Tag Archives: meetings

With Willingness We Find Our Way

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 willingness image

We all have different paths (and are entitled to them) but we share the same goal – freedom from self-inflicted pain, a loving relationship with self, and to find inner peace.  As long as we have willingness, we will find our way.

I have a friend in recovery who HATES it when I break things down in terms of the “disease” of addiction. Although she has been clean for four years and attends 12 Step meetings, she has never been able to open her mind up to the possibility that addiction is a disease. For me, the disease concept is the one thing that’s made it possible to unravel my twisted thinking and impulsive wiring toward self-destructive behaviors and has allowed me to develop new skills to break the cycles.

In her defense, I have always had the same sort of recoil from talk about higher powers, although conceptually I see how beneficial they are to the process of finding meaning and safety. In either case, a certain amount of fantasy and creative imagining has to be invested – though there is neurological evidence of the brain disease of addiction. My friend has made it clean four years without a disease concept or a God.  She has made it on willingness to follow direction from people who have more experience dealing with life clean and sober. That has been enough for her.

At two years clean she developed an eating disorder. We were just getting to know one another while I was in her city when she confided to me a violent episode that had happened in her youth. From the moment I returned to New York and our friendship turned to instant messages and emails, it became apparent that her anxiety was going through the roof. She was crying all the time and her legs were cramping uncontrollably.  She was sleeping two or three hours a night and forgetting to eat. Whatever suggestions I gave, she’d forget as soon as we said good-bye. At first it was impossible for me to understand why she wasn’t taking any sort of self-care actions when she was so clearly in physical and emotional pain. It only made sense when she told me that I was the first person she’d ever told the story about the abuse.

It made perfect sense to me what was going on when I broke it down in “disease” terms. Something terrible had happened to her. She was a victim yet carried the blame and shame. The disease loves blame, shame, and secrets. For fifteen years this had been her secret. While her love for her young daughters was the impetus for getting clean and attending meetings to stay clean, she’d chosen a sponsor who used her as a babysitter and was uninterested in moving her forward in step work. In fact, as her weight fell away and she decided to go to therapy at my insistence, her sponsor shamed her over it, saying that she looked great and it was all in her head – as if she’d concocted the anxiety to get attention. It was a replay of the relationship she’d had with her adoptive mother.  Every step of the way toward seeking help, her disease struck harder. The trauma she’d experienced at 15 continued to hold her down.  This wasn’t surprising considering most addicts have trauma in their background. Whether we used because of the trauma or if it was a catalyst to fuel the disease is like asking the chicken and the egg question. The facts on paper: 30 year old woman with an addict birth mother, drug and alcohol use, sexual trauma at 15 and an increase of drug abuse – rehab at 28.  Shedding light on her secret was followed by extreme anxiety that preceded anorexia.

In recovery terms, there were actions that could have helped but she was incapable of taking them. To her credit – and I believe this should be typed in bold for anyone reading this paralyzed by feelings and behaviors yet unable to take action – she continued to attend meetings throughout the next eighteen months of physical and emotional hell and new women came into her life with substantial clean time and they led her to a new sponsor. This carried her until she was ready to get help.  She hated going to meetings, hated hearing about the disease and about God but she went anyway. I believe WILLINGNESS is the launch of an arrow, its tip cutting through space changing all of the molecules in its path.  It causes change to happen.

The most interesting thing to me in witnessing anorexia in action is that early in the process, there were very strong parallels to how the disease of addiction works and the tools we use in recovery may have altered its course. At a certain point the anorexia took on its own twist and it needed very different tools to heal it.  Ultimately the process will involve intensive trauma work.

I began writing this blog entry because I wanted to discuss the disease concept and how grasping a thorough working definition will help you to address any issues, past or present, in order to have sustainable long term recovery. It has been a very long and difficult path for my friend but through trial and error she is discovering for herself that the disease concept gives our creative mind a chance to understand how it operates on us individually so that we can change its course before it either leads us in a direction of relapse or toward death by other means.

In upcoming blogs, I’ll be writing more about my theory of the disease of addiction and a way to gain an understanding of how it seems to trick us into behaviors away from health, wellness, and inner peace and how recovery tools really can combat it.

