Addiction and Recovery

By Bob Gaydos

The absence of in person meetings lead to relapses, a study suggests.

   “Don’t drink … and go to meetings.”

    “Meeting-makers make it.”

    Those two bits of advice — “suggestions” as they are officially considered — have been welcoming newcomers to Alcoholics Anonymous ever since the group was born 86 years ago. 

     The message is simple: Alcoholics, especially those new to recovery, are more likely to get and stay sober if they keep regular contact with other alcoholics in recovery. The “all in the same boat” philosophy. “We” get sober, especially if some of us know how to do it and can guide others. Fellowship. Coffee. Hugs and handshakes. Easy does it.

      Then came COVID. No more hugs. No more handshakes. No more coffee. No face-to-face support and fellowship. And for some, no recovery. Or worse.

       According to a recent report published in the Journal of the American Medical Association, alcohol-related deaths increased by 25 percent in the United States in the first year of Covid. Researchers from the National Institute on Alcohol Abuse and Alcoholism (NIAAA) looked at mortality data to compare the number of alcohol-related deaths among persons aged 16 and older in 2019 and 2020. Deaths were considered to be alcohol-related if alcohol was listed as an underlying or contributing cause.

          The report found that the number of alcohol-related deaths, including from liver disease and accidents, jumped to 99,017 in 2020, up from 78,927 the previous year. That 25 percent increase is compared to an average increase of 3.6 percent annually for the previous 20 years. Perhaps not surprisingly, in response to the pandemic, many Americans drank more. They binged more. And more of them died because of it.

           The researchers cited the stress of living with all the changes and restrictions of Covid, including isolation, as a major factor in the increase in drinking and deaths. Of course, isolation and feeling stressed are major reasons many alcoholics drink. Recovery is largely about dealing with stress and other people without drinking.

         In addition to the Covid-related stress in general, it became more difficult to seek help at rehabs. Hospitals with recovery programs were swamped with Covid patients. The researchers say many people got discouraged and just put off looking for help.

            And for those meeting-makers, there were no more meetings. At least not in person. The researchers also said they assumed many people in recovery relapsed because they couldn’t access any in-person support, including from 12-step groups like AA.

           To be sure, Zoom meetings proliferated online and many AA members found themselves staring at their smart phones or iPads, communicating with alcoholics across the nation and, indeed, across the world. The messages were the same, just not in person. Make your own coffee. Hug your cat. It was new and, for many, a welcome lifeline.

         But for many others, this wasn’t enough. Having been resourceful about managing to get a drink, a lot of alcoholics in recovery did manage to figure out how to have meetings in person, safely.

         In New York’s Mid-Hudson region, some began meeting in their cars in parking lots. Once the weather warmed up, groups with venues that offered private space began meeting outside. Bring your own chairs and coffee. Meetings sprang up in parks throughout Orange, Ulster and Sullivan counties. If there was a park pavilion with a large crowd of people sitting quietly and sipping coffee, there was a good chance it was an AA meeting. The restrictions or requirements changed with Covid. Masks, sanitizer, and social distancing were common place.  It wasn’t the same, most agreed, but it was far better than not meeting at all.

      COVID is not yet gone. It seems to keep reinventing itself. Local AA groups continue to adapt as well, most now meeting indoors, with or without masking and distancing rules. For many, the coffee pots are back. Zoom meetings continue.

      But the importance of in-person contact is not lost on many members.

       “The meetings are where I get my medicine,” says F.G., a longtime member from Orange County. “I need to see the faces,” he says.

        More personally, G.E., an Ulster County resident, says he was within months of 25 years of sobriety when he stopped going to meetings and eventually relapsed. Then Covid arrived. Back a couple of months now, he says, “I must treasure my sobriety. I have to respect it. I thought I could do it without the personal contact. I couldn’t. Now, I really enjoy the fellowship.”

       At least one study suggests there’s a compelling reason to continue to do so.

rjgaydos@gmail.com

 Reprinted in honor of Alcoholics Anonymous’ 87th birthday, June 10, 2021.

By Bob Gaydos

     Denial is the first, big obstacle. Until and unless they can admit they were powerless over Donald Trump, Republicans have no hope of recovering. They will be forever known as Trumpaholics, people addicted to avoiding reality and destined for a life that is, by any reasonable measure, unmanageable. I cite the last five years as evidence.

      But, as they say, there is a solution, one that has changed lives for the better for millions of people worldwide — a 12-Step program. It has worked miracles for alcoholics; it can work for Trumpaholics.

