16 Danger Signs of Relapse

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This list is from an excellent Facebook post. Even though the list seems it's from AA (Alcoholics Anonymous) for AA members, I think we can all benefit from this list even if we are not struggling with a severe addiction. I feel addicted can also mean we compulsively repeat certain patterns of behavior based on a set of beliefs, which can hold us back from growth.

For those of you who say you are "allergic" to the AA model,  go ahead and read the list and replace AA, sponsor, meetings with family, friend, get together, etc...

Relapse can mean returning to an old behavior which you attempted to change or correct. Or it can mean actual addiction to alcohol and drugs.

Basically, be present and be mindful of what's going on in yourself.

DANGER SIGNS OF RELAPSE

1. Exhaustion — Allowing oneself to become overly tired; usually associated with work addiction as an excuse for not facing personal frustrations.

2. Dishonesty — Begins with pattern of little lies; escalated to self-delusion and making excuses for not doing what's called for.

3. Impatience — I want what I want NOW. Others aren't doing what I think they should or living the way I know is right. Instant gratification is a monster that needs to be tamed.

4. Argumentativeness — No point is too small or insignificant not to be debated to the point of anger and submission.

5. Depression  — All unreasonable, unaccountable despair should be exposed and discussed, not repressed: what is the "exact nature" of those feelings?

6. Frustration  — Controlled anger/resentment when things don't go according to our plans. Lack of acceptance. See #3. Being a baby.

7. Self-pity — Feeling victimized, put-upon, used, unappreciated, disrespected: convinced we are being singled out for bad luck.

8. Cockiness — Got it made. Know all there is to know. Can go anywhere, including frequent visits just to hang-out at bars, boozy parties or an other potentially complicated setting where the addiction monster may get tempted.

9. Complacency - Like #8, no longer sees value of daily program, meetings, contact with other(s) alcoholics, (especially sponsor!), feels healthy, on top of the world, things are going well. Heck may even be cured!

10. Expecting too much of others — Why can't they read my mind? I've changed, what's holding them up? If they just do what I know is best for them? Leads to feeling misunderstood, unappreciated. See #6.

11. Letting up on disciplines — Allowing established habits of recovery - meditations, prayer, spiritual reading, emotional support system or AA contact, daily inventory, meetings or getting together with a pal — to slip out of our routines; allowing recovery to get boring and no longer stimulating for growth. Why bother?!

12. Using mood-altering chemicals — May have a valid medical reason, but misused to help avoid the real problems of impending alcoholic, drug or a behavioral addiction relapse.

13. Wanting too much — Setting unrealistic goals: not providing for short-term successes; placing too much value on material success, not enough on value of spiritual growth.

14. Forgetting gratitude — Because of several listed above, may lose sight of the abundant blessings in our everyday lives: too focused on # 13.

15. "It can't happen to me." — Feeling immune; forgetting what we know about the disease of addiction, including alcoholism and its progressive nature.

16. Omnipotence — A combination of several attitudes listed above; leads to ignoring danger signs, disregarding warnings and advice from fellow members or emotional support network.

Swedish Therapy Cabs: Therapy on the Go

http://www.ngvglobal.com/images/stories/vehicles/Volvo_tri-fuel_Stockholm_Taxi_(2009).jpg

Sweden has the highest number of one-person households in the EU — 47% of Swedish households are comprised of persons living alone. Living alone can increase loneliness and other symptoms of depression especially during long Swedish winters where there is very little daylight.

In an attempt to introduce therapy to riders who may be experiencing depression and/or other issues, Taxi Stockholm, a private taxi service, has hired three therapists to provide counseling in the back seat of its taxis to passengers. The idea is to normalize therapy and even help passenger/client with a pressing issue. No matter how short the ride, bringing therapy to the rider can expose and normalize the idea of therapy so they are more likely to seek it out themselves after they leave the taxi.

What a great idea! I am all for it — especially in large cities where personal connections are difficult to make and maintain and time is short. This could be one very clever idea to destigmatize therapy for the general public.

Watch Now! Russell Brand: From Addiction to Recovery

Russell Brand is one celebrity who is pretty cool. This isn't the first time I've written about him. I can respect him because he uses his fame to bring attention to the problem of addiction and benefits of meditation and yoga.

So I was happy to discover that after Amy Winehouse’s death from alcohol withdrawal, Brand made a short documentary with BBC about addiction and recovery. And The Guardian published a moving eulogy he wrote for her.

Discovering this short doc (about an hour long) several years late does not diminish its significance. Brand discusses with experts about opiate replacement therapy. At times, he can be overbearing and appears fixated on his recovery process. However, Brand’s narcissism is tolerable, because he argues that for addicts like himself it's abstinence or death.

He argues against methadone saying it’s an opiate replacing heroin, which means that the addict is not drug free, and an addict wiI am certain he would criticize Suboxone since it too is a synthetic opiate prescribed to curb cravings and withdrawal symptoms, just like methadone. The difference is that Suboxone is prescribed by a psychiatrist, as opposed to daily pick ups at a methadone clinic, so it no longer carries the stigma of having to drop in every morning at your local MMTP (Methadone Maintenance Treatment Program).

An addict, Brand stresses, must be free of all drugs, although whether he includes psychotropic medications, it’s unclear. Both AA and NA agree with Brand; and they consider prescription medications as drugs. Therefore, an AA member who is prescribed medication, for say depression and anxiety, is not drug free or abstinent. I find problem with this, because so many people struggling with substance abuse suffer from underlying mental illness. 

What are your thoughts?