The Power of AA/NA Meetings

Introduction

Hello everyone and welcome back to my blog about opiate addiction. After taking some time off from posting on my blog, I am glad to once again be back at it with posting. Between work, my addiction, and just life in general, I have been quite busy and unable to post as often as I would normally like. I also thought there was enough posts already in such a short period of time that it will give everyone a chance to read through my blog without feeling overwhelmed by so many posts. Today, I would like to dedicate this post to the topic of AA/NA meetings and their role in recovering from an addiction.

Both AA and NA (especially AA) have been around for quite some time and have resulted in numerous other groups/meetings that deal with other addictions to emerge. Today, there groups/meetings that deal specifically with things such as cocaine addiction, overeating, anger management, road rage, and much more in addition to the traditional groups/meetings for dependency on drugs and alcohol. Some people have claimed that these meetings were one of the biggest reasons for them being able to achieve sobriety and that without them, they wouldn't be where they are today. For this post, I would like to go over a brief description/history of both NA/AA meetings, what these meetings are like, how successful and valuable they can be, and my own thoughts on them.

A typical AA meeting

I would like to state early on in this post that despite being almost 6 months clean off of my drug of choice (Oxycodone 30 mg pills), I have never attended an AA or NA meeting in my life. I have been part of an outpatient program which requires me to meet frequently with a drug consular and doctor. This program provides me with both support and the opportunity to get Suboxone. While Opiate Replacement Therapy isn't for everyone, I can honestly say that I would most likely not have been able to get and stay clean without it. My hope is that in a few months from now, I will begin tapering off of the Suboxone and eventually be clean off of all opiates period. I am currently prescribed 4 mg of the Suboxone strips once a day and have found this dose to work well for me. While it certainly hasn't been easy, it is possible.

I also want to state that I have nothing against AA/NA meetings and that the main reason behind me never attending one is due to a combination of fear and lack of interest. I am the type of person who shys away from trying new things and often feel uncomfortable talking about something so personal (my addiction) with strangers especially amongst a group of them. I also feel that as of right now, I do not need the meetings and that getting to them would be a bit of a hassle between work and life. Now, I know I probably sound like someone who is cocky and naive (and maybe I am) but that is how I feel. I hope to one day finally "man up" and attend a meeting but this is something I have been saying for months now.

Despite my experience of not attending meetings and feeling them to not be necessary for my particular case, I want to make clear that I have nothing against them and have nothing but the utter most respect for them. I have talked to numerous people who really enjoy going to the meetings and say how helpful/beneficial they have been in their battle against addiction. These same people talk about the friends they have made, the support networks they have developed, and the knowledge they have gained about addiction as a result of going to these meetings. My drug addiction consular and doctor have told me numerous times how helpful these meetings can be in one's battle with addiction. It may seem somewhat ironic and hypocritically of me to be writing this post as someone with virtually no experience with AA/NA meetings but my motive behind this post is to show others a tool that may help them with addiction and to provide them with as much information about meetings as I can. When I was initially considering attending an AA or NA meeting, there was a world of questions I was asking myself and I was really in need of obtaining some information about these very meetings so hopefully this post can help a few of you guys who are in a similar position. Anyways, lets get started on this topic with a brief overview of AA and NA.

About AA & NA



Alcoholics Anonymous (AA) was created in 1935 by Bill Wilson and Dr. Bob Smith in Arkon, Ohio with the primary purpose of the group being to help its members to get and stay sober from alcohol. The group would hold meetings frequently that would provide members the opportunity to gain support from other recovering alcoholics, learn more about both addiction and the members themselves, find ways to live a sober life, and the stories and struggles of other alcoholics. The basic backbone of AA is the Twelve Step Program, which is a set of steps/guidelines with the purpose of leading alcoholics to the road of recovery. The Twelve Traditions were later created in 1946 and are a set of traditions that the group strongly believes in. These Traditions recommend that "members and groups remain anonymous in public media, altruistically help other alcoholics and include all who wish to stop drinking. The Traditions also recommend that AA members acting on behalf of the fellowship steer clear of dogma, governing hierarchies and involvement in public issues." AA has also developed a book, often referred to as "the Big Book" which further illustrates the basic concepts and beliefs that AA stands for (the actual title of this book is called Alcoholics Anonymous: The Story of How Many Thousands of Men and Women Have Recovered from Alcoholism).

Today, AA is found all over the world, in various languages and cultures, with over 2 million members. The organization has seen its fair share of both praise and criticism, managing to be as relevant as ever today even over 75 years later. AA groups are self supported, meaning they tend to not accept outside help or money and rely on its members for its existence. Despite common misconceptions, the group does not associate itself with any particular religion or political party and everyone is allowed to join with the only requirement being "the desire to stop drinking". Those wishing to join AA simply attend any meeting of their choice without having to do sign up for anything, do any paperwork, or pay any fees. Donation baskets are often passed around during meetings similar to how they are passed around in church allowing members to make any contributions if they wish. The funds from these donation baskets are what ultimately supports the organization.

The growth of AA over the years

With the growth and success of AA, another group would later emerge that would go on to be known as Narcotics Anonymous (NA). This organization holds many of the same concepts and principles of AA but focuses more addictions to Narcotics such as cocaine, meth, opiates, and the like. While alcohol is technically a drug, there is somewhat of a difference of views between alcohol and other drugs such as the ones previously mentioned. NA itself has been quite successful over the years and is continuing to grow currently holding over 58,000 meetings in 131 different countries. Like AA, the backbone of NA is also the Twelve Steps and Traditions and NA meetings are considered to be quite similar to AA meetings. Along with the "Big Book", members of NA also use the text Narcotics Anonymous which is divided into 2 parts. The first part of this text discusses the basic concepts of NA emphasizing the Twelve Steps and Traditions. The second part of this part deals mostly with stories of recovering addicts.

