Author: Recovery.org

  • Finding Happiness in Recovery

    Finding Happiness in Recovery

    We all want to be happy, but happiness doesn’t always come easy – especially when we’ve relied on drugs and alcohol for that perceived “happiness” in the past.  Leaving behind a life we’re familiar with can be scary and challenging at first, but it doesn’t mean we can’t be satisfied and fulfilled with a new, sober lifestyle.  Just ask Justin Kan, a 35-year-old entrepreneur who recently gave up alcohol completely and has never been happier.  Here, we share some of his tips, as well as some of ours.

    Meditate

    Upon becoming sober, we’re faced with dozens of thoughts and emotions that we don’t know how to handle, especially since we’ve resorted to numbing them with drugs and alcohol in the past.  Meditation is an excellent practice to clear the mind and focus.  After a few minutes of practice each day, you’ll have a clearer idea of what you want to achieve, without feeling like your mind is muddled.  Plus, you’ll feel like you have more control over your thoughts and actions, which is great for someone new to recovery.

    Have an Attitude of Gratitude

    Research shows that gratitude is consistently associated with greater happiness.  This is because it helps people feel more positive emotions, build strong relationships and relish good experiences.  To practice gratitude, Kan uses an app called The Five Minute Journal, which asks you every morning to name three things you are grateful for, as well as three things you are going to do that day to make it great.   Focusing on all the positive things in your life, rather than the negative, helps you keep everything in perspective when you’re hit with a setback or obstacle.

    Sweat it Out

    When you exercise, your body releases endorphins which create a natural high.  Doing so regularly gives you more energy and enhanced feelings of well-being – all which make life much more enjoyable and manageable.  As you reach certain exercise milestones, you’ll feel more accomplished, which will empower you to believe that long-term sobriety, too, is attainable.

    Forgive

    This one’s a big one, and one that can be very difficult for some people to do.  But the truth is, holding onto grudges only hurts yourself.  Letting go of pain and resentment towards yourself and others lifts a weight off your shoulders and makes way for happiness to settle into your heart.

    Talk it Through

    Bottling your emotions can have negative effects on your emotional and physical health, but unfortunately, some people don’t have a close, impartial person they can confide in.  A therapist is a great way to talk things through, release buried emotions, bounce ideas off of and learn some tips geared at self-improvement.

    Put Down the Phone

    Technology has found its way into every aspect of our lives, and although this can be a good thing, it can also be overwhelming to keep up with.  The endless stream of notifications, texts and emails we receive daily keeps the mind on high alert, so much so that you can never truly relax.  Stepping away from your phone, then, can really give you a chance to be present in whatever situation you’re in and be actively engaged in everything around you.

    We know – change is hard.  But personal change happens one day at a time, so if you’re looking to get happier, make that first step.  It’s all about progress, not perfection.

    View the original article at recovery.org

  • Abstinence vs. Harm Reduction in Addiction Recovery

    Abstinence vs. Harm Reduction in Addiction Recovery

    It’s an age-old question: which is better – harm reduction or abstinence-based recovery? Each have their own set of benefits, yet have completely different approaches to recovery.  We explore both below.

    Historically, addiction treatment has centered upon an abstinence-based model, one which asserts that abstinence is essential in order to recover from addiction.   One of the most popular forms of “abstinence only” recovery treatment is Alcoholics Anonymous (AA), a step-based, peer recovery program that has more than 2 million members worldwide in over 100,000 locally supported groups.  The program is spiritual in nature and calls on its members to turn their lives over to a higher power, as well as complete 12 guidelines – or steps – to help them overcome alcoholism.

    For some people, the AA program has not resonated, mainly due to its spiritual component.  After all, not all people are comfortable with the idea of praying or focusing on spirituality.  Others have found its framework too rigid, especially where the complete abstinence requirement is concerned.  They feel the stigma of labelling oneself as an alcoholic or addict keeps many people from seeking treatment in the first place.  As a result of these concerns, programs that aim to reduce the harm caused by addiction without encouraging abstinence have been developed.

