Demi Lovato's fight against drug addiction highlights the risk of relapse



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As we learned about the hospitalization of Demi Lovato yesterday the reality is that beat her addiction and stay sober long-term is not a

The truth is that the chances of relapse are important, unless you receive continued social support, counseling and drug-badisted therapy (MAT) during weaning, which has been proven to reduce the risk of relapse

In the case of Lovato In 2011, when she was 22, she entered rehab after being diagnosed with addiction and bulimia, and then she became the word of the campaign, Be Vocal: Speak Up For Mental Health. initiative encourages people with mental illness to be more vocal and to reduce the stigma badociated with it.

Yet, as Lovato recovers from her heroin overdose reported, it appears from recent reports that she has not been well-off for several months.

When she released her new hit last month titled "Sober", the truth about her recent relapse after 6 years of sobriety has emerged. In fact, she performed the song "Sober" just 2 days before her relapse.

Ultimately, relapse rates vary according to the substance being abused. For opioid dependence, rates are quite high, with an 85% chance of relapse a year after the end of use. On the other hand, relapse of alcohol can range from 30% to 70% depending on the individual, often influenced by the fact that an individual is in treatment.

Risk factors for relapse for addiction also vary from one person to another. In the end, it is the need to stimulate dopamine reward centers in the brain that can be a trigger for a person who is used to taking a specific medication. But it is a combination of external and internal reward factors that usually trigger a relapse .

Internal risk factors may include genetic predisposing factors or family history of addiction, escalation of stress or depression. like ADHD, depression, anxiety and bipolar disorder. External social factors and psychological stressors can also contribute to relapse, including relationship problems, work difficulties, health problems and complicated family relationships.

But it is important to understand that a mental illness can significantly increase the risk of relapse. if not addressed and treated. In fact, people with schizophrenia and bipolar disorder are at a significantly higher risk of relapse to alcohol dependence, nearly 50% of people with bipolar disorder who are addicted to drugs or drug use. ;alcohol.

By SAMHSA revealed that 7.9 million people in the United States experience both a mental disorder and an addiction disorder at the same time also known as "dual diagnosis". But the report also highlights a harsh reality: nearly 56% of people with dual diagnosis receive no treatment for either of these disorders, and just over 7% get treatment for these two diseases

. It is essential to stay in the treatment and support groups or with special coaches, so that when life becomes difficult and temptations arise, you are provided with support, tools and strategies to do it. adaptation to prevent a relapse.

Still or drinking is an immediate sign that a person needs to return to treatment. In treatment, a person learns to manage negative emotions and specific triggers that can lead to a relapse. Learning the techniques of mindfulness, including meditation, deep breathing, imaging, as well as talking with a close friend or advisor, can be invaluable. Exercising or taking a walk outside can also be an important approach to coping with temptation. The support of family, trusted friends and a therapist are key ways to reduce the risk of relapse.

"It's important to recognize and recognize that substance abuse, abuse, addiction and addiction," said Sandeep Kapoor, MD, director, brief intervention screening and referral to treatment, badistant professor , medicine and emergency medicine, Northwell Health. "The health problem this represents is a priority for Northwell Health, which has a comprehensive and multi-dimensional approach to help those who are opioid dependent and / or at risk of preventable fatal overdoses."

Kapoor explains that "Northwell's 4 drug treatment centers – at South Oaks Hospital, at Zucker Hillside Hospital, at Staten Island University Hospital and at Phelps Hospital – offer a education and training in these key areas: prevention, recognition of an overdose, response to this situation and use "At the exit of any of these four facilities, the patient and their family members receive a training on the use of naloxone and serve as first responders, "he added.

Over the past year, Northwell – in partnership with NYSDOH, NYCDOHMH and Suffolk DOH – has launched the Naloxone (Narcan) Saturation Campaign (NAL-SAT), "who has successfully distributed 1,450 rescue kits since," said Mr. Kapoor

Most insurances, including Medicaid and Medicare will pay for naloxone, but the coverage varies according to the state. In April 2017, Walgreens began distributing naloxone – the drug that reverses an overdose of opioids – at the counter in 46 states. The cost of a naloxone kit (generic version) ranges from $ 20 to $ 40

Kapoor explains that "thanks to the New York State's Naloxone Co-Payment Assistance Program" , an effort to reduce and eliminate barriers to access this rescue medication, Vivo pharmacies in Northwell Health offer naloxone. Via the program, a person's insurance will be processed and a $ 40 copay exemption is processed, removing and / or reducing the cost. "

" Improving awareness, increasing comfort and increasing access to naloxone, an administration and the available tool that has been shown to save lives, serves as the This is critical in a community-level approach to better address this crisis. People should consider getting naloxone and keeping it on hand so they can access it in case of emergency, "he concluded.

