Tag Archives: Narcotics Anonymous

“Am I going to be staring at glasses of wine for the rest of my life?”

November 21, 2012All Things Recovery12 step, AA, addiction, Alcoholism, clean, disease, Drugs, Feelings, gratitude, HALT, Narcotics Anonymous, recovery, Relapse, sober, Sobriety, support, tips, triggerpattypowers

A friend of mine said when he finished his program he was “like a wet dog on a back porch. They couldn’t get rid of me.” They ended up offering him a job. For me, getting out of rehab was like being pushed out of the nest not knowing whether or not my wings would work. I’d have stayed there forever if they’d let me. From the minute I was admitted into treatment the thought of “life after rehab” literally took my breath away. After all, forty-two days in a program built around relapse prevention made one thing clear – this place didn’t give guarantees.

I went straight from rehab to a friend’s apartment in New Orleans’ Quarter. I would wander the streets feeling as though I’d been skinned alive. I’d sit on a step at every corner, smoke a cigarette, and pray that I would stay clean for the next five minutes. The word “terror” doesn’t come close. My first two weeks in the real world consisted of laying on a sofa for hours trying to make sense of the third step, smoking cigarettes on random steps killing time between meetings, and going to bed – where sleep failed to come. The only thing I had on my side was that I had no personal history with New Orleans. I knew no one. Thank God.

Recently I was in a shopping mall with a client who’d just returned home from treatment. She suggested we grab lunch in a little restaurant on the ground floor. It wasn’t until we were seated that she casually mentioned she’d spent many afternoons there drinking martinis. I would have known even if she hadn’t told me because the place electrified her. I handed the wine list back to the waiter and a look of disappointment came over her face. She sunk behind her menu. “The food here is great. I totally forgot about the bar when I suggested this place. Honest!” I’m sure she had. I’m never surprised at the tricks the brain will play on the newly sober person. They’re unconsciously drawn to risky situations and, once there, begin to play a form of mental chicken. They test themselves – which is a really dangerous game to play. While she commented on the cocktails at nearby tables, her disposition flipped from euphoria to gloom. We ate quickly and skipped dessert. I knew there’d be emotional backlash. She’d either become surly or would want to crawl back into bed when we got home. The experience gave us a lot to work with and talk about – how to safely navigate through day to day life without setting yourself up for additional emotional fallout.

“Am I going to be staring at glasses of wine for the rest of my life?”

In early recovery, my stomach would flip every time I passed a freeway exit that lead to any bathroom I’d ever shot coke in. Some days all it took was the Hollywood Freeway South sign to constrict my chest. It felt like I was losing my mind. If the whole world reminded me of using, how would I ever stay clean?

There will always be restaurants, parties, and work functions. There will be comedy clubs and rock shows. You get clean so you can become part of life – not hide from it. In early recovery, the key is to not test oneself by going it alone.

It takes time to build sober memories. Things that used to send me over the edge seldom affect me now. The Hollywood Freeway South sign is now just a sign. When I see it I’m filled with pleasant memories of fun times I’ve had and people who have passed through my life in recovery. I no longer look at the underside of spoons. People drinking wine at the next table are simply strangers experiencing a moment in their own life.

I would have never believed that the haunting memories of people, places, and things connected to my drug days would ever be replaced by equally powerful memories of my life clean and sober. It happened when I wasn’t paying attention. It will happen for you too. Remember – it takes time to create a new history. In the meantime, be mindful not to play chicken by deliberately placing yourself situations that are going to push you out on an emotional ledge. If you have to go anywhere that you know will be slippery, don’t go it alone.

National Survivors of Suicide Day

November 17, 2012All Things Recovery12 step, AA, addiction, Alcoholism, anti-depressants, depression, Drugs, family, Feelings, fellowship, gratitude, lonely, mental health, Narcotics Anonymous, Powerless, recovery, Relapse, relationships, sober, Sobriety, Stress, suicide, supportpattypowers

National Survivor’s of Suicide Day November 17 2012

Today I spent time thinking about those I’ve lost to suicide and their families.

I got news this past week that another friend from my early recovery overdosed and died. This makes six friends since March. Five had been in recovery at one point for anywhere from one to twenty years before they decided that they could drink or smoke weed without getting caught up in old ways. The news is never easy. Over the years I ‘ve been clean, there’s been a lot of death. Overdoses and suicide top the list followed closely by AIDS and Hepatitis C. I’ve spent a lot of time searching for meaning, contemplating life and death, and coming to terms with it in a way that makes sense to me personally. At one point I started to numb out. I would hear of a new death and mentally delete their number from my cell phone – gone! They were gone. Over! The end! I noticed my lack of emotional response and figured, really, how much death can one take? Nowadays, I’m back to feeling that funk land hard in my stomach and the sad sound as my head whispers “Fuck!”

My best friend committed suicide in the mid-80s. I wrote about her in an earlier blog on my other site http://www.pattypowersnyc.blogspot.com/2011/09/finding-one-day-at-time.html. That death hit me at a time when my own life was spiraling out of control. I felt I understood what she was feeling at the time -that feeling of not wanting to play anymore, of being tired, of not believing things would ever change. Little did I know that within three years I’d find recovery and my life would change radically.

I’ll confess that, for years, I held a little idea at the back of my most private thoughts: I would do this life-on-life’s-terms recovery thing as long as I could but if I ever got tired and want off the ride instead of getting high, suicide would be my way off.

At seven years clean I was hit by a depression I’d never experienced before – coming out of the blue and unattached to any plausible explanation. There was nothing going on in my life I could pin it to. I felt like I was inside a bubble preventing me from feeling a connection to anything or anyone. I spent days laying on the sofa telling myself “This too shall pass.” The next day I’d awaken to realize nothing had changed. I had no desire to get high and wondered how long I could live this way. When would enough be enough and I’d check out? I was also writing a novel where the main character would attempt suicide so a variety of methods were at my fingertips. Needless to say, it wasn’t a good time to spend days alone with my mind. Was this feeling ever going to pass? The day I woke up feeling alive again was one of joy and relief. Shortly after this, a friend’s son hung himself.

