Posts Tagged ‘must’
It is likely that you will have a drug/alcohol screen/evaluation for your arrest for DWI for the following three reasons:
My advice before having your alcohol screening/evaluation: 1. Be prepared to answer questions about your drug and/or alcohol use. Read through the MAST (Michigan Alcohol Screening Test) to have an idea of the type of questions that will be on the screening forms. Within the DDP program the alcohol screening is a questionnaire/form to determine if you need an evaluation/assessment by a provider.2. Be prepared to provide a urine sample for a drug screen. NOTE: Drug screens are not drug tests. Screens are very general, fast, and inexpensive. They have a high sensitivity (show allot of false positives), and are not specific as to quality or type of drug. A drug test is very specific, and designed to qualify and quantify a certain drug. You may not have to provide a urine sample but why risk it. It is always better to expect to give a clean sample than to decline. I tell all my clients to avoid being around cannabis for at least four weeks prior to the test and other drugs for at least two weeks before the screen. Many drugs both legal and illegal have a long half life (stay in your body for a long period of time). The way half life works is that every 7 days half the drug is left over after your use. After an additional 7 days half of the remaining half is left over- that is 1/4 left. After an additional 7 days, half of the remaining 1/4 is left- that is 1/8 of the original dose and so on. After 5 half lives 1/64 of the drug may be left- at this point it is likely that there will not be any clinical effect from the drug. This half life is dependent upon the frequency of the drug’s usage, method of intake, length of usage, your tolerance to the drug, your fluid intake, your body size, your body fat, your metabolism, and the specific range that the drug testing uses to signify a â??positiveâ? for drug use. THC in particular is stored by the body in the fatty lipid tissue and are gradually released into the blood stream until cleared. For chronic users with a high body fat percentage, this process of elimination can take several weeks. Sometimes people on diets may be burning off fat, and releasing stored drugs (drugs stored in fat cells) into their urine. The table below gives a guide to detection periods for many commonly used drugs:Drug & Approximate Time Period of Detection Alcohol 6â??24 hours Amphetamines 2â??3 days Barbiturates 1 day to 3 weeks Benzodiazepines 3â??7 days Cocaine 2â??5 days Euphoric (MDMA, Ecstasy) 1â??3 days Marijuana (THC) 7â??30 days (mild use – moderate use – frequent/chronic use)Steroids (anabolic) 14â??30 days Any prescription drugs not reported to the provider but that may show up in your urine will be suspect as drugs of abuse. Remember that second-hand cannabis smoke exposure can also cause you to fail a standard urine drug screen.Some OTC (over the counter) medications can also trigger false positives on drug screens: â?¢ Ibuprofen (Advil, Motrin) â?¢ Midol â?¢ Sudafed â?¢ Vicks Nasal Spray â?¢ Neosynephren â?¢ Ephedra and Ephedrine (often in diet products) â?¢ Vicks 44 If you are determined to be a drug abuser (having drugs in your system that are unreported, unprescribed, and/or illegal) you will get a treatment recommendation of 3-12 months time. This is usually a twelve step based group and/or individual program with a frequency of 2-3 times per week. This program is likely to include follow up drug screens, and an order to completely stay away from drugs and alcohol. Note: You are allowed to obtain one second opinion concerning your evaluation. This second evaluation is then the final one for the Court.3. Be prepared to follow through on all recommended treatment, and evaluations because the Court is going to want proof of completion. If you receive a CD (conditional discharge) from the Court this will be one of terms of that discharge. If you fail to meet the Court’s conditions your case can be re-opened and your failure will be considered a violation of the Court’s Order. If your alcohol evaluation indicates a “no treatment recommended” that will often be helpful to avoid the prosecutor (Assistant District Attorney) recommending a term of probation as a condition of your final sentence. This report of No Treatment by an evaluator can also assist your attorney in getting a ADWI (Aggravated DWI) charge where your BAC was .18 or higher reduced to a “regular” DWI. I hope that this article sheds some much needed light on the DWI alcohol evaluation process.
There are many causes of anxiety attacks, ranging from medical issues to external mental or emotional stimuli. These causes are many and varied and if you are suffering from anxiety attacks, it is imperative that you find out what is causing them.
1 – Hereditary Causes
First off there may be your heredity blame. Anxiety attacks have been found to run in families, which leads many professionals to conclude that the trait can be found in the human genome. On the other hand, studies on genetically identical twins have shown that sometimes one twin will experience anxiety attacks, while the other will not. Another way in which anxiety attacks can be inherited is through an overly cautious worldview handed down by a patient’s parents and the cumulative stress it causes.
