Categories
Mental Health Recovery Treatment

ROOTS: A 10-Week Re-Entry Program

ROOTS is a 10-week re-entry program geared to assist adolescents with transitions. The creation of individualized treatment plans benefit all variants of treatment needs.

ROOTS, Our Los Angeles outpatient program supports teens reintegrating into the home environment after long-term treatment and/or therapeutic boarding schools. Our curriculum addresses family dynamics, renewed relationships, as well as re-established boundaries and redefined roles. The treatment modalities we apply garner the cultivation of healthy change and encourage internal growth.

If more intensive reintegration is required, we also offer our 1-year Intensive Outpatient Treatment program. This IOP track includes:

  • 1 year of clinical support;
  • Primary Care Phase (Months 1 to 2);
  • Continuing Care Phase (Months 3 to 6);
  • Aftercare Planning (Months 7 to 12);
  • Individual and Family sessions;
  • Group sessions;
  • Parent support groups, and;
  • Drug testing

We also offer the first gender-specific extended care program, where clients can live in a therapeutically supported sober living environment during their reintegration. NeXT, which is the 1st licensed adolescent extended care facility is for teens 15-18 years of age. The program requires:

  • Parental involvement
  • A 90-day minimum length of stay
  • Day staff supervision and transportation
  • 24-hour crisis intervention

Also works in synchrony with:

  • Therapists
  • Therapeutic resources, and
  • Local educational environments

The staff at extended care facilitates an environment of respect and dignity while cultivating a sense of family and emotional safety for the clients.

Regardless of which track your adolescent and family take, Visions encourages healthy change, and an ability to adopt a more sustainable lifestyle. By supporting healthy peer interactions, implementing self-regulatory awareness, and nurturing one’s own ability for self-care, teens learn to thrive without perpetuation of dysregulatory and self-destructive behaviors.

Categories
Mental Health Recovery

Is Your Passive Aggressive Behavior Harming Your Relationships?

Passive aggressive behavior has no place in a healthy relationship. Building healthy relationships is an important building block in recovery. More often than not, relationships suffer greatly due to the negative behaviors associated with addiction and mental illness. Passive aggressive behavior is defined as a pattern of indirectly expressing frustration or anger, using things like sarcasm, avoidance, procrastination, and stubbornness. The habituated patterns of passive resistance in response to one’s responsibilities or to requests from authority figures are problematic. Passive aggressive behavior creates tension and breeds resentment.

 

These are some examples of passive aggressive behavior:

1: You don’t speak your truth. For example, someone asks for your opinion and your response is one thing, but your behavior is another: your exuberant, “I love it!” doesn’t match your disinterested approach or attitude.

2: You are duplicitous:  you feel one way but act another. For example, you show a sweet demeanor, but inside you are boiling.

3: You are a perpetual victim: everyone is doing something TO you. See #1. If you speak your truth, this victimization can cease.

4: You never give a straight answer.

5: You procrastinate and make others wait, giving endless excuses. This is your way of passively controlling a situation, but it will leave you friendless and/or unemployed.

 

Recognizing that you may be engaging in some or all of this behavior is the first step. You can change! Working on relationships and cultivating healthy interactions with others takes a firm commitment. You have to want to shift your behavior. Direct communication earns respect from others, and builds a sense of self-respect within. It makes a huge difference in the way you are perceived by others and in the way you see yourself.

Passive aggressive behavior doesn’t vanish overnight. So, while you are doing this work, try and be patient. You will have to learn to face your fears and begin saying what you mean, regardless of what others think; you will have to take responsibility for your actions and cease blaming others; you will have to shift the way you see yourself in relationship with others. You will have to become willing to be honest — all of the time.

What you have to say matters. People want to hear you, and they want to understand the way you feel. Passive aggression has no place in a healthy relationship. When you say what you mean, and mean what you say, you cultivate trust, and that, friends, is a key factor in a healthy relationship.

Categories
Mental Health Recovery Trauma Treatment

In Recovery, We Lean In to Let Go

Being in recovery from mental illness, substance abuse, alcoholism, eating disorders, behavioral issues, et cetera, require that we lean into some things that make us uncomfortable. Let me tell you, “leaning in” isn’t easy. Our brains like pleasure and revile pain. In fact, finding ourselves in rehab tells us that our habitual patterns of trying to put an elementary salve on a gushing wound weren’t working very well. It means that drinking, drugging, stealing or lying our way out of our feelings doesn’t work — at least not permanently. Frankly, none of these “solutions” ever work. Not in the long or short term.

