Dealing With Your Addiction: Why A 12 Step Program May Not Be Enough

Telling people who have been in recovery that the 12 Steps many not work is akin to making a racial slur. People who have been helped by the 12 Steps are very militant, they have the Big Book virtually memorized, and are dedicated to going to several meetings per week for the rest of their life.

I have no problem with that, if it works. But more times than we are willing to admit it’s just not enough.

According to AA, 33 percent of the 8,000 North American members it surveyed had remained sober for over 10 years. Twelve percent were sober for 5 to 10 years; 24 percent were sober 1 to 5 years; and 31 percent were sober for less than a year.

The study didn’t disclose how long each person interviewed had been working the rooms to achieve sobriety. It also revealed little about the percentage of people who attended AA, relapsed, and left the program. A 1990 summary of five different membership surveys (from 1977 through 1989) reported that 81 percent of alcoholics who engaged in the program stopped attending within a year. And only 5% of the AA attendees surveyed had been attending meetings for more than a year.

As a counselor who works part-time at an addictions centre I can testify that for many people just getting to a meeting, admitting you’re powerless, and becoming accountable, is a very good though not necessarily efficacious solution to your addiction issues.

What 12 Step groups do not do is as important to understand as what they do. 12 Step programs do not allege that they are good at counseling. They are, in point of fact, very up front about their “one alcoholic (addict) helping another alcohol (addict)” stance.

What is often missing for those who struggle is the ‘why’ question. Many substance abusers are self medicating their hurts, fears, boredom, mental issue, or past abuse. They felt they were unable to cope with the pain and drinking or drugging provided a way for things to feel better. Consequently some people also do that with online chatting, or pornography, or masturbation, or even World Of Warcraft. 12 Step Groups cannot help you come to understand your historic and ongoing love affair with serotonin, dopamine, or GABA.

In counseling many people come to realize that stopping substance abuse is only the first part of the solution. Once they remove the medicating effects of that crutch the lingering effects of trauma, hurt, or mental illness begins to thrust its way back to the surface. They may have dealt with the symptom of their problem (substance abuse) without realizing that the actual reason for self medicating has not been addressed. They don’t really have a drinking problem as much as they have a trauma issue, for example.

It doesn’t take a psychiatrist to realize that if I quit drinking but do not address the important questions behind the substance abuse I may be a ticking time bomb of pain, seeking other and potentially more destructive coping mechanisms.

If you have been dealing with an addiction issue perhaps it is time to ask yourself the ‘why’ question. You might find that underneath that need to use is an issue that you have been trying to ignore or medicate for years, that will not simply go away with time. If you know you need help, or are unsure but wonder if the problem is deeper than you thought, talk to someone who can help.

Talk to a counselor that doesn’t suck.

I’m Not Responsible For Your Happiness

HappinessIn fact no one is. Not your partner, not your parent, not your priest. We are all responsible for ourselves. Blaming others for problems in life only leads to disappointment, shattered expectations, and bitterness.

No matter what has been done to you it’s up to you to do something about it. Yes I know that sucks, it’s unfair. In life we are taught and want to believe that life is fair, that everything happens for a reason. In counseling we call that a cognitive distortion. It’s a lie that distorts our way of thinking and keeps us from growing. Does everything happen for a reason? Ask the families of the six million Jews, countless Russians, intellectuals, gypsies, Poles, Czechs and others who perished in World War ll. It makes no sense but we are not supposed to question its veracity and just believe it. And let’s be honest, is life fair? How can anyone who has lived for very long believe this? Life isn’t fair. What happened to you is wrong but unfortunately you are the one who is going to have to live with this. The horrible truth is that life is only what we make it.

So it is with our problems. We want to believe that someone else can swoop down and heal those holes in our heart. Is this reasonable? Likely? As the unknown comic says, “You know who cares less about your problems than you do? Everybody.”

In counseling I see this manifest in many ways – the woman who needs man after man to heal the hole in her heart, the needy and dependent spouse, the person who blames others for their problems. Even the person who has been horribly abused must someday wake up and realize that if healing is going to come it will have to come from within. Blaming others may feel cathartic but does it really make a positive difference?

Some of us have been victimized. We are, in fact, victims. My heart goes out to you and I realize that you have been wounded deeply. But there is a difference between being a victim and playing a victim. You only have one life and deserve more than eighty years of misery. Working through these problems is hard but if you can get the right help, a counselor that doesn’t suck, you can find healing and hope again.

Dealing With Your Baggage

child abuseSexual abuse is destroying our society. It’s almost impossible to find accurate statistics on the percentage of women who were molested as children and adolescents. Numbers vary wildly between 20-60%. Statistics about the molestation of boys hovers somewhere between 6 and 24%.

Emotional and physical abuse statistics are difficult to measure but can be equally as devastating, and not just for children.

What everyone does agree on, however, is the devastating impact of sexual, physical and emotional abuse and neglect. Almost every day I hear story after story of pain and abuse from earliest memory to adulthood. I have often contended that just about everyone has endured some form of abuse by the time they are in their forties. It is easy, therefore, to believe that there is no hope, no cure, no relief from something that looms so large that it feels impossible to overcome. But what if it could be dealt with? What if the effects of this hell on earth could be diminished, even alleviated?

Trauma, whether from childhood or as an adult, is devastating and left undealt with, often affects us for the rest of our lives. Even those of us who have not had a ‘trauma’ event, so to speak, may also have the effects of trauma due to long-term abuse, neglect, or situations which have damaged us emotionally or physically.

Maybe you were not sexually or emotionally abused as a child but wonder if you may still have real baggage. Maybe you grew up in a single family home and it has left you tainted or emotionally wounded. You may have had an emotionally unavailable parent, heard more than your share of verbal abuse or yelling, or had parents who drank too much or used drugs.

Divorce can often have devastating effects on children as well. So can witnessing violence, so can growing up with insecurity or self-esteem issues. Your parents may have shown you dysfuntional ways to deal with stress or relationships.

Although we have different issues, many of us are carrying baggage around. In my course on Trauma we talk about some of the bizarre ways this has impacted many lives. Survivors of trauma are often hoarders, or cannot commit to a relationship, or have difficulty finishing problems, or have long term sexual issues including the seeming inability to be sexually satisfied.

Wounded people often struggle with more loneliness, are far more critical of themselves or others, or are what we call hypervigilent. Their danger radar is especially fine tuned and they are constantly on a high state of alert. There is even evidence to suggest that many who consider themselves ‘discerning’ or ’emotionally in tune’ are actually victims of trauma who have developed this hyper awareness as a defence mechanism.

The list of potential issues associated with trauma goes on and on – difficulty relaxing, problems with intimate relationships, difficulty sharing feelings, extreme reactions to normal situations, anger and anxiety, cycles of abusive relations, approval seeking, etc.

Counselors often say that “Trauma trumps all”. They mean that there are clear indicators that trauma affects every area of your life. If you have not dealt with your baggage it is very likely that you are not living the life you were meant to live. I meet people all the time who have been carrying around this garbage for years, for decades, who believe that there is no choice but to stuff their hurts and try to cope the best they can. While this may work for some, it didn’t work for me. Maybe it isn’t working for you either.

If you are weighed down by a backpack of abuse, neglect, and pain you need to know that there is hope. Working through your issues may be hard but it can lead to hope and liberation. You don’t have to spend the rest of your life reeling from the hurts of your past, no matter the issue.

Talk to someone. Find a friend or colleague that understands and empathizes. Or better yet go see a counselor that doesn’t suck. You can do it.

You’re worth it.