addiction. Families are not trying to scare anyone. On the contrary, they are helping to promote awareness that just may save a life.
“This is part of a trend toward a greater degree of acceptance and destigmatization about issues pertaining to mental illness, including addiction,” said Dr. Jeffrey A. Lieberman, Chairman of Psychiatry at the Columbia University College of Physicians and Surgeons, in the Partnership for Drug-Free Kids article.

He added, “If a family chooses to do this, they can have a cathartic experience that facilitates the grieving process. When the person was alive, they may have been enabling, and they couldn’t acknowledge it. But this allows them to begin that process of coming to terms with the fallibility of the family member and their own limitations in not having been able to deal with it while the person was alive.”

I found a comment posted by “Charlie” to the Partnership for Drug-Free Kids article said it best, “No one plans on being addicted. They think they are stronger than that. Heroin messes up how your brain processes things. It messes up your entire system. These are people that made a bad decision once or maybe twice and the addiction took hold of them.”

The news media is reminding us every day that we have a serious painkiller and heroin epidemic in this country. All teenagers will be exposed to drugs and alcohol at some point. Studies show that about 65 percent of teenagers try marijuana in high school, but for many children drug experimentation begins even earlier, in grade, middle or junior high school. Parents need to understand that alcohol and marijuana are gateway drugs. What I am concerned about is that there are still so many parents and teens that don’t understand the dangers. Teenagers are known for risky behavior. It is part of their development. Many teens don’t think about the cause and effect correlation of drugs and alcohol with the greater likelihood of becoming involved in criminal activity, suffering from suicidal tendencies, or facing other life-threatening dangers such as death from overdose.

We need to work together to do a better job at keeping our at-risk population safe from drug addiction. It really is a matter of life and death. For more information on addiction you can visit:

YOU CAN MAKE A DIFFERENCE IN THE GROWING HEROIN EPIDEMIC

HEROIN AGAIN!

Why heroin is spreading in America’s suburbs — The drug has followed prescription painkillers into new neighborhoods, forcing police and parents to confront an unexpected problem. By Kristina Lindborg, March 2014, cover story.

Nice coalition.  Look for coalitions in your area.  Powertotheparent.org

DISCLAIMER
Information contained in this blog is intended for educational purposes only. It is not intended as medical or psychiatric advice for individual conditions or treatment and does not substitute for a medical or psychiatric examination. A psychiatrist must make a determination about any treatment or prescription. Dr. Paul does not assume any responsibility or risk for the use of any information contained within this blog.

KIDS ONLY PRETEND NOT TO LISTEN

July 9th, 2015

36213157_sI want to start by saying parents do have a lot more influence with their children than they think. Don’t be fooled by your kids appearing not to listen to you. They’re listening. And when it comes to preventing substance abuse what you say is important.

In 2013, SAMSHA (Substance Abuse and Mental Health Services Administration) reported that “according to the 2004 to 2011 National Surveys on Drug Use and Health, 1 in 5 (22.3 percent) parents of teens aged 12 to 17 thought that what they said would have little influence on whether their child used drugs. Nearly 1 in 10 parents of teens (9.1 percent) said they did not talk to their child about the dangers of using alcohol, tobacco, or other drugs in the past year. Nonetheless, among the parents who had not talked to their child, the majority (67.7 percent) thought what they say would influence whether their child uses drugs.”

A 2013 study by the MetLife Foundation and The Partnership at Drugfree.org reported, “Teen prescription drug misuse and abuse continues to be a significant health problem threatening the well-being of American youth. Currently, one in four teens (24 percent) admits to having misused or abused a prescription drug at least once in their lifetime. It is a bigger problem than many parents know or really understand.

Parent permissiveness and lax attitudes toward misuse and abuse of prescription medicines, coupled with teens’ ease of access to prescription medicines in the home are linked to teen medicine misuse and abuse. The availability of prescription drugs (in the family medicine cabinet, in the homes of friends and family) makes them that much easier to misuse and abuse, and the new survey findings stress that teens are more likely to misuse and abuse prescription medicines if they think their parents are okay with it.”

I have stated over-and-over again that the line of communication between parents and children, particularly teens, needs to be a good one. Whether discussing drugs, sexual preference, depression, peer pressure or any of the many other stresses that affect kids and teens today, you have to engage in the conversation. As important as talking to your kids is listening to them. Listen to their concerns and try to understand how they feel. Do your homework too. Read up on substance abuse and teens. Understand how difficult it is for a teen to “come out”. Seek support when you need it. There are plenty of groups including drug awareness and substance prevention coalitions that will help you.

