Over the years I have devised a three tiered way of working with clients. Think of an iceberg divided into 3 parts. The top part of the iceberg is the bit that clients usually present in therapy with. They come to me stating that they are obsessively and compulsively using a substance or addictive behaviour, such as gambling or watching pornography. If they are using a substance such as alcohol or cocaine daily then the first thing we need to work on is stopping that behaviour so that they can become psychologically available for counselling. At this point the work that I may be doing with the client may look and feel more like advice and guidance rather than therapy. This is the bit that is visible. We will look at what support the client can access, what are the barriers to them accessing that support. Helping the client understand that life has to be better clean and sober than it is using or drinking. This looks and feels different to every individual but in my experience has to be about connection to their life and others in some meaningful form or other. It may be a connection to other recovering people, a connection with a hobby such as yoga, running or painting. Again this is more effective in making the client have a sense of wellbeing if they are connected to others practicing/participating in the same thing. I remember one of my clients describing to me the importance of having found her tribe. She had tried the 12 step model of attending mutual aid meetings but had not felt comfortable with this. She went on to use therapy weekly combined with yoga for the next 12 months. Within her yoga practice she met a lot of other likeminded people. She felt connected. She had found a place where she felt she belonged. Addiction more often than not takes a person to a place of isolation. I now understand isolation to be something born from a sense of shame and self-loathing. It doesn’t start out that way. It starts out as using substances on your own primarily so as to not be seen to using too much, not having to explain yourself, an underlying sense that the way your using is not quite right, maybe a sense of paranoia if other people are around, it may even be you just don’t want to have to share your stash. Whatever the reasons may start out as somewhere along the line something changes. That desire to be alone turns into a need to be alone. Facing other people becomes too difficult whether it be due to shame, embarrassment, social anxiety, depression, paranoia, psychosis and the result is the same – addicts spend more and more time alone due to need not want.
Once the client has connected to their lives in some meaningful way the addiction tends to decrease. The next layer of the iceberg is the bit that is just under the water. This is the way the client thinks and feels. It may be that they are reluctantly making connections in their life by attending AA/NA meetings or joining other types of groups as discussed above. At this point my work focuses on why they are thinking in the way that they are and have been doing. It is really important here to remember that addiction is an illness of the mind, a distortion of thinking, hence the reason why it is treated in psychiatric hospitals. Clients are not making life style choices to go and throw away all the good stuff in their lives. They are dealing with thought patterns that are distorting the truth. The number one thought offender that this client group present with is ‘This time it will be different/better! Second offending thought is ‘just this one, I will stop/give up tomorrow’. Often clients presenting at this stage are suffering with a mind that feels like it is on overdrive. It is often described as ‘the washing machine mind’ This is the point where the client is starting to face the reality of the damage they have caused to themselves and everyone around them. They are also projecting into the future worrying about how they are going to move forward and recover what often they have lost – relationships, jobs, driving licence, self respect. For the addict at this stage these relentless thoughts can drive them crazy and the one way they know to shut their mind up is to use their substance of choice. hence this is the point in therapy where we start to look at what tools they can develop to stop their mind racing other than returning to their drug of choice and to the addictive cycle. I use such techniques as mindfulness .https://neuroscienceofmindfulness.com/sympathetic-and-parasympathetic-nervous-system/ This helps the client to begin to focus on the present moment using breathing and relaxation techniques. This starts to bring the body from the sympathetic nervous system (fight or flight) to the parasympathetic nervous system (rest and digest). This helps reduce cortisol; levels thus reducing stress which in turn helps the mind to slow down and become more present. At this point the brain is laying down new neural linguistic pathways that are helping the client to move away from the reward system of the addiction neural pathway to the reward system of using breathing to help feel calm. mindfulness on its own in my experience is not sufficient at this point to slow the mind down. There needs to be a way for the client to challenge some of these negative thought processes. At this point I will use CBT techniques to help the client search out what thoughts they are having that drive them to behave in negative ways. Often these thoughts are below the level of consciousness so it is my job as the therapist to help the client raise these thoughts into their conscious mind so that they can challenge them. Typical examples of negative thought drivers are ‘you’re not smart enough to do that’, ‘you’re lazy’, ‘you’re selfish’. These thoughts often have been fed to the client during early childhood and have become the clients own negative critical parent voice. I will help the client challenge those thoughts by asking if they are behaving in a selfish way today are they being lazy today are you smart enough to do that today. Often the client can find evidence to suggest that because they have stopped using that they are not any of those things in the present moment. Sometimes we will find evidence to suggest that they still are behaving in those ways and that becomes another focus for therapy and helps them change their behaviour.
