Counsel

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Get Treatment to Move On – Addictions

Molested by his cousin, neglected by his parents, he watched his intoxicated father beat his mother.  Thinking she would die too many times, he ran away, returned in a police car over and over again, as if wanting to get away was a crime.  He came back and raped his neighbor, more than once.  He spent a lot of time trying to get sex even though he knew it was ruining him and others.  He lost interest in almost everything else.  He suffered uncontrollable impulses.

He was 18 years old when he left it all for the safety of prison.  During the next fifteen-some years he was diagnosed, treated, and kept.  But kept for what?  For eating.  He gained weight, until he needed 2 seats to sit in.  Eating became his preoccupation.  He didn’t have sex.  He had food.

He was released to a home for sexual offenders, put on a diet and lost weight.  He lost it big and fast and felt in control.  He started purging and not finishing his meals.  He thought about purging all the time.  He knew he shouldn’t do it.  His voice was changing, raspy and his throat hurt but he still purged.  He wasn’t having sex.  He wasn’t over-eating.  He was purging.

For whatever reason, no one had yet seen the pattern.  Mostly everyone saw sex offender.  Me included.  I was trying.  I was trying to treat him with empathy, trying to get past the bile that comes when I think of rape, trying to consider the courageous things this man was doing now in life.

In one of my favorite scenes from the film, Rachel Getting Married, Kim played by Anne Hathaway argues with her sister about her own chances to have a future:

Rachel: Kym, you took Ethan for granted. Okay? You were high for his life. You were not present. Okay? You were high.
Kym: [Whispering] Yes.
Rachel: And you drove him off a bridge… and now he’s dead….
Kym: Yes, I was. Yes, I was stoned out of my mind. Who do I have to be now? I mean, I could be Mother Teresa and it wouldn’t make a difference, what I did. Did I sacrifice every bit of… love I’m allowed for this life because I killed our little brother?

I thought of this and somehow through all that trying, I did. And because I could empathize, a space opened up for me to be more objective.  That’s when I saw it.  I saw the pattern.

Addictions migrate.  Someone who may have started out as a food addict, might turn to gambling, and then later to alcohol.  Someone with sex addiction, might turn to food and then later to purging.

It can be like that game I used to play at Chucky Cheese, trying to hammer down the little animals that pop out of holes.  We need to treat the disease of Addiction regardless of how it’s dressed, or else it will keep popping up.  And like Kym, if we do, although perhaps terribly wrong in some unchangeable ways, we will still have a future.  If you’d like to read more about this “kainos” (Greek word for the opportunity to be made new,) read the post New versus New.

Self Care Tip #62 – Get treatment to move on.  Be a friend to yourself.

Question:  What do you think?  Please tell me your story.

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Keep it In The Relationship

She is a level-headed woman generally.  Objective by nature.  But now she asks, “What should I think?”  No longer taking birth control because she says she doesn’t need it.  They aren’t having sex.  Her husband uses porn and now openly gawks at other women walking by.  She says she doesn’t really care.

When a couple stops touching, the relationship is virtually over.  Few people revive their intimacy after too much time without sex.  Not everyone will believe this and may think it is too primitive for a true relationship of love.  But that’s the stats folks.  What to do if you physically can’t have intercourse?  Figure it out.  Must touch for intimacy.  Sounds like a bumper sticker.

Reminds me of a mighty river that suffers interference of dams and rerouting waterways.  Eventually a dry riverbed that once roiled with current and depth is left baking in the sun.  Even Paul the Apostle who never married recognized that if you aren’t physically intimate with your spouse, your nonphysical connection is also lost.

Physical intimacy is of course only one paradigm of intimacy.  And just about any one can say that, “Sex doth not a love make.”  Nor am I talking about finances, floss left in the shower, or how someone squeezes the bottle of toothpaste.  But whatever the many reasons are explaining the space on the couch, it ain’t good.  

So what did I tell her?  I certainly didn’t tell her “What she should think.”  I did review that we can’t trust our feelings.  “That’s true” she said.  “I hadn’t thought of that.”  Feelings lie all the time.

Question:  What do you think?  Agree or disagree.

Self Care Tip #59 – Keep it in the relationship.  Be a friend to yourself.

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Yell and Someone Will Hear

Today a reader responded to the blog posted on August 30, 2010, “Own It.  Our Life’s Work.”

Al-Anon, a great program. I really feel blessed to have found a 12 step program that is so gentle yet so encouraging with wonderful results for me personally.  It has taught me how to quiet my mind, live in the moment, live and let live, and let go and let God.  All principles I apply daily and the pleasure I get from living this way has enhanced all aspects of my life.  This program is not only for the loved ones of alcoholics but for anyone who has a family member suffering from addiction or if you were raised in a home with perfectionistic standards.  These standards stunt emotional growth and the results emotionally are no different than growing up in a home with addiction.  From the outside the perfectionistic home may look functional whereas the alcoholics home looks chaotic, but the emotional impact is the same.  Growing up this way may result in other acceptable addictions like workaholic, churchaholic, perfectionism, eating disorders etc… …It got me thinking about how thankful I am for Al-Anon.

She said it well.  First hand this woman of courage tells us bits of her story.  She demystified some of the suspicions about a group like Al-Anon.  She invites all of us, by her testimony, to also have courage.  To also share.  To also work on our own battered selves.  She unclosets getting treatment.  She tells us we need each other.  Al-Anon is a group meeting.  There is healing.  Healing is not a condition of stalemate.  She tells us about healing and progress.  We can choose.

In the Wizard of Oz

Tin Woodsman: Help! Help!
Scarecrow: It’s no use screaming at a time like this. Nobody will hear you. Help! Help!

Self Care Tip #37 – Yell and someone will hear you!  Be a friend to yourself.

