I want to help my friend quit drugs!
Hello, doctor! My boyfriend used to use heroin, and he is currently in the process of quitting.
He hasn't used it for four days.
How can I help him with his withdrawal? He is having trouble sleeping, so he ended up taking sleeping pills, but today he took six of them! What should I do? Is it possible for him to quit?
Xiao Lan~, 20~29 year old female. Ask Date: 2005/08/26
Dr. Zheng Jingming reply Psychiatry
Xiao Lan: Heroin addiction is also a disease that requires medical assistance.
The withdrawal symptoms experienced when quitting heroin can be very uncomfortable and difficult to endure.
Severe insomnia is one of the withdrawal symptoms; it is advisable not to self-medicate with sleeping pills, and it is best to seek medical help.
You can consult the psychiatric outpatient department of various hospitals for medication to alleviate withdrawal symptoms and to discuss methods for addiction recovery and psychological therapy.
Additionally, consider inpatient detoxification treatment at rehabilitation centers such as Kaohsiung Municipal Kaohsiung Hospital, Chia Nan Rehabilitation Hospital, or Taipei City Rehabilitation Hospital, but you will need to undergo an evaluation at their outpatient clinics first.
After the acute withdrawal symptoms subside, long-term psychological rehabilitation is necessary to prevent relapse.
(Note: Withdrawal symptoms include intense drug cravings appearing 4-6 hours after stopping heroin, tearing, runny nose, yawning, cold sweats, and goosebumps resembling "cold turkey" appearing 8-12 hours later.
After 12 hours, symptoms such as dilated pupils, restlessness, nausea, and tremors occur; these symptoms peak between 36-72 hours, presenting with insomnia, generalized weakness, chills, vomiting, abdominal pain, diarrhea, and muscle aches.
Domestic heroin users refer to this period as "enduring the material." Therefore, during the first 1-2 weeks of physiological withdrawal, it is crucial to provide supportive therapy and symptomatic relief to help reduce discomfort.) Sincerely, Zheng Jingming, Psychiatry Department, Qishan Hospital.
Reply Date: 2005/08/26
More Info
Supporting a friend in overcoming heroin addiction can be a challenging yet rewarding journey. It's commendable that you want to help your boyfriend during this difficult time. Heroin addiction is a complex condition that often requires professional intervention, and your role as a supportive friend is crucial. Here are several strategies you can employ to assist him in his recovery:
1. Encourage Professional Help: The first and most important step is to encourage him to seek professional help. Heroin withdrawal can be severe and potentially dangerous, and it is essential that he consults with a healthcare provider or an addiction specialist. They can provide a medically supervised detoxification process, which is often necessary to manage withdrawal symptoms safely. This may include medications that can help alleviate withdrawal symptoms and cravings.
2. Avoid Enabling Behaviors: While it's natural to want to alleviate his discomfort, giving him substances like sleeping pills can be dangerous and may lead to further complications. Instead, encourage him to speak with a doctor about his insomnia and explore safer alternatives for managing his sleep issues.
3. Provide Emotional Support: Be there for him emotionally. Listen to his concerns and feelings without judgment. Addiction can often lead to feelings of shame and isolation, so your support can help him feel less alone. Encourage him to express his feelings and reassure him that recovery is a process that takes time.
4. Educate Yourself About Addiction: Understanding the nature of addiction can help you provide better support. Learn about the withdrawal symptoms associated with heroin, which can include anxiety, insomnia, nausea, and intense cravings. This knowledge will help you empathize with what he is going through and allow you to offer informed support.
5. Encourage Healthy Coping Mechanisms: Help him find healthier ways to cope with stress and cravings. This could include engaging in physical activities, practicing mindfulness or meditation, or exploring hobbies that he enjoys. Encouraging him to stay active can also help improve his mood and overall well-being.
6. Be Patient and Understanding: Recovery is not a linear process, and there may be setbacks along the way. It's important to remain patient and understanding. Celebrate his successes, no matter how small, and be there to support him during difficult times.
7. Consider Support Groups: Encourage him to join support groups such as Narcotics Anonymous (NA) or SMART Recovery. These groups provide a community of individuals who understand what he is going through and can offer support and encouragement.
8. Take Care of Yourself: Supporting someone with an addiction can be emotionally taxing. Make sure to take care of your own mental and physical health. Seek support for yourself if needed, whether through friends, family, or counseling.
9. Set Boundaries: While it's important to be supportive, it's also crucial to set boundaries to protect your own well-being. Make it clear what behaviors you will not tolerate, such as substance use in your presence.
10. Involve Family and Friends: If appropriate, involve his family or close friends in the support process. A strong support network can make a significant difference in his recovery journey.
In conclusion, while you can provide essential support, remember that overcoming heroin addiction is a complex process that often requires professional intervention. Encourage your boyfriend to seek help and be there for him as he navigates this challenging journey. Your support can make a significant difference in his recovery, but it’s important to recognize the limits of what you can do and to prioritize both his and your well-being.
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