Tag: relapse

  • Return to Sender: What an Unsent Postcard Taught Me About Addiction

    A timely message from my much younger, unsober self.

    Summer, 2020

    The Unsent Postcard

    I have a stack of unwritten postcards, collected from my travels, purchased with the intent of sending them to those back home. In recent months, I have taken to writing out these postcards to friends and family, both to cheer them with sunny images as they shelter in, and to support the United States Postal System.

    Not long ago, I came across a card featuring a hand-colored photograph of a windmill in East Hampton, New York. To my surprise, it was not blank. Tightly scrawled sentences, in rudimentary French, it was meant for a friend in Paris.

    No postage, never mailed.


    17 Septembre, 1991

    Chère Delphine,

    Salut! I am at the beach with my mother. My God! My poor back! I am ready for a big change in my life. We must talk. I’m going to write you a real letter soon.

    Ton Amie, Maria.


    Here I was, standing at the edge of big change, poised to plunge into some grand announcement, too large for the 4” x 6” space given. These words never crossed the Atlantic. Instead, I held them now, between my fingertips, twenty-nine years later.

    What are the chances of this? I thought. Of all these blank cards, only one has writing, and not just any writing, but words that speak to my alcoholic “bottom” — the physical, mental and spiritual low-point of my young life.

    My back hasn’t bothered me for years, thank heaven. I take it for granted. I walk with ease everywhere today. Until this moment, I’d forgotten just how bad things were with my lower lumbar at age twenty-four, that hell year when I couldn’t stand up straight without sciatica shackling my ankles, seizing my spine, and clamping down hard at the cervical vertebrae. This physical agony — an exclamation point to my mental and spiritual state — had literally brought me to my knees.

    I spent weeks in bed self-medicating on whiskey sours and muscle relaxants. Somehow I’d convinced the corner pharmacist to dispense refills beyond the legal limit.

    I‘m skeptical when people make meaning from random events. It feels self-indulgent to interpret every rainbow as a reference to my personal recovery. Yet finding this card, all these years later, didn’t feel like coincidence. It felt intentionally planted to remind me of why I’d sobered up.

    It also felt like something I had to share with others.

    September, 1991

    Watching waves

    In those mellow days following Labor Day, when the water is warmer than the salt air, I was with my mother in a rented bungalow at the tip of Long Island, now emptied of humans. I was twenty-five, unemployed, and reeling from a bad break-up.

    I remember the lunch mom served on or about the day I’d written that postcard: linguine with shrimp and mussels, and flutes of rosé wine. Mom was a faithful clipper of the Wednesday food section of The New York Times. Maybe she’d sourced this seafood pasta recipe there, or maybe she’d been inspired by one of the influencers of Hamptons entertaining at the time: Martha Stewart or The Barefoot Contessa.

    However it came to be, it was a memorable meal presented with panache, from a bare-bones rental kitchen. And it was a meal where my mother enjoyed alcohol as she always did, in moderation. More often than not in my childhood home, there was an appropriate wine, served in stemware, to compliment every dish.

    My mother drank the way Jacques Pépin did on public television, and the way I always wanted to, but never could — with class. At the end of an episode of making something like, say, classic Beef Bourguignon, he would raise his glass of Cabernet Sauvignon in a toast: “Aah-pee Coo-keeeng!” and tilt it lightly to his lips.

    But that’s not the way I drank this glass of blush wine. I downed it.

    Plagued by sciatica, a still larger pain loomed; it had been moving in slowly for years, like a cold front, now dipping as an arctic depression over this lovely lunch.

    I remember craving more flutes of Zinfandel than that one bottle held, but I was checked at two because mom was watching. Two drinks were the limit if you were female, and raised right — and you cared about appearances — which we did. But I couldn’t comply.


    I found myself watching the waves from that deck all afternoon. I watched them crest and crash, one after the other, in rhythmic indifference to my pain. Then it hit me. It felt big. Big like the feeling I get reading an inspirational poem from an anthology with a daffodil or seagull on the cover. Though the feeling was big I, myself, suddenly felt small. And weirdly enough, I was okay with that.

    It was a relief. The waves kept rolling in, oblivious to my situation. It was freeing to see that my pain — sharp and ugly — couldn’t stand up to the beauty of light and dark scattering the water’s surface.

    Scared, self-involved me was no match for the folding waves. For hours I watched them flatten at the shore and return to the sea, gradually eroding the moat I’d dug around myself. Yes, my experience of this landscape could be captured in a bad sonnet in a book with a hokey cover — the kind you’d find in a hospital gift shop.

    It was neither subtle nor original, my “white light” oceanfront awakening, but it was genuine.

    The next day, a masseuse with strong hands and a soft voice got me to open up about my drinking on a massage table in Amagansett. A recovering alcoholic himself, Sean R. is much of the reason I made it to my first Alcoholics Anonymous meeting when I returned to Brooklyn that next week.

    1991–2013

    A Bridge Back to a Good Life, Then Some Slippery Turns

    As the postcard predicted, big change followed. “A.A. is a bridge back to life.” That’s true. I did cross over to a full life with marriage, kids, and a semi-detached house. But it was a life further into Brooklyn, and further from my home group, the A.A. group where I had first gotten sober and stayed that way.

    Yes, I was still not drinking, but I can’t claim I was emotionally sober. Somewhere along the way I stopped going to meetings. Lost touch with my sponsor. Quit working with other recovering alcoholics. You know where this is going. Eventually, I drank.

    It started small: communion wine on Sundays, the occasional “non-alcoholic” beer, and the argument with my dentist. He wanted to give me local anesthesia for minor dental work, but I pushed for hit after hit of nitrous oxide on top of that. I wanted to numb my brain, not just my molar.

    “The idea that somehow, someday he(she/they) will control and enjoy his (her/their) drinking is the great obsession of every abnormal drinker.” — from Alcoholics Anonymous, Chapter 3, ‘More About Alcoholism’

    I went along like this for years, skating on the edge of my sobriety, doing figure-eights on April ice, until seven years ago I found myself sitting in the sun porch of my friend Samantha’s historic, center hall colonial home.

    Our kids were playing together somewhere on the periphery. I always found my way here, to this snug room off the parlor, with floor-to-ceiling bookcases and a loveseat. I’d marked it as my space, where I could step away, sink into the cushions and watch the cardinal at the feeder.

