Opioid Addiction

Pink Cocaine: What to Know

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Pink Cocaine: What to Know

By Madison Gesualdo

There have been a lot of unfortunate headlines in the news recently, with two of the most prominent being the P. Diddy case and the recent death of One Direction star Liam Payne. Both of these unfortunate developments have a common denominator: they involve the presence of a designer drug commonly referred to as “pink cocaine.”

Pink cocaine, better known to certain users by its street name of tusi, very rarely contains actual cocaine. It is a synthetic substance that can contain a wide variety of drugs including methamphetamine, methylenedioxymethamphetamine (MDMA), opioids, and occasionally cocaine. The one drug that typically is consistently included in pink cocaine is ketamine. The mixture is usually dyed pink using dye or food coloring, yielding its pink color and name. All of the drugs in the mixture are, essentially, crushed up to form a concoction that users can snort. The ratios of the different drugs in pink cocaine can be adjusted on a user-by-user basis so that the drug is ultimately tailored to fit the desires of each individual user. Therefore, there is no universal formula for the making of pink cocaine.

With the many different formulas of pink cocaine come the many variations in the effects it can have on users. Depending on how much of a certain drug is present in pink cocaine, users of this drug can experience the following potential symptoms:

  • Confusion
  • Hallucinations/delusions
  • Nausea
  • Agitation
  • High blood pressure
  • Shallow breathing
  • Changes in breathing pattern
  • Low body temperature
  • Seizures
  • Changes in sleep patterns
  • Changes in personality
  • Issues with memory/attention
  • Depression and anxiety

Although this is a fairly new designer drug, it is still contains several highly addictive and dangerous substances. If you or a loved one is suffering from substance use or abuse, it is important to get necessary help to prevent future use of drugs like this and the lasting effects that drug use can have.

If you or someone you know is struggling with substance abuse, addiction, or other mental health issues, please contact our psychotherapy offices in New York or New Jersey to talk to one of our licensed professional psychologists, psychiatrists, psychiatric nurse practitioners, or psychotherapists at Arista Counseling & Psychiatric Services. Contact our Paramus, NJ or Manhattan, NY offices respectively, at (201) 368-3700 or (212) 722-1920 to set up an appointment. For more information, please visit http://www.counselingpsychotherapynjny.com/

Glasner, S. (2024, October 30). Pink cocaine is hitting headlines and clubs. Psychology Today. https://www.psychologytoday.com/us/blog/navigating-addiction-recovery/202410/pink-cocaine-is-hitting-headlines-and-clubs

Juarez, L. (2024, October 22). What is ‘pink cocaine’? Designer drug linked to Liam Payne and named in Diddy lawsuit. ABC7News. https://abc7news.com/post/what-is-pink-cocaine-designer-drug-linked-liam-payne-sean-diddy-combs/15451752/ Wiginton, K. & Begum, J. (2024, May 22). What is pink cocaine? WebMD. https://www.webmd.com/mental-health/addiction/what-is-pink-cocaine

Hypnotherapy: What is it?

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Hypnotherapy: What is it?

By Emily Ferrer

Hypnotherapy helps clients gain control over unfavorable behaviors, cope with anxiety or pain, or alter their ideas about a certain idea or image. Hypnosis involves a trained psychologist and entails placing the patient into a trance-like state that can make you feel extremely calm, focused, and open to suggestions[1]. Over many years, hypnosis has been found to help many people with issues such as pain control, chemotherapy, hot flashes, behavioral changes, anxiety, depression, sleep disturbances, Irritable Bowel Syndrome (IBS), addiction, weight loss, and more[2]! In fact, a study done in 1970 found that hypnotherapy has a 93% success rate in less sessions compared to other forms of therapy[3]. The average amount of hypnotherapy sessions needed to see results can be as little as 4 and as much as 15[4]. This is much less than the average number of sessions needed for other forms of therapy, which are usually around 20 or more until you start to see results[5].

You are probably curious what exactly to expect in a hypnotherapy session and how to prepare. There is no preparation needed on your end before your first hypnotherapy session other than an open mind and a willingness to change your behaviors or ideas. The first session will usually not involve any hypnotism, however, the therapist may use this session as an opportunity to get to know you, the problems you are facing, and what you want to change. The second session is usually when your hypnotherapy begins. Your therapist will always explain the process to you and begin by talking in a soothing and gentle voice. The therapist may also start to describe very vivid images to you to create a sense of relaxation and security. Once you are in a relaxed state, your therapist may begin suggesting ways to work towards your goal that you wanted to work on, such as fear, pain, addiction, anxiety, sleep disturbances, etc. This will help you visualize your path to success and believe in your ability to accomplish your goals[6]. Eventually, your therapist will guide you out of your state of relaxation and the hypnosis session will end. Hypnosis can be extremely helpful to those it does work for but suicide/suicidal thoughts is not guaranteed.

