-
Loading...
![]()
Podcast Transcript:
InterAct LifeLine
Recovery or Remission?
Intro
We'd like to welcome our listeners to our audio journal series. I'm Carolyn Bradfield, CEO of InterAct LifeLine, a technology service focused on helping addictions treatment and collegiate recovery programs keep ...
Addiction, Mental Health, program, Recovery, remissiioin, Treatment
Podcast Transcript:
InterAct LifeLine
Recovery or Remission?
Intro
We'd like to welcome our listeners to our audio journal series. I'm Carolyn Bradfield, CEO of InterAct LifeLine, a technology service focused on helping addictions treatment and collegiate recovery programs keep individuals connected to treatment, to community and to their families to improve recovery and reduce relapse.
Audio Journal
September was National Recovery Month, created by the Substance Abuse and Mental Health Services Administration otherwise known as SAMHSA. Held every September the focus is to educate people that substance use treatment and mental health services can enable those with mental and substance use disorders to live healthy and rewarding lives.
I'd like to dig into addiction and the concept of recovery in the way we treat people that are struggling with the disease. The first thing we need to define is the type of disease that addiction represents. When a person develops the disease, the symptoms are often acute, severe and obvious. People experience a loss of control over choices, cravings and compulsive using, and physical withdrawal if they don't maintain substance use.
There are many other conditions that you would recognize that also have acute symptoms. You pass out from diabetes, can't breathe during an asthma attack, or experience chest pains during a heart attack. The symptoms appear rapidly but can be treated if caught in time averting a tragic outcome. However, diabetes, asthma and heart disease don't just go away after a stay in the hospital. They are chronic conditions that stay with you and require on-going treatment and maintenance to keep them in check. In other words, people with those diseases can live healthy and productive lives as long as they take steps to manage their disease, even if the condition is always present.
Addiction must be thought of in the same category, a chronic disease, yet when we treat the symptoms in rehab, reversing those acute symptoms we pronounce the individual "recovered" or in recovery. I often wonder if the better term for what we've accomplished is that we put the individual into remission? Let's explore the difference in the two terms.
Recovery, in the medical sense, means that the person has all signs of the disease gone and there is a complete return to health. You break a bone, set it, and now your arm is as good as new. You experience appendicitis, get your appendix removed, and the symptoms never return.
We tag those with the disease of addiction as "recovered" or "in recovery" if they complete treatment and are no longer using. But perhaps the better way to think about it is that the disease is in remission. A person with the disease has a brain with a predisposition to use again if it is triggered with stress, anxiety, poor health habits and temptations in their environment. They are not really recovered, but rather living healthy lives because they are treating their chronic condition that is now in remission.
Recovery, the term used by SAMHSA and so many others, does not mean that you are disease free. But it does not mean that if you complete rehab, you can go out into the world, return to the habits that brought the onset of the disease and stay healthy.
Recovery should mean that you craft a long-term plan to stay in remission that includes a health and wellness strategy that keeps you asymptomatic. Unfortunately, we continue to treat addiction as an acute disease, manage the symptoms, but fail to have a longer-term plan to stay healthy. That is why relapse rates, according to SAMHSA, are in the 85% range in the first year following acute treatment.
If this were any other disease that could be put into remission, an 85% rate of having the acute symptoms return so quickly after expensive treatment would be totally unacceptable. Imagine going to your dentist having crown, only to tell you to expect that it will fall out in a month or so, you would never accept that.
Here are some thoughts on how to truly put the disease into remission vs. simply "recover" only to need acute treatment again.
#1 Stay connected to treatment longer
Studies show that individuals who maintain a connection with the program that treated them for the acute symptoms, aka rehab, for 6 consecutive months following treatment dramatically reduce the rate of relapse. You don't have to occupy a bed in a rehab facility to continue treatment. There are on-going after-care options through intensive outpatient programs, addictions therapists and other aftercare solutions that offer structure, accountability, and create new habits to promote health and wellness.
#2 Get connected to a community
There is nothing that compares to having a community of others who are committed to managing their disease in a healthy way. Community allows one to share strategies, get support to overcome struggles, and focus on a lifestyle that is free from substances. Communities can be physical through meetings or virtual through online support groups.
Take collegiate recovery communities as an example. According to the Association for Recovery in Higher Education, individuals who join a collegiate recovery community on campus have a higher GPA, higher graduation rate, and lower relapse rate. Students stay connected to each other, to a shared experience, and to a shared strategy to maintain wellness.
#3 Stay connected or reconnect to family
Most families are undereducated about the disease of addiction. They don't understand the malfunctioning of the brain and the irresistible urges to misuse substances, chalking up the condition as a moral failure vs. the disease that it really is. Connecting to an educated family ready to support the individual with the disease provides structure, understanding, support and help to craft a strategy to stay in remission.
Let's celebrate those that are committed to overcoming their disease, recovering from the acute symptoms and maintaining a plan to keep the disease in remission so they can continue to live a healthy and productive life.
InterAct LifeLine is here to make a difference in how people manage the disease of addiction, reducing the rate of relapse and improving the recovery process. We offer treatment and collegiate recovery programs a technology service to keep individuals connected to treatment, to support communities and to families.
This is Carolyn Bradfield and you've been listening to our audio journal from InterAct LifeLine.
|
![]()
If you listened to the last Audio Journal, we focused on what it takes to coach your family through the Opioid Crisis with a game plan, a playbook, an understanding of your opponent and help from your "assistants" when it's called for. This episode will focus on what every successful college ...
Audio Journal, Podcast
If you listened to the last Audio Journal, we focused on what it takes to coach your family through the Opioid Crisis with a game plan, a playbook, an understanding of your opponent and help from your "assistants" when it's called for. This episode will focus on what every successful college football coach knows and understand, that it's much easier to play offense vs. always be on the defensive.
Football coaches don't start preparing during the game; they start way in advance by scouting the competition, evaluating their players, understanding what plays produce results and just committing the time to do their homework. Your child may or may not ever use drugs or get addicted, but the reality is that 1 in 10 high schoolers will develop the disease of addiction before they even leave high schoool and that child may be yours.
