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"Dr. Butkins played an integral part in my recovery from alcoholism and drug addiction. He provided me with knowledge about the disease of addiction and taught me how to overcome the triggers that would lead me to go out and use or drink. Dr. Butkins is a very knowledgeable, respectable, and professional counselor. He truly cares for his clients and you can tell from the minute you first meet him that he is a man who has genuine concern for the addict and is willing to do what it takes to help you. I am forever grateful to Dr. Butkins for teaching and giving me the tools necessary to maintain my recovery from alcohol and substance abuse."  John - Orlando, FL  January 2009

“I met Dr. Butkins when I went to a counseling session with my alcoholic husband about 2.5 years ago. He is a highly skilled professional and is very knowledgeable on the disease of alcoholism and its affect upon the families of alcoholics. When we met, I was sick with worry and fear, angry, and unhappy. Living each day in fear of what awful thing would happen next, both my mental and physical health were beginning to suffer. When my husband went off to a rehabilitation center, I continued to see Dr. Butkins. As he challenged my thinking and attitudes and encouraged me to recognize and deal with my feelings, my mind began to open and allow me to look at life situations and the disease of alcoholism in ways that would never have occurred to me on my own. He sent me to Al-Anon where I found other people affected by a loved one’s alcoholism that were working the 12 Steps and willing to help me in my recovery. Today, there is less worry and fear in my life and more serenity. I know that Dr. Butkins’ skill, wisdom, and compassion guided me to this better way of living. I will be forever grateful.” Karen, Lake Mary, Florida

"Dr. Pete probably saved my life 7 months ago when I came to him in October, 2005. He has a great talent in evaluating problems and making you aware of them. He has helped me turn my life around and helped me see things about myself that I have been able to work on; he also helped me help others. It is the best money I have spent in many years. Thank you for being there for me." Richard A. March, 2006

"Dr. Butkins has been treating me since I was in middle school; later on at 19, (he helped me again) I had to see someone I felt comfortable with. He talks to me like a friend, not a doctor. I choose him over any other (counselor) because I look forward to seeing him; he’s just like one of my own friends. He’s very real, but not in your face;he doesn’t sugarcoat, but he’s very understanding and kind. He will help you make progress through anything and leave you feeling better than when you came in."
Jerry K. April 2006

"Dr. Butkins is the best thing that ever happened to me. I would have been dead a long time ago if it were not for him. I drank way too much and wanted to die. He has brought me through a lot; because of him I can handle anything and I love myself today." Janie D. April, 2006

"Dr. Peter Butkins has provided much needed support and direction during emotional turmoil in my life."
Ken H. - Longwood, FL April, 2006

"Dr. Butkins is an amazing guy. He has helped me so very much. When I first came to him I was ready to give up on life. With his help and guidance I pulled myself up. I’m now accepting a full paid scholarship to Stetson. Dr. Butkins saved my life. Thanks for everything." Ann A. - Orlando, FL April, 2006

First Time Visitor? PDF Print E-mail
Written by bob Butkins   
Tuesday, 07 October 2008 15:50
We welcome you to The Community. Please REGISTER in order to enjoy the full benefits of our resources. After you register as a member, you will be able to print out information, add your own blogs, forum threads, message other members online, and much, much more. Registration is quick and easy! Take a few minutes and discover all that The Community has to offer!
Last Updated ( Monday, 20 October 2008 10:49 )
This is How To Get Them Sober and Clean! PDF Print E-mail
Written by bob Butkins   
Sunday, 14 September 2008 10:46

Trying to Cope with an Addict or Abuser of Drugs or Alcohol?..... Now You Can Help Get Him Sober...I'll Show You What to Say When to Say It...Where to Say It....What to Expect, to STOP or Arrest His Addictive Behavior.
I understand you are in a predicament that you did not expect.  This was not your plan.  Well, I know how helpless and confused, hurt and frustrated, even guilty you feel.  I have been where you’re at in more ways than one, have done hundreds of counseling sessions with addicts and alcoholics, have seen thousands recover and I know what works.  I know the solution. I know that you love your spouse and want to get from under the horror of addiction.  Your marriage is important, and he’s great when he’s clean and sober, but you have to take care of you and your family. You can escape from the pain of addiction, of feeling unloved like "second hand Rose" even when all is out of control and it seems hopeless. My audio MP3's teach you what,when and how to communicate – what to say that will help  -  and they will guide you toward the SOLUTION.