If you or someone you know is interested in trying hypnotherapy, please contact our psychotherapy offices in New York or New Jersey to talk to one of our licensed professional psychologists, psychiatrists, psychiatric nurse practitioners, or psychotherapists certified in hypnotherapy at Arista Counseling & Psychotherapy. Contact our Paramus, NJ or Manhattan, NY offices respectively, at (201) 368-3700 or (212) 722-1920 to set up an appointment. For more information, please visit http://www.counselingpsychotherapynjny.com/ .

Sources:

[1] https://www.mayoclinic.org/tests-procedures/hypnosis/about/pac-20394405#:~:text=Hypnosis%2C%20also%20referred%20to%20as,verbal%20repetition%20and%20mental%20images.

[2] https://www.pennmedicine.org/updates/blogs/health-and-wellness/2019/january/hypnosis

[3] Barrios, A. A. (1970). Hypnotherapy: A reappraisal. Psychotherapy: Theory, Research & Practice, 7(1), 2–7. https://doi.org/10.1037/h0086544

[4] https://thehypnosisclinic.com/blog/how-many-sessions-do-i-need/

https://www.mayoclinic.org/tests-procedures/cognitive-behavioral-therapy/about/pac-20384610#:~:text=Length%20of%20therapy,Type%20of%20disorder%20or%20situation

[6] https://www.mayoclinic.org/tests-procedures/hypnosis/about/pac-20394405#:~:text=Hypnosis%2C%20also%20referred%20to%20as,verbal%20repetition%20and%20mental%20images.

Addiction: Recognizing and Coping with a Loved One’s Opioid Addiction

GalleryJudy Gurfein Leave a comment

By: Lydia Gallagher

Opioids are a class of drug that can either come as legal prescription drugs, such as oxycodone, morphine, codeine, and others, or illegal street drugs, like heroin. Misuse of prescription painkillers often leads to addiction, after to the cheaper and more available option of heroin. Opioid addiction, formally known as Opioid Use Disorder, is a heartbreaking disease that causes turmoil to the life of the addict and their loved ones. Recognizing the signs of an opioid addiction is an important step on the road to recovery and rehabilitation.

The common symptoms of opioid addiction are as follows:

  • Weight loss
  • Drowsiness
  • Cravings for opioids
  • Isolation
  • Frequent flu-like symptoms
  • Stealing from family or friends
  • Slurred speech

Addiction is hard to fight alone, and many people need their loved ones to help them. Addiction never discriminates and anyone can fall victim to it. Opioid Addiction doesn’t just hurt the one who is addicted. Family and friends can find it emotionally draining and upsetting to see their loved one suffer from this damaging disease. If you have a loved one suffering from opioid addiction, it is important to be there for them and encourage them to get help. It is also vital to take care of yourself and seek therapy to help you become less distressed.

If you or someone you know is seeking therapy for an opioid addiction, please contact our psychotherapy offices in New York or New Jersey to talk to one of our licensed professional psychologists, psychiatrists, psychiatric nurse practitioners, or psychotherapists at Arista Counseling & Psychotherapy. Contact our Paramus, NJ or Manhattan, NY offices respectively, at (201) 368-3700 or (212) 722-1920 to set up an appointment. For more information, please visit http://www.counselingpsychotherapynjny.com/

Sources:

https://www.drugabuse.gov/drug-topics/opioids

https://www.drugabuse.gov/publications/step-by-step-guides-to-finding-treatment-drug-use-disorders/if-your-adult-friend-or-loved-one-has-problem-drugs/how-to-recognize-substance

https://www.hopkinsmedicine.org/opioids/science-of-addiction.html

Increased Drug and Alcohol Use during the Stay at Home Order

GalleryJudy Gurfein Leave a comment

    By Eleanor Kim

    The Coronavirus pandemic has left the whole world isolated with very little to do aside from school or work. As the stay at home orders continue, individuals have been forced to find other means of coping or simply passing the time. Some individuals have found coping mechanisms that have ignited newfound purpose during such bleak times; however, others have embarked on less than beneficial pastimes, turning to drugs and alcohol as a means of “getting through” the pandemic. Cases of substance use disorder, or SUD, have skyrocketed since the official declaration of the COVID-19 pandemic with cases of patients who have experienced overdoses and other complications related to substance abuse increasing as well. In a recent survey conducted by the Center for Disease Control and Prevention, 13.3% of respondents stated that they have either started or increased substance use in order to cope with the stress and emotions caused by COVID-19 and the subsequent national emergency. With the world in such an unstable and worrisome state, it is not surprising to see individuals seek comfort in any way that they can, especially as those individuals face new and or preexisting stressors and anxieties through isolation.

