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Holli Kenley, Mountain Air

 

Changing Lives Foundation is proud to introduce Holli Kenley, licensed Marriage and Family Therapist and author of the award-winning new book on relapse “Mountain Air: Relapsing and Finding the Way Back . . . One Breath at a Time.” We have recently added it to our “Recommended Reading” page and our review will be coming soon.

Holli has recently taken the time to read and review “Why Don’t They Just Quit?” and we reprint it below with gratitude. Thank you Holli for your eloquent and heartfelt words. We are honored to be associated with an author of your caliber.

 

Where Was This Book 10 Years Ago?!

Why Don't They Just Quit? What families and friends need to know about addiction and recovery." by Joe Herzanek

“Why Don’t They Just Quit? What families and friends need to know about addiction and recovery.”

~ Review by Holli Kenley, M.A., MFT

I just finished reading  “Why Don’t They Quit” by Joe Herzanek, and I have just one question  – Where was this book 10 years ago when I needed it?!!

Of all the recovery books I have read on addiction and recovery, there has not been one that equals this one in scope, in sequence of organizational formatting, and in its informative, experiential, and common sense approach.  I think it is often a challenge, for an author who is integrating life experiences into his self-help book, to do so with an objectivity and openness to the myriad of complex recovery theories, methods, and approaches. Joe Herzanek does so with clarity, completeness, and concrete strategies for finding one’s way through a maze of pain and with sound practical steps for moving forward.

Although I felt that every section of “Why Don’t They Quit” was extremely important, if I had to choose just one, it would be Part 4—Life in Recovery. This is a partly due to my own professional and personal view about recovering. I love this quote by Joe, “I like to say that life is an odyssey, an extended adventure with peaks and valleys. A person in recovery can use this time to find greater life purpose and be healthy enough to help others fight the battle of addiction. This is a great way to think about life in recovery.”  I believe that if we all applied that philosophy to life in general—as we all experience injury as well as joy in everyday living—we would spend less time in the pain-field and more time seeking its purpose and meaning.

I also strongly support the concept of a holistic approach to recovery that Mr. Herzanek shares in Part 4—addressing the body, the mind, and the spirit. At a time when there are so much focus on a singular quick fix solution to our illnesses, diseases, and challenges, I was so impressed by the time and attention that Herzanek gives to this critical piece in recovering. Step by step, he guides the reader through a myriad of practical healing tools and strategies while blending them into a comprehensive and complimentary process.

And although I am quite familiar with the topic of relapse, I was highly impressed with Chapter 30 in which Mr. Herzanek addresses this essential topic—“Relapse: Plan on It”.  I appreciate how he normalizes it as a part of recovery, and yet makes clear that there are solid steps to take in minimizing it and preparing for it. With the shame that accompanies relapse, there is no need to pile more layers of guilt and self-blame. Mr. Herzanek once again provides us with clear insight into its causes with common sense tools for moving through it without shaming the reader in the process!

Lastly, In Part 4, I was incredibly moved by the Conclusion where Mr. Herzanek writes: “I have heard story after story from addicts about how unfair life can be. But regardless of the amount of unfairness we have experienced, we must make peace with it—or allow us to destroy us. The choice is ours.” I think so many individuals who have been wronged (by themselves or by others) wait around for someone else to make it right or make it go away. And the longer we wait, the longer we hold ourselves hostage to our circumstances.  And, we remain sick.  Every fiber in my being agrees with Mr. Herzanek for I have witnessed it many times with former clients and in my personal life. While so many things are out of our control, our wellness it not.

And finally as an overall comment, I really appreciate how Mr. Herzanek not only brought in soulful quotations from famous as well as infamous individuals, but I was moved by how he blended in the short anecdotes from his wife, his mother, his former wife, his daughter, his son, and from himself. For anyone who is living the nightmare of addiction—as a family member or friend of an addict—there is no better way to feel understood and comforted than to know that someone else has traveled in your shoes. And, there is no better way to instill hope.

I often say and write, “Wellness awaits each of us. We choose the time.”

Get a copy of “Why Don’t They Just Quit?
Your wellness awaits you—it is right here in this book. Grab hold of your recovery and don’t let go!

 

Holli Kenley, M.A. Marriage and Family TherapistHolli Kenley, M.A., MFT

Author:
> “Mountain Air: Relapsing and Finding the Way Back…One Breath at a Time”
> “Breaking Through Betrayal: And Recovering The Peace Within”

 

 

 

RELATED:
Relapse. It Happens.
~by Joe Herzanek

RESOURCES:
Addiction Recovery Resources for Families of Substance Abusers, Addicts and Alcoholics

 

Why Don't They Just Quit? What families and friends need to know about addiction and recovery." by Joe HerzanekWhy Don’t They Just Quit? What families and friends need to know about addiction and recovery.”

> Paperback

> Audio Book CD, MP3 (NEW!)

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> Audible Audio Download  (LISTEN TO 4 MIN. SAMPLE)


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Monthly Review: April 2013

In case you missed some of our latest posts from the month of April, 2013
—we’ve gathered them together again for you to enjoy.

Thanks for being part of our Changing Lives Foundation Community.
We hope you have a safe, relaxing Memorial Day Weekend.

 

Are some people beyond hope for recovery?

ASK JOE:

Are some people beyond hope for recovery?

“What can happen is that some people may be beyond help.”

 

 

Fable of the Porcupine

 

JUST FOR FUN:

Fable of the Porcupine

It was the coldest winter ever—Many animals died because of the cold. The porcupines, realizing the situation, decided to group together.

 

 

 

 

 

Does Heavy Use Create Addiction?

 

ASK JOE:

Does heavy use of alcohol and drugs create addiction?

 

 

 

 

 

 

 

Low cost and No cost Alcohol Treatment Options

 

RESOURCES:

Low cost, No cost Alcohol and Drug Treatment Directory

Addiction Treatment, Sober Living, Halfway Homes,
Family Help, Online Resources and More.

 

 

 

 

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ASK JOE:
Does heavy use of alcohol and drugs create addiction?

Does Heavy Use Create Addiction?

JoeHerzanek


Q: Does heavy use of alcohol and drugs create addiction?


A: Sometimes.

People who use alcohol and drugs in large quantities over time may become addicted to them. But this is not always the case. Only a percentage of users will become dependent. For many people, this period of heavy usage can be just a phase.

Social and recreational alcohol and drug use lead some people to abusive use. During this period, there may be consequences, such as a DUI, and for many, these consequences will be enough to inspire them to quit or control their use. It is common to see college students, for example, drinking and using drugs while in school, but most will later become social drinkers capable of moderating their use.
For others, even multiple consequences will not have the same effect, and they will continue to use until they are drug-dependent or addicted. No matter what the case, abusive use needs to be considered a warning sign. Family intervention should be discussed and possibly pursued, earlier rather than later.
SEE BELOW FOR MORE “ASK JOE”

Why Don't They Just Quit? What families and friends need to know about addiction and recovery." by Joe HerzanekThis “Q & A with Joe Herzanek” is excerpted from
Part 5 of “Why Don’t They Just Quit? What families and friends need to know about addiction and recovery.”

> Paperback

> Audio Book CD, MP3 (NEW!)

> Kindle

> Audible Audio Download (LISTEN TO 4 MIN. SAMPLE)


RESOURCES:
Addiction Recovery Resources for Families of Substance Abusers, Addicts and Alcoholics


MORE ASK JOE:

> Do you have to stop seeing all your old friends in order to recover?

> Is a relapse—failure?

> What is a Pink Cloud? What does the term “pink cloud” mean?

> If someone can stop using drugs or alcohol for weeks at a time, they “aren’t an addict—correct?

>Chronic Pain Management & Pain Pill Addiction: What to do?

>How can I know if my addicted friend or loved one is telling the truth?

>”I need help because I’m not able to deal with my live-in Fiance’s need to get drunk every night.”

>Should my husband “back off?”

>Gambling vs. Drug Addiction? What is your opinion?

>How can I tell if someone is an addict/alcoholic or just a heavy user?

>What is Methadone? What is Harm Reduction?


RELATED:
> Self-Tests: Alcohol and Drug Addiction

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Rehab Scholarships:

How to Find Free Drug or Alcohol Treatment

How to find Free Drug or Alcohol Addiction Treatment
~written by Beachway Therapy Center
Posted with permission.

Steps to Obtaining a Rehab Scholarship


How to find Free Drug or Alcohol Addiction Treatment

Free Drug Treatment
Drug treatment at a professional rehab facility is the only chance that some people have of getting their life back on the right track.

With hundreds of reputable rehab centers located throughout the United States, finding and comparing several options is never an issue. However, there is one detail that always comes into play: money.

Whether or not you can afford drug treatment and how you plan on paying for professional help is a concern that needs to be addressed.

It is essential to consider all payment options, including free drug treatment. With a rehab scholarship you are in position to have some or all of your treatment paid for by a third party.

Don’t let a lack of money stop you from getting the professional help you need. Instead, consider all your options including free drug treatment through a rehab scholarship.

“Don’t let a lack of money stop you from getting the professional help you need.”

Free Drug Treatment for Patients with No Money
Are you in need of professional drug treatment but unable to receive help because of a lack of money? This is a common position that is shared by millions of people all over the United States as well as the rest of the world.

According to the Substance Abuse and Mental Health Services Administration (SAMHSA), there are roughly 20 million Americans currently suffering from behavioral or addictive disorders. Of these people, less than 10 percent are actively going through a treatment program. Approximately 40 percent are unable to access treatment because of the high cost.

If insufficient funds are holding you back from seeking treatment, there are several steps you can take to better your chance of receiving free drug or alcohol addiction treatment help in the near future:

  • Contact several rehab facilities that offer the type of program you are interested in.
  • Speak with the facility about the cost of treatment, including how much money you will pay upfront as well as the ongoing expense.
  • Ask if there is any financial assistance available for somebody in your position.
  • If you have insurance, determine if your treatment will be covered.

By taking these steps, as well as any others that are specific to your situation, it is simple to get a grip on your situation and whether or not you are in position to pay for treatment out of your own pocket and/or through the help of your insurance company.

What if I don’t have Insurance?
In a perfect world, all drug treatment stints would be covered 100 percent by health insurance providers. Unfortunately, this is not how things work.

Some patients don’t have medical insurance. Others have coverage but find out soon enough that rehab is not a covered service.

If you don’t have health insurance you are not out of options. There are a number of methods that can help you pay for treatment ranging from nonprofit organizations to public rehab to scholarships and payment plans.

“If you don’t have health insurance you are not out of options.”

What does my Insurance Cover?
If you have medical insurance the first thing you should do is examine your policy. If you don’t understand the details or need help, contact your insurance company or human resources representative.

There are drug and alcohol treatment provisions in most policies, so make sure you know what type of coverage you have and how much will be paid. Some insurance policies only cover the cost of treatment at an inpatient facility. Others offer outpatient coverage but only if there is a physical addiction. With so many details varying from one insurance company and policy to the next, it is important to check on this before doing anything else.

Deductibles and co-pays still apply in the case of drug rehab.

Tip: contact the drug treatment facility you are interested in attending and ask if there is anybody who can help with insurance related matters.

Most rehab scholarships are for people with no medical insurance and/or insufficient funds. However, you may still want to apply for such programs if you have insurance that does not cover rehab.

Hiding Rehab from your Insurance Company
Just because you have medical insurance does not mean you want to make a claim when it comes time to enter rehab. There are many reasons why you may want to leave your insurance company out of the equation – even if your policy does offer coverage.

1. Increased premium in the future. Many people fear that attending rehab will lead to an increase in their premium payment. Whether or not this is true is up for discussion, but it is definitely a concern. This is particularly worrisome if you pay for insurance out of your own pocket, as opposed to receiving coverage through your employer.

2. Coverage could be dropped. The only thing worse than having your premium increased is if your insurance company drops you altogether. Again, this is not something that should happen but it is another detail that needs to be considered.

