Tag Archives: disease

Spring’s Emotional Overhaul Part 1

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Congratulations – if you are reading this it means you made it through the winter without killing yourself.  Believe me I’m not trying to be glib. While seasonal depression hits addicts and non-addicts alike, taking lifestyle and recovery actions to ward it off during winter months can be a matter of life and death for us.  Here’s a spooky fact – I wrote the opening sentence this morning then left my computer. By the time I returned this evening I’d been told of two suicides, both women with substantial clean time. While I am not certain of their situations and it’s possible other mental health issues or clinical depression may have played a part, Seasonal Affective Disorder is no joke.

For most people living in winter weather zones, this year was a doozy. If you follow this blog you’ve seen how almost every week I am writing about actions to take to arm yourself against winter depression. Some of you may have followed my suggestions and others may have felt okay at the time and didn’t see any point in it. The fact is, adapting seasonal lifestyle changes pay off later. They are preventative actions no different than when people go to meetings regularly so they have a built in habit of reaching out for help when cravings to use hit them.  Here is the SAD’s risk for people in recovery – when we slip off into the emotional darkness, winter depression can inspire fantasies of suicide but thats not all – after a while our head will come up with some crazy ideas that sound sane to us such as, “Getting high is not as bad as killing yourself.” Our disease will use depression as a way to isolate us from our support group, from 12 step meetings, and from joyful activities until the darkness feeds off itself.   Our addict-mind will utilize the strength our disease gains from our isolation to suggest that getting high is almost a kind of harm reduction when weighed against the threat of suicidal thoughts. Remember – the disease is  subtle and patient. You must always have strategies to weaken its grip on you. This is why ongoing recovery requires vigilance. Lifestyle changes and taking affirmative actions (even when you don’t want to) are as vital to long term recovery as connecting to whatever sober support system you attend.

In 1995 I experienced my heaviest case of winter blues. Throughout the long winter I didn’t feel depressed at all, which was pretty amazing considering I probably saw  daylight for less than ninety minutes per day. However, as soon as the weather cracked, the birds started chirping, and the temperatures started hitting 50, it felt like I was trapped inside a bubble, like a force was preventing me from connecting to other people or feel the joy of spring everyone else was experiencing. By the fifth week of telling myself that “this too shall pass” I wondered if maybe I was becoming a danger to myself in a real sense. Should I write down suicide hotline numbers or admit myself to Bellevue?  I also blamed myself  for hitting this emotional low at 7 years clean and I felt a lot of shame over not being able to pull myself out of what I mistakenly thought was self-pity. Then one day I woke up and it was gone.  Joy, optimism and energy returned.  I believed there was a wealth of information out there to prevent this from happening again and I have adapted it to my winter health and wellness recovery routine. This doesn’t mean there aren’t some days I feel like crying or don’t want to go outside  but I’ve experienced such a great payoff for the small price walking for an hour in the cold every day that I push myself out the door no matter how much I might not want to go.

If you slacked off on self-care all winter chances are you’re feeling pretty lousy. Free-floating depression, lack of motivation, a desire to hide out from people, and a lot of beating yourself up for not trying to take better care of yourself … Am I close?  It’s time to put the hammer down and stop hating on yourself. That was then and this is NOW. This is a new moment.

Close your eyes and take a few slow deep breathes. Let your breath, your pulse, your heartbeat pull you into this moment – be here  now. Whenever you catch your internal dialogue starting to engage in negative self-talk inhale deeply and blow all that crappy carbon monoxide and soul sickness out of your mouth forcefully. Don’t worry – this isn’t a “let’s ignore the reality of all our unresolved issues and pretend that we are happy” exercise. It is an exercise in taking the opposite action to what you feel inclined to do. Addicts tend to invest so much into their emotional suffering that if they put it on hold for ten minutes to do something positive they feel almost like they have betrayed their dark side. hahaha. Trust me – I am speaking from personal experience. Taking positive actions does not mean that your suffering was not real. It simply means that you can occupy all spaces at all times and all are equally authentic. So CHOOSE JOY.  Dress appropriately for the weather and take a good forty-five minute walk. Stay mindful and pay close attention. Look for signs of spring. Are there buds on the trees, new flower stalks sprouting from the ground, does the bark have richer color? What about the birds? Can you hear them? Can you smell spring in the air?

Today in NYC it was still pretty chilly but I got on my bike and rode until tears and snot ran down my face from pollen allergies. Ha – fuck it – I’m happy to take any sign of spring even one invisible to the eye. Today my sign was pollen and I was filled with gratitude and there was excitement in my heart.

