Tag: sponsor

  • Dennis Rodman Pushing To Get Sober Again After Recent Relapse

    Dennis Rodman Pushing To Get Sober Again After Recent Relapse

    Despite relapsing, Dennis Rodman said he’s still focused on his recovery and doesn’t think he’s undone the progress he’s made over the past year. 

    Dennis Rodman says he’s in contact with his sponsor and attending AA meetings again after letting his sobriety slip two weeks ago. 

    According to TMZ, the star was out in the Newport Beach bar scene and had stopped going to 12-step meetings because they got boring. However, Rodman said he realized drinking again was a mistake and he reached out to his sponsor and his agent, Darren Prince, who has been sober himself for 10 years, for help. 

    “Dennis is the king of rebounds and he’ll rebound from this too,” said Prince. 

    Rodman entered rehab in January after getting a DUI. At the time, Prince said that was the culmination of years of substance abuse for the former NBA star. 

    “It’s no secret Dennis has been struggling on and off with alcoholism the past 17 years,” Prince said. “He’s been dealing with some very personal issues the past month and we’re going to get him the help he needs now.”

    More recently, Rodman told TMZ that the DUI got his attention. 

    “It was a wake-up call. . . . I’ve been doing pretty good man, considering the fact that before that it was up and down up and down being Dennis Rodman the party guy,” he said. 

    Despite his relapse, he said he’s still focused on his recovery and he doesn’t think he’s undone the progress he’s made over the past year. 

    “Now I got a clear view of what’s going on in life so that’s a good process,” he said. “It’s a long process and it’s gonna take time to get over the hump.”. 

    Early this year, when he was just 30 days sober, Rodman acknowledged that keeping clean was going to be tough.

    “I feel great, man. It’s kinda weird not to have a cocktail on a beautiful day in California but like I said, it’s just one day at a time,” he said in February. “I’m hoping that I can continue on my journey to be sober. That’s a long road.”

    Rodman has been in treatment before, including in 2014 after he returned from a much-publicized trip to North Korea. During that trip he appeared drunk and insinuated that an American in a North Korean prison deserved his treatment. 

    “What was potentially a historical and monumental event turned into a nightmare for everyone concerned. Dennis Rodman came back from North Korea in rough shape emotionally,” Prince said at the time. “The pressure that was put on him to be a combination ‘super human’ political figure and ‘fixer’ got the better of him. He is embarrassed, saddened and remorseful for the anger and hurt his words have caused.”

    View the original article at thefix.com

  • Depression in Recovery: Do You Have Low Dopamine Tone?

    Depression in Recovery: Do You Have Low Dopamine Tone?

    I just felt like shit and slept as much as I could. I showed up to work. I kept my commitments. I spoke when asked to, but I felt more than unhappy. I felt like I just didn’t care.

    (The Fix does not provide medical advice, diagnosis, or treatment, nor does anything on this website create a physician/patient relationship.  If you require medical advice, diagnosis, or treatment, please consult your physician.)

    I just came out of a six-week depression. That might not sound very long, but when you’re in hell it feels like forever. Good news: I didn’t bone any 25-year-old strangers; I didn’t cut myself; I didn’t get loaded; I didn’t smoke or vape although I really, really wanted to. I didn’t even eat pints of Ben and Jerry’s while binge-watching I Am A Killer. I just felt like shit and slept as much as I could. I showed up to work. I kept my commitments. I spoke when asked to, but I felt more than unhappy. I felt like I just didn’t care. I didn’t return phone calls. I didn’t wash my hair. Suicidal thoughts bounced around my head, but I ignored them like I do those annoying dudes with clipboards outside Whole Foods.

    I’ve suffered from symptoms of depression since I was 19, so it’s an old, old friend. What really annoys me was that some (dare I say many?) people think at five and a half years of sobriety, you shouldn’t feel depressed. What I kept hearing from AA fundamentalists was:

    “It’s your untreated alcoholism.”

    “Listen to these tapes about prayer and meditation.”

    “You’re not connected enough to your Higher Power.”

