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Feeling the Pressure

I don't know if it's the stress of going back to work, or the stress of having to share the commute with roadfulls of idiot Washington drivers, or the stress of quitting Zoloft (this is probably it - seven days without), or the stress of a recent familial event that I'm not yet ready to talk about, but I feel like my brain went bungee-jumping without the rest of my body, and also without the bungee.

Splat. And stuff.

I look forward to a day in the hopefully not-too-distant future when I'm not in withdrawals from one substance or another. Legal or otherwise. I've paid my frikkin' dues. I'd like to stop the paranoid thoughts and incessant sweating, thankyouverymuch.

I've learned a lot about addiction.

As my sister will happily tell you if given the chance, her little brother (me) started smoking around the age of eleven. I don't mind that she shares this information. I find we turn out even after I've let everybody know that her favorite outfit when she was younger was a Strawberry Shortcake top. Right about now, you're probably wondering what's so bad about that. What's so bad is that she didn't wear the matching bottom. It horrified me and my puritanical sensibilities. I would have thrown her in the dungeon, but my dad was too cheap to buy a house with a dungeon, and so I tolerated her savage ways until I was old enough to leave home and find work in the mines as a transvestite prostitute with a big pink pick-ax and all of a sudden this story doesn't sound like my life anymore at all okee-doke.

This early smoking thing was because my mom smoked Vantage cigs, and I thought the filters were cool. That was the extent of my interest, and I doubt I was addicted at the time. After all, I only smoked about eighty cigarettes each afternoon.

I did it because I liked the flavor. That's what all the magazine ads told me to do: Like the damned flavor, you pansy. So I did. It took some getting used to, but eventually I found a place in my mouth for the lovely taste of cig smoke. It had a certain je ne sais quoi, as people are wont to say when wanting to sound sophisticated. It's not true, though - I saised exactly what the quoi it was I tasted: hot-dirt-rotten-egg flavor. With a side order of rooster-ass-ceviche.

Got tired of enjoying so much of the flavor and took a hiatus from my hobby.

Six years later, I started wondering about nicotine and addiction and crap. My friends were hoodlums. The kind of people who, when in their preferred state of mind, would fight you to the death for a bag of Doritos. The other thing they were into was smoking. Lots and lots and lots of smoking.

Over many moons, I came to expect a certain phrase to pop up at any time from any one of them:

    I need a cigarette.

I understood the desire for a thing that burns and that blackens your lungs and that is expensive and that causes cancer, but I didn't understand the need for such a thing. Why did they need cigarettes?

I wanted to find out for myself how one goes from wanting a cigarette to needing one.

It wasn't very hard. I just smoked a bunch.

After a few weeks of constant smoking, I hadn't yet had the need to smoke. I had a need to eat two (2) Burger King Whoppers every day, and I had a need to compliment them with a "large fry" (why always the effing singular?), and I had a need to end my meal with an apple pie, and I had a need to wash it all down with four pints of Dr. Pepper, but this cigarette thing... where was the need?

One day after never having had the experience I was shooting for, I wrote off my experiment as a failure. I had failed to get myself addicted. It was a real punch in the groin for my self esteem. If I couldn't even get addicted to one of the most addictive things on the planet, then what hope did I have of ever achieving something of greatness? Or even something mediocre?

Then it hit me. In the car, driving east down Nevada Court Road in Portland, my whole body flipped out. My brain was sweating, my body was shaking, and my tummy was turning. It was a lot like my second pregnancy.

I spent a good part of the day like that. It wasn't until late that I had my Ah-HAH! moment. What was going on, of course, was nicotine withdrawal. I didn't know it, though, because I didn't know how to recognize it. I expected my brain to say "I need a cigarette," but it never happened. It was up to me to see and establish the connection.

The bits of your brain that crave something have little to do with the bits of your brain that know what that thing is.

The only way the association is made is with a bunch of conditioning. Letting yourself go into withdrawals repeatedly, and always fixing everything up with the substance of your choice.

Despite understanding this lesson and being able to provide in the form of a cute little anecdote, I was taken by surprise again in a similar way recently.

Two nights ago, I developed a craving. That's all. Just a craving. I didn't know what for. It was, simply, a... craving.

I ran through the things I thought it could be. I ate a popsicle to satisfy whatever foody desires I had, but the craving remained. I tried exercising, reading, watching, driving, singing, guitar strumming, and still didn't feel satisfied.

After exhausting my options, I had one clear thought in my head, and it was one I hadn't felt in a while:

    I need morphine. Tons and tons of morphine. The more the better. Screw those cigarettes.

This scared the shit out of me. Morphine scares the shit out of me. Anything at all to which I could become horribly addicted scares the shit out of me. I don't care if it makes me King of the Moon or whatever. I don't want it. Not going through that again.

Yet, here was this thought.

Much of the fear comes from the compartmentalization of the brain. There's a highly (this can't be emphasized enough) intelligent part of my brain that thinks morphine is probably bad for me. Then there's another part of my brain that doesn't "think" at all, and that part of my brain has been trained to react to the presence of certain symptoms (withdrawal stuff) and to try and hijack the rest of my brain to go get the one thing it believes will fix it all, and that's morphine.

