Category: Recovery

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Addiction Alcoholism Recovery Spirituality

I’m Powerless, Are You?

Image via Wikipedia

When I think of the phrase “I’m an alcoholic,” I often think of Popeye and the fervency behind his frequently uttered catchphrase: “I yam what I yam.”  When admitting to being an alcoholic, you’re taking the first step towards admission of powerlessness. It implies an understanding that in claiming that label, one is willing to look at the mind-body connection to their drinking and using. According to the 12 and 12, “Admission of powerlessness is the first step in liberation.” It is the way those of us in 12-step recovery begin to build the foundation on which our sobriety will steady itself; it is “the firm bedrock upon which happy and purposeful lives may be built.

I recently had an opportunity to do a workshop on addiction and pain with a Tibetan nun by the name of Chonyi Taylor. It proved to be a fascinating experience, particularly since there is a burgeoning movement to blend Buddhism with recovery. One of the things that really resonated with me during this workshop was the perspective she shared regarding addiction being a habit.  Chonyi said, “Addiction is a mental habit in which there is no conscious control, which gives short-term pleasure and long-term harm.” Being able to look at my own addiction patterns as habits, and discovering that I can systematically break them by admitting powerlessness and renunciation, is incredibly helpful. Because, frankly, as addicts and alcoholics, we have terrible tendency toward getting stuck, reacting and responding to our triggers the same way over and over again. In essence, we have developed habits. We repeatedly meet negative experiences with the desire to get drunk or high. When we get sober, sometimes the habit of seeking numbing pleasure continues, often presenting as promiscuity, gambling, eating irresponsibly, et cetera. By admitting we’re powerless and that our lives are unmanageable, we are given our first opportunity to free ourselves from our negative, addictive, habitual behaviors.

No matter how you look at it, the message is this: we are required to admit powerlessness, renounce negative behavior(s), write moral inventories, and develop a spiritual path paved with honesty and service work. I’d rather have the opportunity deconstruct bad habits so I can build new, healthy ones, wouldn’t you?

Categories
Alcoholism Mental Health Recovery Treatment

Wet House, Wet Drunk

What do they do with the hopeless, late-stage alcoholics in Minnesota? They sometimes send them to the St. Anthony Residence, which is one of five “wet-houses” in the Twin Cities area. Wet houses are residential facilities where sobriety and recovery aren’t expected. They use a “harm-reduction” model, which employs a set of strategies meant to reduce the negative effects of alcohol (homelessness, panhandling, jail, etc.). These wet houses also provide shelter, meals, and medical attention for late-stage alcoholics. Often, their modality of thought is, “It’s safer and cheaper to have these guys drinking in a controlled environment than out on the cold Minnesota streets.”  And expense certainly does motivate:  Rather than the state spending inordinate amounts of money on jails, detox, et cetera, they now share the $18,000 per year costs for room and board with Catholic Charities. Residents receive $89 a month for expenses (most of which is spent on alcohol). This is a clear savings for the state. In fact, research done regarding a similar program in Seattle and published in the American Medical Association in 2009, showed striking savings in their public spending:

“The year prior to the opening of the wet house, its 95 participants had cost the government nearly $8.2 million in policing, jail, detox and other medical spending, an average of $4,066 per person per month. But after moving into the wet house, costs were reduced to $1,492 per person monthly after six months, and to $958 after 12 months.”

Still, according to Bill Hockenberger, a recovering alcoholic who manages St. Anthony’s, three to five percent of the residents stop drinking. But I wonder if cost is really a good reason to give up on the 12-step model that has been clearly shown to work.

As I watched these interviews with some of these men today, I was struck by the textbook depiction of their addiction to alcohol. Deluded into thinking that all they’ll ever be is an alcoholic, they’ve literally thrown in the towel and succumbed to the disease. One resident says, “There’s no hope for a scoundrel like me.” Their descriptions of drinking and their corresponding alcoholism mirror the way it’s described in the “Doctor’s Opinion”: “The sensation is so elusive that, while they admit it is injurious, they cannot after a time differentiate the true from the false. To them, their alcoholic life seems the only normal one.” Many of these men were homeless and had been in and out of detox facilities and treatment centers–all resulting in relapse. Their “failure” at sobriety ultimately led them to their residency in a wet-house either via county recommendation or by a self-appointed application. Residing in a wet house may mean retaining the last shred of one’s dignity, and it also may represent the end of the line for the hopeless and often-times dying: the “unfortunates” as the Big Book describes them, those “constitutionally incapable of being honest with themselves.”

