Category: Adolescence

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Addiction Adolescence Mental Health Recovery Treatment

Adolescent Residential Treatment: Visions Style

Adolescent residential treatment can seem like a daunting place to send your child, even if the situation warrants it. We know how overwhelming adolescent addiction and mental illness is to the family and friends of the person or people suffering. There is fear, anger, shame, love, fury, disappointment, numbness, and depression, among other things, which typically surface in a family affected by addiction. That’s where a safe container for healing is necessary, and it is also where adolescent residential treatment comes in.

 

Visions adolescent residential treatment is unique because we make every effort to provide individualized treatment for our clients. We understand there is no one-size-fits-all treatment for addiction and mental illness and we also are aware that no two clients are the same. For example, a client suffering from trauma will participate in an expressive dance class to encourage the trauma to exit their body. Or a surfer who looks to the ocean for spiritual growth will surf as part of their treatment plan. If someone comes into our adolescent residential treatment facility with mental-health issues or their primary addiction is gaming or love addiction, we modify our step-one packet to meet their specific needs. For example, we might take some of our clients to a local Buddhism in Recovery group  (in addition to the usual 12-step groups) where they are able to confront their addiction issues and find cohesive support in a different but safe setting. We essentially provide options above and beyond the normative curriculum in many adolescent residential treatment facilities.

 

Student-led groups are encouraged. They not only empower the clients, they teach them to walk through their fears while honoring their process of recovery. We offer art therapy with the amazing Susan “the Art Lady” O’Conner, equine therapy, music groups, nutrition counseling, and we have both eating disorder and trauma specialists available. We will do whatever we can to meet our clients needs while ensuring a solid foundation of recovery. Visions adolescent residential treatment is a safe place to begin. We have created an environment that honors the client, supports the family, and offers the greatest opportunities for adolescents and their families to heal. We know that addiction and mental health are family issues.

 

We have an absolutely phenomenal team of recovery professionals. They happen to be some of the most dedicated people I’ve ever come across. They are particularly skillful at finding the many ways to laugh in the face of adversity. The Vteam, as we so lovingly call ourselves, understands the healing capacity of laughter and the deep need to let it all go. How often does someone come into treatment barely “holding it together,” right? Another incredible asset of our team is the amount of alumni that have come back to work with us. Note, I said “with” us not “for” us. That right there is a key factor of being part of this team.  To quote Patrick, who says it beautifully, “Our staff is unmatched. We have the perfect blend of compassionate, hard working, fun-loving professionals in the Western Hemisphere.  Everyone here loves this work and it shows.” So, is adolescent residential treatment a death sentence? Nope! It’s more like a prescription to “get your life back in order.”

Categories
Addiction Adolescence Parenting Synthetic Drugs

Smiles: The Dark Side of a Joyful Symbol

Smiles, yet another designer drug to hit the US seems to be just as deadly as the other synthetic drugs we are more familiar with. According to the DEA, this drug is “a synthetic drug abused for its hallucinogenic effects,” and has “been encountered in a number of states by federal, state, and local law enforcement agencies.”  Still, the findings regarding this substance are so preliminary, all we really have to refer to are user stories on YouTube, and that’s not an ideal source. The popularity of drugs like Smiles, K2, Spice, and Bath Salts is partly due to the ease of their availability and their inexpensive price tag. They are easily purchased online, in liquor stores, and particularly in states that haven’t elicited new, prohibitive laws regarding these synthetic drugs. What’s troublesome is these drugs are typically created and recreated faster than the FDA can process requests to ban them. Often times, it’s a sudden increase in ER visits by patients suffering similarly which alerts professionals of a new drug is on the scene.

What is Smiles? 

We don’t know much, but we do know that 2C-1 aka Smiles is an amphetamine/hallucinogen whose effects have been compared to a combination of LSD and MDMA. Some even say it’s similar to PCP.  2C-1 (Smiles) was initially popular in Europe, emerging onto their party scene in 2003. Smiles is classified as aphenethylamines—essentially amphetamines but with an additional chemical compound added which change its effects. Instead of the increased heart rate and feeling of speediness so commonly associated with amphetamine use, the effect of 2c-1 is more euphoric and psychedelic, again more in line with that found in psychedelics.  Like most of these synthetic drugs,  they are commonly manufactured in illegal labs, which make it terribly difficult to regulate.

