Opiate Use Disorder or Opiate Addiction?
ฝัง
- เผยแพร่เมื่อ 23 ม.ค. 2022
- This enlightening interview discussion between double board certified child & adolescent psychiatrist, Dr. Dom Sportelli, and MedCircle host, Kyle Kittleson, walks through how to spot the 11 traits of opiate use disorder, how these traits lead to a diagnosis, the differences in diagnosis, and what that diagnosis of opioid addiction actually means for your life or the life of someone you care for.
00:24 1. How to determine mild vs moderate vs severe opiate use disorder
01:08 2. Putting yourself at risk because of the opiate / substance
01:32 3. Changes in social life
01:46 4. Neglecting a daily duty or job
02:09 5. Withdrawal to some degree
02:22 6. Building a tolerance to opiates / the substance
02:39 7. Length of time spent on looking for or using
02:53 8. Tried to quit substance abuse & couldn't
03:03 9. Physical or emotional ramifications from opioids
03:35 10. Skipping activities or hobbies for the substance
04:24 11. Cravings and thoughts about the next fix
04:44 How the diagnosis actually works (mild v moderate v severe)
06:30 Final thoughts
06:49 How to watch more & what to watch next
#Addiction #OpioidCrisis #MedCircle #mentalhealthawareness #mentalhealthmatters #mentalhealth #opiates #opiate
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ONLY LIFE DAMAGING PSYCHOLOGICAL and SOCIAL issues
can be used to create a real honest definition of Addiction to opiates
Video time 2:10 "withdrawal" = IS NOT a sign of an Opiate Use Disorder or Opiate Addiction, this naturally happens as a well-known "expected result" after taking opiates for a mere 3 days of continued usage, Everyone experiences this as a side effect after taking this class of drugs as prescribed.
So this point the doctor is WRONG as "withdrawal" has nothing to do with Opiate Use Disorder or Opiate Addiction
Video time 2:45 "Tolerance" Tolerance IS NOT a sign of an Opiate Use Disorder or Opiate Addiction, this naturally happens as your body's own mechanism of fighting the drug to create homeostasis in the body.
and is EXPECTED to happen for every human after taking the drug any more than 3 to 7 days of continued usage. Tolerance is normal and happens when you take countless other non-addictive medications, so Tolerance has nothing to do with Opiate Use Disorder or Opiate Addiction, and is terrible for a doctor to label it as such, it is a sign of merely using this class of medication as prescribed and not a sign of addiction etc..
Enjoying the uncomfortably low set couch and the dog, as I tick every box. Thanks for mentioning the suffering!
I'm enjoying a late morning in my bed and spending time with my puppy as I listen. Never ticked any boxes etc. I like non addicting natural pain relief like CBD but just wanted to say hello. 💙
As I also tick off every box, I am wondering why since I don’t take opiates. I just think it’s a simple as my age & quality of lifestyle. Not really different than realizing that people are more inclined to take advice from a Handsome well spoken Dr. Even from the tiny couch. The dog is just a bonus. What a beauty. Smart !
Mine is up on bricks, wrapped In linen.
I lay on it , wating for a microbiome and hormone equilibrium
It's a long,long road.
I’ve used 10 years and just finished rehab. Was a very difficult but it’s the only way.
Unfortunately when the middle of drug use (or abuse), many people don’t even realize they are doing ANY of these things…Until it’s too late & they’re wondering WTH happened to my friends, my life, my HEALTH- & then they get so depressed-They use more!! 😣😢😢
It takes a VERY Strong & Introspective person to realize that THEIR life has gone down the toilet (because everyone’s in denial)…. & because of this, MANY NEVER seek Help.😩😢😢😞😞😞😞
It’s cool to see Clark Kent give us these insightful tips
The first time I ever talked about addiction with my brothers, my middle brother described this to me, which has always stuck with me:
"Do you realize that for the rest of my life, even driving past the Superstore or Safeway is triggering to me because all I can think about is the fact that all I need to do is go in there and get a bag of poppy seeds and I'll have my fix?""
That statement will forever echo in my mind as a true expression of what addiction is like. It might not even just be the substance, but an addiction to the process of consumption, or acquiring the drugs, even if it's something like poppy seed tea. It's a ritual / process addiction on top of a substance addiction. And the triggers can be as simple as driving past the grocery store.