St. Anthony’s takes men who would otherwise be homeless and panhandling and provides them with a safe place to lay their heads…and to drink. Perhaps placing an active, low-bottom drunk in an environment which actively shows them what drinking does will bring about an awareness of the disease. There are certainly those who stay in these wet houses and choose not to drink. In fact, some even get sober and leave, though I believe those to be in the minority. Even though counseling is made available, and drinking is only allowed in one area, I’m just not convinced that sobriety is attainable when recovery is looked upon with such complacency.  Just because the alcoholic is hopeless doesn’t mean we have to become hopeless in our approach.

Related articles:

A safe place to drink, or just giving up? (cnn.com)

You Are Here: The ‘Wet House’ Where Alcoholics Can Keep Drinking (nytimes.com)

At St. Paul ‘wet house,’ liquor can be their life – and death (twincities.com)

‘Wet Houses’: Letting Alcoholics Drink, with Surprising Results (healthland.time.com)

 

Categories
Feelings Recovery

From Anger to Compassion

“Anger is like a hot stone. When you pick it up to hold or throw at someone, you get burned.”Ancient Proverb

Anger is an emotion most often legitimized by righteousness: anger at our assailant, anger at the hit-and-run driver, anger at our victimization, anger at our addiction. Justifiable anger certainly makes sense in some ways, but when we begin to examine our anger from a neutral position, finally seeing its source, our perceptions begin to change.  Working with anger has been a key part of my own recovery. Anger would consume me when I was a teen, and it continued to do so well into my early sobriety. At that time, the justification felt authentic. I responded to most things by getting angry: Scared? Anger. Stressed? Anger. You can see where I’m going with this. Like drugs and alcohol, the anger stopped working. It was one more thing I was addicted to. I liked my justification.

I’ve learned that anger is fear’s way of not showing its wide-eyed terror; it’s hurt’s way of shielding a broken heart and hurt feelings; it’s loneliness trying to appear courageous. Anger, despite its deeply embedded hooks, is merely a mask. In reality, it is a secondary emotion. Granted, everyone gets angry, however, what we choose to do with our anger will ultimately choose its outcome.  Because anger exhibits itself in our body’s “fight or flight” response, employing some self-awareness can be especially helpful.  For example, pay attention to your body’s physical reactions. You can ask yourself questions like: What’s happening with my breathing—is it faster? Is it shallow?  Is my stomach tight?  Am I afraid?  Stopping when the anger starts allows us to take care of the anger. It allows our anger the space it needs to dissipate, rather than being fed by the fires of our reactions. Buddhism suggests we observe our anger and send it compassion. In fact, they say compassion is the antidote to anger, which is a wonderful way of addressing anger. I rather like what Lama Surya Das has to say:

“I believe that anger is just an emotion. We needn’t be afraid of it or judge it too harshly. Emotions occur quickly; moods linger longer. These temporary states of mind are conditioned, and therefore can be reconditioned. Through self-discipline and practice, negativity can be transformed into positivity and freedom and self-mastery achieved.”

The truth is, feeding the fuel of anger only breeds more anger. Learning how to sit with the uncomfortable sensations that come with rage teaches us that those intense emotions will pass. It provides us with an opportunity to transform an emotion that has the potential of destroying us.

Here’s a story typically attributed to a Native American elder which explains this better than I ever could:

A grandfather imparting a life lesson to his grandson tells him, ‘I have two wolves fighting in my heart. One wolf is vengeful, fearful, envious, resentful, deceitful. The other wolf is loving, compassionate, generous, truthful, and serene.’ The grandson asks which wolf will win the fight. The grandfather answers, ‘The one I feed.’”

Which emotion will you feed?

