Tag Archives: trigger

National Suicide Prevention Week and the Addict

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tumblr_msiwtpy3kP1sgdgjso1_500I want to honor National Suicide Prevention Week September 8-14th here because sometimes addicts and alcoholics, both using and in recovery, start to consider suicide as an option when they feel trapped by feelings or circumstances. In recovery, we’re taught share these feelings with someone in our support network to diffuse the power, gain clarity and seek practical solutions to whatever ails us. Talking about what we are going through is always the first step toward change. To hole up in isolation with suicidal thoughts, emotional despair, or hopelessness is dangerous. It’s so easy to lose perspective and fall deeper into the darkness. The disease of addiction gets a lot of power and leverage from emotional pain and benefits from secrets and isolation because if an addict is in pain long enough, drugs and alcohol will begin to appear as the only logical solution for relief. I have known a number of people who have committed suicide while on a relapse. In almost every case, they ask for help getting clean again but always give up after a few days and begin to isolate. I don’t know what anyone is thinking when the kill themselves but I think it’s fair to guess that whatever they are thinking or feeling all they want is for it to stop. This is why it is so important to make time to listen to anyone who is asking for help and to extend ourselves by checking up on them and making sure they are connecting with others. Whether you are on a relapse, have never stopped getting high, are suffering from depression or have experienced a terrible event – no matter what you think or believe right now, don’t give up. If you have anyone to talk to, make the call or stop by and let someone know what is going on. Call a suicide hotline. Get help for yourself. Do not trick yourself into believing that there is no help because you have no money. The suicide hotline will have resources for therapists or support groups. You can go into any 12-step group and raise your hand and say how you feel or grab someone when the meeting breaks up and tell them you need help. If you feel you are a danger to yourself go to a hospital and tell them. Go and talk to your spiritual advisor if you have religious beliefs. People will listen. The first action is to break the cycle of obsessional thinking. This is done by sharing your thoughts and feelings with another human being and asking for help. Do not stay alone with your pain. A friend once told me that however big and dark the feelings feel in the moment, this is like one groove in a record album that the needle is stuck on but that there is so much of the album left to hear. Remember – these feelings are not permanent no matter what your thoughts are telling you.

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Becoming the friend you want to be

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friendshipWhen I used to try to kick heroin by the second night my brain would be up caught in a video loop of every terrible thing I ever did to anyone who ever cared about me.  I’d never been held accountable for the majority of it. Only I knew how far I’d fallen from being the kind of person I wanted to be. I loved my family, my husband, and my friends yet at the end I was alone. It was my form of damage control. I hated what and who I’d become and I couldn’t stop using. I was truly hopeless. Nothing stirred the heart-sickness in me more than replaying the ways I’d behaved with the people who’d cared. The pain this caused was so unbearable that I could never stay clean through it. I always picked up on the third day.

I’ve watched countless addicts go through this exact same process while detoxing.  Witnessing their despair while the unrelenting disease of addiction kept replaying these old tapes, I was able to make a connection between these specific feelings and the addict’s overpowering obsession to use again.  Despite all the other major destruction we create while using, it is the shame, remorse, guilt, and regret from the pain we have caused others, from seeing the evidence that we are no longer the person we know we can be, are meant to be, that causes us the most grief when we are getting clean and in early recovery.

When we get clean we usually aren’t aware of when we bring old behaviors into new friendships until there are consequences. How many times have you canceled plans with a friend at the last minute because something more exciting came along or because you just didn’t feel like doing anything never considering that it showed a lack of respect for someone else’s time? Or worse, lied to get out of a commitment and got caught? When have you given an honest unsolicited opinion and not realized how hurtful it was until your friend stopped calling you back?

Each of us have our own moral compass that guides us to live in accordance with our higher self. We usually know when we’re off course by a feeling in our gut that tells us something is not right. This is a good thing. It teaches us how to be the person we truly want to be. In recovery we learn how to be a better friend – and this matters because when we hurt people in recovery, not only do we feel shame, guilt, remorse and regret, our disease will start to play the old tapes of a lifetime of bad behavior to others and amplifies our shame. These feelings have the power to trigger cravings again.

What qualities do you value most in a friend? Do you value loyalty, trust, support, a sense of humor, someone who accepts you without judgment? Someone who is forgiving? What else is important to you? Does this describe you?

To get an honest appraisal of your friend-skills ask yourself these questions. Also note  when your behaviors line up with what you’ve listed as qualities you value in a friend.

Do you play different roles – strong with some and helpless with others?

Are you a people pleaser continually brushing aside feelings of resentment or anger?

Are you a giver or a taker or do you fall somewhere in the middle?

Are you a fixer or the friend always asking for advice?

Do you strategically seek out friendships that get you closer to the dream job or a person of romantic interest?

Do you have friendships of convenience but you never get invested emotionally?

Do you sustain long-term relationships, and if so what do those relationships look like.

The difficult part is to see where your behavior benefits you in some way.  When you are giving is it because there is something you want in return? Do you manipulate others to get your own way? Do you use guilt or the silent treatment rather than communicate how you feel?  Do you keep score? Do you ask for advice to avoid personal responsibility?

Some of you will be pleasantly surprised to discover that you are what you seek. Anyone new to recovery may find this exercise very uncomfortable – but don’t despair because there is a solution.  List every behavior that you want to eliminate and for the next week make a conscious effort to take the opposite action. Put in some effort and change happens. You’re worth it.

 

 

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With Willingness We Find Our Way

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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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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 Upside of Shame

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my-way-frank-sinatra

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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Friends dissing Recovery

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recoveryispossible

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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