Saturday, October 31, 2020

Measuring Recovery Capital #holistic #health

This video is available only to patrons of AA Beyond Belief or members of the AA Beyond Belief YouTube Channel and features a conversation with David Whitesock. David designed a method for measuring recovery capital known as the Recovery Capital Index. I think you will find this an interesting conversation.

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Wednesday, October 28, 2020

Understanding Dependence Versus Addiction #health #holistic

Opioids are powerful substances, whether they’re being used in a medically-sanctioned way or abused. Any opioid is likely to have an impact on your health and wellness, but how that plays out will vary greatly. Most people who use opioids regularly will experience some level of physical dependence, and others will develop opioid addiction.Understanding the difference between physical dependence and opioid addiction can help you find the treatment that you need.What is opioid dependence?To understand physical dependence, you need to understand a bit about how opioids work in the body. Opioids attach to opioid receptors. Normally, these receptors can be used to send pain signals; having opioids bound to them prevents pain signals from being sent. That’s why opioids are commonly prescribed for pain.However, over time your brain adjusts to the opioids that you’re taking — even if you’re following doctor’s orders. You might need more opioids to experience the same pain relief.The brain changes that happen as a result of taking opioids can lead to opioid dependence. The Centers for Disease Control and Prevention defines dependence as experiencing withdrawal symptoms when you stop taking an opioid medication or using illicit opioids. Symptoms of opioid withdrawal can include anxiety, nausea, diarrhea and sweating.Over time, if you continue to take opioids — whether prescribed or illicit — you’ll likely need more and more opioids to feel normal and avoid the symptoms of withdrawal. This is because your opioid tolerance has increased. That can lead to addictive behaviors.What is opioid addiction?Opioid dependence is a physical condition brought about by brain changes, whereas opioid addiction is a condition that can happen as your physical dependence becomes more acute, according to Waismann Method® Opioid Treatment Specialists.Addiction to opioids is a pattern of physical and emotional responses that stem from your physical dependence on opioids. As you try to avoid withdrawal symptoms, your behaviors can change. This can have a devastating impact on your life and impact your career, friendships and family relationships.People who are experiencing opioid addiction can display uncharacteristic behaviors, like:Ignoring responsibilities to family or work because you are focused on obtaining opioids.Having trouble controlling your emotions or behaviors.Fixating on how and when you will next be able to obtain opioids.With time, these symptoms of addiction can erode the bedrock of your life.Treatment for opioid dependence and addictionWhether you are struggling with opioid dependence or full-blown opioid addiction, the first step toward treatment is detoxing from opioids. Detox is the process of removing opioids from your body, so that you no longer need opioids to function at a normal level.Detox can be painful, because it brings about the symptoms of withdrawal. However, there is a medical detox option that provides the highest level of comfort available. Rapid detox allows your body to be flushed of opioids while you are under anesthesia in a fully-accredited hospital. Because you’re sedated, you don’t feel the acute symptoms of withdrawal. Using a combination of medications, detox can happen much more quickly than it would under normal circumstances if you tried to detox on your own.Addressing physical dependence is only one step toward recovering from opioid addiction. After you have detoxed from opioids, you can address the pain — whether physical or emotional — that drove you to use opioids in the first place.At Waismann Method®, people who undergo detox receive continued care at Domus Retreat, where they can make a plan for an individualized approach to life in recovery. There are no set schedules or required meetings, but there is space to rejuvenate and recover, and guidance toward the next steps that are right for you.A dignified approach to treating opioid dependence and addictionWaismann Method® understands that opioid addiction is rooted in the physical brain changes that take place when opioids enter your body. Furthermore, addiction often results from using drugs to cope with underlying physical, emotional or mental health issues. There is no shame or blame in treating opioid addiction — just an understanding that no matter your past, you can have a new opioid-free beginning.


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Monday, October 26, 2020

How To Get An Extra Hour In Your Day, Every Day #health #holistic

Here in the UK, the clocks went back over the weekend, giving us an extra hour in the day on Sunday.

It got me thinking about how luxurious it is to have more time… and how often booze steals that from us.

Alcohol is such a time thief.

It quietly snatches hours from unexpected places, leaving you feeling behind (and craving another drink to ease the stress).

I think you might be surprised by just how many hours we’re talking about here:

Key points

How we lose time drinking

Once you’ve opened a bottle, hours can just vanish. But the time spent drinking is only one piece of the puzzle. Alcohol steals time in other ways too. You’ll also want to consider:

  • How much of your time is lost feeling hungover or being too ill to follow through on planned activities?
  • How does a mild hangover affect your productivity? Do you spend longer on basic tasks?
  • Do you beat yourself up about your drinking, worry about it and spend time searching for help on sites like this? That all takes up time too.
  • Going to war with yourself over whether to drink tonight will eat up time too, as you distractedly try to decide when, where, how much?
  • How many hours are lost putting things right after the night before – cleaning up, making amends etc?
  • Where are you bending over backwards to make your life fit around your drinking e.g. not being able to drive after a certain time, going to different shops to buy alcohol?
  • How much time do you spend with friends who aren’t true friends – but make great drinking buddies?
  • Do you ruminate over certain issues which cause you stress… but your drinking stops you from taking action?
  • How many books, TV shows and movies have you ‘watched’ but can’t remember the storyline?
  • How often are you spending time with loved ones but find yourself slightly absent,  unable to remember what happened, or what was said? 

 

Hour after hour, it all adds up

Can you see how sneaky alcohol is? The combination of these different factors creates a constant feeling of never having enough free time or being on top of things. It’s hard to get a break or feel truly rested – which makes you crave another drink even more…

 

Why this really matters

Early sobriety takes time and effort to get right. You’re going to want to spend some time learning about alcohol, finding new coping mechanisms and getting to the bottom of why you’ve been drinking in the first place. 

If you see sobriety as yet another thing on your to do list, it will always be hard to find the time to really crack it. Yet when you start to see alcohol as the culprit responsible for your lack of time, it’s easier to find the motivation to change. 

 

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The Role of Psychedelic Plant Medicines in Addiction Treatment #health #holistic

