I think beating an addiction is heroic. But here is a fact that may surprise you: overcoming an addiction is also quite common. Put those ideas together, and you realize it’s another way so many people around us are quietly or secretly heroic.

The remarkable fact: Most people with addictions overcome them.

We’ve all heard stories that people relapse over and over again when they try to break an addiction. It’s important to realize that’s far from a universal experience.

In a landmark study from Massachusetts General Hospital’s Recovery Research Institute, scientists found that three-quarters of people in the United States who report a substance use problem recover. Half of this group managed it in two tries or fewer (Kelly et al., 2017).

In case you’re still unimpressed, nearly one in ten Americans has achieved this feat that you may have thought nearly impossible. Overall, there are more success stories than there are people now addicted.

In the Massachusetts General study, researchers found 22.3 million people who said they’d resolved a substance addiction problem, which is about one-third more Americans than the number currently addicted.

In other words, don’t give up on anyone, including yourself.

But what about the opioid epidemic?

It’s far from over: Overdose deaths soared during the pandemic (McFarling, 2021, American Medical Association, 2021). In July, four major companies reached a $26 billion settlement with a bipartisan group of state attorneys general (Hoffman, 2021).

Prescription bottles of pain pills on granite countertop
A record 93,331 Americans died of drug – mostly opioid – overdoses in 2020, a huge increase of nearly 30 percent from the 72,151 deaths in the previous year.

This money essentially bought protection from civil lawsuits related to promoting opioids inappropriately. The companies needed it: They faced an avalanche of suits.

The day before, Washington State reported that deaths from fentanyl in the state were on pace to break another record in 2021 (Washington State Department of Health, 2021). Earlier in July, the Centers for Disease Control (CDC) reported a record high in opioid deaths for 2020 nationwide (CDC, 2021).

People often take pills without knowing they contain fentanyl, a synthetic opioid smuggled here and mixed in with other drugs. Fentanyl production is haphazard and too often produces lethal doses, leading to what’s essentially manslaughter of people suffering from pain or depression. They die before they get the help they need to break their addiction. 

You’ll recall that the opioid crisis began with doctors, persuaded by manufacturer hype, prescribing opioids for chronic pain; generally, low back pain. Roughly 21 to 29 percent of patients prescribed opioids for chronic pain misuse them and between eight and 12 percent of people using an opioid for chronic pain develop an opioid use disorder (CDC, 2021).

What if, along with other measures, they had offered their patients a fish oil supplement instead?  There is early evidence from animal studies that omega-3 supplements can help cut inflammation and even potentially slow spinal disc degeneration, a common cause of low-back pain (Napier, 2019).

Very few people with opioid addictions get sufficient help, though we know what works. According to research from McLean Hospital and Harvard Medical School, half of opioid abuse patients treated with buprenorphine/naloxone reported that they were abstinent from opioids 18 months after starting the therapy.

So here’s the hopeful news: After three and a half years, 61 percent said they were clean and fewer than 10 percent met diagnostic criteria for dependence on the drugs (Potter et al., 2014 and Weiss et al., 2015).

Add counseling and the results get even better.

Legal drugs cause far more deaths and bystander harm

Nicotine and alcohol are highly addictive drugs.

Let’s start with cigarettes, the leading cause of preventable death and disease in the United States, accounting for almost half a million premature deaths a year. More than half of U.S. adult cigarette smokers (and higher percentages for students and people under 44) say they’ve tried to quit in the last year. Fewer than one in ten of the adults succeeds in any year.

Quitting is rough. But hang on. About 62 percent of adults in the U.S. who ever smoked quit (CDC, 2021). The answer is to keep trying and get help. Less than a third use approved medication or get counselling. Medications and counseling together more than triple your chance of success (Truth Initiative, 2021, CDC, 2021).

Prescription bottles of pain pills on granite countertop
Smokers have lower levels of DHA, an omega-3 fatty acid abundant in fish such as sockeye salmon. The fatty acids in fish may cut cravings, research suggests.

Consider a diet change; again, omega-3 fatty acids abundant in seafood may give you an edge. Researchers have found lower blood levels of the omega-3 fatty acid DHA in smokers. Taking fish oil daily cuts craving, some evidence suggests (Galduroz et al., 2020). 

Behind tobacco and sedentary living, drinking is the third leading preventable cause of death in the United States. “There are more deaths every year from alcohol than in the entire opioid epidemic,” Keith Humphreys, a professor of psychiatry at Stanford who served as a senior policy adviser on drug policy for President Obama, told me (Ehrenfeld, 2021).

But help is available in every church and community center. Alcoholics Anonymous, available free across the country, has been proven to help: about 42 percent of AA participants are completely abstinent a year after they join, as are 35 percent of people who receive a different kind of addiction therapy (Kelly et al., 2020).

Can omega-3s help you deal with a drinking issue? Some research suggests that among substance users in general, omega-3 supplements can cut anger and anxiety, typical emotions behind relapses. Taking omega-3s has also cut perceived stress and cortisol secretion in people with an alcohol abuse history who are abstinent (Galduroz, 2020).

Good things follow

It can’t be said often enough: good things follow when you beat an addiction. The Massachusetts General study found that 80 percent of people who had overcome a substance abuse problem went on to at least one major achievement that they couldn’t pull off before, like getting a new job or completing a university degree, and their lives kept improving.