What population is using Smiles?

The same population that uses this elicit drug is the same one that uses drugs like Ecstasy, Spice, Bath Salts, K2, and other club drugs: high-school and college students and other young adults that frequent party and club settings. Like the others, Smiles is easy to get, cheap, and not always easy to detect in drug tests. Because the evolution of these synthetic drugs is so fast, parents, teachers, mental health and law enforcement professionals may be caught off guard. Awareness is going to be your best defense.

So, what can you do?

  • Be aware of your young adults’ friends and sudden changes in those social circles.
  • Do you really know where your kids go when they “hang out”? Sudden secrecy (more than the usual we expect from adolescents) should raise a red flag. Instead of approaching your concern with anger, show concern with an open heart. Try and remember how YOU felt as a teen.
  • Look into your teens’ eyes: Are the pupils dilated (huge)?  Are they pinpoints?
  • Watch for sudden changes in grades or attendance.
  • Gather information from viable, legitimate sources (NIDA, DEA)
  • Get some support for yourself: therapy, support groups, et cetera.
  • Practice self-care. It’s harder to care for others when you are not taken care of.

These drugs are serious. They are unknown in many ways, and that fact alone makes them deadly. Stay tuned; I’m sure there will be more information to follow. In the meantime, be as transparent as you can be with your kids. Chances are, if they feel emotionally safe enough to confide in you and talk to you in general, they are less likely to hide the important things and travel along a path of self-destruction.

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Adolescence Cognitive Behavioral Therapy (CBT) Dialectical Behavioral Therapy (DBT) Mental Health Recovery Spirituality Therapy Treatment

Recovery: Redefining Normal

(Photo credit: Wikipedia)

Stepping onto a path of recovery and beginning the removal of toxicity from one’s life is an arduous, often painful, but beautiful process. But I like to believe that some of our greatest lessons come from our difficulties. Those are the times that provide us with the most insight into what is actually going on with us. Take for instance your relationships with others. Is there a pattern? Have you continued to add links to an unhealthy chain be it consciously or subconsciously? Are you happy?

When there is a history of toxicity in one’s life, particularly when it’s introduced at an early age, what is considered “normal” tends to become skewed. For example, someone raised in a home with an abusive parent may inadvertently seek out relationships with similar personality types. This isn’t a conscious act but rather a direct result of being taught how to be in this world through violence (emotional, physical, visual, etc.). It feels familiar and therefore “normal” to be around toxicity. The question is, how do you break the chain? How do you make new, better choices that are healthy and nurturing?  How do you place yourself in environments that celebrate you for who you are instead of those that persistently denigrate you?

The 12 steps are a brilliant start. They allow us to begin the process of unpeeling the layers of the onion by asking us to turn our eyes inward and check out what’s going on in our minds and in our hearts. That oft-dreaded fourth step tends to help identify a pattern, particularly if we are honest with ourselves when we write it.  Personally, I’ve always liked that process because it feels like I’m stripping the layers of emotional dirt off of me. It’s uncomfortable, but it’s worth it. Frankly, it hurts like hell to look at ourselves and at our lives with a magnifying glass, but dang it, it’s liberating. You just don’t need to carry that stuff around anymore. Twelve-step work is just the start. If it were only that easy, right?

Taking a clinical approach is incredibly beneficial, especially when dealing with trauma, addiction, and mental-health issues.  Cognitive Behavioral Therapy (CBT) and Dialectical Behavioral Therapy (DBT), to name a few, are invaluable tools to help identify the psychological triggers and hooks we have embedded within us.

But you know what really seals the deal for me? Creating space for Spirituality. I can’t emphasize enough how invaluable it is to develop a spiritual practice. It is the very thing that will feed your soul. No, I’m not selling you religion or a canon of idealized thought. I am, however, urging you to find the calm in your breath, the grounding notion of having your feet planted to the earth, and the healing weight of your hand on your heart. You can break the chain of abuse. You can shut out the tapes that play in your mind, telling you you’re a piece of crap, a failure, not enough, stupid, fat, ugly, useless. You can take your power back. It takes work, but it’s worth all the sweat and tears. Trust me. Be patient. Understand that this process of recovery takes time. Nothing and no one is perfect.

