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Amnesia and the Holidays

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CHRISTMAS

I wonder how many people reading this pre-Christmas blog are thinking about giving up their clean time to “enjoy” a few drinks over the holidays?

I wrote, “enjoy” in quotes because when the disease speaks to us it tends to create advertising strategies that would rival the Mad Men of Madison Avenue. For example, a couple years ago I was passing a park in New York City when the smell of weed hit me and a voice in my head responded with, “That smells RELAXING”. It was such an absurd adjective to describe weed that I recognized it as an impulsive ploy by the disease to try to get me to relapse. In fact, immediately following the word “relaxing” came “All you have to do is walk into that park and take a hit off that joint and you won’t have to write a recovery book and you can walk away from all the pressures that come with being self-employed“. Of course there is more to the story – it was the 4th of July and I hadn’t made plans so I was feeling sorry for myself and a little lonely. I was exhausted and hadn’t had a day off in ages and I did have a lot of writing deadline pressure – in a sense, it was a perfect storm of ongoing stress and HALT for the disease to gain a bit of a voice again (after 23 years clean). This is what is meant when we tell newcomers to respect the power of the disease – it’s always looking for a way to regain control. I loved heroin but if it takes weed to get me back to heroin, then the relapse-strategy of the disease will use weed. If you were a meth addict, a glass of wine will appear harmless by comparison (in the strategy of the disease mind). Pay attention to the way you think about drugs and alcohol this holiday season. The subtle use of language in your head is a trick the disease will try to use to gain traction. It’s part of the disease’s seduction.

It might use the color of wine or the rarely used holiday cocktail glasses you see at a party to get your attention or the jolly bar scene that appears through the window as you pass by on a snowy night. Rarely will the disease let you equate Christmas “cheer” with a syringe or a crack pipe. Instead, it will suggest partaking in the midnight champagne toast on New Years, or spiked eggnog on Christmas. Maybe it will start by tricking you into eating a dessert that you already know is dosed with rum. Recovering addicts and alcoholics can’t afford to get amnesia over the holidays. We must be alert to our actions and tell on the bargaining voice that assures us that we “are not in danger”.

Amnesia is how relapse begins.

I am currently with someone who is in withdrawal from Suboxone. When she started to use pills after several years clean, she’d convinced herself that the emotional pain and discomfort she was experiencing (over romantic disappointment) was greater than the pain of opiate withdrawal. Another way amnesia plays into relapse is that it distorts the hellish process we went through before we were ever able to summon the courage to get through detox. You know – the voice that says “It’s okay to drink throughout the holidays because you can get sober again in the New Year”. We forget all the times we tried to get clean but couldn’t make it 48 hours before giving up.

This holiday blog is meant as a reality check for anyone who is bargaining with himself or herself over whether or not to drink or get high this holiday season.

Yesterday was my friend’s first day off of 2 mgs of Suboxone (which, by the way, she got down to through an outpatient detox of 6 weeks. This involved a weekly taper which was equal to low level withdrawal misery). Last night she continually shifted from the bed to the floor, to the tub, to blankets, to no blankets while she went from sweating to freezing. It brought it back home to me – that horrible sensation of being so uncomfortable in your bones that no position allows for sleep. I could hear her moan, whimper, and weep all night long. There’s no way through it except through it – and by late tonight the worst will be over. Hopefully by Christmas she is through the physical withdrawal because we’ll be able to address the anxiety and depression that always follows detox by going to meetings and using stress reduction tools. A year ago when she relapsed, she really believed her emotional pain was so great that the only thing that could relieve it was a narcotic. Watching her pay the price for this error of judgment last night was heartbreaking. Alone with our mind, our disease will always suggest that life is more painful than active addiction. This is the amnesia I speak of. This is the lie.

Cravings always come about as a result of feelings and lack of self-care. When I talk about holidays being trigger times, I don’t mean that they will come in obvious ways. Instead, they’ll appear as an advertising campaign equating joy and community, intimacy and alcohol OR they will be in response to feelings of insecurity around specific people we have a history with, or in response to the void we feel around the grief of people who are no longer here. Cravings will kick up around loneliness, grief, disappointment, insecurity, hopelessness, and future fears. It will appear as nostalgia for a time when drugs and alcohol worked to bring relief and intensify good times, nostalgia for youth and innocence. The cravings will not be obvious connect-the-dots stuff. It might be a certain smell, or a body memory, or self pity that gets a voice in your head rationalizing how you can control it this time, stop when you want, use one drug and avoid others.