Categories
Addiction Alcoholism Recovery Spirituality

I’ll Take my Anonymity, With a Side of Humility

A recent NY Times article written by David Colman triggered a firestorm of responses by “challenging the second A in AA.” In fact, he disregards his own anonymity by beginning his own piece with, “I’m Dave, and I’m an alcoholic.” Colman says, “More and more, anonymity is seeming like an anachronistic vestige of the Great Depression, when A.A. got its start and when alcoholism was seen as not just a weakness but a disgrace.” He also brings up the vast range of celebrities who’ve used their recovery stories as fodder for books or albums, clearly stating their involvement in 12-step programs, and as a result, violating the 11th Tradition, which states, “Our public relations policy is based on attraction rather than promotion; we need always maintain personal anonymity at the level of press, radio and films.”

Now, in the early days, being an alcoholic was certainly heavily stigmatized, and admission to being an alcoholic was tantamount to social death. Alcoholism was often aligned with humiliation and shame, and public disclosure of your newfound life wasn’t always met with acceptance. In fact, anonymity was key to their survival in the public sector. Without it, many risked losing their jobs and destroying their reputation.

Colman is right when he talks about our awareness of alcoholism being much different today than it was 75 years ago when the recovery industry wasn’t even a glimmer on the horizon. At that time, Alcoholics Anonymous was merely a blip on the undercover radar. It was an opportunity for the desperate and demoralized to find shelter from the shame and indecency brought about by their alcoholism. Frankly, that’s still the case, albeit much larger and much more accessible. There is something interminably safe about not having to be anyone or anything other than your first name. When I was getting sober many moons ago, I remember sitting in meetings amongst a celebrity or two. I’ll tell you what, it’s not the movie stars and musicians we admire sitting in those cold, folding chairs. Instead, they’re just some guy or gal trying to stay sober, one day at a time. Anonymity is what’s allowed them to do that, not public disclosure.

And let’s not forget the 12th tradition, which reminds us that anonymity is our spiritual foundation:

“Anonymity is the spiritual foundation of all our Traditions, ever reminding us to place principles before personalities.”

You know what that means? It means not using our recovery for profit. It means that our spiritual life depends upon that. It means that when our egos get involved, we are prone to come crashing down in a fiery blaze. Disclosure is often food for the ego, which will, in time, hinder our spiritual progress. Sobriety isn’t guaranteed:  Do you want to announce your relapse as publicly as you did your recovery? Most don’t. In fact, the more public you are in your sobriety, the more terrifying it is to come back. I’ve seen it too many times.

Regardless of the deluge of articles suggesting the removal of anonymity, I still believe it has extraordinary value. And while I may eradicate my personal anonymity in personal conversations or within these blogs, I do prefer its maintenance more often than not. I see how damaging it can be to AA when someone like Charlie Sheen gets up and spews venom our way. I see how damaging it is when Britney Spears or Lindsay Lohan makes their struggles with addiction public. Some of us just want to stay sober without the glitz and the glam. I don’t know about you, but my using days weren’t glamorous. Why should my sobriety be?

Related articles:

Challenging the Second “A” in A.A. (nytimes.com)

Should Alcoholics Have to Stay Anonymous? (healthland.time.com)

Can AA survive our tell-all era? (salon.com)

Categories
Addiction Feelings Mental Health Mindfulness Recovery Self-Care Spirituality

Resiliance

Resilience: That’s something an addict/alcoholic discovers in their back pocket when they overcome a difficult situation. It’s the ability to bounce back after the multitude of knocks we’re sure to get just by being alive.

In the using days, problems often seemed unsurmountable, so the only way to “deal with it” was to drink or use. In sobriety, that’s no longer an option. Instead, we sometimes try to “deal with it” by shopping, gambling, sex, video games, food, exercise, you name it. In the end, those behaviors don’t really correct the problem.

Sobriety presents us with an opportunity to learn how to live without the crutches of drugs and alcohol. Instead of infusing ineffective “solutions” to mounting troubles, we now have a toolbox equipped with the 12 steps. One by one, step by step, viable solutions will unfold. Before we know it, the hard work pays off, and our proverbial tool box gets filled with a variety of options. Mine has, anyway.

When I come across an aversive situation, I now have choices. I start with the foundation: the 12 steps, remembering I can approach difficulty one breath at time if need be. Or I might  engage the tools of a meditation practice, asking myself, “Am I breathing?”  Try it. You might even discover that you’ve been holding your breath!  Other times, I might engage the tools garnered from my yoga practice, asking myself,  “Am I present?” The majority of the time, however, it’s a combination of all three, allowing me to season my responses/reactions accordingly.