                                     THE GOOD NEWS - DR. BUTKINS CAN HELP YOU! 

I am a published author, lecturer, therapist and researcher. In June of 1969, I earned an M.S. in counseling. My Doctoral Studies were at the University of Florida, where I studied Mental Health with a specialization in addiction. I am also a Licensed Marriage and Family Therapist (LMFT). I have treated thousands of addicts and their families. During my career, I supervised the suicide prevention component of a drug and alcohol agency in Niagara Falls, N.Y., held teaching positions and have conducted a private practice in Orlando since 1981.
Dr. Peter Butkins

Last Updated ( Wednesday, 01 October 2008 15:59 )
Many Drug Overdose Deaths Due To Non-Medical Use Of Prescription Pain Medication PDF Print E-mail
Written by bob Butkins   
Monday, 15 December 2008 00:00
11 Dec 2008  
In an examination of unintentional overdose deaths in the state of West Virginia, a majority of these have been found to be associated with the nonmedical use and diversion of prescription drugs, especially pain relievers, according to an article released on December 9, 2008 in JAMA.

In the management of chronic pain, guidelines were introduced in 1997 encouraging the expanded use of opioid pain relievers, pending stringent patient evaluation and full counseling, if other treatments are inadequate. Since then, the retail purchases of just such analgesics, including methadone, hydrocodone, and oxycodone, increased enormously, according to the article. This was accompanied by a parallel increase in emergency department visits and deaths attributed to opioid pain reliever overdoses. According to the article, West Virginia has suffered one of the highest increases in these types of deaths in the United States, having a 550% increase in death from unintentional poisoning between 1999 and 2004.

To investigate the association between these deaths and use of prescription opioids, Aron J. Hall, D.V.M., M.S.P.H., of the Centers for Disease Control and Prevention, Atlanta, and colleagues, examined risk characteristics associated with patients dying of unintentional pharmaceutical overdose in West Virginia in 2006. Data was collected from medical examiners, prescription drug monitoring program, and opiate treatment program records. All state residents who died of unintentional pharmaceutical overdoses in West Virginia that year.

Of the 295 who died, 67.1% (198) were men, and 91.9% (271) were between the ages of 18 and 54. Of the deceased, 63.1% had used pharmaceuticals which contributed to death without documented prescriptions, and 21.4% had received prescriptions from five or more clinicians in the previous year. Women were more likely to have "shopped" for multiple clinicians than men, with 30.9% of them performing this act while only 16.7% of men did. Meanwhile, use of the drugs without documented prescriptions was more common for those two died between 18 and 24 years of age. Of the total population, 94.6% had at least one indicator of substance abuse.

Deaths related to illegal prescription use were often associated with a history of substance abuse, nonmedical pharmaceutical administration, and illicit drugs. Deaths with prescriptions from multiple doctors were more likely to have had previous overdoses, and less likely to have alcohol contributing to death.

Of the total, 79.3% (234) of deaths were linked to multiple contributory substances. The most prevalent class of drugs was the opioid analgesics, contributing to 93.2% of deaths, and of these, 44.4% showed evidence of prescription documentation. Methadone was the most commonly identified drug, and it was involved in 40% of all of the deaths. Fewer of the deceased had prescriptions for methadone than for other drugs such as hydrocodone or oxycodone.

The authors note the important role of doctors themselves in the use of prescription opioids. "Clinicians have a critical role to play in preventing the diversion of prescription drugs. Clinicians and pharmacists need to counsel patients who are prescribed opioids not only about the risk of overdose to themselves but also about the risk to others with whom they might share their medication. In addition, clinicians should follow recent published guidelines for the management of chronic pain and refer patients as needed to pain management specialists. Clinicians should also make use of state prescription drug monitoring programs to determine whether their patients are getting scheduled drugs from other clinicians. Clinicians can now obtain such information about their patients from prescription drug monitoring programs in most states," they write.

A. Thomas McLellan, Ph.D., of the Treatment Research Institute, and Barbara Turner, M.D., Ms.Ed., of the University of Pennsylvania School of Medicine, Philadelphia, contributed an accompanying editorial in which they state several steps physicians should take to help reduce the likelihood of inappropriate prescription opioid use.

