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Eating Disorders in Recovery & our response to them

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National Eating Disorder Awareness Week (Feb. 24-March 2, 2013)

In 1990, I saw the profoundly disturbing movie Eating by Henry Jaglom. Prior to this, I was oblivious to eating disorders. The film was about a group of women cooking for a celebration. Throughout the film, they individually act out in their respective eating disorders. Watching their secrecy, shame, self-loathing, and powerlessness triggered an overwhelming sense memory in me. What they were feeling was no different than how I felt shooting coke in a locked bathroom. It made me realize how similar eating disorders were to addiction. Seeing this film helped me to feel empathy and compassion for my women friends who continued to struggle with bulimia even after years in recovery.

Our society isn’t very compassionate toward people who have diseases that manifest in self-destruction.  “How can I feel sorry for him? No one is putting a gun to his head forcing him to take heroin.”  While society is finally becoming educated in substance abuse and depression, eating disorders make people uncomfortable. It is cruel when adjectives such as lazy, greedy, and glutinous are used to describe over-eaters and those suffering from obesity. It is just as cruel to pretend there isn’t a disease affecting the health of a friend. People in 12-Step meetings become uncomfortable, even angry, if a member shares about vomiting after meals even if they share that this behavior makes them want to get high. The  whispering and dissing of the “skinny girl” is harmful and hateful. Eating disorders do not arise out of thin air. Childhood pain, violence, trauma, abuse, and sexual abuse are often at the core.

Recovering addicts and alcoholics with eating disorders are fortunate to already have a language to describe their experience. They have recovery tools and support. They know how to walk into a fellowship for their specific eating disorder and ask for help.  Yet, even with this leg-up, the road to ED recovery is riddled with potholes. I know many women with decades clean and sober whose recovery from bulimia continues to be two steps forward one step back. Binge eating relapses keep them trapped in a cycle of shame, self-berating, hopelessness, and despair even while they are role models of recovery in their primary 12-Step group.

Sustainable recovery from eating disorders is very difficult and painful and we (society as a whole and those of us fortunate to be in recovery ourselves) should be extending kindness, support, and compassion to anyone who is suffering so that they do not have to isolate in secrecy and shame. We can help by encouraging them to be honest and courageous, and by guiding them to professionals who can give them the help they need. Our generosity and love does not have to be insular. We have enough that it can be shared beyond the confines of our particular substance abuse group.

A dear friend in recovery became anorexic this past year. At first, I tried helping by applying what works to cut through the denial and arrest the disease of addiction but this was different. I realized she needed professional help and we found a therapist willing to work within her budget. After several months, it was clear that she needed a higher level of care – inpatient. Unfortunately, unlike drug addiction, there is very little help available in America for anorexics without financial resources. Anorexia Nervosa is a disease that leads to death – if not from starvation, it can cause a heart attack, fainting behind the wheel, shattered bones, and major organs shutting down. Many anorexics commit suicide before their bodies fail. Yet even with the high suicide rate statistics, there is very little help offered to people without $30,000 to spare or comprehensive health insurance. In my friend’s case though, it’s going to take more than good insurance or extra cash in the bank. Even after being discharged from therapy and told she needs a higher level of care, the denial continues to convince my friend that this disease can be self-managed.

No one could force me to get clean and I can’t force her into inpatient treatment. I hope she becomes willing. I continue to encourage her to not give up, to pray to whatever she believes in or doesn’t believe in, to blindly ask the universe or her own heart to guide her to safety so she can live. She asked me to dedicate this week’s blog in honor of Eating Disorder Awareness Week.

You may have friends in recovery living in shame, guilt and secrecy, suffering from an eating disorder they have not made public. These friends are your opportunity to practice empathy, compassion, tolerance and patience. Help them to feel safe enough to bring their ED out of the darkness. Eating disorders are not gender specific. Men this is your opportunity to bring your ED out of the closet so other men will not feel so alone. Together, in loving kindness, we can all recover.

For anyone reading this blog who may be suffering from an eating disorder, there is plenty of information online for local helplines, resources, 12 step groups. Not everyone needs to go to a treatment facility. Most eating disorders can be arrested and a healthy recovery can occur using a combination of 12 step meetings, therapy, trauma work (such as EMDR or gestalt therapy), and Dialectic Behavioral Therapy (DBT) groups, mindfulness (such as meditation, yoga, breathing exercises). Your life is worth it.

The following is a guest blog written by my friend who has Anorexia Nervosa. I asked her to write about her inner experience living with this disease. Perhaps next year she will be able to share her recovery from this illness.

eating disorders kill

 

Anorexia? WTF Happened?

During the course of this vicious anorexia cycle, I have confided consistently with one person. This alone may have saved my life— so far.

