How Employers Can Support the Mental Health of their Employees During a Pandemic

The Coronavirus pandemic, economic collapse and historic unemployment are threatening the collective mental health of the United States workforce. Barriers to mental health treatment such as stigma in the workplace will only intensify this mental health crisis for American workers.

According to a poll by the American Psychological Association, only half of workers in the United States say they are comfortable talking about their mental health in the workplace. More than a third of participants cite concern about job consequences if they seek mental healthcare through their employer. These troublesome statistics indicate that, now more than ever, we need to work together to destigmatize the conversation around mental health, so that employees feel safe to seek treatment.

What can employers do?

Company policies and communications that emphasize mental health is a priority can reduce or eliminate a major barrier to seeking substance abuse and mental health treatment. Adopting and promoting an employee assistance program that employees can use anonymously, to eliminate any fear of judgment or repercussions, is a great start. Other ways to look after employees’ mental health includes regularly checking in with them, fostering a positive and transparent work environment, encouraging open conversations around mental health, and increasing access to mental health resources.

Employee mental health

These efforts benefit everyone in the long run, especially when they can result in employees seeking treatment for substance use disorder. In a normal year, drug abuse costs employers upwards of $81 billion due to high turnover rates, reduced productivity and quality of work, higher absenteeism and sick time, increased number of on-the-job accidents and injuries, increased costs of workers’ compensation and disability, and increased healthcare costs.

We need your help.

As the Coronavirus pandemic continues, substance abuse and overdoses are increasing nationwide. Recent Census Bureau data shows that, during the pandemic one-third of adults are experiencing severe anxiety, and nearly one-quarter are showing signs of depression. With no end to the pandemic in sight, efforts to reduce barriers to mental health treatment rest in the hands of employers. Together, we can combat these rising rates and reduce the impact of the pandemic on employees’ mental health.

If you know someone at work who is struggling with substance use or mental health, The Council is the place to start. For questions or to get started, contact us here or at 713.914.0556. Virtual treatment is available.

The Link Between Childhood Trauma and Addiction

For decades, the professional approach to addiction has been shifting away from shaming and blaming, and toward the belief that addiction is a normal and common biological response to adversity experienced in childhood. The popularization of this game-changing perspective is credited to Dr. Daniel Sumrok, director of the Center for Addiction Sciences at the University of Tennessee Health Science Center’s College of Medicine, who began his crusade to change the narrative around addiction after treating Vietnam veterans with PTSD in the early 1980s.

Adverse Childhood Experiences (ACEs) affect long-term health, and can include physical, emotional, and sexual abuse; physical and emotional neglect; living with a family member who’s addicted to substances; depression and other mental illnesses; parental divorce or separation; incarceration or deportation of a family member; racism; involvement in the foster care system, and more. Clinicians like Dr. Sumrok administer an ACE assessment upon meeting a patient for the first time, and for good reason.

childhood trauma and addiction

According to ACE studies, about 64% of people have at least one ACE, which can double to quadruple the likelihood of using drugs or alcohol, particularly at an early age. Having an ACE score of 4 nearly doubles the risk of heart disease and lung cancer and increases the likelihood of becoming an alcoholic by 700%. People with a score of 5 or higher are seven to 10 times more likely to use illegal drugs and become addicted. Furthermore, these studies show that it doesn’t matter what type of trauma the patient experienced. Different combinations of ACEs produce the same statistical health consequences.

Considering potential childhood trauma is necessary for addressing one’s addiction.

This requisite has fortunately also normalized the concept of addiction as “ritualized compulsive comfort-seeking” – it’s something one adopts as a coping behavior because they weren’t provided with a healthy alternative when they were young. This approach is not only supported by psychological research, it’s also the compassionate route to treating clients with substance abuse problems. Rather than labeling someone as an addict and punishing them for their behavior, clinicians like those at The Council find it’s kinder and more productive to address ACEs with their clients, and to help them seek comfort in other behaviors. Since its inception, the staff at the Center for Recovering Families is dedicated to helping their clients by looking at their trauma when appropriate and providing the necessary skills to deal with their feelings.

For more information about ACEs, read here. To calculate your ACE score, click here.

For questions about The Council’s assessment and treatment options, or if you or a loved one needs help, call (713) 914-0556 or contact us here.

Do You Know the Signs & Symptoms of Substance Use Disorder?

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The term “substance use disorder” is frequently used to describe misuse, dependence, and addiction to alcohol and/or legal or illegal drugs. While the substances may vary, the signs and symptoms of a substance use disorder are the same. Do you know what they are?

First a few definitions: Signs are the outwardly observable behaviors or consequences related to the use of the substance. Symptoms are the personal, subjective experiences related to the use of the substance. A substance use disorder (or SUD) is a clustering of two or more signs and symptoms related to the use of a substance.

