| Copyright Copley Press, Inc. Mar 26, 2006
Zorana was a senior at Torrance's North High School the first
time she tried methamphetamine.
A frequent churchgoer, she had managed to stay away from alcohol
and marijuana since experimenting with them in middle school. But
the winter of 2003, after returning from a holiday vacation with her
family, the 17-year-old, who asked that her last name be withheld
for this story, noticed there was something different about her
friends at school.
"They would be hiding stuff -- I could tell they were doing
something, and it made me feel left out," she said. "I was like,
well, let me see what this is all about. And I think I immediately
started smoking every day right after."
At first it was a curiosity. Then it was a clich, she says, "all
about fitting in." But quickly she embraced a totally different
lifestyle.
Just a little bit of methamphetamine -- a crystalline, white
powder also known as speed -- would provide a rush of energy and
boost of confidence that would last for hours, allowing her to stay
out all night and still make it to class in the morning. And for
Zorana, like many teen girls, there was an added allure.
"I was always unhappy with my weight," she said. "I had lost so
much weight by prom, I was so happy with how I looked and with the
attention I was getting. ... I didn't feel like there was anything
wrong with what I was doing, because when I started it was all
positive things."
It didn't last. Within months, Zorana's grades had dropped, her
mother had kicked her out of the house and she had disconnected from
her school friends in favor of older kids and a boyfriend who were
more heavily into the drug.
Her mother tried to intervene, but even a pricey wilderness boot
camp and a 14-month stint in a residential rehabilitation center
didn't curb her addiction. After just three weeks back at home,
surrounded by the same social pressures and temptations, Zorana
relapsed.
"I thought I was going to stay clean, but I still hadn't really
accepted myself," she said. "So, it was more appealing for me to go
back to that lifestyle and lose the weight again."
An inviting cocktail
For teenage girls, methamphetamine presents a tempting cocktail
of immediate gratifications. As a party drug, it's cheaper than
cocaine, it lasts longer and, in Southern California, it's as easy
to get as pot. And the drug's short-term effects -- loss of appetite
leading to weight loss, and deceptive boosts in concentration and
confidence -- can attract high-achieving, body-conscious girls and
make it extremely difficult to quit.
"Some people call it 'The PV Diet,' " said Greg Allen, program
director at the Thelma McMillen Teen Outpatient Program at Torrance
Memorial Medical Center. "A lot of girls will just do a little bit,
every day ... to keep their weight down, keep their energy up."
Of course, alcohol and marijuana use among teens continues to
eclipse meth use by sheer numbers. Just 7.3 percent of secondary
school students in Los Angeles County have tried meth, and just 3.7
percent are regular users, according to the 2003-04 California
Healthy Kids Survey.
But methamphetamine is a seductive drug that can quickly become a
powerful addiction -- as reflected by the high representation of
meth users currently in drug treatment.
Among the teens treated at Thelma McMillen, an elective program
that serves the entire South Bay, methamphetamine is the drug of
choice for about 70 percent of girls, Allen said. Among boys in the
program, about 70 percent are abusing marijuana.
At other local treatment centers, therapists report similar
popularity of meth among girls.
"Our referrals come from the most affluent neighborhoods to the
poorest," said Susan Michael, clinical director at the outpatient
South Bay Center for Counseling, where about 60 percent of teen
clients -- boys and girls -- are using meth. "It really doesn't
discriminate."
Michael said that's likely because many teens don't hear about
the ugly, often devastating effects of methamphetamine until it's
too late.
"There are relatively few recreational meth users," she said.
"You may start out that way, but it doesn't stay there."
Brain chemistry altered
Medical research shows that even short-term use of the drug -- a
potent stimulant that triggers the release of high levels of the
pleasure-producing neurotransmitter dopamine -- can significantly
alter the brain's chemistry, leading to long-term depression,
chronic fatigue, paranoid or delusional thinking and brain
damage.
