Category Archives: internet addiction disorder

What is the difference between a recovery coach, a peer recovery support specialist and a professional recovery coach?

I published my book Recovery Coaching – A Guide to Coaching People in Recovery from Addictions in 2013. A recovery coach, a peer recovery support specialist and a professional recovery coach’s duties and responsibilities have expanded significantly since then. The organizations that offer recovery coach training numbered around 50 in 2013. Today, the number has grown to over 250. Recovery coach certification training is one of the fastest growing aspects of the coaching field, with many states establishing recovery coaching and peer recovery support-specialist certifications. Yet, for many people who seek to achieve basic recovery coaching information, the process of training, certification, credentialing or licensing are baffling. With all of this growth and change, anyone who is interested in being a recovery coach is very confused about the necessary training, what to call this training and even what to call themselves! I want to make an attempt to clear up this confusion and answer the question:

  • What is the difference between a recovery coach, a peer recovery support specialist and a professional recovery coach?

What is a Recovery Coach?

A recovery coach is a person that works with and supports individuals immersed in an addiction(s), and coaches people in recovery from the abuse of alcohol and drugs, gambling, eating disorders or other addictive behaviors. Sometimes recovery coaches who work with people with addictions have been referred to as a peer recovery support specialist, a recovery support specialist (RSS), a sober companion, recovery associate or quit coach. In all cases these terminologies describe the same job description; a person who meets with clients in order to aid in their recovery from addiction(s). Even though many certifications for recovery coaches are classified as peer recovery support practitioner certifications. I prefer to use the term recovery coach in describing a person coaching an individual in recovery from addiction, instead of using the term “peer,” mainly because there is no requirement that a recovery coach be a peer (meaning they are an addict in recovery). Although it may be believed having experiential knowledge is a best practice for a recovery coach, it could be a recovery coach has knowledge of addiction and recovery perhaps by knowing an addict, having a family member with an addiction or taking courses in the treatment field. I have kept the term “non-clinical” out of this definition of a recovery coach because over the course of several years, I have seen drug and alcohol counselors, family and marriage therapists (MFTs), licensed clinical social workers, interventionists (LCSWs), psychotherapists and psychiatrists, train to be recovery coaches and then add coaching to their resume. I hear from these individuals that they embrace the coaching approach, and merge the knowledge they have as a clinician or interventionist with recovery coaching methods.

Some individuals seek recovery and sobriety from addictions by frequenting a recovery community organization (RCOs) or recovery support center. An RCO is an independent, non-profit organization led and governed by representatives of local communities of recovery. There are recovery coaches at these recovery community organizations. These coaches have very diverse backgrounds. I have met coaches that were addicts, homeless, offenders, teachers, lawyers and highly educated individuals, who choose to help another person in recovery. I have seen these coaches espouse 12-step ideologies as well as non-12-step recovery models such as Buddhist Recovery, Moderation Management, Kundalini Yoga or Harm Reduction. Sometimes, the recovery coaches at these centers receive a salary from the RCO, however, the client is not charged for the recovery coaching services. RCO recovery coaches can also be volunteers, opting to perform their coaching duties for no reimbursement at all. Lastly, recovery coaches can be employed by treatment centers or sober living homes and receive compensation from them. In cases such as this, the client is billed for the coaching services from the centers or homes. I know many a recovery coach who has opened a transitional living home or a supportive sober living environment. They coach the people who reside at these locations and their presence adds to the quality of the recovery experience.

Unfortunately, recovery coaching or peer coaching for addiction recovery is not covered by insurance. No independent health insurance company covers the services of a recovery coach working with an individual in recovery from an addiction. There is currently only one state, New York, that has an arrangement with the state’s Medicaid offices to reimburse for recovery coaching for individuals who are diagnosed as dependent on a substance. Other states, Tennessee, Maryland and Massachusetts, are formulating similar Medicaid payment plans, but these reimbursements are not yet in place.

What is a peer to peer recovery support specialist?

