Tag: rock bottom

  • A Temporary Suicide

    How do you square that madness of loving what alcohol does to you for a few hours while suspecting that it’s killing you?

    “Men intoxicated are sometimes stunned into sobriety.”
    – Lord Mansfield (1769)


    Today marks five years since I had my last drink. Or maybe yesterday marks that anniversary; I’m not sure. It was that kind of last drink. The kind of last drink that ends with the memory of concrete coming up to meet your head like a pillow, of red and blue lights reflected off the early morning pavement on the bridge near your house, the only sound cricket buzz in the dewy August hours before dawn. The kind of last drink that isn’t necessarily so different from the drink before it, but made only truly exemplary by the fact that there was never a drink after it (at least so far, God willing). My sobriety – as a choice, an identity, a life-raft – is something that those closest to me are aware of, and certainly any reader of my essays will note references to having quit drinking, especially if they’re similarly afflicted and are able to discern the liquor-soaked bread-crumbs that I sprinkle throughout my prose. But I’ve consciously avoided personalizing sobriety too much, out of fear of being a recovery writer, or of having to speak on behalf of a shockingly misunderstood group of people (there is cowardice in that position). Mostly, however, my relative silence is because we tribe of reformed dipsomaniacs are a superstitious lot, and if anything, that’s what keeps me from emphatically declaring my sobriety as such.

    There are, for sure, certain concerns about propriety that have a tendency to gag these kinds of confessions – I’ve pissed in enough alleyways in three continents that you’d think the having done it would embarrass me more than the declaring of it, but here we are. There’s also, and this took some time to evolve, issues of humility. When I put together strings of sober time in the past, and over a decade and a half I tried to quit drinking thirteen times, with the longest tenure a mere five months, I was loudly and performatively on the wagon. In my experience that’s the sort of sobriety that serves the role of being antechamber to relapse, a pantomime of recovery posited around the sexy question of “Will he or won’t he drink again?” I remember sitting in bars during this time period – I still sat the bar drinking Diet Coke during that stretch – and having the bartender scatter half-empty scotch tumblers filled with iced tea around the bar so that when friends arrive, they’d think I’d started drinking again. Get it?! So, this time around I wanted to avoid the practical jokes, since in the back of my mind I’d already decided that the next visit to the bar wouldn’t necessarily have ice tea in those glasses. Which is only tangentially related to my code of relative silence for the last half-decade – I was scared that the declaration would negate itself, and I’d find myself passed out on my back on that sidewalk again. So, at the risk of challenging those forces that control that wheel of fate, let me introduce myself – my name is Ed and I’m an alcoholic.

    Here’s the thing though: for many addiction specialists, five years marks long-term recovery. Very few who try get here, and not everyone who does stays here, but by some strange combination of luck, contemplation, and white knuckles I’ve strung together one day after another and if not exactly proud (well, a little) I’m more than anything amazed. Because had you asked me even a weekend before my last drink, when I purchased an old-fashioned cocktail shaker for myself as a gift marking the start of a new semester, if I could have conceived of a month without drinking, much less five years, it would have been unimaginable. During a previous attempt to dry out I contemplated the idea of having a designated wet weekend each month when I’d lock myself away without computer or cell phone and get shit-faced black out drunk because the idea of a life without alcohol seemed so impossible, and now I’m the sort of person who wakes up every day at dawn (and not on the sidewalk this time). I can count the days before my sober anniversary each year like part of the liturgical calendar, often made possible by social media’s annoying tic of reminding you of every bad decision you’ve ever committed, so that I can chart the last time I drank with this or that drinking buddy, the last time I went to the bar after work, the last time I drank on the patio of my apartment complex. What always strikes me is how that morning of the last drink, when I got up, I was looking forward, as I always did, to go to the bar. My quitting, thank God, was never planned. Had it been I doubt it would have taken.

    If you detect a hint of nostalgia like the tannins in a glass of chianti, you’re not amiss. They call it euphoric recall, the way a brain the consistency of Swiss cheese can edit out all of the bad things, the embarrassments, the traumas, the pain, but only remember the conviviality, the solidarity, the ecstasy. The way in which you recall the electric hum in the skull when sitting like a god with your broken shoes on the brass rail, staring at a neon sign and feeling infinite; but not the pile of vomit on your chest, surprised that you haven’t choked to death. The memory of all of the friends you made at dives around the world, but not that nothing either of you said was worth remembering. The feeling of instant, almost supernatural, relief the moment a lager, a shiraz, a scotch hits your tongue, but not the shaking hand that brought the glass to your lips. The sense that accompanies drunkenness which holds that within the next fifteen minutes the most amazing things were going to happen, that limitless potential always was about to occur, but not that it never did. Sobriety becomes possible when you begin to remember the bad that outweighed the good – when you continually force yourself to understand that.

