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“Remember that just because you hit bottom doesn’t mean you have to stay there.” ~ Robert Downey Jr. Iron Man actor Robert Downey Jr. relapsed multiple times and nearly let addiction to alcohol, heroin, cocaine an a-z on finding significant factors of aetna cardiac rehab and meth consume him. In 2003, he met the woman who would become his second wife, and she gave him an ultimatum. He cleaned up his act, committing himself to a life of sobriety. Oscar-winning actor Philip Seymour Hoffman relapsed in 2014 after two decades of sobriety, dying alone with a needle in his arm. Heroin, cocaine, benzodiazepines and amphetamine were found in his system. Addiction is a powerful disease that claims thousands of victims every year, many of whom relapse after a period of abstinence. Multiple relapses are often part of the equation when dealing with substance use disorders. Research shows 65-70% of abstinent alcohol-dependent subjects relapse within 1 year, especially within the first 3 months of sobriety. An estimated 26-36 million people worldwide abuse opiates, with higher relapse rates in opioid-dependent individuals than alcohol. Some studies have reported alarming rates of opioid addiction relapse compared to other drugs, with one study reporting a relapse rate of as high as 91%. Addiction relapse is generally considered a return to a previous pattern of substance use. Many individuals who relapse have a notable decrease in cognitive vigilance of high-risk situations from their first use of the substance to subsequent relapse. Conversely, people with excellent self-efficacy can cope with high-risk situations and maintain abstinence. Recent research indicates a gene-environment relationship in context with biological Valium and psychosocial factors causes relapse vulnerability. Individual factors explain why the addiction stories of two famous actors ended so differently. Hoffman’s widow, Mimi O’Donnell, talked about the triggers that led to his relapse and tragic death.

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