There is a lot more information out there about both AA and NA that I simply can't touch upon all of it. However, I will list below this paragraph the websites of Both AA and NA for you guys if you wish to know more about these organizations. I have visited both websites and there is a lot of good stuff on them for those interested and feel AA or NA may be helpful in their road to recovery.

AA Website
NA Website

The Format of AA & NA Meetings

Now that you guys have a brief understanding and history of AA and NA, I would like to take a look at the meetings themselves. Under this section, I will provide you guys with information about how to find meetings, what they are like, the topics discussed, and much more.

Finding a meeting is basically the same for both AA and NA. There are numerous pamphlets that one can find online, in churches, shelters, community centers, doctors offices, rehabilitation centers, and at meetings themselves. These pamphlets usually list the date, time, location, type, and topic of each meeting and are pretty easy to read and grasp. One can also find this information on the AA and NA websites as well as calling the AA and NA hot line. Most rehabilitation centers are up to date with meetings and can also provide information about them as well. Both AA and NA meetings are held frequently and can be found nearly everywhere (you most likely won't have to drive more than 30 minutes to find one). There are meetings held every day of the week with some meetings meeting more than once a week. Meetings take place at all hours of the day, some as early as 8 a.m. and others as late as 10 p.m.

A typical list of AA/NA Meetings

Most meetings typically last anywhere from 1-2 hours and usually have at least one break during the meeting. One can come late or leave early for meetings without having to worry about being penalized. However, if arriving late or leaving early, please be sure to do so politely and quietly. Many members arrive 15-30 minutes before a meeting begins to engage in small talk with other members, ask questions to members or meeting facilitators, and to help set up the meetings. Meetings will often have food and beverages such as coffees, doughnuts, candies, or other small snacks. During breaks, members can use the bathrooms, smoke a cigarette, talk with others, ask questions, make phones calls, or do whatever else they may need to do.

Meetings usually start off with a welcoming statement that is often followed with a facilitator (sometimes referred to as "trusted servants") who reads passages from the Big Book. Sometimes members are allowed to volunteer to read these passages. After that, meetings can involve a speaker(s) who shares their stories or knowledge of addiction with other members. Members who have been involved with a particular meeting for an extended period of time can volunteer to become a speaker, who are assigned with going to meetings to talk about their experiences and knowledge of addiction with others. These speakers usually rotate and attend different meetings to help keep things "fresh" and to provide them the opportunity to have their stories heard by different meetings and members. After a speaker is finished speaking or if there is no speaker for the particular meeting, the facilitator will often allow members the opportunity to volunteer to speak about their experiences, knowledge, thoughts, or questions with others in the meeting. There is no minimum or maximum time limit for those speaking as one can simply say a few words or say as much as they want. However, members are usually urged to not speak for no more than 15 minutes at once (unless otherwise directed) to allow others the opportunity to speak.

The "Big Book"

Sometimes in meetings, members will take part in a prayer. These prayers are not religious prayers like "Our Father" or "Hail Mary" but rather prayers that focus more on addiction than religious matters. Perhaps the most well known and used prayer is the Prayer of Serenity. Another topic often touched upon at meetings are the Twelve Steps and Traditions. These Steps and Traditions require time to truly understand and grasp, thus resulting in a single Step or Tradition being discussed for an entire meeting or even multiple meetings. Another part of meetings that can occur is when a facilitator asks the audience if there are any new members to the particular meeting or if there is anyone in the crowd who is attending their very first meeting. If you are one of these people and don't wish to draw attention upon yourself, you can simply keep quiet and members will not say or push anything on you. If you do decide to announce you are a newcomer or that this is your first meeting, members will usually allow you introduce yourself while also taking the time to introduce themselves to you. Sometimes, when a new member or someone attending their first meeting is there, the members will switch the topic of day to focus on introducing the newcomer to the meeting and what the group stands for. I have been told more times than I count by others that AA/NA members are very welcoming and kind to newcomers in hopes of making them feel comfortable and accepted.

Meetings for AA and NA tend to be on the more informal side and usually like to emphasize group discussion. Members are encouraged to participate in discussion by sharing their own stories, providing what works for them, and asking any questions they may have. If your someone like me who is on the shyer side and likes to just listen, you're free to just sit back and listen. Members of AA and NA will not push you to speak up and should have no problem with you just being there and listening. Sometimes a group will go around and allow members to introduce themselves and speak of anything that is on their mind. This is what you usually see in movies and on television when everyone sits in a circle and each member goes "Hi my name is...I am alcoholic (or addict)." If this does happen and it is your turn to speak, you can simply say "pass" or "I think I'll just listen today." You can also say something along the lines of "Hi my name is...I am an addict and I'll like to just listen today." Again, you should feel no pressure to have to talk a lot and very rarely do they have it so you have to get up on stage or in front of a lot of people. AA and NA groups try their best to make the atmosphere as laid back and easy going as possible. However if you do feel like opening up about yourselves and talking, then by all means go for it. Some of the better AA and NA meetings consist of active group discussion but again, NO PRESSURE!