    On this day I was thinking about my marriage. It had been a good run, but after fourteen years, two sons and a poodle, it was over. During the past months, this reality had settled over me like snowfall hitting pavement at the freezing mark, melting first, before catching hold, white landing on grey, gradually building, til nothing remained of the sidewalk below. I was scared as hell now.

    Samantha stood over me with finger sandwiches and two flutes filled with golden bubbles on a silver tray. It had been so long since I’d been to a meeting, so long since I’d said out loud to a roomful of people: “I’m an alcoholic.” So long that I had a new circle of friends that never knew I had a problem and older friends who had forgotten that I didn’t drink.

    In that moment, forgot I didn’t drink.

    Alcohol, catching sunlight, was presented to me on a slender stem, the way it had been twenty-two years earlier at the beach.

    Why not? If ever I deserved a mimosa, it’s now.

    I took a sip.

    Holy shit, what the hell am I doing?

    I ran to the powder room and poured the rest down a sink with a swan head faucet.


    “The alcoholic, at certain times, has no effective mental defense against the first drink. Except in a few rare cases, neither he (she/they) nor any other human being can provide such a defense. His (her/their) defense must come from a Higher Power.” — from Alcoholics Anonymous, Chapter 3, “More About Alcoholism”

    It had happened —I had drunk again. I never thought I would. It had been more than two decades since my last real drunk, and I had good reason never to drink again — actually two very good reasons, their names were Leo and Liam. Sure I could rationalize the Sunday morning communion wine and the occasional hit of laughing gas — after all, I was accountable to no one for my behavior now— but when I let that bubbly pass my teeth and slide down my throat, I recognized that for what it was —a slip.

    I remember the taste of it clearly — that citrus effervescence in my mouth — and I remember my conscious decision to swallow. Like countless alcoholics before me, I had now proven what the Big Book drives home in the conclusion of Chapter 3.

    I had had “no effective mental defense against the first drink.”

    September, 2013

    The Room Above the Fish Store

    Thankfully, at the same moment, I realized my problem when I took that sip of spiked o.j. , I also remembered the solution.

    Alcoholics Anonymous had worked for me, for as long as I had shown up for myself and others. What became obvious to me with this slip was that I’d do well to return to a community of recovering alcoholics if I wanted to get sober again, and stay that way. I needed to plug back into a sober support network.

    So on the heels of my slip in late September, 2013, I climbed a staircase to a room above a fish store filled with retired seniors and flies circling overhead. I’d stepped into an A.A. Big Book meeting, already in progress. They were reading one of the personal stories from the back of the book, round-robin style. Right away I could see myself in ‘The Housewife Who Drank at Home.’ When she described herself as a ‘Jekyll-and-Hyde’ PTA mom, I lost it. That was me. Someone passed me a box of Kleenex. I will never forget that kindness.

    September, 2020

    Today

    Willpower and the passage of time are no guarantees against the first drink. I was humbled by this realization when I slipped.

    I like my life today; some days I love it. I don’t live in unreasonable fear, but I accept this fact: on any ordinary day, my alcoholic mind could observe the oven clock turn five and think: A snifter of eighteen-year-old single malt whiskey, served neat, alongside a bowl of salted cashews, would be a fine idea!

    And today I understand, right down to the jelly marrow of my bones, that this is typical alcoholic wishful thinking.


    I also recognize — and appreciate — other approaches to solving problem drinking, or at least to blunting the devastating effects of alcohol and other addictive substances and habits. Some of these solutions have developed in my lifetime, and some have been there all along.

    I have a friend who threw herself back into her childhood faith in earnest, and another who found help in Buddhist-inspired Refuge Recovery. I am happy for these friends, and for everyone who finds lasting recovery, however and whenever. And for those who have chosen the A.A. path, I am especially gratified to welcome back those like me — humbled humans who have returned to the fellowship later in life.


    On the last day of this month, I’ll have seven years back in the rooms. Once again, Alcoholics Anonymous has been a bridge back to a good life. I’ve got a sunny apartment, two sturdy teens, and an Australian lizard. The ex and I have each other’s back in the co-parenting game. I’ve got a day job where I feel purposeful, and my writing at night, which lights a votive in my soul.

    I was lucky to find my way back to A.A. at forty-seven, and lucky to turn up this picture-postcard now — this four-by-six inch card stock talisman, a reminder of who I was at twenty-five, and who I am now, twenty-nine years later — sandwiched between sunbathers on the Jersey shore and Niagara Falls at night. To me this is no coincidence: this postcard, lost then miraculously recovered, does parallel my own recovery, lost for twenty-two years, then found again in a new group, above an Italian fishmonger.

    And so, my dear friend Delphine, here is the full story, the real letter I promised you, delivered now, almost thirty years later. You are not an alcoholic, but maybe some of this makes sense. I hope so. We must talk soon.
     

     

    This piece originally appeared on Medium on September 13, 2020.

    View the original article at thefix.com

  • Don't Relapse Now

    Time has paused, life has paused, why can’t sobriety pause too?

    Reader, I will make a deal with you. I will talk to you like an adult and say some uncomfortable things. I won’t be your sponsor and I won’t throw the Big Book at your face. But in exchange, you need to promise me you’ll read this to the end. No skips, no tag outs, no skimmy skims. Okay? Okay, great.

    I understand the urge to relapse right now. I’m feeling it too. A lot of us have severely diminished responsibilities – my work has nearly dried up. I hate the Zoom meetings, which feel like impersonal shadow plays where I have to stare at my new fat face. All our other distractions that can’t be done from the couch have been cancelled. My normie friends are mixing up quarantinis before the 5 o’clock news starts. Most importantly, we are all being treated to a daily blast of death, inequity, and press conferences where a poorly tanned moron tells us to shoot up with bleach. It is so much. It is a daily mental weight that is difficult to bear even on the best days.

    If you are saying to yourself, maybe I can’t hold out on this, maybe I am going to break, that is a sane response. It is, in some ways, a rational response. Time has paused, life has paused, why can’t sobriety pause too? The other day I found myself telling a friend that I won’t be jobless, locked down, without the beach (my favorite distraction), and sober. In full Scarlett O’Hara mode, I declared, “Sorry, but I won’t do it!” It felt good to say, the way forbidden things sometimes do. Total, unapologetic narcissism has its pleasures.

    I could probably get away with it, too. I could probably go on a few-days bender and maybe my boyfriend would figure it out (he is sharp!), but no one else would. I could even keep my day count! Why not?!? This is the sort of self-dealing I’ve been doing. I am so good at it. I am the Clarence Darrow of fucking my own shit up.