The MetLife Foundation and The Partnership at Drugfree.org concluded that “Parents and caregivers are missing a key opportunity to play an active role in helping curb the trend of teen medicine misuse and abuse. Parents can safeguard prescriptions in their home, educate themselves about the dangers and risks of this dangerous behavior (for their teens and themselves), and communicate those risks to their children.”

Lastly, I want to remind parents that communication isn’t always verbal. Body language and actions can speak volumes about what is going on in a teenager’s life. Know the signs of substance abuse, bullying, eating disorders and more. The more you understand what your kids face growing up in the world today the better able you are to help. A number of my blogs deal directly with teen struggles with sexual identity, learning disorders and drug and substance abuse. Take a look.  Another good reference is the SAMSHA handbook, “Navigating the Teen Years: A Parent’s Handbook for Raising Healthy Teens”. Check it out.

Read the study: The MetLife Foundation and The Partnership at Drugfree.org

Disclaimer
This blog is intended for educational purposes only. It is not intended as medical or psychiatric advice for individual conditions or treatment and does not substitute for a medical or psychiatric examination. A psychiatrist must make a determination about any treatment or prescription. Dr. Paul does not assume any responsibility or risk for the use of any information contained within this blog.

 

HEROIN AGAIN!

March 19th, 2015

“New York City is now the “nation’s most significant” heroin hub,” according to city Special Narcotics Prosecutor Bridget Brennan. NY Post, 3/16/15, NY is now heroin central: narcotics prosecutor

35442181_sI have been writing about heroin now for over a year in my blog, and the heroin situation just continues to get worse. Heroin is an epidemic that has taken America by storm. I cannot impress enough on parents that they need to educate themselves about the dangers of prescription painkillers and the rising use of heroin. These threats are particularly dangerous to our teenagers and young adults.

Here are some facts on Heroin from the DEA’s Prevention4teens:

  • Narcotics (such as heroin, morphine, OxyContin, etc.) are used to dull the senses and reduce pain. Narcotics can be made from opium (from the opium poppy) or created in a laboratory (synthetic and semi-synthetic narcotics).”
  • Heroin is a narcotic which can be injected, smoked or snorted. It comes from the opium poppy grown in Southeast Asia (Thailand, Laos and Myanmar— Burma); Southwest Asia (Afghanistan and Pakistan), Mexico and Colombia. It comes in several forms, the main ones being “black tar” from Mexico (found primarily in the western United States) and white heroin from Colombia (primarily sold on the East Coast). In the past, heroin was mainly injected. Because of the high purity of the Colombian heroin, many users now snort or smoke heroin. All of the methods of use can lead to addiction, and the use of intravenous needles can result in the transmission of HIV.
  • Heroin Effects: Euphoria, drowsiness, respiratory depression, constricted pupils, and nausea.
    • Overdose Effects: Slow and shallow breathing, clammy skin, convulsions, coma, and possible death.
    • CSA Schedule: Heroin has no legitimate medical use: Schedule I.
    • Street Names: Horse, Smack, Black Tar, Chiva, and Negra (black tar).
  • Denial Can Make the Problem Worse:  Some parents may be afraid to confront the realities of drug use, so they may deny the truth, even to themselves. You may have heard some adults say: “My kid doesn’t use drugs.” “It’s not a problem for our family.” “I used drugs and survived.” “Drug use is a normal part of growing up.” “We’ll never solve the drug problem.” “Alcohol is more dangerous than marijuana.”

I recommend that you attend a forum at your local high school or a community coalition awareness forum to learn more about the substance and heroin abuse in your community. Many local coalitions are forming around the country to educate the public, parents and teens about the dangers of heroin and the painkillers that often are the “gateway” drug to it.

Some of the latest newspaper stories about the heroin epidemic:
Schumer Moves to Reverse President’s Cut in Critical Drug Trafficking Program
Man accused of stashing heroin in daughter’s diaper
4-year-old hands out heroin at daycare
Cops seize $2.5M worth of heroin in Bronx raid
Schumer slams Obama’s proposed cuts to anti-drug program

Disclaimer

This blog is intended for educational purposes only. It is not intended as medical or psychiatric advice for individual conditions or treatment and does not substitute for a medical or psychiatric examination. A psychiatrist must make a determination about any treatment or prescription. Dr. Paul does not assume any responsibility or risk for the use of any information contained within this blog.