This friend wrote a blog that I posted earlier this year for Eating Disorder Awareness Month. I am very happy to announce that she is currently seeking help at an inpatient treatment facility. I believe she will flourish and become a positive power of example to many others she will encounter on her journey. I have her permission to write this entry.

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What do you mean – give myself a break?

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give yourself a break I used to cringe whenever anyone told me to “give myself a break”. In early recovery my head was always racing between regrets and future tripping. I couldn’t make sense of all the emotions that were creating anxiety so whenever anyone told me to give myself a break all I felt was shame as if it was my fault that I was feeling this inner turmoil. The funny thing is that hearing these words   hit my “pause” switch causing my attention to turn to something else and I would feel a little better. This saying is like a communal Band-Aid recovering addicts share with one another. We pass it around blindly without instruction or explanation. Our brains have been wired to function according to whatever substance we have been using. When we get clean it has to readjust to functioning without drugs. This is what I call the “landing back in our bodies” phase. It’s like the GPS in the car. If you program a location and then take a different route what happens? The   GPS starts freaking out “Reconfigure! Reconfigure!” Well, that’s what our brain is doing in early recovery. While we can turn off a GPS to get some peace and quiet, it’s harder to turn off our thinking.   Human Beings experience internal monologues. The reason it’s important for addicts in recovery to have tools to cope with this inner chatter is because usually it’s the source of our anxiety. If we feel bad enough long enough getting high or having a drink will present itself as the logical remedy for our discomfort. We spend more time trying to think our way into thinking less yet we can give ourselves a break at any time by turning our attention to something beautiful in nature to calm our spirit. This could be the color of the sky or the clouds you see from your window, a tree or a flower – whatever is close at hand.  You can spare a couple minutes to flip your switch. Pay close attention to your breathing. Again, this can be done anywhere. Mouth closed, feel the air moving in and out of your nostrils. Notice if it feels colder going in and warmer going out. Maybe you’ll become aware of your heartbeat. When we put the attention on our body and come into the moment, our awareness grows. This isn’t to say that you’re head’s not going to resist at first. “You don’t have the time. You should phone ____.  Finish what you’re doing. You can do the mindfulness shit later. Looking out the window isn’t going to change anything”. The disease-mind will always try to resist yet this is exactly the dialogue you’re giving yourself a break from. We can’t think our way into living in the moment.  It’s unfortunate that our response to reality is to find ways to escape it.  Giving yourself a break means not allow yourself to be a prisoner of your mind. This spinning out of control negative self-talk has got to go. Peace of mind is possible.

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My varieties of transformative experience/spiritual experience

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A really strange thing keeps happening to me. I keep feeling “lucky” to be here. Not in the usual “I’m lucky to be alive” or “lucky to be clean” gratitude way. It’s more that I feel lucky that I’m getting to have this experience of being on earth. It keeps washing over me in an exciting positive way – but I have to admit it’s weird to think about. It makes me feel like a visitor.

I’ll never forget when it first happened. I came face to face with a black panther on a deserted farm road.in Ontario.  It was a totally unexplainable situation because panthers aren’t indigenous to Canada, never mind one hour from the largest city in the country. I’d stopped my bicycle on an isolated farm road when it stepped out of the woods, made eye contact with me then assumed a crouched attack position from twenty or thirty feet. I wrote about it here: http://pattypowersnyc.blogspot.com/2011/10/death-defying-summer-vacation.html.

 

During that split-second when I averted my gaze to take what I assumed was my final look at the blue sky and the green landscape, the beauty of it all, my only thought was how lucky I’ve been able to be here to have experienced this beautiful planet.  Even while I was thinking this I knew it was a weird response to the situation.panther_field

Another time I was watching the Mars Rover landing when the camera turned and captured our planet. This time when I was swept with this feeling it was accompanied by gratitude that brought me to tears. Lately it’s been occurring on a regular basis wherever I am – minus the tears.  I can’t really explain it any better than I feel lucky. For me, this feeling isn’t connected to any particular God. I suppose it’s possible I’ve finally acquired enough inner peace that I’m more conscious of where I am and appreciative of the small (or big) things.  It’s not a voice in my head that says, “Look how beautiful this planet is” It says, “I’m so lucky I get to be here.” It’s a joyful feeling that co-mingles with a deep sense that there’s absolutely no point in sweating the small shit.