       I’ve written on addiction and recovery for more than a dozen years. One of the recurring stories I’ve heard over that time is that the 12 Steps of Alcoholics Anonymous are not just a proven way to stop drinking, but also an excellent formula for living a good life. Getting rid of the booze — or in this case, the Donald — is only the beginning. Republicans can reap these rewards, individually or as a party … but only if they really want to change.

        So, with a deep bow to Bill Wilson and A.A. and adapted in all humility, here are the 12 Steps of Recovery for Republicans:

1. We admitted we were powerless over Trump, that our party had become unmanageable.  This state of affairs is usually evident to non-addicts of the individual’s acquaintance well before that aha! moment arrives, if it does. Members of A.A. say this is the only step they have to get perfect, for obvious reasons. If a Republican can’t admit — still — that Trump dominates his or her every political thought or action, there’s no sense going on to Step 2. Denial. However, if Republicans can look at the past five years of saying yes to virtually everything Trump did or said and acknowledge the trouble that this blind obedience, this dependence, has caused in Republicans’ lives (broken relationships, lost jobs and opportunities, ruined reputations, trouble with the law) as well as the pain it inflicted on the lives of many others, there is hope.
2. Came to believe that a power greater than Trump or Mitch McConnell could restore us to sanity. (No one said this was easy.) No, this does not mean everyone becoming Evangelical Christians. Quite the opposite. That would simply be swapping blind faith in Trump for blind faith in other con men and women. Give me your money and you will be saved. For a party that professes a belief in strong family values and makes a public display of respecting religious (well, Christian) teachings, this should not be a problem. Theoretically. However, I think it could be challenging to many Republicans who have become used to giving lip service to their professed religious beliefs. Skeptical alcoholics are sometimes advised to pick a higher power of their own choosing or at least to believe that someone whose sobriety they admire has such a belief. Instead of putting their hands on some charlatan’s shoulders and bowing their heads, supposedly in prayer, Republicans should look within the ranks (or without) for a source of strength, hope and faith and emulate that person. It should be someone with a sincere, demonstrated, spiritual footing. Hint: it’s not Ted Cruz. Not a Koch brother or Rupert Murdoch either. Keep looking. Someone more like Lincoln, remember? It may take a little time. That’s OK.
3. Made a decision to turn our will, our money and our platform over to the care of whatever power we came up with in Step 2.  A key step. Last time out, Republicans did this almost accidentally with Trump. That was blind, misplaced faith in the flashy guy. No willpower, true, but no sense of shared responsibility to the greater good. This time, they need to decide to follow the lead of someone with sound moral principles and then lead their political lives accordingly. That is, decide to do the rest of the steps.
4. Made a searching and fearless moral inventory of ourselves. This step could be a problem for a lot of Republicans because it requires honesty. But if they want to change, they need a list of the things they want to change. For example, lying that the presidential election was stolen while knowing there was never any proof of this would be something to put high on the list. Lying is bad, even in politics. Hypocrisy is just a fancy word for lying. Also, stealing and harming others so as to benefit yourself. Breaking the law, too. All Trump’s pardons did not remove the guilt, they merely freed the guilty.
5. Shared with that higher power from step two, with ourselves and another human being the exact nature of our wrongs. In other words, look in the mirror and say, “I have been a self-serving, lying, backstabbing, selfish, hypocritical, cowardly son-of-a-bitch for the past four years,“ and then release a statement to that affect — in detail — on social media. Get Liz Cheney or Lisa Murkowski to pose in the picture with you. Piece of cake.
6. 6. Were entirely ready to have my higher power (with the help of a new party leader of sound moral standing) remove these defects of character. Basically, Republicans must resign themselves to the fact that they have been a group of self-serving, lying, cowardly, etc. since they chose Trump as their leader. This is the truth, the real news. When and if they accept it, they can move on to Step 7.
7. Humbly asked him or her to remove our shortcomings. Harder than it sounds. First of all, shortcomings seldom ever really go away. They find new hiding places. Republicans will have to become aware of them and try to avoid them. Stop lying about the deficit, That’s a lifetime of work and will require humility. Good luck finding someone to explain that concept to Republicans. Again, not Ted Cruz, who confuses humiliation with humility.
8. Made a list of all persons we had harmed and became willing to make amends to them all. Really. You don’t get to totally screw up a country and just walk away like nothing happened. Not if you want to change. Start with the kids in the cages.
9. Made direct amends to such people wherever possible except when to do so would injure them or others. Again, start with the kids in the cages. That last part lets Republicans stay out of jail and not hurt their own family by admitting how they routinely cheated minority voters with sketchy redistricting plans and harsh voter registration laws.
10. Continued to take personal inventory and when wrong promptly admitted it. This is the new way of living part of it. “I’m sorry; I was wrong.” Try not to abuse this step.
11.  Sought through regular meetings and work sessions, at which an honest exchange of ideas is encouraged and welcomed, to maintain contact with our new party leader seeking only to learn what the new Republican Party stands for and the power and courage to carry that out. Prayer and meditation wouldn’t hurt either.
12. Having had a major reprieve and possibly a spiritual awakening as the result of these steps, we tried to carry the new Republican Party message to Trumpaholics and others and to practice its new principles in all our affairs. One day at a time.

