Author: The Fix

  • 7 Reasons Why I Thought AA Wasn't for "Someone Like Me"

    7 Reasons Why I Thought AA Wasn't for "Someone Like Me"

    By the end, as we stood in a circle holding hands, I thought: “This is a cult, right? This has to be a cult.”

    I remember the first meeting of Alcoholics Anonymous that I ever attended, about three years ago. I’ll be honest — I wasn’t the friendliest face at that meeting. I had a ready criticism for just about everything that anyone said.

    By the end, as we stood in a circle holding hands, I thought: “This is a cult, right? This has to be a cult.”

    I asked the newcomer liaison — who I was convinced was just a recruiter for this undercover religious operation — how I could know whether or not I was an alcoholic, and if I really needed AA.

    One thing she said in particular stood out: “Sometimes you aren’t ready, you know? Some folks go and do more ‘research’ and then a couple years later we see them in the rooms again.”

    In hindsight, I have to chuckle. Of all of the advice she gave me, the only part I seem to have listened to was the part that justified drinking more. (I’d later learn that this is the exact kind of “selective hearing” that alcoholics are known for.)

    I didn’t know it at the time, but her comment would foreshadow my journey to the letter. A few years later, after another catastrophic relapse, I remembered her words: If it was meant to be, I would be back.

    “Sam, you could’ve died,” my therapist told me when I described my latest binge. That’s when I knew my “research” was over. It was time to go back.

    I sat in the back row (another typical newbie move, I’d later learn), and just as the Serenity Prayer was being read, I saw the same woman from before — the one who predicted, whether intentionally or not, that I would be in those rooms again.

    “I know you, right?” she said to me after the meeting.

    “Yeah,” I replied, smiling. “And you’re a big reason why I came back. Because I knew I could.”

    I didn’t know what to expect, but that didn’t matter; I was just grateful to have a place to go where I didn’t feel so crazy.

    As time went on, I quickly realized that the reasons I believed that AA wasn’t for me weren’t just misguided, they were completely wrong. While I wish I’d had these realizations sooner, I’m grateful now for the fellowship I found when I was finally able to open my heart and mind.

    So what, exactly, held me back the first time around? These are seven of the big reasons why I thought AA wasn’t for me — and what ultimately changed my mind.

    1. I’m not Christian (or even religious).

    Despite being told that your higher power in AA could be virtually anything, the “God” language was so off-putting that I couldn’t get past it at first. What I didn’t know was that AA is home to people with all sorts of beliefs, including atheists and agnostics (for whom a whole chapter in the Big Book is actually written).

    But why would someone who wasn’t religious opt for a program that talks about a higher power?

    The short answer? To get outside of ourselves. Part of what makes addiction so tricky is that we often get stuck in our own heads, leading us to miss the forest for the trees. A focus on some compassionate, loving force outside of ourselves allows us to take a step back from the addictive obsessing and see the big picture at work.

    That “God” can be your own inner wisdom or spirit (you know, the tiny voice or gut feeling that says: “I shouldn’t be doing this”). It can refer to your fellowship (e.g. Group Of Drunks) and community, or it can even be the stars or your ancestors.

    Whatever your higher power is, it exists to anchor you in the present moment, when your own thoughts are derailing you (part of what fuels cravings, I’ve found, is the mental obsession that goes along with them). Projecting your focus outside yourself can be a powerful tool in recovery.

    2. Alcohol wasn’t my biggest problem.

    I always thought of my alcohol abuse as a symptom of a problem rather than an issue in its own right. As someone with obsessive-compulsive disorder (OCD) and a trauma history (C-PTSD), I figured that if I got my mental illness under control, my drinking would somehow become normal again; that it would, in essence, “work itself out.”

    As irrational as it sounds, I really believed that if I just “stayed mentally healthy” for the rest of my life, alcohol wouldn’t be a problem.

    It should be a lot easier to sober up than to be perfectly happy and healthy 100% of the time, but the alcoholic mind doesn’t care about what’s actually possible — it just cares about drinking again.

    I’ve learned with time that my alcoholism is very much a compulsive behavior. And once compulsions are activated, they’re only made worse when you engage with them. As a person with OCD, and therefore lots of compulsions, I know this better than anyone.

    A lot of alcoholics look at every other issue in their lives as The Real Problem, while their drinking isn’t much more than an inconvenient and temporary side effect. But more often than not, the only “phase” we’re really talking about here is denial.

    3. I figured I could manage on my own.

    Here’s the thing: Whether or not you can manage sobriety on your own, why should you? If there’s an entire community of people, ready and able to support you, why deprive yourself of that resource?

    These days, I ignore the voice in my head that says, “You don’t need this.” It’s irrelevant either way; I don’t need to muscle through this and there’s no good reason to.

    This fellowship is a gift I can give to myself — the gift of unconditional acceptance, and an opportunity for continued personal growth in a supportive community.

    4. I thought I was too young and “inexperienced.”

    My drinking didn’t really take off until I was 21 years old. Yet by the time I was 24, I was at my first AA meeting. Was it possible to become an alcoholic in three years? I didn’t think so. I hadn’t racked up any DUIs and I wasn’t drinking vodka every morning, so what did I need AA for?

    But my definition of alcoholism has evolved a lot since then.  Alcoholism, to me, is a spectrum of experiences defined by two things: (1) psychological dependence on alcohol and (2) strong urges to drink (which we call “cravings”).

