Repeaters…

Posted on August 12, 2012 by Mandy Saligari

My son introduced me to a movie last night called Repeaters about 3 addicts in rehab on Step 9. It was brilliant and displays a real understanding of recovery. I found it both shocking (possibly because I was watching it with my son) as well as deeply reassuring and exciting that such a clear interpretation of Step 9 is out there from mainstream Hollywood – and WATCHABLE, gripping even! I won’t say much more apart from advice NOT to watch it if you are in early recovery as may well trigger craving…but otherwise it was brilliant.

Parents – Are you really aware?

Posted on July 30, 2012 by Mandy Saligari

I was speaking with a parent who was at their wits end with their child who was showing zero respect and basically running the show. The home atmosphere was being completely comprised by this child in their late teens, as were any rules. We looked at boundary setting, exploring the possibility of establishing small easily maintained boundaries to begin the process of taking charge again. I was unsure of the parent’s capacity to set and hold a boundary so we were exploring some very basic and simple ideas.

Suddenly the parent joked that this ‘boundary’ would only be maintained when it suited them to do so, as sometimes they liked their teen e.g. lost in TV. I was struck by the complete lack of awareness in this parent of the damage they were doing – i.e. by indulging and then blaming, the so familiar ‘all or nothing’. It reminds me that although we may see the problem in the difficult or obese child (as per article attached) we must not forget that sometimes the parent(s) directs their child towards these ways of passing the time to get them off their hands.

http://www.bbc.co.uk/news/health-18930131

Family Groups

Posted on July 29, 2012 by Mandy Saligari

Family Group is a very important part of Charter’s addiction treatment programme. Currently costing just £150pa per family member for unlimited access, the groups provide an introduction to addiction and vital peer and counselling support for family members of an addict.

The familiar position of lose:lose is the domain of the families of addicts, where it is so hard to know what to do as your loved one perpetually holds the proverbial gun to their own head and, finger on trigger, reacts what you say and do.

At Charter we advocate re-establishing a sense of nourishment and self respect in the family member so that they too can make a decision instead of just reacting to a situation:- fire fighting. This takes time and commitment and I am proud to say that we have a core group of hard working family members cementing the changes with their increasing understanding and personal growth. When one person changes, the dance changes. So whether your addict is on board (yet) or not, working in the family group can make all the difference to the possibility and nature of recovery in your life.

We also hold family workshop weekends that provide a more intensive introduction to letting go with love, enablement vs tough love and how to take care of you – many family members recoil from such apparently new age statements (as did my own parents many years ago) – but these workshops have proven to be of fundamental use to those struggling to gain purchase on this slippery and destructive condition in the life of someone they love.

Addiction is all consuming, self centred, provocative and relentless. It takes experience to know how to behave around it, and courage and compassion not to feed it. The group will support you while you learn…

UK cyclist Bradley Wiggins admitted to a history of binge drinking

Posted on July 24, 2012 by Mandy Saligari

I am over the moon that UK cyclist Bradley Wiggins admitted to a history of binge drinking yesterday as the shame that surrounds addictive patterns prevents people from seeking help. The more people of note speak up the less humiliating it should be to admit a problem. Thank you Bradley for your courage and integrity.

Sadly though my guess is that the interested population will be more likely to line up their next pint ‘just one more before I do the tour, mate’ than to shake their head amidst roars of bullying derision with ‘no thanks, mate, I’m going to see if I can stop’. Such is the grip alcohol has on our society that even with evidence of damages caused by binge drinking (conservative estimates rate at over one person a day to die from alcohol over the next 20 years) and with 1.5million UK dependent drinkers of which only 8-18% are in treatment, our culture continues to neck alcohol in huge proportions, becoming a European leader in alcohol consumption. The prospect is not good. Alcohol damages must not only be measured in terms of the direct hit to the drinker (physical, emotional, mental, financial), but to their families, to their social context, to their work, to our social services, our police, our NHS – to each and every one of us intimidated or harmed by someone under the influence. Of all those drinkers too, many have families, and the children of these unions of active addiction grow up to become Adult Children of Alcoholics – a self destructive legacy all of its own.

The cost is far too high and the justification to drink is that of an addict. I am a supporter of early intervention, of treatment, of minimum pricing and of education – to children and their parents. We must start with the parents…

(The statistics cited have been taken from Druglink Magazine, May/June 2012).

Co-dependent love Kills

Posted on July 18, 2012 by Mandy Saligari

The recent tragic death of Eva Rausing, daughter of a Pepsi executive and married to the heir of the Tetra Pak billions is yet another sad addition to the long list of deaths claimed by addiction. In a relationship fuelled by co-dependence, it is clear that neither partner would ever get recovery long enough to have a proper chance at life.

