SUDS (Single Use Detergent Sacs) laundry detergents packets can be very attractive to toddlers. They can also be very toxic if they are chewed and/or swallowed. A recent study of about 600 kids who did just that, revealed serious medical consequences: severe nausea, vomiting, diarrhea, severe drooling due to swollen throat, and inability to breathe. Some children required having a tube put into their throats (tracheas) and being placed on breathing machines. Eye exposures to the detergent caused damage to the cornea of the children’s eyes. The average age of the child that got into the detergent packets was…Continue Reading This Post ->
We have previously talked about the Five “A’s” that put young people at risk for substance abuse: Availability, Awareness, Acceptability, Adolescent Brain, Assessment of Risk. One of the five major reasons that adolescents and young adults use alcohol and or drugs for the first time is “Acceptability by others of that use” also called perceived “social acceptance” also called perceived “social norms”. We used to call it peer pressure. The terms are not that relevant but what is relevant is that adolescents and young adults want to fit into a peer group. That is an undeniable fact. So working…Continue Reading This Post ->
Mary presented to treatment several months ago. She gave an all too increasingly familiar story of her journey into opiate addiction. It all started out after she was injured in a motor vehicle accident three years before her admission. She was given Lortab and liked the feeling. On admission she was up to 180 mg of Roxicodon per day just to function and the chronic pain in her back was worse than ever. She also had generalized muscle, bone, and joint pain. Physical examination revealed pain to touch on her lower legs and her sternum. She was also noted…Continue Reading This Post ->
Well crazy enough to get drunk and drive onto a lawn thinking it’s a parking lot. The irony being that particular lawn belongs to the Wilson House. Yep. You guessed it, the birthplace of Bill Wilson.
Sally is sixteen years old and somewhat defiant but then again she’s 16 years old. Her mother made her come to see me for an addiction assessment because during a parental search of her room, they found some “synthetic” marijuana. Of course, she is angry about being “violated” by the search. Purportedly, her erratic behavior prompted the search. During the course of her visit I ask about self mutilation. She breaks eye contact, looks at the floor and then says: “Yes. But I’m not crazy.”
I don’t think she’s crazy either. I do think she is using cutting as a…Continue Reading This Post ->