Author: The Fix

  • Let’s Get Real: How To Handle the Tough Stuff in Recovery Without Using

    Let’s Get Real: How To Handle the Tough Stuff in Recovery Without Using

    Of course, people had good reason to think that I couldn’t handle upsetting news. Every time a hardship, breakup, or something unsettling happened, I wound up in the psych ward, detox, ER, or a bloody, tear-filled mess.

    When I was drinking, I was the girl who took pulls of rail vodka right from the bottle. I took it straight, no chaser. Others looked at me with a mixture of surprise and disgust. Girls were supposed to mix their vodka with fruit juice or soda. Girls weren’t supposed to out-drink the men or keep straight razors in their wallet for chopping up fat lines. Fellow drunks patted me on the back. I was one of them. I embraced my heavy drinking as a point of pride, wore it like a badge of honor.

    But the point of this isn’t to share my war stories or act like I was the most bad ass alcoholic or junkie to ever haunt the planet. Rather, I want to share how I still prefer to apply the “straight, no chaser” motto to other areas of my life. I prefer when loved ones are straightforward, blunt, and honest with me about tough stuff and hardship rather than trying to gloss over the truth or protect me from pain. Even though I have been in recovery for years, some of my loved ones have continued to worry that I will relapse upon hearing bad or heartbreaking news, as though I was some sort of wounded dove with the word “fragile” stamped on my forehead.

    Of course, they had good reason to think that I couldn’t handle upsetting news. Every time a hardship, breakup, or something unsettling in my life happened, I wound up in the psych ward, detox, ER, or a bloody, tear-filled mess. I categorized people as either “normies” or “addicts and crazies” because it was easier than embracing the messy complexity of human beings. In my mind I was broken. Normal people went to the gym, spa, or the mall when they were troubled. But those options didn’t work quickly enough to soothe my mercurial temperament and smooth my edges. I labeled myself as a crazy addict, so I went straight to the liquor store or to the organic grocery store (ironically this was where my dealers were, standing outside with signs reading: “needs money, anything helps”).

    If you’re someone who struggles with addiction, you understand this self-destructive pattern. It’s hard to deal with “life on life’s terms,” as they say in the program. When stressful life events happen, we often turn to our familiar coping mechanisms. In fact, the National Institute of Drug Abuse found that up to 60 percent of people relapse within their first year of recovery. 

    There is a constellation of reasons that people relapse. Studies have found that being exposed to stresses that originally caused someone to excessively drink or use drugs is a major trigger for relapse. Another study found that patients with alcohol and opioid dependence were most likely to relapse when they had a family history of substance use and high number of relapses, used maladaptive coping strategies, and also had “undesirable life events.”

    I can relate as I had my share of undesirable life events this past year. Even though I’ve been clean for a few years, I still felt a massive urge to use after hearing about the death of my god-daughter and, on a less serious note, a heartbreaking romantic let-down.

    These events were handled very differently. The morning after my god-daughter died, my mom called and told me the tragic news. She wanted to make sure I heard it from her directly rather than passively finding out about the death on social media. Although this was devastating news, I appreciated that she was direct and real with me.

    What really triggered my cravings was ambiguity and a romantic disappointment. Although we broke up a few years ago after I relapsed, I still consider my ex one of my best friends. We text every single day and I even stayed with him for five days when I was visiting Portland in December. He let me sleep in his bed while he slept on the couch. Wrapping myself in his blankets, I was comforted by his familiar smell of Camel cigarettes and Old Spice. Although the visit was platonic, there were moments when I felt a possible rekindling of our romantic relationship.

    He paid for all my meals, opened doors to restaurants, and even took me to the Oregon Museum of Mental Health in Salem where I researched an essay. Okay, maybe going to a museum of mental health isn’t exactly a hot date, but the fact that he was willing to take me felt positive. He also talked about taking a road trip together in his new BMW coupe, laughing at how when we had been together he drove a Buick and we barely made ends meet. I reminded myself that my intention for this visit was to make amends in person for spinning him in my addictive chaotic orbit and leaving him in the wreckage of our relationship. Yet I still got my hopes up that we would get back together and I wrote him a long letter proclaiming my feelings for him.

    He never responded. He faded away from me, and his texts became infrequent and vague. He said that he was busy and stressed with work. Finally, he admitted to our mutual friend that he had a girlfriend but was afraid to tell me because I was “constantly on the verge of suicide” and he was worried about relapse.

    I was crushed, but at the same time I sort of understood his perspective. He knew the story of my old self. I had shown him in the past that I couldn’t handle such rejection or disappointment.

