stress and anxiety

The Blessing of Addiction Relapse?

The Blessing of Relapse? Really. Yes, really. Let's say Joe has been using alcohol and pot since he was 13. At 29 he's tired of being exhausted, broke, fighting with his girlfriend, having his parents upset with him. He's done. Joe starts attending AA/NA 12 step meetings. But, he doesn't do the 90 meetings in 90 days as suggested. He doesn't get a sponsor. H's doing ok. Four long sober months go by and the stresses of every day life are getting to him. He may be romancing the feeling that a beer or a toke will give him. His cravings come up especially when he's struggling to pay the bills or his girlfriend is on his case about there not being enough money. Joe's thinking about using to solve his problems becomes a daily thing. He's still going to meetings, but he's not talking about what he's thinking or feeling. You know what happens.... Joe stops by his friend Don's on the way home from work - like hs used to. He gets high. He's off and running for the weekend. He's relapsed.

What are the steps that brought Joe to relapse? According to Terence Gorski and Merlene Miller, Relapse Specialists,  there are warning signs that show up before the first drink or use.  

Here are 5:

1) You aren't attending meetings or meeting with your sponsor as much as you were before - you're slacking off.

2) Stress level is building: This could be from a major change - job, family financial or the daily build up of problems, mood swings or bigger emotional ups and downs.

3) Denial:  You might start thinking "I didn't have that big of a problem." "It wasn't so bad." 

4) Behavior Change:  Your healthy, sober daily routine slips back to old behavior - not getting up on time, not staying honest with yourself, overworking again or not thinking things through.

5) Social:  You make excuses not to socialize, stop hanging around sober friends or withdraw from family.

Following these 5 steps you have set up the perfect scenarios for drinking or using again.

I love this quote by Terence Gorski: "Abstinence from alcohol and other drugs is only the beginning of sobriety. It's the ticket to get into the theatre, not the movie we are going to see."   

Relapse Prevention Recipe: (Gorski)

1) Write up list of personal warning signs. For example Joe's could include: Less attendance at meetings,  stress building up or conflict with girlfriend.

2) Warning sign management - what to do with stress:  Write, journal, talk to sponsor or other 12 step friends, exercise, get enough sleep.

3) Stay away from risky enviroments - bars, old using friends. Don't let others pressure you to drink/use. Hang out with new sober friends.

4) Pay attention to how you feel - angry, sad, afraid, guilty - write or acknowledge and breathe. Talk about at meetings.

5) Work to change negative thinking - catch the negative thoughts early - Use image of a BIG RED STOP SIGN or Cancel Cancel words and replace with opposite or more positive words.

The blessing of relapse is when the experience and process leads back to more stable recovery. Recovery as every one says is a process. What's one change you'll make today to prevent relapse?

Americans Addicted to Legal & Illegal Drugs - Oxycontin Anyone?

Americans are addicted to legal and illegal drugs and by drugs I mean pharmaceutical drugs. Pharmaceutical companies are the most profitable industry in the world. Marcia Angell, M.D. first woman editor-in-chief of the New England Journal of Medicine reports that in 2002 the $35.9 billion the top drug companies earned were greater than the profits of the other 490 Fortune 500 companies combined.

In my city of Modesto, California, (and two other small cities) there are 31 Walgreens, CVS and Rite-Aid pharmacies.  This doesn’t count all the pharmacies within grocery stores, Target or Walmart. Many of these have been build in the last few years.

In 1997 the FDA reversed it’s policy on direct-to-consumer advertising. At that time, 220 million a year was spent by pharmaceutical companies on advertising. In 2002, the amount was 2.8 billion. Big pharma spends twice as much on advertising as research and development and it’s working.

Perhaps we’re buying so many more prescription drugs because we’re being brainwashed to believe we need what they’re selling. “Tv advertising, works by mobilizing the appeal of group morale. "By showing you pictures of beautiful, happy people, they persuade you that everyone else in the world is having a terrific time, only you are left out. Want to stop being a lonely loser? Join them -- just tune into this, or buy that,” says Bill Manville, ex advertising copywriter for Grey Advertising and now NY Daily News columnist.

Pharmaceutical ads subtly increase fear and worry about medical conditions. For example, statins were first prescribed only to those with heart problems. Now, they’re routinely prescribed for anyone with high cholesterol.

As an addiction specialist of 25 years I understand and support the benefits of medications for the right reasons. I’ve seen suicidal clients survive because of the anti-depressant they were taking. I’ve also seen clients so over-medicated they were zombies. Somewhere there’s a healthy meeting place between personal responsibility, the medicine now available and all the seductive advertising. The good news is that many of us are looking for ways to combine traditional with non-traditional medicine. The National Center for Complimentary & Alternative Medicine states that consumers spend 33.9 billion out of pocket on complimentary and alternative therapies.

As consumers we need to ask questions when we see new research come out. To change the control big corporations have on advertising, and us, it will take thinking outside the box. As Einstein said, “You cannot solve a problem from the same consciousness that created it. You must learn to see the world anew.”  

If you're struggling with an addiction or dependence to oxycontin, vicidin or other drugs of this type, there is help available.  Check out AA or NA groups. Try 6 before you decide you don't "like" them - do you "like" being addicted?  And, look for 1 thing each meeting that you can take and use for yourself. The tendency for the mind is to throw the baby out with the bathwater, but a focus on 1 positive thing you can take for yourself is good.  Also, see a physician, or a treatment program in your area, and get help for the withdrawal process. It's not recommended to stop taking the medications cold turkey. Others have quit and created a good life for themselves. You can too!