By suggesting that we lean into our difficulties instead of leaning away, I am asking for you to embrace your courage. I am also asking you to trust in your exemplary clinical team, your support team, and in your own ability to do this difficult work while you are in treatment and beyond. Positive thinking or praying for it all to magically go away are both examples of temporary, feel-good actions that don’t provide a long-term solution. It’s wise to also recognize that the recovery process often requires legitimate, clinically supported psychological care.

Recovery is about change. It’s about shifting perspectives and learning how to redefine and revise old paradigms in order to create healthy ones. When we face our old thought patterns and old ideals, we offer ourselves the opportunity to let go. We often find ourselves able to walk through our issues not around them, recognizing that while they are present, ready and willing to make us miserable, we don’t have to take the bait. When we begin to look at our issues with some awareness and compassion, their negative influence has a chance to dissipate.

Our ability to recognize the negative for what it is allows us to invite the positive experiences and influences into our lives. In our recent blog, “How do You Stay Motivated,” I quoted Dr. Rick Hanson, Ph.D., who addresses this very thing: “The remedy is not to suppress negative experiences; when they happen, they happen. Rather, it is to foster positive experiences – and in particular, take them in so they become a permanent part of you.”

Negative experiences do not have to own us; in fact, they can be part of the landscape without being part of our foundations.  This is emblematic of recovery.

The process of recovery is not something you have to do alone. In fact, you can’t. There are support groups, clinicians, treatment facilities, therapists, et cetera, as available resources to you. Yes, there are things you may have to face and work through, but coming to an understanding that you don’t have to ride through that storm alone is a welcome relief.

Categories
Alumni Feelings Mental Health Recovery

How Can You Stay Motivated After Treatment?

It’s important to stay motivated after you leave treatment. But that’s not always as easy as it sounds

Treatment provides a protective and supportive cocoon where clients can discover, lean into and heal from their difficulties.  One discovers a broadening network of support and a plan to maintain it. Still, it isn’t always easy to stay motivated. Some clients move back to their home state, where there isn’t quite enough support or where meetings and sober options are slim.  Phone conversations are helpful, but often times, there is a need for real-time human interaction. Skype or FaceTime are viable options here.

Here are some tools to help you make a solid plan to stay motivated:

  • Know your needs. Write them down. Be specific and spare nothing.
  • Have a list of people you can call and connect with on a regular basis that not only know your goals, but also will support them wholeheartedly.
  • Understand that there will be rough days. Getting sober doesn’t mean everything becomes perfect or that you live happily ever after. This is life, after all, and that means that stuff will happen. Some days, we will handle the difficulties with grace, and some days, we may fall. It’s ok. You are human.
  • Expectations: Are they realistic? Unrealistic expectations can create more suffering then good. Thoughts like, “If I stay sober, I’ll get ____” or “If I stay sober, so and so will love me again.” Getting sober provides the opportunity for change, but positive change takes time. Addiction and untreated mental illness caused harm and restoring the good requires a commitment to affecting this positive change.
  • Remember WHY you got sober. Some experience the “pink cloud” syndrome in early recovery, where everything is all sunshine and roses, but when that pink cloud dissipates, one is left with reality, and reality sucks sometimes. Especially when everything was so “perfect” for a period of time.
  • Make an effort to remember the good. According to Rick Hanson, Ph.D., in his book Buddha’s Brain, “Your brain preferentially scans for, registers, stores, recalls, and reacts to unpleasant experiences; as we’ve said, it’s like Velcro for negative experiences and Teflon for positive ones.” He goes on to wisely say, “The remedy is not to suppress negative experiences; when they happen, they happen. Rather, it is to foster positive experiences – and in particular, take them in so they become a permanent part of you.”
  • Journal daily, or write as close to daily as you can muster. This can help you process what’s going on, experience the negative and revel in the positive.
  • Gratitude lists: I swear by these. Even in the darkest of times, there are things to be grateful for. Write them down. Sometimes, the things you are grateful for are simple and seemingly plain, but they are something. Yes, that means if on Tuesday, you are grateful for toast, and hot tea, and a shower, it’s ok. Nothing is too small, or too insignificant.

Staying motivated means that you have an inclination of enthusiasm for what you are doing. Note the good that is coming from your recovery, the positive things that have arisen and the negative ones that are beginning to move through. You cannot magically think your way out of your troubles. Feel them, name them, and give them emotional space to heal; The only way out is through.