3. To keep your employer in the dark. Do you have health insurance through your employer? In this case, somebody at your company may eventually find out that you entered a rehab facility. This information will become public (to the person you speak with) if you contact the human resources department regarding concerns of whether rehab is covered by your policy.

Can your employer discriminate against you and terminate your employment due to your stint in rehab? As long as your job performance stays the same the answer is no. That being said, you may not want anybody who works with you to know about your personal problem.

The Solution
Rather than take the risk of reporting this to your insurance company, you can do one of two things:

  • Pay for the cost of treatment out of your own pocket. Although this works for some people, most find that it is entirely too expensive.
  • Apply for a rehab scholarship. This is the most cost efficient way to receive treatment when you are unable to pay.

Can your employer discriminate against you and terminate your employment due to your stint in rehab?
As long as your job performance stays the same the answer is no.

Rehab Scholarships: Where does the Money come from?
There are many organizations, such as Second Chance, that help patients in need receive rehab scholarships.

These organizations focus on three main groups: those who do not have medical insurance; those who do not have the money to pay privately; and those who are unable to qualify for a bank loan due to bad credit.

Just because a rehab facility has some patients does not mean they are at full capacity. With each empty bed, money is lost. For this reason, facilities are often times open to “selling” treatment episodes to a third party. In turn, those in need of rehab can receive treatment at a discounted price (or free of cost).

Just like an education scholarship, money comes from a number of different sources. You don’t have to worry so much about where the funding comes from. Instead, you just want to make sure you are getting the right treatment at the right price.

Some of the sources of funding include: client contributions, guaranteed sponsorship financing, and discounted treatment fees.

With these types of funding it is possible to offer treatment to a larger group of people while guaranteeing facilities a particular percentage of the total fee – this is much better than an empty bed which would be written off as a total loss.

“There are many organizations that help patients in need receive rehab scholarships.”

Steps to Obtaining a Rehab Scholarship
Are you interested in a rehab scholarship as a way of paying for treatment? This is a good way to have some or all of your treatment paid for by a third party. For those without medical insurance or in a difficult financial situation, this is one of the better options.

Rather than go down the path of many before you, that of ignoring treatment altogether, follow these steps to obtain a rehab scholarship.

  1. Contact organizations that offer scholarships. They can give you more information on which facilities they work with, as well as the application process.
  2. Contact one or more of the facilities that you are interested in attending. At this point, you can discuss your financial situation in depth. Additionally, each facility can point you toward outside organizations that may be able to offer financial assistance in the form of a scholarship.
  3. Complete the application process. Just like any scholarship, regardless of the benefit and purpose, an application must be completed. This is used to determine your eligibility. Make sure you are 100 percent honest as you complete your application.

If you or a loved one is suffering from an addiction but are unable to pay for professional treatment, consider applying for a rehab scholarship.

 

RELATED ARTICLES:
We can’t afford treatment. What now?

RESOURCES:

Addiction Recovery Resources for Families of Substance Abusers, Addicts and Alcoholics

Why Don't They Just Quit? by Joe Herzanek
Why Don’t They Just Quit? What families and friends need to know about addiction and recovery.

> Paperback

> Audio Book CD, MP3 (NEW!)

> Kindle

> Audible Audio Download  (LISTEN TO 4 MIN. SAMPLE)

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February 27, 2013 by jherzanek | Permalink

Why Do Alcoholics Drink? ~by Toby Rice Drews

Why do alcoholics drink?
~written by Toby Drews, author, “Getting Them Sober”
Posted with permission.

“It is so easy to slide into believing that the alcoholic drinks “because of a problem.”  And that if the alcoholic just “gets to the root of the problem” the drinking/drugging problem will just “wither away” by itself.”

 

That was the thinking of almost the entire mental-health profession about 25 years ago—before the days of James Milam (author of “Under the Influence”), who, along with other pioneers in the field of addictions, toured the country on a regular basis, lecturing and training mental-health practitioners, judges, pastoral counselors, nurses, criminal-justice personnel, and others, to help them understand that alcoholism is a primary disease.

What does that mean? It means that nothing can get you drunk. It means that no matter what else is going on in your life; no matter what your childhood was like; it means that no matter what your job is like, your spouse and/or kids are like; that none of those things get you drunk.

Yes, they cause stress! Life causes stress! And if everyone who had stress drank alcoholically, everyone would be an alcoholic.

“But the stressors of life are not what makes one an alcoholic.”

Why do alcoholics drink?
You “get” alcoholism because you are genetically predisposed to it. (You have to go back about six or eight generations to see the proclivity to alcoholism in one’s family; just because your parents did not have it, doesn’t mean it is not in your family. And back then, no one said people were alcoholic unless they were falling down in the gutter. And they certainly did not say that women or the clergy or any “good people” were alcoholic).

But, getting back to the mythology of “stress causing alcoholism”: Yes, stress can make you want to drink. Yes, having violent parents and being thrown out on the street at age 17 can make you want stress-relief and want to drink. But if you don’t have the brain receptors, etc., to be alcoholic or addicted, it’ll be a “passing phase” (It’s like the veterans after Vietnam: many, many of them tried heroin in Vietnam; but only 1/3 of those who took it in Vietnam, continued to take it, after they came home. Why? Because if you don’t have the physical set-up to become an alcoholic or other-drug addict, you won’t.

Look at all the spouses in Al-Anon who are not alcoholics who sat on bar stools to try to drink alongside their alcoholic spouses—to be there, to have their spouses at least physically with them—who could not keep up the drinking, even when they tried to).

And, if a catastrophe in life happens to a non-addict/non-alcoholic—and if they drink or do any other temporary thing to relieve stress—if they are not addicted, they will probably, after a while, not continue that drinking but get down to dealing with life on life’s terms.

Why do alcoholics drink?
The difference with alcoholics is that if they start to drink at all, even for a “legitimate stress reason”, then the craving and the obsession make them continue the process of the disease of alcoholism. And once that disease process in in effect, that disease does not need any “reason” to drink: In other words, alcoholics drink because the Yankees won; alcoholics drink because the Yankees lost; and alcoholics drink because the Yankees didn’t play.

“Alcoholics drink because the Yankees won; alcoholics drink because the Yankees lost; and alcoholics drink because the Yankees didn’t play.”

It often LOOKS like the alcoholic drinks because he lost his job—or because he hates the weather. But when that same alcoholic gets a job . . . a better-paying job and/or moves to where the weather is great . . . the probability is that alcoholic will still continue drinking or start drinking again, and the disease will still progress and the drinking will get worse. “Stuff” happens. “Stuff” does not cause alcoholism.

When alcoholics get sober and go to A.A. on a regular basis, they learn to replace that knee-jerk reaction of picking up a drink or a chemical for stress-relief—and replacing it with “taking it to a meeting” and talking about it. And by the Grace of God, it relieves it. A way is found to deal with it.

One more thing: when an alcoholic has, alongside the alcoholism, a psychiatric illness (like clinical depression) they may initially only drink to relieve the clinical depression—and they may receive temporary relief from it because they drank. But, and this is a big “but”—when they drink even for that reason . . . it gets and keeps the disease-of-alcoholism process going.

And even if that particular cycle of clinical depression “lets up” for awhile because of the temporary relief of the alcohol, the alcoholic drinking usually continues, because the alcoholism has its own dynamic and is itself progressive. It gets to exists alongside, in addition to, the psychiatric illness.

And if the alcoholism is not treated for itself and the drinking does not stop (even if the psychiatric illness is treated with medication and therapy) then two things usually happen:

A) intaking alcohol when the medicine is in the body usually makes the medicine less effective

B) the alcoholism follows a progressive course and continues to eventually make that person’s life worse on just about every level, if not all levels. And it usually continues to make that psychiatric illness worse, too.

“If a person with both psychiatric illness and alcoholism wants to get better, they usually have to get help for both problems.”

If a person with both psychiatric illness and alcoholism wants to get better, they usually have to get help for both problems—and that help is often found in an alcoholism treatment center (one that is A.A.-oriented) that is good at diagnosing and treating persons with both addiction and psychiatric illness. And after initial treatment is completed, ongoing counseling, as well as A.A., of course—is usually the prescribed course of treatment.

_____________________________________________________

This article, “Why Do Alcoholics Drink?” is from Toby Drews’ “Getting Them Sober” newsletter.
Click here to sign up

Getting Them Sober

What is “Getting Them Sober”?
“Getting Them Sober”, by Toby Rice Drews, is the million-selling series of books—endorsed by ‘Dear Abby’, by Dr. Norman Vincent Peale, and by Melody Beattie (author of ”Codependent No More” who wrote, ”Getting Them Sober’ is the BEST book for the family of the still-drinking alcoholic”).

How are the books different from each other?  What are the table of contents in each of the books?
Click to read excerpts and to purchase “Getting Them Sober”

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RELATED:
The AA Promises

All Those AA Meetings: What he’ll hear when he goes to those AA meetings

AA Facts and History

12 Step Prayers

Recovery Resources for Friends, Families and Employers

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Why Don't They Just Quit? What families and friends need to know about addiction and recovery." by Joe Herzanek
Why Don’t They Just Quit? What families and friends need to know about addiction and recovery

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> Kindle

> Audible Audio Download  (LISTEN TO 4 MIN. SAMPLE)

 

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Relapse. It Happens.

. . . but it doesn’t have to be the end of the road.

This article excerpted from the award-winning book “Why Don’t They Just Quit? What families and friends need to know about addiction and recovery.” by Joe Herzanek

Is Relapse Part of Recovery?
Addiction has been called a chronic relapsing disease. Relapse is when the person in recovery chooses to try some controlled using again after attempting to remain abstinent. We know that addicts/alcoholics can’t control substance use. If they could, they wouldn’t be in this situation in the first place. Relapse is one more failed attempt at trying to control how much they are able to use.

Using a substance occasionally and in moderation isn’t a problem for social drinkers. But once someone crosses over to habitual and uncontrolled use, there is no going back. Attempts to regain control—to use alcohol or drugs socially and occasionally—are common, and these attempts lead to relapses. Statistics show that approximately 90 percent of those who complete treatment will have a relapse—sometimes referred to as a slip.


Five months after leaving treatment in April, I tried just one more time to see if I could control my using. I went out with an old friend and drank.

I don’t remember if I called Gary or he called me. Gary and I used to take drugs together. He was a good friend. We had known each other since high school. He knew I had quit, but he didn’t know much about recovery. We hadn’t seen each other for months, since before I had gone to the treatment center. We went out to a bar. I don’t think I had any intention of drinking. After an hour or two of playing pool and being in the midst of a crowd of people who were drinking, I ordered a beer. To this day, I don’t know what I was thinking. After five or six beers, I knew I had screwed up.

I wasn’t nearly as wasted as I wanted to be. What now? Be- cause of everything I had heard in recovery groups, I now felt a tremendous sense of guilt. Why did I let this happen? Looking back on it, I can see that it was a chain of events. Talking with Gary, meet- ing him at a bar, staying and playing pool—all the sights, sounds and smells were too much for me in the beginning of my sobriety. A bad idea. Those few drinks did not give me the effect I craved. I realized that it was going to take much more than a few drinks. I didn’t want that old life back and it became obvious to me that I had to make an all or nothing choice.

It was just one night, but that one night motivated me to get right back to working on my recovery. This would fall into the category of a slip—one stupid decision that was brief and over quickly. I guess I just had to test the water one more time. What this experience did was confirm to me that my addiction was real. I felt like an idiot. I had just blown one hundred fifty days of sobriety, and I didn’t even enjoy it.

Having a few drinks had always been the start of trouble for me. I knew I had to come to my senses right away, or I would soon be looking for drugs as well. This small slip would end up as a complete return to full-blown using, or I could end it that night. By this time in my recovery, I had learned enough to know what was happening and what the consequences could be. I must have had a moment of clarity. No- body needed to tell me that I’d screwed up. Going back to the old life was the last thing I wanted.

