Posts Tagged ‘relapse’

Celebrating the Holidays in Recovery

Wednesday, December 13th, 2023

Addiction and Recovery

By Bob Gaydos  

“No, “is an acceptable answer at holiday parties.

“No, thank you“ is an acceptable answer at holiday parties.

It’s time for the annual reminder. The holiday party season is always a potential source of bah humbug, what with the flu (and now Covid) potentially lurking around, but it is an especially 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, herewith, 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. There are plenty of new ones available. 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 maybe have a couple of spare masks around for guests who may feel a bit vulnerable.

Enjoy your party.

                                             ***

For recovering addicts, the tools should be familiar, but always bear repeating:

  •  Bring a recovery friend to a party.
  •  Have phone numbers and your own transportation available if you want to leave an uncomfortable situation.
  •  If you’re uncomfortable about attending a party because of who will be there, be it family or friends who are not supportive, don’t go. Politely decline. 
  •  Keep track of your drink. If you’re not sure, get a new one.
  •  When shopping, deal in cash; forget about credit cards.
  •  Don’t feel obliged to try every dish on the table. 
  • And, again, “No, thank you,” is a complete sentence. Don’t worry about hurting your host’s feelings at the expense of your recovery. There’s always next year.

Enjoy your recovery.

For more information:

Alcoholics Anonymous: www.aa.org

Overeaters Anonymous: www.oa.org

rjgaydos@gmail.com

 

Study: A.A. Meetings May be Lifesavers

Friday, March 25th, 2022



Addiction and Recovery

By Bob Gaydos

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

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

 

Whitney and Josh and Their Disease

Wednesday, February 22nd, 2012

Josh Hamilton

Whitney Houston

By Bob Gaydos
In a week filled with sometimes lurid, often fawning stories about the death of Whitney Houston, it was once again evident how little most Americans know about addiction or, in fact, how little they seem to care to know.
The pop icon’s longtime battle with drugs was well-known, yet when she died in unusual circumstances, the two most popular theories put forth were that she had suffered from a drug overdose or that her doctors — the new media favorite suspect since the Michael Jackson case — had somehow killed her by messing up prescribed medications.

 

Both are possible, of course. But it is also quite plausible that the years of abusing her body with drugs and alcohol had taken an early toll on her, as they had with an even younger Amy Winehouse. But the only fact of which anyone is certain right now is that no one will know what killed Whitney until an autopsy is completed.

At the same time, there has been a noticeable lack of criticism aimed at Houston for her drug-filled lifestyle while her fans ease their grief by remembering her in better times, on stage, in recordings, in the movies. It’s as if Whitney the superstar, in death, was now finally beyond rebuke and, officially and irrevocably, a victim of addiction.

That’s an awfully steep price to have to pay for society to at last acknowledge your disease. Unfortunately, it’s not at all uncommon. People who struggle with addiction and who relapse — but do not die — are more likely to feel the sting of society’s tongue. Indeed, for those not afflicted with alcoholism or drug addiction, probably the least understood aspect of recovery is the relapse, especially when it follows a significant period of sobriety. The same questions inevitably come up. How could he drink when he knows how much he has to lose? How could she use drugs again knowing it would hurt her family?

The questions themselves define the disease of addiction. Quite simply, relapse, while not a requirement of recovery, is nonetheless a part of it for many people. Houston herself was an example. Addicts do things that defy reason and common sense, often to the harm of themselves and those close to them. That’s why recovery programs stress the need for addicts to develop a new way of thinking, a new way of living, a new image of themselves that does not include using alcohol or drugs.

It is not easy to make this change, but with time, the support of loved ones and constant attention to the new behaviors suggested as a way of living a sober life, it gets easier. It becomes the addict’s new normal way of living, in good times or bad.

Recently, another celebrity — although not in Houston’s orbit — apparently forgot that basic fact of recovery life. Josh Hamilton, the star outfielder for the Texas Rangers and probably the best-known admitted addict in baseball, acknowledged that he had relapsed. He apparently had several drinks in a bar with “friends,” called a teammate who talked with him and dropped him at home, then went out again and had a few more drinks. Hamilton said at a press conference the next day he had had a ”weak moment” and was drinking over “personal reasons.”

Being a high-profile professional athlete, Hamilton’s history with addiction and recovery has been well chronicled. He has been dealing with it for 10 years, even being suspended from baseball for two years for alcohol and drug abuse. But he had been clean and sober for two years before his “slip” and his public honesty about his disease has been praised. At the same time, Hamilton has received a lot of criticism among sports reporters for his slip, mostly of the “how could he do that?” variety.

But the fact of the matter is that celebrities must deal with the same challenges in recovery as the businessman next door, the veteran teacher, or the local plumber while living in a pressure-packed public bubble. There is no anonymity for Whitney Houston or Charlie Sheen … or Josh Hamilton. There is no way for them to try to justify their risky behavior as acceptable just because nobody saw it. This means Hamilton, and other athletes and celebrities who live with addiction, must be even more diligent in following their sober routine — in accepting their disease — if they want to avoid relapse.

One of the striking facts in the stories about Hamilton’s relapse is that he no longer had an “accountability partner” assigned to him by his team. The “partner,” the equivalent of a sponsor in Alcoholics Anonymous, went everywhere with Hamilton when he wasn’t playing ball or at home. But the coach who had the job recently took a job with another team and Hamilton was doing it on his own.

That may be possible for people with several years of clean and sober time, but it is not recommended. Besides, Hamilton’s recovery has been a series of relapses, suggesting he still hasn’t fully surrendered to the concept of addiction. That’s not unusual, but many people who have trouble staying sober and who relapse several times do eventually get sober and lead fulfilling, contented lives. For every Whitney Houston and Amy Winehouse there are dozens of sober celebrities who are leading contented lives, not creating headlines..

That’s why it’s important when an addict relapses to resist the easy temptation to question and criticize him because “he has so much to lose” or “he let down so many people who care about him.” Yes, it is about taking responsibility for one’s actions, but recovery is also often about second or third chances. The Texas Rangers, with a manager who is also a recovering drug addict, appear to understand this. They assigned Hamilton a new accountability partner.

Hamilton also apologized to “fans, kids, people who have addiction who look up to me.” That’s all well and good. But he’s been dealing with addiction long enough to know that other recovering addicts aren’t putting him or any other celebrity addict on a pedestal. There are no all stars in the battle and there is no “I” in recovery. But no addict living with what is often a fatal disease should have to die for the rest of the world to finally get it.

Bob Gaydos also writes a regular column on addiction and recovery. bob@zestoforange.com