Once the mind starts to slow down and the client feels like they are less traumatised we can start to look at the final layer of the pyramid. This is the bit that is often deep under the water. This is the part where we explore what has been the initial underlying cause for the client to start using in the first place. It is important to state that this is not always a linear way of working. Sometimes the underlying reason for using is so prevalent that it comes out within the first couple of sessions. I will never close a client down but sometimes it is more useful for them to park it whilst we address the active addiction with a very clear understanding that we will go back to the initial trauma and it is given the important space it deserves. We have to explore that initial discomfort otherwise it will reoccur and the client is then in great danger of relapse. Sometimes it can take a while for the client to stop blaming themselves and saying they only used because they were ‘hedonistic’ or ‘they just liked to party’. Therapy is never about blaming somebody else and always about understanding why things happen and exploring the clients response and coping mechanisms to those events. My experience has shown that there is nearly always some form of trauma underlying addiction. Remember trauma is subjective. What is traumatic to me may not be traumatic to you and vice versa. Once that trauma is identified we can work together to heal that pain by bringing it out into the open. Shining a light on it and helping the client understand that their reaction to the events have not been about them being bad people, morally corrupt people but hurt people who have found faulty coping mechanisms for dealing with that pain. It is often useful to involve the family at this point if they are available and open to being supportive. It is important for them to develop compassion for ‘their addict’ without blaming themselves for their loved ones addiction. Often the family members themselves may need therapy at this time to come to terms with their experience of loving an addict.
Here at Victoria Abadi Therapies we understand that the process of recovery can take time. We are currently working from premises in Hale, Altrincham and Wilmslow to provide the above services.
What it’s really like to be an adult child of an alcoholic
Part 1. Instinct or Paranoia?
A question I’m often asked in my line of work is what is an ‘adult child of an alcoholic?’ The term became more widely used when American psychologist and researcher Janet G Woititz wrote a book in 1983 about growing up in a family where one or both parents are addicted to alcohol. In its very simplest terms the child of an alcoholic grows up to become an adult child of an alcoholic. In her book she recognised that these adults tend to have a set of similar characteristics and a similar way of behaving and responding to situations.
One of the primary characteristic of these adult children is being hyper sensitive to atmospheres. When you grow up with an alcoholic you grow up with unpredictability. It is in your best interest as a child to be able to gauge what mood the alcoholic parent is in and thus adapt to the behaviour that will bring the least amount of criticism your way. That criticism might manifest itself verbally by the parent or it could be acted out physically with some form of physical violence being meted out. Whichever way that unpredictability gets acted out that child learns how best to adapt to survive and brings the skill or curse of being hyper aware of moods and atmospheres into their adult life. If I had a pound for every time I heard an ACOA (adult child of an alcoholic) say ‘I can’t trust whether it’s my gut instinct or paranoia that’s telling me to react in a certain way’ I’d be a rich woman. What they actually mean by this is:- that they have learnt to assess a situation they walk into immediately through the atmosphere and mood in the room. They are often correct in their judgement but because trust is in short supply in addicted families it’s hard for them to figure out if it’s a true assessment of the situation or whether their lack of trust is making them feel paranoid and therefore scewing their judgement of the situation. So here’s an example….an ACOA walks into a room full of her friends. She trusts most of them implicitly but one of her friends has always reminded her of her alcoholic mother. The reason for this is that if she doesn’t behave in a way which her friend approves of she withdraws her affection. She is unpredictable like her mother. The young woman senses some kind of vibe in the room. She thinks the one friend she doesn’t entirely trust has been saying unkind things about her. She thinks this because she has walked in the room and scanned it for mood and atmospheres the minute she walked in, just like she did every time she walked into a room with her mother in it when she was a child. When she was a child if her mother was drunk there was a good chance she would be verbally attacked and criticised. So she has learnt to do this in all situations in order to protect herself. This was a skill she needed as a child. As an adult that skill can cause her to pick up on things that aren’t always happening. So she walks into the room with her friends and immediately feels on red alert, on the defensive. She asks herself is this a dangerous situation or is she being overly cautious to the point of paranoia. She doesn’t know. She can not fully trust her gut instinct because of past experiences. She feels confused and different. A feeling she has often felt. Feeling different is another characteristic that most ACOA’s experience.
So how does she learn to trust her judgement? She needs to understand that what she is feeling is normal due to the experience she has had as a child. She needs to learn how to communicate effectively with the people close to her so that she can truly figure out who she can and can not trust. She will also be enormously helped by going through counselling in order to heal from the trauma of growing up in an alcoholic household. She may well also benefit from attending a 12 step program called Adult Children of Alcoholics. This is a fellowship of men and women who have survived growing up in an addicted family and come together to support themselves through experience strength and hope.
