To succeed in your recovery work, diligently establish and maintain a well-rounded program. Be careful to recognize and refute negative thoughts. Watch for apathy and avoidance patterns to subtly increase and derail your recovery.
Negative thoughts influence your feelings and actions and can drive your addiction. Automatic negative thoughts (ANTs for short) are those deeply-held, and often repeated, pessimistic thoughts that lead to intense emotions and wayward actions. Therefore, it is necessary to reflect on which thoughts are distorted and which are accurate. Negative…
Someone else’s substance use disorder does not exist in isolation. Their addiction affects friends, family, and the community. Here is a list I use to help people think through the effects and consequences of another person’s addiction. How has the addiction affected you and your relationship? Consider the following list…
Wow. That’s Huge! If you hold a magnifying glass over an object, the item appears bigger. Obviously, the object isn’t any larger, it merely appears that way. If you hold a magnifying glass over a defect, the flaw looks larger. But you and I know, it’s not. Too often, people…
Setting realistic expectations means I am willing to accept responsibility for my own character, disposition, and actions. I am willing to be accountable to others. And as I move forward, I am willing to work toward a desirable recovery and a better life. Here are five suggestions to setting reasonable…
Negative thoughts influence our feelings and actions. If left unchecked, negative thoughts often become an agonizingly repeated script that drives discouragement and defeat. Negative thoughts can easily derail your positive mood. It is therefore necessary to determine which of our thoughts are accurate and which ones are distorted, exaggerated, and…
“No one can make you feel inferior without your consent.” – Eleanor Roosevelt People in recovery often have a distorted view of themselves. They may see themselves as inadequate and unacceptable. Some of this thinking comes from a cold and steady drizzle of negativity dripped onto you by the harsh…
Yesterday, in part 1, I began our discussion of several important external factors that make seeking treatment harder. It’s helpful to understand the various challenges people face when combating a substance use disorder. Here are five more issues that must be overcome. 6. A Toxic Family System-Returning to an unsupportive…
There are internal and external variables that make seeking treatment for substance use disorders difficult. Some internal or personal factors might include lifestyle choices, will power, motivation levels, and personality factors. In addition to the internal issues, there are a host of external factors that block, limit, or make seeking…
Substance Use Disorders Impair Judgment Alcohol and drugs impair judgment. In the throes of addiction, people often do things under the influence of a substance that they would never do if they were sober. They may make poor financial choices, take foolish risks, say inappropriate things, and make short-term decisions…
Every journey, I suppose, has its starts and stops and ups and downs. Even the most successful recovery is not completely linear. There are some setbacks and delays along the way. Yet, there also seems to be occasional breakthroughs, like a jump to light speed, that propel you far ahead…
Mental Agony Many people carry heavy loads of worry, fear, and anxiety. These issues interfere with emotional stability and can create other serious concerns. Anxiety can cause increased problems with sleep, added depression, relational conflict, occupational difficulties, financial strain, social withdrawal, and alcohol and drug dependency. It is important to…
Skewed Perceptions “The grass is always greener on the other side of the fence” is an oft quoted statement. It implies that where we are and what we have does not look as satisfying as what lies just over the fence in someone else’s yard. Common in early recovery, we…
When Symptoms Return Treatment for co-occurring disorders focuses on substance use and mental health issues. Relapse can mean a return of mental health symptoms or a return to using substances again. Because the issues are so interwoven, a return of symptoms in one category may initiate the return of problems…
The Beast Substance use and mental health issues often combine into a rapidly intensifying and destructive disorder. The illness is mean-spirited, intense, and appears intent on first capturing its victims and then killing its captives. Although the client is capable of reasoning, the co-occurring disorder stubbornly refuses to be reasoned…
What is Negative Thinking? Thoughts bombard us all day long like the steady stream of uninteresting commercial messages on AM radio. Almost all radio spots are just noise, irrelevant and unimportant. The same is true with our own thoughts. A few of these thoughts are prompts for action, interesting points…
I am involved in several intensive outpatient programs (IOP) that provide treatment and support for those with serious or critical mental health and substance abuse issues. These programs help our clients regain stability and develop skills to better navigate the journey in life that lies ahead. Those who are in…
