Tag Archives: Patient

Addressing craving challenges in dealing with addiction

Addressing craving challenges in dealing with addiction: Coping with cocaine addiction

addressing craving challenges

Cocaine can only be described as the crystal of death and therefore Identifying and addressing craving challenges is very fundamental in finding lasting treatment solution.

In dealing with drug addiction it is important that we first deal with the element of ignorance which can pose a great hindrance towards realizing the success of the objective which is total eradication of addiction from our lives and societies. It is no wonder in the holy book, it is recorded that “our people suffer because of lack of knowledge” meaning that if we are enlighten of the facts around addiction, then we will be comfortable addressing craving challenges and dealing with addiction of cocaine  professionally for the betterment of our health. Doctor Akoury acknowledges that it is only after identifying the problem, and then can you start on the modalities of dealing with it. In other words you may not succeed in effectively dealing with addiction if you haven’t identified the kind of addiction you are struggling with. That is why we want to focus this discussion on the identification then we can react to what we now know. Our drug of exploration in this article is going to be cocaine and how users often crave for it even when they are in the treatment process. In our previous articles we did mentioned a lot of negativity of drugs cravings and strategies of coping as and when craving knocks on our appetite. We want to progress on that by focusing on two elements including recalling negative consequences and using self-talk.

Identifying and dealing with hidden craving challenges: Recalling negative consequences

Craving for drugs often make very many users of drugs to lose hope and give up on ever recovering from their addiction. This is so because many at times when one is receiving treatment for any kind of addiction, the urge to continue with the habit never dies and this is further complicated with the abundance of triggers around the users on treatment. Doctor Dalal Akoury (MD) and founder of AWAREmed Health and Wellness Resource Center is a veteran addiction expert having been in consistent practice for over two decades says that many at times when people are experiencing craving, they often have a tendency of only remembering the positive effects of cocaine or any other drug they have been craving for or using before; this is often the norm and it is regrettable that users in that state of mind often forget the negative consequences which has far reaching effects on their lives. But on the contrary, doctor Akoury says that it is very important that when experiencing craving, it is often effective for them (users) to remind themselves not just the benefits of abstinence but also the negative consequences of continuing indulgence in cocaine addiction. When this perfectly done, it therefore become much easier for patients to remind themselves that there is actually nothing good in using drugs let alone cocaine.

Because of the difference in feelings, doctor Akoury advices that it is necessary that users document in writing on a piece of paper all the reasons why they want to be abstinent and alongside that all the negative consequences of use. This list will act as their point of reference and therefore must be kept safely and be made available as and when it is needed. Remember that a glimpse of the document when confronted by intense craving for cocaine or a high-risk situation can remind the user of the negative consequences of cocaine use at a time when they are likely to recall only the euphoria. This may sound useless to many but it will impact to you very positively and by being reminded of the bitter consequences of using the drug, you are likely to engage in activities that will help in addressing craving challenges by distract you from causing more harm to yourself by avoiding further usage.

Addressing craving challenges in dealing with addiction: Using self-talk

For many patients, a variety of automatic thoughts accompany craving but are so deeply established that patients are not aware of them. Automatic thoughts associated with craving often have a sense of urgency and exaggerated dire consequences. Some of those automatic thoughts may include the following:

  • I have to use now
  • I’ll die if I don’t use or
  • I can’t do anything else until I use.

Doctor Akoury is of the opinion that in coping with craving, it is important that both the patient and the therapist should collectively recognize the automatic thoughts and take measures of encountering them effectively. To help patients recognize their automatic thoughts, therapists can point out cognitive distortions that occur during your sessions with the client. Like for instances your therapist could point out that a few times today you’ve said you feel like you have to use the drug and then the question would follow that, while you were having that feelings were you really aware of those thoughts when you mentioned them?. That is just one strategy and the other strategy could be when you are using a tape recorder, you could help your patients by slowing down the tape to recognize cognitions.