We're going to start the Parent Playbook by understanding how you can play offense before you have to play the much more difficult game of defense.
Playing offense in the game against substance abuse begins with a good prevention strategy. It's hard for parents to get motivated to execute a prevention strategy when their child is a good student, a girl scout, an athlete and an all-around good kid. All of those things applied to my daughter until she started using drugs at age 14, became addicted and was in for the fight of her life, only to overdose and die after a 15-year struggle. I never played offense, so I spent 15 years playing the tougher game, defense. Here's how to execute a good offensive prevention strategy.
Start your game strategy by understanding the risk factors. The disease of addiction runs in families so understand if it's present in yours, your spouse's or your extended family. Developing the disease requires a genetic link that kicks off the propensity of one's brain to respond in overdrive in the presence of drugs and alcohol. Children that find it difficult to regulate their emotions, who have been bullied, who have had learning differences are all at higher risk. And think about children who have experienced other changes or difficulties they struggle with like managing through a divorce, a move to a new neighborhood or school, enduring stressful situations or trauma. They are statistically at much higher risk than other kids, so evaluate if this applies to your family.
InterAct LifeLine has been collecting great content and education and making it available in online portals to help parents understand the risk of addiction so they can be better prepared. All you have to do is visit rethinkthefamily.com and there is great information waiting for you.
Next, talk to your kids and educate them about the risks. Executing an offensive strategy is most successful when you prepare your team to understand the game they are playing. Start early and have conversations about substances in an age-appropriate way. Kids learn science in school, so give them a science lesson on what might happen to the brain when they drink or do drugs. Help them know what drugs are out there and what they need to do to avoid them. In addition to helping parents understand the risk of addiction, InterAct also gives you the help you need to use the right words to begin the conversation with your kids at any age.
Consider proactively and randomly drug testing your middle or high schoolers. Don't think of drug testing as a punishment, but rather as a gift. Your kids can now blame their crazy parents when they choose to turn down the chance to smoke pot or take pills because they can tell their friends they are being drug tested and are sure to be caught. Drug tests can be bought at any drug store and are cheap and easy to use. Your child may try and fool the system, so you have to make tests random and take countermeasures to make sure that the tests give you the right results.
Trust but verify. My daughter would tell me that she was at rowing practice, with a friend, or engaged in a school activity. But that wasn't the truth. She was not where she said she was and engaged in activities that she didn't want me to know about. Back then, I didn't have the same technology tools that parents have today. You have the ability to find my iPhone or install technology on your kid's phone or laptop to monitor their keystrokes and messages. Our company InterAct LifeLine is going to help parents out with our 2020 product release, SafetyNet to use the smart phone coupled with wearables to help you geolocate your child and ask for check-ins to prove they are where they said they would be.
Coach from the field not from the stands. If you are going to play offense, you have to know the players on the field. Volunteer at your child's school, meet with the teachers, and understand the environment by talking to other parents. Know your child's friends, have them over, meet their parents, and understand what their environment is like if your child goes out with them or over to their house. There is nothing that compares to being right in the middle of the action vs. being in the stands, having your child tell you what is going on through their filter.
Takeaways
Addiction is a chronic disease just like diabetes. Once you have developed it, you will always have it and have to manage it to stay healthy. You and your child will always be playing defense instead of offense. That's why a good offensive strategy focuses on prevention and includes understanding the risk factors and helping your children understand the risks. Playing offense may include proactively drug testing your kids to give them an excuse to still be cool and blame everything on you. You should try and communicate that while you trust your child, today's deadly drug environment requires you to verify. And no game is won if the coach is not totally involved.
Had I been educated and prepared to play offense with both my son and daughter, I might have been able to prevent or delay Laura's drug use giving her brain a chance to develop so it was less vulnerable to the substances that kicked off the disease. Instead, after Laura began using drugs at age 14, I stayed on the field playing defense for 15 long years, a very difficult game that unfortunately I didn't win as she overdosed and died 2 years ago. So, let's commit to prevention and playing offense because nobody wants to play the same game as I did.
|
![]()
This Audio Journal series focuses on what it takes to coach your family through the Opioid Crisis with the right game plan, a parent playbook, an understanding of your opponent and help from your "assistants" when it's called for. This episode will focus on the value of analyzing the data to ...
Podcast
This Audio Journal series focuses on what it takes to coach your family through the Opioid Crisis with the right game plan, a parent playbook, an understanding of your opponent and help from your "assistants" when it's called for. This episode will focus on the value of analyzing the data to understand the facts so you can make the right play calls.
Nick Saban at Alabama implemented a GPS tracking system to monitor his player's activity in practice so he could better predict if his team's practice strategy wore his players out or kept them ready to go, particularly in post-season play. He relied on data as much as his experience and instincts to create the right practice plan.
Unfortunately, technology was not there when my daughter Laura started going off the rails in high school, using drugs, and engaging in very risky behavior. So, what type of systems, data, and facts do you need to have at your disposal to make better decisions on behalf of your child to protect them?
Answer the question that is most critical. Is my child using drugs? I've talked to quite a few parents who think their kids are in trouble, caught them drinking or smoking pot, and suspect they are doing more. But they've never drug tested them to confirm what they suspect. A drug test may show that they did indeed smoke pot or a breathalyzer can confirm how much alcohol they have been drinking. So, if that data comes back confirming what you suspect don't hesitate to ground your kid, let them know that more testing is likely, take their car keys away and make sure they get and understand why this is a big deal.
However, your decisions as a parent might be entirely different if the test reveals that they are doing something more dangerous like testing positive for cocaine, meth, opioids or heroin. You may need to go above and beyond grounding them and taking their car. The bottom line is that you need to know the facts to make intelligent decisions.
Drug testing kits are inexpensive, easy to find at any local drug store or online, and easy to use. Just follow some simple guidelines. Make them random. Research the potential countermeasures your kid may use to fool the test. And most importantly, never apologize for using a test that could save their life and give you the data you need.