Some of this I agree with and some of what is being said here I do not agree with. Having withdrawal from opioids is NOT a sign of addiction. Tolerance is NOT a sign of addiction. Opioids and other types of drugs can cause your body to eliminate them faster over time causing a tolerance to build. This is where a physician who is trained would know to titrate up or down as needed, or switch to a different medication if tolerance becomes and issue. Withdrawal is a sign of physical dependency, that is due to your brain/body having the substance in your system for a certain period of time and then abrupt cessation of that medication, causing the withdrawal (a slow taper of the medication can avoid physical withdrawal). People who are chronic pain patients, who have been on opioids for years will go through withdrawal if their medication is suddenly cut off. Lets not conflate physical dependency with an addiction which is a psychiatric condition. Addictions arise out of a maladaptive coping mechanism usually due to psychiatric conditions that aren't being properly treated, if treated at all. People with addictions are essentially "self medicating". This is an old 2010 Time article on withdrawal, worth reading. Don't confuse withdrawal for addiction, don't confuse needing a medication to function (like a chronic pain patient) with being addiction either. Function meaning to go about normal daily tasks, work, enjoyment of life, etc. healthland.time.com/2010/12/06/does-suffering-withdrawal-really-mean-youre-addicted/ Something else I might add is you can be addicted to Meth or Cocaine, but you will not go through withdrawal if you suddenly stop using it like you would with Opioids. You can abuse marijuana and suddenly stop using it and you will not go through withdrawal. I suspect the term of withdrawal or tolerance is mostly being used for opioids in this video. So my comments here are directed at the one type of drug that would cause withdrawal and tolerance, opioids.
I can answer no to do many due to covid and fear of contracting it rather than withdraw from activity. Proud to say I don't tick a negative box.
The Veterans Administration Hospital has handed out opioid pain killers with every visit until the crisis hit the news. Now, all the addicts suffer through the flip-flop with little or no assistance.
Why is TH-cam suggesting this video to me? Last prescription for pain pills I had was 2014 and still have some leftover.
I've been on opioids since 1999. Unfortunately it's the only thing that actually helps my pain. Recently was introduced to a new "therapy" called somatic training. Not sure how much I agree with it. Basically the power of positive thinking, what u think about u bring about kinda thing I believe in. It's unfortunate I'm looked at by certain people as an "addict". I've been on the same dosage for the last 8 years. Lowest level I've been on and by my choice. In 2009 my doc was giving me 300 vicoden a month. There's another side to this epidemic most people don't think about or know. It's not always the user. I'd like to have been the 3rd party in this video. My insurance has now increased my co pay so I can't afford my mental health doctor, but my PCP that hands out pills is free🙄 vicious cycle n we're the ones labeled and suffering.
explain major depressive disorder please
Been on opioids since ca 2015. It's also the only thing that really helps with my situation (ME/CFS, severe IBS and more) and it makes me able to participate in society and also makes me able to work ca 50%. Also been on the same dose (except for a while on tramadol) a very long time and I don't experience tolerance build up (there are minor fluctuations in the effect though but overall it's basically the same) - I have even, as yourself, by own power, lowered the dose somewhat the last year. Drs absolutely need to take into account people like us.
If I could transfer my base line "normal condition" (without any meds) to another human being I would probably be the richest guy alive (and also the most evil). Because there can be no more perfect torture. I know that fellow sufferers feel similiar. It would be called something like "torture kit for extracting any confession". People in general have no idea how bad it can become AND that it can become so bad due to relativly common illnesses!
What exactly is your pain??
@@sbcaliforniakitty The problem with this question is its assumption that people know exactly what their problem is.
@@sbcaliforniakitty from the waist down, lower back n leg pain...
Anyone who is on an opioid for awhile .. your body will go thru withdrawal when taken off of it!!
Thank you Jesus I never got involved with opiates and never would consensually. The harm reduction is the best model - I think for treatment.
dog said yes this is totally happening you need to help ill be over here
Two of them i have
Strong indica Marijuana and message therapy,works better for pain than a crappy opiod
sorry NO, that is just silly and laughable nonsense,
Just try to take Marijuana and massage therapy, for a broken bone, or severe back pain compared to an opiate and get back to me with the results comparing them.
