Friday, June 29, 2012

The Simple Truth of Mary Kennedy's Suicide



Another tragedy befell the Kennedy family with the suicide last week of RFK Jr.'s wife. The media may be dwelling on the "Kennedy Curse," but the curse in this case is all too common.


Robert, Jr., and children at Mary's casket photo via


By Susan Cheever

05/21/12
At first, the Mary Richardson Kennedy story seemed like the same old tragic same old. Yes, she had it all: the handsome husband whose family was American royalty; the four beautiful children the house surrounded by woods and lawns in Westchester’s horse country. But in the kind of reverse Cinderella, riches-to-rags story the media loves, it turned out that even all those wonderful things were not enough to make the 52-year-old Mary Kennedy want to stay alive. Let’s pray that her soul rests in peace while her story continues to whirl through the tabloids and gossip magazines like a dervish of confusion and obfuscation even after her star-studded funeral on Saturday. (The Richardson family holds its own separate services today.)

Every suicide has its own specific causes, the chain of events that leads up to a moment when life becomes unbearable, but Kennedy’s is less a mystery than many. Alcoholism, especially coupled with chronicdepression, is a fatal disease that requires treatment. Why is that so difficult to understand?

There had been plenty of unhappy moments in Kennedy’s recent years. She had twice been arrested for driving under the influence—once for alcohol and once for prescription drugs. Her husband, Robert F. Kennedy, Jr., had separated from her and was suing her for custody of their children, a particularly frightening and shameful attack for any mother, let alone one who lived in the public eye. Her husband was also being photographed dating perky blond television star Cheryl Hines. American Express was after her for unpaid bills. Her lovely house had been the setting of terrible scenes; her husband had called the police to intervene in an argument he said was started by her crazy behavior. Once, when he was driving her to Northern Westchester Hospital for psychiatric observation, he reported, she had tried to jump out of the moving car. Her husband’s sister Kerry, who had been her best friend since childhood, said she was sometimes paralyzed with depression. There had reportedly been other suicide attempts. Mary Kennedy was so desperate that she even tried going to Alcoholics Anonymous.


When an alcoholic is a "dual diagnosis" and famous, we skip over the real cause—alcoholism—and revel in the delicious circumstances of their downfall.

By focusing on these and other painful details of Kennedy’s life that the media has so voraciously hunted down, we can distract ourselves from the simple truth: Most suicides are drug and alcohol related. Mary Kennedy was an alcoholic and probably a drug addict, with the common complication of depression. (Counselors call this a dual diagnosis.) She had a disease; she needed treatment. Like a majority of people who have a dual diagnosis, she apparently didn’t get treatment for any of her problems.

When someone has a disease like diabetes that is not socially stigmatized, we focus on their lifestyle choices and we send them to a doctor. When someone has cancer—which was once so frightening as to be almost unmentionable—we immediately talk about where they should be treated and choosing among the medical options. The diagnosis is discussed with sympathy. But when someone has alcoholism, suffers from depression and is suicidal, especially when that person is privileged or famous, we skip over the real cause of their actions—the disease of alcoholism—and revel in the delicious circumstances of their downfall. This is even more true if they actually take their life—in Mary Kennedy’s case, by hanging herself in the barn on her estate. And of course our endless fascination with the Kennedys and their so-called curse—alcoholism runs in families—only further stokes the fire.

Kennedy seems to have followed the heartbreakingly predictable path of millions of alcoholics. At first alcohol works beautifully. Bill Wilson, the cofounder of AA, wrote that when he had his first drink, he thought he had found the elixir of life. With a drink, depression seems to lift; the anxious become relaxed, the shy become social, the uptight become expansive and funny. My father handed me my first real drink, a cool gin and tonic on a hot summer day. Within a few swallows, my perspective did a wonderful somersault: I went from being an unpopular loser to being a glamorous literary princess leading an adventurous life. Needless to say, I had another drink.

But inevitably alcohol turns on you. “Alcohol gave me wings to fly/and then it took away the sky,” they say. Slowly but progressively, drinking stops being the magnificent solution and becomes the deadly problem. (As a depressant, it is especially dangerous for someone who is depressed.) For an alcoholic this is a frightening and confusing process. The drinks that used to make everything possible stop working. As with all addictions, seem necessary for even normal functioning. After 30 years of using alcohol to solve my problems, I was so depressed that I did not see how I could continue living. I had a glamorous husband and beautiful children, but alcohol had turned on me. Through a series of miraculous accidents, I got treatment for my disease. Mary Kennedy was not so lucky.


