Tag Archives: relapse prevention

Early Recovery: How to Manage Stress

August 14, 2015All Things RecoveryAA, addiction, alcoholics anonymous, Alcoholism, anxiety, depression, Drugs, exercise, Feelings, fellowship, fresh air, gratitude, HALT, health, heroin, meditate, Meditation, meetings, Narcotics Anonymous, Newcomers, opiates, oxycontin, Powerless, recovery, Relapse, relapse prevention, self-care, sober, Sobriety, Stress, substance abuse, support, tips, withdrawalpattypowers

People in recovery like to overthink things. It’s probably a holdover from active addiction. I realize not everyone in recovery is a member of a 12-step fellowship but there are definitely perks for those in them. The collective wisdom passed down from one recovering addict to another is of immeasurable value. All over the world, recovering addicts share similar eye-opening revelations they’ve experienced and these shared insights turn into the often-repeated sayings we hear in meetings.

“We can’t think our way into new feelings but we can act our way into new thinking.” (Or some variation of this). We hear this solution – that action changes feelings – yet we continue to overthink, ruminate, and obsess in a vain attempt to control how we feel. Overthinking is never a solution. Usually all it does is increase stress and keep us trapped in our discomfort and confusion. We long for change yet we fear it – unless, of course, we are in control of it. There’s no comfort in familiar misery but in early recovery the concept of “letting go” is confusing and difficult to grasp. We usually let go when the pain is great enough. Until then, we hang onto our old belief in self-reliance that’s hardwired by fear. Without solutions we stay trapped in our heads with emotional discomfort.

For anyone new to recovery the greatest suffering happens when we are left alone with our mind for stretches of time. Once the substance or compulsive behavior is gone, our brain experiences a dopamine deficit and this creates anxiety until it finds homeostasis. Our mind’s racing and it feels like we’re going crazy. Even the air stings our raw nerve endings. What’s a newcomer to do?

You can reduce the intensity of withdrawal and early recovery anxiety by taking actions but this requires a conscious daily commitment on your part. Trust me, the addict-mind will try to hold you hostage in prolonged isolation. It’s easy to lose hours sitting at the kitchen table thinking your way into a level of anxiety that’s paralyzing. This makes it hard to get the day started or find motivation to create new habits of self-care.

Here are actions to take:

Call people and make plans so you aren’t spending too much time alone. (Maybe this means going to a meeting or getting together with other people in recovery).

Get outside – take a long walk, look at whatever nature is around you. Fresh air lowers stress.

Do something physical – go to the gym, take an exercise class, yoga, a bike ride, jogging, jump rope, swim or play a sport. Get your body moving for at least 30-60 minutes. (Make an effort – baby steps if you haven’t been active in years).

Eat healthy food and don’t skip meals. Newly clean and sober people have a tendency to go for sugar, bread, and caffeine – mood-changing foods. What they don’t realize is that the mood this diet may lead to is depression and lethargy. Be mindful to get in enough healthy food to balance this out.

If you do all of the above on a regular basis, your body will respond positively. You will sleep better and have more energy. You will also experience less mood-swings.

Cravings always come from feelings. Stress is where they begin. You have the power to control this – the choice is yours. Action not thinking is the way out.

Whenever you start to feel anxious – if you talk to someone who triggers you, if you have to go somewhere or deal with a situation that’s stressful – have quick stress-deactivator tools on hand. Here is what to do: before entering a situation that’s triggering take ten slow deep breaths. Inhale through your nostrils until you feel completely full of air and then blow this air slowly out of your open mouth until you feel like an empty balloon. This will relax you. Anytime you feel any level of stress, breathe like this. Whenever you feel your stomach or chest tighten, excuse yourself from the person or situation and get some fresh air or go to the restroom for some deep breathing. This only takes a few minutes. YOU HAVE THE POWER TO STOP STRESS FROM BUILDING UP BY ADDRESSING IT AS IT HAPPENS.

Allow yourself several minutes throughout the day to deactivate stress. This is damage control. This way day to day stress won’t pile up until thoughts of using pop into your head as a solution. This will leave you more room for joy.