You and everyone else on the planet will happily flush Marijuana and massage therapy down the toilet as a pain relief idea, once they ever suffer from real debilitating pain. hell you could even try smoking a whole kilo of weed in one day and still not get the same pain relief as a single opioid pill !!!
, Marijuana "regarding pain problems" is only good for very..very.. mild problems like..
insomnia, very mild arthritis, Good at lessening inflammation in the joints and slight pain release for muscles from work or from the gym,
to gain weight if you suffer from an eating disorder or to gain weight after chemotherapy for cancer.
But to use Marijuana for real serious pain is just stupid , it is not that effective
Not once pain reaches 7-8 level. You won't even want to or be able to pack a bowl. Even if someone packs one for you, you might not be able to even sit up to smoke it. Been there.
@@Grassy_Gnoll if u think opioids work ,long term ,your gonna be disappointed, cause they don't
👍❤️
😊
Tramahexal makes me feel good it helps
@MedCircle
ONLY PSYCHOLOGICAL and SOCIAL issues can be related to an Addiction to opiates
time 2:10 "withdrawal" = IS NOT a sign of an Opiate Use Disorder or Opiate Addiction, this naturally happens as a well-known "expected result" after taking opiates for a mere 3 days of continued usage, that Everyone experiences this as a side effect after taking this class of drugs as prescribed.
So this point the doctor is WRONG as "withdrawal" has nothing to do with Opiate Use Disorder or Opiate Addiction
time 2:45 "Tolerance" Tolerance IS NOT a sign of an Opiate Use Disorder or Opiate Addiction, this naturally happens as your body's own mechanism of fighting the drug to create homeostasis in the body.
and is EXPECTED to happen for every human after taking the drug any more than 3 to 7 days of continued usage. Tolerance is normal and happens when you take countless other non-addictive medications, so Tolerance has nothing to do with Opiate Use Disorder or Opiate Addiction, and is terrible for a doctor to label it as such, it is a sign of merely using this class of medication as prescribed and not a sign of addiction etc..
DENIAL, DENIAL, DENIAL!!! People who take are going to make excuses!! 😢
i dont make excuses cocodmol and a drink i buzzzzz truth
Ok first off a DISORDER IS WHERE YOU ARE BORN WITH SOMETHING but addiction you are not born with unless the mother has a addiction then you are born with a addiction NOT A DISORDER ADDICTION and a disorder you can't get rid of like you can with addiction for example with ADHD its a disorder not a addiction you can't get rid of ADHD you can't get rid of split personalitys those are disorder but opioid and other drugs those are addictions not disorders you can get rid of addictions with help or without help thats all up to that person and you choose to do opioids its your choice to do them your not born with it like a actual disorder you can't choose to have adhd or split personalitys or a reading disorder you can't choose to have them ether your born with it or you not born with it addiction is a CHOICE that you made/make and y'all call y'all self's doctors
I don't think you get the point of this video/series. you never "get rid" of an addiction, you learn to not let it take over your life. you can't "get rid" of any disorder for that matter.
@@AntoniaMorris ok but u shouldnt put addiction and a disorder in the same category bc they really arnt the same addiction is something u choose to do and a disorder is something your born with or you develop it through trauma or something like that
Not sure why I'm bothering to comment on this but the choice argument has been debunked and it's extremely monotonous and tiresome. Addiction is chronic, it doesn't go away. I honestly feel like addiction is more of a disease, but I digress. Not being born with it isn't an argument, there are tons of disorders developed later in life the same way addiction is.
@@the_spiritual_system7395 Here's some perspective on that "choice" argument.
An 18 year old girl, decides that enough is enough and one day she verbally defends herself against her mentally and physically abusive parent(s) and she is suddenly kicked out of the house. Now she is without a phone and it's the middle of a January winter. She is suffering in a different way but this way if she were to go against her belief that shoplifting is bad, and shoplift just this once then she could sooth the suffering for once in her life. And so she does.
The point isn't that shoplifting is good.
Wrong bro. It’s a choice in the beginning but after addiction has formed and neural pathways in the brain are changed, the choice disappears. You HAVE to have your drug.