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Urge Surfing: A Powerful Skill for Managing Cravings and Changing Your Brain

If you’ve ever struggled with cravings, impulses, or unhealthy habits, you know how overwhelming urges can feel. Whether it’s the urge to drink, check your phone, overeat, or fall back into an old pattern, those moments can seem almost impossible to resist.

But there’s good news: your urges are not commands. With the right tools, you can retrain your brain to respond in healthier, more life-giving ways. One of the most effective techniques—backed by neuroscience and widely used in positive psychology—is called urge surfing.

This practice can help you gain freedom from unhealthy habits, strengthen resilience, and create long-term change.

What Is Urge Surfing?

Urge surfing is a mindfulness-based technique developed by psychologist Dr. Alan Marlatt. Instead of trying to fight an urge, suppress it, or give in to it, you observe it—like watching a wave rise, peak, and fall.

Just like an ocean wave, no urge lasts forever. Most urges peak within 20–30 minutes and then naturally decline. Urge surfing helps you ride the wave with awareness instead of being pulled under by it.

The Neuroscience Behind Urge Surfing

Urge surfing works because it directly influences the brain’s impulse and self-control systems:

  1. The Prefrontal Cortex (PFC) — responsible for planning and decision-making. Mindfully noticing an urge brings the PFC back online.
  2. The Limbic System — the emotional and reward center that fuels cravings. Observing the urge reduces emotional reactivity.
  3. Neuroplasticity — each time you choose awareness over impulsivity, you weaken old habit pathways and strengthen healthier circuits.

Urge Surfing Through the Lens of Positive Psychology

Positive psychology focuses on building strengths, resilience, and flourishing. Urge surfing aligns beautifully with this framework:

  • Builds self-regulation: one of the core character strengths.
  • Increases mindfulness: staying present instead of reacting.
  • Strengthens hope and agency: realizing you can ride out urges.
  • Enhances resilience: every surfed urge is a victory.

How to Practice Urge Surfing (Step-by-Step)

  1. Pause – Acknowledge the urge and take one slow breath.
  2. Notice sensations – Where do you feel the urge in your body?
  3. Visualize the wave – Observe the urge rising, peaking, and falling.
  4. Keep breathing – Calm breath keeps your brain regulated.
  5. Ride it out – Stay present and patient; waves always pass.

Why Urge Surfing Works Better Than Willpower Alone

Willpower is a limited resource. Urge surfing doesn’t rely on force—it relies on awareness, acceptance, and neuroscience. This makes it highly sustainable for long-term behavior change and a powerful tool for anyone trying to lose weight, maintain sobriety, or adopt a healthier lifestyle.

Final Thoughts

Urge surfing isn’t about perfection—it’s about progress. Every time you surf an urge instead of giving in, you strengthen your brain, your resilience, and your emotional freedom. If you’d like support in building new habits or breaking old ones, visit RandyMoraitis.com.

Phone:       949-303-8264
Email:        randy@randymoraitis.com
Website:     www.randymoraitis.com
Facebook:  https://www.facebook.com/RandyMoraitisCoach/
Twitter:      @rmoraitis

 

About Dr. Randy Moraitis

Dr. Randy Moraitis is a Positive Neuropsychologist, counselor, coach, and interventionist based in Laguna Niguel, where he lives with his wife, Kim. Together they enjoy their blended family of five adult children and three grandchildren—photos always available upon request!

Randy holds a PhD in Positive Neuropsychology and is a Board-Certified Positive Neuropsychologist, Certified Intervention Professional (CIP), and CADC II. He is highly regarded for his work helping individuals and families navigate addiction, mental health challenges, and personal transformation through counseling, coaching, and professional interventions.

A multi-award-winning Board-Certified Pastoral Counselor and ordained minister, Randy brings a unique, integrated approach to healing and growth. He also holds six professional coaching certifications and specializes in executive, life, wellness, and recovery coaching.

Randy’s educational background includes a master’s degree emphasizing theology and counseling, a bachelor’s degree in management and leadership, and a certificate in health and fitness with an emphasis in exercise physiology and sports psychology from UC Irvine.

For more than 25 years, Randy has guided individuals, families, and organizations toward mental, emotional, physical, and spiritual well-being throughout Orange County. He maintains a private practice office in Laguna Niguel, California, and sees clients and patients both in person and virtually.