I’ll leave you with this. I was involved in a series of abusive relationships growing up. I was doing the same thing, expecting different results. I eventually discovered I was continuing the pattern of emotional denigration established in my childhood and nurtured in my adolescence. When I finally smashed through that chain several years into my recovery and only after working tirelessly with a therapist, meditation, yoga, 12 steps, I was free. This doesn’t mean the trauma or triggers went away. It means I finally learned to identify them, and have garnered tools to help me respond to them differently. When I met my husband, I quickly discovered he was different. For one thing, he showed me unconditional support, which I hesitated to believe was true. It took me almost two years to accept the fact that I had, in fact, broken that chain and was capable of having relationships that were built on trust and respect. I realized I could believe someone; something this traumatized gal was never able to do. This was proof that I had redefined my “normal” and surrounded myself with a healthy, loving new family. In fact, I redefined my response to the world and its triggers, not just within my family, but also in my life. Ultimately, I took my power back. You can too.  You just have to do the work!

Categories
Adolescence Parenting Recovery

Family Dinners

“Family dinners: they’re not old-fashioned, they’re just good sense!”

I was reminded of this sentiment when I saw John Lieberman’s tweet a couple of days ago that said, “So, dinner is a good thing!” He was referring to this article, but his message reminded me that beyond the scientific studies, which dutifully illustrate the downfalls of families who don’t have regular family dinners, time together with family at mealtime is truly precious. It’s the time when the hub-bub of work/school/extracurricular activities, et cetera, can become secondary so we can plug into family connection.

When I was a kid growing up with a single mom and living a rather impoverished life, one of the most consistent things my mom did was insist we sit down together every night for dinner. While my household wasn’t short on dysfunction, the value of creating real family time at meals was paramount to my mom. It didn’t matter what the meal was, though–what mattered was the time spent together, checking in with each other. In my particular family, this regularity came to a halt during my teen years; looking back, I see how those years are a definitive time for connecting and building character; I wish there had been more “normalcy” in that regard. Still, I continue the tradition of family dinners in my own life, but my goal is to maintain the community structure beyond the formative years of early childhood and tween life so I can carry it into the confusing years of adolescence. My own experience proves to me that meal time can and should become a time of unwinding and check-ins if the environment is healthy enough.

From the scientific perspective, the positive outcome of having a regular family dinner is clearly laid out: When The National Center on Addiction and Substance Abuse at Columbia University (CASAColumbiaTM) “examined the link between the frequency of family dinners and the quality of teens’ relationships with their parents,” they discovered that “the frequency with which teens attend religious services and how much parents know about what’s going on in their children’s lives,” relates to the “likelihood of teens’ marijuana, alcohol and tobacco use.” The thing is, family dinners show potential for inclusivity. If the dynamic of a family dinner is healthy, kids will ultimately be provided a safe “container” for feeling their feelings, talking about what’s really going on, and allowing themselves to drop down into emotional safety.

While not all family dynamics are conducive to healthy family dinners, it should be noted that there is intrinsic value to forming this connectivity if circumstances allow. My son is prone to complaining and pessimism—it’s just his personality, so to help him see there is more to life than a half-empty glass and annoying school mates, we often use family dinners to go around the table and share three things that happened that day for which we are grateful. Those three statements of gratitude often spark the opportunity for conversations we wouldn’t ordinarily have, which leads to that connectivity I’m talking about.

Families in recovery are strongly urged to reignite this tradition, even if you start with one or two family dinners a week, you will see a change toward the positive. In truth,  family dinners are a wonderful addition to your toolbox for reconnection. Try it. Heck, cook together and include some team building!

