Tag Archives: anxiety

Why am I hating everyone I love?

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Almost everyone who gets clean and sober goes through a period where they experience a ton of negative feelings toward the people they love the most. I’m not talking about people they love who they’ve recently met in recovery. These feelings are specifically ignited inside of us by people who have known us the longest. I’m talking about our family members and long-term romantic partners. The ones where our love-roots go deepest. Why are they the ones who make us feel the craziest after we get clean?

Often these are the people we still share the least about ourselves with. When we were getting high, we withheld information to protect them because we knew our self destructive actions would have caused them incredible pain or we simply hid our lives rather than risk them getting in the way our our drug use. Once we get clean, they usually have no idea what we are processing or the amount of work that goes into our healing. We start to resent them for not taking interest in our recovery and we feel unsupported. We compare the depth of our new recovery relationships and feel cheated at home. We can’t believe they expect that now we’re off drugs, we’re “back to normal”. It’s very possible they avoid asking questions that may yield answers because they feel safe in their denial and do not want anyone (us) to mess with it. There are many reasons why the people who love us the most keep up an impenetrable shield.They simply may not be ready.

In recovery we share intimate parts of ourselves with our support group only to return to our loved ones and have it feel like no one is interested in truly knowing us. This is never more painful than during the early months of recovery. Not getting what we believe we need from our family has the ability to make us feel unsafe, unloved, misunderstood, insecure, resentful, hurt, and it turns us into character assassins (as we start deciding what is wrong with them). This is when we must lean into our recovery support group and to remember to keep breathing and to keep our mouth shut. Damage control not only saves them from attack and injury but also saves us from the remorse shame and regret we will surely feel if we inflict pain on people we know we truly love – even if we aren’t particularly feeling it at the moment.

In early recovery we are finally becoming honest with ourselves, doing the hard work of looking at our wreckage, at our shortcomings, and we’re becoming acquainted with our emotional life. It takes a while to land into our feelings and start to heal old wounds.Demanding other people to meet us half way is unfair. Remember, it was our suffering that motivated us to seek recovery in the first place. Pain was the impetus. God only knows what pain our loved ones have endured in their own lives or in relation to us while we were wrapped up in ourselves. They’re going to change when they’re ready – and maybe never. True acceptance of this fact might not happen for years but punishing them because they do not meet our new expectations is – well – it’s selfish (and not very spiritual). Especially when we don’t know for sure if what we’re thinking or feeling is accurate. This is why we practice unconditional love and patience with the people we love. We need to trust that how we feel right now is not permanent. Things are going to change. We’ll keep changing and this will have a positive impact on our relationships over time – whether we believe it or not.

Keep breathing, bite your tongue, leave the house to take walks when you need personal space. When you are at your wits’ end and don’t know what else to do treat them with kindness, forgiveness and compassion. Take your cell outside and rant and rave to friends who will let you unload. Get through the early months of recovery without causing more harm to yourself and others. Love is complicated. No matter what happens with these relationships, whether they turn out according to your greatest hopes or not – you will be okay. Trust the process.

Our buttons get pushed because we crave connection and love. We also probably harbor some fear of what they might have on us that we aren’t prepared to hear. Sometimes this fear is what’s causing us to want to write these relationships off. The good news is that by working on yourself and finding peace you will inspire others to do the same. Families can heal together. Time is where the magic happens.

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Spring’s Emotional Overhaul Part 2

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spring has sprung_bicycle_cherry blossom

 

I’m a recovering addict who doesn’t like to feel shitty. I’ve discovered through years of trial and error that taking positive actions (especially when I don’t want to) that support my emotional and physical well-being pays off. I’ve lived through 25 years of season changes without getting high and have learned how to surf them with some grace. This is what I hope to share in my blogs – practical tips on how to cope with whatever life throws your direction without getting high.

Believe it or not – changing seasons have the power to wake up the disease (of addiction) and this can cause a lot of emotional discomfort.

I wrote Part One of this blog two weeks ago and since then everyone I talk to says they’ve been feeling crazy. A lot of people are going through a hard time this month and people in early recovery seem to be feeling it the worst.

