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Parents may now find more reason to monitor their teen’s use of social networking sites: Teens that see social networking pictures of their buddies partying with alcohol and tobacco are much more likely to use those substances.

Facebook, Social Network Posting Of Alcohol Consumption May Influence Teens In Risky BehaviorThe study was conducted by a team from the University of Southern California (USC) Keck School of Medicine that questioned 1,563 sophomore students from a Los Angeles high school on two separate occasions — once in October 2010 and then again in April 2011. Researchers asked the teens about friendships they had online through social media and also about their face-to-face friendships. They asked teens how often they utilized social networking sites and which ones they tended to use. They also asked teens about whether or not they themselves ever smoked tobacco or drank alcohol.

The USC study, which was published in the Journal of Adolescent Health, is among the first to carefully investigate the way social networking behavior affects the use of alcohol and tobacco among teens.

High School Study Participants

The student participants were equally divided between girls and boys and the average age was 15. The study population generally reflected the racial make-up of the high school with one quarter of participants being Asian and two-thirds Hispanic. Right around 50 percent of the students involved in the study said they were regular visitors to social networking sites like Facebook or MySpace.

Around 30 percent of the high school students questioned said they had smoked cigarettes and above 50 percent of them said they had tried alcohol. One-third of the students said that they had a minimum of one friend who either smoked cigarettes or drank alcohol. The baseline was important in gauging how much viewing other students’ behavior might be considered as influencing their own.

When questioned, 20 percent of the students said that they had friends who posted pictures online of smoking, drinking and partying. Another 34 percent of the students said that they had at least one friend who mentioned partying (especially drinking or smoking tobacco) in their online discussions or postings. Between October 2010 and April 2011 the student use of Facebook increased by 75 percent and use of MySpace rose by 13 percent.

Results On Teens From Alcohol Posting On Social Networks

After analyzing the data, researchers found that teens are definitely influenced by online photos of their friends’ behavior, saying it didn’t seem to matter whether a teen had many or fewer friends in their network. What did seem to matter was what kind of pictures were posted by those friends.

Even if a teen did not have close, face-to-face friendships with kids who drank or smoked, they were nevertheless at risk for being affected by more exposure to pictures of those behaviors posted online. In other words, peer pressure and peer influence definitely extends into cyberspace.

The research backed up prior findings that show a difference between users of Facebook and MySpace. Teens that were only on Facebook tended to speak more English, come from higher social strata and get better grades. They also tended to not be Hispanic and were less likely to have ever tried smoking or drinking. Users of MySpace primarily tended to drink more, and the more they used MySpace the more they tended to drink.

Since 95 percent of American teens (ages 12 to 17) are online and 80 percent stay connected through sites like Facebook, these findings are extremely relevant. It isn’t only who kids hang out with at home or on the soccer field — it matters who teens connect with online. When kids are online there are any number of friends that parents may never meet in person.

A recent study published in the journal Drug and Alcohol Dependence reports that the drug topiramate may help people battling cocaine addiction. More specifically, the study showed that people suffering from both cocaine and alcohol dependence may be more successful in treatment and use less cocaine if they are prescribed topiramate. These findings largely agree with previous, separate studies that also show topiramate’s potential usefulness for treating cocaine and alcohol addictions. However, this most recent study is the first to look at the drug’s effectiveness for people dealing with both dependencies at the same time.

What Is Topiramate?

Topiramate is an anticonvulsant drug that was discovered in 1979. It was approved by the Food and Drug Administration (FDA) in 1996 and has been primarily used to manage seizures in patients with epilepsy. Topiramate has also been frequently prescribed to prevent migraine headaches. In 2012, the FDA also approved topiramate for use as a weight-loss drug in combination with the drug phentermine.

Weight-Loss Drug Topiramate Helps Curb Cocaine-Alcohol Addictions, Penn Study FindsOne of the effects of topiramate is an increase in the amount of gamma-Aminobutyric Acid, or GABA, in the brain. This substance is a neuro-inhibitor, and researchers now hope that using topiramate to increase GABA levels may help limit the dopamine release that happens when people take cocaine or drink alcohol. This would reduce the euphoric feelings that result from these substances, and make it easier for people to resist cravings and fight addiction.