If you have grown up in a family where one or both of your parents had a problem with alcohol or other substances then you may want to seek help with a counsellor who specialises in addiction and its associated traumas. Victoria Abadi therapies is a busy counselling service which specialises in addiction. We are based in Hale, Wilmslow and Northenden. To contact us please email victoriaabadi66@gmail.com or call 07983726647
Healthy Eating in Recovery
So first of all what does recovery mean? I work with a large case load of clients who present with many forms of addictions or addictive processes. The main addictions we tend to think about are alcohol and drug abuse, but there are many more things that are addictive such as gambling, sexual behaviours, food and relationships to name but a few. There are many schools of thought about what recovery from these substances or processes may look like. For some it will be abstinence from all mind and mood altering chemicals and addictive processes. For others it may be abstinence from the particular substance that was causing them problems. There are yet others who are able to learn how to control the use of the substance or addictive process that was problematic. Recovery is individual to each and every person. I believe that recovery must include an improvement in relationships with both yourself and others you interact with. Most of the people I have worked with over the years have described how addiction has isolated them. They have become more insular, less able or less wanting to interact with others in a positive and meaningful way. Johann Hari in his 2015 TED talk describes ‘connection being the antidote to addiction’. I believe this to be oversimplified as there is a need to take in the biochemical component of addiction which I have covered in my previous blogs. Nethertheless it is important for clients to understand what recovery will look and feel like for themselves. Being able to improve their relationship with themselves and others is often a major priority. The way in which you interact with food is a major component in improving your relationship with yourself. People with low self esteem will often use food as a way to stuff their feelings of inadequacy and as an attempt to avoid low moods.
Many times when people enter into a recovery process they believe it is just about stopping or controlling the substance or process. But what if your addiction is to food? You can’t stop eating food or you will die. Recovery is about thriving. Those people who describes them selves as having an addictive relationship with food will need to find a way of still eating but in a balanced and healthy way. Counselling can help such people identify their relationships with food and what it means to them. They can explore if there are certain foods which are more likely to make them want to binge eat or restrict eating. Working with addictive relationships with food is a complex process and once recovery is obtained then the hard work is often how to maintain it. This is also true for anyone in any addiction recovery process as the disease of addiction is four fold. It effects the body, the mind, the emotions and the spirit. Learning how to eat in a healthy balanced way can be one of the components in helping many people to achieve sustained recovery.
Often you will hear recovering people talking about how they have stopped acting out on their original addiction but are now substituting that addiction with cakes, biscuits, crisps and many other refined carbs!!! Why, you may ask? Sugar is addictive. We tend to think of sugar just being in cakes, sweets and biscuits. Refined carbohydrates are forms of sugar and starches that don’t exist in nature. I have included a list below of foods that include refined carbohydrates in other words sugar or starch
REFINED CARBOHYDRATE LIST
REFINED AND SIMPLE SUGARS (often called “added sugars”)
Table sugar/white sugar (aka sucrose; may be cane sugar or beet sugar)
Confectioner’s sugar (powdered white sugar)
Honey (Even though honey exists in nature and isn’t refined, it is a pure sugar that is difficult to obtain in significant quantities without special equipment or risk. Honey affects our health in exactly the same way that other sugars do.)
Agave syrup
Corn syrup and high-fructose corn syrup
Brown sugar
Molasses
Maple syrup
Fructose
Brown rice syrup
Maltose
Glucose syrup
Tapioca syrup
Rice bran syrup
Malt syrup
Dextran
Sorghum
Treacle
Saccharose
Carob syrup
Dextrose, dextran, dextrin, maltodextrin
Fruit juice concentrates
FRUIT JUICES except for lemon/lime juice. Most fruit juices require special equipment to produce in significant quantities.
ALL KINDS OF FLOUR including wheat, oat, legume (pea and bean), rice, and corn flours. 100% stoneground, whole meal flours are less refined and not as unhealthy as other types of flours because they are not as finely ground and take longer to digest.
INSTANT/REFINED GRAINS including instant hot cereals like instant oatmeal, white rice, polished rice, and instant rice
REFINED STARCHES such as corn starch, potato starch, modified food starch–essentially any powdered ingredient with the word “starch” in it
FOODS HIGH IN REFINED CARBOHYDRATES AND ADDED SUGARS
(This is not meant to be a complete list)
All desserts except whole fruit
Ice cream, sherbet, frozen yogurt, etc
Most breads
Many crackers (100% stone-ground whole grain crackers are less refined)
Biscuits
Cakes
Muffins
Pancakes
Waffles
Pies
Pastries
Sweets
Chocolate (dark, milk and white). Baker’s chocolate is unsweetened and is therefore an exception.