When You’re in Recovery but They’re Not

April 22, 2015All Things Recovery12 step, A&E, AA, addiction, alcoholics anonymous, Alcoholism, angry, anxiety, clean, fellowship, gratitude, HALT, health, heroin, lonely, meditate, Meditation, meetings, Narcotics Anonymous, Newcomers, obsession, Powerless, recovery, Relapse, relapse prevention, relationships, tipspattypowers

The following post is based on a series of conversations that keep popping up lately. I use a masculine pronoun but this story is not gender specific. Perhaps this blog will hit home for some people new to recovery. To be clear, the situation I’m describing involves having a partner who’s a casual consumer of substances – not someone heavily dependent or in the grips of their own addiction.

You did it. You’re finally clean and sober. What an achievement! Maybe you’ve even been exercising, hitting some yoga classes, and spending as much time as you can with your new sober friends. In fact, the only thing that feels shitty is going home to your partner.

Driving home you find yourself praying his car won’t be in the driveway. Sometimes just the thought of him unleashes a flood of negative feelings you swallow down. You walk into the house and feel the hate rising when you see him. Oblivious, he smiles and asks how the meeting went. Then he gets up to give you a kiss and inwardly you collapse into confusion, wondering if you’re going to have to divorce him. You see, he isn’t tormented over his substance use and has no desire to stop. Because he suffered through your suffering, he was 100% behind your decision to get clean. Compared to what you’ve heard from other people in recovery, you have it easy. No complaints when you head out to a 12-step meeting after dinner, always willing to watch the kids, to leave parties early, and not force you to go anywhere you feel jeopardizes your recovery. Yet, you resent him so much for not offering to quit using for you that you’ve convinced yourself the clock’s ticking on this relationship. When you aren’t angry, you feel guilty or jealous. Sometimes you start wondering if being sober is worth it.

Do you remember what motivated you to enter into recovery? It was the solution to your pain and suffering. Try not to lose sight of this simple truth. After you’ve been sober for a short time and the pain diminishes, you may get amnesia and forget why you are sober. What’s really happening is that with the pain of using gone, you’re starting to experience an avalanche of feelings. This is the “roller-coaster” you hear people in recovery talking about. Usually it’s like being hit by waves of anxiety and depression. Your mind will try to search for something to blame it on. Fear of feelings always underlies our attempts at control. If we can figure out who or what is at the source of our emotional discomfort, we can get rid of it. Or in this case, get rid of him. The disease-mind will start laser focusing on the problem and convince you that you have two choices – leave him or drink. Black and white thinking. Divorce or drink.

While it’s normal to feel disappointed that you can’t always get what you want, you do have a choice about whether to see the glass half full or half empty. Loving support is valuable. Stay in conscious gratitude for anything that is making it easier for you to attend to your sober needs. At this time keep the focus on yourself and stay close to your support system. Continue to exercise, meditate, go to meetings and talk about your feelings with your sober friends and therapist (if you have one). Remember, no one responds well to the pressure of recruitment. Try to accept that for now he may not have the same relationship to drugs and alcohol that you have. If he isn’t suffering, he isn’t suffering – and without a private pain connected to his using, there’s nothing to motivate him into recovery. Very few people surrender in any kind of real way if it is forced upon them. No one knows what the future holds but one thing is true – the disease-mind uses words like “never” and “forever” in connection to all unpleasant feelings and difficult life situations. This is untrue. Our lives (and our inner-lives) are ever-changing. Keep the focus on yourself. Practice patience and tolerance, and apply the golden rule by treating him with the love compassion and respect that you want for yourself. Stay close to your support and allow time to pass. More will be revealed.

The emotional roller-coaster has very little to do with anything other than your brain chemistry responding to being cut off from drugs and alcohol. It will eventually come to an end and your emotions will stabilize. You’ll experience moments of equanimity and be able to assess your situation, your needs, and your relationship more clearly. This may be a time to consider couples’ therapy to work through any distress that may linger.