I don’t exactly remember when the idea had surfaced that I had an eating disorder.  At some point in late 2011 something started happening internally that resulted in an increase of anxiety, not sleeping, not eating, horrible leg cramps, night terrors, depression, anger, and hopelessness.  By April 2012 I had been in therapy for five months and remember feeling completely disconnected from my body. My mind was constantly spinning and I had 3 years clean from drugs and alcohol. I wanted to escape the screaming in my head and the pressure I constantly felt. Using and suicide bounced in and out of my mind.

I had slowly stopped eating. Well- I wouldn’t eat a couple days, but then would eat a few days and be fine. I didn’t really obsess over it and it was just one of those habits I think I had always had- since childhood. The idea of eating never really mattered to me much and the thoughts of over eating (or watching others over eat) grossly disgusted me. My frame is naturally small and the most weight I had ever gained was through both my pregnancies which I absolutely hated. Even though I had lost all the weight I had gained through my practically back to back pregnancies, my body was left with deep stretch marks which leave me with a strange self-conscience feeling I still have to this day.

Eventually, my first therapist kicked me out after about 10 minutes of what ended up being our last session. She looked at my sick body and advised me to come back after I sought help for my eating disorder. I hadn’t really talked much to this therapist but felt extreme anxiety when I knew I had an appointment that day and felt like I had been hit by a bus when I left. I don’t remember talking to her too much about anorexia.

Over the last year, I’m not sure why I have constantly denied that I could have an eating disorder. Most of the last year and a half has consisted of not eating, weighing myself obsessively, checking my BMI to see if I’m actually underweight (thinking that as my BMI is normal than I must not have a problem), puking every 3-4 days when I do actually eat, migraines, performing google searches about eating disorders, crying, punching walls, throwing chairs, anger, hiding out…

My health has been questionable. My digestive system feels fucked up. My heart rate and cholesterol are high. I’m almost positive I am anemic. I’ve passed out, lost track of time, been in four car accidents, fallen asleep at the wheel.  I have severe leg cramps every night which leave me falling down. I lost 30 lbs on my already somewhat small frame in the course of 4-5 month period and my weight was declining weekly. People were commenting on my body and it infuriated me when they questioned if I ate or if they told me that I’m getting too thin. I read articles and books about how to get help. I went to eating disorder meetings. I wrote letters to the fucking universe expressing my anger and pain and needing help.

Yet with all of the evidence pointing toward the clear fact that I do have an eating disorder problem, I continued to fight it (I still fight it).

I want help and I don’t want help. I want to fix my own problems and my own pain. I don’t want to let one more person close to me. I don’t want to become vulnerable.

I did eventually go to another therapist who specializes in eating disorders. I made as much of an effort as possible to kick this shit and feel better. I deactivated my gym membership, I gave up my scale, I wrote food logs. The terms were up front from the beginning with her. I had to stay honest. I had to do the work. If after a certain amount of time, no progress was made with my health, than she would recommend a higher level of treatment. This was and is one of my greatest fears. Needless to say, I was discharged in January of this year from my second therapist.

I actually made it to 4 years clean in January but feel like I am living my life in active addiction. I feel like I am in a downward spiral but not sure exactly what I am willing to do to get better. I still fantasize about all of this just disappearing on its own.  I feel like my mind is playing tricks on me. I tell myself things like this: I haven’t thrown up in a while now, I ate twice every day for 5 days in a row (only skipping two days of meals), I haven’t weighed myself since being at Publix two weeks ago, I am sleeping more than I had been sleeping, and that I haven’t lost any weight since my last therapy session. All of these things I tell myself eventually convince me that I can fix this by myself because I am obviously doing better than I was when this ‘eating disorder’ surfaced.

I absolutely hate everything about anorexia. I hate what is happening and feel trapped. I hate feeling like  there is something wrong with me and that I can’t control any of this. These are the same thoughts I have about addiction. I despise them both. I hate the internal fight of wanting to die and live all at once. And I hate feeling like I am being attacked by one or the other, if not both

Fuck addiction. Fuck anorexia.

Truth is- with all of my denial, anxiety, rage, depression, etc. –   I do hope that I continue to hold on until I get better.

 

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The SADs got you down?