    Harm reduction is a set of practical strategies and ideas aimed at reducing negative consequences associated with drug use and addiction.  It incorporates a spectrum of strategies – from safer use, to managed use to abstinence – to meet drug users “where they’re at,” addressing conditions of use along with the use itself.  Because harm reduction requires that policies designed to serve drug users reflect specific individual and community needs, there is no universal formula for implementing it.

    But while supporters of the harm reduction approach believe it promotes early self-recognition of risky drinking and drugging behavior – thus allowing users to moderate their use before becoming completely addicted – opponents believe it simply enables addicts to continue drinking.  These naysayers also point to low success rates and an unwillingness for those individuals to seek treatment since they don’t want to completely cease using.

    As you can see, both approaches to treatment have their perceived pros and cons; yet there is no “right” choice.  After all, addiction is a personal disease, and recovery can be supported in a number of ways.  Therefore, it is important to find what works for you, and then stick with it.

    View the original article at recovery.org

  • New Year’s Resolution 2019: Tobacco-Free Recovery

    New Year’s Resolution 2019: Tobacco-Free Recovery

    Quitting smoking is a resolution many smokers set for themselves.  It’s widely known that quitting has significant health benefits, but did you know it also can improve a person’s mental health?  And for those with substance use disorders, smoking cessation is associated with increased odds of long-term recovery.

    Smoking cessation is linked to decreased depression, anxiety, and stress.  It’s a factor in experiencing improved positive mood and quality of life, and is also related to improved substance use disorder recovery outcomes.  Research shows that quitting increases the odds of long-term recovery, whereas continued smoking increases the likelihood of relapse.

    As a result of this evidence, SAMHSA developed the recently released toolkit, “Implementing Tobacco Cessation Programs in Substance Use Disorder Treatment Settings to aid in the integration of tobacco treatment in behavioral healthcare treatment.  The toolkit contains a quick guide providing an overview of the challenges associated with tobacco cessation and the benefits of being tobacco-free for those with substance use disorders.  It also includes tips that can be used in substance use disorder treatment programs to implement tobacco cessation programs of their own.

    In addition, SAMHSA awarded a five-year grant to the University of California at San Francisco to establish the National Center of Excellence for Tobacco-Free Recovery.  The Center provides technical assistance, training, and educational resources to promote the adoption of tobacco-free facility/grounds policies and the integration of tobacco treatment into behavioral healthcare.

    Research has consistently found that smokers with behavioral health conditions—like other smokers—want to quit, can quit, and benefit from evidence-based smoking cessation treatments.  Cessation counseling and medication significantly increase the chances of quitting.  The combination of counseling and medication is more effective than either is alone.  There are evidence-based resources to help smokers quit at www.smokefree.gov.

    View the original article at samhsa.gov

  • Fentanyl Deaths Skyrocketed More than 1000% Over Six Years in the U.S.

    Fentanyl Deaths Skyrocketed More than 1000% Over Six Years in the U.S.

    Deaths from fentanyl skyrocketed more than 1000% from 2011 to 2016, according to new data released March 21 from the US Centers for Disease Control and Prevention.  Its report not only took into account the rise in drug overdose deaths involving the synthetic opioid, but it also illustrated which age groups, genders, races, ethnicities and regions were most impacted.

    Rising Rates, Ongoing Epidemic

    In order to determine the number of fatalities associated with fentanyl, researchers analyzed death certificate information that included mentions of fentanyl and fentanyl analogs (other synthetic narcotics).  In doing so, they found that 2011 and 2012 remained about the same, each hovering around 1,600 deaths.  In 2013, the number began to increase a bit, with just over 1,900 fatalities.  After that, fentanyl-related deaths began to double each year, with fentanyl involved in 4,223 deaths in 2014, 8,251 deaths in 2015, and a whopping 18,335 deaths in 2016.

    Regarding gender, the researchers found that while men and women had similar rates of fentanyl-related deaths from 2011 through 2013, the rate for males began increasing more rapidly than the rate for females. By 2016, the rate of men dying from fentanyl overdoses was nearly three times (2.8) that of women.