Details Of The New Study

Researchers in the psychiatry department of the Perelman School of Medicine at the University of Pennsylvania created and published the new topiramate study. These researchers were assisted by the Charles O’Brien Center for Addiction Treatment.

The study took place over 13 weeks, with the participation of 170 people who experienced both cocaine and alcohol dependence. The majority of the participants in the study were African-American males, and participants had an average age of 45.

Some of the patients were treated with topiramate, while others were given a placebo. The study employed a double-blind set-up, in which neither the patients nor the researchers knew who was taking the drug versus the placebo. This allowed researchers to examine the true effectiveness of the drug at reducing cravings, reducing overall consumption of cocaine and alcohol, and helping patients stay in treatment.

Mixed Results

At the conclusion of the study, researchers found both positive and neutral results for the effectiveness of topiramate. Patients who received the drug were more likely to remain in treatment and less likely to use cocaine during the last three weeks of the trial than those who received the placebo. Twenty percent of the participants on topiramate were able go without cocaine during the study, compared to only 7 percent of the participants on the placebo. Patients who had the worst withdrawal symptoms in the past seemed to benefit the most from topiramate.

However, the drug was not better than the placebo at reducing cocaine cravings. In addition, the drug did not help patients reduce their drinking even though they generally reported reduced alcohol cravings.

These results were somewhat surprising, since past studies have shown that topiramate did help people with alcohol dependence. The researchers in the Perelman School of Medicine have speculated that these poor results may reflect the low number of heavy drinkers who participated in the study. In past studies, the average number of days of heavy drinking among the study participants was much higher. It may be that topiramate is more effective for people who are very heavy drinkers.

What Is Next For Topiramate?

Although topiramate studies have been promising, additional research is needed to determine whether the drug can be a useful long-term tool for fighting cocaine and alcohol dependence. Researchers plan to perform more studies in order find out whether topiramate is effective when paired with additional drugs. By combining different drugs that have shown moderate success, researchers hope to produce even more impressive results for a greater percentage of patients.

Ultimately, larger scale studies will be necessary before the FDA can approve topiramate for additional treatment purposes.

 

Click Here – To Read More About Other Surprising Medications That Help Cocaine Addiction.

A study has concluded that for some having an eating disorder could also mean an increased risk for alcohol abuse. The reverse is also true, that certain people with alcohol dependency may face higher chances of developing certain kinds of eating disorders.

Shared Genes May Link Eating Disorders And Alcohol Abuse In TeensFor their study, researchers at the Washington University Medical School in St. Louis took a look at close to 6,000 fraternal and identical twins over age 18. Mental health practitioners and other experts have been aware for some time of a comorbidity between alcohol abuse and eating disorders in women, but this new study indicates that the link holds true for some men as well. The research has tended to focus on women since they’re most often the victims of disordered eating, but men suffer these illnesses as well, including binge eating.

Binge Eating

Binge eating occurs when a person consumes an overabundance of food in a single sitting. This overeating is often done in secret and is followed by feelings of guilt, shame and being out of control. It’s frequently accompanied by purging wherein the person compensates for the large food intake by either causing themselves to vomit or misuse laxatives or diuretics. Experts refer to behaviors like purging as compensatory behaviors. The researchers did not ask men about purging behaviors such as diuretic and laxative abuse, but instead relied upon data from prior male studies. They did ask the women in the study about any potential purging behaviors.  Compensatory behaviors like purging are considered closely connected to alcohol abuse behaviors.

Similarities

Following the interviews, statistical methods were employed to calculate estimates for both the influence of environment and the influence of genes. Both eating disorders and alcohol dependency are thought to be a result of a mix of environmental and genetic causes. The statistical method carefully separated the two in order to gauge genetic impact alone. What they found was that the same genes were implicated in both alcohol dependency and binge eating disorders.

Around six percent of the females in the study had problems with alcohol dependency at one time or another during their life. Thirteen percent of them also struggled with binge eating and 14 percent of them also engaged in purging behaviors. More men (25 percent) reported alcohol dependency at some point and 11 percent of them had also engaged in binge eating.

