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The Upside of Shame

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Regrets. I’ve had a few, but then again, too few to mention. (My Way, Frank Sinatra)

Wouldn’t you love to be able to hit rewind and delete entire episodes out of your past rather than have to deal with the fallout clean and sober?

When I used to try to kick dope, the physical withdrawal was nothing compared to the  movies playing non-stop in my head of every single thing I ever did or said that made me feel like shit. It always touched on the things that hurt or betrayed the people I loved (whether they knew it or not) like birthday money from my folks I’d blown on coke, the time my dad drove from Toronto to Buffalo to meet a flight I’d forgotten about, relationships I’d discarded, friends I’d lost, the time I left my dog in my apartment while I spent a weekend on the Virgin Islands. It was all there in living color, the shit I did, accompanied by a gnawing soul-sickness.

The behaviors we engage in that fuel the beast don’t completely disappear when we get clean. The “disease” gets a lot of mileage from shame. Whenever we act out in our selfish or thoughtless behaviors in recovery and feel bad, thoughts of using pop up – always an unconscious antidote to our negative feelings. The way out of this cycle is in repairing damage we have caused and learning how to do things differently. Recovery gives us the opportunity to change.

On a positive note, guilt and remorse are natural healthy feelings because they let us know we are not psychopaths.

It’s through these feelings that we build our moral backbone in recovery. This moral compass lets us know how far we have strayed from our own deepest beliefs and values. They teach us right from wrong, teach us how to be loving – toward ourselves and others, toward animals and nature. We don’t learn this by having debates, or philosophizing over coffee with our friends, or because family, religion or the courts shoved a moral code at us. We discover morality through our feelings. And they never lie. They let us know when we do something that betrays our very nature.

Shame is the real killer for addicts because shame is personal. It’s how we feel about ourselves in the privacy of our own mind. How are we supposed to take care of ourselves, love ourselves, if we believe we are worthless? “We are as sick as our secrets” is true because shame is so personal. Guilt says, “What you did was horrible.” Shame says, “ You are horrible.” Secrets nurture shame – so get rid of them.

Imagine – even at the peak of our addiction we could not escape regret, guilt, or shame when we acted out against our most heartfelt beliefs. That says a lot about the human spirit. Even when we believed we truly didn’t give a fuck our heart was storing up the memory to haunt us later. The human spirit is pretty amazing. Even the madness of addiction can’t reach in and completely rewire our conscience.

 FEELINGS

 

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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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“Am I going to be staring at glasses of wine for the rest of my life?”

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© Copyright 2010 CorbisCorporationA friend of mine said when he finished his program he was “like a wet dog on a back porch. They couldn’t get rid of me.” They ended up offering him a job. For me, getting out of rehab was like being pushed out of the nest not knowing whether or not my wings would work. I’d have stayed there forever if they’d let me.  From the minute I was admitted into treatment the thought of “life after rehab” literally took my breath away.  After all, forty-two days in a program built around relapse prevention made one thing clear – this place didn’t give guarantees.

I went straight from rehab to a friend’s apartment in New Orleans’ Quarter. I would wander  the streets feeling as though I’d been skinned alive. I’d sit on a step at every corner, smoke a cigarette, and pray that I would stay clean for the next five minutes. The word “terror” doesn’t come close. My first two weeks in the real world consisted of laying on a sofa for hours trying to make sense of the third step, smoking cigarettes on random steps killing time between meetings, and going to bed – where sleep failed to come. The only thing I had on my side was that I had no personal history with New Orleans. I knew no one. Thank God.

Recently I was in a shopping mall with a client who’d just returned home from treatment. She suggested we grab lunch in a little restaurant on the ground floor. It wasn’t until we were seated that she casually mentioned she’d spent many afternoons there drinking martinis. I would have known even if she hadn’t told me because the place electrified her. I handed the wine list back to the waiter and a look of disappointment came over her face. She sunk behind her menu. “The food here is great. I totally forgot about the bar when I suggested this place. Honest!” I’m sure she had. I’m never surprised at the tricks the brain will play on the newly sober person. They’re unconsciously drawn to risky situations and, once there, begin to play a form of mental chicken. They test themselves – which is a really dangerous game to play. While she commented on the cocktails at nearby tables, her disposition flipped from euphoria to gloom. We ate quickly and skipped dessert. I knew there’d be emotional backlash. She’d either become surly or would want to crawl back into bed when we got home. The experience gave us a lot to work with and talk about – how to safely navigate through day to day life without setting yourself up for additional emotional fallout.

