Author: The Fix

  • Rehab Redemption: Faking It in the Fishbowl

    Rehab Redemption: Faking It in the Fishbowl

    As I shared my experience with the group, I knew that I should be expressing some kind of emotion, but the tears simply refused to come.

    There was a group activity – an exercise – they made us do at the inpatient treatment facility where I ended up because I couldn’t stop drinking. It was called “Fishbowl,” and it required an individual to sit in the center of a large circle of folding chairs and describe something horrible that had happened to them, or some shameful act they’d committed against somebody else. The other addicts and alcoholics would sit in these chairs — the “bowl” — and listen as the “Fish” shared this traumatic event from their past. Without fail, by the time the tale was over, the storyteller and most of the people in the room would be sobbing uncontrollably. 

    Often, the Fish would reach a point mid-story when their emotional response would render them incapable of carrying on. The audience would sit there uncomfortably, waiting to hear how the narrative played out, watching in disappointment as a counselor wrapped the Fish in a tight, one-armed hug while holding a box of tissues up to their tear-streaked and quivering face. And yet, regardless of the tears, and despite the very real prospect of either witnessing or suffering a complete mental breakdown, everyone in the facility — staff and patients alike — absolutely loved doing Fishbowl.

    Get That Shit Out of Your System

    It was a 30-day treatment program, and Fishbowl was conducted on a four-week rotation, meaning that with a little luck, you were able to participate twice during your visit. I had essentially won the lottery by walking into the beginning of an intense Fishbowl session on my very first day at the facility. My peer advisor — a skinny 20-year-old in khakis who was trying to quit heroin — told me as much as he led me away from the reception area and down a hallway that ended at pair of steel double doors. “Fishbowl fucking rules,” he told me. “It feels so good to just get all the shit out of your system!” 

    He cautioned me to be quiet as we entered the lecture hall. The doors opened to reveal a ring of people seated in a circle and segregated by gender along a diametric divide. A few people turned to look as he directed me to an open seat between a middle-aged man with a Wyatt Earp mustache and a teen with a shaved head wearing a tattered blue hoodie. The chairs were pointed inwards towards a young woman who was, to my horror, sobbing and convulsing as she gulped down air and twisted a plastic water bottle in her hands as if wringing a towel. 

    The Fishbowl was my first experience in treatment. Before I’d even been shown to my room, I witnessed a stranger scream through tears about how she’d barely escaped a house fire she’d caused by passing out with a lit cigarette in her hand. Her cat, she bellowed, had died in the blaze.

    The young woman finished her story and the audience members thanked her for sharing while providing a light round of applause. As she walked back to her seat, a stocky man with a buzzcut and the general demeanor of a high school gym coach stood up and asked who would like to be next in the bowl. Instantly, 50 synchronized hands shot into the air and a raucous chorus of “Me! I will! Me! Bryan, pick me!” resounded from the perimeter of the folding chair circle. My peer advisor – Mr. Khaki – was the lucky one chosen, and he clapped in excitement as he trotted to his place in the center of the room. 

    Once seated, he placed his hands in his lap, took a breath, and launched into a story about showing up to a trap house to score drugs and being robbed by a pair of dealers who beat him severely and then forced him into the trunk of their car. They drove around for hours, stopping intermittently to exit the vehicle for brief periods of time before returning and driving off to their next location. Mr. Khaki recounted through barely decipherable sobs how every time the car stopped, he assumed they were about to pop open the trunk lid and kill him. That feeling of powerlessness, he explained, combined with his ever-worsening heroin withdrawals, created a hellish experience of total vulnerability that ultimately set him on his current course to recovery. 

    Eventually they stopped and the trunk opened an inch, as if someone had pulled the release handle inside the cab of the car. He heard the dealers exit the vehicle and assumed the worse, feeling around for anything he could use as a weapon to defend himself. But the men simply walked away, the sound of their voices and footsteps quickly fading into silence. He climbed out of the trunk and took off running. After a few blocks he slowed down and then walked several miles to the house where he lived with his mother. He cleaned himself up, and never reported the incident to the police. When his mom asked about his black eye and the cuts on his face, all he would say is that he wanted to stop using, and that’s what led him to the inpatient treatment center where he was now sharing his story. 

    Mr. Khaki’s traumatic experience clearly resonated with the other members of the group. There was an explosion of thunderous applause, along with shouts of appreciation and encouragement as he accepted a tissue from Bryan and stood up from the chair. He was replaced by a girl who told a story about being abused by an ex-boyfriend — a man who, she told us, was currently undergoing treatment at a different facility. Then the gentleman with the mustache fell to pieces as he recalled missing his daughter’s birthday party because he was passed out drunk behind the wheel of his pickup truck in the woods where he’d go to drink in secret. Bawling and quivering, he choked back sobs as he recounted how he’d regained consciousness in the dead of night, unsure of how to get back to the highway. 

    My Turn in The Fishbowl

    Eventually, Bryan, the linebacker of a counselor who was running the Fishbowl session, turned to me and asked if I’d like to give it a try. “How about it… Jason K.?” He squinted at my adhesive name tag. “Why don’t you tell us something about yourself?”

    “Uh… I’m okay. I’m still getting the hang of things,” I replied, wondering if anyone would try to stop me if I made a run for the exit.

    “What’s your D.O.C.?” Mr. Khaki interjected. I wasn’t sure what he meant. I knew that most of the other people at this facility were here by court order. Was he talking about the Department of Corrections? 