    Drinking had become a coping strategy (one that often failed me) to deal with issues in my life. And rather than choosing to drink and choosing to stop — which is usually, on some level, premeditated and deliberate — I had the urge to drink, and that urge often had me behaving in ways that ran counter to what I planned or wanted, assuming I had a plan at all.

    Sometimes I drank only to resolve the urge itself — an urge which could involve unbearable levels of anxiety, agitation, obsessing, and impulsiveness.

    It took just a few years for my drinking to reach this level of unmanageability. And when it led me to be hospitalized twice in my early twenties, I realized that if I continued I would die before I ever considered myself “experienced” or “old enough.”

    You are never too young or inexperienced to get sober. If there are signs that your drinking has become dangerous, you don’t need to wait to get support — and you shouldn’t.

    5. I’m queer and transgender.

    One of the biggest reasons why I rejected AA was because I felt, as someone who was both transgender and gay, that I would feel like an outsider. And while I can’t speak for every meeting in existence, I’ve been fortunate to find meetings where I could show up as my authentic self.

    Living in the Bay Area, I’m privileged to now have access to meetings that are specifically for the LGBTQ+ community, though I regularly attend all kinds of meetings and have found them to be fulfilling in their own way. My sponsor is queer, too, which is incredibly empowering.

    Many people I’ve known in other parts of the country have been able to connect with their local LGBTQ+ community center (either city or statewide) to get recommendations on which recovery spaces would be best for them.

    Some LGBTQ+ centers even have AA meetings specifically on-site for the community.

    The best way to find out is to call around. You don’t know what’s out there, and recovery is always worth the effort.

    6. I take psychiatric medications.

    As someone who takes medication for my mental health conditions, I was scared that people in AA would look down on me or believe I wasn’t really sober.

    In particular, I rely on Adderall to manage my ADHD. I take it exactly as prescribed without any trouble. If I don’t take it, it’s difficult for me to keep up at my job because my concentration issues make my life incredibly unmanageable.

    But Adderall is a stimulant and has a reputation as a drug of abuse. I worried that I would be pressured to stop taking it.

    Instead, I’ve been given the exact opposite advice in AA. I’ve been told repeatedly that if my psychiatric medications contribute to my mental wellness, they are an essential and indispensable part of my recovery.

    With mental health conditions frequently co-occurring with substance abuse, you’re likely to find a lot of people in AA who rely on these medications to maintain balance in their lives. So don’t be discouraged: you aren’t alone.

    7. My history didn’t seem “bad enough.”

    Sometimes I’d listen to a speaker talk about getting drunk at age 12, growing up in the foster system, or getting their second DUI, and I’d think to myself, “Why am I even here? My story is nothing like theirs.”

    But as I attended more and more meetings, I began to see the similarities, rather than focusing so much on the differences. I realized that even the most extraordinary stories had some kind of wisdom to offer me, as long as I gave myself permission to be fully present.

    As I heard a speaker say last month, “Bottom is when you stop digging.” Recovery begins when you’re open to it, not when you’ve passed some magical threshold of having “suffered enough.”

    Your story is enough, exactly as it is in this moment. You don’t need to have the most tragic backstory, the biggest relapse, or the most catastrophic “bottom” moment.

    You don’t have to earn a seat at the table. As I learned this last year, that seat will be there for you when you’re ready, no matter how many times you fall down or slip up.

    View the original article at thefix.com

  • Everyday Changes That Can Improve Depression Symptoms

    Everyday Changes That Can Improve Depression Symptoms

    Experts offer a few tips on how to manage symptoms of depression.

    Depression is a serious disease that can require treatment with therapy and pharmaceuticals, but mental health professionals also say that making lifestyle changes can help alleviate symptoms. 

    Considering that depression rates have increased 33% in five years, it seems that more people than ever are paying attention to their mental health and prioritizing their wellbeing.

    Here are some changes that you can implement today in order to help control your symptoms of depression. 

    Focus on gut health

    Understanding how our microbiome works is the next frontier in medicine and it affects much more than just your gut health. 

    “There’s been an explosion of interest in the connections between the microbiome and the brain,” Emeran Mayer, a gastroenterologist at the University of California, Los Angeles, told The Atlantic

    Your gut contains large amounts of the same neurotransmitters that keep communication running smoothly in your brain, including GABA, dopamine and serotonin. That’s why Alison Stone, a New York-based therapist told Well and Good that the gut is basically the “second brain.” 

    Avoiding sugar, processed food and alcohol can help reduce inflammation and improve gut health, which in turn can reduce symptoms of depression.

    “In addition to affecting our dopamine and GABA production [‘happy chemicals’ needed for healthy brain functioning] it’s estimated that the gut is responsible for up to 90% of the body’s serotonin production,” Stone said. “Since inflammation has been linked to depression, following an anti-inflammatory diet is an important step in creating a happy, healthy gut.”

    Socialize in person, not online

    While social media has been linked to feeling down, getting together with friends in person will boost your mental wellbeing, especially during the cold winter months when people tend to hibernate inside. 

    “I cannot emphasize the importance of human connection enough, especially now that we’re living in a world where technology has replaced many face-to-face interactions and altered the way we belong to communities,” Stone said.

    Meet a friend for a walk, attend a meeting or catch up over coffee. Research shows these social relationships will improve your health. 

    Care for your physical health with exercise and sleep

    Sleep and exercise are some of the most basic ingredients for healthy living, but too often they’re overlooked. This can have consequences for both physical and mental health. If revamping your sleep and exercise schedules feels overwhelming, start small. 

