Category Archives: Addiction Recovery Posts

posts about addiction and the recovery process

5 Didn’t-See-It-Coming Relapse Triggers (and How to Avoid Them)

This week’s guest blogger is David Sack, MD. Dr Sack is the CEO of Elements Behavioral Health and Promises Treatment Centers in Los Angeles and Malibu, CA.  Dr. Sack has appeared on Dateline NBC, Good Morning America, The Early Show, E! News, and he blogs for PsychCentral and Huffington Post,

 

Some relapse triggers, such as stress, job loss, isolation, the death of a loved one, and other distressing events or feelings, get a lot of attention during treatment, and rightly so.

But sometimes it’s the happy moments (or the seemingly neutral ones) that sneak up and trigger a return to drug use. Here are five triggers that often take unsuspecting recoverees by surprise:

#1 Sex and Relationships

An oft-repeated (and oft-ignored) cardinal rule of early recovery is to avoid dating for at least the first year. This advice is not intended to punish, but to give the recovering addict time to focus internally – to figure out who they are, what they want and how to cope without using drugs or alcohol – before trying to be a source of support for someone else.

At a time when recovering addicts are most likely to want a relationship and least likely to be prepared for one, they are at high risk of falling into the familiar pattern of looking outside of themselves to fulfill emotional needs, escape or relieve stress. Some people rely on the “high” of a new relationship as a substitute for drugs or alcohol. Cross addictions to sex, love, romance or relationships are a major cause of relapse among the newly sober.

In addition to the obvious emotional strain when the relationship falters or comes to an end, few addicts in early recovery are in a position to judge whether someone will be a good match – or to be a good partner for someone else. Diseased thinking and tenuous self-esteem make them more likely to attract someone who is infatuated, controlling, addicted or unavailable than to achieve genuine intimacy.

Relapse Prevention Strategy:

Follow the sage wisdom of AA and recommend that all recovering addicts avoid dating for at least the first year of recovery. They should use this time to focus instead on family relationships and friendships before diving back into the dating world.

 

#2   A Promotion or A New Job

Finding a new job or getting a promotion is a time for celebration, which for most people in recovery was at one time synonymous with indulging in drugs or alcohol. A promotion can be a double-edged sword – a confidence-builder as well as a temptation to use their increased financial resources for drugs or alcohol.

Relapse Prevention Strategy:

In many cases, there is no need for recovering addicts to turn down a job offer or a promotion to protect their sobriety. Like any other employee, they may need to ask for help if work demands become a threat to their health or productivity. Following a significant change in income, recovering addicts may benefit from hiring a financial advisor or life coach, or spending time in a structured sober living environment that offers training in budgeting, time management and other life skills.

 

#3  Complacency or Over-Confidence

When life begins to feel more manageable, many recovering addicts start thinking, “My addiction wasn’t that bad” or “I’m stronger now – I can have just one drink and stop.” They may stop taking care of basic needs such as sleep, physical activity and a healthy diet and start returning to people, places or things that remind them of their drug-using days. Feeling strong and confident, they stop attending 12-Step meetings and calling their sponsor.

Relapse Prevention Strategy:

No matter how strong the recovering addict feels, they must continue working a program of recovery. Twelve-Step meetings will remind them of where they were just a few weeks or months earlier and offer a support network that can help identify high-risk attitudes. Keeping a journal or finding another way to routinely monitor their emotions can also be helpful. Those who feel capable can share their strength with others by volunteering at meetings or performing community service. Giving back is a wonderful way to build self-esteem and at the same time stay humble.

 

#4 Boredom

Drugs and alcohol are the organizing principle of an addict’s life. When those are removed, there is a void that needs to be filled with healthy pursuits, or boredom and isolation can set in. It takes time to figure out the balance between having enough free time to relax and enjoy life, but not so much that the old lifestyle begins to look more desirable.

Relapse Prevention Strategy:

Preventing boredom requires self-awareness and vigilant monitoring. If an individual is prone to boredom, they should consider creating a list of the activities and situations that prompt the need for distraction or escape, as well as a list of novel ideas for sober recreation that are available in their area, such as sports teams, art or fitness classes, or volunteer opportunities. For some, old passions should be revisited while others may thrive trying something new every week.

