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"ADASK" 

(Alcohol and Drug Addiction Survival Kit) 

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EXCLUSIVE

For the archives/articles from past editions go to: ADASK Back Issues

NICD Part I 

"ADASK" 

(Alcohol and Drug Addiction Survival Kit) 

for Parents and Others

By Rev. Stephen J. Murray, NICD Director


CONTENTS:  

Part I of ADASK 

"Introduction to ADASK"  

ADASK: Is a series of articles geared towards parents/others to help them cope and deal with the emotional task of being supportive to those going through the devastations of addiction- Sign up for our on-line news magazine and make sure you don't miss the next installment: NICD Part II "Ecstasy Alert".

               

A) INTRODUCTION

 

B) NICD News Magazine Link

 

C) Communication (Parts 1 & 2)

 

D) Parent Tips

 

E) Resources & Books

 

F) Intervention Techniques  

G) Signs, Symptoms, and Behavior s of Use

 

H) Youth and Family Support Resources/Other Resources

I) Substance Abuse Treatment Options

 

J) Toll Free Hotlines / Web Support Resources

 

K) Now What?

 

L) Synopsis

 


A) INTRODUCTION

Parents and families face one of the most difficult battles in today’s society- that of raising drug free kids. Of great comfort and benefit is the large data base to draw upon for education and support. The goal of this article is to not only support families in accomplishing that goal, but to also provides some valuable resources to aid them in their journey. I use the word journey for a reason. This will have to be an ongoing process if our youth are going to succeed. I encourage our readers to bookmark our site, and to also sign up for our monthly NICD News Magazine, as it is chock full of prevention resources. Together we can make a difference. Together we can change the face of alcohol consumption and drug addiction in this country. Please see our link below for how to sign up for our monthly tips, reports, articles, videos, and resources.

 

NICD knows that anti-drug efforts alone are not enough. Our youth need the tools and support to make correct choices.

ADASK is designed for learning what works in preventing alcohol, tobacco and other drug use. It also will help you to know what to look for in detection of use. We oppose catch and punish. We advocate identify and help. We are listing numerous helpful resources for you to explore.

This article, and its resources are just one of many publications that NICD has, and will produce for you to gain awareness, education, and resources to tackle the problem of substance abuse. Please keep in mind that the disease of addiction is a family disease. The alcoholic/addict is obsessed with doing the drug, and the family is obsessed with the problem.

 

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B) NICD NEWS MAGAZINE

Our comprehensive News Magazine covering the issues of addiction, addictions, getting help, interventions, teenage alcoholism and drug addiction, recovery, prevention, the politics of addiction, housing, funding, treatment, family resources, mental health, medical, spirituality, health and wellness, articles and video presentations, and so much more.

Link to the current edition: NICD News Magazine  

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C) COMMUNICATION

COMMUNICATION - The Anti-Drug Part I   

Communication is one of the most powerful tools we have at our disposal in fighting drugs, alcohol, and tobacco products. Yet it is the most feared and seldom used.

Some may think that just mentioning drugs to a child or teen, will make them want to explore usage even more. Despite research, and information abounds that cites differently from this myth, it continues to be a struggle to enlist the support and encouragement of parents to use this vital anti-drug tool. We urge, and plead for you to check out our prevention resources. Within the following pages you will find important facts, tips, and advice on how to not only begin a dialogue with your children and teens, but also how to maintain communication. In addition to this, our resources will show you how to put a plan of action into effect to sustain a drug free home. We have already lost a generation to the, "You do your thing, and I'll do mine, and as long as we don't interfere with each other, it's alright." I'm sorry, it's not alright!!! We, as parents, educators, and supportive organizations, must set the tone, set the standards, and set the societal norm. If we do not do this, we will all suffer the consequences. Right now we are paying for our lack of interest in fighting substance abuse through higher taxes. And who do you think pays for those jails, prisons, correctional institutions, more police, higher accident rates, misdemeanors, and felonies, all as a result of drugs. We are either part of the problem, or part of the solution. What is your position going to be? What I mean by this, is the here and now. The past is just that, the past, but we need you to be actively involved in raising your children to be drug free today- right now. These may be harsh words to some of you, but we need more hard talk about what roles each of us have taken towards the responsibility of the current state of affairs in this country, and what changes each of us are willing to take on this issue for the future. Right now, somewhere in this great land of ours are kids, 10, 11, 12 years old doing drugs. In the time it takes for you to read this article, someone has died from alcohol and/or drugs, or has killed someone else because of alcohol and/or drugs. I urge you, no I challenge you to visit our prevention pages, and make a difference just for today, and then get up and do it again each day from this day forward. 