Psychedelic plant medicines have the potential to help many people who are in recovery from substance use disorder dig deep into the roots of their addiction and come out of the other side. Plant medicines like psilocybin, ayahuasca, and particularly ibogaine, have demonstrated unprecedented results for those who use them as a tool on their recovery journey.While the legal status of many of these substances is still murky (depending on where you consume them), the ongoing research, decriminalization efforts, and shift in public narrative is promising. Hope lies on the horizon for wider access to these medicines, but right now, what’s needed is raising awareness and informed decision-making around their consumption.Here is how psychedelic plant medicines can help those that struggle with addiction and what people should consider before choosing this path.Ancient healing practices reconcile with modern sciencePsychedelic plant medicines have been used for healing purposes by indigenous cultures for thousands of years, and there is mounting evidence that shows their ability to integrate with modern addiction therapy. Research around the potential of ibogaine to treat opiate addiction is still in its infancy, but shows promising results. Ibogaine, which comes from the Iboga shrub, has been used historically in ceremonies in West Africa by practitioners of the Bwiti spiritual tradition since the late nineteenth century. The roots and bark of the tree are consumed ceremoniously in large doses to provoke a near-death experience, and in smaller doses during rituals and tribal dances. It is not considered a recreational substance by users, yet is classified as a Schedule 1 drug in the US.One 2017 study funded by the Multidisciplinary Association for Psychedelic Studies (MAPS) observed opiate addiction treatment delivered by two independent ibogaine clinics in Mexico. One month after the study, half of participants reported using no opiates in the month following the study. The researchers found that “ibogaine was associated with substantive effects on opioid withdrawal symptoms and drug use in subjects for whom other treatments had been unsuccessful.” Another study on the long-term efficacy of ibogaine-assisted therapy in New Zealand found that a single ibogaine treatment reduced opioid symptoms and resulted in no opioid use or reduced use in dependent individuals over 12 months. Healing that gets to the rootAyahuasca is a psychoactive Amazonian brew traditionally used in the indigenous communities of South America. Research on the brew is grounded in its potential to support healing by allowing for a deeper connection to oneself and due to the spiritual context in which it is taken. One 2017 study published in the International Journal on Drug Policy used qualitative analysis through long-term field work and participant observation in ayahuasca communities, as well as conducting interviews with participants with problems of substance abuse.The study found that “ayahuasca’s efficacy in the treatment of addiction blends somatic, symbolic, and collective dimensions. The layering of these effects, and the direction given to them through ritual, circumscribes the experience and provides tools to render it meaningful.”Researchers from a 2013 Canadian study, sponsored by MAPS, concluded that ayahuasca-assisted therapy for stress and addiction was correlated with improved mindfulness, empowerment, hopefulness, and quality of life-outlook and quality of life-meaning. The same study found that ayahuasca, when administered in a ceremonial setting, may have contributed to reduction in cocaine use in dependent participants.There have also been studies that show the benefit of psilocybin mushrooms in allowing people to overcome addictive or damaging behavior. A 2014 study from the Johns Hopkins Center for Psychedelic and Consciousness Research found that 80% of previously addicted smokers abstained from smoking six months after they were administered psilocybin. Remarkably, 60% continued to abstain two and a half years after the study.“Institutions like MAPS and the Imperial College London are pioneering the way forward with this evidence-based approach to psychedelic medicine—a necessary effort if these compounds are to be integrated into the mainstream,” said Gaurav Dubey, clinical biologist and content editor at Microdose Psychedelic Insights.“Though, we have a lot of catching up to do,” said Dubey. “We need to do better in understanding the psychotherapeutic mechanisms of these incredibly unique compounds and the only way to uncover that is through science and research.“The clinical data that strongly supports the therapeutic use of these compounds in addiction treatment will be fundamental in making them accessible to recovering addicts around the globe,” he added.Journeys to an addiction-free life, supported by plant medicinesKat Courtney is the founder of AfterLife Coaching, a trained ayahuasquera, and has been working with the plant medicine ayahuasca for over a decade. Courtney first began her journey with ayahuasca in Peru in 2006, while suffering with alcoholism and bulimia.“Not only did ayahuasca help me face and deal with the traumas and programming that created these destructive behaviors, she helped me access an authentic space of self love and gave me tools to work with in lieu of the addictions,” said Courtney.“They fast-track the healing and awakening process and ground us into our bodies so we can move past stages of self-destruction. They help us to move the trauma that is stored in the body through crying, purging, and all kinds of different forms of release.”But Courtney stresses that the act of taking these medicines is only part of the deal: “We absolutely have to be committed to integrating these experiences and making the life changes that support sobriety,” explained Courtney. “Otherwise, plant medicine ceremonies can become distant memories.”Alternative approaches offer a chance for healingAeden Smith-Ahearn is the founder of Experience Ibogaine Clinic, based in Mexico. Aeden first tried ibogaine in an effort to overcome his dependency on multiple substances, including heroin. “Ibogaine got me comfortably off opiates,” said Smith-Ahearn. “I had almost no withdrawal symptoms, and I had a very profound experience which helped give me a motivational boost in the right direction.“The medicine put me in my place, and that’s exactly where I needed to be. I got a fresh start, on top of a head start into my recovery,” he explained.Prior to his ibogaine experience, Smith-Ahearn had tried several programs in an attempt to break free from his addictions, which he describes as “cold turkey, three meals a day, and a therapist once a week.”“These programs work for many people, but they didn’t do the job for me. The problem was that I did not want to change, and was therefore unwilling to work towards something I didn’t want,” he said.Smith-Ahearn credits ibogaine with huge potential for recovering opiate addicts specifically because of how it interacts with the brain’s receptors. “The hardest part about breaking out of opiate addiction is getting over withdrawals,” he said. “The medicine alleviates withdrawal symptoms [for some patients], which is a godsend for someone who is in over their head with opiate addiction.”Like Courtney, Smith-Ahearn stresses that ibogaine is not a cure-all. “It’s crucial that patients of the treatment put their effort into a quality aftercare plan.”Charles Johnston, director of client success at Clear Sky Recovery, has also historically struggled with opiate addiction and subsequently used ibogaine as a tool to help him overcome his dependency.“Ibogaine was the medicine that interrupted my addiction, and for the first time let me fully witness the root cause of my addiction: self-hatred. It provided me with a path, purpose, and mission to support others and see that addiction is a blessing of self-discovery,” explained Johnston.“Ibogaine allows the individual to feel how they would after months of detox with conventional methods and if supported properly, encourages a whole new paradigm of accountability and acceptance,” he continued.With these and other accounts of personal transformation, it’s clear that ayahuasca and ibogaine have potential to assist people struggling with addiction on a path to recovery. However, these treatments should not be treated lightly and come with a number of risks to the patient if not administered responsibly.What you need to consider before trying psychedelic therapyPsychedelics generally have very little risk of abuse, but when taken in the wrong setting, or without proper guidance or structured preparation and integration, they can result in negative consequences.There are some short term health risks which are important to consider. “Using ibogaine comes with risks to your physical health, such as seizures, gastrointestinal issues, heart complications, and ataxia,” says board-certified psychiatrist and addiction specialist Dr. Zlatin Ivanov. “There have also been unexplained fatalities in people who have ingested ibogaine, which may be linked to the treatment.”Charles Johnston of Clear Sky Recovery explained that “if someone has heart issues, liver problems, other major health complications, serious psychological issues, or are expecting a quick fix, ibogaine may not be the right path.”The same largely goes for users of other plant medicines, including ayahuasca. Users of SSRI antidepressant medication have run into an adverse reaction while drinking the medicine with the drugs still in their system.“People need to do careful research and not fall foul of misleading things that they see on the internet. A lot of people have expectations that the medicine may not offer, like profound psychedelic experiences guaranteed to change them or no withdrawal whatsoever,” said Aeden Smith-Ahearn of Experience Ibogaine.Those seeking treatment with psychedelic plant medicines should make sure they go to a reliable and reputable center. In recent years, the number of tourists flocking to Peru to drink ayahuasca has boomed, resulting in illegitimate retreats run by people lacking in the experience required to administer the medicine.In many countries, including the US, these substances are illegal to consume. Many people do however seek out treatment in countries where the medicines are not outlawed, such as Mexico, Costa Rica, Peru, and Colombia. In the US, ayahuasca is legal within specific religious groups, such as the Santo Daime.A path to accessibilityLooking ahead to the future of psychedelic treatment, progress is being made on the legalization front, with Oakland and Santa Cruz, California, and Denver, Colorado, voting for decriminalization of psilocybin-containing mushrooms in 2019 and 2020. Oregon and Washington D.C. also have votes ahead on the decriminalization of psychedelic-containing plants and fungi.Meanwhile, Canada is seeing a number of legal ayahuasca centers open up, on the part of religious groups who have special permission from the government to use the medicine. However, ultimately, it will be a continuation of the scientific research that paves the way for increased access to psychedelic therapy.“We need more large scale, gold-standard clinical trials examining these compounds in the context of addiction treatment, such that their impact can no longer be ignored—even by the most stubborn of policymakers and world leaders,” said Dubey.“There needs to be a shift in global drug policy so these powerful medicines can be reclassified and reintegrated into our society in an effort to heal the masses.”In essence, psychedelics need to go mainstream and lose the stigma that they have held for decades so that the public appetite can develop and further drive policy changes. In addition to research, diverse voices and experiences, along with mainstream support, will be key in the psychedelic renaissance maintaining its momentum.The value of psychedelic plant medicines for addiction recovery is difficult to overstate, but is a path that should be explored carefully, mindfully, and while armed with the right information and support. And there’s hope that a future where accessibility isn’t an issue is on the horizon: The ongoing research and changing societal attitudes towards psychedelic plant medicines demonstrate promise. Education around these medicines and their proper use is vital for this renaissance to continue.By shining a light on the potential of psychedelic plant medicines to help and heal, we can contribute to forming more pathways to change and legitimate channels for people to benefit from their treatment.


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Sunday, October 25, 2020

Emotional Sobriety II #holistic #health

On November 15, 2020, the Freethinkers Living Sober Group of Verde Valley, Arizona will present Emotional Sobriety II, and online Zoom event featuring Dr. Allen Berger, psychotherapist and author 12 Stupid Things That Mess Up Recovery; Marya Hornbacher, award-winning journalist and bestselling author of Waiting: A Nonbeliever’s Higher Power; Joe C., author of Beyond Belief: Agnostic Musings for 12 Step Life; and John R. co-founder of the Freethinkers Living Sober Group.