Categories
Adolescence Communication Mindfulness Recovery Self-Care

I’m Sorry but I’m Not Sorry

“I’m sorry.” “No, really, I’m sorry.” “I’m sorry. Can you help me?” “I’m sorry. I really appreciate it.”

Is “I’m sorry,” the unconscious mantra you use when you engage with the world? For years, I said, “I’m sorry” for some of the most banal reasons:

  • To a server who brought me the wrong order;
  • To someone who had issues pronouncing my name;
  • To a person who didn’t know an answer to my question;
  • To someone for a mistake that they made;
  • For asking a question, and better yet, for asking a “stupid” question.

The list can go on and on, but the truth is, many of us have said this or continue to say this day in and day out. It’s become a conversation filler, a verbal crutch for times when we might feel uncomfortable asking for what we need…and deserve.

Perhaps this is the real issue: fear around owning our own voices and honoring our needs. Punctuating a request for help with “I’m sorry” devalues the very thing you are asking for. Are you really sorry because you need help with your homework? Are you really sorry because you need a ride to school? Maybe there is embarrassment or concern that you are being demanding or needy. And maybe someone has hammered that negative message into your subconscious enough times that it’s become part of your internal dialogue. Time to turn that tape off: It’s time to take your power back and honor your voice.

These days, I very rarely punctuate my statements with “I’m sorry,” but this shift took time.

  • First, I had to become aware that I was saying it in the first place. In early recovery, I had several people point it out to me over and over and over again. I finally heard it.
  • Second: Once I was aware of my language, I had to shift my awareness to notice when I was about to say I’m sorry. This is the time when the real internal work begins. Because every time you may want to say “I’m sorry,” you are now aware, conscious of your words and methods of communication. This is where you can stop and pause in order to truncate your phrase and remove “I’m sorry.”

This is a habit. Sure, it’s not a habit that will cause you great physical harm, but it is a negative habit nonetheless. The positive shift that occurs once this habit is broken is one of quiet empowerment. Self-esteem perks up, self-worth perks up, self-love perks up. The need for an apology should be been remanded to a time when there is really something to be sorry for: stealing, lying, cheating, hurting someone’s feelings, et cetera. It no longer has a place as the perpetual grammatical prefix in your sentence structure.

Categories
Depression Mental Health Recovery Self-Care Stress

New Study Talks About Stress and Teen Girls

Adolescents experience a lot of stress, more than we may even realize. Stress can come from the natural ups and downs at school because of academic pressure, or via social circles, or from an overwrought family system. For some kids, one thing leads to another, and they find themselves trying to process all of that at the same time. How often are these kids who are struggling in this way, boxed into the at-risk nomenclature? Naming the problem and doing something about it are very different things. Further, if we tell these kids they are at-risk, it evokes a negative connotation. These kids are, in reality, under-served and often ignored.

I teach a yoga class to tweens/teens, and I was warned that one of my new kids was a “problem.” I was told she would be a “nightmare” because she was caught smoking last year, implying that she was also a “bad” kid. I chose not to view her as a problem, or a nightmare, or bad. Instead, I approached her with compassion and kindness and boundaries. I recognized that this kid doesn’t need to be judged; she needs to be seen. She has become one of the most dedicated students in my class. She looks forward to being there. She is kind to her classmates and respectful to me, the teacher. This young lady has allowed herself to be vulnerable enough to allow the process of yoga and conscious breath to disassemble her stress–even if it’s in incremental amounts. The shift has been profound.

A new study talks about teenage girls being more prone to depression when they are exposed to a lot of stress. My class is comprised mostly of girls, most of whom share that they are under stress.  In this recent study, “Jessica Hamilton a doctoral student in the Mood and Cognition Laboratory of Lauren Alloy at Temple University hypothesized that life stressors, especially those related to adolescents’ interpersonal relationships and that adolescents themselves contribute to (such as a fight with a family member or friend), would facilitate these vulnerabilities and, ultimately, increase teens’ risk of depression.”

Researchers examined data from 382 Caucasion and African-American students in an ongoing study. Their findings corroborated Hamilton’s theory, showing increased levels of rumination, depression and emotional vulnerability. Seven months later, when they did follow-up testing, the girls showed higher levels of depressive systems than the boys did. The study also showed that the girls had been faced with more stressors than the boys had. The theory is that if boys and girls faced the same amount of stress, the results of the research would have reflected higher rates in depression regardless of sex.