    “Um, I’m actually here voluntarily,” I said. “I checked myself in.”

    “No, your drug of choice,” said Mr. Khaki. 

    “Oh, um, alcohol mainly, but once I get started with that, anything is fair game.” There were murmurs of understanding and acceptance from the other members of the group. 

    “How much clean time do you have?” asked Bryan.

    “I’m two weeks sober today,” I replied. “A week in the detox center, then six days waiting for a bed to open up here.” At this admission, a roar of applause even bigger than the one elicited by Mr. Khaki’s story erupted from the circle.

    “I know you just walked into this, and it probably seems overwhelming, but it’s a great way to start your time here. Get something off your chest.”

    “Yeah,” Mr. Khaki chimed in. “You’re gonna have to do it eventually. Might as well get it out of the way.” Other members of the group were urging me on as well, offering words of encouragement to motivate me into that chair at the center of the room. I felt like they were starving for my trauma. Like everyone was eager to get a taste of the new guy’s emotional pain. 

    “Alright,” I said, to a round of anticipatory cheers. “Fuck it. I’ll go.” 

    The seat was still warm from the cumulative body heat of the last dozen people to sit here and make their confessions. I began rooting around in my brain for something to share, wanting nothing more than to escape through a window and suck down ten cigarettes in rapid succession. I’d chain smoked nearly that many on the sidewalk outside the treatment center just one hour earlier while mustering the courage to propel myself inside. It took everything I had left, courage-wise, to flip through the smoke-damaged photo album of my mind in search of a suitable story to share. 

    The Tears Refused to Come

    Should I tell them about the time I got caught breaking into a bar where I worked? How I was fired, couldn’t pay my rent, and subsequently ended up being evicted? Or the time I was kicked out of a rock show for being too drunk, and when the bouncer led me out the door at the back of the club, I fell down the stairs and landed on my face in the alley below? How a police officer sat me on the curb and held napkins to my nose and mouth until an ex-girlfriend of mine just happened to walk by, and how she took me to her brother’s apartment and cleaned my wounds while sobbing and begging me to go to treatment? And even then, how I refused to stop drinking after one of my teeth became abscessed and my jaw swelled up to the size of a grapefruit, and the doctor told me I might die? Or maybe I could share about the time I stole an acquaintance’s wallet out of his coat pocket as we walked through a crowded bar, then pulled out the cash and threw the rest down a storm drain. About how, when he noticed it was missing, I convinced him he’d left it at the last bar we were at, and even helped him look for it. I had hundreds of stories like these to share, each one a reminder of who I’d become and why I now sat there, frightened and confused in the Fishbowl, hating myself. 

    In the end, I decided to share the story of how my mother deserted my family when I was eight years old. Better to throw her under the bus, I thought, than to expose myself as the world’s biggest piece of human garbage. I began by talking about how she simply disappeared one night while we were sleeping. She’d written a note, explaining that she was too young to be married with kids, and she needed a chance to go live her life. I told the group how my sisters and I went to live with my aunt and uncle until my dad was able to figure out how to proceed in the aftermath of being abandoned by his partner. We ended up moving into my grandmother’s house, where we began the laborious process of rebuilding our lives. We didn’t see mom again for several months, by which point she was drinking pretty heavily.

    As I shared my experience with the group, I knew that I should be expressing some kind of emotion — that I should be bawling my eyes out like everyone else — but the tears simply refused to come. I tried forcing myself to cry by thinking about how I’d ended up here — an emotional phone call to my dad at a time when suicide was starting to look like the most sensible option — but it soon became obvious that my emotional moment wasn’t going to happen. I’d already cried so many tears for her over the course of my life that I now seemed to be tapped out at a moment when they actually might have done me some good. I wanted to fit in, to exhibit the vulnerability that my peers had so fearlessly demonstrated before me, but the best I could do was to put on a show, burying my face in my hands and pseudo-wailing while doubled over in my chair, a pale imitation of the genuine anguish I’d so recently witnessed. 

    My performance was a hard sell to this group of master-level bullshit artists. No applause followed, and no thanks were given. Instead, we all sat there blinking at each other for what felt like a decade before someone finally spoke up. 

    “Okay, that’s enough for today,” Bryan said. “Let’s finish with the serenity prayer.” 

    I stood up and made my way back to the circle, joining hands with Mr. Khaki and the blue hoodie kid. I’d learned the words to the prayer a few years earlier, when a previous landlord — herself a recovering alcoholic — convinced me to attend Alcoholics Anonymous, the implication being that it was the only way to save myself from eviction. I went to a few meetings and learned just enough to convince her I was working the program, but I never actually stopped drinking. She eventually caught on to my scam and kicked me out, but still, the words of the prayer had stayed with me.

    “God,” Bryan began.

    “God,” we echoed, linked by our tobacco-stained fingers around the now-empty folding chair. 

    “Grant me the serenity to accept the things I cannot change,” we continued in unison, our words echoing across the high ceiling of the lecture hall. 

    “The courage to change what I can,” we went on, most heads bowed and eyes closed, but not mine… not yet. “And the wisdom to know the difference.”

