Author Archives: SafeLaunch

What You Need to Know About Heroin Addiction

According to SAMHSA, in 2011, 4.2 million people age 12 and older used heroin at least once in their lifetime, and 23 percent became dependent.

By Dr. Barbara Krantz | February 12, 2014

Reposted from

Philip Seymour Hoffman’s tragic death has focused attention on heroin addiction. Unfortunately, heroin addiction is on the rise from teens to older adults.
Heroin addiction doesn’t discriminate. Individuals from every socioeconomic background have access to the drug because it’s cheap and easy to get. According to SAMHSA, in 2011, 4.2 million people age 12 and older used heroin at least once in their lifetime, and 23 percent became dependent.

Although heroin addicts are treated alongside those addicted to alcohol and other drugs, heroin addiction can be especially difficult to treat because of the euphoria it produces in the brain. Heroin can reach the brain more quickly than other drugs – depending on how it’s administered. For example, injecting it intravenously can actually speed up the process of becoming addicted.

For this reason, we do often recommend that heroin addicts stay in treatment for at least 60 days. We find that individuals addicted to heroin need extensive time in treatment because of how much the drug impacts their brain and behavior. Cravings can be intense and they need to relearn how to deal with life stressors and be able to use non-chemical coping skills.
One of the challenges for many recovering addicts – especially those with a preference for opiates – is that painkillers prescribed for a legitimate reason are addictive and lead many people to heroin. If a doctor is unaware of a patient’s history of addiction or the patient is unaware of the addictive nature of prescription painkillers – a dangerous flame is ignited. In some cases, patients don’t have a history of addiction, but their painkiller use eventually becomes abuse and spirals into heroin addiction.

In the case of a relapse, as was the situation with Mr. Hoffman, we believe this process happens even before someone picks up a drink or a drug again. They begin to fall back into unhealthy behavior such as not reaching out for help when dealing with stress, isolating themselves and not being accountable to friends and family. Addiction is a chronic disease and is therefore encoded on their brain. Therefore, once unhealthy behavior starts again there is a tendency to slip right back into old destructive familiar ways.

It’s important to understand that relapse isn’t synonymous with failure. Just like any other
chronic illness – people who relapse can recognize that they need help and get the support they need to get back on the path to sobriety. A person has to be actively involved in order to achieve a full recovery.

The pain of addiction doesn’t just impact the individual. Families also suffer extensively. Some family members develop anxiety, depression or hypertension, for example, in response to being with the addict.

Families require treatment separately from their addicted loved one, which is an important part of any treatment center experience. At Caron Renaissance, for example, we have a specialized family restructuring program where families attend their own intensive treatment program.
For those families who are grappling with heroin or other addictions, I offer the following recommendations:

  • Learn about the disease of addiction. Many family members think, “If only they had loved me more, they wouldn’t have gotten addicted.” That’s not true. You need to understand that addiction is a disease and that it affects you as a family member. Whether or not your loved one is ready to accept help – I want to encourage you to practice a healthy recovery program yourself, whether through Al-Anon or a family support group.
  • Know what is in your power to control. You can’t control another person; you only have control over yourself. Family members who want to talk to their addicted loved one could use this type of language: “You don’t look well. I’m worried about you. There’s a lot more stress in your life right now because of x, y, and z. Do you have a professional you can talk to or would you be open to attending a 12-step meeting?” You can’t force an adult into treatment but you can stage an intervention in which friends and family express their concerns and feelings to the addict in a loving way.
  • Learn how to appropriately set boundaries. Families often want to keep a loved one close to them because they feel like they can keep an eye on the individual and help to ensure their safety. However, that behavior frequently enables the addict to continue his or her use. It may seem counterintuitive, but many families have to enforce difficult consequences such as asking the addict to leave the house.
  • If you suspect a loved one might be abusing heroin, here are some signs to look out for:

• Small, or meiotic, pupils
• Lack of coordination (such as incoherent speech) • Social withdrawal
• Changes in behavior
• Altered mental state
• New onset seizures
• Burns and bruises
• Social isolation
• Multiple falls

Dr. Barbara Krantz is the Medical Director at the Hanley Center.

In the sbTNN Studio: False Puppet

Santa Barbara Band False Puppet joined Santa Barbara Teen News Network in the studio for an interview with Ryan and Veronika and a couple acoustic sets. Enjoy!

Recognize the most commonly misused drugs

Rx Bottle

Watch this slideshow and learn what these drugs of misuse look like.


In 2010, around 7 million people in the U.S. were “nonmedical” users of prescription drugs. This amounts to about 2.7% of the total population. Estimates of the number of people who have used a prescription drug for a nonmedical use are even higher and range to up to 20% of the population. In 2009, 16 million Americans age 12 and older had taken a prescription pain reliever, tranquilizer, stimulant, or sedative for nonmedical purposes at least once in the year prior to being surveyed. Although any type of medication has the potential to be abused, certain groups of prescription drugs are most commonly abused.

Painkillers: Opioids such as codeine and morphine are narcotics prescribed to treat pain. Other drugs in this class include oxycodone (OxyContin), hydrocodone (Vicodin, Norco, etc.), meperidine (Demerol), hydromorphone (Dilaudid), meperidine (Demerol), diphenoxylate (Lomotil), and propoxyphene (Darvon).

CNS depressants/tranquilizers: Drugs in the Benzodiazepine class are central nervous system (CNS) depressants used to treat anxiety disorders and sometimes for the short-term treatment of insomnia. Examples include alprazolam (Xanax), diazepam (Valium), and triazolam (Halcion).

Barbiturates: Barbiturates are also central nervous system depressants. They include phenobarbital (Luminal), pentobarbital (Nembutal), and mephobarbital (Mebaral). Barbiturates are prescribed to treat insomnia, tension, and anxiety.

Stimulants: Stimulants are sometimes prescribed to treat obesity and attention-deficit hyperactivity disorder. Examples include methylphenidate (Ritalin, Concerta) and dextroamphetamine (Dexedrine, Adderall). Some of these preparations can be found in over-the-counter diet pills.

Dextromethorphan (DMX): DMX is the active cough suppressant found in cough and cold medications.

The elderly are particularly vulnerable to prescription-drug misuse and are known to have the lowest rate of compliance with instructions for medication use.

Teens and young adults are prone to prescription drug abuse, particularly of painkillers like oxycodone and hydrocodone. A survey of teens who abused prescription drugs showed that the majority reported receiving them from friends or relatives.

Many experts believe that health-care workers (including doctors, nurses, dentists, pharmacists, and veterinarians) may be at increased risk for prescription-drug abuse because of their easy access to medications.

The misuse and abuse of prescription drugs can lead to drug addiction. Addiction to prescription drugs is treated in much the same way as addiction to illegal drugs and may result in withdrawal symptoms just like addiction to illegal drugs. Behavioral therapy can teach people how to properly use medications and how to manage the cravings and relapses that accompany addiction. Medications can also be used to treat withdrawal symptoms and drug overdoses.

In many cases, the misuse of prescription drugs can be prevented by education about the medications and by strict adherence to the directions for the use of prescription drugs.

Changing the dosage of a drug without consulting a doctor and the sharing of prescription medications with others are two practices that dramatically increase the risk of prescription-drug abuse and dependency. You should check with your doctor before changing the dose of a medication. And never share prescription drugs with anyone.

United States. NIDA. Prescription drugs.
United States. Substance Abuse and Mental Health Services Administration.