Cali Estes featured on NBC Universal for Recovery Coach

A rise in prescription drug abuse involving Xanax and similar anti-anxiety pills in recent years has prompted some doctors in the U.S. to rethink the frequency with which they dole out the prescription.

Between 2004 and 2009, New York City emergency room visits involving Xanax and other anti-anxiety prescription drugs known as benzodiazepines increased more than 50 percent. That’s up from 38 out of 100,000 New Yorkers in 2004 to 59 out of 100,000 New Yorkers.

Data from the New York City Department of Health also show benzodiazepines were tied to more than 30 percent of all the city’s overdose deaths in 2009, or 3.3 out of 10.9. Nearly all of those overdoses involved multiple drugs, of which benzodiazepine was just one.

Xanax is the most popular anti-anxiety drug in the benzodiazepine family. In 2010, Xanax was America’s 11th-most prescribed pill, according to the IMS Institute for Healthcare Informatics.

In Louisville, Ky., psychiatrists at the Seven Counties Services network of mental health clinics took the unusual step of halting all Xanax prescriptions. The self-imposed ban has now been in effect for a year.

Dr. Scott Hedges says benzodiazepines are fast-acting when it comes to remedying acute panic attacks, but he says they are not meant to be long-term treatments. Instead, he focuses on more traditional behavioral therapies.

“The problem is, in terms of longer term treatment, there are really much better treatments that have better outcomes than the use of that short-term medication,” Hedges said.

Some Xanax abusers say their panic attacks and anxiety seem more intense after long-term use of the drug.

“Rob,” a recovering Xanax abuser who did not want to reveal his identity, said shortly after he started taking the pill he noticed the effects of benzodiazepine were wearing off too quickly and he had to increase his dosage.

“It doesn’t take long before that doesn’t do anything for you and you have to double it or triple it,” he said

Like many Xanax addicts, “Rob” says he also abused other illegal drugs at the same time. He often took Xanax pills to alleviate panic symptoms associated with his attempts to quit heroin and other narcotics.

Dr. Jeff Rabrich, who directs the Emergency Medicine Department at St. Luke’s Roosevelt Hospital in Manhattan, said he often sees the negative effects of illegal narcotics exacerbated by benzodiazepines.

“The Xanax potentially makes it a much worse overdose. It could turn a relatively mild overdose into something that could be fatal,” said Rabrich.

According to practice guidelines from the American Psychiatric Association, doctors should avoid prescribing alprazolam — the generic name for Xanax — for patients who have a history of alcohol or drug abuse.

The APA practice guidelines go on to list several reasons for caution when prescribing Xanax to recovering addicts:

“A history of abuse of other substances, both licit and illicit, is associated with a higher prevalence of benzodiazepine abuse, a greater euphoric response to benzodiazepines, and a higher rate of unauthorized use of alprazolam during treatment for panic disorder.”

Pfizer, the manufacturer of Xanax, said in a statement that it does not condone the abuse of its products and says prescribing clinicians must be aware of the risks of the medication, which is included in the package insert and communicated to patients.

“When prescribed and taken as indicated, Xanax has a well-established safety profile and is an important treatment option that has benefited millions of patients,” Pfizer said.

In disclosures on the Pfizer Physician Prescription Information sheet, or PPI, doctors are warned of the possibility of physical and psychological dependence associated with Xanax.

The PPI goes on to say:

“Some patients have experienced considerable difficulty in tapering and discontinuing from Xanax, especially those receiving higher doses for extended periods. Addiction-prone individuals should be under careful surveillance when receiving Xanax.”

Cali Estes, a drug counselor who is now helping “Rob” recover from his addictions, said she adamantly believes Xanax and similar drugs are overprescribed.

“I don’t believe they take the time with the patients to figure out what the problems are,” Estes said. “A doctor who is running short on time and nurses and probably isn’t paid as much as he or she used to be finds it easier to say, ‘OK this person has a problem, here’s your script, have a nice day, where’s my next patient.’”