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Military Suicides

Military Suicides

By Randy Moraitis, MA, CIP, BCPC

Over the past week multiple news agencies published stories about a new trend of veterans committing suicide on VA hospital campuses after receiving inadequate care from individual VA facilities. Nineteen suicides have occurred on VA campuses from October 2017 to November 2018 ― seven of them in parking lots, according to data the Washington Post obtained from the Department of Veterans Affairs. Concern has arisen that this is a new and gruesome form of protest by veterans to highlight how little help they were given in their time of need by the VA system. Here is a link to the story run by the Washington Post.
Parking Lot Suicides

The issue of military suicide has been a topic of great interest to me since 2013, when the VA released a study that covered suicides from 1999 to 2010, which showed that roughly 22 veterans were dying by suicide per day, or one every 65 minutes. Some sources, such as CNN and USA Today suggest that this rate may actually be low and not include some homeless veterans.

As someone with many military family and friends (including my own son), I am very passionate about educating the public about this issue, and providing solutions to help prevent military suicides.

Over five years ago we launched the nonprofit foundation CarePossible which provides free mental health and addiction treatment to veterans and military families. In that time we have been honored to help serve and save many veterans and military families.

The latest reports show that there are now 20.6 military suicides daily in our country. Wonderful news that the number has gone down slightly, but that is still way too many men and women who served our country dying unnecessarily. You can click here for a detailed report on military suicide by state.

If you have a veteran in your life, please reach out to them regularly. And if you recognize any of the following signs of suicide in yourself or others, please reach out for support:

  • Feeling hopeless, trapped, or like there’s no way out
  • Having persistent or worsening trouble sleeping or eating
  • Feeling anxious or agitated
  • Feeling like there is no reason to live
  • Feeling rage or anger
  • Engaging in risky activities without thinking of the consequences
  • Increasing alcohol or drug misuse
  • Withdrawing from family and friends

The National Suicide Prevention Lifeline offers free and confidential support to anyone in distress 24/7. Call 1-800-273-8255 24 hours a day.

CarePossible offers free metal health and addiction treatment for veterans and military families. Call 949-303-8264 for more info or fill out an application for assistance here.

If you are reading this and you are struggling with depression and suicidal thoughts–please reach out for help! You matter! I care about you! Contact me at any of the options below:

Phone:        949-303-8264

Email:         randy@randymoraitis.com

Website:      www.randymoraitis.com

Facebook:   https://www.facebook.com/RandyMoraitisCoach/

Instagram:  @randymoraitis

About Randy Moraitis, MA, CIP, BCPC

Randy is married to Kim and they live in Laguna Niguel. Together they have a blended family of five adult children and three beautiful grandchildren. (If you don’t believe Randy, he will gladly show you pictures!)

Randy is a Certified Intervention Professional (CIP) and expert in helping families and individuals affected by addiction and/or mental health issues through counseling, coaching and interventions. He is an award-winning Board Certified Pastoral Counselor and is both licensed and ordained as a pastoral counselor. He has five professional coaching certifications and loves working with clients on executive coaching, life coaching, wellness coaching and recovery coaching. Randy has a master’s degree with emphasis in theology and counseling, a bachelor’s degree in management and leadership, and a certificate in health and fitness with emphasis in exercise physiology and sports psychology from UC Irvine. He has been leading groups, individuals and families to mental, physical and spiritual health in Orange County for over 25 years. His office is located in Laguna Niguel, CA.

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Pharmacogenomics–The Promise of Personalized Medicine

By Randy Moraitis, MA, CIP, BCPC

I recently attended a very interesting training on Pharmacogenomics that so impressed me I really felt the need to share what I learned with others in order to help as many people as possible.

Pharmacogenomics is the study of how genes affect a person’s response to drugs. This is a relatively new field that combines pharmacology (the science of drugs) and genomics (the study of genes and their functions).

Pharmacogenomics analyzes how one’s genetic makeup affects their response to certain drugs. Having this information can be helpful in numerous ways. It can save money, save time, and even save lives.

A very basic description of pharmacogenomics is that based on genetics, people have one of four different levels of metabolizing drugs: Poor Metabolizer, Intermediate Metabolizer, Extensive (“Normal”) Metabolizer and Ultra Rapid Metabolizer. One’s level of metabolizing determines which drugs are best for that patient.

One actual case history we studied in the class involved a 30-year-old female who had a c-section. She had severe post partum pain and was prescribed codeine to treat the pain. The patient had severe side effects from the codeine, and the codeine passed through to her nursing baby causing severe problems and sadly, the baby died.