In program terms, my second step has been a continuous process of coming to believe. I haven’t really found a belief shingle to hang up yet – just my own bag of quirky spiritual experiences. Sometimes they’re so bizarre I have to roll my eyes at myself. Usually I’m embarrassed to admit them to anyone. In fact, I was planning to write this article about how alienating it is for people who have accumulated a lot of clean time to have the arrogance to tell any other member of their fellowship what they can or cannot say when sharing at a meeting. Instead I’m writing about my most private spiritual moments.

A few years ago  I was continually having discussions with myself on life and it’s meaning to me. I’d gone as far as to ask myself if I would be okay if my last living breath extinguished me for eternity – no reincarnation, no eternal universal energy. And – I was.  I figured if this was all there was I’d better pay attention.

A week after this conversation with myself I was in Miami with a friend searching for a Haitian psychic to read her cards. (Yes – this was how I spent the leisure time on my vacation!) We ended up in sort of voodoo/wiccan/spiritual/new age bookstore being told that for twenty bucks we could attend a past life regression group hypnosis.  It sounded like a kooky enough way to end my vacation.

Two-dozen people gathered in the backroom of the bookstore. One by one, we went around the room disclosing why we were there. While everyone was trying to get clarity on a current relationship, I was simply there for the ride. I’m like that kid in the commercial who’ll eat anything. I’ll try anything.

The hypnotist began counting backward. This was my experience.

It was dark and there was a  light muted in fog in the distance. I was trying to make sense of where I was. It reminded me of a dock on a lake and the light was coming from the far end of the dock. As I got closer I was engulfed in the fog and white light and was filled by a sense of excitement and playfulness. This permeated the entire experience. Next I was pulled into a bright white light. There was nagging sensation of weight somewhere although my joy kept propelling me through the light and into the darkness of outer space. Suddenly I was passing stars. My consciousness realized what was happening and I was filled with questions but understood they didn’t matter. In the distance were two pulsating blue lights and I knew that’s where I was heading. The whole thing was like a crazy sci-fi movie but I felt so happy I didn’t hesitate to speed forward. When I arrived at the blue lights I became blue light, like a firefly among fireflies dancing on a star. Again, there was a peculiar sense of weight somewhere. I wanted to ask questions and understand there was no need.

When the hypnotist’s voice announced he would begin counting backwards I looked down and saw a hole I could jump through to get back.  I jumped and passed though a wall of gas and fire, back through space passing stars, through the white light, the fog and the darkness until I was back in my body on the bookstore floor in North Miami.  I experienced my weight subjectively in a way that’s impossible to describe. I was unable to move for a good 30 seconds.

The experience was like déjà vu of an acid trip I’d had when I was twelve or thirteen although this had been different because of the complete and utter joy I’d felt. This has clung to me. When my worries pop up I remind myself that my pure essence is joy and playfulness and that I shouldn’t sweat the small shit.  Again, I’m filled by a profound sense that I am okay. There is no need to worry about anything.

I’m always up for any sort of adventure and have a very creative mind so I have questioned whether or not I made this all up. I know the panther was real because there were seven more sightings of it that summer but the rest – who knows? Was I blue light dancing on a star? Does it matter? Am I am visitor? Are we all just visitors?   I don’t even care if there are answers to these questions. Maybe my experiences were a self-induced hallucination or maybe they are my version of spiritual experience – something that has been transformative, lessened my fear and helped to make me more present in this life. I’m happy I had them – whatever they were

I’ve always been the sort of person who gets bored easily. In the 24 years I’ve been clean, it’s never gotten boring. In fact, the really good stuff seems to have started happening after twenty years clean. I’m talking about the good stuff on the inside. It’s like I’ve been opening new doors that are making me a happier person. If this is what it’s like at 24 years, I can’t even imagine what it might be like at 30.  My inner life keeps getting more fun and the benefits aren’t fleeting. I’m sure it’s different for everyone but if you ask around I can pretty much guarantee that old-timers will tell you that all the work you’re doing is well worth it for what you are going to get back.