A nearly universal definition of a peer to peer recovery support specialist is an individual with lived experience who has initiated his/her own recovery journey and assists others who are in earlier stages of the healing process of recovery from psychic, traumatic and/or substance-use challenges and, as a result, can offer assistance and support to promote another peer’s own personal recovery journey. A peer to peer recovery support specialist is also called a peer, a peer support practitioner, a peer mentor, or a certified peer. All of these terms basically describe the same job description. More and more, this job description is focused on the peer to peer recovery support specialist working with a person in mental health recovery.The certified peer to peer recovery support specialist workforce is relatively new in the behavioral health field, with state-recognized certification programs first emerging in 2001. Within this short time frame, states have recognized the potential of peer specialists to improve consumer outcomes by promoting recovery. Many social service agencies pay the peer’s salary, and the client does not pay for the coaching. Peer to peer recovery support specialists can also work independently from an agency and be reimbursed by the client or a family.

In the mental health/behavioral health field, when referred by a social services agency or mental health treatment organization, reimbursement for a peer to peer recovery support specialist is covered by a health plan or Medicaid when aiding an individual in mental health recovery.

What is a professional recovery coach?

A professional recovery coach, is sometimes referred to as a recovery life coach. A professional recovery coach has experience and training in the recovery models, and training as a professional coach. These professional and credentialed coaching programs are sometimes referred to as life coaching training. A professional recovery coach can receive training from any of the 250 organizations that train recovery coaches, and select not to receive the certificate from a state certification board or the IC & RC (see the certification information in next week’s post). A professional coach can receive training from the ICF – International Coach Federation’s accredited coach training programs, and apply for a credential issued by the ICF.A professional recovery coach can assist a client with a variety of coaching interventions including, but not limited to recovery from addictions, dealing with mental health diagnoses, divorce, financial downturns, grieving, career change and even family relationship issues. The client is billed for the coaching services from the professional recovery coach. Again, healthcare plans do not reimburse for these coaching services.

For more information consider purchasing my book Recovery Coaching – A Guide to Coaching People in Recovery from Addictions

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Addicted to Porn: Chasing the Cardboard Butterfly

Addicted to Porn: Chasing the Cardboard Butterfly is a new documentary by writer-director Justin Hunt and is narrated by Metallica’s James Hetfield.

The movie is not about James Hetfield. Hetfield’s connection to the film is solely based on his connection with Hunt after the two worked on Hunt’s previous film Absent, a documentary about disengaged and absent fathers. Hetfield, who grew up without a father, spoke candidly in that movie—about his road to recovery.

Hunt named the film as a nod to a scientific study where painted cardboard butterflies were used to see if male butterflies would be more attracted to the larger, more ornate butterflies. Guess what? They were. The analogy? Humans who choose a two-dimensional sexual exchange versus the real thing.

There is no sex or porn education in schools, so porno films are serving as the only educator kids can find on sex. Then, guess what? Kids get into relationships and try to do what they see in porn, and think that is the way to be sexual, romantic or intimate. Well, it doesn’t work that way.

Don Hilton, the neurologist in the film, explained that viewing porn can create the same chemical reaction as cocaine use—activating endorphins and the delta FosB. “The reason I wanted to include the portion about the brain in the film,” Hunt told writer, Dorri Olds for an exclusive interview published in theFix.com, “was because many try to discredit the idea of an addiction to porn.” He described naysayers who said porn is impossible to define. “An image I think is pornographic may not be to somebody else,” said Hunt, “so I had to come up with a common denominator. For the purpose of this film, the word ‘pornography’ refers to sexual images that cause the chemical reaction in the viewer’s brain.”

It’s easy to draw parallels to alcohol and drug addiction. Another parallel is what Hunt called the shame cycle. Porn addicts use sexually explicit images to manage their mood. After indulging in the compulsive behavior, they then feel ashamed. That shame creates anxiety, so they watch more porn to calm their nerves. It is the same circular shame spiral that exists in substance abuse.

Hunt said, “I’ve interviewed people who said, ‘The only way I knew how to stop feeling bad was to look at porn, but the reason I felt so bad was that I’d looked at too much porn.’ My first film, American Meth, was about drug addiction.

“By the way, Absent wasn’t about James Hetfield—it was about the impact of absent fathers. You can have that father wound and turn it into something positive, like James did with his music. While we were making that movie, we built a friendship based on paternity—or should I say, the fraternity of fatherhood. [Laughs] We talked about our kids, parenting, being husbands, so when I discussed this project with him we both felt it was important to try to make a difference in the world. That’s why he decided to be a part of this and help me out. I commend him because he did this right as the band’s new album was coming out and touring. It’s not like he was sitting around with nothing to do.”

