{"id":22544,"date":"2012-10-08T09:43:54","date_gmt":"2012-10-08T16:43:54","guid":{"rendered":"http:\/\/dev.mainelyseo.com\/cdi-upgrade\/?p=22544"},"modified":"2019-07-23T16:58:07","modified_gmt":"2019-07-23T23:58:07","slug":"heroin-abuse-increasing-among-high-school-and-college-students","status":"publish","type":"post","link":"https:\/\/childdevelopmentinfo.com\/child-health-news\/heroin-abuse-increasing-among-high-school-and-college-students\/","title":{"rendered":"Heroin Abuse and Students"},"content":{"rendered":"
\"heroin <\/picture>Last month I ventured into the non-clinical realm and discussed sports psychology and the, if you will, lighter side of the profession.\u00a0 This month I am plunging into the depths of what appears to have been, or may still be, an epidemic of heroin and opiate abuse among high school and college students.\u00a0 In my clinical practice in southern California, the problem appears to be lessening over the past year, but in certain areas of the country, such as the Midwest, the problem appears to be growing.<\/div>\n

Traditionally, heroin and opiate abuse has been considered an \u201cinner city\u201d problem, and those who are reading this blog may wonder what is going on here.\u00a0 The news is that heroin and opiate abuse has become a suburban problem, perhaps best exemplified by the recent death via heroin overdose of a 17-year-old Caucasian boy from the Chicago suburb of Franklin Park.\u00a0 The 17-year-old\u2019s father was a Deputy Police Chief, who claimed that he had moved the family to the suburbs to insure that his children were not exposed to such problems as heroin abuse.\u00a0 It appears that no one, nor any community, is immune from the current epidemic.<\/p>\n

Googling \u201cyouth overdosing on heroin\u201d gives one pause.\u00a0 See, for example, the website of the Pioneer Press (twincities.com) in Minnesota, where they discuss the struggles of teens in Hastings, one of the city\u2019s suburbs.\u00a0 Numerous problems are quickly identified in all areas of the country, and the problem is clearly not limited to California.<\/p>\n

In short, heroin use among our youth is a problem, and it is no longer confined to the inner-city arena.<\/p>\n

What makes heroin so inviting?\u00a0 In terms of basic neurology, the human brain contains receptor sites for the opiates (opium, heroin, and morphine).\u00a0 A discovery was made at Johns Hopkins University in 1972, only forty short years ago, that the brain contains these specific receptor sites for opiates.\u00a0 These receptor sites for those who do not take opiates are usually there to receive the messages of endorphins. Endorphins, a shortened form of the chemically correct words, endogenous morphines, are the usual occupiers of these receptor sites.\u00a0 So, for those of us who do not use opiates, our endorphins have room to land when we are exercising or enjoying ourselves.\u00a0 \u00a0However, when we are low in those traditional ways of stimulating these receptors and choose to use opiates instead, the brain is chemically equipped to receive them.\u00a0 This is probably why one becomes \u201chooked\u201d so quickly on the opiates.<\/p>\n

When endorphins are effective, we feel good, high, or euphoric, such as after a great workout or having accomplished something after a great deal of hard work.\u00a0 Endorphin levels have also been reported to increase during labor, or in response to stressors, in general.\u00a0 Endorphins can both relieve pain or negative stimuli, or just make us feel good, whether or not we felt bad prior to their increase.<\/p>\n

Much has been written and theorized lately about the brains of those who become addicted to alcohol and other substances.\u00a0 It appears that many who become addicted are possibly victims of lower levels of dopamine in the brain, and the drug-taking behavior is a maladaptive attempt to artificially increase the levels of dopamine or other \u201cpleasurable\u201d chemicals in the body, such as the endorphins.\u00a0 These issues are beyond the scope of this article, but the reader is referred to a great blog, Neuroscience for Kids<\/a>, \u00a0which is a product of Washington University for further information regarding heroin and the science of addictions.<\/p>\n

Since much of what I have learned has been first-hand with suburban heroin addicts in a substance abuse recovery program for teens in Southern California, Teensavers, I will report the path that many of my former patients have told me is what led them to the opiates.<\/p>\n