Applying “live and let live” isn’t always easy, especially when it involves your intimate romantic relationship or life partner. As a newcomer it’s better to trust in the process of recovery and allow some time to pass rather than take impulsive actions in response to chaotic feelings. Avoid causing irreparable damage you may regret.

From Life as a Movie to Real Life

February 6, 2015All Things Recovery12 step, AA, addiction, alcoholics anonymous, Alcoholism, disease, Drugs, Feelings, fellowship, heroin, meetings, Narcotics Anonymous, Newcomers, recovery, relapse prevention, relationships, Sobriety, support, tipspattypowers

Does anyone remember the Scorsese film “After Hours”? At the start of the film Griffin Dunne watches his last $20 bill float out a cab window and it is a catalyst for a night of chaos in downtown 1980s New York City. Every scene builds with chaos and insanity and a colorful cast of menacing weirdos. To the average audience it probably seemed like a high-stress falling down a rabbit hole Alice in Wonderland but to people who’ve lived with addiction it’s more like watching “chaos-lite”.

In case you ever forget what life was really like in active addiction, listen to the stories being recounted by people who are newly sober. The events taking place and the cast of characters usually falls somewhere between the epic Dante’s Inferno and Monty Python – and this is recounting twenty four hours or less. They’re recounting only one story from one of many hundred days spent living on the edge. The stories that come out of these experiences are riveting. They easily rival the big screen. They have it all – drama, action, comedy. In the telling (and the spirit-saving grace of irony) hilarity helps to make the pain bearable. For anyone who has lived it through this lens, it is like living life at a distance. To survive, we learn to detach.

I call this “my life as a movie” storytelling. Almost all emotional context is missing from these stories. Although they are personal, they sound like re-telling a movie recently viewed. It is common among addicts. The unreality life takes on under the influence. The more unbelievable things get, the better the story.

I have to admit that I was pretty entertained by the craziness of my life when I was getting high. Drugs exposed me to people and situations that kept me amused and curious. For a while, the unfolding story brought me as much pleasure as the high. Life felt epic. Managing crisis after crisis was a challenge and I was good at living by my wits.

The progression, like addiction, is that the pain usurps the pleasure and the entertainment value is lost. Instead of hilarious characters, you discover yourself surrounded by people you don’t care about and who definitely don’t care about you. It’s more evidence of being trapped by the lonely prison of addiction.

When you get clean and start attracting attention for your storytelling it can kick up bizarre feelings. On one hand, what you lived through and laugh at was really painful but you will start to miss it. Life clean may feel uncreative and uninspiring. The transition can be painful for people who found twisted pleasure and ridiculousness in pain. Getting clean may feel like going from Technicolor to black and white.

What is happening is that your current story is becoming more complex. Now there is an emotional life that accompanies you throughout each day. It may feel difficult at first and your head will romanticize the past as being more “care-free”. Find some humor in this – maybe you’re confusing “care-free” with “pain-free” which was not the case. Our distorted perceptions can amuse us while we land back into reality if we let them. Adjusting to new circumstances takes time. Find people in recovery to seek out new experiences.

I think it’s important for people who relish chaos and living by their wits to discover activities or hobbies they can become passionate about. You can have big experiences and be clean and sober. Trust me, there will be plenty to laugh at.

Maybe what you need is to challenge yourself physically or intellectually. Facing yourself and your fears clean is a challenge that should not be under-estimated. You can’t go from living a completely external existence to living a completely internal one. Stay engaged because you can’t afford to lose interest in your own life. Get involved in your fellowship, do service in your community, create friendships, find out what floats your boat and dive into the stream of things. The worst thing you can do if you are an adventure seeker is to dial your life down to a low frequency. Community is where you will find the laughter.

Not everyone found personal thrills from living on the edge during active addiction. They may not relate to this blog however the recovery advice stands alone. Passion, fulfillment and a sense of purpose will enrich everyone’s personal recovery.