    Now some people may wonder why you don’t just avoid all of that stuff, why you can’t just moderate. As the dark joke goes, if I could moderate my drinking, I’d get drunk every day. I used to make a big deal about how angry I was that I couldn’t just have a drink or two, that there was such privilege in being able to wax poetic about the vagaries of hopiness levels in India Pale Ales without publicly shitting yourself, of being able to savor the peatiness in a single malt Laphroaig without stumbling back home unremembered to yourself and the world, but I never really wanted those things. Anger was performative for the counterfeit stints in sobriety, when the real thing happens and you know it’s dryness or death, then different emotions emerge. And the truth is that because I have no interest in drinking that way, in moderation, I begrudge nobody who wants to do it, who can do it. I suspect that moderate drinkers have never concocted baroque rules of order around drinking based in how much of which thing you can drink in what location for what amount of time (which you still break anyhow). I suspect that moderate drinkers never fear that the moment alcohol hits their lips that they’re ceding part of their sovereignty, not the part of their soul which keeps them from stumbling out into traffic so much as the part of their soul that cares. I suspect that moderate drinkers always know for sure that, barring the regular kind of calamity, they’re certain to come home safely at the end of the evening (probably before the nightly news).

    I’m not angry – at all – over the existence of the moderate drinker. What I am is confused. I don’t understand that aspect of them, I can’t grasp their reality. Once you started drinking how could you not want to keep doing it? How could you not pursue oblivion or extinction unto joy, or at least the pretending of it? For me, the thought of half a pint is anathema, the idea of not sucking the ice cubes clean of whisky is confusing. This is not to say that I was completely incapable of putting the glass down, of leaving the bar at four in the afternoon and being able to twitchily abstain until dinner drinks. This is not to say that responsibility, or duty, or love couldn’t compel me to stave off a binge, nor is it to say that all drinks (or, honestly, even most) would result in a mad spree of boozing. You don’t necessarily pour the bottle down your throat every time. What it says is that once the cork comes out, there’s always a sense of being not-quite-right unless you’re chasing your chaser with a chaser, playing the drinking game of taking a shot for every time you take a shot. You can force yourself to not take that next drink (except of course for those times when you can’t), but you’re forever itchy, at least until the djinn is out of your system.

    There has always been a sense, as I think Carl Jung (or somebody similarly evocative) put it, that alcoholism is a physical solution to a spiritual problem. While I’m loathe to romance the affliction that much, for it simply exonerates too many assholes, I doubt that anyone who is an addict doesn’t at least share in some sense of incompleteness, that liquor plugs a hole in the spirit which of course comes rushing out all over the floor. For most people, I’ve heard, alcohol is something that accompanies food, or celebration, or unwinding, that occasionally there’s a bit of giddiness at having imbibed a bit too much – that some of these folks even have stories about that time, or even a dozen, when they had a bit too much in college, or at a birthday party, or a wedding. Alcoholics have a different relationship to liquor, an understanding of why spirits are called such. “I had found the elixir of life,” Alcoholics Anonymous founder Bill W. wrote in recounting the first time he got high from some Bronx Cocktails served at a party in 1916. Later, in the “Big Book,” which constitutes the scripture of AA, he writes that “Gradually things got worse.” Same as it ever was.

    Every drunk is in an abusive relationship with this thing they think they love, and which they dangerously hope loves them back. A lot of fantasizing, mythologizing, and philosophizing can surround justifications of drunkenness (or then again, not); a lot of denial, and the assumption that you have any agency in this thing tend to be even more universal to the disease. But the result is all the same. I’ve heard a lot of people in recovery say that they hated drinking, but that was never exactly my experience. I hated what it resulted in, the ruined friendships, the uncertainty, the physical ailments, the strange fear at 25 that 30 might not come, the knowledge at 30 that 35 definitely won’t. But here’s what I loved – the fraternity of talking, talking, talking (even if it’s nonsense), the courage to belt out the lyrics to “Thunder Road” at inopportune moments, feeling the almost mystical materiality of the bar’s surface (every warp and swirl imbued with infinity), the sense of adventure and limitlessness, even while doing nothing. Here’s what I hated – shaking, shaking, shaking (never nonsense), being surprised that you’ve woken up again, laying hungover in bed and pretending to be a corpse, the delirium tremens for when you try and dry up a bit and you see those flickers of blackness in the corner of your eye, checking your shoes for evidence of what route took you home, checking your email outbox to make sure you didn’t send the wrong message to the wrong person (or the wrong message to the right one), the shame at having gone out for one or two and having imbibed twenty. The dangerous situations, the emergency rooms, the police. How do you square that madness of loving what it does to you for a few hours while suspecting that it’s killing you? I’ll have another round. The best description I know comes from my fellow Pittsburgher Brian Broome in an essay from The Root: “I miss getting drunk, but I don’t miss being a drunk.”