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Once Upon a Lifetime or Two Ago #holistic #health

In my struggle to find sobriety in AA, I unexpectedly became Buddhist by doing the Twelve Steps of Alcoholics Anonymous.

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Pandemics, Zoom, & Happy Heathens #holistic #health

The pandemic has taught us some things -- one being that the thirst for secular AA exceeds our most optimistic imaginings. A very short time after face-to-face meetings began to be shut down, there was a notable spike in requests to join the various secular recovery groups on Facebook. An old-school Google group called "Atheists and Agnostics in AA" saw new member applications leap from 10-15 per week to 10-15 per day.

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Thursday, October 22, 2020

For Pregnant Women, Stigma Complicates Opioid Misuse Treatment #health #holistic

New and expectant mothers face unique challenges when seeking treatment for an opioid use disorder. On top of preparing for motherhood, expectant mothers often face barriers to accessing treatment, which typically involves taking safer opioids to reduce dependency over time. The approach is called medication assisted therapy, or MAT, and is a key component in most opioid treatment programs.But with pregnant women, providers can be hesitant to administer opiate-based drugs.According to a study out of Vanderbilt University, pregnant women are 20% more likely to be denied medication assisted therapy than non-pregnant women.“In the beginning, I was so scared as a new provider to write my first prescription for medication assisted therapy to pregnant women,” said Dr. Linda Thomas-Hemak of the Wright Center for Community Health in Scranton, Pennsylvania.The health center serves low-income individuals who are underinsured or lack insurance altogether, many of whom struggle with opioid misuse.“Pennsylvania was hit particularly hard by the opiate epidemic that really has plagued, terrified and challenged America,” said Hemak, who is a board certified addiction medication specialist.On this episode of the podcast, we speak with Dr. Hemak about whether medication assisted therapy is safe for new and expectant mothers and how the Wright Center is helping women overcome opioid dependency during pregnancy.Direct Relief · For Pregnant Women, Stigma Complicates Opioid TreatmentListen and subscribe to Direct Relief’s podcast from your mobile device:Apple Podcasts | Google Podcasts | SpotifyDirect Relief granted $50,000 to The Wright Center for its extraordinary work to address the opioid crisis. The grant from Direct Relief is part of a larger initiative, funded by the AmerisourceBergen Foundation, to advance innovative approaches that address prevention, education, and treatment of opioid addiction in rural communities across the U.S. In addition to grant funding, Direct Relief is providing naloxone and related supplies. Since 2017, Direct Relief has distributed more than 1 million doses of Pfizer-donated naloxone and BD-donated needles and syringes to health centers, free and charitable clinics, and other treatment organizations.Transcript:When it comes to getting treatment for an opioid use disorder, pregnant women have an uphill battle.Most patients undergoing opioid treatment are prescribed safer opioids that reduce dependency while limiting the risk of overdose and withdrawal.This kind of treatment is called medication assisted therapy, or MAT.But with pregnant women, providers can be hesitant to administer opioids.According to a study out of Vanderbilt University, pregnant women are 20% less likely than non-pregnant women to be accepted for medication assisted therapy.“In the beginning, I was so scared as a new provider to write my first prescription for medication assisted therapy to pregnant women,” said Dr. Linda Thomas-Hemak.Hemak is a board-certified addiction medication specialist and CEO of the Wright Center in Scranton, Pennsylvania.“Pennsylvania was hit particularly hard by the opiate epidemic that really has plagued, terrified and challenged America,” said Hemak who has been practicing in the state for several years.In 2016, the health center launched a comprehensive opioid treatment program to address the growing crisis in their community. They quickly realized a number of patients were pregnant—and had specific needs, from prenatal care to job support. And so, a new program was born.“The Healthy MOMS program is based on assisting mothers who are expecting babies or have recently had a child, up until the age of two,” explained Maria Kolcharno — the Wright Center’s director of addiction services and founder of the Healthy MOMS program.“We have 144 moms, through the end of August, that we have served in the Healthy MOMS program and actively, we have enrolled 72.”The program provides new and expectant moms with behavioral health services, housing assistance, educational support; providers have even been delivering groceries to moms’ homes during the pandemic.But the crux of the program is medication assisted therapy.Moms in the program are prescribed an opioid called buprenorphine—unlike heroin or oxycodone, the drug has a ceiling effect. If someone takes too much, it won’t suppress their breathing and cause an overdose.Nonetheless, it’s chemically similar to heroin, which may raise eyebrows. But while some substances, like alcohol have been shown to harm a developing fetus, buprenorphine isn’t one of them.“Clearly there are medications, like alcohol, that are teratogenic. And there’s medications like benzodiazepines that have strong evidence that they are probably teratogenic. When you look at the opioids that are used and even heroin, there is no teratogenic impacts of opiates on the developing fetus,” Dr. Hemak explained.So, opioids like buprenorphine can be safe for pregnant women. What’s not safe is withdrawal.If someone is abusing heroin, overdose is likely. In order to revive them, a reversal drug called Naloxone is used, which immediately sends the person into withdrawal.But when a woman is pregnant and goes into withdrawal, it can cause distress to her baby, lead to premature birth, and even cause a miscarriage.Which is also why these women can’t just stop taking opioids.“Stopping cold a longstanding use of an opiate because you’re pregnant is a very bad idea and it is much safer for the baby and the moms to be transitioned from active opiate use to buprenorphine when pregnant,” explained Hemak.Because buprenorphine has a ceiling effect and is released over a longer period of time, women are less likely to overdose on the drug.Regardless, there’s still a risk their baby goes through withdrawal once they’re born. For newborns, withdrawal is called neonatal abstinence syndrome or NAS.Babies may experience seizures, tremors, and trouble breastfeeding. Symptoms usually subside within a few weeks after birth.Fortunately, the syndrome has been shown to be less severe in babies born from moms taking buprenorphine versus those using heroin or oxycodone.That’s according to Kolcharno who has been comparing outcomes between her patients and those dependent on opioids, but not using medication assisted therapy.“Babies born in the Healthy MOMS program, we’re finding, that are released from the hospital, have a better Apgar and Finnegan score, which is the measurement tool for NAS and correlates all the withdrawal symptoms to identify where this baby’s at,” said Kolcharno.But NAS is not the only concern women have post-partum.During and after delivery, doctors often prescribe women pain killers. For those with an opioid dependency, these drugs can trigger a relapse.Dr. Thomas-Hemak says preventing this kind of scenario requires communication.The Wright Center works with their local hospital to ensure OBGYNs are aware of patient’s substance use history.“We want the doctor to know that this may be somebody that you’re really sensitive to when you’re offering postpartum pain management,” said Hemak.That way, doctors know to tailor patients’ post-partum medication regimens. Instead of prescribing an opiate-based pain killer they can offer alternatives, like Ibuprofen or Advil.Maintaining an open line of communication between addiction services and hospital providers also helps to reduce stigma.Women with substance use disorders have long been subject to discriminatory practices by both providers and policy makers.From denying them treatment to encouraging sterilization post-delivery, women struggling with opioid dependency can be hard-pressed to find patient-centered health care.But Dr. Thomas-Hemak says, she’s learned to set her opinions aside.“I think one of the magical transformations that happens when you do addiction medicine really well is, it’s never about telling patients what to do.”It’s about allowing them to make informed choices, she says, and understanding it’s not always the choice you think is best.This transcript has been edited for clarity and concision.


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Tuesday, October 20, 2020

Episode 194: OMAGOD Online Secular AA Meeting #holistic #health

In this episode, I speak with Mikey J. from the Our Mostly Agnostic Group of Drunks (OMAGOD) located in Orlando, Florida, and now meeting online every Monday, Wednesday, and Friday at 7:00 pm Eastern. Mikey takes us through the history of the group and what they learned about hosting online AA meetings. 