    As the pandemic continues, the surging mental health and substance abuse epidemics have shown to go hand in hand with one another. In fact, throughout the pandemic, there has been a 62% increase in worry, a 51% increase in sadness, a 51% increase in fear, and a 42% increase in loneliness. It was also revealed that within the past year, there has been a 32% increase for non-prescribed fentanyl, a 20% increase for methamphetamine, a 12.5% increase for heroine, a 10% increase for cocaine, as well as an 18% increase in suspected drug overdoses. These increases have not gone unnoticed. Those that already struggled with substance abuse or other mental health disorders have found stay at home orders increasingly difficult given the limited access to their usual treatment and support groups. Those who wish to begin receiving professional help with their substance use have had harder times finding adequate care given the decrease in in- and out-patient support and treatment over the past year. These limitations have fed into the increases in mental health struggles and SUD cases, leaving those who have been affected feeling desperate and out of control.

    Substance abuse is not the answer to these difficult and isolating times. There is still hope for those who wish to seek other, more benevolent means of coping with the pandemic and for those who wish to begin treatment for their substance use disorder. Telehealth is one way that individuals with SUD, or other destructive coping mechanisms, can begin receiving professional help and therapy. Counselors and therapists are available to talk with you or anyone you know who may be dealing with substance use disorders during this time.

    If you or someone you know is struggling with substance abuse, please contact our psychotherapy offices in New York or New Jersey to talk to one of our licensed professional psychologists, psychiatrists, psychiatric nurse practitioners, or psychotherapists at Arista Counseling & Psychotherapy. Contact our Paramus, NJ or Manhattan, NY offices respectively, at (201) 368-3700 or (212) 722-1920 to set up an appointment. For more information, please visit http://www.counselingpsychotherapynjny.com/.

    Resources:

    https://www.drugabuse.gov/about-nida/noras-blog/2020/09/addressing-unique-challenges-covid-19-people-in-recovery

    https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7219362/

    https://www.ehstoday.com/covid19/article/21139889/drug-abuse-on-the-rise-because-of-the-coronavirus

    https://www.cdc.gov/mmwr/volumes/69/wr/mm6932a1.htm

    Image Source:

    https://www.nbcnews.com/feature/nbc-out/covid-crisis-exacerbating-lgbtq-alcohol-abuse-studies-find-n1257008

    Anxiety, Depression, Eating Disorders, ADHD, Et al: How to Support a Friend with Mental Illness

    GalleryJudy Gurfein Leave a comment

      By: Sarah Cohen

      When helping a friend with a mental illness, the first step should be assessment of their symptoms. Sometimes they just might be going through a difficult time, but if certain common symptoms associated with mental health issues persist it is imperative to respond sensitively. Majority of the time, friends will just want to know they have your support and that you care about them. A good way to show your support is by talking to them. If you provide a non-judgmental space for them to speak about their issues it will help encourage them to be open with their problems. Let them lead the conversation and don’t pressure them to reveal information. It can be incredibly difficult and painful to speak about these issues and they might not be ready to share everything. If you aren’t their therapist do not diagnose them or make assumptions about how they are feeling, just listen and show you understand. If someone doesn’t want to speak with you, don’t take it personally, just continue to show them you care about their wellbeing and want to help as much as possible. Just knowing they have support can give them the strength they need to contact someone who can help them.

      If a friend is having a crisis, such as a panic attack or suicidal thoughts, you must stay calm. Try not to overwhelm them by asking a lot of questions and confronting them in a public setting. Ask them gently what would be helpful to them right now or reassure them. If they hurt themselves, get first aid as soon as possible. If someone is suicidal, contact the suicide hotline at 800-237-8255 immediately.

      The best way to help someone is by connecting them to professional help. By expressing your concern and support you can show them that they can get help and their mental health problems can be treated.