    I’ve put that into my arsenal of magic incantations which I carry around in my skull and as of yet have prevented me from picking up a drink in 1,827 days: “Play the tape forward,” “I’m sick and tired of being sick and tired,” “If drinking caused you problems then you have a drinking problem,” “A pickle can never become a cucumber,” “One drink is too many because all of them is never enough,” “Lord grant me the serenity…” If recovery is built out of anything, then it’s built with the bricks of cliché and the mortar of triteness. That’s not a bug, it’s the feature, and it’s why it works. I’m obviously not the first person to notice this; David Foster Wallace says as much in Infinite Jest when he observes that the “vapider the AA cliché, the sharper the canniness of the real truth it covers.” Recovery slogans are like axioms from some ancient wisdom gospel, they’re a jingle-jangly hard-boiled poetry written in a noir vernacular, and as dumb as some of them are the knowledge that “Nobody wakes up wishing that they’d drunk more” has miraculously kept me from picking up that first bottle.

    When I drank, and had that resentment of recovery language that only an alcoholic with a bit too much self-knowledge can have; those sayings seemed like the bars of a cage to me. Now I know that they’re the ribs in the belly of a life-boat. That’s not to say that I’m endorsing any program of recovery, or admitting to being in any myself, other than acknowledging that I’ve read wide and long on the subject, and I try to approach it with some humility, take what works for me and leave the rest. What I’ve found is that intentionality is crucial, for it’s the cavalier, the laid-back, the lackadaisical that caused me such grief. Again, I tried to “quit” thirteen times before it seemed to stick a little; I tried to moderate almost every time I drank (except when I didn’t try). There is a tendency towards amnesia, a valorization of the good times, and the bracketing out of the awfulness was a wet brain’s survival strategy. Everything was an exception, an extenuating circumstance, an anomaly. The obviousness that drinking was at the core of virtually every awful, dangerous, or depressing thing in my life since I started drinking at the age of 17 was easily overlooked in favor of the idea of a beer (beers) at a ballgame or a shot (shots) after last call.

    Because the idea of choice is so complicated in alcoholism, I’ve long interrogated at what point the desire to drink became a compulsion. In every evening there is the drink that saturates you, the hinge point when you’re already strategizing which bar you’ll grab another six pack from on your perambulation home from the first bar (the third one, maybe), but I wonder if there is one cosmic drink in life that shifts you from the weekend warrior into the sort of person that people wouldn’t be surprised to hear had choked to death on their own puke. Was it the first Bloody Mary that I had after that time an ex-girlfriend passed out face down on a Pittsburgh sidewalk, a crowd of our best friends whom we’d met for the first time just that night standing around a half-remembered house somewhere in Shadyside, an ambulance spiriting us both through the summer night? Perhaps it was the Yuengling I had a few days after I nearly broke my ankle on a slick of Pennsylvania ice, forced to walk on crutches for two weeks because I chose to protect the six pack that I was walking home with rather than bracing my own fall. Or maybe it was that Guinness that I drank in about a minute in a Greenwich Village pub, after nearly five months of sobriety, convinced that I was all better, even though that summer a liver sonogram had indicated that there were fatty deposits surrounding that beleaguered organ like a ring of gristle around a raw steak. You’d think that the indignity of sitting in that waiting room, in the presence of joyful expectant mothers and framed pictures of new born infants on the office wall, to learn that my dangerously high liver enzyme levels were a sign of exactly what my doctor was worried about, would have staved the need to drink. And it did, for a bit, for around twenty weeks, until a New York bar convinced me otherwise. I drank for three more years after that.

     Poet Denise Duhamel writes about the sort of spirit that animates that madness in her appropriately named lyric “The Bottom.” She recounts a drunken late-night stumble to a liquor store for (another) handle of Smirnoff, when two men in a truck try and abduct her off the street. The narrator is able to dodge the men, running up the hill (and away from El Prado Spirits), suffering at worst some trash thrown at her and screamed obscenities. When she makes it to the store, the clerk at the counter asks if she is alright, and the narrator lies, since the possibility of having to file a police report will only stall the entrance of ethanol into her blood stream. “I stopped drinking,” Duhamel writes, “when I realized I was fighting/for the vodka at the bottom of the hill/more than I was fighting against the terrible/things that could have happened to me.”