I wasn’t sure what to do, so I decided to go back to my treatment center for a couple of days to sort this out.

I have heard similar stories from others who have relapsed. Many of them remember that exact, pivotal moment when they were faced with the decision of what to do. Here are the two different trains of thought that can occur to an addict after a relapse. I’ve blown it anyway, so I may as well keep using for a while. Or, This was a dumb idea. I’d better get right back to recovery before it gets much worse. Thankfully, the latter was my thinking.

Ways to Avoid Relapse
Developing relationships with others who are facing the same challenges are very important. A couple of close friends, a sponsor, a mentor—any one of these—can help hold a person accountable. I knew I had let some people down. But these same people were able to encourage me to keep moving forward.


One of the results of an addict spending time with people in recovery is that it will ruin their once seemingly gratifying relationship with alcohol and drug use. Those in recovery learn about the disease, and from that point on they know too much about its power to ever enjoy it the way they used to. They know that there’s no going back. If some- one slips, they often feel the way I did—like an idiot for even trying to enjoy it again. But this is all okay, as we all learn from mistakes like this. Family and friends shouldn’t get too discouraged when someone slips, because it’s common in early recovery. Look at it as one more opportunity for your loved one to become convinced that the addiction is indeed real.

My friend and addiction counselor Larry Weckbaugh in Eagle, CO compares recovery to a series of stairs—and landings in-between the flights. The addict might be up three flights and two landings when they relapse. They don’t fall into the basement; they only go down one floor.

Is there a difference between a slip and a relapse?
Sort of. The difference lies in how a person handles it. . .

This article is excerpted (pg. 187) from the 2010 revised and updated book
“Why Don’t They Just Quit? What families and friends need to know about addiction and recovery.”

RELATED:
Relapse explained: “Slips and Human Nature”

Addiction. What if they just CAN’T quit?

Get the help you need today.

Why Don't They Just Quit? What families and friends need to know about addiction and recovery." by Joe Herzanek
Why Don’t They Just Quit? What families and friends need to know about addiction and recovery

> Paperback

> Audio Book CD, MP3 (NEW!)

> Kindle

> Audible Audio Download (LISTEN TO 4 MIN. SAMPLE)

 

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September 25, 2012 by jherzanek | 4 comments

 

ASK JOE:
What is a Pink Cloud?:

what is a pink cloud

JoeHerzanek


Q:
What is a Pink Cloud? What does the term “pink cloud” mean?

“I fell off my pink cloud with a thud.”
~Elizabeth Taylor

A. Being “on a Pink Cloud” means to feel almost like being high, but without using drugs or alcohol.

The first few days or weeks in recovery are normally a time of adjustment for the addict’s body and mind. Early recovery can be a roller coaster of emotions—often frustrating and stressful. After this will come a leveling-out period in which many people will have an almost euphoric feeling, sometimes referred to as a “pink cloud.”

This ah-ha experience can last for days or even weeksI really have this recovery thing figured out; I can do this!

I remember feeling this way myself. It was almost like a natural high. But the addict should be careful not to think that he or she is cured, because this could lead to another try at controlled using (i.e., a slip or relapse).

Five months after leaving treatment I tried some controlled using. For me this verified that I indeed was addicted, and I quickly got back to working on my recovery.

A person in recovery can almost plan on experiencing a pink cloud, but the ensuing relapse doesn’t have to happen.

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What is a Pink Cloud What is a Pink Cloud What is a Pink Cloud

 

Why Don't They Just Quit? What families and friends need to know about addiction and recovery." by Joe HerzanekThis “Q & A with Joe Herzanek” is excerpted from Part 5 of “Why Don’t They Just Quit? What families and friends need to know about addiction and recovery.”

RELATED:
Relapse. It Happens.
~by Joe Herzanek

NEED HELP NOW?
Phone Counseling for Families Dealing with Substance Abuse


Recovery Resources for Friends, Families and Employers

MORE ASK JOE:

> Do you have to stop seeing all your old friends in order to recover?

> Is a relapse—failure?

> If someone can stop using drugs or alcohol for weeks at a time, they “aren’t an addict—correct?

>Chronic Pain Management & Pain Pill Addiction: What to do?

>How can I know if my addicted friend or loved one is telling the truth?

>”I need help because I’m not able to deal with my live-in Fiance’s need to get drunk every night.”

>Should my husband “back off?”

>Gambling vs. Drug Addiction? What is your opinion?

>How can I tell if someone is an addict/alcoholic or just a heavy user?

>What is Methadone? What is Harm Reduction?

RELATED:

> Self-Tests: Alcohol and Drug Addiction

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Vicodin Addiction: Prescription Abuse
~by guest blogger Alex Kerwin

Vicodin Addiction: Prescription Abuse
Vicodin is a synthetic opiate created in a laboratory. Similar to morphine, its primary use is to control moderate to severe pain. Since the medication works on pain-receptors in the brain and produces a feeling of euphoria and well-being, Vicodin is frequently a drug of choice for substance abuse. In 2010, over 130 million prescriptions were written for Vicodin, and related medications. Consequently, opiate addiction has surged with over 10 million Americans self-reporting prescription medication abuse. Increasing awareness of prescription addiction with education and alternatives in treatment are paramount. Vicodin addiction is an epidemic in the USA, and people with substance abuse issues should not feel alone or stigmatized when seeking treatment.

How Addiction Begins
Initially, people are prescribed Vicodin for pain, usually after injury or surgery. During the recovery process, Vicodin is taken on a regular basis and the brain begins to experience a “good feeling,” or a state of euphoria. In response, the brain makes less “good chemicals,” on its own, and relies on the Vicodin to supply these chemicals. Unfortunately, when Vicodin is discontinued, the brain continues to create less “feel good” chemicals, and the person may experience depression and withdrawal.

Increased Tolerance and Dosage
Addiction will drive the person to increase the amount of Vicodin to create the feelings of well-being as the tolerance to the drug increases. People with addiction will take dangerously high dosages of the drug and risk liver and kidney damage, as well as overdose and death. It is not uncommon for addicted persons to seek several doctors and visit hospital emergency rooms as a response for the brain’s increased demand of the drug.

Signs of Withdrawal
Once the use of Vicodin is stopped, many addicted individuals will experience an overwhelming psychic desire for the drug. In addition, withdrawal is accompanied by dreadful feelings of impending doom, physical aches and pains, nausea and vomiting, and deep depression with suicidal thoughts. Depending on the extent of the addiction, it is dangerous for people to attempt detoxification from the substance without supervision and they are strongly encouraged to seek professional assistance.

Help from Treatment Centers
In 2009, over 11 million people received treatment for substance abuse and addiction. As awareness of substance dependence increases in society, treatment centers are being recognized as important resources and assistance in addiction recovery. Using an approach of the psychological and physical needs of the individual, treatment focuses not only on the cessation of the drug, but provides coping strategies on restoring the individual to their former selves. The ultimate goal of substance abuse treatment returns people to productive functioning in the family, workplace, school, and the community.

Addiction can be Treated Successfully
As with all chronic disease, addiction can be managed successfully. Treatments centers provide powerful strategies for living a healthy and productive life without drug dependence. According to researchers, most people that enter treatment have positive outcomes and refrain from substance abuse.

NEED HELP NOW?
Affordable Phone Counseling for Families Dealing with Substance Abuse
Recovery Resources for Friends, Families and Employers

RELATED:
>Chronic Pain Management & Pain Pill Addiction: What to do?

>My True Story of Prescription Drug Addiction

>Pain Meds Cause More Pain! The new silent epidemic

>Opiate Pain Meds: Avoiding Opiate Prescription Drug Addiction in Recovery

>Read more about this topic—chapter 27, Why Don’t They JUST QUIT?

>Effects of Addiction

>The Accidental Addict

 

SELF TESTS:
> Self-Tests: Codependence

> Self-Tests: Alcohol and Drug Addiction

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August 18, 2012 by jherzanek | 1 comment

ASK JOE:
Passing out from drinking alcohol vs. blacking out:

JoeHerzanek


Q:
Are passing out from drinking alcohol and blacking out
the same thing?

A. No

Both of these terms are often associated with alcohol use. Elsewhere in this book (Why Don’t They Just Quit? What families and friends need to know about addiction and recovery), we speak of alcohol as being a sedative/hypnotic drug.

Passing out from drinking too much alcohol is definitely a sign of being sedated and/or drunk. Passing out is what is referred to when a person becomes unconscious, similar to going to sleep.

Blacking out is completely different from passing out. In fact, the word hypnotic (as in sedative/hypnotic) is one way to think about blackouts from alcohol. For instance, someone who has been hypnotized can appear to function normally; they can follow commands, and so on. When the hypnotic state is over, they often can’t remember what they have done.

A blackout is like a temporary form of amnesia. Alcohol can and does affect our memory. Short-term memory loss is what happens after a person has experienced a blackout. The user may not have to be very drunk for this to happen. They will appear to be functioning normally—carrying on a conversation, driving a car, playing a game, watching a movie, or even having sex—yet not remember the events the following day.

This condition will also worsen over time; blackouts will start happening more often and the person will remember less. Blackouts from alcohol happen to many, but not all drinkers. Others may reach a point where it happens every time they drink—even after the first drink of the evening. Some drugs can create this experience as well.

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passing out from drinking, blacking out from drinking, alcohol blackout, passing out from alcohol

 

Why Don't They Just Quit? What families and friends need to know about addiction and recovery." by Joe HerzanekThis “Q & A with Joe Herzanek” is excerpted from Part 5 of “Why Don’t They Just Quit? What families and friends need to know about addiction and recovery.”

RELATED:
Relapse. It Happens.
~by Joe Herzanek

NEED HELP NOW?
Phone Counseling for Families Dealing with Substance Abuse


Recovery Resources for Friends, Families and Employers

MORE ASK JOE:

> Do you have to stop seeing all your old friends in order to recover?

> Is a relapse—failure?

> If someone can stop using drugs or alcohol for weeks at a time, they “aren’t an addict—correct?

>Chronic Pain Management & Pain Pill Addiction: What to do?

>How can I know if my addicted friend or loved one is telling the truth?

>”I need help because I’m not able to deal with my live-in Fiance’s need to get drunk every night.”

>Should my husband “back off?”

>Gambling vs. Drug Addiction? What is your opinion?

>How can I tell if someone is an addict/alcoholic or just a heavy user?

>What is Methadone? What is Harm Reduction?

RELATED:
> Self-Tests: Codependence

> Self-Tests: Alcohol and Drug Addiction

Sign up for our Free Changing Lives E-Newsletter!

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This simple little chart has surprising facts about AA, what it’s about and how well it works. We recommend taking a second to look and also to forward to a friend.

AA Facts and History Information Graphic

Courtesy of Rehab Programs. Designed by Dawn Shepard

Related:
The AA Promises

RESOURCES:
Addiction Recovery Resources for Families of Substance Abusers, Addicts and Alcoholics

Why Don't They Just Quit? by Joe Herzanek
Why Don’t They Just Quit? What families and friends need to know about addiction and recovery.

> Paperback

> Audio Book CD, MP3 (NEW!)

> Kindle

> Audible Audio Download  (LISTEN TO 4 MIN. SAMPLE)

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What is Addiction Phone Counseling for Family Members?

JoeHerzanek


What is Addiction Phone Counseling for Family Members?

~by Joe Herzanek

Something Changing Lives Foundation began a year or two ago was our family phone counseling option. This has worked very well and continues to grow. Since I do not do psychotherapy but concentrate on addiction counseling for family members, phone counseling is even better than face-to-face counseling in many ways.

Phone Counseling vs. Person-to-Person Counseling:
Family members and friends of alcohol and drug dependent men and women want to get clear information and guidance about what they should do (and should not do) to help. When dealing with family members, I don’t have to be overly concerned about body language and eye contact. They have no reason to hide their real feelings and thoughts. It’s a different story all together with active users of substances.