    “Free time for 30 minutes, then small groups,” said Bryan, prompting the crowd to disperse. Most people went outside to smoke while Mr. Khaki showed me to my room. I expected him to give me shit about my performance, but we walked down the hall in silence until we reached the door marked D402. He showed me around and then left me alone to unpack. I opened the suitcase I’d borrowed from my dad and started taking out the clothes he’d purchased for me just before dropping me off at the bus station. I placed a pair of flannel pajama pants in a drawer with the price tag still attached to the waistband. Then a package of white t-shirts, and socks, and toiletries that we’d shopped for with the enthusiasm of preparing for the first day of school. Rehab and kindergarten were similar for me in that way; the excitement of a new beginning, combined with a sense of absolute, bowel-clenching terror. And finally, at the bottom of the bag was a carton of cigarettes — Camel Lights — with a note taped to the front: 

    You got this, boy
    Love, Dad.

    That’s when I started to cry. 

    View the original article at thefix.com

  • Demi Moore Says She Was Addicted To Ashton Kutcher

    Demi Moore Says She Was Addicted To Ashton Kutcher

    “I wanted to be something other than who I am. It was literally about giving my power away,” Moore revealed.

    Demi Moore spoke in-depth about her addictions to alcohol and her ex-husband Ashton Kutcher on a recent episode of the Facebook Watch series Red Table Talk.

    Moore, who was joined by her daughters Tallulah and Rumer, discussed how her rocky relationship with the That 70s Show star put her in a downward spiral.

    “The addiction and the co-dependency… like my addiction to Ashton — that was probably almost more devastating because it took me seriously away emotionally,” Moore said.

    Living With Ashton

    Moore’s youngest daughter Tallulah opened up about how sharing a home with her mother and Ashton during what would be the final years of their marriage left her feeling vulnerable and hurt.

    “Watching the behavior with Ashton, those years, because everyone had left the house and it was just me living there. I felt very forgotten and I feel like I developed and nurtured a narrative where she didn’t love me and I truly believed it,” the 25-year-old explained. “I know that she does, 100% but in that moment you’re hurt.”

    Red Table Talk host Jada Pinkett-Smith asked Tallulah about being estranged from her mother for three years following her relapse. 

    “What happened was, she relapsed when I was 9 and no one in my family spoke about it and I had no idea what was going on, she had been sober my entire childhood,” she said. “And then she drank and then I just knew that I was scared and that she was unsafe and there were many years of saying she was sober and she wasn’t and we couldn’t trust it. And all of the adults around us, in an effort to protect us, were protecting her. So if she wasn’t sober, they would tell her she was.”

    An Intervention For Tallulah

     

    Tallulah, who has been sober since 2014, says she began to spiral after her mother’s 2012 overdose. She described a scary incident where she lost consciousness after taking drugs and was discovered by her sister Scout.

    “I had taken a bunch of codeine, and I had done a bunch of cocaine that morning,” Tallulah revealed. Soonafter, her sisters held an intervention at Demi’s house. At the time she and her mother had not spoken for three years. The intervention brought them closer and Tallulah entered rehab.

    Prior to her relapse, Demi had been sober for most of her adulthood. Though she relapsed during their marriage, the actress doesn’t blame Kutcher for it.

    “I was great sober,” she said. “I wanted to be that girl. I made my own story up, that [Ashton] wanted somebody he could have wine with and do stuff. He’s not the cause of why I opened that door, I wanted to be something other than who I am. It was literally about giving my power away.”

    Demi details her journey to sobriety and her relationship with Kutcher in her new memoir, Inside Out

    View the original article at thefix.com

  • Can A Brain Chip Curb Opioid Addiction?

    Can A Brain Chip Curb Opioid Addiction?

    The first participant to receive the implant in the trial has battled treatment-resistant opioid and benzo addiction for over a decade. 

    There’s been a number of technological advances in addiction medicine over the past decade. Recovery-based apps, neurofeedback therapy and even virtual reality have ushered in a slew of treatment options for addiction.

    Now, researchers at the West Virginia University Rockefeller Neuroscience Institute and West Virginia University Medicine are conducting the first US clinical trial for a deep brain stimulation device that will target areas in the brain linked to addiction and self-control. 

    According to TechCrunch, the deep brain stimulation device will “monitor cravings in real time,” giving researchers critical insight into how addiction works in the brain. 

    West Virginia In Crisis

    The West Virginia-based organizations announced the launch of the clinical trial on Tuesday, November 5. The state, which leads the country in fatal overdose deaths, has been hit particularly hard by the opioid epidemic. 

    “Our team at the RNI is working hard to find solutions to help those affected by addiction,” Dr. Ali Rezai of the Rockefeller Neuroscience Institute explained. “Addiction is a brain disease involving the reward centers in the brain, and we need to explore new technologies, such as the use of DBS, to help those severely impacted by opioid use disorder.” 

    The trial is a small one consisting of four participants with treatment-resistant opioid addiction. Prior to this trial, the DBS device had only been tested on mice with promising results.

    Deep brain stimulation is used to treat chronic pain, Parkinson’s disease, treatment-resistant depression and obseessive compulsive disorder. According to the American Association of Neurological Surgeons, (AANS) around 35,000 people have DBS implants. 

    “Despite our best efforts using current, evidence-based treatment modalities, there exist a number of patients who simply don’t respond. Some of these patients remain at very high risk for ongoing catastrophic health problems and even death. DBS could prove to be a valuable tool in our fight to keep people alive and well,” said Dr. James Berry.

    The first patient to receive the Medtronic DBS device in the trial was a 33-year-old man who has been battling treatment-resistant opioid and benzo addiction for over a decade. 