There have been many movies about porn, but they’ve been about the industry, about adult film stars. Those weren’t about the brain or what Hunt calls the “porn progression.” Another remarkable aspect is that he created the whole movie without any provocative imagery. I asked him if that was intentional to avoid including any possible triggers for pornography addicts.

“Yes, a big problem with documentaries about porn is that people struggling with that issue can’t watch those films because they become triggered. You can’t make a movie to help people with an addiction, and then fill it full of triggers. That’s like me saying, ‘Dorri, I think you have a drinking problem, let’s go have a beer and talk about it.’”

The movie is not anti-porn. Hunt calls it “porn informative.” He believes the topic should be more openly talked about. Hunt said, “We’re just letting you know that porn addiction is a real thing and we need to start having conversations about it.”

Another important issue the film raises is how technology is allowing people to be exposed at an earlier age and at a much higher rate. “We know how it affects the brain and we know that young kids’ brains are not ready for that. They get into public schools and public education, but there is no education on sex or porn so the porno films are serving as the educator. Then, guess what? They get into relationships and try to do what they see in porn, and it doesn’t work that way.”

The movie shows one couple whose relationship is being destroyed by the husband’s addiction to porn. Hunt said this could have easily been a seven-hour movie. “There are so many different avenues that we could have gone down,” said Hunt. To fit everything into a movie-length film, Hunt said his goal was to expose people to the idea that kids are learning about intimacy and sexuality from porn. A doctor in the film points out, “Kids are learning about sex from ejaculations to the face. That’s what they’re learning about sex and romance and intimacy.”

Hunt has three children, 16 and 13, and a three-year-old daughter. I asked if he had broached the topics of drugs, alcohol, and pornography with the two teenagers.

“Yeah,” said Hunt. “They’ve been with me through the entire process of working on these films, and they’ve been on stage with me and they’ve watched me speak. They’ve watched the newspaper and the magazine articles come out. They’ve gone to radio spots with me, so they’ve seen this. They’ve seen the impact that drug addiction has, and they’ve seen the four-year process of making this film and what porn can do. That’s one of the beautiful side effects of what I do for a living—my kids get to see and learn.”

It seems his kids are open with him. “My daughter is in eighth grade and she told me that she knows of sixth graders who are texting nude photos of each other back and forth on Snapchat.”

He pointed out that because of technology, “we’re choosing synthetic relationships over authentic relationships. We’re not seeing the beauty in the people before us because we’re buying into the myth of what we’re seeing on computers and smart phones and movies. That’s just sad because we’re missing out. We’re destroying the essence of women and we’re buying into this imitation beauty.”

He said 88% of the scenes in porn have aggressive behavior of some kind, physically or verbally. The other thing to consider is how many of these films make people seem like objects. They’re objects for release. That’s all they are. And that’s what kids are learning when they’re watching porn in those formative years.

Hunt said, “When young people are naturally going to want to learn about sex and relationships and sexuality and intimacy, instead of learning courtship and humanity, they learn a selfishness, a way to just get theirs. One of the guys that I interviewed who didn’t make it into the film, was a juvenile therapist. He said there’s a massive increase in anal sex and oral sex amongst teenagers because of porn. They are mimicking what they see.”

Another part that had to be cut for length reasons was about a porn-addicted pastor. “We had an entire segment on how prevalent porn has become in the church,” said Hunt. “He was busted because his wife had gone away for the weekend at a time when he was really deep in his addiction. While she was gone he’d spent the entire weekend on the computer looking at porn. She got back when he was in bed reading. She tried to get on the computer but it crashed. When she rebooted it, all these sexual images came up. She said, ‘Hey, can you come here for a second?’ He got out of bed in his underwear and went over to her. She said, ‘What’s this?’ And that’s how he was busted; exposed. He’s standing there in his underwear exposed, at the moment his addiction was exposed.”

At that point Hunt looked at his watch and said, “We’ve been talking for 36 minutes, right? That’s 120 million searches for porn that have happened since you and I began talking.”