You do not have to be the victim of addict amnesia. There are tools to address every feeling, a fellowship and a community of people in your support network to share your deepest fears with, preventative actions and exit strategies you can put into place before stepping into environments where there are people drinking and using this holiday season. And most of all – minimize your time alone no matter how long you have been sober. Even if you insist that holidays have no power of you, the disease knows where you are vulnerable. It will manufacture a pro-alcohol advertising campaign in your thoughts while creating amnesia so that it’s impossible to get a reality check on what is truly at stake if you relapse.

Have a safe and happy holiday. Reach out. Volunteer. Don’t be alone.

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How to Stop Yourself from Drowning

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drowning

There will be times when it feels like your life is falling apart even in recovery. Sometimes it’s a direct result of consequences from choices you’ve made and sometimes it’s because of events completely beyond your control. Either way, when life becomes completely unmanageable it will feel like you are drowning – whether in fear, sorrow, financial crisis, relationship chaos, or grief. The sensation of drowning becomes a state of panic. The ripple effect is similar to trying to fight your way out of an undertow or riptide. The more you struggle the worse it gets.

Most addicts have this in common – when we are afraid we want relief. Usually the best plan we come up with is to invest all of our energy in getting the situation under control. “Control” being the operative word. The internal dialogue might go like this, “This shit is serious and if I don’t do everything in my power to make it right things are just going to get worse. I can’t count on anyone else. It’s my problem. I have to fix it.” And if the situation is is due to impulsive decisions they’ve come up with on their own there’s usually another layer of inner dialogue that goes like this, ”It’s all my fault. I fuck everything up. This is my mess and I have to deal with this on my own.” (Most likely the dialogue is laced with more anger and self-loathing than I have written here).

I don’t know if you can see a pattern emerging but what’s obvious to me is that this illusion of self-relaince gives the disease leverage to create an amnesia effect regarding recovery tools that have worked in the past. Most likely the crisis situation was brought on by impulsive decision-making rather than methodically creating a plan and sharing it with people they trust (a friend, a sponsor or a therapist). The source of their current chaos may have involved risky spending, behavior inside a relationship, a major move, or exiting of a job. Impulsive behavior such as making major decisions that could have consequences without consulting their support network for feedback sets of a domino effect of self-reliance. Instead of recognizing that they need to ask for help, they believe that they alone can fix it. Often this involves more poor choices that result in panic driven by a fear of drowning.

This cycle continues to create more damage because it is impossible to make clear rational decisions when fear is the driving force. This is when it is time to ask for help. It is better to ask for help sooner rather than later. With the help of others and of professionals it is possible to come up with a workable solution. Depending on the situation and how bad it’s gotten, a quick fix is unlikely. A steady ongoing commitment to clean it up may be required.

While self-reliance is a worthy goal in some areas, if it’s driven by fear it’s unlikely to create positive solutions. Fear kicks up character defect and shame, regret, and pride ignite negative self-talk and self-hatred. It’s unlikely for anyone to come up with workable or sane solutions under these conditions. The only way to get out of the riptide is to ask for help. It’s no different than admitting defeat in order to get clean. Asking for help is not a sign of weakness. Everyone makes poor choices at some time or another and we learn from our missteps. The disease of addiction gains power from isolation and emotional pain. What may start out as impulsive spending could spiral into a relapse. You have the power to stop yourself from drowning by sharing the truth with someone in your support network and asking for help. No matter how bad things appear, in recovery there are workable solutions to every problem. Getting high is not one of them.

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Stress is not required

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Stress is not Required

Before I got clean I would sit around thinking about all the extra money I’d have if I ever stopped getting high. I had a hole the size of a quarter in the sole of my boot and every day I would do the math of my drug expense and think “I probably cook up and inject the equivalent of a few pairs of expensive boots every week”. After I got clean, however, I realized there was very little in the world that could compel me to come up with money the way drugs did. I didn’t have the extra hundreds in my hand because suddenly I was doing things like paying rent and feeding myself – stuff that hadn’t mattered before.

The same thing goes for creative and career dreams that once had a specific place in my fantasy life while I was getting high. I imagined all the things I would do once all my time wasn’t spent on feeding my habit. And, like most people in recovery, the minute I got clean I felt like I had to make up for all the lost years – starting immediately.