"When deciding whether to prescribe an opioid, physicians should ask patients about their prior and current histories of alcohol and other drug use. Patients with histories of substance use, mental health problems, or both should receive special attention and co-management from pain management specialists when possible. Treatment of mental health disorders should be considered part of successful pain management."

"Physicians also should consider an opioid treatment agreement (contract) with the patient stipulating the frequency of obtaining medications, timely refills but no early replacements for lost prescriptions, safe storage, no sharing, single-source prescribing, monitoring through urine screens, and adherence to monitoring visits. The agreement should be presented as a way of simultaneously protecting the patient from adverse events and promoting a collaborative, responsible relationship," they write. 

Patterns of Abuse Among Unintentional Pharmaceutical Overdose Fatalities
Aron J. Hall, DVM, MSPH; Joseph E. Logan, PhD; Robin L. Toblin, PhD, MPH; James A. Kaplan, MD; James C. Kraner, PhD; Danae Bixler, MD, MPH; Alex E. Crosby, MD, MPH; Leonard J. Paulozzi, MD, MPH
JAMA. 2008;300(22):2613-2620.
Click Here For Abstract

Prescription Opioids, Overdose Deaths, and Physician Responsibility
A. Thomas McLellan, PhD; Barbara Turner, MD, MsEd
JAMA. 2008;300(22):2672-2673.
Click Here For Abstract

Written by Anna Sophia McKenney
Last Updated ( Friday, 19 December 2008 02:07 )


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Last Updated ( Friday, 20 March 2009 14:26 )
U.S. Leads The World In Illegal Drug Use PDF Print E-mail
Written by bob Butkins   
Thursday, 12 October 2006 05:00

July 1, 2008
Despite tough anti-drug laws, a new survey shows the U.S. has the highest level of illegal drug use in the world. The World Health Organization's survey of legal and illegal drug use in 17 countries, including the Netherlands and other countries with less stringent drug laws, shows Americans report the highest level of cocaine and marijuana use. For example, Americans were four times more likely to report using cocaine in their lifetime than the next closest country, New Zealand (16% vs. 4%),Marijuana use was more widely reported worldwide, and the U.S. also had the highest rate of use at 42.4% compared with 41.9% of New Zealanders. In contrast, in the Netherlands, which has more liberal drug policies than the U.S., only 1.9% of people reported cocaine use and 19.8% reported marijuana use. "Globally, drug use is not distributed evenly and is not simply related to drug policy, since countries with stringent user-level illegal drug policies did not have lower levels of use than countries with liberal ones," researcher Louisa Degenhardt of the University of New South Wales, Australia, and colleagues write in PLoS Medicine.

U.S. Leads Drug Use
In the study, researchers surveyed more than 54,000 adults in the Americas (Colombia, Mexico, and the United States), Europe (Belgium, France, Germany, Italy, Netherlands, Spain, Ukraine), Middle East and Africa (Israel, Lebanon, Nigeria, South Africa), Asia, (Japan, China) and Oceania (New Zealand).The survey included questions about legalized drug use, such as alcohol and tobacco, and illegal drug use, including cocaine and marijuana, during the participant's lifetime. Overall, alcohol had been used by most of those surveyed in the Americas, Europe, Japan, and New Zealand compared with much smaller proportions in the Middle East, Africa, and China. Tobacco use was also most common in the U.S. (74%), followed by Lebanon (67%) and Mexico (60%).Researchers found gender and socioeconomic differences in both legal and illegal drug use. For example, men were more likely than women to have used legal and illegal drugs, and younger adults were more likely than older adults to have used drugs of all kinds. Single adults were more likely than married adults to report tobacco, marijuana, and cocaine use but not alcohol use. People with higher incomes were also more likely to use both legal and illegal drugs. "The use of drugs seems to be a feature of more affluent countries. The U.S., which has been driving much of the world's drug research and drug policy agenda, stands out with higher levels of use of alcohol, cocaine, and cannabis, despite punitive illegal drug policies, as well as (in many U.S. states), a higher minimum legal alcohol drinking age than many comparable developed countries," write the researchers.
By Jennifer Warner

Last Updated ( Monday, 20 October 2008 11:03 )
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