This situation is so familiar to those of us working in the field. Over and over again I warn my clients about getting into a relationship in treatment or early recovery and those who don’t listen – self will run riot – (and who stay in touch) have almost always found themselves in difficulty later down the line. And although it is the truth, to say ‘almost always’ to an addict they will illicit an attentional bias towards ‘almost’, encouraging the inherent arrogant belief that every addict has that they will be the exception.

It is so obvious to me that in rehab where you are putting down your drug of choice, you are wide open to an alternative, something to fill the gap, the void that any addict in early recovery feels – indeed must feel and learn to tolerate. For this lack of tolerance IS the addictive process in action. An inability to not know, to feel exposed, alone, afraid… – to feel vulnerable generates the compulsion to use. So a relationship in early recovery is a collusion between addicts to mutually fix and avoid this seemingly intolerable void, dressing it up as something worthwhile.

Sadly most of the time the addicts themselves are completely unaware of what is going on, usually insisting that they do know and they are actually in love, and treating those who seek to challenge the addiction (family, sponsors and therapists) as lacking in understanding, punishing and unreasonable. In turn this can drive the couple into secrecy, into the false yet seductive intimacy of ‘them and us’… as the examples given by the journalist of this article displays, feted couples Burton and Taylor, Cobain and Love, Britney and Kevin, Whitney and Bobby – all very Bonnie and Clyde: over romanticised sickness ending in disaster.

At Charter we work on co-dependence and relationships (with self and others) as a mainstay of our programme. Addiction is at its roots relational and addicts need to be able to have healthy interactive relationships that nourish them, or they will relapse. I have had the privilege to support many people to avoid an ending such as Eva’s despite all the priming that might make that their destiny, and I am grateful for these clients’ willingness and trust to follow my direction. It is not easy, never easy, but it is most definitely worth it.

Brits Warned: Inactivity As Deadly As Smoking

Posted on July 18, 2012 by Mandy Saligari

It is predictable perhaps that I believe it to be our responsibility as parents and adults to inspire the younger generation to adopt healthy ways to live. This is not just about drugs and alcohol, It is about learning to live a healthy life emotionally, physically, mentally and spiritually. I think that we set an example and children follow. When I work with parents particularly with children under 12, I look at their own patterns – whether that is of drinking, eating, drug taking or generally how they deal with their emotions – and I usually find the root of the child’s problem, albeit displaced. Sadly it is common for the parents to dislike this route of treatment so much that they withdraw their child from the therapeutic process. Somehow it seems to be infinitely preferable for the child to be the problem rather than the parent. However, that said, I have huge admiration for those parents who do persist.

Without doubt, we set the standard and the children follow. What is disturbing is when our children grow up enough to, in turn, set the pace. Born of dysfunctional origins, this is a route set for disaster. I am not naive enough to believe that this is easy, with many people in the UK without work, living on the breadline, poorly educated and growing up in extremely difficult circumstances. But I do believe, with the right support, we can inspire many of the population to live differently. It is shocking to read that in the UK 17% of deaths are caused by inactivity, and that we are world leaders in obesity. Are we really that unhappy a nation that we would commit ourselves and our children to such a slow and painful life and death?

Read more here: http://news.sky.com/story/961527

Charter Residential at Primrose Hill

Posted on July 16, 2012 by Mandy Saligari

With a history of relapse and poor management I sometimes wonder at my wisdom of taking on Primrose Hill as we had such a climate of prejudice to overcome.

Fortunately, under the careful and attentive management of Clare Sole, we have been consistently busy there since opening in 2010. I believe we are now gaining ourselves a reputation by earning it as a boundaried, accountable safe housing service for those needing extra support in their recovery journeys.

We have 10 beds and admit males and females from 18-65 years at different stages of their recovery, as long as they are abstinent and actively engaged in a 12 step programme or in treatment. It’s a lovely mid terrace Victorian house, has a support worker in residence and provides a temporary home from home.

We provide drug and alcohol testing, weekly planning and support, cooking support, an introduction to fellowship, community living with therapeutic duties, curfews and peer responsibilities.

Alongside treatment, or as extra support through transitions geographically, work-wise or relationship-wise, Charter Residential provides an extraordinary service that is affordable, effective and grounding.

We work with you to get well in the context of your life.

Mandy Saligari

I hope to use this forum to share my thoughts and experiences and to stimulate discussion, mainly in the field of addiction, but also around life in general. I am the founder and director of Charter Harley Street in London and our website address is www.charterharleystreet.com.

Category Archives: Treatment