Tag Archives: Addiction

Marijuana Can’t Treat the Opiate, Heroin Epidemic

Any marijuana use leads to less intelligence potential, less empathy for life, less motivation and poorer decision making.  A war on drugs is a protection and defense of our brains.   Governor Susana Martinez probably recognizes how Colorado’s marijuana problem leads to the drug epidemic and filters into New Mexico’s substance abuse issues.   Read about her veto in Part 1.

One young man who gave us a testimony explained how his marijuana use led directly to heroin addiction.

In Colorado, Dr. Libby Stuyt, addictions psychiatrist, traces a direct line from marijuana legalization to the heroin epidemic.    Colorado’s recent report on heroin has shown that the number of deaths from heroin overdose have doubled between 2011 and 2015.

In fact, Pueblo County, has suffered from heroin use and addiction more than any other Colorado county.  Pueblo, Denver and Boulder have the highest rates of youth marijuana use.   Southern Colorado is suffering the most from the heroin epidemic. Counties that have banned marijuana dispensaries have been affected the least by the heroin.

Misunderstanding of the Opioid and Heroin Epidemic

Since the government has clamped down on opiate prescriptions, more users have replaced the pain drugs with heroin.  Since the legalization of marijuana, Mexican cartels have replaced much of their marijuana with heroin.  Heroin is now cheaper and addicts find it easier to get heroin than prescription pills.

Politically there is a great deal of misunderstanding about the opioid epidemic. If it was initially caused by over prescribing of medications, that’s no longer primarily the case.   Seth Leibsohn wrote an insightful article on the subject last week. The abuse of opioid prescriptions acquired legitimately constitutes a small portion of the overdose problem, he said. *

A simple crackdown on prescriptions will not solve the problem, according to Maia Szalavitz.  Although Szalavitz misunderstands the  inherent danger in using marijuana,* she explains the underlying causes of substance abuse quite well.  Impulsive children are at high risk of becoming drug users, but so are some highly cautious and anxious young people.   Two thirds of people with opioid addictions have had severely traumatic childhoods, and the more exposure to trauma, the higher the risk.  We need to help abused, neglected, fragile and otherwise traumatized children before they turn to self-medication as teens.  On the other hand, we should also provide tools and teach coping skills to children who are impulsive, ADHD or anxious.   (Overmedicating children doesn’t allow them to develop the skills needed to transition into adulthood.)

Let’s Help People Get off ALL Drugs

Effective treatment for addictions is getting off all drugs, not going to other harmful, brain-altering substances.   “The goal in helping a loved one with a substance use problem is not to reduce their use. It is to stop drug use,” according to Sven-Olov Carlsson of Drug Policy Futures.  He gave the opening address at the World Federation of Drugs Conference in Vienna last year.  As Carlsson said, the current heroin epidemic proves that “harm reduction” is not saving lives.

No one sets out to become an addict.   Fortunately, more people and states are realizing the foolishness of allowing “medical” marijuana for intractable pain.  It opens up a Pandora’s Box of problems, as in California and elsewhere.

Addiction specialists estimate that one in five American adults is addicted to drugs or alcohol.  With such large numbers, there should be no “stigma” attached to addiction or treatment.  A new or revised health care act should maintain the provision to treat addiction.

Those who are addicted have a strong need to protect a secret.  Their brains have been hijacked and there isn’t a straight path back to previous functioning.

Optimum treatment requires a period of time when the person is not using any substance of addiction in order for the brain to heal.  During that time, the person needs to be able to learn new things. The lack of treatment resources which allows this to happen is a big barrier to recovery.   Marijuana cannot be used to treat this current drug epidemic.

___________________________________________________________________________*  Another recent article explains how doctors began to take pain seriously, treating it as a fifth vital sign.  Szalavitz based her 10% addiction rate for marijuana on the weaker pot of the ’70s and ’80s, not the pot of today.  She also disregarded teen users of pot.

 

brain-therapies

Successful Strategies for Deep Healing of Trauma and Pain

Using Mind-Body Connection for Deep Healing

The average medical marijuana cardholder in California is a 32-year-old male who uses it for chronic pain.  If so many young people have so much chronic pain, it’s tempting to think medical marijuana is for “anyone who can fake an ache.”*

Another part of the equation is that physical pain often develops as a result of stressful events lodged in the body.  It’s also possible that many ‘patients,’ including those who are veterans, actually suffer from deep emotional pain and trauma.  (Read Part 1 for the Mind-Body Connection to trauma and pain.)

Two young women who wrote to Parents Opposed to Pot explained their need for medical marijuana to deal with traumatic childhoods. One said it was because her mother had committed suicide, while the other said she had experienced traumatizing sexual abuse.

