The Coleman Institute for Addiction Medicine Blog

I received a rather desperate call from a patient who’d recently completed an Accelerated Opiate Detox with us at The Coleman Institute. Jean*is the mother of three young children. Prior to completing her detox, she had been taking opioids for several years; originally starting when she was prescribed Hydrocodone for tooth pain.

As we hear frequently from our clients, her use went from being somewhat sporadic to more frequent, until one day she realized her low energy, sweats, irritability and upset stomach had everything to do with the fact she was out of the drug.

I've spent some time recently listening to interviews with Dr. Rick Hanson, a neuro-psychiatrist. Based on his and others research, he teaches very specific strategies that have been shown to affect the human brain in positive ways.

Like many species, we are more biased toward paying attention to the negative rather than the positive. As Dr. Hanson puts it, our thoughts about negative experiences are like Velcro, our thoughts about positive experiences are like Teflon.

I am a fan of Fr. Richard Rohr, a Franciscan priest in New Mexico. He's a little controversial in some more conservative Catholic circles, and perhaps that's why I like him. Last week one of his daily Lenten readings discussed the idea that creation is a continuous "water-wheel" of the Trinity emptying itself, pouring into, receiving, and emptying again.

He says, "It's no good telling people to let go if they can't be assured they will be re-filled. . . I can let go because I trust I will always be filled up again. That's the pattern of reality."

Unfortunately, it happens all the time. Patients are prescribed narcotic painkillers for legitimate reasons and then, become addicted to them. Most of the time, the doctors who are prescribing the medicines are good physicians who mean well. They are just trying to relieve pain in order to help their patients, but the very prescription that is given to relieve pain can often turn into a lifetime of misery. Historically, no data has been available on just how often this happens, but a recent study provides some frightening answers.

Recently a mother of one of my patients expressed her concern that although her daughter was willingly going through our Medically Assisted Opioid Withdrawal process and committed to not using narcotics, she was insistent about her intention to continue using pot when she returned home. Her daughter insists it is the only thing that helps with her anxiety.

I don’t make any moral judgments about using marijuana, but I think it’s probably useful for someone who has the disease of addiction to be curious about alternative approaches to dealing with anxiety. There are so many great tools and therapists available to help people learn to coexist with their anxiety, and I struggle to simply see them surrender to a pharmaceutical “solution.”