This means that there was a .26 overall statistical correlation between binge eating and alcohol dependency (zero equals no genes in common and one equals every gene in common). For women the correlation was .32. The study team concluded that some of the very same genes which affect alcohol dependency also impact binge eating for both men and women along with compensatory behaviors (purging) in women.

Treatment

There is increased awareness of eating disorders in today’s culture, but diagnoses of anorexia nervosa and bulimia nervosa (a binge and purge eating disorder) continue to be relatively infrequent. When men or women are diagnosed and admitted into treatment, there is rarely any examination into alcohol abuse issues as part of recovery therapy.

Likewise, when men or women enter into alcohol treatment, it is uncommon for staff to inquire or investigate any potential eating disorders. The Washington University study suggests that, given the genetic link between these two illnesses, recovery strategies should target both kinds of compensatory behavior.

The study is scheduled for publication in the September volume of the Journal of Studies on Alcohol and Drugs.

Drugs and alcohol extract a heavy toll on those who are close to a person with a substance abuse problem. But they can also cause great difficulties in the workplace, where the reliability and on-the-job performance of addicts will inevitably decline over time. In the American economy, lost productivity related to substance abuse is estimated to add up to hundreds of billions of dollars annually, and, for individual businesses attempting to survive on marginal profits in a sluggish economy, it is especially vital to have employees who can be counted on in a pinch.

Substance Abuse In The Workplace  - What Every Employer Should KnowBut despite all that is at stake, employers should recognize that addiction is a disease and not simply an irresponsible lifestyle choice, and workers who are suffering from the effects of a substance abuse problem should be treated with compassion and respect as long as they are willing to be open and truthful about what is happening in their lives.

Managers may be able to evaluate the performance of their workers accurately, but it is of course extremely difficult to ascertain why a formerly productive and judicious employee has begun to falter on the job. People often have hidden personal problems or various types of health troubles that can negatively impact their workplace efficiency, either temporarily or permanently, so it is important that bosses and managers tread lightly when they seek to discover the reason a reliable employee has suddenly been giving a less-than-stellar effort or failing to produce results.

Recognizing The Signs

When substance abuse is the problem, there will be indicators that can help clue employers in to what has been going on. It may take a sharp eye to spot them, but they will be present.

Some of the physical signs or symptoms that might suggest an employee’s drug or alcohol use has gotten out of control could include:

  • Bloodshot eyes
  • Nosebleeds
  • Unexplained weight loss and loss of appetite
  • Dental problems
  • Slovenly or unprofessional appearance
  • The presence of unusual odors on or around the employee
  • Slurred speech
  • Sleeping on the job
  • Shaking or tremors
  • Seizures

In addition to these tell-tale physical symptoms, the behavior of addicts or alcoholics will likely change in noticeable ways as well. Some behaviors to look out for would include:

  • Frequent tardiness
  • Mood swings, fits of irrational anger, or sudden bouts of hyperactivity
  • Secretiveness
  • Sloppiness in carrying out routine assignments
  • Refusal to spend time with co-workers during lunch hours or in off-hours (when this activity had been normal before)
  • Loss of interest in favorite hobbies or activities
  • Actions or choices that lead to injuries or accidents on or off the job, with hazy explanations about what took place and exactly why it happened

Above all else, when the issue is substance abuse, employers and co-workers should learn to trust their instincts. Because substance abuse is so common, most of us have likely encountered it in our families or among friends at some point in our lives, and consequently we are usually capable of recognizing the signs of substance abuse.

The Value Of Preparation

It is always better to anticipate trouble before it arrives so you will be prepared to handle it if and when it comes. This is certainly true when the subject is substance abuse in the workplace, and that is why all employers should have clearly established policies that dictate how addiction and problem drinking or drug abuse will be handled. These policies should be fully disclosed and explained succinctly in written form, in a document or handbook that will be considered required reading for all employees. And just to make sure there is no confusion or uncertainly, employees should be required to a sign a form indicating that they understand the company’s substance abuse policies and will accept any and all consequences of their actions.