    “Even 15-20 minutes of moderate walking per day is better than nothing,” Stone said. 

    That small amount of physical activity, coupled with a bit more sleep, will help improve your mood. 

    View the original article at thefix.com

  • Are Courts Now Ruling In Favor Of Legal Weed-Using Employees?

    Are Courts Now Ruling In Favor Of Legal Weed-Using Employees?

    A recent case may change the legal precedent for employees who use marijuana.

    Courts around the country are beginning to rule against employers who terminate people for using cannabis in states where medical or recreational use is legal, reversing years of courts siding with employers on the issue. 

    Last month a federal judge ruled in favor of Katelin Noffsinger, who sued a Connecticut nursing home that rescinded her job offer when she tested positive for THC. Noffsinger had told the nursing home that she used medical cannabis pills at night to control her PTSD.

    Still, when she tested positive for cannabis the nursing home said that she could not work for them, saying it could jeopardize federal funding that the home received. 

    This is the first time that a federal judge has ruled in favor of someone using medical marijuana, according to TIME. In previous cases judges have ruled that employers can terminate or not hire a person who uses cannabis because the drug remains illegal under federal law.

    “This decision reflects the rapidly changing cultural and legal status of cannabis, and affirms that employers should not be able to discriminate against those who use marijuana responsibly while off the job, in compliance with the laws of their state,” Paul Armentano, deputy director of NORML, a pro-marijuana group, told TIME

    Previously, case law indicated that judges were likely to side with employers, but the Noffsinger case could change the precedent. 

    “This is a very significant case that throws the issue in doubt for many of these federal contractors,” said Fiona Ong, an employment attorney with the Baltimore firm of Shawe Rosenthal. “It’s certainly interesting and may be indicative of where the courts are going with this.”

    Thirty-one states have medical marijuana programs. However, only nine states—including Connecticut—have made it illegal to discriminate against someone based on their use of medical marijuana.

    Still, cannabis use is a grey area in employment. Some states prohibit employers from discriminating against someone for using outside work hours, but this gets complicated in states where cannabis use is legal, while it remains prohibited on the federal level. 

    “What is cannabis if it’s lawful on the state but not the federal level?” William Bogot, co-chair of the cannabis law practice at Fox Rothschild, told CityLab in 2016.

    U.S. District Judge Jeffrey Meyer, who ruled in the Noffsinger case, pointed out that the federal Drug Free Workplace Act, which dictates drug-testing policies, does not require drug testing and does not prohibit federal contractors from employing people who use legal medical marijuana outside of work. Some employers have stopped testing for THC. 

    Recently, state judges in Rhode Island and Massachusetts also ruled in favor of people who were denied employment because of their cannabis use, prompting the American Bar Association to call the cases “an emerging trend in employment litigation.”

    View the original article at thefix.com

  • Lack Of Suboxone Access Leads Users In Need To The Black Market

    Lack Of Suboxone Access Leads Users In Need To The Black Market

    President Trump is expected to sign a bill to expand medication-assisted treatment but it remains unclear as to how soon that will take place.

    A new feature by NPR underscores a potentially dangerous conundrum for health care professionals and individuals seeking treatment for opioid use disorder: while buprenorphine (also known as Suboxone, Subutex and Zubsolv) has proven effective in blocking the effects of opioids, it’s also difficult to find and a challenge to obtain due to federal limits on prescribers.

    As a result, many prospective patients have turned to the illicit market, where Suboxone can be obtained via diversion, or from patients who sell or give away their own prescriptions.

    President Donald Trump is expected to sign a bill to expand medication-assisted treatment (MAT), but as NPR noted, it remains unclear as to how much access will be granted and how soon that will take place.

    Along with methadone and naltrexone (Vivitrol), buprenorphine is one of three federally-approved drugs to treat opioid dependency.

    As the NPR feature stated, while it is less potent than heroin or prescription opioids, including fentanyl, it is possible to overdose on buprenorphine if mixed with other substances.

    But such instances are rare, especially when the drug is formatted with the overdose reversal drug naloxone. As Dr. Zev Schuman-Olivier, an addiction specialist and instructor at Harvard Medical School, said, “The majority of people are using it in a way that reduces their risk of overdose.”

    Despite its effectiveness and relative lack of harmful side effects, obtaining buprenorphine is subject to federal regulations in regard to who can prescribe it—medical professionals need a special waiver to do so—and how much can be obtained. Currently, those doctors that meet the federal requirements to prescribe buprenorphine are limited to treating 275 patients.

    Nurse practitioners and physician assistants may apply for a waiver to administer the medication as well. Under the SUPPORT for Patients and Communities Act, the number of such health professionals and the length of prescription may be increased.

    Until that bill is signed, buprenorphine remains both difficult to obtain and expensive. According to 2016 estimates provided by the U.S. Department of Defense, medication and twice-weekly visits to a certified opioid treatment program are $115 per week or nearly $6,000 per year. That puts the medication out of range for many in need, forcing them to turn to diversion situations for assistance.

    But as NPR noted, that scenario can be dangerous: patients need assistance from a treatment professional for proper dosage and treatment for mental health issues that may come as a part of addiction.

    Diversion has become prevalent enough to warrant calls for more regulations regarding buprenorphine and stronger enforcement against those that break the law. But the NPR story quoted Basia Andraka-Christou, an assistant professor and addiction policy researcher at the University of Central Florida, who said that stricter rules are not what’s needed for patients.