Eventually traveling the road of recovery you’ll discover that the thrill of drama and chaos becomes less attractive. You’ll make choices that enhance inner peace without losing your personal edge. There will be no need to push the envelop all the time. This process happens naturally so don’t bother trying to rush it. Stay in the recovery game and change happens.

You’re sure “busy” isn’t going to kill me?

January 14, 2015All Things Recovery12 step, AA, addiction, alcoholics anonymous, Alcoholism, angry, anxiety, clean, depression, disease, Drugs, exercise, Feelings, gratitude, HALT, heroin, lifestyle, lonely, meetings, Narcotics Anonymous, Newcomers, Powerless, recovery, Relapse, relapse prevention, relationships, sober, sober strategies, Sobriety, Stress, substance abuse, support, tips, triggerpattypowers

I began 2014 with a commitment to spend the year blogging more about how to enrich an already clean and sober lifestyle – how to have more fun and increase feelings of wellbeing. For 2015 I want to get back to basics and address early recovery – creating coping skills, what to expect, and how to ride out the tough spots without relapsing.

There is a misconception that the majority of people who get clean do it as part of a New Year’s resolution. If that were the case, every January there would be ridiculous amounts of people celebrating anniversaries in 12-Step programs. I’m talking out of the ballpark numbers. The truth is, attendance at most 12-Step meetings doesn’t go up noticeably in January. My guess is that many addicts spend January and February deep in self-loathing for not being able to comprehend why their countless attempts to control or abstain keep failing. Maybe January is a month for New Year Resolutionists to hit bottom. This year my blog is geared to helping people create lifestyle changes to support sustainable recovery, ease stress, and put an end to isolation.

Whenever I begin working with new clients one of my goals is to create new healthy lifestyle habits, create a weekly routine and to guide them through their resistance to all of it. There’s a predictable pattern. They start out willing to do whatever I suggest because they want to stay clean and sober and are motivated by fear of failure. A couple weeks into this routine and they’re complaining that they’re exhausted, that they can’t keep going at this pace without everything in their life falling apart, and that I can’t possibly understand how serious this is. I call this the “whiney phase’. This is when we fine-tune the routine to make sure there’s enough balance so they’re not in a genuine prolonged state of HALT (hungry angry lonely tired). This crankiness (which usually occurs between 14-30 days) passes and the benefits of implementing these new activities begin kicking in to bring on good feelings and a noticeable lessening of stress.

Anyone’s who been to rehab remembers the intense daily schedules – moving from one activity to the next. God knows I never was happy to be doing jumping jacks in a rainy yard early in the morning. Every day the addicts would get together and complain that the seemingly pointless daily routine business was because they needed to justify keeping us for 30 plus days.

Here is why it is important to create a weekly schedule in early recovery:

1. The worst-case scenario is for a newly sober addict to have hours pass with nothing to do except think. The disease is still very strong and loud in the weeks following that last drug or drink. The “feed me feed me feed me” mantra is the basis of restlessness, anxiety, depression, insomnia, mood swings, even physical symptoms of extended withdrawal. It can make us believe a headache is surely evidence of the need for a future lobotomy. And the worst part of all of this inner chatter is that left alone, our humor about ourselves dwindles rapidly. Taking the “edge off” becomes appealing and less frightening.

2. Exercise, yoga, meditation, healthy eating, time with friends, leisure time for activities (sports/movies/live music/dancing/comedy), 12-step meetings (or whatever recovery support groups you attend) added onto your daily routine will promote energy, mental clarity, reduce stress, improve sleep and leave you less time to think about yourself in negative ways. Regardless of what hopeless negative chatter your mind may want to kick up, you will have evidence that each day you are staying on point and are willing to go to ANY LENGTH to stay clean and move toward goals of happiness, inner peace, and freedom from fear of feelings. Your daily life is recovery in action.

How does all of this begin – especially for people who are new to recovery doing this on their own?

Create a hard copy (pen and paper) weekly calendar and a copy into your cell calendar with notifications. Each morning set alarm reminders on your phone for activities, appointments, meetings etc. Find a system that works for you. The main thing is that you plan your week ahead of time so you don’t spontaneously over-commit yourself at the expense of screwing up your day.