      If you or someone you know needs support with their mental illness, please contact our psychotherapy offices in New York or New Jersey to talk to one of our licensed professional psychologists, psychiatrists, psychiatric nurse practitioners, or psychotherapists at Arista Counseling & Psychotherapy. Contact our Paramus, NJ or Manhattan, NY offices respectively, at (201) 368-3700 or (212) 722-1920 to set up an appointment. For more information, please visit http://www.counselingpsychotherapynjny.com/

      https://www.mentalhealth.org.uk/publications/supporting-someone-mental-health-problem

      https://www.mentalhealth.gov/talk/friends-family-members

      Addiction: How to Support a Spouse with Addiction

      GalleryJudy Gurfein Leave a comment

        Addiction: How to Support a Spouse with Addiction
        By: Isabelle Siegel

        One hallmark sign of addiction is continued substance use despite interference with one’s interpersonal relationships. Addiction can take an immense toll on romantic relationships in particular, causing pain and suffering for both parties. The partners/spouses of people with addiction may feel as though they are helpless, unable to provide the support that is needed. However, there are steps that partners/spouses can take to support their partner/spouse and themselves.

        Develop an understanding of addiction and how it manifests in your partner/spouse. Research “Substance Use Disorder” and its symptoms, taking note of which symptoms apply to your partner/spouse. It may be helpful to create a list of warning signs that your partner/spouse is using substances, as well as to learn what to do in the case of an overdose.

        Support, but avoid enabling. Enabling entails making excuses for your partner’s/spouse’s addictive behavior, communicating to them that such behavior is acceptable and can be continued. Instead, stress the necessity of change while also practicing devotion and love.

        Establish boundaries for your relationship. Many professionals suggest establishing a set of boundaries that must be respected. For example, you may want to tell your partner/spouse that he/she cannot use substances while in the house.

        Be honest with your partner/spouse. Tell your partner/spouse how his/her behavior makes you feel. If your partner’s/spouse’s behavior is hurting you, tell him/her. It is normal to feel uncomfortable during these conversations, but they are important and even necessary for change.

        Most importantly, take care of yourself and seek therapy. Understand that your partner/spouse is not the only one who needs support and never feel guilty for prioritizing your own needs. If you feel that the relationship is putting your physical or mental health at risk, it may be necessary to end the relationship. It can be beneficial to seek therapy or other support in order to take care of your own mental health and to work through difficult emotions.

        If you or a loved one needs support, the licensed psychologists, psychiatrists, psychiatric nurse practitioners, and psychotherapists at Arista Counseling & Psychotherapy can assist you. Contact our Paramus, NJ or Manhattan, NY offices respectively, at (201) 368-3700 or (212) 722-1920 to set up an appointment. For more information, visit http://www.counselingpsychotherapynjny.com/

        Sources:
        https://americanaddictioncenters.org/blog/how-to-support-addicted-partner-without-enabling
        https://www.psychologytoday.com/us/blog/addiction-recovery-101/201802/8-ways-help-when-loving-someone-addiction

        Image Source: https://www.healthline.com/health/most-important-things-you-can-do-help-alcoholic

        Self-Harm

        GalleryJudy Gurfein Leave a comment

        Self-Harm

        Self-Harm

        By: Julia Keys

                Self-harm is the act of intentionally injuring oneself without intending suicide. Self-harming behaviors may include, but are not limited to: cutting, scratching, burning, banging/bruising or interference with an injury so that it cannot heal. Self-harm has become a huge concern within the adolescent demographic. Research shows that girls are more likely than boys to self-harm. A recent study shows that up to 17% of teenagers self-harm. To many others who do not self-harm, the act of intentionally hurting oneself may be perplexing, however there are many reasons why people self-harm.

        The root of self-harming behavior stems from a lack of healthy coping mechanisms. Oftentimes people turn to self-harm when they have overwhelming feelings of anger, anxiety, depression, or guilt that they do not know how to express. Some self-harm as an act of release, similar to crying or screaming. Once they self-harm, the body releases endorphins which are the body’s natural painkillers, giving the individual feelings of relaxation or happiness. Sometimes people self-harm because they “feel numb”, and harming themselves makes them feel alive.

        Here are some signs someone you love may be self-harming:

        • Unexplained cuts, bruises or marks
        • Patterns of parallel cuts or scars
        • Sudden change in mood
        • Wearing clothing inappropriate to the weather in an attempt to cover certain parts of the body
        • Secretive behavior
        • Self-isolating behavior

        While self-harm is usually not an attempt at suicide, it is a very serious sign of emotional distress. If you are struggling with self-harm or know someone struggling with self-harm, here are some resources you may find helpful.