    And while there were increases in fentanyl-related fatalities in all age groups from 2011 through 2016, the largest rate increases were among younger adults in both the 15-24-year-old and 25-34-year-old segments, with fentanyl overdoses increasing about 94% and 100% each year, respectively.  Adults aged 65 years and older, on the other hand, saw the smallest average annual percent change (41.6% per year).

    Who’s Hit Hardest

    Researchers also found that while whites had the highest overall rates of fentanyl fatalities, death rates among African Americans and Hispanics increased at a higher rate.  Between 2011 and 2016, African Americans had fentanyl death rates increase 140.6% annually and Hispanics had an increase of 118.3% annually.  Whites, on the other hand, experienced a 61% annual increase.

    Finally, the researchers found that certain areas were hit harder by fentanyl than others.  Overdose death rates rose most sharply along the East Coast, including in New England and the middle Atlantic, as well as in the Great Lakes region.

    With opioids ravaging the country, fentanyl has become the leading cause of overdose deaths.  As such, the researchers hope that understanding national trends and patterns for fentanyl-related overdose deaths may inform public health policies and practices moving forward.

    View the original article at recovery.org

  • Alternative Options Outside the AA Program

    Alternative Options Outside the AA Program

    Alternative Options Outside the AA Program

    Alcoholism is a pervasive and chronic disease that affects over 15 million people, according to the National Institute on Alcohol Abuse and Alcoholism.  And while there is no cure, many individuals have been able to maintain long-term sobriety through participation in specialized programs.

    One of the most popular forms of recovery support is Alcoholics Anonymous (AA), a step-based, peer recovery program that has more than 2 million members worldwide in over 100,000 locally supported groups.  The program is spiritual in nature and requires complete abstinence from drugs and alcohol, calling on its members to turn their lives over to a higher power.  Members are also encouraged to complete 12 guidelines – or steps – to help them overcome alcoholism.  These steps include submitting to a higher power, addressing “defects of character,” taking a moral inventory and making amends for past wrongdoings.

    What are my other options?

    For some people, the AA program has not resonated, mainly due to its spiritual component.  Others have found its framework too rigid, especially the complete abstinence part.  The good news is that AA isn’t the only option for recovering addicts to turn to.  In fact, there are several alternatives that may work better for some individuals.

    SMART Recovery:

    Short for Self-Management and Recovery Training, SMART Recovery is a secular program that focuses on empowering the individual to abstain from drugs and alcohol and to develop a more positive lifestyle.

    Refuge Recovery:

    This peer-led recovery program uses Buddhist principles and practices to create a strong foundation to recovery from addiction.

    LifeRing:

    This is an abstinence-based secular program, where individuals offer peer-to-peer support in ways that encourage personal growth and continued learning through personal empowerment.

    Women for Sobriety:

    This abstinence-based self-help program helps women find their individual path to recovery through discovery of self, gained by shared experiences, hopes and encouragement with other women in similar circumstances.

    Harm Reduction:

    Harm reduction incorporates a spectrum of strategies from safer use, to managed use to abstinence to meet drug users “where they’re at,” addressing conditions of use along with the use itself.  It focuses on self-accountability, as well as utilizes meetings, peer support and online services to self-report alcohol use.

    Choosing the Right Program

    Though Alcoholics Anonymous may be one of the most common addiction recovery programs out there, it is by no means the only one available.  While AA has been shown to be effective in maintaining sobriety for individuals who actively participate, not everyone will feel comfortable with its spiritual philosophy and 12-Step program.  After all, addiction is a personal disease, and recovery can be supported in a number of ways.  Therefore, it is important to find what works for you, and then stick with it.

    View the original article at recovery.org

  • Overcoming Adversity in Recovery

    Overcoming Adversity in Recovery

    Recently, I was asked to be a keynote speaker at a conference in Austin, Texas.  My topic? How to overcome adversity.