2 – Biological Causes
There are also many biological causes to anxiety attacks, such as inner ear disturbances (labyrinthitis), hyperthyroidism, hyperventilation syndrome, hypoglycemia, prolapsed mitral valve (a heart disease), pheochromocytoma (an adrenal gland tumor), and Wilson’s disease (a genetic disorder). Even a vitamin B deficiency caused by parasitic tapeworm infection or from a poor diet can also cause anxiety attacks.
3 – Mental / Emotional Causes
Mental or emotional issues can also trigger anxiety attacks. These include generalized anxiety, obsessive compulsive disorder (OCD), phobias, post traumatic stress disorder (PTSD),significant personal loss (such as loss of a romantic partner), significant life changes, ‘what-if’ thinking, lack of assertiveness, withheld feelings, mistaken beliefs, and avoidance of or association with anxiety-provoking situations or environs.
4 – Pharmalogical / Medicinal Causes
Pharmacological or medicinal causes include amphetamines, alcohol, marijuana, psilocybin (a hallucinogen found in some mushrooms), side effects from drugs such as Ritalin or other antidepressants (especially at the beginning or end of use), and stimulants such as caffeine or nicotine. Some anxiety attack sufferers also develop an irrational fear of certain medications, which may result in anxiety attacks if they are taken, which is a purely psychosomatic effect similar to what placebos have been shown to produce.
As anyone can see, there are many causes of anxiety attacks, most of which are completely out of your control if you are having them. The good news is that you can do something about it. The first thing you need to understand is that it is not your fault. Your anxiety attacks are nothing that you asked for and not something that you necessarily caused. If it is found that your anxiety attacks are caused by something external that is easily remedied, your problem may be solved quite easily. If it is caused by a lifestyle choice, for example marijuana or alcohol consumption, there are alternatives available. If it is something that is more ephemeral, then your mental health professional can counsel you and/or prescribe medication that will help you deal with your anxiety attacks.
Don’t immediately blame yourself or believe that there is simply something wrong with you if you are having anxiety attacks. If you look hard enough, you will probably be able to discover what the cause is. In many cases, the cause of anxiety attacks can be quickly discerned and dealt with via counseling, medication or self help.
Tuesday Must Read
Stories that you shouldn’t miss: 1. The Oakland teachers’ union appears to have moved a step closer to going on strike indefinitely , the Trib reports. The union membership, which held a one-day strike last week, voted on a measure yesterday that would allow union leaders to call an indefinite strike without another vote from the entire rank-and-file. Union President Betty Olson-Jones told the …
Read more on East Bay Express
Drug abuse is a widespread issue. The intensity of addiction depends upon the individual and behavior. It is disheartening to know that immature youth fall prey in to the trap without knowing the consequences. The only good news is that drug addiction is treatable. The treatment process is called drug rehabilitation. It aims to bring back the person to normal life and integrate him to the society. The process will involve techniques on how to avoid drugs, teaching new stress management skills and other emotional and behavioral treatments. The location of the center plays a vital role. It must be peaceful and should comfort the addicts. The treatment centers can be private or government operated. But in most cases, the private owned treatment centers may be expensive and highly successful. It is quite shocking to check that there were over 2.4 million admissions to treatment centers were made in 2007 of which 25% are for alcohol abuse, 15% for marijuana and 15% for heroin in America. The average age group that enters the drug rehabilitation centers is between 35 and 40 years of age. Early exposure to drugs like marijuana, cocaine may spoil the health of the teenagers and affect their performance. Long term use can lead to addiction. The centers may have different treatment programs according to the needs of the individuals. There may be some addicts addicted to cocaine or marijuana or alcohol. Each needs a separate kind of treatment and not need a generic kind.Drug treatment programs involve counseling and group therapy. The ultimate goal of any rehab program is to make the addict abstinent from the drugs. It will increase the productivity of the patient and try to build up good health and confidence. Withdrawal symptoms can be treated effectively. The success of the good programs is heavily dependent on the trained professionals who run the center. The individual talents and motivation from the staff can make a huge difference in the life of addicts. Patients must actively engage in the programs. No program can be highly successful without the co-operation of the patients. The courage and confidence must be obtained which results in better participation. Co-operation with the staff and confidence gaining can help in beating the addiction. Rehab centers must have variety of programs to suit the various needs of the addicts. Choosing a drug rehab center is a crucial decision. The programs offered may comprise of inpatient, residential, outpatient, and/or short-stay options. Cost is an important factor and the price tag differs according to the programs. The kind of stay or program will be decided by the severity of the addiction. A clear understanding on what the programs offer is needed. The addict must know on what to expect from the program and what best he can offer as his contribution. The center must offer extended care program to monitor the success and behavior of the patients as a part of their program.