While laying in my self-absorbed darkness fantasizing about suicide, it never occurred to me to consider how my death would affect others. Witnessing first hand how his suicide impacted the lives of his family and friends eradicated suicide as my exit strategy.

There was a hint that the latest death may have been intentional because of his history with depression. Addiction and depression are closely linked. Perhaps this has played a role in all the earlier suicides. Much has been discovered and documented linking addiction and depression since my early years in recovery. Back then many recovering addicts shunned the idea of taking any sort of pill. Instead they believed in toughing it out, working a stronger program, finding a god. Many struggled with undiagnosed mental health issues for years, living in pain, until they finally sought help. It wasn’t that recovering addicts wanted to martyr themselves. Antidepressants were a new concept and many of us twelve-steppers were naïve and ill-informed.

I think a lot about my friends who’ve died, wondering how many of those overdoses were suicide. How many kept their depression a guarded secret in recovery? How could we have helped?

That is the biggest question survivors of suicide torment themselves with – “What could I have done?” It’s heartbreaking to see and hear the grief lingering years later, wrapped around them like a blanket for the remainder of their lives. If a loved one has committed suicide please find support groups and professional counseling. The impact of suicide can be trauma.

For anyone who is considering suicide I will pass on something someone said to me during a particularly difficult time:

Patty, life is like a long phonograph and right now the needle is skipping but there is still a long beautiful song left to play. I know the pain is so big you can’t breath and it feels like it will never go away but this is really just one moment in time of a very long story and when you get past it, you will always look back and remember this period as a hard one but you won’t even be able to connect with the pain that right now feels like its going to kill you. It will just be a memory that things were rough. While you’re in it, it feels so much more meaningful – but it’s really a just rough patch in a skipping record. Not worth killing yourself over. Because then it’s over forever.

Hang on and ask for help!

I didn’t get clean for this sh*t! Unmanageability.

August 9, 2012All Things Recovery12 step, 1st step, AA, Alcoholism, clean, disease, Drugs, Feelings, fellowship, HALT, meetings, Narcotics Anonymous, Newcomers, Powerless, recovery, Relapse, relationships, sober, Sobriety, Stress, support, tips, unmanageabilitypattypowers

This has been a crazy summer for me. Not “crazy” in a wild and fun way either (sorry to say) but crazy in an unmanageable “life on life’s terms” way. This is my first summer in New York City without air conditioning and the hottest recorded summer since the 1800s. They decided to re-wire my building (an old brownstone in the Village) and hired one electrician to do all the work. I struggled through one major heatwave after another, sitting inside my apartment feeling like a dog locked inside a car with the windows rolled up. I found myself crying at my desk for no reason. I’ve discovered that severe conditions can bring on feelings of despair and depression – go figure! I had to turn down several clients because I was in no shape to help anyone and writing was impossible. Instead, I went to visit my folks in Canada for a couple weeks and expected to come back to air conditioning. Well –
what do you know – Con Edison went on strike so there is no one to do the inspection. There will be no air conditioning this year. The upside is that I knew enough to leave town to rejuvenate my spirit and have since put myself on graveyard hours so that I can bike in the cooler evening breeze for fresh air, write at night, and see as many matinees as I possible. I’m making my situation as manageable as I can because my mental health matters to me. I am powerless over the circumstances but not powerless over my ability to make choices to improve my situation. I needed topics for this blog to simplify my workload so I asked for help.I got a lot of suggestions. Phil wrote me this, which I felt was appropriate to use first:

Recovering addicts are always asking as to what they can expect to “manage” in the sober future and what they cant. -Phil

When we look back at the unmanageability of our lives during our using days the list goes something like this: jobs lost, apartment evictions, regularly living without a phone or electricity, calls from collection agencies, owing everyone we know money, significant others leaving after many tears, fights and drama. Our health deteriorates and there are trips to hospitals, jails, and psych wards. Paramedics bring us back to life and even this doesn’t strike us unusual. What’s worse than the exterior unmanageability is our inner life – we can’t handle experiencing negatives feelings yet they seem to be the only feelings we have. Our only coping mechanism was to keep using in the hope of finding some inner peace.

Clean and sober, unmanageability in our lives can look like this: jobs lost, apartment evictions, regularly living without a phone or electricity, calls from collection agencies, owing everyone we know money, significant others leaving after many tears, fights, and drama. From neglecting our health there can be trips to hospitals. If we don’t change our behaviors we can end up in jail and there could even be times we end up in psych wards.

In recovery, even when our external life can remain manageable, our inner life can be filled with anxiety, self-loathing, pain and torment. “Why is this happening to me?” we cry as our thoughts return to the old solution – getting high.

Recovery is the process of changing our behaviors and our response to situations so that we don’t back ourselves into an emotional corner where getting high seems to be the only way out. If any addict stays in pain long enough, s/he will use.

It’s our responsibility to manage every area of our life in a way to keep chaos and drama at a minimal, We learn to start paying bills on time, communicating honestly, become willing to renegotiate or compromise in relationships, We address health and mental health issues, earn money the old fashioned way of working for a living. The hilarious thing writing this is that I know everyone reading it is thinking “Of course we have to do this. Tell me something I don’t know.” It sounds easy to live an upright, ethical, honest life clean – but is it? I mean – really?

This is what I have seen over the years: some addicts gets clean and lives a very rigid life – so rigid and fearful of making errors that the first chance they get to let their hair down, they get loaded. Then there’s the addict who continues acting out deviously in some areas all the while spewing wisdom of recovery louder than anyone else. I call this the “Spiritual giant who goes home and beats his wife and kicks the dog”-syndrome” (not gender-specific) who, without change, will also eventually gets loaded. And then there’s the middle ground – the category that most of us fall into – we hold onto old behaviors as long as they work for us before we become willing to change. And we only are motivated to change by pain.

