On the Nature of Addiction and the Loss of Hope

Guest post by David Chapman

The normal state of a productive and happy human existence includes a sense of hope. Dave Chapman block golf shirtThe  nature of addiction exhausts all sense of hope. The sense of hope is based on the understanding that the process of productive effort usually results in some observable, measurable improvement in the quality of one’s life and the lives of those important to the individual. The nature of having an addiction means the loss of this hope.

“I will restore my own sense of hope. I know if I exert control over my environment and my actions I will regain control of my life and I will have reason to be hopeful once more.”

If I chop some large amount of dry wood and keep it dry, my family and I will be warmed throughout the winter, our ability to survive the winter and the possibility of our thriving in the spring will be augmented. The hope of minimizing suffering, increasing comfort and sustaining enhancements in the quality of our lives is significantly based on the belief that the productive effort is worthwhile and that similar efforts in the future will also be worthwhile. 

The act of putting rational expectation – hope – into productive effort is based initially on trial and error. As demonstrated by observation and experience, it is then continued in the manner found to be most efficient.

I contend that addiction is more than chemical dependence. It is significantly, I believe, fueled by a sense of hopelessness resulting from the brutalization of our rational, reasonable expectations.

Children who are raised in emotionally-irrational or physically-violent households have their natural sense of hope altered and sometimes, sadly, destroyed altogether. Hope is similarly damaged in an adult body politic where effort goes unrewarded beyond a level of primitive sustenance and/or when participation in the political process is deemed to be futile and ineffective.

When we attempt to adjust our behavior to what we think are the demands or desires of those exerting control of our physical and intellectual environment, but those irrational behaviors continue, the ensuing sense of hopelessness – hopelessness based on rational observation – will continue and can threaten to become permanent.

The addicted personality may be able to overcome a physical addiction. However, until a sense of rational hopefulness is restored and we can believe that our thoughts and actions will have a beneficial impact on our lives, the spiritual addiction will probably not be overcome.


Dave Chapman is our guest blogger this week. Dave was born in Newark, New Jersey and grew up in the suburban town of Glen Ridge, New Jersey. He has been a shoeshine boy, a moving man, a golf caddy, a limousine driver, a truck driver, worked retail at The Home Depot, a life insurance agent, a stock broker and financial advisor. He studied the humanities and comparative literature at Ohio Wesleyan University. In addition to his motivational speaking and John Maxwell coaching affiliation, Dave is a freelance writer and teaches several classes in the Humanities as an Adjunct Professor at the Osher Lifelong Learning Institute at Rutgers University. He can be contacted by email at: davechapman@wellsaiddave.com

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Alcoholics need detox care

Melissa Killeen

Melissa Killeen

Alcoholics are not receiving the care they need for detox. As a recovery coach, I have seen a disturbing practice develop within the medical community involving detoxing an individual in extreme alcohol withdrawal. Not everyone who walks into an emergency room in withdrawal from an addiction is transferred to an inpatient detox environment. Detoxing from drugs will last as long as it might take for a person to safely withdraw from a specific substance, often at least 5 days. Drug detoxification can take place in inpatient settings, and according to the National Survey of Substance Abuse Treatment Facilities, about 6.5 percent of inpatient treatment facilities and 4.8 percent of hospitals provide this kind of care. At an inpatient detox treatment program, people have around-the-clock medical supervision that can help them to avoid serious complications caused by withdrawal, and people also have a safe and sober place in which to recover from their addictions, so they aren’t tempted to relapse.

Alcoholics are not treated in the same manner. Alcohol detox could take the same 5 days during which patients may experience a wide range of symptoms depending on the severity of their alcohol dependence. Symptoms experienced during detox may be as mild as a headache and nausea or as severe as delirium tremens (DTs), marked by seizures and/or hallucinations. Emergency Room’s expect alcohol detox to take 24 hours for the physical withdrawal symptoms to disappear, aided by intravenous dosages of phenobarbital. But the mental withdrawal takes much longer.

Most alcoholics are sent home by hospital emergency room physicians, with a script for Diazepam (Valium), lorazepam (Ativan), or chlordiazepoxide (Librium), and asked to return to their family practitioner for a follow-up in two days. Sending an alcoholic client to detox at home is a cop-out on the part of the medical and hospital community.

 
ERs and the behavioral health departments in most major-market hospitals are not equipped, nor do they have the beds, to house clients that are in withdrawal or detox from alcohol. Many of these hospitals have closed their detox centers. A cost cutting practice called “reducing the length of stay” mandates that the ER discharges a client to go home, as it costs too much for them to stay in the hospital, waiting for an bed to become available at a detox center. The client is sent home to make their own plans to enter a detox and/or treatment center.

To complicate matters further, there are very few free or low-cost detox facilities. For example, in the state of New Jersey, only two hospitals can provide Medicaid-covered detox treatment: in Paramus, Bergen County, the Bergen Regional Medical Center  http://www.bergenregional.com/Evergreen/index.html ) and in Atlantic City, the AtlantiCare Regional Hospital (http://www.atlanticare.org/index.php/mission-health-care ). In the private for-profit detox centers, there will be a Medicaid or charity-care bed or two, but these beds have a long waiting list, giving the individual only one option: to detox at home.

Individuals who need help with withdrawing from their alcohol addiction don’t have the time to wait—they are withdrawing now! It is generally assumed by the ER staff that alcoholics will be able to detox at home, with minimal health risks. Detoxing at home poses a significant problem: the maximum likelihood that the client in withdrawal will pick up a drink in their home environment.