Here is an example of a weekly recovery plan.

Make a list of 12-Step (or alternative) meetings you will attend for one week. This way you won’t agree to working overtime or driving the kids without knowing what is at stake and having time to find an alternative meeting you can put into your schedule rather than believing you’ve screwed up and now have to miss the meeting. Remember – sustainable recovery is something you build through effort. By sticking to this early recovery lifestyle to-do list you have daily evidence that recovery IS your priority no matter what negative crap goes on in your head.

In your weekly planner include 30-60 minutes a day outside (walking, exercising, relaxing). Include 3-5 hour slots for fitness (whatever that looks like for you).

Make time to spend with other recovering addicts/alcoholics and a checklist of new people to contact via email, on www.intherooms.com chat, phone calls. Reach out and try to build a support group.

Always plan so that you have food and time to eat. Skipping meals or waiting too long to eat tends to make people cranky, outright angry, or weepy.

If you feel like you have been running non-stop to get everything done from the minute your alarm went off until you are about to turn in – take an extra 20 minutes to unwind with some music, YouTube a calming guided meditation, take a relaxing bath, or create your own end of day chill out space to reflect and unwind.

In the coming weeks I will elaborate on every activity that helps strengthen recovery and explain not only how to do it without it costing any money but also what the short and long-term payoffs are.

Remember – within the first couple weeks of following a daily recovery routine it’s normal to feel exhausted and overwhelmed and want to crawl back in bed and say fuck it. Power through this phase. Remember the agony of creating healthy habits is temporary and nothing compared to the agony of wanting to get clean and being unable to surrender again.

Celebrating Nothing and Everything

December 31, 2014All Things RecoveryAA, addiction, alcoholics anonymous, Alcoholism, anxiety, celebration, clean, depression, Feelings, fellowship, gratitude, HALT, heroin, Meditation, Narcotics Anonymous, new years' eve, Powerless, recovery, Relapse, relapse prevention, sober, Sobriety, Stress, substance abuse, support, tips, triggerpattypowers

I titled this blog “Celebrating Nothing and Everything” because it’s time for us to put down the scorecard that rates and divides the content of our life into worthy events or dull days. All of our life should be celebrated. We all know how easy it is to get caught up in the daily grind or lost in financial stress or romantic drama or pretty much anything where our addict-mind starts to pull levers so that the glass looks half empty instead of half full. I’m here to say that we don’t have to wait until a, b, or c is accomplished before we can be happy or fulfilled or experience peace. Seriously, let’s give up the belief system of “I can be happy when…” It is no longer being supported inside my mind.

I want every day to matter. Don’t you?

A few years ago I experienced probably one of the craziest things to happen in my entire life. While on vacation, I came face-to-face with a panther. (You can be read about here: http://www.pattypowersnyc.blogspot.com/2011/10/death-defying-summer-vacation.html). This event was probably one of the most transformative spiritual experiences of my life. At first whenever I thought back on the panther experience, my body would kick into a simulated fight and flight trauma response. Now it kicks up the joyful feeling of excitement that I felt when I thought I was about to die (for real) and I looked at the sky and trees and panoramic view and realized how LUCKY I am to have had the chance to be here – on this planet. To exist here. To experience this life. As cornball as this sounds, I’ve never really lost that feeling – and I do believe we are all so lucky to be here. It is such a beautiful planet. No matter how we feel, what shape our life is in – we really can step outside and take a good look and slow things down, get out of the prison of our mind and find some beauty nearby. Beauty is a mood lifter and it is always available to us if we make the effort to seek it.