    So how do we deal with the tough stuff in recovery? Amanda Decker, a Licensed Addiction Counselor (LAC) and Licensed Professional Counselor (LPC) in Fargo, North Dakota, explained: “There will be growing pains throughout the ebb and flow of recovery. It’s hard knowing how to deal with life without drugs or alcohol but it’s helpful to remember that perspective shifts over time. It also helps to develop hobbies and interests. When people in recovery can embrace these things, drugs and alcohol become white noise in the background.”

    Decker suggested developing a “pre-emptive” relapse prevention plan by thinking about how to handle life stressors without alcohol or drugs. If we are in the position of telling difficult or uncomfortable news to a family member or friend who is in recovery, Decker advises: “As an addiction counselor, I’ve had to tell my group about a fellow group member who has overdosed. The first thing I did was to be direct and be present with my group members who were struggling in that moment. There will be a lot of grief and sadness that we have to learn to cope with.”

    The truth is that hardship, tragedy, and disappointment are parts of life that we have to learn how to come to terms with in recovery. We have to start embracing and seeing the shades of wellness and addiction rather than labeling things “normal” or “crazy.” It’s hard to tell a different story about ourselves, it’s even harder to break the story that others have about us. But I have faith in myself and I have faith in you, my fellow humans in recovery. For we are resilient, brave survivors, not fragile wounded doves.

    View the original article at thefix.com

  • Mom Starts Addiction Recovery Photo Project After Son’s Overdose Death

    Mom Starts Addiction Recovery Photo Project After Son’s Overdose Death

    The photo documentary project aims to promote recovery and reduce the stigma surrounding addiction. 

    Simone Ochrym lost her 26-year-old son the same day that she had begged for him to return to treatment for his opioid addiction.

    After a decade of drug abuse, recovery “was not in the cards” for Ochrym’s child. The Democrat and Chronicle interviewed Ochrym about her new photo project that includes 15 portraits and narratives of people in recovery from addiction.

    The project, entitled “ChasingNirvanaClean: The Addiction Recovery Project,” was birthed from a question: “I wanted to know, ‘How and why did you go from being an active user to wanting to go into recovery?’” Ochrym said.

    The photo documentary debuts September 7th, nearly two years after her son’s death. The photos are displayed at Flower City Arts Center in Rochester, New York.

    The project’s website states: “The purpose is to explore the how and the why people enter and stay in addiction recovery. It is by exploration of those in addiction recovery that we will find the answers to fight emerging and chronic addiction in our communities.

    The goals of the ‘ChasingNirvanaClean’ project are promoting that recovery is possible for all types of addiction, reducing the social stigma of addiction, and promoting peer-mentoring models of addiction treatment, 12-step programs, and old and new diverse methods of addiction recovery.”

    One documentary subject is Jeff Williams, who lost both his older brother and an uncle to opioid overdose. Jeff began using at age 12 or 13, and his addiction progressed rapidly. After gaining sobriety through a rehabilitation outpatient program, Jeff began drinking again in his early 20s. It was when he lost his best drinking buddy that he realized how isolated and self-destructive he felt.

    On “ChasingNirvanaClean,” Jeff says, “I had one last drink the night before I got sober. I went to a psychiatrist and told him I needed help. He gave me some medications for depression and generalized anxiety. That was when I got sober.”

    Jeff continued to struggle with mental health issues and it was not until he fully embraced therapy and medication that he was able to achieve sobriety and stability.

    Jeff’s imparted advice to the loved ones of someone with active addiction, “The best thing you can do is show your love, your compassion, and if they made that decision to become sober, they can come to you for that help. Showing that you will accept all of them, even the bad parts, makes it less scary for them to ask for help and can encourage them to get the help they need.”

    “I always see people either working in prevention or working in crisis, but I think the only way to figure out prevention is to hear the stories of people who have achieved long-term recovery,” Ochrym told the Democrat and Chronicle.

    View the original article at thefix.com

  • Children's Advil Recalled Due To Potential Overdose Risk

    Children's Advil Recalled Due To Potential Overdose Risk

    The company was alerted to a labeling mishap through customer complaints.

    Pfizer is recalling a batch of children’s Advil, due to a labeling mishap that may increase the risk of accidental overdose of ibuprofen.

    Pfizer Consumer Healthcare is recalling one lot of Children’s Advil Suspension, which was distributed in May and June. The bubble gum-flavored, four fluid-ounce bottles have a November 2020 expiration date and are marked R51129. The UPC number is 3-0573-0207-30-0.