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Recognizing Springtime Triggers

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spring time triggers

Spring has finally sprung. If this is your first season change clean and sober I’m here to discuss a new trigger that is probably creating some discomfort for you. Sometimes it’s just reassuring to know that the weird shit tripping up your mood, your mind, and maybe even your overall wellbeing is nothing unusual in the realm of recovery. I always find comfort in knowing that my twisted assessment of my own mental health isn’t unique. In terms of recovery, identification is a step toward dismantling the power of disease-thinking (the stuff that can lead us away from recovery and toward relapse).Disease-thinking (our addict-mind) has a way of taking an hour of emotional discomfort and convincing us that these bad feelings are NEVER going to go away EVER, that life is going to suck always, that pain is here to stay. It’s almost comical when years into the recovery process you catch yourself investing in this lie until a light bulb goes on and you remember that you’re temporarily lost in a hall of mirrors and that – yes  – this too shall pass.

The number one heart-stopper for people in recovery seems to be the first sighting of outdoor cafés that serves liquor.  I mean – the whole package will hit you and wax poetic nostalgia – those balmy evenings or lazy Sunday afternoons lounging around killing a few margaritas or sangria or wine or beer or whatever you ever drank outside. In the memory you are peacefully alone and buzzed or having an amazing time with friends. You are younger, better looking, happier, fitter, richer, more playful – basically your memory will go back to a time when getting loaded was without consequences and when you really had your game on. And during that moment of memory you will feel your heart breaking and a voice will pop into your head that will tell you that this is where you draw the line. “How can you give up the outdoor summer partying? You will never stay sober. You will never again feel that happy.” The whole of your Being will be filled with longing. (Mind you – what I’m describing happens within seconds of catching a glimpse of that place from the corner of your eye but it will hit you with such force that it will be impossible to comprehend that it is simply a feeling and that it’s going to pass).

This is a perfect example of how the disease works. Total amnesia of all the pain and suffering that came along as a result of substance abuse. The focus is narrowed down to specific body memory of relaxation, joy, and probably a time where there was far less responsibility and accountability in your life. This is the siren song the Viking heard before he jumped ship.

I don’t know anyone clean who hasn’t felt this pull especially after a long winter. In a way there is some genuine grieving of youth involved and if you’re newly sober you will still be grieving the loss of your long -term relationship to drugs and alcohol.  It’s important to talk about these feelings with someone to take the power out of them. It is also important to believe that this feeling will pass.  I would suggest you begin creating new memories of outdoor cafes with sober friends and not to park yourself alone at one of your old haunts because – what’s that saying? If you hang around the barbershop too long, you’ll probably end up getting a haircut? In a few weeks you’ll cease to notice anything particularly seductive about these establishments.Until then, the initial sightings will trigger you the same way that passing your old drug-buying block or neighborhood bar did when you first got clean.

To snap out of the obsession find some nature – whether it’s a garden, a tree, the beach, the sky, or a green lawn and spend ten minutes there. Notice the details of the beautiful planet we get to live on. Take deep inhalations through your nose and pay attention to how the air feels entering your nostrils and how warm it feels when you exhale through your mouth. Make a mental gratitude list. Then get on with your day.

 

My first four years in recovery were spent in Los Angeles and weather never triggered me but ever since I moved back to NYC,  I experience nostalgia for long ago good times whenever there’s a radical change of weather. Outdoor patios, the cozy warmth of a moodily-lit bar during a snowstorm, and even the sound of the ice cream truck will remind me of how much I loved getting high. Luckily I can still access the much more detailed story of all the suffering that occurred on all the other days so I don’t get too seduced by my strolls down memory lane – but they do still hit me because I’m an addict and my disease is always looking for a way to invalidate my life in the present moment so that my fantasy life of this painless past can sing to me until it can get me to jump my Viking ship. I’ve gotta take my hat off to the determination of the disease of addiction. It might be weakened to a minimal heartbeat but that f**ker wants to get its power over me back. It’s not a quitter. This is how I know I am not cured.

Feelings are like our internal weather – the “nature” part of our human nature. Sun, clouds, rain, wind sun again.  Let them move through you and do not fear them. It is wonderful to be clean and alive and human. We are fortunate to be able to have feelings! After all, we know the price of the alternative.