Mary Kennedy reportedly went to AA and got sober for a while. But somehow the 12 Steps and the meetings didn’t take.

I am still amazed at how many people misunderstand alcoholism. The press often reports it as a loss of self-control, and many people I talk to agree. If the alcoholic isn’t drunk, they seem to think, there is no problem. But an alcoholic is impaired all the time. It takes days for alcohol to clear the system; the damage to the brain can take months to heal and the psychological wounds much longer.

Mary Kennedy reportedly went to Alcoholics Anonymous meetings and got sober for a while—ironically she lived in Bedford, New York, just a few miles from Stepping Stones in nearby Bedford Hills, where Bill Wilson spent his last 30 years. But somehow the 12 Steps and the meetings didn’t take. Perhaps like many alcoholics, she needed to spend a few months in rehab. Sometimes, especially with a dual diagnosis, a second course of treatment is required. (At the funeral on Saturday, Kerry Kennedy told to the New York Daily News: that Mary Kennedy had gone to AA, had been sober for the past five months and had been seeing doctors who were trying to get her on a psychiatric medication combination that worked. These new details made Mary Kennedy's problems appear better managed by all concerned, thereby only deepening the confusion and obfuscation surrounding her suicide.)

What remains the real mystery is the fact that someone with the brains, money and resources to have the best treatment available somehow missed getting it. Certainly living in a culture where alcoholism is still thought to be a shameful loss of control didn’t help. When are we going to take this disease seriously?

In the past few decades we have made dramatic strides in the way our culture treats once-stigmatized issues. For example, we know now that smoking is unhealthy and we have banned it in many places. We know now that sexual orientations are as natural and various as eye color, and this recognition has resulted in a huge increase in tolerance. But we don’t seem to get it when it comes to alcoholism and addiction. Why not?

Susan Cheever, a regular columnist for The Fix, is the author of many books, including the memoirs Home Before Dark and Note Found in a Bottle, and the biography My Name Is Bill: Bill Wilson—His Life and the Creation of Alcoholics Anonymous.

Thursday, June 28, 2012

Consumer Healthcare Assoc.


Hello Joseph,

I wanted to thank you for calling attention to the issue of medicine abuse in your recent blog post on the Mitch Winehouse “Meet the Parents Hour.” In addition to prescription medicine abuse, more and more young people are now using cough medicine to get high – approximately 5% of teens reported abusing OTC medicines in 2011.

You can visit www.stopmedicineabuse.org to learn more about these issues, read parent and child testimonials, and find ways to prevent abuse or steps to take if you believe your child is abusing cough medicine. It would be great if you could share this information with your readers on the blog. If you or your readers have any questions about cough medicine abuse, please don’t hesitate to reach out.

Best,

Jenni Terry
Manager, Communications
Consumer Healthcare Products Association
900 19th Street, NW
Suite 700
Washington, DC 20006
Telephone  (202) 429-3534


Drug Abuse Kills 200,000 People Each Year: UN Report




By Join Together Staff | June 27, 2012 | 4 Comments | Filed in Drugs


Drug abuse kills about 200,000 people worldwide each year, according to a new United Nations (UN) report. Global treatment for drug abuse would cost $250 billion per year if everyone who needed help received proper care, according to the UN.

Fewer than one in five people who need treatment actually receive it, according to the Associated Press. Crimes committed by people who need money to finance their drug habit, as well as loss of productivity, add tremendous costs for many countries, the report notes.

The UN estimates that about 230 million people, or 5 percent of the world’s population, used illegal drugs at least once in 2010. In the United States, female drug use was two-thirds the male rate, while in India and Indonesia, females constituted only one-tenth of those using illegal drugs.

The 2012 World Drug Report cited an increase in synthetic drug production worldwide, “including significant increases in the production and consumptions of psychoactive substances that are not under international control.” Overall, use of illegal drugs remained stable during the past five years, at between 3.4 and 6.6 percent of the world’s adult population. Marijuana was the most widely used drug.

Coca bush cultivation has decreased 33 percent over the past 12 years. Seizures of methamphetamine more than doubled in 2010 compared with 2008. In Europe, seizures of Ecstasy pills more than doubled.

“Heroin, cocaine and other drugs continue to kill around 200,000 people a year, shattering families and bringing misery to thousands of other people, insecurity and the spread of HIV,” the Executive Director of the UN Office on Drugs and Crime, Yury Fedotov, said in a news release. He added that as developing countries emulate industrialized nations’ lifestyles, it is likely that drug consumption will increase.