Monitor how your child is connecting with others electronically. Cell phones and laptops are now common tools that most middle and high schoolers use obsessively. When they are used appropriately, they allow parents to stay in touch with your kids and allow kids to learn more about the world around them. But those same tools can also be a way for kids to get into trouble. My daughter used her phone to coordinate sneaking out in the middle of the night to smoke pot on the golf course, connect with high-school seniors who were selling her vodka she used during school and later with her drug dealers.
So, let's get the facts when it comes to understanding if your kids' electronics are an asset or a liability. Cell phone have parental controls so you can disable them at night. You can install software to monitor texting. The same applies to tablets and laptops. Don't hesitate to use software to monitor keystrokes so you can know what your kids search for, who they message, and what they are posting on social media. And don't forget to disable or take away the laptop before you go to bed because it's also an engine to message their friends.
Verify that your kid is where they say they are. When my daughter Laura was in high school, she let me drop her off at school only to leave through the back door. She had me take her to sports practice only to leave with a friend. She told me that she was at dad's house and told her dad she was with me. You get the picture. As she got older, we installed a GPS tracking system on her car to follow where she was and to know what parts of town, known for drug dealers, she was in.
Today's kids have smart phones and they are never very far away from them. That gives you the opportunity to use technology to locate the phone thus locating the kid. Our company InterAct LifeLIne is going above and beyond and in 2020 will offer SafetyNet, a technology program for parents that combines wearables and mobile technology to keep your kid located, remind them to show up for their commitments and verify that they are there by asking for check ins. Before SafetyNet comes online, use the find my phone feature to keep track of where your kids say they are.
Know the facts about your child's school performance. When my son and daughter came home from school, I might have asked, "How did your day go?" or "How did you do on that test?" The standard response that every parent hears is "good", "fine". One of the key indicators that your child is engaged in substance misuse is a dramatic and unexpected drop in grades. So how do you get the data you need to know the facts and not wait for the report card to come out.
First, ask if your school has a parent portal. If so, grades and assignments are posted regularly and not just at the end of the semester. Ask your childrens' teachers for their email address or look on the school's website to find their contact information. Reach out to teachers periodically to not only understand your children's grades, but if they are missing homework assignments or underperforming unexpectedly. And if the data tells you there's a problem, request a live meeting with the teachers and school counselors to see what they know.
Monitor your kids' connections and posts on social media. Back to my daughter Laura. Facebook and Instagram weren't around when she was in high school, but the minute she got her Facebook account, the first thing I did was to look at who she friended. There were the usual suspects that had been her friends and soccer teammates in middle school, but then there were quite a few others that were clearly part of the drug culture, which was easy to spot from their posts and pictures.
Insist that you are one of their connections on social media, then monitor their timeline frequently. If you have technology to monitor the keystrokes on their smart phones, tablets or laptops it's a lot easier to keep tabs on what they post and who they connect with.
Takeaways
If you are walking on the field in the fight against substance misuse and addiction and have none of the data you need to make strategy or game-time decisions, then be prepared to have a much more difficult time winning. You need to know where your kid really is, who they are with, and what they are up to. You need to have the data to know if your child is using and if so, what drugs are in their system. You need to get the facts about how they perform in school to see if there is a drop off. And look closely at their connections and posting history on social media.
My daughter started her journey into drug use and addiction over 17 years ago when technology wasn't as sophisticated to give me the facts I needed, so I was playing the game with the wrong information, flying blind and often making the wrong calls. Laura lost her battle 2 years ago when she overdosed and died. I often think that if I had the command of the facts, the outcome might have been different and the loss we took might have been avoided.
|
![]()
This Audio Journal series focuses on what it takes to coach your family through the Opioid Crisis with the right game plan, a playbook, an understanding of your opponent and help from your "assistants" when it's called for. This episode will focus on how to avoid unforced errors that put your ...
Podcast
This Audio Journal series focuses on what it takes to coach your family through the Opioid Crisis with the right game plan, a playbook, an understanding of your opponent and help from your "assistants" when it's called for. This episode will focus on how to avoid unforced errors that put your parenting game at risk.
I watched Auburn and Alabama slug it out in the Iron Bowl with three touchdowns coming from errors made by both teams. Unforced errors can make the difference between a win and a blowout. Think about all the games that have been won or lost based on turnovers, missed assignments, dropped passes, or interceptions. Often these unforced errors result when players or coaches don't stick to the game plan, are unprepared or just not paying attention.
There are number of unforced errors that parents make that are critical mistakes leading to big problems when it comes to drugs and alcohol. Let's look at those mistakes and ways to avoid them.
The first unforced error is chalking up your child's troubling behavior to growing pains or just being a teenager. You've been living with your child for years, watching how they behave, perform in school, and if they comply with the rules. But then all of a sudden, things start to change. They start to get defiant and disrespectful. They have huge mood swings. They begin to hide out in their room and keep you away from their friends and what they are up to. They dress differently and their friend group has changed. Are these signs of teenage growing pains? Maybe, but if your child's actions start to disrupt your family life, cause you to be suspicious and distrustful, or cause them to underperform in school or in their favorite sports team, look deeper and get an outside opinion to see if you have a bigger issue than that of just being a teenager.
Another unforced error is to fail to secure items in your house that your child should not have access to. If you drink and have bottles of alcohol lying around, it's time to lock up your wine and your liquor cabinet. Substance misuse often begins by sneaking alcohol from your supply and refilling your bottles with water. If you have unused prescriptions from a doctor or dentist's visit or a stay in the hospital, safely dispose of those expired medications or lock them up. You don't want to be your child's drug dealer.
And unfortunately for some families, you need to stop leaving cash or valuables lying around. This was one of my unforced errors and my daughter Laura took leftover Vicodin, raided my wine cellar and took money out of my wallet. I left my car keys on a rack by the door, enabling her to sneak out at night, take the car and meet up with people she shouldn't have been with.
And what about the error of trying to be the cool parent. I've talked to many parents who believe that it is inevitable that their teenagers are going to drink or smoke pot, so why not keep them safer by having them experiment with those things at home. Big mistake. Exposing the teenage brain to substances while it is still developing is a sure-fire way to risk your child may be the 1 in 10 that will develop the disease of addiction. It's important that you understand the science behind adolescent brain development and what substances do to short circuit the normal brain development process. My daughter began using drugs at age 14, developed the disease of addiction, and fought it for 15 years. Her brain development stopped about that age making it much harder for her to become a functional adult.