I didn’t learn how to pay parking tickets until my car was towed, pay my phone bill on time until I got sick of losing money to reconnection fees. It’s true – there are a lot of people in the world who don’t go to the dentist until they are in excruciating pain but for addicts being in pain brings a cry for drugs. Non-addicts experience unmanageability the same as we do. The difference is that they will not respond to it by self-destructing.

It’s important to understand how the disease of addiction gains ground. It LOVES when we are angry with ourselves. No one can ever treat us as badly as we treat ourselves inside the privacy of our own mind. This is why we need the love and support of other recovering addicts. They remind us to give ourselves a break, teach us how to find working solutions to the problems of daily life, let us know that our fantastic idea on how to beat the system is insane, talk us out of that one last heist, help us recognize when the criteria for a boyfriend is different from the criteria for a sugar daddy. Recovery teaches us how to live without being motivated by the fear that if we let go of our old hustles and irresponsible behaviors, our need to get over on the system, that we won’t make it.

It’s unrealistic to expect to come into recovery and immediately live a life 100% according to new recovery principles. We do our best. We grow in leaps and bounds in some areas and stay sick and stuck in others. The pain from unmanageability in the form of drama, chaos, and from the consequences of our actions is what teaches us who we really are –in our hearts not in our minds. We discover that don’t want to keep hurting ourselves by living this way and this gives us the strength and courage to change. This is a good thing. Because we don’t want to suffer, we learn how to do things differently.

In recovery we can be free. Not just free from the enslavement of addiction but free from senseless self-made suffering. The calm and inner peace we feel by living a life of less drama and unmanageability will eventually guide us in all our affairs. Nonetheless, shit does happen – economies crash, people die, lovers leave, personalities clash. Sometimes we may have a long string of bad luck and feel like life is not fair. We cry, “Why me?” and an old voice will whisper back, “Fuck this shit. You didn’t feel this bad when you were using. Fuck this recovery bullshit.” Yep – the disease never gives up, always waiting for a moment of weakness, always quick to point out the hopelessness of it all. During these times lean into recovering friends for support, love and guidance. When times get dark hang on because this too shall pass. It will and it does.

Recovery is harm reduction for day to day living.

Anatomy of a Vacation

July 12, 2012All Things Recovery12 step, AA, addiction, Alcoholism, clean, family, Feelings, fresh air, gratitude, health, holidays, Meditation, Narcotics Anonymous, recovery, sober vacation, Sobriety, Stresspattypowers

I don’t know about you but getting clean made my life a whole lot busier. Twenty-three years later and the need for downtime and timeout from the day-to-day grind is as essential to my well-being and recovery as it ever was.

I’m writing this blog from my parent’s house in rural Ontario Canada. Every summer I spend two weeks here, a combination of amends and vacation time. My parents left the city of Toronto six years ago and moved to a town of eleven thousand people who are spread out across thousands rolling acres of farmland and forests. A seven-minute drive ends at a sandy beach on Lake Ontario.

Usually I spend the majority of my time here in the yard or in my room working on whatever project I brought along. This trip has been different. I’ve spent a lot of time playing ball with a twenty-month old Jack Russell named Harley. Most days I take Harley to a stone beach and throw sticks into the lake for him, go on long country bike rides, walk the dog to the horse farms, and at some point drive back to the beach for a long swim. This routine is broken up by whatever scenic drives my parents want to take. Occasionally I will go to my room and check email or my cell to see if I am missing anything from my life in New York. I’m not. Until tonight, I also haven’t been writing.

Vacations are a time-out from the daily grind of life. I don’t know about you but I tend to forget this. I hear friends talk about doing nothing on island vacations but that has never been my style. Normally a vacation means visiting a new city somewhere on the planet and exploring it from morning until bedtime. My vacations are usually heightened stimulation and inspiration and a break from my regular life. Coming to Canada and forcing myself to work everyday at my computer was as close to doing nothing as it gets for me. This year I am having a real vacation. I must under-estimate the sheer levels of stress city life imposes: the noise, the crowds, the pressures to be here and there, the effort to maintain healthy balance with recovery, exercise, leisure, work, diet – the effort to stay sane. I love city life but it is important to take time out. It took three days for my body wind down and a new level of rest come into me. I see this vacation as a re-up.

I arrived here with a lot of noise in my head. The list of what I need to get finished, emails that need to be sent, dates I need to schedule – there seemed to be a lot of things I “needed” to do – so much that I felt overwhelmed. Two weeks in a heat wave without air conditioning and I’d done nothing. So I arrived with stress and anxiety and exhaustion. This of course felt like low-grade depression. Free-floating waves of despair swept through me. I arrived depleted. Thank God. I was too beaten to summon the fight to keep going at my usual pace. Defeat was the silver lining of that heat wave.

Two days of napping and my spirit lightened. On day three I went to the beach. From that point on, my days have been spent as I indicated above. I now notice clouds, the smell of cedar as I bike past a forest, the sound of the waves hitting the shore, sunsets on the water. I have a sense of peace that is deeper than what I am able to get in the city with yoga, meditation and visits to the park. Sometimes you just have to step away from your life to get these needs met.

In recovery, I have learned to listen to my heart (or to my gut). It always lets me know what I need. This was even true in early recovery. You may not know you are stressed or burnt out until a friend tells you but if you take some quiet time, your body will let you know what it needs. It could be an air-conditioned movie to buy 90 minutes of not thinking about your life or texting anyone. It could be a long walk in the evening, a bike ride, a dance class. Your spirit will always cry out for some relief from the grind but it is up to you to feed it.

