All Things Recovery

You don’t like relationship drama. Really?

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How many times have we heard I am not into drama? Ever notice that whoever says this usually follows it by complaining about an emotionally exhausting  situation involving a relationship (romantic, family, friends, or co-workers)?  Are you the one complaining about drama or are you the type who suffers in privacy by guarding the secrecy of your emotional chaos and all-encompassing anguish?

Drama was such the norm when I was getting high that I didn’t even register it. Perhaps it’s from having moments of serenity in recovery that make us all too aware when drama  comes along and throws off our emotional balance. We don’t like it – but damn there’s almost comfort in its familiarity.

Whether the source of drama has roots in a platonic or romantic relationship, the feelings are the same – obsessional thinking and a compulsion to continue engaging in it expecting different results. Sound familiar? Without drugs and alcohol, it’s pretty common to discover ourselves in a situation that we seem unable to walk away from no matter how horrible it makes us feel. With romance, like drugs, when it stops working we always hold out for some sign that it is returning to that place of euphoria or bliss that we experienced at the beginning. The cycle of obsessional thinking, compulsion behavior, denial of the reality, and the default setting of turning the pain inward is so familiar that we are able to withstand it long past a healthy expiration point.  But why is it when we are able to bring affirming recovery actions into every other area of our life we feel incapable of letting go of certain relationships or behaviors in relationship even when the pain is causing us to fantasize about using again?

When we were getting high most of us watched our lives shrink. Pretty much our only concerns were getting and using and finding ways and means to get more. Anything else happening in our life had no real emotional effect on us unless it got in the way of our using. Oh – one feeling persisted – shame.  When our sober lives fill with drama centered on another person (usually a romantic or sexual interest) our emotional lives shrink. Everything takes second place to the source of our obsession. We think about him/her all the time, replay past conversations searching for a clue to make sense of the situation and indulge our daydreams in future conversations. We find ourselves reaching out to friends (or suffering in silence) only to describe how we feel in relation to the object our desire/drama.  The fullness of our life is shrinking as we become a broken record of same story different day.

Do we really hate the drama or is it serving us in some way? By having one feeling – pain – displacing all other emotions we retain some level of control. The other feelings can’t affect us if we are blocking them out by our current drama. If we go from one dramatic relationship to another we have succeeded in getting out of experiencing the full range of emotions that life in recovery offers. It almost makes sense for someone in early recovery to jump on the relationship bandwagon because extreme pain and extreme pleasure are safe whereas the whole gamut of grey area feelings are unfamiliar and usually uncomfortable to sit with.

Take a risk and disengage with the drama – give yourself a set abstinence period and acquaint yourself with what might really be going on inside of you.  Journal, meditate, take walks and share your process with someone you trust.  Self-discovery is necessary for deep self-acceptance. How free do you want to be? Recovery is limitless.

 

relationship drama_haha

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Getting Okay with Now

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danger expectations

I don’t know about anyone else but when things aren’t going well I hate hearing “Everything happens for a reason.” Does it really? Or is this another story people tell themselves to take the sting out of admitting powerlessness against the randomness of life? In the moment of disappointment or pain, does this saying even bring genuine comfort?

It’s less painful to accept what’s happening in the moment and roll with it (letting go of the expectations we hadn’t even realized we’d assigned to an outcome) than it is to continue trying to force a square peg into a round hole. It took years for me to learn this lesson – that my will doesn’t have the ultimate power to control my destiny – no matter how pure my desire driving it. Sometimes the only power my willfulness has is to keep me swimming circles in a fish tank not knowing I’m not free.

How can you have goals, wants, and dreams and still leave room for life to happen?  How can you recognize when you’re too afraid to trust in the process or have become married to your intended results?

If you find yourself going along “acting as if” but have a constant nagging sensation that you’re bracing yourself for disappointment,  waiting for the other shoe to drop, then you’ve become married to your expectations. It probably feels like if things don’t go as planned nothing will be okay. Not only will you have failed but that you are a failure. The disease mind is always waiting to unleash negative self-talk . Maybe  desire for control is born out of the fear of how brutally we beat ourselves up when we don’t get our own way.  The danger for recovering addicts is that if we feel bad enough long enough, we will eventually get high.