    But it is wrong. I know it’s wrong. If you are having similar thoughts, you probably know they are wrong too. Even now, with life halted and pain and injustice ascendant, there are reasons both practical and metaphysical that it is crucial for you and me to keep our sober time. Even if every word we ever heard at an AA meeting was false, even if the Big Book itself is a decades-long scam to sell us on religion.

    Practically, you are going to regret it. You know you are! Sorry, but you do. You are going to be annoyed, at the very least, that you need to restart your day count, which yes, you eventually will be forced to do because you won’t be able to lie to your support network for that long. Whatever bender you have in mind is going to come to an end, in what will feel like the blink of an eye, and all you’ll have left is regret and likely, a terrible headache or worse. You also, of course, might take it too far and die.

    If things get really bad, as they very well may, people are going to know what you did and that is going to suck for you. Your family and friends are already extremely stressed out right now (just like you!) – the last thing they need is to hear that you relapsed, in your tiny apartment in some faraway city, and no one can travel to you to make sure you get it together. Your mom is going to cry.

    On that note, if you need hospital care because you overdose or can’t stop, great, you are taxing an already overtaxed healthcare system and exposing yourself to COVID19 at the same time. From a million different standpoints, any decision to relapse right now is selfish, even if it feels like the only person being punished is you.

    Okay, who cares, right? I hear that. When I was first trying to get sober and in a relapse cycle, other people’s problems were some theoretical concern that was a not-close second to my immediate ego gratification. I did not give a shit, and honestly I didn’t care much if I died, either. What worked for me, though, was spite – not giving my enemies the pleasure of seeing me fall.

    Spite could be helpful right now. Picture Donald Trump, in all his 300 pounds of dense mass, standing over you as you take that first drink. “I was always right,” he says without laughing, as he never laughs, “You’re weak. Libs like you, weak, lazy.” Do you want Donald Trump to think he’s better than you? How about the maskless crowds begging states to let them kill themselves, and each other? Should these yahoos and sociopaths be allowed to feel morally superior to you? Or picture a little closer to home. Do you want your douchebag ex to hear that you fucked up again? No you do not.

    The time we’ve all spent cooped up indoors losing our gourds has been an achievement which can be measured in days and lives saved. We’ve been doing this for well over thirty days now. In New York and elsewhere, we’ve flattened the curve. Your sobriety is the same. It’s not some fungible commodity that can be lent out and borrowed back at will – it has a character in itself composed in part of a temporal element. Your sobriety after you relapse is not the same as your sobriety before. When you give it up, you give up effort, sacrifice, things you can never get back. That might not feel important now, but it will feel devastating later.

    Look, I am not Mr. Lockdown. I eat loaves of bread as a snack. I stay up most nights until 5 AM and I sleep till 11. I bleached my hair. I play Nintendo Switch and try to get one or two productive hours into a day. My sheets smell like farts. All of this is fine! You do what it takes to make it to the next day. The people doing pilates every morning, learning a second language, making OnlyFans, whatever – they are fine, too. And it’s even fine to hate them!

    “One day at a time” is a relentless cliché in sobriety circles. But right now, it feels appropriate, as all of the stupid sayings eventually do. The world is a miserable place, maybe always, definitely right now. Don’t add to the misery by giving in to the demons you fought so hard to keep at bay. Be strong, stay home, save lives, stay sober. Good luck.

    View the original article at thefix.com

  • In Recovery, on Suboxone, and in the Weed Business

    In Recovery, on Suboxone, and in the Weed Business

    In print and online, I preached cannabis. In life, I practiced therapy and Suboxone.

    I had a few days left on my Suboxone script when I interviewed Justin “Bong King.” He was a professional bong-racer and self-described champion of the competitive smoking circuit. An affable guy, nonetheless his was an image of American cannabis long past, pushed aside by marketing grads and stay-at-home moms who sold branded CBD and touted the benefits of micro-dosing. 

    But Justin drew a crowd, and an entourage to boot. And his natural talent for hitting the fastest gram of weed would corner me into compromising my recovery.

    Throughout my career as a cannabis journalist, I’ve kept silent about my sobriety. Finding freelance gigs is hard enough without the added burden of having to be that guy. Besides, if I learned anything from active addiction, it was how to lie at my job.

    Covering Cannabis Events and Lying About My Sobriety

    But as time passed, I felt withdrawn and disconnected. My recovery had no place in the cannabis industry. Moreover, medication-assisted treatment (MAT) seemed anathema to its goals, according to experts and the news. Rep. Matt Gaetz openly questioned whether buprenorphine and methadone are “a more effective offramp [to opioid use disorder] than medical cannabis.” CNN announced that CBD cures heroin addiction. And the editors of Leafly figured out how to combat the opioid crisis with medical cannabis two years prior.

    After 20 years, recovery had finally become routine. As a cannabis journalist; as an editor in chief — so had my lies.

    Some lies were easy. Weekly therapy appointments usually coincided with editorial meetings or deadlines. I worked from home, my boss was lax, and anyway, I kept hours around the clock. Monthly visits to my psych and 30-day Suboxone refills upped the number of undisclosed appointments I logged, but still, no one seemed to care.

    On assignment was a different story. I covered cannabis expos or dispensary openings — events where the drug laws were lax and the supply was liberal. At a hotel in Hell’s Kitchen, I spent three nights alone avoiding networking galas and after-parties hosted by music moguls turned industry entrepreneurs. In the world’s largest dispensary off the Las Vegas strip, I dodged more questions than I asked when leaving empty-handed. With hand waves and head shakes and less-than-assertive no’s, I passed over pot by lying about my sobriety.

    But face to face with Justin “Bong King,” there was nowhere to hide — no hotel room to run to, no door from which to make a quick exit. There was a crowd around us, boxing us in as he finished his gram smoking demonstration. I shook his hand and stumbled over my words as I signed off the segment on camera.

    It was either a contact high or placebo effect, or maybe just panic anticipating the piss test I would take in the next few days.

    Intensive Outpatient: 12 Steps and Scoring Drugs

    When I had about two months left in my treatment program, I walked out of group for good. It was an intensive outpatient program; a six-month IOP run by Philly’s NHS that championed the Big Book and 90 days. For a minute it worked, but it’s drug rehab mired in a puritan past. The 12 steps are great, but they shouldn’t be a front-line defense.

    Besides, all I did there was make friends and score drugs. Thirty addicts in a room is an excellent opportunity to network and learn.