If you can’t get a vacation, give yourself one weekend day as a day for yourself and schedule in something that will feed your spirit: nap time, a country or beach walk, a river stroll, a picnic in the park with your favorite book – and please leave your cell and your i-pad at home for a minimum of 6 hours. I’ve checked mine and 8 days later, my real life has not fallen apart.

If your life is so busy that you can’t afford a whole day for yourself, schedule in several hours a couple times a week and use it to go outside. Pay attention to the small details in your view. We all have scenery, even in cities, so take some quiet time and look at whatever beauty there is around you. Think of it as a mini re-up.

Visiting parents can be the most stressful thing people in recovery can do and during the first 7 or 8 years of my recovery I never knew what to expect. Would I revert back to asshole teenage behaviors? Would old resentments take over my thoughts? Would I arrive with expectations and be disappointed? Would I blurt out something hurtful I couldn’t take back? Visiting family didn’t always feel like a vacation. Luckily, the ongoing process of recovery has healed a lot of old wounds, given me perspective, and has changed my relationships – even with my parents. I am enjoying a peaceful vacation without busy-ness, without having feelings I need to escape from, and in the company of two people I am grateful to still have in my life.

In recovery, we change and our relationships with others change. You may cringe at the idea of two weeks with family but if it is something you do, who knows, maybe one day you’ll discover yourself enjoying it. Summer is a glorious time. Wherever you are and whatever you do, set aside some time to enjoy it and be rejuvenated by it.

What’s all this talk about willingness?

June 22, 2012All Things Recovery12 step, AA, addiction, Alcoholism, Drugs, Narcotics Anonymous, recovery, Relapse, Sobriety, tips, willingnesspattypowers

When you get clean you start to hear a lot of stuff about willingness. Are you willing to go to any length (for your recovery)? But what does it mean? Where does willingness come from?

I believe the magic of recovery exists in the willingness to try. Imagine an arrow being shot into space and time. At the very tip of the arrow is willingness. It’s the first thing to pierce the air, changing the energy and molecular configurations around it. Simply by launching the arrow, change begins to happen.

Willingness is akin to saying “I’ll try ___ even though it doesn’t make sense to me and I see no point in it or understand why I’m doing it.” Willingness is trying something when a voice is crying out not to.

At the beginning of recovery willingness is usually born out of desperation. First we are willing to consider not using drugs. Next we are willing to not get high for 24 hours even though we don’t believe we can do it. We become willing to consider that maybe the people who are clean might not be full of shit with their suggestions on what to do next, how to make it for another hour or another day without using.

When we are willing to admit we need help it seems to come to us. Our life starts to shift. We begin to see that when we become willing, things usually start to change for the better. It becomes easier to not have to be in control of everything all the time. We allow for some sort of falling of the cards to take place.

Willingness comes out of a desire to believe that all is not hopeless.

Even when we don’t know what move to make next, especially during our darkest, most confusing times, change begins as soon as we become willing – even when it means being willing to wait to see where the universe will blow us next.

Eating Right & Feeling Better

June 1, 2012All Things Recovery12 step, addiction, Alcoholism, diet, Drugs, emotional stability, Feelings, food, health, healthy eating, hungry, Narcotics Anonymous, Newcomers, recovery, sanity, sober, tips, waterpattypowers

I’ve had food on my mind lately so it’s going to be the subject of this week’s blog. If you’ve just discovered this page and were hoping to read about recovery, don’t be discouraged. Food is an important component of the recovery process. How, what, and when we eat says a lot about where we’re at with self-care.

For example, when I notice I‘ve been leaning more toward sweets, carbs, white flour or extra caffeine and eating less protein, fresh fruits and vegetables, it’s usually an indication that something’s affecting me emotionally. Maybe I’m feeling depressed, lonely, frustrated, or angry. When I catch my diet moving in this direction, I can take stock of my life and my feelings and address them. I’m able to do this is because typically my daily eating habits are healthy and balanced.

Eating habits aren’t always dictated by emotional states. When the seasons change, my diet often changes with it. Winter it’s more soups, yams, winter vegetables and carbs and summer is lighter Mediterranean-style fare. One thing is certain – a healthy balanced diet helps me to deal with emotional turmoil better than if I ate poorly.

This blog Health Food and Heroin (part one and two) will take you back to the roots of my becoming a vegetarian in the early 80’s and my interest in nouveau cuisine when it hit the culinary scene during my 20s. Keep in mind that even with this information my last year getting high I existed mainly on vanilla cake mix with milk, chocolate chip cookie dough, and tortillas with sugar. Seriously, when I gave up on my life I gave up every bit of self-care I’d ever known. My bottom was complete abandonment of self.

When I got clean in the late 80s, one of the first things I did was join a gym and start eating better – but change didn’t happen overnight. Late night espressos or ordering four or five Thai ice coffees while fellowshipping probably had a lot to do with the fact that I didn’t get a solid night’s sleep for my first six months clean (though I assumed it was some hold-over effect of drug addiction). The day my 1969 Dodge Dart was stolen I ate all the icing off a large sheet cake until I was so sugared-up I passed out. This seemed a better alternative to getting loaded (which was what I wanted to do). For fun, my recovering friends and I would come up with bizarre food combinations to create speedball effects such as high sugar/caffeine followed by heavy dairy and carbs. That would be our wild Friday night entertainment. Basically during my first year clean, we were taking as much pleasure as we could acting out with whatever was at hand without the use of drugs.

In spite of the insanity we encouraged in one another, we were still going to the gym, eating healthy food, and spending days off at the beach. Once I began experiencing the positive effects of the healthy side of my lifestyle, I lost my tolerance for sugar hangovers and junk food sluggishness. A healthy lifestyle in recovery became a natural preference for one reason – I like feeling good. When my body felt good my emotions were also in balance.