First and foremost, there is no one direction.\u00a0 Some of my patients told me that they started by taking a pain pill, usually Vicodin, enjoying the high, and then realizing that they could get heroin easier and cheaper than having to go through the legal means of getting prescription medication, which was usually either by stealing it from their parents or having contacts who had such prescriptions and were willing to sell them.\u00a0\u00a0 Others began by smoking marijuana or drinking alcohol, learned that the euphoria produced by heroin greatly exceeded alcohol and marijuana, and graduated to same accordingly.\u00a0 Either way, the time from first use to a drastic problem with the opiates is generally very short.\u00a0 As opposed to alcohol or marijuana, which may take months or years to develop into a problem, opiates are more likely to take days or weeks.\u00a0 Therefore, \u201cjust say no\u201d to opiate abuse is probably the only effective strategy in dealing with same.<\/p>\n

I have also been surprised by how, for lack of a better word, \u201cnice\u201d the young heroin addicts with whom I have worked have been.\u00a0 They are often kind, considerate, have a boyfriend or girlfriend, have generally done relatively well in school prior before the problem started, and have been known more for their conformity than for their pushing the rules and getting into a great deal of trouble.\u00a0 I often tell many of them that we will not let them out of the program until they prove to us that they have the ability to \u201cbe mean\u201d and stand up for themselves.<\/p>\n

One key to parenting in these troubled times is to make sure that you have access to the child\u2019s room and belongings.\u00a0 Do not be afraid to search the room if and when you have suspicions.\u00a0 Do not be afraid to ask if your child knows how to get heroin, or if they know someone who is currently using heroin.\u00a0 Also, tell them that they have a social obligation to tell those in authority, such as teachers or their friend\u2019s parents, about their friends who are using.\u00a0 Many a patient has told me that they might have been deterred from using if their parents or friends had intervened earlier.<\/p>\n

You can also set an example for your children by living a lifestyle in which alcohol or drugs are not used to solve problems.\u00a0 Model for your children the idea that effective communication and problem-solving are the roads to long-term emotional and behavioral success, not the quick fixes of drinking and drugs.\u00a0 If you take pain medication, be scrupulous about exactly how many pills you take and how many pills should be remaining in the bottle.\u00a0 Almost all of my adolescent and young adult\/college student patients in the above-mentioned substance abuse recovery program have told me that they stole pain pills from their parents\u2019 medication at one point early in their addiction. If you do have pain, you might also profit from looking into behavioral or other non-medication means of dealing with the pain Managing Pain Before It Manages You<\/em>.\u00a0 <\/em><\/p>\n

Finally, let me see if I can elaborate on the above-mentioned surprise finding that most of the young heroin addicts whom I have met are nice, well-behaved, and mannerly.\u00a0 Most of my work with youth who abuse substances in the past has been with those who are more \u201cin your face\u201d and outwardly angry.\u00a0 They often have trouble early in school, get into trouble with authority figures early in life, and have problems controlling their anger and impulses.\u00a0 I am very accustomed to this kind of patient, and it still surprises me when I find a nice, quiet teenager who also happens to be a heroin addict.\u00a0 Many of these addicts\u2019 parents are unaware of big differences in the child\u2019s behavior because the child\u2019s have always been quiet, and now they just seem even quieter once the heroin abuse starts.\u00a0 Depression and anxiety also play a large role in the development of substance abuse problems, in general, and with this type of adolescent and young adult, in specific.\u00a0 Ironically, heroin is a nervous system depressant and often worsens these mood disorders in the long run.<\/p>\n

Related: Mental Health and Teens: Five Danger Signs to Watch Out For<\/a><\/p>\n

Look for things like sleep differences, frequent trips to the bathroom, nausea, and, according to some reports, constipation .\u00a0 Watch the money that is going out as well.\u00a0 Do not give anything other than what is necessary, as sometimes heroin addicts borrow money from their friends, who do not even know that the heroin addict is using.\u00a0 Thus, even if your child is not using, they may be inadvertently financing their friend\u2019s use if they have too much money.\u00a0 Most of the suburban areas that are currently showing increases of heroin abuse and overdoses are financially well-off, and their children\u2019s extra money, cell phones, and other signs of a suburban lifestyle may actually make it easier for them to gain access to the world of heroin.<\/p>\n

Finally, do not ignore any of the major signs of abuse, such as your child\u2019s having a hypodermic needle, actually finding heroin In their room, or their request for help because they realize they are in trouble and cannot stop using.\u00a0 Ignoring heroin abuse will not make it go away.\u00a0 Due to the serious nature of opioid addiction, out-of-home placement may be the only alternative to get help for your child. A good resource if you are sure you have a problem is teensavers.com, and they will give you a free telephone consultation and answer your questions confidentially<\/p>\n

<\/div>\n","protected":false},"excerpt":{"rendered":"

Last month I ventured into the non-clinical realm and discussed sports psychology and the, if you will, lighter side of the profession.\u00a0 This month I 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