    As an attorney who suddenly found herself serving a four-year prison sentence for a first-time DUI, I had to employ various tactics in order to adapt to my new reality and stay mentally sane.  Here’s what worked for me after my drinking caused me to lose almost everything, including my freedom:

    Positive Self-Talk

    When I first received my sentence, I couldn’t even fathom what it meant.  There was no way, in my mind, that I’d be able to survive four whole years in a medium-security state prison.  But I took it day by day, with each one getting easier as I fell into a routine.  I constantly gave myself pep talks to combat anxiety and depression, and refused to let myself dwell in feelings of negativity.  By being my own personal cheerleader, I was able to overcome a hardship that I had originally believed was impossible.

    Cliche Phrases

    It sounds cheesy, but I gravitated toward cliché sayings, like “This too shall pass” and “If God brings you to it, He’ll see you through it,” because they helped give me self-confidence and strength in times when I needed them most.  I also found inspiration in stories of people who’d been in similar situations.  Those who’d been incarcerated, got out and went on with their lives motivated me beyond belief – because if they could do it, I reasoned, so could I.

    My Support System

    A big reason I got behind the wheel that fateful night is that I bottled up all of my emotions and hid behind a façade that everything was fine.  I had been in extreme emotional turmoil, yet no one around me knew, and it had been eating me up inside.  Once I was in prison, however, I vowed not to repeat the same mistake and clung to the support of my friends and family.  Through their letters, phone calls, visits and unconditional love, I was able to find the inner strength that was needed to overcome the challenges I faced behind bars.

    Faith

    Even though it didn’t feel like it at times, I knew deep-down that there would be brighter days ahead.  I held onto this belief, and it helped me get through the moments when I was really down and seriously considering giving up.

    Ultimately, none of us is immune from hardship, and we all need help getting through tough times.  Even though every challenge is unique to the individual facing it, the pointers above can help a person tackle adversity head-on and overcome its obstacles.

    View the original article at recovery.org

  • 5 Ways to Set Boundaries in the New Year

    5 Ways to Set Boundaries in the New Year

    New Years Resolutions and Recovery

    The new year can be challenging, especially when we’re sober. We can’t check out with a glass of wine or a few cans of beer. We are here and present for all of those uncomfortable feelings that arise when we’re with our families, friends, or just out and about.

    Sometimes all it takes is one comment to trigger a whole host of negativity: shame, lack of self-worth, self-consciousness, etc.

    It took a long time to realize that I had control over how I felt in these situations and how I responded to them. The revelation came as a complete surprise. I remember asking my first sponsor in an utterly perplexed way, “You mean I can say I don’t want to talk about my weight?!”

    While it isn’t easy at first, setting boundaries can make you feel a whole lot more empowered in the long run. And your emotional well-being is crucial to a sustainable recovery.

    Here are some key ways you can set boundaries:

    1: Don’t be afraid to use the word “no”.

    Sometimes you’ll feel the need for alone time, and that’s okay! You shouldn’t feel unable to be honest about how you feel. For example, if you are tired but your mom wants you to visit because an aunt is visiting from out of town and she wants to everyone to get together, it is okay to respect your need for rest and decline her offer.

    2: Understand that how people react to your boundaries isn’t your problem.

    You are only responsible for you. If someone is upset about a boundary you’ve set, that is their issue to address. No means no. No doesn’t mean let’s negotiate or let me back down to make you feel better. Boundaries only work when they are applied consistently.

    3: Take some time to consider your needs.

    If a friend or loved one asks you to do something but you’re already feeling overwhelmed, it is okay to say that you’ll get back to them. “I’m unsure if I can do that right now. Let me get back to you by ___” is a perfectly acceptable response.

    4: Changing your mind.

    Even if you have previously agreed to attend or even host an event or party, it is okay to change your mind if you don’t feel well or are exhausted. You don’t have to explain yourself other than to say you’re not feeling up to it and that you’ll either need to take a raincheck or cancel altogether. Those who love and respect you will honor your needs. You may even find that they’re thankful for a night in.

    5: It is okay to leave.