    According to CBS News, the company was alerted to a labeling mishap through customer complaints. While the label’s instructions measure doses in milliliters, the plastic cup that comes with the packaging is measured in teaspoons.

    One teaspoon is the equivalent of approximately five milliliters. According to Pfizer, of the 28,000 bottles targeted in the recall, one-third of the lot never made it to retail stores. The company has alerted wholesalers, distributors and retailers about the recall, according to the Madison Patch.

    Children’s Advil is commonly used to treat fevers and for minor pain relief from colds, flu, sore throat, headaches, and toothaches.

    It is possible to overdose on ibuprofen in both children and adults. In rare cases, an ibuprofen overdose can be fatal.

    The recommended dosage of ibuprofen for children depends on the child’s weight and the formulation of the medication, which comes in chewable tablets, drops and liquids, according to Healthline.

    Common symptoms of an ibuprofen overdose include nausea, vomiting, headache, drowsiness, blurred vision and dizziness.

    In case of an ibuprofen overdose, contact your local poison center at 1-800-222-1222.

    For information on how to return an affected product, call Stericycle at 1-800-805-3093. And for information about the recall, call Pfizer Consumer Healthcare at 1-800-882-3845.

    A similar medication that is used to relieve fever and pain in children is acetaminophen (most commonly known by the brand Tylenol). Like ibuprofen, it is possible for children and adults to overdose on acetaminophen. Too much acetaminophen can lead to life-threatening liver problems, according to the Mayo Clinic.

    To avoid acetaminophen overdose in children, giving a child acetaminophen while they are taking other medications containing acetaminophen is not recommended. Children should only take children’s formulations of acetaminophen.

    Child-resistant caps can also help prevent overdoses of these medicines.

    View the original article at thefix.com

  • Fentanyl Present In 90% Of Drugs, Massachusetts Officials Warn

    Fentanyl Present In 90% Of Drugs, Massachusetts Officials Warn

    The synthetic opioid is found more in combination with cocaine and benzodiazepines than heroin.

    Officials in Massachusetts are warning the public that the presence of the deadly synthetic opioid, fentanyl, is increasingly common in all types of illicit drugs in the state—not just in heroin or other opioids—raising the overdose risk for users of cocaine and other illegal substances. 

    “If an individual is using illicit drugs in Massachusetts, there’s a very high likelihood that fentanyl, which is so deadly, could be present,” said Dr. Monica Bharel, commissioner of the state Department of Public Health, according to New England Public Radio. “Anybody using illicit drugs should understand the risks, carry naloxone, and access treatment.”

    The state’s quarterly report found that fentanyl is present in 90% of overdose deaths in Massachusetts. It is found more in combination with cocaine and benzodiazepines than with heroin. In 2014, fentanyl was found in less than 30% of overdose deaths in the Bay State. 

    Because fentanyl is becoming more prevalent in cocaine and benzodiazepines, officials are advising family members of people who use illicit drugs to carry naloxone, the opioid overdose reversal drug. People who do not use opioids regularly are more susceptible to fentanyl overdose because they have not built up an opioid tolerance. 

    Because of this, the state is urging healthcare providers to help all drug users get into treatment, not just those who report that their primary drug of choice is an opioid. 

    “When analyzing opioid overdose deaths, we have become aware that a significant portion of the deaths are associated with concurrent cocaine use,” the state wrote in a letter to providers. “We believe this information is useful for you in your clinical work. Additionally, patients should be aware that polysubstance use can NOT be a reason for refusal for admission in the treatment system.” 

    The report also showed that overdose deaths are declining in Massachusetts for the third straight quarter, even as such deaths continue to rise nationally. This could be due in part to the rising rates at which EMTs in the state are administering naloxone, as well as public health campaigns, Bharel said. 

    “In Massachusetts we have a multi-pronged approach,” she said. “This is about prevention, raising awareness in our communities, and raising awareness among our prescribers.” 

    However, not all demographics are seeing the improvement. Hispanics are disproportionately likely to die of an overdose in Massachusetts, and the overdose rates for black men continue to rise. 

    “While the results of our efforts are having an impact, we must double down on our efforts to implement treatment strategies that meet the needs of the highest risk individuals and communities,” Health and Human Services Secretary Marylou Sudders said in a statement.

    View the original article at thefix.com

  • Ice Cream Truck Reportedly Used As Front For Marijuana, Meth Sales

    Ice Cream Truck Reportedly Used As Front For Marijuana, Meth Sales

    Authorities say the drugs in the truck had a street value between $2,000 and $4,000. 