    “I guarantee you, they’re either going to go and buy heroin and get high, which surely is not a great policy solution here,” she said. “Or they’re going to go buy Suboxone on the street.”

    View the original article at thefix.com

  • Chance The Rapper Pledges $1 Million For Mental Health

    Chance The Rapper Pledges $1 Million For Mental Health

    “We want to change the way that mental health resources are being accessed,” Chance said at a summit for his nonprofit, SocialWorks.

    As one of the more prominent hip hop artists to speak out about mental health, Chance the Rapper is putting his money where his mouth is by pledging $1 million to mental health services in Chicago.

    According to Rolling Stone, this is part of a new mental health initiative that Chance has launched called My State of Mind, which could grow into a major resource for people in the Chicago area who need help.

    As part of this initiative, six mental health wellness providers in Chicago will receive grants for $100,000 each.

    Chance announced his pledge at a summit for his nonprofit SocialWorks, stating, “We want to change the way that mental health resources are being accessed. We need a new space where people can get information on how they feel, on where to go and a network for us to interact and review our mental health spaces, and create a community of people helping people.”

    Chance has seen a lot of devastation in the south side of Chicago, a large part of the city which has been ravaged by gun violence. 

    Brad Stolbach, a clinical director at a Chicago treatment center, told The Root, “Every time a person gets shot, especially a young person, there are literally hundreds of people who are affected by that shooting.”

    Stolbach adds that the victims left behind are “not thought about.”

    Research studies showed that areas that have the most gun violence also have the highest rates of hospitalization for depression, anxiety, and PTSD, among other mental health disorders.

    When Chicago cut $113.7 million in funds for mental health services, Chance spoke out against the Mayor Rahm Emanuel for closing down six mental health clinics in 2012.

    Last year, Chance the Rapper told Complex, “A really big conversation and idea that I’m getting introduced to right now is black mental health. Cause for a long time that wasn’t a thing that we talked about. I don’t remember, when I was growing up, that really being a thing. Now I’m starting to get a better understanding of that part of my life.”

    Even though Chance experienced traumatic events growing up, he added, “I don’t ever want to convince myself that I’m hindered by any of my experiences. There’s definitely a lot of things that have happened in my life that would cause me to think a certain way or feel a certain way. But I don’t label those experiences as traumatic events. They are events that were paradigm shifts in my life, but I don’t know if they caused a disadvantage.” 

    View the original article at thefix.com

  • Olympian Ryan Lochte To Enter Treatment for Alcoholism

    Olympian Ryan Lochte To Enter Treatment for Alcoholism

    A pair of incidents with the law were the reported driving factors behind Lochte’s decision to enter treatment. 

    Twelve-time Olympic swimming medalist Ryan Lochte will seek treatment for alcohol addiction after a string of incidents culminating in a car crash on October 4.

    Lochte’s legal representative, Jeff Ostrow, stated that the 34-year-old “has been battling from [sic] alcohol addiction for many years, and unfortunately, it has become a destructive pattern.”

    Ostrow added that his client’s goals are to be “the best husband and father he can be” and to return to competitive swimming for his fifth Olympics in 2020.

    Lochte has amassed an impressive treasure chest of laurels in swimming, including six Olympic gold medals, but since 2016, has also generated headlines for his involvement in several swimming-related scandals.

    He was widely criticized for embellishing his account of a 2016 incident during the Summer Games in Rio de Janeiro in which he and three teammates were allegedly robbed at gunpoint.

    Lochte later apologized for his statement and for what he described as “immature behavior,” including damage to a gas station bathroom, which caused an altercation with security guards. 

    He was subsequently suspended from swimming for 10 months and banned from participating in a 2017 world championship event.

    In 2018, Lochte was suspended for a second time for reportedly receiving an intravenous infusion without a therapeutic use exemption.

    Though Lochte claimed that the injection only contained vitamins, he was handed down a 14-month suspension, which effectively halted his comeback after the 2016 incident.

    On October 4, 2018, police were called at approximately 3 a.m. to a hotel in Newport Beach, California where Lochte had kicked in the door to his room while allegedly under the influence of alcohol. No arrest was made, but according to TMZ, he was involved in a car accident in Gainesville, Florida, after flying in from California.

    Police were again summoned, and Lochte, who had reportedly failed to brake before striking the car ahead of him, was cited for “careless driving.” Alcohol was not mentioned in the police report, as TMZ noted.

    The pair of incidents was apparently enough for Lochte to seek assistance for his substance use issues.

    According to his lawyer, he “has acknowledged that he needs professional assistance to overcome his problem, and will be getting help immediately. Ryan knows that conquering this disease now is a must for him to avoid making poor decisions, to be the best husband and father he can be, and if he wants to achieve his goal to return to dominance in the pool in his fifth Olympics in Tokyo in 2020.”

    No word as to where Lochte will seek treatment has been given as of this writing.

    View the original article at thefix.com

  • Narcan Creator Working On Fentanyl "Antidote"

    Narcan Creator Working On Fentanyl "Antidote"

    The new formulation is reportedly five times stronger than Narcan and will last longer. 

    A stronger formulation of Narcan (naloxone) nasal spray, the opioid overdose antidote, is in the works, FOX Business reports. There’s a need for a stronger antidote, its developers say, to counter the rising use of fentanyl.

    Fentanyl is a synthetic opioid pain reliever said to be 50-100 times more potent than morphine. Though it is a pharmaceutical drug, illicitly-made fentanyl is said to have fueled rising rates of drug overdose deaths in the United States.