“Am I going to be staring at glasses of wine for the rest of my life?”

In early recovery, my stomach would flip every time I passed a freeway exit that lead to any bathroom I’d ever shot coke in. Some days all it took was the Hollywood Freeway South sign to constrict my chest.  It felt like I was losing my mind. If the whole world reminded me of using, how would I ever stay clean?

There will always be restaurants, parties, and work functions. There will be comedy clubs and rock shows. You get clean so you can become part of life – not hide from it.  In early recovery, the key is to not test oneself by going it alone.

It takes time to build sober memories. Things that used to send me over the edge seldom affect me now. The Hollywood Freeway South sign is now just a sign. When I see it I’m filled with pleasant memories of fun times I’ve had and people who have passed through my life in recovery. I no longer look at the underside of spoons. People drinking wine at the next table are simply strangers experiencing a moment in their own life.

I would have never believed that the haunting memories of people, places, and things connected to my drug days would ever be replaced by equally powerful memories of my life clean and sober. It happened when I wasn’t paying attention. It will happen for you too. Remember – it takes time to create a new history. In the meantime, be mindful not to play chicken by deliberately placing yourself situations that are going to push you out on an emotional ledge. If you have to go anywhere that you know will be slippery, don’t go it alone.

 

 

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National Survivors of Suicide Day

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National Survivor’s of Suicide Day November 17 2012

Today I spent time thinking about those I’ve lost to suicide and their families.

I got news this past week that another friend from my early recovery overdosed and died. This makes six friends since March. Five had been in recovery at one point for anywhere from one to twenty years before they decided that they could drink or smoke weed without getting caught up in old ways.  The news is never easy. Over the years I ‘ve been clean, there’s been a lot of death. Overdoses and suicide top the list followed closely by AIDS and Hepatitis C. I’ve spent a lot of time searching for meaning, contemplating life and death, and coming to terms with it in a way that makes sense to me personally. At one point I started to numb out. I would hear of a new death and mentally delete their number from my cell phone – gone! They were gone. Over! The end! I noticed my lack of emotional response and figured, really, how much death can one take? Nowadays, I’m back to feeling that funk land hard in my stomach and the sad sound as my head whispers “Fuck!”

My best friend committed suicide in the mid-80s. I wrote about her in an earlier blog on my other site http://www.pattypowersnyc.blogspot.com/2011/09/finding-one-day-at-time.html. That death hit me at a time when my own life was spiraling out of control. I felt I understood what she was feeling at the time -that feeling of not wanting to play anymore, of being tired, of not believing things would ever change. Little did I know that within three years I’d find recovery and my life would change radically.

I’ll confess that, for years, I held a little idea at the back of my most private thoughts: I would do this life-on-life’s-terms recovery thing as long as I could but if I ever got tired and want off the ride instead of getting high, suicide would be my way off.

At seven years clean I was hit by a depression I’d never experienced before – coming out of the blue and unattached to any plausible explanation. There was nothing going on in my life I could pin it to. I felt like I was inside a bubble preventing me from feeling a connection to anything or anyone.  I spent days laying on the sofa telling myself “This too shall pass.” The next day I’d awaken to realize nothing had changed. I had no desire to get high and wondered how long I could live this way.  When would enough be enough and I’d check out? I was also writing a novel where the main character would attempt suicide so a variety of methods were at my fingertips. Needless to say, it wasn’t a good time to spend days alone with my mind. Was this feeling ever going to pass?  The day I woke up feeling alive again was one of joy and relief. Shortly after this, a friend’s son hung himself.

While laying in my self-absorbed darkness fantasizing about suicide, it never occurred to me to consider how my death would affect others. Witnessing first hand how his suicide impacted the lives of his family and friends eradicated suicide as my exit strategy.

