Sunday, September 8, 2013

Addiction: Solving the Equation of Sobriety



Are you struggling to control your substance use? Read on to find useful tools for sobriety

Have you found yourself drinking or drugging more heavily than usual? In isolation? When stressed, depressed, or angry? Blacking out? Uncomfortable when alcohol/drugs are not around? Guilty about your use?  If you answer yes to these questions, you may have a problem with substance use.

Accepting that you are an addict is an enormous accomplishment.  Many people begin on this journey with a specific question—“Why me?”  They ponder why in social settings everyone else can stop drinking (or drugging), but they go home and continue to secretly drink, with a lack of self-control, which eventually spirals into a vicious cycle of self-loathing and disgust.

I encourage self-exploration as a means to insight into how one has developed the disease of addiction, but from my experience, I have found that no matter the reason that led to addictive behavior, finding the answer to this initial question does not typically lead to “cured behavior.”  It is rare that a client says, “Ah ha! I am an addict because I have a family history of addiction, I self-medicate with alcohol when I feel depressed, and I know that once I have one drink, I can’t stop….Now that I know this about myself, I just won’t drink anymore.” 

Addicts crave instant gratification, so the idea of “one day at a time” (and in some instances, one minute at a time) can be disheartening.  Examining past errors and making amends is an important aspect of recovery work, but I like to emphasize the significance of forward, hopeful thinking.  Sobriety means taking back control of your behaviors, and making a choice to abstain (actively denying yourself alcohol/drugs), which leads to feelings of greater control of your emotions and relationships.
The hard, frustrating truth is that there is no magic cure to addiction.

Instead of a “cure,” think in terms of a formula!  Caroline Knapp, author of Drinking A love Story, once wrote “Discomfort + Drink= No Discomfort,” but after the initial protection of alcohol wears off (usually after your relationships fall apart, your work suffers, legal and financial trouble sets in), the equation becomes “Pain + Drink= Self-obliteration.”

So now, in terms of recovery, try this formula:

Self-awareness + Psychoeducation + Motivation + Commitment + Coping Skills + Social Support= Sobriety

Let me break it down a little for you:

Self-Awareness= Know your triggers (people, places things) and red flags to relapse (changes in your mood, attitude, behavior).  Are you starting to isolate more? Increase in irritability? A shift towards an “I don’t care” attitude?

Psychoeducation= Learn about the disease of addiction and how addiction affects the brain 


Motivation= Try rating your current motivation for recovery on a scale from 1-5 (5= most motivated). It’s unrealistic to think you will be a 5 everyday.  Think of motivation moving in a wave—some days you will feel confident, other days you may feel drained and hopeless

Commitment= Being committed to your recovery, even on days when motivation is low or you have intense cravings

Coping Skills= Activities you can use to redirect your using thoughts, cravings, stress, depression, anxiety, or other uncomfortable feelings.  These can be relaxation techniques, such as deep breathing or meditation, or other activities, such as exercise, playing with a pet, calling a friend, reading a book, etc.  One of the hardest parts of early recovery is changing your old using routine, so try a new hobby or interest that can take the place of the time you spent drinking/drugging (ex. join a sports league, pick up gardening, take a class)

Social Support= These are people in your life with whom you feel you can be honest and truthful, and who are reliable.  Great places to seek out social support, in addition to family and friends (preferable sober, clean friends) are AA or NA meetings, Smart Recovery, individual counseling and/or group therapy.

In a recent substance abuse group that I lead, the topic of bibliotherapy came up, and many of the clients expressed that reading has been helpful in abating their struggles throughout the arduous journey of sobriety.  Here are some great books and an article to read as you tackle your addiction:

Dry: A Memoir by Augusten Burroughs 





 Drinking A Love Story by Caroline Knapp











The Sober Revolution by Sarah Turner & Lucy Rocca 

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