And what kind of signal are you sending to your child when you allow them to break the law by using alcohol before they legally are allowed to so or to smoke pot when it's still illegal in most states? And don't believe for a minute that your kid can't get addicted to marijuana. It's much more potent than when you were in college. It's never cool to let your teenagers use drugs and alcohol in your home or to participate with them.
In addition to trying to be cool, another unforced error that parents make is trying too hard to be liked. A football coach never thinks about whether his players will like him less when he sets up the starting lineup, makes a substitution, or sits someone on the bench. Coaches can't win if you second guess all your decisions, benchmarking them on a popularity index. The same is true in parenting.
Expect your teenagers to dislike many of your decisions when you have to make them in order to keep your kid accountable, have them comply with the rules, and keep them safe. So, don't hesitate to put them on restriction, take their phone, and confiscate their car keys if they break your rules. And what if their behavior is sending up warning signals that cause you to suspect they are using drugs? Then, get much more aggressive with your responses. Search their room, drug test them, monitor their electronics, and restrict who you let them connect with. Remember that you are a parent first and foremost, not a participant in a popularity contest.
One of the biggest errors a parent can make is being too ashamed to ask for help. You will know it when things have gotten beyond your control. I knew it when Laura was 15. I tried to lock down the house and alarm the windows, but Laura continued to sneak out. I took her to school, only to have her walk out the back door and fill her water bottle with vodka that she bought from the seniors. And finally, she went missing for days. I was mortified by her behavior, but knew I needed help and I involved everyone I could to give it to me.
I understand that many parents are ashamed that things have gotten so out of control and the good kid their family, friends and neighbors knew is doing things that are terrifying. But the mistake is hiding, waiting, or failing to disclose what you are struggling with. Remember, you've likely never seen situations like this before, so call for backup. You have school guidance counselors, church leaders, friends, family, therapists and a host of others ready to step in and assist.
And last but not least, it's always an unforced error when you fail to get the facts so you can make better decisions. In the mid-2000's we founded and ran a licensed adolescent treatment program and worked with hundreds of families whose teens were out of control, using drugs, and in need of an intervention. They seemed in shock when their teenagers spilled the beans to us, revealing what they were up to and how they had kept their parents in the dark. We realize where there is smoke there is fire, and the fire is a lot hotter than you realize.
Parents have quite a few tools to find out what their kids are up to, but often fail to use them. A simple drug test you buy from CVS or Walgreens will give you an idea what substances your kids may be using. Monitoring your child's electronics will let you know who they are texting, what they are saying, if they are researching subjects on the Internet that are drug related or if they are connecting with their drug dealers. Use the tools, get the facts, and then make better decisions.
Takeaways
Teams that have unforced errors like turnovers, dropped passes or stupid penalties often lose the game because of those mistakes. Parents can't afford to make those mistakes because the stakes are so much higher. Don't chalk up troubling behavior to teenage growing pains unless you have all the facts to support that conclusion. Make your home a safe place by removing or locking up items that can cause trouble such as unused prescriptions or alcohol. Don't try and be the cool mom and dad letting your kids drink and do drugs with you or in your home. And don't try and go it alone without asking for help when things have become beyond your control.
When my daughter Laura got into trouble at age 14, I was naïve, took my eye off the ball and made quite a few unforced errors. Those errors allowed her to get away with her drug use long enough to become addicted and struggle with the disease that took her life 15 years later, only 2 years ago. Unforced errors, no matter how innocent they may seem at the time, can have deadly consequences.
|
![]()
This Audio Journal series focuses on what it takes to coach your family through the Opioid Crisis with the right game plan, a playbook, an understanding of your opponent and help from your "assistants" when it's called for. This episode will focus on why you need a good staff around you because no ...
Podcast
This Audio Journal series focuses on what it takes to coach your family through the Opioid Crisis with the right game plan, a playbook, an understanding of your opponent and help from your "assistants" when it's called for. This episode will focus on why you need a good staff around you because no game is winnable if you are the only coach calling the plays.Football coaches know that they don't have all of the answers. That's why they rely on their assistants. Nick Saban of Alabama has hired the best assistant coaches, relies on their advice, and lets them take the lead in their area of expertise. Managing your child when he is oppositional, defiant, losing ground at school, and using drugs that can cause overdose at any minute is not something parents should try and manage without help. There are plenty of good assistants out there to help parents adjust their strategy, send in better plays to protect their children, and know when the game plan that they have is just not working. This all seems logical, but parents often fail to know the when, the who and the how to ask for help. Let's focus on "the when". I would seriously doubt that a football coach waits to consult his assistants after the game gets out of hand. They ask for advice early and often. But the same is not true of parents when their child is in trouble. That's because parents are often ashamed, traumatized or confused. It's never a good idea to wait to ask for help. When you see your child's grades drop, their behavior change, or just are worried that things are not right, ask for insight, advice, or help right away. Waiting can have deadly consequences allowing adolescents to keep using drugs, engage in dangerous behaviors and sometimes lose their lives to overdose.And what about your "pre-game strategy". You should avail yourself of the help, strategy and advice of others to learn how you should prevent substance misuse and go on the offense before you have to play the much harder game of defense when your child is already in trouble. You may want to take a look at one of InterAct LifeLine's portals called Rethink the Family.com (http://rethinkthefamily.com) where there is an abundance of education about the disease, how to talk to kids, and prevention strategies you can use.Now, let's explore "the who". There are so many people out there that parents already know who can be helpful. All you have to do is ask. Let's start with people at your child's school. Teachers have their ear to the ground, know when kids are falling behind, and may see behavioral issues before you do. I started my career as a middle school teacher and believe me, I knew what was going on. Get to school, schedule a conference with teachers and invite the guidance counselors to join. If they don't know all the answers, they will now have their radar up and can be on high alert on your behalf.Then think about your neighbors and friends, particularly those who have kids the same age as yours. My friends and neighbors were the first to alert me that I had a problem with my daughter Laura. Their kids were telling them what they were seeing her do at school and the bad crowd that Laura was hanging out with. Fortunately, I didn't have to ask for their help; they offered it, but it