There was a hint that the latest death may have been intentional because of his history with depression.  Addiction and depression are closely linked. Perhaps this has played a role in all the earlier suicides. Much has been discovered and documented linking addiction and depression since my early years in recovery. Back then many recovering addicts shunned the idea of taking any sort of pill. Instead they believed in toughing it out, working a stronger program, finding a god. Many struggled with undiagnosed mental health issues for years, living in pain, until they finally sought help. It wasn’t that recovering addicts wanted to martyr themselves. Antidepressants were a new concept and many of us twelve-steppers were naïve and ill-informed.

I think a lot about my friends who’ve died, wondering how many of those overdoses were suicide.  How many kept their depression a guarded secret in recovery? How could we have helped?

That is the biggest question survivors of suicide torment themselves with – “What could I have done?” It’s heartbreaking to see and hear the grief lingering years later, wrapped around them like a blanket for the remainder of their lives. If a loved one has committed suicide please find support groups and professional counseling. The impact of suicide can be trauma.

For anyone who is considering suicide I will pass on something someone said to me during a particularly difficult time:

Patty, life is like a long phonograph and right now the needle is skipping but there is still a long beautiful song left to play. I know the pain is so big you can’t breath and it feels like it will never go away but this is really just one moment in time of a very long story and when you get past it, you will always look back and remember this period as a hard one but you won’t even be able to connect with the pain that right now feels like its going to kill you.  It will just be a memory that things were rough. While you’re in it, it feels so much more meaningful – but it’s really a just rough patch in a skipping record. Not worth killing yourself over. Because then it’s over forever.

Hang on and ask for help!

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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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How do I stop my kid from becoming an addict?

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I have been approached by parents time and again asking what they can do to prevent their children from becoming addicts – which is a different conversation from asking what they can do to spot the signs of using or get their child help.  Many books have been written on this subject and there is a lot of information available online. As usual, I’ll begin this blog with some personal stories from my life as an adolescent drug user.

I remember my first acid trip, at twelve, as something magical. By high school I was pulling books on drugs and addiction off the library shelf. Each book was filled with sociological evidence of the trajectory of drug use. Marijuana led to heroin addiction, criminal behavior and prostitution. I wrote it off as propaganda. Besides, despite fitting the profile for a potential substance abuser, I was confident I’d be the exception to the rule. Sixteen years later I went to rehab.

For clarity, I will say that mine wasn’t an immediate downward spiral into the perils of active addiction. It was more a full-steam-ahead approach to life that included a lot of fun and adventure in which drugs were always present.  Occasionally I’d attempt to control whatever I’d been abusing or switch to milder drugs. Giving up drugs didn’t occur to me.

The price of addiction is always loss and over the years the price kept escalating. I lost jobs, friends, apartments and, at times, my health. Drugs kept me away from my family and many of my friends died. I was lost from myself, directionless and drifting. For years, a constant underlying despair accompanied me and I was always trying to eradicate it with a substance. I never stepped off the ride until it became a  choice between life and death.

Like I said, it wasn’t a one-way street to hell after the first time I got drunk at the roller skating arena in 1972. (btw the gateway drug for all addicts is alcohol. I guess it slipped the minds of researchers when they came up with the term “gateway drug”). The progression of my drug use, like most addicts, occurred over time.

Not everyone who takes drugs is an addict. There are people who drink or get high recreationally, who can take it or leave it. There are substance abusers who may party hard for a year or two and then get it together and move on (without any outside help), and others who catch themselves before they become full-blown addicts and seek professional help to get it under control. And then there are addicts for whom control is not possible.

I have compiled this list of helpful tips based on my personal philosophy with parents of young children in mind. I’ve also included help for the family of using addicts.

Openness: Kids will censor information if they believe it is unwise not to. They intuitively know if what they say will worry or upset the adult so they will suck up their feelings to protect the parent. Children want to be loved unconditionally – exactly as they are. Judgment and criticism is a form of rejection. They are acutely aware of every time they have heard a parent criticize or judge others so they may not feel safe expressing their true feelings and fears.

Communication: By learning how to process emotion and walk through fear and uncertainty early on, they won’t seek comfort from something external. If you have very young children, raise them in a household where everyone is safe to express their true feelings. If this has not been the case and you cannot get your children to open up to you (when your heart knows something is going on) make sure they have someone they feel safe talking to (a relative, teacher or therapist).**** If there has been abuse, trauma, or active alcoholism/addiction in the home, get professional help.