Breaded or battered foods
All types of dough (phyllo, pie crust, etc)
Most cereals except for unsweetened, 100% whole grain cereals in which you can see the whole grains in their entirety with the naked eye (unsweetened muesli, rolled oats, or unsweetened puffed grain cereals are good examples)
Most pastas, noodles and couscous
Jello® (sugar-free varieties exist but it’s much healthier to make your own with unsweetened gelatine and fresh fruit)
Jellies, jams and preserves
Bagels
Pretzels
Pizza (because of the flour in the dough)
Puddings and custards
Corn chips
Crisps
Caramel corn and kettle corn
Most granola bars, power bars, energy bars, etc (unless labelled sugar-free).
Rice wrappers
Tortillas (unless 100% stone-ground whole grain)
Most rice cakes and corn cakes (unless labelled 100% whole grain)
Bread crumbs
Croutons
Fried vegetable snacks like green beans and carrot chips (usually contain added dextrin, a sweet starch)
Ketchup
Honey mustard
Most barbecue sauces
Check labels on salsa, tomato sauces, salad dressings and other jarred/canned sauces for sugar/sweeteners
Sweetened yogurts and other sweetened dairy products
Honey-roasted nuts
Sweetened sodas
Chocolate milk (and other sweetened milks)
Condensed milk
Hot cocoa
Most milk substitutes (almond milk, soy milk, oat milk, etc) because they usually have sugar added–read label first
Sweet wines and liqueurs
All the above foods contain refined carbs/ sugars and for many people in recovery they can be addictive. If we go back to the beginning of this article and look at what recovery means we explored that it is different for each individual. So for some people the solution to sugar addiction is abstinence, for others it is abstinence from certain sugars/refined carbs that are problematic and for others the solution may be learning how to control their intake of sugars. Again as mentioned above recovery is individual to each person. Only the person themselves can recognise how they need to behave to achieve what they consider to be recovery.
So what is left. Below are some examples of foods that are low in refined carbs/added sugar:
EXAMPLES OF FOODS LOW IN REFINED CARBS/ADDED SUGAR
Fresh/frozen meat, poultry, and seafood
Eggs
Fresh or frozen unsweetened fruits
All vegetables
Whole grains (whole grain rice, oats, barley, quinoa, corn, etc)
Nuts and seeds of all types
Unsweetened nut butters
Unsweetened coconut
Popcorn
100% wholegrain rice cakes
Whole legumes (beans, peas, lentils)
Guacamole
Unsweetened salsa
Olives
Unsweetened pickles
Soy products (like tofu and unsweetened or sugar-free soy milk)
Unsweetened, all-natural dairy products (milk, plain yogurt, cheeses, butter, cream, half-and-half, sour cream, etc)
100% stone-ground wholegrain breads or crackers without sugar added
Unsweetened coffee, tea, sparkling water (either plain or with natural flavors or essences added), water
Unsweetened tomato sauce and other unsweetened, starch-free sauces
Unsweetened salad dressings (most fat-free dressings contain sugar–check labels). Low-sugar options include blue cheese, ranch, full-fat Italian, Greek, Caesar dressings.
Herbs and spices
Oils
Unsweetened vinegars (balsamic vinegar and certain other fruity vinegars can be very sweet–read label for carbohydrate content)
Textured vegetable protein
Daily Affirmations to help with Healthy Eating Choices
It can be very easy to fall into unhealthy eating patterns. Here is a list of daily affirmations to help you to remember to eat healthily one day at a time:
Start each day with the intention to eat healthy.
Pick an affirmation from the list below or make up or own. Repeat the affirmation to yourself through out the day.
Today I choose to eat healthily because I love myself
I eat for nutrition not for boredom.
I choose to love myself.
Today I replace sugary food with healthy choices.
I forgive myself for overeating. I will make healthier choices today.
I eat food that is good for me.
I make wise food choices.
I nourish myself with water, exercise and healthy food.
And remember that we can start each day again if we make unhealthy choices. Recovery is about self caring and forgiveness.
HAPPY AND HEALTHY EATING EVERYONE
If you are struggling with any of the subjects discussed above call Victoria Abadi Therapies on 07983726647 or email victoriaaabadi66@gmail.com. Counselling practices are based in the South Manchester area in Hale, Wilmslow and Northenden.
Connection and Isolation
Recently I have been reading a lot about the fact that connection is the antidote to addiction. In a very unformulated way I think I have believed this for years. One of the reasons that 12 step fellowships, such as alcoholics anonymous, work so well is that they bring people back from isolation to a place which they describe as a ‘being in a place where they feel they belong’. Often my clients will report that their addiction left them physically isolated but sometimes they may state that they were surrounded by people. When we explore this further it nearly always transpires that their addiction had managed to make them feel isolated and alone even when sometimes surrounded by copious amounts of people.