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Addiction Adolescence Marijuana Recovery

Response to New Study: Marijuana Use In Adolescence

English: Areas affected by THC on the brain (Photo credit: Wikipedia)

The most recent study on marijuana has linked smoking marijuana in adolescence to a long-term drop in IQ. Marijuana, the innocent “natural” drug is often falsely viewed as being relatively harmless, and it’s sometimes even assumed to be a rite of passage in adolescence. Working in recovery, and being surrounded by recovery professionals, I can tell you the idea of harmlessness has been refuted time and time again. While the effects aren’t as overtly detrimental as amphetamine use or synthetic pot, there remains a definitive and negative effect on the developing brain in pot smokers, particularly when they start in adolescence—prime time for brain development.

According to the Proceedings of the National Academy of Sciences of the United States of America (PNAS),

“The purpose of the present study was to test the association between persistent cannabis use and neuropsychological decline and determine whether decline is concentrated among adolescent-onset cannabis users. Participants were members of the Dunedin Study, a prospective study of a birth cohort of 1,037 individuals followed from birth (1972/1973) to age 38 y. Cannabis use was ascertained in interviews at ages 18, 21, 26, 32, and 38 y. Neuropsychological testing was conducted at age 13 y, before initiation of cannabis use, and again at age 38 y, after a pattern of persistent cannabis use had developed.”

The results of this study confirmed that “long-term users of marijuana showed impairment in memory and attention that endure beyond the period of intoxication and worsen with increasing years of regular cannabis use.” (PDF) 

Marijuana effects one’s decision-making skills and judgment and negatively impacts memory and one’s ability to learn. THC, the drug found in marijuana, wreaks havoc on the brain particularly during its development period. According to NIDA Teen, “THC finds brain cells, or neurons with specific kinds of receptors called cannabinoid receptors and binds to them.” The highest concentration of cannabinoid receptors in the brain are found in the hippocampus, the cerebellum, the basil ganglia, and the cerebral cortex. These particular parts of the brain play a crucial part in the brain’s ability to learn. Negatively impacting this part of the brain, particularly while its developing, will make studying, learning new things, and remembering that which you’ve learned extraordinarily difficult. We honestly don’t need medical language to make this clear. Our Medical Director, Dr. Lewis, puts it plainly: “It’s simple…Marijuana makes you stupid.”

So, yes, this study illuminates the eminent dangers of marijuana use in adolescence and backs it up with very clean scientific data. What’s clear is this: marijuana use in adolescence is bad for your brain; marijuana use in general is bad for your brain. Debating whether or not those 8 IQ points are no big deal?  According to researchers, “For a person of average intelligence, an 8-point drop would mean ranking higher than only 29 percent of the population rather than 50 percent.”

Is a temporary high really worth this type of permanent mark on your intelligence?

 

The Study:

https://www.cmcr.ucsd.edu/images/pdfs/cannabis2.pdf

PNAS

Articles used for this blog:

The Guardian

Huffington Post

NIDA Teen

Discover Magazine – blog

 

Categories
Adolescence Education Recovery Self-Care

It’s Cool to Go Back to School: Sober

As summer fades, we begin to feel the pull of school and all that it entails. Walking into any store right now will confirm this, hook, line and sinker. Target has their entire back section stocked to the brim with back to school supplies. Seriously. It’s happening right now and we can’t avoid it. It’s time to wipe the sand from beneath our feet and get ready to rock our backpacks once again.

Often, the dilemma for those who got sober or stayed sober through the summer break is this:  How do we navigate going back to school without getting sucked into the rabbit hole of drugs and alcohol, or stress and anxiety, or all of the above? Is it even plausible to keep our old friends or is moving on safer? Will we still be hip or cool now that the crutch of a bottle or a pocket full of pills has been removed? For some, yes, it’s possible to go back into those spaces without falling down, for others, perhaps not. The answers to these questions are really contingent on the individual. Just as addiction and mental health don’t fit into a one-size-fits-all category, neither does recovery. There are definitely some suggestions that might help you find the way to your own answers and help you get back to school using a safe, sober strategy.