My friend, psychotherapist and transformation coach, Terri Cole, has a great analogy: think of what it feels like to swim against the current. It’s invigorating and challenging but it quickly becomes exhausting and you don’t cover much distance. Once you flip over and float, there’s no struggle and you travel further. By letting go our life and recovery can mirror this experience.

Here is an exercise: think back on a time when you wanted something intensely and the pain you experienced when it became clear not going to happen. Fast forward to the next time you experienced great joy and fill in the blanks – what random event turned things around to ultimately lead you to the next wonderful experience? Chances are, you will see that many of the major thrills of your life happened when you hit a wall and gave up on trying to force the square peg into the round hole because you were up against a wall of pain or frustration.

Things happen because they happen.  It’s only in hindsight that we can assign any logic to it and dress it up as an intended part of a longer story. Time has to pass, life has to unfold, and when things seem to be making sense again – when we are content and not struggling with control –then we are able to look back and say something like “Everything happen for a reason.” The trick is being able to come to this kind of acceptance while it is happening.

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National Suicide Prevention Week and the Addict

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

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Becoming the friend you want to be

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

 

 

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With Willingness We Find Our Way

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 willingness image

We all have different paths (and are entitled to them) but we share the same goal – freedom from self-inflicted pain, a loving relationship with self, and to find inner peace.  As long as we have willingness, we will find our way.

I have a friend in recovery who HATES it when I break things down in terms of the “disease” of addiction. Although she has been clean for four years and attends 12 Step meetings, she has never been able to open her mind up to the possibility that addiction is a disease. For me, the disease concept is the one thing that’s made it possible to unravel my twisted thinking and impulsive wiring toward self-destructive behaviors and has allowed me to develop new skills to break the cycles.

In her defense, I have always had the same sort of recoil from talk about higher powers, although conceptually I see how beneficial they are to the process of finding meaning and safety. In either case, a certain amount of fantasy and creative imagining has to be invested – though there is neurological evidence of the brain disease of addiction. My friend has made it clean four years without a disease concept or a God.  She has made it on willingness to follow direction from people who have more experience dealing with life clean and sober. That has been enough for her.

At two years clean she developed an eating disorder. We were just getting to know one another while I was in her city when she confided to me a violent episode that had happened in her youth. From the moment I returned to New York and our friendship turned to instant messages and emails, it became apparent that her anxiety was going through the roof. She was crying all the time and her legs were cramping uncontrollably.  She was sleeping two or three hours a night and forgetting to eat. Whatever suggestions I gave, she’d forget as soon as we said good-bye. At first it was impossible for me to understand why she wasn’t taking any sort of self-care actions when she was so clearly in physical and emotional pain. It only made sense when she told me that I was the first person she’d ever told the story about the abuse.

It made perfect sense to me what was going on when I broke it down in “disease” terms. Something terrible had happened to her. She was a victim yet carried the blame and shame. The disease loves blame, shame, and secrets. For fifteen years this had been her secret. While her love for her young daughters was the impetus for getting clean and attending meetings to stay clean, she’d chosen a sponsor who used her as a babysitter and was uninterested in moving her forward in step work. In fact, as her weight fell away and she decided to go to therapy at my insistence, her sponsor shamed her over it, saying that she looked great and it was all in her head – as if she’d concocted the anxiety to get attention. It was a replay of the relationship she’d had with her adoptive mother.  Every step of the way toward seeking help, her disease struck harder. The trauma she’d experienced at 15 continued to hold her down.  This wasn’t surprising considering most addicts have trauma in their background. Whether we used because of the trauma or if it was a catalyst to fuel the disease is like asking the chicken and the egg question. The facts on paper: 30 year old woman with an addict birth mother, drug and alcohol use, sexual trauma at 15 and an increase of drug abuse – rehab at 28.  Shedding light on her secret was followed by extreme anxiety that preceded anorexia.