When I first heard the word isolated I didn’t really know what it meant. I imagined it to mean being in the middle of a forest on your own or being stranded on a desert island. I didn’t understand it as a spiritual problem. In fact if you had mentioned the word spiritual to me I would have ran a mile. As someone who has suffered from addiction in many forms I now understand isolation to be something born from a sense of shame and self-loathing. It doesn’t start out that way. It starts out as using substances on your own primarily so as to not be seen to using too much, not having to explain yourself, an underlying sense that the way your using is not quite right, maybe a sense of paranoia if other people are around, it may even be you just don’t want to have to share your stash. Whatever the reasons may start out as somewhere along the line something changes. That desire to be alone turns into a need to be alone. Facing other people becomes too difficult whether it be due to shame, embarrassment, social anxiety, depression, paranoia, psychosis the result is the same – you are spending more and more time alone due to need not want.
Human beings were originally tribal, we were surrounded by other people having a common cause to find a way to survive. As time progressed we lived in communities of extended families. The common man had no means to travel far so families lived close to one another, often in the same street or village. As time has further progressed western society developed the terminology ‘the nuclear family’, this was when the norm was familys to live together as mum, dad and dependants. Travel and money was more accessable and no longer did we necessarily live close to our families. Now we live in an age where community is seen as a thing of the past. Thatcher coined the term ‘rugged individualism’. There is a sense certainly in England of every one looking out for themselves. There are many single parents bringing up children on their own, many elderly folk with no friends or kin near to them. More and more our society is setting us up to being isolated. As human beings we are not meant to be alone. We are not meant to be isolated. Mental health and addiction has a fertile ground in which to flourish.
So whether we become isolated due to the society we live in or it is due to using substances that we slowly start to isolate ourselves, the result is the same. We are living in un natural conditions for the human spirit to thrive. The more isolated we become the our need is to kill the spiritual pain and discord of this.
So it makes sense to me that connection is the antidote to addiction. We need to feel connected tour environment, our families, our friends and possibly our ‘god’.
Therapy can be the first step to recognising how isolated you have become through your addiction. Having recognised this then the next step may be to explore why isolation is so damaging to the human spirit and how it keeps the cycle of addiction going. Learning how to connect again can be a difficult process that support and motivation can help with. Therapy can help you within that one to one relationship build up trust with another human being. The hope is that from this initial connection the client can learn how to reach out to others with similar problems thus deepening their connection to their own existence. In time this can lead to a total reintegration with life and all the possibilities that go along with this.
If you need help with add
Are you Affected by The Changing Seasons?
A couple of evening this week I have left work from my Hale practice after 8 0 clock in the evening and it has been dark. I felt an underlying sadness that the light evenings were coming to an end and the pregnant possibility summer seems to offer was drawing to a close. I work with many clients who feel that the changing of seasons attributes to their low mood. One of the things we understand about addiction is that it is linked with a difficulty in feeling pleasure and a state of unease and general dissatisfaction with life. (Anhedonia and dysphoria). It is often a characteristic of those suffering from addictions to have a sense that these normal life events are happening to them alone. Addiction wants you isolated listening to your own distorted thought patterns. Many addicts find that over the years they have gone from being social beings to spending much of their time alone. This isolation then leads to them not talking to other people about what is going on for them. When you get caught in a pattern of isolation and listening to your own thoughts it is easy to start believing that difficult stuff only happens to you and that the world is somehow conspiring against you. So even the most normal things such as the night drawing in can feel like a personal attack and leave you more susceptible to using substances or addiction processes, such as gambling or eating disorders, to change the way you feel. Counselling can help through the aid of mindfulness to give clients an acceptance of what they are feeling and through the sharing and exploration of their feelings they can often find a different perspective to what they are struggling accepting. This different perspective can be the bed rock from which recovery from addiction starts from.
If low mood and a feeling that life is just miserable is a cause of you using substances/food/sex/gambling to alter the way you feel then please call Victoria Abadi Therapies on 07983726647 or email victoriaabadi66@gmail.com to book a consultation. Free consultations are provided over the phone.
DOES TRAUMA UNDERPIN ADDICTION?
A friend of mine recently wrote an article and I was so taken by the content that I asked her if i could share it in its entirety on my website. I personally have found that it is impossible to deny the truth that trauma in many cases underpins the addiction with many of the client I work with.
Thank you Suzanne.
The link between early childhood trauma and the onset of addiction in later life, I think, is undeniable. A copious amount of research has shown a direct correlation between traumatic experiences in childhood and addiction later in life. Whilst addiction masks the primary issues, the addiction becomes the identity of the persons all round being. The addictions display themselves in many guises, ranging from drug addiction and alcohol misuse, process addictionslike sex, pornography, gambling and shopping addictions through to eating disorders and a wide range of addictive attachments and behaviours. Through these, the individual is aiming to fill the voids, or perceived hopelessness within their lives.
