Tag Archives: alcoholism

Angry Birds—the conflict between a young adult and her mother in recovery

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Melissa Killeen

Most people have been exposed to the difficulty young adults encounter when trying to separate from their parents, as enacted in the 2006 American romantic comedy film, Failure to Launch, starring Matthew McConaughey. The film highlights a young man’s struggle to detach himself from his parents coupled with the desire to remain a child, and the anger that results from the failure or success of doing either. The anger, however, is not just the property of the young adult; it is also owned by the parent(s) who want the same things for their child; to separate successfully while also wanting them to remain the elementary school child, fully dependent and unconditionally loving them. Things can get complicated.

Psychologist Jeffrey Arnett suggests that there is a new age classification, labeled emerging adults, which bridges the gap between adolescence and adulthood. According to Arnett’s theory, people in their 20’s go through a time of development that’s distinct from other stages of adulthood. Ronald Cohen, a Bowen Family Systems trained psychiatrist from Great Neck, NY, cites that “becoming an adult, leaving home and staying connected is the first stage in Carter and McGoldrick’s formulation of The Expanded Family Life Cycle. This Family Life Cycle transition can be described as beginning with the adolescent’s ‘identity crisis’. It continues through the transition to college and into young adulthood. Some young adults end up never leaving home. Others end up cutting off and becoming estranged and distant from their family. Both of these responses are sub-optimal solutions to the struggles of the launching phase.”

A emerging adult’s tasks in this transitional launching phase are primarily focused on the development of autonomy and healthy interdependence. Interdependence is defined as the mutual dependence between people, places and things, such as how a bee needs to pollenate flowers or when an emerging adult needs to borrow Mom’s car and will agree to take it for an oil change. The goal is to develop differentiation, for the emerging adult to become emotionally and financially accountable to one’s self, while at the same time maintaining connections with their family, without taking on their ‘stuff’.

Case in point, is the situation of my client, a 45-year-old alcoholic in recovery and her  21 year old daughter. The ‘stuff’ is this client’s addiction, the years of enmeshment and the trauma to which her daughter was exposed. My client and her not so perfect sobriety time, which includes two DUIs, an attempted suicide and three stints in a residential treatment center since 2011, is attempting to make amends. The daughter, who is attending college, living with a boyfriend on the other side of the country, is attempting to launch. On the surface, this relationship is like kerosene and water.

Ronald Cohen states “The way to develop differentiation is not to cut off, but to see other family members for who they are and stay connected with them despite their shortcomings.” Sometimes, it is so difficult to stay connected that the emerging adult just wants to run away and not fight this particular battle.

These two were supposed to have some family time together in Philadelphia over the Fourth of July holiday. Let’s just say this, the fireworks were not only in the air over Philadelphia this holiday weekend, but also in this suburban home with explosive interactions including threats, four letter words, the use of all capital letters in texts, and the triangulation of other family members. It was my role to shed some light on the right way to develop differentiation, which is not to cut off all relations to the family, but to see other family members for who they are and stay connected with them, despite their shortcomings.

Many times these shortcomings have caused this young woman significant trauma. How do you cope with a young adult that is very angry that their mother (or father) was a hopeless drunk during their upbringing or has a mental health diagnosis? What happens when recovery changes that parent? Maybe the emerging adult wants the ‘good old times’ to return. How does the young adult grapple with their perceived image of a perfect mother or a placid family life that rivals a TV sit-com? Add to that the difficult reality they are experiencing in their own life, perhaps they are considering a relationship with a partner or developing their own perceived image of themselves as a successful person. Where does the enmeshment stop and autonomy begin? How does this recovering parent deal with the anger and frustration that plays out during these episodes or the grief over the loss of their child if there should be a period of separation? How can any parent predict a ‘successful launch’ ? Can a child perceive what ‘recovery’ is for a parent?

Sounds like there will be some very interesting reading in the next few weeks. Stay tuned!

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My First Meeting with a Client

Melissa Killeen

Melissa Killeen

I know every client is nervous, unsure, and very vulnerable when they first meet their recovery coach. A typical client has just been discharged from an inpatient treatment center. It may have been the outpatient coordinator that suggested the client work with a recovery coach. Or maybe it was the therapist that the client employed after discharge. A coach can be there for a client during this incredibly difficult time. Of the clients discharged from rehab, 80% relapse in the first year. Of this number, 30% relapse in the first month. Those are some distressing numbers.

