Counseling Blog | LGBTQ+ Couples & Individuals

June 13, 2021 by Alan Zupka

The Signs of Opiate Addiction

Watching your local news or checking your social media feed, you’ve probably heard about the opioid epidemic, the nation’s current public health crisis. As death tolls from the crisis continue to rise dramatically every year, this is not an issue to be taken lightly or ignored.

According to the Centers for Disease Control, over 42,000 people died from an opioid-related overdose in 2016. Nationwide, 45 states have seen a 30% increase in opioid overdose from July 2016 to September 2017.

What Are Opiates?

Commonly prescribed to alleviate severe pain, opiates include prescription pain killers such as oxycodone, dilaudid, codeine, hydrocodone, and fentanyl, among others. The illegal street drug heroin is also classified as an opiate. Opiates are highly addictive, and it’s possible to become addicted to them unintentionally.

Signs of Opiate Addiction

As someone begins to abuse their opioid prescription, they will develop a tolerance to the drug. They will need increasingly larger doses to experience the same benefits. As their tolerance grows, they will become physically dependent on the drug; they will experience the unpleasant feeling of withdrawal when they aren’t taking it. If the opiate abuse continues, they will develop a psychological dependence that will cause cravings for the opiates, at which point they are in the throes of opiate addiction. Below are some signs to look out for if you suspect a loved one may be abusing their prescription.

– Drowsiness: Nodding off at inappropriate times, or appearing drowsy or sedated is a sign of physical addiction to opiates
– Change in sleep habits: As a person abuses opiates, they may sleep for longer periods of time. If they’re experiencing withdrawal, they may be unable to sleep.
– Weight loss: Opioid addicts tend to lose weight due to metabolic changes brought on by the drug abuse.
– Mood swings: Irritability, dramatic shifts in mood, or emotional outbursts.
– Social withdrawal: An addict may isolate or socially withdraw. They might also start spending less time with family, and more time with people you don’t know.
– Flu-like symptoms: Opiate withdrawal can cause flu-like symptoms such as nausea, vomiting, diarrhea and fatigue.
– Doctor shopping: An opiate addict will go to several doctors in order to obtain multiple prescriptions. Multiple prescriptions will result in extra pill bottles; an addict may attempt to hide them in the trash.

Finding Help

If you’re concerned that a loved one may be abusing their prescription, speaking to an addiction specialist or health care professional is an important next step. They can provide you with the referrals and direction necessary to ensure that your friend or family member receives the appropriate help as quickly as possible.

Are you or a loved one struggling with opiate addiction and need help? Call me today and let’s schedule an appointment to talk.

June 9, 2021 by Alan Zupka

Effective Treatments for Various Addictions

People of all ages, backgrounds, and races can become addicted to a variety of substances and experiences. From drugs and alcohol to porn and gambling, addiction is a real problem for a significant portion of the population.

Just as their personal stories are unique, so, too, should be the treatment programs available to addicts seeking help. The following are some of the most common and effective addiction treatments available today:

Detox

Many drug addicts are advised to begin their treatment program with a medically-assisted detox that allows their body to rid itself of the addictive substances. This can help diminish the withdrawal symptoms that often cause an addict to begin abusing again.

Cognitive Behavioral Therapy (CBT)

CBT is a very effective tool that can be used to treat a variety of addictions from alcohol addiction to drugs to food addiction and more. CBT helps a person identify her unhealthy behavior patterns and also her triggers. She can then learn coping skills that will help her navigate life and its challenges moving forward. CBT can be combined with other therapies as well.

Medication

When combined with other therapies, medication can play an integral role in an addict’s recovery. Certain medications can help to reduce cravings, improve mood, and decrease addictive behaviors.

Contingency Management (CM)

CM has been found to be very effective in treating several types of addictions including alcohol, opioids, and stimulants. This treatment protocol relies on providing material rewards as motivation for installing desirable behaviors, such as maintaining sobriety. CM has been found to help beat relapse.

Motivational Interviewing (MI)

MI is a form of addiction therapy that helps an individual to resolve any ambivalence they may have. This allows them to embrace their treatment and see it as a positive thing instead of as a punishment.