The good news is that, for the majority of people I’ve spoken to, the root of their discomfort is connected to the change of weather and not their deep core issues. Though many of them fail to recognize this. When recovering addicts feel bad, the first thing they do is intellectualize and over-analyze their emotional life to get a false sense of control over it. When this fails they get filled by overwhelming helplessness. Some people will be experiencing some level of seasonal affective disorder because they slacked off on basic daily doses of fresh air and exercise all winter and they probably lived on comfort foods rather than a healthy balance of fresh vegetables and fruit. The good news is that these feelings – like all feelings –will pass. The current blahs and waves of depression hitting you this year don’t have to be repeated.

Recovery lifestyle changes are easier to embrace when you are given a choice between feeling good or feeling lousy. If you read this blog regularly you’re probably sick of hearing this – but trust me, physical activity pays off long-term in so many ways. You don’t have to become a crazy gym fanatic. Hike, walk, jump rope, bicycle – just move your body in the winter months. When its zero degrees no one wants to go outside. Do it for springtime sanity. Play it forward.

The change in weather is going to have an affect on you. Your energy may feel unsteady. Some days you’ll feel tired yet the weather is making you believe you should be super energized. A voice in your head is now blaming you for not having energy – like it’s somehow your own fault, like you are ruining a perfect day by being tired. Jeez – there’s nothing like the negative self-talk of the addict mind! Instead of staying stuck inside your head try this – accept that today you’re tired. Set lower goals and be gentle with yourself. Maybe you just need some rest. A lot of people experience a shift in their sleep patterns. Be patient. Don’t judge yourself. Honest – it is all going to even out.

It’s not just us – everything’s messed up. Trees were without buds late this year then almost overnight flowers opened. We are not alone. A shift is happening and nothing seems to be running smoothly. (It was seventy degrees yesterday and tonight its twenty-four). Whatever your body is doing energy-wise allow it to be where it is at. Stop expecting more of yourself. The renewal energy of spring is going to happen for you. It’s always our internal struggle with acceptance that feeds the disease. When our body feels off and we decide that our entire life feels off. We feel like shit so our life is shit. The worse we can make ourselves feel, the more that cocktail two tables over is going to call out to us, the more we’re going to want to linger in the scent of a joint that passed us on the sidewalk. The disease will point out drug or alcohol solutions to these feelings whenever it can – and our job is to recognize where these triggers are coming from – the dis-ease we feel internally. Recognize it and let it go. Getting high will not make things better. It is not the solution. Trust me – during springtime these ideas are going to pop into your head without warning. This is a trick so don’t turn it into something wielding power over you. Call a friend in your support system. You never have to tough it out alone.

This is the rollercoaster of seasonal changes: Lust, thirst, anxiety over lust, anxiety over cravings, melancholia over memories (which are often memories of times when drugs and alcohol still worked and these may involve outdoor patio cocktail memories), loneliness will accompany lust, financial insecurity may arise at the thought of needing new clothes or appear as harsh self judgment over not having money to buy thing you feel you can’t live without.. While beauty starts to spring up all around us with the rebirth of spring, on the inside we may be digging ourselves deeper into self-centered despair. Again, this is when you need to reach out and get together with friends. At a time of turning the soil over on our most powerful negative feelings, we need to step into the sunshine of community and of service – volunteer to garden in the community or find a volunteer position that is of personal interest to you. Get out among people.

If you are in early recovery and unsure what is going on inside of you – what is real from what may be the obsession or a general sense of hopelessness the solution is always in connecting to other people in recovery and disclosing what you are going through. You do not have to tough it out alone. These feelings are temporary. They may last a day or a week but they will pass. Soon you will land in a comfort zone and will be present to experience the vitality of the new season. This rollercoaster ride will come to an end.

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Is that all there is?

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peggylee

When I was a little girl I would listen to Miss Peggy Lee  singing, “Is that all there is? Is that all there is?” Even at seven years old I felt this song deep in my bones. Listening to it now, it so profoundly describes a feeling so familiar to addicts and alcoholics. In the song the solution is booze and dancing but in recovery how do we get through those days when we feel bored, lonely, unsatisfied and empty – days when our disease holds us hostage to these disproportionately magnified feelings?

I looked in the mirror and a blonde woman with a suntan stared back. I didn’t recognize myself. Was I really wearing pink gym shorts and sneakers? I ripped off my tortoise shell sunglasses and started looking for track marks, scars, something to prove it was really me. New Age music came over the speakers and two men began discussing their mutual enlightenment.

“John, when I first heard you lead a meditation, I found myself carried away by the melodic rhythm of your voice and suddenly I envisioned myself conducting and entire symphony around you.”