 

COMMUNICATION - The Anti-Drug Part II   

One of our best tools in combating substance abuse, is the one thing we have the most difficulty in using. I am talking about "Communication." 

The good news, is that there are enough resources to tap into for help in this area. On the internet alone, there is a wealth of information to be had that will assist parents, educators, and professionals in this area. NICD has developed, and implemented a program for just such purposes. We call it our "Prevention/Anti-Drug" pages, and within these pages you will find useful guides for talking to children and teenagers about drugs, alcohol, and tobacco products. There are items such as, 21 tips for keeping your children drug free, methods for putting together a plan of action for a drug free home, and interactive, fun and informative pages that address these issues towards kids and teenagers as the audience. 

Please visit our Prevention pages for more information. If you do not find what your looking for, please feel free to contact any of our professionals listed on our Staff Directory- We Love to help... Prevention / Anti Drug Link: http://www.nicd.us/preventionantidrug.html

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D) PARENT TIPS

 

1. Choose times for discussion when everyone is relaxed.

(Do not to use scare tactics for kids.)

 

2. Watch for opportunities that are naturally occurring.

 

3. Foster opportunities by watching an appropriate show that deals the subject of drinking and/or drug use. Ask youth what they think about what was seen, what they know and more importantly what they understand.

 

4. Parents can also sit a child down to talk.

 

5. Listen to children and their feelings. Reflect back what a child says, as this will let them know you understand and that you care. (Example: Are you saying the show made you feel __________? What part made you feel _________?)

 

6. Discuss feelings, but know the facts and reality.

 

7. Parents need to be educated about chemical dependency.

 

8. Never waver from family expectations about alcohol and drug use.

 

9. Always provide honest reasons not to use alcohol and drugs. (If you lie or tell half truths they will find out and may never trust you again concerning the topic, and will turn to the streets for the truth).

 

10. Let children know that you come from a base of love, concern and protection.

 

11. Let them know that you will trust their judgments, as long as they come to you to discuss situations as they arise.

 

12. Don’t be afraid to ask tough questions.

 

13. Never be afraid to discuss problems.

 

14. Try to steer conversations towards solutions.

 

15. The more time you take to communicate with your child about drugs and other sensitive subjects, the more at ease your child will be coming to you with questions or problems.

16. Be a better listener- ask questions and be willing to listen to what your child has to say. Paraphrase what your child says to you to make sure you understood what they meant.

17. Don't react- in a way that will cut off further discussion. If your child makes statements that shock you or are counter to your beliefs, try to turn them into a calm discussion of why your child thinks the way he/she does. A negative reaction to one subject, may make your child apprehensive to start future discussions about other difficult subjects.

18. The most important thing for you to remember is to tell your children that you love them- and tell them often.

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E) RESOURCES / BOOKS

 

Friel, John C., The Seven Best Things Smart Teens Do

The Seven Worst things Good Parents Do

Garbarino, James, PH.D.,& Bedard, Claire, Parents Under Siege,

Why you are the solution, not the problem in your Child’s life

Glenn, H. Stephen, Raising Self-Reliant Children in a Self-Indulgent World

Procacccini, Joseph, & Kiefaber, Mark W., Parent Burn-Out

Schwebel, Robert, PH.D., Saying NO is Not Enough, helping kids make wise decisions about alcohol, tobacco and other drugs

Weil, Andrew M.D., & Rosen, Winifred, From Chocolate to Morphine

Wilmes, David J., Parenting for Prevention, How to raise a child to say no to alcohol and other drugs.

 

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F) INTERVENTION

 

Brought to you by Intervention Center

Anytime someone needs help but refuses to accept it, a family intervention is appropriate.

A family intervention can be used for people engaged in any self-destructive behavior:

·         a person drinking too much

·         an anorexic

·         a gambler

·         a computer addict

·         a senior needing assisted living

Intervention is the most loving, powerful and successful method yet for helping people accept help.