But while employers have some leeway in this area, they cannot dictate automatic dismissal if a substance abuse problem is proven to exist. Federal and state disability laws protect the rights of workers with drug or alcohol addictions if they are willing to seek treatment for their dependency, and it is incumbent upon a business owner or manager to speak with a company attorney before instituting substance abuse policies to make sure everything is strictly legal and in synch with existing civil rights statutes.

Employers must be ready, willing, and able to help their workers get the assistance they need should substance abuse become an issue. To make sure they are prepared to do so, businesses should have insurance policies that will cover the costs of drug/alcohol treatment and rehabilitation for workers should they ever be required. Of course managers themselves could someday encounter substance abuse problems, which means that it is really in everyone’s best interests to have adequate health insurance to cover this contingency. And just so they are sure what is out there, employers should fully research drug and alcohol treatment options available in their communities, so that if and when employees need this information it will be available and accessible.

Asking The Right Questions, Getting The Right Answers

When substance abuse is suspected, an employer should approach his or her employee in a way that is open and honest but not confrontational. This is the best way to get answers, and it is the most compassionate path to take when the issue is a disease like addiction. Nevertheless, managers and bosses have a need and a right to discover the truth from their employees about what is happening when workplace performance is suffering, and if an employer cannot get a straightforward response from a worker who is failing to do his job correctly, termination will be a legally permitted option.

But the ultimate goal of any workplace intervention should be to help the person in question get the help he or she needs. With hard work, determination, and a relentlessly positive attitude, addiction can be overcome, and it is in the best interest of every employer to offer whatever assistance they can to men and women whose lives have been momentarily sidetracked by drug or alcohol dependency.

To Read About the Drugs Students are Taking to Boost Grades – Click Here

 

Four days after Lindsay Lohan was released for her latest effort at rehab, and just as her latest film, “The Canyons,” is airing on limited release, the 27-year-old starlet was invited to sit down with Oprah as part of OWN’s Oprah’s Next Chapter series. The Aug. 18, 2013, interview commences before an eight-part docu-series, airing in 2014, in which OWN will follow the actress’ life.

“The Canyons” is a provocative, independent Paul Schrader film—an edgy erotic thriller. While the film is receiving mixed criticism, its star actress is receiving excellent reviews for her role. IndieWire called “The Canyons” one of the “50 Indie Films We Want to See in 2013.” Lohan may be, as Oprah describes her in the interview, “both an adjective and a verb for child-star-gone-wrong” but it cannot be said that the famous young actress lacks talent.

Candid Lohan

What Oprah was hoping for, along with millions of viewers, was a new Lohan—an open and candid one. Dressed in a bright tangerine dress, slick ponytail, and with nude lips and smoky but subtle daytime eyes, Lindsay did not disappoint.

“I’m an addict,” the young actress said with no hesitation.

Multiple Addictions

She explained that her addiction is to alcohol, which had served as a gateway to other things, like cocaine. Lohan told Oprah that she’d used cocaine 10 to 15 times, always snorting it. In the past, she’d claimed to have used cocaine only a few times, but said she was scared then of admitting the truth and being judged. Lohan told Oprah that cocaine was not something she enjoyed—she always felt bad the next day—and that she’d used it because it allowed her to drink more, as well as the fact that, “It was a party thing. People would have it, and I’d do it.”

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On the prescription side, Lindsay admitted to having felt reliant on Adderall, and that giving it up might be her biggest challenge. She told the talk show host that she hadn’t used Adderall like many young women and celebrities do to keep weight down or as a stimulant, saying she could eat normally and sleep while using the prescription stimulant. She stated that she had been prescribed Adderall for ADHD and that it had helped her feel “grounded,” but that she is noticing how much calmer she feels without the drug. Lohan explained that she is now learning to feel grounded on her own for the first time, without the assistance of substances.

Fame and Partying at a Young Age

Oprah asked the actress about all the chaos in her life, starting with becoming a star at the age of 12 with the release of “The Parent Trap,” the remake of a 1961 Disney film about twins separated by their parents who find one another and conspire to bring their family back together. When “The Parent Trap” was released, Lohan became instantly famous, and only a handful of movies later, at just 19, she was making $7 million per picture. Paparazzi were following the starlet’s every move and tabloids were busy reporting her partying habits, alleging that her parents were exploiting the young star and even partying with her (even when she was still a minor), revealing her father’s financial misdeeds and habit of landing in jail, as well as her parents’ presumed struggles with addictions.