I started this blog wanting to write tips for eating well in hot weather. If you are new to recovery you may walk away wondering how to create a food speedball. Hopefully you also are thinking “If I eat better maybe I won’t feel like shit”. It’s true – you won’t.

Here are some tips for your hot weather diet and grocery list:

Greek yogurt or cottage cheese with fresh or frozen fruit and nuts make a great breakfast. Until you eat protein you will stay hungry. This is why people who start the day with a couple donuts keep going back to the box until they are horrified to see they have eaten a half-dozen donuts before noon. Start the morning with a breakfast high in protein to maximize your energy and mental clarity.

Other protein you can keep around the house to throw into other meals on hot summer days – canned tuna/salmon/sardines, boiled eggs. Cook a chicken or turkey. The meat will stretch across numerous meals. If you are on a budget, split the cost of a turkey with a friend.

Meal-sized salads are perfect during a heat wave. It’s great to keep pre-cut vegetables in containers in the fridge. Stock up on cans of beans, nuts, feta or goat cheese, sun-dried tomatoes, a variety of dressings and anything else you want to add to create a meal salad.

Fresh fruit is delicious but buying frozen fruit is often cheaper and on hot days is a much healthier alternative to popsicles or ice cream.

Always throw a few apples, peaches, pears or your favorite fruit into a bag to bring with you when you leave the house. Midway through morning and afternoon or during the long stretch between meals on busy days, a piece of fruit will help you maintain energy. The same goes for unsalted nuts. I am not anti-salt but choose wisely. Without adding extra salt, most people get the amount they need in the course of a day through regular eating.

Stay hydrated. Drink water. If you think 8 glasses of cola is the same as 8 glasses of water, think again. Water is water – don’t include the water used to make coffee or tea. Pure water helps flush toxins throughout your body. Cola doesn’t. If water seems too bland, add a slice or lemon or lime. Once you start drinking water, you will begin to thirst for water.

This blog is not a diet plan by any means. When I work with clients, I insist on lots of water, fresh fruit and vegetables with every meal, and clean protein (meaning protein that isn’t hidden under mounds of melted cheese or deep fried). Changing a diet will happen naturally over time if you continue to lean toward healthy choices. Go online to educate yourself on the basics of nutrition. It’s possible to eat healthy and still eat cheaply.What about pizza, fast food, or dessert? Go for it but remember -it’s going to be the healthy fresh food giving you energy, better skin, mental clarity, alleviating depression, and aiding in sleep so don’t neglect one in favor of the other.

What you eat affects how you feel. Recovery gives us choices. Choose wisely.

How can I tell if I’m heading toward a relapse?

May 15, 2012All Things Recovery12 step, AA, Alcoholism, angry, clean, disease, Drugs, Feelings, fellowship, HALT, hungry, lonely, meetings, Narcotics Anonymous, Powerless, recovery, Relapse, relationships, Sobriety, Stress, support, tips, triggerpattypowers

caution_relapse

Last week I had the fun experience of being a guest “speaker” on a Twitter addiction chat. I had no idea how I was supposed to be a “speaker” in 140 characters or less. Luckily it turned out to be a Q&A. The final question “How can a person tell if they’re starting to relapse and how can they stop themselves?” seemed like a good topic for this week’s blog post.

The interesting thing about a relapse is that afterward the addict will swear, “I made the decision to use” when really, “I made the decision a while ago and using was the anticipated outcome” is more likely the case. When we’re clean we always have a choice. By the time the “decision” to use comes along, we’ve already given up that choice by not recognizing and correcting the behaviors that were leading us toward a relapse in the first place. When we are in the disease clean, the window of opportunity to choose recovery gets smaller and smaller until our disease is stronger than our recovery and we use. We forget we are powerless once we use. Almost every addict who has relapsed tells me immediately afterward, “If it gets bad, I’ll get clean again”. Really? If it was that easy to get clean, why wouldn’t I use one day a year? They get amnesia about what it took for them to ever have had the desperation to get clean in the first place.

So what are these behaviors we need to watch out for and take seriously that have the power to eventually lead us back to using?

We start to come up with reasonable sounding reasons to start missing meetings (or IOP or whatever support group you are part of).

We start finding our recovery/sober friends annoying. We don’t feel like being around people and are much happier when we’re alone.

We feel a general crankiness toward everything.

We feel an endless hunger for anything (food, shopping, money, power, sex, attention, caffeine, tattoos, seductive pain) outside of ourselves to make us feel better, to feel excited, to feel alive. We long for euphoria.

We stop doing things we used to enjoy in our fellowship such as service, group activities, fellowship, stop working the steps (usually after step 5), stop talking to our sponsor/sponsees. In fact we start feeling judgmental toward both.

We start acting out in asshole behaviors without noticing such as gossip, anger, deceit, and righteousness. We nurture our resentments and start keeping secrets. Consequences include shame, remorse and guilt yet we do not talk about these feelings or their source to anyone.

We’re Hungry, Angry, Lonely, Tired. We take no action to remedy it.

We start hanging out with people who are not in recovery more often than people who are. Watching our friends who are not addicts use and drink starts making us have thoughts that we can do it too. We tell no one this.

We hang with using addicts and alcoholics and enjoy it. We believe it is not affecting us. We make less time for friends in recovery.

We act out in self-destructive behaviors such as cutting, eating disorders, sexual compulsion, unsafe sex, compulsive Internet cruising and tell no one.

We isolate in abusive or unhealthy romantic relationships wanting someone who doesn’t want us yet going back time and again expecting different results.

If you are doing ANYTHING that your head says is nobody’s business (not even the person you trust most with your recovery) LOOK AT IT.

I really believe that if an addict stays in emotional pain long enough the only solution guaranteed to bring relieve will be using.