Belonging: If they’re unable to bond at their school or feel like an outsider, find clubs and activities where they can meet friends with similar interests. The feeling of “other” is common among addicts.

Be the parent: Children need boundaries, rules and codes of ethics. They are also brilliant bullshit detectors. It can’t be a “do as I say and not as I do” situation. Children don’t want to know about a parent’s sex life or hear glory tales of drug use only to be later told, “Sex is bad. Drugs are bad.” If you are confused how to draw from personal experience in a positive honest and healthy way, ask a professional or seek out community parent groups. (If you feel shame about your own past, it’s time for you to do some work to gain acceptance and forgiveness. I’m a big believer in therapy but people also heal in support groups, 12 step programs. Speakers and workshops by people like Marianne Williamson, Melanie Beatty, Deepak Chopra, and Louise Haye have helped thousands. There are many avenues to seek help getting right with yourself so that you can be 100% available to your child.)

Validate: Praise every triumph, encourage every effort, and remind your children that they are perfect and wonderful whether they come in first or last on the sports team, whether they get A’s or D’s. Showing up and giving it your best after a disappointment is praiseworthy. D’s can turn to A’s with extra help and perseverance. Raising children with a sense of self and self-worth gives them a strong emotional foundation and make them less likely to fall to peer pressure or seek comfort in substances.

For loved ones: Active addiction affects everyone in the family. Al Anon and Alateen are 12 Step fellowships that offer support and tools for healthy coping. (Google for information and local meetings). Http://www.intherooms.com is a website where you can connect with other people who can share experience, strength and hope. They also have live video online meetings.

Helping the addict: Interventions can help get an addict into treatment before they hit bottom. It’s true they may agree to go to get the family off their back, to keep financial support coming in, or for any number of reasons without any genuine desire to get clean but often a spark of hope is awakened while in treatment and they may choose recovery for themselves. Rarely is an addict exposed to recovery able to go back to using without carrying the knowledge that there is another way to live. Even after a relapse, many addicts will return to recovery.

Powerlessness: We cannot get anyone clean but we can instill hope and let them know they have a choice. In the end, recovery will always be a personal decision.

I know for an addict to want recovery, the desire has to be in their heart – but desire without action is fantasy. Talking about, thinking about, or preparing to get clean is a game many addicts play to either get someone off their back or to give themselves the illusion that they are doing something about their problem. What is always behind this lack of momentum is fear. Addicts can look down the barrel of a loaded shotgun but they cannot handle emotional discomfort. Despite what I used to think when I was using, I got high over my feelings – to avoid them and to numb them.  If you raise your children to embrace their emotions, they will not fear them – and hopefully won’t have the need to find an external substance to manage them.

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Will the truth set me free?

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truth will set you freeThe disease of addiction thrives on lies and self-deception. The only way to get and stay clean is by learning how to be honest. Yep, us addicts have to learn how to do this.

When I was getting high I told myself, “This is the last one” thousands of times over the years. Sometimes I’d even throw away my paraphernalia to prove that I meant it. By morning (or even earlier) I’d be wading through rain-filled dumpsters searching for my old trash bags or laying out money on new syringes and cursing myself for being stupid enough to believe my own bullshit. This game was old. All I got from it was more self-hatred to use over.  I’d become silent on the subject of stopping years ago – friends will only listen to bullshit for so long – so this dialogue was my own inner torture chamber. At some point my head said “This is the last time” and I quit falling for it. Repeatedly disappointing myself was more painful than accepting I’d never stop using no matter how horrible I felt.

In 1988 something miraculous happened that changed my life. While trying to get into rehab, a friend called and basically told me to come over for free drugs. This was in the middle of my withdrawal so the timing couldn’t have been more perfect. I have no idea how I was able to be honest with myself but I knew if I gave myself “one last time” it meant I was still playing the “getting clean” mind-game. The only way things would be different was if I did something different. I told my friend “Thanks but no thanks.”

The saying “You are only as sick as your secrets” doesn’t just mean that we need to reveal all our sneaky devious deeds in a relapse-prevention way. It means, in order to get clean and stay clean, we have to practice honesty with others so we can learn how to become honest with ourselves– and let’s face it – we have suffered the most from our lies.  Trusting our own thinking is our greatest downfall and it is foolish to assume a major transformation in our ability to perceive reality and the truth happens simply by putting down the drugs. It comes from the work we do after.