    By Easter Sunday that year, I felt broken. I was in a dirty motel on Route 1, hopped up on Benzedrex cottons and a $60 baggie of hex-en I purchased online from China. After 20 years of addiction, I had no drug of choice, save for anything that made me high.

    My wife and kids back home slept together in one bed, a little less worried than the last time I disappeared. I was out of work and estranged from everyone. My best friend joined AA and realized I was one of his people, places, and things.

    All I had was my family, and I was losing them too.

    One lie allowed my addictions to grow without the worry of what would happen tomorrow. It’s the lie I told myself when I stole my ex-wife’s Dilaudid two days after her shoulder surgery. It’s the lie that made me laugh when I snorted enough Adderall to make my nose blue. And it’s the same lie that made me indignant when my ex-girlfriend’s brother became angry that I was a sloppy drunk in front of his small children.

    On the Monday after Easter, I drove home before sunrise. It was dark and muggy and difficult to see through my tears and dilated pupils. When I got home, I faced my wife and children and ended the lie that had followed me through two decades of addiction.

    “I can’t stop,” I whispered. That week, I discussed MAT options with my doctor. I’ve been in recovery since that day.

    Cannabis as the Magic Bullet for the Opioid Crisis?

    Tyler Sash won the Super Bowl in his rookie year with the New York Giants. At the time, he didn’t know he only had a few years left to live. A sixth-round draft pick out of Iowa, he overdosed on a combination of methadone and hydrocodone at the age of 27.

    “[He] asked if he could smoke marijuana for his pain like the other players,” recalled his one-time girlfriend, former Miss Iowa and reality-show contestant Jessica VerSteeg. I interviewed VerSteeg when she was promoting a new blockchain-bitcoin something-or-other product in the cannabis space. She recounted Sash’s tragic tale during our interview, explaining how it became the backbone of her business.

    “I wanted to change the way that other people saw cannabis,” she said.

    VerSteeg’s article drew in readers, as did most CEO and celebrity interviews. Her story reminded me of how lonely my secrecy about my recovery had become. I often wished I could reach out and say that I understood. There are millions of people with substance use disorders, and we’re all so alone.

    But like most of the executive class in the cannabis industry, her hot take on opioids ended up being bullshit. Conventional wisdom in the cannabis industry had run somewhat amok on this topic, and it forced me, I felt, into compromising everything.

    There was the DEA agent who was so disgusted with opioids that he became a cannabis executive. Without irony, he told me that more research would prove the plant’s medicinal value. The head of an “innovation accelerator” in my city held a conference on the role of medical cannabis in the opioid crisis. He quoted research showing that states with medical cannabis laws have lower rates of opioid overdose deaths. Cannabis, they were convinced, would solve the opioid epidemic.

    But Where’s the Evidence?

    “Morphine, when it was introduced, was promised to cure what they called alcoholism at the time,” Dr. Keith Humphreys told me. A professor of psychiatry and behavioral sciences at Stanford University, he’s also worked at the White House Office of National Drug Control Policy under Presidents Bush and Obama. “Then, people got addicted to morphine, and cocaine was introduced.”

    He continued: “In general, there’s been this enthusiasm of if we just add a different class of addictive drug on top then that will drive the other addictions out. Generally, what happens is we get more addiction to that drug, and we still have the original problem.”

    I spoke with Dr. Humphreys after reading his research on cannabis laws and opioid overdose mortality rates. Contrary to conventional wisdom, he found the correlation to be spurious at best. It’s alarming — though not unsurprising — to see the industry ignore his findings. Several states, including Pennsylvania, where I live, approved opioid use disorder as a qualifying condition for medical cannabis.

    “I couldn’t recommend something medically without clinical trials, well-controlled by credible groups [and] checked for safety,” Dr. Humphreys said. He explained that in the case of cannabis, there was little more than these state-level correlational studies. “None of that has been done.”

    “I’m amazed and disappointed that we don’t care more about people who are addicted to heroin [and other] opioids, that we would wave through something like [medical cannabis] without making sure that it will help people, not hurt them,” he continued, noting that cannabis has shown no efficacy as either a replacement for or an adjunct to any MAT therapy.

    Listening to Dr. Humphreys made me realize how little I stand up for what I believe. Sometimes, when you’re an addict and you lie so much, you lose any sense of truth.

    Tyler Sash’s family asked Jessica VerSteeg to stop using his name to promote her business. According to a report in the Des Moines Register, they didn’t want his name associated with drugs anymore, neither opioids nor marijuana. VerSteeg refused, repeating the story she told me to several news outlets.

    For two years, I wrote about and reported on the emerging cannabis industry while hiding my ongoing recovery. In print and online, I preached cannabis while practicing therapy and Suboxone.

    Even in recovery, you can still have regrets.

    View the original article at thefix.com

  • How To Party Without Mixing Alcohol And Drugs

    How To Party Without Mixing Alcohol And Drugs

    ARTICLE SUMMARY: Are you a young person in early recovery? Take note! You need to know when to avoid a party. But when you’re ready to hit the scene, practice these refusal lines. More here.

    TABLE OF CONTENTS

     

    Night Life in Addiction Recovery

    Leaving old habits behind might be challenging and tricky. If you used to mix alcohol with drugs, it can be really uncomfortable to go out again. Can night life ever really be the same? If you’re in recovery, you actually might want to pass it up for a while.

    Why?

    Being near the scene can be dangerous. Just exposing yourself to triggers can lead you to relapse. If you are in treatment, it’s highly advisable you stay away from direct triggers. Sounds. Smells. Images. These are the things that can jeopardize the effort and progress on your road to reaching and maintaining sobriety.

    So how do you party when in recovery? Is it possible to have a good time without the influence of drugs and/or alcohol?

    Of course you can.  Keep reading further to find out how to protect yourself when the environment and people around you act as a temptation. Plus, read about alternative fun activities that do not include the use of alcohol and drugs. All your questions and/or personal experiences about partying without mixing alcohol and drugs are welcomed at the end.

    Can I Party In Drug And Alcohol Addiction Recovery?

    Absolutely!

    Recovery programs exist to teach addicts that sobriety is not boring! On the contrary, recovery opens up a lot of new opportunities. You just need to learn and practice some alternatives to bring you fun and joy without exposing yourself to danger.

    Q: Who should refrain from partying?
    A: If going out endangers your recovery, maybe you should stay home.

    At least for now.

    Why?