The good thing about recording the session is because it can be replayed over and over. Like for instance the patient may have said something and so you could play it again saying “when you decided to go out last night, you said that you really weren’t aware of thinking about using cocaine.” That is when he/she said but in your own professional evaluation you think otherwise, in situations like that you could play the tape again and help the user to try to remember what the night was like, sort of play it back like a movie in slow motion, we could find a couple of examples of things you said to yourself, maybe without even realizing it, that led to cocaine use.

Finally once automatic thoughts are identified, it then becomes much easier to counter or confront them using positive rather than negative self-talk which may include cognitions such as challenging the thought like “I won’t really die if I don’t have cocaine” and normalizing craving which can be very uncomfortable if not handled professionally. Remember that if you are having any concerns about craving for any drug and you are wondering where to begin from, you can call on doctor Dalal Akoury today for the commencement of your treatment today.

Addressing craving challenges in dealing with addiction: Coping with cocaine addiction



Raising concerns about dangers of alcohol addiction

Raising concerns about dangers of alcohol addiction: Are you worried about the alcoholism?

Raising concerns about dangers of alcohol addiction

Raising concerns about dangers of alcohol addiction is aimed at creating an awareness that will support preventive measures so that alcohol do not lead to block outs

I was walking along one of the street during my holiday and I was surprised at the name given to the street. Guest what, that street was called the pubs lane. Out of curiosity I decided to find out what was so special about this name and to my surprise, and as the name suggested, that was a liquor street. Both side of the street was drinking spots of about half a kilometer stretch. Not a single chemist for medicine, grocery shop, just bars and bars all through the 500 miters street. This left me wondering, was it the local authority policy to license drinking spot to one location! Being a writer about health articles I need to bring this to your attention, and I could see how alcohol was people’s little god in this street. It actually reminded me of the prevalence of alcoholism and drug addiction in most of our societies. Therefore I want to bring to your attention some of the realities around us. Raising concerns about dangers of alcohol addiction should have been the concern of the authorities in this town because by licensing bars and pubs in one street like that, they were actually succeeding in elevating crime in that location of the town.

The only good thing that was evident with this street is that there were some health workers with their van offering the HIV test services to those who were willing to be tested and so I spoke to a few of these health workers and you could feel the pain of alcohol addiction. And so I want to raise certain concerns which doctor Dalal Akoury MD and founder of AWAREmed Health and Wellness Resource Center will help us to bring to perspective. Now looking at the happenings along this street I ask can alcoholism be treated?

Raising concerns about dangers of alcohol addiction: Can alcoholism be treated?

Doctor Akoury says that strictly speaking, there is no ‘cure’ for alcoholism. My eyes frown at the revelation nonetheless she continued, there are lots of ways that you can overcome your dependency and achieve sobriety once you’ve identified your problem. I noted from her expression that the first step is identification of the problem. To her different types of alcoholism treatment work for different people and the most successful route will depend on the cause of the drinking problem. This gives me hopes that the street of pubs can be rehabilitated. But that a side, are you struggling with alcohol abuse? If you are, establish the problem and seek for help from the experts at AWAREmed Health and Wellness Resource Center under the able leadership of doctor Akoury today and get your life back for greater productivity.

Raising concerns about dangers of alcohol addiction: Quitting drinking

The hardest part of beating alcoholism is stopping drinking in the first place. Your GP will be able to help you with this. Almost all alcoholics will suffer some sort of withdrawal symptoms, ranging from mild shakes and nausea to delirium tremens (or DTs), which can be severe and even life threatening. If you’ve been a heavy drinker your GP may recommend that you’re admitted to hospital for the detox process so that your vital signs can be monitored. While there are very few dedicated NHS detox facilities there are several private clinics in nearly all the towns and cities around you, where you can get services conveniently. Remember that the detox process takes between three and seven days, and you may be given tranquilizers, such as diazepam (Valium), to help you through. After this, alcohol is no longer a predominantly physical or chemical need, but will often remain as a strong psychological desire.

Raising concerns about dangers of alcohol addiction: How to stay sober?