    That’s the most succinct and truthful encapsulation of the disease which I’ve ever read. There is finally that very unsweet spot of fearing that you can’t live without alcohol while also knowing that it will eventually kill you. Sobriety is the strange inverse of drunkenness, and as every person in recovery is haunted by the ever-present threat of relapse, so I remember that while an active drunk I always wondered what was going to be the drink that finally brought it all to a close (in any sense of that phrasing). My last summer of active drinking certainly felt more extreme to me – I’d seen my father die of cancer only a few months before I quit, I was mired into the sort of depression that doesn’t even allow its own philosophizing (or indeed recognizes its own face in the mirror, mistaking falling for flying) and even the general mood of the country seemed to shift towards something darker (that same something that we’re all still in). In that apocalyptic summer of receipts found in my pockets from bars that I didn’t remember having gone to, and of scraps and scabs from falls barely considered, there was a sense of rushing towards something – and so I was. As Duhamel writes, “I stopped drinking even before I had that last sip, /as I ran back up the hill squeezing a bottle by its neck.”

    Rock bottoms are a personal thing, but the stories, in an archetypal way, are strangely similar. That’s one of the things you learn to appreciate in recovery; a respect for narrative’s elemental basicness. In various Midtown church basements I’ve heard stories of last drinks that were precipitated by things as dramatic as manslaughter and DUIs, to one Upper East Side socialite who admitted that she had to quit after she forgot to feed her beloved Yorkshire Terrier (I understand this, innately). The nadir of your drinking is, as they say, when you quit digging, and there’s a final freedom in that defeat. What distinguished that final drink, the one that I can’t remember (it was either a G&T or a beer, based on that summer)? Certainly, it was the consequences, the being shepherded to the hospital. But worse things had happened to me. When I called a friend to pick me up at the ER an hour or so before dawn, I can still remember keying into my building and thinking about what a great bar story this would make for all of my drinking buddies next time we went out.

    The morning was like a thousand other ones; my mouth dry and my head pounding, I would lay in bed and cinematically pretend to be dead, mildly surprised to still be alive. I was in the early stages of dating a woman who would become my wife, and I knew that continuing in this way would kill the relationship; I had been languishing for the better part of a decade in a doctoral program, and I knew that continuing in this way would kill my career; I had been harboring moleskin fantasies of being a writer, and I knew that continuing in this way would keep those dreams forever embryonic. Because the drinking itself was worse than normal, I called a friend of mine from back home who was never one for knocking them back, and I recounted the usual litany. How my intestines were embroiled and my hands shaky; my memory incomplete, and my guilt unthinkable. Of how I was greeted every hungover morning by “The Fear,” that omnipresent specter of shame, fear, and uncertainty. This friend (he knows who he is) was used to these phone calls, having fielded dozens of them over the decades, and he was always uniformly supportive and sweet, listening with concern and seemingly devoid of judgment. On this day he said something that if he’d mentioned it before, had never stuck – “You know, you never actually have to feel this way again.”

    I’m not big on Road to Damascus moments, but that simple observation clarified, explained, and encompassed everything. I haven’t had a drink since. When you’re an active alcoholic, you always expect that something great is going to happen in the next 15 minutes, but that that moment is forever deferred. It’s also true that sobriety delivers what drunkenness promises. There are things bigger than me, more important than me. My relationship with my wife (who has made this possible); now my relationship to my son. Sobriety isn’t always easy, but it’s always simple. My life is such that I could have scarcely imagined it that shaky day in 2015. My life isn’t just different because of sobriety – it’s possible because of it. There are certain conventions to this form, what people in recovery sometimes lovingly (or not so lovingly) call the drunkalogue. It’s a venerable genre, the redemption narrative, the recounting of how it was, what happened, and how you changed. Your experience, strength, and hope, etc. The didacticism is precisely the point, but the broad interchangeability of the form is also crucial. Because in all the ways that I’m different, I share something with all of these other people, with the people who got clean, but crucially also with the ones who didn’t. It’s that ultimately this beast inside you is so thirsty, that soon it’ll devour you as well. For those of you reading – the drunks, the junkies, the addicts, the alcoholics, the dipsos, the losers, the hopeless cases; to the ones who can’t quite remember coming home or who need an eye opener, to the ones who’ve alienated everyone they know and most of the people that they don’t, to the ones the ones who scarcely know a sober night, to the ones who need a drink to turn the volume down and are scared of putting the glass on the counter forever – I understand you. What you need to know is that you never need to feel that way again. Be well.

    View the original article at thefix.com

  • How To Love Yourself the Way You Love Your Addicted Child

    How To Love Yourself the Way You Love Your Addicted Child

    Our mission in life became to fix our son, get his life on track, keep him safe, and stop the madness. We became addicted to fixing our addict. In the meantime, my life was circling the proverbial drain and it was all my son’s fault… or was it?

    Stories are the cornerstone of living and loving—from oral traditions to New York Times best sellers, tales written by others and those we make up inside our minds. They help us make sense of our existence like nothing else can. Good stories tether us to life and help us transcend into new ways of being.

