Mandy and Professor David Nutt Discuss UK Drug Policy

Good Morning Wales, with presenters Oliver Hides and Bethan Rhys Roberts have had a specialised set of programmes focusing on Drug Policy in Wales and the UK.

Friday saw the series conclude with an outside broadcast and a discussion about UK wide drug policy with Mandy Saligari and Professor David Nutt taking part.

Listen to the interview click link :  BBC Radio

New Year Sober

It can be a real challenge staying in recovery at this time of year. Everywhere you look there seems to be food, alcohol, drugs…it’s hard to see anything other than the things you have decided to stop doing.  I’ve noticed this phenomenon before in my life, for example after I had a miscarriage all I seemed to see were pregnant women everywhere.  Believe it or not, this process has a name: attentional bias.  Your brain can take in massive amounts of diverse information, but we would live in a state of perpetual overwhelm if we didn’t have a filter system. So according to past preferences and current stimuli, your brain begins a selection process to decide what to bring to your conscious attention. Thus if you have prioritised a certain topic for long enough, your brain is primed to clear it through the selection process and hey presto: it arrives as a conscious thought.

Thus in the early stages of recovery your behaviour may have changed but the filter system remains as it was for a while, offering up ‘stinking thinking’ supported by evidence provided by your brain’s attentional bias. You need to be able to challenge this primed experience and seek out new experiences that are clean and sober, as they do exist.

It is that familiar dichotomy: listen to your feelings, don’t listen to your feelings. This means that you need to be able to have your feelings, but don’t let them dictate your behaviour. Do not believe your own press, instead stick to the plan!

So this New Year’s Eve don’t wait to be hijacked by old thoughts, make plans!

  1. Find out if any of your sober friends want to go out and make arrangements to meet and go out together as a crowd
  2. Go somewhere familiar – its often tempting to do something different because its NYE, but it often goes wrong
  3. Don’t call anyone from your past on a whim: stay in the present with people you are with
  4. If you do want to go out in a mixed crowd, make sure someone you trust in onside to help support you to stay sober, and lean on them
  5. Know what you will drink – here’s a few of my and friends favourites… ginger beer, cranberry juice, lime and soda, lemonade, elderflower, appletise, Virgin Mary,
  6. Remember it’s the build up of feelings (usually resentment) that fuels a relapse – be with people you can talk honestly to, and talk to them!
  7. If you decide to stay in on your own make sure you have things to entertain you – DVDs or a good book, with a healthy meal and a couple of friends phone numbers to check in with because that pang of loneliness may come and it’s a powerful adversary to take on alone…channel flicking at midnight is NOT a good idea as you are likely to see the best bits of everyone else’s parties and you will feel its too late to call to chat…
  8. If you run into trouble, call the AA/NA helpline – there is always someone to speak to who understands…you are truly not alone: many have gone before you and many will follow, all you have to do is the rest right thing
  9. Get to a meeting on NYE and remember the gift that is recovery: share positively
  10. Before you take any decision, play the tape forward and call someone

And at the end of the day, remember, its just another night.  So here’s wishing you all a very HAPPY NEW YEAR! I hope that 2013 mark the beginning of a year that you are proud of.

One year clean and sober, in a letter to her brother, this Charter alumni feels the pain of the family illness…

“A year and a half ago you came to visit me in one of the detox centres I was in and out of, and told me you were scared I was going to kill myself in my active addiction. You were so frightened I would die and at the time I couldn’t and didn’t want to hear you. I was so in it I couldn’t acknowledge what I was doing to myself or to my family.

Thank you for trying though and for being there.

Today I need to tell you how I feel: Its my turn to feel scared that now you will kill yourself with your alcoholism. You and I share the condition of alcoholism/addiction (it’s one and the same) and what I also want to tell you is this: it is soooo possible to have a good quality life without drugs or alcohol!