 

#5 Undiagnosed and Untreated Physical or Mental Health Problems

Undiagnosed mental health disorders, such as depression, anxiety and personality disorders, are among the leading causes of drug relapse. More than half of all adults with severe mental illness have co-occurring substance use disorders. If all disorders are not identified and treated simultaneously, the addict may end up in a cycle of chronic relapse without knowing why.

Recovering addicts struggling with pain, anxiety or other conditions may be prescribed addictive medications by a physician that doesn’t realize they are in recovery. Taking any mind-altering substance, even for a legitimate medical purpose, may threaten the addict’s recovery.

Relapse Prevention Strategy:

If an underlying mental health disorder is suspected, the most effective course may be specialized dual diagnosis treatment from a multidisciplinary team of professionals that provides comprehensive psychiatric assessments and care. Relapse prevention planning for those with dual disorders is complex and often includes long-term treatment and monitoring.

If a doctor prescribes an addictive medication, the recovering addict must explain that they are in recovery and ask for non-addictive alternatives. Because not all doctors receive adequate training in addiction, it can be helpful for the recovering addict to get educated about addictive drugs and learn to advocate for their own needs, even if that means finding a new doctor.

Relapse is harder to prevent when you don’t see it coming. By learning about individual relapse triggers and taking precautions, the recovering addict will be in the best position to get through not only the tough times but also the happier ones with their recovery intact.

 

This post is written by David Sack, M.D.

David Sack, MD, currently serves as CEO at Elements Behavioral Health and Promises Treatment Centers in Los Angeles, and Malibu, CA.  Dr. Sack has appeared on Dateline NBC, Good Morning America, The Early Show, E! News, and he blogs for PsychCentral and Huffington Post,

Dr. Sack is board-certified in psychiatry, addiction psychiatry and addiction medicine, and is a certified Medical Review Officer. His experience in substance abuse treatment includes implementing comprehensive ambulatory detoxification within general medical settings, substance abuse treatment of adjudicated youth and adults, and developing specialized residential and outpatient treatment programs of dually-diagnosed clients.

This blog was originally posted on the Addiction Recovery Group at Zion Park, Utah web site blog in March of 2012.

 Dr Sack can be contacted at:

855-251-4306

http://www.drdavidsack.com

On Tweeter at: @DrDavidSack

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Top Addiction Medicine Expert Dr. A.R. Mohammad Speaks Out On Behalf Of The Jennifer Act And Mandatory Treatment Laws

Pioneer Of Non 12- Step Model Dr. Mohammad Encourages Addiction Experts And Citizens To Actively Get Behind “The Jennifer Act”, A Mandatory Rehab Law

 

Malibu, CA – June 15, 2012 – Dr. Akikur Mohammad, Founder of Malibu Horizon, non 12 step rehab recovery program, recognized by many as one of the top addiction treatment centers in California, and Assistant Clinical Professor of Psychiatry and the Behavioral Sciences at the University of Southern California, announced today that he and his team are actively working to make The Jennifer Act and similar mandatory treatment legislation law in all fifty states.

Dr. Mohammad said, “The fact that mandatory treatment laws are not in place across the country is a travesty of justice and indicative of why Americans are in such a predicament regarding addiction. The Jennifer Act basically states that individuals who have clearly demonstrated that they are suffering from the disease of addiction can be forced into treatment.” Mohammad added, “Treatment should absolutely be mandatory for patients actively abusing drugs and incapable of stopping. The scientific reality is that much like psychiatric patients, addicts are incapable of making healthy or informed decisions on their own. Psychiatrically speaking, there is no difference between an active, heavy drug or alcohol user and a Bipolar or Schizophrenic; that said, how could we expect these patients to make the right decision regarding treatment?”

Dr. Mohammad and the Malibu Horizon’s team are launching an awareness campaign designed to inform the community at-large about legislation like the The Jennifer Act and how imperative it is that mandatory treatment laws be passed nationwide. Mohammad added, “Sharon Blair created The Jennifer Act after losing her daughter to prescription medication, a death that could have been avoided if mandatory treatment was in place. The sad thing is that those in opposition of mandatory treatment laws are deceptively turning this into a civil rights issue, which is ludicrous on several levels. This is a money issue for those in opposition, who would rather not foot the bill for the treatment when in reality; this level of mandatory, preventative care would save countless millions and lives in the long run. This is about saving lives, not dollars!”

For more information about Dr. Akikur Mohammad, alcoholism treatment and Malibu Horizon, visit .