Stress can be a direct result of consistently not having one’s needs met, feeling disconnected or alone, and from unmitigated change at home: divorce, job loss, violence, poverty, or chronic illness. Additionally, the new independence that comes with the teen years can also be stressful. As much as teens want to individuate, the reality that they have to suddenly do many things themselves can be overwhelming for some.

 

How can we de-stress? Try one or all of these on for size:

1: Time outs are a time in. They are an opportunity for us to reset our minds and bodies.

2: Ask for help.  You don’t have to do this alone.

3: Get some fresh air: go for a walk, or find a way to get outside!

4: Take a media time out: unplug for an hour, and dedicate that time to self-care. If you really want to challenge yourself, turn your phone off for the day!

5: Breathe: 10 deep breaths, extending the exhale each time. Do three or more cycles of this.

6: Say no. No is a complete sentence. Remember this!

Each of these tools encourages an emotional reset. They help turn that fight-or-flight response off and help your body engage its rest-and-digest system. Sometimes, we have to consciously remind our bodies to slow down, but we have to practice. Studies like the one above are a good reminder, a wake-up call, telling us that we have to slow down and process our emotions in a safe, reflective way. Teens need to know they will be ok.

Categories
Recovery

How Kindness Can Support Our Recovery

A simple act of kindness can go a long way, especially for those in recovery. No one comes to treatment because their life was in order or because they are doing well. They come here because they are suffering, because they are emotionally lost, and some might even say broken. Over time, I have chosen to shift my own perspective and ceased to use the word “broken” in reference to recovery. Instead, I use injured. I find it more akin to supporting the healing process as it facilitates a more profound perception of ourselves as we grow and change. Peter Levine, founder of Somatic Experiencing and author of “In an Unspoken Voice,” says this about trauma and healing, “Trauma is a fact of life. It does not however, have to be a life sentence.” Stepping or falling on the path of recovery, tired, injured and overwhelmed, recognizing the light representing the possibility of healing can be profound, especially as we grapple with the necessary changes required to get sober.

This is prime time for kindness.

Imagine coming into treatment terrified, not knowing what to expect, not knowing what the outcome will be. Imagine someone witnessing your feelings and sense of overwhelm, validating you and encouraging you to have your own experience. Imagine someone looking at you with kindness in his or her eyes, offering empathy rather than judgment. Imagine feeling heard and being seen in this way. These are the very things that can allow our hearts to soften just enough to let the light in.

Doing the work required in recovery requires courage. It requires that we delve into the innermost parts of ourselves with a sense of curiosity, bravery, and kindess. It’s not comfortable looking at the causative factors of why we were using drugs and alcohol in the first place. When one is in a nurturing, safe environment where healing is cultivated and encouraged by support staff and skilled clinicians, change begins to occur. Even when there is resistance!

As sobriety takes hold, and clients begin to practice being of service, kindness acts as the through line. It is through small acts of kindness that we can begin to see that we are not the only ones suffering, nor are we the only ones having the experience we are having.

There is a wonderful Buddhist story about a grieving mother named Kisa, who lost in the depth of her grief, was unable to reconcile herself with the loss of her son. She begged and pleaded for help and began to go mad in the process. She asked the Buddha for help; The Buddha told her that if she wanted to make medicine, she would need mustard seeds, but the caveat was this: she could only gather mustard seeds from a home where no one had died. Through her search, something happened to Kisa: She discovered that she was not alone in her suffering and in her grief but rather in great company. Not one home was without loss. While she came back empty handed, she found herself feeling less alone. Risa’s suffering was met with kindness, empathy and understanding. The emotional shift for her was profound; her healing could truly begin.

I like this story in relation to recovery because often times, there is a perception that our suffering is unique. We inevitably discover that our suffering is, in fact, in direct alignment with our community. Though our experiences are our own, the resulting dissatisfaction is universal. Through connection and acts of kindness and service, we can walk this path as a community seeped in healing and encouraging change.

Categories
Recovery

Why It’s Wise to Unplug From Time to Time

Let’s unplug so we can plug in.

 

The current generation of kids has been raised on Internet memes and media sensations, and they have learned to communicate via social media and texting. This makes them tech savvy, but it also makes them disconnected.  Every day that I pick three young teens up from school, I notice that the first thing they do is jump onto their phones to check their Instagram accounts.  Social media has become THE way to communicate with one another, and sites like Instagram, Vine and YouTube have opened up the world of media consumption.