        Self-Harm Hotline: 1-800-DON’T-CUT (1-800-366-8288)

        Self-Harm Text Hotline: Text CONNECT to 741741 in the United States.

        If you or a loved one is struggling with self-harm, do not hesitate to seek help by contacting Arista Counseling & Psychotherapy, located in New York and New Jersey to speak to licensed professional psychologists, psychiatrists, psychiatric nurse practitioners or psychotherapists. To contact the office in Paramus NJ, call (201) 368-3700. To contact the office in Manhattan, call (212) 722-1920. For more information, please visit http://www.counselingpsychotherapynjny.com/ .

        Sources:

        https://www.psychologytoday.com/us/blog/evidence-based-living/201805/why-do-youth-self-injure

        https://www.nami.org/Learn-More/Mental-Health-Conditions/Related-Conditions/Self-harm

        https://www.webmd.com/mental-health/features/cutting-self-harm-signs-treatment#3

        Source for Picture:

        https://www.bing.com/images/search?view=detailV2&id=70C2902B0BC552C00A01D3254CDAA5F74916A647&thid=OIP.kRmbbAZz8C3wXx0wFCH7bAHaHb&exph=602&expw=600&q=semi+colon+tattoo&selectedindex=25&ajaxhist=0&vt=0&eim=1,2,6

         

        Relapse Prevention: Substance Use Disorders

        GalleryJudy Gurfein Leave a comment

        Relapse Prevention: Substance Use Disorders Relapse Prevention: Substance Use Disorders

        By: Julia Keys

        The road to recovery from substance abuse can be long and difficult. There may be many times when those recovering are tempted to just give up. However, there are many different strategies for when individuals are in a place where they feel ready to quit all the progress they made. Relapse is part of recovery, but it should be avoided and treated carefully.

        Most people think that relapse starts when the addict starts using again, however relapse can start much earlier than that. There are three stages of relapse: emotional relapse, mental relapse and physical relapse.  Emotional relapse starts when one is thinking about using. Although they have made no real attempts at obtaining any substances, the thought of using is very tempting. During mental relapse one has decided to use again. Physical relapse is when you contact your dealer, obtain substances, or use substances.

        When preventing relapse it is important to seek many different types of support. Studies show that those recovering who see therapists alongside any inpatient or outpatient detox programs have faster recovery rates than those who do not seek additional treatment. Therapists can help those in recovery come up with personalized strategies to prevent them from relapsing.

        If you or a loved one is struggling with substance use or recovery from substance abuse, do not hesitate to seek help by contacting Arista Counseling & Psychotherapy, located in New York and New Jersey to speak to licensed professional psychologists, psychiatrists, psychiatric nurse practitioners or psychotherapists. To contact the office in Paramus NJ, call (201) 368-3700. To contact the office in Manhattan, call (212) 722-1920. For more information, please visit http://www.counselingpsychotherapynjny.com/ .

        Sources:

        https://www.psychologytoday.com/us/blog/where-science-meets-the-steps/201312/preventing-relapse-among-addicted-youth

        https://www.addictionsandrecovery.org/relapse-prevention.htm

        Source for Picture:

        https://www.bing.com/images/search?view=detailV2&id=F86C5ECD05E0D6595A3D9A0588384D10CCA60F4B&thid=OIP.idNVRUm7p8tdl-M-0iQdzgHaE8&mediaurl=https%3A%2F%2Fwww.thenationalcouncil.org%2FBH365%2Ffiles%2F2017%2F09%2Froad-to-recovery.jpg&exph=334&expw=500&q=the+road+to+recovery&selectedindex=4&ajaxhist=0&vt=0&eim=1,2,6

         

        The Opioid Epidemic: How to Spot the Difference Between an Addiction and Physical Dependency

        GalleryJudy Gurfein Leave a comment

        The Opioid Epidemic: How to Spot the Difference Between an Addiction and Physical Dependency

        By Crystal Tsui

        In a paper written by Turner et. Al (2017), Opioid Use Disorder: Challenges During Acute Hospitalization, discussed the difference between drug addiction and physical dependency. Addiction is described as a disease. It occurs when a drug produces chemical changes in the brain that enforces the medication to be more desirable. When a person is addicted to a certain drug, they start to build a higher tolerance meaning that they would not feel the effects of the drug with the same dosage. This would make them want to increase the dosage each time just to experience the same effect, which can be dangerous and lead to an overdose. The 4 C’s are the beginning signs of addiction. They are:

        • Craving
        • (loss of) Control
        • Compulsion
        • (using despite) Consequences

        A few physical signs of substance abuse includes:

        • Track marks
        • Abscesses
        • Pinpoint pupils
        • Blood in their vomit
        • Chronic cough

        There are 3 types of opioid consumers we should be aware of; these include patients with chronic pain, patients who are on medication-assisted treatment and stable, and those who are self-medicating. If you or anyone you know has an opioid addiction, they should be met with warmth and compassion. A caring individual, like you, can help an addict seek the help they need, such as medication–assisted treatment or detoxification.

        Individuals who are physically dependent on opioids are a different story. They are usually patients with chronic pain and have become dependent on opioids to relieve pain. However, they don’t feel the desire to take the medication for any purpose other than to relieve their pain. They wouldn’t feel the need to have their dosages increased constantly because the dosage of opioids does not change the effects of relieving pain.

        This article is to help define the difference between an addiction and being physically dependent on opioids. This is not an exhaustive list.

        If you or someone you know has a drug addiction, please contact our psychotherapy offices in New York or New Jersey to talk to one of our licensed professional psychologists, psychiatrists, psychiatric nurse practitioners, or psychotherapists at Arista Counseling & Psychotherapy. Contact our Paramus, NJ or Manhattan, NY offices respectively, at (201) 368-3700 or (212) 722-1920 to set up an appointment. For more information, please visit http://www.counselingpsychotherapynjny.com/ .

        Citations:

        https://www.rivermendhealth.com/wp-content/uploads/2017/09/opioid-epidemic.png

        Opioid Use Disorder: Challenges During Acute Hospitalization, Turner et al. (2017).

        The Opioid Epidemic and Drug-Seeking Behavior

        GalleryJudy Gurfein 1 Comment

        The Opioid Epidemic and Drug-Seeking Behavior

        By Crystal Tsui

        AMA Journal of Ethics states there has been a 300% increase in opiates in the US. What does this mean for the people? Well, drug availability increases when the demands for opiates increase. Long story short, patients with complaints of pain are getting addicted to opiates and are relying on opiates as pain medication when it’s not entirely necessary. Doctors and nurses in the Emergency department are in the frontlines of this epidemic. They see patients with all sorts of complaints, but over 500,000 ED visits are patients with drug-seeking behavior, specifically for opiates. Different types of opiates include:

        • Heroin
        • Oxycodone
        • Percocet
        • Morphine
        • Tramadol

        How did the epidemic begin? Doctors and nurses would prescribe their patients opiates just to improve the flow of the ED. However, recently the epidemic has gotten worse. Patients have learned different catch phrases and to over exaggerate their pain to get these opiates. Such as “headaches”, “back pains”, “neck pain”, and even “dental pain”, or rate their pain higher on the scale of 10.

        So, how do doctors and nurses know when to give opiates for patients complaining of pain? The answer to the tough question is quite simple, they don’t. Opiates are always a last resort and there are other pain medications out there that treat everyday pain. The most common are:

        • ibuprofen (motrin)
        • acetaminophen (Tylenol)
        • aspirin (advil)
        • steroids

        If you or someone you know is addicted to opiates do not be afraid to reach out for help with pain management or drug addiction.

        If you or someone you know a drug addiction, please contact our psychotherapy offices in New York or New Jersey to talk to one of our licensed professional psychologists, psychiatrists, psychiatric nurse practitioners, or psychotherapists at Arista Counseling & Psychotherapy. Contact our Paramus, NJ or Manhattan, NY offices respectively, at (201) 368-3700 or (212) 722-1920 to set up an appointment. For more information, please visit http://www.counselingpsychotherapynjny.com/ .

        Citation:

        https://humantraffickingsearch.org/wp-content/uploads/2018/05/1140-pill-usa-opioids-aarp.imgcache.rev5b2d008604b6e9d3635709395bae1267.jpg

        https://www.asahq.org/whensecondscount/pain-management/non-opioid-treatment/

        https://journalofethics.ama-assn.org/article/drug-seeking-or-pain-crisis-responsible-prescribing-opioids-emergency-department/2013-05

        https://americanaddictioncenters.org/the-big-list-of-narcotic-drugs