Monthly Archives: March 2012

Therapy & Psych Meds in Recovery

Posted on by

In the early years of my recovery, a lot of my friends tested positive for HIV and the AIDS virus. I went along with all the lifestyle changes to support them. Overnight we became non-smoking, macrobiotic, vegan, aerobic-class enthusiasts reading A Course in Miracles and quoting Marianne Williamson. Considering we’d all been art-damaged, punk rock-nurtured criminals and sex-working gay & straight IV drug users, throwing ourselves enthusiastically into every possible holistic and spiritual way to heal ourselves expressed our collective desire to live. And we never missed an opportunity to laugh at ourselves. Some of our adventures in spirituality-seeking bordered on the ridiculous but we needed more miracles – the first miracle being that the desire to use drugs had left us.

Years passed, we accumulated clean time, and life-saving HIV cocktails became available. The miracle had happened. Without the threat of impending death motivating lifestyle change, some people started picking up and putting down cigarettes again, ordering steak, going from sex-abstinent to sex-abundant, opting out of cardio for yoga. Over time, we exited the self-help route and found therapy.

In recovery we continue striving to enrich our lives, our relationships with others and most importantly, our relationship with ourselves. I encourage people to seek professional help whenever needed. However, Rome wasn’t built in a day. For many addicts, learning how to live with our feelings must come before we are ready to dig deeper. We do this by staying clean, building a foundation, and gaining courage by living life on life’s terms. For others, staying clean would not be possible without healing the wounds of trauma with a professional early on. Wherever you fit in this spectrum, the combination of listening to your heart and the suggestions of those with more experience will be your guide.

Therapy is a commitment to show up and be honest so it is important that you find a therapist who is a good fit. This can be done with a little research and interviewing. You can often get names of therapists from various centers connected to organizations dealing with GLBT, Women’s Services, victims of violence or sexual abuse, sex workers, runaways etc. You can Google “therapist, your location and whatever specific issues that may concern you” and see what comes up. You can ask your doctor, ask friends about their therapists. Once you begin seeking, names will come. You can find sliding scale often connected with larger university mental health facilities, some therapists take insurance and others are cash only. Prepare questions for the first meeting – it’s okay to ask them about themselves and their practice. You will intuitively know who you feel safe with. Remember, you are building a new relationship so don’t expect an instant fix. It takes time for many of us to build trust before we are able to be thoroughly honest. This is not surgery. Healing happens over time. Therapy is really a case of “more will be revealed”. The willingness to begin is all you need to start the ball rolling toward change.

People often ask “Was it worth it?” and want to know what I got out of the experience. Often during therapy I’d be asking myself the same question. I tackled many different issues according to what was happening in my life, how I was handling situations, and feelings. For example, nothing ever seemed to get me angry yet I would cross a line (usually because I felt I wasn’t being heard) and literally see red and start swinging. I knew this was strange and wanted to know how to have a different experience. That was one reason I sought help. In retrospect, what I have gained from therapy is that I now experience my feelings as they come up. I don’t intellectualize them and I don’t check out. This has enabled me to live fully in my body and be present in the moment in my life.This had not been the case for most of my life. I numbed out feelings that either were painful or scary first with drugs and then clean with escapist behaviors. These days I wouldn’t even know where the switch was to flip it to the “off” position if I wanted to. I believe this change is definitely the key to the contentment I feel most days.

I’m going to talk for a moment about medication. Personally, I’m not against meds in recovery. I do not believe we have to suffer to prove our willingness to be clean. I also know addicts have a history of preferring a pill to hard work, that we are self-deceptive and very skilled at deceiving others. So this is my own personal philosophy on the matter. I was offered anti-depressants a number of times by my therapist. It  is her job to offer solutions – and medication is a solution. I decided to exercise, meditate and get fresh air to see if it helped first. I also pinpointed things in my life I could change (people, places, jobs) that were bringing me pain. I did the work and felt better. The depression lifted without medication. If you do not try alternative methods first, my guess is you want a pill to fix it. Now there are people who will not find relief from depression or anxiety no matter what holistic avenues they take or what lifestyle changes they make. And there are people with other mental health issues. It is important to be completely honest with your psychiatrist and to choose one who has a lot of experience working with addicts. I know a psychiatrist in NYC who believes no one needs more than 3 medications to deal with disorders common to addicts. I’ve had clients come to me who have a regiment of 8 pills a day. Since I’m not a doctor all I can do is insist they get a second opinion. Also, if you came into recovery on anxiety meds, Adderall, antidepressants and sleep medication, my question is always “Did your doctor know you were abusing drugs? The symptoms that he treated, could they have been partial withdrawal symptoms from your drug of choice?” I don’t care if you’re 30 and you have been on these meds since you were 16. It is possible you were misdiagnosed because you were using at the time. Be willing to get honest with a psychiatrist who specializes in working with addicts in recovery and trust him to evaluate you.

At the end of the day, we have to learn to be honest with ourselves and honest with mental health professionals. We have to be willing to make lifestyle changes and to heal old wounds in order to find peace and comfort in our skin if we are to stay clean and sober for the long haul.

 

 

 

 

Share

What do you mean I have to feel everything?

Posted on by

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

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

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

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

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

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

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

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

 

Share