I want to stress the no pressure part and not having to get up and give a lecture because this is one of the things that I feared most. My original idea of a AA/NA meeting was that it took place in a church with each member having to get up behind a podium and talk. This is totally not true. Despite me never actually attending a meeting, I have been told this more times than I can count as well as reading this on various websites including the AA and NA websites. Some people love to talk and are great at public speaking. Others (like myself) absolutely hate speaking in front of people and prefer to just sit back and enjoy the show.

 

Types of AA & NA Meetings

I would also like to talk about how certain meetings are labeled under different categories. Some meetings are for men only or women only while others are aimed at other demographics such as the gay community, African Americans, young people, veterans ,single parents, newcomers, among others. Meetings are also labeled based on the format of meeting itself. There are meetings labeled as open discussion meetings where the meeting focuses mainly on, you guessed it, group discussion. There are also meetings labeled as speaker meetings where most of the meeting will revolve around a speaker or group of speakers visiting the meeting. These people who speak at meetings such as these are often members of another group looking to share their stories. Another kind of format are 12 step meetings which emphasize the 12 steps and will often dedicate the particular meeting to one of the twelve steps. There are also handicap and nonsmoking meetings as well along with a variety of others. The most common labeled meetings are probably open and closed meetings. Open meetings are open to everyone, meaning alcoholic/addicts and those who do not suffer from addiction while closed meetings are usually meant for just alcoholic/addicts. However, based on what I have heard, most meetings will not discriminate between the two and will usually welcome all.

A final kind of meeting I would like to talk about are Al-Anon meetings which are meetings that welcome alcoholics/addicts and their families/friends. I have heard these meetings are becoming more and more popular and are great for not only the person suffering from addiction themselves, but also for their families and friends. These meetings allow the friends and family members of alcoholics/addicts the opportunity to learn more about addiction and how to aid their friend or family member in battling addiction.

A popular question asked by those who are unfamiliar with AA and NA is what exactly is the difference between the two and is someone who is addicted to drugs allowed to attend AA or vice versa. Based on what I have read and been told, there isn't really that much of a difference between the two and that most groups do not discriminate between addicts and alcoholics. After all, it is addiction we are all looking to beat, meaning we're all basically in the same, shitty boat. If for whatever reason a group shows some discrimination or resistance to accepting someone based on their type of addiction, you can do a couple of things. The first thing you can do is to simply stop going to that particular meeting and find another one. Like I said before, there are literally thousands of meetings worldwide that meet throughout the week. Another option is for you to simply say I am an alcoholic at AA even if you suffer from an addiction to drugs or vice versa. From what I am told, there is little difference between the groups and that attending an AA meeting if you're an addict or attending an NA meeting if your an alcoholic is better than not attending a meeting at all. If you do feel you are really being discriminated against or treated poorly, don't hesitate to speak to the group leader or to call AA/NA to report any problems. Like I said before, AA/NA usually try their best to be laid back and welcoming so hopefully you shouldn't have any problems.

One final thing I would like to touch upon about AA/NA meetings is the common misconception that these groups focus heavily on religion. I believed in this at first and can see how many others would too. After all, most of these meetings take place in churches, involve prayers, and talk of a higher power. Well, I couldn't have been more wrong. The higher power these groups talk about can be anything you wish it to be. It can be god, the group itself, your mother, your dog, or hell even a doorknob. The purpose of the higher power is for the alcoholic/addict to admit that there is something more powerful than themselves. It took me awhile to really understand this until my drug addiction consular explained it to me. He said that I was overpowered by my drug of choice (the Oxycodone 30 mg pills) and that I was unable to quit on my own without seeking help. He said if this wasn't true, I wouldn't be where I was in the first place and wouldn't even be having this conversation with him. For me anyways, that really hit home and gave me a better understanding of what the group meant by a "higher power" so once again, please don't think these groups are just a bunch of religious fanatics because they certainly aren't. AA/NA groups have a wide variety of members who come from different cultures, races, religions, and backgrounds so you'll most likely meet and see a lot of different people. I have even heard of atheists attending AA/NA meetings so if that doesn't prove my point, I don't know what will.

I really hope to attend a meeting soon (unfortunately I have been saying that for awhile now) as I would like to really give the experience a chance. At meetings you'll hear a lot of stories and tips from people of all backgrounds. Like I always say, addiction doesn't discriminate. You'll hear the good, the bad, and the ugly meaning you'll hear stories of someone who has been clean for decades and is living a wonderful, enjoyable life. You'll also hear stories of people who have lost everything (sometimes their homes, money, and even family) to their addiction. Most people tell me the experience can be both quite inspiring and humbling but most importantly, helpful. I know I had a lot of questions about meetings (I still do) so I'm going provide a couple links below this paragraph that might be able to answer some of your questions. They talk about a variety of things and can probably answer a lot of the questions you may currently have. Here they are:

http://www.bma-wellness.com/papers/First_AA_Meeting.html
http://alcoholism.about.com/cs/meetings/a/blclosed.htm
http://www.na.org/?ID=bulletins-bull15-r
http://alcoholism.about.com/cs/meetings/a/aa040208a.htm
http://video.about.com/alcoholism/What-to-Expect-at-AA-Meetings.htm
http://www.new-life-in-recovery.com/aameeting.html
http://www.thefix.com/content/meeting-minds
http://www.azcentral.com/health/news/articles/0131dayofAA0131.html?&wired
http://www.na.org/?ID=NAMeetings-WhatHappensAtAnNAMeeting
http://www.nzna.org/drugproblem/firstmeeting.shtml
http://www.peninsulana.org/02%20New%20To%20NA/New_To_NA.html
http://www.healthboards.com/boards/addiction-recovery/9667-what-na-meetings-really-like.html
http://www.soberrecovery.com/forums/newcomers-recovery/85520-questions-about-na-aa-meetings.html
http://www.aa.org/lang/en/subpage.cfm?page=287