Using marijuana in order to numb painful feelings, or for getting high, will only mask the underlying emotional pain. In all cases of psychological issues, including PTSD, marijuana works against true healing, no matter how much temporary relief it provides.

21st Century Strategies for Healing

Since pain or disease (dis  ease) is imbalance, the body which created the disease can also be the body which heals the disease.

Dr. Libby Stuyt, a professional advisor to Parents Opposed to Pot uses Brain Synchronization Therapy to heal trauma in the body and
bad memories. The neuroplasticity of the brain means that even post-traumatic experiences can be weakened or discarded. At the same time, the brain can relearn forgotten neural pathways.

Dr. Libby Stuyt is Medical Director for the Circle Program at the Colorado Mental Health Institute

Besides Brain Synchronization Therapy, Dr. Stuyt recommends both EMDR (Eye Movement Desensitization and Recovery) and Biofeedback based on heart rate variability.

Neurofeedback is another therapy which can heal trauma, PTSD and ADHD without drugs.  Even the Washington Post describes very positive outcomes from Neurofeedback for healing additional problems such as depression and severe pain.

Some therapists have found a newer technique, Brainspotting, to be  even more effective than EMDR.   The theory is that Brainspotting taps into the body’s innate self-scanning capacity to process and release focused areas that are maladaptive.  Brainspotting can often reduce and eliminate body pain and tension associated with physical conditions.

Listen to Dr. Libby Stuyt’s video about why marijuana is not an effective treatment for PTSD.

Another technique, Sensorimotor Psychotherapy provides healing in which the victim need not remember or relive the painful experiences.   This therapy changes the brain’s reactions to events to change how legacy of trauma affects the victim.  Sensorimotor therapy treats the effects of events as they recur in response to reminders of the trauma.

Treating Root Causes Rather than Just the Symptoms

The good news is that there are ways to treat PTSD and chronic pain that don’t involve drugs, ways that treat the root causes rather than symptoms.  “Medical” marijuana does not provide deep healing.

Medical marijuana is an addiction-for-profit industry which needs new users and promotes long-term use.   Habitual users run the risk of becoming psychotic.  Like continuous opiate users, they may also develop addiction.

At the Alternative Wellness Club, published in Oregonlive, 2014, patients were introduced to “dabbing.” Some of these  users  claimed to have bipolar disorder which may in fact be related to trauma–or triggered by marijuana. Dabbing increases the risk for addiction and psychosis.

The recent report from National Academy of Science found marijuana can give moderate relief to three medical conditions, pain being one of the conditions.  Although the human body has cannabinoid receptors, marijuana’s cannabinoids are foreign to our bodies.  They’re not endo-cannabinoids, the body’s natural occurring chemicals, but exo-cannabinoids.  With marijuana use over time, THC will replace the cannabinoids associated with joy and happiness.

Therefore, it’s hard to claim THC is truly “natural” for humans.

Mind-body healing solutions are the “natural” solutions, and they cannot be addictive.  They offer help for chronic suffering in ways “medical” marijuana and pharmaceutical medicines cannot help.

Read Parts 3 and 4 to find out more about Adverse Childhood Experiences (ACEs) and drug policy.

*Quote is from Professor Jonathan Caulkins of Carnegie Mellon.

It’s not ‘just’ marijuana

It’s Not ‘Just’ Marijuana

Allowing marijuana use will just give addiction a foot in the door

(It’s not ‘just’ marijuana originally posted in Central Maine Press on March 4, 2017)  Kennebec Journal/Morning Sentinel (Maine)

BY ROBERT CHARLES

He came into my office with his hair on fire. A father, middle-aged. I made a habit of leaving my door on Capitol Hill open.

Most committee staff directors and counsels don’t do that; they have “gatekeepers.” Nominally, I did too, but I felt I worked for every taxpayer, every single one, and he was one.

My criminal justice committee, plus the speaker’s task force and bipartisan working group on narcotics and addiction that I ran, all focused on oversight. Part of the job was oversight of the Justice Department, the Drug Enforcement Administration, and other federal agencies struggling with the spike of drug abuse that was happening then, in the 1990s.

I asked this upset father to come in. He had something obviously important on his mind. In that moment, I appeared to be “the federal government.” I pointed to the big stuffed chair, sat down myself and listened.

He was mid-sentence. “And he was a typical, strong, independent 18-year-old,” he was saying. I nodded. “And he was a good kid … I had been law enforcement, see? I found the pot in his room.” I nodded. “And he was a skier, loved to ski.”

When Teaching Moderation Didn’t Work

“I confronted him, knew what it was …” He seemed to be reliving that inflection point. “But I said, look, ’cause he was a good kid, I said, “OK, OK, look, everything in moderation.”

I did not say anything.

“It seemed OK, you know? That’s what they always said about other things. I wanted to keep the relationship with my son, you know? A good kid.”