    Common Triggers

    When you make a decision to quit mind-altering drugs, some situations are just not healthy. Seeing a set of friends who look like they are having fun. Or, hearing the sound a lighter hit glass. Or, listening to that song that brings back nostalgia and a desire to get high.

    These are all triggers that might set off a desire for you to reach out for drugs and alcohol again.

    Theoretically, there are two types of triggers:

    1. Internal triggers, which usually manifest themselves as negative feelings.
    2. External triggers, that include people, places, things, and situations that provoke you to get back to your old substance abusive behaviors after a period of abstinence.

    When you are in early addiction recovery, you’ve just started developing a sober lifestyle. You aren’t quite used to feeling subtler emotions. We who are in recovery have all been through it.  You’re used to getting high…and dealing with the lows. But, we just don’t have healthy habits ingrained into our brain pattern yet.

    So, it’s best to avoid:

    1. Parties at clubs where you used to drink alcohol or use drugs.
    2. Acquaintances that still drink and take drugs.
    3. Visiting places while you are in an emotional period where drugs and alcohol are expected to be present.

    In fact, a night out can be super confusing. While it can be a learning experience, you need to be in a really stable place in early recovery. This is because hitting the night life can make you feel vulnerable. It might even lower your enthusiasm for change, or impact your self-esteem…both of which eventually may increase the possibility of relapse.

    The Cycle of Craving

    So, here’s a little deeper explanation into why you might want to wait. I’m not suggesting that you not have fun. I’m just saying that changing the way you have fun can be worth it.

    Addiction triggers involve high-risk situations. They are viewed as stressors that spark a thought, feeling, or action which makes you desire drugs/alcohol over and over again. When a trigger strikes in you get a sudden and unexpected urge to use again, it’s called a “craving”. In short, addiction triggers usually lead you to cravings and cravings stimulate your urges to use.

    This is why one of the main focuses of rehab is to teach you to become more aware of your specific triggers. Once you identify the trigger, you can learn how to control the sequence of events. Perhaps you can avoid the trigger totally. Or, you can learn how to change your related thought pattern. Or, maybe you intervene on the behavior-level.

    This is possible only through education. If you learn successful craving or coping management skills, you’ll necessarily learn techniques for fighting craving in recovery.

    Refusing an Offer

    Learning to say NO takes a little practice. Relapse prevention tips and refusal lines are taught during every addiction treatment program. But we’ve noticed that you need to actually practice these lines BEFORE you’re in a tight spot. Here are some suggestions about what you can say/do in different situations.

    1. First, go to events where there are no drugs and alcohol.

    2. Second, connect with friends who support your decision not to use drugs. Ask for support from these friends when others become pushy in their offerings.

    3. When in a problematic situation, make an excuse to leave. Just get out of there.

    When you are offered with drugs or alcohol, use definitive refusal lines such as:

    • I’m good.
    • No, thank you.
    • I can’t.
    • I have some medical issues right now.
    • I pass.

    I made the mistake in early recovery of trying to “explain it all”. No one who’s using wants to hear why you’re not using. They just want you to join them so that they can feel less alone.

    So, the bottom line is that you don’t feel like you need to explain yourself. No one needs to “get it.” They probably don’t want to.

    Alt Partying

    The sober community has many members. Most of us know what it’s like to wake up the next morning, blacked out. But just because we’re not using doesn’t mean that we’ve lost the will to have fun. Recovery is about building a new life, one that drugging and drinking parties are not a part of any more.

    If you want an alternative way to party, think about hosting your friends at your house. You can be the host of a sober party. You don’t need to socialize with just people in recovery. But make sure people know that substances are off limits.

    Some people like board games. Other people just party around food and music. Still others meet and then go to an event together. Whatever. Just get some people together and find something you all like to do. Talk to people at the party and connect. That’s more than a party; that’s creating a community.

    Or, find hobbies that don’t involve alcohol/drugs but are still entertaining such as: table sports, darts, card games, going to the zoo, or to the movies. Dancing is one of most recommended ways lifting your mood.

    Finally, be prepared. If you’re going to an event where psychoactive substance will be present…resolve to:

    • Choose mocktails instead of cocktails.
    • Use your refusal lines.
    • Plan an escape if temptations gets too great.

    Your Questions

    At some point, mixing alcohol and drugs gets old. It leads you down that same dead end.

    But maybe you have questions about what you’ve just read. Maybe you have an experience to share? Feel free to leave your comments below. Me and my team will make sure to get back to you with a personal and prompt response.

    Reference sources: Dr. Chad Coren: TRIGGERS OF ADDICTION
    Girl’s Health: Ways to say “no” to drugs
    NIH: Building your drink refusal skills

    View the original article at addictionblog.org

  • What Is Evidence-Based Addiction Treatment?

    What Is Evidence-Based Addiction Treatment?

    12-step programs are an incomplete approach and do not meet the requirements for evidence-based treatment because they lack biomedical and psychological components, and they use a one-size-fits-all approach.

    When looking for treatment for addiction, there is a lot of information out there and countless opinions. Friends, family, doctors, researchers, and people in recovery all have their own beliefs about what you need to do to get well. Unlike in other areas of healthcare, addiction treatment is often deemed “effective” based on anecdotal reports. In fact, most people who seek or are forced into treatment do not receive health care that is aligned with evidence-based practice.

    A frequently-cited definition comes from a 1996 article in the BMJ Medical Journal: evidence-based “means integrating individual clinical expertise with the best available external clinical evidence from systematic research.” Other definitions also include the patient’s individual circumstances, preferences, expectations, and values.

    These variables are not necessarily constant, and there is no one-size-fits-all solution; any list of evidence-based treatments is going to include a wide variety of approaches.

    What is Addiction?

    In the United States, addiction is still treated more as a crime than as a chronic illness or disorder. Until that perspective changes, treatments will not meet their full potential and will not be as effective as they could be. Addiction, or substance use disorder (SUD), is a chronic medical condition that has remissions, relapses, and genetic components.

    Are Relapses Normal?

    A relapse is not a failure but a symptom. The brain of a person with SUD has gone through neurobiological changes that increase the risk of relapse because the damaged reward pathways stick around much longer than the substances stay in the body. Stressful events and other painful life experiences can trigger that maladaptive coping mechanism and cause a relapse.

    For other chronic illnesses we would consider a relapse to be an unfortunate symptom of the disease, and we might call it a recurrence instead of a relapse. When successfully managed, the condition is considered to be in remission. Remission is a term that is relatively new in addition treatment; substance use disorder was not always believed to be a disease but rather a moral failing and a problem of willpower. We now understand that addiction is a chronic medical condition and that remission is the goal of treatment. Remission, as defined by the American Society of Addiction Medicine, is “a state of wellness where there is an abatement of signs and symptoms that characterize active addiction.”