Though I am the first to understand and the last to judge how you live your life, I am extremely worried for and about you. Frequent drunk driving and destroying our body and health are just two of the many examples of crazy things we both do in active alcoholism/addiction. I can’t continue to stand by and pretend it’s okay, that’s it’s normal and that’s just the way it is- it’s not okay- it’s not normal- and you deserve so much better. You are a beautiful and very special person who deserves a good and happy life.

Before, I couldn’t imagine a life without drink or drugs- what would be left of me?? I was also really scared to stop because then I would have to face my past and my demons and deal with my issues- I thought it would be harder than continuing to use. But nothing is worst than the acute pain of the shame, loneliness and guilt that accompanies active alcoholism/addiction.

Life is not easy but from where I was, I am now generally content and even often happy! And I feel free of that constant shame, guilt, obsession and control- no more lies, I can look people in the eyes (including my family who I adore) and I feel free and hopeful!

THIS IS POSSIBLE FOR YOU TOO!! I believe this 100% and I am so here for you if and when you decide to ask for help. And we can kick this disease in the ass!

I love you and hope to see you soon.”

Outside Edge

I have just had the great pleasure of spending the afternoon on a houseboat in Chelsea at an intimate showing by Outside Edge of excerpts from Jerusalem, performed by Mark Rylance, and three others from this pioneering theatre company.

Outside Edge is the brainchild of Phil Fox who, with the vital support of David Charkham and trustees Simon Woodruffe of Yo! and Led Zepplin’s Jimmy Page, takes productions that are written to mirror the audience’s story, into treatment and prison settings. The way it works is in a way like an extended role-play, so that the audience is encouraged to interact with the actors and affect the process and ending by responding to the script and action as the performance goes along.

Role-play is a fundamental part of the programme at Charter and for my work in schools, so that a person inhabits the other persons skin, walks for a moment in another persons shoes…you could call it momentary other centredness and it works like magic (most of the time!) Outside Edge does this in a structured way on a bigger scale, though it remains simple and personal, and very accessible.

Simon Woodruffe and Mark Rylance spoke with commitment and passion for a society where this kind of resource is available to everyone, and I echo this; access to the resources and benefits of recovery should not be marginalized to the world of severe addiction.

Prevention is better than cure, early intervention is key, and inspiration and education can play a huge part in changing the direction of a young persons life. Outside Edge, like many of us in the recovery community, has a powerful resource at its fingertips with a much wider application than addiction. I am in no doubt that the 12 steps helped me to recover from completely losing hope when I fell foul of severe Rheumatoid Arthritis. There is so much more we can do with what we have if we all join hands and work together…I’m in…

‘Functional Alcoholics’…an oxymoron fuelling denial

If you are alcoholic you cannot function as a whole person. That is one definition of the condition. There is a behaviour in place (alcohol) that compensates for an emotional need (eg stress, self esteem, intimacy) that has become a need in its own right (continued drinking) so that this emotional need does not leak into the real world. Thus the person is not really known by those ‘close’ to them, as they perpetuate an image, a version of themselves, that is not quite the truth, all the while bolstered by alcohol. So do they function? Or do they only function?

Last weeks press commented on a middle class population drinking themselves into ill health and I believe these are the very same ‘functional alcoholics’. The commuters, workers, mums in the school yard – these are today’s problem drinkers it seems ‘responsible for 10 times the costs of young drinkers’ according to Alcohol Concern, ‘unwitting[ly] …taking serious risks with their health’ and drinking their stresses and exhaustion away. Only it doesn’t go away, it sits there ignited into its own need for more alcohol. To drink alcohol to compensate for emotional need is to make a monster.

And this functional behaviour, is this to appear civilized, all the while arguing and stressing behind the scenes?