    “You’re not going to enough meetings.”

    “You need to do more service.”

    Thankfully my sponsor, who has a foot in the medical world, did not say something along those lines.

    One of my big problems with AA is that it looks at every mental problem through the paradigm of your “alcoholism.” If you’re suffering, you should look to the program for relief. Nobody would tell you to “drive around newcomers!” more if you had diabetes or kidney failure, but if you’re feeling down, that’s what you’re told to do. As it turns out, AA is not completely off the mark: “Addiction is a not a spiritually caused malady but a chemically based malady with spiritual symptoms,” addictionologist and psychiatrist Dr. Howard Wetsman told me. “When some people start working a 12-step program, they perceive a spiritual event but their midbrain is experiencing an anatomical event. When they’re working a program, they’re no longer isolated and they no longer feel ‘less than,’ so their dopamine receptor density goes back up [and they experience contentment],” he explained.

    But what if your program hasn’t changed or feels sufficient and you still feel depressed? What if you’re working your ass off in your steps and helping others and you still feel like shit?

    “Well, low dopamine tone experienced as low mood can be brought on by fear and low self-esteem (the untreated spiritual malady part of alcoholism/addiction) but it can also be brought on by biochemical issues,” Wetsman added.

    Huh?

    So was I experiencing the chemical part of my “addiction” or was I having a depressive episode? Perhaps my whole life I’d been confusing the two. Of course, all I wanted, like a typical addict, was a pill to fix it. But as I’ve done the medication merry-go-round (and around and around) with mild to moderate success, I was hesitant to start messing with meds again. I didn’t have a terrific psychiatrist, and SSRI’s can really screw with my epilepsy. And Wetsman was talking about dopamine here, not serotonin. Hmmm…

    Dr. Wetsman has some interesting stuff about brain chemistry and addiction on his vlog. He mentions something called “dopamine tone” which is a combination of how much dopamine your VTA (Ventral Tegmental Area) releases, how many dopamine receptors you have on your NA (Nucleus Accumbens), and how long your dopamine is there and available to those receptors. Stress can cause you to have fewer dopamine receptors and fewer receptors equals lower dopamine tone. He’d explained to me in previous conversations how almost all of the people with addiction he’d treated had what he described as “low dopamine tone.” When you have low dopamine tone, you don’t care about anything, have no motivation, can’t feel pleasure, can’t connect to others. In addition, low dopamine tone can affect how much serotonin is being released in the cortex. Low midbrain dopamine tone can lead to low serotonin which means, in addition to not giving a shit about anything, you also have no sense of well-being. Well, that certainly sounded familiar.

    Dr. Wetsman has a very convincing but still somewhat controversial theory that addiction is completely a brain disease and that using drugs is the result, not the cause. I really suggest you get his book, Questions and Answers on Addiction. It’s 90 pages — you could read half of it on the john and half of it while waiting at the carwash. It explains in detail why most of us addicts felt weird and off before we picked up and why we finally felt normal when we used. Again, it’s all about dopamine, and it’s fucking fascinating. No joke.

    In his vlog, he explains that dopamine production requires folic acid which you can get from green leafy veggies (which I admittedly don’t eat enough of) but it also requires an enzyme (called methylenetetrahydrofolate reductase or MTHFR for short) to convert folate into l-methylfolate. Certain people have a mutation in the gene that makes MTHFR, so they can’t turn folate into l-methylfolate as effectively, and those people are kind of fucked no matter how many kale smoothies they drink.

    But it’s not hopeless. If people with this genetic mutation take a supplement of l-methylfolate, their brain can make enough dopamine naturally. Of course once you have enough dopamine, you’ve got to make sure you release enough (but there’s medication for that) and that you have enough receptors and that it sits in the receptors long enough (and there’s meds for that too).

