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You, Not Them

Being with someone over a significant period of time shapes you in ways that you often can’t see. There are always things to learn, especially about who you are and how you give and receive love.

Love can often become confusing in relationships when we can’t separate what we want from our partner and what we need from ourselves.

Often we enter into relationships like an empty glass, hoping our partner will fill us up. The problem is, if we haven’t learned to know and love ourselves, we are unable to receive their love, no matter how hard they try. In other words, we’re blocking the top of the glass without even realizing it, and getting frustrated that it’s still empty.

This can lead to being so overly focused on changing our partners that we can’t see ourselves in the problem, which misdirects our energy.

In truth, our real strength lies in changing ourselves rather than changing the other person.

This is why, in relationship therapy, we address self-love and understanding ourselves first. It’s asking the question, “Why does this upset me?” instead of pointing fingers at our partner.

This thinking forces us to understand our pain better and look at things from a new perspective.

So how do you go about doing this?

It starts with asking yourself tough questions when anger at your partner arises. Some examples:

  1. If you’re angry about clothes being left on the floor, ask yourself why you’re angry. Is it because your partner’s a slob? Or does it make you feel less valued because they expect you to clean it up, or because they don’t care about how you feel in the space?
  2. If they’re distracted on their phone while you’re at dinner, are you mad because they’re being rude, or because it makes you feel like they aren’t excited to be around you, or does it make you feel less worthy of love?
  3. Are you not interested in sex because you’re tired, or because you don’t feel attractive or desirable to your partner?

Asking yourself the questions that apply to you, not them, will give you a better understanding of who you are and what you need. And knowing more about your needs will give you the power to solve many of the obstacles in front of you on your own. When you can feel more whole as an individual, you’ll be able to receive and give love in a more effective and powerful way.

How Are You Feeling?

When you’re having an emotion, sometimes it’s really hard to figure out which emotion it is. So we wanted to give you some ideas with this graphic. Many times, just giving an emotion the right name is enough to release it.

It’s important to remember that there are no bad emotions, only stuck emotions. Emotions get stuck when we hide or stuff them because we don’t want to go through the feelings they’ll bring us, or we’re afraid of what will happen if we acknowledge they’re there.

Stuck emotions cause long-term pain, problems, and disease, because they don’t just go away. They store up inside of us. 

When we learn how to deal with and express emotions healthfully, we begin to fear them less and process them with more ease. 

Remember, feeling an emotion and acting on an emotion are two different things. Learn to feel, then process, then decide on how to act.  

All About Opioid Use Disorder

There’s been a lot of talk about the opioid crises in the news and media lately, and it’s not just hype. Opioids are currently the number one drug causing overdose deaths in the US, with 2.1 million people addicted, and 47,600 opioid overdose deaths in 2017 alone. But the most alarming reality is that the death rate is rapidly climbing. 

What are opioids?

Opioids include any drug that binds to the opioid receptors in the body. This includes prescription pills like oxycodone (Oxycontin), hydrocodone (Vicodin), codeine and morphine. It also includes heroin and fentanyl.

 

How addiction happens

Opioids are highly addictive, with some studies showing addictive behavior being present after only three days of use. So if you’ve had surgery or struggle with chronic pain, and were given a prescription by your doctor, you are at risk of developing an opioid use disorder. 

In fact, 21 to 29 percent of people who are prescribed prescription opioids misuse them, 8 to 12 percent develop an opioid use disorder, and 4 to 6 percent transition to heroin.  

Studies show that 80% of heroin users start with prescription pain medication. 

Many times misuse occurs when you develop a tolerance to the drug, which makes your dose less effective in getting rid of your pain or giving you the “feel good high” it usually offers – so you up your dosage. 

This leads many people to looking for stronger, more available, and less expensive alternatives in the street forms, such as heroin or fentanyl. 

Doctors can help you find alternative ways to manage your pain and help you taper your dose if you are using too much. And it’s important to go to your doctor for help with your tapering, as quitting abruptly can lead to serious problems, including pain worse than when you started. 

The safest way to avoid opioid use disorder is to use opioids for three days or less after surgery or for pain. If you have chronic pain, there are many alternatives to opioids for pain management, which your doctor can help you find. 

It’s important to remember that no one is safe from opioid addiction, so it’s good to pay attention and use them as prescribed. 

How do you know if you're addicted?