    View the original article at thefix.com

  • Jamie Lee Curtis Talks Sharing Drugs With Dad, AA In Variety's Recovery Issue

    Jamie Lee Curtis Talks Sharing Drugs With Dad, AA In Variety's Recovery Issue

    “I am a very careful sober person. When I work, if there are no recovery meetings available, I make them.”

    The legendary Halloween actress detailed how she became addicted to painkillers and what led her to get help with Variety magazine for its first-ever recovery issue. 

    Like so many people with opioid addiction, Curtis’s dependency on painkillers began when she was given Vicodin after a routine cosmetic surgery for pain.

    “They gave me Vicodin as a painkiller for something that wasn’t really painful,” Curtis said. Her experience is all-too-common. The overprescription of opioids for post-operative pain is one of the driving factors behind the opioid epidemic. Nowadays, opioid prescribing guidelines and legislation are working to correct the course of the epidemic.

    Curtis also discussed how addiction impacted her family, including her father, actor Tony Curtis. 

    Sharing Drugs With Dad

    “I knew my dad had an issue because I had an issue and he and I shared drugs. There was a period of time where I was the only child that was talking to him. I had six siblings. I have five. My brother, Nicholas, died of a heroin overdose when he was 21 years old. But I shared drugs with my dad. I did cocaine and freebased once with my dad. But that was the only time I did that, and I did that with him. He did end up getting sober for a short period of time and was very active in recovery for about three years. It didn’t last that long. But he found recovery for a minute.”

    Similar to her father, Curtis was high-functioning in her addiction. 

    “I never did it when I worked. I never took drugs before 5 p.m. I never, ever took painkillers at 10 in the morning. It was that sort of late afternoon and early evening — I like to refer to it as the warm-bath feeling of an opiate. It’s like the way you naturally feel when your body is cool, and you step into a warm bath, and you sink into it. That’s the feeling for me, what an opiate gave me, and I chased that feeling for a long time.”

    Curtis described the moment her facade slipped in 1998. A friend witnessed her taking five Vicodin with a sip of wine in her kitchen and confronted her. “I heard this voice: ‘You know, Jamie, I see you. I see you with your little pills, and you think you’re so fabulous and so great, but the truth is you’re dead. You’re a dead woman.’”

    This stern warning didn’t deter her from using and neither would a later confrontation with her sister Kelly about stealing her pain pills. She finally decided to get help a couple months later after reading an article about recovery in Esquire.

    Her First AA Meeting

    Going to AA for the first time can be intimidating but there’s an added set of worries when you’re a Hollywood superstar trying to privately deal with addiction. 

    “I was terrified. I was just terrified that someone in the recovery community was going to betray my trust. But it is my experience that that doesn’t really happen and that my fear was unfounded. There is no guarantee in the world that someone won’t betray your confidence. There are also ways for people to get recovery help privately. There are ways for people to understand that public figures need privacy in order to be able to disclose and talk about this shameful secret that has dogged and plagued them their whole lives. 

    Now, Curtis is 21 years sober, something she doesn’t take for granted. She holds recovery meetings in her trailers when she’s working, if none are available.

    “I am a very careful sober person. When I work, if there are no recovery meetings available, I make them. I put a sign up by the catering truck saying, ‘Recovery meeting in my trailer.’ When I was in Charleston making Halloween, I was in a coffee shop near where I was living, and I met somebody in recovery, who told me, ‘Oh, those two ladies out on the patio are sober too. There’s a women’s meeting near here.’ I went out and introduced myself to the ladies, and a day later I was at a women’s gathering 100 yards from where I was living. Literally 100 yards. When I was making The Tailor of Panama with Pierce Brosnan and John Boorman, I was swimming in the Gatun Dam, but on my day off, I found a recovery meeting that only spoke Spanish, didn’t speak a word of English. I didn’t understand a word anybody said, but I went and sat down and met people, shook hands and talked.”

    View the original article at thefix.com

  • Man Hid Marijuana In His Nose 18 Years Ago Then Forgot About It

    Man Hid Marijuana In His Nose 18 Years Ago Then Forgot About It

    Researchers believe that this is the first reported case of a “prison-acquired marijuana-based rhinolith.”

    Around 18 years ago, an Australian man stashed a small amount of marijuana in a balloon then stuck it deep into his nasal cavity then went to prison. Once inside, he assumed that he had accidentally swallowed it and went about his life. 

    Nearly two decades later, the man, now free, entered the hospital to figure out why he was having such intense headaches. After discovering that the man had a history of chronic nasal issues, doctors performed a CT scan when they found a rhinolith. Rhinoliths are stones that are lodged deep inside the nasal cavity. Rhinoliths can occur internally (via bone fragments, dislodged teeth) but they can also be foreign objects like small toys, beads, seeds…or a small baggie of weed. 

    The Australia man’s rhinolith turned out to be calcified marijuana he thought he had accidentally swallowed back in the early 2000s.

    Jogging His Memory

    The unique case was published under the cheeky title “A Nose Out Of Joint” in the journal BMJ Case Reports. After removing what was determined to be a “rubber capsule containing degenerate vegetable/plant matter,” doctors followed-up with the man in an attempt to figure out exactly what had been stashed in his nose.

    Their line of questioning was enough to help jog the man’s memory.