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There are going to be times in recovery where you’ll feel like you’re flat lining. And it might happen when there is nothing particularly devastating or even mildly upsetting going on in your life. The signs might go something like this:

You picked up a bunch of produce at the supermarket but just found yourself throwing it out because it was starting to look like something for the compost. Peanut butter and jelly sandwiches have just felt easier to make when you’ve been hungry, or a slab of cheese straight out of the package in front of the fridge even though you bought it to put in omelets. The eggs have been sitting there for almost two weeks and you’ve eaten two. Just not in the mood to cook anything. You suspect something is off especially since you’ve made such an effort to become a healthier eater this year. Skipping breakfast, consuming more bread, maybe eating a box of cookies – what’s up with that? You looked at the box of arugula all week knowing it would go bad if you didn’t take five minutes to make a salad but instead you grabbed a slice of pizza on the way home and killed your appetite. Now the arugula is in the trash. Besides, you haven’t even been really feeling hungry. You just throw something into your mouth because you know you have to eat.

The list you keep next to the computer of stuff you need to take care of hasn’t changed much the past two weeks. A few more things have been added on but only one item was scratched off. Nothing is really pressing so there’s been no harm recopying the errands onto next week’s list. You know one or two have to get dealt with this week though.

There’s a pile of bills that needs to be opened. You’re surprised that there’s a turn-off notice and that something else is due in two days. Have they really been sitting there that long?  Crazy, especially since you have the money to pay them.

Thank God you’ve still managed to get to the gym even if you do skip part of your workout. You just don’t have the energy for it. Even the post-workout vitality is short-lived. By the time you get home, you feel like taking a nap. Every day lately you feel like napping. Then you sleep like shit, either wake up after only a few hours or re-set the alarm and sleep as long as you can get away with.

You know you need to get outside and walk for a while to get some fresh air – but its too cold, too rainy, too grey. Maybe you’ll do it later instead.

It takes everything to get to a meeting. You thought you wanted to see people but now that you’re there, you don’t feel like talking to anyone. Maybe someone has noticed how quiet you are and asked how you’re doing. “Okay,” you say, “Just tired”.  You wonder to yourself why you’re always tired lately. In fact, you haven’t felt like masturbating or having sex either. You’ve done it but afterward wondered why you’d bothered.

Most likely, if you are reading this and recognizing yourself, you’re experiencing Seasonal Affective Disorder (the SADs). It’s not just a winter thing – they’ve found depression like this can set in when weather goes from cold to hot as well. Of course, the best prevention is to be aware, vigilant, and stay the course of a balanced healthy routine from October thru April. Personally, I have an anti-SADS routine I try to maintain every winter but I can still identify with everything I listed. Lethargy sneaks up on you. Two days of crap weather and the next thing I’ll notice I haven’t been outside for more than a few hours in five days. The combo of indoor heating and cold drafts zap my vitality. But there is a way out of this flat-lining sensation.

Begin taking the opposite action to what you feel like doing. At first it will feel exhausting and you’ll want to cut yourself a break and slack off – don’t. Begin today. Take a shower and wash your hair, shave your legs/face/whatever you shave. Make an effort. Tweeze the  eyebrows you’ve been neglecting, put on powder, cologne, perfume whatever you’d normally do if you had a date. Make that level of effort with self-grooming before you leave the house. Eat breakfast and do the dishes right away. Make your bed and tidy up all your piles that are starting to make you look like a hoarder. Look at your list of things to do and figure out what you can do today – don’t try to do it all. This is about recreating balance and participating in your life. Open mail and organize your bills. Hit the supermarket and put enough fresh fruit and vegetables in your fridge to last four days and purchase them with a plan in mind so you know what you will use them for. When you return from the market, wash, dry, and cut them up. Now place them in containers so you can access them easily for cooking, salads, and a fruit cup.

Go outside for an hour a day. If that means enlisting the company of a friend, get on the phone. While you’re at it, make a couple dates for coffee or a movie, for a game of pool, or whatever you enjoy doing with a few friends. Now you have something fun to look forward to later this week.

Exercise 3-4 times this week – swim, workout, take yoga, a dance class, play hockey – whatever physical activity will get your blood pumping. If you don’t have money for a gym, jog or power walk.

If you have to nap, set an alarm for 15 minutes or a half hour. Better yet, use that time to focus on your breathing or meditate. If you haven’t taken up meditation yet, go on YouTube and search guided meditations and find one that interests you and give it a try.

Before you go to a meeting, ask a friend to meet you there who wants to hang out for a while afterward. Stay connected to people.

It will be hard to do all of the above but if you use this as a guide-map and follow it for a few days, you’ll start to pick up your old natural rhythm. Your energy will start to return and so will your appetite for nutritious food. Drink lots of water. Relax at the end of the day with a movie, a book, or a bath.  If you treat each day like it matters it will. I guarantee that within a couple weeks, you’ll feel a lot better. It won’t happen by magic though – you have to force yourself to get started. Soon the days will be longer, the smell of spring will be in the air, your libido will kick in and you will feel the joy again.