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How (Not) To Date in Sobriety: My Dinner with Steve, the Movie #health #holistic

I thought, “I’m building intimacy!” He called it stalking. I said I was sharing. He said oversharing. Through ten years of sober dating in New York City on the heels of a devastating divorce, I tried it all—from celibacy to the polyamory scene to IRL meetups. Along the way, I made every mistake possible. To my surprise, I’ve landed in a happy marriage, but I will never forget the stories that brought me here. Such tales are at the heart of My Dinner with Steve.As someone with long-term sobriety, I never tire of addiction stories. Likewise, I’m always interested in stories about flawed women. When I sat to write my own film, I wanted to see these two worlds come together. There are so many movies that deal with battling addiction, but there are very few that portray the experience of living in recovery. If the recent #WeDoRecover challenge is any indication, I’m not alone.The hashtag was born during the first presidential debate, when the incumbent spewed a poisonous—and untrue—tirade about Hunter Biden, a recovering addict. His father, former Vice President and current presidential candidate, Joe Biden, was not rattled. Instead, he rallied to support his son, and all of us recovering from addiction, by first affirming Hunter's recovery and then stating, “I’m proud of my son.” In the wake of that, there’s been an avalanche of support for people recovering from addiction, much of it in the form of people sharing their own #WeDoRecover stories.Into this hunger for content comes the short I wrote and starred in, My Dinner with Steve. The film tells the story of Jen, a newly sober, 40-something woman whose divorce has left her shattered. She’s finally landed a date with her teacher crush, but mistakes Googling with familiarity and turns their dinner into an addict's confessional. We shot it in St. Petersburg, FL, over two days in March, just before the Covid-19 lockdown. Already the movie has been seen all over the world in festivals, with more to come.My approach to the film was something I’d learned through recovery—I asked for help. I’d never written a film before, let alone acted in and produced one, so I turned to people in the industry for guidance. I’m lucky that several key team members, notably our director Eugenie Bondurant, were early supporters of the project. The work has been so gratifying that I’ve already written more, a series with recurring characters offering humorous tales to convey serious messages—primarily, that overcoming addiction is not only possible, but just the beginning. One of my greatest fears about getting sober was that it would mean the end of fun. As the recent #WeDoRecover challenge has shown, that’s been far from true for me and countless others. And it made me reflect on why I felt compelled to write these episodes.First, the longer I’ve stayed sober, the more clearly I’ve seen that sobriety is a gift. It wasn’t bestowed upon me through some kind of deserving behavior, far from it. It was grace alone. Through my recovery, I’ve met many wise, humble, and generous people. Many have given freely of themselves to show me a better life, one free of blackouts, institutions, health crises, destroyed relationships, and enslavement. These interactions are at the heart of the films I want to write. Because no one recovers alone. There is no single wise influencer, leading us all to an Instagram-worthy photo shoot. Our lives continue, in all the mess and glory. But if we stick together, we do recover.These experiences are what I want to commemorate in film, and My Dinner with Steve is the first outing in that effort. While the story is based on actual experiences, it’s not a true story. And as much as this short speaks to the recovery community, I see these stories as having a broader audience, in the same way that a film like Requiem for a Dream – just now celebrating its 20th anniversary with a re-release – wasn’t intended for drug addicts only.We all experience obstacles in life, but those of us in recovery need to refrain from using our drug of choice to cope, whether that’s sugar, sex, or a substance. So, it’s important that this film look like others out there, and speak to a broad audience. And there’s no better way to foster empathy than through storytelling. For more information and to see the trailer, visit the website for My Dinner with Steve.


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Sunday, October 18, 2020

Episode 193: The Plague Year #holistic #health

In this episode, John Huey talks about his thoughts on COVID and alcoholism, and what the two have in common. He thinks back on friends who didn't survive their drinking and realizes that we don't think often enough about those who don't make it. You can read more in John's essay,  A Journal of the Plague Year. 

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A Journal of the Plague Year #holistic #health

I take the title of this essay from the 1722 English work of Daniel Defoe which is a fictionalized account of the last great Bubonic Plague outbreak in London of 1665. I am writing this piece in September of 2020 when the entire world is in the midst of its own “Great Plague” caused by the COVID 19 pandemic and many of us older people, as well as some younger folks, find ourselves under dire threat.

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I Once Wrote a Letter to Myself #holistic #health

Writing, including gratitude lists, parts of my personal stories, essays about principles, and steps in Alcoholics Anonymous, and for me most importantly, poetry, has been an essential part of my recovery.

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International Conference of Secular AA Going Virtual #holistic #health

The in-person International Secular Conference of Secular AA was set for the end of this month in Washington DC and it's been postponed one year so we're going online for 4 hours of sharing and community on December 5 (free mini-conference).

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Thursday, October 15, 2020

The Role of Trauma in Treating Addiction #health #holistic

The word trauma is used today more than it ever was ten years ago. While some people might feel like the word is overused, many mental health professionals would say that we’ve just become better at recognizing the lasting impact that events — from losses to abuse — can have on our psyches.Many people with substance use disorder have trauma in their backgrounds. Trauma causes residual lasting mental pain. If you don’t address the trauma, you might find yourself self-medicating to escape the mental pain. Although that might work for a moment, using drugs or alcohol to cover your mental pain will just cause more difficulties in the long run. That’s why it’s so important to find a treatment center that understands the interplay of trauma and addiction.Understanding TraumaThe American Psychological Association (APA) defines trauma as an emotional response to a terrible event. What constitutes a terrible event varies from person-to-person. An event that is traumatic for one individual might not cause trauma for other people, even if they experience the very same event. Anything from abuse to a natural disaster to an accident can cause trauma.It’s normal to experience some psychological distress after a major event. Consider the stress that we all experienced early on during the pandemic. But, for most people, the stress gets better with time. If you find that your stress continues to interfere with your life, you might have trauma. Symptoms of trauma can include flashbacks, headaches and nausea.Sometimes, trauma can evolve into post-traumatic stress disorder (PTSD). PTSD is characterized by lasting effects of trauma that impacts life. People with PTSD might have flashbacks or nightmares; they might avoid certain situations that remind them of the traumatic event.The Connection Between Trauma and AddictionThere’s a close connection between trauma and addiction. A 2019 study compared people who were getting treatment for opioid abuse disorder with healthy individuals. It found that the people in treatment reported more severe traumas and more instances of trauma in their lives. The study found that the more trauma people experienced, the more likely they were to experience addiction.The connection can be particularly strong for people who experience trauma as teens or children. Among teens who needed addiction treatment, 70% reported trauma in their backgrounds. In addition, 59% of teens with PTSD go on to develop a substance abuse problem.Research like the ACEs study — which looked at adverse childhood experiences — have solidified the connection between trauma and addiction. Even seemingly minor ACEs, like growing up with divorced parents, can increase the risk for substance use disorder later in life.Treatment for TraumaIf you have experienced trauma or ACEs, and particularly if you believe you may have PTSD, you need to access a recovery center that is trauma-informed. Trauma-informed treatment centers have knowledge about the ways that trauma impacts the brain. They are able to help you address your substance abuse disorder, while also helping to control your trauma.Of course, it is also a great idea to get specific treatment to help you overcome PTSD, if you are experiencing that condition. EMDR — Eye Movement Desensitization and Reprocessing — is a type of therapy that is particularly effective for treating PTSD. During EMDR, you recall your traumatic event while doing to back-and-forth eye movements. Scientists don’t understand exactly why this is so effective at reprocessing the traumatic event, but research shows that people make huge improvements in just a few sessions.The TakeawayTrauma is extremely common: up to 70% of American adults have experienced a traumatic event in their lives. Some people recover on their own, while the trauma lingers for others. Too often, people use drugs or alcohol to try to numb or escape the trauma.Oftentimes, people need help to overcome trauma in their lives. Finding and utilizing a treatment center that has a trauma-informed approach to treating substance use disorder can help you understand the role that trauma plays in your addiction. Then, by addressing the underlying cause of your addiction, you’re better able to stay sober long-term.Learn more about Oceanside Malibu at https://ift.tt/2YrFRKm. Reach Oceanside Malibu by phone at (866) 738-6550. Find Oceanside Malibu on Facebook.