    What Is Successful Addiction Treatment?

    Let’s take a look at what it means to have an effective treatment outcome in terms of addiction. The primary goal is usually abstinence or at least a “clinically meaningful reduction in substance use.” To measure effectiveness, we must look at how and if treatment improves the quality of life for the patient. Improving quality of life is the aim when treating all chronic conditions that have no cure.

    Evidence-based therapies do not support the notion of “hitting bottom.” As with any chronic disease, early intervention is going to provide the best outcomes. Even more effective than early intervention is prevention because SUDs are both preventable and treatable.

    Pharmacotherapies to Treat Substance Use Disorders

    Addiction is an overstimulation of the brain’s reward pathways, and as the condition progresses, the brain becomes less sensitive to the rewarding effects of a drug and requires more of the substance to get the same effect. This overstimulation can play tricks on memory recall, turning experiences that were not good into ones that seem better than they actually were. It creates false memories to encourage re-indulging in the addictive substance or behavior.

    From a medical standpoint, this disparity needs to be interrupted and corrected. Akikur Mohammad, the author of The Anatomy of Addiction, argues that successful treatment of addiction “must first address the biological component and correct the brain’s chemical imbalance in the process.”

    Pharmacotherapy is used in medication-assisted treatment and recovery. Depending on the patient’s individual drug history, different medications may be used to mitigate the brain’s compulsive race to stimulate the reward loop.

    Therapy for Substance Use Disorders

    Most research on therapy for substance use disorders has been done on cognitive behavioral therapy (CBT)—a form of typically short-term psychotherapy that combines talk therapy with behavioral therapy. Patients are taught how to adjust their negative thought patterns into positive thoughts. There is clinical evidence that CBT can be as effective as medications for many types of depression and anxiety. For treating SUD, CBT has been shown to have a “small but statistically significant treatment effect” but doesn’t necessarily have a long-lasting effect. As it’s a chronic illness, it stands to reason that SUD requires further maintenance beyond any short-term treatment.

    Are 12-Step Programs Evidence Based?

    Alcoholics Anonymous and other 12-step programs use a social model of recovery. They are built on the basic notion of peer support in a safe environment. There is research on the efficacy of 12-step programs, which shows it works for some people and that there are benefits to this social model of recovery. The steps, or rather the principles of the steps, must be internalized into a person’s psyche in order for the person to achieve lasting abstinence. 12-step programs are an incomplete approach and do not meet the requirements for the classification of evidence-based treatment because they lack biomedical and psychological components, and they use a one-size-fits-all approach.

    One central tenet of the 12-step solution requires turning one’s will over to the care of a higher power. Certainly, letting go of the notion that force of will can change the trajectory of addiction is necessary for any treatment. It’s a disease, and willpower will no sooner cure addiction than it will cure diabetes or heart disease. An evidence-based approach could mean that a doctor recommends a patient attend a 12-step program, or other support group, as part of a maintenance regime.

    The addiction treatment world is overrun with rehabs that primarily utilize 12-step programs, which are touted as the only treatment for addiction. That simply isn’t true. Addiction researchers have found that individually, cognitive and behavioral therapies, including social supports like 12-step programs, are incomplete treatment for a chronic disease that is both physiological and genetic in origin. From a treatment perspective that is grounded in evidence-based practice, involvement in a support group would be merely one piece of the puzzle.

    Holistic Care

    In evidence-based practice, the treatment process individualizes care and uses a holistic perspective to see what combination of resources will work best for a particular patient. The combination of treatment tools depends on a clinician’s specialized knowledge, the patient’s values and preferences, and the best research evidence. We need more specially trained addiction clinicians who can help people with SUDs make informed treatment decisions.

    Are you in recovery from addiction? What worked for you? Tell us in the comments!

    View the original article at thefix.com

  • Amanda Bynes Back in Rehab Following Relapse

    Amanda Bynes Back in Rehab Following Relapse

    The former child actor had returned to the limelight in 2018 after a prolonged absence during which she became sober.

    Amanda Bynes is back in rehab after a relapse, according to sources close to the star. Bynes seemed to be getting her life back together after spending years in tabloid pages for her drug-fueled behavior, but a source revealed to PEOPLE that Bynes has been in rehab since January.

    The source said trouble started brewing for Bynes around the end of last year as geared up for a return to her acting career. Then sober and taking classes at the Fashion Institute of Design and Merchandising (FIDM) in Los Angeles, Bynes spoke openly about her struggles with mental health to Paper magazine.

    Bynes found fame as a teenage star on Nickelodeon before landing starring roles in several movies like Big Fat Liar, What a Girl Wants, and She’s the Man. However, seeing herself on screen took a toll on her self-image, especially in 2006’s She’s the Man in which she disguises herself as her brother to play soccer.

    “When the movie came out and I saw it, I went into a deep depression for 4-6 months because I didn’t like how I looked when I was a boy,” she confessed.

    Her feelings didn’t change in her 2010 appearance in Easy A.

    “I literally couldn’t stand my appearance in that movie and I didn’t like my performance. I was absolutely convinced I needed to stop acting after seeing it,” she said.

    To deal with these feelings, she turned to drugs. Not liking the taste of alcohol, she turned to marijuana when she was 16 years old.

    “Even though everyone thought I was the ‘good girl,’ I did smoke marijuana from that point on,” she recounted. “Later on it progressed to doing molly and ecstasy. [I tried] cocaine three times but I never got high from cocaine. I never liked it. It was never my drug of choice.”

    She also admitted to abusing Adderall, regularly waking and baking, and spiraling out of control. But she was able to get better, still optimistic and talking of living fearlessly as recently as last November.

    “I think that’s kind of how I go about [life] now—like, what’s there to lose? I have no fear of the future,” she said. “I’ve been through the worst and came out the other end and survived it so I just feel like it’s only up from here.”

    View the original article at thefix.com

  • Demi Lovato's Sober New Year's Celebration

    Demi Lovato's Sober New Year's Celebration

    The “Sober” singer took to Instagram to share her celebration with fans. 

    For Demi Lovato, 2018 was a rough year but she made it through and is now sober.

    After singing about relapse and suffering a nearly-fatal overdose in July the singer spent 90 days in rehab, getting out just in time to spend the holidays sober. Despite the ups and downs of the year, the singer took to Instagram to say that she’s looking at 2018 in a positive light. 