Dr. Karl Rickels, an expert on benzodiazepines at University of Pennsylvania’s Department of Psychology, said Xanax and similar drugs need to be better understood by the physicians who prescribe them.

“My advice is not to prescribe benzodiazepine if you know that someone has been abusing something else and if you learn this later than you should start right away tapering the patient off benzodiazepine,” Rickels said.

Jon Bon Jovi daughter Stephanie OVERDOSES….needs a sober coach

Jon Bon Jovi Speaks Out About His Daughter’s Drug Overdose: ‘We’ll Get Through It’

By Suzy Byrne | Goddess: Celebrity Moms and Dads4 hours ago

Jon Bon Jovi and daughter Stephanie (Dave M. Bennett/Getty Images)Parenting isn’t easy — even for celebrities. A week after Jon Bon Jovi’s daughter, Stephanie, was hospitalized for an apparent heroin overdose, the rocker is speaking out about the ordeal.

“It’s human,” Bon Jovi, 50, told Fox 11. “What I do for a living seems glitzy and glamorous but if you don’t take it too seriously it’s a great way to make a living. And then life goes on. Things happen. This tragedy was something that I had to face too. So we’ll get through it.”

He also thanked his fans for their support during the difficult time. “People’s warm wishes for my family and I have been really reassuring,” he said. “So, we’re good.”

On November 14, Stephanie Bongiovi, 19, overdosed on heroin in her dorm room at Hamilton College in Clinton, New York. Paramedics were called and she was rushed to the hospital, where she treated and luckily survived. A search of her dorm room turned up a “small amount” of heroin, marijuana, and other drug paraphernalia, according to police.

Both she and her friend Ian S. Grant, 21, were subsequently arrested for drug possession charges. However, the charges against both of them were later tossed because a New York law exempts people from possession charges if they sought help for somebody experiencing a drug or alcohol overdose or other life-threatening medical emergency. In this case, Grant called 911 to help save Bongiovi.

Bongiovi is one of the Bon Jovi frontman’s four children with wife Dorothea Hurley, who was his high school sweetheart and to whom he has been married since 1989.

Jon Bon Jovi and his wife, Dorothea, were all smiles walking in Manhattan Tuesday. (Splash News)

https://www.yahoo.com/celebrity/video/heroin-charge-dropped-vs-bon-015019755.html?ref=gs

 

Bath salts and sober coaching

Illegal ‘Bath Salts’ Mimic Cocaine in the Brain: Study Bath salt is street name for a group of powerful, synthetic stimulants July 26, 2012 RSS Feed Print THURSDAY, July 26 (HealthDay News) — Street drugs called “bath salts” have a similar effect in the brain as cocaine and carry the same risk for abuse and addiction, a new study in mice has found. Bath salts are synthetic stimulants that have …

become increasingly popular among recreational drug users in recent years. (The substances have nothing to do with the crystals you might sprinkle in a bathtub.) In the new study of adult mice, University of North Carolina researchers found evidence that the effects of the bath salt mephedrone on the brain’s reward circuits are comparable to similar doses of cocaine. The mice were implanted with brain-stimulating electrodes and trained to run on a wheel in order to give themselves a reward, which was direct stimulation of the brain pathways involved in reward perception. The technique, called “intracranial self-stimulation” has been used in experiments since the 1950s, according to researchers. Prior intracranial self-stimulation studies have shown that one of the characteristics of addictive drugs is to make self-stimulation more pleasurable. The researchers measured the rodents’ wheel spinning efforts before, during and after they were given various doses of cocaine or mephedrone. Like cocaine, mephedrone made intracranial self-stimulation more rewarding for the mice. The study was released online in advance of publication in an upcoming print issue of the journal Behavioural Brain Research. The findings support the idea that mephedrone and other bath salts may have a significant addiction risk, said study leader Dr. C.J. Malanga, an associate professor of neurology, pediatrics and psychology at the University of North Carolina School of Medicine. “The effects of mephedrone on the brain’s reward circuits are comparable to similar doses of cocaine,” Malanga said in a university news release. “As expected our research shows that mephedrone likely has significant abuse liability.” On July 9, President Barack Obama signed a law banning bath salts containing mephedrone or another stimulant, MDPV, in the United States. Experts caution that while animal studies may be useful, they often don’t reproduce the same results in humans. More information The U.S. National Institute on Drug Abuse has more about bath salts. Copyright © 2012 HealthDay. All rights reserved.