The Effectiveness of AA & NA Meetings

This next section I would like to talk about exactly how effective AA and NA meetings are for those who attend them. Based on what I have heard from other addicts, my drug addiction doctor, and my drug addiction consular, they are supposed to be really helpful. In fact, to this day I haven't heard of anyone who said they walked away from a meeting not learning something or having a bad experience. The one thing I have been told is that you may have to check out a few different meetings before you find one that you really like or feel comfortable in so if your first meeting doesn't go as you had planned, don't give up and give another one a shot. Just like everything else in life, there are great meetings, average meetings, and crappy meetings but my gut feeling is that most tend to fall on the good side. These people don't judge, know what it is like to be addicted to something, and share a goal with you (getting and staying clean). This is quite different than when all you have to talk to is a friend, family member, doctor, or consular who has never suffered from addiction themselves. I think I can speak for most of us when I say it takes another addict to know what an addict is going through and feeling.

Another important piece of advice I have been given is that after attending a particular meeting that you enjoy for awhile, try to look and find a sponsor. A sponsor is someone who is also battling an addiction and is willing to help you in your road to recovery. Your sponsor is someone you can ask questions to, obtain advice/tips from, and call or talk to if you feel the urge to use again. The one thing I was told about getting a sponsor is to make sure it is someone you feel comfortable around and to try to pick someone who at least a year of sobriety under their belt. Again, I have no experience myself with these meetings, let alone asking someone to be my sponsor, but I am told it is quite simple. After introducing yourself to someone at a meeting and once you feel comfortable enough around them, simply ask them if they would mind being your sponsor and if you could exchange numbers and/or e-mails. Most people will have no problem doing this and many will even feel flattered that you asked them. It takes a little courage but is something that I feel can go a long way. I just want to state again, make sure it is someone you feel comfortable around, has been sober for quite some time, and is someone who won't lead you down the wrong path in the future. I say this because, remember, at some point this person was an alcoholic or addict themself so be careful. You want to end up with someone who can help you, not someone that you can get drunk or high with.

There is a lot of information out there about how effective AA and NA meetings truly are yet there really isn't a final answer. In fact, the topic is very debatable. I wish I could tell you guys that going to AA and NA will solve all your problems, but like I have said before about there being no miracle drug to accomplish this, AA/NA meetings aren't the perfect solution. Some studies and programs have claimed these meetings to be extremely beneficial while others have shown little to no improvement for those suffering from addiction. I can throw a bunch of studies and figures at you guys but in the end, it's just a bunch of numbers to look at. In my opinion, I think AA/NA meetings can really help someone suffering from addiction but just like Suboxone or Methadone, they are simply a tool in helping one achieve sobriety. At the end of day, it is the person who must chose between a life of addiction or a life of sobriety. It is defiantly not an easy choice despite the fact that we all know which path is the better way to go. If you asked me my thoughts on the topic, I'd tell you to give a meeting a shot as I think it will certainly do more good than harm and probably won't hurt.

I'm not going to lie to guys, I have never been to a meeting and don't want to sugarcoat things so take this post in whatever fashion as you wish. I hope to provide you guys with the best information that I can provide and answer some of the questions you may have about AA and NA meetings. I know I had a lot of questions myself when I first begun my road to recovery. Anyhow, I will provide you guys with some links below that talk about how effective AA/NA meetings can be. These links provide studies, charts, graphs, and other numbers that might paint a better picture of the effectiveness of AA/NA than I can over a computer screen. Here are these links below:

http://hamsnetwork.org/effective.pdf
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3140338/
http://www.addictioninfo.org/articles/1587/1/Estimates-of-AAs-Effectiveness/Page1.html
http://www.thefix.com/content/the-real-statistics-of-aa7301

 Conclusion

 

 

Well guys, I hope you found this post helpful and that I was maybe even able to make you think about attending an AA/NA meeting in the near future. Despite never being to one before, I get a sense of how helpful and even enjoyable these meetings can really be. Being on the Suboxone (4mg once a day) and remaining clean for almost 6 months has really helped me in being able to get my life back together. I feel great and most importantly, am happy. I know one day I will have to come off of the Suboxone and face the withdrawals, mental agony, and life without opiates sooner or later. I think this where AA/NA may come in handy for me (although I must say, attending a meeting now while on the Suboxone would probably do me world of good as well) as I will no longer have a drug (an opiate itself) in Suboxone to turn to instead of my drug of choice. I will be forced to travel this road to recovery naturally and will have to find other tools to help me remain clean. Maybe a meeting is one of these tools. Scratch that, it will probably have to be...I'll end this post like my others by wishing you all nothing but good fortune, luck, and happiness in your battle against addiction and your road to sobriety. It's been awhile since I've gotten to say this so hear it goes....Keep seeing the light my friends, it's out there.

 

Best wishes,

 

Seeingthelight

P.S.

If this is your first time reading my blog and you would like to read some of my other posts about opiate addiction, feel free to click on any of the below links. Each post has its own topic that I focus on with topics such as Suboxone, Methadone, Opiate Withdrawals, Sleep During Opiate Withdrawal, Quotes About Addiction, and much more.