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Stop the Excuses; Start Grieving and Healing

 This week’s guest blog is written by Larry M. Barber, LPC-S, CT, author of Grief Is Another Expression of Love and Love Never Dies. Larry Barber’s wife Cindy and two year old daughter Katie died from injuries suffered in a traffic accident in 1993. As a widowed single parent he raised two surviving children, aged nine and twelve. Barber is a minister, a licensed professional counselor, director of Grief Works, in Dallas Texas, a bereavement support group for mourners who have recently lost a family member or close friend to death.

 Grief is the continued expression of love for a person no longer physically present in our lives. Therefore, to stop grieving over a person is to stop loving him or her.  As one widow in a grief support group asked me, “You mean I don’t have to leave my husband in the past?  Are you saying that I can take him into the future with me?”  The answer is a resounding, comforting and hope-filled “Yes!”  You can maintain a loving, healthy, healing relationship with someone who has died.  Maintaining a spiritual, emotional bond to the loved one is not morbid or pathological.

Maintaining a relationship with a loved one who has died goes against what others may say to us that we need to let go or detach from the loved one and “move on.”  Grief does mean saying goodbye to the physical part of the relationship we had with our loved one and “moving on.” but it doesn’t mean our relationship has ended.  The relationship with our friend or family member can never be exactly what it was in the past, but the relationship continues in a new form.

I believe the truth that Grief Is another Expression of Love and Love Never Dies trumps all excuses for avoiding grief.  Remember that grief done in a healthy way honors a valuable life.  Here are a few of the common excuses for avoiding grief that I hear from clients

  • Expressing my grief emotions  shows weakness or a lack of faith.  No, expressing grief is healthy. Mourning and expressing your grief are signs to others you need help and support.  Expressing grief  purges you of potentially dangerous emotions and physical toxins produced by your body in reaction to the stresses of grief.
  • Giving into grief and  expressing it just makes me sadder and doesn’t make anything better.  This is not true.  Expressing grief  releases emotional tension and results in emotional healing and a sense of  physical well-being.
  • There is nothing that I or anyone else can do or say to change things.  It will always be this way.  Maybe your situation won’t change, but sharing  your grief story, thoughts and feelings can change how you perceive your  grief and yourself.  Given time and space for healing, you can change  and heal in your grief.
  • I don’t want to cry (lose  control, break down, fall to pieces, lose it) in front of others. (By the way, the correct term for all of these phrases is “grief  outburst” which sounds much healthier and more acceptable.)  You need others’ support during grief.  If they don’t know you are struggling  with your grief, how do they know to be there for you?  Crying and  expressing the painful, uncomfortable emotions of grief signals others  that you require comfort and support.
  • My loved one wouldn’t want  me to grieve.  Your loved one may have asked you not to mourn  after he or she dies, but that is an unfair request.  If it were possible for us to visit our own funerals, we would most likely be upset if no one was crying.  Mourners not crying at a funeral would send  the message that the person who died is not loved or had not impacted  anyone else’s life.  Show your love for the person and grieve in a  healthy way.  He or she deserves to be missed.
  • I shouldn’t be sad.  I  should be happy for my loved one (They are in a better      place. They are no longer suffering, etc.)  Yes, they are in a better  place or they are not suffering, but you still miss them.  It is  healthy and natural to be sad or even depressed over the death of someone  who is significant to you.  You do not severely miss the loss of a mere acquaintance, but you do dearly miss the loss of a valued, treasured  relationship.  Your loved one is worthy of your grief.
  • No one has time or wants to  hear my problems.  You need others and you need a support system during grief.  You were not meant to go through this  dark, difficult time by yourself.  Seek out people who love you, sincerely care about your well being and will listen without judging or  giving unsolicited advice.
  • I don’t want to be a burden to others.  In life everyone has times that they need to  give support and encouragement to others and times when they need to  receive support and encouragement from others.  Grief is your time to  receive help from others graciously.
  • No one will allow me to  grieve.  Express your grief in places that you feel safe and with people who make you feel safe and cared for.  Spend as little time as possible with those people who just have no clue what mourners need.
  • My grief comes from my  selfishness in wanting my loved one back.  Think of your grief as a huge emotional wound that needs care in order to heal.  If you had a huge physical wound that required regular attention, it would be ridiculous for others to shame you for the time you spend in changing a dressing on the wound as being selfish. Taking care of your grief needs is self-care, not being selfish.