taught me a lesson that sometimes your best allies are those closest to you.And then there are times when you need professional help. Consider engaging the services of an adolescent therapist that is trained in substance misuse and addiction. Think about having a full psycho-educational assessment to understand the issues driving behavior as well as any learning differences that are making their school performance much harder. Some families opt to hire an educational consultant, experienced in at-risk adolescents who can help you assess the extent of the problem, offer solutions and recommend treatment options.And now for the "how" to ask for help. Asking for help should seem relatively straightforward but it is almost never that simple. For some parents, it doesn't seem natural to admit that they can't manage their teenager and have lost control. They are almost always mortified by the behavior and ashamed to reveal what's happening. Parents, I'm telling you that it's so critical that you swallow your pride, admit what is going on, and be honest about the details.Here is a strategy that works. Start with letting the individual know that you need to have a confidential conversation about something you are struggling with that is causing you a great deal of stress and anxiety. Then, let them know who it involves. Don't try and make it a hypothetical situation about someone else when it's you that needs the help. And don't hold back when you are giving that person the details. It will be hard to share your kid's struggles, but people can't help you if they don't know the facts.And finally, let the person know what role you want them to play. Do you need them to just be a good listener so you can get the problem out in the open to better process it? Do you need them to offer advice? Or are you looking for a partner or individual to help you solve the problem? TakeawaysWhen my daughter Laura got into trouble at age 14, I was fortunate to put my ego, fear and pride aside and accept what my friends shared with me to let me know Laura was in trouble. I sought the school's advice to see where Laura was in her academic performance and what we could do to keep her in school and get her back on track. I put Laura in therapy with someone who specialized in working with adolescents. And when that didn't work, I hired an educational consultant to give me a deeper assessment, recommend a treatment program and a strategy to get her enrolled.Asking for help is a sign of strength, a recognition that a team is better than any one individual to solve a problem, and that you can push past your reservations for the sake of your child to get the help you need.
|
![]()
The holidays are the most wonderful, but often the most dreadful time of the year if someone you love is suffering from or has lost their battle with the disease of addiction. This will be my second Christmas without my daughter Laura who struggled for 15 years with addiction but lost her life to ...
Podcast
The holidays are the most wonderful, but often the most dreadful time of the year if someone you love is suffering from or has lost their battle with the disease of addiction. This will be my second Christmas without my daughter Laura who struggled for 15 years with addiction but lost her life to overdose on December 21, 2017, right before the holidays. But even when Laura was with us, holidays were often stressful because I never knew what kind of tension and drama she might create for the family.
For those of us who have been through the struggle our perfect holiday gift might be that of peace, tranquility, and for the person who we remembered before they developed the disease to be the one that shows up for the holidays. For me, my perfect gift would be just one more moment to watch Laura unwrap her gifts, sit by the fire or laugh at the dinner table.
So, knowing that we likely get gifts that are well meaning, but not exactly what we wished for, here are some gifts that you can give yourself for the holidays that can last you throughout the year and hopefully for a lifetime.
Give yourself the gift of knowledge. I've talked to countless parents and family members who are struggling to make sense of their loved one's substance misuse, crazy behavior, and personality change. Yet, they have failed to research the disease of addiction, understand how it progresses, learn how it changes the brain, and what it takes to treat it. You would never think to fight cancer without going online, understanding the symptoms and how the disease progresses, checking out treatment options and learning how to beat it. The same applies with the disease of addiction. Give yourself the gift of knowledge so you can understand it, have a strategy to respond and know what to do to fight the disease.
Open up the gift of forgiveness. It's not your fault. I repeat, it's not your fault. Because I'm empowered with an understanding of the disease, I don't blame myself for my daughter's death or her 15-year struggle. And I've forgiven myself for any wrong decisions I made along the way when we were in the middle of the fight. Addiction is complex and often the decisions the person afflicted makes are irrational and confusing. Until that person decides to get healthy and manage the disease, you don't really have the power to cure it for them. If a diabetic eats cake, fails to take their insulin and doesn't follow the doctor's instructions, do you blame yourself if they get sicker? The same is true with addiction
Unwrap the gift of self-care. It's super hard battling the disease and believe me the fight takes a toll on you personally. There is the stress of not knowing what is going to happen next, the lack of sleep when you stay up through the night hoping to hear the door open and your loved one walk in. There's constant anxiety. If you don't care for yourself, then your health and wellbeing will suffer. Self-care is complex, but may involve a health and wellness routine, mindfulness & meditation, counseling, or connecting with friends and doing something fun.
Look for the gift of community. Going this alone is never a good idea. You need help and support around you to give you perspective, a sanity check, relief, and acceptance. There are many communities you can connect to, but for me, I turned first to my close friends and family who watched Laura grow up, saw how I parented, and didn't judge my parenting skills. Then, it was going to a community of other parents who had put their children into treatment and who were going through a shared experience with me. I relied on Al-Anon to gain perspective on the disease of addiction and our role in the process of healing. I'm now involved in several Facebook groups where parents share their experiences in losing someone to overdose. Remember, you are not alone.
Takeaway
Trust me, that I personally understand how it feels not only to battle addiction with a loved one, but to lose someone when they lose the fight. But my personal philosophy is that if you don't understand the disease, forgive yourself for the things you feel you did wrong, care for yourself so you don't become one part of the collateral damage, and look for help and support in others, you will have a much harder time coping with the circumstances you now find yourself in.
Now, I haven't always followed my own advice. When Laura died, I stopped doing the things that were keeping me healthy. I ate poorly, gained weight, stopped exercising and didn't manage my grief as well as I could have. But that is changing, and I've given myself the gifts that I just shared with you which is part of my journey to return to health, wellness, and happiness.
Keep tuning into the Audio Journal over the holidays, because I am going to give you some practical advice on each of these gifts, how to find them, and how to make sure you unwrap them.
|
![]()
The holidays can be a dreaded time of the year if someone you love is suffering or has lost their battle with the disease of addiction. This will be my second Christmas without my daughter Laura who struggled for 15 years with addiction but lost her life to overdose on December 21, 2017, right ...