Crazy Family Events

Lohan told Oprah that no one had been there to guide her and that no one had truly stepped in to help her understand or manage so much money. But she doesn’t blame her parents, not even for the episode in which her father released a screaming telephone tirade between himself, Lindsay and her mother in which Lindsay accused her mother of using cocaine. About the event, Lindsay said she’d come home late from being up too long partying and was behaving in a way she later felt deeply ashamed of. The actress told Oprah that she had lied to her father about her mother using cocaine and had done it simply to hurt her mother.

Chaotic Way

Referring to these former chaotic events and Lohan’s own descriptions of her troubled past, Oprah asked if Lohan didn’t believe she may have been addicted to chaos. She agreed that she was. “I think so. Yeah, it was a comfortable choice to me. What was chaotic to other people on the outside looking in was normal. There is something to be said about me learning to be comfortable with things just being OK.”

Regarding the jail time the young actress was sentenced to for a DUI charge, Lohan admitted that subconsciously, she believes she wanted to go. What she’d needed then was peace from the chaos and ironically, a part of her believed being sent to jail might give her that. She said, “Having all the chaos around me that I was so comfortable with, I somewhere inside knew I wanted to go to jail.  And I think that that was subconsciously being put out there just by my actions, or lack thereof.”

New Realization

Lohan’s latest stint in rehab occurred by court order, but she says this time was different, that she is different. Although the judge required that she go, she didn’t fight it like she had in the past. She explained to Oprah that those who worked at Betty Ford and Cliffside Malibu (she spent time in both) must know something she didn’t. She referenced Albert Einstein’s definition of insanity: “Doing the same thing over and over again and expecting different results.” Regarding the judge and the healthcare providers at Betty Ford and Cliffside Malibu, Lindsay said, “I probably need to shut up and listen. You probably do know what’s best because what I’ve been doing hasn’t worked for me in the past.”

During the interview, Lohan referenced her growing spirituality as a source of strength in her life and in her sobriety. She explained, as many recovering people do, that she has no control over the future; she can focus only on today. Regarding what she can try to do to stay well, she said remaining present, clear-headed and focused is most important. While Lohan represents that vanishingly rare breed of young, talented celebrity, privileged with fame and wealth at an early age, she is also perhaps an archetype, the shadow side of celebrity—what happens when beautiful young women are thrust into the spotlight without a hand to guide them or friends and mentors to truly trust. She has been in turn exploited and addicted, though it is too simplistic to say she is either a victim or a villain.

Comparison to Classics

While many consider her a Hollywood punch line, Lohan has the smoky voice and cool, sensual beauty of certain classic ladies of Tinseltown’s epic past. It would be easy for her world to burn up in a flashbulb second like the brilliant, beautiful lives of women who’ve come before her: Judy Garland, Marilyn Monroe, Lani O’Grady or any of the other talented women who died too soon. Although it is never easy to remain forever on the road to health and success, and rarely continuously achieved for recovering addicts, least of all for the newly recovering or for people whose lives are so closely watched and judged, we can hope for the best for this young star. She may have her best work still ahead of her.

The Next Chapter

About her “next chapter,” Lohan told Oprah, “[I’m ready] to get the thing that has made me happiest my whole life back, which is to work really hard, stay focused and prove myself. I have to regain trust in people, in my career, that had doubts, and I fully respect that on their behalf. As long as I stay honest in myself and do the work I’m willing to do and have been willing to do and am doing, then nothing can stand in my way. I am my own worst enemy, and I know that.”

If you look up the number one prescribed medication in the United States you will find Xanax at the very top of the list. The anti-anxiety medication is so widely prescribed these days that it can be found in a shockingly high number of American households. Used to treat anxiety and panic disorders, the drug is also commonly prescribed for patients complaining of high stress. Despite the fact that Xanax has recently been implicated in some high profile overdose deaths, the drug continues to enjoy widespread popularity.