A relapse can usually be traced back to a combination of these behaviors occurring over a period of time. If you see any combination of these happening in your life, start taking the opposite action. This can be as simple as removing yourself from the situation, recommitting to meetings, service, reconnecting to your support group and being thoroughly honest about devious thoughts and actions.

How do I stop my kid from becoming an addict?

May 7, 2012All Things Recovery12 step, AA, addict-children, alanon, alateen, Alcoholism, clean, Drugs, family, Feelings, meetings, Narcotics Anonymous, parents, recovery, Relapse, support, tipspattypowers

I have been approached by parents time and again asking what they can do to prevent their children from becoming addicts – which is a different conversation from asking what they can do to spot the signs of using or get their child help. Many books have been written on this subject and there is a lot of information available online. As usual, I’ll begin this blog with some personal stories from my life as an adolescent drug user.

I remember my first acid trip, at twelve, as something magical. By high school I was pulling books on drugs and addiction off the library shelf. Each book was filled with sociological evidence of the trajectory of drug use. Marijuana led to heroin addiction, criminal behavior and prostitution. I wrote it off as propaganda. Besides, despite fitting the profile for a potential substance abuser, I was confident I’d be the exception to the rule. Sixteen years later I went to rehab.

For clarity, I will say that mine wasn’t an immediate downward spiral into the perils of active addiction. It was more a full-steam-ahead approach to life that included a lot of fun and adventure in which drugs were always present. Occasionally I’d attempt to control whatever I’d been abusing or switch to milder drugs. Giving up drugs didn’t occur to me.

The price of addiction is always loss and over the years the price kept escalating. I lost jobs, friends, apartments and, at times, my health. Drugs kept me away from my family and many of my friends died. I was lost from myself, directionless and drifting. For years, a constant underlying despair accompanied me and I was always trying to eradicate it with a substance. I never stepped off the ride until it became a choice between life and death.

Like I said, it wasn’t a one-way street to hell after the first time I got drunk at the roller skating arena in 1972. (btw the gateway drug for all addicts is alcohol. I guess it slipped the minds of researchers when they came up with the term “gateway drug”). The progression of my drug use, like most addicts, occurred over time.

Not everyone who takes drugs is an addict. There are people who drink or get high recreationally, who can take it or leave it. There are substance abusers who may party hard for a year or two and then get it together and move on (without any outside help), and others who catch themselves before they become full-blown addicts and seek professional help to get it under control. And then there are addicts for whom control is not possible.

I have compiled this list of helpful tips based on my personal philosophy with parents of young children in mind. I’ve also included help for the family of using addicts.

Openness: Kids will censor information if they believe it is unwise not to. They intuitively know if what they say will worry or upset the adult so they will suck up their feelings to protect the parent. Children want to be loved unconditionally – exactly as they are. Judgment and criticism is a form of rejection. They are acutely aware of every time they have heard a parent criticize or judge others so they may not feel safe expressing their true feelings and fears.

Communication: By learning how to process emotion and walk through fear and uncertainty early on, they won’t seek comfort from something external. If you have very young children, raise them in a household where everyone is safe to express their true feelings. If this has not been the case and you cannot get your children to open up to you (when your heart knows something is going on) make sure they have someone they feel safe talking to (a relative, teacher or therapist).**** If there has been abuse, trauma, or active alcoholism/addiction in the home, get professional help.

Belonging: If they’re unable to bond at their school or feel like an outsider, find clubs and activities where they can meet friends with similar interests. The feeling of “other” is common among addicts.

Be the parent: Children need boundaries, rules and codes of ethics. They are also brilliant bullshit detectors. It can’t be a “do as I say and not as I do” situation. Children don’t want to know about a parent’s sex life or hear glory tales of drug use only to be later told, “Sex is bad. Drugs are bad.” If you are confused how to draw from personal experience in a positive honest and healthy way, ask a professional or seek out community parent groups. (If you feel shame about your own past, it’s time for you to do some work to gain acceptance and forgiveness. I’m a big believer in therapy but people also heal in support groups, 12 step programs. Speakers and workshops by people like Marianne Williamson, Melanie Beatty, Deepak Chopra, and Louise Haye have helped thousands. There are many avenues to seek help getting right with yourself so that you can be 100% available to your child.)

Validate: Praise every triumph, encourage every effort, and remind your children that they are perfect and wonderful whether they come in first or last on the sports team, whether they get A’s or D’s. Showing up and giving it your best after a disappointment is praiseworthy. D’s can turn to A’s with extra help and perseverance. Raising children with a sense of self and self-worth gives them a strong emotional foundation and make them less likely to fall to peer pressure or seek comfort in substances.

For loved ones: Active addiction affects everyone in the family. Al Anon and Alateen are 12 Step fellowships that offer support and tools for healthy coping. (Google for information and local meetings). Http://www.intherooms.com is a website where you can connect with other people who can share experience, strength and hope. They also have live video online meetings.

Helping the addict: Interventions can help get an addict into treatment before they hit bottom. It’s true they may agree to go to get the family off their back, to keep financial support coming in, or for any number of reasons without any genuine desire to get clean but often a spark of hope is awakened while in treatment and they may choose recovery for themselves. Rarely is an addict exposed to recovery able to go back to using without carrying the knowledge that there is another way to live. Even after a relapse, many addicts will return to recovery.

Powerlessness: We cannot get anyone clean but we can instill hope and let them know they have a choice. In the end, recovery will always be a personal decision.

I know for an addict to want recovery, the desire has to be in their heart – but desire without action is fantasy. Talking about, thinking about, or preparing to get clean is a game many addicts play to either get someone off their back or to give themselves the illusion that they are doing something about their problem. What is always behind this lack of momentum is fear. Addicts can look down the barrel of a loaded shotgun but they cannot handle emotional discomfort. Despite what I used to think when I was using, I got high over my feelings – to avoid them and to numb them. If you raise your children to embrace their emotions, they will not fear them – and hopefully won’t have the need to find an external substance to manage them.