This is where a recovery coach can help.

 
As long as these individuals have a recovery coach with them at all times, a coach who can step up and step in if something goes wrong, and to help plan for admission to a treatment center, this can be a safe strategy to follow.

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How can you heal the trauma within?

Melissa Killeen

Melissa Killeen

Trauma changes you. You might not necessarily like that change. How can you heal the trauma within? You have the ability to transform yourself into a healthier person. You have enormous healing potential; the goal is learning to access it—and then to use that potential to heal the trauma, release the addiction(s), and obtain a glorious new life.

Without your consent, trauma can change you, often into a person you’d rather not be.                                                                           -Michele Rosenthal

Working through trauma can be scary, painful, and sometimes retraumatizing. Because of the risk of retraumatization, this healing work is best done with the help of an experienced trauma specialist. The clinical term for a therapist that has experience in treating trauma  is a trauma informed therapist. The therapist will be able to answer questions over the phone as to his/her experience in trauma-informed care. You want to ask if they are experienced in EMDR, Light Entrainment or Somatic Experiencing.

Treatment for Trauma

When a trauma memory is triggered, your nervous system gets stuck in overdrive. Successful trauma treatment revisits these traumatic memories, and allows you to observe the trauma and your “fight-flight-freeze” response. The therapist will establish a sense of safety and help you resolve the past traumas. The following therapies are commonly used in the treatment of PTSD, emotional and psychological trauma:

    • Somatic Experiencing:  Somatic processing of trauma takes advantage of the body’s unique ability to heal itself. The focus of therapy is on bodily sensations or movements (like excessive leg movement, wringing of the hands or profuse perspiration) rather than thoughts and memories about the traumatic event. By concentrating on what’s happening in your body, you gradually get in touch with trauma-related energy and tension. The therapist will encourage you to safely release this pent-up energy through shaking, crying, and other forms of physical release.
    • EMDR (Eye Movement Desensitization and Reprocessing): This practice incorporates two paddles that when held in your hands vibrate, and a headset that sends a low tone alternating between one ear and the other ear. The tones and the vibration of the paddles distract the conscience mind, allowing for the unconscious or sub-conscience memories to arise. The therapist and you explore these memories and discuss them in an attempt to resolve the feelings around the trauma.
    • CLEAR Therapy (Colored Light Entrainment and Re-patterning) Clear Therapy is a method of releasing unresolved core emotional issues using colored light. When a flashing light is emitted into the eyes, the brain adopts the rhythm of the strobe. In the initial intake session, you look at eleven different colors of flashing light and the therapist is able to pinpoint issues based on what you see in each color. In the following sessions, the feedback from your perception of the colors enables the therapist to uncover core beliefs that drive your thinking, feelings or behavior. CLEAR is coordinated with eye movement (see EMDR), breath work and meridian-based therapies (see EFT) to facilitate rapid resolution of the problem.
    • LST (Light Stimulation Therapy) LST enhances learning abilities and performance by stimulating the eye and brain with light. A LST session has you sitting comfortably in a darkened room, looking at a waveband of colored light, which is focused directly on your eyes. It is advised to have three to five sessions per week until a total of 20 sessions is completed. At the end of the 20 sessions there is a reevaluation to determine the necessity of further treatment.
    • The Brain and Brainwave Entrainment-The DAVID Device: The senses of sight and hearing, by their very nature, provide a favorable environment for affecting brainwaves. By presenting pulsed audio and visual stimulation to the brain, the brain begins to vibrate at the same frequency as the pulsed audio from the DAVID Device. The device sends flashes of lights into a pair of glasses, and pulsed tones through a pair of headphones to gently guide the brain into altered states of consciousness.
    • The Green Wave Therapy: The Green Wave Therapy is a technique that combines green laser light, micro-current energy, and some of the principles of EMDR and EFT (see below). You rest on a massage table, and a micro-current device focuses on the region between your eyebrows. You hold the EMDR paddles in your hands as they pulse rhythmically. You also wear a headset that delivers audio tones in unison with the paddle’s vibrations. The practitioner stands back about four to five feet and encircles the entire body with green laser light. With every one- to two-minute pass, the clinician checks the level of distress you are experiencing while thinking about the trauma.
    • Emotional Freedom Technique (EFT): Based on impressive new discoveries involving the body’s energies, EFT has been reported to be 80% clinically effective in relieving trauma. The EFT procedure involves tapping with the fingers on points on the body that are associated with acupuncture pressure points. While performing the tapping sequence, distressful thoughts and/or events are targeted and healing statements are repeated out loud. EFT often works where nothing else will. It is rapid, long-lasting and gentle. No drugs or equipment are involved. It is easily learned by anyone in less than an hour. EFT techniques can be taught and be self-administered.

Trauma Recovery Tips

Recovering from emotional and psychological trauma takes time. Give yourself time to heal and to mourn the losses you’ve experienced. During your trauma therapy there are some self-help strategies to keep you healthy and continue the healing between your therapeutic sessions:

           1: Don’t isolate

           2: Stay grounded

           3: Take care of your health

Don’t try to force the healing process. Be patient with your pace of recovery. Finally, be prepared for difficult and volatile emotions. Allow yourself to feel whatever you’re feeling without judgment or guilt.

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