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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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“But mom, you know I can’t drink!” Holidays in Recovery

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I stopped eating meat in 1983 yet every few years my mom will say something like “It’s Thanksgiving. You can have turkey on Thanksgiving.” She isn’t opposed to my not eating meat, it’s that she can’t wrap her mind around it during holidays. I suppose the memories that make her warm, fuzzy and sentimental involve us all sharing the same meal.  I mention this because a lot of people in recovery will be going home for the holidays. Many are going to have an experience similar to mine but instead of turkey it will involve alcohol.

If you are new to recovery, you’re going to keep hearing people talking about how difficult the holidays will be and how many people will relapse. This is going to either scare the crap out of you or you’re going to dismiss it by thinking, “This doesn’t apply to me because I have absolutely no desire to drink or get high whatsoever.” The truth is – none of us can predict how we are going to feel ten minutes from now let alone during the holiday season. It’s better to enter the next few weeks prepared for anything. Have a solid recovery plan to increase your accountability to your support group, know where there are meetings ahead of time for wherever you will be traveling to, have people you can call at any hour, and make plans so you don’t spend the holidays in isolation or spend it exclusively in the company of people who are partying or who have the ability to push your buttons (family).  Basically whatever level of daily actions you now take to keep your recovery a priority, increase them until after January 1st. Better safe than sorry – and sorry does not mean relapse. It can mean emotional discomfort, living with heightened anxiety, or riding the roller-coaster of shame, remorse, or anger.

In most cases, your immediate family will be supportive of your recovery but they may not understand the disease. To them, you are doing so well they may not see any harm in a glass of wine at a toast or alcohol soaked desserts. It’s up to you to educate them beforehand on what you need. If you go to 12 Step meetings, tell them beforehand when you will be attending them so they aren’t disappointed if it conflicts with their plans. You don’t want to be in a position where you give up your meeting because your mother is upset. Also, let them know if going for a walk/run/yoga/gym is something you have to do for your mental and emotional well being so that you don’t get moody and lash out. If alcohol drenched sweets are part of the dessert ritual, make sure there is an alternative for you to enjoy. And most important – if your family’s idea of fun is getting sloshed together, know when it is time to leave. Don’t stick around for the insults on how you are now a stick in the mud or debates about whether or not you are an alcoholic.

Self-care and sobriety involves preparing for the holidays. While they are almost always a roller-coaster of the unknown to the newly clean and sober, those of us who have some time under our belt can still be hit with loneliness, grieving for those who are gone, feelings of inadequacy or whatever negative self-talk that can surface when we are the sober one at a party. Thank God, it does get easier. Holidays clean and sober really can be a blast. Even so, it is always good to have a recovery plan in place.

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Friends dissing Recovery

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This week I’m taking the lead from my Facebook friends’ topic suggestions. Laurie CS wrote: How about respecting your recovery when others don’t (or just don’t have the understanding). I may have gone off-topic but it inspired me.

I was the only one in my crowd to get into recovery. Until then, I thought not shooting dope meant I was clean. Every now and then, a few of us would decide to get clean. We’d hurry off to a bar so that we could drink enough to make it through the day without using. Sometimes I’d go to Amsterdam to kick my habit. Drinking and smoking hash didn’t count. I’d arrive back in New York clean (as far as I was concerned). A few went on the methadone program to be clean.  It’s not that we rejected complete abstinence. It simply never occurred to us.

I ended up in a treatment center outside of New Orleans and at 69 days clean boarded a Greyhound bus destined for Los Angeles. I arrived with $100 dollars and a desire to stay clean. In my heart I knew I couldn’t go back to New York – not yet. I started my life over from scratch, which included building relationships. I spent my first year clean surrounded by recovering addicts. We were young, crazy, clean and enthusiastic. Twelve-step meetings were our life.  Together we learned how to expose our true selves to one another and the level of intimacy created a bond that I still have with those people. Our lives were about recovery – it’s all we talked about. I chuckle when I imagine what it would have been like to have been stuck in a restaurant booth behind us. One step short of Scientology is one way I’ve heard it put. I’m sure we were a bit fanatical and over the top but we were having a blast and the alternative – well, I probably wouldn’t be here to write about it.

At a year clean I flew back to New York City anxious to see my old friends. I knew it was a dangerous move but I loved these people and they were the only evidence that the stories I told had actually happened, that my past was real.  Although I hadn’t really thought too much about it, I’d spent a year existing only in present time with people who only knew me clean. My old friends had lived through my relationships, my marriage, had known my dog, and met my family. I wanted that connection back.  I hadn’t considered what they would think of the “new” me.

