Michael Jackson and his pill problem- more is revealed

Not shocking- it turns out that Michael Jackson's pill problem was more serious than we all thought. As I talked about in a previous blog post, Jackson had some major problems dealing with a childhood filled with trauma, the fame he was dealt, and all of his familial and personal issues which eventually lead to his too-early demise. Now CNN is reporting that Jackson, in 2004, was taking more than 10 Xanax a night. He also had his security guards picking up prescriptions in their own names for him, as well as prescriptions from doctors as far away as New York.

The amount of Xanax that Jackson alleged took surprised CNN chief medical correspondent Sanjay Gupta.In addiction cases, people develop a tolerance to drugs and have to take more and more pills, Gupta said. "No matter how you cut it, this is an extremely high dosage of Xanax," Gupta said. "It is a huge red flag, even with the tolerance that I was talking about. This dosage is exceedingly high for any human being."

According to the website AboveTheInfluence.com, who cite a number of reliable resources and studies, said this: Taking prescription drugs without a prescription, not taking them as directed, or mixing them with alcohol are all unsafe and potentially deadly. A 2008 study based on 224,355 U.S. death certificates for which people died from medication errors showed that there was a 3,196 percent increase between 1983 and 2004 in deaths at home from combining prescription drugs with alcohol and/or street drugs.

In 2006, Jackson was trying to jumpstart his career with a series of concerts in Las Vegas. According to Jack Wishna, a promoter who was helping Jackson secure the series of concerts in Vegas, Jackson had to pull out of the concerts due to his weakened condition. According to Wishna, Jackson appeared emaciated and incoherent, and often had to use a wheelchair to get around.

According to other sources, around this time Janet Jackson was planning an intervention for Michael. According to the report, Janet recruited her brothers to help stage the intervention, however Michael told his bodyguards to prevent his family from entering his property and refused to accept phone calls from his mother Katherine, CNN reports.

This becomes a difficult situation- what happens when someone has procured so much power that they seem to be untouchable? Why didn't the security guards step in? They must have known there was a problem- the guards couldn't have thought his pill consumption was normal, especially since they were filling prescriptions in their own names for him. Were they blinded by loyalty to Jackson? Or money? It's hard to believe that no one ever stepped in- people had to know something was wrong. Perhaps with a family intervention and treatment, Jackson would've had a chance to get better. The world will never know.


Here's Sanjay Gupta from CNN talking about Jackson's death:



And here's Dr. Gupta talking about Michael Jackson's final rehearsal:



Here's a breakdown of recent statistics on pill abuse:



Here's something funny.

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Cyber Millenials and their drinking habits

A study being published by the National Institute on Alcohol Abuse and Alcoholism, along with the Center for Disease Control, used audience segmentation as the basis. The "cyber millenials," or those tech-savvy young people living in an urban area, tend to be the biggest high risk drinkers. Most were on the West Coast or in the Mid West, and tended to be well-educated as well as ethnically mixed.

What's interesting about this segment is that outside of binge drinking, they are relatively healthy- lower smoking rates, lots of exercise, and eating organic foods- but yet seem not to recognize the danger that binge drinking presents. Also, this segment tends to have significant financial resources which allow for multiple drinks in one sitting.

Now what's mentioned near the end of the article is what truly interests me: that clinicians "tend to be more blasé with younger, healthier patients, and might not even ask them about their level of alcohol consumption or screen them for alcohol problems." That is the problem. I can remember from my college days, going to see the school psychologist to talk about my depression 2 days a week for 3 months- and we talked once about drinking habits. In seeing a therapist after I'd left school and had developed a significant drug and alcohol problem, we talked about drug use and abuse only twice in 6 months. This is horrendous. Without proper education, we can't expect clinicians to learn how to recognize and treat the disease. A marriage and family therapist averages around 10 hours of mandatory study directly related to addiction while gaining their degree. In contrast, the average drug and alcohol counselor (not a master's degree, by the way), will do at least 3,000 hours of practicum directly related to addiction. So it seems that we should probably provide some additional education around addiction and alcoholism to our therapist community, as most people will see them prior to seeing a drug and alcohol counselor.

It falls back again to the stigma around this disease- the fact that 1 out of 10 people here struggle with drugs or alcohol (not to mention all of the families that are directly affected by one's behavior) means we need to get this out of the dark. When affluent, well-educated young people are binge drinking more than any other segment of the population, we need to be prepared for when they go overboard. Parents, educators, and clinicians need to be well-versed in dealing with alcohol and drug abuse for this new generation. The Millenials are going to need all the help they can get.

Here's a British show about binge drinking there:



Here's something funny.

As per usual, find me on Twitter and LinkedIn. Become a fan of the blog on Facebook. Check out Sober Living By The Sea. And be sure to support my advertisers. See you tomorrow!

The Addiction Cure?

While watching CNN over the weekend, I couldn't help but notice repeated ads from Passages Malibu marketing "The Addiction Cure." Curious, I browsed the website and also Amazon for the book "The Alcoholism and Addiction Cure." I couldn't help but wonder if this was detrimental to the recovery process that we've worked so long and hard to develop in this country. With a blatant disregard to the 12-step model and the disease concept, it seems as though the two founders are trying a completely different approach. Now, don't get me wrong-- I haven't read the book, nor have I visited the center itself. They may be doing great work there; the problem is, how do people continue their recovery when they leave a place that does 60+ individual sessions a month? My personal experience, and the experience of many others I know in recovery, show that a combination of individual therapy, 12-step work, and service are the keys to better living. I have trouble believing that one could be "cured" of alcoholism.

On the other hand, what if they have it right and the rest of us are wrong? Or is this another "easier, softer way?" Only time will tell. For now, I just hope they aren't doing more damage than good.

Here's a video of Chris Prentess, the founder of Passages.



For a different viewpoint, here's a video of Father Martin's "chalk talk."



Let me know what you think!

Here's something funny.

As always, find me on LinkedIn or Twitter. See you tomorrow.

"Celebrity" Rehab

The first time I watched "Celebrity Rehab with Dr. Drew" I was pretty much appalled. I was wondering what would possess someone who has done a great deal to take away the stigma of addiction and worked in all areas of the field to expose fallen stars during their most vulnerable moments. I still have trouble with this, but I think Dr. Drew Pinsky has his heart in the right place. From day one, the show was overhyped, with commercials about relapse, people in treatment going crazy and getting angry during detox, and baring their soul on national television. I guess, in many ways, it's no different that the Real World on MTV EXCEPT for the fact that the people on "Celebrity Rehab' have a life-threatening addiction.

I'm more worried that the people who want to participate in shows like this (or the offshoot, "Sober House") may be more in this for the last grasp of fame.

I mean, with TMZ and Perez Hilton and the like, we see pictures, blurbs, and information about celebrities entering treatment all the time. For a while, it seemed almost cool to go to treatment.

I'm worried that all of this exposure will water down the treatment industry; there's a few programs out there that do a REALLY good job with addiction, and a LOT that are mediocre at best. I'm hoping that this glut of media coverage and reality TV doesn't inspire people who just want to make money and see a market available to open a treatment facility. That's where people get more hurt and traumatized, which I've seen with some former clients.

When you're treating people with the disease of addiction, make sure your heart is in the right place. Dr. Drew, you do a good job with this forum, and I hope you're in it for the right reasons.

Here's an interview with Dr. Drew.




Here's something funny.

As usual, find me on Twitter and LinkedIn.

See you tomorrow.