Workplace: The Hidden Addiction

Trying to use drugs and alcohol and sustain a career or a job can be an overwhelming task. You want to drink and get high but you are supposed to be working. Maybe you struggle with the daunting idea that you can not be SOBER at work?  Do you fear losing your job because of your use? Are you tired of hiding it thinking ‘they’ don’t already know?

That is the struggle that goes on daily in your head. The train is moving 3000 miles an hour and you feel that you can not possible jump off and survive. A sober coach or a recovery coach can help. We can teach you to slow down the train and step off slowly before it derails and you lose everything. Loss of a job can be life crushing. If you have a family, rent, mortgage, car payment ~ it will all suffer and they will suffer as well.

If you are afraid to call your EAP because you don’t want to be labeled or defined as a drug or alcohol addict and be labeled at your job, we are 100% confidential.  Your boss and job does not need to know.

Sober Coaching and Recovery Coaching at The Addictions Coach is unique. We are staffed by Master’s Level therapists and psychotherapists that can assist you to get back on the right track and not derail your train!

800.706.0318

Addiction Therapy and Sober Coaching

Addiction Therapy/Coaching

Trying to the find the perfect fit for a therapist should not be a daunting task. You need a therapist that can work around your schedule and meet your unique needs. You need a therapist that can get to the root cause of the addiction quickly. You need a therapist that is an out of the box thinker and does not simply use one style of ‘therapy’, because YOU are unique.  You need a professional forward thinker that understands you and can be 100% CONFIDENTIAL.

Cali Estes, The Premier Addictions Coach, will meet your needs in a therapy session because she understands the high profile client. She is a progressive forward thinker and Cali specializes in understanding addiction on many levels. In your sessions with Cali Estes you will gain an understanding of your behavior, the cause for it, and the proper steps to work towards correcting it. You will begin to regain control of your life and that ‘learned hopelessness’ factor will fade. You will learn to move past Fear Based Thinking and handle obstacles such as impulse control and the demand for instant gratification.

After a few sessions with Cali Estes, The Addictions Coach, you will begin to notice a change within yourself and the way you view your environment. Your lifestyle will begin to change and your stress will drop along with your addictive tendencies. You will be able to identify your patterns of addictive thinking and move forward towards positive change and produce personal growth.

Whether you are an athlete, musician, actor, attorney, doctor, or business executive, Cali can work within your parameters and assist you in reaching your true potential. If you are court ordered to treatment, or arrested for a DUI or possession of a controlled substance (narcotics) the publicly can be an ugly mess that you do not need. Cali can work with the court system on your behalf to lessen the blow and allow you to continue in your career.

Cali is a psychotherapist, life coach and fitness guru, and blends talk therapy, with forward and positive change to assist you in reaching your true potential and making the necessary lifestyle changes to excel in your personal and professional life. Cali has over 18 years of experience working with drug, alcohol, sex, gambling and food addictions. Her deep understanding of addictions and her unique background and blend of therapy mesh to assist the client in meeting their needs.

Cali offers individual hourly sessions in person, via Skype and Face Time. She offers a nontraditional approach that will get to the root cause of your behavior quickly and work with you to solve the issues.  Cali generally works with someone on a weekly basis, but more frequent appointments can be arranged, depending on the severity of the addiction and need for individualized service.

100% CONFIDENTIAL

Some focus areas included:

*Drug and Alcohol Addiction

*Social Anxiety

*Past Trauma

*PTSD

*Stress Issues

*Sex Addiction

*Sober Coaching

*Gambling Addiction

*Life skills and Coping skills

Please see our About Us Page for further Information on Cali Estes, The Addictions Coach

800.706.0318

 

DUI? Criminal Possession Charges?