As 2014 comes to a close, I am feeling a lot of gratitude. This past year has been a peaceful one for me – and this has not always been the case. A lot of amazing stuff has happened on a professional and personal level but what really blows my mind is that there has been a real deep shift inside of me this year that I know is a direct result of all the accumulative work I’ve done on myself throughout my years in recovery – working a program, therapy, EMDR, etc. This doesn’t make me special or my recovery exceptional. I’m witnessing these same changes in others all the time. I’m just personally blown away to discover that I continue to change and find a deeper peace inside of myself. I truly feel safe. It’s easy to remember my life in the days leading up to my first day clean in 1988 and recall with fondness all the fun and drama and running and hiding (from myself) I have done over my years clean. Mostly, I’m grateful I’ve remained willing to grow – and I keep being surprised by how good I feel.

One thing I can say that was consistent with how I spent 2014 is that every single day I spent time outside and I appreciated whatever weather I was walking in. I was living mindfully in small ways. I was always celebrating nothing and celebrating everything. I hope this blog can inspire you to do the same in 2015.

Amnesia and the Holidays

December 23, 2014All Things Recovery12 step, AA, addiction, alcoholics anonymous, Alcoholism, angry, anxiety, clean, depression, disease, Drugs, family, Feelings, fellowship, HALT, health, heroin, holidays, lonely, Narcotics Anonymous, Newcomers, panic attack, Powerless, recovery, Relapse, relapse prevention, sober, sober celebration, Sobriety, Stress, substance abuse, support, tips, triggerpattypowers

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.

Love Dressed Up in Fur

June 20, 2014All Things Recovery12 step, AA, accountability, addiction, alcoholics anonymous, Alcoholism, cats, depression, dogs, Drugs, exercise, family, Feelings, fellowship, fresh air, gratitude, health, lonely, love, meetings, Narcotics Anonymous, Newcomers, nurture, pet stories, pets, recovery, Relapse, relapse prevention, relationships, sober, Sobriety, Stress, substance abuse, supportpattypowers

I’m writing this from Ontario Canada during an impulsive visit to see my folks. I come from a dog family. I can’t recall a time when my parents didn’t have a dog. In fact, I was so used to having a dog around that when I moved to New York City at 18 the first thing I did was buy a Maltese I named Soprano. That dog was my loyal companion for nine years. When I moved to Los Angeles in 87 not expecting to survive my addiction, I left Soprano at my mom’s house. Even when I had no hope for my own life, I managed to put her safety first.

After I got clean, pulling Soprano out of her cushy retirement home (my mom’s) didn’t seem fair and it didn’t occur to me to replace her. She was, to me, irreplaceable. Besides, my social life in early recovery kept me too busy to want to get “tied down” with another pet. By the time I moved back to New York and discovered a “no pet” clause upon signing my lease I’d grown used to living pet-free. I’d forgotten the brand of joy that comes from a furry friend.

Three years ago my parents bought Harley (the dog in the photo). A Jack Russell puppy is not the sort of dog you’d expect a couple of 70-somethings to own. The dog has boundless energy. I made it my mission to lavish playtime on him whenever I visit. What happened was this: Harley opened up a place in my heart that I forgot was there. The dog-shaped hole. Now I have this new unrest inside of me that is crying for a dog of my own. This will mean either leaving the apartment I’ve been in for 21 years or it could mean leaving New York. Dog-ownership’s going to require a major lifestyle change – but I feel it coming because of the longing I now experience whenever I see a dog on the street.

I once had a friend in recovery who suffered from severe depression and suicidal ideation. He tried every medication but found no relief. Instead of tormenting himself, he began adopting cats. At one point he had close to 20 of them. I’m sure his neighbors were horrified but he loved his cats and felt responsible for them. He said that no matter how he felt he could never kill himself because he wouldn’t want his cats to starve or be put in a shelter. Years later he said that his cats had saved his life until he was able to find the right medication.

Animals have the ability to soften us, to make us laugh, and to help us learn how to play. They provide companionship, get us outside for long walks, and they’re able to lure strangers into conversations with us. A pet can teach us patience, kindness, and accountability. They bring out our best qualities. A relationship with an animal is a channel for love. For many addicts, this may be the first love they are comfortable experiencing.