    There is a story rattling around in my head—a story for myself and perhaps for you. It whispers to me with prompts and questions like: What would I say to you? But then I wonder who you even are. Are you my beloved or a friend I’ve yet to meet? Someone I embrace or a ghost from whom I run? Would we pass each other on the street without a second glance or might we sit and chat over coffee for hours on end? What would I tell you if we were one and the same? No separation, no delineation. Not the stranger or the ally. Not the sober one or the drunk, but rather you, me, we. What would I tell us?

    We’re All Addicted to Something

    Those of us who’ve lived with people who have addictions—oh wait … who am I kidding? We’re all addicted to something. No one is immune. We each have the places we run when we’re feeling vulnerable, scared, or confused. We create our lives so we have our fix of choice within reach at all times. When life feels excessive or news in the broader world is crazed, we grasp at something to ease our rage, sooth our aloneness, and calm the overwhelm. We eat, we shop, we drink, we gamble or easier yet, we try to fix someone else.

    We point a finger away from ourselves and toward them. They are the one with the problem. If only he or she would stop drinking, agree with “the right” viewpoint, pay more attention to me then surely I’d feel better.

    I can’t begin to tell you the number of hours and ways I’ve spent over the last 30 years trying to improve my husband. Lucky guy, the pressure eased for him when our 13-year-old son turned to drugs and alcohol. Together, our mission in life became to fix our son, get his life on track, keep him safe, and stop the madness. We became addicted to fixing our addict.

    We tried inpatient and outpatient treatment, therapeutic boarding school, and a wilderness program. We were all in except, of course, our son, who did his best to skirt the therapy sessions, game the system, and do the bare minimum to figure out how he could get out of our fix and carry on with his agenda. In the meantime, my life was circling the proverbial drain and it was all my son’s fault… or was it?

    Hitting Rock Bottom as a Parent

    They say that true addicts must hit rock bottom before they’ll change, but what’s the rule of thumb for concerned family members? Do we have to hit rock bottom too? It doesn’t really seem fair.

    I recently met a woman who was ensnared in her 40-something-year-old daughter’s cycle. (My son is almost 30 now.) I watched this woman wring her hands and spend precious time trying to figure out how to wire money to her daughter on the other side of the world. I wondered about the difference I felt between us until I realized that that mother hasn’t hit her bottom. Some people never do. They value their child’s life more than their own. That’s what society has told us we should do. Sacrifice for others. Family first. Give to the death.

    When I hit my bottom, I began to wonder if there was another way. What if sacrificing for my son wasn’t the solution? Please don’t get me wrong, I adore my son. In fact, he has been my greatest teacher and I am deeply indebted to his role in my personal journey. I would indeed give my life for him, but I was giving him my living. I was disintegrating into my own form of insanity and it was helping no one. Not him, not my husband, not me. We were each in our own way following addiction into the darkness.

    What if love others as you love yourself looked different than I’d been taught? What if that’s exactly what I was doing? Loving him as I loved myself which turned out to be not very well at the time.

    How to Love Yourself

    I don’t recall if it was the third or fifth or nth incident with the police or treatment when I realized I had a choice. I could go into that dark hole of despair and stay there, or I could find a way to bring myself back into the light. If I could continue to love my son without joining him in the madness, then maybe I could shine a beacon for him when or if he chose to return to a healthier way of living. So in service of myself and family, I chose to light my own candle while continuing to literally light candles and offer prayers of love for all of us.

    I began to develop a journaling practice. I poured my thoughts, fears, worries, and internal and external stories onto the page every day. I wrote and wrote and wrote until I exhausted the dialogue, covered all of the what ifs, and landed at a moment of rest. Then I got up and did it again and again and again. As my practice deepened, so did my sense of peace and ability to be present to others and the world around me. I started to heal. I learned how to draw appropriate boundaries and managed to send love and light to my son even when we were estranged for months at a time. I developed empathy and compassion, regardless of whether I understood or condoned my son’s choices. And somewhere along the way, the chaos quieted. Our legacy gave way to the promise of a brighter ending.

    I remembered that authentic stories untangle us from lies, tether us to truth, and help us transcend into new ways of being.

    May it be so for you and yours.

    View the original article at thefix.com

  • 5 Things I Wish I Knew When I Hit Rock Bottom

    5 Things I Wish I Knew When I Hit Rock Bottom

    When you’re at your lowest point, it’s easy to feel like there is no hope, like you are completely alone, like your life will never be full again.

    Rock bottom is such a common term in the world of recovery. And while everyone has a rock bottom, no one has the same one. When you’re at your lowest point, it’s easy to feel like there is no hope, like you are completely alone, like your life will never be full again. I certainly felt all those things and more a little over five years ago when I hit my bottom.