Later testing showed that the patient was an ultra rapid metabolizer of codeine, and had her doctor known this fact, she would have been prescribed different medication.

Another case we studied involved a young adult male who was prescribed wellbutrin for anxiety and depression. He then became much worse and was suicidal. Testing revealed that wellbutrin was not a good fit, so his medication was changed. He immediately felt better, lost all suicidal ideation, and reported feeling much less anxiety and depression.

Undergoing the pharmacogenomics (PGx) testing seems wise for anyone taking medication for pain management, mental health, or addiction treatment. It can save time, money, and even one’s life.

The cost for the test varies between $300-$500 and may be reimbursed by insurance.

This is a newer field of study and is worth discussing with your physician. There were multiple physicians in the class I took and they all seemed very interested in how this science may help their patients.

I would love to hear your thoughts on this topic or be a resource to you if needed.

Phone:      949-303-8264
Email:       randy@randymoraitis.com
Websites:  www.carepossible.com, www.randymoraitis.com
Facebook: https://www.facebook.com/RandyMoraitisCoach/
Twitter:     @rmoraitis

About Randy Moraitis, MA, CIP, BCPC

Randy is married to Kim and they live in Laguna Niguel. Together they have a blended family of five adult children and three beautiful grandchildren. (If you don’t believe Randy, he will gladly show you pictures!)

Randy is a Certified Intervention Professional (CIP) and expert in helping families and individuals affected by addiction and/or mental health issues through counseling, coaching and interventions. He is a Board Certified Pastoral Counselor and is both licensed and ordained as a pastoral counselor. He has five professional coaching certifications and loves working with clients on executive coaching, life coaching, wellness coaching and recovery coaching. Randy has a master’s degree with emphasis in theology and counseling, a bachelor’s degree in management and leadership, and a certificate in health and fitness with emphasis in exercise physiology and sports psychology from UC Irvine. He has been leading groups, individuals and families to mental, physical and spiritual healthy in Orange County for over 25 years.

 

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Intervention HELPS to Save Lives

intervention

If you have a loved one or employee struggling with substance use disorder or other dysfunctional behavior, then the information in this blog post could literally save their life.

You have probably heard that someone with a substance use disorder needs to hit a rock bottom before they will be open to help. There is truth to that. But the part you may not be aware of is that we do not have to helplessly wait around for our loved one to hit that bottom.

In fact, doing so could lead to their suffering a fatal overdose. Harvard University, in conjunction with the Boston Police Department, did a study where they sent undercover officers to multiple locations in the Boston area to purchase illegal drugs on the street. The drugs were then taken back to a lab for analysis.

The findings were very scary–most of the drugs purchased by the undercover officers tested positive for substances other than what the dealers claimed they were. For example, what was sold as heroin was often a synthetic opioid or some other combination of substances which often included the very deadly drug fentanyl.

These findings show that loved ones with a substance use disorder may just be one use away from a fatal overdose. And with 160 fatal overdoses daily in our country, simply waiting around for our loved ones to hit rock bottom may prove to be a fatal decision. All too frequently these days, rock bottom can be death.

Ken Seeley, interventionist on the long running, multi Emmy Award winning TV show A&E’s INTERVENTION has developed the HELPS model to guide interventionists and families to work together in raising the bottom, or creating a rock bottom, to help save a loved one’s life and move them into recovery. The HELPS model looks at five areas where the consequences of addiction take their toll.

HELPS Model

Health–Addiction is a physical disease affecting the user’s body from the inside out. Consequences range from liver disease, skin abscesses, premature aging, psychiatric disorders, memory loss, central nervous system damage, and eventually death. Sometimes it is a health issue that motivates the loved one to move towards recovery.

Environmental–It has been proven that environmental factors strongly influences or arrests the development and subsequent behaviors of someone with substance use disorder. Are you supporting the recovery of the loved one, or enabling their addictive behavior?

Legal–Addiction frequently involves legal consequences such as DUI’s, arrests, marital separation, divorce, loss of child custody, and exclusion from wills. Often times the loved one will engage in illegal activities in order to support or maintain their habit.

Personal finances–Addiction creates financial crisis including job termination, eviction, foreclosure, and even bankruptcy. Supporting a loved one by giving them money, paying their bills or employing them can enable their addiction.

