Relapse

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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?

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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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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

Sign up for our Free Changing Lives E-Newsletter!

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Charlie Vaughn

Charlie Vaughn

 

 

 

 

 

A Memory of my Relapses

I was drinking REAL heavy and a friend of mine took me to “Dry out” in a Detox. I had never been to a detox ever and wondered about where he was taking me..  We pulled up in front of this old school house, and I thought oh boy.

When we went inside in the gym were cots set up everywhere.  Turned and looked at him and said “I can’t go here” when asked why not, I said all these people are street drunks.  Is this ego or what, he looked at me and said “what do you think you are”  I stayed 5 days got out and drank the same day..

Another time this same friend took me to the psych ward and told me this is where I belonged because I was pure nuts.  He told me the next step would probably be jail.  I told him I have never been locked up before, he said ” you are now can you just walk thru the locked door.

I needed both of these to be where I am today.. If I had gone to a detox or treatment where they make your bed and place a mint on my pillow each morning, I would not have what I now think of as fond memories…  Thank you all for allowing me to share just two of my many relapses.  Some people get the message the first try, I admire them, but I understand the poor SOB like me that keeps picking themselves up…SOBRIETY REALLY IS A HOOT….

 

Daily Prayers

I was talking with my Sponsor about prayers to God. I pray to God in the morning for direction in my day.

Then I pray to God in the evening, thanking him for keeping me sober each day. That is all I do each day on Prayer.

I have also noticed that I also only pray when something seems to be not going the way I want them to.  As of yesterday, I will be praying more during the day, starting with the poor Alcoholic that is still suffering, and I will pray for God’s guidance through out the day, not just in the morning.

God and Prayer is my mainstay in Sobriety; I cannot afford to let down of the spiritual part in my life.

Just my thoughts for this morning.  I owe so much to God, Alcoholics Anonymous, great sponsorship, and people just like you…

Thank you all for being my friends in recovery. I love you all.  Sobriety is still a Hoot for me…

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Mom showing empathy for her addicted sonThe Importance of Empathy

This short article explains one of the most important (and one of our favorite) concepts. Dr. James Fay (Parenting Teens With Love and Logic) illustrates the simple approach–of showing empathy while remaining strong.

 

 

 

EMPATHY!

Consequences delivered with empathy
create responsibility.
Consequences delivered without empathy
create resentment.

So we have a choice: Will we raise responsible kids…or resentful ones?

Will we end up in a nice nursing home or a nasty one?

Understanding why empathy is the most important skill is simple. Empathy preserves the relationship and makes it very hard for our kids to blame us for their poor decisions.

Really using sincere empathy…on a consistent basis…is the hard part!

We’ve spent over two decades studying people who’ve been successful with this. What do they have in common? They use just one empathetic statement…regardless of what consequence they must provide.

That’s right. They keep it simple!

They also pick one that fits their personality and culture. Some folks always precede consequences with, “That is so sad.” Others prefer, “Oh, man…”

Some parents say, “What a bummer.” Others prefer, “Bless your heart.”

Tape this note on your bathroom mirror as a reminder.

Thanks for reading!
Dr. Charles Fay
Originally Published 7/15/09

Dr. Charles Fay©2009 Jim Fay, Charles Fay, Ph.D., and Love and Logic® Institute. All copyright infringement laws apply. Permission granted for photocopy reproduction and forwarding. Please do not alter or modify contents. For more information, call the Love and Logic® Institute, Inc. at (800) 338-4065 or www.loveandlogic.com


RELATED:
Why Do Alcoholics Drink?
~by Toby Rice Drews

The Critical Role of Al-Anon in Family Addiction Recovery ~by Joe Herzanek

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

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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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> Audio Book CD, MP3 (NEW!)

> Kindle

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

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April 20, 2011 by jherzanek | No comments

Daily Prayers

I was talking with my Sponsor about prayers to God.. I pray to God in the morning for direction in my day.

Then I pray to God in the evening, thanking him for keeping me sober each day. That is all I do each day on Prayer.

I have also noticed that I also only pray when something seems to be not going the way I want them to.  As of yesterday, I will be praying more during the day, starting with the poor Alcoholic that is still suffering, and I will pray for God’s guidance through out the day, not just in the morning.

God and Prayer is my mainstay in Sobriety; I cannot afford to let down of the spiritual part in my life.

Just my thoughts for this morning.  I owe so much to God, Alcoholics Anonymous, great sponsorship, and people just like you…

Thank you all for being my friends in recovery. I love you all..  Sobriety is still a Hoot for me…

Memories of past relapses

I was thinking about some of my many attempts to get sober, and when I just didn’t quite get it.  I can remember going to get that first bottle, going into the liquor store, looking around, as I was sure the AA Police were following me.  Buying the bottle still looking around like I might be robbing the place.  My hand shaking as instead of a normal person I placed the bottle in my pants, and sneaked out the door, still looking.   I guess I thought I was that important that people would follow me to a liquor store.