In recovery terms, there were actions that could have helped but she was incapable of taking them. To her credit – and I believe this should be typed in bold for anyone reading this paralyzed by feelings and behaviors yet unable to take action – she continued to attend meetings throughout the next eighteen months of physical and emotional hell and new women came into her life with substantial clean time and they led her to a new sponsor. This carried her until she was ready to get help.  She hated going to meetings, hated hearing about the disease and about God but she went anyway. I believe WILLINGNESS is the launch of an arrow, its tip cutting through space changing all of the molecules in its path.  It causes change to happen.

The most interesting thing to me in witnessing anorexia in action is that early in the process, there were very strong parallels to how the disease of addiction works and the tools we use in recovery may have altered its course. At a certain point the anorexia took on its own twist and it needed very different tools to heal it.  Ultimately the process will involve intensive trauma work.

I began writing this blog entry because I wanted to discuss the disease concept and how grasping a thorough working definition will help you to address any issues, past or present, in order to have sustainable long term recovery. It has been a very long and difficult path for my friend but through trial and error she is discovering for herself that the disease concept gives our creative mind a chance to understand how it operates on us individually so that we can change its course before it either leads us in a direction of relapse or toward death by other means.

In upcoming blogs, I’ll be writing more about my theory of the disease of addiction and a way to gain an understanding of how it seems to trick us into behaviors away from health, wellness, and inner peace and how recovery tools really can combat it.

This friend wrote a blog that I posted earlier this year for Eating Disorder Awareness Month. I am very happy to announce that she is currently seeking help at an inpatient treatment facility. I believe she will flourish and become a positive power of example to many others she will encounter on her journey. I have her permission to write this entry.

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What do you mean – give myself a break?

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give yourself a break I used to cringe whenever anyone told me to “give myself a break”. In early recovery my head was always racing between regrets and future tripping. I couldn’t make sense of all the emotions that were creating anxiety so whenever anyone told me to give myself a break all I felt was shame as if it was my fault that I was feeling this inner turmoil. The funny thing is that hearing these words   hit my “pause” switch causing my attention to turn to something else and I would feel a little better. This saying is like a communal Band-Aid recovering addicts share with one another. We pass it around blindly without instruction or explanation. Our brains have been wired to function according to whatever substance we have been using. When we get clean it has to readjust to functioning without drugs. This is what I call the “landing back in our bodies” phase. It’s like the GPS in the car. If you program a location and then take a different route what happens? The   GPS starts freaking out “Reconfigure! Reconfigure!” Well, that’s what our brain is doing in early recovery. While we can turn off a GPS to get some peace and quiet, it’s harder to turn off our thinking.   Human Beings experience internal monologues. The reason it’s important for addicts in recovery to have tools to cope with this inner chatter is because usually it’s the source of our anxiety. If we feel bad enough long enough getting high or having a drink will present itself as the logical remedy for our discomfort. We spend more time trying to think our way into thinking less yet we can give ourselves a break at any time by turning our attention to something beautiful in nature to calm our spirit. This could be the color of the sky or the clouds you see from your window, a tree or a flower – whatever is close at hand.  You can spare a couple minutes to flip your switch. Pay close attention to your breathing. Again, this can be done anywhere. Mouth closed, feel the air moving in and out of your nostrils. Notice if it feels colder going in and warmer going out. Maybe you’ll become aware of your heartbeat. When we put the attention on our body and come into the moment, our awareness grows. This isn’t to say that you’re head’s not going to resist at first. “You don’t have the time. You should phone ____.  Finish what you’re doing. You can do the mindfulness shit later. Looking out the window isn’t going to change anything”. The disease-mind will always try to resist yet this is exactly the dialogue you’re giving yourself a break from. We can’t think our way into living in the moment.  It’s unfortunate that our response to reality is to find ways to escape it.  Giving yourself a break means not allow yourself to be a prisoner of your mind. This spinning out of control negative self-talk has got to go. Peace of mind is possible.

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Early Recovery? Watch what you say!

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road to recovery

Working with addicts and alcoholics I pay close attention to the details. My mind tends to create graphs and charts of behaviors, of sayings, of what works and what doesn’t. I witness people who come into recovery with a deep fear of relapse and others who say things like “I know I will never use again.” In my experience, it is this second group who will have a harder time staying clean.