    I always have an exit strategy for parties. Whether it’s telling the host that you have to leave after dinner or deciding to say your goodbyes early, know that it is okay to leave the party when it feels right for you to go. I always used to feel obliged to stay to the bitter end, but eventually I realized that I was in control of how long I stayed!

    Above all, it’s important to stick with the boundaries you set. There will be plenty of reasons to abandon them along the way, but they’re about putting yourself and your recovery first and foremost in your life.

    View the original article at recovery.org

  • The Power of Art as Therapy

    The Power of Art as Therapy

    A few weeks ago I hosted a social gathering for women in recovery, and we had a local artist lead us through an art journaling workshop. As a writer and lover of all things creative, I was excited to spend a few hours expressing myself in a new way. I didn’t expect to leave having ignited a new flame of creativity!

    The goal of Keely Rademacher, the artist who coached us, is to encourage healing through creative expression. I have to admit that initially I thought she was going to have us collect clippings from magazines to make a vision board, but I couldn’t have been further from the truth.

    The Process of Using Art in Recovery

    Keely led us through the process of art journaling. An art journal is simply a visual record of thoughts, ideas, or emotions we’re feeling. You can use just about any media: crayons, watercolors, images, materials, and even words—anything goes! As a lover of words and journaling, this opened up a range of possibility for me. But even for those who’ve never thought of themselves or artists or even creative can benefit from the power of art journaling.

    The first thing to do is let go of expectations. This isn’t something you have to show others on Instagram (unless you want to), and it isn’t being evaluated by anyone. It is just for you, so let your creative expression flow. The whole idea is that you have a new way to express yourself.

    Of course, having a teacher helped! Keely suggested to us to that we could create a wheel of time, a snapshot of what 24 hours looks like in any given day. I couldn’t have written what I painted; it was like it came from another area of my brain. But it prompted an hour-long discussion with my therapist the following week!

    My Experience with Art Therapy

    I painted thoughts, beliefs, and feelings that I wasn’t conscious of. Many of my paintings revolved around the resistance I feel to sleeping, the desire to stay up longer than I should. I colored that feeling gray. I realized that I am not sleeping when I need to and that I could listen to my body’s cues that I need to rest more. I also created a snapshot of time in the evening that I know holds great possibility but during which I let myself get too drained by work and end up letting it pass me by. I saw that the colors I used throughout the day were a representation of my heating up (experiencing mounting stress). By the afternoon, I was coloring in red.

    Had I not had this experience, I may not have opened a window that gave me a fresh insight into my mind. I was so blown away by the experience that I immediately ordered an art kit online so that I could begin incorporating art journaling into my morning routine. I’ve already filled 10 pages! Is there anything stopping you from creating? Why not give it a try? The power of art as therapy may surprise you.

    View the original article at recovery.org

  • The Power of Writing as a Means of Recovery Processing

    The Power of Writing as a Means of Recovery Processing

    Being able to express myself freely through the written word is the greatest gift borne out of my recovery.

    If you had told me seven years ago that I’d be a full-time freelance writer living in Portland, Oregon, I would have said you were crazy. Back then I was circling my rock bottom, feeling like the world was about to end. I had nothing to live for and zero hope for the future.

    Three months later when I got sober, my life invariably got a whole lot better—mostly because I’d stopped slowly killing myself by drinking four bottles of wine and smoking two packs of cigarettes every day. It wasn’t easy, though. I remember feeling so completely lost. I felt this out-of-body experience: Who am I? Why am I here? What is this place?

    The Writing Advice I Received Inspired My Recovery

    Not knowing which direction my life was going and feeling alienated from my body and who I was, my first sponsor suggested I pick up my pen and begin journaling. I had no clue what to write or where to start. She gave me a few prompts:

    • Start by writing your plan for the day.
    • List some feelings.
    • Review your day each evening.
    • List 3 things you’re grateful for.
    • Write 5 things you’ve done right.

    The last suggestion had me flummoxed. “What have I done right?” I asked. At the time, “doing something right” was a strange concept to me. But my therapist was trying to help me begin a practice of developing self-esteem. I started by acknowledging simple facts: I’d cared for myself that day by showing up, had fed myself, and kept myself from drinking. And those all meant that I had performed great acts of self-love. I was beginning to see that I was doing something right each day.