 

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Therapy & Psych Meds in Recovery

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In the early years of my recovery, a lot of my friends tested positive for HIV and the AIDS virus. I went along with all the lifestyle changes to support them. Overnight we became non-smoking, macrobiotic, vegan, aerobic-class enthusiasts reading A Course in Miracles and quoting Marianne Williamson. Considering we’d all been art-damaged, punk rock-nurtured criminals and sex-working gay & straight IV drug users, throwing ourselves enthusiastically into every possible holistic and spiritual way to heal ourselves expressed our collective desire to live. And we never missed an opportunity to laugh at ourselves. Some of our adventures in spirituality-seeking bordered on the ridiculous but we needed more miracles – the first miracle being that the desire to use drugs had left us.

Years passed, we accumulated clean time, and life-saving HIV cocktails became available. The miracle had happened. Without the threat of impending death motivating lifestyle change, some people started picking up and putting down cigarettes again, ordering steak, going from sex-abstinent to sex-abundant, opting out of cardio for yoga. Over time, we exited the self-help route and found therapy.

In recovery we continue striving to enrich our lives, our relationships with others and most importantly, our relationship with ourselves. I encourage people to seek professional help whenever needed. However, Rome wasn’t built in a day. For many addicts, learning how to live with our feelings must come before we are ready to dig deeper. We do this by staying clean, building a foundation, and gaining courage by living life on life’s terms. For others, staying clean would not be possible without healing the wounds of trauma with a professional early on. Wherever you fit in this spectrum, the combination of listening to your heart and the suggestions of those with more experience will be your guide.

Therapy is a commitment to show up and be honest so it is important that you find a therapist who is a good fit. This can be done with a little research and interviewing. You can often get names of therapists from various centers connected to organizations dealing with GLBT, Women’s Services, victims of violence or sexual abuse, sex workers, runaways etc. You can Google “therapist, your location and whatever specific issues that may concern you” and see what comes up. You can ask your doctor, ask friends about their therapists. Once you begin seeking, names will come. You can find sliding scale often connected with larger university mental health facilities, some therapists take insurance and others are cash only. Prepare questions for the first meeting – it’s okay to ask them about themselves and their practice. You will intuitively know who you feel safe with. Remember, you are building a new relationship so don’t expect an instant fix. It takes time for many of us to build trust before we are able to be thoroughly honest. This is not surgery. Healing happens over time. Therapy is really a case of “more will be revealed”. The willingness to begin is all you need to start the ball rolling toward change.

People often ask “Was it worth it?” and want to know what I got out of the experience. Often during therapy I’d be asking myself the same question. I tackled many different issues according to what was happening in my life, how I was handling situations, and feelings. For example, nothing ever seemed to get me angry yet I would cross a line (usually because I felt I wasn’t being heard) and literally see red and start swinging. I knew this was strange and wanted to know how to have a different experience. That was one reason I sought help. In retrospect, what I have gained from therapy is that I now experience my feelings as they come up. I don’t intellectualize them and I don’t check out. This has enabled me to live fully in my body and be present in the moment in my life.This had not been the case for most of my life. I numbed out feelings that either were painful or scary first with drugs and then clean with escapist behaviors. These days I wouldn’t even know where the switch was to flip it to the “off” position if I wanted to. I believe this change is definitely the key to the contentment I feel most days.

I’m going to talk for a moment about medication. Personally, I’m not against meds in recovery. I do not believe we have to suffer to prove our willingness to be clean. I also know addicts have a history of preferring a pill to hard work, that we are self-deceptive and very skilled at deceiving others. So this is my own personal philosophy on the matter. I was offered anti-depressants a number of times by my therapist. It  is her job to offer solutions – and medication is a solution. I decided to exercise, meditate and get fresh air to see if it helped first. I also pinpointed things in my life I could change (people, places, jobs) that were bringing me pain. I did the work and felt better. The depression lifted without medication. If you do not try alternative methods first, my guess is you want a pill to fix it. Now there are people who will not find relief from depression or anxiety no matter what holistic avenues they take or what lifestyle changes they make. And there are people with other mental health issues. It is important to be completely honest with your psychiatrist and to choose one who has a lot of experience working with addicts. I know a psychiatrist in NYC who believes no one needs more than 3 medications to deal with disorders common to addicts. I’ve had clients come to me who have a regiment of 8 pills a day. Since I’m not a doctor all I can do is insist they get a second opinion. Also, if you came into recovery on anxiety meds, Adderall, antidepressants and sleep medication, my question is always “Did your doctor know you were abusing drugs? The symptoms that he treated, could they have been partial withdrawal symptoms from your drug of choice?” I don’t care if you’re 30 and you have been on these meds since you were 16. It is possible you were misdiagnosed because you were using at the time. Be willing to get honest with a psychiatrist who specializes in working with addicts in recovery and trust him to evaluate you.

