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Loretta Butehorn PhD CCH Join Annual Homeopathic Conference 2013 April 2013 Goals for this Presentation Describe research in substance abuse treatment Identify use of Nux vomica as “protocol” treatment for early stabilization after detoxification for chemical addiction Discuss partnering with allopathic substance abuse treatment in community. April 2013 Problem Clients who have used traditional allopathic detoxification for substance dependence most often develop PAWS (post acute withdrawal syndrome) Paws often causes immediate withdrawal from substance abuse treatment and relapse An acute, immediate intervention would be useful to stabilize the client before constitutional treatment can be used. April 2013 Sample of NWS TERRY 53 yr old woman’s husband murdered before her eyes- was drugging and living in an unsafe park in Boston in a tent –to which she would return if she relapsed JOYCE 12 yr old impregnated by stepfather thought to be “whoring around” by her mother-today a 22 year old women who has supported herself through prostitution and is desperate to stop but has no real supports NWS continued • LISA as a 17 year old tried to get her mom out of crack house, ended up using crack with mom-today as a 25 year old ,relapse would mean continued decline • ANDREA as a 22 year old left her terminally ill husband without saying goodbye because she couldn’t stand to watch him die- today as a 45 year old cannot hold a job and last relapse left her homeless is buried in guilt • Real people, real pain April 2013 Each person in this population had a significant history of severe trauma , abuse, abandonment prior to beginning drug use with significant number of attempts at treatment and multiple treatment “failures.” April 2013 Today What is PAWS How we developed an homeopathic intervention for this population of clients What were the results….. April 2013 PAWS (Post Acute Withdrawal Syndrome) Severe cravings for any drug which causes addiction Irritability, agitation Nausea, diarrhea, sleep disturbance Memory disturbance If you have ever had a craving for chocolate multiple that physical-emotional experience by 1000 and you might get the idea of what client is experiencing April 2013 April 2013 Research in addiction and homeopathy Heroin addicts in India, 60 patients 35% left study from placebo group 5% from homeopathic group Significant decrease in cravings and withdrawal symptoms Resulted in institutionalization of homeopathy in substance abuse rx in India -Bakski, presented on Nat Conf on Homeopathy and Drug Abuse, March 1990 April 2013 Nux vomica Controlled study rats and alcohol Choice of alcohol and non alcohol bottles Significantly reduced alcohol intake with homeopathic treatment Sukul NC, et al “Strychnos Nuv Vomica extract and its ultra high dilution reduce voluntary ethanol intake in rats” J Altern Com Med. 2001 Apr;7(2):187-93. April 2013 Detox and Post acute withdrawal 1993-Detox CA 703-randomized, controled-18 months: Relapse: 32% of homeopatic, 68% of placebo rx, 72% of regular detox— S. Garcia-Swain,M.D. in Lanksy, 2003. April 2013 Genus epidemicus Van de Zee’s* use of Hahnemann’s construct of genus epidemicus to prescribe for trauma victims as a group a model for Nux vomica protocol. We decided to treat this as an acute condition, and use the combined symptoms of the population Using this as a model, we began offering Nux vomica 200 c in water, succussed, as needed for 1 week to clients suffering from PAWS before constitutional treatment *“Healing Collective Trauma” in Homeopathy and Mental Health Harry van der Zee 200 April 2013 Informal results In 2 Boston 6 month treatment programs-2006-2010 we offered “Nux Protocol” 2006-2008- 2 programs- 39% and 33% completion rate non-homeopathic group, with homeopathy 64% and 66% completion rate. Butehorn et al, attached in handouts April 2013 April 2013 Boston Area Substance Abuse Treatment Center 2010-2011 28 day post detox program Nux vomica 200 c 1-2 dry doses for PAWS Self selected population Women between 18 and 70 Multiple drug addiction April 2013 Relapse 0% Tx xfer, housing 2% Unknown/ Disappeared 2% Completed Tx w/o aftercare 0% Med/psych discharge 3% Compliance Issues 6% Completed Tx with aftercare 42% Still enrolled 11% ACA within 48 hours 11% ACA after 48 hours 23% Discharge Reasons Control Group n=184 April 2013 Med/psych discharge 4% Unknown/ Disappeared 2% Completed Tx w/o aftercare 1% Relapse 2% Compliance Issues 2% Still enrolled 4% ACA within 48 hours 7% ACA after 48 hours 15% Discharge Reasons Homeopathic Tx n=138 April 2013 Completed Tx with aftercare 63% Dec 2010-Dec 2011 Non homeopathic= 184 Homeopathic=138 Completed 42% * Completed 63% * Left program after less than Left program after less than 48 hrs(ACA)=11% Left program after 48 hrs (ACA)=23% * Dismissed compliance issues=6% 48 hrs (ACA)= 7% Left program after 48 hrs (ACA)=15% * Dismissed compliance issues=2% *=statistical significance April 2013 April 2013 April 2013 April 2013 April 2013 April 2013 April 2013 Totality of all charts April 2013 NWS: Trust Betrayed SHOCK Logananceae Based on work presented by Morrison and Herrick at American Medical College of Homeopathy Conference Sept 2012. Unendurable grief Holding in—Rigidity<consolation Stuck-SpasmClaustrophobia Self medication Addiction April 2013 Grief/Betrayal/Trauma Metabolized by…………. Sadly, often met with 1. Validation disbelief 2. Support vilification 3. Processing refusal to listen 4. Safety blatantly unsafe So self medication becomes the default option resulting in addiction April 2013 Nux Vomica Hangover drug And now I call it the “arnica of addiction” This is a terrific “protocol”for people in early stages of recovery (post detoxification from alcohol and other drugs.) April 2013 To collaborate Send me an email([email protected]) if you are involved in a similar public service project so we can support each other Donate to our The Sidewalk Clinic (tax deductable) mail to SOTM/The Sidewalk, 345 Neponset Ave Boston,MA 02122 This is a collaborative project of the Teleosis Homeopathic Collaborative and School, Boston,MA Email: [email protected] Phone or Text us at: (617) 564 - 0321 April 2013 April 2013