As we have become more plugged in and more connected, we have ironically become disconnected. Text messaging has become a primary means of communication for many, because it’s fast, convenient, and it takes away the discomfort of confrontation. It’s become commonplace to break up with someone via text, or to ask someone out. Bad news is more often than not shared via texting or social media. I, myself, have found out about a death in the family via text, and there is something deeply impersonal and haunting receiving such a weighted message digitally. While social media is convenient, it places a keyboard and/or screen between you and the person you are attempting to communicate with. It’s easy to “unfriend” someone on Facebook or “unfollow” someone on Instagram—often times, the person in question has no idea of the “unfriending” and won’t for a while! This is surely much easier than letting someone know you are unhappy with the way your relationship has devolved.

What baffles me the most is seeing groups of kids having “conversations” but never once making eye contact with each other. Even in my car after school, the kids will talk, but all of them are ensconced in their phones.

NPR recently reported on a UCLA study that investigated the effects of screen use in 6th graders. Their findings were that kids who spend 5 days in a media free zone (aka camp), had more positive interactions with their peers, and a marked improvement in their ability to read social cues in people’s faces. I would agree that the removal of digital screens does improve social interactions and it also creates a more stable community. At Visions, we don’t allow phones in residential treatment, and as a result, a community develops. Even in our Intensive Outpatient Programs and Day School, screen time is limited — and earned.

In recovery, community is foundational. Reaching our hands out and introducing ourselves helps us stay accountable, and it lets others know we are present and part of the same thing. So perhaps we can let our screens go dark for a spell and reconnect with our communities. Make an effort to unplug and spend some quality time with your family, your community and even yourself. Check out the sky, or the clouds, walk on the beach, feel the sand in your toes and the air against your skin. It’s enlivening to do things like this and it’s innately grounding to connect with the earth, yourself and those around you. Unplugging is good for you, the community, and your recovery.

Categories
Mental Health Prevention Recovery Service Suicide Teen Activism

Visions Walks for Suicide Prevention: Staff Stories

On September 28, Didi Hirsch hosted their 16th annual Alive Walk 5k Walk/Run for Suicide Prevention. Visions had a team this year, and several staff and alumni walked in honor of suicide prevention and to raise awareness and erase the stigma of suicide. Many of us have had the misfortune of losing someone to suicide, and finding a way to honor the lives of those lost while raising awareness to prevent a similar loss is a big deal. It can be profoundly healing to be amidst those who have had similar experiences. Dr. Noelle Rodriguez, Jenny Werber, and Nick Riefner were among the staff that were there. I had the opportunity to speak to Dr. Noelle Rodriguez and Jenny Werber, and they were gracious enough to share their experiences with us:

Noelle:

“I’m so glad I participated in this 5k. I am recently grieving the loss of my dear friend who was 38, married, a father and a firefighter. He, like so many others, did not ask for help nor did he show obvious signs he was in despair.

Being a part of this while I am grieving was powerful, moving and profound. Many of the participants had a sign that read “In Memory Of” pinned to their shirts with the names of their loved ones–so many young lives gone, and gone way too soon.  We were together in solidarity. We were sharing our sadness but in no way loving the person less for how they departed. We were simply showing others there may be hope for them.

I was struck by a team that wore matching shirts that read H.O.P.E., which stood for Hold on Pain Ends. I thought about so many who have given up maybe much to soon before they realized there was a solution. We are all affected by suicide, a topic no one talks about and when they do it’s treated like the plague. I felt a sense of compassion and acceptance like I never have before. I am not angry for the loss of my friend; just sad he would not reach out for help.

While we may never stop people from committing suicide, talking about it will hopefully help someone else who may be thinking it’s their only option.

I love Marcello, I always will.”

Jenny:

“It was personal to me, as my cousin Matt committed suicide 12 years ago at the age of 26.  My Aunt and cousin (my late cousin’s mom and brother) walk each year in honor of Matt and in support of suicide prevention.  I did not know they participated in this event until this year, and a team was formed in memory of Matt, where family and friends surprised my Aunt and cousin at the race’s starting line the morning of the race.  It was a pleasure and honor to walk with them to honor Matt and support them.

I created a team for Visions staff and clients to join and participate to honor those they may have lost.  Being there with my family and also with my Visions family was extremely touching.  While you wish there was never a reason for any of us to be at such an event, I believe it is the hope for all of us there that our contributions aid to awareness and prevention for someone else and their family.”

 

This event was a wonderful way to close out Suicide Awareness Month. However, this doesn’t mean we stop talking about suicide prevention and awareness. We can always raise awareness about suicide prevention and make concerted efforts to eliminate the stigma surrounding mental health.

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