   That’s it. The formula for recovery for the Republican Party. But there is one thing more. With alcoholics, the drinking is just a symptom of the disease. When the drinking stops, the disease (much of the behavior) doesn’t go away. That’s why recovery is a daily practice. To avoid relapse.

   The real question for Republicans is what made them Trumpaholics in the first place.

rjgaydos@gmail.com

Bob Gaydos is writer-in-residence at zestoforange.com.

Addiction and Recovery

By Bob Gaydos
  I’ve written a column on addiction and recovery for more than a dozen years. A staple of the column has been a sort of “word to the wise“ on how to survive the holidays for those in recovery. It also serves as a guide to party hosts who may not be in recovery.
This year, things are more complicated. For starters, the parties have to be much smaller and confined to people you have good reason to believe are Covid free. Large parties, especially with strangers, are out. Hopefully the vaccines work and we can return to bigger gatherings next year. But even at small gatherings, the risks to those in recovery are real. So listen up.

This is a treacherous time of year for people in early recovery from addiction. People who have found their way to recovery, be it via a 12-step program or otherwise, have been given suggestions on how to survive the season of temptation without relapse. If they use these tools, with practice, they can even enjoy the season.

It’s the rest of you I’m mainly talking to here. You hosts, family members, well-meaning friends who want to be supportive and do the right thing, but aren’t sure what that is. And yes, to those who don’t get the concept of addiction at all, but can still avoid harming a relationship by following a few basic suggestions. So, some coping tools for the non-addicted, if you will:

“No thank you” is a complete sentence and perfectly acceptable answer. It should not require any further explanation. “One drink won’t hurt you” is a dangerously ill-informed reply. The same goes for, “A few butter cookies won’t hurt. C’mon, it’s Christmas.” Or, “Get the dress, Put it on your credit card. You’ll feel better.” Not really.

By the way, “No thank you” is an acceptable answer even for people not in recovery. Not everyone who turns down a second helping of stuffing or a piece of pumpkin pie is a member of Overeaters Anonymous. Not everyone who prefers a ginger ale rather than a beer is a member of AA. Not everyone who won’t go into hock for an expensive New Year’s Eve party is a compulsive debtor. But some of them may be.

If you’re hosting a party to which people in recovery have been invited, have some non-alcoholic beverages available. Not just water. Don’t make a big deal about having them, just let your guests know they are available. The same goes for food. Have some appetizing low-calorie dishes and healthful desserts on hand. Don’t point out that they’re there because so-and-so is watching his weight. Just serve them. You’ll be surprised how many guests enjoy them and comment on what a good host you are.

If you’re honestly concerned about how the person in recovery is doing, approach him or her privately. He or she might not feel comfortable discussing it in front of other guests. If you’re just curious, keep it to yourself.

Honoring a guest’s wishes is a sign of respect. Anticipating them in advance is even better. Encouraging someone to eat, drink or spend money when they don’t want to is, at the very least, not gracious. Pressuring someone to partake of something when you know he or she is trying hard to avoid it is a good way to lose a friend. Addictions are not trivial matters. “No, thank you,” is a perfectly good answer. Members of AA, OA and DA will be especially appreciative if you remember that.

And for those in recovery, remember to bring a phone with plenty of numbers and have a way to leave the party if you become too uncomfortable. There will be other parties, but there may not be another recovery.

Be smart and enjoy. Have a mask handy or, if need be, make a virtual appearance this year. Happy holidays.

rjgaydos@gmail.com
Bob Gaydos is writer in residence at zestoforange.com.