After a few drinks, they startled to dismantle my belief system. “All that happens is that they get you addicted to God” was a major point with them. I said that I wasn’t a believer but they didn’t want to hear this as they laid all their opinions of 12 step programs on me. And no – they had never been to one.  “We’re worried about you Patty. They’re brainwashing you.” I was caught between wanting to cry and wanting to laugh. “You’re right. It probably is brain washing but I guess I needed my brain washed.” That sort of ended it for a while. I knew they loved me but I knew they did not want recovery. The funny thing is, I did not go to New York to get them clean. Truthfully, the lack of support was upsetting and my expectations on my homecoming had been shattered. I was experiencing so many feelings from heartbreak to disappointment to anger to shame that I knew in my gut that if I stayed in that apartment the entire week I could get loaded so I found somewhere else to stay for a few days. As soon as I was away from my old friends, I was able to get grounded again. When I called LA and rehashed the events, my friend Ron summed it up, “I guess you forgot you were powerless.”

Fast forward to four years clean. By now my life was full. Recovery was at the core of it but there was a lot of other stuff going on. I was writing again, performing, working. I had friends both in and not in recovery. I didn’t wear it on my sleeve anymore because the “inside job stuff” had happened.  I’d matured and so had my recovery. I now had other things to talk about. I was married to a musician who’d had a long career in Europe so there was a never-ending stream of touring musicians coming through our house.  These were his old “using” friends.  I was enjoying the company of one in particular but after a few drinks he started spewing all of his opinions about the idiots who end up in recovery. “They are nothing but weak sheep who lack willpower”. Naturally, this led him to the God-addiction and brain washing argument.  I laughed and asked  if he was calling me a weak sheep.  “Is that what you think of me and – “ I listed five of his closest, most respected friends who were now all in recovery. He was on his back staring at the ceiling, silently watching his cigarette smoke curling upward. “That is what I don’t understand. My friends are brilliant – yet everyone is doing this thing. It doesn’t make any sense to me.”  The silence between us was filled with pain. He was surrounded by friends who were in recovery but it was not going to be for him. He drove his car at sixty miles an hour into a brick wall two months later.

Here’s some advice for anyone who is having a difficult time with friends not fully understanding or supporting their recovery:

Make sure you have a lot of other friends who do support your recovery.

You have to know why you are in recovery – what it means to you. Be unshakable. And you don’t have to defend it – just live it.

Check your side of the street. If you’ve been unintentionally trying to recruit them, lay off. If people want what you have they will ask you how you did it and if they don’t, they won’t.

Active addicts and alcoholics are uncomfortable with friends who have gotten clean. They are most likely the ones to start up these discussions. Avoid all conversations about recovery with people who are loaded. They will keep up the argument for days if you let them.

If you are too early in recovery to have boundaries, you shouldn’t be there. It is easy to change the subject or to cut out early. Save your recovery talk for people who want it.

Remember, if you are new, your foundation is still fragile. Don’t take unnecessary risks.

Recovery is YOUR path; every human being is entitled to choose their own path.

Expectations lead to disappointment.

Today I still get people telling me that after all these years I should be able to drink now if I want to. I used to have clever answers like “Well, if I have a drink now, I’ll probably rob you later.” Now my answer is, “I don’t want one”.

Oh – and my old friends that I mentioned – they’ve been back in my life for years. In fact, when I held a party for the premier of Relapse, they were the ones who stayed closing the bar, long after everyone had left, discussing how great the show was.

 

 

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I didn’t get clean for this sh*t! Unmanageability.