What each individual is attempting to achieve is to ideally fill the void created by the absence of bonding, nurturing and protection in childhood. The underdeveloped attachment is frequently caused by childhood sexual, physical and emotional abuse, trauma, mistreatment and neglect.
The individual is not necessarily seeking the chaos that comes with addiction but rather looking at filling a void that has been plaguing them throughout their entire existence. While the addictive personalities do vary, the ideal aims are similar the addict has a desperate desire to feel, to experience, to be attached. Whilst what they are seeking to fulfil may vary, the idealistic hope of feeling, experiencing, and being alive is true in a majority of cases.
Early childhood trauma has consequences for how humans respond to stresses in their lives, and as most of us know stress plays a huge part in addiction. We are born into families who sometimes do not have the emotional maturity to parent, we are subjected to dysfunctional, volatile relationships and educational upheaval sometimes parental substance misuse and neglect. We have no say in this and the responsibility is not our property, it’s how we are conditioned as children. We haven’t been given the tools to learn to cope with the chaos that sometimes goes on around us, and we have got the verbal ability to articulate and express or needs and worries. As we grow and we attempt to express our needs, we are sometimes ignored, and we seek solace in comfort with the group of people that may be detrimental to our development, we seek out other damaged people, who may introduce us a world that we are unfamiliar with, and in order to fit in we comply to their way of life, as we have spent our wholes lives attempting to fit in and be part of. We find another dysfunctional family.
It may take years to break free from the cycles that we find ourselves in, it may take interventions from criminal justice, mental health and therapeutic services again and again to finally get the support and nurturing we truly require and a process that works to break the habits and behaviours that we have become familiar with and attached to.
Early childhood intervention is a luxury that some children miss out on and, services are oversubscribed and underfunded and unfortunately some children fall through the cracks. There is a tool I was recently informed of called The Adverse Childhood Experience test, I personally thought this was an excellent tool for parents, professional and other individuals to gauge and identify trauma, it may open people up to facing the issues they have experienced, and hopefully look to find therapeutic support that will help them, let go of old patterns and behaviours, end the cycle of dysfunction and put them on the right track to recovering in order to have a fulfilling, happy life.
Helping to Understanding the Nature of Addiction in Order To Understand Cross Addiction
I have found that the early stages from the recovery of addiction can be difficult to maintain. One of the things that can most contribute towards relapse is something we call “cross addiction”. Cross-addiction means that if you are an alcoholic or addicted to other mood altering drugs, you could potentially be predisposed towards being addicted to all other mood altering drugs and addictive processes such as gambling addictions, compulsive over eating and sex/relationship addiction.
In order to best understand cross-addiction it greatly helps to have a good knowledge of the character of addiction and the nature of mood/mind altering drugs. Addiction is a disease. It is frequently described as a primary, chronic, progressive, and relapsing disease. It has been shown time and time again through evidenced based research that addiction is a brain disease. It can often be a point of contention for people to accept addiction as an illness/disease because of voluntary first use of the chemical. It has been recognised that although someone chooses to use alcohol or other drugs initially, the changes that occur in the brain over time do not in any way reflect a deliberate choice. Addiction changes the neuropathways of the mind. It is these changes within the neural pathways that are suspected of creating the thinking and feeling distortions that lead on to the phenomenon of craving and compulsion to want to continue to consume drugs despite what appears to be obvious negative consequences. Thus, the nature of addiction is that of compulsive drug use despite negative consequences. This “compulsive use despite negative consequences” observation has become a part of an accepted definition of addiction.
Again research has proved that addiction induced brain changes are common to all drug addictions and to some process addictions as mentioned above. We also know that addiction involves a bio psychosocial combination of factors in the genesis, maintenance, and recovery periods. Myself and others working in the addictions field have found that certain people appear to be “hardwired” for addiction, due to biology (i.e., genetics). This means that they become addicted with first use of any mood altering drug. People use drugs to numb, alter, enhance or avoid their feelings, thoughts, and behaviour. This is the nature of mind and mood altering substances. They distort your reality or they allow you to escape or ignore reality.