If you’ve ever said any of the following, keep reading.

I know I’ll never use again.

I can’t relapse again because I’ll die.

I’m not using again ever.

Nothing will make me get high again – ever.

I know I’m done.

I can’t use again because – (list logical reasons)

It seems to me that all of these phrases under-estimate the power of the disease of addiction. After all the pain and suffering, after all the failed attempts at getting clean before now, where does the confidence in saying “I know I’ll never use again” come from? I think it’s like standing on the trapdoor on a stage but the disease has kept you too distracted to look down to see where you are.

Being overly confident in early recovery will rob you of the required motivation to stay the course.  There are no guarantees anyone will stay clean. Relapse rates are high. The disease of addiction is incurable. Thirty days in rehab did not cure you. It may have improved your health and repaired some areas of your life but, in terms of recovery, it is just the beginning. Recovery is the ongoing work of learning how to exist in this world with all of your feelings – the good, the bad, and the ugly.

Fear is a healthy response to taking on a disease that is so powerful it was destroying your life, your health, and your relationships. Fear provides the impetus to take positive actions when you really just want to turn off the phone, close the door, and avoid dealing with the world. It ignites the courage you need to begin the process of recovery.

Don’t get me wrong. I believe in confident proclamations such as, “We don’t use no matter what.” (We don’t use no matter what we are going through).  Not using “no matter what” means we acknowledge that there will be difficult or painful times when staying clean will seem next to impossible. But we don’t use – even then – no matter what.

I believe that freedom from active addiction is achievable for anyone who wants it and that it is absolutely natural to be fearful at the start of this journey. After all, recovery is the gradual process of becoming fearless.

 

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My varieties of transformative experience/spiritual experience

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A really strange thing keeps happening to me. I keep feeling “lucky” to be here. Not in the usual “I’m lucky to be alive” or “lucky to be clean” gratitude way. It’s more that I feel lucky that I’m getting to have this experience of being on earth. It keeps washing over me in an exciting positive way – but I have to admit it’s weird to think about. It makes me feel like a visitor.

I’ll never forget when it first happened. I came face to face with a black panther on a deserted farm road.in Ontario.  It was a totally unexplainable situation because panthers aren’t indigenous to Canada, never mind one hour from the largest city in the country. I’d stopped my bicycle on an isolated farm road when it stepped out of the woods, made eye contact with me then assumed a crouched attack position from twenty or thirty feet. I wrote about it here: http://pattypowersnyc.blogspot.com/2011/10/death-defying-summer-vacation.html.

 

During that split-second when I averted my gaze to take what I assumed was my final look at the blue sky and the green landscape, the beauty of it all, my only thought was how lucky I’ve been able to be here to have experienced this beautiful planet.  Even while I was thinking this I knew it was a weird response to the situation.panther_field

Another time I was watching the Mars Rover landing when the camera turned and captured our planet. This time when I was swept with this feeling it was accompanied by gratitude that brought me to tears. Lately it’s been occurring on a regular basis wherever I am – minus the tears.  I can’t really explain it any better than I feel lucky. For me, this feeling isn’t connected to any particular God. I suppose it’s possible I’ve finally acquired enough inner peace that I’m more conscious of where I am and appreciative of the small (or big) things.  It’s not a voice in my head that says, “Look how beautiful this planet is” It says, “I’m so lucky I get to be here.” It’s a joyful feeling that co-mingles with a deep sense that there’s absolutely no point in sweating the small shit.

In program terms, my second step has been a continuous process of coming to believe. I haven’t really found a belief shingle to hang up yet – just my own bag of quirky spiritual experiences. Sometimes they’re so bizarre I have to roll my eyes at myself. Usually I’m embarrassed to admit them to anyone. In fact, I was planning to write this article about how alienating it is for people who have accumulated a lot of clean time to have the arrogance to tell any other member of their fellowship what they can or cannot say when sharing at a meeting. Instead I’m writing about my most private spiritual moments.

A few years ago  I was continually having discussions with myself on life and it’s meaning to me. I’d gone as far as to ask myself if I would be okay if my last living breath extinguished me for eternity – no reincarnation, no eternal universal energy. And – I was.  I figured if this was all there was I’d better pay attention.