    Narcan nasal spray, which reverses opioid overdose, hit the market in early 2016 after receiving fast-track designation by the Food and Drug Administration. Now first responders, health workers, and laypeople across the U.S. are equipped with Narcan—but in some cases, the otherwise life-saving drug is not enough.

    “Narcan is not the 100% fail safe that people may think it is, it does not always work,” warned police officials in West Fargo, North Dakota, responding to the emergence of acryl fentanyl, a newer, stronger fentanyl analog, last year. These illicitly-made opioids may require multiple doses of Narcan.

    Roger Crystal, the creator of Narcan and CEO of Opiant Pharmaceuticals, is now working with the government to create a new opioid overdose antidote that will match the strength of increasingly potent fentanyl analogs.

    The new formulation, Nasal Nalmefene, will not only be stronger but will last longer. “The reason we think it could have advantages is because nalmefene is a drug itself [and] is stronger than naloxone. It’s five time stronger and it lasts longer,” Crystal told FOX Business.

    According to data released by the Centers for Disease Control and Prevention (CDC), fentanyl accounts for a significant portion of drug overdose deaths in the U.S. In 2016, opioids (prescription and illicit) accounted for 42,249 deaths out of total 63,632 drug overdose deaths in the U.S.

    The CDC also reported that “over half of people in 10 states who died of opioid overdoses during the second half of 2016 tested positive for fentanyl.”

    Crystal, who is working with the U.S. Health and Human Services Department, said they are aiming for FDA approval of Nasal Nalmefene by 2020.

    “Compounds like fentanyl, carfentanil and other synthetic opioids act for longer periods of time. The concern is that naloxone’s half-life doesn’t provide sufficient cover to prevailing amounts of fentanyl in the blood,” said Crystal in a past interview.

    Learn how to administer naloxone: How to Reverse an Opioid Overdose with Naloxone.

    View the original article at thefix.com

  • There Was Light A Mile Deep: Interview with Poet William Brewer

    There Was Light A Mile Deep: Interview with Poet William Brewer

    Someone contacted me when the book came out, who had very recently lost a parent to heroin. She said to me, and I’ve held on to this, “The poems gave me a feeling that I had a place to go.”

    The West Virginian landscape exists as one of the great splendors of North America, but beneath the canopies of spruce and maple and folded inside the canyons smolders a public health crisis whose effect has verged on apocalyptic for some communities, both spiritually and literally. Peddled by big pharma, opioids found special traction, furthering the hardships inherited from a history of economic injustice. Like new gears spinning a rusted machine.

    These conditions have sown a very human consequence, which looks out from the porch of William Brewer’s debut book of poems, I Know Your Kind, with lines like: “[I] have placed my lips against the shadow / of his mouth, screamed air into his chest, / watched it rise like an empire then fall.”

    Born and raised in West Virginia, the poet left Appalachia to pursue higher education, but his craft was drawn back towards the hills of his youth, rendering the anguish and ghosts that multiplied rapidly there in the mid-aughts when the state ranked as having the highest overdose rate in the country (it still does).

    With delirious imagery, Brewer uses natural subjects such as flies and logging to express deep emotions, at the same time accessing the past in order to help explain the unbelievable present. His poems have been published in The New Yorker, The Nation, American Poetry Review, and his chapbook Oxyana was selected by the Poetry Society of America for their 30 and Under chapbook fellowship.

    Then, last year Ada Limon selected I Know Your Kind as a winner of the National Poetry Series. A practice in empathy, the book illustrates not only the spirit of a place struggling to stand, but a cross-section of the epidemic timeline on a local level when the national media was just starting to grasp what was happening. Before the big policy responses. Despite all the graves already in the ground.

    Interviewed by The Fix, Brewer hikes into these “terrible truths” and cracks open the question of what drives someone to give themself to an artificial comfort, underlining that rural living can marginalize culturally and politically.

    Estimates place the number of people recovering in the United States around 25 million, and close to the same amount experiencing active substance use disorder. More than ever, there is a need for a strong literature to reflect this population, how we lived and how we want to live. I Know Your Kind stimulates our thinking about the prismatic possibilities of a modern addiction poetry.

    Note: This is sometimes a sad conversation, about suffering caused by substance use disorder. Seek out another interview if you’re unbraced.

    The Fix: Your book opens with the poem “Oxyana, West Virginia,” which establishes the setting of I Know Your Kind as a place where both splendor and suffering co-occur. Can you talk more about the relationship between the people and the land?

    William Brewer: Oceana is a small town in southern West Virginia, a blast site of the opioid epidemic. The nickname Oxyana refers to Oxycontin, the drug that took over. This poem takes the notion of a single place and applies it to multiple regions of the state to create a condensed fictional stage, to build out a landscape. Throughout the book, when I talk about one place, I’m talking about the whole state, because the problem is everywhere. The whole state is a kind of Oxyana.

    Now, with the idea of splendor and suffering, I think the word you used was co-occur—that’s absolutely right in West Virginia. It’s an immensely beautiful state, but it’s a state of contrasts. The ancient hills are beautiful, but that ancientness meant coal, which meant prosperity, but only for a very few until the mid-20th century. Coal, for much of its history, has meant a very hard way of living that has benefited very few. So the thing that gave West Virginia its prosperity is also the thing that has caused most of its destruction environmentally, economically, and to the physical well-being of its citizens.

    Now that the coal industry has died away, people are left in drained away communities, isolated from the outside world by the mountains and rivers, which also prevent jobs like manufacturing from coming in. The landscape becomes a beautiful prison.