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Tuesday, October 13, 2020

Help Without Hurting #health #holistic

When problems from drug use begin to mount, such as relapses, lost jobs, school suspensions, neglect of responsibilities, DUIs, etc., friends and family members sometimes provide certain types of help that can actually be harmful. That’s right, they harm their loved ones by bailing them out or doing too much at times when these folks would be better served by learning from the consequences of their behavior and standing up on their own.For example, after binges or serious relapses, friends and family members often make excuses and try to clean up the mess. When this happens, they unwittingly teach powerlessness.You don’t have to think about what happened or make an effort to change. I’ll take care of it. You can keep doing what you’ve been doing, and everything will be ok.They also deprive people of an opportunity to learn from the experience; to figure out what was happening before the relapse, how they responded to the circumstances, and what consequences resulted from their use of drugs.Less obvious but equally damaging are subtle meta-messages that undermine self-confidence and manufacture dependence:You can’t handle this. You really need me to step in.(You don’t have to grow up or take responsibility for your life.)Sometimes, it’s important to back off and allow a person room to grow. Of course, there is a fine line because we definitely want to be kind, supportive, and give help generously. We certainly don’t want regrets, as in, “I wish I had done more.”On the other hand, we can end up saving people who don’t need to be saved; people who would be better served by investing more of their own effort and depending on their own initiative, with less help from loved ones.Saving people who don’t need to be saved is called a “rescue.” It should be distinguished from times when we save people who actually need to be saved, like throwing a life preserver or diving into the water to save someone who is drowning, or giving first aid at the scene of an automobile crash.The key to help without rescuing is to ensure that people with a problem want to make changes and are willing to do their part. We can provide support and match their efforts, but not be a “fixer” who does it all. And, we should be willing to back off when the people we are helping are not making a full-blown effort to do their part.Guiding Principles for Avoiding Drug Problem RescuesFind out if the person with a drug problem is sincere and committed to working on the problem. (Not lip service or oft-repeated promises).Find out what the person plans to do differently in the future. Get specifics.Ask if the person wants help and if so, how you could be helpful.Be clear that you are not trying to fix the problem yourself. You are providing back up.Watch to see that your effort is matched. Never do more than half the work.Watch that change is occurring. If not, discuss what further measures loved ones need to take so that your combined efforts can bring results.Be willing to back off in a kindly way, without negative judgment.Model Statement for Backing OffIf nothing is improving, your help is of no value. It’s best to back off and open a dialogue.You don’t want to discourage the person with a drug problem, but also don’t want to fail to notice the reality of the situation. You can make a statement about the lack of progress without blame or any negative judgment. You can show your love and enduring desire to help. Before backing off, make sure you have allowed time for the change to take hold. However, if you wait too long, you will probably end up angry and alienate yourself from the person you want to help. Timing is important.Here is an example of a model statement for avoiding a rescue when the person you are helping is not making changes.I’m doing (or “I have been doing” or “I have done”) what you asked. But it doesn’t seem that things are getting better. I think you may need to invest more energy or find a different strategy. There’s no point in me continuing to help until you have revised your plans. I love you (or “really care about you”) and remain ready to help when you update your approach to this problem.Signs You Might be RescuingYou feel like you’re saving someone from themselvesYou keep giving help and nothing is changingYou feel angry when you are trying to be helpfulThe same problems keep recurringDifficult and Unpleasant ChoicesPeople with serious drug problems often face exceedingly difficult and disastrous circumstances that make it hard to distinguish between help that is urgently needed (a legitimate rescue) or simply a harmful rescue that will reinforce powerlessness. For example, we may have loved ones who are about to lose their job or need transportation to maintain employment or could lose custody of a child or find themselves homeless, living under a bridge. Caring people will have an urge to jump in. Sometimes we must. These are painful and unpleasant choices with no simple answers. At these times, we have to ask ourselves: What sort of rescue is this? What will happen if I don’t step in? What are the consequences? If I do step in, would it be disempowering? Would I be resentful? Am I fostering dependence? Has the same problem been happening over and over again?Sometimes backing off means being terribly scared and uncomfortable, knowing the risk that bad things might happen, but believing it is the best choice and the only possible way things might change. It’s never easy.Help and “Help”Avoiding harmful rescues is an act of love. You want to help people when it can improve their lives, but avoid providing “help” that disempowers them, promotes dependency, and allows problems to persist. Ideally, our message should be: “You can do it. Work hard and I’ll back you up, all the way.”


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Friday, October 9, 2020

Episode 192: AA Beyond Belief at Five Years #holistic #health

John and Angela celebrate the fifth anniversary of AA Beyond Belief by taking a look back at when and how it all started.  

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Thursday, October 8, 2020

Opinion: The Opioid Crisis + COVID-19 = The Perfect Storm #health #holistic

Addiction - a chronic relapsing brain disorder, and a disease that gets deeply personal. It gets low-down and dirty, too.If you’re not an addict yourself, you surely know someone who is.You know someone abusing their opioid prescriptions, not because it’s a barrier to their pain, but because it’s a potent way to make them feel happier. You know someone whose alcohol consumption is dangerously high and verging on alcoholic - if they’re not already there, of course. Your kids will certainly know someone who abuses recreational drugs like they were going out of fashion. They’ll also know other students who swallow ADHD prescription tablets (as a study aid) because it makes them get their grades, and keeps their parents, people like you, happy.Among the people who are in your extended family, among your circle of friends, or someone within your workplace - at the very least, one, probably several more, will be a secret drug addict or an alcoholic. At the very least.It doesn’t discriminate. It certainly doesn’t care where you live either, just like most other diseases, and now this new coronavirus - COVID-19.Arizona & The Opioid CrisisOver the last 3 years, in Arizona alone, there have been more than 5,000 opioid-related deaths. Add to that the 40,000-plus opioid overdoses that have taken place during the same period, and you realize that COVID-19 has never been the only serious health issue the state continues to face, or the rest of the U.S., for that matter.In our “new reality” of social distancing and masks, more than 2 people every single day die from an opioid overdose in Arizona. Nearly half of those are aged 25-44 years old - in their prime, you might say.Opioids are not the only addictive group of substances that is costing young Arizonan lives right now either.From the abuse of “study aid” drugs, like Adderall and other ADHD medications, to the “party drugs,” like cocaine and ecstacy, and so to opioid prescription meds, and, if circumstances allow, a slow and deadly progression to heroin - addiction is damaging lives, if not ending them way too soon.These drugs did so before anyone had ever heard of COVID-19, and they’ll continue to do so after, or even if the world ultimately finds another drug - the elusive coronavirus vaccine - it is hoping for.Opioids + COVID-19 = The Perfect StormWe now live in this time of coronavirus. With the ongoing opioid epidemic, the question arises:How can the addiction treatment community continue to assist people who are now being left even more isolated and desperate, still with their chronic desire to get as high as they can, or drunker than yesterday?Furthermore, coronavirus has raised questions itself about the ongoing mental health needs of our population as a whole, and drug addicts and alcoholics continue to feature heavily in any statistics you offer up about those in the U.S. living with a mental health disorder.In fact, around half of those with a substance use disorder (SUD) or an alcohol use disorder (AUD) - the medical terminology for addiction - are simultaneously living with their own mental health disorder, such as major depression, severe anxiety or even a trauma-related disorder like PTSD.How are these predominantly socially-disadvantaged people able to receive the treatment they really need when they have been directed to isolate and socially distance themselves even further?This is why I believe the conditions for a “perfect storm” of widespread deteriorating mental health and self-medication through continued substance abuse are here now, with overdoses and fatalities rising across the addiction spectrum.There will be many drug or alcohol abusers living in Arizona who will be lost to us, and the majority will be young people in the age group of 25-44 mentioned previously, left isolated and unnoticed by an over-occupied medical community.The U.S. opioid epidemic plus the global coronavirus pandemic.A deceitfully isolating disorder in a time of generalized social isolation. For some, there will be no safe harbor from this, and it will wash them away from the lives of their families and friends without any chance of rescue whatsoever. The perfect storm - our perfect storm.Today, the truth is that successful addiction recovery has become exponentially more difficult. Apart from ongoing isolation to contend with, there exists an unfounded but very real distrust of medical facilities per se, and a real personal problem in maintaining good physical and mental health practices, eg. through nutrition and physical activity.Innovation: The Ideal Recovery Answer for Isolated Substance Addicts?Digital technology has advanced far further than its creators and financial promoters ever envisaged - or has it? We have become a society where it doesn’t matter where you are in the world, you’re always close by to loved ones you wish to talk to, friends you want to have a laugh with, and colleagues you need to share information with.Communication anywhere with anyone is as simple as the proverbial ABC.However, if you think that innovation and digital technology - sitting in front of your laptop or tablet, in other words - can provide the answers to the questions raised earlier about the timely provision of professional addiction or mental health treatment to those that need it, then you’re wrong. If only it were all that simple and straightforward.Online meetings of 12-Step organizations, like Alcoholics Anonymous, Narcotics Anonymous, and others, have been available for many years. However, all of these support organizations realize that an online or virtual 12-Step meeting is not the real thing. They are a temporary substitute and no more.In fact, they are a poor substitute when compared to the face-to-face and hands-on meetings that continue to be held successfully all over the nation and all year round.The various “sober aware” and “sober curious” communities that are present online do not provide a realistic treatment option to any substance addicts whatsoever, whether their SUD or AUD has been clinically diagnosed or not. Furthermore, the current crop of online addiction treatment and recovery programs available are currently statistically unproven in terms of successful outcomes, and with no official accreditation.That said, there is limited evidence that “telemental health care” does have several benefits in terms of more timely interventions in those with mental illness generally, particularly when these people are located in isolated communities.I honestly wouldn’t know, as there is no official patient outcome data for these services. In fact, by the time that data is able to be impartially and officially collected, these groups and so-called programs may have already lost their internet presence.Online “help” (you honestly couldn’t call it an actual treatment) with addiction is severely limited and nowhere near approaching the answer. Here’s exactly why…Substance addiction is an utterly isolating disorder. It can obliterate close family bonds, destroy what keeps us close together as friends, and will happily rampage unabated through any social life you may still hold onto, accepting no prisoners. Bleak isolation like you’ve never known before.Corona has little on addiction.Addiction is the catalyst behind premature death, the end of families and their marriages, long-term unemployment, and endless legal issues. It costs financially too - countless billions of dollars every year are lost to this disorder, over double that of any other neurological disease.Let me be absolutely clear and concise - there exists no replacement whatsoever for your hand held by another when lying in an intensive care bed, scared you’ll become just another coronavirus statistic, and there exists no replacement for the smiles, warmth, and openness of fellow recovering drug addicts meeting in a daily support group, especially on those days when you came so close, so very close, to using or drinking again.There’s little difference between the two either.The online addiction treatment industry is still in its childhood. It truly is an industry too, as you’ll only buy the brand and the product; you’ll never actually meet those telling you how to best change your life.At present, it falls woefully short.Really, what would you prefer? A mask-wearing addiction professional, clinically qualified to assist with your detox, your medication if needed, and your psychological needs, located in an accredited treatment facility (formally certified as being coronavirus-free), among peers, fellow addicts, and trained medical staff?Or a video image on a computer screen of someone you will never meet, who is telling you to do things you’ve never done before? At least, successfully?As society moves towards a more home-orientated existence, with WFH (working from home) the new norm, consider this:Would a specialized medical professional treating your disease ask you to consider “getting better from home,” as an alternative to the hospital?All we can hope for - the best that we can hope for - is that coronavirus soon leaves the state lines of Arizona, and that can continue all of our recoveries as successfully as before. Until then, the advice is simple - take the best help you can from wherever you can get it. Sadly, you are yet to find it on a computer screen.One last thought before I sign off…Protective masks may well become standard attire in our unknown future. So why, oh why, can they not make these transparent? Just take a moment... We’d be able to see each other - our friends, our colleagues, even complete strangers in the street - smile again.


