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The Road to Recovery from Prescription Drug Abuse

Learn more about the benefits of comprehensive prescription drug abuse treatment at New Choices Treatment Center.

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The Rising Tide of Prescription Drug Abuse: Understanding the Crisis

Prescription drug abuse has become a significant public health crisis in recent years. This issue involves the misuse of medications that are legally prescribed for various health conditions.

Prevalence of Prescription Drug Abuse

The National Institute on Drug Abuse (NIDA) reports that every day, more than 130 people in the United States die from opioid overdoses.1
In Texas, 1 in 4 four residents has experienced an opioid overdose or knows someone who has.2
The statistics are alarming, but behind each number is a real person struggling with addiction and its consequences. It’s essential to understand the root causes and warning signs of prescription drug abuse to help those in need and prevent further harm.
prescription drug abuse

Our Commitment to a Healthier Community

At New Choices Treatment Center (NCTC), we are dedicated to providing comprehensive care that addresses the unique needs of each person. Our approach combines medical, therapeutic, and holistic interventions to ensure that each client receives the best possible treatment.

Our San Antonio team is committed to creating a healthier community — one individual at a time.

Understanding Prescription Drug Abuse

Prescription drug abuse occurs when someone takes medication in a way that is not prescribed or for reasons other than its intended purpose.
This can include:
  • Taking a higher dosage than prescribed
  • Mixing different medications without consulting a doctor
  • Using someone else’s prescription medication
  • Taking medication for recreational purposes

Not Following Prescription Instructions

Prescription drug abuse can also occur when someone takes their own prescribed medication but not according to the instructions given by their doctor.
This can include:
  • Skipping doses
  • Increasing or decreasing dosage without consulting a doctor
  • Continuing to take medication after the prescribed period of time has ended

Increased Chances of Dependence and Addiction

This problem is complex and can have various consequences. It can lead to addiction, which is a chronic disorder characterized by compulsive drug seeking and use despite harmful consequences.

The misuse of prescription drugs can also result in physical dependence, where the body adapts to the drug. This leads to withdrawal symptoms when not taking it. Tolerance can develop as well, meaning people need higher doses to achieve the same effect.

Commonly Misused Prescription Drugs

There are several categories of prescription drugs that are commonly misused. Each type affects the body and mind differently and poses unique risks.3

Opioids

Opioids are prescription painkillers that can be highly addictive. They work by binding to opioid receptors in the brain, spinal cord, and other organs to reduce the perception of pain.
Commonly prescribed opioids include:
  • Codeine
  • Fentanyl
  • Hydrocodone (Vicodin)
  • Oxycodone (OxyContin)
When abused or misused, they can produce a euphoric high and lead to addiction.

Benzodiazepines

Benzodiazepines, also known as “benzos,” are a type of sedative commonly used to treat anxiety and insomnia. They work by enhancing the effects of the neurotransmitter gamma-aminobutyric acid (GABA), which helps calm the mind and body.
Commonly prescribed benzodiazepines include:
  • Xanax
  • Valium
  • Klonopin
When misused, they can cause drowsiness, dizziness, and impaired coordination.

Stimulants

Stimulants are prescription drugs often used to treat attention-deficit hyperactivity disorder (ADHD) and narcolepsy. They work by increasing levels of dopamine and norepinephrine in the brain, which can improve focus and attention.
Commonly prescribed stimulants include:
  • Adderall
  • Ritalin
  • Concerta
When misused, stimulants can produce a sense of euphoria and increase energy levels.

Prevalence, Risk Factors, and Consequences of Prescription Drug Addiction

Prescription drug abuse is a significant problem affecting many people across various demographics.

Prevalence of Prescription Drug Abuse

Prescription drug abuse is more common than many realize. Statistics show that millions of people misuse prescription medications each year.
In 2021 alone, an estimated 14.3 million people misused any prescription psychotherapeutic drug, while 3.9 million people misused benzodiazepine and 3.7 million people misused stimulants.4
The problem spans all age groups, genders, and socioeconomic backgrounds, indicating that anyone can be at risk.