You can give yourself an emotional overhaul.  Start by making a decision to let go of yesterday’s mood and breathe your way into some optimism. Get fresh air. Buy some really colorful fruit and vegetables. When you are in the store think COLORS and pick food that is yellow, red, orange, purple, light green, dark green and blue. Throw it all together in a salad bowl – combine fruit and vegetables. Colorful, tasty and alive – like you want to feel. Now eat it while you watch a comedy you know makes you laugh super hard.

In no time we’ll be complaining about the heat  so make it your mission to stay mindful and pay close attention to every detail of spring as it unfolds. A lot of restless energy and emotions will be thawing out – including your libido – so prioritize connecting to your recovery support people and share whatever craziness is making you feel unhinged.  There is comfort in discovering that all the addicts in recovery you talk to will be be relating to your feelings. You aren’t alone.

In the next blog (Part 2)  I will talk about the seasonal roller coaster of emotions specific to this time of year and how to find acceptance and do damage control. Remember, as long as we have war games strategies against the disease of addiction, we will not lose the battle.

 

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Is that all there is?

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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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Is the FUN over now that I’m clean?

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funI was so grateful to finally get clean it never occurred to me to question what fun would look like in recovery. Although it made me sad, a part of me was prepared to adapt to a fun-free existence if that was the clean and sober trade off .

When I had less than 90 days clean I ended up at a 12-Step picnic in Griffith Park in Los Angeles. I’d been exposed to the  hip Hollywood recovery crowd at a world convention a few months before I got clean. When I got out of rehab in New Orleans, I boarded a Greyhound Bus back to LA. I knew I needed these people in my life if I was going to make it. The only person I recognized was a teenager with 6 months clean who I’d lived with in someone’s kitchen when we were using. I kept my eye on him for some sign of acknowledgment all day while going through the motions of selling sodas for the hospitality committee. The day was a series of  my self-conscious awkward attempts to fit in.

The picnic ended with a meeting. Everyone shared their gratitude for the gorgeous day and the fun they’d had – everyone that is except me. I wanted to cry. If this was what fun was going to look like in recovery, God help me.  I only had one idea of fun and it was a memory or fantasy I’d been chasing for a million years. Fun would be a hotel room, a lot of drugs, a lot of money, and a lot of sex with someone who I was attracted to and excited by. Anything less was not going to cut it as fun in my books. The happier people sounded the deeper inside myself I went. I was consumed by such immense sorrow  it left me lost and alone. I hated this and was not having fun. “Patty, would you like to share?” Suddenly everyone was looking at me and before I knew it I was saying out loud everything I’d been thinking. Fuck it. Too late now for pretend gratitude. When the meeting ended people told me to hang on, that it would get better. More people talked to me that night than in the previous week of meetings strung together. By the time I went to bed, I felt pretty good.  I had hope that there was life after drugs.

I share this story because everyone experiences something similar to this when they first get clean. I had absolutely no clean fun reference points. I’d been high from 12 to 28 so whatever fun I’d had happened under the influence. The only thing now that was impeding my ability to have fun was my self-obsession.  Feelings of insecurity, self-consciousness, and adolescent awkwardness permeated my every activity in public. The pressure I put on myself to “appear cool and unaffected” was killing me. In truth, life without drugs was unchartered territory and I’d always relied on the comfort of the emotional detachment heroin had provided in social settings. Without it I felt exposed and vulnerable.

In spite of my cynicism, I said yes to every invite and we traveled in sober packs – to concerts, to parties, to dance clubs. Soon my life was as rich as it had been before drugs isolated me. Along the way I developed deep friendships that exist to this day.

The interesting thing is rediscovering what fun means to me as I get older. Every few years, I have periods where I no longer know where I belong socially. Things that interest me now tend to be more solitary. Too much solitude- even if it’s spend doing things I enjoy – becomes lonely and I’ll think “I need to enhance my personal life, meet new people, go out and have fun” but these thoughts are filled with that question “What does fun look like to me now?” Sometimes I will go out and realize I am the oldest person in the room and start to wonder where my peers are.  It can make me feel as awkward as my early days in recovery. Thankfully I have enough experience to know that if I keep an open and curious mind my experiences will reflect this. When I shared my thoughts at that picnic years ago, I discovered that I wasn’t alone.  I find this to be true now too. I talk to other people who are single and over 40 or over 50 and ask them what they do for fun and – maybe it’s my generation – but it seems a lot of them are asking themselves this question and have started trying new things, testing new waters and are more than happy to include me.

It is so easy to get caught up in life and responsibility that we forget to play. If we lose our sense of playfulness and joy old ideas will creep in that say the only real fun is found in a bottle or a substance. Don’t let your disease trick you with this lie. If you feel like your life is lacking fun, commit time to exploring different things until you discover what fun looks like for you.

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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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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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