Spiritual–Has your loved one lost faith, hope and peace in their life? Addiction is also a spiritual affliction that robs the loved one of their spirituality leaving them to feel hopeless and alone.

By identifying which of the five areas above are affecting your loved one, then determining how to leverage that area and set healthy boundaries and consequences in a respectful and family-unified manner, HELPS manually raises the rock bottom instead of playing the deadly game of waiting for the loved one to hit rock bottom on their own–which could mean a fatal overdose.

The disease of addiction is taking too many lives and we have to find smarter, more effective ways to save our loved one’s lives. Using the HELPS model is a smart way to go.

If you think you or a loved one may have an addiction, please feel free to call or email me for a free consultation. Addiction is serious, but intervention and treatment can save lives.

Call me at 949-303-8264 or email me at randy@randymoraitis.com
Websites:  www.carepossible.com, www.randymoraitis.com
Facebook: https://www.facebook.com/RandyMoraitisCoach/
Twitter:     @rmoraitis

About Randy Moraitis, MA, BCPC, CIP

Randy is married to Kim and they live in Laguna Niguel. Together they have a blended family of five adult children and three beautiful grandchildren. (If you don’t believe Randy, he will gladly show you pictures!)

Randy is a Certified Intervention Professional (CIP) and expert in helping families and individuals affected by addiction and/or mental health issues through counseling, coaching and interventions. He is a Board Certified Pastoral Counselor and is both licensed and ordained as a pastoral counselor. He has five professional coaching certifications and loves working with clients on executive coaching, life coaching, wellness coaching and recovery coaching. Randy has a master’s degree with emphasis in theology and counseling, a bachelors degree in management and leadership, and a certificate in health and fitness with emphasis in exercise physiology and sports psychology from UC Irvine. He has been leading groups, individuals and families to mental, physical and spiritual healthy in Orange County for over 25 years.

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3 Ways to Tell if You Have an Addiction

addiction
By Randy Moraitis, MA, CIP, BCPC

Often times clients will ask me how to tell whether they actually have an addiction (or how to tell if a family member may have an addiction). A great rule of thumb is to use the 3 C’s:

The 3 C’s

  1. CONSEQUENCES
  2. CRAVING
  3. CONTROL

In order to identify whether there is a problem, the first step is to ask whether one is troubled by the consequences of the use pattern. Does the person continue to use even when there are adverse consequences such as broken relationships, legal issues and loss of employment?

The second step is to ask if there is craving. Does the person want the activity they’re engaged in more and more over time? Are they often thinking about it and planning the next time to do it?

The third step is to identify if there is a control loss. Has the person lost control of the activities in their life? Whether they are drug involved, gambling involved, shopping involved or whatever. When someone is active in addiction their life is often out of control.

When someone meets the criteria of these 3 C’s, whether one, two or all three of them, then there is a good chance that they are experiencing an addiction and should receive a more thorough assessment.

If you think you or a loved one may have an addiction, please feel free to call or email me for a free consultation. Addiction is serious, but treatment can save lives.

Call me at 949-303-8264 or email me at randy@randymoraitis.com
Websites:  www.carepossible.com, www.randymoraitis.com
Facebook: https://www.facebook.com/RandyMoraitisCoach/
Twitter:     @rmoraitis

About Randy Moraitis

Randy is married to Kim and they live in Laguna Niguel. Together they have a blended family of five adult children and three beautiful grandchildren. (If you don’t believe Randy, he will gladly show you pictures!)

Randy is a Certified Intervention Professional (CIP) and expert in helping families and individuals affected by addiction and/or mental health issues through counseling, coaching and interventions. He is a Board Certified Pastoral Counselor and is both licensed and ordained as a pastoral counselor. He has five professional coaching certifications and loves working with clients on executive coaching, life coaching, wellness coaching and recovery coaching. Randy has a master’s degree with emphasis in theology and counseling, a bachelors degree in management and leadership, and a certificate in health and fitness with emphasis in exercise physiology and sports psychology from UC Irvine. He has been leading groups, individuals and families to mental, physical and spiritual healthy in Orange County for over 25 years.

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The Science of Addiction

Addiction Infographic

This is a great info-graphic on the basic science of addiction.  I believe it is important for communities and families to get educated about addiction.

What are your thoughts? Does it raise any questions for you? Is there anything you would add?

I would love to hear your comments!