Welcome Post (1st Post)
My Experience With Suboxone
The Dreaded Opiate Withdrawals
Why We Got Addicted To Opiates
Suboxone Vs Methadone
The Vivitrol Shot
Addiction And Our Bodies
A Soldier's Addiction
Cold Turkey Or Opiate Replacement Therapy
Some Good Quotes About Addiction
Getting Some Sleep During Opiate Withdrawal











 



Getting Some Sleep During Opiate Withdrawal

Introduction

Hello everyone and welcome to what is now my 11th post on my blog about opiate addiction. I would like to use this post to discuss something we so often take for granted; sleep. For someone who hasn't had a problem with opiate addiction and has no sleeping problems/conditions, sleep is often a natural occurrence that comes with relative ease. Sleep is what allows our mind and body to rest, heal, and rejuvenate itself and is something we all need in order to survive. Well for someone who suffers from opiate addiction, getting and staying asleep can be quite difficult. It is not uncommon for opiate addicts to have restless nights of sleeping, trouble going to sleep, or to have to wake up early as withdrawals begin to creep their way in. It gets even worse for opiate addicts when they decide to quit opiates cold turkey or to discontinue their use of opiates after tapering or treatment (Suboxone or Methadone). I've been there before and can vouch that it is one of the worst parts of opiate withdrawals. Therefore, I would like to dedicate this particular post to talk about sleep when the time comes for us to quit opiates.

If you are interested in reading other posts in my blog about opiate addiction, click on any of the following links (in order from 1st post to most latest post).

Welcome Post (1st Post)
My Experience With Suboxone
The Dreaded Withdrawals
Why We Got Addicted To Opiates
Suboxone Vs Methadone
The Vivitrol Shot
Addiction And Our Bodies
A Soldier's Addiction
Cold Turkey Or Opiate Replacement Therapy
Some Good Quotes About Opiate Addiction


When one stops using opiates, a variety of withdrawals will begin to come into play and can leave the person involved feeling like they are in a state of absolute hell. For this post, I will be referring to those who have either quit opiates cold turkey or who have stopped using all opiates after their tapering or treatment is completed. Basically, this post is for people who are no longer taking any forms of opiates (be it Oxycodone, Methadone, Suboxone, Morphine, ect...). When one quits opiates, they often have difficulty in getting and staying asleep due to a variety of factors. Restless legs (the withdrawal I hate the most), a racing mind, the chills, cold sweats, anxiety, and aches/pains are some of the more common withdrawals that affect our sleep patterns the most when going through withdrawals. I can remember a few times in which I attempted to quit opiates cold turkey and couldn't get more than a couple hours (if I was lucky) of sleep in a night. During the day, we are faced with withdrawals such as lack of energy, chills, cold sweats, diarrhea, and aches/pain. One basically feels like they have a really, really bad case of the flu. Come nighttime, our bodies are often tired and hurting after a long day (minutes seem like hours) of experiencing withdrawals, only to face even more agony at night. When the sun finally rises the next day, we have to experience this cycle all over again until withdrawals begin to calm after a period of time.

How many of us feel during Opiate Withdrawal at night.

I want this post to talk about a few things in regards to sleep and opiate withdrawal and I think the best way to do this is to break down this post into a few sections. I would like to touch upon the importance/role of sleep, the process of sleep for an opiate addict, and finally some methods that may help one get a good night's sleep (or at least a few hours) when experiencing opiate withdrawal. On that note, lets begin.

The Role & Importance of Sleep

 

Sleep is defined as a natural periodic state of rest for the mind and body, in which the eyes usually close and consciousness is completely or partially lost, so that there is a decrease in bodily movement and responsiveness to external stimuli (Free Dictionary by Farlex). Sleep is what allows our mind and body to have the opportunity to rest and perform several important tasks. Without sleep, one will not survive for very long and unhealthy sleeping patterns can result in both physical and mental health conditions. Sleep helps restore and strengthen our immune system, which is critical to our bodies as it helps heal or prevent wounds/injuries, infections, diseases, viruses, and much more. Sleep also aids in the brain and development of it. Despite there still being a lack of total understanding of the roles sleep has in living organisms, one thing is clear, sleep is essential for our survival.

 

There is a lot of information out there about sleep and of course not all of it has to do with opiate addiction or withdrawal in regards to sleep. This blog is meant to focus on opiate addiction so I don't want to be throwing a total lecture about sleep at you guys when that's probably not what you're looking for here. I just wanted to provide everyone with a brief understanding about sleep to get things started and to show how important it is to our survival. If you guys are interested in knowing more about sleep, I have included a few links below this paragraph that discuss the topic.

http://healthysleep.med.harvard.edu/healthy/science
http://science.education.nih.gov/supplements/nih3/sleep/guide/info-sleep.htm
http://www.nhlbi.nih.gov/health/public/sleep/index.htm
http://www.helpguide.org/life/sleeping.htm

 

The Sleeping Patterns of an Opiate Addict

 

As most of you probably know already, opiate addicts tend to live a life quite different from those who do not suffer from addiction. The old saying "don't judge a person until you walk a mile in their shoes" is perfect for this scenario. As I said before, for someone who doesn't suffer from opiate addiction and has no sleeping problems/conditions, sleep is something that comes natural and takes little challenge to accomplish. However, for someone who does suffer from addiction and is currently going through opiate withdrawal, sleep can seem almost impossible at times. The withdrawals from opiates affect not only our bodies, but our minds as well resulting in our bodies being somewhat different than that of your average Joe who isn't addicted to opiates. Now I'm certainly no doctor (I can't count how many times I've said that before) but I believe the reason an opiate addict's sleep patterns become so disturbed are a near direct result of the effects opiates have the brain. I know it isn't rocket science that the physical withdrawals can keep one awake but I also believe that the mental aspect of opiate withdrawal is far too often overlooked. My guess is that the opiates play some kind of role in messing around with our brain chemistry resulting in some kind of imbalance or in something up there being "off". I mentioned before in my previous posts about the effect opiate addiction can have on not only our bodies but our minds as well, if you wish to check that post out simply click HERE.