I have been blessed as God has lifted my desire to drink and I do not have to live that way today.  In my life Sobriety is a Hoot, that I won’t give up for anything.  Just my thoughts for today.

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William D. "Silky" Silkworth, MD

William D. “Silky” Silkworth, MD

Cause of Relapse: “Slips and Human Nature”

This is the best description of the cause of relapse we have ever read.The following was published in the A.A. Grapevine, January 1947. Dr. Silkworth contributed the two letters included in “The Doctor’s Opinion” in the Big Book.

SLIPS AND HUMAN NATURE

By William D.”Silky” Silkworth, M.D.

The mystery of slips is not so deep as it may appear. While it does seem odd that an alcoholic, who has restored himself to a dignified place among his fellowmen and continues dry for years, should suddenly throw all his happiness overboard and find himself again in mortal peril of drowning in liquor, often the reason is simple.

People are inclined to say, “There is something peculiar about alcoholics. They seem to be well, yet at any moment they may turn back to their old ways. You can never be sure.”

This is largely twaddle. The alcoholic is a sick person. Under the technique of Alcoholics Anonymous he gets well—that is to say, his disease is arrested. There is nothing unpredictable about him any more than there is anything weird about a person who has arrested diabetes.

Continue reading: Cause of Relapse: “Slips and Human Nature”

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

RELATED:
Does Relapse Mean Failure?

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January 22, 2011 by jherzanek | No comments

 

Is an addict ever cured?IS AN ADDICT EVER CURED?
~ by Joe Herzanek

In today’s world in which more and more information is readily available, there seems to be more and more confusion regarding the topic of an “Addiction Cure.” Is there a cure for addiction? Some people would argue quite convincingly that there is.

I will point out that “even quitting use completely, for many years—does not mean that someone is cured.

You’ll probably read or hear information on this topic with various points of view. The concept of an addict who has been clean for years and years—not being cured—is a tough one to comprehend.

I recently received this letter (below) from a reader who presents his point of view. Please read it and then read my response to him. I believe you may hear and learn to discern some of the more subtle differences and truths regarding this baffling disease of addiction.
READ MORE: “Is an addict ever cured?”


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

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Addiction Cure Addiction Cure Hoax Cure for Addiction

January 18, 2011 by jherzanek | 2 comments

 

Detachment in the Real World and The Monastery

St. Benedict

St. Benedict

Below is part of a newsletter that I receive weekly from a monk at a Monastery in New Mexico. The name of the monastery is, “Christ in the Desert.” I make an annual retreat there every year.

It’s very secluded—at the end of a thirteen mile dirt road. It was built in the 60′s by George Nakashima, famous Japanese-American woodworker and architect. The Monastery is “off the grid” and the adobe construction blends perfectly with the cactus and the high canyon walls that surround it. Cloistered together there are about twenty-five monks and rooms for another ten or so guests.

 

Abbot Philip’s message this week addresses the challenge of dealing with difficult people in our lives—people we cannot trust. Below is a portion of that newsletter. I think his words help us (family members) know how to best deal with someone in our lives who has shown (often over weeks, months and even years) that they cannot be trusted. I guess that even among the monks “every day is not a hot fudge sundae.”
~ Joe

THE PRACTICALITY OF CUTTING SOMEONE OUT OF ONE’S LIFE (AT LEAST FOR A TIME).
~ Excerpt from Abbot Philip’s newsletter

“. . . In the long-run, whatever we do—presuming that we allow such a person to remain in our lives—is going to require huge amounts of energy from us, so we must be prepared for that, if we choose to continue to relate to the person. READ MORE . . . (and to see photos of Christ in the Desert Monastery)

To read more on the subject of detachment, read Joe’s very popular article “Detachment. How Can I?

 

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Detachment Monastery Detachment Tough Love Detachment Monastery Detachment Tough Love

 

 

 

January 15, 2011 by jherzanek | No comments

 

Detachment. How Can I?
by Joe Herzanek

When life becomes one crisis after another, when emotional pain and endless drama become “the norm” what am I supposed to do? Over the past few decades I’ve received this question a lot. Recently it has become the #1 question. Why is that? What do I suggest to families who have arrived at this place? How about this: My suggestion is to do NOTHING! Stop “doing.” Quit “doing.” No longer “DO” anything.

Let’s talk about letting go and what that looks like (sometimes referred to as detachment). So there—I’ve said it; The “D” word, The Ultimatum, The Nuclear Option.