Call me at 949-303-8264 or email me at randy@randymoraitis.com
Websites:  www.carepossible.com, www.randymoraitis.com
Facebook: https://www.facebook.com/RandyMoraitisCoach/
Twitter:     @rmoraitis

About Randy Moraitis

Randy is married to Kim and they live in Laguna Niguel. Together they have a blended family of five adult children and three beautiful grandchildren. (If you don’t believe Randy, he will gladly show you pictures!) Randy is a Certified Intervention Professional (CIP) and expert in helping families and individuals affected by addiction and/or mental health issues. He is a Board Certified Pastoral Counselor and is both licensed and ordained as a pastoral counselor. He has five professional coaching certifications and loves working with clients on executive coaching, life coaching, wellness coaching and recovery coaching. Randy has a master’s degree with emphasis in theology and counseling, a bachelors degree in management and leadership, and a certificate in health and fitness with emphasis in exercise physiology and sports psychology from UC Irvine. He has been helping groups, individuals and families get mentally, physically and spiritually healthy in Orange County for over 25 years.
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5 Tips to Stay Sober During the Holidays

5 tips to stay sober during the holidays

By Randy Moraitis, MA, CIP, BCPC

Sober Holidays Tip #1: Take it easy! Get plenty of rest, watch what you eat, get your usual exercise, and take time for meditation. Maintain your recovery routine as much as possible.

Sober Holidays Tip #2  Don’t romance the drink or drug. If everyone starts talking about the “good old days,” leave the room. You don’t want to start thinking about your drinking or using days. That can lead to preoccupation and obsession, and then to cravings. Keep your focus on your life right now, your life in recovery.

Sober Holidays Tip #3  Be very careful about what you eat and drink. Alcohol doesn’t come only in a glass or a bottle. It can come in bowls and plates, too. And what you don’t know can hurt you. One reason, of course, is that even a small amount of alcohol can trigger a relapse. How much does it take? A tiny drop? A small glass? There is no definitive answer, so it’s best to avoid all alcohol and keep your risk as low as possible. Another reason is the psychological risk: the taste plus the “thrill” of knowing that you’re consuming alcohol could turn on a compulsion to drink. Remember, the addiction is in the person, not the substance; it’s critical to stay away from that slippery slope of guessing what might be risky for you.

Sober Holidays Tip #4 Practice TAMERS every day. Don’t let up on your brain healing activities. Practice TAMERS every day:

  • Think about recovery, Talk about recovery.
  • Act on recovery, connect with others.
  • Meditate and Minimize stress.
  • Exercise and Eat well.
  • Relax
  • Sleep

Sober Holidays Tip #5  It’s okay to tell people you are now in recovery. There is a lot less stigma these days to being in recovery. Nearly everyone knows someone who is in recovery and very open about it. It’s your choice whether or not you want to tell people. One good reason to be open about it: If your friends don’t know you’ve given up alcohol, they may lead you into temptation without intending to. Another reason: When you let it be known that you don’t drink, you offer support and encouragement to others who are thinking about sobriety but are afraid to take the leap. You just might be the catalyst that gets someone else started on recovery.

The above tips are from “The Recovery Book” by Al J. Mooney, MD, Catherine Dold and Howard Eisenberg which is a great resource for anyone in recovery or with a loved one in recovery.

As a counselor, coach and interventionist I would love to hear your thoughts on this topic. My email is randy@randymoraitis.com and my phone is 949-303-8264. Websites: www.randymoraitis.com and www.carepossible.org.

About Randy Moraitis

Randy is married to Kim and they live in Laguna Niguel. Together they have a blended family of five adult children and three beautiful grandchildren. (If you don’t believe Randy, he will gladly show you pictures!)

Randy is a Certified Intervention Professional (CIP) and expert in helping families affected by addiction and/or mental health issues. He is a Board Certified Pastoral Counselor and is both licensed and ordained as a pastoral counselor. He has five professional coaching certifications and loves working with clients on executive coaching, life coaching, wellness coaching and recovery coaching. Randy has a master’s degree with emphasis in theology and counseling, a bachelors degree in management and leadership, and a certificate in health and fitness with emphasis in exercise physiology and sports psychology from UC Irvine. He has been helping groups, individuals and families get mentally, physically and spiritually healthy in Orange County for over 25 years.

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How Adverse Childhood Experiences (ACEs) Affect Health

By Randy Moraitis, MA, CIP, BCPC

Adverse childhood experiences, also known as ACEs, are adverse or traumatic childhood experiences that damage a child’s developing brain in such a way that the effects can show up years later. ACES can cause chronic disease, mental illness and other serious issues.