    “During a prison visit, the patient’s girlfriend supplied him with a small quantity of marijuana, inside a rubber balloon. In order to evade detection, the patient inserted the package inside his right nostril,”  noted. “Despite effectively smuggling the package past the prison guards, the patient then accidentally pushed the package deeper into his nostril and mistakenly believed he had swallowed it. He remained unaware of the package’s presence until presented with the unusual histopathology report.”

    What’s A Rhinolith?

    According to a 2016 study about rhinoliths, the most common issues that sufferers experienced were “unilateral nasal obstruction and nasal foul-smelling discharge and various levels of nasal discharge, facial pain, nasal/oral malodor, or epistaxis.”

    During a routine follow-up months later, the man reported that his nasal issues had cleared up. Researchers believe that this is the first reported case of a “prison-acquired marijuana-based rhinolith.”

    View the original article at thefix.com

  • San Diego Cracks Down On Marijuana Extraction Labs, Vaping

    San Diego Cracks Down On Marijuana Extraction Labs, Vaping

    “It’s a public health crisis,” says the local DEA.

    Nearly 1,900 people across the country have been affected by mysterious vaping-related illnesses. In San Diego alone, 31 people have been hospitalized for vaping-related illnesses in the past couple months prompting local law enforcement to publicly speak out against THC vaping products. 

    “It’s a public health crisis,” Colin Ruane, Assistant Special Agent in Charge, DEA San Diego Division, said during a press conference last Friday. “We’re trying to get on top of it.”

    Raiding Illegal Labs

    According to the San Diego Tribune, the DEA has spent the past year raiding 30 marijuana extraction labs that were operating out of homes and warehouses in the area. Over a six-week period starting in early May, officials raided seven highly profitable (explosion prone) labs.

    “We know there is no regulation of the production of the cartridges, there is no quality control and they may be filled with contaminates people don’t know about,” Ruane said.

    NBC7 spoke with a local dispensary owner to get their perspective on product safety.

    Breton Peace, who co-owns the Mission Hills-based cannabis boutique March and Ash, stood behind his boutique’s products.

    “Anything we put on our shelves, we feel, is safe. Now, to say that there is no risk is just false and that’s not doing a service to the community, or your customers or your business in the long term,” he said.

    Peace says that sales of vape products have dropped by 20% since news of the vaping-related illnesses and deaths broke a couple months ago.

    Another dispensary owner believes that the blame should be cast on black market THC vapes, not all vapes. “The CDC has said to people not to vape. But that doesn’t take into account that this … is a black market THC problem,” Division Vaper owner Paul Bates told OPB back in September. “And attempting to bootstrap into a negative opinion of e-cigarettes, seems a bit dishonest to me.” 

    Flavored Vape Ban Coming Soon

    Every Thursday the CDC releases the latest outbreak information surrounding the vaping health crisis. As of October 29, there have been 1,888 reported cases of what the CDC is referring to as EVALI, or e-cigarette, or vaping, product use associated lung injury. There have been 37 reported deaths linked to vaping across 24 states. The FDA and the CDC remain unsure of the root cause of the vaping-related illnesses and deaths.

    Axios reports that the Trump administration is expected to announce its plans to ban all flavored vape products except menthol and tobacco this week. 

    View the original article at thefix.com

  • Jason Wahler Discusses Road To Sobriety, "The Hills" Reboot

    Jason Wahler Discusses Road To Sobriety, "The Hills" Reboot

    “There’s so many times where I should not be alive…this has been an opportunity to be able to really give back.”

    Jason Wahler has come a long way since The Hills debuted in 2006. Over a four-year period, the reality star was arrested for six different drinking-related charges and seemed destined to become another cautionary tale. But Wahler hit bottom, entered rehab (then entered Celebrity Rehab with Dr. Drew) and got sober.  

    Wahler has been very open about his journey to sobriety, even revealing on Instagram back in 2018 that he had relapsed but was back on the wagon.

    Going Back To The Hills

    The 32-year-old owner of Widespread Recovery spoke exclusively to HollywoodLife about addiction, The Hills reboot and a new addiction treatment scholarship opportunity. Wahler described his decision to appear on The Hills: New Beginnings, which aired this past summer and has been greenlit for a second season on MTV.

    “The whole reason I did [The Hills: New Beginnings] is to just spread hope and look, I have nothing to hide. I mean, as everybody’s aware, I went through such a public battle with addiction, that, you know, it gives hope to those other people,” Wahler explained. “There’s so many times where I should not be alive. And I feel like this has been an opportunity to be able to really give back and to show people that, you know, you can do this and it’s not just a cake walk.”

    In the original series, Wahler dealt with body image issues and his heavy drinking and womanizing were often a part of the show’s storylines.

    “I was excited to go back and show, 12 years ago I was this drunk, womanizing, alcoholic, who has transformed his life, who has married, has a kid and gives back and does all this stuff. And then when I dealt with something with weight and other things that I was never privy to, and so I think those are things too, is being mindful of other issues that can arise. You got to take it one thing at a time.”

    Scholarship Opportunity

    Now, Wahler wants to give back. He has partnered with “There For You” singer Hilary Roberts and her Red Songbird Foundation which will offer a $100,000 scholarship to help a trauma victim living with addiction pay for treatment.  

    Nowadays, Wahler is focused on staying present and centered.

    “Those were our solutions, and once I identified that, that it’s me, it’s the thinking, it’s the disease that’s centered in my mind and it’s something that I have to do on a daily basis to make sure that I’m taking control on that. Every day is a new day, right? And the biggest thing for me is living in the moment. The thing that I had to do to tackle… There’s life stresses. There’s things that come into your life that can take on chaos and different things. But it’s how I process things today.”