For the Ladies: Hormones are a Bitch!

April 30, 2012All Things Recovery12 step, AA, Alcoholism, angry, disease, Drugs, Feelings, fellowship, health, lonely, meetings, Narcotics Anonymous, Newcomers, PMS menstrual cycles, Powerless, recovery, relationships, Sobriety, Stresspattypowers

Let me set the stage: I wake up feeling relatively normal. It’s true the night before I was starting to have a few alienating judgmental thoughts about one friend or another but I didn’t trip on it. Today I’ve been busy on the computer and taking care of a few things around the house. I make it through the first half of the day without talking to anyone. Now it’s time to head uptown. On the subway, as people begin to crowd into the train, I notice a few minor character assassinations take place in my head whenever someone stands too close to me. When I switch trains, the walkways fill up with people who have no urgency in their step. I pick up my pace and aggressively snake through the crowd. It isn’t until I descend the stairs to my connecting platform that I spot the source of the pedestrian traffic slowdown. Two people are standing at the foot of the stairs having a conversation during rush hour. I shoulder hard into them on my way down but really what I want to do is grab them and throw them onto the tracks. How can anyone be so selfish and stupid as to block a stairwell in New York City during rush hour? These two clearly deserve to die.

I tell this story because this was a regular occurrence in my life. In fact, it was a monthly occurrence. This is how the first sign of my PMS would announce itself – homicidal fantasies. Like character defects that often only appear when dealing with others, the beginning of PMS would be undetectable until I was out among the human race. This would be my yellow warning light for what was to come. In the hours after my subway rage, I would turn the anger and disgust toward myself. I’d become both judgmental and insecure. Character defects would flare up and I’d act out on resentments with gossip followed by shame and paranoia. In the end I’d be so raw and vulnerable and filled by self-loathing that all I could do was hide or cry. On day two my abdomen would swell and a visible layer of water weight covered my thighs, back and butt. Puffy eyed and dragging with fatigue, the countdown would begin. On the third day my period would start and with it came a sense of relief. It was as if the pressure valve had opened and my emotions were restored to sanity. Hormones are a bitch!

When women get clean and sober, like men, we ride the emotional rollercoaster of early recovery. People tell us what to expect and reassure us with “You’re where you’re supposed to be. This is normal.” What no one tells us is that we are also powerless over our hormones and that they will make us emotionally unmanageable. Usually it isn’t until we have spewed venom and insanity to a female friend or sponsor that we are asked, “Where are you in your menstrual cycle?’ To which we respond with anger. The question sounds belittling and condescending. After all, doesn’t it dismiss the validity of the feelings that have consumed us? There’s nothing like PMS to make a woman want to argue – even if it’s to argue against the very idea of PMS.

Many of us didn’t experience PMS during our using because we were too high to notice. We were always under the influence and intuitively used substances to control our feelings – including those of PMS. I know personally, I was on the Pill from 14 to 28 and my last year using my periods stopped coming so PMS was a non-issue. I decided to remain off the Pill once I got clean because I was single and knew I’d be more apt to use condoms if I had no other birth control. Now that I was single after a monogamous marriage, I didn’t trust myself when it came to practicing safe sex – since I had no experience with it. I figured fear of pregnancy would keep me on the straight and narrow of condom use. So from day one clean, I began experiencing my natural hormonal cycle for the first time since adolescence and I had no idea what to expect.

Newcomers, it is important to pay close attention to what is going on with your body so you can make the connection between emotional unmanageability and your menstrual cycle. All it will take is 4 months of charting the patterns and you will know pretty much what to expect for years to come. The reason this matters is because when you know your period is coming and the general pattern of your rollercoaster, it is much easier to accept “oh these feelings are hormonal and not connected to real life things”. This is damage control. This will stop you from acting out on anger, nitpicky-ness, righteousness, or from damaging friendships. It will put feelings of inadequacy and loneliness in check. When you look in the mirror and hate what you see, you’ll know you are looking through a hormonal veil of distortion and tomorrow the reflection will be much different. This will save you a lot of agony. Recovery is life on life’s terms and hormones are part of life’s terms –so until you have experience riding this out clean, they will trip you up and cause you to suffer.

The easiest way to map it is this: keep track on the calendar of when your period starts and ends. Look back at the days leading up to your period when the rage and vulnerability came, when the distorted body image came, when the bleeding started. Often early signs of PMS will appear 7-10 days before your actual period but it is a window of 3 days prior that we become lunatics (even if we hide this fact from the world). You need to list your bizarre thinking, track your emotions, and note any physical symptoms (from water weight, sore breasts, cramps, constipation, lower back ache). You will notice that your PMS is most severe every other month.

Talk about it. Find women’s meetings where you can say when you feel like blowing your brains out or throwing people under the bus even though you know its PMS insanity. When your head wants to take you down a dark street of the mind, tell yourself – this is PMS and probably not real. This helps you to keep perspective so you don’t have to end relationships, quit jobs, or disappear from the lives of everyone you’ve ever known. Trust me – there is so much comfort in knowing that the insanity is temporary, that nothing real has changed between Monday and Wednesday other than a shift in thinking. We are powerless over our hormones and our thinking has become unmanageable and in a few days, we will be restored to sanity. Our job is to limit the damage we cause until then.

The fantastic thing about staying clean is that we begin to have an awareness of our body and our relationship to it. It begins by observing menstrual cycles but becomes so finely tuned that you will notice when any other area is off as well – when your body is fighting off a virus or flu, when your immune system is weak, when you’re in optimum health. Recovery is a process of moving from your mind (where the disease has held power) back into your body. Without this, it’s impossible to truly experience living in the moment.

