re: About to put my son in drug rehab. update page 20

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OP only made the initial post then abandoned thread. Most of the thread is debate about effective treatment for substance abuse.

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Ah. Thanks. I do hope the OP finds the help he needs. He can reach me at the HopefulDocTD and that's an email address hosted by google's fantastic web mail services if he needs or would like to talk about anything in particular.

It won't do him any good unless he's ready.

I've seen OP post about drugs in the past. If I remember correctly he is the type of guy who thinks that marijuana ruins lives. It may be presumptuous of me, but I strongly suspect that it may not be as big of a deal as OP made it seem. I don't know though.

The OP has a Son that I'm assuming is College.Still want to put him on Suboxane?

I took 24mg aday of Suboxane prescribed by a Doctor,for 6 months.

I still stand by that I don't think a 20 yr old should be on Suboxone.jmho

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nightmares of DD tearing my arse up

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I hated that time of the day so much! Hell I accidently slept through one and I wake up and I see D walking down sidewalk coming to look for me. He threatened me with shoveling rocks... thank God he gave me one more chance!

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If I remember correctly he is the type of guy who thinks that marijuana ruins lives. It may be presumptuous of me, but I strongly suspect that it may not be as big of a deal as OP made it seem.

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Well, this is a unique situation we see in today's world. Let's just assume the kid is 18 and smoking weed. He's harming himself, physically, no less than if he were smoking a cigarette, if he is doing this at a friend's house and not driving or engaging in other risky behavior while intoxicated and smokes infrequently enough that he doesn't see cognitive impairment between uses. Firstly, odds are that's not the case of his father has become privy to his use, but even still, it's safe to say that the kid really isn't hurting himself all that much. Slight increase in cancer risk. Bigger increase in asthma risk. Chance of COPD with heavy use? Unlikely, but probably. He could turn and have cigarettes, which put him at much greater risk of all this physical harm and only have minor social consequences for doing so.

However, socially, it's really not all that unfair to say that pot could ruin his life. I'm not talking about whether it's fair or not. I'm not talking about whether it's good or bad that it should. Socially, it could ruin his life. He could wind up with felony charges, jail time, and no prospect of a career that's particularly worth having. As a person knowing that these things are possible and still choosing to to it (again, and I can't stress enough I'm not talking about whether it's stupid that it could ruin his life, because I always get blasted when I make statements like this), he is making a poor decision. As a father looking at a son who could really screw up a large part of his life for making stupid decisions, I think it's admirable that he wants to help him. The scenario reads as such:

The father, through zero fault or some fault of his own, has failed at teaching his son good decision making and wants to reach for the help of another to rear his son capable of making good decisions where harm (social and physical together) doesn't outweigh the benefit. In a U.S. where marijuana is legal, the father in the scenario is the same guy who hounds his of-age son for having a glass of wine with dinner and calls him an alcoholic. In today's world though, I cannot see a scenario where the risk-benefit analysis says that it's a good or even neutral decision for someone in Louisiana to imbibe. In terms of how that translates into other decisions the kid makes, I don't know. But I can't fault the father for wanting to teach the child to make good decisions, as an abstract goal.

One last time, this isn't to say I think the risk-benefit scenario is fair, justified, or a good thing. Just simply stating that, at present with full knowledge of the penalties associated with actions, to continue to perform actions where the penalties outweigh the gains is objectively a "poor"' decision.

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Please take everything I say that's not hard science with a grain of salt (like the pharm stuff. That you can pretty much take to the bank, and that's not really me trying to be cocky. It's me trying to say the rest of what I say is opinion). Psych (both as a distinct field and the blanket term involving a small component of every other field and the interactions between physicians and patients) is a field where lots of people disagree on management styles with neither side being particularly right or wrong. There are lots of very different approaches that are effective and ineffective depending on the patient (and physician) involved.

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Key words there. It is all an individual thing. I liked the stat about professionals and recidivism rates. I think you are spot on and how well an individual does has a lot to do with what they have at stake or FEEL they have at stake.

Anyway, it is an interesting topic and I like to take in educated opinions about topics like this. Good luck finishing out the residency as well.

Many thanks, sir!

I'm back. I had things to do today. Been up since 2 am. He is 20 and doing heroin. Started with pot in high school and then took some of my mothers pain pills when she visited. I really don't think he thinks he has a problem. Money problems are bad for him. All of it goes to drugs and the dealers give it to him on credit. After awhile they threaten to beat him up and I get scared and give him money. I know that part if over because I feel like I am contributing to problem. Next he will be kicked out of his apartment and fired from his job.
Thanks for all the suggestions. It will take me awhile to read thru 17 pages.

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MBclass83

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st. Christopher's (I think that's the name) is where a lot of people I've known have gone. let's just say that some very prominent politicians have sent their kids there.