Addiction and Recovery

By Bob Gaydos

“I’m a single mom. I work hard. I deserve it.”

   Perhaps lost to the public in the daily onslaught of massive cuts to the workforces of federal agencies is the 10 percent reduction, with the threat of possibly another 50 percent to come in one of the smaller, but not unimportant, agencies: SAMHSA.

    SAMHSA stands for Substance Abuse and Mental Health Services Administration. It is part of the federal government’s health network. Its mission:  “To lead public health and service delivery efforts that promote mental health, prevent substance misuse, and provide treatment and support to foster recovery while ensuring equitable access and better outcomes.” It used to say for all.

     Like other federal agencies, SAMHSA employees say they can’t effectively deliver on their mission without sufficient resources.  Among the services provided to local mental health agencies and local governments are the 24-hour suicide hotline and information and resources to deal with drug addiction and alcoholism.

      Seeing as the new health commissioner, Bobby Kennedy Jr., has a history of drug addiction, and tea-totaler Donald Trump has an oft-stated fear of alcohol and alcoholism, having watched his brother Fred die in his 40s of the disease, it’s surprising to me that they would want to weaken this particular agency. 

   Then again, maybe Elon Musk didn’t tell them about these cuts and resents Kennedy reviving studies to try to tie the use of vaccines to autism, a theory long disproved.

    In any event, one of the useful services provided by SAMHSA is a self-test to determine if you have a problem with alcohol. I’ve run the test a number of times in this column and it seems to be an appropriate time to do it again. It’s called AUDIT.

       AUDIT stands for alcohol use disorders identification test. It’s the most widely used test in the world and is compiled by the World Health Organization. Shhh. Don’t tell Trump.

       And be honest.

The AUDIT

Please circle the answer that is correct for you

1. How often do you have a drink containing alcohol?

• Never
• Monthly or less
• 2-4 times a month
• 2-3 times a week
• 4 or more times a week

2. How many standard drinks containing alcohol do you have on a typical day when drinking?

• 1or2
• 3or4
• 5or6
• 7to9
• 10 or more

3. How often do you have six or more drinks on one occasion?

• Never
• Less than monthly
• Monthly
• Weekly
• Daily or almost daily

4. During the past year, how often have you found that you were not able to stop drinking once you had started?

• Never
• Less than monthly
• Monthly
• Weekly
• Daily or almost daily

5. During the past year, how often have you failed to do what was normally expected of you because of drinking?

• Never
• Less than monthly
• Monthly
• Weekly
• Daily or almost daily

6. During the past year, how often have you needed a drink in the morning to get yourself going after a heavy drinking session?

• Never
• Less than monthly
• Monthly
• Weekly
• Daily or almost daily

7. During the past year, how often have you had a feeling of guilt or remorse after drinking?

• Never
• Less than monthly
• Monthly
• Weekly
• Daily or almost daily

8. During the past year, have you been unable to remember what happened the night before because you had been drinking?

• Never
• Less than monthly
• Monthly
• Weekly
• Daily or almost daily

9. Have you or someone else been injured as a result of your drinking?

• No
• Yes, but not in the past year
• Yes, during the past year

10. Has a relative or friend, doctor or other health worker been concerned about your drinking or suggested you cut down?

• No
• Yes, but not in the past year
• Yes, during the past year

Scoring the AUDIT

Scores for each question range from 0 to 4, with the first response for each question (eg never) scoring 0, the second (eg less than monthly) scoring 1, the third (eg monthly) scoring 2, the fourth (eg weekly) scoring 3, and the last response (eg. daily or almost daily) scoring 4. For questions 9 and 10, which only have three responses, the scoring is 0, 2 and 4.

The range of possible scores is from 0 to 40, with 0 indicating an abstainer who has never had any problems from alcohol. A score of 1 to 7 suggests low-risk consumptions, according to World Health Organization (WHO) guidelines. Scores from 8 to 14 suggest hazardous or harmful alcohol consumption and a score of 15 or more indicates the likelihood of alcohol dependence (moderate-severe alcohol use disorder).