A week after this conversation with myself I was in Miami with a friend searching for a Haitian psychic to read her cards. (Yes – this was how I spent the leisure time on my vacation!) We ended up in sort of voodoo/wiccan/spiritual/new age bookstore being told that for twenty bucks we could attend a past life regression group hypnosis.  It sounded like a kooky enough way to end my vacation.

Two-dozen people gathered in the backroom of the bookstore. One by one, we went around the room disclosing why we were there. While everyone was trying to get clarity on a current relationship, I was simply there for the ride. I’m like that kid in the commercial who’ll eat anything. I’ll try anything.

The hypnotist began counting backward. This was my experience.

It was dark and there was a  light muted in fog in the distance. I was trying to make sense of where I was. It reminded me of a dock on a lake and the light was coming from the far end of the dock. As I got closer I was engulfed in the fog and white light and was filled by a sense of excitement and playfulness. This permeated the entire experience. Next I was pulled into a bright white light. There was nagging sensation of weight somewhere although my joy kept propelling me through the light and into the darkness of outer space. Suddenly I was passing stars. My consciousness realized what was happening and I was filled with questions but understood they didn’t matter. In the distance were two pulsating blue lights and I knew that’s where I was heading. The whole thing was like a crazy sci-fi movie but I felt so happy I didn’t hesitate to speed forward. When I arrived at the blue lights I became blue light, like a firefly among fireflies dancing on a star. Again, there was a peculiar sense of weight somewhere. I wanted to ask questions and understand there was no need.

When the hypnotist’s voice announced he would begin counting backwards I looked down and saw a hole I could jump through to get back.  I jumped and passed though a wall of gas and fire, back through space passing stars, through the white light, the fog and the darkness until I was back in my body on the bookstore floor in North Miami.  I experienced my weight subjectively in a way that’s impossible to describe. I was unable to move for a good 30 seconds.

The experience was like déjà vu of an acid trip I’d had when I was twelve or thirteen although this had been different because of the complete and utter joy I’d felt. This has clung to me. When my worries pop up I remind myself that my pure essence is joy and playfulness and that I shouldn’t sweat the small shit.  Again, I’m filled by a profound sense that I am okay. There is no need to worry about anything.

I’m always up for any sort of adventure and have a very creative mind so I have questioned whether or not I made this all up. I know the panther was real because there were seven more sightings of it that summer but the rest – who knows? Was I blue light dancing on a star? Does it matter? Am I am visitor? Are we all just visitors?   I don’t even care if there are answers to these questions. Maybe my experiences were a self-induced hallucination or maybe they are my version of spiritual experience – something that has been transformative, lessened my fear and helped to make me more present in this life. I’m happy I had them – whatever they were

I’ve always been the sort of person who gets bored easily. In the 24 years I’ve been clean, it’s never gotten boring. In fact, the really good stuff seems to have started happening after twenty years clean. I’m talking about the good stuff on the inside. It’s like I’ve been opening new doors that are making me a happier person. If this is what it’s like at 24 years, I can’t even imagine what it might be like at 30.  My inner life keeps getting more fun and the benefits aren’t fleeting. I’m sure it’s different for everyone but if you ask around I can pretty much guarantee that old-timers will tell you that all the work you’re doing is well worth it for what you are going to get back.

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Recognizing Springtime Triggers

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spring time triggers

Spring has finally sprung. If this is your first season change clean and sober I’m here to discuss a new trigger that is probably creating some discomfort for you. Sometimes it’s just reassuring to know that the weird shit tripping up your mood, your mind, and maybe even your overall wellbeing is nothing unusual in the realm of recovery. I always find comfort in knowing that my twisted assessment of my own mental health isn’t unique. In terms of recovery, identification is a step toward dismantling the power of disease-thinking (the stuff that can lead us away from recovery and toward relapse).Disease-thinking (our addict-mind) has a way of taking an hour of emotional discomfort and convincing us that these bad feelings are NEVER going to go away EVER, that life is going to suck always, that pain is here to stay. It’s almost comical when years into the recovery process you catch yourself investing in this lie until a light bulb goes on and you remember that you’re temporarily lost in a hall of mirrors and that – yes  – this too shall pass.