    A California ice cream truck was selling much more than just innocent summer treats when authorities caught up with it earlier in the week, alleging that the truck was a front for a drug-dealing business. 

    Inside the Long Beach truck, cops found a bag of methamphetamine, marijuana in mason jars and small baggies, a box of sandwich bags, a scale, cash and a gun, according to The Long Beach Post. While it wasn’t clear whether the truck was actually selling ice cream, police say that its main purpose was to be a cover for drug sales. 

    The truck’s operators, George Sylvester Williams, 57, and Monti Michael Ware, 41, were arrested on Sunday afternoon. Williams is being held on $30,000 bail, and Ware is being held on $50,000 bail because he is also facing charges for possessing a gun while dealing drugs and possessing a gun as an ex-felon.

    The Long Beach Police Department announced the arrest of the men, both from Long Beach, on Twitter. 

    Long Beach Police Department spokeswoman Arantxa Chavarria said that the drugs in the truck had a street value between $2,000 and $4,000. 

    This isn’t the first time that an ice cream truck has been used for cover for an illicit business. In June, authorities in Conyers, Georgia, arrested an ice cream truck driver after a teenager reported that the man was trying to break into a mailbox. When police caught up with the driver, 19-year-old Cameron Callaway, they found marijuana, scales and a gun inside the truck.

    “He could very well have been selling marijuana out of the ice cream truck,” said Conyers police Sgt. Kim Lucas.

    Neighbors said that they were not surprised, since the truck’s driver hadn’t exactly been inconspicuous. 

    “What ice cream man delivers ice cream at six in the morning, three in the morning?” said Jerri Rogers, who called police after her daughter saw the driver breaking into the mailbox. “My kids have been telling me, ‘He sells dope.’”

    In 2014, another California ice cream truck driver was arrested after reportedly trying to sell methamphetamine to a customer. Kelly Brown, 62, was taken into custody after a witness called police and said, “The ice cream [truck] driver just tried to sell me some drugs,” according to The Huffington Post.

    There have also been reports of ice cream truck drivers in Maryland and New York trying to use their vehicles to sell illicit drugs. 

    View the original article at thefix.com

  • Michael Phelps, Jared Leto & More Join Mental Health Awareness Broadcast

    Michael Phelps, Jared Leto & More Join Mental Health Awareness Broadcast

    Celebs and rock stars will join mental health experts for the live radio broadcast airing on September 9th at 7am.

    Artists, athletes, and mental health experts will come together for a two-hour radio special “I’m Listening,” to help raise awareness of the growing trend of depression and suicide—airing in time for National Suicide Prevention Week (September 9-15).

    Listeners can call in to the program to share stories about how mental health issues and suicide affected their lives. They can also share their stories via ImListening.org or through social media using the hashtag #ImListening.

    The Alternative Press reports that Mike Shinoda (of the band Linkin Park) and Jared Leto (30 Seconds to Mars) will join the live broadcast—which airs Sunday, September 9 at 7 a.m.

    While on the road, Shinoda has been paying tribute to his former bandmate and friend, Linkin Park vocalist Chester Bennington, who died by suicide in 2017, shocking family and fans.

    Michael Phelps will also be a part of the “I’m Listening” broadcast. The celebrated Olympian, who’s won 23 gold medals, has become a vocal advocate of mental health—promoting mental wellness and the importance of seeking help by sharing his own battles with depression, suicidal thoughts and problem drinking.

    Singer Alessia Cara will also appear on the broadcast. The singer and songwriter appeared on the song “1-800-273-8255” (named after the National Suicide Prevention Hotline) alongside rapper Logic and singer Khalid. The song was Grammy-nominated for Song of the Year.

    Actor and musician Jared Leto, the lead singer of 30 Seconds to Mars, and members of Pearl Jam, the Stone Temple Pilots and Third Eye Blind will also be featured on the live special.

    Mental health professionals will also join the broadcast, like Dr. Christopher Nowinski. The former WWE wrestler co-founded the Concussion Legacy Foundation in 2007, and wrote the book Head Games: Football’s Concussion Crisis, which addresses the long-term effects of head trauma in sports.

    Another is Dr. Ursula Whiteside, a clinical psychologist and CEO of NowMattersNow.org, a website dedicated to teaching research-based tools for how to help manage suicidal thoughts and mental health issues.

    Dr. Whiteside, who is certified for group and individual Dialectical Behavior Therapy (DBT), works with high-risk suicidal clients in her Seattle-based practice.

    “Hearing stories about people’s lives helps us understand suicide so we can approach this topic with people we care about,” she said. “I look forward to answering questions via phone and providing resources even after the on-air broadcast has concluded. This is critical given that suicide is something that 4% of Americans seriously consider.”