    So this all got me wondering if maybe my MTHFR enzyme was wonky or completely AWOL. Dr. Wetsman urged me to find a good psychiatrist (since I’m on Prozac and two epileptic medications) or a local addictionologist in addition to taking a genetic test for this mutation. In his experience, patients who had a strong reaction to taking the l-methylfolate supplement were frequently also on SSRIs. They either felt much better right away or really really shitty. But if they felt even shittier (because the higher serotonin levels work on a receptor on the VTA which then lowers dopamine), he would just lower their SSRI or sometimes even titrate them off it completely. And voila. Success.

    It’s all very complicated, and this whole brain reward system is a feedback loop and interconnected with all kinds of stuff like Gaba and Enkephalins (the brain’s opioids) and Glutamate. But you guys don’t read me for a neuroscience lesson so I’m trying to keep it simple. The basics: how do you know if you have too little dopamine? You have urges to use whatever you can to spike your dopamine: sex, food, gambling, drugs, smoking, and so on. What about too much dopamine? OCD, tics, stuttering, mental obsession and eventually psychosis. Too little serotonin? Anxiety and the symptoms of too high dopamine tone. Too much serotonin? The same thing as too little dopamine tone. Everything is intricately connected, not to mention confusing as all hell.

    Being broke and lazy and having had decades of shitty psychiatrists, I decided to go rogue on this whole mission (not recommended). I mean I used to shoot stuff into my arm that some stranger would hand me through the window of their 87 Honda Accord so why be uber careful now? This l-methylfolate supplement didn’t require a prescription anymore anyway. What did I have to lose? I did however run it by my sponsor whose response was: “I’m no doctor, honey, but it sounds benign. Go ahead.”

    I ordered a bottle. A few days later I heard the UPS guy drop the packet into my mail slot. I got out of bed, tore open the envelope and popped one of these bad boys. A few hours later I started to feel that dark cloud lift a little. Gotta be a placebo effect, right? The next day I felt even better. And the next day better still. I didn’t feel high or manic. I just felt “normal.” Whoa. It’s been weeks now and the change has been noticeable to friends and family.

    Normal. That’s all I ever really wanted to feel. And the first time I felt normal was when I tried methamphetamine at 24. It did what I wanted all those anti-depressants to do. It made me feel like I knew other people felt: not starting every day already 20 feet underwater. I found out later that my mother and uncle were also addicted to amphetamines which further corroborates my belief that there is some genetic anomaly in my inherited reward system.

    When I emailed Dr. Wetsman to tell him how miraculously better I felt, his first response was “Great. I’m glad. The key thing is to take the energy and put it into recovery. People go two ways when they feel amazingly better. One: ‘Oh, this is all I ever needed. I can stop all this recovery stuff.’ Or two: ‘Wow, I feel better. Who can I help?’ Helping others in recovery will actually increase your dopamine receptors and make this last. Not helping people will lead to shame, lowered dopamine receptors and it stops being so great.”

    So no, I’m not going to stop going to meetings or doing my steps or working with my sponsor and sponsees. Being part of a group, feeling included and accepted, even those things can create more dopamine receptors. But sadly I’m still an addict at heart and I want all the dopamine and dopamine receptors I can get. However, I also know that enough dopamine alone isn’t going to keep me from being a selfish asshole…. But maybe, just maybe, having sufficient dopamine tone and working a program will.

    View the original article at thefix.com

  • I’m Open and Willing, Dear Sponsor, but Wait a Minute!

    I’m Open and Willing, Dear Sponsor, but Wait a Minute!

    We know “our best thinking got us here,” but that doesn’t mean we need to be open and willing to take abuse or be manipulated.

    When you first came into the program, you might have heard your “best thinking got you here.”

    You’re told since your way hasn’t been working, maybe it’s time to try something else.

    You’re told you need to surrender.

    You’re told you need to start listening and follow directions.

    Well, if you were like me (gung ho!), and made the decision to be “open and willing,” I’ll bet you gave the program your best shot: you took the suggestions readily; you went to 90 meetings in 90 days; you read the Big Book daily; you got a sponsor; you did the steps. And hopefully, you started to see some progress. Your life began to improve. You cleaned up the wreckage of your past, mended relationships, got involved in service work, and really started to feel better about yourself.