The number one heart-stopper for people in recovery seems to be the first sighting of outdoor cafés that serves liquor.  I mean – the whole package will hit you and wax poetic nostalgia – those balmy evenings or lazy Sunday afternoons lounging around killing a few margaritas or sangria or wine or beer or whatever you ever drank outside. In the memory you are peacefully alone and buzzed or having an amazing time with friends. You are younger, better looking, happier, fitter, richer, more playful – basically your memory will go back to a time when getting loaded was without consequences and when you really had your game on. And during that moment of memory you will feel your heart breaking and a voice will pop into your head that will tell you that this is where you draw the line. “How can you give up the outdoor summer partying? You will never stay sober. You will never again feel that happy.” The whole of your Being will be filled with longing. (Mind you – what I’m describing happens within seconds of catching a glimpse of that place from the corner of your eye but it will hit you with such force that it will be impossible to comprehend that it is simply a feeling and that it’s going to pass).

This is a perfect example of how the disease works. Total amnesia of all the pain and suffering that came along as a result of substance abuse. The focus is narrowed down to specific body memory of relaxation, joy, and probably a time where there was far less responsibility and accountability in your life. This is the siren song the Viking heard before he jumped ship.

I don’t know anyone clean who hasn’t felt this pull especially after a long winter. In a way there is some genuine grieving of youth involved and if you’re newly sober you will still be grieving the loss of your long -term relationship to drugs and alcohol.  It’s important to talk about these feelings with someone to take the power out of them. It is also important to believe that this feeling will pass.  I would suggest you begin creating new memories of outdoor cafes with sober friends and not to park yourself alone at one of your old haunts because – what’s that saying? If you hang around the barbershop too long, you’ll probably end up getting a haircut? In a few weeks you’ll cease to notice anything particularly seductive about these establishments.Until then, the initial sightings will trigger you the same way that passing your old drug-buying block or neighborhood bar did when you first got clean.

To snap out of the obsession find some nature – whether it’s a garden, a tree, the beach, the sky, or a green lawn and spend ten minutes there. Notice the details of the beautiful planet we get to live on. Take deep inhalations through your nose and pay attention to how the air feels entering your nostrils and how warm it feels when you exhale through your mouth. Make a mental gratitude list. Then get on with your day.

 

My first four years in recovery were spent in Los Angeles and weather never triggered me but ever since I moved back to NYC,  I experience nostalgia for long ago good times whenever there’s a radical change of weather. Outdoor patios, the cozy warmth of a moodily-lit bar during a snowstorm, and even the sound of the ice cream truck will remind me of how much I loved getting high. Luckily I can still access the much more detailed story of all the suffering that occurred on all the other days so I don’t get too seduced by my strolls down memory lane – but they do still hit me because I’m an addict and my disease is always looking for a way to invalidate my life in the present moment so that my fantasy life of this painless past can sing to me until it can get me to jump my Viking ship. I’ve gotta take my hat off to the determination of the disease of addiction. It might be weakened to a minimal heartbeat but that f**ker wants to get its power over me back. It’s not a quitter. This is how I know I am not cured.

Feelings are like our internal weather – the “nature” part of our human nature. Sun, clouds, rain, wind sun again.  Let them move through you and do not fear them. It is wonderful to be clean and alive and human. We are fortunate to be able to have feelings! After all, we know the price of the alternative.

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Eating Disorders in Recovery & our response to them

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National Eating Disorder Awareness Week (Feb. 24-March 2, 2013)

In 1990, I saw the profoundly disturbing movie Eating by Henry Jaglom. Prior to this, I was oblivious to eating disorders. The film was about a group of women cooking for a celebration. Throughout the film, they individually act out in their respective eating disorders. Watching their secrecy, shame, self-loathing, and powerlessness triggered an overwhelming sense memory in me. What they were feeling was no different than how I felt shooting coke in a locked bathroom. It made me realize how similar eating disorders were to addiction. Seeing this film helped me to feel empathy and compassion for my women friends who continued to struggle with bulimia even after years in recovery.

