Pubdate: Mon, 31 Jan 2011 Source: Meridian Booster (CN AB) Copyright: 2011 Osprey Media Contact: http://www.meridianbooster.com/feedback1/LetterToEditor.aspx Website: http://www.meridianbooster.com Details: http://www.mapinc.org/media/1590 Author: Murray Crawford RECOVERY A LONG ROAD FOR THOSE IN DRUG 'GAME' After sitting down with Const. Eldon Chillog, Lloydminster RCMP General Investigative Services, and talking at length about the drug 'game' in the city the Booster sat down with Dr. Lisa Luciano, Thorpe Recovery Centre, to talk about the effects and recovery of long term drug use. By the time people reach the stage where they are ready to stop using drugs and get clean the 'game' has chewed them up and spit them out. "When people call us it is usually because they have hit bottom," said Dr. Lisa Luciano, Thorpe Recovery Centre clinical director. "The people who come here aren't recreational users of the substance they have had significant losses in their life due to alcohol, drugs or gambling." When a person comes into the Thorpe Recovery Centre Luciano said their lives and bodies are falling apart. "We have some people in the advanced stages of chemical dependency," said Luciano. "They're starting to have liver failure, seizures, seizure disorders, mental illness as a result, anxiety, depression and psychotic episodes." At Slim Thorpe, individuals spend time in the early stages of rehab trying to stabilize people who are in the psychotic episode phase. "It's very messy and people come with a combination of those things," said Luciano. But recovery doesn't happen all the time either. As a person's commitment and maturity plays a big role in the level of dedication to ending the cycle of addiction. "A younger person fights the idea of having an addiction more," said Luciano. "They're still looking for a way to continue using. Once they start getting healthy they bargain with the solution we offer them. Who wants to be a sober 25-year-old?" The solution is staying sober, attending meetings, attending therapy, staying in a supportive environment and working on relationships. "You don't come to treatment and everything is fixed," said Luciano. "You get physically stable, you start practicing a few of the tools you will need and then you go and try to face life. That's when the hard work starts." Relapse can and sometimes does occur as patients fall back into old habit, and Luciano said it often takes four tries for people to effectively get clean. Stays at Slim Thorpe start with a seven-day period of cleansing the body of chemicals. "The first week is pretty awful," said Luciano. "The hardest part isn't always the physical part. They don't really like themselves when they come in here. The hardest part is the shame, the grief and the hopelessness." Though the program is currently six weeks long, Luciano said ideally it would be longer as lengthier stays have been more effective in other programs around the continent. For Luciano, there are interesting comparisons to be made among those in the treatment facility. People who are a few weeks along in their treatment will relate to a fresh face in the program and help them out. "It's where the sparks of hope happen for our new people," said Luciano. "I think it's why a treatment facility is such a necessary thing. People in a detox situation are in such a bad emotional state. Talking to me, the nurse or someone who seems like they have their act together is really tough. Talking to someone who is a few weeks ahead of them is sometimes the only thing they can do." Post-acute withdrawal can take longer than the seven-day detox period; marijuana for example, takes a really long time to leave the body. "It can take months, marijuana is the worst, we find," said Luciano. "If they're using crystal meth or amphetamines we want them to have at least 30 days off of the drug. There can be differences in treatment based on what people have done to themselves and how long they've been doing it themselves." Luciano said the chemical dependency associated with extended drug use leads a shift in the brain that first needs to be worked out. "Anything people do towards getting well is a positive thing," said Luciano. "It is a relapsing disease. It is judged a lot of times and I don't think people understand the shift that happens in the brain and how long it takes for people to get well. It's tough to change." There are both publicly funded and privately funded beds available in the Slim Thorpe Recovery Centre. The most common age range is 35 - 55, but there are many people from all other ages who attempt to get clean at the facility. "I don't like taking anyone under 21 unless family is heavily involved because they are still adolescents," said Luciano. The idea of addiction as a disease is a concept the staff at the facility attempts to drive home after the detox period has occurred. "For a lot of addicts they don't understand why they can't change," said Luciano. "They want to change, they are heartbroken they can't change, they hate that they're hurting the people they love and they hate that no matter what they try they keep failing." But it starts to get better when they learn the why and what they have to do to get well. - --- MAP posted-by: Richard Lake