Risk Factors for Prescription Drug Abuse

Several risk factors can increase the likelihood of developing a problem with prescription drug abuse. Understanding these factors can help people recognize if they or someone they know may be at risk.
Some common risk factors include:
  • Genetic factors: Certain genetic traits can make a person more susceptible to developing an addiction.
  • Environmental factors: Living in a high-stress environment or being exposed to substance abuse at an early age can also increase the risk of prescription drug abuse.
  • Mental health challenges: People with mental health disorders, such as anxiety or depression, are more likely to misuse prescription drugs as a way of self-medicating.
  • Access to medications: Easy access to prescription medications, whether through personal prescriptions, friends, or family, can contribute to misuse.
  • Lack of knowledge: Misunderstanding the risks and addictive potential of prescription medications can lead to their misuse.

Consequences of Prescription Drug Abuse

The consequences of prescription drug abuse can be devastating and affect all areas of a person’s life. These consequences may include:
  • Physical health: Misusing prescription drugs can lead to a wide range of physical health issues, including organ damage, overdose, and even death.
  • Mental health: Substance abuse can also take a toll on mental health. It can lead to increased anxiety, depression, and other disorders.
  • Relationships: Prescription drug abuse can strain relationships with loved ones and cause conflicts and trust issues.
  • Financial issues: The cost of obtaining prescription drugs illegally or losing income due to addiction treatment can result in financial problems.
  • Legal trouble: Misusing prescription drugs, especially if obtained illegally, can result in legal consequences and potential criminal charge
As difficult as it may be to confront the reality of prescription drug abuse and its consequences, it is essential to seek help and support. There is no shame in struggling with addiction; it is a complex disease that needs professional treatment.

Recognizing the Signs of Prescription Drug Abuse

It is important to recognize the signs of prescription drug abuse. Some common signs include:

Behavioral Changes

Behavioral changes are often the first indicators of prescription drug abuse. People may notice mood swings that seem out of character, such as sudden irritability or euphoria. These mood changes can be unpredictable and intense, affecting relationships and daily interactions.
Social withdrawal is another common sign. Someone might start avoiding friends and family, preferring isolation over social activities they once enjoyed. This withdrawal can stem from the desire to hide drug use or from the drug’s effects on social motivation and behavior.
Secretive behavior can also indicate prescription drug abuse. People may become more secretive about their actions, hiding pills or making excuses for unusual behavior.

Physical Symptoms

Physical symptoms can provide clear evidence of prescription drug abuse. Changes in appetite are common, with some drugs causing weight loss due to reduced hunger, while others might lead to weight gain from increased appetite.
Sleep patterns can also be disrupted. People might experience insomnia, sleeping for only a few hours, or excessive drowsiness, finding it hard to stay awake during the day. These sleep disturbances can significantly impact health and daily functioning.
Appearance changes are another red flag. People may notice a decline in personal hygiene, unusual sweating, or unexplained bruises and marks. These changes can result from the drug’s physical effects on the body or from neglecting self-care due to preoccupation with drug use.

Psychological Indicators

Psychological indicators are crucial in recognizing prescription drug abuse. Cravings are intense urges to use the drug, often making it difficult to focus on anything else.
These cravings can be triggered by various factors, including:
  • Stress
  • Certain environments
  • Thoughts about the drug

Drug-Seeking Behavior

Compulsive drug-seeking behavior is another significant sign. A person may find themselves going to great lengths to get the medication, including:
  • Visiting multiple doctors (“doctor shopping”)
  • Forging prescriptions
  • Buying drugs illegally
This compulsive behavior often stems from the brain’s dependence on the drug to feel normal or avoid withdrawal symptoms.

Denial

Denial is a common psychological defense mechanism. People might downplay the severity of their addiction or convince themselves that they can stop anytime, despite evidence to the contrary.
This denial can prevent people from seeking help and acknowledging the impact of prescription drug abuse on their life.

Understanding the Factors Contributing to Prescription Drug Abuse

Understanding these factors provides insight into why prescription drug abuse occurs and how to mitigate its impact on both individuals and communities.