The conversation poured out of him.

“Then things changed, he got distant. Other drugs, heroin. He tried to stop.” The father started to ramble. The law’s fault. The criminal justice system. His son had been stealing. Treatment. Friends who weren’t friends. More treatment. Profanity. Exasperation.

I listened. Sometimes that was all I could do. He had come to tell someone. He was looking for something, and I sensed I could not give it to him.

“So, you see, that was three years ago. I was a good dad, said everything in moderation … it was just marijuana.”

He looked up at me sharply. I knew there was more. Finally, it came.

“Last month, I went up there, top of the mountain, where he always skied. I took the ashes of my son, in a shoe box. I held him in a shoe box. The same son I had held 21 years ago as a baby. And I sprinkled his ashes there…”

We were both quiet. He cried. And I cried. I told him he was not alone. I told him many things about this terrible crisis that gripped us, gripped the nation. And he got, I think, some small, insignificant consolation.

That father wanted something I could not give him, beyond a hug and shared tears, and consideration for his agony. He wanted the moment back. The earlier moment. He wanted his son back.

Why No Caring and Empathy for Others’ Pain?

That was almost 20 years ago. The nation had lost 14,000 kids to overdoses that year. Congress wrote and passed the Drug Free Communities Act of 1997, Mental Health Parity Act of 1996, the National Youth Anti-Drug Media Campaign, and federal anti-drug trafficking laws, including against trafficking marijuana. And drug abuse went down — markedly.

People cared. They knew intuitively that narcotics — including marijuana — were not cigarettes, not beer. Attitudes changed, as they had back in the 1980s during the Ronald and Nancy Reagan years.

And then the great forgetting began again. Drug addiction — so often starting with marijuana, as it is readily available — began to climb again. Then the availability of opiates and heroin. No one paid attention.

And here we are, again, today. Only last year, more than 52,000 people died of drug overdoses, taken from loving, devastated parents, as well as siblings and friends. They want the status quo ante, those precious moments back, decisions back, sons and daughters back.

They want to be able to say, “No, marijuana is not harmless, not a good choice, not the right thing — no matter what voters or governments say.”

This week, I talked to another parent who lost her son to heroin, and began with marijuana.

I teared up again, a good kid, led in the wrong direction by a government that did not care enough to tell the truth, explain the trap door, the treachery of addiction that comes so often with marijuana. “We thought, you know … it was just marijuana.”

The truth? There is no “just” about it.

Robert Charles grew up in Maine who served as assistant secretary of state under Colin Powell.

Can Marijuana Help with the Opioid Overdose Problem?

Smart Approaches to Marijuana has the Answer for Senator Warren

Last year Sen. Elizabeth Warren asked the CDC if marijuana can be used to fight the opioid epidemic.  There’s an answer in Smart Approaches to Marijuana’s recent publication, its educational toolkit for 2017.  The publication refers to academic studies which suggest that marijuana primes the brain for other types of drug usage, alcohol and heroin.  Here’s the summary on that subject from page 4, Marijuana and Other Drugs: A Link We Can’t Ignore :

MORE THAN FOUR in 10 people who ever use marijuana will go on to use other illicit drugs, per a large, nationally representative sample of U.S. adults.(1) The CDC also says that marijuana users are three times more likely to become addicted to heroin.(2)

Although 92% of heroin users first used marijuana before going to heroin, less than half used painkillers before going to heroin.

And according to the seminal 2017 National Academy of Sciences report, “There is moderate evidence of a statistical association between cannabis use and the development of substance dependence and/or a substance abuse disorder for substances including alcohol, tobacco, and other illicit drugs.”(3)

RECENT STUDIES WITH animals also indicate that marijuana use is connected to use and abuse of other drugs. A 2007 Journal of Neuropsychopharmacology study found that rats given THC later self administered heroin as adults, and increased their heroin usage, while those rats that had not been treated with THC maintained a steady level of heroin intake.(4) Another 2014 study found that adolescent THC exposure in rats seemed to change the rodents’ brains, as they subsequently displayed “heroin-seeking” behavior. Youth marijuana use could thus lead to “increased vulnerability to drug relapse in adulthood.”(5)

The National Institutes of Health says that research in this area is “consistent with animal experiments showing THC’s ability to ‘prime’ the brain for enhanced responses to other drugs. For example, rats previously administered THC show heightened behavioral response not only when further exposed to THC, but also when exposed to other drugs such as morphine—a phenomenon called cross-sensitization.”(6)

Suggestions that one addictive substance replaces another ignores the problem of polysubstance abuse, the common addiction of today.