This is why it is absolutely necessary to have at least one person we are willing to expose ourselves to fully – not just the questionable decisions we make, or the sneaky shit we are able to get away with but the very stories we tell ourselves in way of rationalizing or justifying these behaviors. It’s worth the risk to find that one person – whether it is a therapist or a sponsor or a friend. The only way we can begin to have an honest relationship with ourselves is to learn it by practicing honesty with another person. This can begin before putting the drugs down.

Here is how I approached this:

Before I got clean, when I’d feel uncomfortable or too exposed, judged, or if my behaviors caused too much drama, I’d move onto a new crowd or a new city. Sometimes this happened without me ever questioning how I lost touch with old friends. It was just the way I was carving out my path. Seemed perfectly natural. I embarked on my adventure into recovery using this model to give me courage. I was willing to be completely honest because I knew if it became unbearable, I could dump my new friends and find others. This gave me the courage to give it my best shot. The funny thing is that I am still very close to the original core group of recovery friends I made 23 years ago. In fact, honesty gave these relationships a level of intimacy I had never known prior.

Recently I was helping my oldest friend in the world get clean. Over the years, she would ask for help. She wanted directions on how to do it but reserved space to include her own ideas she still believed were valid and trustworthy. She was unable to see or accept that for years she had been trying to get clean this way and it never worked. Occasionally she could hear this argument and say, “This time I will try doing it your way.” She began to lower her methadone intake by 10 mg every couple weeks. I knew she was having trouble sleeping but it took several weeks before she admitted she was using wine to sleep at night (followed by a list of logical-sounding reasons why she couldn’t do her job if she was exhausted). I warned her that when she had her first days off of methadone she would be craving her nightcap. She promised she would stop when she began counting clean days.

By day 6 she said “I should have listened to you about the wine. The cravings are coming back and I am feeling worse today than I did on day one.” It took several email exchanges before she told me the truth. She had continued drinking wine before bed throughout those first 6 days clean and now she was thinking of nothing other than having a drink and taking the leftover methadone she had sitting on her dresser. “What leftover methadone? You shouldn’t have had wine or methadone in your house when you started counting day one.” It took 6 days of lying about her clean time until she was able to tell me the truth – and it was only because she was deep in the obsession of using again.

For two months she had suffered levels of withdrawal coming off methadone and if she picked up again, it would have all been in vain. On day 6 she told me the truth – or at least that is how it appeared. She overdosed and died on the 7th day. Even her confession about the wine and methadone was only a partial truth. She never revealed that she had Oxycontin in the house. Maybe that is what she meant by the “methadone on my dresser” that she kept thinking about all day. She tried to tell on herself but was incapable of going all the way. I will never know what other secrets she had held onto. I firmly believe that if she had been capable of telling me the truth, she would have. She wanted so badly to be in recovery again and my heart is broken that she will never have another opportunity to do things differently.

The disease wants us to protect our secrets. Even clean it will tell us that we deserve the right to some privacy so we will withhold information and not recognize this as secret-keeping behavior.  If you want to get clean or you want to stay clean for the long haul, share your secrets with someone – even if you aren’t ready to change the behaviors connected to them. Honesty is the first step. It will save your life.

 

 

 

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Therapy & Psych Meds in Recovery

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mental health

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 do you mean I have to feel everything?

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FEELINGS

The first time I heard someone say “I used over my feelings” the first thing that popped into my head was “Really? I used to have fun.” I couldn’t relate. In fact, I felt kind of sorry for him. Using over feelings -what did that even mean?  By the time everyone in the room finished admitting that they had also used over their feelings, I felt like I was in that depressing group therapy scene in Drugstore Cowboy. The lighting is stark in the bleak, institutional room and we see Matt Dillon’s character disengage emotionally as everyone takes turns being grateful for their seemingly pitiful little lives.  I knew how he felt at that moment and recognized the look on his face. He wasn’t going to stay clean and neither was I. After this experience, I continued to get high for a few more months but I couldn’t get that guy talking about “using over feelings” out of my head. Once I’d heard the truth everything changed. I couldn’t seem to get high enough to forget that I had a choice about it.