So whether or not I followed through on my to-do list of steps to take to realize my dreams, every waking hour I carried inside of me the insane pressure to be doing more than I was. No matter what I accomplished in the course of a day, I always felt like there was more to do. My head rambled on a continuous to-do list no matter whether I was actively productive or laying in bed at the end of the day. It was akin to holding down a computer key. And no matter what I accomplished or how happy and satisfied I felt, a voice in my head always insisted on more. It always left me feeling like I was not doing enough. This managed to keep me in some state of anxiety. Ongoing low-level stress is that “on edge” feeling that has the power to turn sour and turn into sadness or depression. It’s that inner voice, ignored or not, that insists that all is not well despite evidence to the contrary. In recovery-speak we call it “beating ourselves up” or negative self-talk. And it is a place the disease uses to distort our perception that the glass is always half empty and that we are never enough. Without drugs, our disease manages to stay alive inside our habit of creating a life that is too busy for us to find balance. Balance is always key to well being because it reduces stress.

Try to imagine our brain looking like dry riverbeds in the California desert. Every time we experience stress it’s like a flash flood. Every time we got high or drunk, every traumatic event was experienced as a full-on flash flood. What we end up with is a very deep river bed. It takes a lot of stress to fill these up to the levels that drugs would fill them. So, drug free, these pathways keep waiting for the big rain. When we first get clean the immediate drop in the water table (so to speak) is why we feel completely insane with anxiety. This is that feeling of exposed raw nerves during withdrawal. As we stay clean, the stress is lowered, in part because our brain slowly adapts to a lesser level of metaphoric rain filling our riverbeds but it is also because our new behaviors begin to deepen other pathways. In recovery, our healthy behaviors actually re-route our neurological pathways. We repair much of the damage active addiction caused our brain and begin to balance out our equilibrium. Nonetheless, our ridiculously imposing to-do lists keep our brains dampened by a low level of stress which in turn keeps our disease engaged enough to trigger other negative feelings. If we feel bad enough long enough, using starts to seem like a reasonable solution to “take the edge off” our feelings.

This is why it is important to create a daily routine that balances the workload with self-care and relaxing activities. This is why people go to the gym before or after work, why it feels like a weight has been lifted after yoga class, why laughter at a dinner with friends feels so good. Without these things, life becomes a soul-sucking job and no matter how successful we are, if we put pressure on ourselves every minute to be productive, if we hold our own whipping stick, at the end of the day no matter how much we’ve accomplished the feeling of being spent outweighs the satisfaction of a job well done.

I am not suggesting that we need to shoot lower with our goals or modify our dreams to less than we desire. I believe we need to accept our human limitations and that we’re best able to live a life of lower stress if we plan our day to include healthy decompressing time. This needs to be as high on the priority scale as anything to do with work and life errands. I realize that parenting involves placing other people’s needs at the top of the list and that there is often very little or no time to breathe on weekdays. So how can parents create daily balance to take care of themselves? One way would be to use family car time to play games, tell jokes or sing songs. Consciously create pleasurable activities wherever you are. For parents who have to kill time while their kids are in afterschool activities, bring along a book (fiction not self help). Audio books are great for taking a breather from self-obsession. Breathing meditations or guided meditations downloaded onto an IPod can be done anywhere (even at your work desk or in the office restroom). Take a few minutes throughout the day to stretch your body, to step outside and take in any natural beauty you can find. All of these little actions will add up to a big payoff – even for people who don’t get time alone until everyone else is in bed.

It takes practice to create stress-reducing activities and – trust me – the addict mind and the stress riverbeds in your brain will put up a lot of resistance – but a conscious effort will result in change. In time, self-care behaviors will come as effortlessly as breathing. It takes time to re-route our brains away from the pathways that were created prior to recovery but it will happen. Peace of mind and the ability to take on the responsibilities of a full ambitious life can co-exist.

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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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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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Is there a faster way to learn patience?

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Vigilance – the process of paying close and continuous attention; wakefulness, watchfulness

Never-give-up

“Vigilance is especially susceptible to fatigue”

Staying in the recovery process requires vigilance. If change takes time and fatigue is the enemy of vigilance –what’s an addict to do? The answer is simple: we need to learn patience.

