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Narcissistic personality disorder can manifest over time and create abusive, unhealthy relationships when unmanaged. As your loved one goes through treatment and therapy, you can start to establish rules for yourself and for a loved one with narcissistic personality disorder in your life. By learning about them and the way their disorder manifests, you can learn to create healthy boundaries while continuing to love them with compassion.

The interesting challenge about making a generalization as to whether people should or should not take opioid medications for pain management is that no two people are exactly alike. Many doctors are suggesting that opioids do not need to be considered for the treatment of pain until every other method has been tried. Increasingly, studies are finding that more holistic approaches to pain management work in providing pain relief. Opioids can be a last resort medication or prescribed for severe pain. Many other doctors continue to point out the fact that not everyone can or will get addicted to opioid medications. People can have a predisposition to addiction which makes their brains more susceptible to the heavy effects of opioid medications. As the opioid epidemic has revealed, however, people who do not have a predisposition to addiction will still respond in an additive manner to the opioid medications. Part of the reason the opioid epidemic has grown to such proportions is that people were surprised by their developed dependency on the opioid medications. Even more surprising was the fact that the drugs stopped treating pain and when they weren’t taking the drugs, they were craving them. That being said, it is difficult to definitively claim whether or not it is safe to take opioids. When taken by the rules of the prescription for only the length of time prescribed opioids can be effective in managing pain. People are capable of responsibly taking opioid pain meds and not becoming addicted to them. In small doses, opioids can have a profound effect on relieving pain and helping a patient cope with physical trauma, recovery from a surgery, and more. Another question which commonly comes up in regards to taking opioid medications is whether or not it is safe for someone in recovery from substance abuse to take opioid medications. Until the use of opioids is no longer a standard for pain treatment by doctors, it is likely that in the event of a serious accident, physical trauma, injury, or surgery, someone in recovery will be prescribed an opioid. The risk is very, very high for relapse into addiction. Doctors should be made aware of the addiction history and seek out non-addictive alternatives or require careful monitoring of medication management. People in recovery regularly go through surgeries which require them to take the opioid medications without abusing them or relapsing into opioid addiction.

In recovery, there is a saying about HOW people quit abusing drugs and alcohol and learn to stay sober. Honesty, open-mindedness, and willingness are the three components it takes to build a foundation of recovery. First, it is the essential first step to get honest about your addiction. You have to be the one to realize that your inability to quit using drugs and drinking is a problem. You have to be the one to recognize that your life has become unmanageable and you have become powerless over drugs and alcohol. Admitting your powerlessness is taking your power back. If you aren’t honest with yourself about the extent of your drinking and drug use, you aren’t going to be able to get anything out of treatment, because you don’t think that you have a problem. If you don’t honestly believe you have a problem, you don’t honestly need a solution. You need open-mindedness to be open to the idea of having a problem. The people around you tell you that you have a problem. Friends, family members, coworkers, acquaintances, everyone you meet seems to have something to say about how out of control your drinking and drug use has gotten. When you open your mind to the idea that maybe everyone else is right, you can open your mind to ideas like sobriety and recovery. You can start to question your relationship to drugs and alcohol- is it something you need? Is it something you want? Is it something you would be willing to change? The last part of the equation is willingness. To be willing is to be “ready, eager, or prepared to do something.” Willingness doesn’t always come easily. Sometimes you have to wait for the willingness to be willing to even think about being open-minded to the idea of sobriety. Willingness takes courage. It is courageous to be willing to be honest, willing to be open-minded and willing to be willing to change your life mind, body, and spirit. Emotionally, mentally, psychologically, spiritually, this is what it takes to quit your addiction. Scientifically and physically, it takes more. It takes time and changes in habit to fully quit and addiction. The truth is, the minute you don’t pick up drugs and alcohol again- you quit. Every day thereafter that you don’t pick up drugs and alcohol again, you continue to quit. There are many tools and treatment methods which help you stay quiet, like therapy, nutrition, diet, exercise, meditation, social involvement, and being of service. All of these external activities are support for the internal ones taking place- the ongoing honesty, open-mindedness, and willingness.