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Wednesday, October 7, 2020

The Five Pillars of Recovery from Trauma and Addiction #health #holistic

In my forty-five years, I enjoyed twelve years of quasi-normal childhood, which ended abruptly when I was raped. I spent the next ten years in a dangerous dance with addiction, suicide attempts, and more trauma. But then I reached a turning point, and my past twenty-three years have been spent healing and learning what works for me in building long-term recovery.There is no standard set of blueprints for long-term recovery, as everyone is different, but I have identified five pillars that have enabled me to build on a strong foundation of recovery. My daily choice not to use substances forms that foundation, and these rock-solid pillars stabilize that recovery into an impenetrable structure. These five pillars are not unique, and they do require work, but once built, they will stabilize your recovery fortress.1. Maintain rigorous honesty. In addiction, our lives were built upon lies and false narratives we told ourselves and others. But recovery demands honesty—only when we can admit the truth can we begin to heal. I had to get honest with myself about my addiction. I had to own it and then take a brutally honest assessment of my life. We cannot build a sustainable recovery on a false narrative. When we lie, we enable sickness, secrets, shame, and suffering.Dishonesty makes us vulnerable in all the wrong ways, but honesty conjures the true vulnerability we require to discover authenticity. Start practicing honesty in all your interactions—beginning with yourself. This must be the first pillar because without honesty, the rest will crumble. Anything created in a lie is chaos, and anything created in chaos will end in chaos.2. Expose your secrets. You cannot soak in the joy of today if your soul is still filled with yesterday’s garbage. Take out that trash. For me, this meant diving deep and pulling forth all the trauma, pain, and sorrow that I had packed tightly away. I thought this was for my benefit—why bring up old stuff? But in fact my secrets were keeping me sick. They were smoldering under this new foundation I was building in recovery, threating to burn it all down.Secrets require silence to thrive, and they allow shame to fester inside of us. Shame is an emotional cancer that, if left untreated, will destroy our recovery. I began by slowly exposing my secrets in my journal. At first, it was the only safe space for me. As I began to trust others in recovery, I began to share those secrets, and the smoldering was extinguished by their compassion and understanding. Begin exposing your own secrets. What thoughts and memories are you afraid to give voice to? Those are the secrets that will keep you sick if you do not get them out.3. Let go. All those secrets take up a tremendous amount of space in our mind, body, and soul. We must find ways to process that pain into something productive, useful, and healing. You must unleash this pain so it no longer occupies your mind, body, and soul. When you do this, you make room for hope, light, love, and compassion.Writing is my release. But when physical emotional energy rises in me, I need more intense physical activity to push the energy out of my body. I use a spin bike and weightlifting, but you might run, walk, or practice yoga—any activity that gets your heart rate up and helps you sweat, which I think of as negative energy flowing out. When I do this, I am calmer, I am kinder, and I am more the person I want to be. Meditation is another way for me to simply let go and sit with myself when my thoughts are plaguing me or I feel stuck emotionally. I often use mediational apps, guided mediations, or music to help me meditate. When you find what works for you, do it daily. Recovery is like a muscle; when it is flexed, it remains strong.4. Remember you aren’t alone. Connection is core to feeling hopeful. By interacting with other trauma survivors and others in recovery, you become part of a group of people with similar experiences who have learned how to survive. Being able to share those pieces of your past with others is incredibly powerful. Seek out support groups in your area, attend meetings, reconnect with healthy people from your past, and pursue activities you enjoy to help you meet like-minded people. Create the circle of people you want in your life—the ones who will hold you accountable yet provide you with unconditional support and love, without judgment.In our addiction, we push these people away. We run from them because they act like mirrors to our dishonesty. In recovery, these people become the ones we turn to when things get hard. Even one such person in your life—a family member, friend, sponsor, or trusted colleague—can make a difference. Surround yourself with those who seek to build you up.5. Know you matter. In order to grow, heal, and build upon your recovery foundation, you have to believe you are worth it, that you deserve joy and love. At some point in your recovery, you will have to rely on yourself to get through a rough patch. When this happened to me, I had to really dig down and get to know myself. I had to strip away all the false narratives I used to define myself, all the ways I presented myself to the world and to myself. Who was I? What did I love about myself, and what brought me enough joy to feel worthiness?I now know what I need to feel calm, to feel beautiful, and to feel deserving of this amazing life of recovery. I matter, and my life in recovery matters so much. It is this core truth that makes me fight for my recovery, my sanity, my marriage, and my job, because they are all worth it. I am worth the fight, and so are you. Believe in yourself. Tell yourself that you deserve happiness, joy, success, and a life free from the pain of trauma and addiction. You are worth your recovery. It is the foundation on which you build your new life.Building any structure requires hard work, and recovery is no different. While we each require different tools and plans to create them, these five pillars will sustain our recovery from trauma and addiction. Jennifer Storm's Awakening Blackout Girl: A Survivor's Guide for Healing from Addiction and Sexual Trauma is now available at Amazon and elsewhere.