“Oh that’s beautiful” replied John as he droned on about his twenty-five years in Twelve-Step communities. That’s when it hit me. My track marks were gone. My punk rock youth was over. And all I seemed to care about was healing my inner child and shopping at the Beverly Center. My God – what happened to my personality?

I wrote the above story when I had just over two years clean. I’d been on a pink cloud most of that time, super-happy with the life I’d put together from scratch in recovery. There’d been no warning signs that everything would change with one glance into a mirror. Shortly after this experience, I shut my down my life in Los Angeles and spent six months alone in a car traveling the country, reflecting and writing a novel. Rather than allow my existential identity crisis to push me toward a relapse, it motivated me to pursue my dreams.

Fast-forward to six years later. I’m in a therapy session saying, “I go to meetings, I work out, I’m of service, I eat healthy, I have good friends, I’m in therapy – but really- big fucking deal. Is this it? Is this all there is? I feel so bored and crazy. Where’s the euphoria?” I knew I was going to leave her office and stir up the pot. The feeling of restlessness and urgency was familiar – it was what drove me out to buy drugs back in the day. I knew I didn’t want to get high but I craving something to make me feel more alive and, like with drugs, felt powerless to stop myself once the idea got into my head. Within days I’d seduced a dangerously attractive unavailable young active alcoholic and I’d started smoking. I have to admit I felt pretty badass and was charged with the electricity of that euphoric high I’d been craving.

Within weeks I was back in my therapist’s chair only now I was crying. I felt lost from myself – anchorless. All I wanted was to go back to the way I felt before I abandoned myself with escapist behaviors. And I was pissed. Why does everything that makes me feel more “alive” always have the price of self-abandonment attached to it?

I mention these two stories because in both cases I was hit by the same feeling –  that life on life’s terms was not enough. At the time I didn’t know how to value peace of mind and I didn’t know how to find comfort in the grey areas of day to day life on its own terms. I was still grieving and romanticizing aspects of the unpredictability of my former drug-using life. I wanted drug-like excitement without picking up a substance.

While the first existential identity crisis lead me on a six-month odyssey of America rediscovering and challenging myself, it wasn’t an impulsive act. That road trip required patience and planning. The second story illustrates a pretty typical addict response to feelings of restlessness. It’s usually knee-jerk compulsive self-destructive behavior disguised as fun.

In recovery there will be days when life on life’s terms will not be enough to satisfy you; days when boredom will make you pace like a wild animal desperate to break out of the cage. The disease gets a lot of mileage from the language of denial. I considered myself “unstoppable” rather than compulsive. If I’d been able to recognize that the intense pull toward acting-out was a compulsion I was powerless over, I could have applied some recovery principles to it. Instead I saw surrender as a compromise of “my free spirit”. Besides, even in recovery I’ve often been willing to suffer the consequences to get what I want when I want it. Thing is – although the consequences are always the same, when I set out on a mission for thrills. I forget the price is always some version of feeling lost from myself, of being lost and anchorless at sea.

The ability to sit with my feelings – especially the ones that can be avoided by thrill-seeking behaviors – didn’t happen over night. First I had to become willing – which happened when I was no longer willing to pay the price that came with avoiding them and then I needed courage to have blind faith that if I sat with my feelings they would not destroy me. I quickly discovered that the emotional discomfort didn’t last long. Feelings pass – even cravings for excitement pass.

The key to gracefully getting through the existentially angsty days is to let go of the need to make shit happen as a solution to feelings. Sit with the feelings no matter how much the disease is screaming for you to not sit still. Trust me – this can save you ridiculous amounts of negative consequences and inner turmoil. Meditation and breathing can help with this. If you suspect that you’re meant to shift gears or make major changes, you will know it because the need to force change won’t be there. I am NOT saying that life in recovery can’t be exciting. Maybe it will be more exciting if you can stop imposing your old ideas of excitement onto it and see where you end up.

 

 

 

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ACOA and the Recovering Addict

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For ten years I lived in a cute one-bedroom railroad flat. It was a great apartment by New York standards. A railroad flat is a series of rooms that open into one another. From the desk in the furthest room I could see clear to the other end. I sublet my place in 2003 and moved into an enormous apartment in Los Angeles. The rug, which had been wall to wall in my largest room in New York, was now an area rug in the living room. There was a dining room, a large kitchen, 2 huge bedrooms, a balcony and a backyard. I arranged the furniture and put my desk in my bedroom. It took several months before I noticed that I only left my bedroom to go to the kitchen. With all this glorious space, I continued to live inside the square footage of my NYC apartment. I was going to have to make a conscious effort to spend time in different rooms until it felt natural. I’m sure people who’ve spent extended time in prisons share this experience when returning to the outside world.