The fact that you have stopped drinking is only half the battle worn, after this the problem of relapse will certainly be knocking from time to time. Anyway you need not to worry if it happens to you once or twice because it is bound to happen, how you deal with it is what matters most. Your GP will be able to offer medical help in the form of drugs that can help you overcome the cravings that come with alcoholism. These medications may include acamprosate calcium which helps to reduce cravings, naltrexone which blocks the effects of alcohol in the brain, and disulfiram which induces nausea, headaches and discomfort if you do drink. However, it should be noted that none of these is a ‘magic pill’ or cure for alcoholism. They simply provide help in overcoming the cravings experienced as you try to stop. A much more important factor is psychological support. Your GP may refer you to a counselor who will work with you to identify the root cause of your addiction, and help you deal with the stress, or other issues, which drove you into drinking in the first place.

There are also many support groups where fellow alcoholics support one and other in their battle with alcoholism. The most famous of these is Alcoholics Anonymous which holds meetings all over for people from all walks of life with all kinds of alcohol related problems. There are also support groups for the family and friends of alcoholics, such as Al-Anon to help them to cope with the difficult task of helping an alcoholic beat their addiction.

Raising concerns about dangers of alcohol addiction: Can alcoholism be cured?

The short answer to the question of whether alcoholism can be ‘cured’ is likely to be no, in most cases. Once you’ve identified a problem with alcohol, the chances are that this will be with you for life. Even if you never actually drink again the risk of relapse will always be there if you do. However, the good news is that there is a great deal of help and support available, both physical and psychological, to conquer your dependence on alcohol and achieve sobriety. So with all these supports coming your way, you need not to suffer in silence, come out of your hiding place and face your problem head on for the betterment of your life with the experts at AWAREmed Health and Wellness Resource Center under the leadership of doctor Dalal Akoury today.

Raising concerns about dangers of alcohol addiction: Are you worried about the alcoholism?



The complexity of drug addiction treatment

The complexity of drug addiction treatment: The prevalence of drug addiction

The complexity of drug addiction treatment

The complexity of drug addiction treatment can be very costly if preventive measures are not taken timely

The complexity of drug addiction treatment is as complex as the addiction itself. Professionals at AWAREmed Health and Wellness Resource Center says that drug addiction is a multifaceted disorder that can encompass virtually every aspect of an individual’s life functioning in the family, at work, school and in the community. When victims of drug addiction are in denial of their situation, it even becomes more difficult and frustrating to have the problem addressed with some degree of seriousness. In her over two decades of experience in this line of addiction, doctor Akoury says that because of addiction’s complexity and inescapable consequences, drug addiction treatment characteristically must involve many components. Some of those components will focus directly on the individual’s drug use while others, like employment training, focus on restoring the addicted individuals to productive membership in their families and society enabling them to experience the rewards associated with abstinence.

The experts in addiction are in agreement that treatment for drug abuse and addiction can be delivered in many different settings using a number of behavioral and pharmacological approaches. In the United States for example, there are more than 14,500 specialized drug treatment facilities providing treatment, counseling, behavioral therapy, medication, case management, and other types of services to people struggling with substance use disorders. These are worthy steps in handling the complexity of drug addiction treatment and more still needs to be done. Like for instance, alongside these patients needs to individually visit their physician’s offices for specialized treatment besides visiting mental health clinic for mental assessment and treatment. Such services are available if only the right personnel can be identified. When seeking for all these, it is important to note that treatment of drug addiction can be administered in various ways including in outpatient, inpatient, and residential settings. And remember that although specific treatment approaches often are associated with particular treatment settings, a variety of therapeutic interventions or services can be included in any given setting.

The complexity of drug addiction treatment: Types of Treatment Programs

It is true that everything we do medically should be backed by some research findings and that is why many studies on addiction treatment have classified programs into several general types or modalities. Nonetheless treatment approaches and individual programs continue to advance and diversify. With these advancements many programs today do not fit precisely into traditional drug addiction treatment classifications says doctor Akoury. Majority of treatment being administered normally start with detoxification and medically managed withdrawal which is considered to be the first stage of treatment. However detoxification being the process, by which the body clears itself of drugs, is intended to control the acute and potentially dangerous physiological effects of stopping drug use. Remember that detoxification alone does not address the psychological, social, and behavioral problems associated with addiction. This means that on it alone, it may not typically produce lasting behavioral changes necessary for recovery. Therefore detoxification should be done but must also be followed by a formal assessment and referral to drug addiction treatment.