Our society isn’t very compassionate toward people who have diseases that manifest in self-destruction.  “How can I feel sorry for him? No one is putting a gun to his head forcing him to take heroin.”  While society is finally becoming educated in substance abuse and depression, eating disorders make people uncomfortable. It is cruel when adjectives such as lazy, greedy, and glutinous are used to describe over-eaters and those suffering from obesity. It is just as cruel to pretend there isn’t a disease affecting the health of a friend. People in 12-Step meetings become uncomfortable, even angry, if a member shares about vomiting after meals even if they share that this behavior makes them want to get high. The  whispering and dissing of the “skinny girl” is harmful and hateful. Eating disorders do not arise out of thin air. Childhood pain, violence, trauma, abuse, and sexual abuse are often at the core.

Recovering addicts and alcoholics with eating disorders are fortunate to already have a language to describe their experience. They have recovery tools and support. They know how to walk into a fellowship for their specific eating disorder and ask for help.  Yet, even with this leg-up, the road to ED recovery is riddled with potholes. I know many women with decades clean and sober whose recovery from bulimia continues to be two steps forward one step back. Binge eating relapses keep them trapped in a cycle of shame, self-berating, hopelessness, and despair even while they are role models of recovery in their primary 12-Step group.

Sustainable recovery from eating disorders is very difficult and painful and we (society as a whole and those of us fortunate to be in recovery ourselves) should be extending kindness, support, and compassion to anyone who is suffering so that they do not have to isolate in secrecy and shame. We can help by encouraging them to be honest and courageous, and by guiding them to professionals who can give them the help they need. Our generosity and love does not have to be insular. We have enough that it can be shared beyond the confines of our particular substance abuse group.

A dear friend in recovery became anorexic this past year. At first, I tried helping by applying what works to cut through the denial and arrest the disease of addiction but this was different. I realized she needed professional help and we found a therapist willing to work within her budget. After several months, it was clear that she needed a higher level of care – inpatient. Unfortunately, unlike drug addiction, there is very little help available in America for anorexics without financial resources. Anorexia Nervosa is a disease that leads to death – if not from starvation, it can cause a heart attack, fainting behind the wheel, shattered bones, and major organs shutting down. Many anorexics commit suicide before their bodies fail. Yet even with the high suicide rate statistics, there is very little help offered to people without $30,000 to spare or comprehensive health insurance. In my friend’s case though, it’s going to take more than good insurance or extra cash in the bank. Even after being discharged from therapy and told she needs a higher level of care, the denial continues to convince my friend that this disease can be self-managed.

No one could force me to get clean and I can’t force her into inpatient treatment. I hope she becomes willing. I continue to encourage her to not give up, to pray to whatever she believes in or doesn’t believe in, to blindly ask the universe or her own heart to guide her to safety so she can live. She asked me to dedicate this week’s blog in honor of Eating Disorder Awareness Week.

You may have friends in recovery living in shame, guilt and secrecy, suffering from an eating disorder they have not made public. These friends are your opportunity to practice empathy, compassion, tolerance and patience. Help them to feel safe enough to bring their ED out of the darkness. Eating disorders are not gender specific. Men this is your opportunity to bring your ED out of the closet so other men will not feel so alone. Together, in loving kindness, we can all recover.

For anyone reading this blog who may be suffering from an eating disorder, there is plenty of information online for local helplines, resources, 12 step groups. Not everyone needs to go to a treatment facility. Most eating disorders can be arrested and a healthy recovery can occur using a combination of 12 step meetings, therapy, trauma work (such as EMDR or gestalt therapy), and Dialectic Behavioral Therapy (DBT) groups, mindfulness (such as meditation, yoga, breathing exercises). Your life is worth it.

The following is a guest blog written by my friend who has Anorexia Nervosa. I asked her to write about her inner experience living with this disease. Perhaps next year she will be able to share her recovery from this illness.

eating disorders kill

 

Anorexia? WTF Happened?

During the course of this vicious anorexia cycle, I have confided consistently with one person. This alone may have saved my life— so far.