    But they say hindsight is 20/20, and in looking back, there are a few things I wish I had been able to reach out and grasp from my bottom. In hopes that they might help someone else, here they are:

    1. There Is Always a Light at the End of the Tunnel

    When I think back to the first few days and weeks following my rock bottom, I remember an all-encompassing feeling of utter hopelessness. I felt there was literally no way life would ever get better, that things would only get worse as time went on. I didn’t think there was any way out of the hole I had found myself in. I was really, truly incapable of envisioning a life in which I was happy without alcohol. I know I’m not alone in those feelings. Those emotions and struggles are true of many people when they hit their lowest of lows. It is called rock bottom for a reason — that reason being that you cannot go any lower. The only direction to go is up. But in the midst of it all, it’s so hard to see that. At rock bottom, I wish I had been able to reach out and grasp that little bit of hope that everything would be OK, rather than fixating on how my life was falling apart at the seams. Seeing that light at the end of the tunnel is something that would have been helpful. But what matters is that the light eventually made its way to me, and when it did, I kept walking toward it. Some days, I still am.

    2. Even in Your Loneliest Moments, You Are Not Alone

    In addition to feeling utterly hopeless early on, I also felt completely, wholly alone — more alone than I have ever felt in my life. I couldn’t imagine that anyone in the world was going through what I was going through. And maybe that’s true, to an extent. But it’s also true that there were people going through similar things; I just hadn’t crossed paths with them yet. I also felt alone in the sense that I was scared to talk to the people closest to me about what I was feeling and thinking. Instead, I kept it all bottled inside, isolating myself even more. It was only when I began to let my guard down that I realized I had had people beside me all along. I had never been alone, I had just convinced myself that was the case.

    3. The People Who Matter Will Remain by Your Side

    As my life was falling apart five and a half years ago, one of my main concerns was what would happen to my relationships. I was so scared of losing the people who I thought were important to me. And the truth is that not all of my relationships would survive the coming weeks and months. There were some friends who I came to find were really just drinking buddies. Those were the ones who slowly faded away. But at my lowest point, the people who really cared about me as a person came forward and made it known. So many of my relationships became stronger in the months following my rock bottom, to the point that I barely noticed the relationships that hadn’t pulled through. When everything is changing without your permission, it’s easy to feel as if it’s for the worst. But just remember that’s not always the case.

    4. People Won’t Judge You as Harshly as You Think They Will

    This was one of my biggest fears at my rock bottom and is what kept me from moving forward in my recovery for some time. I was so terrified that when people found out what had happened in my life, they would pass judgement and jump to conclusions. I was afraid that they would look at me differently or tell me I was overreacting. And sure, some people did. But the majority of people commended me for realizing that my life was spiraling out of control and for taking the steps to better it. Most people were and are beyond supportive of the decision I made five years ago, and I wish I’d known that would be the case when I made that decision. One thing I’ve learned is that people will always surprise you — you just have to give them the opportunity to do so.

    5. Rock Bottom Is an Opportunity to Recreate Your Life

    Before I hit my rock bottom, I thought the life I was living was pretty good. I didn’t realize that I was disappointed in my behavior, unhappy with my physical appearance, frustrated with the way I was becoming a person I didn’t respect. But rock bottom gave me the clarity to see all those things. And while that wasn’t fun at first, it eventually gave me the chance to start doing my life the right way. I got back on track, whether it was with my morals, my workout regimen, my diet, my relationships. Getting sober gave me the time to focus on what I really wanted my life to look like and figure out how to get to that point.

    As I said before, rock bottom is different for everyone. But the common factor is that it’s a point that is the lowest of lows and it can be difficult to image anything getting better. So if you remember one thing in the depths of your rock bottom, just hold onto the fact that it really can only get better — as long as that is what you truly want for yourself.

    View the original article at thefix.com

  • The Blessings of Going Back

    The Blessings of Going Back

    “Pulling a geographic? Come to Jackson Hole! Great public transportation, decent jobs, and a beautiful environment to be miserable in.”

    It can be a scary thing to go back to the place you hit your “bottom.” It can also be extremely rewarding with unexpected miracles and blessings. I hit my bottom in Jackson Hole, Wyoming and I highly recommend it as a destination location as far as bottoms go. I don’t think that’s a “thing” but perhaps some travel site can advertise that: “Pulling a geographic? Come to Jackson Hole! Great public transportation, decent jobs, and a beautiful environment to be miserable in.”

    I’m not trying to make light of it. It’s awful hitting a bottom but if I had to choose between Jackson and somewhere else, I’d probably choose Jackson. Not that I was miserable – at first. Geographics are great at first. The despair takes a nap. New places, new faces – no problems. I picked up some hobbies, some new friends and a couple guys. One of the guys was a ski instructor at the resort. He was maybe 10 or 20 years older than me which was fine because I was also “dating” someone 10 to 20 years younger than me. Age is just a construct, anyhow, and more is better and pass the bottle.