    Suicide is the 10th leading cause of death in the United States, claiming the lives of nearly 45,000 Americans each year, according to the American Foundation for Suicide Prevention.

    Depression is also widespread. According to WebMD, nearly 18.8 Americans over the age of 18 suffer from major depression. The majority will not seek treatment.

    View the original article at thefix.com

  • Teen Mom Star Amber Portwood Discusses Past Drug Use

    Teen Mom Star Amber Portwood Discusses Past Drug Use

    “I was a horrible opiate addict. I would probably do 10 to 20 hydros — if they didn’t have hydros it would be OxyContin or oxycodone.”

    MTV star Amber Portwood recently spoke out about her battle with drug use and her rock bottom. 

    According to US Magazine, the 28-year-old — who is known for her roles on MTV’s 16 and Pregnant, Teen Mom and Teen Mom OG — recently spoke about her history of drug use on an episode of the Dopey Podcast

    “I have really horrible anger problems because I’m bipolar and borderline, which is not an excuse, but at the time I didn’t know it, so I wasn’t really taking care of myself or really understanding why I was feeling certain emotions,” Portwood said on the podcast. “I’d go party every other day. I’d be a Wednesday, I’m at the f—king bar and whopping ass and s—t, just like getting kicked out of bars or I got kicked out of our Walmart.”

    She added, “There’s like pictures of me beating up a girl in iHop. It was just crazy. I don’t know where the hell I was. I was gone. You can blame the drugs for the most part for kind of being impulsive, but it was kind of just me as a person.”

    Portwood’s involvement with MTV dates back to 2009, during the first season of 16 and Pregnant. According to US magazine, she says the “money didn’t help” with her struggles with drugs.

    However, she also stated that she does not blame MTV for those struggles. 

    “When you’re making a lot of money, there’s more drugs,” Portwood said on the podcast. “Every time a drug dealer had a new stash, of whatever, they called me first because they knew I’d buy the whole [stash], because I had the money to do it. It never helps.”

    “I was a horrible opiate addict,” she continued. “I would probably do 10 to 20 hydros — if they didn’t have hydros it would be OxyContin or oxycodone … any kind of opiate that they had, I would try to take. I think it was that feeling of just kind of not being aware that I liked .. I think back in the day I was probably depressed and s—t. That was my ‘go-to’ thing.”

    Over the years, Portwood’s drug use has landed her in various difficult positions. In December 2011, according to US Magazine, she was arrested for violating probation after she pleaded guilty to two counts of domestic battery. Then, in 2012, she chose to step away from her court-ordered treatment program and serve five years in prison instead. 

    On the podcast, Portwood explained that her rock bottom came at her grandmother’s house and that was her reasoning for deciding to serve time.

    “Nothing else was working,” she said. “I had overdosed at my grandma’s house on fentanyl in the bathroom. It was daylight when I was awake … I woke up on the floor, like, just drooling out of my mouth. It was nighttime, I had no clue how long I had been in there,” she revealed.

    Despite her history with drugs, Portwood states she can now drink in small amounts. 

    “Now I can have a glass of wine every now and again,” she said. “It’s not every day. It’s not every month.”

    View the original article at thefix.com

  • My Journey from AA to NA, with Stops Along the Way

    My Journey from AA to NA, with Stops Along the Way

    While making my own transition from one fellowship to another, I interviewed people with experience in both AA and NA to find out what’s working for them, and what’s not.

    For a long time, I considered myself an alcoholic with drug addict tendencies. This is why, for the most part, I was a member of AA exclusively for the first six years of my sobriety. Besides, where I lived in Connecticut at the time, Narcotics Anonymous meetings were too far and few in between – as is often the case in more rural areas of the country.

    Also, while in AA I’d heard things about that other fellowship.

    Yes, I was fine right where I was, thank you very much. Like my mother and my uncles and my grandfather before me, AA would remain my easier, softer way til death do us part.

    And then I relapsed: a year and a half bender in which my disease had progressed to include cocaine and prescription pills and after which I was detoxing from alcohol and benzos.

    That’s when the rooms of recovery turned strangely uncomfortable.

    I can’t say it was because I was no longer welcome. No, my mutual friends of Bill were there with open arms when I came back from the relapse… As long as I didn’t share openly about the drug problem.

    “I came to an Alcoholics Anonymous meeting,” an old-timer quickly informed me, “because this is where I come to hear about alcohol – not pills!”