    View the original article at thefix.com

  • The Other Side of Service: When Giving Back Becomes Exploitation

    The Other Side of Service: When Giving Back Becomes Exploitation

    Being of service means sharing our story of recovery to someone who is struggling or taking a newcomer to their first meeting, not taking away someone’s ability to support themselves.

    The greatest travesty in our field is exploiting people with lived experience for free labor. Peers and other recovery support specialists should be paid a fair, living wage. -Robert Ashford

    I have lost count of the number of times I’ve been asked to provide some kind of service — giving a talk, organizing an event, facilitating a panel discussion, attending and supporting a conference, writing a blog, or reviewing a website — for no pay, under the guise of giving back to the recovery community. 

    There is this notion within the community that because we found recovery, we should show our gratitude by giving back. This thought process originates from 12-step fellowships — specifically Step 12: “Having had a spiritual awakening as the result of these steps, we tried to carry this message to alcoholics, and to practice these principles in all our affairs.” 

    Exploitation Presented as Service

    The literature goes further to suggest that our recovery is incumbent upon that giving: “The joy of living is the theme of A.A.’s Twelfth Step, and action is its key word. Here we turn outward toward our fellow alcoholics who are still in distress. Here we experience the kind of giving that asks no rewards. Here we begin to practice all Twelve Steps of the program in our daily lives so that we and those about us may find emotional sobriety. When the Twelfth Step is seen in its full implication, it is really talking about the kind of love that has no price tag on it.”

    But asking someone to work in the recovery space for free isn’t service — it’s exploitation. 

    That statement sounds harsh, but I’ve found it to be true. And I learned the hard way. I found my recovery in a 12-step fellowship, and I dutifully gave back in abundance: I had several service positions at two to three meetings for the majority of my first five years. I’ve held literature, chair, secretary, treasury, and coffee/tea person positions. I have sponsored. I have learned that when you give, you also commit to regular attendance and are there to help newcomers. 

    While I don’t dispute that service helps others and is helpful for continued recovery, there comes a point where it can have a detrimental and potentially harmful impact. 

    I found that people began to take advantage of the commitment I made to show up. They did not arrive to perform their own duties, leaving me to do their jobs. Sometimes the coffee person showed up at the start time of the meeting rather than earlier as planned. A literature person would only show up halfway through the meeting, or not at all, and treasurers would show up at the end of the meeting. So I had to set up the room, unpack and set out the literature, make tea and coffee, buy milk, welcome the newcomers, and start the meeting. This was a regular occurrence, and I thought it was my duty to put up and shut up. I did this for many years, until I got fed up and realized that I wasn’t there to carry other people: I was there to support my recovery. 

    When I left AA I felt a tremendous relief. There was a lot about the program and fellowship that didn’t work for me. I was able to leave and find a pathway that was better suited to my needs. In doing so, I realized a number of truths, one of which is that my recovery isn’t incumbent upon what I give away for free. My emotional sobriety and sustained recovery depend on my continued development — in therapy, and through various other means of self-development and care. 

    The problem of service is not isolated to the rooms of 12-step meetings. It is an issue that is prevalent in the recovery community at large: there is an assumption that if you inhabit the recovery space within any capacity, you can rightfully ask someone to provide a service for free. I’m not talking about sharing at a meeting, hospital, or other institution, I’m talking about the request to provide professional help for free in the name of service. 

    I have lost count of the number of times I have been asked to write for free, to attend a conference and speak (and to pay for the ticket to the conference as well as all other travel expenses), to interview someone on my website or promote someone’s product or service, and to provide my online content expertise by reviewing business websites. All with no compensation offered. On the contrary, I was expected to provide these services for free, and the underlying presumption was that I should feel grateful to do it.

    I learned the hard way that while I want to help out anyone who is trying to pursue their dreams, I cannot do that at the expense of my well-being. I burned myself out by saying yes all the time. I also kept my earnings in a low-income bracket because I was afraid to say no. How would that reflect on me and my recovery? I was terrified that someone would think I wasn’t willing to help another person in recovery, or that I wasn’t grateful for what I had been freely given to me. 

    But here is the important difference: I wasn’t being asked to give back the hand of recovery; I was being asked to perform a specialized professional service — using the experience that I have gained by working incredibly hard (mostly seven days a week for several years) — for free. The irony is that these requests typically come from organizations and employees who are paid. An event, for example, generates income and typically has sponsors. Many of the attendees at these events work for organizations in a paid position and are given the luxury of attending during work time or are sponsored or paid to attend. These employees also have benefits: health and dental insurance, as well as paid leave. 

    What makes this particularly hard to digest is that many of these grassroots organizations are advocating for the better treatment of people in recovery and with substance use disorder, but they are unwilling to instill those values by paying the people who work to further their cause. 

    Placing Value on Expertise

    I am a full-time freelance writer and content strategist. The only way I pay my bills, and the exorbitant fees of running a business, is by getting paid for the work that I do. And often this involves having to negotiate fair pay from highly profitable businesses within the recovery industry — where executives earn six figures — because they do not value or understand what goes into being a writer. I haven’t had a vacation since I have been self-employed, and I pay for my own insurance.

    Apart from the role recovery culture plays in the idea of labor as service, I think the expectation of free labor also comes down to a lack of knowledge, value, and respect for the role of writers and what we do. 

