Category Archives: Pornography

What is a recovery coach?

What is a recovery coach, a peer recovery support specialist or a professional recovery coach?

In 2013, I published Recovery Coaching – A Guide to Coaching People in Recovery from Addictions, since then the duties and responsibilities of recovery coaches, peer recovery support specialists and professional recovery coaches have expanded significantly.

In this post, I hope to help define for those interested in becoming a recovery coach what certifications they should seek, the places they could work and what they can anticipate as compensation for their work.

What kind of certification should a future recovery coach receive?

Recovery coach training and certification is a requirement in this field. Coaching certification and training is one of the fastest growing aspects of the healthcare field. The number of recovery coaching training and certification courses has expanded to over 300 institutions nationwide. Many employers require recovery coach and peer recovery support specialist certifications. In the links section of this web site is a state by state listing of all the organizations that offer certifications for addiction recovery coaches.

If you are reading this post to receive basic recovery coaching information, first decide if you enjoy working with people in recovery from substance misuse or want to work with people in recovery from a mental health or behavioral health disorder.

Are you interested in working with people in recovery from addictions or in recovery from a mental health or behavioral health diagnosis?

A nearly universal definition of a peer recovery support specialist or a recovery coach is an individual with the lived experience of their own recovery journey and wants to assist others who are in the early stages of the healing process from psychic, traumatic and/or substance misuse challenges, thus, this peer can aid and support another peer’s personal recovery journey.

Some certifications for a peer recovery support specialist give an individual the training necessary to work with individuals with a behavioral health disorder or a mental health diagnosis. These certifications include more training on the nature of behavioral health disorders, the medications used to treat these disorders, crisis interventions, life/occupational skills, and trauma informed care. A recovery coach working with people in addiction recovery does not necessarily need these types of training. In this post, I will focus on the recovery coach working with people in recovery from substance misuse.

The individuals that work with people in recovery from substance misuse are called recovery coaches, as well as peer recovery support specialists (PRSS), peer recovery support practitioners (PRSP), recovery support specialists (RSS), sober companions, recovery associates or quit coaches. In all cases, they support individuals in recovery from addiction(s), which can include alcohol, drugs, gambling, eating disorders as well as other addictive behaviors.

The basic recovery coaching credential is required. If you want more specific training, one can add certification for treating co-occurring disorders, the application of Narcan which includes the certification for coaching persons detoxing from an opioid overdose, certification coaching individuals in Suboxone or Methadone treatment also called Medication Assisted Treatment (MAT) and Medication Supported Recovery (MSR), certification for spiritual recovery coaches and credentials for coaches working with individuals with behavioral addictions such as sexual compulsivity, internet gaming and gambling disorders. Treatment centers may require a drug and alcohol counseling certificate to work with inpatient clients.

Recovery coaching credentialing has expanded to include recovery coach supervisors, training for individuals that want to manage other recovery coaches, or an elevated level of certification called professional recovery coaching.

A professional recovery coach is an individual that has been coaching for several years, has hundreds of coaching hours under their belt, manages other coaches and/or has received other coaching credentials. A professional recovery coach is sometimes referred to as a life recovery coach. A professional recovery coach can receive training from any of the organizations that train peers or recovery coaches, and in addition, they can receive training from the International Coach Federation’s accredited life coach training program. Recently, Connecticut Community of Addiction Recovery has started developing a Professional Coaching Certification.

Where do you want to work?

Some recovery coaches seek to work at a recovery community organization (RCOs) or a recovery support center. An RCO is an independent, non-profit organization led and governed by representatives of local communities of recovery. The recovery coaches at these recovery community organizations work with people of all financial means, addicts that are homeless, offenders, even professionals like nurses, teachers, lawyers and highly educated individuals, who have hit bottom. Sometimes, the recovery coaches at these centers receive a salary from the RCO. RCO recovery coaches can also be volunteers, opting to perform their coaching duties for no reimbursement at all.

Recovery coaches can be employed by treatment centers coaches often escort a client home from a treatment center insuring they do not relapse in the first 30 days after discharge. More half way houses or sober living environments are employing recovery coaches. In fact, many recovery coaches have opened a transitional living home or a supportive sober living environments. They act as a recovery coach and a house manager at the same time, their presence adds to the quality of the recovery experience for the residents.

Recovery coaches can work in emergency departments in hospitals, detoxification centers or sobering centers; working with individuals in crisis, either detoxing from an alcohol or opioid overdose.

Lastly, some recovery coaches run their own business. They will visit clients or call them over the phone or use SKYPE. These recovery coaches market themselves by contacting a treatment center’s aftercare coordinator, maintaining a web site or will seek referrals from therapists. These coaches meet face to face with the client weekly and will work with them over the phone or face to face on a regular basis. The client is billed directly for the coaching services.

How much do you want to be paid for your services?

Recovery coaches are paid a variety of rates. A recovery community organization, a treatment center, sober living environment or social services agency recovery coaching rates are from $12-$20 per hour. If a recovery coach receives their salary from a social services agency, or a recovery community organization that agency may have received a grant to run a peer program from the State or Federal government.

A professional life recovery coach can bill from $35 up to $100 an hour for their coaching services. These professional recovery coaches bill their clients directly and incur expenses for running their coaching practice such as insurance, travel and overhead. This ‘pie in the sky’ $100 per hour fee of a professional recovery coach is not for the inexperienced or newbie coach. There are significant responsibilities a recovery coach has for their client, primarily keeping them free from relapse or overdose, or in other words- keeping them alive.

Soon, there will be reimbursement from health insurance companies for recovery coaching for individuals who are diagnosed as dependent on a substance. New York 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, Pennsylvania, Maryland and Massachusetts, are formulating similar Medicaid payment plans, but these reimbursements are not yet in place. Currently, private independent health insurance companies do not cover the services of a recovery coach working with an individual in recovery from an addiction.

In less than four years the field of recovery coaching has grown significantly. With the advent of the Affordable Healthcare Act and the newest legislation to fight addiction, the 21st Century CURES and the CARA Acts , recovery coaching is now recognized as one of the most important tools to initiate and maintain long term recovery. This recognition will continue as the benefits from recovery coaching continue to be realized.

 

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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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