Of course, some obvious advantages of Addiction Phone Counseling are that this can be done literally anytime, anywhere and between multiple households. Participants can remain relatively anonymous and don’t have to spend time or money arranging an in-person visit. They don’t risk being seen by someone they may not want to run into.

What will we talk about on a Phone Counseling Session?
One of the things that families are usually confused about is the question of what’s normal? Most are certain that something has gone very wrong in the life of their loved one but how wrong and to what degree is difficult to define. We discuss the question as to what should I do (or not do) at this point?

I can remember when my own son was struggling with substances in his teen years. Even I, “the expert,” wasn’t quite sure to what degree he had drifted from the normal baseline, so to speak. Even counselors need to talk to other counselors at times.

Most people who contact me for Phone Counseling know they are in crisis. Often the person is a spouse or an adult son or daughter. More often than not the issue has persisted for years. Rarely does someone call me in the early stages. When a family is in crisis, most individuals are too close to the situation and family members have become too emotional to effectively handle things alone.

After three decades of working with families and also networking with treatment centers across the USA, I can point people to helpful and appropriate resources close to where they live. When the stress level is high often our emotions lead us to some bad choices. I can’t tell you how many times the family has called and told me about a facility that they are considering which would have been a huge and expensive mistake (for various reasons). Sometimes the family has decided to let the person with the problem find a facility he or she likes best—sort of like letting the patient play doctor.

Don’t make that mistake.

At the end of a phone counseling session family members have a clear plan of action for how they are going to move forward, backup plans and suggested resources that are customized to their situation. The spouse, parent, family most always will proceed with a renewed sense of hope. Family Phone Counseling is a way for people to sort out options and know that they have done everything in their control to help their loved one.

NEED HELP NOW?
Call: 303.775.6493
or Email: jherzanek@gmail.com
Affordable Phone Counseling for Families Dealing with Substance Abuse

___________________________________________________________________________________________
Addiction Phone Counseling, Counseling Family Members, Addiction Phone Counseling, Counseling Family Members

RELATED:
>Learn more about Addiction Phone Counseling for Family Members with Joe Herzanek
>4 Major Advantages of Telephone Counseling with an Addiction Professional
>Relapse. It Happens.
~by Joe Herzanek

Why Don't They Just Quit? What families and friends need to know about addiction and recovery." by Joe HerzanekTo purchase Joe Herzanek’s  Why Don’t They Just Quit? What families and friends need to know about addiction and recovery


RECOURCES:
Recovery Resources for Friends, Families and Employers

ASK JOE:
> Is a relapse—failure?

>Should my husband “back off?”

> If someone can stop using drugs or alcohol for weeks at a time, they “aren’t an addict—correct?

>Chronic Pain Management & Pain Pill Addiction: What to do?

>How can I know if my addicted friend or loved one is telling the truth?

>”I need help because I’m not able to deal with my live-in Fiance’s need to get drunk every night.”

>Gambling vs. Drug Addiction? What is your opinion?

>How can I tell if someone is an addict/alcoholic or just a heavy user?

>What is Methadone? What is Harm Reduction?

SELF TESTS:
> Self-Tests: Codependence

> Self-Tests: Alcohol and Drug Addiction

Sign up for our Free Changing Lives E-Newsletter!

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May 4, 2012 by jherzanek | 2 comments

ASK JOE:
Old friends and recovery:

Friends Partying

JoeHerzanek


Q:
Do you have to stop seeing all your old friends
in order to recover?

A. It depends

When I was first getting off alcohol and drugs, many of my old friends
were just like me.
I knew that being around drugs and being around
people using them was a bad idea. Exposing myself to the wrong influences
would have been a set-up for relapse. It wasn’t easy to let go of
some of my longstanding relationships. At the same time, though, I was
meeting new people who were also in recovery. I quickly learned that
my new lifestyle and old friends were kind of like oil and water—they
just didn’t mix.



After several weeks of sobriety, I started to see these old relationships
in a different light.
I tried to talk to some of my old friends about recovery.
A few of them actually quit using. Others began to avoid me. I stayed
busy concentrating on not using. It was a little depressing, in a way. I
wanted so much to help them change, but many just weren’t interested.


This is a difficult time for the recovering person.
There is a sort of
lag-time between leaving old unhealthy relationships and developing
new and better ones. It doesn’t happen overnight—but it will happen.


Trust the process and trust God to provide.
For myself, I knew what was
at stake. I had to do this or soon return to the old life. The void in my
social life was going to be filled one way or another. This is one more reason
why support groups are important.

Recovery means making many changes,
and some are more difficult than others.

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Ask Joe, old friends and recovery Ask Joe, old friends and recovery Ask Joe, old friends and recovery


Jenny's Pearl NecklaceI am including this story of “Jenny’s Pearl Necklace” at the request
of my wife Judy.
It is one of her favorites—all about “letting go, and letting
God.” Time and time again Judy and I have found that once we were
willing to trust God, He would surprise us with a blessing far beyond anything we would have dreamed.

The story of “Jenny’s Pearl Necklace” touches everyone in a different way—as we are all at different stages of our journey.

 

Why Don't They Just Quit? What families and friends need to know about addiction and recovery." by Joe HerzanekThis “Q & A with Joe Herzanek” is excerpted from Part 5 of “Why Don’t They Just Quit? What families and friends need to know about addiction and recovery.”

RELATED:
Relapse. It Happens.
~by Joe Herzanek

NEED HELP NOW?
Affordable Phone Counseling for Families Dealing with Substance Abuse


Recovery Resources for Friends, Families and Employers

MORE ASK JOE:
> Is a relapse—failure?

> If someone can stop using drugs or alcohol for weeks at a time, they “aren’t an addict—correct?

>Chronic Pain Management & Pain Pill Addiction: What to do?

>How can I know if my addicted friend or loved one is telling the truth?

>”I need help because I’m not able to deal with my live-in Fiance’s need to get drunk every night.”

>Should my husband “back off?”

>Gambling vs. Drug Addiction? What is your opinion?

>How can I tell if someone is an addict/alcoholic or just a heavy user?

>What is Methadone? What is Harm Reduction?

RELATED:
> Self-Tests: Codependence

> Self-Tests: Alcohol and Drug Addiction

Sign up for our Free Changing Lives E-Newsletter!

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 What is Suboxone? What is harm reduction?

JoeHerzanekQ What is methadone? What is harm reduction?


A. Methadone hydrochloride is a synthetic opiate used as a form of “harm reduction” for heroin addicts.
Harm reduction is intended as a progressive alternative to certain lifestyle
choices such as casual sex, prostitution, and drug use. The philosophy of harm reduction has developed over the years and the thinking goes like this: Some people just won’t quit no matter what; therefore, let’s see what can be done so they do less harm to themselves and society.

I used to inject methadone, but I lost fifty pounds.
My limbs became just strings of muscle.
When I could no longer find a place to inject,
that was the end.
—Bela Lugosi


One initiative of harm reduction is a free government-sponsored program where methadone is given to heroin addicts in place of heroin.

The high from the drug is very similar to the high from heroin, but it does not provide the euphoric rush and the high also lasts longer. It’s given to heroin addicts so they won’t have to commit crimes to get more money for dope. Methadone is given once a day and is taken orally in liquid or pill form. (Whether the person truly is a heroin addict and not just someone looking for free drugs can be determined by their arrest record, any previous unsuccessful treatment for heroin, or marks on the arms showing IV drug use.)

Most people who begin the methadone maintenance program will be on it for life. The good news is that once a person becomes stable on methadone, they can function normally. They can work, drive a car, feel pain, and experience emotional reactions. Methadone relieves the craving associated with opiate addiction. The bad news is that methadone is more addictive than heroin, and the withdrawal symptoms are much more severe. Personal accounts from those who have experienced withdrawal from both heroin and methadone describe the withdrawal from methadone as a living hell.

My feeling is that taking methadone is like trading one drug for another. I am not a big fan of harm reduction. In my opinion, even heroin addicts can quit. An additional drug that has become popular for withdrawal from opiates is Suboxone. This drug was originally intended to be used briefly for detox. Unfortunately, many will stay on this drug for a long time. Again, this appears to be another opportunity to switch from one drug to another.


Why Don't They Just Quit? What families and friends need to know about addiction and recovery." by Joe HerzanekThis “Q & A with Joe” is excerpted from Part 5 of “Why Don’t They Just Quit? What families and friends need to know about addiction and recovery.”

 

NEED HELP NOW?
Affordable Phone Counseling for Families Dealing with Substance Abuse
MORE ASK JOE:
>How can I know if my addicted friend or loved one is telling the truth?

>”I need help because I’m not able to deal with my live-in Fiance’s need to get drunk every night.”

>Should my husband “back off?”

>Gambling vs. Drug Addiction? What is your opinion?

>How can I tell if someone is an addict/alcoholic or just a heavy user?

RELATED:
>Suboxone: Switching from one drug to another

Sign up for our Free Changing Lives E-Newsletter!
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Wife of an AlcoholicThis story below was sent to us at Changing Lives. We share this candid and powerful account of one woman’s struggle and ultimate healing (with the author’s permission) with hope that it will provide inspiration to others who may be experiencing some of the same struggles. You are not alone.

I Was the Wife of an Alcoholic.

There are so many books out there about alcohol recovery, the addict, what addiction means and what family members are supposed to do. We are led to believe we need to be the addict’s personal cheerleader. Support them thru all the chaos they create in the lives around them.  Pick them up when they fall, as relapse is a part of addiction. They skirt around withdrawal. Maybe because the people writing these books were the ones going thru withdrawal and not seeing it from the perspective of the people actually witnessing the withdrawal.

My question was always “when does he start taking responsibility for his own actions? When does the disappointment stop?” This  tells a real life story about what family members go through on a daily basis living with an addict. I am not skirting around the withdrawal. The havoc it causes in your life. This is the story of my life.

I was the wife of an alcoholic.

I have two amazing children. I feel I am a very straightforward person. I try not to pull any punches- this tends to get me in trouble, as I have been known to hurt people by what comes out of my mouth. I usually remain calm and composed during difficult situations.

My husband could not be depended upon to be there for us. My son once described to me our family- “there is me you and Sarah who live upstairs and there is Dad who chooses to live downstairs”. Profoundly true. We have a dysfunctional family “true by every meaning of dysfunctional.” I have tried my hardest to make things as normal as possible for my children. I feel I have been a good mother. I know things haven’t been smooth sailing with them, but I feel our past has made us stronger people and we will be better people because of it.

My parents are still married. They have been my lifeline. When things were really bad and I knew I needed to get out of my house with the children I went to my parents. I did not have the financial means to get my own place. Without hesitation my father came up with a plan. We will convert the finished downstairs into two bedrooms with a small sitting area. Sarah could have my old bedroom because she only had a year before moving away to college. Within days the renovations started. My parents are both strong, opinionated people. My dad is the “take control of the situation” type person. My mom thinks nothing of helping with whatever needs to be done.

Sarah is my eighteen-year-old daughter. She has been an adult since she was a child. She loves to have fun and when you hear her laugh it brings a smile to your face. She doesn’t show her emotions. She is straightforward. Sarah loves life-she loves to try new things, she loves to be original and is truly comfortable with her uniqueness.

I have a sixteen-year-old son Greg. He too is old beyond his years. Prior to all the chaos in our lives, Greg would smile and laugh all the time. He loved to be hugged and give hugs. That all changed-partly because of the family situation and partly because of his age. Looking at him, he has this tough exterior. He is quiet and usually only talks when he is being talked to or needs something. He is such an observant kid. He takes everything in. He too is straightforward and always feels the need to protect himself from being hurt.