 

Having an addiction to opiates can have quite an impact on our brain receptors whose purpose is release endorphins. Endorphins are basically opioid peptides that function as neurotransmitters. In other words, Endorphins are released in the brain as result of doing something we enjoy or find pleasure in such as exercising, having sex, or spending time with someone who we enjoy being with. Unfortunately, these same endorphins can be created and released each time we use opiates which ultimately result in one's mind and body enjoying the presence of opiates in the body. By continuing to use opiates over a period of time, the brain will begin to crave the presence of these endorphins eventually resulting in the person feeling the constant need to please the brain with the use of opiates. This is why it can sometimes be difficult for former opiate addicts to find enjoyment in things they once enjoyed as well as also resulting in depression or anxiety among other things. After reading all that, you can probably imagine the true effect opiates have on the mind and body which are what can ultimately control your sleeping patterns.

 

Once again, there's a lot of information out there about endorphins, the reward system in our brains, and the effects opiate addiction can have on these matters. I'll leave you guys with a few more links that address these topics in more detail below this paragraph.

http://www.allaboutaddiction.com/addiction/addiction-brain-effects-opiate-addiction-heroin-oxycontin
http://neuro.psychiatryonline.org/article.aspx?articleid=103089
http://www.canadianmedicaljournal.ca/content/164/6/817.full
http://en.wikipedia.org/wiki/Pleasure_center
http://curiosity.discovery.com/question/reward-center-in-brain-work
http://learn.genetics.utah.edu/content/addiction/reward/

 

Some Methods To Help With Sleep During Opiate Withdrawal

 

Getting some sleep during opiate withdrawal is something that nearly each and every one of us desires and wishes for when we choose to stop using opiates. Some people may be able to get some sleep during opiate withdrawals while others may feel as though they've been wide awake for what seems like a week straight. Like I always say, everyone is different. Some people experience certain withdrawals more or less than others and there is no universal law out there that will tell how good or bad your withdrawals will be. Unfortunately, there is no miracle drug or method out there that will prevent withdrawals but there are some methods that can help ease them. For this section of the post, I am going to talk about a few of these very methods which may help one who is suffering from opiate withdrawals and can't achieve sleep.

 

Over The Counter Medications- There are a few over the counter (OTC) medications out there that might be able to help you find sleep when going through opiate withdrawal. A common one is the drug Diphenhydramine, which is found in the OTC medication Benadryl. For some people this works great for in achieving sleep but for others (myself included) it has little to no effect. It is important to note that Benadryl when taken in high enough doses can result in restless legs and a jittery feeling similar to if one were take some caffeine. In even higher doses, Benadryl can result in hallucinations or even death so be smart when using this medication as a sleep aid. Basically, if you're not feeling much of an effect after taking the recommended dose, quit while you're ahead and don't look to take more in hopes of achieving sleep.

Another OTC medication that can be used to help with sleep is Doxylamine, which is most commonly found in the OTC drug Unisom. I have used Unisom and from my own personal experience feel that it works better than Benadryl. Tylenol PM is also another alternative to help with sleep as well as the aches/pain that often come with opiate withdrawals. Tylenol PM contains both Diphenydramine and Acetaminophen. The Diphenydramine in Tylenol PM is the same ingredient found in Benadryl and is what will help with the sleep. The Acetaminophen helps with aches, pains, and fever. All of these OTC medications should be used with caution as most are meant for short term use only. Ingesting to much of these medications can have severe consequences so be sure to be smart and talk with your doctor before doing anything drastic.

A final OTC medication that I feel is worth mentioning is Melatonin. Melatonin is a natural ingredient and works by replicating what the naturally occurring compound N-acetyl-5-methoxytryptamine does in our bodies. This compound is basically what aids our brain in determining when to sleep and has been getting more and more attention as of late. It is important to note that this medication takes time to work (usually at least a couple weeks) and that the dose needed to help aid with sleep varies from person to person. The good thing about Melatonin is that it is not addicting which is a huge plus for the addiction community. I gave Melatonin a shot before and didn't find it to help much with getting to sleep but I have seen other people praising how well it works. Like always, everyone is different so be sure to talk with your doctor if you do decide to give Melatonin (or any of these medications) a try.

Prescription Medications - Prescription sleep aids are usually more powerful and effective in helping one achieve sleep but do come with their risks. Many of these medications can be habit forming and addictive so anyone who has suffered from addiction in the past should be cautious with these medications. I have given a few prescription medications a try before and to no surprise would have to agree that they are far more effective than OTC drugs. A common prescription sleep aid is the drug Zolpidem, which is found in the medication Ambien. Ambien is a pretty powerful medication that has a pretty high success rate in terms of achieving sleep. I have tried Ambien before and found that it works great for getting some sleep but eventually canceled my prescription to it as I felt there was to great of a chance I would develop an addiction to it. There are also some side effects with Ambien such as sleepwalking, nightmares, and hallucinations so once again be careful my friends with these medications.