If you’re starting to wonder whether you are becoming addicted to opioids, there are some signals you can look out for. One clear sign is being unable to stop yourself from using, or unable to stop yourself from using more than the recommended amount. Here are some other symptoms of opioid abuse:

 

  • Poor coordination
  • Drowsiness
  • Shallow or slow breathing
  • Nausea or vomiting
  • Constipation
  • Feeling agitated
  • Anxiety attacks
  • Lowered motivation
  • Poor decision making
  • Abandoning responsibilities
  • Slurred speech
  • Sleeping more or less than normal
  • Mood swings
  • Euphoria (feeling high)
  • Depression
  • Irritability

What makes you overdose?

Too high of a dose, or taking them for too long, increases your risk of addiction, overdose, and death. After just five days, your likelihood of using painkillers long-term goes through the roof, and more than 130 people a day die from opioid overdose. 

Overdose usually happens when you use more than you are prescribed and/or in a different form, like crushing pills into powder and snorting them. This is particularly dangerous in long or extended acting formulations. 

Combining opioids with alcohol or other drugs also increases your risk of overdose. And if you have been in recovery from opioids and relapse, taking the same amount you took before you stopped can crash your system, as your tolerance has decreased.

 

symptoms of an overdose

If you suspect you or someone else is experiencing an overdose, call 911 immeditely and tell them you think it’s a drug overdose. It is an emergency and can lead to death. If you have access to Narcan spray you can spray it up their nose and help save their life. For more information on how to do this, and to get a free dose to have on hand, visit the Narcan website

  • Unresponsive – can’t wake up
  • Slow, irregular breathing – or no breathing
  • Slow, erratic pulse – or no pulse 
  • Vomiting
  • Passing out
  • Small pupils

What to do if you need help

It is important to get help from a doctor or clinician when you decide to stop using opioids, as quitting cold-turkey can be painful. There are many ways doctors can help manage your withdrawal symptoms, including tapering schedules, and the use of medications like methadone and buprenorphine. 

It’s also helpful to get support from your family, community, church, school, a support group, or friends.

If you need help finding local resources, visit the free SAMHSA resource site

 

Withdrawal

What to Expect When Going Through Withdrawal

When you’re thinking about quitting drugs or alcohol, the thought of withdrawal can be daunting. Knowing what to expect can help you prepare for what you’re about to go through, and give you the tools to make an action plan.

To help you stick to your plan, it’s important to give yourself a really good reason for quitting and to keep that reason in front of you during your withdrawal. BuddyMail will take you through a series of challenges to help you come up with a reason, but at the very least, we recommend making a “pros and cons of using” list.

The symptoms of drug and alcohol withdrawal will be different for each person. It all depends on:

  • Which drugs you are taking
  • How long, how much, and in what way (injection, snorting, smoking, swallowing) 
  • Family history
  • Additional medical and mental health factors.

For example: If you have been taking something for a long time in large doses with a family history of abuse and an underlying mental health disorder, it’s best to prepare for your withdrawal symptoms to last on the the longer end of the spectrum and to be more severe.

Here’s an overview of withdrawal symptoms for the different substances:

Heroin

Withdrawal starts within 12 hours of the last dose, peaks at 24-48 hours, and lasts about a week. 

Mild Symptoms

  • Nausea
  • Stomach cramps
  • Tearing up
  • Runny nose
  • Sweating
  • Getting the chills
  • Yawning a lot
  • Muscle and bone aches

Moderate Symptoms

  • Vomiting
  • Fatigue
  • Diarrhea
  • Goose bumps
  • Agitation
  • Trouble concentrating
  • Restlessness
  • Tremors

Severe Symptoms

  • Drug cravings
  • Anxiety
  • Difficulty feeling pleasure
  • Insomnia
  • Muscle spasms
  • Depression
  • Rapid heart rate
  • High blood pressure

It’s important to note that medical detox is an option for managing withdrawal symptoms from heroin and opioid use, which means there are medications you can take that will help you manage withdrawal symptoms. Also, it is highly recommended that you detox from heroin and prescription opioids under the supervision of a doctor whether or not you’re using medication, as heroin withdrawal can be dangerous. You can find local resources here: https://findtreatment.samhsa.gov/

Prescription Opioids

Prescription opioids include pain medications like Vicodin, OxyContin, methadone, and morphine.