At the end of the day, we have to learn to be honest with ourselves and honest with mental health professionals. We have to be willing to make lifestyle changes and to heal old wounds in order to find peace and comfort in our skin if we are to stay clean and sober for the long haul.

 

 

 

 

 

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What’s that noise in my head?

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When I got clean I sofa-surfed. There was never a shortage of people who needed a little help with their rent in exchange for a place to stay. After nine months, I moved into my own place: an apartment next to MacArthur Park in Los Angeles. The Asbury is a gorgeous art deco building in a city full of peach colored pre-fabricated stucco luxury slums. Six floors above the street with a view of the park, I felt like I was living on Central Park West. It was $400 a month. They offered indoor parking for an additional $50 but it seemed pointless for a ’68 Dodge Dart.

A year later, I realized I was sitting inches from my television with the volume turned to the max. I asked a friend in the building what was going on, if there was construction or something causing the racket. She laughed. There’d always been constant noise. If it wasn’t the traffic thundering down 6th Street during the day, it was police helicopters over the park, or waking to middle-of-the-night police microphones shouting “Get out of the car with hands raised. Lay face down and chin up in the center of the street.” Apparently this was life at the Asbury. Shortly after this, walking several blocks from my car to the building at 3am, I noticed how sketchy my neighborhood was. Rifles wrappers on the stairs of my entrance, blood on the sidewalk. I got it – you didn’t pay to park to protect your car. You paid to protect your life. At the time the Rampart Division had the highest crime rate in the city.

It took eighteen months of being clean to land back into my body. I was present. It was an amusing new experience because I thought I had been present. The reason I hadn’t noticed the noise in my apartment for a year was because the noise in my head was twice as loud. As for my neighborhood, I was so used to bad neighborhoods and a certain element of danger when I was getting high that it was normal to me. Suddenly I felt visible. Not a good thing for a girl coming home from work at three in the morning.

There’s a lot to be said about landing back in your body. For one thing, it means you are no longer completely consumed by the noise in your head. The noise that blinds us to so much outside of ourselves. Being a captive audience to our internal dialogue is nice way of saying self-involved and self-absorbed. It’s something all addicts and alcoholics have in common. It’s not big news that when left unchecked after days in isolation, we can go straight back to that place even with years clean.

Let’s go back in time. At the end of our using, our inner dialogue distracted us from the simple fact that our lives were unbearable, and drugs kept us numb enough that we didn’t have to “feel” our loneliness. Inner conversations kept us company, kept us distracted, and helped to keep us loaded by repeatedly traveling down memory lane until we felt horrible and worthless, filled with regret and remorse.  We’d revisit every single resentment (no matter how old) toward whoever we believed had done us wrong, and when that soundtrack ended we worried about money and drugs. Once we’d get high, these thoughts were replaced by fabulous future events in which we all somehow imagined we’d have our shit together. Our thoughts kept us company in the abusive relationship we were having with ourselves.

It makes sense when people say the disease of addiction lives between our ears. After our physical addiction is over, it’s our head that’s always searching for something to make feel uncomfortable enough that we start to think about using. It starts out subtle – a series of random thoughts eventually moving toward the usual repertoire of negativity and anguish or it fill us with so much fear and anxiety it feels like we can’t breathe.  If  the pain is great enough long enough we’ll start thinking about getting high – maybe just one time – to straighten our “head” out. In recovery, we can’t afford to let pain reach this level.

Remember how the noise increased when we were detoxing. We thought we were losing our minds, convinced we weren’t going to be able to handle the insanity without getting high. But – we did. As the days and weeks passed newly clean, the intensity of our inner dialogue lessened and we began to feel better.  This happened because we were in twelve-step meetings, in rehab, in outpatient groups, with a therapist, or surrounded by loved ones. We weren’t doing this alone. By moving out of isolation and connecting to others, our head began to quiet.

When I started writing this blog, it was because I wanted to talk about anxiety – but it’s all sort of connected.

When we isolate in recovery, the old inner dialogue – the one that likes to torment us – returns. The funny thing is that most addicts and alcoholics will be the last to recognize that they have cut themselves off from the world for too long. Instead they try to control their thinking. They’ll throw themselves into a home project or into workaholic behavior, hoping that if they stay busy and not “think about anything” it will go away. And when this fails, addicts  spin out of control until they are wracked by anxiety. A small problem or decision can get caught in the loop of obsessional thinking until it becomes so intense that you feel like you can’t even breathe. Sound familiar?