    Writers don’t just sit down and the words flow onto a screen in 20 minutes. We spend hours, days, and weeks formulating content. We put in the emotional labor of transforming our emotions and experiences into words that others can relate to. We spend months — years even — developing relationships with researchers and other stakeholders within the community to provide reliable sources of information. We do research in order to gain different perspectives. And then we go back to the work and rewrite it, again and again. It is beyond a full-time job. The same goes for speaking: it takes time and energy to prepare and deliver a speech. I could write an entire essay on how long it takes to develop regular business, too. Work doesn’t just fall into our laps. 

    So if you work within the recovery industry, before asking someone in your community to do something for free, ask yourself whether you would do it for free if you didn’t have any other source of income. Ask yourself if you would ask any other professional to do that for free. When you ask someone to attend and participate in your event for free, ask yourself if you are taking away that person’s opportunity to pay their bills by working for someone willing to pay them and show respect and value for their work. 

    The True Meaning of Service

    I think it’s time that we revisit the true meaning of service: sharing our story of recovery to someone who is struggling. That means sharing at a meeting, or taking a newcomer to their first meeting. It doesn’t mean taking away someone’s ability to support themselves.

    That said, I am still here because some organizations do value my work. Others take note of my boundary that I won’t work for free and change their perspective. Then there are some community organizations that are already leading the way, like the Alano Club of Portland. Executive Director Brent Canode says, “As a recovery community organization, we feel a moral obligation to pay our dedicated staff fair and competitive wages for the important work they do to support recovery in our community. Our industry has a checkered past when it comes to labor standards and capitalizing on the free service of recovering men and women who naturally want to help others. We must always strive to set the bar high when it comes to valuing our recovery workforce because who else is going to if we won’t?”

    View the original article at thefix.com

  • Should Marijuana Be Used To Treat Psych Disorders?

    Should Marijuana Be Used To Treat Psych Disorders?

    Researchers examined 83 studies to determine if there is any evidence that MMJ can be beneficial for those with psychiatric disorders.

    A new review of 83 studies concluded that there is “scarce evidence” that marijuana and other cannabis products are beneficial for psychiatric distress including post-traumatic stress disorder and anxiety. 

    The study was published in The Lancet Psychiatry.

    “We considered all studies examining any type and formulation of a medicinal cannabinoid in adults for treating depression, anxiety, attention-deficit hyperactivity disorder (ADHD), Tourette syndrome, post-traumatic stress disorder, or psychosis, either as the primary condition or secondary to other medical conditions,” the study authors explained. 

    What The Evidence Says

    They found that in the studies, which covered more than 3,500 patients, those who used marijuana did not experience relief from their psychiatric symptoms. 

    “There is scarce evidence to suggest that cannabinoids improve depressive disorders and symptoms, anxiety disorders, attention-deficit hyperactivity disorder, Tourette syndrome, post-traumatic stress disorder, or psychosis,” the study authors wrote. “There is very low quality evidence that pharmaceutical THC (with or without CBD) leads to a small improvement in symptoms of anxiety among individuals with other medical conditions.”

    This should cause providers and patients to use caution when it comes to cannabis products to treat mental illness. 

    “There remains insufficient evidence to provide guidance on the use of cannabinoids for treating mental disorders within a regulatory framework. Further high-quality studies directly examining the effect of cannabinoids on treating mental disorders are needed,” the study authors concluded. 

    There’s Big Money In Touting MMJ To Treat Psych Disorders

    In an editorial that accompanied the study, Yale medical professor Dr. Deepak D’Souza explained that doctors and patients should recognize that there are commercial interests at play in portraying cannabis as a treatment for psychiatric disorders. 

    “There is growing public interest in the use of cannabis and its principal constituent cannabinoids, [THC] and cannabidiol, for a plethora of conditions, including psychiatric disorders,” he wrote. “In parallel, there is considerable commercial interest in touting these products as treatments for various disorders. As a result, health practitioners need to be well informed about this topic.”

    Reports about the benefits of cannabis should be considered scientifically, not just for how they play out in the news, he said. 

    “Although the potential therapeutic use of cannabinoids receives substantial coverage in the media, more scientific information is needed about this topic that is based on careful systematic reviews or meta-analyses,” he said. “Although there have been a few reviews of existing evidence have been published none has considered all the available evidence, the potential differential effects of different cannabinoids, and the safety of these compounds in mental disorders.”

    View the original article at thefix.com

  • Ardú Recovery Center

    Ardú Recovery Center

    The ultimate goal of treatment at Ardú is not just sobriety, but to teach clients how to “live with purpose and passion.” According to alumni, they’re succeeding.

    Ardú Recovery Center, located in Provo, Utah, offers individualized treatment for patients suffering from co-existing substance use disorders and mental illness while employing a holistic approach to recovery. Residents receive evidence-based therapies such as Cognitive Behavioral Therapy (CBT) and Motivational Enhancement Therapy while availing themselves of the many amenities offered by the center. According to their website, the ultimate goal of treatment at Ardú is not just sobriety, but to teach clients how to “live with purpose and passion.”

    Clients come from a variety of backgrounds and seek treatment for various issues related to substance abuse and mental illness. “One of the reasons I loved Ardú so much was because we were all from different walks of life,” said one alum. Another described fellow residents as “Mostly middle to upper class, working folks with purpose, visions, and dreams.” A number of graduates said the age range skewed young (20s and 30s), although there were also a few in their class that were in their “40’s and 50’s.”