The euphoria that initially seduces users is almost always
followed by a crash -- usually long periods of sleep followed by
feelings of depression -- which often stimulates the desire to get
high again.
In time, the visible side effects aren't pretty, either. The
toxic, corrosive household chemicals used to make meth can quickly
rot a user's teeth and cause hair loss or breakage. "Tweakers," as
meth users are sometimes called, often report seeing bugs under
their skin, which causes them to pick, scratch and create ugly
lesions and cysts, or "speed bumps."
"I think it's probably the most devastating drug I've ever seen,"
said Mark Johnson, who has watched drug trends come and go during
his 22 years with the court-affiliated Torrance Juvenile Diversion
Program. "We're really perplexed here, and we're really, really
concerned. You get kids you wouldn't really suspect -- really good
family life, really doing well, and then they get lost in it."
Unable to extract herself from the drug's grip, Zorana quickly
spiraled away from party mode and deeper into isolation and
paranoia. She began hearing voices, she thought her cell phone was
bugged, she abandoned her car in a parking lot because she thought
it had been planted with a bomb.
After losing her job and her apartment, she moved in with a drug
dealer she barely knew. From her normal weight of 150 pounds, she
dropped down to 120. Finally, after crashing one time too many, she
bottomed out.
"I was in a motel in L.A., but for some reason I thought I was in
Mexico," Zorana said. "I just started crying and called someone to
come get me. I didn't even know where I was."
From January to June 2004, methamphetamine users accounted for
20.6 percent of the 5,840 admissions to Los Angeles County treatment
and recovery programs -- the highest proportion ever, according to a
National Institute on Drug Abuse-sponsored report.
That makes it "the one illicit drug that has continually
increased among treatment admissions over the past four years,"
according to the report's author, UCLA epidemiologist Beth
Rutkowski.
"In Southern California, it's been a problem for more than 20
years -- and it's not going away," Rutkowski said.
Growing problem
As the drug has gained popularity in the Midwest, the number of
people seeking treatment for meth addiction nationwide quadrupled
from 1993 to 2003, according to a recent report from the Substance
Abuse and Mental Health Services Administration.
And no other drug claims such an equal proportion of female users
as males, multiple studies show.
"Weight loss is ... probably the No. 1 reason teen girls start to
experiment with it," Rutkowski said. "Unfortunately, there's no
(funding aimed at collecting) data to substantiate that. Right now
it's all anecdotal from parents and the girls themselves."
For Casey Kauffmann, a self-proclaimed "nerdy girl with big
glasses and short hair" in middle school, methamphetamine seemed
like the quickest way to bounce back after a self-confidence-
crushing breakup and subsequent two-week absence from classes at
Mira Costa High School in Manhattan Beach.
Craved the feelings
A former boyfriend had introduced her to meth, and when the
relationship ended she craved the feelings of power, control and
accomplishment the drug had given her. "With me, it was a fully
conscious decision. I knew what meth was, I had tried it before,"
Casey said. "I was like, 'I'm gonna get meth. I'm gonna do well in
school.' "
Casey, who was 16 at the time, went on a two-week meth binge,
snorting up to seven lines a day -- sometimes in the bathroom at
school -- and not sleeping for a week straight.
"I felt like I was doing so well in school. I would spend hours
on my homework, making up schedules," she said. "But if you look at
it now, it's like in a different language. It's all color-coded, in
little boxes."
Already a thin girl, Casey dropped down to 90 pounds. She stole
from her mother and grandmother's purses to pay for the drug. She
would sweep her bedroom floor and search the vacuum bag for meth
rocks.
Her older sister Jessica -- a former Mira Costa cheerleader who
was wrestling with her own drug addictions but managed to steer
clear of meth -- saw Casey struggling and begged their parents to
intervene.
"There's an extreme sense of guilt. I hung out with meth addicts
- - I never wanted her to be like that," said Jessica, now more than
18 months sober at age 18. "I just wanted to protect my sister from
that life."