Xanax is part of a family of drugs known as diazepines. Its chemical designation is Alprazolam and in 2009, 44 million prescriptions for the drug were written. By 2011 diazepine prescriptions were numbering above 260 million, of which Xanax represents the lion’s share.

Mixing Xanax and Alcohol Can be Deadly For Teens

 

Dangerous Quick High

Unfortunately the drug is not only popular with patients and their doctors but with young adults and teens looking for a quick drug-induced escape from reality. Teens like Xanax because it is so accessible – just grab one out of mom or dad’s medicine cabinet, right? – but also because the drug offers such a quick “high.” Within just 10 or 15 minutes users can feel an extreme high or low sensation. Users also experience accentuated symptoms of sedation like slurred speech, droopy eyes and other kinds of psychomotor retardation. Essentially, the person feels like they are drunk on alcohol.
Xanax provides a quick high because it is metabolized quickly, but the high ends just as fast as it comes on. The problem is that the drug also induces a state of memory impairment that is akin to blacking out. This creates a high risk situation since the person senses the absence of the sought after feelings but cannot remember that they recently took a pill, leaving them quite likely to pop another one. Taking even two Xanax in a short amount of time can have serious consequences.

Unfortunately, many who abuse Xanax also abuse alcohol. This means that users are taking two depressants at the same time. It is just like doubling up on Xanax in terms of risk. Drinking along with taking a Xanax may double the high, but it also ratchets up the risk factor – ingesting two strong depressants can slow down respiration (breathing) and the central nervous system to hazardously low levels.

Symptoms of Use

Symptoms of Xanax use include slowed heartbeat, trouble concentrating, slowed breathing, sleepiness, confusion and loss of memory. According to reports from the Substance Abuse and Mental Health Services Administration more than 60,000 hospital admissions were the result of Xanax abuse in 2008. Since prescription rates for the drug have steadily climbed by 9 percent annually, current figures can be expected to vastly outstrip that number.

Benzodiazepines like Xanax are medically appropriate when used to help epileptics prevent serious seizures. The drug is sometimes prescribed to treat insomnia but warnings abound recommending that the drug only be used short-term for treating sleeplessness. It is probably most commonly prescribed to calm symptoms of generalized anxiety disorder, but again the drug is recommended only for short-term use, not more than one month.

Xanax works by increasing activity of the brain’s own soothing mechanism. Neurotransmitters known as GABA are naturally occurring sedatives. When these neurotransmitters are abnormally excited long-term a physical and psychological dependence (addiction) can result.

What this means is that it is not hard at all for people using Xanax to quickly feel like they need the drug in order to cope. Tolerance is a term which describes how the body adjusts to the presence of medications and eventually requires more of a substance in order to produce similar results. Teens who take Xanax can wind up addicted to the drug before they know it.

If a teen is mixing Xanax – or any medication recreationally – with alcohol, the potential for addiction skyrockets, as does the risk of lethal consequences.

Teens being treated for substance addiction may soon have a new tool to combat their drug problem. A new study finds that outcomes are improved for cocaine addiction treatment when the drug Topamax is included as part of the strategy for recovery.

Treating cocaine addiction can be challenging. Teens that begin using cocaine can become addicted quickly, and when treatment is sought and completed, relapse can be common. Teens often enter into a cycle of recovery and relapse with cocaine addiction.

Addiction to Alcohol

It is common for teens addicted to cocaine to also be addicted to alcohol. Abuse and addiction of both substances can make treatment complicated. For some, the traditional route of cognitive behavioral therapy is not an effective strategy for recovery to be a permanent state.

Topamax, a drug often prescribed for the purposes of treating epilepsy and, in more recent cases, weight loss, has been shown to help those attempting recovery from cocaine and alcohol addiction.

The Study

Drug May Help Teens Overcome Cocaine Addiction

The research team from the University of Pennsylvania School of Medicine used a double-blind, placebo-controlled design to test the effectiveness of topiramate in treating addiction, particularly in cases where cocaine addiction is complicated with a dependence on alcohol.

