Dialing Back


Sometimes I try to give people who are struggling with addictions a little chizikChizik (rhymes with whiz-ick, hard “ch”) is the Hebrish (Hebrew/Yiddish) word for strength. 

I tell them a quick story a patient told me a long time ago, but the message still works.

I imagine the old-timers in the 12 Step programs tell annecdotes like these over and over again.

An abused teenager cuts school to get high, with or without her friends. She’s severely depressed. At some point her family garbage has worn her down. She used to get good grades. She used to care about people.  No longer.

She’s only 15 and already has a nasty addiction to pot and/or alcohol. She’ll take whatever she can get.  Drug-seeking is her life.  It is everything to her.

She leaves school during lunch and doesn’t necessarily return. She likes to go to the woods and get really high, relax and look at nature, especially when the leaves are turning.

Getting high works so well for her, she isn’t consciously depressed anymore. She’s usually stoned in school, but passes with fairly good grades anyway.  The drugs, she says, keep her normal.  Kids call her a pothead but she doesn’t care.  She says she likes her world better this way.

She hits bottom when busted at 18, narrowly escapes jail for dealing marijuana. She starts a 12-Step program because her family hit its own bottom months before she hit hers.  Her alcoholic father hit her mother and started AA.

She doesn’t go to meetings with him, but speaking the same language, they share a respect for one another.  The whole family gets a little therapy.

It is extremely hard for her to stop using, but she does. She wants to use every day for a year, but she doesn’t.

She stops going to meetings when she starts college and slips a little, but always has her program in mind and keeps in touch with the family. So it’s start and stop while in school, all the while she’s working on it, not accepting it, not seeing alcohol/drug abuse as okay.  

She graduates, marries a guy who has no interest in drinking or drugging. She wants him to love her. She finds a job, goes to school, finds a profession that suits her.

At some point, perhaps ten years into sobriety, she forgets she once had an addiction. She has other things to do, many things she wants to do. Places to go, people to see.

Thirty years later, same spouse, three kids, she’s not rich but not poor. She has a good group of friends, an affiliation with a church. She hasn’t thought about using in so, so many years. She has an occasional drink but it doesn’t make her want to get drunk. She’s productive.  She gets up in the morning with a list of so many things to do, that the idea of getting high at lunch is absurd to her.

She returns to her home town, and on her way to visit an old friend, passes the woods. It’s fall and the leaves are turning, the sun is shining, the day absolutely gorgeous.

An addict would say, Perfect day to get high. But as a sober middle-aged woman she looks at the wood, the falling leaves, and compares her mood, her mind-set today with how she felt at 15, and marvels at the difference. 

At 15 all she wanted to do was erase whatever was in her head.  Today she wants to remember everything, has to write it all down; there’s so much to do, so little time.

Same person, same DNA, same looks, same name, same place, totally different person. No psychotropics, no therapy, really, with the exception of a little family therapy at 18.

Pretty wonderful.  A little family therapy and a 12-Step program at the right time, the right place.

Well, I thought it a good therapy yarn.

therapydoc

 

 

 

 

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  1. Dialing Back

    [...] Dialing Back Category : Addictions / Movies / [...]

  2. alix

    Nice. I was hypnotized. Reminded me of stuff I’ve been thinking lately. Especially walking around looking at the changing leaves….

  3. therapydoc

    G-d’s paintbrush at work.

  4. Isle Dance

    Beautiful.

  5. tmansmom

    but what happens if that middle aged woman goes to that wood and instead is triggered? how can she ever be sure that that won’t happen? or is she not sure and it’s only when she goes there that she sees….

  6. therapydoc

    Better to go with someone, is what you mean. Maybe. Depends, I think, on much more info than we have here, right?

  7. Lou

    Call me cynical, but this is just a bit of a too happy story. I’ve yet to meet a true addict that could “just say no”.

  8. therapydoc

    My mother-in-law always says, Believe half of what you hear. Works for me.

  9. retriever

    Nice story. COrrection: I loved it, and it was incredibly encouraging. Something to print out and give the kid in the office who just got back from rehab. But in my personal experience (4 out of 5 in family of origin bipolar, and 3 out of 5 in my own nuclear family now, plus icing like autism lite, BPD, as well as alcoholism wafted around liberally, such a tale sounds like a distant fairy tale). In my families people get progressively worse, moods-wise, with age until they are constantly ill, regardless of meds whether they vanquish substances w the help of programs and/or wonderful psychiatrists or not. We are hugely expensive users of services (all industriously employed, most stay married, good parents) but people in despair much of the time. All of us have crashed and burned professionally (Ivy grad schools and high powered careers in youth and health) and end up in dead end jobs held onto for the sake of health insurance which helps pay at least half of the therapy which keeps us functioning. We all are gladly involved in local churches, fervent Christians, volunteer, keep pets, have interesting hobbies, etc. but we stare into the face of the beast way too much of the time. I am afraid to be alone in the woods, without company of bouncy friendly dog, not for fear of smoking weed (never did drugs) but because of the suicidal impulses that no drug or therapy have ever driven away. We are what might be called treatment resistant despite seeking health, and working at it.
    In my AA group the single most accurate predictor of ongoing sobriety (besides not drinking, going to meetings, and avoiding those people, places and things that triggered us before) is being involved in long term psychotherapy that addresses the personality and mood problems that preceded the drinking. At a minimum a trial of meds for same. The people who relapse do not go deep enough, stay in denial about mood problems, and keep on doing dumb things like working part time in a bar (after supposedly getting sober).

  10. therapydoc

    I felt so good hearing this, it feels so real, this much madness, and still so hopeful, and I love you for it. You know, don’t you, that we discovered the association of alcoholism and bi-polar disorder when the vets came back from WWII. We dried them out, only to find on follow-up some crazy ___. Then we realized, wow, maybe, duhyuhthink, these guys with the mania are self-medicating with alcohol? So yes, go after the mood, change behavior, get friends (sober ones, A.A. preferably) and there’s a remote chance of normality. And really, we have better drugs and they’re legal for those unfortunates struggling with mood disorders. Thank you, Retriever.

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