    You often manipulate the symbol of light, twisting away from classic associations, or at least complicating them. For example, in “Overdose Psalm,” a tree is cut down and the line goes “Snow committing its slow occupancy, / filling the column like words, the light / saying in so few of them, like all terrible / truths, something here did not survive.” Besides being very very sad, it’s so resonant. How does light function in your book?

    In IKYK, I’m interested in exploring the power opiates have to mimic a kind of divine energy. They aren’t like psychedelics, which connect you to the feeling of a greater universe. Or amphetamines, which accelerate our reality. This is something simple: an optimism, a brightness, a luminosity, therefore light will function in the mind of the speaker as positivity, but for the reader the function is more sinister. Here, our feelings about beauty (which light is often in service of) become less straightforward than they seem.

    Writing has to look carefully at the way certain chemicals make people feel.

    We must recognize the ways substances make you feel fulfilled.

    Yes. And in the case of West Virginia, you have a largely poor, often isolated populace that is, in many respects, ignored by the rest of the country. When the outside world does engage with WV, it’s often through joke and insult. “Trash,” “Hillbilly,” “Did you marry your cousin?” “I’m surprised you wear shoes.” In her essay “The Fog Zone,” Leslie Jamison gets it right: “West Virginia is like a developing nation in the middle of America. It has so many resources and it has been screwed over again and again: locals used for labor; land used for riches; other people taking the profits.” With all that in mind, it’s suddenly a lot easier to understand how big unfulfillment can be as an idea, and how deep unfulfillment can function like a kind of pain. Through that pain comes the chemicals.

    What about the power dynamic between other parts of the U.S. and West Virginia? In your poem “Oxyana, West Virginia” you have those lines about river beds being wine glasses for the Roosevelts. It seems to me this dynamic could compound with the marginalization of the state, worsening the epidemic, distancing external aid.

    You’re absolutely right. That Jamison quote again. This is a place that gave everything to America during its rapid rise through the last century, and then when it was finished America turned its back on them. This was and continues to be a form of erasure. When people are told they don’t matter or feel like they don’t exist—that’s going to worsen a problem like the epidemic. The drug problem has been going on for over 10 years, but it’s only just now garnered attention. That’s in part because a lot of people—a lot—still don’t know WV is its own state. A few months back I was seated at a dinner beside an Ivy League graduate who kept referring to my home as Virginia, even after I corrected them multiple times.

    Yeah, that’s a completely different state.

    And when your country doesn’t know you exist, it’s like your suffering doesn’t exist. Then it’s like, who are they to tell you how you handle your suffering?

    All of this leads to the larger point, the key point about the book. IKYK is not about the opioid epidemic, and it’s not about WV, it’s about how these two subjects are bound together through a continuation of history. The history of WV is the history of massive industry making gargantuan profits off the lives of WV citizens. Timber, minerals, oil, coal, gas, and now: pharmaceuticals. They pumped 780 million pills into a state of 1.8 million people. By doing that, those companies, that industry, made a conscious choice: The lives of West Virginians aren’t as important to us as money; this is a population we can afford to kill.

    Leads me to think of “Daedalus in Oxyana.” There’s a line… “I gave my body to the mountain whole. For my body, the clinic gave out petals inked with curses.”

    I want to hear more of how you funneled real life places and people into this book. What was your research process like?

    The research was living and seeing the issue grow. The research arrived. But I don’t necessarily like that word, “research,” because it suggests I went looking for it. It’s more that the problem appeared. Things snowballed very quickly. Sometimes I didn’t realize it, other times I did. In conjunction, at one point someone came to my fiancée and me and told us they were a heroin addict and they were terrified. I got angry, thinking they got themselves into the mess and didn’t care about anyone else. Ten minutes later I realized this reaction was repulsive. I wrote the person off at their most vulnerable. A flip switched, and I realized this was something deeper I wanted to sit with and look at. That meeting between personal interrogation and social observation is how the book came to be.

    I like how the initial motivation for this book was a reaction to the stigma you had fallen into initially. You were like, “Wow, this is the way I think, so I’m going to do some work and examine it.”

    The disease of addiction has taken a toll on my family throughout my life and my parents’ lives, so I’ve seen how people come to reckon with it. I thought I had developed sophisticated responses, but in that moment those responses failed when presented with this new problem. I’d seen what alcoholism can do, and how as a culture we accept it as a problem. But we were turning away from opiate abuse and denying its reality, and I felt I needed to resist that turning away.

    I think it’s stunning for someone who hasn’t experienced addiction himself, how you put words to those unique feelings and moments. There’s a line from “Resolution,” “…I stood in the yard // and decided that sometimes / you have to tell yourself / you’re the first person // to look out over / the silent highway / at the abandoned billboard // lit up by the moon / and think it’s selling a new / and honest life.”

    There are details about the way of life that can accompany opioid use disorder, which echo the conversations I’ve had with people. “Leaving the Pain Clinic,” you write “…and though the door’s the same, / somehow the exit, like the worst wounds, is greater / than the entrance was. I throw it open for all to see / how daylight, so tall, has imagination. It has heart. It loves.” Like, how did these lines come to be in such striking detail?

    For me, the writing of a poem is an impulsive act. But there’s a lot of gestation and thinking that goes on behind the scenes, before I write—a lot of thinking. And there’s living that goes into them, too. When I was in college I had an accident that required some heavy surgery and a long rehab period. Opioids were a big part of that period, I was on them for a long time. The power of those drugs, what they could do, has remained vivid in my mind, and always will. That passage about daylight comes from that.