    This got me to thinking. (Not about the chapter in AA’s Big Book entitled Acceptance Was the Answer in which an alcoholic physician describes in painstaking detail his struggles with prescription pills. No, why would I think of that? The old-timer certainly wasn’t.) 

    No, I was thinking I ought to give Narcotics Anonymous a try for a while. Not only would I be able to share more candidly about my relapse but I’d have some time to work through the little resentment I’d suddenly copped against AA and its old timers.

    So, I began asking around. I knew the best way to transition between fellowships was to look to the rooms themselves for advice and guidance. I found four people in recovery, each of them knowledgeable about both AA and NA, who were willing to share their experience not only with me – but with you as well.

    About the Personalities:

    “I had been in AA for 11 years and just kept relapsing,” recalled Christy, 45, from the San Francisco Bay Area. Hers was a vicious cycle of diet pills and wine, always using one to offset the other. “I was sure that people were sick of hearing me talk about how I just couldn’t get it. Well I was sick of talking about it, anyway, at least to the same people again and again. It was embarrassing.”

     Taking the advice of her husband – a former amphetamine addict of 15 years – Christy decided to give NA a try.

    The kinship she felt was immediate, not only because she felt able to share more freely in a room full of new faces, but also because “NA’s a little bit ‘roughie-toughie’ and I liked that. NA had more people with missing teeth,” she joked. “There were so many people just totally out of their minds – exactly like me – and everyone seemed ok with it.”

    Three years later, Christy’s bond with NA is stronger than ever.

    “I find myself spiritually connected to that craziness,” she said. “There’s stories of abuse, there’s sharing about the prison time. It helps keep my recovery feel fresh. NA reminds me of how bad it can get out there.”

    For Johnny L., 39, from New England, the NA group in his area had a more adverse effect.

    “Well there I was, a newly clean and sober gay white man in a heavily black, heterosexual, inner city NA meeting,” he laughed. “I really gave it a shot, too, but after about three or four meetings I still wasn’t relating at all.”

    Thankfully Johnny found himself having to move for work to a more rural area within that first year of recovery and along with the change of geography came a new atmosphere within his meetings. Though he considered himself dually addicted (meth and drinking), Johnny ultimately settled into the rooms of AA, finding the comfort of a home group he’s still part of to this day.

    Back in California, Trey S., a 22-year-old addict, compared the members of fellowships like this: “NA is definitely more of a mixed crowd. There’s a lot of diversity, incorporating more experiences with much heavier drugs, and I think there could be stronger personalities in the rooms because of that. This means a lot more opportunities for conflict.”

    As is so often the case with young people with substance use disorders, Trey was introduced to Alcoholics Anonymous through a rehabilitation center at the age of 16. He eventually gravitated towards NA, identifying more strongly with those rooms, particularly young people’s meetings.

    “At the time AA felt more rigorous and less free-flowing. And I think in general NA attracts a younger recovery crowd, which makes sense because of the pill problem these days. I mean, I was on Adderall at 5 years old and I think that’s fairly common for my generation.”

    As for the old-timers, like Red from the West Coast who has been a member of AA for over three decades, it’s often their job to remind us of that tried-and-true adage, principles before personalities, regardless of the fellowship.

    “Whether it’s AA or NA, as long as you’re living your life according to a program of spiritual principles you’ll do okay,” he told me. “It doesn’t matter what gets you into the rooms, but what you do with yourself once you get here.”

    About the Literature

    Of course, changing recovery programs also means a change in the accompanying literature. After six years of study groups, sponsor assignments, and constant references to the Big Book, I had developed a deep appreciation for AA’s “bible” and was hesitant about NA’s basic text as well as the rest of the program’s literary canon. 

    “So many people claim that all the answers are in the Big Book,” said Christy. “But Living Clean – it seems like every time I pick it up, whatever I read feels like it was written just for me.”

    Living Clean is NA’s version of AA’s book, Living Sober, and both address the nitty gritty of living in recovery. Like instruction manuals for the soul and mind of an addict, both publications offer insights on topics such as relationships, aging, failure, and isolation.

    I quickly learned that my AA books had NA counterparts that were just as valuable and respected. 

    According to Trey, “Even though AA’s literature has more program history, it has more character. It actually feels more playful to me – while NA’s stuff strikes me as much more serious.”

    But when Trey does his step work, he combines the books of both fellowships, studying all the information each program has to offer. “They each bring their own material to the table and all of it is important.”

    “But the NA basic text is so much more international,” Johnny told me. “It feels all-inclusive. Through it I get an idea of what it’s like to be an addict in Iran, in Africa, all around the world. It makes the Big Book feel very old. Like an older language.”