As our conversation was coming to a close, I asked him who his target audience for the film was. He laughed and said, “I’m going to go with a quote from the movie Argo: ‘People with eyes.’ The average age that people start actively looking for porn is about 10 years old. One in three porn addicts are women, 58% of divorces cite porn as one of the reasons, and 67% of men look at porn once a week at least. It affects the whole human demographic.

“When you look at someone you can often tell if they’re an alcoholic or a drug addict, but you can’t look at anyone to see if they’re a porn addict. Also, getting back to the topic of the brain, your brain can purge coke when you stop using it. It can purge alcohol. But you can’t purge these pornographic images completely out of your mind.”

I asked Hunt if he was in recovery from an addiction. “No,” he said, “never done a drug in my life and have never been addicted to anything else either.” So, why did he become interested in addiction? “I saw people facing problems. When we made American Meth, people weren’t talking about the topic all that much. Far Too Far came from what was left over in my brain from making American Meth. I turned it into a narrative that was based on a true story where a woman on meth pulls her ear drum out with pliers because she thinks the FBI is listening to her thoughts. When we made Absent, people weren’t talking about absent fathers like they are now. I hope that my new film will open up a conversation about porn addiction.”

This article was written by Dorri Olds and was originally published at www.thefix.com on 02/05/17

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Getting through the tough times

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As a recovery coach, I often see my clients need some help getting through the tough times, without using drugs, picking up a drink or acting out. Recently, I personally encountered some rough patches in my own life, so I went to my library of recovery books. Reading books on recovery is an import tool I use regularly in my practice. Several years ago, I was curious about Buddhist recovery, so I became an avid reader of the books by Pema Chodron.

Pema Chodron Celebrates 80 Years

Pema Chodron, is a Buddhist nun, she was born in 1936, in New York City, and is celebrating her 80th year. After a divorce, in her mid-thirties, Pema traveled to the French Alps and encountered Buddhist teacher Lama Chime Rinpoche, and she studied with him for several years. She became a novice Buddhist nun in 1974. Pema moved to rural Cape Breton, Nova Scotia in 1984, ­­­to be the director of Gampo Abbey and worked to establish a place to teach the Buddhist monastic traditions (waking before sunrise, chanting scriptures, daily chores, communal meals and providing blessings for the laity). In Nova Scotia and through the Chodron Foundation, she works with others, sharing her ideas and teachings. She has written several books, and in my time of deep spiritual need, I went to her book “When Things Fall Apart”.

Drawn from traditional Buddhist wisdom, Pema’s radical and compassionate advice for what to do when things fall apart in our lives helped me. There is not only one approach to suffering that is of lasting benefit, Pema teaches several approaches that involve moving toward the painful situation and relaxing us to realize the essential groundlessness of our situation. It is in this book, I discovered a simple breathing exercise I can use during these chaotic times so I can move into a better space. Pema advocates this tool as a breathing exercise, although this exercise could also be considered a mindful meditation.

I use Chodron’s tool whenever and wherever life hits me below the belt. I share this tool with my clients. It is all about breathing and consciously repeating words to yourself to accompany the breathing. Since we breathe every day, it is indiscernible whether you are using this tool as you travel on the bus commuting home from work, in a conference room with your boss, or when you are feeling low and want to curl up in a ball and die.

Breathe

Pema explains in her book, when things get way too complicated; step back and breathe. When the force of the world, the politics of the U.S., Great Britain or Italy start weighing heavily on your mind, breathe. When you look at all the pain around you and feel powerless to do anything, breathe.

Pema explains, inhale and say silently to yourself breathe in the pain, then exhale and say breathe out relief. Then, inhale, and say silently to yourself breathe in the relief, and exhale and say breathe out the pain. I find I need about 15 minutes of conscious breathing in this way. After doing this, I find I have new energy or something else crosses my path to move me into a different space.

If I continue to be in that negative space of worry or feeling powerless, then absolutely nothing will be accomplished that day. I know we all have something to accomplish every day, whether it is just getting out of bed, taking a shower and brushing our teeth or running a Fortune 500 company, this exercise gets us from zero to ten in fifteen minutes. Chodron’s exercise moves me to the space I need to be in, so I can function. It is what I need.

So, I invite you to try this simple exercise…and remember…keep breathing.

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