    Daily life at Ardú is structured while providing some flexibility. Clients start the day with two hours to eat breakfast, shower, and use the gym. “It was nice having some autonomy in choosing how to spend that time,” said one resident. After breakfast, clients attend a morning meditation group followed by process groups until lunch, after which they attend more “group, activities and meetings and therapy,” including “experiential therapy every Tuesday.” 

    Clients work their way up through progressive levels (phases) as they develop the skills they will need to maintain sobriety after they graduate. As they progress, more privileges are granted. Residents attend community recovery meetings in the evening. Weekends are described as “more relaxed,” consisting of “a couple of groups, lots of activities and fun, plus family visits.” One grad appreciated visiting with family, mentioning his gratitude to Ardú for “The ability I gained as a parent to see my kids through a new perspective.”

    Most of those in Ardú’s residential program share a room: “There were 2 people to a room with 2 rooms sharing a bathroom.” Residents are expected to keep their rooms clean and help clean common areas on Sundays.

    Ardú has rules and guidelines which everyone is expected to follow. Residents generally report a fairly permissive attitude where they were “treated as adults.” Staff’s way of motivating clients is more “encouraging instead of punishing.” They are also expected to hold each other accountable. If a problem comes up, clients are expected to work things out on their own when possible. Staff are described as being “very well trained at conflict resolution,” opting for de-escalation, particularly with detox clients. One resident described “A very person-centered loving approach.” Others describe staff members as being “very fair” and “professional,” with one resident noting, “They took the time to find the ‘why’ behind my behavior and helped me change the pattern of behavior.” 

    Clients at Ardú are not allowed internet access and TV is available for viewing after 5:00pm and on weekends. TV restrictions differ for detox patients: “I was able to watch TV often but that was because I was detoxing,” said one.

    Regarding phone access, residents attain more privileges as they progress through different levels of the center’s phase system. One alum described a phone “black out period,” during their first week. After that, “Phone use was based on phase work so 2 calls the first week 3 the next then 4 and so on.” Clients can request exceptions to this rule. One person recalled: “I was allowed to call my kids every day I was there.”

    Everyone seems to enjoy the food at Ardú. Served cafeteria style, the healthy meals are always “Fresh, hot and delicious,” and described as “Gourmet,” “The bomb!” and “On point!!” with no shortage of variety: “We never ate the same thing twice. Every day was a new culinary experience.” Hearty choices like chicken parm, meatloaf and fish and chips are served as well as soups, caprese sandwiches and one client’s favorite – strawberry chicken salad with goat cheese. For those who have specific dietary needs or preferences, “The cooks accommodated every need.” Alumni also said that “Coffee, sweets, and snacks were available at anytime,” and “The refrigerator was always full.”

    Many residents reported the activities and amenities being the highlight of their stay. The center has 2 gyms and a pickleball court. They also offer fitness classes and yoga. Clients have lots of ways to relax, such as enjoying the epsom salt float spa or vibro acoustic lounge. There is also a sauna, an oxygen lounge and a cinema with comfy recliners. Sober softball games are played on Fridays and Sundays. 

    In addition to the many on-campus recreation options, Ardú makes use of their beautiful Utah location by providing weekly offsite activities with the center’s clinical director. Residents enjoy hiking, sweat lodges, rappelling and a three-day camping trip. “Everything was tied back into recovery and we processed our experiences,” voiced one alum who described the experience as “something different that I have not done in any other treatment center that I have been to.”

    Alumni described a very personalized level of care provided by Ardú’s full-time medical team. Dr. Blake, who was described as “one of the nicest caring doctor’s I’ve ever met,” by one resident “was there every day of the week and made us a priority the second we needed him.” Another client told us, “Not only did he help me with my detox and mental health, but he was able to get me back on track with all of my general medicine issues as well.” Patients also said there were “multiple nurses” onsite at all times who were able to handle patients’ needs. One client recalled: “I needed surgery while I was in treatment and that was handled perfectly.” Another summed up the general consensus: “I am so appreciative of each and every one of them and the support they showed me from the moment I met them to my last day at the facility.”

    Ardú offers clients access to various support groups in the community. One client’s impression was, “12 step is highly encouraged but not presented as the only way.” In addition to AA meetings, clients are also exposed to Refuge Recovery, Addict to Athlete, and SMART. “A little bit of everything was offered at Ardú, they really helped me find my tribe,” said one alum.

    Residents are given the opportunity to attend religious services at their house of worship or meet with clergy if they choose, but the center was not considered religious: “Not religion so much as encouragement to develop spiritually (which Ardú defines as ‘connectedness’) which I loved.” 

    Nearly all of the respondents to our survey have maintained their sobriety since leaving Ardú. One grateful former resident noted, “I’ve been clean and sober longer than I’ve ever had in my entire life.” When asked about their most memorable moments, many mentioned the 3-day camping trip and weekly outings. Others talked about the program itself. “It was completely individualized and tailored to my needs,” said one alum. 

    Others will never forget the staff members with whom they interacted: “Every single staff member was supportive and compassionate. Give Jen and Jasi a raise.” All-in-all, former residents were very happy with their experience at Ardú. A client who had been to several rehabs in the past put it this way: “Ardú seemed to be doing something different than everyone else,” and that the program “Completely surpassed any expectations that I had.”

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