Doctor Akoury says that since detoxification is often accompanied by unpleasant and potentially fatal side effects stemming from withdrawal, its management becomes very necessary and this can be done with the medications administered by a physician in an inpatient or outpatient setting which often referred to as “medically managed withdrawal. It is therefore very important to note that medications are only available to assist in the withdrawal from opioids, benzodiazepines, alcohol, nicotine, barbiturates, and other sedatives which can really ruin your life if not addressed in good time. And as a concern individual, if you know of anyone who is straddling with drug addiction whether they are in denial or not, you can be the bridge of help to them by scheduling for an appointment with doctor Dalal Akoury for commencement of their recovery journey. But in the meantime it is also important to note that AWAREmed Health and Wellness Resource Center being one of the leading pioneers in natural and holistic addiction treatment, is not just working towards helping individual patients but also running programs tailored to meet the needs of professionals handling drug addiction patients.

And for that reason, AWAREmed Health and Wellness Resource Center will be conducting this year the first ever Educational, Functional and Integrative Addiction conference for doctors, counselors, nurses and addiction therapists. This conference is a must attend for you as a professional and it will be held in August 23-25 at Myrtle Beach, South Carolina. It is important to note that this new frontier in Addiction Medicine will be conducted by the most influential group of leading visionaries specializing in the latest advances in natural and integrative addiction medicine, under the theme “The Future of Integrative Addiction”. A lot is in store for you during the conference and you can get more information on www.integrativeaddiction2015.com or alternatively you can email sharon@integrativeaddiction2015.com.

The complexity of drug addiction treatment: The Future of Integrative Addiction

Just to give you a brief preview of the event the following are some of the luminaries in the medical world that have confirmed their participation; Dr. Mitch Ghen, DO, Ph.D,., Sean Devlin, DO, HMD., Sahar Swidan, Pharma D. BCPS., Kenneth Proefrock, N.M.D., William Eidelman, M.D., and Gregory G. Smith, MD. Finally Integrative Addiction Conference 2015 mission is to provide prevention education, awareness, options and support to patients and physicians dealing with addiction. Empowering physicians to be involved in determining their personal “best answer for addiction” and promoting physician/patient awareness of a natural, yet profoundly effective, addiction treatment options that result in you “thriving while surviving” during treatment and recovery. Integrative Addiction Conference 2015 will cover topics such as addiction as a holistic body ecosystem derangement, the interaction between stress, survivorship, pain and addiction, the role of hormonal imbalance in the disease of addiction, the genetic and epigenetic influences on the disease of addiction, psycho neuroendocrine immune restoration essential to reverse addiction as well as new and future therapies in the horizon for addiction treatment including stem therapy for psycho neuroendocrine immune restoration. And for more information about Integrative Addiction Treatment contact:

Dalal Akoury M.D


Tel: 843 213 1480

Email: dollyanis@hotmail.com



The complexity of drug addiction treatment: The prevalence of drug addiction



Stem Cells Acting as “Little Doctors”

Stem Cells as “Little Doctors”

A stem cell can be defined as an undifferentiated cell of a multi-cellular organism that is capable of giving rise to indefinitely more cells of the same type and from which other kinds of cell arise by differentiation. They are mother cells that have the potential to become any type of cell in the body. One of the main characteristics of stem cells is their ability to self-renew or multiply while maintaining the potential to develop into other types of cells. They can become cells of the blood, heart, bones, skin, muscles, brain etc. There are different sources of stem cells but all types of stem cells have the same capacity to develop into multiple types of cells.

Commonly, stem cells come from two main sources:

  • Embryos formed during the blastocyst phase of embryological development (embryonic stem cells) and
  • Tissue (adult stem cells).

Since stem cells have remarkable potential to develop into many different cell types in the body during early life and growth, this unique characteristic that give them their very essence of internal repair systems. They are described as little doctors due to their microscopic sizes and their repair functions.

Therefore, we may ask ourselves, how then does this come about?

stem cells

What Are The Potential Uses Of Human Stem Cells?