12-Step Facilitation

A 12-step program has been shown over decades now to be wildly successful in helping addicts stay sober. Weekly meetings are typically hosted by varying 12-step fellowships such as Alcoholics Anonymous and Narcotics Anonymous.

The best treatment plan is one that is created with YOU in mind. If you would like to work with a counselor who will create a treatment plan based on your history and goals, please reach out to me.

RESOURCES:

May 30, 2021 by Alan Zupka

3 Reasons Why Men Should Try Therapy

Men have taken on a specific role in human development over the span of hundreds of thousands of years. While roles have very recently shifted somewhat, historically speaking, men have been the ones to fight the wars and build society. And if you think about it, it’s pretty hard to feel emotions, let alone process them, while on bloody battlefields and balancing atop giant skyscrapers.

You could say at this point in time, men have become hardwired to compartmentalize their feelings. They have them, just as much as women have feelings, they simply select to store them away and get to them later. For this reason, most men buck at the idea of going to therapy to communicate their feelings.

The reality is, it is for the very reasons I just stated that men can greatly benefit from therapy. Here are 3 reasons why men should at least give therapy a try:

Recover Your Sense of Identity

For many generations, there was a strong definition of, and acceptance of, masculinity. Today, we are given a mix of messages from the media about what it means to be a man and how destructive “toxic” masculinity is. Add to this the fact many men grew up in homes where the father was either fully absent or emotionally absent, and many men struggle with their own sense of identity. Therapy offers men a space to create a healthy definition of what it means to be a man.

Improve Your Relationships

Because men have a hard time communicating their feelings, their female partners can often feel abandoned and confused. This can cause real problems in the relationship.

Therapy allows men to become a healthier version of themselves, one that can connect better with their partner.

Deal with Grief and Pain

Grief, loss, trauma… these are sadly a part of life. Most people, especially men, have a very hard time navigating these mental health challenges. Therapy helps men explore their own emotional pain so they can heal and move on.

These are just a few reasons why men should seriously consider trying therapy. If you’d like to explore treatment options, please get in touch with me.

SOURCES:

May 23, 2021 by Alan Zupka

How to Navigate Challenging Life Transitions

When we’re young, life transitions are fun and empowering. We go from crawling to walking, walking to running. We start with training wheels but soon no longer need them. As we age we graduate into higher grades and become more independent.

But as adults, life transitions can feel not so fun and far from empowering, because life transitions can often include loss: loss of a job, a marriage, and loved ones. During these life transitions, we can feel out to sea, completely at the mercy of the tides that seem to be tossing our lifeboat around.

If you are feeling stressed and overwhelmed right now because you are facing one or more life transitions, here are some ways you can navigate these choppy waters:

Slow Down

Have you noticed that the pace of life has picked up? Most likely your heartbeat and breathing have also picked up as a response. It’s time to slow down.

As simple as it may sound, slow, deep breaths are a powerful way to tell your body that everything is okay. Right now, your body is in “fight or flight mode,” as you subconsciously, and maybe even consciously, feel you are being attacked. Making time each day to be still, away from the noise and chaos to breathe deeply and slowly, will slow down your heart rate and make you feel calm and peaceful.

Embrace Uncertainty

I know, it seems completely counterintuitive if not downright impossible. But when we surrender control and embrace the unknown, with an almost scientific curiosity about outcomes, we feel positive emotions (curiosity, wonder) instead of negative emotions (lost, out of control).

Acknowledge the Cycles of Life

Someone once said, “This too shall pass.” Life, like weather, has seasons. While you may feel stuck right now and like nothing is going the way you hoped or planned, recognize the truth, which is, this too shall pass. Transitions are just that, an uncomfortable bridge from one part of life to the next.

Fall Back on Traditions

Rites of passage have been used for thousands of years in all cultures to help people transition from one place in life to another. It’s time to call upon this ancient wisdom of our ancestors and empower ourselves.

Rites of passage put us in the driver’s seat. We can acknowledge that things MUST change because we intuitively understand that the human journey is all about facing challenges and becoming new versions of ourselves.

Life, such as it is, throws us curve balls and sadness and things that cast fear and doubt into our vision. This is natural and no one escapes.

But there ARE ways to navigate these challenges. Try these three tips. And if you’d like additional help along your journey, please get in touch with me.