    If the “your best thinking got you here” aphorism played like an endless loop in your brain, you might have felt that you’d lost the ability to think rationally for yourself and that you needed guidance. Should I break up with my addict boyfriend who just happens to be violent?  Well, um, yea . . . but you might have been so enmeshed in codependence while simultaneously combatting your addiction that you honestly didn’t know what to do.

    If you were like me—with some crazy, delusional thinking going on—and you were put on a six-month waiting list by your insurance to see a therapist, you’d need some help, and fast, and that help might have come by way of a sponsor. And if she was a good one, she’d listen, be empathetic, and gently suggest healthier ways of coping with your problems.

    Some people will say that a sponsor’s job is solely to lead a newcomer through the steps—not be a counselor, therapist or life coach. And while some sponsors may stick to this definition, most of the ones I’ve met take a much more involved role. My peers in recovery say they call their sponsors when they want to drink, when their ass is falling off, when they need help! The many times I discussed a problem with a fellow member after the meeting, I invariably heard, “Have you run this by your sponsor?” Or “Call your sponsor, that what she’s there for.”

    Sponsors can be unquestionable lifesavers. Through the years, I’ve had sponsors who have really saved my ass. One time, I was dealing with a relative who had a meth addiction and bipolar disorder. She was delusional but also cruel and selfish. But because she was “blood,” I enabled her. After one particularly trying event with her, I remember calling my sponsor and telling her I didn’t know what to do. She told me to do nothing—walk away. And not feel guilty. It ended up being the smartest thing: my relative got much better learning how to cope and take care of her problems herself instead of manipulating me into doing her bidding.

    But be careful. Not all sponsors should be sponsors. They may only recruit potential sponsees because their sponsor told them it was their turn to get one, not because they are qualified. And if you get with one who isn’t right for you, she could cause you some damage. As a newcomer, you’re incredibly, nakedly vulnerable—and impressionable. So can you see the conundrum here? You want to be open and willing, you want to start following suggestions and take direction—but you still have to listen to your gut and not confuse vulnerability with gullibility.

    When I first met this particular sponsor, I was blown away by her enthusiasm for the program. She was very bright, seemed very together, articulate, funny, educated, empathetic, kind, the whole enchilada. She told me she had tried myriad ways to recover because she’d always been searching for that thing that would fill her up that wasn’t drink drugs food men money or status, and after searching far and wide, she finally surrendered to AA. She claimed it was the best decision she’d ever made. Since she seemed to have what I wanted, I asked her to be my sponsor. I was sure she’d say she was way too busy, because at the time she had six sponsees and was working. But to my delighted surprise, she said “Oh, my of course I can.”

    I was wildly excited and hopeful. I was not working at the time and was willing to do just about anything asked of me. She could see I was clearly broken, my life practically in ruins, and assured me she would help me get through these very trying times of early sobriety.

    We dived right into the steps. She also instructed me to do 90 meetings in 90 days and get a coffee commitment. But gradually—almost imperceptibly—I discovered something else: She wanted to mold me. At first there were mild corrections of my speech or attitude, but it got to the point that I felt oppressively censored. If I ever said “should” or “have to” she’d immediately correct me and say, “not ‘should,’ not ‘have to’” it’s “I ‘get to’” do blah blah blah. In hindsight, I would have told her “Look, ‘should’ is an intrinsic word of the English language, it means something needs to be done. I think I know the difference of when I ‘get to’ do something and when I ‘should’ do something.”

    Another thing she’d do when I told her of a problem I was having with someone, was immediately cut me offbefore I could even finish. She’d interrupt and say, “I want you to think of three good things about this person. Remember, they are doing the best they know how. Find your compassion.” Which is good spiritual advice, but when the shoe was on the other foot and she was pissed at someone, she’d get downright eviscerating, nary mentioning three good qualities of the victim of her rant.