Any mood/mind altering drug can be cross addictive. It is the mood altering effects of drugs that people are addicted to. You choose a particular drug for its unique pharmaceutic effects, based on your own individual needs. As your needs change, your drug of choice may change. The effects of the drug on your body can change over time as well. Other variables are often involved in an addict’s choice of drug. Consciously or unconsciously, other factors, like availability, “social acceptability”, perceived lack of negative consequences, and cost may be part of the selection process
Mood altering drugs operating in the altered brain neuropathways are self-reinforcing in a number of ways. They meet specific individual needs (e.g., relaxation, feelings numbing, reducing behavioural inhibitions, etc.), which is self-reinforcing. The altered neuropathways help maintain the compulsion. The specific drug(s) selected meet individual needs over time so that living skills to meet those same needs do not develop. A common example is where a drug is chosen for its anxiety reduction properties because the addicted individual has few (if any) anxiety reduction skills. When stress and anxiety levels exceed some threshold, relief will be sought. Without skills to reduce the anxiety, a pharmaceutical solution will be sought, regardless of whether the drug is last drug of choice or a substitute. This is one reason why it is so crucial to identify the roles that the chemicals have played in a recovering person’s life, and to develop the living skills with which to replace those roles. When a person in recovery acknowledges the problems caused by the drug of choice and believes that s/he can safely use a different drug of choice, they are not taking into account the fact the “new drug”. Like the “old drug” will still operate in the brain in the same way(s). When an addict substitutes one drug for another they are not abstinent. His/her brain is still in an active state of addiction. Thus, someone who is addicted to one mood altering drug is potentially addicted to all mood altering drugs. An addicted brain is qualitatively changed. Changing drugs of choice does not return an addict to a non-addicted state. An addicted person will continue to experience the same negative consequences of drug use. You cannot regain persistent control over drug use by changing drugs.
Many people, in the process of trying to regain control over their life, chase an “illusion of control”, believing that the latest attempt at control (switching drugs) has, and will have a lasting effect and that control is once again re-established. It has not. It is only a matter of time, usually a short amount of time.
If you have found that you have stopped using one addictive substance only to find you have replaced it with another addictive substance or process please contact me on 07983726647 or complete contact details on contact page
Ten of the Most Common Myths About Alcohol and Drug Addiction
Ten Common Myths
I have found that people who do not know much about alcohol and other drug addictions, often buy into common myths and stereotypes about addiction and addicts. It is important to replace mistaken assumptions and judgments about addiction, so that you can approach those afflicted with the illness, with compassion and understanding. This is also very important when working with the families of addicts as they too can have this mistaken concept of what an addict is like. This in turn can keep the family denial in place as often they can not believe their loved one can be an addict as they do not fit the stereotype. Many people mistakenly believe that if you call addiction a “disease” that somehow it exempts the alcoholic or addict from responsibility of their behaviour. Below are some myths in regular print. The truth is in italics.
1. Addiction is nothing but a voluntary behaviour and a habit.
- The initial behaviour of drinking or taking the drug is voluntary, but once addiction occurs, thedrinking/using behavior is not voluntary.
- A habit is an established pattern of behaviour that develops over time with repeated behaviour. It is not compulsive.
2. Addicts are losers and skid-row bums.
- Most alcoholics/addicts are employed.
- People from all walks of life can become alcoholics/addicts.
- Addiction is no respecter of persons
3. Addicts can stop on their own if they just want to.
- A desire to quit using is necessary but usually insufficient
4. Alcoholism is a self-inflicted moral problem.
- No one chooses to be alcoholic or otherwise addicted.
- Addiction is brain disease, not a moral dilemma.
5. Alcoholics can have control over their drinking if they use willpower.
- Once a drinker becomes alcoholic they are merely chasing the illusion of control, because they are out of control. Willpower implies that the addict still has consistent control.
6. Alcoholism is just a symptom of a mental health disorder.
- Although some alcoholics have co-occurring mental health problems, alcoholism is a primary disease, not a symptom of something else. Many people hopefully believe that if you find the “something else” and fix it, that the drinking will disappear. This is not the case.
7. You can’t be an alcoholic if you only drink beer, or on the weekends.
- Alcoholism is not defined by what you drink or when you drink it. It is defined by what happens when you drink.
8. You can’t be alcoholic if you don’t drink daily and don’t feel like you have to have a drink.
- Again, frequency of drinking does not define alcoholism. Nor does frequency of cravings or the compulsion
9. You can’t be alcoholic if you can stop drinking.
- Most alcoholics are able to exhibit some temporary indicators of control over their drinking from time to time. This fact is one of the biggest sticking points in an alcoholic’s denial about being alcoholic. Loss of control is inconsistent loss of control until late progression
10. The “disease concept” of alcoholism has been discredited.
- Nothing could be further from the truth. The last ten years has seen a groundswell of sophisticated research in genetics and brain chemistry research that not only affirms the “disease concept” but expands it tremendously.
If you or a loved one is suffering not only from an addiction but also the stigma that goes with it contact victoriaabadi66@gmail.com or go to the contact me page.
Is Your Son or Daughters Drug Use Taking Over Your World.