Children adapt to their environment in similar unconscious ways. Children growing up in a household impacted by addiction or alcoholism will turn their fear and pain inward and adopt negative belief systems about themselves and the way the world works without question.

If you grew up in an alcoholic family and are now in recovery, you’re probably doing things and feeling things that don’t make sense to you. You watch friends who got clean around the same time as you did move forward in their life and you start thinking that maybe you’re just too broken – even for recovery. You suspect that the happiness you see in others isn’t in the cards for you so you try to practice acceptance and find gratitude for what you do have. You slogan yourself to death and jump into step work – but progress is slow and most days you are a breath away from losing whatever good mood you are having. When you’re happy you feel anxious because you know something will fuck it up, when you fall in love you brace yourself for heartbreak. You can’t understand why you can’t even really enjoy the good times without anticipating disappointment. You question whether you aren’t working a good program or think maybe you need to have more faith, do better step work, find a new sponsor, or take more commitments. (For anyone sober outside of a 12-step fellowship, you may often feel hopeless because you are out of ideas how to think your way into feeling better). You know something isn’t right but you can’t put your finger on it. You do a lot of comparing of yourself to others.

Growing up in a dysfunctional or alcoholic family, feelings from childhood have shaped your relationship to yourself and to the world and these don’t miraculously heal without being addressed. Children of alcoholics adapt the same way I adapted to a small living space. Even when there was room to move around, I didn’t. If you feel like something is keeping you boxed in – even in recovery, it is time to uncover how being a Child of an Alcoholic affected you.

The damage done in alcoholic households vary but one thing is common – children don’t feel safe. For some children of alcoholics, violence and emotional abuse is the norm and for others it’s the internalized disappointment from years of broken promises. Safety and security can be threatened by the fear of drunk driving accidents, threats of divorce, or the ongoing silent treatment between parents. Whatever forgiveness or acceptance you have gained by saying “They did the best they could with the tools they had” these words do not heal the child who was frightened, wounded or abused. Until a recovering addict addresses their ACoA issues, they continue to live inside a box constricting their freedom to grow in recovery, to find peace, self esteem, love, and to enjoy their life without waiting for the other shoe to drop. For some addicts and alcoholics, staying sober is impossible unless their ACoA issues are excavated and healed.

There are a number of books written about ACoA and trauma, there are therapists who specialize in Adult Children of Alcoholics, and of course there is the ACoA 12-step fellowship. I think 12-step fellowships are especially healing for recovering addict/alcoholics because the empathy, compassion and camaraderie provide a lovingly safe place that many ACoAs have never experienced. This safety will give you the strength and courage to work on ACoA issues (with outside help) so that you can truly experience freedom from the past. ACoA work will take you out of the one room (of your sobriety) and teach you how to move around the entire house.

This is the Laundry List (taken from www.adultchildren.org) :

The Laundry List – 14 Traits of an Adult Child of an Alcoholic
1. We became isolated and afraid of people and authority figures.
2. We became approval seekers and lost our identity in the process.
3. We are frightened of angry people and any personal criticism.
4. We either become alcoholics, marry them or both, or find another compulsive personality such as a workaholic to fulfill our sick abandonment needs.
5. We live life from the viewpoint of victims and we are attracted by that weakness in our love and friendship relationships.
6. We have an overdeveloped sense of responsibility and it is easier for us to be concerned with others rather than ourselves; this enables us not to look too closely at our own faults, etc.
7. We get guilt feelings when we stand up for ourselves instead of giving in to others.
8. We became addicted to excitement.
9. We confuse love and pity and tend to “love” people we can “pity” and “rescue.”
10. We have “stuffed” our feelings from our traumatic childhoods and have lost the ability to feel or express our feelings because it hurts so much (Denial).
11. We judge ourselves harshly and have a very low sense of self-esteem.
12. We are dependent personalities who are terrified of abandonment and will do anything to hold on to a relationship in order not to experience painful abandonment feelings, which we received from living with sick people who were never there emotionally for us.
13. Alcoholism is a family disease; and we became para-alcoholics and took on the characteristics of that disease even though we did not pick up the drink.
14. Para-alcoholics are reactors rather than actors.

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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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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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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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