    But her all time fave platitude was: “If you spot it you got it!” said immediately to moi every time I complained to her about a person I felt was being unfair, selfish or mean. And she did have a point: sometimes, when we see something we don’t like in a person it’s because we recognize it in ourselves. But not always! For example, do we renounce the bully because we are bullies ourselves? Maybe, but usually not. Then she’d get into mystical stuff and go on about karma and say, “Everybody gets what they deserve because it’s all karma.” When I asked, “So the old lady that gets raped by a stranger, how did her karma cause that?” Her reply, “Well maybe she did something to deserve it. Now, personally, I’ve never been raped.” Whaaatt?

    But what put me over the edge was something she said that I knew, even with my broken brain, was incontestably wrong. I didn’t have to chide myself this time for thinking that I wasn’t being open and willing enough to learn, or was being controlled by my ego.

    While we were taking a walk, I confided in her about a doctor who had sexually assaulted me when I went in for a pelvic exam.

    She responded: “Well, you aren’t going to like this, but can I say something to you?”

    “Well, sure, I guess.”

    She took a dramatic big breath, squared her shoulders and said, “Okay here goes. I think, that maybe you asked for it.”

    I was dumbfounded. At the time, I explained to her, I was 19 and alone in New York City. I’d gotten my first bladder infection, couldn’t pee and could barely walk straight I was in so much pain. All I wanted was some antibiotics.

    “What do you mean I was asking for it?” I asked, frightfully confused.

    “Well, I didn’t want to bring this up, but now is as good of time as any. I see the way you talk to the men in the meetings. You’re very sexual, you know.”

    “What?” I boomed. “Are you fucking kidding me? I try to treat everyone, men and women alike, with respect, and hopefully, kindness.”

    “Well that is not how it is being perceived. People talk you know. I’m hearing all kinds of things, like ‘God, I can’t believe Margaret is married! The way she talks to the guys.’”

    Now I was pissed. I am an incredibly happily married woman. I adore my husband dearly. I would never, ever, go out on him. I am not even remotely attracted to other men.

    I realized then that her thinking was irrevocably off and I had to cut bait. I finally got the courage to fire her but it took time; she wielded a lot of power at the meetings and she intimidated me. It was an incredibly painful experience. I was already so vulnerable and sensitive, and totally confused. To have my sponsor, the one I’d done my steps with, the one who knew my deepest darkest secrets, become something slightly resembling, well, delusional, was demoralizing to say the least!

    It took me a while to get back to my homegroup. I was so shattered. I really thought of everyone as family there: they were so nice and kind, it was easy to be friendly back. But . . . but, what if my sponsor was right? Could I have been so wrong, so delusional? Was I flirting and were dudes coming on to me and I just didn’t see it? Eventually I went back and shared what she told me to a couple of trusted AA pals. They told me they’d never heard or seen any of the behavior she was reporting about me. 

    The reason I’m sharing this story is not to criticize AA, or gossip about members, or diss sponsors. I’m sharing my story because I don’t want the same thing to happen to another vulnerable newcomer, a newcomer who knows her thinking is off and is willing and open to change, but may be confused about the accuracy and validity of some of her sponsor’s suggestions, opinions, or directions.

    Listen to your intuitions, and your higher power. If you’re having problems with your sponsor, share your experiences—without using names—with other trusted members in order to get some perspective. Because we are scared and alone when we come into the rooms. We know “our best thinking got us here,” but that doesn’t mean we need to be open and willing to take abuse or be manipulated.

    Most of the time, sponsorship is a wonderful example of people helping other people. Sponsors can help talk you out of a drink, and because they’re drunks like you, they usually get where you’re coming from. But just because someone is a sponsor or old-timer doesn’t mean they are perfect.

    Face it, we are all deeply flawed in some way. But sponsors have a very serious job to do, and they should be doing it out of altruism, not as way to assuage their own ego by lording over vulnerable newcomers who they can control, manipulate or abuse. So be careful. Be open and willing but keep your boundaries firmly in place. And if things get creepy, don’t spend too much time being resentful (like I did!). Instead, break it off with him/her before you develop another codependent, dysfunctional relationship, and chalk it up as an invaluable learning experience.

    View the original article at thefix.com