And so it began–

I met my husband when we were freshman in high school. We became friends. I was a cheerleader, he was a football player. When we were juniors in high school we started dating. I remember it like it was yesterday. I was cheering at a basketball game. He came to the game. At half time we were walking down the hallway, he put his arm around my shoulder and asked me to go to the party after the game with him. I should have seen it. He was drunk but we were in high school and everyone was drinking.

Fast-forward nineteen years- (more detail later)

July 28th, 2007

Hospital Stay #3: I was only out of the house for two weeks. My phone rings at 6:30AM. It was my husband. “Kim, I need you to come to the house. I’m sick and need to go to the hospital.” I tell him I’ll be right up. I arrived within minutes of his call. He was sitting in his recliner, smiling at me. I ask him what’s wrong, as if I don’t already know. He said with the faint smell of alcohol on his breath “I just need you to give me a ride to the bathroom.” I know this isn’t good. I am not a nurse or a doctor but I’ve been here before-he has encephalopathy again. I know that ammonia is going to his brain causing this confusion. I asked him if he called the ambulance yet, he said, “No I was waiting for you.”

Seconds later there is a knock on the door. The paramedics have arrived. I didn’t call them, they told me my husband did. (This has been a constant in my life these past few months. Asking him questions, getting a response from him, but never knowing whether or not to trust the answer that comes from his mouth.) He wanted to change his clothes before he went in the ambulance as he told them “I soiled myself a little”. The paramedics told him he was fine and were taking his vitals. I needed to walk out of the house. I was so angry. One of the paramedics came outside with me to ask some medical questions. They smelled the alcohol on him too. I just shook my head. My thought of “My God Greg you knew if you drank again you were going to die. Why???” I knew what we were all in for. I called his parents. I was crying and telling them that I had the ambulance at the house and their son needed to go to the hospital. I told them that this is exactly what I did not want to be doing, that I could not do this anymore. They reassured me they would meet me at the hospital. They lived twenty minutes from the hospital. Two and a half hours later they arrived. Of course, my own mother knew what was going on and immediately met me at the hospital. She walked into the ER room that my husband was in, talked to him like he was going to be OK. Thoughts of “Am I insane? Am I seeing something that nobody else is? Am I exaggerating his medical condition and what the GI doctor told me- if he drinks again he would die? My mom walked out in tears. She never showed him those tears; she wanted him to have hope.

I needed to leave the ER as I had a second job I needed to go to. I know this may sound cold of me to leave him alone, at the hospital; waiting for his parents to arrive but mine was the only income. I was responsible for the mortgage, utilities, food etc. I had no choice but to go to work. I was the responsible one. I had two teenage children to care for.

I just pulled into the parking lot for my job when, my husband’s GI doctor was calling my cell phone. He said, “Kim, I know we just worked really closely on your husband’s case a few weeks ago, but his parents are telling me that you are estranged and they will be making all the medical decisions.” I explained to him that I moved out two weeks ago, however, I was still his wife, knew what my husband wanted and that I would in fact be making any and all medical decisions if my husband could not. He asked me to please come to the hospital as soon as possible. I ran inside Bed Bath and Beyond where I worked, found my manager, trying to hold back my tears I explained to her that my husband was in ICU, and I needed to go to the hospital immediately and would be unable to work my shift. I told her I would call later as I didn’t know what the week would hold for me. Running out of the store and to my car my thoughts were “Damn you Greg! I can’t believe you are doing this to us again!”

So now I’m feeling anger at him, anger at his parents, fear for what’s ahead. It’s always been a feeling like getting punched hard in the stomach when you’re not looking. On the ride to the hospital, I played it out in my head, what I would say to his parents, what I would do, how I needed to keep composure. Falling apart was not a part of the plan.

By the time I arrived at the intensive care unit, the nurses were already giving him a blood transfusion. His parents were sitting in the waiting area. I stopped briefly, and calmly told them I knew that they told the doctor that I was the estranged wife and that they would be making the medical decisions. I told them that I have lived with their son for the past nineteen years, and lived the hell of his addiction. I told them that I was still his wife, I would include them in on any medical decisions that needed to be made, however my decision would be the final one. They of course, denied ever saying that to the doctor. My thought was “let it slide, Kim- just take a deep breath and let it slide.” The reality of it all was I knew my husband was dying; I didn’t need a doctor to come out and speak those words. I knew in my heart, that my in-laws could not make the tough decisions that were ahead. And I was his wife; it was my responsibility to make those decisions.

I met with the GI doctor. Based on my husband’s blood levels, he felt he was bleeding internally, and wanted to perform an endoscopy to see if there was varicies. I signed the consent for it, because my husband was incapable of signing. The doctor also informed me that he would like to wait until the next morning to do it, however, if things got worse today he might need to do it on an emergency basis.

I needed to go home and tell my two children what was happening. They were numb to what I was telling them. You tend to feel emotionless when you’ve been thru this enough times. How many times can you hear “you need to be prepared, your father probably won’t make it thru this time.” I have always been honest with my children about their father’s disease. I knew it was so important for them to be able to trust me with this, to know I was always going to be straight forward no matter what the outcome may be. This was one of the best decisions I have ever made.

My daughter was accepting of it. She was angry but wanted to see her father. It’s been a crazy year for her. Between her father going in and out of the hospital, leaving for rehab on her birthday, in June she left for an economics leadership program, she was home for a week, she spent a week at my brothers house taking care of his animals while they were on vacation and then she left for Washington DC to volunteer at the Hugh O’Brien World Leadership Congress. She arrived back home late on July 28th. On July 29th her father was admitted to the hospital and she hadn’t seen him in weeks. She was exhausted to say the least.  Another emotional roller coaster for her.

Can you imagine going from a World Leadership Congress with 400 plus teenagers from all over the World who excel in academics, leadership and volunteerism, a place where when you walk into a room with these teenagers you can’t help but feel their enthusiasm for life, their positive spirit and feel through your entire body the energy that radiates from them to a place where death is imminent? All I can say is she is a remarkable person.

My son was angry.  He told me he was not going to see his father at the hospital. I respected his decision. My family did not understand my acceptance of his decision. You see, they didn’t live in our house; they didn’t experience the day-to-day chaos that the alcohol brought into our lives. You need to experience it to truly understand it. I was told “he will regret this the rest of his life if you don’t make him go see his father.” I knew my son. I knew he absolutely needed to feel he controlled his own decisions. I was truly fine with his decision. In a lot of ways I envied him.

It’s funny now, how really “in control” I was during this time. I guess I had been preparing myself for years. During the last week of my husband’s life, I stayed calmly in control. I listened to people’s opinion; I saw their concern, their hurt, and their tears. I was able to take it all in and feel for them, be there for them. I was able to talk to doctors rationally about their expectations, plans, and reasoning’s behind certain tests. I amazed myself. I believe so much of this was due to me making a promise to myself and my family to do everything possible to help my husband with his addiction. I knew that this day would come and I was going to need to say “you have done all you could for him, it was in his hands and Gods hands.” As this promise came into play, I shared it with my children- always using the words “we are” or “we will”. Always letting them know I would be truthful with them. In the end, they too, were able to feel “we” did all we could for him. There was no guilt attached. What a good feeling.

There are a few parts of this that remain foggy to me. This next part is one of them.

My brothers and their wives arrived at the house. I sat downstairs with them, explained to them what was happening with my husband and we all held each other and cried together.

During this time, my father was walking around on crutches. He badly needed to get his hip replaced and was in agony from the pain. My father was angry with my husband for all he put us through. He had a difficult time accepting that my husband couldn’t just stop drinking. He made a lot of excuses for not going to the hospital to see him. My mom is a very forgiving person, and while her son-in-law hurt her daughter and grandchildren, she completely understood the disease and forgave him.

I went back to the hospital. I know I said I would not do the hospital scene ever again. But the truth was, I still loved this man. I hated the alcoholic but loved the man. I realized I was finally able to separate the two. He was going downhill fast. Blood transfusions had been running throughout the day, he still had brain confusion when he was awake.

My family (minus my father) arrived shortly after. (My father did eventually come up to the hospital and then we couldn’t get him to leave).

I remember walking into my husband’s hospital room with my twin brother and standing by him. His anger now gone. His compassion, immeasurable. He walked over and kissed his friend (my husband) on the forehead. My husband opened his eyes and smiled. I remember my brother walking out of the room, tears running down his face, and I hugged him. He has felt that blinded punch in the stomach that I have lived with for so long. As I write this, I have tears running down my cheeks. It is like opening newly healed wounds

Monday July 29th:

It’s early Monday morning and there is some confusion as to whether or not the endoscopy will be done. The resident doctor comes out to speak to me. We talk about a DNR. We talk about the expected outcome, it’s grim. I am confident with my answer to the DNR. I know, without a doubt, a DNR order needs to be in place. This is something my husband and I talked about in depth.

The doctor covering for our primary care physician arrives. We sit on the couch of the waiting room in the ICU. It’s eerily quiet. We talk about the lab results, the blood transfusion, and the encephalopathy. He explains to me what to anticipate. I told him I signed a DNR order. He said it was a good decision. I remember looking him straight in the eyes, hoping for an honest answer. I asked him, “When will I know it’s time to stop everything?” He said, “You will know that it is time when the blood transfusions are being hung one after another after another. When you see that he has had three or four transfusions and nothing has improved it will be time to consider stopping all help.

At this point all we will be doing is playing games with numbers. One transfusion brings the lab levels up only to drop again and another transfusion is given to bring numbers up again. Follow your heart, you will know.”

My husband’s GI doctor arrives. He sits and talks briefly to me. He said, “I understand there is some confusion as to whether you want this test done.” His GI doctor is all business. Bedside manner could be better, but he is the best in his field. So I ask him, “Why are we doing the endoscopy if there is little chance of him pulling thru this?” He said, “Kim, you brought him to a hospital, at a hospital we do what we can to give the patient a chance. I am not saying this will help anything but if there are varicies and we can clip them so they stop bleeding, maybe it will help. If you didn’t want to take these chances then you should have gone to hospice.”

I thought he was fair with his answer. I didn’t need him babying me with words. Short and sweet and to the point. Perfect for me. I said go ahead do the test.

The endoscopy was done right inside the ICU room. I remember my parents, my twin brother, and my best friend being there. (It seems like my best friend NEVER left my side during this week). It seemed like an eternity before the doctor came out. But he came out and called me over to the side away from everyone. I remember seeing his face how pale it was for a doctor, so I listened to him and looked down at his clogged feet. He told me to prepare myself for the worst; my husband was in congestive heart failure. My husband had minimal varices. That was good right? Wrong- Instead, the doctor explained to me that my husband’s entire GI tract was oozing blood. It was described as “kinda like when you scrape your knee and it just keeps oozing and stings.”

The doctor told me he put an oxygen mask on my husband to try to help him breathe a little easier, and I should go in and be with him. I called the family over and explained to them what was explained to me. I then walked into my husband’s room totally unprepared for what I was about to see. The hospital staff had my husband propped sitting straight up; his eyes were bulging as he was gasping for air. There was blood everywhere. On his face, on his Johnny coat, on the sheets. He then began to make a God-awful noise. It was loud, so very loud. I didn’t know what to do. He was looking at me with his bulging eyes looking for me to help him. I wanted to run. I needed to get out of that room. I am a strong person but I was not prepared for this.

I can’t tell you how many times I walked quickly away to the door leading to the hallway- the hallway where I could escape and not see that image any longer. At that moment I knew what it was like to be insane. I would walk away only to tell myself I couldn’t leave him alone like that, alone and scared. I think by the fourth time I just had to leave. The nurse actually came in and told me to leave she wanted to clean him up. She did this to save me from making the decision. I remember just barely being able to walk out of his room, my energy completely drained from my body.

Everyone was standing there wanting to know how he was, I couldn’t speak. Instead I let my knees give out and I slid down the wall in a crouched position, my hands covering my eyes, and I sobbed uncontrollably. While this was happening, his moaning increased in volume and everyone in the waiting area could hear him. I didn’t need to say anything else. They all cried along with me. I would not allow anyone to go in to see him like that, I wanted him cleaned up. I knew that vision was going to haunt me the rest of my life. No need for anyone else to experience it.