We want what we want when we want it and our society caters to this fact. The 60’s invented fast food drive-thru restaurants and instant add-water meals. God knows no one has time to wait for anything. If we don’t see results immediately, we lose interest in going to the gym. We can now get liposuction if we don’t have patience to diet. Who has the time to wash and cut vegetables, never mind prepare an entire meal? If we have to wait for anything our first thought is “What’s the point?” and then we lose interest – whether it’s in learning a new skill, preparing a healthy meal, or sitting to meditate. If we can’t be at yoga within minutes of leaving the house, forget it. And I’m not even factoring being a recovering addict into this rant. Everyone is born hungry.

While lacking patience can have consequences for anyone, for addicts impatience can lead to the “fuckits” – the precursor to relapse. This is why we have to keep being reminded that recovery is an ongoing process and that it requires vigilance.

In early recovery, it feels like we’re constantly being hit by an onslaught of feelings. After years of dulling or numbing ourselves with substances, the reawakening of our emotions is new to us. Fear seems to lie underneath every sensation. Even joy can be accompanied by the sensation of waiting for the other shoe to drop. Anger makes us want to use, sadness makes us want to vanish from existence. We look at other people in recovery who seem to be at peace with themselves and we want to know how they got that way. We want to be like them right away. We expect recovery to give us instant results. “I worked my steps and go to therapy but I’m still a mess. What am I doing wrong?” Instead of accepting that change occurs over time, we blame ourselves.

Sometimes we can will things to happen – or so it seems. It could just be that everything aligned and we get what we want right away. Instead of it being an isolated incident, it makes us think if we don’t get things right away, we mustn’t be doing something right. Anxiety builds and patience evaporates. Enduring time passing is not the same as being patient. Being patient is an act of faith – faith that time will pass and things will change – however they will change. Patience is not counting the days and minutes.

People always ask, “What’s the trick? What work can I do to acquire patience quickly?” (Yes I’ve really been asked this). Translated, I think they’re admitting that they understand the concept “change happens slowly over time” but want to know how can they exist inside of this unknowable timeframe without having an anxiety attack or pulling their hair out. The trick is to create mindfulness habits so they can slow themselves down – whether it’s by quieting the mind or reducing physical anxiety. This makes not only the passage of time more bearable; it will probably be more enjoyable.

There is so much information readily available on mindfulness techniques and practices. A quick search of Google or YouTube can bring up thousands of links. When I was in early recovery I couldn’t focus my attention on anything for very long before I felt like I was crawling out of my skin. The idea of meditation was nice but I drank far too much coffee to attempt it. I’d overthink everything and believed I’d need to take a class, join a group or read a book on it before I could start. If I was going to meditate, I wanted to do it right. Truthfully, it was easier to sit in a café with my friends drinking coffee than it was to set aside 20 minutes to try to quiet my mind. No one ever explained to me that if I could set aside this time, I wouldn’t feel that “crawling out of my skin” feeling as often or as intensely. Had I known what the payoff was going to be I might have tried it sooner. I was resistant because, deep down, I equated meditation with edgelessness. Now I know that is not  the case.

There are a few quick tricks anyone can do throughout the day. They are pretty low-effort but you’ll feel results immediately. You can do them at any time, anywhere.

Start by taking a few deep breaths. Get on your tiptoes and reach up over your head and stretch out all the way through your arms to your fingertips and wiggle your fingers until you feel the stretch go all the way to through your fingertips. Lift one foot off the ground and rotate your ankles and stretch out your toes. Now do the other foot. Meanwhile flex and release your leg muscles. With one hand to the sky and the other pointing to the ground lean to the left and feel the stretch move down your sides. Do the opposite side. Tilt your pelvis forward and backward then rotate your hips in a circular motion and reverse the direction. Roll your shoulders in a circular motion and reverse. Tilt your head all the way forward and all the way back, and then try to touch each ear toward your shoulder. Roll your head slowly in a clockwise circle several times then reverse. Squeeze your shoulders up toward your ears and release. Do this several times. Now bend forward and let your arms hang. Swing from left to right and slowly move up your body, both arms swinging from side to side. Raise your arms over your head and bring your hands together and lower them toward your heart. By now your body should feel relaxed and energized. You can do all of this in less than 5 minutes as often throughout the day as you can remember. In fact, why not schedule it into your phone now to do 5 times during the day until it becomes a habit.

Take a look around. Pay attention to the immediate details to your surroundings. It doesn’t matter whether you’re standing at the back of a restaurant or on the sidewalk, pay attention to the colors, the light, and the sounds. This brings you into the moment. When you are in the moment, fear doesn’t have power over you. By existing in the moment, you’ll be less distracted by your thoughts.