Previous studies have proven the effectiveness of topiramate in treating alcohol addiction. Other studies have shown that it can help prevent relapse in those who have received treatment for cocaine addiction. However, this is the first study to explore its application in treatment for a combined addiction to cocaine and alcohol.

The study’s results are critical because those who struggle with cocaine addiction commonly also struggle with alcohol dependence. Targeting the addictions as a unit may be an effective strategy to make recovery more successful.

The study was conducted over a 13-week period that included 170 individuals who met criteria for alcohol and cocaine addiction. The trial produced mixed results.

The Results

The researchers discovered that the drug was effective at reducing the cravings for alcohol, but actual drinking did not decrease. It was not found to impact cocaine cravings.

However, the study participants that were taking topiramate were more likely to remain in treatment and avoid cocaine use during the last three weeks of the trial when compared to participants who were taking a placebo.

The researchers also found that participants taking topiramate were more likely to benefit from the drug if they reported more severe withdrawal symptoms. Those who indicated a high level of restless behavior, agitation and depressed mood were more likely to report benefiting from topiramate.

Counseling and the Drug

First author of the paper, Kyle M. Kampman, M.D., professor of psychiatry and medical director at the Charles O’Brien Center for Addiction Treatment, explains that while counseling is the first choice for addiction, there are some patients who are not responsive to this strategy.

The results of the study indicate that for those who have a particularly treatment-resistant addiction, the addition of a topiramate treatment in addition to cognitive behavioral therapy may result in better outcomes.

The study’s findings add to a growing body of research that supports the use of topiramate to aid in treating addiction. A previous study conducted in 2005 provided evidence that addicts treated with the drug were able to abstain from cocaine use for three weeks or longer.

The researchers note that the failure of topiramate to reduce alcohol use was puzzling, but may be explained by the severity level of that particular group of participants. The effects may be more visible when an individual has a habit of drinking heavily.

The Test Subjects

The study’s findings were the result of a trial conducted among a group of addicts who had an average age of 45 years and which was largely composed of African-American males. The groups of men examined using the drug of treatment and a placebo were similar in terms of sociodemographic variables or drug and alcohol use.

The findings of the study were published in a recent issue of the journal Drug and Alcohol Dependence.

One of the hardest barriers to break through when confronting alcoholism is that of denial. Hollywood stereotypes alcoholics as bums with no home, no job and no family. Who would want to identify themselves as a person worthy of ridicule or pity? Very few and it may be what keeps so many from seeking help.

Universal Negative Effects

Many Alcoholics Refuse to Get Treatment Due to StigmaThe truth is that alcoholism affects people in every social, educational and professional sphere. This is a non-biased addiction. Finding the courage to admit the problem seems to be one of the greatest obstacles to turning things around. Alcoholics Anonymous meetings confront this hurdle head-on by requiring participants to stand before a group and name their problem – alcoholism.  “I am an alcoholic” is a tough admission, but it represents the death of denial.

The title “alcoholic” is one no one wants to wear and people will go to great lengths to avoid accepting the label. The alcoholic is a person who is not in complete control over his or her behavior.  Those being ruled by alcohol may worry that they will sink in the eyes of others if they admit it, but that embarrassment pales in comparison to the joy of regaining control over one’s  life.

Regain Control

The good news is that a person can regain control. The American Medical Association defines alcoholism as a medical and psychiatric disease. It goes on to say that alcoholism is considered a treatable disease. This is hope. Alcoholism is a beatable disease, it can be overcome. Life can be better.

A 2010 study found that more than 60 percent of people who recognize their problem with alcohol avoid getting help because of perceived stigma. Two-thirds of the participants in the study with serious drinking issues reported believing that alcoholics were stigmatized. They did not look for a way out of alcoholism because it would mean admitting they were alcoholics and that label carried too much baggage.

Courage in Recovery

The fact is that most likely those who might look skeptically at an admission of alcoholism are probably the very people who should be avoided. Those who care about the alcoholic will applaud the courage it takes to admit the problem rather than stigmatize him or her. As the person moves forward in recovery, it will matter less and less what others may think  because the confidence that comes with being in control of life makes what other people think trifling by comparison. It is a terrible shame that health and well-being should ever be captive to misplaced perception.


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