The Recovery Research Institute recently published the signs and symptoms of SUD cited by the American Psychiatric Association. These include:

  1. Problems controlling alcohol use, drinking larger amounts, at higher frequency, or for longer than one intended.
  2. Problems controlling alcohol use despite:
    • The desire to cut-down or quit
    • The knowledge that continued alcohol use is causing problems such as:
      • Persistent or reoccurring physical or psychological problems
      • Persistent or reoccurring interpersonal problems or harm to relationships
      • The inability to carry out major obligations at home, work, or school
  3. The development of:
    • Cravings: A powerful & strong psychological desire to consume alcohol or engage in an activity; a symptom of the abnormal brain adaptions (neuroadaptations) that result from addiction. The brain becomes accustomed to the presence of a substance, which when absent, produces a manifest psychological desire to obtain and consume it.
    • Tolerance: A normal neurobiological adaptation process characterized by the brain’s attempt to accommodate abnormally high exposure to alcohol. Tolerance results in a need to increase the dosage of alcohol overtime to obtain the same original effect obtained at a lower dose. A state in which alcohol produces a diminishing biological or behavioral response (e.g. an increasingly higher dosage is needed to produce the same euphoric effect experienced initially).
    • Withdrawal symptoms: Physical, cognitive, and affective symptoms that occur after chronic use of alcohol is reduced abruptly or stopped among individuals who have developed tolerance to alcohol.
  4. Alcohol use that leads to risky or physically hazardous situations (e.g. driving under the influence)
  5. Spending large amounts of time obtaining alcohol
  6. Reducing or stopping important social/occupational/recreational activities due to alcohol use

If you or a loved have experienced the signs and symptoms of a substance use disorder, and need help, call The Council on Recovery at 713-942-4100 or contact us online.

Yale Study: Genes May Explain Why Alcohol Detox is Particularly Hard for Some People

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Yale Study Explains Why Detox Symptoms are Worse for Some, Not Others

New findings published in journal Alcoholism: Clinical and Experimental Research

Some heavy drinkers suffer intense withdrawal symptoms when they try to stop drinking — some, less so.  A new Yale-led international study of individuals with alcohol dependence has identified gene variants that may help explain why “detox” from alcohol is particularly difficult for some people. The researchers report their findings September 25 in the journal Alcoholism: Clinical and Experimental Research, the official journal of the Research Society on Alcoholism.

“Alcohol takes more lives in the United States every year than opioids, but there are few effective treatments to help people who have an alcohol use disorder,” said Andrew H. Smith, lead author of the study and a research affiliate in the laboratory of senior author Joel Gelernter, Foundations Fund Professor of Psychiatry and Professor of Genetics and of Neuroscience. “For people who experience intense withdrawal symptoms, that’s one more barrier they have to face while trying to reduce unhealthy alcohol use.”

Those physical symptoms of alcohol withdrawal are much worse than any hangover. Sudden cessation of alcohol consumption can lead to shakes, nausea, headaches, anxiety, fluctuations in blood pressure, and in the most serious cases, seizures.

The American team and collaborators in Denmark linked variants in the SORCS2 gene to the severity of alcohol withdrawal in people who have European ancestry, about one in ten of whom carry the variants. No such connection was found in African Americans. Intriguingly, the SORCS2 gene is important for activation of brain areas which respond to changes in the environment. The gene variants identified in the study may impinge on the ability of heavy drinkers to adapt to the sudden absence of alcohol, researchers speculate.

“Better understanding of the many genes likely to be involved in withdrawal symptoms could ultimately lead to new medications that moderate these symptoms, which could help with the discontinuation of habitual alcohol use,” Gelernter said.

The research was primarily funded by grants from the National Institutes of Health.

The Council on Recovery does not provide medical detox services, but does refer out to detox facilities in the Houston area. The Council provides outpatient services for people battling alcoholism, including Healing Choices, our intensive outpatient treatment program (IOP). Call 713.914.0556 for more information.

The Red Flag Warnings of Cocaine Use and Withdrawal

drugabuse shutterstock220086538 cocaine feature image cocaineAlthough the opioid  epidemic has recently taken the spotlight and overshadowed the devastating impact of other substances, the use of cocaine has remained steady since 2009. Cocaine is a potent stimulant drug. It comes in a powder form and also a solid rock form typically known as ‘crack’. If you feel someone you know and love may have a problem with cocaine, there are many clear warning signals to look for.

Continue reading “The Red Flag Warnings of Cocaine Use and Withdrawal” →

People with Substance Abuse Disorders More Likely to Have Mental Disorders…and Vice-Versa

People with a substance use disorder are more likely to experience a mental disorder and people with a mental disorder are more likely to have a substance use disorder when compared with the general population.Co-Occurring Disorders Head 1

According to the Substance Abuse and Mental Health Services Administration (SAMHSA), about 45% of Americans seeking substance use disorder treatment have been diagnosed as having a co-occurring mental and substance use disorder. Those findings, reported in SAMHSA’s National Survey of Substance Abuse Treatment Services, support integrated treatment approaches like those used by The Council on Recovery’s Center for Recovering Families.

The Center for Recovering Families goes beyond conventional outpatient programs by utilizing the integrated approach for treating co-occurring mental and substance use disorders. Integrated treatment addresses mental and substance use conditions at the same time and requires collaboration across disciplines. The Center’s integrated treatment planning addresses both mental health and substance abuse, each in the context of the other disorder. This planning is client-centered and better addresses clients’ goals by using treatment strategies that are acceptable to them.

Recent research, including the 2014 National Survey on Drug Use and Health, shows that integrated treatment is associated with lower costs and better outcomes such as reduced substance use, improved psychiatric symptoms and functioning, decreased hospitalization, increased housing stability, fewer arrests, and improved quality of life.

For individuals and families dealing with co-occurring mental and substance use disorders, the Center for Recovering Families’ integrated treatment approach is creating new hope in the healing process. Contact the Center for Recovering Families at 713-914-0556.