Pubdate: Tue, 23 Mar 2004 Source: Burnaby Newsleader (CN BC) Copyright: 2004 Burnaby Newsleader Contact: http://www.burnabynewsleader.com/ Details: http://www.mapinc.org/media/1315 Author: Julia Caranci Bookmark: http://www.mapinc.org/meth.htm (Methamphetamine) SPECIAL REPORT: THE DARK SIDE OF CRYSTAL METH At the age of 18, Jerry decided he wanted to try every drug at least once. He started with alcohol, pot and cocaine. Then he found crystal meth. "I remember thinking it was the best thing ever," said the Langley man. "I could talk and talk and talk - it was so cheap and a big bang for your buck." Within a year, Jerry (not his real name) was using every day, and spending much of his free time at a "gack house" (meth users' equivalent of a crack cocaine house). He became a driver for dealers in return for free drugs and eventually turned to crime to support his habit. Today he's a tall, stocky man, smartly dressed in black jeans and T-shirt, with short dark hair and a contagious laugh. But just four years ago he was pale and gaunt, having dropped 30 pounds in just a few weeks. And then there was the paranoia. He became convinced people wanted to kill him. He thought mini-cameras had been set up in his car and at his home. Once he filled a can with gasoline and was ready to fight back by burning his enemies and their homes. He needed help, and he knew it. "The day I asked mom to bring me to the doctor I told her Regis and Kathy-Lee (from the TV show) had been making fun of me for an hour," said Jerry. "I was just gone - crazy." Jerry is one of the lucky ones - he broke free. But thousands of other, mostly young users remain in the vicious dance of highs, lows and crashes that can end in permanent brain damage. Known on the street as crystal meth, crank, glass or zip, methamphetamine is a powerful drug that releases high levels of chemicals into areas of the brain that regulate feelings of pleasure. It increases wakefulness and physical activity, and decreases appetite. Meth comes in many forms and can be snorted, swallowed, injected or smoked. Crystal meth is cheap. A "point" (0.1 grams) of the drug costs under $20 and the high lasts for hours. Users - commonly between the ages of 12 to 18 - can maintain a habit for as little as $5 a day. Because the effects of meth last up to three days, during which time users often don't sleep or eat, it's particularly attractive to teenage girls who use it for weight control. In just two years, crystal meth has overtaken cocaine as the third most popular drug (after alcohol and marijuana) in the Fraser Health Authority (FHA). "We've seen an increase right across Fraser Health and in fact provincially in the use of crystal meth, particularly in youth. It's a very dangerous drug," said Sherry Mumford, addictions leader for the FHA. "We're seeing an increasing number of people coming into addiction clinics telling workers crystal meth is their drug of choice." In fact, between 16 and 20 per cent of the people seeking help say crystal meth is one of the drugs they're using, if not the only one, with the numbers being higher in younger people than older. A 2002 survey of close to 2,000 students in the Lower Mainland found 19 per cent had tried crystal meth. The same study found the average age for first use of the drug was just over 14. Most could obtain it in under 24 hours. Annette Welsh, director of The Front Room, a drop-in homeless shelter in Whalley, has seen a marked increase in the use of methamphetamine among the homeless and transient. "Crystal meth is everywhere now - a lot of our clients use it," said Welsh. "Like crack, it becomes a mental addiction." Dave knows all about the attraction of meth. A 28-year-old, handsome and articulate young man with intense blue eyes, he's been hanging out at the Front Room for a year, and is self-professed speed junkie. "I use it to be more social," said Dave. "It makes it easier for me." He used to do cocaine but gave it up for crystal meth because he can stay high on it for about $15 a day. Coke was costing him $250. Dave knows the risks. Methamphetamine is exceptionally toxic. High doses can elevate body temperature to dangerous, even lethal levels, and can cause convulsions. When long-term users - "tweakers" - try to kick the drug, they often experience depression, confusion, fatigue and aggression. And that makes getting off crystal meth extremely difficult. "It takes longer for their heads to clear - 30 days at least," said Ed Warnke, managing director for the Launching Pad, the South Surrey addictions recovery house where Jerry was treated. "Then the nightmares start. The weird thing is, they share the same type of nightmares - bloodthirsty." Many addicts learn to make the drug themselves. Some begin taking the ingredients without mixing them. "They try using them separately, like ammonia, because it's part of crystal meth," said Warnke. "I've had to rush people to the hospital more than once." He's also noticed crystal meth affects mental capacity more than other drugs. "I've talked to people with a mental illness that have clearer thoughts than them," he said. There is a unique danger in using crystal meth because it leads to psychosis in some users. This can take the form of paranoia, hallucinations and delusions, which in turn can lead to homicidal and suicidal thoughts. Dr. Bill MacEwan, a psychiatrist with FHA's Early Psychosis Intervention program, treats drug-induced psychosis in crystal meth users. It's not just street kids and transient adults using crystal meth, says MacEwan. It's become popular with suburban kids who live at home, come from good families, attend school and wouldn't be pegged as drug users. "It's really terrifying. It's a highly addictive substance," said MacEwan. "And when it grabs these kids, it's really hard for them to get away from it." Some of his patients continue showing symptoms of psychosis three years after quitting meth. Studies suggest the damage, in some cases, is permanent. "It's stressing the person's brain to the point where not only do they have psychosis while they are using the drug, but it persists afterwards," said MacEwan. Treatment includes counseling and the use of anti-psychotic medications. For many, recovery is a long road. As for Jerry, he's been clean for 18 months. Today he counsels kids in Grades 10 to 12 about the dangers of crystal meth. And the voices that were in his head? "On a bad day, they're still there," he said. "But now I don't run with it." Crystal meth task force The FHA has formed a task force concerning crystal meth. The goal is to get the message out about how to identify meth users and how to help them. The group will study intervention and treatment programs in other health authorities and learn from their initiatives. There are no programs specific to crystal meth in the FHA, although there are addiction recovery services that help with meth and other addictions. The task force will have its first meeting this month - there is no set end date. - --- MAP posted-by: Larry Seguin