The Role of Healthcare Providers in the Epidemic

Healthcare providers may prescribe more medication than necessary, often due to the pressure to manage pain or other conditions quickly. This practice can lead to an excess of unused medications, increasing the risk of misuse.
When someone gets a prescription, the intention is to manage a specific medical condition. However, if they are given more medication than needed, the surplus can be tempting to misuse, especially if they are unaware of the potential for addiction.

Normalization of Medication Use

Overprescribing can also lead to a normalization of medication use, where taking pills becomes a routine response to discomfort, rather than a last resort.
Healthcare providers play a critical role in this dynamic. By carefully evaluating each case and prescribing the minimum effective dose, they can help reduce the availability of excess medication.
Additionally, educating clients about the risks of prescription drug abuse and proper medication disposal can further minimize the chances of misuse.

Challenges of Obtaining Prescription Drugs and Misuse of Medications

Challenges arise when medications are accessible without appropriate controls. For instance, people might find it easy to refill a prescription multiple times, even when it’s no longer medically necessary. This ease of access can lead to misuse.

Mental Health Conditions and Substance Abuse

Mental health conditions often coexist with prescription drug abuse, creating a complex interplay that can complicate treatment and recovery. Conditions like anxiety, depression, and post-traumatic stress disorder (PTSD) can lead people to self-medicate with prescription drugs.

Escaping Emotional Pain

When mental health issues are present, people might find that medications provide temporary relief or escape from their emotional pain. This can create a cycle where the medication use intensifies, leading to dependency and abuse.
It’s not uncommon for people with co-occurring disorders to feel trapped, as the substances they rely on for relief also contribute to their distress.

Treating Both Conditions

Effective treatment for prescription drug abuse must address both the substance use and the underlying mental health conditions. Integrated treatment plans that combine medication management with therapy can provide a comprehensive approach to recovery.
At New Choices Treatment Center, we recognize the importance of treating the whole person, ensuring that both mental health and substance use disorders are addressed with equal care and attention.

Interventions and Treatment Approaches for Prescription Drug Abuse

There are a variety of treatments available for people struggling with prescription drug abuse. These include:

Detoxification

Detoxification is the initial step in treating prescription drug abuse. This process involves clearing the body of the substance while managing withdrawal symptoms. Withdrawal can be uncomfortable and, in some cases, dangerous, making medical supervision essential.

During detoxification, clients might experience symptoms such as:
  • Anxiety
  • Irritability
  • Nausea and vomiting
  • Muscle pain and tremors
  • Insomnia
  • Changes in appetite

Detoxification at NCTC

Our team can provide a safe, supportive environment for detoxification, utilizing medications when necessary to manage symptoms.
Detoxification is crucial because it addresses the physical dependency on the drug. However, it is only the first step in recovery. Following detox, comprehensive treatment plans are necessary to address the psychological aspects of addiction and prevent relapse.

Behavioral Therapies

Behavioral therapies help people understand the underlying causes of their addiction and develop strategies to cope with cravings and triggers. These therapies can be provided in individual, group, or family settings and may include:

Cognitive-Behavioral Therapy (CBT)

CBT focuses on identifying and changing negative thought patterns and behaviors associated with drug abuse.

Through CBT, clients learn to:
  • Recognize triggers
  • Manage stress
  • Develop healthier coping mechanisms

Medication-Assisted Treatment (MAT)

MAT combines medications with behavioral therapies to treat prescription drug abuse. It is particularly effective for opioid and alcohol dependence, as it addresses both the physical and psychological aspects of addiction.

Several medications can be used in MAT to manage cravings and withdrawal symptoms, including:
  • Methadone: A long-acting opioid that helps reduce cravings and prevents withdrawal symptoms.
  • Buprenorphine: A partial opioid agonist, meaning it activates the same receptors as opioids but to a lesser extent. It reduces cravings and withdrawal symptoms while producing less of a high. It can be prescribed by trained physicians in an office setting. 
  • Naltrexone: A non-opioid medication that blocks the effects of opioids and reduces cravings. It can also be used to treat alcohol dependence.

Benefits of MAT

MAT improves treatment retention and reduces the risk of relapse. By managing the physical aspects of addiction, these medications allow people to engage more effectively in behavioral therapies and other aspects of their treatment plan.
At NCTC, MAT is not a replacement for substance abuse treatment. Our team can determine if MAT is appropriate for each client and will closely monitor their progress while on medication.