Recovery teaches us to face adversity with an open heart and a present state of mind. It teaches us that our previous acts of avoidance merely created a diversion to feeling better. The wreckage of our past proves when we walk around the issue, the solution feels and often is unattainable.  Here, in sobriety, we learn to “uncover, discover, and discard,” rather than to “run, hide, and duck for cover.”  So, if/when you find yourself faced with adversity, ask yourself this: “Is my reaction helpful or harmful?” If nothing else, you’ve provided yourself with a break and an opportunity to do the right thing.

Related articles:

Kevin Griffin: A Buddhist Approach to Recovery: Step Four — Searching and Fearless (huffingtonpost.com)

Categories
Body Image Eating Disorders Mental Health Recovery Therapy

Starving at 8

image © sarit photography

I know an 8-year-old who’s been known to choose an outfit specifically because it makes her “look thin.” This same 8-year-old often doesn’t finish meals because she thinks she’s fat. She’s the same 8-year-old that has begun to develop food rituals, often leaving the table with a reorganized plate full of uneaten food. Simply put, she already has an irrational fear of getting fat.
It’s hard being a girl. It’s hard to find a way to look at your unique self without comparing it with images of Barbie or Bratz. It’s hard to accept that  the beauty standard set by Cinderella or Sleeping Beauty isn’t actually real. But children, whose minds are filled with wonderful imagination and fantasy, aren’t going to cognitively recognize images that are potentially harmful. Instead, many will attempt to achieve the pink, thin, fluffiness of a Disney princess, or the skinny sass of a Bratz doll. Often times, even when parents are encouraging a healthy body image, the education on the school yard has a dramatically different lesson plan than the one from home. I’ve overheard conversations on the school yard that have made me pause – -it’s clear that body-image issues are in abundance and the pressure to look thin and svelte is invasive and intense.

So what can parents do? Start with eliminating the shame game. This might mean letting your daughter dump that maple syrup on her pancakes or having a cupcake at a birthday party. It’s a treat, not a vehicle for punishment!  Encourage healthy eating, but can you do it with compassion rather than the mallet of criticism?  Eliminate “fat talk”: your kids don’t need to hear it and frankly, it’s not good for you either. Stop trying to control what those around you eat. It’s not your job!  I’ve seen dads controlling the food intake of their wives and daughters to the point of devastating eating disorders (my dad was one!); and I’ve seen moms spewing “fat talk” or signing up for any and every diet fad while their daughters learn to eat in secret or restrict because they’re terrified of the incendiary reaction of their parental food monitors. These behaviors certainly don’t encourage self-love. If anything, they sow the seeds of self-destruction.

If you’re worried that your son or daughter might be developing an eating disorder (note: boys are not immune to this!), look out for some of these signs.

(Please note, certain behaviors are warning signs, but in combination and over time, they can become quite serious):

Behaviors specific to anorexia:

  • Major weight loss (weighs 85% of normal weight for height or less)
  • Skips meals, always has an excuse for not eating (ill, just ate with a friend, stressed-out, not hungry).
  • Refuses to eat in front of others
  • Selects only low fat items with low nutrient levels, such as lettuce, tomatoes, and sprouts.
  • Reads food labels religiously; worried about calories and fat grams in foods.
  • Eats very small portions of foods
  • Becomes revolted by former favorite foods, such as desserts, red meats, potatoes
  • May help with meal shopping and preparation, but doesn’t eat with family
  • Eats in ritualistic ways, such as cutting food into small pieces or pushing food around plate
  • Lies about how much food was eaten
  • Has fears about weight gain and obesity, obsesses about clothing size. Complains about being fat, when in truth it is not so
  • Inspects image in mirror frequently, weighs self frequently
  • Exercises excessively and compulsively
  • May wear baggy clothing or many layers of clothing to hide weight loss and to stay warm
  • May become moody and irritable or have trouble concentrating. Denies that anything is wrong
  • May harm self with cutting or burning
  • Evidence of discarded packaging for diet pills, laxatives, or diuretics (water pills)
  • Stops menstruating
  • Has dry skin and hair, may have a growth of fine hair over body
  • May faint or feel dizzy frequently