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This has been a crazy summer for me. Not “crazy” in a wild and fun way either (sorry to say) but crazy in an unmanageable “life on life’s terms” way. This is my first summer in New York City without air conditioning and the hottest recorded summer since the 1800s. They decided to re-wire my building (an old brownstone in the Village) and hired one electrician to do all the work. I struggled through one major heatwave after another, sitting inside my apartment feeling like a dog locked inside a car with the windows rolled up.  I found myself crying at my desk for no reason. I’ve discovered that severe conditions can bring on feelings of despair and depression – go figure! I had to turn down several clients because I was in no shape to help anyone and writing was impossible. Instead, I went to visit my folks in Canada for a couple weeks and expected to come back to air conditioning. Well –
what do you know – Con Edison went on strike so there is no one to do the inspection. There will be no air conditioning this year. The upside is that I knew enough to leave town to rejuvenate my spirit and have since put myself on graveyard hours so that I can bike in the cooler evening breeze for fresh air, write at night, and see as many matinees as I possible. I’m making my situation as manageable as I can because my mental health matters to me. I am powerless over the circumstances but not powerless over my ability to make choices to improve my situation. I needed topics for this blog to simplify my workload so I asked for help.I got a lot of suggestions. Phil wrote me this, which I felt was appropriate to use first:12_10 i didnt get clean for this shit_2

Recovering addicts are always asking as to what they can expect to “manage” in the sober future and what they cant.  -Phil

When we look back at the unmanageability of our lives during our using days the list goes something like this: jobs lost, apartment evictions, regularly living without a phone or electricity, calls from collection agencies, owing everyone we know money, significant others leaving after many tears, fights and drama. Our health deteriorates and there are trips to hospitals, jails, and psych wards. Paramedics bring us back to life and even this doesn’t strike us unusual. What’s worse than the exterior unmanageability is our inner life – we can’t handle experiencing negatives feelings yet they seem to be the only feelings we have. Our only coping mechanism was to keep using in the hope of finding some inner peace.

 

12_10 i didnt get clean for this shit3Clean and sober, unmanageability in our lives can look like this: jobs lost, apartment evictions, regularly living without a phone or electricity, calls from collection agencies, owing everyone we know money, significant others leaving after many tears, fights, and drama. From neglecting our health there can be   trips to hospitals. If we don’t change our behaviors we can end up in jail and there could even be times we end up in psych wards.

In recovery, even when our external life can remain manageable, our inner life can be filled with anxiety, self-loathing, pain and torment. “Why is this happening to me?” we cry as our thoughts return to the old solution – getting high.

Recovery is the process of changing our behaviors and our response to situations so that we don’t back ourselves into an emotional corner where getting high seems to be the only way out. If any addict stays in pain long enough, s/he will use.

It’s our responsibility to manage every area of our life in a way to keep chaos and drama at a minimal, We learn to start paying bills on time, communicating honestly, become willing to renegotiate or compromise in relationships, We address health and mental health issues, earn money the old fashioned way of working for a living. The hilarious thing writing this is that I know everyone reading it is thinking “Of course we have to do this. Tell me something I don’t know.” It sounds easy to live an upright, ethical, honest life clean – but is it? I mean – really?

This is what I have seen over the years: some addicts gets clean and lives a very rigid life – so rigid and fearful of making errors that the first chance they get to let their hair down, they get loaded. Then there’s the addict who continues acting out deviously in some areas all the while spewing wisdom of recovery louder than anyone else. I call this the “Spiritual giant who goes home and beats his wife and kicks the dog”-syndrome” (not gender-specific) who, without change, will also eventually gets loaded. And then there’s the middle ground – the category that most of us fall into – we hold onto old behaviors as long as they work for us before we become willing to change. And we only are motivated to change by pain.

I didn’t learn how to pay parking tickets until my car was towed, pay my phone bill on time until I got sick of losing money to reconnection fees. It’s true – there are a lot of people in the world who don’t go to the dentist until they are in excruciating pain but for addicts being in pain brings a cry for drugs. Non-addicts experience unmanageability the same as we do. The difference is that they will not respond to it by self-destructing.

It’s important to understand how the disease of addiction gains ground. It LOVES when we are angry with ourselves. No one can ever treat us as badly as we treat ourselves inside the privacy of our own mind. This is why we need the love and support of other recovering addicts. They remind us to give ourselves a break, teach us how to find working solutions to the problems of daily life, let us know that our fantastic idea on how to beat the system is insane, talk us out of that one last heist, help us recognize when the criteria for a boyfriend is different from the criteria for a sugar daddy. Recovery teaches us how to live without being motivated by the fear that if we let go of our old hustles and irresponsible behaviors, our need to get over on the system, that we won’t make it.