CA Doctor Ordered to Stand Trial for Prescription Drug Overdose Deaths




By Join Together Staff | June 27, 2012 | Leave a comment | Filed inCommunity Related, Legal & Prescription Drugs

A physician accused of prescribing drugs to three young men who died of overdoses was ordered to stand trial for second-degree murder, the Associated Press reports.

Dr. Hsui-Ying “Lisa” Tseng is one of only a few physicians nationwide to be charged with murder related to prescription drugs, the article notes.

The decision to order Tseng to stand trial came after a three-week preliminary hearing. Young men testified they saw Tseng after using up prescriptions written by other doctors. While there was testimony about 12 of her patients who died of drug overdoses, prosecutors charged her with three of the deaths, which they said were caused solely by her prescriptions.

Some patients who testified said they used illegal drugs, such as heroin, that they did not obtain from Tseng. She was accused of prescribing drugs including oxycodone, methadone, Xanax and Soma, according to the AP.

Tseng and her husband operated a storefront medical clinic in suburban Los Angeles. Authorities allege she wrote more than 27,000 prescriptions in a three-year period. Tseng pleaded not guilty to 24 felony counts. She could face 45 years to life in prison if she is convicted on all charges. Her bail was set at $3 million. The judge denied a defense request to have bail lowered to $1 million.

Tuesday, June 26, 2012

Prescription Drug Monitoring Pilot Program Launched in Two States




By Join Together Staff | June 22, 2012 | Leave a comment | Filed inCommunity Related, Government, Prescription Drugs & Prevention


A pilot program to expand and improve access to prescription drug records for physicians, pharmacists and emergency departments is being launched in Ohio and Indiana, the Department of Health and Human Services (HHS) announced. The program aims to reduce prescription drug abuse.

The program, launched by the HHS Health IT Division, is designed to make it easier for physicians to use prescription drug monitoring databases, Reuters reports. While 49 states have authorized theprograms, many doctors avoid using them because they are difficult to navigate, the article notes. Doctors also say the data is often old by the time it becomes available in the system, making it less useful when they are deciding whether to write a prescription. The new system will provide real-time information.

Government data will be merged with the electronic health recordssystems used in doctors’ offices and pharmacies, according to Marty Allain, a senior director at the Indiana Board of Pharmacy, who worked with HHS to design the pilot program.

In Indiana, emergency department staff will be encouraged to access patients’ prescription histories through a database already used in hospitals in the state. The Ohio project will test a new drug risk indicator in the electronic health record, and will determine how that affects doctors’ decisionmaking.

“Technology plays a critical role in our comprehensive efforts to address our nation’s prescription drug abuse epidemic,” Gil Kerlikowske, Director of National Drug Control Policy, said in a news release. “Together with education, proper disposal practices, and enforcement, improving existing prescription monitoring programs is a priority for this administration.”

Friday, June 22, 2012

Chronic Cocaine Use May Hasten Aging of the Brain





By Join Together Staff | April 25, 2012 | Leave a comment | Filed in Drugs &Research

Chronic cocaine use may accelerate aging of the brain, a new studysuggests. The study found people with cocaine dependence have greater levels of age-related loss of nerve tissue in the brain called gray matter.

Researchers from the University of Cambridge compared brain scans of 60 people with cocaine dependence with those of 60 people with no history of substance abuse. People who used cocaine lost about 3.08 milliliters of brain volume a year, nearly double the rate of healthy people, HealthDay reports.

The decline in brain volume in cocaine users was most pronounced in the areas of the brain associated with attention, decision-making, memory and self-regulation, the researchers noted.

“As we age, we all lose gray matter. However, what we have seen is that chronic cocaine users lose gray matter at a significantly faster rate, which could be a sign of premature aging. Our findings therefore provide new insight into why the [mental] deficits typically seen in old age have frequently been observed in middle-aged chronic users of cocaine,” researcher Dr. Karen Ersche said in anews release.

She noted the findings highlight the importance of educating young people, who take cocaine, about the long-term risk of aging prematurely. She added the study also shows that accelerated aging from cocaine use also affects older adults. “Our findings shed light on the largely neglected problem of the growing number of older drug users, whose needs are not so well catered for in drug treatment services. It is timely for health care providers to understand and recognize the needs of older drug users in order to design and administer age-appropriate treatments,” she said.

The study appears in the journal Molecular Psychiatry.