A family intervention can be done with love and respect in a non-confrontational, non-judgmental manner.

A family intervention is often the answer, the only answer. It can be done. It can be done now.

 

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Family Intervention works.

 

A common scenario is as follows:

The Preparation

Family and friends may initially be apprehensive and confused. They may be ambivalent about whether or not to do the intervention. Some may be afraid of the person, others may be angry.

The goal is to move from this disorganized and chaotic state to a cohesive, focused group.

To do this, the participants meet with the leader beforehand to educate themselves about the dysfunction, to determine how to best help themselves, and to prepare for Intervention Day. This includes identifying others who should be involved , exploring appropriate treatment options, and preparing what they are going to say.

This preparation often involves several meetings, telephone calls, and culminates in a practice session immediately prior to the Intervention Day.

The time varies, but the process is usually contained within one to two weeks. Sometimes it can be shortened to a weekend.

Family Intervention Day

Imagine family, friends, work colleagues and an intervention leader entering a man's home or office.

As the leader ensures the process is orderly and safe, the man hears how much he means to everyone there, how he affects them with his behavior, and what they want their relationship with him to be in the future.

Then the man is asked to accept help now; appropriate arrangements are already in place. The tone is loving, respectful and supportive, but firm; there is no debate.

Seeing his many loved ones, friends and colleagues together, the man hears what they say and knows he can no longer hide his problem. Nor does he want to.

In a short time he is receiving help.

Following Family Intervention Day

Much remains to be done. The education process continues. Participants follow through on their plans for helping themselves.

It is never business as usual again.

 
 

Family Interventions Vary

Because each family situation is different, the scope and approach to each intervention must vary accordingly. What may be practical and appropriate for one family may not be for another.

For example, some family interventions require several weeks of preparation, others can be done in a few hours or days. Some family interventions have a professional leader present, others not. Often a family intervention occurs in the person's home, others in the leader's office. Some are a surprise, others are not. Sometimes a great deal of family education takes place before the intervention, in others it takes place afterward.

 

Contact the Intervention Center to discuss a family intervention for your situation.

 

A Word of Caution:

Family interventions are difficult and delicate matters and it is important that they be done properly.

No family intervention should be undertaken without advice and counsel of a professional experienced in the intervention process.

Furthermore, since people embarking on an intervention often feel ambivalent and apprehensive, it is important that they trust the interventionist. Should you ever feel uneasy with your interventionist, that you are being asked to do something you do not understand or agree with, you would be wise to stop the process and go elsewhere.

 

 

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G) SIGNS, SYMPTOMS, AND BEHAVIORS OF USE

NICD Prevention, (Anti-Drug pages 1-7) http://www.nicd.us/stepworkandrelapseprevention.html

NICD Drug Pictures, Paraphernalia, Pill Identification http://www.nicd.us/drug-pictures.html  

NICD Slang Terms / Street Language http://www.nicd.us/drugstreetandslangterms.html 

Brain Chemistry / The Disease Concept http://www.nicd.us/thediseaseconceptandbrainchemistry.html 

 

Specific: General- Abrupt changes in work or school attendance, quality of work, work output, grades, discipline. Unusual flare-ups or outbreaks of temper. Withdrawal from responsibility. General changes in overall attitude. Deterioration of physical appearance and grooming. Wearing of sunglasses at inappropriate times. Continual wearing of long-sleeved garments particularly in hot weather or reluctance to wear short sleeved attire when appropriate. Association with known substance abusers. Unusual borrowing of money from friends, co-workers or parents. Stealing small items from employer, home or school. Secretive behavior regarding actions and possessions; poorly concealed attempts to avoid attention and suspicion such as frequent trips to storage rooms, restroom, basement, etc. 

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Specific: DSM-IV Definition of Addiction- A maladaptive pattern of substance use, leading to clinically significant impairment or distress, as manifested by three (or more) of the following, occurring at any time in the same 12-month period: (1) Tolerance, as defined by either of the following: a. A need for markedly increased amounts of the substance to achieve intoxication or desired effect. b. Markedly diminished effect with continued use of the same amount of the substance. (2) Withdrawal, as manifested by either of the following: a. The characteristic withdrawal syndrome for the substance b. The same (or a closely related) substance is taken to relieve or avoid withdrawal symptoms. (3) The substance is often taken in larger amounts or over a longer period than was intended (loss of control).(4) There is a persistent desire or unsuccessful efforts to cut down or control substance use (loss of control). (5) A great deal of time is spent in activities necessary to obtain the substance, use the substance, or recover from its effects (preoccupation). (6) Important social, occupational, or recreational activities are given up or reduced because of substance use (continuation despite adverse consequences). (7) The substance use is continued despite knowledge of having a persistent or recurrent physical or psychological problem that is likely to have been caused or exacerbated by the substance (adverse consequences).