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Monday, October 5, 2020

Failing #health #holistic

We’re together for the first time in five years, the three of us. Three sisters. Terry, the oldest, pastes us together with persistence and illusion. She believes we can be a family, that we are a family. Julie, the youngest, bites her lower lip and wears a worried brow, even while she drives her red Miata with the top down to her job as a South Carolina attorney. She left home for law school fifteen years ago and comes back only for weddings or other landmark celebrations like this, or for Christmas every two years. And me, in the middle. I moved to Connecticut almost twenty years ago to cut free from my tangled roots, I thought, and to be near the hospital where I learned to stop drinking and to want to live again.I suspect my newest illness—Chronic Fatigue Syndrome—structures my life in a way my family must find limiting. At least that’s what I think when I hear their voices in my head. You’re tired all the time? Go to bed earlier. You can’t think straight? You’re an Ivy League graduate, for heaven’s sake. Start jogging again. You’ll feel better.But when I’m tucked away, writing in the pretty place on Long Island Sound I call home, half an hour from Manhattan, surrounded by people who drive German and Italian cars and wear Prada and Polo, I pretend their success is mine and that my medical bills and dwindling bank accounts and lost jobs and derailed relationships don’t much.When I return Upstate to the tricky terrain on chilly Lake Ontario, though, my creative ambitions seem paltry and a little suspect. I feel I’ve failed. But, I remind myself, I’m thin. And I used to have enviable, respectable jobs. And I saw the Picasso exhibit at the Met. I hang onto those vanities like life preservers tossed to me in rough seas.We’re together to celebrate our mother’s birthday, her seventy-fifth. Each of us brings her gifts to the party. Collectively, we also bring 130 years of survival skills, learned, not on some Outward-Bound wilderness adventure with a trusted coach, but in this family, where I, at least, believed no one was to be trusted.*****For three weeks, we made plans. When I called to ask Terry what I could contribute to the buffet, she discouraged me from bringing anything other than Tom. “As for sleeping arrangements,” she mused. “I’ll put Julie and Ken in the guest room. You can sleep in Katie’s room, and Tom can take the den.” She paused. “But the pullout sleeps two if you want to stay with him.” Terry and I have been sisters for forty-four years. We emerged, screaming, flailing, from the same womb, played hide and seek in the same neighborhood, suffered algebra in the same high school. But before that clause (“. . . if you want to stay with Tom.”), we never talked about touching men or sleeping with them. When I hung up and told Tom about this tender talk between my sister and me, I was baffled when he said, “I guess they think I’m okay.” How could he shape so private a moment between Terry and me into something about him? But I shook off his self-absorption. He’s not Catholic. He wasn’t raised in a home where no one touched without wriggling to get free. And he doesn’t know how important it is to try to get to know your sister when you’ve spent three decades shoring up the distance from her and you’re no longer sure why.When I called Julie, she railed because Terry decided the party date and time without asking her. “Why did I offer to help if she’s taking care of everything?”I’m the middle sister. I’m in the middle, again and always, but I welcomed Julie’s rant. Any connection would feel better than the unexplained plateau we tolerated between us since her marriage ten years earlier. “I don’t know what to wear,” she said, trying to regain her equilibrium.“Pants and a sweater maybe,” I posited gingerly, not wanting to sever the tentative thread between us. “April’s still winter upstate.”“I might need something new.” The thought of a shopping mission jumpstarted Julie’s party stride. “They’re all on special diets,” she said, “so we’ll need to make sure everyone has something to eat. Dad can’t have nuts, remember?”* * * * * *Tom and I set out late Friday morning, my mood dipping as we rode the thruway into Rockland County and beyond. The sky hung as heavy and gray as it did six months ago when we went home for Thanksgiving, me with the same faint hope. Maybe this time things will be different.When we pulled into Terry and Bill’s driveway five hours later, stiff from sitting, Dad rushed to the door, his hair whiter and thinner. For a moment I mistook him for his father. And before he hugged me, I remembered that one Father’s Day brunch, when my father raged at his father because Grandpa couldn’t hear the waitress when she rattled off the holiday specials. “Stop!” I yelled. Why did I need to tell him to stop hurting his father? All I wanted was to be his favorite girl.His favorite girl? A dicey proposition. “How’s my favorite girl?” he’d ask when he hustled in, late—again—for dinner.“We don’t have favorites,” Mom was quick to point out as she slid a reheated plate across the table to him.Stop. I pulled myself back to Terry’s foyer. We hadn’t yet said hello, and I had dredged the silt of the River Past. Say hello. My father hugged me tight—he at least was generous with his hugs, though from him they never stopped feeling dangerous. We don’t have favorites. Although I hugged back, I stiffened in his arms and drew away too quickly. “You remember Tom?” Then I kissed Mom who, smaller than she used to be, still held her affection in reserve. “Hi, hon.”“You made it.” Terry said, smiling as she came in from the kitchen, wearing a gingham apron over her Mom jeans. “How was the drive?”As soon as I answered— “An hour or two too long”—I wondered if she thought my words meant I didn’t want to be there. We attempted a hug, and I held on a little too long, searching for something bigger, warmer, because in her stiffness, I heard questions. Is she angry because I don’t do my share? (Who wouldn’t be?) That she’s the one who drives Dad to his cataract surgery and perms Mom’s hair? (Of course, she’s angry.) “Nice outfit,” she said, and I resisted suggesting a livelier hair color for her.When Terry offered her cheek for a quick kiss, I saw Julie at the edge of the foyer, half in, half out, arms crossed. “You look great,” I said, hoping to breathe a little fire into her. “Hi.” She stretched the one syllable to two, an octave higher than her normal speaking voice, trying to sound different than she looked, as if she were frozen, unable to come closer.Hungry?” Terry asked.“Starved,” I said, not letting on that, more than food, I wanted a belly full of comfort.Tom and I brought in the dinner fixings—ravioli and salad greens I bought at Stewart’s market, bread and cheesecake from Josephine’s bakery—and Terry, Julie and I set about making the meal. Before Terry lifted the lid from the cooking ravioli, I knew she would sample one before she pronounced, “They’re done.” Then she would wrap the dish towel around the pot so she wouldn’t burn herself when she lifted it from the stove and dumped the steaming pasta into her twenty-year-old stainless colander with the rickety feet in the sink.I knew, too, how Julie would stand at the counter, her shoulders sloping forward, while she diced tomatoes and chopped garlic.I knew their rhythms, their postures, but I wanted to reach to them, to ask them please, would they look at me, would they be my friends. Instead, I wondered why it seemed so hard to say something spontaneous, or to laugh from our bellies.“Stewart’s was so crowded when I shopped, I had to meditate to steady myself when I got home, even before I unloaded my bags.”They turned to me when I took a stab at something genuine, but their tilted heads, their uncomprehending eyes signaled they didn’t know know how post-shopping meditation worked or why it should be necessary.“How are the grocery prices in Connecticut?” Terry asked, and my hope for connection vaporized as rapidly as the steam rising off the ravioli.*****Party day. Relatives arrive from across the county. My cousin, Peter, the accountant, the one I was sure, when I was six, I would marry, with his wife, Marie, still perky, still chatty, still in love. My teacher cousin, Patricia, with her professor husband, Art, who sports a ponytail and more stomach than when I saw him last. Janice, married to Cousin Dave, squints as she walks in the door. “Madeleine?” She needs time to adjust to the light. “It’s been fifteen years!” She stretches out her arms and hugs me the way I want my sisters to hug me. “I’ve missed you.”One cousin, Karen, the one who took too many pills ten years ago, isn’t here. But her brothers are, and I feel like a part of them should be missing because their sister is dead. As if maybe each of them should be minus an ear or a hand, some physical part because Karen died. How is it you two are here when your sister isn’t?My uncles walk in, proud of their new plastic knees and hips. Here are my aunts, who shampooed my hair with castile soap, taught me to bake Teatime Tassies, and let me dress up in their yellowed wedding dresses in their dark attics. Each of them hobble-shuffles in, looking a little dazed by all the fuss.For almost twenty years, I kept my distance from these relatives, these potential friends, visiting every year or so for a day or two of polite, disingenuous conversation. I needed to banish myself, I suppose. After all, there was the drinking, and the fact that I hadn’t amounted to much, given all that potential they all told me I had. But at this party I look them in the eyes when I talk, trying to recover a little of what I lost by staying away. Uncle Frank tells me my maladies must emanate from some emotional twist, or from the fact that I’m alone, away from my family. Like a working man’s Gabriel Garcia Marquez, he confides magically real stories about men from the factory who went blind from jealousy or ended up in wheelchairs from unexpressed fears. “Why don’t you come home, honey?” Home? Is this still my home? Was it ever?There’s a lot of red in this house, I notice, when I scan the crowd. Except for Terry, whose hair still imitates the non-offensive light brown we were born with, each of us female cousins wear some shade or other of red hair: medium red beech; burgundy berry; Cinna berry; sunset blonde. And though my mother and her two sisters didn’t plan this, each of them is in red: tiny Aunt Emma in the knit dress she wore for last year’s Christmas portrait with her ten grandchildren; Aunt Anna in a red and black striped twinset with a black skirt; and Mom in a red blazer and skirt. They sit on the couch, one wearing a strand of pearls, another a locket, the other her “good” watch because this is a special occasion.All this red surprises me. We’re not what you’d call a red family. We may glower underneath; but as a rule, we don’t flare or flame. The Slavic temperament prefers to smolder chalky gray, while the red burns beneath the surface.They look too small, these women, sitting next to each other, after I ask to take their picture. And there’s too much distance between them. I want them to scrunch together—which they won’t—so they seem closer.No matter how far apart, though, it’s important that these three little women are together on this sofa, posing. Aunt Anna never used to let us take her picture. But maybe, like me, she knows there is something final about this portrait. Each of them is ill. Aunt Emma is diabetic; and, although we don’t yet know this, a cancer is growing in her left breast, just above her heart. Aunt Anna’s Parkinson’s disease is progressing, and Mom has a bad heart. I don’t know these specifics as I see these three women through my lens, but I know it’s inevitable. Something will happen to them soon.The flash goes off on my camera. Once. Twice. “That’s it.” Aunt Anna waves me away with her shaky arm. “Enough pictures.” She pushes herself off the couch and turns on the television to watch a golf tournament. The moment is over, but I have it on film, and in my heart.*****Mom is failing, Cousin Pat wrote in her holiday note about Aunt Emma. And when I called Aunt Anna on Christmas, she told me how she fell three times during the last month and Terry confirmed that, like Aunt Emma, Aunt Anna was failing.My father didn’t use the same word to describe my mother. Failing wasn’t a word that would come easily to him. But he apprised me in detail about Mom’s last neurologist appointment, when she would see him next, how he would adjust her medication schedule: eight in the morning, noon, four in the afternoon, and seven-thirty at night. I admired the way he structured her care. But when he barked at her to come to the phone, my stomach gripped. I worried he might be hurting her.After hanging up, I reached for the portrait of my mother and her sisters. I wondered. In twenty-five years, when my sisters and I are smaller, when we sit together for a picture on Terry’s seventy-fifth birthday, how much space would hang between us? Would we be able to reach across the distance—and our failings—to touch each other, to smile? I didn’t know. But I knew this: if I hoped to touch them in the future, I needed to reach to them now, as they are, not as I would have them be.Terry and Julie and I won’t sit for a portrait on Terry’s seventy-fifth birthday. She left us last year, victimized by a rare immune disorder, when she was sixty-two. So, there will be no photo. Only the memory of wanting one. And the hope, too long postponed, that the distance between us would narrow if we only reached to one another, even if just a little.