Harm Reduction Strategies for Prescription Drug Abuse

Harm reduction strategies are approaches aimed at minimizing the negative health, social, and legal impacts associated with prescription drug abuse. These strategies focus on reducing the risk of harm rather than solely aiming for the cessation of drug use.
By implementing harm reduction measures, people can protect themselves and others from the dangerous consequences of misuse while working toward recovery.

Safe Medication Disposal

Properly disposing of unused or expired medications helps prevent prescription drug abuse by reducing the availability of these substances. Many people unknowingly contribute to the problem by keeping old medications, which can be misused by themselves or others.
To dispose of medications safely, you can:

Utilize Drug Take-Back Programs

Many communities offer take-back programs where people can return unused medications for safe disposal.
These programs are often available at:
  • Pharmacies
  • Hospitals
  • Local law enforcement agencies

Follow FDA Guidelines

The Food and Drug Administration (FDA) provides guidelines for disposing of medications at home if take-back programs are not available.
This includes:
  • Mixing medications with unpalatable substances, like coffee grounds or cat litter
  • Sealing them in a plastic bag
  • Throwing them in the household trash
Some medications can also be flushed down the toilet, but this is recommended only for specific drugs.5

Prescription Monitoring Programs

Prescription monitoring programs (PMPs) are state-run databases that track the prescribing and dispensing of controlled substances. These programs are designed to identify and prevent prescription drug abuse by monitoring patient prescription histories.
Utilizing PMPs can significantly reduce the incidence of prescription drug abuse by promoting safer prescribing practices and enabling early intervention.

Education and Prevention Efforts

These initiatives aim to raise awareness about the risks of misuse and promote responsible medication use. Effective education and prevention strategies include:

Public Awareness Campaigns

These campaigns inform the public about the dangers of prescription drug abuse and the importance of proper medication use and disposal.
They often involve:
  • Media outreach
  • Community events
  • Educational materials

Patient Education

When someone receives a prescription, the healthcare provider should explain:
  • How to take the medication correctly
  • The potential risks of misuse
  • How to store and dispose of it safely
Understanding these aspects can help people use medications responsibly.

School-Based Programs

Educating young people about the risks of prescription drug abuse is crucial for prevention. School programs can teach students about:
  • The dangers of misuse
  • How to refuse drugs
  • The importance of making healthy choices
At NCTC, we believe in the power of education and prevention to combat prescription drug abuse. Our programs are designed to provide people with the knowledge and resources needed to make informed decisions about medication use.

Supporting Recovery and Preventing Relapse

Recovery is a long-term process that extends beyond initial treatment. It involves maintaining sobriety and addressing any underlying issues that contributed to the addiction.
Preventing relapse is equally important, as it helps people sustain the progress made during treatment.
To improve the chances of successful recovery and prevent relapse, consider:

Aftercare Planning

Once a person completes an initial treatment program, transitioning to continued support and care ensures that they have the resources needed to maintain sobriety.
Aftercare plans are personalized to fit each person’s unique needs and can include a variety of components:
  • Outpatient therapy: Regular sessions with a therapist help people address ongoing challenges and reinforce coping strategies learned during treatment.
  • Medication management: If a client is prescribed medications to manage withdrawal symptoms or co-occurring disorders, ongoing medical supervision ensures that treatment is effective and adjusted as needed.
  • Support groups: Engaging in support groups provides a community of people who share similar experiences. These groups offer encouragement, accountability, and a sense of belonging.
By having a structured aftercare plan, people can navigate the challenges of early recovery with confidence and support.

Peer Support Groups

Peer support groups consist of people who have faced similar struggles and can provide mutual support and understanding.
Being part of a recovery community offers several benefits, including:
  • Shared experiences: Hearing others’ stories and sharing one’s own can reduce feelings of isolation. It reminds people that they are not alone in their journey.
  • Accountability: Regular attendance and participation in support groups help people stay committed to their recovery goals. 
  • Practical advice: Experienced members of the group can provide practical tips and strategies for overcoming challenges and avoiding relapse.
Peer support groups can be found in various forms, including 12-Step programs and SMART Recovery.

