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“So this could be particularly important for treatment.” Johnson said doctors use drugs to treat anxiety or to detox a patient, but there is little research into what works for both. Researchers are recruiting people in Baltimore who served in combat roles in the military or were victims of domestic abuse, for example, and turned to alcohol, perhaps to “self-medicate.” Johnson said pregablin is promising because it modulates over-active neurotransmitters, or chemical signals, from nerve cells that control the drive to use alcohol and the effects of anxiety. Some users say it has Valium-like effects, but Johnson said it’s far less addictive. Any discovery of a medication to treat alcoholism and a severe mental health disorder could help reduce a persistent problem in Baltimore and beyond, he said. While opioids such as heroin and fentanyl have grabbed most of the headlines because of a surge in related overdose deaths, alcohol continues to kill people. Of the 1,172 overdose deaths in Maryland in the first half of this year, the latest data available, 267 people had alcohol in their systems alone or combined with other substances. Baltimore had the highest number among local jurisdictions at 107, according to figures from the state Department of Health. The number has been trending up; only 60 intoxication deaths were recorded in 2009. Nationally, the U.S. Centers for Disease Control and Prevention reports that alcohol use led to about 88,000 deaths each year from 2006 to 2010. A new where is inpatient rehab report from the Trust for America’s Health counted more than a million deaths tied to alcohol, drugs and suicide in the past decade, with alcohol deaths up 37 percent and suicides increasing 28 percent from 2010 to 2015. The check how can alcohol/drug treatment be more effective group says it points to an epidemic of pain, despair, disconnection and lack of opportunity and the need for a “national strategy to improve resilience.” Benjamin F. Miller, chief policy officer for the Well Being Trust and a contributor to the report, noted that in 2016, 44.7 million U.S. adults experienced a mental health problem, 20.1 million had a substance use disorder and 8.2 million had both. He said the numbers are likely undercounted by far.

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