  • Make sure you are going to meetings. Now, more than ever, you will need the security and support of a recovery community.
  • Do you have a sponsor? If not, get one, stat. If you do have one, make sure you continue to work with him or her and continue to check in on a regular basis.
  • Ask your school advisor or counselor if there are any sober clubs or groups at your school. You are more than likely not alone in your recovery.
  • If there isn’t a sober group or club at school, start one!
  • Make new friends. Some of your old ones may, in fact, have to go. It’s for the best anyway. You are on a new path now.
  • Stay connected. There’s nothing worse than finding oneself in a situation where you feel emotionally alone and unsupported.
  • Ask for help–no matter what. It is not a sign of strength to suck it up; it’s a sign of strength to ask for help. (Took me forever to “get” this one!)
  • Get excited about school and about learning in general. You are feeding your brain, after all.
  • Make school your full-time job, in other words, give it 100% of your energy.
  • Keep your sobriety your priority and make school your driving force.

Don’t forget to have fun! Life is so much better when you have a sense of humor.

Categories
Addiction Adolescence Alumni Guest Posts Recovery

Alumni Post: What I’ve Learned About Myself in Treatment

submitted by Grayson

I have learned a lot about myself in treatment so far. I have learned that I have a lot of insecurities about myself and that was a large factor in why I was using drugs. I was using so much because I didn’t want to feel anything at all. I didn’t want to think about if people liked me or didn’t want to be around me, so I would use drugs to drown out those thoughts.

I know that a big reason why I feel like I can’t talk to people and have conversations is because I basically forgot how. I was isolated for so long and didn’t have conversations with people for such a long time that I forgot how to and what to talk about with people. But what I’m realizing now that I’ve been sober and in treatment is that it’s really not that hard to talk to people and to meet new people. I have also learned that there is a lot to like about me, which I haven’t thought of in a long time, and it feels good.

I have seen how fun life can be while being sober. I have not thought in a long time that I would go a day without using, but that has changed. I see how drugs have affected me physically. I never really thought that I looked any different because of drugs or while I’m on drugs. But I can now see how much of an effect it had on me physically. Since the day I got here, my face has changed a lot. I see the picture they took of me on my first day, and I look so much healthier now that I’m sober. Also my attitude has changed a lot since I’ve been sober. I think much more highly of myself, my ability to talk to others, my ability to talk in front of groups, and the way I look at myself. I do not plan to ever use drugs again in my life. I have realized that I have such a strong addictive personality, and when I use once I won’t stop.

This place has had a great impact on my life and the way I look at life. I have realized that life can be an awesome experience when sober, much better than when using. I want to continue the way I think about myself and my outlook on life.

 

Categories
Addiction Adolescence Substance Abuse

Adolescent Substance Abuse Rises the Summer, According to Study

Adolescent substance abuse tends to rise in the summer months of June and July. Notably, this period correlates with a time where adolescents have more idle hours, less parental supervision, and looser schedules with less responsibility. Summertime, has always been that time of teen freedom. Unfortunately, it also is prime time for experimentation and adolescent substance abuse.

According to a report recently released by the Substance Abuse and Mental Health Services Administration (SAMHSA), “approximately 11,000 adolescents use alcohol for the first time, 5,000 try their first cigarette, and 4,500 begin using marijuana” during the months of June and July. Yes, this is surely problematic, but it’s also a call for ardent preventative measures. Adolescent substance abuse isn’t a rite of passage; it’s an emblematic symbol of the frightening difficulties facing our teens. The substance abuse conversation needs to happen year round, not as a one-time discussion, but as an ongoing dialogue between parents and their burgeoning teens.

The media has a multitude of public service announcements (PSAs), which target adolescent substance abuse. In particular, this study suggests increasing the frequency of these PSAs during the summer months in hopes of increasing awareness. In areas where there is limited access to preventative measures, however, the study suggests communities create “attractive alternatives” to alcohol and substance abuse, inspiring curious adolescents to move in a safer direction. Some of these alternatives could include community events or youth activities that encourage sober fun. It’s definitely possible to combat adolescent substance abuse in a non-preachy and informative way. The biggest challenge might be grabbing the interest of teens, who tend to steer away from any adult-led suggestions of fun, engaging entertainment.