Behaviors specific to bulimia

  • Preoccupation or anxiety about weight and shape
  • Disappearance of large quantities of food
  • Excuses self to go to the bathroom immediately after meals
  • Evidence of discarded packaging for laxatives, diuretics, enemas
  • May exercise compulsively
  • May skip meals at times
  • Teeth may develop cavities or enamel erosion
  • Broken blood vessels in the eyes from self-induced vomiting
  • Swollen salivary glands (swelling under the chin)
  • Calluses across the joints of the fingers from self-induced vomiting
  • May be evidence of alcohol or drug abuse, including steroid use
  • Possible self-harm behaviors, including cutting and burning

If you notice even one of these, it’s time to address it. Talk to your daughter or son, talk to your doctor. If necessary, elicit the help of a treatment facility. In other words: Get help. Showing our kids that we care and are willing to stop our own negative behaviors in order to help them is invaluable. It’s a family problem, not an individual one.

Some helpful links:

NEDA
WebMD
Voice in Recovery
Peggy Orenstein
maudsleyparents.org
Also, check out “Brave Girl Eating: A Family’s Struggle With Anorexia” By Harriet Brown

Categories
Addiction Alcoholism Recovery Self-Care

Love and Boundaries

What happens when someone you love relapses and decides not to get sober again?
Regardless of whether that person is a parent or a close friend, it’s a challenge, to say the least. In AA, we are told  “we simply do not stop drinking so long as we place dependence upon other people ahead of dependence on a higher power¹” This statement alone verifies the need to allay one’s reliance upon the static nature of the sick, and instead turn the focus on paving a new path toward healing.

In 1951, Al-Anon began using the steps, giving those married to and reared by the alcoholic, tools with which they could live by. One thing is key: Al-Anon and Alateen don’t focus or talk about the alcoholic; they instead focus on themselves and learn how they can lead a happier, freer life. Here, the lesson is not to fix the person we love, but rather how to live life fully and independent of their disease. That’s tough, especially when  our expectations have taken hold: “If only they get sober, then everything will be okay.” or  “I’m not the one with the problem, they are.” But when we place our focus on fixing someone else’s problems, obsess over their emotional health, and base our lives around their well-being, that IS a problem.

Alateen is a wonderful support for kids struggling with alcoholic/addict parents or siblings. When chaos is the norm, then Alateen provides tools for weathering the storm. As kids living with alcoholics and addicts know, reaffirming reality in their day-to-day lives is the norm; the steps and fellowship: however, help provide a healthy, non-threatening way to do that. At some point, we find that part of supporting someone else’s sobriety means allowing them to walk their own path, no matter how rocky that path may be. We can’t walk it for them. If that means that their sobriety is tenuous at best, then we have to learn how to step aside. I call it loving someone with boundaries. In other words, we can love you when you’re in your disease, but we won’t hold you up.

¹ BB Page 98 (Note: “God” was replaced with “higher power” in the post.)

 

Categories
Addiction Alcohol Alcoholism Holidays Mental Health Recovery

New Beginnings

Image via Wikipedia

It’s Passover, and you know what that means? It’s that time of year where it’s customary to drink four glasses of wine through dinner as part of the Passover story! It means giant family gatherings, with the myriad of wacky personalities. It also may mean some anxiety for the newcomer (or even someone with time, you never know!) For some, it’s this Passover week, for others, it might be the upcoming Easter Sunday. Either way, self-care is key. Ask for help if you need it, and have an exit plan–better to have one and not need it than to need it and not have it!

This particular holiday reminds me of my early introduction to alcohol. My family didn’t drink that often; holidays were the exception. Still, I have distinct memories of sitting at the family Passover table, with my thimble full of Manischewitz wine, thinking I was the coolest kid in the world. I remember the warmth in my belly, and the slight fuzz in my head (I would get sneaky and steal sips from other folk’s glasses). I remember thinking I was a part of the adult world, and a real part of my family. It was a childhood delusion, of course, but the memory stuck.

Wine has deep roots in some religions, for example, in Christianity it represents the blood of Christ, and in Judaism, the fruit of the vine. It’s an accepted, expected, ritualistic piece of the religious meal. But as we get sober and learn to participate in the rituals of our varying cultures, we must learn to make adjustments. No one wants to see you drunkenly opening the door for Elijah! We drink grape juice instead of wine, and we learn to adapt the rituals and meals to our sober, clean lives.