After spending 64 days last summer in "wilderness therapy" --
hiking more than 100 miles with a 70-pound backpack -- Casey said
she came back with a sense of self-reliance that has helped keep her
sober. Jessica now shares their stories with students on panels at
local middle and high schools.
Their mother, Merrell, said it's not always easy to hear all the
details of the girls' addictions.
"It just isn't talked about here. When you do talk to other
parents, you're ostracized," Merrell said. "People don't like to
hear, 'If it's going on with my daughter, it might be going on with
your daughter.' "
A blurry line
Kim Davidson, an attorney who lives in Palos Verdes Estates, said
that with her 17-year-old daughter, Stephanie, the line between
normal teenage angst and substance abuse was often blurry.
"I would call and she wouldn't answer her cell phone. She would
come home at 2 a.m. and give me some cockamamie story," Davidson
said. "It was a moving target, and there was so much denial."
After she saw Stephanie chatting with friends online about drugs
and parties, Davidson and her former husband spent thousands of
dollars on therapists and treatment.
But it wasn't until Stephanie stole her mom's car, totaled it,
and ended up in the hospital that Davidson put her into a six-week
residential rehabilitation program. During that time, Davidson
learned a lot about her daughter's meth and cocaine abuse.
"She would tell me about parties she would go to in PV or Rolling
Hills, behind the gates. Every drink, every drug would be
available," Davidson said. "I feel like I've just seen the tip of
the iceberg."
Teens will be exposed
That's a common fear among parents. Teens, especially those in
recovery, are quick to point out there's not much parents can do to
prevent exposure to drugs.
"We live in a very privileged area, and our kids want for very
little," said Kim S., who started a Manhattan Beach branch of
Families Anonymous last November. "But we as parents need to step
back and set boundaries and limits, set expectations and have
consequences for their behavior."
Allen, the Thelma McMillen teen program director, says it's
important for parents to be aware of the warning signs of meth
addiction -- weight loss, inability to sleep, nervousness,
irritability, overconfidence -- and be willing to ask the hard
questions early on. If intervention and recovery are needed,
families of teenage meth abusers must also become actively
involved.
"Parents have to learn how to deal with fear, worry, how much
supervision should I give or not give," Allen said. "The teen maybe
stops using, but then how do we live together? What does this person
do with their time?"
Fitness key to recovery
Because of meth's association with body image and self-
confidence, girls trying to kick the drug have varying success
rates. To stay clean, it's important to find healthy ways to keep
the body fit, which is why physical exercise, art therapy and self-
affirmations are often part of the recovery process.
Creating and maintaining a new, drug-free social circle is also
key, Allen said.
"It's a big deal, because friends are as important as anything at
this age. Often those friends don't respect that person's decision
to stop," he said. "Relapse is not uncommon."
For Stephanie Davidson, now a graduate of Rancho del Mar High in
Rolling Hills, singing in a band with sober friends has helped.
"I still have my friends who are 'normies,' who still drink. I'll
be online and see the pictures and say, 'Oh, I used to party at that
house,' " she said. "But I've lived that. I'm over that. I still
have days when I have hard times, but that's when I call
someone."
But being back at her normal weight of 135 pounds is hard to
swallow.
"Just yesterday I was totally PMSing, and I looked in the mirror
and felt so fat," Stephanie said. "I thought, I could just do a line
and I'd be skinny again. Just watching TV and the magazines
definitely makes it harder to quit."
Zorana, now 20 years old and eight months sober in residential
rehab, said it may still be awhile before she feels ready to return
to the external temptations.
She said she and some of the other women in the program are on a
diet right now to raise their confidence and feelings of self-
control.
"I'm starting to accept myself now, to see that I like how I am
right now, for the first time," she said. "I'm getting there. I'd
rather be this way -- yeah, I'd rather be this way than when I was
using. I'm still working on that statement."
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