We have the facts: adolescent substance abuse is up in the summer.  What are we, as parents, educators, and mental-health professionals going to do about it? For starters, we’re going to do our darndest to create safe, open spaces for our kids to talk to us. We are going to leave our hearts and minds open to having a consistent, transparent dialogue with our adolescents. It’s not easy; frankly, it’s one of the toughest things to do, but this is prime time to be present for our kids. They need us more than ever during this period of their lives, even though they may tell you otherwise.

If you are a parent, friend, or relative of a teen struggling with adolescent substance abuse, there is help. Don’t hesitate to reach out if you need to–you are not alone.

Categories
Adolescence Holidays Recovery

Sober Fun for Adolescents in Recovery

(Photo credit: Wikipedia)

What’s this? The 4th of July lands on a Wednesday? This might mean less opportunity for teen substance abuse or experimentation, or it might mean a murky Thursday morning. I’m hoping for the former. This got me thinking. At our outpatient treatment facility, one of the groups we hold for our adolescents in recovery includes “sober fun” as a way to get our teens to embrace the idea of having fun in recovery. We all know one of the scariest things about getting sober as an adolescent is the fear of being alienated socially by friends.  Most of the time, the activities that used to be exciting and fun are unsafe in sobriety—drinking and using can’t be used as a social buffer anymore. Recovery is a lifestyle change: both inside and outside of the body.

Why not make the 4th of July chock full of sober fun? It’s a great way to get pre-teens and teens out of their adolescent comfort zone and into a setting of silliness. The options are truly limitless. Sometimes sober fun happens organically, with impromptu dance parties, or  bouts of charades. Not to mention, there are always the organized activities that are far more fun sober than loaded, like bowling, mini golf, or paint ball. The idea is to get comfortable in our skin so we can let loose without chemical aid. Life is fun. It is full of wonderful surprises, why not experience them in a way you can remember later?

Over the years, I’ve had far more fun sober than I ever had using. Being in recovery empowers us to be present. We become engaged with our lives and in our friendships, which ultimately means we can enjoy our experiences tenfold. One of the best gifts of being a young adult in recovery is this: learning to live in the solution before we get stuck undoing decades of bad habits.

Have a wonderful, safe, and colorful Fourth of July. More than anything, have limitless fun and laugh like you mean it.

Categories
Adolescence Communication Prevention Safety

Teens: For Your Safety, Don’t Text and Drive

(Photo credit: Wikipedia)

“Don’t text and drive!” Your parents say it, your teachers say it, the billboards say it, and even some of your friends say it. But you still do it. I’d ask why, but there’s really no logical explanation for it. I’d be lying if I told you I didn’t occasionally participate in texting and driving, even though I know it’s dangerous. It’s not a good idea—for any of us. Nothing is so important it can’t wait until you can pull over or until you reach your destination. The fines alone for texting and driving should be enough of a deterrent, right?!

U.S. government research shows “more teen drivers are buckling up and not driving drunk than in years past,” but texting and driving is “posing a new threat.” In fact, according to a research team from the U.S. Centers for Disease Control (CDC), “One in three high school students said they had texted or emailed while driving during the past month.” While the decline in drunk driving incidents and the increase in buckle-ups is wonderful news, the texting issue is a deadly problem.

Texting is the primary means of communication for teens: Teens typically send upwards of 100 texts a day. I’ve seen teenagers text each other in the same room! It’s clear that there’s a whole world of communication happening via technology, some good, and in the case of texting and driving, some deadly.  According to Amanda Lenhart, a senior researcher at the Pew Research Center in Washington, “A lot of teens say ‘Well, if the car’s not moving and I’m at a stoplight or I’m stuck in traffic, that’s OK.'” Lenhart goes on to say, “Other teens acknowledge they know it’s not safe, but think it is safer if they hold the phone up so they can see the road and text at the same time.” Neither one of these practices is safe.

It’s hopeful that this current generation of teens is exhibiting safer driving behaviors. There are less incidents of drunk driving (from 17% in 1997 to 8% in 2011) and a 44% drop in car crashes amongst teens. This says a lot about kids making healthier choices. I’m hoping to see a positive shift in the choice to text and drive. This is a fad that really needs a short shelf-life.

 

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