Kratom | What Parents Need to Know | Charlotte, NC

Kratom | Truth | Addiction | NC

What is Kratom : Its botanical name is Mitragyna speciosa a tree native to Southeast Asia. Kratom produces a stimulant effect in small doses but can act as a  sedative (heroin) in larger doses.

Availability : Purchased over the counter in smoke shops, some gas stations, or easily ordered online.

Slang | Lingo

(aka) Thang, Kakuam, Thom, Ketum, Biak

  • Using Kratom is referred to as  “burning Kratom” even though it isn't smoked. Typically it is taken orally in powder form.  
  • When describing the high users will refer to is as the "aroma" 

Legality  

  • Kratom is illegal in the following states: Alabama, Arkansas, Indiana, Tennessee, Vermont, and Wisconsin
  • Internationally: illegal in Australia, Denmark, Malaysia, Myanmar, Burma, and Thailand

Why it's addictive 

Kratom infographic | Main active ingredients | Mitragynine and 7-Hydroxymitragynine

Kratom infographic | Main active ingredients | Mitragynine and 7-Hydroxymitragynine

Stories of Kratom Addiction and Withdrawal

PRECONTEMPLATION

First Stage of Change | PRECONTEMPLATION | Intervention

First Stage of Change | PRECONTEMPLATION | Intervention

Ironically the first stage of change doesn't involve much change at all. Clients in this phase are usually not happy campers. For the family members and the interventionist, this period is dedicated to the preparation for change. During this phase, we are planting seeds, NOT HARVESTING. Although it may feel frustrating, we need to put emotions aside and engage with strategic compassion. The bonding that happens between the interventionist and the client is paramount during the initial conversations. The way in which the interventionist approaches the client during the pre-contemplation phase is a delicate process and requires strategic planning. Interventions are NOT ONE SIZE FITS ALL.  It is essential to the process and the effectiveness of the interventionist to establish reliability and trust in the beginning stage; if these two critical elements are not present, they will have little to no influence on the client's motivation to change. 

THERE ARE FOUR TYPES OF PRECONTEMPLATORS 

The "Four R's":

  • Reluctance
  • Rebellion
  • Resignation
  • Rationalization

Reluctant Type:

These clients lack awareness of the severity of the problem, and they have not recognized the consequences in their life to be related to substance use. 

The Approach: The Reluctant client is likely to respond to subtle and sensitive feedback about how substance use may be impacting their life. [Note: Emphasizing the word MAY rather than IS delineates a question rather than an accusation. ] Telling a person at this stage that their substance use is causing an adverse impact in their life is not effective. Creating an environment in which the interventionist and client discover together that substance use is having a negative impact is a step in the right direction.


The Rebellious Type:

These clients value their independence and avoid situations in which they feel as though others are trying to control them. Attempts that are not collaborative will be perceived as an attack, and met with resistance. The interventionist can harness and redirect the energy the client has for protecting their freedom with a strategic reframe.

Approach: The focus should be the way addiction threatens the client's freedom and independence. The rebellious client is invested in maintaining their independence, so the goal is to link substance-abuse to a lack of freedom. For the Rebellious type, if we are just another professional pointing at drugs and saying they're bad, we will lose all credibility. They need to feel like we are on their team. Once we have acquired trust, we can begin to paint the picture of how addiction is controlling their life. In other words, we need to get on the same side of the table as them and point at addiction together.


The Resigned Type:

These clients present as hopeless and overwhelmed by the effort required to change. The Resigned type repeatedly tried to stop using on their own without success.  For these individuals, they must regain confidence in their ability and optimism about the potential for change. 

The Approach: This is an ideal situation for a strengths-based intervention. The work of the interventionist is to build this client up as they have already done enough to tear themselves down. Once we have identified their strengths we shift the conversation to the positive aspects of who they are causing incremental improvements in self-esteem. By helping the client view themselves from a strength-based perspective, they will believe that a new attempt to quit will produce a different result than their past failed efforts. The increased self-esteem, self-efficacy, and providing them with recovery tools not used in previous attempts will offer the client hope for a better outcome.


The Rationalizing Type:

These clients have all of the answers. The Rationalizing client will perceive substance use as difficult for others but not for them. They often view their use as an experimental phase. They have quit in the past for a short duration, and they use this as proof they do not have a problem.

The Approach: Redefining addiction is an essential part of working with the rationalizing client. Removing the clients preconceived notions of addicts and alcoholics will create room for education and reality. This client holds intelligence and logic in high regards, so it is beneficial to use practical interventions. Exercises such as the Cost-Benefit Analysis work well as the client can cognitively assess their use. Encouraging this client to be active in the process, acknowledging their intelligence, and validating their opinions will go a long way. 

Prescription to Heroin? | Addiction Prevention

Infographic on adolescents and heroin use SOURCE

Infographic on adolescents and heroin use SOURCE

The key to fighting this addiction epidemic is Prevention, and it starts at home. Adolescents that use prescription painkillers are 15X more likely to try heroin as a young adult. 

Use these five tips to lower your children's risk to forming an opiate addiction.

  1. Go through your home and throw away all expired medications.
  2. Any of your prescriptions that have warning labels on them should be under lock and key. Trust me; you're not as good at hiding things as you think you are.
  3. If your child has a medical need for pain management, ask your doctor for nonnarcotic options.
  4. Explain the dangers of sharing medication and overdose to your child.
  5. If you suspect your child is using any drugs, begin drug test monitoring immediately.

Remember the number one intervention against addiction is prevention. Please join us for more discussion on Addiction Intervention

source for infographic