ADDITIONALLY, THE MAJORITY of studies find that marijuana users are often polysubstance users, despite a few studies finding limited evidence that some people substitute marijuana for opiate medication. That is, people generally do not substitute marijuana for other drugs. Indeed, the National Academy of Sciences report found that “with regard to opioids, cannabis use predicted continued opioid prescriptions 1 year after injury.  Finally, cannabis use was associated with reduced odds of achieving abstinence from alcohol, cocaine, or polysubstance use after inpatient hospitalization and treatment for substance use disorders” [emphasis added].(7)

Moreover, a three-year 2016 study of adults also found that marijuana compounds problems with alcohol. Those who reported marijuana use during the first wave of the survey were more likely than adults who did not use marijuana to develop an alcohol use disorder within three years.(8) Similarly, alcohol consumption in Colorado has increased slightly since legalization. (9)

Here’s the complete Data on Marijuana Policy for 2017 in pdf form.

Senator Elizabeth Warren is a strong advocate for consumer rights

Here’s the Answer for Senator Warren

Senator Warren, Parents Opposed to Pot, which doesn’t support any political party, hopes you’re satisfied with the answer.  We miss your previous, more sensible approach to marijuana before NORML criticized you a few years back. These industry promoters are placing their stories in national publications because they honor their profits over public health.  They want users who will become addicted and so suggest the substitution of marijuana for pain pills.  We believe the future of pain medicine is in utilizing alternative, mind-based stressed reduction strategies and meditation to deal with chronic pain.   Remember, “medical” marijuana was planned as a hoax.

Senator Warren, you’re deeply respected by youth.  You could be a powerful spokesperson by advocating for them not to use drugs.  The problem is that — for some young people — that critical first choice to use a drug turns into a game of Russian Roulette.

Parents who lost children to drugs overwhelmingly insist their children initiated drug use with marijuana and alcohol.  Marijuana advocates insist marijuana is “not a gateway” drug, but studies show otherwise.  Marijuana is a gateway to other drugs for 40+ percent of those who start using pot.  It is never wise to substitute one drug of addiction for another drug of addiction.   Please consider that not everyone who becomes addicted to opiates started because of pain.  Many started for fun.  According to a Jon Daily of Recovery Happens, most begin pain pill abuse because their relationship with intoxication began as a relationship with marijuana and/or alcohol.

There are many other ways to treat the opiate epidemic:  better prevention programs, mandating education in the schools and  clamping down on internet sellers of these drugs.  Studies claiming fewer overdose deaths occur in marijuana states need to consider the availability of suboxone, other drugs to counter the overdose.

Senator Warren, please check out Smart Approaches to Marijuana, which advocates an alternative to legalization which does not include incarceration.    In our next article, Senator Warren, we will discuss the marijuana-mental illness links………… once again.

FOOTNOTES:

  1. Secades-Villa R, Garcia-Rodríguez O, Jin CJ, Wang S, Blanco C Probability and predictors of the cannabis gateway effect: a national study. Int J Drug Policy. 2015;26(2):135-142

2. Centers for Disease Control. Today’s heroin epidemic Infographics more people at risk, multiple drugs abused. CDC, 7 July 2015.

3. National Academies of Sciences, Engineering, and Medicine; Health and Medicine Division; Board on Population Health andPublic Health Practice; Committee on the Health Effects of Marijuana: An Evidence Review and Research Agenda (“2017 NAS Report”).

4. Ellgren, Maria et al. “Adolescent Cannabis Exposure Alters Opiate Intake and Opioid Limbic Neuronal Populations in Adult Rats.”Neuropsychopharmacology 32.3 (2006): 607–615.

5. Stropponi, Serena et al. Chronic THC during adolescence increases the vulnerability to stress-induced relapse to heroin seeking in adult rats. European Neuropsychopharmacology Volume 24 , Issue 7 (2014), 1037 – 1045.

6. “Is marijuana a gateway drug?” National Institute on Drug Abuse. Jan. 2017. See also Panlilio LV, Zanettini C, Barnes C, Solinas M, Goldberg SR. Prior exposure to THC increases the addictive effects of nicotine in rats. Neuropsychopharmacol Off Publ Am Coll Neuropsychopharmacol. 2013;38(7):1198-1208; Cadoni C, Pisanu A, Solinas M, Acquas E, Di Chiara G. Behavioural sensitization after repeated exposure to Delta 9-tetrahydrocannabinol and cross-sensitization with morphine. Psychopharmacology (Berl). 2001;158(3):259-266.

7.  2017 NAS report.

8.  Weinberger AH, Platt J, Goodwin RD. Is cannabis use associated with an increased risk of onset and persistence of alcohol use disorders? A three-year prospective study among adults in the United States. Drug Alcohol Depend. February 2016.

9. Rocky Mountain HIDTA Investigative Support Center Strategic Intelligence Unit. The Legalization of Marijuana in Colorado: The Impact, Volum