Ever lay in bed watching the clock, freaking out as hours continue to roll by, now adding the fear of sleeping in to the anxiety list. Ever arrive at a destination without any recollection of how you got there? What roads you took? Were the streets empty or did you pass anyone while walking? Stay so busy that the hours flew by and when you looked at the clock it was four-am and you had to wake up at seven? Making wrong turns, losing your phone, umbrella, keys? Spinning, spinning, spinning, so you don’t have to think? So you don’t have to feel? While you’re busy trying to make the thoughts go away you’re actually making the world disappear.

When you get to this state, do you call a friend, make plans to get out of yourself by spending time with another person, confide in another recovering addict? Most likely, these things won’t occur to you until you realize you’ve been thinking a drink would take the edge off, until you realize you really want to get high.

Most of us started out drinking and getting high in a social environment, at parties, clubs, with friends.  In the end we used alone. In recovery, our solution was based on connecting with others but as time passes we often we drift back into our cocoon without realizing it. We tell ourselves we’re tired, that we need quality time alone. Though this may be true, if we aren’t connecting with others, it’s easy to slip back to old ways. Without warning, the noise returns. Never underestimate how powerful the disease is. That saying “an addict alone is in bad company” isn’t talking about a cozy weekend at the cottage with a book and a fireplace. It means endless days avoiding the phone and avoiding people until, like old times, we end up either consumed by anxiety or inside an existential bubble – watching life with detachment. Most of you know what I’m talking about – that peculiar feeling that we’ve become somehow estranged from the world and can’t get back.

There may be other mental health issues going on but next time you feel depressed or crippled by anxiety, take an inventory of the prior week. Have you spent too much time alone, are you avoiding friends, are you returning phone calls? When these uncomfortable feelings come up do you coddle them or do you take positive actions such as eating properly, fresh air, exercise. Are you going to meetings or connecting with your support group? Are you helping others in any way? Is there balance between work and play? If you have been having difficulty sleeping, what actions do you take besides listening to your endless inner-monologue.

In recovery, there are always actions we can take to not remain stuck in painful situations. The antidote usually begins by reaching out to another recovering addict or someone we trust who can help. Without action, our thinking often leads us back to using.

Eventually you become capable of enjoying time alone and a new desire will rise up to seek out ways to quiet the mind even more – though this time instead of quieting it to rid yourself of pain, you are seeking a deeper level of inner peace. There’s a huge difference between peace of mind and inner peace. You have to stick it out in recovery long enough to discover what that means.

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Starting the 3rd Week Clean and Sober

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For anyone just checking into this blog for the first time, last week I wrote about what to expect for people who made Jan 1st their first day clean.  (Go to pattypowersnyc.com/my-blog to open up all previous blog posts). Hopefully this continuing thread will be useful to anyone newly clean or thinking about getting clean.

Let’s talk about physical withdrawal. How quickly your body snaps back to feeling normal is dependent on your drug of choice, how big your habit was, and how long you were doing it. Most likely, if you were coming off legal drugs, you did it at a detox center or by gradually lowering your dose over time with a doctor.  It takes longer to feel physically better when you get clean from legal drugs (alcohol, painkillers, benzos, ambien, methadone, suboxone). Illegal drugs are quicker. Heroin is a horrible kick but after 3-4 days the worst of the dope sickness is over.  Meth, coke, crack and club drugs have no real physical withdrawal – other than feeling completely run down. Vicodin-Addiction-Withdrawal-Symptoms-273x300

Getting clean is a lot more than getting the drugs out of the system – believe it or not, that’s the easy part. Most addicts have had to go without drugs for one reason or another so physical withdrawal is nothing new. The real hell is what happens in your head: the mental obsession. This is the inner torment and twisted logic which continually comes back around to the idea of giving up.  You know – the voice that says you weren’t that bad, 12 step program’s aren’t for you, you can do it different this time and keep it under control, or just straight -up screams “Fuck this shit. I’m getting high and I’ll deal with this later.”

It’s the 15th today, and if you got clean on New Year’s Day you’ve come to the end of your second week. 15 days clean! You’ve probably noticed by now that you stopped late-night weeping over the time in 1999 when your parent’s sent you hard-earned birthday money that you spent on drugs, or the hospital visit or funeral you missed because you were too loaded, or any number of long-forgotten memories of things you fucked up or people you disappointed. These crept into your head whenever you tried sleeping those first 8 or 9 days clean. Haunting regret arrives the 2nd or 3rd day clean and creates so much inner noise and torment that it makes you want to get high just to escape it. I mean, seriously, if this is what it’s going to feel like to be clean, to have to live with all these horrible feelings and thoughts – why do it? But, as you see, they start to lose their power during the second week clean. Aren’t you glad you stuck it out? Oh, they’ll sneak back into your head from time to time but it won’t be as debilitating because now you have the experience to know that these things do pass. You’ll hear that expression a lot in meetings “This too shall pass.” Now you know what they mean.