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As we have learned about the hospitalization of Demi Lovato related to heroin use yesterday the reality is to beat addiction and stay sober in the long run is not an easy task to accomplish

The Truth is that the chances of relapse are high, unless you receive continued social support, counseling and medication-badisted therapy (ART) during withdrawal, has been proven to reduce the risk of relapse.

Photo Credit: Patricia Schlein / STAR MAX / IPx 2018 07/09/17 Demi Lovato at the "A Brazilian Night" of the Alcides & Rosaura Foundation (ARD) in New York

In the case of Lovato, his simultaneous fight against mental illness makes things even more difficult: in 2011, at the age of 22, she went into rehab n after being diagnosed with addiction and bulimia. ] Be vocal: Express yourself for Mental Health. The initiative encourages people with mental illness to be more vocal and to eliminate the stigma badociated with it.

Yet while Lovato is recovering from a heroin overdose, it seems that she has recently

When she released her new hit last month titled "Sober", the truth about his recent relapse after 6 years of sobriety has emerged. In fact, she performed the song "Sober" just 2 days before her relapse.

Ultimately, relapse rates vary according to the substance being abused. For opioid dependence, rates are quite high, with an 85% chance of relapse a year after the end of use. On the other hand, relapse of alcohol can range from 30% to 70% depending on the individual, often influenced by the fact that an individual is in treatment.

Risk factors for relapse for addiction also vary from one person to another. In the end, it is the need to stimulate dopamine reward centers in the brain that can be a trigger for a person who is used to taking a specific medication. But it is a combination of internal and external reward factors that usually trigger a relapse .

Internal risk factors may include genetic factors predisposing to family dependence, stress escalation or depression. like ADHD, depression, anxiety and bipolar disorder. External social factors and psychological stressors can also contribute to relapse, including relationship problems, work difficulties, health problems and complicated family relationships.

But it is important to understand that a mental illness can significantly increase the risk of relapse. if not addressed and treated. In fact, people with schizophrenia and bipolar disorder are at a significantly higher risk of relapse to alcohol dependence, nearly 50% of people with bipolar disorder who are addicted to drugs or drug use. ;alcohol.

by SAMHSA revealed that 7.9 million people in the United States simultaneously experience a mental disorder and addiction disorder also known as "dual diagnosis". But the report also highlights a harsh reality: nearly 56% of people with dual diagnosis receive no treatment for either of these disorders, and just over 7% get treatment for these two diseases

. It is essential to stay in the treatment and support groups or with special coaches, so that when life becomes difficult and temptations arise, you are provided with support, tools and strategies to do it. adaptation to prevent a relapse.

Still or drinking is an immediate sign that a person needs to return to treatment. In treatment, a person learns to manage negative emotions and specific triggers that can lead to a relapse. Learning the techniques of mindfulness, including meditation, deep breathing, imaging, as well as talking with a close friend or advisor, can be invaluable. Exercising or taking a walk outside can also be an important approach to coping with temptation. The support of family, trusted friends and a therapist are key ways to reduce the risk of relapse.

"It's important to recognize and recognize that substance abuse, abuse, addiction and addiction," said Sandeep Kapoor, MD, director, brief intervention screening and referral to treatment, badistant professor , medicine and emergency medicine, Northwell Health. "The health problem this represents is a priority for Northwell Health, which has a comprehensive and multi-dimensional approach to help those who are opioid dependent and / or at risk of preventable fatal overdoses."

Kapoor explains that "Northwell's 4 drug treatment centers – at South Oaks Hospital, at Zucker Hillside Hospital, at Staten Island University Hospital and at Phelps Hospital – offer a education and training in these key areas: prevention, recognition of an overdose, response to this situation and use "At the exit of any of these four facilities, the patient and their family members receive a training on the use of naloxone and serve as first responders, "he added.

Over the past year, Northwell – in partnership with NYSDOH, NYCDOHMH and Suffolk DOH – has launched the Naloxone (Narcan) Saturation Campaign (NAL-SAT), "who has successfully distributed 1,450 rescue kits since," said Mr. Kapoor

Most insurances, including Medicaid and Medicare will pay for naloxone, but the coverage varies according to the state. In April 2017, Walgreens began distributing naloxone – the drug that reverses an overdose of opioids – at the counter in 46 states. The cost of a naloxone kit (generic version) ranges from $ 20 to $ 40

Kapoor explains that "thanks to the New York State's Naloxone Co-Payment Assistance Program" , an effort to reduce and eliminate barriers to access this rescue medication, Vivo pharmacies in Northwell Health offer naloxone. Via the program, a person's insurance will be processed and a $ 40 copay exemption is processed, removing and / or reducing the cost. "

" Improving awareness, increasing comfort and increasing access to naloxone, an administration and the available tool that has been shown to save lives, serves as the This is critical in a community-level approach to better address this crisis. People should consider getting naloxone and keeping it on hand so they can access it in case of emergency, "he concluded.

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