Question: What do you think?  Please tell me your story.


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Own It. Our Life’s Work.

We can control what others do about as much as we can control the Democratic government.

My patient asked me if her medications were changing who she was.  After asking her more about where that came from, she disclosed that her husband was blaming her medications for the emotional distance between.  He was not blaming his daily alcohol intake nor that he see’s her as “The Patient” and not himself.  This is after she has spent years investing in herself through medications, some counseling, and regular exercise.  This woman had courage.  Yet she still bought into what her husband was telling her.

We personalize things that have very little to do with us.  Sometimes we know we’re doing it, but more often we don’t.  In this woman’s case, I had to think, how much of this was about her versus the accuser, i.e. husband.  We came to understand together that either way, true or not, the only person in her relationship she could better, is that same person she’s been attending to so well for so long.  In the end we were talking about going to CoDA, Al-Anon, or local support groups through NAMI.  She focussed on herself, excited about her opportunities to grow some more.  She wasn’t thinking so much about her husband getting passed up by his own opportunities.  Nor about the accusations.

Talking to a friend who recently shed 15 unwanted pounds, we did a celebration whoop!  She wasn’t perseverating on her husband who was smoking again. She was hurt by it, but used the energy in that emotion to motivate change in her own life.  Who knows.  Maybe her husband will grow from wanting what he see’s in her.  Courage, self-respect, inner congruence, hope, and so many more great things that come when you fight hard for your precious self.

Not taking things personally though can be much easier said than done.  If you try over and over but see that it continues to get the best of you, consider getting an opinion from someone you trust.  Get a “third-party” opinion to bounce your perspectives from.  Maybe this is something biological and medical as well. Personalization is a familiar problem in medical illnesses such as Affective Spectrum Disorders or Anxiety Spectrum Disorders.

Self Care Tip #35 – Own it.  Be a friend to yourself.

Question:  What do you think?  Please tell me your story.

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Do This.

A basic recipe to becoming a friend to yourself:

Before, during and after # 1-6.  Love.  Find it.  Go to it.  Be in it.

1.  Sleep well regularly

2.  Aerobic  exercise at least 5 to 7 days a week.  Try to hit 60 minutes as many days as possible.

3.  Take your supplements:  Omega 3 and vitamin D.

4.  Do what gives you energy.  This means what is congruent with your inner self.  If all stressors disappeared, along with all roadblocks, what would you want to do?  Do what ever that is as regularly as possible.  Is it playing basketball?  Is it playing with children?  Is it canvassing?

5.  More on the above.  Get creative with it.  Grow in that area.  To do this requires work.  So the 5th ingredient is to work.

6.  Reflect on yourself.  Take stock.  Are you feeling more friendly with yourself?  If not or if not enough, consider medications.

This is not a complete recipe.  I didn’t speak about diet, water, air.  Can’t live without them.  But for now, I wonder what this recipe will make for you.  Please let me know.

Self Care Tip #27 – Do this.  Be a friend to yourself.

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Fewer Choices

We have infinite choices in life but they aren’t necessarily the same choices. I don’t know at what age that starts making sense. It reminds me when J.K. Rowling‘s 9y/o Luna Lovegood witnessed her mother killed, which enabled her to see Thestrals. In story form, saying suffering brings sight. Choices can bring us suffering, which in turn might bring us sight. It’s true that we always have a choice but it’s not true that we can choose the same choice again. Nor is it true that we will have the same quantity of choices.

My sister-in-law Joana Johnson, neuroscientist, says we recruit more areas of our brain as we age but use less brain matter to problem solve and think creatively. We can generally multitask better than we could when we were younger although our short-term memory is less available. It is a biological example of renewed options all the while earlier options are no longer available.

As we mature, the beauty is that we have a greater capacity to work with our options. It is obviously not that we have a greater number of options. But isn’t that marvelous!

Scott Anthony, president of Innosight writes, “You can’t do more with less unless you understand what more means.” Hopefully there comes a time when each of us will look into our choices daily for all they can become. Think plate of chocolate lava cake in front of you. Will we get the gift of sight? Anyone can.

Self Care Tip #25 – Get the gift of site. Be a friend to yourself.

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Sunshine

My daughter came out of her room. “I can’t sleep Mommy. I feel lonely.” Part of me wanted to run the shadows down, throttle them and take revenge. Another part of me, stopped at what I saw in her eyes. It was as if she was saying, “Am I ok?” And I felt happy with the question. I knew there was my sunshine.

Am I ok? Am I the only one who feels this way?

My husband and I went to hear Rob Bell talk about suffering. He had us all write down on cards “I am not alone.” Then he asked us questions about suffering. “If you have loved someone who has died, please stand.” “If you or someone you know has had cancer, please stand.” “Who here is struggling with their finances?” “If you…,” and the questions went on. Pretty soon, there wasn’t anyone in the many hundreds of people attendance not standing. We looked at each other, exposed and awkward. Our crusty’s and defenses barely in place. Then Rob Bell asked us to give our card to someone we didn’t know. He did this over and over until we realized materially, that none of us were alone. I don’t know who’s writing is on my card but it reminds me that someone(s) out there share my suffering and I theirs.

For now, my daughter is small. For now, I hold her card. I knew what to say, and it felt like sunshine.

You are not alone. Many people feel that way all the time and feeling that way is normal. But you can’t trust your feelings. When you feel lonely, remember what you know to be true. You are not alone.

My daughter, looked at me and I saw that I got it right for once! We connected through something like a sliver of magic. I was so glad. She nodded, hugged and kissed and went to bed. It was dark outside but there was light in my heart.

Self Care Tip #19 – Share your card and take one – You are not alone! Be a friend to yourself.