    “So grateful for the lessons I’ve learned this year,” Lovato wrote on her Instagram story on New Year’s Eve, according to USA Today. “I will never take another day in life for granted, even the bad ones.”

    Later in the evening, she posted a picture of herself ringing in 2019 with a virgin drink: Martinelli’s sparkling apple cider. Beneath the photo she put the caption #sober. 

    Lovato, who has expressed gratitude for her supportive fans throughout the year, once again thanked everyone who has been by her side through her relapse and recovery. 

    “Thankful for my fans, friends, family and everyone who supported me through this year,” she wrote. “God bless.”

    Lovato stayed away from social media during the time she was in rehab, but during the past month she has again been posting. Before Christmas she expressed frustration with the endless news cycle around her recovery.  

    “People will literally make up stuff to sell a story,” she wrote on Twitter. “Sickening. If I feel like the world needs to know something, I will tell them MYSELF. Otherwise people stop writing about my recovery, because it’s no one’s business but mine.”

    Lovato said that despite the fact that she is famous, she needs space to work through her relapse and recovery on her own. 

    “I still need space and time to heal… someday I’ll tell the world what exactly happened, why it happened and what my life is like today.. but until I’m ready to share that with people please stop prying and making up shit that you know nothing about,” she wrote. “I am sober and grateful to be alive and taking care of ME…All my fans need to know is I’m working hard on myself, I’m happy and clean and I’m SO grateful for their support.”

    Lovato has been very open about her addiction and mental health issues in the past, and in July she promised she would share again in the future — once she knew her health was secure. 

    “I have always been transparent about my journey with addiction,” she wrote. “What I’ve learned is that this illness is not something that disappears or fades with time. It is something I must continue to overcome and have not done yet.” 

    View the original article at thefix.com

  • Does Empathy Play A Role In Relapse?

    Does Empathy Play A Role In Relapse?

    Scientists examined whether empathy can push a person in recovery to relapse for a new study. 

    Having empathy — being able to relate to other people’s emotions — is generally considered a positive trait, but new research suggests that empathy could lead to relapse for people who are in recovery. 

    Dr. Jonathan Gewirtz, a professor in the Department of Psychology at the University of Minnesota, led a team of researchers who found that mice who witnessed another mouse in a scary situation were more likely to seek out drugs afterwards. The findings were presented during the 57th Annual Meeting of the American College of Neuropsychopharmacology, being held this week in Florida. 

    Gewirtz says his lab studies the biology of fearful memories and drug dependence, “since negative affective states are a prominent feature of drug withdrawal and likely play a critical role in the persistence of drug addiction.”

    To set up the empathy experiment, mice were placed in a two-sided container, where they got a dose of saline solution on one side, or morphine on the other, according to EurekaAlert and a press release by the American College of Neuropsychopharmacology.

    Over several days, the mice associated a specific side with the drug. Then, two weeks later the mice received only saline on either side. This was meant to mimic a period of sobriety after addiction. 

    Next, the mice were exposed to seeing another mouse in a frightening situation. Following that, they were put back in the two-sided compartment. 

    “Consistently, the sober mice preferentially selected the compartment that was associated with morphine, demonstrating drug-seeking behavior in response to witnessing a traumatic event,” according to the press release. 

    During the experiment, the researchers measured the mice’s fear response. 

    To strengthen the connection between empathy and drug-seeking behavior, scientists then treated some of the mice with oxytocin, a chemical that is associated with social bonding and thus empathy. They found that these mice had a greater fear response than mice that were not treated with oxytocin. 

    “[Researchers] conclude that mice, and potentially people, that witness a stressful event are negatively emotionally affected, which may lead them to seek drugs, even after a period of sobriety,” according to the press release. “Oxytocin treatment exacerbates this response, indicating that social bonding (and empathy, by extension) is a driving force in this behavior. The researchers say these findings are the first to demonstrate the direct link between empathy and drug relapse, as well as to suggest oxytocin may play a role in enhancing this response.”

    View the original article at thefix.com

  • "Dopesick Nation" Shows Reality of Treatment Professionals Who Struggle with Addiction

    "Dopesick Nation" Shows Reality of Treatment Professionals Who Struggle with Addiction

    Dopesick Nation explores addiction treatment and the thin line between interventionist and client, recovery and relapse.

    Note: This piece contains spoilers for Dopesick Nation

    As a former social worker in recovery from addiction, I was initially skeptical of the VICELAND Series Dopesick Nation because I thought it would follow the familiar formula of A&E’s Intervention and TLC’s Addicted. I was wrong. Dopesick Nation is different from these other shows for many reasons, but it’s especially good at illuminating the unique difficulties of being a recovering addict while also working with and helping other people struggling with addiction. Dopesick Nation explores the thin line between interventionist and client, recovery and relapse. This is a common struggle, as 37 to 57% of professionals in the addiction field are in recovery themselves. Due to stigma, there is sparse data on how often people working in this field relapse, but I found a preliminary study that found 14.7% of addiction treatment professionals relapse over their career lifespan. I can relate: I’ve relapsed twice while working in the field.

    Let me start by saying that I commend all people working in addiction and recovery treatment. While I have mixed feelings about Intervention and Addicted, I have deep respect for the interventionists who have made it their mission to help people with addiction while also navigating the daily struggles of their own recovery. The traditional interventionists of Addicted and Intervention appear so stable; each of their stories follow a typical trajectory from drug addict to helper. On the opening montage of Addicted, interventionist Kristina Wandzilak says: “By the time I was 15, I was addicted to drugs and alcohol. I robbed homes, I sold my body, I dug in dumpsters to pay for my habit. Today I am an interventionist…”

    Yes, Wandzilak and the other interventionists’ stories are all inspiring to people like me in recovery, but the reality is that many of us relate more to Dopesick Nation’s leads, Allie and Frankie. Both are candid about the difficulty of working in the field and later Frankie is open about his relapse. But we’ll come back to that.

    Addiction Treatment on TV: Intervention, Addicted, and Dopesick Nation

    One of the first stark differences between these shows is the more relatable, down-to-earth way that Allie and Frankie approach their clients. From my experience as a social worker with eight years of experience in the field, I know that the first step is building rapport and earning the trust of vulnerable people who are skeptical of helping professionals. Allie wears yoga pants and hoop earrings, Frankie is covered in tattoos and wears a backwards black hat and a t-shirt with the logo of his nonprofit, “FUCK HEROIN FOUNDATION.”