I wish every woman in recovery would talk openly with one another about their experiences with menstrual cycles, PMS, safe sex, condom use, STD’S, abortions, and sex. It would save us all a lot of suffering. Sadly, these subjects don’t get enough discourse and women continue to struggle to find their way through these uncharted emotional territories – often alone and unsupported. In time, I will do my best to open up these topics in a very public way.

Will the truth set me free?

April 18, 2012All Things Recovery12 step, AA, addiction, Alcoholism, clean, disease, Drugs, Feelings, fellowship, honesty lies, meetings, Narcotics Anonymous, Newcomers, obsession, Powerless, recovery, Relapse, relationships, support, tipspattypowers

The disease of addiction thrives on lies and self-deception. The only way to get and stay clean is by learning how to be honest. Yep, us addicts have to learn how to do this.

When I was getting high I told myself, “This is the last one” thousands of times over the years. Sometimes I’d even throw away my paraphernalia to prove that I meant it. By morning (or even earlier) I’d be wading through rain-filled dumpsters searching for my old trash bags or laying out money on new syringes and cursing myself for being stupid enough to believe my own bullshit. This game was old. All I got from it was more self-hatred to use over. I’d become silent on the subject of stopping years ago – friends will only listen to bullshit for so long – so this dialogue was my own inner torture chamber. At some point my head said “This is the last time” and I quit falling for it. Repeatedly disappointing myself was more painful than accepting I’d never stop using no matter how horrible I felt.

In 1988 something miraculous happened that changed my life. While trying to get into rehab, a friend called and basically told me to come over for free drugs. This was in the middle of my withdrawal so the timing couldn’t have been more perfect. I have no idea how I was able to be honest with myself but I knew if I gave myself “one last time” it meant I was still playing the “getting clean” mind-game. The only way things would be different was if I did something different. I told my friend “Thanks but no thanks.”

The saying “You are only as sick as your secrets” doesn’t just mean that we need to reveal all our sneaky devious deeds in a relapse-prevention way. It means, in order to get clean and stay clean, we have to practice honesty with others so we can learn how to become honest with ourselves– and let’s face it – we have suffered the most from our lies. Trusting our own thinking is our greatest downfall and it is foolish to assume a major transformation in our ability to perceive reality and the truth happens simply by putting down the drugs. It comes from the work we do after.

This is why it is absolutely necessary to have at least one person we are willing to expose ourselves to fully – not just the questionable decisions we make, or the sneaky shit we are able to get away with but the very stories we tell ourselves in way of rationalizing or justifying these behaviors. It’s worth the risk to find that one person – whether it is a therapist or a sponsor or a friend. The only way we can begin to have an honest relationship with ourselves is to learn it by practicing honesty with another person. This can begin before putting the drugs down.

Here is how I approached this:

Before I got clean, when I’d feel uncomfortable or too exposed, judged, or if my behaviors caused too much drama, I’d move onto a new crowd or a new city. Sometimes this happened without me ever questioning how I lost touch with old friends. It was just the way I was carving out my path. Seemed perfectly natural. I embarked on my adventure into recovery using this model to give me courage. I was willing to be completely honest because I knew if it became unbearable, I could dump my new friends and find others. This gave me the courage to give it my best shot. The funny thing is that I am still very close to the original core group of recovery friends I made 23 years ago. In fact, honesty gave these relationships a level of intimacy I had never known prior.

Recently I was helping my oldest friend in the world get clean. Over the years, she would ask for help. She wanted directions on how to do it but reserved space to include her own ideas she still believed were valid and trustworthy. She was unable to see or accept that for years she had been trying to get clean this way and it never worked. Occasionally she could hear this argument and say, “This time I will try doing it your way.” She began to lower her methadone intake by 10 mg every couple weeks. I knew she was having trouble sleeping but it took several weeks before she admitted she was using wine to sleep at night (followed by a list of logical-sounding reasons why she couldn’t do her job if she was exhausted). I warned her that when she had her first days off of methadone she would be craving her nightcap. She promised she would stop when she began counting clean days.

By day 6 she said “I should have listened to you about the wine. The cravings are coming back and I am feeling worse today than I did on day one.” It took several email exchanges before she told me the truth. She had continued drinking wine before bed throughout those first 6 days clean and now she was thinking of nothing other than having a drink and taking the leftover methadone she had sitting on her dresser. “What leftover methadone? You shouldn’t have had wine or methadone in your house when you started counting day one.” It took 6 days of lying about her clean time until she was able to tell me the truth – and it was only because she was deep in the obsession of using again.

For two months she had suffered levels of withdrawal coming off methadone and if she picked up again, it would have all been in vain. On day 6 she told me the truth – or at least that is how it appeared. She overdosed and died on the 7^th day. Even her confession about the wine and methadone was only a partial truth. She never revealed that she had Oxycontin in the house. Maybe that is what she meant by the “methadone on my dresser” that she kept thinking about all day. She tried to tell on herself but was incapable of going all the way. I will never know what other secrets she had held onto. I firmly believe that if she had been capable of telling me the truth, she would have. She wanted so badly to be in recovery again and my heart is broken that she will never have another opportunity to do things differently.

The disease wants us to protect our secrets. Even clean it will tell us that we deserve the right to some privacy so we will withhold information and not recognize this as secret-keeping behavior. If you want to get clean or you want to stay clean for the long haul, share your secrets with someone – even if you aren’t ready to change the behaviors connected to them. Honesty is the first step. It will save your life.

Patty Powers

Recovery Coach // NYC

Tag Archives: Narcotics Anonymous

“Am I going to be staring at glasses of wine for the rest of my life?”

National Survivors of Suicide Day

I didn’t get clean for this sh*t! Unmanageability.

Anatomy of a Vacation

What’s all this talk about willingness?

Eating Right & Feeling Better

How can I tell if I’m heading toward a relapse?

How do I stop my kid from becoming an addict?

For the Ladies: Hormones are a Bitch!

Will the truth set me free?