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Zion Recovery #health #holistic

Zion Recovery makes it clear from the get-go that its approach to recovery is rooted in spirituality and that they are not like other treatment centers. In their unique approach, they consider each participant a "Student of Recovery" whose purpose in treatment is to attain the "tools, education, and spiritual connection" necessary to resolve their issues. Zion strongly believes that combining spiritual-based principles with the traditional 12-step program provides more effective treatment for addiction and mental health conditions than typical treatment centers. Part of that spiritual foundation comes from from the serenity of the canyons found at the gateway to Zion National Park, where the facility is located.Executive Director Robert Beatty has personal experience with addiction. He built Zion Recovery nine years ago after finally discovering a path to recovery.“I have a personal knowledge of the pain and destruction caused by addiction,” he says. “I watched it destroy my family, my spirituality and my life. I made a decision nine years ago to turn my life over to the care of God, and get busy living.”In addition to addiction, Zion Recovery offers inpatient treatment for depression, chronic pain, PTSD, and trauma. They also offer intervention help and other family services. Treatment includes equine/adventure therapy -- Beatty is an avid mountain climber himself. They also offer alternative modalities such as Theta Healing and Whole Body Light Stimulation.Most alumni who responded to our survey entered the program for addiction disorders, with a couple seeking treatment for chronic pain. Fellow patients came from a range of income levels, professions, and age groups from their 20s to their 50s.“We were of multiple religions, backgrounds and occupations,” wrote one respondent. “We all had occupations and family situations that were unique, yet very similar aspects that brought us here. It felt as if we all gave enough of a damn to show up.”Some residents had a private room and others had roommates, but dividers were available for privacy. Living areas were described as “spacious” and beds as “comfy.” Daily life was described as structured with many activities available in addition to multiple educational sessions, group meetings, and therapy. Though residents are expected to keep their living areas clean, there were “no chores unless you asked for them.”Amenities and activities at the Zion Recovery include “Yoga, equine therapy, individual therapy, group educational meetings about the 12 Step Program, Pool in summer months.” One former resident appreciated that there was “Plenty of acreage to be able to be outside and enjoy the beautiful scenery.” They even took a memorable trip to the Grand Canyon, which was “magnificent.” A full gym is available, as well as a sauna and hot tub, plus a pool in the summer months. A trainer is available a couple times per week.Alumni generally rated the food at the retreat highly. Healthy eating is emphasized, with portion control and minimal sugar. Zion Recovery has a dedicated cook who makes all the meals and snacks “like moms make.” Snacks are always available, from chips to fresh fruits and vegetables. One former resident loved the “crock pot meals” and enjoyed eating with the staff “like a big family.” Another described “world class smoothies,” and while one respondent did not enjoy the pot roast, overall the food was described as good healthy home cooking.When it comes to phone and internet access, most alumni reported being able to use the phone daily during free time. One alum appreciated a break from their phone, saying “I needed to get away from all that stuff, old friend, Facebook, Instagram, too much drama.” Others said that there was limited access to the internet or that online time had to be scheduled in advance. TV is available for watching in the evenings and in between classes if there’s time.Rules are described as “common sense” and easy to follow. In fact, more than one alum reported that they weren’t aware of any infractions at all. Those who did noted that staff was very calm and respectful in how they handled it, with small violations being met with warnings. More serious infractions are handled privately between the resident and staff.“I was never put down or made to feel bad, but I would walk through what I did [and] they helped me to take responsibility and that was just what I needed,” said one person.Treatment at the center was generally described as more permissive rather than staff taking a “tough love” approach. Alumni described a structured atmosphere where they were encouraged to go outside their comfort zones, but nobody is forced to get better if they don’t want to. “It was about focusing your energy toward what was good and positive and meaningful for each individual.”There are medically-trained staff on site, and doctors who demonstrated "excellent care and concern" are “available as needed via TeleMed Video chat." Most respondents rated the doctors and nurses highly, praising them for their understanding and individualized, "no cookie cutter treatment." Another was grateful and credited staff for discovering a heart condition and saving their life. On the other hand, one client was unhappy with the sleep medication they were given while in treatment.Zion Recovery uses a 12-step program, and former residents report that although spirituality is emphasized, it is not specifically religious. One alum described it as “Not Religious, but Spiritual, based upon each student’s beliefs and experiences regarding Spirituality or Higher Power.” Those who wanted to attend religious services were accommodated: “Utah is mostly LDS, so church services are offered if that is desired.”More than anything, survey respondents raved about the personalized treatment approach that avoided one-size-fits-all solutions that had failed them in the past. One former resident was allowed to bring their dogs when they couldn’t find a place for them to stay, and others enjoyed working with Robert Beatty himself.“Robert is the only one that has been able to actually teach the Steps to me in a way I related to,” wrote one alum. “He taught us individually as needed as well. He does take a faith-based approach, but tailored to each student’s experience with their own spirituality.”Most of the alumni who took our survey report that they are still clean and sober since leaving Zion Recovery, attributing their success to what they learned while in treatment: “I have such a huge tool-box of sober living strategies I developed during my stay,” said one alum. Another agrees: “Going there was one of the best things I’ve ever done and the tools and inspiration I received there have helped me in faith, family, finance, and fitness.”


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