Specific: Pupil Dilation- Before you do anything, consider this. There are two trains of thought prior to detection and intervention. One thought is to catch and punish, and the other is to identify and help- remember why you are doing this, and the intervention will turn out much better.

Note: The following images are actual charts used by Neurologists, M.D.'s, R.N.'s, Drug Counselors, etc. to diagnose conditions related to brain injuries, medications effects, and intoxication / drug use indicators.

The images to the left are of various pupil sizes. A 6mm, 7mm, or 8mm pupil size could indicate that a person is under the influence of cocaine, crack, meth., hallucinogens, crystal, ecstasy, or other stimulant. A 1mm or 2mm pupil size could indicate a person under the influence of heroin, opiates, or other depressant, (see more examples below).

  

   

This pupil is close to pinpoint and could indicate use.

This pupil is completely dilated and could indicate use.

Blown out wide pupils are indicative of crack, methamphetamine, cocaine, stimulant use. Pinpoint pupils are indicative of heroin, opiate, depressant use.

Other causes of pupil dilation

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Specific: Signs and Symptoms- 

Alcohol: Odor on the breath. Intoxication. Difficulty focusing: glazed appearance of the eyes. Uncharacteristically passive behavior; or combative and argumentative behavior. Gradual (or sudden in adolescents) deterioration in personal appearance and hygiene. Gradual development of dysfunction, especially in job performance or school work. Absenteeism (particularly on Monday). Unexplained bruises and accidents. Irritability. Flushed skin. Loss of memory (blackouts). Availability and consumption of alcohol becomes the focus of social or professional activities. Changes in peer-group associations and friendships. Impaired interpersonal relationships (troubled marriage, unexplainable termination of deep relationships, alienation from close family members).

Marijuana/Pot: Rapid, loud talking and bursts of laughter in early stages of intoxication. Sleepy or stuporous in the later stages. Forgetfulness in conversation. Inflammation in whites of eyes; pupils unlikely to be dilated. Odor similar to burnt rope on clothing or breath. Tendency to drive slowly - below speed limit. Distorted sense of time passage - tendency to overestimate time intervals. Use or possession of paraphernalia including roach clip, packs of rolling papers, pipes or bongs. Marijuana users are difficult to recognize unless they are under the influence of the drug at the time of observation. Casual users may show none of the general symptoms. Marijuana does have a distinct odor and may be the same color or a bit greener than tobacco.

Cocaine/Crack/Methamphetamines/Stimulants/Adderall: Extremely dilated pupils. Dry mouth and nose, bad breath, frequent lip licking. Excessive activity, difficulty sitting still, lack of interest in food or sleep. Irritable, argumentative, nervous. Talkative, but conversation often lacks continuity; changes subjects rapidly. Runny nose, cold or chronic sinus/nasal problems, nose bleeds. Use or possession of paraphernalia including small spoons, razor blades, mirror, little bottles of white powder and plastic, glass or metal straws.

Depressants: Symptoms of alcohol intoxication with no alcohol odor on breath (remember that depressants are frequently used with alcohol). Lack of facial expression or animation. Flat affect. Flaccid appearance. Slurred speech. Note: There are few readily apparent symptoms. Abuse may be indicated by activities such as frequent visits to different physicians for prescriptions to treat "nervousness", "anxiety"," stress", etc.

Narcotics/Prescription Drugs/Opium/Heroin/Codeine/Oxycontin: Lethargy, drowsiness. Constricted pupils fail to respond to light. Redness and raw nostrils from inhaling heroin in power form. Scars (tracks) on inner arms or other parts of body, from needle injections. Use or possession of paraphernalia, including syringes, bent spoons, bottle caps, eye droppers, rubber tubing, cotton and needles. Slurred speech. While there may be no readily apparent symptoms of analgesic abuse, it may be indicated by frequent visits to different physicians or dentists for prescriptions to treat pain of non-specific origin. In cases where patient has chronic pain and abuse of medication is suspected, it may be indicated by amounts and frequency taken.