There are many ways in which human stem cells can be used in research and the clinic. Studies of human embryonic stem cells will yield information about the complex events that occur during human development. A primary goal of this work is to identify how undifferentiated stem cells become the differentiated cells that form the tissues and organs. Scientists know that turning genes on and off is central to this process.

Some of the most serious medical conditions, such as cancer and birth defects, are due to abnormal cell division and differentiation. A more complete understanding of the genetic and molecular controls of these processes may yield information about how such diseases arise and suggest new strategies for therapy.

Human stem cells are currently being used to test new drugs. New medications are tested for safety on differentiated cells generated from human multicellular cell lines. Other kinds of cell lines have a long history of being used in this way. Cancer cell lines, for example, are used to screen potential anti-tumor drugs. The availability of multicellular stem cells would allow drug testing in a wider range of cell types. However, to screen drugs effectively, the conditions must be identical when comparing different drugs

Perhaps the most important potential application of human stem cells is the generation of cells and tissues that could be used for cell-based therapies. Today, donated organs and tissues are often used to replace ailing or destroyed tissue, but the need for transplantable tissues and organs far outweighs the available supply. Stem cells, directed to differentiate into specific cell types, offer the possibility of a renewable source of replacement cells and tissues to treat diseases including macular degeneration, spinal cord injury, stroke, burns, heart disease, diabetes, osteoarthritis, and rheumatoid arthritis.

A few small studies have also been carried out in humans, usually in patients who are undergoing open-heart surgery. Several of these have demonstrated that stem cells that are injected into the circulation or directly into the injured heart tissue appear to improve cardiac function and/or induce the formation of new capillaries.

Cardiovascular disease (CVD), which includes hypertension, coronary heart disease, stroke, and congestive heart failure are some of the heart diseases that can are under study by scientists to be treated using the stem cells replication idea.

In people who suffer from type 1 diabetes, the cells of the pancreas that normally produce insulin are destroyed by the patient’s own immune system. New studies indicate that it may be possible to direct the differentiation of human embryonic stem cells in cell culture to form insulin-producing cells that eventually could be used in transplantation therapy for persons with diabetes.


Stem cells serve as internal repair systems to living organisms as they replenish through cell division essentially without limit as long as the person or animal is alive. This cause the damaged cells are disposed while news one is created.

The stem cells have also been found to be capable to treat eye defects. This has been one of the breakthroughs of using the stem cells as new medicine.

The following is a list of steps in successful cell-based treatments that scientists will have to learn to control to bring such treatments to the clinic. To be useful for transplant purposes, stem cells must be reproducibly made to:

  • Proliferate extensively and generate sufficient quantities of cells for making tissue.
  • Differentiate into the desired cell type(s).
  • Survive in the recipient after transplant.
  • Integrate into the surrounding tissue after transplant.
  • Function appropriately for the duration of the recipient’s life.
  • Avoid harming the recipient in any way.

Also, to avoid the problem of immune rejection, researchers are experimenting with different research strategies to generate tissues that will not be rejected.

To summarize, stem cells offer exciting promise for future therapies. For more information about this topic and others visit www.awaremednetwork.com. Dr Dalal. Akoury is an expert in integrative medicine. While at it, visit http://www.integrativeaddiction2015.com for information about the integrative addiction conference 2015 that she be holding, the conference will provide information on holistic approaches to issues of addiction and how to deal with patients of addiction.

Stem Cells Acting as “Little Doctors”


Stem Cell Therapy and Osteoarthritis of the Elbow

Stem Cell Therapy for Osteoarthritis of the Elbows

OsteoarthritisOsteoarthritis is a disease that many people are suffering from and is one of the diseases that are not very easy to treat. According to Mayo clinic, Osteoarthritis is the most common form of arthritis, affecting millions of people worldwide. It occurs when the protective cartilage on the ends of your bones wears down over time. Although osteoarthritis can damage any joint in your body, the disorder most commonly affects joints in your hands, knees, hips and spine. Osteoarthritis of the elbow is also common. This disease often begins gradually but worsens with time. However till now there is no conventional cure for osteoarthritis. even those medicines that are used to mitigate on the symptoms of osteoarthritis none of the conventional treatments addresses the damage that is caused on the joints neither is there any avenue in the mainstream medicine through which the cartilage erosion on the elbow joints, knee joint or any other joint can be done away with. most of the time a person who is suffering from osteoarthritis of any kind is told to stay active, maintain a healthy weight and use other available treatments to help mitigate on effects of the disease; reduce the joint pain and function.