Podcast
The holidays can be a dreaded time of the year if someone you love is suffering or has lost their battle with the disease of addiction. This will be my second Christmas without my daughter Laura who struggled for 15 years with addiction but lost her life to overdose on December 21, 2017, right before the holidays.
It's hard to think about gift giving during this time of year, because the holidays may be filled with regret, grief, or stress. This Audio Journal focuses on gifts, not for others on your list, but those that you should give to yourself. Today's episode is devoted to the gift of knowledge.
I've talked to countless parents and family members who are struggling to make sense of their loved one's substance misuse, crazy behavior, and personality change. We often mistake addiction as a moral failing or a series of bad choices, failing to recognize that addiction is a chronic complex brain disease. Now, let's figure out how to unwrap the gift of knowledge so you are more prepared to deal with it.
Start with understanding the science behind addiction. Addiction is a brain disease and there is a scientific underpinning about how it manifests itself and progresses. Let me take another brain disease that millions of us know about as an analogy, Alzheimer's. There is a scientific and physical reason that people's memories disappear. It has to do with plaque coating the transmitters in the brain that allow one to process and act on information. Once there is enough plaque build-up, signals can't get through and memory fails. People that have Alzheimer's are not being difficult or frustrating' their brain is misfiring.
The human brain is wired to reward us when we do something pleasurable. Exercising, eating, and other pleasurable behaviors directly linked to our health and survival trigger the release of a neurotransmitter called dopamine that makes us feel good and encourages us to keep doing what we're doing. But the brain can also be rewired in harmful ways when it's exposed to drugs. When someone takes a drug, their brain releases extreme amounts of dopamine causing the brain to overreact, reducing dopamine production in an attempt to normalize these sudden, sky-high levels the drugs have created. And this is how the cycle of addiction begins because the individual will seek those substances to get that dopamine rush.
So that's part of the science of addiction. It's the brain's rewiring to overproduce dopamine levels that rise and crash, causing the person to seek more of the substance to level themselves out.
You next level of knowledge should be around the condition itself. Addiction is not an acute disease that can be treated quickly and cured. It's a chronic condition that will last a lifetime and requires on-going maintenance and management. When you treat diabetes, you can't take insulin just once, feel better right away, then stop. You have to manage yourself with medication, diet and lifestyle change over a lifetime. The same is true of addiction.
People go to rehab to treat the acute symptoms and get stabilized. They come out looking healthy, but it's a mistake to believe that because their acute symptoms have been dealt with the person is cured. Without the proper long-term plan, the chances are 85% that they will return to substance misuse in less than a year following rehab. It's important to know the difference in the characteristics of an acute vs. a chronic disease so you know that you must play the long game.
That brings us to the next knowledge gift which is know how to manage the disease long-term. This is the most complex part of the equation and requires the most knowledge and research. It's important that you understand that the recovery and disease management process have many components. First, there is a need for structure and accountability. Because addiction has impacted the logic center of the brain, making the smallest decisions on what to do and where to go may be difficult for an addict, so the more help in this area the better.
Then, there is a need for connections. Addicts need to connect with treatment professionals, connect with each other for support, and connect with family. The more people that are in the equation, the better the recovery process. Next, there is the need to maintain a healthy lifestyle. This involves a good diet, exercise, stress reduction, anxiety management and a commitment to health and wellness.
For some people, medication is helpful, something we call Medication Assisted Therapy or MAT. This has to be a careful decision because some medications, as with my daughter Laura who used Suboxone, can be misused and counterproductive to recovery.
The bottom line is that having the knowledge of how to manage the disease long-term empowers you to make the right decisions to support yourself or your addicted loved one.
And the final gift you need to unwrap is the knowledge of how you fit into the process. The family's understanding, support, and role in the recovery process is critical to the long-term health of the person that is addicted. It starts with understanding that this is a disease, not a moral failing so the addict doesn't feel more shame and guilt than he or she already does. It then falls to what you can do to help treat the disease vs make it worse.
If you have a diabetic in your family, you don't feed them cake. It's important to know what you should do and what you should avoid to help keep your loved one healthy. The first "to do" on the list is to set expectations and boundaries so the person knows what to expect from you. The next is to understand the warning signs that your loved one is being triggered to return to substance use coupled with an understanding of how to have that conversation and what they are willing to do to let you help them. There are many more elements that go on this list, so it's important to understand the "do's and don'ts" of your role in the recovery process.
Takeaways
Knowledge is a powerful gift and with the disease of addiction, it's critical. You have to understand the science behind the disease, the characteristics of the condition, how to manage it as a chronic disease and your role in keeping the person you love healthy. It's said that knowledge is power and with the disease of addiction, empower yourself to understand it so you can manage it on behalf of yourself and your loved ones.
|
![]()
One of the bests gifts to give yourself during the holidays, forgiveness
This will be my second Christmas without my daughter Laura who struggled for 15 years with addiction but lost her life to overdose on December 21, 2017, right before the holidays. But even when Laura was with us, holidays ...
Podcast
One of the bests gifts to give yourself during the holidays, forgiveness
This will be my second Christmas without my daughter Laura who struggled for 15 years with addiction but lost her life to overdose on December 21, 2017, right before the holidays. But even when Laura was with us, holidays were often stressful because I never knew what kind of tension and drama she might create for the family.
It's so easy to sit back during the holidays and beat yourself up. Your friends are all having a wonderful Christmas dinner, opening their gifts, and connecting with family. Your family may have been turned upside down, so you reflect on how you managed to get yourself in this mess. You look at what you did or didn't do to create such a dysfunctional family, holiday or in my case lose a loved one. So now it's time to open up the gift of forgiveness.
It's not your fault. I repeat, it's not your fault. Your loved one had a genetic predisposition to develop the disease of addiction because the genes that trigger it run in families. Ten people could go to a party, have a drink and not feel uncontrollably compelled to keep going. But that 1 person in 10 that is genetically pre-disposed will have their brain's reward center triggered to need more of the substance that caused their dopamine production to go wild. It's not your fault that those genes ran in your family just as it's not your fault if you have diabetes in your genes. Your loved one didn't develop the disease because of you.