When to use it
Let’s start with “when to use it.” Detachment is usually the last resort—although it doesn’t have to be. This is most effective in the life of an “adult” loved-one who has demonstrated that they no longer have any ability to control or stop substance use on their own.

This person has a boatload of extremely negative consequences piling up all around them, but they continue to drink and/or drug. Often this pattern has gone on for years and gets progressively worse. Perhaps there were a few “okay” periods of time, but they didn’t last.

Sooner or later everyone sits down to a banquet of consequences.
~Robert Louis Stevenson

This person may or may not have a job (approximately 77% of all substance dependent men and women get up and go to work most days). They may function well enough on the job to be able to keep it. Many will even point to this fact as proof that they are not addicted. In reality most perform poorly on the job, miss work, and generally have a negative attitude about almost everything. This in turn, leads to “pour me another drink.”

Others move from job to job and eventually become unemployable. Some will tend to isolate and spend most or all of their time with their first love, AOD (alcohol and other drugs).

Family life, parenting, being the father, mother, spouse or sibling they once were is no longer a priority. In fact, it’s probably not on the radar screen at all. Borrowing money, promising to quit, burning bridges, causing heartache to anyone who comes close to them is the “new norm.”  When small children become part of this picture it gets more ugly. This is not sad; this is pathetic. If not now—when? When do the family members say, “We’ve had enough?”

This, dear reader, is the time to detach. This is the time to “do nothing.”

I also like to remind people of  “The Three C’s of Al-Anon” which are: “you didn’t cause it, you can’t cure it, and you can’t control it.”  What you can do is help the person to “want to” quit. If the “want to” is there, anyone can have recovery.

What does detachment look like? How do I do it?
Before I explain how it works, I need to add one caveat. I was recently in San Antonio conducting a workshop for The Palmer Drug Abuse Program (PDAP). The Program Director of this wonderful facility, a woman named Trish, reminded me of something important I sometimes tend to overlook. She said the family needs to be totally prepared for this step (intellectually and emotionally) and that for this to be effective, all family members need to be “on board.” Having emotional support and guidance regarding the necessity for such action, what to expect and being prepared is critical to the success of this step. This is not going to be a “walk in the park” and having good support is crucial.

So, how does one begin to do this? My first suggestion is to get a pen and paper and write out a plan (there is much more about this in my “Ten Toughest Questions” DVD and the link provided at the end of this article**).

Everyone’s situation will be unique, and obviously I can’t tackle each one here. Having said that, I suggest, at a minimum, that you jot down some bullet points you want to cover when you share your concerns with your loved-one. Even writing out what you want to say, word for word, is perfectly fine. Anticipate what the person will say or object to beforehand. Keep in mind that detachment is rarely forever. In fact, when you confront the person you have decided to detach from, put a timeframe on it (let them know how long it’ll be till you are willing to regain communication). Once you have reached this point, you need to remember that it’s too late for another broken promise or a few days of abstinence to mean anything.

So, here we go. You’ve prepared—both mentally, and you have a plan on paper–and you are ready to have a firm, but loving discussion with this person. A time to confront/talk with the person has been set and agreed to. You’ve asked this person to let you share your concerns and you simply read what you want to say or speak to them based on your written bullet points.

My suggestion is to determine a minimum period of total abstinence you are requiring from your addict or alcoholic—before you are willing talk to or see them again (thirty or sixty days should be the minimum). Begin by emphasizing to them that you love them very much and that it breaks your heart to see them continue with their substance abuse. Let them know that you (and all family members involved) have made this decision. You can list possible living options for them on their copy of your letter. Tell he or she–that they must decide which relationship is the most important—the one they currently have with their alcohol or drug use, or their own family. You must make it crystal clear that they have to choose–because they can’t have both.

There is so much more I could write on this topic—especially when I think of all the different scenarios possible. Please do your homework before attempting this, seek wise counsel*, read all you can and get a second opinion.

When it’s all “said and done” this tough love approach often works when nothing else will. Addiction, left alone will only get worse over time. What I remind people about in my book and in counseling is that “recovery is a process—not en event.”

This is why I sometimes suggest that you “do nothing.” The phrase “let go and let God” applies to the family members and friends–as well as the person seeking recovery. Detachment is one of the most difficult things that a person (especially a mom) may ever need to do.

Stay strong, seek support and know with confidence that no matter what happens—you have “done” everything you know to do.

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


** Detachment–Letting Go of Someone Else’s Problem

RELATED:
Detachment is Hard–Radio interview with Joe Herzanek
Codependent, WHY do we continue to rescue?

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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September 7, 2010 by jherzanek | 27 comments