It was an extremely long day of not knowing what was going to happen. My husband was not going to pull through this time. I called both of the kids and told them that I did not think their father was going to live much longer. Throughout the afternoon we all went in to say our good byes. At one point both families had encircled his bed and you could feel the love for him in the room. I remember holding his hand and telling him that it was okay to let go. I was trying to give him permission to die. We stood around and cried, and hugged one another and tried to console each other. I didn’t care who was in the room; he needed to know it was time to let go. I never thought I would actually know that he was dying. I always said he was going to die from the alcohol, I didn’t know that I would actually know when but I could feel it in every fiber of my being that my husband was going to die. I knew what I needed. I needed to turn back time and find a way to change the outcome of my husband’s addiction. That wasn’t going to happen.

Everyone was trying to support me the only way they knew how. You need to remember this was a new experience for all of us. No one planned on my husband dying at the age of 42.

During this stressful day, I took a few minutes to call my divorce attorney. I told her my husband was in the hospital and was not going to pull through this time. I needed to stop the proceedings. She didn’t really know what to say, so she told me she was there for me-anything I needed just call. When I look back at this, I wonder why I made this call from the hospital.

Later in the afternoon, my son called me. Mom I’m coming up. I’m not staying more than twenty minutes. I told him “whatever you want to do.” He was walking to the hospital. Everyone offered to give him a ride, but I know my son, walking is a kind of therapy; he can collect his thoughts and feelings. I called him back to see if he knew where to go, he didn’t so I met him at the elevators. He was so angry. But I know he came for me. We sat at the furthest waiting area, and we talked. I told him what was happening with his dad. He didn’t want to go in to see him. He told me he was leaving.

July 30th:

It’s now Tuesday morning. I arrive at the ICU room at approximately 630am

Slowly, the last day, he slipped in and out of consciousness.  When he was awake he kept asking for water. WATER

WAAAAAAAAAAAAAAAATER.

At some point on this day, the hospital social worker stopped by to see me. This is the same social worker that walked out on me when my husband was standing over me with his fist, the same social worker that told me I was speaking out of anger and would not get inpatient rehab the first time around. She came up to me and told me she was there for me and whatever I needed she would be there for me. I said thanks and walked away shaking my head laughing. Now she wants to help me? Now when there was no hope left. What help could she possibly be? I didn’t need a friend or support- I had my family.

On August 4, 2007 my husband passed away, quietly in his sleep. The death certificate read heart failure. The reality was his death was caused from alcohol dependency.

My daughter just recently graduated from high school.I am so proud of all that she has accomplished. Throughout the year after her father died, she maintained her high honor status, graduating as Valedictorian of her class. She was involved with HOBY, National Honor Society, Spanish Honor Society, United Way- to name a few. She will be leaving in August for The George Washington University.  She is looking forward to moving away and starting fresh. I can’t say I blame her. I just hope she isn’t trying to run away from memories.

My son is still struggling thru high school. He is such a smart kid, but lacks the motivation to use what he has. I see a more relaxed kid, someone who talks to me instead of yelling at me. I see him smiling a little more and every now and then I even get a semi- hug. To me this is huge. I still see a very protective teenager with his “walls up”- always ready to never let anyone hurt him again.

As for me- I struggle every single day. I have a difficult time trusting people. I don’t let people in easily. My philosophy on this is if people aren’t in your life they can’t hurt you. It’s hard to even let family members in. I don’t want them feeling sorry for me. I close my eyes and see the last week of my husband’s life. Sometimes it will be a vision of him after his endoscopy when he was in congestive heart failure, sitting straight up in his bed with an oxygen mask on his face, eyes bulging, and blood all over him AND HIS BED another time it may be him prior to his final hospital stay, bloated to the point where fluid was leaking thru his skin and running down his legs. He would take a sanitary napkin and put it inside his sock to soak up the fluid so it didn’t drench his sock. These are two memories that haunt me. This is what the other books don’t tell you. The insanity of living with an alcoholic.

It’s funny how the people around you judge you when they don’t know what’s going on in your life and then feels the need to feel sorry for you when they realize the hell you’ve been thru. I remember people I went to school with my entire life, making statements behind my back about my lack of participation in my children’s school events, sports, meetings etc. during the past year. It really hurt but in the grand scheme of things it just didn’t matter at the time. If they only knew the insanity in my life, my kids life, if they only knew I had all I could do to keep things together for the kids and myself.

I’ve learned a very important lesson thru all of this and that is not to judge people. When you think that someone is snubbing you off stop and think that maybe they have something going on in their own lives that they aren’t ready to share.” Walk away with a smile because if they are snubbing you off your smile will be an indication that it’s not really bothering you, and if they have something going on that smile may just brighten their day a little even if they don’t show it.

After my husband died, I began to hate these two simple phrases; “so how are you doing?? ” and “how are you?” The walls go immediately up. What I really want to say is “how the hell do you think I’m doing– I lost my husband, my house, my life”– but I realize that would be my anger being thrown at people who simply are just asking a question of concern. So I simply smile and say, “I’m fine”.

My life has been forever changed. But I am moving forward. I am currently enrolled in college. I am working toward obtaining a BS degree in psychology. My goal is to become a Substance Abuse and Behavioral Disorder Counselor.

What you read above, is a small section of the book I am in the process of writing. It is a slow process–mainly because it becomes too painful to write at times. But I have a goal to finish it.

I want other people to know they are not alone.

(I can be contacted at: kmtimp1@yahoo.com)

 

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Why Don't They Just Quit? What families and friends need to know about addiction and recovery." by Joe Herzanek
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PDAP: Help and HopeOur guest for Eye On Addiction Radio’s March 10th show is Trish Frye, Program Director for PDAP San Antonio. Below is an article written about the very successful model used by PDAP. As stated on PDAP’s website:

Our mission is to help teens, young adults, and their families overcome the effects of mind-changing chemicals while assisting the community through partnerships in education and prevention.  We are a 12 step, faith-based program that offers group meetings, individual and family counseling, and fun activities that focus on healthy relationships and building life skills. In addition to recovery services for substance abuse and drug addiction, we provide prevention and life skills education. We also work with students in middle schools, high schools, and alternative schools in the greater SA area to help promote prevention.

One of our core competencies is our Family Group services. The family members go through a program just like their kids. They learn from other families by listening to what works and what doesn’t work. They also get to learn from our counselors how to deal with issues that are specific or unique to their situation. The odds for success increase when the family is involved in their kid’s recovery.

Our services are FREE. We are supported by churches, businesses, foundations, United Way-SA / Bexar County, members, and individuals from the greater San Antonio area. We do not accept government funding.

 

The Alternative Peer Group:
A Recovery Model for Teens and Young Adults

~ by Crystal Morrison & Caitlin Bailey

Adolescence is an important developmental phase marked by a multitude of significant psychological, social, and physical changes. These changes can affect adolescent’s emotional and subjective well being and often cause a tremendous amount of stress. Often times, teens fall victim to peer pressure and experiment with alcohol or drugs as a way to cope with their stress. Unfortunately, many of those teens quickly develop dependencies which may have lasting effects in their growing brains. According to Joseph Califano of The National Center on Addiction and Substance Abuse, teenagers who abuse substances are much more susceptible to developing chronic substance abuse problems later in life. Thus, swift treatment of adolescent alcohol and drug abuse is of the utmost importance. However, there has been much debate about the best way to treat adolescent substance abuse and dependency.


The Alternative Peer Group (APG) model encompasses the necessary ingredients for successful treatment of adolescents struggling with substance abuse or drug addictions. This model was created in Houston, Texas about forty years ago. Alternative Peer Groups were created to address the emotional, psychological, spiritual and social needs of teens struggling with substance abuse.

The APG model integrates important peer connections with clinical practice through intervention, support, education, and parent involvement. The foundation of this model is the basic assumption that peer relationships, much like the ones that initiate and support drug and alcohol use, are necessary to facilitate recovery. The ultimate goal is to remove the teen from a negatively pressured environment and offer them a new group of friends that exert positive peer pressure and provide support for the necessary changes they need to make in order to recover.

Several key factors inherent in the APG model contribute to the recovering adolescent’s success. The first is the fun factor. While enrolled in an APG, the adolescent still gets to be a kid. They are encouraged to learn how to have as much sober fun as possible within healthy boundaries. Alternative Peer Groups strive to develop healthy decision making through fun and challenging activities. The APG incorporates a variety of weekday and weekend social activities into the recovery process so that adolescents can learn how to have fun while remaining sober. Recovery has to be as much fun if not more than using drugs in order to get adolescents “hooked”.

In this model, APG faculty and youth staff reward adolescents for sobriety, honesty, and integrity with fun, sober activities. Staff create safe, loving environments while demanding accountability and enforcing consequences. In this way, the APG environment offers a healthy balance of love and limits.

Unlike other adolescent rehabilitation models, in APGs parents are strongly encouraged to attend their own recovery meetings and help support their teen’s recovery by creating their own program of accountability. The APGs help parents normalize the events and situations they are going through while assisting them to examine any behaviors, patterns, or interactions that could possibly be exacerbating the situation. The APGs not only help change an adolescent’s behavior, but they also offer parents suggestions on how to change problem behaviors within the family in order to best support their teenager in recovery. Thus, changes in the family system help sustain the adolescent’s long-term recovery.

The Houston Alternative Peer Group community offers a variety of services that help aid an adolescent’s recovery. The APGs hold weekly twelve-step meetings for teens and their parents. Individual counseling is often provided to help teens with any specific issues they may be encountering. APGs also encompass the idea that family counseling is a critical component in an adolescent’s recovery. The APGs also provide supportive and intensive outpatient therapy. All of the Houston APGs work closely with residential treatment programs, psychiatrists, school counselors and other mental health professionals to provide the best overall treatment that a teen can get.


History of the APG Model

The APG model was created in 1971 at the Palmer Memorial Episcopal Church in Houston, Texas for a group of young people struggling with alcohol and other substance abuse problems. The model was replicated and new alternative peer group communities sprang up. Currently, there are six alternative peer groups in the greater Houston area for teens and young adults. Although each APG differs in format, location, and cost, they all follow the model’s basic principle: that peer relationships and peer support are key factors for effective adolescent and young adult recovery from substance abuse and dependence.

Following PDAP (Palmer Drug Abuse Program), Lifeway International was founded in 1985. In 2004, Lifeway created Three Oaks Academy, a sober high school that provides a safe and sober educational component for the effective intervention, recovery, and support of young people in early and ongoing recovery. As the movement grew, mental health professionals who wanted to combine the strengths of the APG model with evidence based counseling approaches created Cornerstone Recovery in 1999. In 2002, Teen and Family Services collaborated with Chapelwood United Methodist Church famous for their recovery services known as Mercy Street, to offer alternative peer group services to West Houston and The Villages. To fill the need for continuing care, APG, Inc. began serving young adults ages 18 to 26 in 2007. These communities paved the way for Hope for Today to emerge in 2010, the newest APG in Katy, Texas.

Together, these six APG groups provide the foundation for a network of recovery services for adolescents and young adults in the greater Houston area such as Archway Academy. Established in 2003 and located in the Palmer Memorial Episcopal Church, Archway Academy is an official Recovery High School and member of the National Association of Recovery Schools. In addition, the APG and recovery school network collaborates closely with other community agencies like The Council on Alcohol and Drugs Houston that provide assessments for adolescents and venue space for symposiums and Sober Prom (SPROM). On January 28, 2011, The Council hosted the Teens and High Risk Symposium with keynote speaker Joseph Califano, the Founder and Chairman of The National Center on Addiction and Substance Abuse (CASA) at Columbia University.

The first of an annual symposium series showcased Houston’s sober schools and APG community.

