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Hi, Thank you for responding. Sometimes the MDs are already aware of the abuse, especially if he/she has prescribed for years. But it's always worth a try.
If she is an addict she will find it somewhere else.
The only real way to help her is to cut her off from any type of financial and emotional support that enables her to keep on using.
She must reach a point in her life to where she is ready. As you have seen, treatment works only if she is ready. If she has the knowledge, the practice of the knowledge is what she is lacking. Knowing how to turn on the light is useless unless you get up and walk over and flip the switch. Letting her sit in the dark so to speak without turning on the light for her is what I am talking about.
And this will be difficult for your parents, but they will need to assist by forcing her out of the home. If she lives on the street or a shelter, this can help her. If she chooses to spend her time and money on drugs, that is something she will do anyway. But she will have less money and less support for the drug use.
Is is always so sad to see one messing up their lives, especially one you love, and you have no control over this. Based on what you say, she still sees this choice of methadone as a positive thing for her. But she can get better if you allow her to feel the pain a bit more, and make a decision to change. Try and separate: her as your sister, one entitiy, and the drug addiction as another entity. You are trying to save your sister from this separate entity, drug addiction, which has taken over her. Methadone is a powerful drug and truly has convinced her it is helping her. You on the outside can see differently. But she will never realize this if you assist her in continued use.
Making threats about killing herself is a protection of the disease, and she is holding you all hostage by these threats. There is an option of the committment petition, if she does continue the threats and actually makes a gesture of suicide. This could place her in a long term psychiatric facility.
iI feel very helpless listening to her story, and I know you do too. Please get help for your parents to learn how to protect themselves emotionally and to impose on your sister the necessary means to no longer assist her in killing herself.
I hope this helps. Gina