    How Daily Writing Changed My Outlook on Recovery

    Perhaps most profoundly, though, writing was the catalyst to connect my physical body and my mind. Before I started writing, I felt like I was drowning in an ocean of emotions I’d tried desperately to numb. Through writing, I opened up. I took a good look inside, and I was able to start unpacking what made me tick.young man with Psychological Withdrawals

    Before long, my daily entries were pages long. I couldn’t stop writing. It was as if someone had opened up the well of feelings and traumatic experiences I’d been repressing. Through writing, I started processing the things that pained me and woke me up at night. I also became aware of my inquisitive and creative nature and began exploring what interested me.

    I started to look forward to the ritual of writing each day. I’d make a cup of tea and sit at my desk in the early hours with a pen and paper, connecting to my innermost thoughts. Its gifts were endless, but the one I’ve enjoyed the most is the sense of peace that comes over me when I write. Even if I feel my words come out in a flurry, before long I feel grounded and in the present moment—even if just for a few minutes.

    Writing has been my most powerful tool in maintaining my recovery.

    View the original article at recovery.org

  • Recovery and Probation: Should a Relapse Earn Jail Time? 

    Recovery and Probation: Should a Relapse Earn Jail Time? 

    If a person relapses while on probation, should they be sent to jail? A top Massachusetts court tackled this issue last month, unanimously ruling that, yes, a judge can send defendants to jail if they relapse and break the “remain drug-free” condition of probation bestowed on them.   

    The case at issue involved defendant Julie Eldred, now 30, who had been convicted of larceny for stealing jewelry to support her heroin habit.  She was given a year’s probation by a trial judge back in August 2016 and faced up to a 30-month sentence if she violated any of her probation’s conditions.

    Two of these conditions were to begin outpatient treatment and remain drug-free. Though Eldred enrolled in a program and began taking Suboxone to treat her withdrawal symptoms, she tested positive for fentanyl 11 days into her probation. The judge ordered her to go to inpatient treatment, but no placement could immediately be found.

    Prison as an Alternative to Treatment

    As a result, “The judge was faced with either releasing the defendant and risking that she would suffer an overdose and die, or holding her in custody until a placement at an inpatient treatment facility became available,” Justice Lowy wrote in his decision.

    Eldred ended up spending 10 days in a medium-security prison while she waited for an open bed at a treatment facility. Suboxone was never prescribed while she went through withdrawal.   

    Though the prosecution and defense believed the justices had the opportunity to debate the nature of addiction itself, the Massachusetts Supreme Judicial Court declined to take a stance on the issue.  Instead, they questioned the timing of the appeal, stating that Eldred should have raised the issue when her probation condition was first imposed, when it could have been fully argued before a trial judge.   

    Still, the defense felt the decision was a “massive blow” and that it missed an opportunity to incorporate mainstream medical opinion about addiction – namely, that it is a chronic, relapsing brain disease that compromises an individual’s ability to abstain.  Lisa Newman-Polk, one of Eldred’s lawyers, said through its decision, the court had “rubber-stamped the status quo, dysfunctional way in which our criminal justice system treats people suffering from addiction.” 

    Criminalization is Not The Answer

    As someone who’s been in the prison system and lived amongst hundreds of women struggling with addictions, I agree.  Incarceration is focused primarily on punishment, rather than rehabilitation, and is a dysfunctional solution to dealing with addicted individuals. All it does is force abstinence for a period of time, not address the root cause of the behavior that causes these people to use in the first place. As a result, many go right back to the same environment, the same group of friends and the same drugs the minute after they’re released. It doesn’t matter if harsher punishments are imposed upon someone to not use — the lure of addiction is so much stronger.   

    In short, criminalization is not the answer for those struggling with addictions, and there have to be better alternatives than sticking them behind bars.   

    Additional Reading: Your Loved One is Gone: How to Handle the People Left Behind

    Image Source: iStock

    View the original article at recovery.org