Animal-assisted therapy is being used in a wide variety of settings to help people with acute and chronic illnesses including addiction. Numerous treatment centers now see value in allowing pets to accompany clients into rehab. Equine therapy has also proven beneficial as a treatment modality. This is based on the many physiological and psychological benefits documented in patients during interactions with animals. These include lowered blood pressure and heart rate, increased beta-endorphin levels, decreased stress levels, reduced feelings of anger, hostility, tension and anxiety, improved social functioning, and increased feelings of empowerment, trust, patience and self-esteem.

Owning a pet is a long-term commitment and not one a newcomer in the early stages of rebuilding a life should take on. Wait until you have income and housing stability first. But you don’t have to be a pet owner to enjoy the benefits of animal love. There are other options. Fostering dogs and cats is a short-term commitment. Walking dogs or playing with cats at no kill shelters is another option. Pet sitting for friends is a way to get a quick no-strings hit. Or you can hang around the local dog runs and befriend some of the regulars.

Furry friendships bring out our gentler side and this can be a game changer on a tough day.

FAITH SIMPLIFIED

March 19, 2014All Things Recovery12 step, AA, addiction, alcoholics anonymous, Alcoholism, Drugs, faith, Feelings, fellowship, God, gratitude, HALT, health, letting go, Meditation, meetings, NA, Narcotics Anonymous, Newcomers, recovery, Relapse, relapse prevention, relationships, sober, Sobriety, Stress, substance abuse, support, tips, trustpattypowers

I was telling a non-addict friend about how hard it is for addicts to let go of control. We are such control freaks that the lesson of “letting go” is our greatest struggle once we enter recovery – nevermind letting go on a deeper level.

I know this is pretty cornball – especially since last week I prefaced my blog with a Peggy Lee song – but I’ve been trying to find a way to write about having faith and this song suddenly popped into my head.

I really don’t know why songs that were background radio music during my childhood keep filtering into my consciousness these days but they do let me know that the answers we discover for ourselves through trial and error in the personal growth of our recovery – well – they are not new answers.

When it comes to things like “having faith” or “letting go” there are two choices on how to live: Do you want to experience the stress and emotional exhaustion of trying to control the outcome of situations, exerting your will and best laid plans? Do you want to ignore fear and allow it to be disguised as diligence and motivation to push your plans through by force? Do you want to hold onto to the superstitions or OCD behaviors that covet obsessional thinking, behaviors that create a tightening in the chest, that keep you living in the state of anticipation and dread while relying on your horoscope, your psychic, your tarot cards,or whatever extra-worldly help you hope will bend the future to your liking?
OR do you want to take a few deep breathes, acknowledge your dreams and fears, and practice living in the present moment, trusting that however the future unfolds everything will be as it should be.

If you have any doubts about letting go of fear – which shows up in the desire to maintain control even when it’s truly impossible – try this exercise: make a list of all the times you forced things to go your way. Don’t let your selective memory list only the times there were good outcomes. List the times when shit hit the fan and things didn’t work out or when the outcome was terrible. Now revisit that emotional place – do you remember how nuts you felt, the inner panic, the adrenaline spent on the mental hamster wheel of obsession compulsion and fear? Now list times when you “let go” and gave up control, times when you let life happen. When you were disappointed, how bad did the bad feel? How often were you surprised by the outcome?

Does this mean that to live a life of surrender we stop taking action? Hell no! In fact, by taking one step at a time toward your dreams it is the same as showing the universe what your intention is – then allow the future to unfold however it is supposed to. Sometimes you don’t get what you want but you definitely will end up on a ride worth taking. LET LIFE SURPRISE YOU.

ACOA and the Recovering Addict

February 19, 2014All Things Recovery12 step, 12-steo fellowship, AA, ACoA, addiction, adult children of alcoholics, Alcoholism, anxiety, clean and sober, cocaine anonymous, Drugs, emotional pain, Feelings, fellowship, heroin, meetings, Narcotics Anonymous, Newcomers, obsession, pain, recovery, Relapse, relapse prevention, sober, Sobriety, substance abuse, support, tipspattypowers

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

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

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

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

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

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

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

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

Patty Powers

Recovery Coach // NYC