Have you been convicted of a DUI? Lost your license or had a problem with the criminal system and caught a charge?

I can help. I have been in and around the criminal courts system and can assist you by handling all your court requirements (AKA drug court) or allowing you to present progress to the court. I am able to assist your attorney in presenting you in a favorable light and  assist you with learning how to deal with the DUI and charges. I can come to court if needed or prepare all documents you need to assist with the court cases to regain your good name and assist with all career progressions.

If your personal or professional life is being affected, please call me to assist. 800.706.0318

www.theaddictionscoach.com

 

The Addictions Coach offers therapy and sober coaching

The Addictions Coach, Cali Estes, offers individual therapy sessions and daily weekly and monthly sober coaching sessions.

Cali Estes just returned from Malibu and Los Angeles and was working with clients to assist them in understanding their addictions. Cali Estes, The Addictions Coach is also Sober Coach Los Angeles.

Individual therapy sessions can get to the root cause of the addiction and Sober Coaching assists with the life skills, coping skills and daily routines after the therapy piece of treatment. Cali Estes and her team can cover both and assist you with both.

Call Cali Estes at 800.706.0318 today.

 

The Addictions Coach MOBILE REHAB!

Mobile Rehab

If being locked into a traditional 28 day rehab is not in your plans, we can help by bringing the rehab to you at your home, on set of your film, on tour, or onto the playing field or court. This will allow you to continue working within the parameters of your career and daily life while beginning to enact a lifestyle change. Getting sober is only a part of the battle, learning how to deal with personal and professional stressors and challenges is the key to changing your life. Dealing with those stressors and factors in a real world setting is the key to remaining sober and enacting that lifestyle change.

We offer a 7 day intensive program with or without a 24/7 sober companion to assist you in dealing with the issues and stressors that are beginning to take a toll on your life and putting pressure and stress on your livelihood and personal relationships. We will not send you to NA and AA meetings or preach to you. Rather, we work with you to get to the root cause of the addiction and assist to propel you forward in personal and professional growth.

Post 7 day intensive we recommend a 3 week sober companion with daily or tri weekly individual therapy/coaching sessions to ensure stability and assist with the lifestyle change. All of the 7 day intensives are done with Cali Estes, The Premier Addictions Coach and tailored to your unique and individual needs.   There are no groups, no meetings, no books or pamphlets to read and it is done on your terms, in your environment.

Cali’s multidimensional approach focuses on the underlying cause of the addiction and she approaches each client in a unique manner. Unlike traditional rehabilitation centers that convince the addict that they have a disease that is incurable and they must attend meetings, recite prayers and follow steps, Cali tailors her program to fit the client. By realizing that each client is unique and their pattern of addiction is unique with a root cause, Cali is able to address the addiction at the core and assist the addict in making the necessary changes and positive steps in their life.

Some of Concepts we focus on:

*Motivation vs. Learned Hopeless                    *Reaction vs. Control

*Successful Behavior Change                             *Removal of Fear Based Thinking

*Removal of Irrational Thinking                     *Impulse Control

*Self Esteem and Image                                 *Reconnect with family and Loved Ones

*Understanding Homeostasis                                     *Anger management

*Identification of Patterns of Addictive Thinking and Behaviors

*Understanding Post-Acute Withdraw both Emotional and Physical

These are just some of the concepts we draw on to begin your trek into sobriety and learning to handle life and all the stressors that accompany a high profile position or status.

Please visit the About US page to learn more about Cali Estes, The Premier Addictions Coach.

800.706.0318

Executive Sober Coach You need us!!