Don't blame yourself because of your parenting. Parenting is hard enough no matter what someone tells you. Everyone makes mistakes and you've likely made more than a few when it comes to managing an adolescent that become oppositional, then defiant, then a drug user and then an addict. Trust me that I was one of those parents with my daughter Laura. But you need to give yourself a break. It's hard to make the best decisions when you are in the middle of a war and under siege. Addiction may have come on quickly not giving you the time to be fully informed and ready. Everyone makes mistakes, even parents with those picture-perfect kids. It's time to forgive yourself for any parenting missteps during this crisis.
Forgive those people around you. You are going to be surprised at the friends, family and co-workers who just didn't understand the depth of your struggles. You may feel their scrutiny and disapproval and find them distancing themselves from you. Although that may seem terrible, it's perfectly understandable that they don't really understand because nobody can unless they have walked in your shoes.
When I first sent my daughter Laura to wilderness therapy treatment, I chose a New Year's Eve party to announce my decision to my friends, some of which knew about our struggles and others did not. I was greeted with, "How could you?" and "Why didn't you try other things first?". At first, I was insulted and horrified that they just didn't get it because that was one of the hardest decisions of my life. But then on reflection, I began to understand why they didn't get it. They had never had an experience like this. I decided to forgive those people and years later shared with them how their comments did me a favor to enlighten me about how to better manage my conversations with others when it came to my daughter and help others do the same.
And finally, forgive the addict you love. My daughter did some terrible things in the throes of her disease. She would go months without answering my calls or texts making me fear if she was safe. She would attack me verbally when I pressed her about her behavior. She lied to me to get me to do the things that she needed so she could keep using drugs. Although I was angry with her, fortunately, I let that go before she overdosed and died. In her final weeks, I shared with her that we were both adults and had the right to make adult decisions, even though we were in disagreement about what those decisions were.
Addicts can be the most frustrating, unlovable, and difficult people to be around. But in the light of the brain disorder they have, it's important to direct your anger and frustration where it belongs most, at the disease itself. It's not to say that you should roll over and just let any behavior go. When your loved one crosses boundaries and treat you disrespectfully, you should develop language that goes something like this:
I have a problem that I need your help with.When you do this, this is how it makes me feel.In the future, I would appreciate it if you could change what you do.Can I get your help on this?
Takeaways
Forgiveness is a difficult thing, but powerfully healing. Forgive yourself first because addiction is a complex disease to understand and it's not something that you caused. Forgive yourself for mistakes you make along the way in trying to help your loved one. Forgive others around you who haven't walked in your shoes and may not understand. And most importantly, forgive your loved one. They wouldn't have chosen to live such a difficult life and you never know when your next encounter with them might be your last.
|
![]()
How to keep yourself healthy, centered, balanced & connected when you struggle with an addicted loved one
This will be my second Christmas without my daughter Laura who struggled for 15 years with addiction but lost her life to overdose on December 21, 2017, right before the holidays. In the ...
Podcast
How to keep yourself healthy, centered, balanced & connected when you struggle with an addicted loved one
This will be my second Christmas without my daughter Laura who struggled for 15 years with addiction but lost her life to overdose on December 21, 2017, right before the holidays. In the two years since her death, I've taken care of myself in some ways, but not in others. Battling addiction with a loved one or battling it as an addict takes a toll on you personally.
There is the stress of not knowing what is going to happen next, the lack of sleep when you stay up through the night hoping to hear the door open and your loved one walk in, the constant anxiety. If you don't care for yourself, then your health and well-being will suffer. Self-care is complex, but it's a gift that you should try and give yourself. Don't think of it as something selfish, but rather something necessary to stay strong. Here are some thoughts for all of us who need to do more to care for ourselves with the gift of self-care.
Set healthy boundaries. When you are surrounding by addiction, you have to set physical, emotional and mental limits so that you avoid being manipulated, used or violated by the addicts in your life. Boundaries are simply guidelines that you express to others so that they know how you want to be treated and what happens when they cross those boundaries. In my relationship with my daughter, some of the boundaries I set included what I needed her to contribute to the house while she was living there, how I needed to be communicated with respectfully, and the rules around any type of substance use around me or in my home.
Take care of your body. For me, taking care of my body was not on my "to do" list after my daughter died. As a result, I gained weight, ate poorly, got very little sleep and just overall felt physically weak. When you are fighting addiction yourself or on behalf of a loved one, you have to take care of your body. Start by adding a healthy dose of exercise to your routine. You don't have to do cross-fit or run a marathon, but you can start by simply walking 30 minutes a day. Exercise releases those endorphins that make you feel better, relieves stress, and helps you connect with others if you engage in sports activities.
Because sleep affects our mood, helps us keep a healthy weight and reduces stress, trying to keep a regular sleep pattern is important. Start by recognizing what your sleep patterns are and where they are off balance. Then change your routine to eat earlier, not watch TV as your go to sleep routine, and keep your room cool and quiet.
And finally, eating healthy has some very strong benefits. If you are in recovery, then don't replace drug use with a new bad habit of eating poorly like adding processed foods or sugars. A good diet improves your mood and is a cornerstone of selfcare.
Use mindfulness to reduce stress and increase a feeling of well-being. Mindfulness is the practice of purposely focusing your attention on the present moment and accepting it without judgment. Being mindful makes it easier to appreciate the pleasures in life as they occur, helps you become fully engaged in activities, and creates a capacity to deal with the adverse events that has been coming your way. And if you are struggling with addiction, there are quite a few zingers that you struggle with. People who practice mindfulness find that they are less likely to obsess about what may happen to them in the future or have regrets over the past. Mindfulness helps people become less preoccupied with success or concern themselves on how others might judge them.
There are many ways to practice mindfulness, but most often this is done with meditation, and finding time to sit quietly, let your thoughts come without judging them, and focusing on relaxed breathing.