“ACEs” comes from the CDC-Kaiser Adverse Childhood Experiences Study which showed that childhood trauma leads to the onset of adult of chronic diseases, depression and other mental illness, violence and being the victim of violence.

The ACE study has published 70 research papers and hundreds more research papers have been published based on the ACE study.

The researchers measured these 10 ACEs:

  • Physical abuse
  • Sexual abuse
  • Verbal abuse
  • Physical neglect
  • Emotional neglect
  • A family member who is depressed or diagnosed with other mental illness
  • A family member who is addicted to drugs or alcohol
  • A family member in prison
  • Witnessing a mother being abused
  • Losing a parent to separation, divorce or other reason

The ACEs study is extremely significant because ACEs cause chronic disease such as cancer and heart disease, as well as mental illness and violence.

Nadine Burke Harris, MD, MPH did an amazing TedTalk on this issue which I highly recommend. Here is a link: TedTalk on ACEs.

As a counselor, coach and interventionist I find this research extremely interesting and helpful in understanding my clients. I would love to hear your thoughts on this topic. My email is randy@randymoraitis.com and my phone is 949-303-8264.

About Randy Moraitis

Randy is married to Kim and they live in Laguna Niguel. Together they have a blended family of five adult children and three beautiful grandchildren. (If you don’t believe Randy he will gladly show you pictures!)Randy is a Certified Intervention Professional (CIP) and expert in helping families affected by addiction and/or mental health issues. He is a Board Certified Pastoral Counselor and is both licensed and ordained as a pastoral counselor. He has five professional coaching certifications and loves working with clients on executive coaching, life coaching, wellness coaching and recovery coaching. Randy has a master’s degree with emphasis in theology and counseling, a bachelors degree in management and leadership, and a certificate in health and fitness with emphasis in exercise physiology and sports psychology from UC Irvine. He has been helping groups, individuals and families get mentally, physically and spiritually healthy in Orange County for over 25 years.

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HALT for Recovery and Wellness


By Randy Moraitis, MA, CIP, BCPC

If you or a loved one are affected by any mental health, addiction or eating disorder issue then I encourage you to use HALT as an easy-to-remember tool for staying healthy.
HALT is an acronym that stands for:

It’s wise to avoid getting too Hungry, Angry, Lonely or Tired because when we do, any underlying issues (such as anxiety, depression, bipolar disorder, addiction, eating disorder, etc.) can be negatively impacted.

HUNGRY–have you seen those Snickers commercials where Marcia of The Brady Bunch turns into Machete because she’s too hungry (hangry)? It is both funny and true!

While I’m not recommending a candy bar, I do recommend that you keep healthy snacks with you throughout the day such as almonds, protein bars, or fruit. When your blood sugar drops your brain stops working at an optimal level and that means a bad decision or bad mood could easily happen. Keep your mind and body fueled for peak performance!

ANGRY–I love this quote from Thomas Jefferson: “When angry count to ten before you speak, if very angry count to one hundred.” Great advice here! Give it a try when you get angry.

Four Square Breathing is another great tool to use when you feel angry. It can help you calm down and regain focus so you do not make any bad choices. Here is a link to easily learn how to do four square breathing.

LONELY–Human beings need healthy community, healthy companionship. There is a great body of research proving that isolation has numerous negative side effects even causing cancer.

There is a very wise quote which says, “Two are better than one…” (Ecc 4:9). This is so true!

If you find yourself isolating–reach out to a friend, family member, or neighbor. Or join a club, group or activity that connects you to others.

If you know of someone that is isolating, reach out to they. They may need you more than you know.

TIRED–Being tired is bad for our health and can lead us to make bad decisions. Have you ever said anything that you didn’t really mean because you were too tired? Or have you ever failed to have a peak performance because you were too tired?

Research clearly shows that we need 7-8 hours of sleep per night to be at our best. I encourage you to have some discipline with this–turn off the TV and put down the phone or iPad early enough for you to get a good night’s rest. Don’t sleep with your phone right by your head–the light interferes with your sleep.

If you have trouble falling asleep, try the following:

  • Be sure to limit caffeine during the day–especially later in the day.
  • Try relaxation and visualization exercises to help induce sleep.
  • Use a sound machine or app to create a calm, soothing environment.