Inhalants: Substance odor on breath and clothes. Runny nose. Watering eyes. Drowsiness or unconsciousness. Poor muscle control. Prefers group activity to being alone. Presence of bags or rags containing dry plastic cement or other solvent at home, in locker at school or at work. Discarded whipped cream, spray paint or similar chargers (users of nitrous oxide). Small bottles labeled "incense" (users of butyl nitrite).

Solvents, Aerosols, Glue, Petrol: Nitrous Oxide - laughing gas, whippits, nitrous.
Amyl Nitrate - snappers, poppers, pearlers, rushamies.
Butyl Nitrate - locker room, bolt, bullet, rush, climax, red gold. Slurred speech, impaired coordination, nausea, vomiting, slowed breathing. Brain damage, pains in the chest, muscles, joints, heart trouble, severe depression, fatigue, loss of appetite, bronchial spasm, sores on nose or mouth, nosebleeds, diarrhea, bizarre or reckless behavior, sudden death, suffocation.

LSD/Hallucinogens: Extremely dilated pupils, (see note below). Warm skin, excessive perspiration and body odor. Distorted sense of sight, hearing, touch; distorted image of self and time perception. Mood and behavior changes, the extent depending on emotional state of the user and environmental conditions Unpredictable flashback episodes even long after withdrawal (although these are rare). Hallucinogenic drugs, which occur both naturally and in synthetic form, distort or disturb sensory input, sometimes to a great degree. Hallucinogens occur naturally in primarily two forms, (peyote) cactus and psilocybin mushrooms. Several chemical varieties have been synthesized, most notably LSD, MDA , STP, and PCP. Hallucinogen usage reached a peak in the United States in the late 1960's, but declined shortly thereafter due to a broader awareness of the detrimental effects of usage. However, a disturbing trend indicating a resurgence in hallucinogen usage by high-school and college age persons nationwide has been acknowledged by law enforcement. With the exception of PCP, all hallucinogens seem to share common effects of use. Any portion of sensory perceptions may be altered to varying degrees. Synesthesia, or the "seeing" of sounds, and the "hearing" of colors, is a common side effect of hallucinogen use. Depersonalization, acute anxiety, and acute depression resulting in suicide have also been noted as a result of hallucinogen use. Note: there are some forms of hallucinogens that are considered downers and constrict pupil diameters.

PCP: Unpredictable behavior; mood may swing from passiveness to violence for no apparent reason. Symptoms of intoxication. Disorientation; agitation and violence if exposed to excessive sensory stimulation. Fear, terror. Rigid muscles. Strange gait. Deadened sensory perception (may experience severe injuries while appearing not to notice). Pupils may appear dilated. Mask like facial appearance. Floating pupils, appear to follow a moving object. Comatose (unresponsive) if large amount consumed. Eyes may be open or closed.

Ecstasy: Confusion, depression, headaches, dizziness (from hangover/after effects), muscle tension, panic attacks, paranoia, possession of pacifiers (used to stop jaw clenching), lollipops, candy necklaces, mentholated vapor rub, severe anxiety, sore jaw (from clenching teeth after effects), vomiting or nausea (from hangover/after effects)

Signs that your teen could be high on Ecstasy: Blurred vision, rapid eye movement, pupil dilation, chills or sweating, high body temperature, sweating profusely, dehydrated, confusion, faintness, paranoia or severe anxiety, trance-like state, transfixed on sites and sounds, unconscious clenching of the jaw, grinding teeth, very affectionate.

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H) YOUTH AND FAMILY SUPPORT RESOURCES/OTHER RESOURCES 

Michigan Resource Center (MRC)… www.wearemrc.org Resource for local, state & national prevention services, brochures, videos, etc.

Prevention Network… www.preventionnetwork.org Network of state organizations providing all types prevention information

The Search Institute … www.search-institute.org Site with researched information promoting the well-being of children

Talking with Kids about Tough Issues… www.talkingwithkids.org A national initiative sponsored by Children NOW, 1-800-CHILD-44

Association & MTV. http://helping.apa.org 1-800-268-0078

Parenting is Prevention Site – www.parentingisprevention.org Links to many sites promoting parenting and families .