Data Supporting Alternative Peer Groups

Dr. Scott Basinger of Baylor College of Medicine has been studying the outcomes of alternative peer groups and recently presented his data at the Teens and High Risk Symposium. He compared the national rates of teen relapse to the rates of teens enrolled in local APGs. The national relapse rate for teens in recovery is between 50-90% (Basinger & Edens, in press). In Houston, for those adolescents participating in APGs between January 2007 and 2010, the relapse rates were between 8%-11% (Basinger & Edens, in press). Overall, since APGs have been in existence, they have a recovery rate greater than 85% versus a nationwide recovery rate of around 30% (Basinger & Edens, in press).

Addiction professionals are aware that one of the toughest populations to treat is adolescent substance abusers. While the initial studies yield positive numbers, finding the right APG and achieving success may take time as well as trial and error. Additionally, this model may not be appropriate for all levels of abuse such as experimentation. However, for those teens who are surrounded by using peers, the Alternative Peer Group model offers recovering teens and young adults an excellent chance at a successful recovery. The APG model surrounds the young person with sober support and accountability in a socially reinforcing environment that allows for skills acquisition and resiliency training. In the words of one APG client, “It’s so much fun!”

 

READ MORE ABOUT PDAP:
PDAP: “An Instant Army, of Love and Support”

Powerless to Prevent:
Trish Frye, Program Director of Palmer Drug Abuse Program, spoke at the funeral of “Brittany” on February 11, 2012.

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Palmer Drug Abuse Program (PDAP), “An instant army of love and support” 

~ Written by grateful San Antonio PDAP Parents

 

In February 2007, we found out our youngest daughter, age 17, was a meth addict. This was of course a complete shock. We cashed in college funds and sent her to a treatment center, thinking that they would fix her. In May 2007, we heard about Palmer Drug Abuse Program of San Antonio (PDAP). We visited and sat in on the meeting of 50 or so parents sitting in a circle talking about boundaries and codependency and enabling, and of all things, the 12 Steps and powerlessness. We both thought it was about the craziest thing we had ever experienced. Surely, we did not need this place since there was nothing wrong with us. Why in the world would someone other than an addict or alcoholic need to work the 12 Steps?


Shortly after this, we found out an older daughter (age 26) was a prescription pill addict. Then, in May 2008, as the youngest daughter was supposedly completing after-care in Oregon, we visited her. She was most certainly not fixed. She was a complete mess and about to be expelled from the program. The older daughter was gradually getting worse and worse, despite stays at treatment centers. We suddenly felt completely powerless over both daughters. Instead of being the usual super-parent rescuers, we felt completely overwhelmed and useless.

We literally flew back to PDAP. We determined quickly that we needed desperately all four critical services that PDAP provides for free: weekly meetings (and social activities) for parents, addicts and siblings of addicts; counseling from experienced and trained counselors; weekly educational workshops; and working the 12 Steps with a sponsor.

We went to hundreds of meetings and got thousands of hugs, attended dozens of counseling sessions and educational workshops, and worked the 12 Steps and helped others work those life-changing Steps over the next 3-1/2 years. We learned how to take care of ourselves and how to use tough love and boundaries with our chemically dependent children. We learned we did not cause their disease, could not cure it and most of all we could not control it. We learned that we forget to love because we are busy trying to control and fix problems that we cannot fix. We learned to let go and let God. We learned that the more we let go, the better they get. We learned that all chemically dependent people have at least one enabler. We learned that choosing not to enable is actually an expression of selfless love.  We learned there are multitudes of families suffering from the effects of this horrible brain disease. We learned that addicts do not want to hurt their loved ones—but drugs eat addicts’ souls.  We learned that chemical dependency is an insidious and powerful disease of the brain and not a moral failing.

We were growing as parents, as Christians, and as spouses–while one daughter had lots of ups and downs and the other continued her gradual downward spiral. Finally in mid 2011, the younger daughter, with some tough love encouragement, tried PDAP. The effect was immediate and gradually we saw the daughter we once knew before drugs re-emerge. It was a complete transformation ultimately. By early 2012, she had a full-time job and was preparing to move into her own apartment, and there was no sign of the past five years of struggle. She loved her Thursday counseling sessions and meeting. She realized how much God had been involved in her life despite her brain being hijacked away from God for so long.


Meanwhile, things were declining for the older daughter, and in February 2012, the phone call that every parent of a chemically dependent child fears above all else, came. Our daughter had passed away from an overdose of prescription pain killers—one of 29,000 Americans who will die from prescription pill overdoses this year.

The first four people to come to the hospital were from PDAP: the executive director, program director, parent counselor and one of our dearest parent group friends. This PDAP friend and we had always joked that PDAP was like a second church. The response to our tragedy from PDAP went far beyond anything we could have ever imagined from a church. Visits filled with tears and hugs, food for 10 days, assistance driving to make arrangements, and on and on. It was an instant army of love and support. Never have we experienced anything like it. The stress on parents of chemically dependent children is immense. We feel strongly that we may not have made it ourselves over the last five years without PDAP. We certainly know that we are much better able to handle the grief of losing our child due to the support of PDAP.

PDAP has been one of the greatest gifts from God that we have ever experienced. PDAP has been caring, compassionate and competent in leading us through this incredible wilderness experience. Despite our tragic loss, we feel strongly that the truth, the real truth, is that hope and healing . . . recovery and redemption . . . are real for those who will seek help from wonderful programs like PDAP.

~ Grateful San Antonio PDAP Parents

 

READ MORE ABOUT PDAP:

Powerless to Prevent:
Trish Frye, Program Director of Palmer Drug Abuse Program, spoke at the funeral of “Brittany” on February 11, 2012.

 

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JoeHerzanek
Not long ago we posted this question on an Al-Anon blog site.
We’re re-posting it here along with some of the responses we received and our response.
Feel free to express your own 2$ worth!

Gambling vs. Drug Addiction?
This topic/comment/question was posed to me by someone who is in the midst of experiencing firsthand, the devastation caused by Meth–on a mother, her child and the surrounding family. I asked her if we could post this topic to see what others have to say.

Thoughts please. . . What is your opinion?

I work at a Casino, in the Spa, doing massage therapy. We had a mandatory meeting about “responsible gambling” and how we are supposed to handle the topic with our clients. The speaker posed this question–True or false, it is easier to spot a drug addict/alcoholic addiction then a person with a gambling addiction.

Answer? she said “true.” I said “not true.” She asked me why. I said, “because addiction, any addiction follows the same path, runs the same course, AA, NA, GA, SA, EA,–they all have the same program for the simple reason” the signs are the same. You see the signs, you know what you are looking at–addiction.

Was my answer wrong? She said I was wrong, and she also said a gambling addiction is financially more devastating, because it is all about money. Well, depends on what you see as financially devastating–the loss of money, or the loss of your life little by little. . . ?

Reply by Selena:
“I know first-hand that addiction is addiction. It is deadly however you look at it. Some forms may be financially more deadly, while others may mean that you give away your *self*. I sure did. Now that I am aware of what addiction looks like, I can spot it wherever I go, not because I’m some great detective, but because that was my life once.

And I’m talking from my own experience with sugar addiction and co-dependence here. Whenever I’d get one part of my addiction in check, it would pop up in another area of my life until I discovered recovery.

Great topic!”

Reply by Jen:
“I have to agree. Addiction is addiction. It doesn’t matter what the drug. Be it money, meth, alcohol, food, or entanglement in the lives of others. It is all equally devastating, though that devastation can come in many forms.”

Reply by Sharon H:
Hi Judy, the answer to this question lies in understanding what “addiction” is.

“Addiction is a spiritual problem – and specifically, it is a WORSHIP DISORDER. And this disorder manifests itself through various behavior patterns, viz (Rom 7:15) “I do not understand what I do; for I don’t do what I would like to do, but instead I do what I hate.”

This disorder ( addiction) occurs when people displace the Living God from the center of their inward being and outward life. So that there exists a gaping void in their life that needs to be filled. And addictions are the means of filling the void.

Based on this definition, anything that becomes more important to us than God, and anything that controls our life other than the Living God, is classed as an addiction – and is a form of “idolatry”. Everything, other than the Living God, must be had/done in moderation and small doses.

We must therefore always be looking at our own lives to ensure that we are not being controlled by a substance (cigarettes, food, caffeine,sugar,etc ), another person ( husband, boss,children, friends, parents, in-laws, pets ), or activities (cell phone, Internet, gym, gambling, gossiping, career, sex, TV, sleep,shopping, money,dieting,etc)”

Reply by Joe Herzanek:
Hi Sharon,
Thanks for commenting. I agree with much of what you have said about the spiritual part of addiction, especially the verse from Romans. At the same time I feel there are several more components to alcohol and drug addiction. I can’t lump these in with many of the other things on your list. Cigarettes, caffeine, in-laws, pets, and going to the gym are in a different league than methamphetamine, alcohol and opiate pain meds etc.

These have a clinically proven effect on the brain and central nervous system. They cause brain damage. Once the brain and central nervous system have been conditioned or “trained” to expect these substances they will revolt when they no longer get them.

Many people begin using these as an experiment and to “have fun.” The biological dependency develops slowly and insidiously over time. No one sets out to become an addict. Some begin using as a coping skill to deal with a current, past or ongoing traumatic event.

Complete abstinence, quitting, becomes complicated.

Society has begun to call many things “addictions” that I would not. Some of these are just compulsive behaviors that are much less difficult to take care of.

The journey becomes a process that has parts to it. The spiritual part is a big one but it’s not the only one. As a follower of Christ myself I have seen some of my brothers and sisters in the Lord try to just label this as another sin and people just need to stop sinning. I wish it were that simple.

Grace and peace, Joe

* Have you “tried everything?” To learn about phone counseling for family members with Joe Herzanek (in person or by phone) click here.

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Gambling, Drug Addiction, Gambling vs. Drug, Gambling vs. Drug Addiction

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Vicodin Abuse and Dangerous New Painkiller Worries Experts

Zogenix Headquarters

Zogenix headquarters, San Deigo, CA where work is underway to formulate a purer, more powerful version of the USA's second most-abused medicine, hydrocodone. Experts fear this new painkiller could trigger a brand new round of abuse. /Lenny Ignelz/Associated Press

There are a few medications available today that help some people with the initial quitting phase. However, I strongly advise anyone in recovery to consult with a trusted doctor before taking anything.

The following article addresses Vicodin Abuse and a dangerous new painkiller—a pure, more powerful version of the nation’s second most-abused medicine. 

One of the more difficult groups of substances for an addict to stop using is pain medication—mainly, the opiate drugs like Vicodin, Percocet, heroin, and OxyContin.
~Joe Herzanek

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By Chris Hawley/Associated Press

NEW YORK — Drug companies are working to develop a pure, more powerful version of the nation’s second most-abused medicine, which has addiction experts worried that it could spur a new wave of abuse.

The new pills contain the highly addictive painkiller hydrocodone, packing up to 10 times the amount of the drug as existing medications such as Vicodin. Four companies have begun patient testing, and one of them — Zogenix of San Diego — plans to apply early next year to begin marketing its product, Zohydro.


If approved, it would mark the first time patients could legally buy pure hydrocodone. Existing products combine the drug with nonaddictive painkillers such as acetaminophen.

Critics say they are especially worried about Zohydro, a timed-release drug meant for managing moderate to severe pain, because abusers could crush it to release an intense, immediate high.

“I have a big concern that this could be the next OxyContin,” said April Rovero, president of the National Coalition Against Prescription Drug Abuse. “We just don’t need this on the market.”

OxyContin, introduced in 1995 by Purdue Pharma of Stamford, Conn., was designed to manage pain with a formula that dribbled one dose of oxycodone over many hours.

Abusers quickly discovered they could defeat the timed-release feature by crushing the pills. Purdue Pharma changed the formula to make OxyContin more tamper-resistant, but addicts have moved onto generic oxycodone and other drugs that do not have a timed-release feature.