Executive Sober Coach
As a Business Executive, CEO, Attorney, Pilot, Business Owner, Philanthropist, or other high profile individual, you know the value of publicity and marketing. You understand how bad publicity can ruin you, your brand or your company. You know how important it is to keep personal secrets and demons at bay and not allow the world to view them. Sometimes it can get tiring struggling with an addiction and trying to hide it from the public eye. Cleaning up DUI‘s or other negative behaviors takes time, energy, and if not handled properly, can land you in jail or worse yet ruin your company, your brand or your career. Tired of running from your demons? We can help.
At The Addictions Coach, we understand how important it is for you to have 100% CONFIDENTIALITY and work on your demons behind closed doors. We clearly understand that going to meetings where you may see a client, an employee or customer is not in the cards for you. We understand that a 28 day stay at a rehab is not going to fit into your busy business lifestyle.
We UNDERSTAND and we CAN HELP.
At The Addictions Coach, we know what you need and how fast you need it.  We can help you stop that behavior before you ruin your career and your relationships.  We are 100% CONFIDENTIAL and will assist you in understanding your behaviors and how to get to the root cause of the problem quickly. After a few sessions with Cali Estes, The Addictions Coach, you will begin to notice a change within yourself and the way you view your environment. Your lifestyle will begin to change and your stress will drop along with your addictive tendencies. You will be able to identify your patterns of addictive thinking and move forward towards positive change and produce personal growth.
At The Addictions Coach, we use a different approach. We do not focus on the past and break your spirit down only to build you back up like the traditional medical models and 12 step programs which focus on the things you did wrong and making amends. These types of treatment keep you stuck in the past and spinning your wheels and ultimately end in relapse. At The Addictions Coach, we focus on the future and positive forward change. By using the techniques of empowerment and positive reinforcement, we are able to assist you in gaining control of your life and being successful without the added stress of addiction.  
If you are court ordered to treatment, or arrested for a DUI or possession of a controlled substance (narcotics) the publicly can be an ugly mess that you do not need. The Addictions Coach can work with the court system on your behalf to lessen the blow and allow you to continue in your career.
We offer 24/7 sober coaching, weekly and daily, and individual hour consults. Please see our mobile rehab page for more intensive information.

Athletes and Sober Coaching

Athletic Sober Coach

As an athlete your needs are unique. You need your head in the game on both and off the field or court. You need to make sure your image is clean and untainted in the papers or you risk getting cut from the team. You read the paper and see the news of all the athletes that are arrested for drugs, alcohol, steroids, hiring prostitutes, gambling and of course excessive partying. You watch as they get cut from the team, dropped from their sponsorships, divorced and smeared in the headlines. Maybe they retire or end up broke living with their parents. Some end up dead. Don’t let that be YOU. With all the hard work and dedication you have put in and got yourself to this point; don’t throw it all away for drugs, alcohol, sex and gambling.

At The Addictions Coach, we know what you need and how fast you need it.  We can help you stop that behavior before you ruin your career and your relationships.  We are 100% CONFIDENTIAL and will assist you in understanding your behaviors and how to get to the root cause of the problem quickly. After a few sessions with Cali Estes, The Addictions Coach, you will begin to notice a change within yourself and the way you view your environment. Your lifestyle will begin to change and your stress will drop along with your addictive tendencies. You will be able to identify your patterns of addictive thinking and move forward towards positive change and produce personal growth.

At The Addictions Coach, we use a different approach. We do not focus on the past and break your spirit down only to build you back up like the traditional medical models and 12 step programs which focus on the things you did wrong and making amends. These types of treatment keep you stuck in the past and spinning your wheels and ultimately end in relapse. At The Addictions Coach, we focus on the future and positive forward change. By using the techniques of empowerment and positive reinforcement, we are able to assist you in gaining control of your life and being successful without the added stress of addiction.

If you are court ordered to treatment, or arrested for a DUI or possession of a controlled substance (narcotics) the publicly can be an ugly mess that you do not need. The Addictions Coach can work with the court system on your behalf to lessen the blow and allow you to continue in your career.

We can provide 24/7 support, weekly, daily, or hourly consultations. We can travel with you to away games and we are available for you during the off season as well.   Let us help you make the most of your career and be there for you when you need us.

Please see the About Us Section for more information and the Contact Us section to reach us 24/7.

800.706.0318