Until then, I’d never given any thought into why I used drugs. As an adolescent I was consciously constructing my persona. Rebellion was in the air throughout my childhood – in the news and in the movie theatres. There was a new generation saying, “fuck you” to conformity and kowtowing to authority. I was too young to really grasp what was going on in the world but it mirrored something I felt deep inside. Until then, I’d felt very alone. I found my people, the counter-culture freaks and anti-heroes, on the big screen. It was a look, an attitude, and a style. Once I adopted the image of the edgy, thrill-seeking, wild girl all I had to do was find drugs to legitimize it.

Writing this as a long-time recovering addict, it’s obvious that I was searching for a way to change the feelings inside of me. And I found something outside of myself that did the trick. Like every other addict, I used over my feelings.

Recovery is about learning how to deal with our feelings. Since experiencing feelings is not in our skill-set (even clean and sober) we continue to find ways to avoid them – always seeking something outside of ourselves to change the way we feel. In early recovery we drink pots of coffee, chain smoke, try or hope to have lots of sex, or search for love. Later in recovery, we spend endless hours on the Internet,  work out until we’re injured, fast for ten days instead of four, spend until we’re bankrupt, work 60 hours a week, stay busy every minute. We tend to create drama in situations because one large pain is easier to focus on than feelings of insecurity, loneliness, worthlessness, disappointment, self-doubt and self-loathing. When life is going great, we worry about what it’s going to feel like when something goes wrong. I’ve known addicts who take Tylenol in case they get a headache. Simply put, addicts can face down the barrel of a shotgun but we don’t do well with emotional discomfort.

So what happens when we stop running? We feel fear. Remember how the fear of withdrawal kept you using long after you wanted to be clean? Fear controlled us. It doesn’t just go away because we are clean and sober. So we do what we’ve always done – we try to control it. Seeking outside stuff to escape into, to alter our feelings, to change the direction of things. We’re fortunate to have a lot of pillows to land on when we get clean. I think going from feeling nothing to feeling everything, we’d surely explode and run back to using. So while we get comfortable with some of our feelings, we avoid others by throwing back pots of coffee, eating until we can’t move, having sex, shopping, getting 40 tattoos. As long as we don’t use, we gain positive experience from the feelings we do sit with (they didn’t kill us) and it helps give us courage to face new ones. But there’s a trick to all this: if you get clean and spend all your time “acting out”, avoiding feelings, seeking comfort, pleasure and escape and you don’t deal with anything you’ll probably relapse. Remember we use over our feelings and this also means if we don’t start to get comfortable in our own skin, we will use again. Pain and fear don’t magically disappear no matter how great the sex was, how many tattoos you got, or how whole your new relationship makes you feel. It takes work to stay clean.

You need someone to talk to. This can be your 12 step community, a therapist, friends you trust who love you – do not give this job to your romantic partner. You need a safe place where you can be honest about what is going on in your life and in your head and how it makes you feel. To lower the pressure on a tire you have to let some air out. Becoming vulnerable and honest with other human beings is how this process begins. You don’t need advice – you just have to let it out. This is often the first experience addicts have acknowledging how they feel. And I will give you a tip: it’s easy to talk about how angry you are, how much hate you have but it takes real courage to reveal jealousy, loneliness, disappointment, sadness, hurt. These are the feelings under the anger. Our feelings get hurt – just like when we were kids. Talking about this stuff, taking the air out, will reduce the pressure. It will feel weird at first but you’ll notice a shift in your mood and it will give you momentum to do it again. Remember – you don’t need feedback or advice. We start the process by hearing ourselves connect with what we are feeling. As time goes by, feelings become less frightening.

You’re tired all the time, you’re masturbating every day, can’t believe your appetite? My guess is you are having some feelings. Look for the signs. We don’t have to run anymore. Sometimes feelings suck. There’s no other way to describe it – thankfully feelings also pass. Feelings may not be facts but it is a fact you’re experiencing feelings. Face them and recover or run from them and hope you find some courage before you use again.

Although this post is geared toward early recovery, even after years clean our knee jerk reaction to an uncomfortable feeling will still be to find something outside of ourselves to change it or delay it.  With practice, it happens less and less.

 

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