    We hit the slopes in the morning and then took a break for lunch at the Four Seasons where I ordered a glass of wine, of course. He paused, considered for a moment and then ordered one for himself. After lunch, we went back to skiing which is kind of amazing for an alcoholic but after a few hours, we celebrated a terrific day by returning to the Four Seasons for “Apres Ski” and had a few more glasses. That was the last I saw of him.

    Nine months later, I moved back to New York and ended up in “the rooms.” Then, when I was about a year sober, I had to go back to Jackson for some work. I was scared because I had drunk so much and that was how I did Jackson. That’s how Jackson worked. Could I do it differently? Most of my friendships were based around drinking and so were most of my activities. Why go river rafting, if you’re not going to party? It was all about the beer, the booze, the alcohol. 

    My sponsor and fellows in the program told me that it would be okay to go back and that what I would do is go to meetings, make phone calls, and take it one day at a time. So that’s what I did. There was a daily meeting in town square and, though nervous, I showed up and said I’m visiting. There were a lot of other people visiting, as well as locals, and it was a very welcoming environment. After the meeting, someone tapped my shoulder. It was the ski instructor. I was happy to see him, not because I was attracted to him or wanted to be with him, but because it was nice to see someone who had been out there with me now in the rooms taking the same journey. He told me he had been sober for a while and it was on our date at the Four Seasons that he’d slipped. He stayed out for a few months and came back about the same time that I started coming to meetings. It felt like such a blessing to run into him there. I was so glad he was healthy and sober. So glad that I was, as well, and that we didn’t get lost down that tragic highway.

    Another hidden blessing was that one of my coworkers was also trying to get sober. He didn’t have the gift of desperation, as they say, he had the gift of a DWI and a court mandating him to go. He was super talented and super likeable and had the common alcoholic tendency to turn into a total asshole and then go MIA when he drank which would be really bad for the project we were working on together. Selfishly, I needed him to stay sober. He was on the fence as to whether he was an alcoholic or not, but we went to a meeting together and when we had to go to Salt Lake City for work, I brought him to a meeting there too. He stayed sober through the job and guess what? So. Did. I. If I hadn’t been so focused on his sobriety, would I have stayed sober? Would I have searched out a meeting just for myself? Can’t say for sure. But what I can say is that he was another unexpected angel on that trip and from what I understand, he’s still sober.

    Seeing Jackson through newly sober eyes was like putting on a “new pair of glasses” as Chuck C. says in his book by the same name. When I was there before, it was all about me, me, me. What can I get? I need that! And what’s in it for me? For instance, whenever I went to the brew pub, I was not present with the people I was with; my focus was on drinking and looking for guys and male attention. It was all about trying to fill that “God-shaped hole.” But sober, I was a worker among workers drinking my Arnold Palmer, enjoying my colleagues’ company, enjoying the moment and enjoying just BEING SOBER. That was the biggest gift of all.

    It’s eight years later and I’m still sober and, as I write this, I realize that I miss that time in my life. I miss the humility and gratitude of early sobriety. I’m back to thinking a lot about myself and my plans. And what I can get. And I’m feeling kinda not awesome. I’ve also heard that around eight years is when people go out again, or slip. They get busy and stop going to meetings. I can definitely be too busy. Busy with I want, I want, I want. I think I get high on trying to make things happen. It’s my ego. But I know that when I have the gift of surrender and humility, IT FEELS SO GOOD. But I can’t seem to will the surrender. I can just be willing, and show up to meetings, do service, and deepen my understanding of my higher power regardless of how I feel. And as I reach out to the newcomer, I am re-acquainted with the early blessings, the blessings they give me and the ones I get to share in return. And for that I am grateful.

    View the original article at thefix.com

  • Shame, Alcoholism, Stigma, and Suicide

    Shame, Alcoholism, Stigma, and Suicide

    In addiction treatment circles, conventional wisdom suggests we have to let people hit rock bottom before we can help them. But what happens if rock bottom is dying from suicide?

    Historical records as far back as ancient Athens have the underpinnings of the stigmatization of suicide. In 360 BCE, Plato wrote that those who died by suicide “shall be buried alone, and none shall be laid by their side; they shall be buried ingloriously in the borders of the twelve portions the land, in such places as are uncultivated and nameless, and no column or inscription shall mark the place of their interment.” Fast-forward a couple millennia and suicide is still criminalized in many places around the world. In the Western Judeo-Christian tradition, suicide has long been considered the ultimate sin, to such an extent that even the body of a person who died by suicide was legally brutalized and dehumanized. This long history of shaming and penalizing suicide has created deeply seated (mis)beliefs that are engrained in cultural norms. Suicidal ideation is stigmatized, and those who experience such thoughts often suffer in silence.

    Alcoholism (both alcohol use disorder and alcohol dependence) is also highly stigmatized. Past research has found that public attitudes are very poor towards people with substance use disorders (SUD). Across the globe, around 70% of the public believe alcoholics were likely to be violent to others. As recently as 2014, research has found 30% of people think recovery from SUDs is impossible and almost 80% of people would not want to work alongside someone who had or has a substance use disorder.