Self-care means finding balance in your life. When you are struggling, it's very tempting to be single threaded on fighting the disease itself and start to drop things that you found enjoyment in. Your life can quickly get out of balance. Balance involves doing the things you have to do but making sure to not drop the things that you like to do. And watch out for areas where you might be overdoing it. For a time, my daughter went to multiple AA meetings every single day, but then failed to do other things that kept her healthy like exercising or just connecting with friends.
Practice social selfcare. It's very easy to withdraw when you are suffering. You may not want to let others in and have to explain your struggles to them but letting others in is an important part of self-care. There are a number of support groups where you will find others that are experiencing some of the same issues with addiction that you are. There are family members and friends willing to support you if they know what kind of help or understanding you need. You may want to talk to a counselor or therapist so you can process your feelings by talking about them out loud. Self-care involves finding and nurturing connections so that you don't go it alone.
Remember that being an addict or having one in your family takes a toll on your most valued relationships, so it's important to keep in contact with them, be honest about your struggles and get support.
And don't forget about practical self-care. Anxiety comes from things that we feel are out of control, so look around you and see what might look like it's within your control that you can do something about. If your house is a mess, then bring order to the chaos by cleaning it up. Go through your clothes and stuff and take a lesson from Marie Kondo and if your stuff doesn't give you joy, then find a way to rehome it. When my daughter died, we sold our 5,000 square foot home and moved to something smaller requiring me to purge all of those things that I had stuffed away that I never used. Getting control of the clutter and getting rid of it was a form of practical self-care.
Takeaways
Self-care is an integral part of healing yourself and making well-being a priority. To give yourself that gift, you need to let people know how you want to be treated, focus on your physical well-being, use mindfulness to keep yourself centered, find balance in your life, and staying connected to others. Self-care also means keeping our environment stress free, clutter free and organized. Self-care is a gift that you can give yourself that brings balanced to a life that addiction has thrown out of balance.
|
![]()
Make connections to help support you as you battle addiction
If you are struggling with addiction or have an addict in your family, going it alone is never a good idea. I was fortunate in many ways that when my 14-year old daughter began her struggle, I had close friends that were there for me ...
Podcast
Make connections to help support you as you battle addiction
If you are struggling with addiction or have an addict in your family, going it alone is never a good idea. I was fortunate in many ways that when my 14-year old daughter began her struggle, I had close friends that were there for me who had watched Laura grow up and knew I needed help. And people were there for me throughout the 15 years we battled the disease, and in the end when she overdosed and died.
You need help and support around you to give you perspective, a sanity check, relief and acceptance and that comes by finding a community that you can connect to. Communities help us feel connected and a part of something, but they also have strong benefits when it comes to helping you as you battle the disease of addiction for yourself or for a loved one.
Communities allow us to benefit from the lessons others have learned so we don't have to learn from our own mistakes. Communities can inspire us when we watch members achieve things that go right in their lives. Communities give us contacts we can call on when we need help. Knowing others that are going through the same things we are, learning from them and getting their support is a very important gift that you can give yourself.
Our company, InterAct LifeLine, supports collegiate recovery communities, organized groups for people in recovery on college campuses. The gift of belonging to those communities as a student is a higher graduation rate, a higher GPA, a much lower return to substance misuse and frankly, friends you keep your entire life.
For those struggling with addiction, finding communities of sober, like-minded people promotes healthy social interaction replacing the circle of people that misused substances with others that you can connect with without worrying about being around drugs or alcohol. Communities provide support when counseling is not available, and its people are often just a phone call away.
But if you are a family member that is helping a loved one fight addiction, finding communities of other family members may not be as obvious as it is for the person who is finding community in addiction support groups. Here are a few ideas for where to go find the gift of community.
Connect to online support groups. Social media can be a powerful tool to find others that are going through the same challenges you are, share your thoughts without judgment, and find strategies that help you move forward. For me, I belong to several Facebook groups focused on loss of a loved one from overdose. The stories I read are sad, but also reminders of how many of us are turning grief into purpose trying to make a difference in the lives of others. All it takes on Facebook is to access groups, enter keywords to find groupa that you relate to the most and ask to join.
Find a support community in Al-Anon or other organizations. Most of us have heard of Alcoholics Anonymous and Narcotics Anonymous, AA and NA, but did you know that the same organization has support groups for families who have a loved one battling addiction? It's called Al-Anon that uses the same 12-step philosophy to help families heal. If 12-Step is not your thing, then there are many other ways to connect to family support groups. If you just google "family support groups for addiction" you will get links to a number of support communities and likely find those who have meetings in your area.
Find a non-profit focused group on family support. As I mentioned earlier, I lost a daughter to overdose and found a non-profit called Compassionate Friends that focuses on helping families cope with loss. SAMSHA, a government organization focused on substance abuse and mental health, has a national hotline that can connect families to support organizations. (1-800-662-HELP). There is Parents of Addicted Loved Ones or PAL for short with a national directory of meetings in your area which have both an educational component and time for sharing. The list goes on and on, but these non-profits are here to help, connect you to others who are going through the same issue, and are easily found online.
And don't forget about the support group you already know, your family and friends. The people closest to you may not be fully aware of how you struggle, so they often seem to sit on the sidelines until you ask them to jump in. They may not be able to empathize at the level you would like them to because it's hard to understand unless you have experienced coping with an addicted loved one, so it's up to you to paint a picture of how your life has changed and what you struggle with. And it's also important that you are clear about the type of help you need. Do you just need a friendly ear to air out your issues? Are you asking for them to weigh in on what they think you should do? Do you need a partner to help you solve a problem? Or do you just need a break to focus on something that's fun and normal?
Takeaways
Often when we struggle with addiction, it seems right to hide what is going on because we are ashamed, shy about sharing our struggles, and don't believe we can find people to understand and support us. However, this thought process is counterproductive to helping you manage through what is arguably one of the most difficult challenges you will face. The gift of community is powerful, keeps you centered, helps you with strategies and most importantly, reminds you that you are not the only one struggling. Communities reinforce the fact that you are not alone in this fight.
|
Catalog Description
Resources collects articles from respected sources and podcasts and articles from InterAct into a single location. InterAct is committed to elevating one's understanding of the disease of addiction, recovery and wellness strategies and ways to prevent substance misuse.
Add to External Calendar
Loading