I don’t exactly remember when the idea had surfaced that I had an eating disorder.  At some point in late 2011 something started happening internally that resulted in an increase of anxiety, not sleeping, not eating, horrible leg cramps, night terrors, depression, anger, and hopelessness.  By April 2012 I had been in therapy for five months and remember feeling completely disconnected from my body. My mind was constantly spinning and I had 3 years clean from drugs and alcohol. I wanted to escape the screaming in my head and the pressure I constantly felt. Using and suicide bounced in and out of my mind.

I had slowly stopped eating. Well- I wouldn’t eat a couple days, but then would eat a few days and be fine. I didn’t really obsess over it and it was just one of those habits I think I had always had- since childhood. The idea of eating never really mattered to me much and the thoughts of over eating (or watching others over eat) grossly disgusted me. My frame is naturally small and the most weight I had ever gained was through both my pregnancies which I absolutely hated. Even though I had lost all the weight I had gained through my practically back to back pregnancies, my body was left with deep stretch marks which leave me with a strange self-conscience feeling I still have to this day.

Eventually, my first therapist kicked me out after about 10 minutes of what ended up being our last session. She looked at my sick body and advised me to come back after I sought help for my eating disorder. I hadn’t really talked much to this therapist but felt extreme anxiety when I knew I had an appointment that day and felt like I had been hit by a bus when I left. I don’t remember talking to her too much about anorexia.

Over the last year, I’m not sure why I have constantly denied that I could have an eating disorder. Most of the last year and a half has consisted of not eating, weighing myself obsessively, checking my BMI to see if I’m actually underweight (thinking that as my BMI is normal than I must not have a problem), puking every 3-4 days when I do actually eat, migraines, performing google searches about eating disorders, crying, punching walls, throwing chairs, anger, hiding out…

My health has been questionable. My digestive system feels fucked up. My heart rate and cholesterol are high. I’m almost positive I am anemic. I’ve passed out, lost track of time, been in four car accidents, fallen asleep at the wheel.  I have severe leg cramps every night which leave me falling down. I lost 30 lbs on my already somewhat small frame in the course of 4-5 month period and my weight was declining weekly. People were commenting on my body and it infuriated me when they questioned if I ate or if they told me that I’m getting too thin. I read articles and books about how to get help. I went to eating disorder meetings. I wrote letters to the fucking universe expressing my anger and pain and needing help.

Yet with all of the evidence pointing toward the clear fact that I do have an eating disorder problem, I continued to fight it (I still fight it).

I want help and I don’t want help. I want to fix my own problems and my own pain. I don’t want to let one more person close to me. I don’t want to become vulnerable.

I did eventually go to another therapist who specializes in eating disorders. I made as much of an effort as possible to kick this shit and feel better. I deactivated my gym membership, I gave up my scale, I wrote food logs. The terms were up front from the beginning with her. I had to stay honest. I had to do the work. If after a certain amount of time, no progress was made with my health, than she would recommend a higher level of treatment. This was and is one of my greatest fears. Needless to say, I was discharged in January of this year from my second therapist.

I actually made it to 4 years clean in January but feel like I am living my life in active addiction. I feel like I am in a downward spiral but not sure exactly what I am willing to do to get better. I still fantasize about all of this just disappearing on its own.  I feel like my mind is playing tricks on me. I tell myself things like this: I haven’t thrown up in a while now, I ate twice every day for 5 days in a row (only skipping two days of meals), I haven’t weighed myself since being at Publix two weeks ago, I am sleeping more than I had been sleeping, and that I haven’t lost any weight since my last therapy session. All of these things I tell myself eventually convince me that I can fix this by myself because I am obviously doing better than I was when this ‘eating disorder’ surfaced.

I absolutely hate everything about anorexia. I hate what is happening and feel trapped. I hate feeling like  there is something wrong with me and that I can’t control any of this. These are the same thoughts I have about addiction. I despise them both. I hate the internal fight of wanting to die and live all at once. And I hate feeling like I am being attacked by one or the other, if not both

Fuck addiction. Fuck anorexia.

Truth is- with all of my denial, anxiety, rage, depression, etc. –   I do hope that I continue to hold on until I get better.

 

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