The drug Eszopiclone is another option and can be found in the medication Lunesta. I have no experience with this drug but have been told it is similar to Ambien but slightly stronger. Lorazepam is a option as well that is found in the medication Ativan, which works by slowing activity in the brain to allow for relaxation. Ativan also helps with anxiety which is something that can certainly arise during opiate withdrawal. Clonazepam, found in Klonopin, is yet another option as a sleep remedy. This drug is commonly prescribed for seizures, anxiety, and insomnia and based on what I have heard is quite powerful. I have no experience with Ativan or Klonopin so be sure to do your research and talk with your doctor if you think either of these may be an option.

Benzodiazepines are a class of drugs that are commonly used to treat sleeping problems and conditions. These are usually the more powerful sleep aid medications but carry the risk of developing an addiction. Withdrawal from Benzodiazepines is said to be quite severe, long, and painful with many saying the withdrawals from Benzodiazepines are far more dangerous and worse than those of opiate withdrawals. Some examples of Benzodiazepines include Klonopin (see above), Estazolam (ProSom), Flurazepam (Dalmane), Quazepam (Doral), Temazepam (Restoril), and Triazolam (Halcion). If you feel these drugs are capable of causing you to develop an addiction to them, your best bet is to stay away from these medications and look elsewhere. Another option is to use these drugs short-term (under 2 weeks) to help with the early stages of opiate withdrawal. These are powerful drugs guys, so be sure to be safe and to use these only under your doctor's supervision.

Another medication that may help with finding sleep is the drug Trazodone. I have used Trazodone before in the past and found it to work pretty well. While the Trazodone did help me, it was no where near as effective or powerful as the Ambien. Trazodone isn't as addictive as Ambien or some of the other drugs mentioned but it can still be considered somewhat habit forming. One will most likely not get too many physical withdrawals when stopping Trazodone, there is the chance of having trouble getting to sleep, having nightmares, and a sense of restlessness if suddenly stopped. The dosages prescribed for Trazodone vary greatly (any where from 25 mg to as high as 600 mg) so you and your doctor may have to slowly work your way up to a dose that works well for you.

Natural Remedy's - There are also other alternatives to sleep aid medications that can help during opiate withdrawal. One thing that works well for a lot of people is the use of hot baths, hot tubs, and trips to the sauna. These methods help relax the body and can be great for dealing with the chills and aches/pains. Exercising is another option but is something that can be quite difficult to do when going through withdrawals. When one exercises, their body releases endorphins just like how our bodies do when we use our drug of choice. Not only is exercise healthy for you, it will also often leave you feeling tired at the end of the day. Some decaffeinated tea, warm milk, or hot coco before bed can be soothing for some as well and is great for helping with the chills. Coffee isn't a bad idea during the day to get you up and going while withdrawing but should be avoided close to bedtime. The great thing about these methods are that they are not addicting or habit forming.

There are also several relaxation techniques that can be beneficial as well. When I first heard of these, I thought they were just a bunch of B.S. but must admit they did actually help a little after finally giving them a chance. Relaxation techniques include breathing exercises, mediating, and listening to those audio tapes that play peaceful sounds or music. Lets face it, when you're withdrawing you're basically willing to try anything to help yourself get through those rough times. I also find creating and sticking to a going to sleep and waking up schedule helps a lot to with sleep. What I mean by this is to not have nights were you're up until 3 A.M. and wake up the next day at 11 A.M. then following the previous day by going to bed early and waking up early. Make a schedule and stick to it.

 

A breathing exercise that I have found to help with not only getting to sleep but relaxing works by lowering your pulse and clearing your mind. For some people, this works well while others may not notice much of a difference. It takes a little practice to get used to as well. It can also help when you have a panic attack or are frustrated. This breathing exercise is called the 4-7-4 technique and works as follows:

 

1. Sit down in a chair with your back straight and hands together meeting at your stomach.
2. Your fingers should interlock at your stomach with the backside (opposite of your palm side) of your hands facing out.
3. Inhale and take a 4 second continuous breath of fresh air and hold it in for 7 seconds.
4. After holding your breath for 7 seconds, release your breath for 4 seconds continuously
5. Continue this 3-5 times

Another thing that may help is simply reading a book, surfing the web, or watching a little television before bed. It will help keep your mind busy while giving you some entertainment to pass the time and relax. However, don't just sit there for a few hours watching television, surfing the web, or playing video games as this can have the opposite effect. Try doing something that you really enjoy that doesn't take up a lot of your energy. Having a good environment around you before you go to sleep can make quite the difference so make sure you're in a relaxed, quiet, and comfortable environment each night.

Herbal Methods - There are also some natural herbs out there that are said to help with sleep. While I have never tried any of these herbs, the ones I most commonly hear about are Valerian Root and St. John’s Wort, which can usually be found at stores like GNC or Vitamin World. There are other herbal remedy's out there as well. I have also heard Lavender can help. Don't look at these herbs as something you shouldn't talk to your doctor about as some of them carry side effects or can have adverse effects with other medications. As always, be smart and talk with your doctor!