It’s unrealistic to expect to come into recovery and immediately live a life 100% according to new recovery principles. We do our best.  We grow in leaps and bounds in some areas and stay sick and stuck in others. The pain from unmanageability in the form of drama, chaos, and from the consequences of our actions is what teaches us who we really are –in our hearts not in our minds. We discover that don’t want to keep hurting ourselves by living this way and this gives us the strength and courage to change. This is a good thing. Because we don’t want to suffer, we learn how to do things differently.

In recovery we can be free. Not just free from the enslavement of addiction but free from senseless self-made suffering. The calm and inner peace we feel by living a life of less drama and unmanageability will eventually guide us in all our affairs. Nonetheless, shit does happen – economies crash, people die, lovers leave, personalities clash. Sometimes we may have a long string of bad luck and feel like life is not fair. We cry, “Why me?” and an old voice will whisper back, “Fuck this shit. You didn’t feel this bad when you were using. Fuck this recovery bullshit.” Yep – the disease never gives up, always waiting for a moment of weakness, always quick to point out the hopelessness of it all. During these times lean into recovering friends for support, love and guidance.  When times get dark hang on because this too shall pass. It will and it does.

Recovery is harm reduction for day to day living.

 

 

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How can I tell if I’m heading toward a relapse?

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Last week I had the fun experience of being a guest “speaker” on a Twitter addiction chat. I had no idea how I was supposed to be a  “speaker” in 140 characters or less. Luckily it turned out to be a Q&A. The final question  “How can a person tell if they’re starting to relapse and how can they stop themselves?” seemed like a good topic for this week’s blog post.

The interesting thing about a relapse is that afterward the addict will swear, “I made the decision to use” when really, “I made the decision a while ago and using was the anticipated outcome” is more likely the case. When we’re clean we always have a choice. By the time the “decision” to use comes along, we’ve already given up that choice by not recognizing and correcting the behaviors that were leading us toward a relapse in the first place. When we are in the disease clean, the window of opportunity to choose recovery gets smaller and smaller until our disease is stronger than our recovery and we use.  We forget we are powerless once we use. Almost every addict who has relapsed tells me immediately afterward, “If it gets bad, I’ll get clean again”. Really? If it was that easy to get clean, why wouldn’t I use one day a year?  They get amnesia about what it took for them to ever have had the desperation to get clean in the first place.

So what are these behaviors we need to watch out for and take seriously that have the power to eventually lead us back to using?

We start to come up with reasonable sounding reasons to start missing meetings (or IOP or whatever support group you are part of).

We start finding our recovery/sober friends annoying. We don’t feel like being around people and are much happier when we’re alone.

We feel a general crankiness toward everything.

We feel an endless hunger for anything (food, shopping, money, power, sex, attention, caffeine, tattoos, seductive pain) outside of ourselves to make us feel better, to feel excited, to feel alive. We long for euphoria.

We stop doing things we used to enjoy in our fellowship such as service, group activities, fellowship, stop working the steps (usually after step 5), stop talking to our sponsor/sponsees. In fact we start feeling judgmental toward both.

We start acting out in asshole behaviors without noticing such as gossip, anger, deceit, and righteousness. We nurture our resentments and start keeping secrets. Consequences include shame, remorse and guilt yet we do not talk about these feelings or their source to anyone.

We’re Hungry, Angry, Lonely, Tired.  We take no action to remedy it.

We start hanging out with people who are not in recovery more often than people who are. Watching our friends who are not addicts use and drink starts making us have thoughts that we can do it too. We tell no one this.

We hang with using addicts and alcoholics and enjoy it. We believe it is not affecting us. We make less time for friends in recovery.

We act out in self-destructive behaviors such as cutting, eating disorders, sexual compulsion, unsafe sex, compulsive Internet cruising and tell no one.

We isolate in abusive or unhealthy romantic relationships wanting someone who doesn’t want us yet going back time and again expecting different results.

If you are doing ANYTHING that your head says is nobody’s business (not even the person you trust most with your recovery) LOOK AT IT.

I really believe that if an addict stays in emotional pain long enough the only solution guaranteed to bring relieve will be using.

A relapse can usually be traced back to a combination of these behaviors occurring over a period of time. If you see any combination of these happening in your life, start taking the opposite action. This can be as simple as removing yourself from the situation, recommitting to meetings, service, reconnecting to your support group and being thoroughly honest about devious thoughts and actions.

 

 

 

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