Treating Co-Occurring Mental Health Disorders

Many people who struggle with addiction also have underlying mental health conditions such as anxiety, depression, or trauma-related disorders. Effective treatment requires a comprehensive approach that addresses both the addiction and the mental health issues.
This is done through:
  • Integrated treatment: Combining mental health and substance abuse treatment ensures that both conditions are addressed at the same time. 
  • Therapeutic approaches: Different therapeutic modalities can be effective in treating co-occurring disorders. These therapies help people develop healthier thought patterns and coping strategies.
  • Ongoing support: Continuous support from mental health professionals, support groups, and family members is essential for managing co-occurring disorders. This support helps people maintain stability and reduce the risk of relapse.

Our Approach to Addressing Prescription Drug Abuse

At New Choices Treatment Center, our approach to addressing prescription drug abuse is comprehensive and individualized. Recognizing that each case of prescription drug abuse is unique, we focus on creating tailored treatment plans that address each client’s specific needs.

Our approach combines medical, therapeutic, and holistic interventions to provide well-rounded care. By empowering people on their path to recovery, we ensure they have the necessary tools and support to achieve long-term sobriety.

Comprehensive Assessment and Individualized Treatment Plans

The first step in our approach is a comprehensive assessment. This involves a thorough evaluation that includes:
  • Medical history: We review a person’s medical history and any potential underlying health issues that may contribute to addiction.
  • Substance use: We assess the type, frequency, and severity of substance use.
  • Mental health: We evaluate a person’s mental health to determine if there are any co-occurring disorders that need to be addressed in treatment.
Our goal is to understand the full scope of a person’s situation to create a treatment plan that addresses all aspects of their health.

Individualized Treatment Plan

Once the assessment is complete, we develop an individualized treatment plan. This plan is tailored to each client’s unique needs and circumstances.
It outlines specific goals and strategies for recovery, including:
  • Detoxification
  • Therapy
  • Aftercare planning
By personalizing treatment, we ensure that clients receive the most effective care possible.

Multidisciplinary Team Approach

Our team includes medical doctors, therapists, counselors, and holistic practitioners, all working together to provide comprehensive care through:

Medical Interventions

Our medical team oversees the detoxification process, ensuring clients withdraw safely from prescription drugs.

Therapeutic Interventions

Therapy is a core component of our treatment plans. We offer various therapeutic modalities, including:
  • Cognitive-behavioral therapy (CBT)
  • Motivational interviewing (MI)
  • Group therapy

Holistic Interventions

We incorporate holistic therapies such as yoga, meditation, and art therapy into our treatment plans. These therapies promote well-being and help people reconnect with themselves on a deeper level.
prescription drug abuse

Our Commitment to Empowering People on the Path to Recovery

We believe that recovery is not just about stopping drug use but also about building a fulfilling, substance-free life. We provide ongoing support throughout the recovery journey, including aftercare planning and access to support groups.
Our team works closely with clients to set realistic goals and celebrate achievements. We also involve family in the recovery process, recognizing the vital role they play in a support network.

Your Path to Healing Starts Here

You are not alone in your struggle with prescription drug addiction. Our compassionate and experienced team is here to guide you on your journey to recovery.
We believe that everyone has the strength and ability to overcome their addiction, and we are here to provide you with the tools and support you need. Recovery is a process, and it takes time and effort. But, with our help and your determination, you can live a happy, healthy, and drug-free life.

Take the first step toward healing by reaching out to us today. We are here to listen, support, and guide you on your path to recovery. Remember, you are not defined by your addiction – you have the power to create a brighter future for yourself.

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Resources

  1. https://www.hrsa.gov/opioids
  2. https://www.hhs.texas.gov/sites/default/files/documents/ttor-primer.pdf
  3. https://nida.nih.gov/sites/default/files/rx_drugs_placemat_508c_10052011.pdf
  4. https://nida.nih.gov/publications/research-reports/misuse-prescription-drugs/what-scope-prescription-drug-misuse
  5. https://www.fda.gov/consumers/consumer-updates/where-and-how-dispose-unused-medicines