    When it comes to step work, Johnny also works with the writings of both fellowships, first reading what the Big Book and Twelve and Twelve lay out and then hitting the NA’s Step Working Guide afterwards.

    This workbook is the most significant difference in program offerings.

    “That thing makes you feel like you’re in a Master Class for sobriety,” Johnny claimed. “It challenges you to think things through more deeply.”

    Finding that the Guide has become such a big part of his recovery, Johnny has begun searching for a new AA sponsor who would be willing to integrate the book and its myriad of intensely provoking questions into his program; a sort of AA/NA fusion.

    Christy felt just as strongly about the Step Working Guide:

    “Going through it reminds me of the kind of effort I put into my recovery at the very beginning,” she said. “My self-awareness is much higher because of it. And I’m sure my recovery is evolving more strongly as well.”

    Like Johnny, Christy found that mixing and matching materials gave her a more balanced and satisfying program. In fact, while Christy’s primary fellowship was NA, she continued to go to one weekly AA meeting.

    As for Johnny, his six meetings a week were equally split between AA and NA (Crystal Meth Anonymous, more specifically).

    Trey was the purist of those I’d talked to, attending only NA meetings.

    At this point in the conversations, I felt ready to start altering my own meeting schedule. Thoroughly advised on what to expect, I was excited to head over to NA and start sharing from the heart again.

    But first I would have to learn how to talk.

    About the Language

    “We are presented with a dilemma; when NA members identify themselves as addicts and alcoholics or talk about living clean and sober, the clarity of the NA message is blurred.”

    From NA’s Clarity Statement, read out loud at a meeting’s start. The gist of the announcement, from what I could gather, was that I was to no longer call myself an alcoholic because: “Our identification as addicts is all-inclusive.”  

    And all I could think was, Here I go again.

    “I was stopped mid-sentence at an NA meeting when I tried talking about the Promises,” said Johnny, referring to AA’s 9th step list of spiritual and material rewards. “I was disappointed in that. It was embarrassing and awkward. I wound up never going back to that particular meeting.”

    Of course, censorship within the rooms goes both ways:

    “I once saw someone completely shut down in AA when he mentioned his struggle with crystal meth,” Trey told me. “The chairperson interrupted him, saying, ‘Sorry, we don’t talk about that here.’”

    That chairperson had been acting in accordance with the Singleness of Purpose, AA’s version of the Clarity Statement: “We ask that when discussing our problems, we confine ourselves to those problems as they relate to alcohol and alcoholism.” Remember the scolding I’d received from the old-timer when talking about the pills?

    “In my first year of sobriety I was going to all the A’s – AA, NA, CA (Cocaine Anonymous),” joked old-timer Red. “I found out real quick that I couldn’t say this or I couldn’t say that, depending on where I went. In NA I couldn’t claim I was an alcoholic, and vice versa in AA and on and on and on. I don’t know about you but in the beginning I just wanted to say what I needed to say in order to get better!”

    Trey agreed. “Sometimes you can feel negativity in the air when the Clarity Statement is read. I worry it stops people from speaking from the heart. I mean, as long as they’re sharing about appropriate behaviors and it’s coming from a loving and caring place, that’s great.”

    About Recovery

    As I compiled all my notes, the quotes and information, I was relieved to find an absence of what I’d feared most. Nowhere in my talks with these four fellow people in recovery did I find any negativity or slander from one fellowship against the other.

    “I’ve always been aware of the contention between AA and NA,” Johnny had told me, “but I’ve been lucky to stay out of it. The groups I go to are small and intimate and I don’t have to hide whatever I may be struggling with, alcohol or drugs. They’re very supportive regardless.”

    Christy agrees: “I can say that both AA and NA are responsible for saving my life and I gladly still participate in both.”

    With Trey, one of the things he’d always admired most about NA is how the program openly acknowledged its roots. “Right on the first page of the introduction of the basic text, Narcotics Anonymous expresses gratitude towards AA for‘showing us the way to a new life.’

    Yes, by the end of my inquiries it was clear that the fellowships of AA and NA can work together well, with a combined effort and goal of unity, service, and recovery.

    View the original article at thefix.com

  • Canadians More Worried About Trump Than Legal Marijuana

    Canadians More Worried About Trump Than Legal Marijuana

    A new survey explored Canadians’ feelings on topics ranging from Trump and national health care to housing, climate change, and cannabis legalization.

    When it comes to the issues that worry Canadians, the impending legalization of marijuana is keeping fewer citizens awake at night than Donald Trump.