In other words, it’s well worth the trouble to join the big group of people on the other side of this not-at-all-impossible challenge.

There’s no single solution, but along with all of the other therapies, research does seem to suggest regular salmon dinners could help you get there.

 

Citations:

American Medical Association. Issue brief: Drug overdose epidemic worsened during COVID pandemic. https://www.ama-assn.org/system/files/2020-12/issue-brief-increases-in-opioid-related-overdose.pdf  Published June 1, 2021.

Centers for Disease Control and Prevention. Provisional Drug Overdose Deathcounts. https://www.cdc.gov/nchs/nvss/vsrr/drug-overdose-data.htm  Published July 4, 2021.

Centers for Disease Control and Prevention. Tobacco.  https://www.cdc.gov/tobacco/data_statistics/fact_sheets/cessation/smoking-cessation-fast-facts/index.html  Accessed August 2, 2021.

Dawson, D. A., Grant, B. F., Stinson, F. S., Chou, P. S., Huang, B., & Ruan, W. J. (2005). Recovery from DSM-IV alcohol dependence: United States, 2001-2002. Addiction (Abingdon, England)100(3), 281–292. https://doi.org/10.1111/j.1360-0443.2004.00964.x  Published April, 2004.

Eddie D, Kelly J, People recover from addiction. They also go on to do good things. STAT. https://www.statnews.com/2021/05/03/people-recover-from-addiction-they-also-go-on-to-do-good-things/. Published April 30, 2021.

Ehrenfeld T.  Alcohol Red Alert. https://s3.amazonaws.com/external_clips/3627587/046-051_Addiction_Alcohol_SHIP.pdf?1606757364  Accessed July, 2021.

Galduróz, J., Bezerra, A. G., Pires, G. N., Pauluci, R., & Noto, A. R. (2020). OMEGA-3 Interventions in Alcohol Dependence and Related Outcomes: A Systematic Review and Propositions. Current neuropharmacology18(5), 456–462. https://doi.org/10.2174/1570159X18666200128120729 Published 2020.

Hoffman, J. Drug Distributors and J.&J. Reach $26 Billion Deal to End Opioid Lawsuits. The New York Times. https://www.nytimes.com/2021/07/21/health/opioids-distributors-settlement.html  Published July 21, 2021.

Kelly, J. F., Humphreys, K., & Ferri, M. (2020). Alcoholics Anonymous and other 12-step programs for alcohol use disorder. The Cochrane database of systematic reviews3(3), CD012880. https://doi.org/10.1002/14651858.CD012880.pub2   Published March 11, 2020.

Kelly, J. F., Bergman, B. G., Hoeppner, B. B., Vilsaint, C. L., & White, W. L. Prevalence and pathways of recovery from drug and alcohol problems in the United States population: Implications for practice, research, and policy. Drug and Alcohol Dependence, 181(Supplement C), 162-169. doi: https://doi.org/10.1016/j.drugalcdep.2017.09.028 Published December, 2017.

Jones, C.M., Noonan, R.K., Compton, W.M.  Prevalence and correlates of ever having a substance use problem and substance use recovery status among adults in the United States, 2018 Drug and Alcohol Dependence.   https://www.sciencedirect.com/science/article/abs/pii/S0376871620303343?via%3Dihub    Published September, 2020. 

McFarling, U. As the pandemic ushered in isolation and financial hardship, overdose deaths reached new heights https://www.statnews.com/2021/02/16/as-pandemic-ushered-in-isolation-financial-hardship-overdose-deaths-reached-new-heights/ Published February 16, 2021.

NaPier, Z., Kanim, L., Arabi, Y., Salehi, K., Sears, B., Perry, M., Kim, S., Sheyn, D., Bae, H. W., & Glaeser, J. D. (2019). Omega-3 Fatty Acid Supplementation Reduces Intervertebral Disc Degeneration. Medical science monitor : international medical journal of experimental and clinical research, 25, 9531–9537. https://doi.org/10.12659/MSM.918649  Published December 14, 2019. 

Potter, J.S.; Dreifuss, J.A.; Marino E.N. et al. The multisite prescription opioid addiction treatment study: 18-month outcomes. Journal of Substance Abuse Treatment. https://pubmed.ncbi.nlm.nih.gov/25189089/  Epublished August 2, 2014.

Recovery Research Institute. One in 10 Americans Report Having Resolved a Significant Substance Use Problem. https://www.recoveryanswers.org/research-post/1-in-10-americans-report-having-resolved-a-significant-substance-use-problem/    Accessed July 23, 2021.

Truth Initiative. What you need to know to quit smoking https://truthinitiative.org/research-resources/quitting-smoking-vaping/what-you-need-know-quit-smoking. Accessed August 2, 2021.

Washington State Department of Health. Overdose rates on pace to break another record in 2021 https://www.doh.wa.gov/Newsroom/Articles/ID/2870/Overdose-rates-on-pace-to-break-another-record-in-2021   Published July 20, 2021.

Weiss, R.D.; Potter, J.S.; Griffin, M.L. et al. Long-term outcomes from the National Drug Abuse Treatment Clinical Trials Network Prescription Opioid Addiction Treatment Study. Drug and Alcohol Dependence  https://pubmed.ncbi.nlm.nih.gov/25818060/ Epublished March 6,  2015.