Withdrawal usually starts 8-12 hours after last dose and peaks in 24-48 hours. The effects can last 5-10 days. Methadone is a little different, with withdrawal starting 24-48 hours after the last dose, peaking in the first few days, and lasting 2-4 weeks. 

Early Symptoms

If you’re taking short-acting opiates, expect them to start in the first 6-12 hours. If you’re taking long-acting opiates, these will start within the first 30 hours. 

  • Fever
  • Tearing up
  • High blood pressure
  • Achy muscles
  • Heart racing
  • Feeling agitated
  • Sweating
  • Having trouble falling asleep and staying asleep
  • A lot of yawning
  • Runny nose 

Late Symptoms

These symptoms will peak at around 72 hours and will last about a week, sometimes longer for more severe cases. 

  • Drug cravings
  • Nausea and vomiting
  • Depression
  • Getting goosebumps
  • Stomach cramps
  • Depression

Benzodiazepines or "benzos"

Benzodiazepines include medications like Xanax, Valium, Klonopin, and Ativan.

Withdrawal usually starts 1-4 days after last dose taken and peaks in the first two weeks. In some cases, you can experience long-lasting withdrawal symptoms that go on for months or even years – if you don’t receive treatment. Tapering off of benzos under the supervision of a medical detox-team is much safer than quitting cold-turkey. 

Warning: Benzodiazepines withdrawal can be fatal without professional assistance. You will need your vital signs to be monitored during withdrawal. 

Moderate Symptoms

  • Headaches
  • Blurred vision
  • Paranoia
  • Panic attacks
  • Irritability
  • Trouble sleeping
  • High blood pressure
  • Muscle pain
  • Tremors
  • Anxiety
  • Diarrhea
  • Sweating
  • Numb Fingers
  • Sensitivity to light and sound
  • Loss of appetite
  • Insomnia
  • Heart Palpitations

Severe Symptoms

  • Delirium
  • Hallucinations
  • Fever
  • Seizures (grand mal seizures can lead to coma or death)

Cocaine

Withdrawal usually starts within hours of the last dose, peaks in the first coupe of days, and lasts from a week to 10 days. Withdrawal from cocaine is not considered life-threatening, and has largely emotional and physical symptoms that are the opposite of using. There are typically three stages of withdrawal.

Crash Period

  • Lasts 9 hours – 4 days
  • Lots of sleeping
  • An increase in appetite
  • Depressions
  • Agitation

Acute Withdrawal

  • Lasts 1-3 weeks
  • Irritability
  • Fatigue
  • Depression
  • Insomnia
  • Anxiety
  • Drug cravings

Extinction Period

  • May last several months
  • Cocaine cravings
  • Depressed moods
  • Potential suicidal thoughts
  • Irritability
  • Confusion

Crystal Meth

Withdrawal usually starts within 24 hours of the last dose taken, peaks in 7-10 days, and lasts 14-20 days. Withdrawal from meth is not considered life-threatening, unless the individual becomes emotionally unstable and tries to self-harm. 

Symptoms

  • Fatigue
  • Lethargy
  • Sleeping a lot
  • Increased appetite
  • Dry mouth
  • Jitteriness
  • Depression, possibly severe
  • Intense cravings
  • Paranoia
  • Hallucinations
  • Delusions
  • Irritability
  • Confusion

Alcohol

The severity of alcohol dependency varies based on how much an individual drinks and how long they’ve been doing it. In severe cases, withdrawal without medical supervision can lead to death. 

Moderate Side Effects

  • Anxiety
  • Insomnia
  • Headache
  • Nausea and vomiting
  • Irritability
  • Fatigue
  • Trouble concentrating or thinking clearly
  • Muscle aches
  • Loss of appetite
  • Clammy skin
  • Dizziness
  • Shakiness
  • Mood swings
  • Nightmares
  • Elevated heart rate
  • Tremors
  • Sweating
  • Loss of color in the face
  • Dehydration
  • Shallow breathing
  • Depression 

Severe Side Effects

  • Delirium tremens (DTs) – can be fatal without medical interventions
  • Seizures
  • Fever
  • Severe confusion
  • Agitation
  • Hallucinations
  • Delirium – may signify DT

Don't Go it Alone

Many factors play into how your withdrawal experience will go, so it’s best to go through it with as much support as possible. BuddyMail and BuddyText are great support, and so are loved ones, treatment centers, support groups, and hospitals.  

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