I meet children of functional alcoholics who are often scapegoated into addictive behaviour themselves. Mutinous they sit in my rooms, often with a parent wringing their hands, bemoaning their loss of potential. And when these children start talking they are angry. They have often been given money to fix emotional need, as it is the currency that enables the parent to feel functional. They have been placed second to the drinking. The lies and secrets that they have been silently asked to keep so that the alcoholic status quo can rule has left them no alternative but to act out, or act in. Welcome to ACOA – the adult child of an alcoholic: self sufficient yet insecure, these children also often feel guilty about their feelings of anger and sense of neglect as they can see their parent is working ‘so hard’ or is ‘so damaged’ or that the child is ‘given everything’ so wherefore this sense of loss, of anger?

But sadly it does not surprise me. The denial in our society is supreme. Drinking is endorsed, celebrated as a badge of strength – caner’s pride – or brushed under the carpet (again) with bullish denial that shames the concerned into silence: ‘it wasn’t that bad’, ‘everybody does it’, ‘lighten up’, or  ‘do you want me to stop drinking and stay at home every night?’ Or some such variation on a theme that employs tactics that minimize, exaggerate, universalise, generalise – whatever they do they ameliorate the fact and park the issue one more time.

It is so very very hard for a family member to bring a concern about a loved one’s drinking – so hard that most people miss the opportunity for early intervention, coming to someone like me when they are on their knees – can you save my marriage / my job / have I ruined my children? But I need to say that the shame, fear and regret does not have to be such a burden if you get help sooner!

Charter gains a touch of Alchemy…

UK’s top Addiction Specialists launch Charter Adolescents

Have communications with your adolescent broken down? Do they seem unhappy or anxious?  Are you concerned they may be drinking or using alcohol or other addictive substances? 

Then Charter Adolescents can help.

Research shows that Adolescents are more vulnerable than any other age group to developing, alcohol and other drug addictions in fact drug use is higher among young people than the adult population as a whole[1], yet there are a lack of specialist facilities to help them.

[1] http://www.homeoffice.gov.uk/publications/science-research-statistics/research-statistics/crime-research/drugs-misuse-dec-1112-tabs/extent-young-tabs

Which is why Mandy Saligari, Founder and Director of leading London addiction facility Charter Day Care, Residential and Counselling Centres has joined forces with Stephen Noel-Hill of Alchemy to form Charter Adolescents.

Stephen has extensive experience working with adolescents and young people spanning twelve years working at the Priory Hospital Roehampton and Adolescent Units in Holland.

Mandy has a well-established presence in independent schools lecturing on addiction, parenting for prevention and self-esteem. She has long since wanted to set up a service especially for adolescents addressing the issues that are brought to the surface in these school talks.

“Adolescents are particularly vulnerable to self-defeating coping mechanisms, our main aim with this service is to encourage a valuable sense of self, working with the young person and their parents – many of whom just don’t know how to cope with the issues their children are raising or the behavior they are presenting.”

Both Mandy and Stephen understand that that early intervention and prevention are fundamental to successful outcomes. It is this common vision that led them to merge Alchemy into Charter.

Charter Adolescents is an exciting new service that will do what Charter does best: intensive non-residential treatment and multi-disciplined counselling and therapy. The focus is on early intervention, education, emotional development and appropriate referral to give the adolescent and the family a new lease of life.

With a counselling team who are specialists in this area and experienced in work with young people, alongside Stephen’s expertise and Mandy’s guidance, this service will be dedicated to young people.

Working in groups, individual and family sessions and workshops, after school hours and at weekends, Charter Adolescents is an intensive and brief intervention and counselling service targeted to work with addictive disorders and emotional disturbance.

Charter is well established as a leading London addiction facility offering focused, flexible and effective day care for all addictive disorders at competitive rates.

For more information visit www.charterdaycare.com or call 020 73234970 or email  info@charterdaycare.com

Charter Day Care, 15 Harley Street, London W1G 9QQ

 

Press Information

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Enquiries: Jenny Rose, jenny@happypr.co.uk M: 07957 551 697.

 

 

 



 

 

Family Groups

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

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).

Brits Warned: Inactivity As Deadly As Smoking

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

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.