If your score concerns you, there is help available. Talk with your primary care doctor. Call an Alcoholics Anonymous hotline in your area. Call a mental health crisis hotline if one is available.

   Excessive alcohol use is now classified as a mental disorder by health officials, somewhat in response to the stigma attached to the word “alcoholic.”  However, most recovering members of Alcoholics Anonymous have no problem with identifying as such. In any case, it is not a moral failing. It can be treated. First, it has to be acknowledged.

    Again, be honest.

By Bob Gaydos

What you see and hear is what you get.

  Kamala Harris is in excellent health and able to handle the stresses of the presidency.

    Donald Trump is not.

    How do I know? For one, I have eyes and ears. For two, I have a medical report from a licensed doctor. One report. From Harris’s doctor. Trump, although he said he would, has typically refused to provide one.

    Harris, who turns 60 on October 20, is also in full possession of her mental faculties. She talks in complete sentences, answers questions, basically walks and talks and behaves like a mature, intelligent woman in the prime of her life. Again, eyes and ears.

    Trump, 78, is old, but not good old. Not wise and thoughtful old. Not even curmudgeonly. He rambles, confuses people’s names, doesn’t answer questions, makes absurd statements about sharks and windmills and water faucets, insults and threatens people and calls Harris “retarded.“ Nasty, increasingly out of touch old.

    Harris released a detailed medical report from her physician last week. Instead of receiving it as a normal facet of a presidential campaign, some news media tried to portray it as her campaign trying to “take advantage” of Trump’s age.

         Excuse me? Are we living in the same universe? Are these the same people who until recently were reporting daily on Joe Biden‘s age-related “issues” to the point he withdrew from his presidential campaign in favor of his vice president?

        In the first place, politics is all about taking advantage of your opponent’s weaknesses. And Trump has plenty of them.

         In the second place, Biden was still, and is still, functioning as president in what appears to be a capable manner. That’s because he is smart, understands through experience how government works and cares about people. Trump is none of that. Never has been. Again, eyes and ears.

         Trump said in August he would “very gladly” release his medical records. Like his tax returns, they remain a secret from the American people he wants to vote for him for president. Trust him.

         Instead, his campaign chairman released a brief statement from Trump’s personal physician saying his patient was in “excellent” overall health. No details.

          The chairman also released two statements from Ronny Jackson, Trump’s former White House physician (remember the basic cognitive test Trump bragged about passing?) who treated Trump after he was shot at a rally in Pennsylvania and stayed with his campaign for a while. 

          Jackson, who was an admiral when he worked at the White House and still refers to himself as an admiral, is now a retired captain. The Navy busted him for unbecoming behavior, including excessive drinking, making passes at female employees and bullying staff. Also, taking Ambien, a sleep-aid drug, while on duty at the White House. This was all apparently sufficient reason for voters in Texas to elect him to a seat in Congress, with Trump’s backing.

          There’s also some question about Jackson’s medical license. His license in the state of Virginia expired in 2020. Jackson is still certified by the American Board of Emergency Medicine, which allows him to provide emergency medical services only. His license in Florida is listed as “Military Active,” meaning he is only able to administer medical treatment at military facilities. Not Mar-a-Lago.

     So, one candidate, 59, has issued a thorough medical report from her doctor, giving her a clean bill of health to handle the job of president. She also walks and talks like one in public.

     The other, much older, candidate has issued a brief statement from a busted former Navy doctor with a drinking problem. He says the old guy is good to go.

      The 78-year-old (overweight) candidate spent a half hour at his most recent rally ignoring questions and just standing on stage swaying woodenly to music while occasionally throwing out an insult at some group of non-white people. Then he shuffled off.

         Eyes and ears, people. Take advantage.