Not every client can walk into an AA or NA meeting and select a sponsor. Many have to wait a week before they even see their therapist for the first time or move into an Intensive Outpatient Program. Wouldn’t it be nice if someone was there to support this client as they move from the safe environment of an inpatient treatment center back to the very scary environment that they may blame for sending them to treatment in the first place.

My first meeting with a client is focused on establishing trust. Yes, hoping the client has trust in me as a coach, but also for me to establish the level of trust I have in that client. I ask the client to tell me the story of when they first picked up a drug or drink. I ask them their first childhood memory. We talk about expectations, and deliverables. How they think coaching will help them, and what I expect of them.

Many of those expectations are the business side of the recovery coaching relationship. For example: Don’t be late for an appointment; if they miss an appointment they pay for it. Other expectations are stated to establish firm boundaries, such as every face-to-face meeting I have with them will include a toxicology screen. The client must email or text me every day and call me when they are scheduled to call since the client has prepaid for this. I also lay out the ramifications if the client slips. I ask them outright what they think will happen if they slip.  Every client thinks I’ll drop them, cold, if they slip. I tell them that a slip is a learning experience and research shows that everyone will slip. But it is the full blown relapse we want to avoid. That’s why I will stick with the client through thick and thin. Asking, what have they learned? How will they change? Next time, what will they do differently?

After the tox screen I give the new client a Life Orientations Survey, which is a behavioral analysis. This is so I have a sense of what kind of behavior the client will display. I also request a spouse or partner take the survey. I request that the spouse take this behavioral survey so I can coach the client on how to deliver messages to the spouse in a way that the spouse can hear them.

After finishing up the negotiations on the monthly schedule and fees, I usually exit within an hour or an hour-and-fifteen minutes with a check for prepayment of next month’s coaching engagement.


If you are interested in purchasing Melissa Killeen’s new book, click below.

Recovery Coaching
A Guide to Coaching People in Recovery from Addictions

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Parents of Addicted Ones—How it Works

This is Part Two of a 3-part series on PAL, Parents of Addicted Loved-Ones, by Mike Speakman. Part One focused on how PAL started. Part Two explains how Pal works. Part Three will advise how to get involved. 

Mike Speakman, a Phoenix-based Family Education Coach, is the founder of Parents of Addicted Loved OnesContact Mike at: mike@pal-group.org or visit the PAL Group Site: www.pal-group.org

PAL
A support group for parents with a child suffering from addiction.
Part Two: How it works.

Parents of Addicted Loved-ones (PAL) is a support program for parents with a child addicted to drugs or alcohol. Some consider it an alternative, or supplement, to Al-Anon, the 12-step program associated with Alcoholics Anonymous (AA).

Founded in 2006 by Michael Speakman, LISAC, today there are 17 PAL meetings now in Arizona with new ones getting started in other states.

Speakman founded PAL specifically for parents because, “There is no human relationship like that between parent and child,” he says. “As the saying goes. ‘When it comes to our children, every parent is blind.’ However, any family member is welcome, including spouses and adult children.”

PAL aims to help parents or other family members deal with issues arising from an addicted loved one. These issues tend to be more alike than different, which is precisely why these groups work. Members quickly realize they are not alone, a big relief in and of itself.

Once family members realize a loved one is indeed addicted to drugs or alcohol, the big question is: What now? More often than not this gives rise to a broad range of feelings: anger, guilt, fear, loss, denial.

“If you have an adolescent son or daughter with an addiction problem you may still have some control over their actions,” Speakman says. “You may still win at the negotiation table, the place where your life and their life collides. But, when your child turns 18 everything changes. Now, you lose at that table every time, even when it looks like you’re winning”.

“That’s why parents get so angry. They wonder, why is this happening, how is this happening, what can I do to change it? Solving this mystery is the essence of the PAL curriculum.”

There are two parts to a PAL group meeting: an educational component and a sharing component. Along with information about addiction and recovery, PAL uses stories and metaphors to help parents better understand what they are up against.
For instance, a first-time parent might be asked to picture their child’s age. They are often surprised to find they picture a 25-year-old son as a 15-year-old adolescent. This mental picture is important because it shapes how they decide to help, which can turn into enabling a grown man to act as a boy. Once parents realize this, they gain a better understanding of the problem and more clarity on possible solutions.

“It is important for parents to realize they did not cause their child’s addiction any more than a condition like asthma or diabetes,” Speakman says. “Yet once they realize their child suffers from addiction they can learn about what to do just like with any other ailment.”

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