Another quick decompressing trick you can do is to take ten deep slow breaths. Inhale through your nose until your lungs and belly have expanded as far as they can and then blow all this air out through your mouth until you are completely empty. You should be feeling the muscles in your chest and stomach relaxing with each inhalation and exhalation. It may feel like your heart is racing but it’s really just the awareness of your heart and your body. It’s nothing to worry about.

By stretching and breathing, you’ll become conscious of your body and breath so this next trick will be quite easy to do. Whether your eyes are open or closed, feel the air moving into your nostrils. It should feel slightly cool on its way in and warmer on its way out. Control it by inhaling and exhaling slightly longer. Most likely you’ll have to yawn several times. Feel the stretch in your jaw when you do. By doing this exercise you’re going to start noticing the way the air feels entering and exiting your nostrils throughout the day. You’re building a relationship with your physical body and an awareness of the moment you are in.

You’re probably wondering what any of this has to do with patience and vigilance. By creating these habits and incorporating them into your daily routine early in recovery, you are exercising some discipline over how time is being spent. It gives you control over how you want to feel physically and emotionally. Less anxiety means less fear. And fear is what sends signals that say, “If it’s going to feel like this, why bother ?” Less fear means less pain. Vigilance is not giving up.

We are like a porcelain vase that fell off a table and shattered across the floor. A lot of damage has been done. We gather up the pieces and enter recovery hoping someone will tell us how to put it back together. And people tell us how – but they also say, “It takes time.” We start going through all the pieces and start to figure out what fits where so we can put the vase back together again. It takes time and patience but we know the pieces will eventually all fit. If we approach this task in a hurried, stressed out way, we’ll make a mess of it and end up taking longer to get it done. By practicing some mindfulness, we are able to enjoy the process and we’ll feel excited when it begins to look like a vase again. It takes vigilance and patience to put ourselves back together. Honestly, if the payoff didn’t exceed the work we put into recovery, no one would stay clean. This payoff is why we keep blindly moving forward even when we can’t see what’s ahead. Patience teaches us that the real prize is the journey.


 

 

 

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Therapy & Psych Meds in Recovery

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

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

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

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

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

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

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

 

 

 

 

 

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What’s that noise in my head?

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When I got clean I sofa-surfed. There was never a shortage of people who needed a little help with their rent in exchange for a place to stay. After nine months, I moved into my own place: an apartment next to MacArthur Park in Los Angeles. The Asbury is a gorgeous art deco building in a city full of peach colored pre-fabricated stucco luxury slums. Six floors above the street with a view of the park, I felt like I was living on Central Park West. It was $400 a month. They offered indoor parking for an additional $50 but it seemed pointless for a ’68 Dodge Dart.

A year later, I realized I was sitting inches from my television with the volume turned to the max. I asked a friend in the building what was going on, if there was construction or something causing the racket. She laughed. There’d always been constant noise. If it wasn’t the traffic thundering down 6th Street during the day, it was police helicopters over the park, or waking to middle-of-the-night police microphones shouting “Get out of the car with hands raised. Lay face down and chin up in the center of the street.” Apparently this was life at the Asbury. Shortly after this, walking several blocks from my car to the building at 3am, I noticed how sketchy my neighborhood was. Rifles wrappers on the stairs of my entrance, blood on the sidewalk. I got it – you didn’t pay to park to protect your car. You paid to protect your life. At the time the Rampart Division had the highest crime rate in the city.

It took eighteen months of being clean to land back into my body. I was present. It was an amusing new experience because I thought I had been present. The reason I hadn’t noticed the noise in my apartment for a year was because the noise in my head was twice as loud. As for my neighborhood, I was so used to bad neighborhoods and a certain element of danger when I was getting high that it was normal to me. Suddenly I felt visible. Not a good thing for a girl coming home from work at three in the morning.

There’s a lot to be said about landing back in your body. For one thing, it means you are no longer completely consumed by the noise in your head. The noise that blinds us to so much outside of ourselves. Being a captive audience to our internal dialogue is nice way of saying self-involved and self-absorbed. It’s something all addicts and alcoholics have in common. It’s not big news that when left unchecked after days in isolation, we can go straight back to that place even with years clean.