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I bet you probably still aren’t sleeping or not getting much, if any. I didn’t sleep either. I took little cat-naps for four or five months. It may have been withdrawal or maybe it was all the late night after-meeting espresso I was drinking. Who’s to say? I promise though, you will sleep again.

Did you follow the suggestions I left last week? They’ll help speed up your physical recovery and lift your spirits out of the darkness. If you didn’t and you still feel crazy and your body feels like shit, do it this week and see if you can feel a difference. It’s important to have a daily plan – an addict new to recovery with too much time alone, too much time alone with their mind, with an idle body and a lousy diet will not fare well. This doesn’t mean you won’t stay clean but you’re making a choice to make this process harder on yourself. Plus, if you don’t see things getting better, you’ll convince yourself that it sucks to be clean and lose the desire to keep trying. The most common bullshit addicts tell themselves when they decide to use again is “If it gets bad, I know what to do.” (meaning: get clean and go to meetings). There are two flaws in this logic. One, they are forgetting what “if it gets bad” really means. It means loss, suffering and more pain. Two, how long did they fantasize about getting clean before they ever got around to doing it this time? Months? Years? How long will it take before they are ready to try again, really? So if you didn’t follow the suggestions in last week’s post, maybe now is a good time to commit to them. Feel better physically and mentally, and start creating new habits to fill your time. Remember staying clean works by having the willingness to go to any lengths – which means doing things people suggest that worked for them even when you don’t want to.

“Nothing happens until something moves.” -Einstein

If you did follow the suggestions you’ve been eating 3 times a day and drinking a lot of water, you’ve been getting outside for a walk every day, you exercised at least 3 times, you’ve had some quiet time, you’ve been to at least one meeting a day and you’ve started building some friendships up with people who are clean and sober. So what’s going to change going into week three?

What you eat affects your energy and your mood. I‘m going to emphasize diet this week because you want to feel better – right?

If you’ve been piling on lumberjack-size portions at every meal, look out. Everyone starts to freak out at 30 days that they have gained a ton of weight. I believe that, in some respect, the body’s in shock and the metabolism isn’t up to par but I also know that 3 pieces of pie or potatoes at two meals a day is going to put on the pounds regardless of your metabolism. It’s fine to load yourself up on food the first couple of weeks. I always make large portions for my clients because I am trying to help them land back into their body and feel a little grounded but by week three it starts to change.  This week I want you to have salad with 2 meals a day. I don’t care if it’s a small salad on the side of your plate or a large bowl. If you hate lettuce, slice some tomatoes and cucumbers or any fresh raw vegetable – I don’t care what it is – have a small portion of raw vegetables with lunch and dinner (or a larger salad sometime during your evening). I want you to also have cooked vegetables twice a day with your lunch and dinner. This doesn’t have to be huge. It can be a small portion – but not canned vegetables. I am not counting yams or potatoes as vegetables. In fact, whenever you have yams, potatoes, rice or pasta, make those portions smaller than you have been doing your first two weeks clean (if you were loading up on them). Don’t stuff yourself full of bread as a meal either.  I am not putting you on a diet by the way. Just have regular sized meals that include salad and vegetables. Fresh fruit is good with breakfast, and as a snack. Be sure to eat fresh fruit at least twice a day – during or between meals.  If you eat fruit daily, you’ll notice you’re less likely to grab for pastries or sweets. One of these days I will do a blog specifically about food since it can improve mental clarity, energy and it’s a fact that poor diet contributes to depression.

Fresh air and walking: did you get outside much last week? I don’t mean walking from the car to the door. Did you go for walks like I suggested? This week I want you to walk further. Add ten to fifteen minutes to last week’s walk. It’s Day 15 – you can do it.

What about exercise? If you skipped this one last week, this is the week to really give it your best shot. Whatever you decided to do – swim, jog, the gym – make sure you do it 30-45 minutes three to four times this week. It’s going to alleviate anxiety and help you sleep better. Remember your pleasure receptors have been messed up with drugs so you want to get them activated again. Hitting an endorphin high with exercise will not only feel good but it will start repairing the damage you’ve caused. Any age, but especially if you are over 30 – make sure you stretch before and after your work out. You can find stretching techniques online.