Throughout life we are often irritated by people, annoyed by delays, and frustrated when things do not go our way. We too often display our irritation and live our lives almost constantly upset. Being frustrated from time to time is common and a fact of life. Everyone gets frustrated; however,…
Having committed yourself to recovery, you’re becoming increasingly dedicated to making it happen. Be willing to prepare yourself for long term success. Roger Maris, a famous New York Yankees baseball player from the 1950’s and 60’s, stated “You hit home runs not by chance but by preparation.” In recovery from…
Anticipating enticing and tempting situations and carefully managing them is an essential skill in a successful recovery program. Some circumstances and situations should simply be avoided. Don’t put yourself in harms way unnecessarily when it could be sidestepped. Other events can be managed with some planning. Consider the following refusal…
Refusing an offer to drink or use takes courage, inner strength, and self-confidence. The ability to refuse can be expanded by developing the related skills listed below. Assertiveness — Developing assertiveness skills will allow you to stand up for yourself, stick to your own opinions, protect yourself, and communicate honestly…
The best treatment is the one you get the most from. It’s not the treatment center that has the best staff, or the one with the shortest program. It’s not the center with the best cook and the best food. The best treatment is the one that does the most…
"Never, never, never give up!" – Winston Churchill Plan your course of action and stick with it. My talk today is not about taking vitamins, I promise. However, I do take vitamins every morning and have done so for the past 10 years. I never miss, yet every now and…
Defining Co-occurring Disorders Co-occurring disorders refers to an individual having one or more substance abuse disorders and one or more psychiatric disorders. The mental health problem and the substance abuse problem interact with each other and commonly increase the severity of both. This interaction between the two slows the rate…
Whenever you go through a hardship or a difficulty there are several important considerations. The first, is the devastating nature of the actual event, the second is the way the experience affected you. I tell my clients: “I care deeply what happened to you in the past, but I care…
“Don't give up at half time. Concentrate on winning the second half.” – Paul Bryant In the sport of football, each game has four quarters with a 12-minute break between the two halves. This break has the not-so-clever, intuitively obvious name of half-time. This mid-game break serves several purposes, including…
Troubles come in every shape and size. Depending on how you define it, trouble may visit uninvited, stay too long, and then stubbornly refuse to leave. If that’s the way it is–if trouble, difficulties, and hardships are commonplace in life then our challenge becomes learning what we can. Is it…
I Can’t Decide When making decisions you might notice you are more unsure, insecure, and hesitant than you want to be. Being filled with doubt can make life much more difficult. You might struggle with making decisions about social relationships, making purchases, choosing schools, selecting a career, finding a partner,…
Life is like hockey—you are going to get bumped. Someone on your own team will blindly run into with little concern and no apology. Don’t be shocked or upset if someone pushes you, is inconsiderate, or your move is perceived as a careless action. “Why not be offended and upset?” the…
I run mental health therapy and psychoeducation groups at a residential treatment center for men. From time to time I’ll take a $100 dollar bill out of my wallet (no, I don’t always have one) and show it to the men. I ask, how much is this crisp bill worth.…
It’s easy to be distracted and lose sight of what’s important. When that happens, it is common to rationalize and excuse the missteps of inattention. “This is really important. Anyone would worry about this.” Don’t rationalize your worries. Don’t defend your distractions. Don’t mentally wander aimlessly into someone else’s backyard.…
Permit me to start with an automobile analogy. In the old days before fuel injection systems, when cars had carburetors, engine flooding would occur if too much gasoline flowed into the carburetor which would prevent the car from starting. This was most common under cold conditions or if the accelerator…
Troubles come in every shape and size. Depending on how you define it, trouble may visit uninvited, stay too long, and then stubbornly refuse to leave. If that’s the way it is–if trouble, difficulties, and hardships are commonplace in life then our challenge becomes learning what we can. Is it…
Resisting Over-Protection Today, I want to examine several ways to repair relationships damaged by mental health or substance use disorders. At first glance, being ready to help at a moment’s notice might be perceived as a positive quality. However, becoming overprotective can be perceived as possessive, overly helpful, shielding, and…
Assertive traits include being confident, straightforward, and honest. Assertive people express their ideas, feelings and desires without second guessing or apology. They speak firmly in a way that respects the rights of others. Being assertive is a difficult skill to master, yet with practice can transform your communication and increase…