So give HALT a try. If you apply the concept on a daily basis you just might find yourself having a much healthier and happier life.

I would love to hear your thoughts on this topic.
You can email me at randy@randymoraitis.com.
Websites: www.randymoraitis.com and www.carepossible.org

About Randy Moraitis

Randy is married to Kim and they live in Laguna Niguel. Together they have a blended family of five adult children and three beautiful grandchildren. (If you don’t believe Randy he will gladly show you pictures!)Randy is a Certified Intervention Professional (CIP) and expert in helping families affected by addiction and/or mental health issues. He is a Board Certified Pastoral Counselor and is both licensed and ordained as a pastoral counselor. He has five professional coaching certifications and loves working with clients on executive coaching, life coaching, wellness coaching and recovery coaching. Randy has a master’s degree with emphasis in theology and counseling, a bachelors degree in management and leadership, and a certificate in health and fitness with emphasis in exercise physiology and sports psychology from UC Irvine. He has been helping groups, individuals and families get mentally, physically and spiritually healthy in Orange County for over 25 years.

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Treatment For Opioid Addiction

By Randy Moraitis, MA, CIP, BCPC

In my last blog post entitled “10 Facts About Opioids” I shared that according to the Centers for Disease Control (CDC) the United States is in the midst of a prescription painkiller overdose epidemic and discussed important facts about opioids such as heroin, vicodin, etc.

This post will follow up on our look at opioids with a discussion of treatment options for opioid abuse and addiction.

Treating Opioid Overdose
Currently there are some very effective drugs for opioid overdose. If someone overdoses on opioids and is barely breathing and close to death, an opioid antagonist such as naloxone, can be administered. This can provide immediate relief because it blocks the opioids from binding to the receptors in the brain.

Thankfully, more and more first responders, as well as citizens, have been trained in the use of naloxone and this has led to saving many lives.

Treating Opioid Addiction 
The first step to treating opioid addiction is detoxification (detox). Detox is extremely challenging because opioid users experience such intense withdrawal symptoms when they quit taking the drug.

I have seen this first hand numerous times while helping addicts get clean. I even once had an individual do their entire detox in my home without medication as they had no other treatment options. It can get messy and ugly!

Users encounter severe withdrawal symptoms that mirror the opposite effects of the drug. Instead of feeling euphoric, the user is extremely depressed. Instead of pain relief, users experience many aches and pains. Instead of constipation, users have diarrhea and other flu-like symptoms.

It is common to treat opioid addiction by administering a slower, longer acting opioid, such as methadone instead. Methadone maintenance is the most common treatment for heroin addiction and it has had significant success. One study showed that 80 percent of people who stick with a methadone maintenance program for one year end up abstinent from heroin for one to three years afterwards. By contrast, only 12 percent of people who drop out of methadone maintenance stay abstinent that long.

Other opioids are also regularly used in the treatment of heroin addiction. In fact, heroin itself is used in the treatment of heroin addiction in a number of countries. The idea is to give users a lower, but stable, prescription dose of heroin without all the risks associated with obtaining and using heroin on the street. Not surprisingly, heroin addicts are more likely to stick with a heroin maintenance program compared with a methadone maintenance program, and perhaps as a result, they’re less likely to use illegal drugs.

Other opioid drugs are frequently used in treating opioid addiction. Of course, this is very controversial as this is simply substituting one addiction for another.

Another common approach to treatment is to remove any reward associated with relapse. This is done by having the patient take an opioid antagonist such as naltrexone which blocks the rewarding effects of the opioids. This treatment works well with individuals highly motivated to quit who continue taking the naltrexone, but a problem arises when an individual gets very strong cravings and stops using the naltrexone.

In addition to pharmacological treatments, it can be most helpful if opioid addicts also receive cognitive behavioral therapy where they are trained to recognize and avoid their triggers for drug use.

It is also very helpful for the addict to receive counseling and coaching to move forward with a healthier life, and to be in a healthy supportive community which may include 12 step groups like Narcotics Anonymous or Lifelines.

Finding freedom from opioid addiction is very difficult, but it can be done with effective treatment, as well as healthy community and support in the life of the addict. If you have a loved one struggling with an opioid addiction, do not give up on them. Do all you can to get them into treatment, perhaps even an intervention, as it just may save their life!

For more information or to take the first step in getting a loved one help call 949-303-8264 or email randy@carepossible.org.

Websites: www.carepossible.org and www.randymoraitis.com

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