Due to the absence of mainstream treatment for osteoarthritis, patients have been facing untold horror of a lifetime. This inconvenience and pain that osteoarthritis patients have been put through as a result of this vacuum in the medical field, researchers have been working on different issues to come up with the best treatment for this disease. Researchers have mostly centered on the need for tissue regeneration therapies as this will be the only viable approach to healing the eroded cartilage on the joints. The erosion of cartilage on the elbow joint is the major characteristic of osteoarthritis of the elbow.

The bone diseases have been a major problem in the field of medicine with osteoarthritis being the major culprit affecting about 27 million people in America. Some of the common risk factors include increasing age, obesity, previous joint injury, overuse of the joint, weak thigh muscles, and genetics. In the past patients of this disease had no hope of ever breaking its chains but with recent studies on mesenchymal stem cells, a lot are changing in relation to the way doctors treat bone diseases. Stem cells have been used for the treatment of osteogenesis imperfecta, hypophosphatasia, osteonecrosis of the femoral head, osteoporosis, rheumatoid arthritis and osteoarthritis of the elbow.

Today there are several hospitals that offer treatments to the joint diseases. Shoulders, knees, and hips joints are amongst the most common. However, there are other areas that can be treated with stem cell therapy are thumbs, toes and wrists. People who are active golfers, tennis or racquetball players, and avid bowlers may experience more pain from overuse of the elbow joint. Mild to moderate osteoarthritis is one of the main causes of a painful joint. This explains why most NFL players have gone for stem cell therapy to correct defects in their joint injuries.

Stem cell therapy for elbows may be an ideal nonsurgical alternative for those who suffer from elbow pain because of injury or pain related to osteoarthritis, or muscle sprains and strains. Traditional surgery for the elbows can be difficult because of the complexity of the joint, and it often requires a painful, lengthy rehabilitation process to restore the full range of motion. Before making the leap into a surgical procedure, you need to consider having a stem cell treatment as that may have better results.

Mesenchymal stem cells in joint disease and repair

OsteoathritisThe mesenchymal have been known for their unique abilities. They are able to form other body cells and tissues and so can be used to replace the worn out tissues at the joints. Apart from their ability to form new cell types that can replace the worn out cartilage, the mesenchymal stem cells have a potential for articular cartilage regeneration, however this favorable research is centered on surgical implant of the stem cells. Now doctors have found that for the treatment of generalized cartilage loss in osteoarthritis, an alternative delivery strategy would be more appropriate and that is injection therapy. The advantage of the injection therapy is that there will be no need for any surgery.

The adverse effects of osteoarthritis can never be overemphasized, those who have fallen victims know much of the nightmares it causes, and the pain that these patients have to endure can never be overlooked. The research surrounding an effective treatment for osteoarthritis has yet to find an approved pharmacological intervention, biologic therapy or procedure that prevents the progressive destruction of the osteoarthritis joint. Stem cell injections for osteoarthritis can help maintenance healthy tissues by acting as repair cells or to reduce inflammation. The injection of Mesenchymal stem cells has produced promising outcomes in preclinical models of joint disease. It is hoped that the use of stem cell therapy in treatment of osteoarthritis of the elbow will be of help to those already suffering from the disease.

Finally, degenerative diseases like osteoarthritis have debilitated many people. In spite of the fact that it has never been treated in the past, it is hoped that with stem cell therapy, osteoarthritis will be a treatable disease. Dr. Dalal Akoury (MD) is an expert in integrative medicine and a founder of AWAREmed Health and Wellness Center located at Myrtle Beach South Caroline. Visit her for more information on most lifestyle diseases.

Stem Cell Therapy for Osteoarthritis of the Elbows