    In regard to the former passage: I’ve dealt with serious depression my whole life. Depression and substance abuse are often bedfellows. What depression can unleash in someone—hopelessness, dependency, fear, recklessness towards how we feel about our lives, suicidal impulses—can certainly be unleashed by substance use disorders, too, with the volume turned up to 11. To be clear, I do not mean in any way to suggest that depression and substance abuse are the same thing. Rather, what I mean to articulate is that I brought every bit of myself to every poem. This is not just a matter of aesthetics. It’s me doing my best to extend myself out, to say, “Dear Person X, the possibility that your pain may feel even remotely similar to my pain is why I’m trying to do my absolute best to recognize you in hopes that you may feel less alone, but even more importantly, so that you may feel loved. Loved.”

    I come from a spoken word community that preaches sticking to your own story. Personally, I think your book is an important addition to literature, both generally and in the addiction/recovery sub-genre. But throughout it you often speak through the persona of someone with substance disorder. I worry other poets will take this as license to do the same, without possessing the knowledge or respect you have for the subject. What are some potential hazards here?

    First, thank you for saying that. I appreciate it greatly and don’t take it lightly.

    While you come from a spoken word community, my literary life is rooted in fiction. The literary texts we had in my house were Herman Melville, Mary Shelley, Jane Austen, Nathaniel Hawthorne. They sat on a single shelf at the top of the stairs. I can still see them. Likewise, at school, literature = fiction. I read maybe two poems in high school, so my life in books began, and in many ways persists, through fiction, and so because of that, the root of my literary practice has always been—to use Roth’s (for better or worse) definition of fiction writing—“the crafting of consciousness,” with the understanding that this requires immense care, thought, patience, and humility. Do as much work as you can to get it right, and then do more. IKYK is very much a book that attempts to synthesize this quality of fiction, in addition to its immense capacity for world building and social examination, with poetry’s sense of deeply distilled emotional and psychological textures, its power to challenge language, and its unique ability to find unexpected connections. 

    As for other poets taking my work as license, I’m not sure what to say about that. It would seem to me that the potential for bad poetry, and bad poems about this subject, was there long before any of my poems came into the world. At the same time, for as long as that potential for faulty work has existed, there’s been a concurrent tradition of very valuable work being done in persona, poems by Bidart and Ai being just two gleaming examples (not to mention what has been done in fiction). So, maybe we could reframe the thinking in more positive terms, i.e. maybe this book can stand as an example of what persona can do? What the poem can do?

    What eats at me is how there aren’t a lot of poets writing about their personal experiences with substance recovery, at the level where they’re prominent within the poetry industry or community. Are these poets dead from overdoses? Did their time go towards using instead of writing? Or maybe they’re not writing openly because of stigma? Can you speak on the importance of us all lifting up and listening closer to people who have personal experience with these issues?

    I’m not sure about this, though it’s a wise question, one of huge importance. I don’t know of a clear answer. But it seems like the work you do in your day to day is connected to this and is very valuable. That’s something to be optimistic about. People have reached out and told me how they have brought my poems or the book into spaces like meetings, support groups, halfway houses, and that has been very humbling to hear. Just getting poems into spaces where maybe they’ve never been before—maybe that’s part of how we turn it around? As for the importance of lifting people up and listening closely—it is the most important thing. At the same time, the responsibility to write about this problem, which is now a national problem, shouldn’t rest solely on those suffering, should it?

    What do you hope your book accomplishes?

    Someone contacted me when the book came out, who had very recently lost a parent to heroin. She said to me, and I’ve held on to this, “The poems gave me a feeling that I had a place to go.” This was the greatest response I could have received. I hope that on a larger level, the book can extend the realities of the epidemic in WV to people who maybe had no idea what was going on, or didn’t believe it, or didn’t think it mattered—i.e. didn’t think the lives of West Virginians mattered.

    To graft onto that statement, I think the book is educational for people who don’t understand West Virginia, and how the opioid epidemic has taken root so deeply in this specific place.

    I surely hope so. That’s one of the book’s largest aims.

    I also want to add, while it’s a needed pursuit to write a place for pain to feel seen, it’s also necessary to create sites for recovering peoples to draw strength, hope, and triumph. What are some lines in your book that are doing this work?

    I think strength is an impulse that runs through much of the book—books about WV are inherently about strength. I think “Resolution” is a poem that leans toward a sense of hope or even triumph, even if it may be the first of a few failed attempts toward a larger triumph. Overall, though, I don’t think hope or triumph are large elements in the book, again this is because it’s a book about a specific situation in a specific place, and when I was writing it and editing it, things didn’t seem very hopeful or triumphant. I turned my book in to my editor in the fall of 2016. At that time, it felt like a situation that no one much cared about. The New Yorker hadn’t yet run its large profile about the state, the Charleston Gazette-Mail hadn’t yet run its now Pulitzer Prize-winning expose that gained national attention, Netflix’s Heroin(e) hadn’t yet been released, etc. etc. That said, I agree wholeheartedly that these sites and books are necessary, and I’m confident that they are coming, especially as our relationship to this epidemic, and our ability to help those afflicted by it, changes. So, while some of those elements may not be as present in my book, I don’t believe every book can or should do everything. Moreover, this subject, and its impact on our country, is vast. Perhaps, when it’s all said and done—if it’s ever all said and done—this book will be seen as one part of the larger record and discussion.