PRIDE USA – www.prideusa.org  Parents Resource Institute for Drug Education site promoting prevention programming for youth and parents.

Toughlove

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I) SUBSTANCE ABUSE TREATMENT OPTIONS

 

The following link will take you to our search page. Once there, you can type in anything you are interested in- it will then take you to a page listing resources.

http://www.nicd.us/searchnicdsiteinternally.html 

OR

LOOK UP A WORD, TERM, OR KEYWORD AT THE FOLLOWING ALPHABETICAL LINKS:

 a  b  c  d  e  f  g  h  i  j  k  l  m  n  o  p  q  r  s  t  u  v  w  x  y  z

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J) TOLL FREE HOTLINES / WEB SUPPORT RESOURCES

 

NICD Toll Free Numbers - http://www.nicd.us/tollfreehotlines.html 

Al-Ateen – www.alateen.org

Alcoholics Anonymous – www.alcoholics-anonymous.com 

Families Anonymous – www.familiesanonymous.org

Narcotics Anonymous – www.na.org

Cocaine Anonymous – www.ca.org

Al-Anon – www.Alanon.org

Caron Foundation – www.caron.org

Johnson Institute – www.johnsoninstitute.com

Hazelden Foundation- www.hazelden.org

Phoenix House – www.phoenixhouse.org

More treatment programs can be found at www.samhsa.gov

Teens Using Drugs – What to know & what to do.

http://www.hvcn.org/info/teensusingdrugs  Links to important substance abuse websites.

Washtenaw & Livingston Counties Resources & Referrals provided by SOS Crisis Center… Http://comnet.org/soshelpnet

Drug Testing as a Tool for Parents… FDA cleared hair tests Psychomedics Corp. Cambridge, MA… www.drugfreeteenagers.com

1-800-628-8073

National Clearinghouse for Alcohol and Drug Information (NCADI)…

www.health.org  Brochures, videos, posters, street drug info. etc.

Substance Abuse and Mental health Services Administration (SAMHSA)

www.samhsa.gov  Latest research, prevention and treatment resources, catalogues, etc.

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K) NOW WHAT?

The question is bound to come up- Now that we have identified the problem, the help is in place, or the person in our life has come home- what do we, what can we do now?

As the parent, significant other, family member you must educate yourself to the disease known as alcoholism/drug addiction. Below you will find some resources to tap into to help you along the way.  As a common saying in the recovery rooms states, "First Things First." This means you!!! You must also get some help, or as I like to say, "HEALING." The disease of alcoholism/drug addiction is a family disease, because the alcoholic/addict is obsessed with getting and doing their drug of choice, and the family member is obsessed with the problem. Spend any amount of time with an alcoholic and/or addict and you are bound to be a little neurotic- it's enough to drive anybody crazy. I receive numerous calls and receive many emails that attest to the fact that much collateral damage is done in the wake that the alcoholic/addict creates. Now what?

I suggest you check into some of the resources that are free. Although free, they can provide enormous enlightenment, help, and advice from the pro's, (those who have been and are in the trenches). Also check into picking up a book or two on recovery. Please see the resources below this section for listings. Counseling, whether from a therapist or clergy can be of extreme help. Please realize that you are not alone in this. Please accept that this disease has afflicted many from all walks of life, and that you need to let down any pride or prejudice you have from blocking you in getting the help you need. I know of one senators wife who created a non-profit organization to supply medications to third world countries, and she used her connections to get the pain medication she was addicted to through the organization- this is how cunning and powerful the disease is, and no one is exempt, no matter who they are, or what kind of position of prestige they hold, no matter how much money they make, or no matter how intelligent and educated they are. The disease does not discriminate.

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L) SYNOPSIS

 

The bottom line is, that if we all work together, help, support, and reward good behavior in our youth, significant others, family members, and that also should include families that put forth an effort, alcoholism and drug addiction can and will never again be the biggest factor in the decay of our youth, progress, and communities- ever!!! If you have gotten this far down in this article, you have done much to begin to solve the problem of substance abuse. I commend you for getting and staying involved.

Sincerely,

Rev. Stephen J. Murray, NICD Director

Please feel free to email us with your comments and/or questions regarding this article or any other issue- we love to help... contact@nicd.us

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