Other - A final thing that may help some of you guys may come across as somewhat controversial so please note that it is not my purpose or intent to offend anyone or to seem contradicting. When some people look to quit their addiction to opiates, they also look to end their use of all drugs and alcohol, which I think is probably the best route to go. This includes drugs such as tobacco and marijuana. In my opinion, I believe that marijuana is without a doubt a drug and can also serve as a gateway drug meaning that it's use can eventually lead to the user moving on to other harder drugs. However, I think for the most part, marijuana is quite harmless and agree that it is not addicting. It might become a habit but you won't see anyone having chills, cold sweats, extreme anxiety, diarrhea, and the other classic symptoms of opiate withdrawal when they stop using marijuana. As someone who enjoyed smoking marijuana and did so often in the past, I would often use the drug as a way to help control the anxiety that would so often accompany opiate withdrawal. It would sometimes also help me get to sleep which can seem close to impossible during opiate withdrawal. I no longer smoke marijuana due to the rules of the Suboxone program I am now in as well as just trying to make drugs a past part of my life but I still personally have no ill feelings towards the drug. I'll leave this one up to you guys. If you think it may help, give it a shot. However, if you think it might do more harm than good, then by all means stay away from it (and other drugs).

After debating with myself whether or not I should have included the use of marijuana to help with sleep during opiate withdrawal, I came to the conclusion that I want to be able to provide you guys with whatever I think can help you guys without causing any harm or bad consequences. That's why I often write about medications but never recommend dosages or regimes besides telling you guys to talk with your doctor and to never take more than told/recommended. The biggest reason I had debated on whether or not to include marijuana as an option in this post is that for some people, when they use marijuana, the high they get from it brings on too much of a temptation to get back to using the opiates again. Sometimes the high from marijuana is just to much for a person and it can begin to bring out our inner demons with addiction. While I personally believe marijuana can have its benefits, I would have to say that the best route to take is to probably just avoid it along with any other drugs or alcohol.

I also want to state that I defiantly wouldn't advise anyone to use alcohol as a means of getting to sleep. Not only is that an unhealthy and potentially dangerous thing to do, but that alcohol itself can become an addiction. This is especially true for any addict as we tend to develop addictions quicker and easier than most people. In addition, while the use of alcohol may make one feel good and able to get to sleep, it will most likely leave the person feeling even worse the next day. It is already shitty enough having to deal with opiate withdrawals so why add a nasty hangover to the mix. Both alcohol and marijuana can impair the way we think and act, which could result in one making some poor decisions such as deciding to use opiates adding yet another reason to avoid any drugs or alcohol during opiate withdrawal.

I know I might sound somewhat contradicting to some about what I have just said but I just want to add what I found has worked for me in the past. If you asked me what to do in regards to the marijuana, I would say to defiantly stay away from any drugs/alcohol and to only use the marijuana if you feel confident enough it won't have any negative impacts and as a last resort if possible. Remember, the whole point of getting off the opiates is to live a sober life. Like I've said more times than I can count, everyone is different with some people being able to handle things differently or better than others. You shouldn't even consider looking to drugs such as cocaine, heroin, meth, hallucinates, and the like to help ease withdrawals. Believe me, drugs like those will do much more harm than good and can lead you into a whole another world of problems.

Some Other Quick Tips For Finding Sleep

 

• If you can't get to sleep within a half hour or so, don't just stay in bed tossing and turning! Get up and go to a lightly lit room and do something that requires little energy and is relatively boring/dull. Some examples include reading the newspaper or a book, writing in a journal, going for a short walk, ect. You must train your body and mind that your bed is a place for sleep so that when you enter your bed in the future, your mind and body will know it's time for sleep. Or the other thing...

 

• Try to limit television, video games, or exercise right before bed as both can tend to get your mind and body up, focused, and ready to go.

 

• Limit any caffeine, high Carb, or sugary foods at night. Eat right during the day and limit (or even quit if you can) any tobacco products. Too much of these things can keep you up at night.

 

• If you're religious, calm yourself by spending a few minutes saying your prays before bed. If religion isn't your cup of tea, give mediation a shot and try relaxing and meditating for about 15 minutes before bed.

 

• Try to keep your mind occupied on something calming and something you enjoy. Don't worry about your addiction, bills you have to pay, work, or any other things that can get you worked up and worrying while you are in bed at night.

 

• As I mentioned before, make sure to set up a sleep schedule where you wake up and go to bed around the same time each day. Try to limit long naps during the day by either not napping at all or limiting your naps to less than 45 minutes (cat naps). It can be tough for some people (myself included) but try not to sleep in late on weekends or days off from work/school as this can further disrupt your sleeping patterns.

 

• Make your sleeping environment comfortable by having a nice, comfortable bed, a room temperature that's comfortable for you, and keeping noise to a minimal.

 

• If you continue having trouble in getting and staying asleep, don't continue to just put it off! Make a visit to your doctor and discuss with him or her what the two of you think is the best route of action to take in getting some sleep.  

Conclusion

 

Well guys, that's all I got for you and I really hope this post was helpful for you. In my opinion, the lack of sleep that comes with opiate withdrawals is one of the worst symptoms. You end up feeling so tired after not getting any sleep from the night before but still cannot fall asleep the next night, it really sucks. For some people, these methods may work great for while others may have mixed results. I'm sure there's a lot more information out there and I would love to hear some feedback from you guys about this matter. Comment below in the comment section if you have any thoughts, experiences, or recommendations that can help with achieving sleep during opiate withdrawals. I have also put up a new poll which can be found at the bottom of this page and would love to hear what you guys think. I'll end this post by wishing everyone nothing but the best and ask that each and every one of you guys to continue seeing that light! I have also included yet another a link for you guys below this paragraph that has some good information about some of the methods to achieve sleep. Some of the stuff on this website we have talked about already in this post but there is also much more. Here is the link below.

 

http://www.helpguide.org/life/sleep_aids_medication_insomnia_treatment.htm#otc

 

Until next time, take care guys.

 

-Seeingthelight