If you've ever found yourself moving toward a substance while thinking "No..." but noticing that your legs don't care much about what you think, then you probably know what I'm talking about.

I spent a while trying to determine why, after being without for so long, I'd suddenly want morphine again.

Finally realized it was the Zoloft. The dizziness, headaches, anxiety, paranoia, sweating, nausea, and so on, was all from Zoloft. The symptoms are far milder than opiate withdrawal, but they're similar enough in kind that it makes sense that my brain would think morphine was the remedy.

Addiction is confusing. Sometimes you can't connect the withdrawals with a substance, and other times another substance is substituted out of an association built over a long period of substance abuse.

I'm really tired of it.

At least it's almost over.

Published Thursday, August 23, 2007 11:58 PM by Rory

Filed Under: ,

Comments

 

Massif said:

Now there's an insight into addiction, which shows that I have apparantly been addicted to highly fatty, sugary cookies for the last few months.

Hopefully I'll kick that habit, as cookie addiction has had the worrying side-effect of hiding my chin. I liked that chin, it was my favourite chin, and I want it back. I've had some help in the habit kicking as I'm now working somewhere nowhere near the cookie-vendor. Which is good as I discovered something.

I don't have any willpower. I thought I would have, but it's never been tested as I tended to avoid things like addiction by not taking up addictive things. But it's become clear I don't have any.

I hope you've got some, as your addictions sound much more hazardous to health than mine do. Good luck coping with the trailing aftershocks of addiction!
August 24, 2007 1:14 AM
 

Erik Porter said:

YOU CAN DO EET!!!  You're almost there.  :)

I know the feeling (well sorta).  I had Zoloft withdrawal many moons ago (like 10 moons, er...years ago).  Not fun stuff.  My symptoms were twitching a lot like I was starting to fall asleep while being wide awake.

Funny, if you think about it, your addictions and where you are in your life right now could've all started from smoking some cigarettes to see what it was all about.

You're almost out of the hole man...keep it up.  :)
August 24, 2007 2:03 AM
 

Massif said:

Surely 10 years ago, is 120 moons ago? 'Cause that's how many new moons we've had in 10 years...

Also, does anyone know what happens to the old moons? I've heard the moons cause tides, is that because they're broken into chunks and chucked into the sea, and it's the giant waves which are tides?

Any help on this would be appreciated, thanks.
August 24, 2007 5:18 AM
 

cubiclegrrl said:

Wow:  For the first time in my life, I'm actually grateful that my overprotective mother did such a thorough job of making me scared of freakin' everything throughout puberty.  I probably say "thanks".  To you as well as Mom.  Yep, definitely gonna call the Primary Parental Unit this weekend.  

Not to go all personal an' all, but I learned Wed. night that the bastards who sold my almost-17 nephew the methadone that killed him have at least been arrested.  And so I spent yesterday "in a mood," as you might expect.  Didn't care all that much for said nephew, mind you, but the collateral damage to the relatives I am more fond of has been tough to watch.  

Anyhoo, like Massif said, thanks for the insight.  It's more than intellectual curiosity for me.  Oddly enough, it helps a little to understand, when one would normally think that ignorance is bliss.

Hang in there, Rory.  In case the opinions of complete strangers on the Internet matter, you rock.  
August 24, 2007 9:34 AM
 

GuyIncognito said:

Can you be addicted to internet porn?  I heard an AM radio talk show host say that you couldn't and that you could only be addicted to drugs and things of that sort that caused a chemical modification.  Isn't any sort of addiction a modification of the brain and it's normal functioning (or rather preferred functioning)?

I believe everything I hear on AM radio as the god inspired truth.
August 24, 2007 11:06 AM
 

JoeG said:

Ok, there's not nearly enough Rory-bashing going on in these comments yet (I know this is only the fifth one, but I'm an impatient sort), so here goes:

You stink...yeah...'cause your writing is way too...thoughtful and, um, it makes me...think...yeah...I hate that, so.........you really, really stink!

Ok, now fire back at me! Come on, I dare you...double dare you...you Aristocat watching, Stargate loving, Blalock saving Blyth you!!

Really though, your struggles with addiction make me sad. I have no words of advice, because I've never been there, but you have my hottest, sweatiest hopes for success in beating the crap out of your demons.
August 24, 2007 11:08 AM
 

paul said:

Positive addictions can be helpful, like eating fruits and vegetables and getting more then your fair share of oxygen.

I'm heading out for a run right now, but if I ever did break a leg and was unable to run I'd probably become as they say - crazy as Rory.
August 24, 2007 11:49 AM
 

Rory said:

Massif -

"Now there's an insight into addiction, which shows that I have apparantly been addicted to highly fatty, sugary cookies for the last few months."

I don't know if this is true or not, and I don't know what the science is (might be) behind it, but I recall having read a few articles here and there about high-fat foods imparting a feeling of well being.