Meetings and fellowship: did you go every day? If you didn’t, what was your excuse for not going? Did you use every day? You should definitely go as much as you used. They suggest 90 meetings in 90 days for a reason. It takes 90 days to create or break a habit. Plus, the truth is, if you go every day, you’ll start to know people and they’ll notice if you stop coming around and call you – but no one will call you if they don’t know you. They’ll also notice when you feel like shit and ask what’s going on. It’s better to have people watching out for you than being self-reliant because as smart as you are, you couldn’t figure out how to control your using/drinking. In fact, your best thinking got you here. Learning how to live with the joys and disappointments in life without getting high over them takes time. Which brings me to:

Have you been calling any of the people you met in meetings? Have you gone out for coffee or a snack with anyone or with a group after a meeting yet? This is the hardest thing for many addicts/alcoholics who are newly clean and sober but it is the one thing that will help you to stay clean. I know – you don’t relate. You think half of them are assholes. You wouldn’t have gone to a bar with any of them. You’d have never gotten high with them.  Well, this may be true but remember –  you may know a lot of things about a lot of things but you don’t know how to stay clean and they do. Let them teach you how. This week make an effort to get to know a few people. Go out one or two times with people from your meetings. You don’t have to stay long. Just make the effort. It might make a difference between staying clean or getting loaded this week. (By the third week I’m with a client I make them go on “play dates” without me. It’s hell getting them to do it. Unlike them, you haven’t had me taking you out with a group of people every night after meetings so you probably aren’t at this stage yet. If you are, terrific – keep building up your support group. If you aren’t, make this week a week where you at least go out with the group one time. Definitely start calling some of the people on your list.

Yoga:  Ha, I could actually see you cringe as I wrote that word. If you have an ounce of adventure in your spirit, go to one class somewhere this week. Everyone else, go to Youtube, the library, a yoga or book store and get a dvd of the easiest yoga they have out there and try it at home. Just give it one try and see how you feel afterward.  If you spend a lot of time at the computer, you’ll feel your shoulders open up in a way they haven’t in years. You’ll feel all the tension you’ve been carrying around leave. Doesn’t that sound appealing? Tai Chi is another thing that works your core and reduces stress. Just try something this week. You can knock off one workout if you do it.

If you have the money, this week treat yourself to a massage.  There are schools that charge a low fee. See what’s available where you are located. It’s a treat but you’ve worked hard to get here. Plus, it’s like having someone take the psychic sludge off your Being that you’ve been piling on while you were using. Ha – that sounds hippy-dippy but there’s something to it.

By staying busy with this schedule, you’ll have less time for mental torture. It will still come up but like I mentioned earlier, these thoughts will pass. Any real wreckage from your past will get taken care of once you find a sponsor and start working the steps. Rome wasn’t built in a day and you don’t have to clean up your entire life this week. Keep the focus on right now. This is a time where you are taking baby steps to learn how to live without drugs and alcohol. It is a HUGE positive thing you are doing. Don’t diminish it by telling yourself you’re a fuck up and things will never get better. They will. You’ll see.

And if you can’t sleep and feel crazy, go online. http://www.Intherooms.com has online meetings, groups, and members you can instant message with who can help you.

Have a great week.

 

 

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Tips for Staying Clean through the Holiday Season

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Increase (not decrease) your meeting attendance.

Find out what is happening in your fellowship – marathon meetings, dances, social events. Whether you are seeing family or alone for the holidays, stopping by these events is an excuse to leave an uncomfortable situation early (if you have to be with family or in social situations where there is alcohol) and for newcomers it is an opportunity to meet members on a more social level and make new friends. Remember – volunteers are always needed and welcomed.

Ask around and you will hear about social gatherings and parties various members of your group will be having in their home. Usually someone is having a party or members are organizing group activities.

It is better to be tired from too much fellowshipping than rested and alone at home.

Pay attention to HALT (Don’t get too hungry, angry, lonely, or tired)

Don’t bottle up feelings. Tell people what is going on inside of you. (No one is sick of hearing it).

Be of service – Google volunteer organizations in your area. If you have free time, helping others will lighten your mood and energize you. Many places are happy to have one-time-only volunteers.

If you have to spend time with people who push your buttons or be in an active environment, prepare an exit strategy. Plan ahead to meet someone from your support group afterwards. Be accountable to someone.

If you are leaving town, get a meeting list for that area. Find an alternative place to stay so you have options if you need them – put the info in your phone (local taxi and hotel).

If you are newly clean/sober, stick close to your new friends in recovery. One holiday season away from your using and drinking friends won’t destroy the relationships that matter. Put yourself and your recovery first.

Keep phone numbers of your fellowship friends handy and use them to check in and stay connected.

Get fresh air and exercise daily to keep the blues away.

exercise

 

Don’t over-indulge in caffeine or sugar and drink plenty of water.

Set aside time to meditate or reflect on the positive changes you are making.

Gratitude is a mood changer.

be grateful

 

 

 

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