Let’s go back in time. At the end of our using, our inner dialogue distracted us from the simple fact that our lives were unbearable, and drugs kept us numb enough that we didn’t have to “feel” our loneliness. Inner conversations kept us company, kept us distracted, and helped to keep us loaded by repeatedly traveling down memory lane until we felt horrible and worthless, filled with regret and remorse.  We’d revisit every single resentment (no matter how old) toward whoever we believed had done us wrong, and when that soundtrack ended we worried about money and drugs. Once we’d get high, these thoughts were replaced by fabulous future events in which we all somehow imagined we’d have our shit together. Our thoughts kept us company in the abusive relationship we were having with ourselves.

It makes sense when people say the disease of addiction lives between our ears. After our physical addiction is over, it’s our head that’s always searching for something to make feel uncomfortable enough that we start to think about using. It starts out subtle – a series of random thoughts eventually moving toward the usual repertoire of negativity and anguish or it fill us with so much fear and anxiety it feels like we can’t breathe.  If  the pain is great enough long enough we’ll start thinking about getting high – maybe just one time – to straighten our “head” out. In recovery, we can’t afford to let pain reach this level.

Remember how the noise increased when we were detoxing. We thought we were losing our minds, convinced we weren’t going to be able to handle the insanity without getting high. But – we did. As the days and weeks passed newly clean, the intensity of our inner dialogue lessened and we began to feel better.  This happened because we were in twelve-step meetings, in rehab, in outpatient groups, with a therapist, or surrounded by loved ones. We weren’t doing this alone. By moving out of isolation and connecting to others, our head began to quiet.

When I started writing this blog, it was because I wanted to talk about anxiety – but it’s all sort of connected.

When we isolate in recovery, the old inner dialogue – the one that likes to torment us – returns. The funny thing is that most addicts and alcoholics will be the last to recognize that they have cut themselves off from the world for too long. Instead they try to control their thinking. They’ll throw themselves into a home project or into workaholic behavior, hoping that if they stay busy and not “think about anything” it will go away. And when this fails, addicts  spin out of control until they are wracked by anxiety. A small problem or decision can get caught in the loop of obsessional thinking until it becomes so intense that you feel like you can’t even breathe. Sound familiar?

Ever lay in bed watching the clock, freaking out as hours continue to roll by, now adding the fear of sleeping in to the anxiety list. Ever arrive at a destination without any recollection of how you got there? What roads you took? Were the streets empty or did you pass anyone while walking? Stay so busy that the hours flew by and when you looked at the clock it was four-am and you had to wake up at seven? Making wrong turns, losing your phone, umbrella, keys? Spinning, spinning, spinning, so you don’t have to think? So you don’t have to feel? While you’re busy trying to make the thoughts go away you’re actually making the world disappear.

When you get to this state, do you call a friend, make plans to get out of yourself by spending time with another person, confide in another recovering addict? Most likely, these things won’t occur to you until you realize you’ve been thinking a drink would take the edge off, until you realize you really want to get high.

Most of us started out drinking and getting high in a social environment, at parties, clubs, with friends.  In the end we used alone. In recovery, our solution was based on connecting with others but as time passes we often we drift back into our cocoon without realizing it. We tell ourselves we’re tired, that we need quality time alone. Though this may be true, if we aren’t connecting with others, it’s easy to slip back to old ways. Without warning, the noise returns. Never underestimate how powerful the disease is. That saying “an addict alone is in bad company” isn’t talking about a cozy weekend at the cottage with a book and a fireplace. It means endless days avoiding the phone and avoiding people until, like old times, we end up either consumed by anxiety or inside an existential bubble – watching life with detachment. Most of you know what I’m talking about – that peculiar feeling that we’ve become somehow estranged from the world and can’t get back.

There may be other mental health issues going on but next time you feel depressed or crippled by anxiety, take an inventory of the prior week. Have you spent too much time alone, are you avoiding friends, are you returning phone calls? When these uncomfortable feelings come up do you coddle them or do you take positive actions such as eating properly, fresh air, exercise. Are you going to meetings or connecting with your support group? Are you helping others in any way? Is there balance between work and play? If you have been having difficulty sleeping, what actions do you take besides listening to your endless inner-monologue.

In recovery, there are always actions we can take to not remain stuck in painful situations. The antidote usually begins by reaching out to another recovering addict or someone we trust who can help. Without action, our thinking often leads us back to using.

Eventually you become capable of enjoying time alone and a new desire will rise up to seek out ways to quiet the mind even more – though this time instead of quieting it to rid yourself of pain, you are seeking a deeper level of inner peace. There’s a huge difference between peace of mind and inner peace. You have to stick it out in recovery long enough to discover what that means.

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