    That’s among the findings from a new poll from Abacus Data, which surveyed 1,500 Canadians about their political choices and concerns as they approach the 2019 federal election.

    Nearly half of participants said that they were “extremely concerned” about the U.S. president, while just 18% gave the same response about cannabis legalization. 

    Abacus Data conducted the survey online with 1,500 Canadians aged 18 and over from August 15 to 20, 2018. In regard to the federal election, respondents echoed statistics recorded earlier this year, with Justin Trudeau’s Liberal Party netting 37% of the potential vote and Conservatives earning 33% of the vote.

    Trudeau was viewed in a positive light by 43% of participants, and 41% believed that the country was moving in what they viewed as the right direction.

    In regard to political issues concerning Canadians, Abacus Data listed nine topics, ranging from Trump and national health care to housing, climate change, border crossings and cannabis legalization.

    Responses were somewhat varied according to demographic and political affiliation: voters under the age of 45 listed climate change and housing affordability among their top concerns, while those over 45 ranked health care and affordable housing as second and third of their most pressing issues.

    Climate change and health care also saw high numbers from liberal voters, while conservatives leaned towards border crossing and debt among their top three concerns.

    However, there were two factors which received a near-unanimous response across age and party lines: Donald Trump was listed as the top concern for voters both under and over 45, as well as with liberals and supporters of the New Democratic Party (NDP).

    Trump also topped lists for voters in major cities and smaller communities, and among respondents from specific territories like Ontario, British Columbia and Alberta. Only conservative voters listed Trump at a lower position on their lists, where he placed 5th, while border crossing was given as their most pressing concern.

    Demographics were also largely in agreement in regard to cannabis legalization, which was listed last among the nine issues for voters under and over 45 years of age, liberals and NDP voters, big city residents and those in smaller communities.

    Again, conservatives placed cannabis higher than other groups, but even in that demographic, it was ranked relatively low at 6th out of nine, below health care, housing and even Trump.

    As High Times noted, the response to cannabis legalization echoed similar results from polls in 2017 that found that 68% of adults favored legalization, and in 2018, where 42% of adults voted in the positive for legalization.

    View the original article at thefix.com

  • Inside Racial Disparities In Opioid Prescribing, Drug Testing

    Inside Racial Disparities In Opioid Prescribing, Drug Testing

    Black patients who tested positive for marijuana were twice as likely to have their pain pills discontinued than their white counterparts.

    Black patients who are prescribed opioids for chronic pain are more likely to be tested for illicit drug use than their white counterparts.

    Black patients are also more likely to have their pain medication discontinued if they test positive for other substances, including marijuana, according to new research. 

    The research, conducted at Yale, analyzed the health records of 15,000 patients Veterans Administration between 2000 and 2010. The Centers for Disease Control and Prevention recommends testing patients who get opioids for illicit drug use, but the researchers found that doctors rarely enforce the policy.

    However, when the drug-testing policy was enforced it was more likely to be applied to black patients. 

    In addition, black patients were more likely to have their opioid prescriptions discontinued if they tested positive for marijuana or cocaine. Ninety percent of people who tested positive for illicit substances kept their opioid prescriptions, but blacks were twice as likely to have their pain pills taken away. 

    “If they were black and tested positive for marijuana, they were twice as likely to have opioids discontinued, and for cocaine, they were three times more likely,” Julie Gaither, lead study author, told Science Daily

    Gaither blames this on lack of consistent policy and engrained biases. 

    “There is no mandate to immediately stop a patient from taking prescription opioids if they test positive for illicit drugs,” Gaither said. “It’s our feeling that without clear guidance, physicians are falling back on ingrained stereotypes, including racial stereotyping. When faced with evidence of illicit drug use, clinicians are more likely to discontinue opioids when a patient is black, even though research has shown that whites are the group at highest risk for overdose and death.”

    Having an established protocol for what to do when a patient tests positive for illicit substance could help address biases, Gaither said. 

    “This study underscores the urgent need for a more universal approach to monitoring patients prescribed opioids for the concurrent use of sedatives and other substances that may increase the risk of overdose,” she said. 

    However, even with a policy in place, minorities may still face discrimination when it comes to drug testing, something many black Americans experience regularly.

    In July, tennis great Serena Williams tweeted her frustration at being tested for drugs more than twice as often as her competitors. 

    “It’s that time of the day to get ‘randomly’ drug tested and only test Serena. Out of all the players it’s been proven I’m the one getting tested the most. Discrimination? I think so,” she wrote. 

    View the original article at thefix.com