    Last question. What’s next for you? Anything that involves substance use disorder?

    I’m working on a novel that looks at the larger social, political, and economic networks that can be at play in making something like the opioid epidemic thrive in a place like West Virginia. I’m also working on a second book of poems about paranoia, suicide, and the idea of inherited death. And let me say thank you for taking the time to talk to me, your generosity toward the work, and for everything you do.

    More poems by William Brewer:

    “In the New World,” Southern Indiana Poetry Review

    “Oxyana, WV: Exit Song,” Diode Poetry

    Other interviews in this series about poetry and addiction:

    Lineages of Addiction: Interview with torrin a. greathouse, a Trans Poet in Recovery

    Addiction and Queerness in Poet Sam Sax’s ‘madness’

    Kaveh Akbar Maps Unprecedented Experience in “Portrait of the Alcoholic”

    View the original article at thefix.com

  • New Jersey May Require Depression Screenings For Students

    New Jersey May Require Depression Screenings For Students

    A new bill aims to address undiagnosed and untreated mental health issues in school-aged children. 

    Some New Jersey lawmakers are taking a stand against undiagnosed depression in youth by drafting a bill that would require annual screenings. 

    According to New Jersey 101.5, if the bill were to pass, students in New Jersey would have to be screened for depression about six times in the time leading up to high school graduation. 

    The bill comes in the wake of a recommendation from the American Academy of Pediatrics, stating that young people should be screened for depression each year. If passed, it would require that public school students in grades 7 through 12 be screened once per year. 

    “Tragically, far too few people that suffer from mental illness actually get diagnosed,” Assemblyman Herb Conaway (D-Burlington), primary bill sponsor and chair of the Assembly Health and Human Services Committee, said at a recent hearing, according to 101.5. “For those who screen positive, information will be sent to the parents and the parents can get their child the care that they need.”

    The screening would consist of a two-question survey and could be given by a “qualified professional” at public schools. By the bill’s definition, this means a school psychologist, school nurse, school counselor, student assistance coordinator, school social worker or physician.

    According to Conaway, parents would have the choice of opting out of the screening for their child, which current laws also allow for other types of physical health screenings. 

    While the intent of the bill is understood, there is still some opposition, according to 101.5

    Debbie Bradley, director of government relations for the New Jersey Principals and Supervisors Association, tells 101.5 that the potential passing of the bill would impact understaffing at schools even more. As such, combining the screening with annual physicals is an idea that has been broached.

    “Many of our members suggested that this system be integrated with the current annual physicals that many parents bring their students to,” Bradley said.

    Conaway reiterated the importance of the bill by citing a study that discovered the number of children and teenagers hospitalized for thoughts of suicide climbed more than 100% from 2008 to 2015. 

    If passed, the bill would allow for confidential data collection. The data would be forwarded to the Department of Education and Department of Health, then studied for statewide trends.

    View the original article at thefix.com

  • Smuggler Caught With Cocaine-Stuffed Liquor Bottles

    Smuggler Caught With Cocaine-Stuffed Liquor Bottles

    The three bottles contained over $100,000 worth of cocaine.

    A high-flying traveler had an abrupt come-down when authorities collared him at JFK Airport with $115,000 of blow stuffed into bottles of Baileys. 

    Akeem Rasheen Lewis allegedly flew into the Queens, New York airport on Sept. 28 with three bottles of liquor in his duty-free bag, according to Customs and Border Protection. But agents at the airport noticed that the bottles appeared to be tampered with, and they pulled Lewis aside to a private search room where they allegedly found three powdery packages wrapped in clear plastic. 

    “This seizure demonstrates the dynamic border environment in which CBP officers operate at JFK,” said Frank Russo, the agency’s New York Field Operations acting director. “Our officers are determined to adapt and respond to these threats in an effort to protect the American people.”

    Lewis was arrested and turned over to Homeland Security Investigations. 

    Though the boozy bust raised some eyebrows, it’s not the agency’s weirdest—not even by a long shot. 

    Customs and Border Protection officials routinely intercept drugs and other illicit supplies stashed creatively inside vegetables, vehicles and people. 

    In 2017, officials uncovered more than $30,000 of pot hidden inside a hearse traveling near Tombstone, Arizona (yes, really). That same year, they turned up 40 pounds of meth hidden in the bumpers of a car in Texas. In another bust, authorities found 80 pounds of pot and coke hidden inside buckets of grease near the Mexican border. 

    Then there were the cans of tuna and corn actually filled with seven pounds of blow, the shipment of lettuce covering 3,700 pounds of pot, the speaker box full of heroin and the shipment of key limes that were actually poorly disguised packets of marijuana. And that was all just in 2017. 

    One of this year’s juiciest border busts happened in the spring, when agents in Texas stopped a tractor-trailer hauling 41 pounds of heroin hidden inside a supposed shipment of tomatoes

    The 18-wheeler was trying to pass through the checkpoint at the Pharr International Bridge when drug-sniffing dogs got a whiff of something amiss. Inside, they found roughly $1.6 million of smack. 

    Even though there are some consistent favorites when it comes to smuggling, traffickers in recent years have branched out and gotten creative, turning to drones, catapults and air compression guns. And, to get around border walls and vigilant agents, smugglers have started using speedboats to zip over from Mexico and bring in clandestine supplies, according to a New York Times report last year.

    From 2011 to 2016, authorities detected more than 300 such attempts to traffic by sea—and that’s only the ones they caught. 

    View the original article at thefix.com