Oxycodone is now the most-abused medicine in the United States, with hydrocodone second, according to the Drug Enforcement Administration’s annual count of drug seizures sent to police drug labs for analysis.

The latest drug tests come as more pharmaceutical companies are getting into the $10 billion-a-year legal market for powerful — and addictive — opiate narcotics.

“It’s like the wild west,” said Peter Jackson, co-founder of Advocates for the Reform of Prescription Opioids. “The whole supply-side system is set up to perpetuate this massive unloading of opioid narcotics on the American public.”

The pharmaceutical firms say the new hydrocodone drugs give doctors another tool to try on patients in legitimate pain, part of a constant search for better painkillers to treat the aging U.S. population.

“Sometimes you circulate a patient between various opioids, and some may have a better effect than others,” said Karsten Lindhardt, chief executive of Denmark-based Egalet, which is testing its own pure hydrocodone product.

The companies say a pure hydrocodone pill would avoid liver problems linked to high doses of acetaminophen, an ingredient in products like Vicodin. They also say patients will be more closely supervised because, by law, they will have to return to their doctors each time they need more pills. Prescriptions for the weaker, hydrocodone-acetaminophen products now on the market can be refilled up to five times.


Zogenix has completed three rounds of patient testing, and last week it announced it had held a final meeting with Food and Drug Administration officials to talk about its upcoming drug application. It plans to file the application in early 2012 and have Zohydro on the market by early 2013.

Purdue Pharma and Cephalon, a Frazer, Pa.-based unit of Israel-based Teva Pharmaceuticals, are conducting late-stage trials of their own hydrocodone drugs, according to documents filed with federal regulators. In May, Purdue Pharma received a patent applying extended-release technology to hydrocodone. Neither company would comment on its plans.

Meanwhile, Egalet has finished the most preliminary stages of testing aimed at determining the basic safety of a drug. The firm could have a product on the market as early as 2015 but wants to see how the other companies fare with the FDA before deciding whether to move forward, Lindhardt said.

Critics say they are troubled because of the dark side that has accompanied the boom in sales of narcotic painkillers: Murders, pharmacy robberies and millions of dollars lost by hospitals that must treat overdose victims.

Thousands of legitimate pain patients are becoming addicted to powerful prescription painkillers, they say, in addition to the thousands more who abuse the drugs.

Prescription painkillers led to the deaths of almost 15,000 people in 2008, more than triple the 4,000 deaths in 1999, the Centers for Disease Control and Prevention reported last month.

Emergency room visits related to hydrocodone abuse have shot from 19,221 in 2000 to 86,258 in 2009, according to data compiled by the Drug Enforcement Administration. In Florida alone, hydrocodone caused 910 deaths and contributed to 1,803 others between 2003 and 2007.

Hydrocodone belongs to family of drugs known as opiates or opioids because they are chemically similar to opium. They include morphine, heroin, oxycodone, codeine, methadone and hydromorphone.

Opiates block pain but also unleash intense feelings of well-being and can create physical dependence. The withdrawal symptoms are also intense, with users complaining of cramps, diarrhea, muddled thinking, nausea and vomiting.

After a while, opiates stop working, forcing users to take stronger doses or to try slightly different chemicals.

“You’ve got a person on your product for life, and a doctor’s got a patient who’s never going to miss an appointment, because if they did and they didn’t get their prescription, they would feel very sick,” said Andrew Kolodny, president of Physicians for Responsible Opioid Prescribing. “It’s a terrific business model, and that’s what these companies want to get in on.”

Under pressure from the government, Purdue Pharma last year debuted a new OxyContin pill formula that “squishes” instead of crumbling when someone tries to crush it.

But Zogenix, whose drug is time-released but crushable, says there is not enough evidence to show that such tamper-resistant reformulations thwart abuse.

“Provided sufficient effort, all formulations currently available can be overcome,” Zogenix said in a written response to questions by The Associated Press.

At a conference for investors New York on Nov. 29, Zogenix chief executive Roger Hawley said the FDA was not pressuring Zogenix to put an abuse deterrent in Zohydro.

“We would certainly consider later launching an abuse-deterrent form, but right now we believe the priority of safer hydrocodone — that is, without acetaminophen — is a key priority for the FDA,” Hawley said.

FDA spokeswoman Erica Jefferson said the agency would not comment on its discussions with drug companies, citing the need to protect trade secrets.

Drug control advocates say they’re worried the U.S. government is too lax about controlling addictive pain medications. The United States consumes 99 percent of the world’s hydrocodone and 83 percent of its oxycodone, according to a 2008 study by the International Narcotics Control Board.

One 41-year-old loophole in particular has fed the current problem with hydrocodone abuse, critics say. The federal Controlled Substances Act, passed in 1970, puts fewer controls on combination pills containing hydrocodone and another painkiller than it does on the equivalent oxycodone products.


A Vicodin prescription can be refilled five times, for example, while a Percocet prescription can only be filled once.

The Drug Enforcement Administration and Food and Drug Administration have been studying whether to close this loophole since 1999 but have made no decision. Congress is now considering a bill that would force the agencies to tighten the controls.

“This is a problem that is fundamentally an oversupply problem,” said Jackson, the drug-control advocate. “The FDA has kind of opened the floodgates, and they refuse to recognize the mistakes made in the past.”

Pure hydrocodone falls into the stricter drug-control category than hydrocodone-acetaminophen medications, meaning patients would have to go to their doctors for a new prescription each time they needed more pills. But Jackson said that’s no guarantee against abuse, noting that dozens of unscrupulous doctors have been caught churning out prescriptions in so-called “pill mills.”

The Drug Enforcement Administration, which enforces controls on medicines along with the FDA, said it could not comment on drugs that have not yet been approved for sale.

However, Zogenix has acknowledged the abuse issue could become a liability.

“Illicit use and abuse of hydrocodone is well documented,” it said in a filing with the Securities and Exchange Commission in September. “Thus, the regulatory approval process and the marketing of Zohydro may generate public controversy that may adversely affect regulatory approval and market acceptance of Zohydro.”

Return from Vicodin Abuse and Dangerous New Painkiller Worries Experts to Drug Addiction Help Now Home

RELATED ARTICLES:

Pain Meds Cause More Pain! The new silent epidemic

Opiate Pain Meds: Avoiding Opiate Prescription Drug Addiction in Recovery

Chronic Pain Management & Pain Pill Addiction: What to do?

Read more about this topic—chapter 27, Why Don’t They JUST QUIT?

Effects of Addiction


 

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Vicodin Abuse,  New Painkiller, Painkiller addiction

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Joe Herzanek, Author, Addiction Counselor and Interventionist

Joe Herzanek, Author, Addiction Counselor and Interventionist

Chronic Pain Management & Pain Pill Addiction

Q. What do you do with someone who is addicted to pain pills but can’t come completely off because of continual pain?

Joe,

I have read your book “Why Don’t They Just Quit?“ and also gave it to my sister to read.  She has a daughter who has a pain pill addiction.  The problem is–she can’t just quit because the reason she was put on pain pills in the first place was because she has an incurable back problem.

I don’t remember your addressing this in your book, but what do you do with someone who has a pain pill addiction but can’t come completely off because of continual pain?

~ Betty F. (Tampa, FL)

A. Dear Betty,

This is a difficult dilemma. If your sister’s daughter has genuine, documentable chronic pain (by that I mean a physician has done a thorough exam and can point right to the problem) then this can be a huge challenge.

There is a lot I don’t know from your short email such as her age, type of injury, how long it has persisted and so on.

If she were my daughter I would want to personally go with her to a Dr. appointment and hear the prognosis first-hand. And I am not talking about going to a pain management clinic–but to the physician who is medically treating her injury.

The downside to using opiate pain meds (pain pills) for pain is that the person can/will build a high tolerance to them (if used over many months or years) and even if the original issue that caused the pain were to heal, the patient won’t be able to tell–because their central nervous system now expects opiates to come in on a regular basis. If this doesn’t happen, the body will “revolt”–go into withdrawal.

Your email stated “she has an incurable back problem.” I don’t know what that may mean, how severe the pain is, what has or has not been tried. I’m not a medical doctor. I do know trying lots of other options with the hope of finding a better solution than opiates is worth the effort.

There are often, other options for chronic pain management. Neuromuscular stimulators, stretching, exercise, chiropractic adjustments, over the counter medications, acupuncture, as well as surgery are some treatments for chronic pain. Some physicians use placebos, which in some cases have resulted in a lessening or elimination of pain. Psychotherapy, relaxation and medication therapies, biofeedback, and behavior modification may also be employed to treat chronic pain.

These options require work and a willingness on the daughter’s part to maybe go through a little more pain to find an alternative.

Keep in mind that all the while–she knows in the back of her head, that she can just take another pill or two and get instant relief. This can be a real mental tug-of-war.

Perhaps the best advice is to take the time to find a doctor that truly understands addiction, chronic pain management, pain med abuse along with the psychological mind game that a patient will struggle with.

I can advise you of several resources for advice or suggestions that you may find helpful—depending on your location.

Best regards,

~Joe

 

RELATED:
Pain Meds Cause More Pain! The new silent epidemic.
Read more about this topic—chapter 27, Why Don’t They JUST QUIT?

RETURN:
Return from Chronic Pain Management & Pain Pill Addiction to Drug Addiction Help Now Home

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Chronic Pain Management, Pain Pill Addiction, Chronic Pain Management, Pain Pill Addiction, Chronic Pain Management, Pain Pill Addiction,

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Al-Anon, Nar-Anon and AA Abbreviations

Al-Anon, Nar-Anon and AA Abbreviations
for Chat Rooms, Groups and Bulletin Boards

 

People who attend Al-Anon, Nar-Anon and AA often use abbreviations to simplify their conversations and to make typing quicker and easier when they are posting online. Have you found yourself trying to read some of these posts and thought you were reading a foreign language or secret code? You are not alone!

This post will make things a little easier. We have listed some abbreviations and terms that are specific to recovery chat rooms/boards:

A or The A: the alcoholic in my life

AA: Alcoholics Anonymous

ABF or AGF: alcoholic boy friend or girlfriend

AFG: Al-Anon Family Groups

AH or AW: alcoholic husband or wife

Active A: an alcoholic who is still drinking alcohol

Big Book: refers to the Big Book of Alcoholics Anonymous

CAL: Conference Approved Literature, writings that have been approved by the WSO

C2C or CTC: courage to change

CLOSED MEETING: a meeting of AA or Al-Anon that is only to be attended by members who qualify for either AA or Al-anon

CROSSTALK: During an Al-anon meeting cross talking is speaking when
someone else has the floor and is sharing.  It is also cross talking
when, after another member shares, someone shares and comments directly
about what the other person’s share was about and directs it to that
person.  Both of these things are generally discouraged at Al-anon meetings
because it disrupts the meeting, takes away the anonymity of the
person’s share and can also become “advice giving” which is also discouraged
in Al-anon.

DRY DRUNK: refers to an alcoholic who is no longer drinking alcohol but who is still exhibiting a lot of the negative behaviors associated with the drinking

ESH: experience, strength and hope

FTF or F2F: a Face-to-Face meeting; real world meetings

HALT: Hungry, Angry, Lonely, Tired

JADE: Justify, Argue, Defend, Explain

MIP: Miracles in Progress

ODAAT: one day at a time

OPEN MEETING: a meeting of AA or Al-Anon that may be attended by anyone who is interested.

Q-tip: Quit taking it personally

TYFS OR TFS: Thank you for sharing

WSO: World Service Organization Al-Anons headquarters

If someone puts your nickname in parenthesis (((((nickname))))) that means they are giving you a cyber hug!

 

RELATED:

Raising the bottom ~by Joe Herzanek

A recovering addict’s taste of tough love! (for the loved ones of the addict)

To read 413 more common abbreviations

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Al-Anon Abbreviations, Nar-Anon Abbreviations, AA Abbreviations

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