Forgot to give my post a title.......

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trust4me
New Member


Date Joined Jan 2008
Total Posts : 16
   Posted 9/8/2008 1:01 PM (GMT -7)   
The post from trust4me that was untitled should have been titled Pain or Addiction?

PAlady
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Date Joined Nov 2007
Total Posts : 6795
   Posted 9/8/2008 6:16 PM (GMT -7)   
Trust,
You can edit the title of your post by clicking on the pencil icon in the upper right hand corner.

And the answer to that question would be BOTH. That's what makes it so challenging. It sounds like your husband has legitimate chronic pain, but is also an addict. An Addictionolosti is a doctor with a specialty in Addiction Medicine, and they are trained to manage chronic pain with addicts, but it's always a challenge because so many of the meds are drugs which cause physical dependence. Therefore, if those meds are used, they need to be carefully managed, and the signs of slips and relapses are if the pain patient who is also an addict starts taking the medication in ANY way that's different from what is prescribed. And that's red flag number 1 that a slip or relapse is in progress. No snorting. Unless his doctor prescribes it, which I've never heard of. No deviating in any way from the plan agreed on with the doctor.

PaLady

trust4me
New Member


Date Joined Jan 2008
Total Posts : 16
   Posted 9/9/2008 6:37 AM (GMT -7)   

Hi PAlady,

Thanks for your post.  I always look forward to your posts.  They're very helpful. 

Do you see where my husband has made ANY progress at all?  As mentioned, I hadn't seen him high or nodding off for months.  Guess he was doing his snorting after I went to bed at night.  He tells me if he was truly an addict, that he would be buying them on the street and that I would see him high and nodding off.  I know he hasn't bought any on the streets, because I manage all the money in our household (very carefully) because of his compulsive gambling problem.  As far as I know, he was taking just what I was giving him each day, with the exception of when he would help himself to a few extras, which he said his doctor told him he could do when having a particularly bad day.  He could have been saving some of them up during the day though to snort at night, as I don't always see him take his meds, due to the fact that I can't be with 24 hours a day.

Is there a difference between a substance abuser and a full blown addict?

What do addicts to to treat chronic back pain and osteoarthritis?

As always, thanks for all your help.


PAlady
Veteran Member


Date Joined Nov 2007
Total Posts : 6795
   Posted 9/9/2008 11:11 AM (GMT -7)   
Dear Trust,
I responded on the other thread, so please read that. Is there a difference between a substance abuser and a full blown addict? NO. There are two medical classifications: Substance Abuse and Substance Dependence. And "substance" can include anything - legal or illegal. Alcohol, caffeine, nicotene, opiates, etc, etc., etc. These are medical diagnostic categories and your husband is not simply an abuser, but is substance dependent. Actually, may be dependent on multiple substances (called polysubstance abuse or dependence). None of this really matter to you. You're splitting hairs to try to avoid the truth. And I have to say you need while I don't mind giving you some information here, this is a website for those of us struggling with chronic pain, and you can come here for info. and support on that area, but you ALSO need to be involved in some addiction programs and websites for family members.

Has your husband made any progress? Well, ONLY if he gets back into a treatment program. There are slips and there are relapses. As I've said both are common with addiction, but it's what you do with it - and I mean YOU as well as your husband - that matters.

Suppose you were trying to lose weight. And one night you binge and eat a whole chocolate cake. That's a "slip". You can wake up the next morning and choose to tell yourself that you slipped, but you really want to be healthy and so you're going to return to your regular eating plan. That's a slip. But you can also wake up and tell yourself that nothing matters anymore, you ate that cake and that means all is lost and you might as well just return to your old, unhealthy eating habits, and you go eat more chocolate cake. That's a relapse. Because you've fallen back into old thinking patterns, behavior patterns, etc.

So an addict that slips and gets back into his/her treatment program is still making progress. But your husband's continuing snoritng, using meds at night, ANY kind of "odd" behavior with drugs is a relapse. You need to stop believing him because if you don't he's going to eventually die. Addictions are treatable, but if untreated they are fatal. That means if someone doesn't kill themself (or heaven forbid someone else) in a car accident, or end up in jail (in your husband's case could be from gambling in combination with drugs, or buying drugs on the street, etc, etc, etc,) .... if they live long enough beyond catastrophic events addiction is fatal.

PaLady
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