Passover is about freedom from slavery and tyranny; and like Easter, it’s reflective of Spring and new beginnings. What apropos likeness to our recovery! Here, we are offered an opportunity to begin to view our sobriety as freedom from the tyranny of drugs and alcohol. Our recovery is our new beginning and our new life. Remember what Chuck C. said: “You cannot think your way into a new way of acting, but you can act your way into a new way of thinking.” Have a safe, sober, and joyous holiday week.

Categories
Addiction Recovery

Service and Recovery With Heart

As I live-tweeted Intervention last night and watched the undoing of a young lady who’d experienced excessive trauma and abandonment, resulting in drug abuse, prostitution and suicidal ideation, it got me thinking. A lot. When someone is struggling with what seems like untenable, almost Sisyphean circumstances, how do you break the barrier so they can get help? My experience with sobriety and recovery from my own trauma has shown me the mind’s utterly powerful ability to protect itself. We build walls, compartmentalize, push people away by means of anger and aggression, we isolate, act like we can “handle it,” et cetera, yet when we’re alone, we tend to crumble: we get high, we cut, we starve ourselves, we overeat, we act out sexually. It never makes the pain go away.

Image via Wikipedia

Getting sober is the the doorway into healing and positive change. It’s an opportunity to look inward and make space for restoration to occur. As I watched this young lady on Intervention come undone, I watched her family react in anger and panic. This young mother reminded me of a scared, trapped animal backed into a corner. While I’m not a therapist, or even an interventionist for that matter, I am someone with over 17 years of recovery and some significant experience in dealing with trauma. Watching that show last night reminded me how much significance there is to bringing heart into what we do in sobriety as we approach the wounded. The inherent value of heart is immeasurable.
So many of us come into the rooms of recovery with those old, mental tapes playing “It’s all your fault” on a vicious loop. One of the the toughest things I’ve had to do is learn to re-record this tape. It’s possible, it just takes a lot of time and willingness to be uncomfortable. As the Buddhists say, everything is impermanent. Yes, even that lousy feeling in the pit of your stomach or the craving for drugs and alcohol. It passes. If we’re willing to allow it.

Categories
Anxiety Depression Mental Health Recovery Self-Harm

Cutting: Beyond YouTube

Cutting is back in the spotlight after a study by TheJournal of the American Academy of Pediatrics brought attention to the high numbers of YouTube videos showing teens and young adults exhibiting self-harming behaviors. By simply typing “self-harm” and “self-injury” into YouTube’s search engine, Dr. Steven P. Lewis, et al, discovered numerousvideos showing various levels of self-harming behavior.After extensive review and documentation, these were the findings:

“The top 100 videos analyzed were viewed over 2 million times, and most (80%) were accessible to a general audience. Viewers rated the videos positively (M = 4.61; SD: 0.61 out of 5.0) and selected videos as a favorite over 12 000 times. The videos’ tones were largely factual or educational (53%) or melancholic (51%). Explicit imagery of self-injury was common. Specifically, 90% of noncharacter videos had nonsuicidal self-injury photographs, whereas 28% of character videos had in-action nonsuicidal self-injury. For both, cutting was the most common method. Many videos (58%) do not warn about this content.”

Researchers worry that these videos might lead to a normative view of cutting and self-harming. As one who self-harmed for years (even into my sobriety), my concern isn’t whether or not this will be viewed as normal, but rather, is anyone taking action and listening to this loud cry for help?
It’s not fun to self-harm. It isn’t a source of pride. It’s not something you share with those around you. It’s not something you do to feel “a part of” or to be “cool.” For me, it was something I did to actually feel because I was so numbed out. In the flash of the adrenaline rush, I felt alive and present when I self-harmed. I felt like it was the only way to feel “real” in my otherwise surreal life. I also felt immediate and devastating shame. It was scary. It was embarrassing. Having to explain abhorent injuries to the curious when the perpetrator is you is nightmarish.
Getting help took an act of bravery on my part. I had to tell someone. I had to talk about it…openly. I had to face my shame and fear so I could transform it into something positive. I had to do some deep, spiritual work in order to learn how to turn self-harm into self-care. I continue to do this work, so I can  revel in self-care and be of service to others. I had to build a fellowship of support that would be there if I slipped back. I empathize for the kids on YouTube. I hope someone reaches out the hand of recovery and lets them know they don’t have to hurt like that anymore.

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