If that's the case, you're hitting some reward center when you eat that stuff, and you're priming your body to demand more.

People argue about the difference between addiction and something that appears to be a purely psychological thing. That is, if you aren't doing coke and smoking cigs, then you aren't addicted.

I think that's bullshit. When there's a behavior that results in some kind of reward - like eating cookies or whatever - that reward, although not like the kind of addiction that accompanies drug use, isn't "just psychological." There's an implied disassociation between mind and brain there, but that just isn't the case. If you feel good after eating cookies, it's because some goop in your brain interacted with other goop as a result of the administration of cookies into your face.

I mean to say that what you've said makes sense.
August 24, 2007 12:48 PM
 

Rory said:

cubiclegrrl -

"Not to go all personal an' all, but I learned Wed. night that the bastards who sold my almost-17 nephew the methadone that killed him have at least been arrested."

See, that's *really* messed up. Methadone is a dangerous thing. It's potent and it has a ridiculously long half-life. As a substitution med used for heroin rehab, it makes sense, but in any other context, it's bad, bad news.

I've read about others who purchased methadone off the street for kicks, and it seems that OD'ing isn't especially rare.

And I'm guessing that the people selling it know that.

Really screwed up...
August 24, 2007 12:51 PM
 

Rory said:

GuyIncognito -

"Can you be addicted to internet porn? "

Can you *not*?

"I heard an AM radio talk show host say that you couldn't and that you could only be addicted to drugs and things of that sort that caused a chemical modification."

I love that argument. As though there aren't non-drug ways of lighting up the brain's happy rewardy bits.

"Isn't any sort of addiction a modification of the brain and it's normal functioning (or rather preferred functioning)?"

If by "preferred functioning" you mean the natural state in which your brain would be - mental illness and all - were you not affecting it with drugs or cookies or whatever else, then, yes.

"I believe everything I hear on AM radio as the god inspired truth."

I LOLed it up for that line :)
August 24, 2007 12:55 PM
 

Rory said:

JoeG -

"Really though, your struggles with addiction make me sad."

No reason to be sad, yo... As much as I wish I weren't experiencing yet another round of mind and body strangeness, the end of this crap *is* approaching.

That's something to be happy about. 'Course, my state of mind is a little to weird to enter happy, but it's something I expect to be happy about someday.
August 24, 2007 12:57 PM
 

Rory said:

paul -

"Positive addictions can be helpful ... and getting more then your fair share of oxygen."

Even the safest sound thing can turn out to be a toxin and a corrosive :)
August 24, 2007 1:07 PM
 

cubiclegrrl said:

The bit about methadone's half-life is interesting.  I totally would have expected the opposite--a quick lift to distract you from craving the real thing.  Thanks much for the info.
August 24, 2007 2:57 PM
 

Rory said:

"The bit about methadone's half-life is interesting.  I totally would have expected the opposite--a quick lift to distract you from craving the real thing.  Thanks much for the info."

There are two main reasons methadone is still used:

1. For heroin junkies, going straight to buprenorphine isn't an option. Methadone must be used as a stopgap, as buprenorphine is only effective up to a point, and that point is well below what would help a heroin junkie with withdrawals. I went through bupe treatment, and it was rough, but it's still the best way I know of to slowly ease out of the addiction.

2. It's supposed to stop junkies from using dirty needles and from shooting up between methadone treatments. It lasts long enough that withdrawal (supposedly) doesn't hit big time until it's nearly time for the next dose. And, because it lasts so long, there's no need to stray and find heroin in the middle as well.

Aside from that, methadone is something you don't want to be on any longer than is absolutely necessary. Some people stay on it for life, but I couldn't imagine living that way.

Bupe can be supplied in thirty day quantities, so you can leave town if you'd like, but if it's methadone, you have to go down to a pain clinic every day.

There *are* ways to get methadone in the same way one can get bupe, but what you'll most often hear about is the go-down-to-the-clinic ritual. It's at the same time every day, and you can't get it to go. That means no trips to the beach, no departure from your schedule... terrifying. At least I think it's terrifying.
August 24, 2007 3:51 PM
 

DShadle said:

Awesome post - congratulations on the progress. Good to see you improving with every other time we cross paths. Stay strong, the struggle will get easier as you reclaim more of the much needed balance in life.  
August 24, 2007 11:54 PM
 

Greg Hughes said:

Hey man. As someone who's been there and done all that (about 11 years ago, wow time flies), let me just say, "Yo dude. Werd. Mi Compadre. Gotcha." Or something like that.

It's gonna be better if you want it, and it sounds like you do. Congrats on that part.

I was actually hoping to catch up with you sometime soon either in Portland (where I am) or Seattle, cuz one of the kids I work with in a youth group I lead has some stuff that he's trying to work though that I think you'd have some valuable perspective on. It's complicated (go figure), but you might be able to help me bounce ideas. And I'll buy the coffee or food or whatever. :)

greg
August 25, 2007 11:37 PM
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