Yesterday I began discussing strategies to live above trying and difficult circumstances. Although difficulties and turmoil cannot always be prevented, I still can control my mood, attitude, and disposition. Rising above circumstances is a skill that can be developed. Here are three more tactics to help. 3. My story isn’t…
Do you ever have difficult weeks where every walk seems uphill, every stroke of the paddle is upstream, and every ride is against the wind? I’m not much for complaining; it’s sort of embarrassing for me. I’m more likely to keep it to myself and quietly move forward. For me,…
A New Twist on Codependency Family members of people with substance use disorders are often referred to as co-dependent. They are warned of rescuing and enabling addiction habits and lifestyles. Master’s level clinician and educator, Robert Weiss Ph.D.,MSW, has a helpful twist on understanding the interactions of families caught up…
“People don’t resist change. They resist being changed.” – Peter Senge Making Changes I have spent my 30+ year career helping people change. Unfortunately, without some guidance or intervention, most people are not changers – they’re justifiers. They often experience repeated and painful consequences yet continue to make similar mistakes.…
Looking for Approval Everyone needs encouragement and affirmation. Many people with co-occurring disorders desperately need encouragement on their recovery journey. For the downcast and dejected person, hearing something positive can be like a cup of cool water in a hot, parched desert. All too often, people are thirsty for affirmation,…
A Robust Recovery To keep your recovery strong, there are numerous things you should not continue to do. There would be places and people to avoid and habits to change. But there are numerous things you can do to build a robust recovery and prevent relapse from occurring. To the…
“If you’re going through hell, keep going.” – Commonly Attributed to Winston Churchill When the decision to enter recovery is made, the addiction is often out of control. Something must change, or nothing will change. Life has become unmanageable and there are problems that affect numerous areas of living. There…
Looking back over past behavior has some value, I suppose. The consequences of past behavior tell me I need to change, and hope tells me I can change. Both are important. Reviewing the damage that was done in the past can provide conviction that you are destroying the very thing…
Living in a negative world can sometimes take its toll, but you do not have to be at the mercy of a negative environment. There are practical ways to have a more positive state of mind. Like gravity pulling you down to earth, it is easy to be pulled down…
Psychiatric Access is Important Medications for co-occurring substance use and mental health disorders often provide substantial symptom relief and can be an effective part of treatment. Especially in the beginning of treatment, medications help clients focus more clearly and gain more from other therapies. Later, these medications may be used…
When people enter a relationship, it is common to ask “What is in it for me?” or “What will I get out of it?” Potential employees perhaps are considering how the job may affect personal or family life. Employers have their own set of questions that are also variations on…
Many people have a difficult time during the holiday season. Throughout the year, but especially from mid-November to mid-January, managing your mood, attitude, and disposition is extremely important. You can make good lifestyle choices and changes. Troublesome Holiday Stressors Consider the following areas of stress. Which is the most difficult…
A Time to Celebrate Holiday celebrations can be much-loved occasions, filled with family, friends, and fun. They often come with laughter, family time, parties, music, gifts, the joy of childhood, vacations, and much more. They can also be stressful and marked by family conflict, alcohol and drug temptations, financial stress,…
Embrace Another Chance Clients with co-occurring substance use and mental health disorders often arrive at a treatment center feeling discouraged. Mistakes and failures of the past are a primary motivator for seeking help. Past difficulties can interfere with the present moment. Previous relapse and failed treatment programs can add additional…
Addressing Emotional Problems It is vital for clients to understand the signs and symptoms of mental illness and address worry, stress, anger, anxiety, depression, and many other emotional concerns. In most treatment settings, clients are challenged to grow in problem-solving ability and psychological strength. Habits and routines that support drug…
Identify Faulty Thinking Evidence-based practices such as Motivational Interviewing, Cognitive Behavioral Therapy (CBT), and Twelve-Step Facilitation (TSF) help clients recognize past cognitive errors and create challenges for each thought distortion. Our therapy programs carefully examine common automatic negative thoughts, replacing inaccurate, exaggerated, and irrelevant thoughts with accurate, reality-based, and positive…