I had set some time aside yesterday to write a couple of articles but feeling a little tired and unmotivated I found myself instead scrolling through facebook tryng to avoid the inevitable task of knuckling down to the keyboard. Suddenly I came across a poem written by Canadian author Lorielie Rozzano. www.jaggedlittleedges.com. It was titled ‘I need to get high ‘ and in graphic detail outlined how a child’s (whatever age) addiction can consume the lives of parents. It ends with these words …
‘Your world revolves around one thing… ME
But will your love ever become greater than the fear? Would you be strong enough to reach out for help? Will you learn to say No? Will you allow me to experience the consequences of my actions? Will you love me enough to feel your guilt ridden discomfort and stop enabling my addiction?’
Reading it resonated so loudly with me that it lead me to read some more poems by her. Her work closely reflects the work that i am carrying out with parents in the Hale and Altrincham area of South Manchester.
I receive phone calls daily from family members that are desperate for me to help them get their children to stop using. They tell me that if only this child of theirs would stop taking drugs all would be well in their world. As much as I understand this way of thinking my experience throughout my years of being a therapist informs me that you can not change anyone else but yourself. This is a particularly painful experience for parents as they believe that they should be able to make everything ok for this child of theirs.
When I gently start explaining to them that in fact every-time they try to make things better for their child what they actually do is take responsibility for them. What needs to happen is the grown up child needs to start taking responsibility for themselves if there is any chance of them facing their addiction. This process of handing over responsibility to the child helps them accept that only they can make that decision to start getting better. Sometimes things can seem to get worse before they get better. It is the job of the parent during this painful time to seek help through therapy and support groups and learn to remain strong during this period of their child’s addiction and continue to practice tough love.
Parents often feel extremely guilty about not stepping in to bail their child out every time there is a crisis. It takes a lot of work with a therapist to help them understand that allowing their children to feel the privilege of their rock bottom is what is most likely to get their child to seek help. Experiencing a painfull rock bottom is what motivates change. Why change if everything is kept comfortable for you by your parents and their inability to ‘let go’ of your addiction by sorting out every unpaid bill, drug dealer debts, car dramas etc….
I get questioned if this is not the parent abstaining their parental responsibility. NO ITS NOT. Often it is harder initially to not help than it is to help. What often happens though is the more the parent focuses on their child the more emotionally and sometimes physically unwell they become. Helping their child’s addiction becomes their obsession or in other words it becomes their addiction. Letting go of this and stepping back from enabling the child’s behaviour allows the parent to start getting emotionally better themselves. This in turn allows them to engage with the rest of the family in a more functional way. In time they are able to let go of the guilt and recognise how small their world had become and how this had not helped their child at all. In fact it had the opposite effect by preventing the child feeling enough pain that they might in fact want to make changes whilst at the same time making the parent very unwell by isolating them, causing stress, anxiety and depression.
If your son or daughters addiction is consuming your life and making you emotionally and/or physically unwell please contact me at Victoria Abadi Therapies for a free telephone consultation.
Internet Addiction.
The question on everybody’s lips…. ‘Is internet addiction real?’
Everybody knows someone who forever has their head in the screen of their mobile phone, laptop, tablet or PC. Ever tried to have a conversation with that person whilst they are engrossed in this behaviour. Have you found that its impossible to get their attention or to get them to focus on what you are saying. Is that person you? Recently Chinese scientists have observed differences in the brains of people who obsessively use the Internet similar to those found in people who have substance addictions.
The Chinese study found for the first time that internet addiction has been linked with changes in the brain similar to those seen in people addicted to cannabis, cocaine and alcohol. The study revealed how researchers used MRI scanners to reveal abnormalities in the brains of adolescents who spent many hours on the internet. This behaviour showed a significant decrease of performance and engagement in their social and personal lives. It is hoped that these findings will highlight the need for treatment for these adolescents in the hope that they can once again learn how to use the internet in a responsible fashion or alternatively have to abstain from the internet altogether for a period of time. It is estimated that 5 to 10 per cent of internet users are thought to be addicted – meaning they are unable to control their use. The majority of those that are addicted are games players who become so absorbed in the activity that they go without food or drink for long periods and their education, work and relationships suffer. It has been reported that some of those suffering found they were even unable to prise themselves away from the screen to go to the toilet and would end up either wetting or soiling themselves and still remain riveted to their screen.
The Chinese study was published a few days ago in the online journal PLoS ONE and stated
‘Internet addiction disorder (IAD) is currently becoming a serious mental health issue around the globe. Previous studies regarding IAD were mainly focused on associated psychological examinations. However, there are few studies on brain structure and function about IAD. In this study, we used diffusion tensor imaging (DTI) to investigate white matter integrity in adolescents with IAD.’
We are becoming more and more aware that people can suffer profoundly as a result of overusing the internet whether they are gambling, obsessively using social media sites or playing online games. It is also apparent that it is not only the person who is compulsively using the internet that is suffering but also those people who love and care for them are being affected by their behaviour.
If you or someone you know is affected by internet addiction then call Victoria Abadi Therapies for a free telephone consultation or fill in the contact form.