    This may seem surface level, but first impressions matter. Trust should be earned, not expected. I had a client who refused to open the door to staff for weeks, in part because she felt social workers were elitist and unrelatable. When she finally let me in, she said, “You’re not one of those preppy ass bitches.” My boss joked that all the staff should get tattoos, a lip ring, and blue hair like me even though technically it was against dress code policy.

    In Addicted and Intervention, the interventions are staged in the carefully controlled environments of beige hotel conference rooms. Wearing business casual clothes, neatly ironed polos and chinos, the interventionists sit on comfy chairs in a U-shaped circle, then conduct a carefully orchestrated, seemingly scripted intervention.

    In Dopesick Nation, Allie and Frankie meet their clients where they are, which is a foundation for building a helping relationship. The show takes place in sunny, touristy Florida, where glimmering sandy beaches are dotted with tourists in Hawaiian shirts playing shuffleboard next to the swirling tides of the turquoise ocean. But Allie and Frankie don’t meet on the beach. Instead, they talk to clients on park benches, and curbsides in bad neighborhoods, braving torrential downpours and scorching heat. This method of “meeting people where they are at” is supported by years of social science research and was a cornerstone of my work as part of an outreach team to help people with severe mental illness and addiction. We left our office bubble, braving blizzards and arctic cold, because we knew clients were more likely to go to detox or another facility after a course of meetings in their homes.

    Fast forward to Frankie admitting he’s relapsed and is taking Suboxone, a medication to deal with opioid cravings. Wringing his hands, itching his sweat-glazed skin, Frankie tells his sponsor Gary: “90 to 95% of my day helping other people find their recovery. Sometimes I’m not taking care of my own recovery. And how am I gonna help other people get something that I don’t have? A lot of people rely on me, that pressure weighs on me.”

    Gary encourages Frankie to go to detox. “When you’re working in treatment, you’re around sickness all day long and you’re absorbing it… You need to work a righteous program.”

    Treatment Professionals Who Relapse

    I want to tell Gary that even though Suboxone is sometimes shunned by the recovery community, many studies support its efficacy. Suboxone is a valid form of recovery. I want to reach across the screen, hug Frankie and tell him he deserves the same care and compassion that he gives to clients, that it’s okay to take a break from the field to take care of himself. I want to tell him that I admire him even more because he let his guard down and was honest. I want to tell him that more of us relapse than he may realize and assure him that he is not a hypocrite for relapsing and taking Suboxone. I want to tell him my story.

    Three years ago, I was working at a day center with people who had struggled with homelessness and addiction. I remember one day when a client who was an IV heroin and meth user told me about his struggles to get clean. My years of experience taught me the art of self-disclosure, specifically if and when it was appropriate to disclose to clients that I too was in recovery. Since I’d known him seven months and even been trusted to store his dead cat’s ashes (a story for another day), I told him about my addiction as though it was in the past tense, although it was very much in the present tense. Steeped in denial, I told myself that my nighttime and weekend benders wouldn’t bleed into daytime. Looking back, I feel ashamed, but I know that denial is also a powerful drug. For a while, I thought I juggled my work life and secret life well. I thrived at my job, until, surprise— the benders bled into my work days.

    One day this client told me he was worried about me. He’d noticed my weight loss, blue circles under my darkened eyes, and change in personality. That’s when I knew I needed help. It was time to take a break from being a social worker. I went to detox for five days, then resigned and decided to move home. Like Frankie in Dopesick Nation, I realized that I couldn’t take care of others until I took care of myself.

    Eighteen months later, I miss social work and helping people. I hope to one day return to the profession, but in the meantime I’m using writing as a means to fight the stigma of addiction and shame of relapse. The reality is that relapse rates vary between 50 to 90%, and even treatment professionals are not immune to the realities of addiction. My hope is that one day more helping professionals like me can come out about their relapses and be commended for our honesty.

    What are your thoughts on Dopesick Nation and Frankie and Allie? How should people who work in addiction treatment make sure they’re taking care of their own recovery? Let us know in the comments.

    View the original article at thefix.com

  • AJ McLean Talks Recent Relapse, Recovery & Self-Care

    AJ McLean Talks Recent Relapse, Recovery & Self-Care

    “I have no shame in saying, I’ve relapsed over the past year. It’s no secret that this is a disease, and that it’s a daily struggle.”

    The Backstreet Boys are wrapping up their Las Vegas residency and are gearing up for their world tour in 2019, which will hit 27 countries—the boy band’s largest arena tour in 18 years.

    AJ McLean, who is in recovery, is up for the challenge. The Backstreet Boy has been to rehab in 2001, 2002 and 2011 for depression and alcohol use, according to People.

    Over the years, he’s learned a few hard lessons about recovery.

    “Sometimes, you’re just going to have the worst days possible,” he said. It’s a daily struggle. “You have to make it a lifestyle, you truly do. It doesn’t mean that you can’t have fun, and can’t be yourself.”

    Seeing recovery as a journey and not a destination also helps McLean stay grounded. “It’s not like, okay, I’m sober, it’s done. I’ll never drink again. No. You have to work at it daily.”

    By maintaining this mindset, McLean is not ashamed to acknowledge his mistakes as a person in recovery. “Look, I have no shame in saying, I’ve relapsed over the past year. It’s no secret that this is a disease, and that it’s a daily struggle.”

    As a father of two young daughters, McLean says it’s easy to forget about his own needs. “You know, it’s interesting about sobriety with family and with kids—you still have to put yourself first, and that’s been a real big struggle for me.”

    But it’s important to balance his family’s needs with his own, McLean says. “It will win if you don’t take care of yourself.”

    “Because I’m still very codependent, I’m Mr. People Pleaser… I want to make sure everyone’s cool,” he said. “[But] if you do that too often, then you forget about taking care of yourself, and you do tend to get lost in the sauce. And that’s happened to me numerous times.”

    After the death of Mac Miller in September, McLean mourned the loss of the young rapper. “I met him a couple of times at radio shows and he was a stand-up guy,” he told Entertainment Tonight in a previous interview. “You would never know that he had a problem—but a lot of people had no idea that I had a problem. Addicts can hide it pretty well, so all my condolences go to his family and friends. He’s another one gone too soon.”

    The Backstreet Boys’ upcoming 10th album is due on January 25, 2019. Then in May, they will embark on their DNA World Tour.

    View the original article at thefix.com