 As a man of faith, I believe that we are made in the image of God who is a relational being.  In fact, He is His own community (Father, Son and Holy Spirit).  God describes Himself as “jealous” meaning that He prizes His relationship with us.  He wants nothing or no one to take that relationship from Him.  We mourners prize our relationship with the person in our life who has died.  Therefore, we grieve when that relationship is changed by the death of the one we love.

  • I refuse to have a pity  party for myself.  How can you not feel sorrow  for yourself at the loss of someone who you loved and meant so much to  you?  These are valuable people who deserve remembrance and honor  through your expressed healthy grief emotions.  Believe it or not, sometimes in life it is healthy to be sad, depressed or filled with  regrets.  The acknowledgment and expression of these painful emotions in grief leads to healing.
  • I am a private person when it comes to feelings.  Grief does not always let      you pick your time and place to mourn.  Grief outbursts can strike unexpectedly.  Don’t avoid grief.  When a grief outburst occurs, see it as an opportunity to actively show your continued love for the person.  If you feel more comfortable mourning in private, excuse yourself and go somewhere alone if you can.
  • I don’t have time for grief.  Grief emotions demand your time and your      attention.  When strong grief emotions are suppressed or denied, they will come out anyway.  Many times these suppressed or unaddressed emotions come out in ways that are unhealthy, inappropriate and destructive.
  • Once I give into grief I will not be able to get out of it. No. Usually the more intense the initial grief expression, the more the struggle with grief emotions will lessen over time.
  • If I have the right perspective, there is no need to struggle with grief.  No one is exempt from grief and its emotions no matter what their worldview, background, culture or beliefs.  These factors will shape how you mourn, but you will still need to mourn.  How you mourn is up to you.
  • Since I am a Christian and I  believe that I will see my loved one again, I don’t need to grieve.  This belief can be the cause of guilt for many mourners.  No  one is exempt from grief and its emotions no matter what his or her  religion and beliefs are.  These factors will affect how you mourn, but you still have the need to mourn.  A strong faith can provide the  mourner with additional resources to help and support him or her during  the grief journey.
  • I should celebrate and not  be sad because my loved one is in a new home and freed from suffering in  this world.  The time after the death of a loved one      can be a reason to feel joy for your loved one in light of your faith and  beliefs.  It is healthy and appropriate to miss someone who is  important to you.  In fact, sadness at their death can be a display  of respect and honor for the loved one.
  • Death is part of life.  I just need to forget and get over it.  Death is part of life, but grief is also a fact of life resulting  from life, dying and death.  You need the transition of grief to help you accept your new reality of life without the physical presence of the  one who died.  As for “getting over it,” grief is not a case of the      measles.  I hate to give you bad news, but there is no “getting over”  grief.  There can be change and healing though.  Grief is the  continued and needed expression of love for these important and missed  people.
  • No one can help me because  no one has the same type of loss and situation that I have.  There are no two griefs that are exactly alike, but all human beings have lost or will lose someone to death.  Although others may not share the same details or particulars of your unique grief, you do share two things in common with other mourners-you love the person and you miss him or her.  Mourners with different types of losses can find comfort and support from each other.

There may be countless other excuses that mourners give for trying to avoid the experience of grief, but they are just that-excuses.   As a fellow mourner, I can tell you that my loved ones and yours are good people who had an impact on us and countless others.  Our loved ones need to be shown honor and respect.  The stories of their lives and influence need to be told and retold.  We show others how valuable and worthy these loved ones are, when we take time in our lives to continue to remember them and to express our love for them.

 

Written by Larry M. Barber, LPC-S, CT , author of Grief Is Another Expression of Love and Love Never Dies. Larry Barber’s wife Cindy and two year old daughter Katie died from injuries suffered in a traffic accident in 1993. As a widowed single parent he raised two surviving children, nine and twelve. Barber is a minister, a licensed professional counselor, director of Grief-Works, in Dallas Texas, a bereavement support group for mourners who have recently lost a family member or close friend to death. Grief Is another Expression of Love and Love Never Dies: Embracing Grief with Hope and Promise” is available on http://grief-works.org/book.php, and is also available on Amazon.com, Barnes & Noble, and your local bookstore. Watch the Love Never Dies YouTube video http://youtu.be/-T0zt0ZSsNE.

Follow Larry on Twitter @griefminister01.

To contact Larry Barber: 972-960-9981, ext 108, or to read more of his blogs go to: http://griefminister.com/

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