Pubdate: Fri, 23 Jan 2009 Source: Jefferson Post, The (NC) Copyright: 2009 The Jefferson Post Contact: http://www.jeffersonpost.com/ Details: http://www.mapinc.org/media/1771 Author: Jesse Campbell Bookmark: http://www.mapinc.org/meth.htm (Methamphetamine) TREATMENT OPTIONS VARY FOR VICTIMS OF METH USE Last in a series As methamphetamine usage continues to rise in the western part of the state, various regional and national drug rehabilitation centers have upped their efforts to provide treatment and support for users and their families. In the Post's second installment on the examination of the rise in methamphetamine usage and production, the efforts of the Ashe County Sheriff's office were touched upon as Sheriff James Williams offered a stern message to anyone who uses or may be contemplating drug usage: "sleep with one eye open." Although many pundits and law enforcement officials would agree that the correctional system may be one avenue for drug cessation or deterrence, other options do exist to assist those who may be struggling with crystal meth or any other form of drug or alcohol addiction. Many users have found cessation success in the form of rehabilitative services but these programs differ in the form of treatments that are offered, and it may be difficult to determine which program is best suited for the individual. According to Drug Rehab Services, the most effective form of treatment for methamphetamine addiction may be cognitive behavioral interventions. Through intervention, medical officials and psychologists attempt to modify the patient's thinking, behavior, and attempt to increase his or her skill base so they can cope with life stressors that can trigger cravings for the drug, DRS said. Unlike other forms of substance abuse treatment, there is not a standard form of pharmacological treatment for methamphetamine addiction, the National Institute on Drug Abuse said. Some experts have borrowed from the treatments used to treat patients with cocaine dependence, but the successes of these treatments have varied. Acute methamphetamine addiction can be treated by medical officials observing the user in a safe and quiet monitored environment. In extreme cases of methamphetamine addiction, such as binge consumption or tweaking, anti-anxiety agents such as benzodiazepines and abbreviated doses of neuroleptics have proven somewhat successful in fighting off short-term methamphetamine induced psychoses, the NIDA said. Low dosages of Prozac have also been cited as an effective methamphetamine craving suppressant. Withdrawal symptoms from methamphetamine usage can wreak severe psychological and physical havoc on users attempting to come off the drug. According to the Recovery Connection, withdraw symptoms from meth can range from intense drug cravings and convulsions to nausea, insomnia, irritability, and depression. Antidepressant medications have been used with patients who have just recently become abstinent from drug dependency and refrained from usage but individuals should consult a professional about taking such medication. In cases where patients suffer an overdose from any type of methamphetamine consumption, they should pursue emergency medical care immediately. Emergency room personnel will often perform procedures and administer medication to treat potentially fatal complications associated with overdoses such as hyperthermia and convulsions. Support groups for users of methamphetamine have also proven successful in keeping users 'clean.' The American Academy of Family Physicians released a report in October of 2007 that contained information on the successes and failures of various treatments of methamphetamine addictions. In their findings, the ACFP reported that outpatient behavioral treatments have become the standard for abuse and dependence. Other forms of treatment have found success in rewarding patients who have provided drug-free urine samples. The Twelve Step program has also enjoyed successes in deterring users which acts as a set of guidelines to recover from any type of addiction or compulsion, the AAFP said. A system known as the Matrix Model has also proven successful in treating patients who have abused stimulants. In essence, the model is regimented to fit the individual needs of each patient and is based on cognitive principles that incorporate both individual and group therapies, the ACFP said. It is important to remember however that the listed possible routes of recovery are only examples and an individual who is struggling with any type of addiction should talk with a health care or mental health professional about what choice is right for them. None of the listed form of treatments is endorsements, these are just examples. For more information on drug rehabilitative services in North Carolina, please contact N.C. Drug Rehab Services 1-877-801-5475 or 1-866-635-1001 for information on drug treatment centers in North Carolina. - --- MAP posted-by: Jay Bergstrom