    Alcohol dependence and alcohol use disorder (AUD) are high on the list of risk factors for suicide. Mood disorders, such as depression, anxiety, and bipolar disorder, are even higher risk factors. What is particularly concerning is that mood disorders frequently go hand in hand with AUDs. Alcohol causes depression, and it can be hard to distinguish whether the alcohol or the depression came first because they feed each other. In his book Alcohol Explained, author William Porter explains, “hangovers cause depression whether you are mentally ill or not…the real cause of it is the chemical imbalance in the brain and body. ”

    People who have alcohol dependence are 60 to 120 times more likely to attempt suicide than people who are not intoxicated and individuals who die as a result of a suicide often have high BAC levels. Alcoholism is positively correlated with an increased risk of suicide and “is a factor in about 30% of all completed suicides.” A 2015 meta-analysis on AUD and suicide found that, across the board, “AUD significantly increases the risk [of] suicidal ideation, suicide attempt, and completed suicide.”

    Suicide attempts with self-inflicted gunshots have an 85% fatality rate. If someone does survive a suicide attempt, over 90 percent of the time they will not die from suicide. That margin of survival gets smaller with alcohol dependence. Being intoxicated increases the likelihood that someone will attempt suicide and use more lethal methods, such as a firearm.

    When a suicide attempt survivor encounters medical professionals, half of the time they will be interacting with someone who has “unfavorable attitudes towards patients presenting with self-harm.” (These statistics have cultural and regional variations.) When a patient with AUD encounters medical professionals, they are also likely to be met with negative perceptions. Myths about AUD and alcohol dependency are pervasive and not even nurses are immune to such prejudice.

    So what improves professional perceptions and treatment outcomes? Education. Training works to dispel myths and reinforce the fact that SUDs are diagnosable conditions that require as much care and attention as any other potentially fatal ailment. Perhaps increased understanding of these conditions and experiences could fuel progress for treating addictions and preventing suicide. Doctors are sometimes at a loss for what to do with alcoholic patients; interestingly, the physicians who had more confidence in their abilities in this area were associated with worse outcomes. Meanwhile, there has been little progress in treatment availability outside of basic peer support groups such as Alcoholics Anonymous.

    Peer support groups do help a lot of people get and stay sober and to live happier and healthier lives: 12-step proponents credit the steps and meetings for saving their lives; many say they were suicidal and that after getting sober they no longer had those thoughts. But while suicidal ideation may go away for some people who receive treatment, it doesn’t work like that for everyone.

    People who are abstinent from drugs and alcohol still die from suicide. In the case of post-traumatic stress disorder, quitting drinking can exacerbate feelings of hopelessness and despair. Continuing to drink may reduce the severity of the symptoms in the very short term, but ultimately “a diagnosis of co-occurring PTSD and alcohol use disorder [is] more detrimental than a diagnosis of PTSD or alcohol use disorder alone.”

    Suicide is a leading cause of death across the world and ranks as the 10th most common cause of death in the United States. For every completed suicide, there are an estimated 25 attempts.

    It’s clear that we must do something to reduce the number of lives lost by suicide. Raising awareness of the relationship between alcohol-dependence and suicide attempts is an important part of the equation. Medical professionals, social workers, law enforcement, employers, and others who are frequently the first point of contact need better training to improve attitudes and fine tune skill sets for taking appropriate action. The public also needs to be armed with information that they can use to help their family and friends who may be at risk for suicide, and in particular what to do if that person has a co-occurring SUD.

    Despite evidence to the contrary (particularly in the case of comorbidity with another mental illness) conventional wisdom in addiction treatment suggests that we have to let people fall to rock bottom before we can help them. But what happens if rock bottom is dying from suicide? It’s true that we can’t force health onto another person, but we also can’t help them if they’re no longer alive. For many people, prior trauma and mental health issues come before addiction. More evidence-based intervention and prevention programs are needed if we hope to make any headway in fighting this epidemic.

    Until that happens, opportunities do exist to help prevent suicide. After Logic released his Grammy winning song titled “1-800-273-8255” (the phone number for the National Suicide Prevention Lifeline), calls to the Lifeline increased exponentially. There is nothing quite like hearing another human voice offering support and comfort. There is also a growing number of online crisis support services which provide help through live chat and email. These, unlike many crisis phone numbers, are not limited by location. Texting a crisis hotline such as the US Crisis Text Line at 741741 is also an option and can be done with just basic SMS, no data needed.

    If you or someone you know is in immediate danger, call your local emergency number. Find your country’s equivalent to 911 on this wiki page or through The Lifeline Foundation. Find a list of additional suicide prevention resources worldwide on this page.

    View the original article at thefix.com