ACOA

ACOA is an anachronism for Adult Children of Alcoholics. Nowadays you can replace ‘Alcoholics’ for ‘Addicts’ to include children from families suffering from any addiction – the impact is the same.

Guilty fury, self-sufficiency and insecurity are core characteristics of this condition, developed in the child who grows up in a family where addiction is present. For ‘addiction’ in families, read ‘inconsistent parenting in a culture of persistent low self-esteem and blame, where the parent uses something outside of themselves to prop them up and it causes damage’. Addiction is NOT all about the manifestations, though this is where the attention most often falls, eg drinking or using drugs. Of course in these cases the damages are very clear. But that is not the extent of the addictive condition, simply the most visible.

I believe we need to wake up to the extensive reach addiction has into today’s society. It is a human condition out of whack. It is where emotions and behaviour pitch into the extremes, and more of you out there are addicts than I suspect would admit it. Active denial is fundamental in maintaining an addictive status quo. Denial is minimising, exaggerating, generalising, universalising…making what ‘is’ into something else so it can be overlooked, swept under the carpet. Examples of this are ‘Everybody does it’ ‘its not that bad’ ‘I only did it once’ etc etc.

At the risk of coming across like the anti fun squad (though those of you who know me will KNOW this is about as far from the truth as possible) the way we behave in this society as parents is fostering a culture of neglect, self sufficiency, arrogance, entitlement, grandiosity, low self esteem and self centredness in our children. For example we do not seem to encourage boundaries (life on life’s terms as opposed to life on the child’s terms) as so many parents are too busy so it suits them to leave the child to their own devices, or too afraid to meet their disapproval. Trouble is coming in the form of Adult Children of dysfunctional family environments and until we accept addiction in broader terms sustainable change can never happen.

So it will continue to get worse; we are more likely to continue to scapegoat at the fire-fighting end where addiction looks like drugs and alcohol, introducing measures to mitigate for damages. We are in danger of seeing addiction through these eyes and trying to control this out of control condition. Instead let us move our attention to the broader view, where addiction operates within families in the form of eg sex and love addiction, co-dependence, (childhood relational trauma, all grown up), gambling (maybe ‘fiscally successfully’), exercise, shopping…or better still to educate people around the core characteristics of expectations, isolation, resentment and blame. To wake someone up to the grandiosity of believing they always know best about somebody else; or to the well-oiled victim position that plays their family and friends invisibly like a master puppeteer, so that you feel sorry for them, adopting a position of what you think is compassion, but is actually judgment and enablement.  I could go on.

It is frustrating when I talk to people of influence who still regard addiction as about drugs or alcohol, gambling or work. It is so much more, so deeply entrenched and we as a society are so very blind.

Please note recent article below by Clare Fallon, Sky News Reporter

The National Association for Children of Alcoholics receives more than 4,500 calls a year – many from under 18s who are struggling to cope.

Their youngest ever caller was a five-year-old girl whose alcohol-dependent mother had committed suicide in the bathroom.

Hilary Henriques, one of the founders of the charity, warns the recession has only made the situation worse with addicts drinking to cope with financial pressure and in turn struggling to fund their alcohol problem.

She said: “Alcoholics who drink don’t choose to drink. Drink is how they get through the day.”

Martin Williams is one of the alcoholic parents the charity has helped.

He describes how his relationship with alcohol became more important that his relationship with his two children.

“They stopped becoming the priority. The drink became the priority. And you try and juggle the two,” he said.

Now though, he has been off the drink for more than three years and says his children are getting their dad back – an improved, sober version.

The most recent figures show around one-fifth of children are living with someone drinking dangerous amounts of alcohol.

According to research, the impact of having an alcoholic parent can be lifelong, with significantly increased chances of developing mental health problems and eating disorders.

Children of alcoholics are also more likely to get into trouble with police and develop a drink problem themselves.

Rosey, 20, has now moved out of home and is studying at university.

While her flatmates enjoy a typical student lifestyle, she does not touch alcohol and says does not think she ever will.

Rosey’s father has been an alcoholic as long as she can remember.

She describes how she never invited school friends back home because she did not what them to meet her “slurring and rocking” dad.

She says she has given up thinking it’s her job to try to help him.

The charity Children of Addicted People and Parents said such situations are common.

Its founding director Emma Spiegler describes the situation faced by many youngsters as “a hell hole with no escape”.

But she insists with help and support children can come through it.

“Together we can help to break the silence, secrecy and stigma young people keep bottled up inside,” she said.

See also:

www.adultchildren.org   www.drugfam.co.uk

 

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.”

Stress and Addiction

The fact that stress is causing an increase in alcohol consumption and prescription/over the counter drug use does not surprise me. Sadly though this is a pattern that becomes increasingly habitual and with trouble usually hot on its heels.  We cannot control what happens in life, but I maintain we are responsible for how we behave in response to life’s curve balls. Drinking or numbing yourself from reality – indeed anything that fosters an attitude of fear, procrastination, deceit and denial – will only delay the inevitable, amplified by that delay.  Drinking should be a pleasure not an escape; prescription drugs should medicate diagnosed mental illness, preferably by a psychiatrist or psychologist; over the counter medications should provide temporary relief for physical symptoms- and counselling provides a forum where you can ventilate your emotions and learn how to live apace with the highs and lows in your life without compromising your integrity – now theres a thought!

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

Addiction Experts, Spokespeople, Advice Columns, Latest Research, Case Studies and Images available.

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

 

 

 



 

 

Repeaters…

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.

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…

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.

Specialist Eating Disorder Services Needed

Eating disorders are about the relationship between food and emotions, where a person seeks a sense of control over their emotions, over how they appear and over the impact their world has on them. It is common for an eating disorder to develop in a person’s early teens and so it would seem appropriate for there to be services specifically targeted for this age group. CAHMS do a great job, and I have met many people who have benefited from time with this service, but eating disorders – and addictions in general – require specialist knowledge and intervention. This is not about simply getting someone to eat, it’s about attending to the disturbance of self and your typical eating disorder will be extremely reluctant to put their eating disorder down. I think Helen Missen raises a very important issue in this report and I for one would be a willing signature on her petition.

http://www.bbc.co.uk/news/uk-wales-18755034

When I read Kenneth Clarke’s comments I felt a surge of fear, anger and yet some relief.

Afraid because I believe drugs have stolen a fundamental place in our national teen culture replacing integrity, respect and other centredness with an entitled, false empowerment, an arrogance that doesn’t respect its elders nor authority.

Cocaine makes you feel invincible then drops you paranoid from a great height, demanding more; weed ridicules effort and perseverance and heralds ‘chill’ as a demi God, – it IS a gateway drug, without a doubt; and opiates shut you down. This culture is dangerous to us in so many ways and it approaches with stealth under a blanket of denial – ‘everybody smokes dope / it’s a stage he’s going through / I used to smoke dope, don’t over react / its all a part of growing up / its only a line or two / it was fun etc etc.

The work I do in schools and with young adults informs me of how deeply entrenched drugs are in our culture and I am worried. Do we know how to react, how to cope? Are parents, teachers, doctors educated enough on how to behave around drugs and those developing a dependence? And as a nation are we ready? I have children on the threshold of adolescence, I have worked for 20 years in addiction and I know what’s coming. I know what to do and how to react to addictive behaviour, yet in the face of this conflict even I find it difficult to do the right thing and not play into the illness.  This is not easy. Addiction is a powerful adversary. The original Trojan horse.

When a person repeatedly uses something outside of themselves in an attempt to cope emotionally, they abandon their opportunity to learn, stunt their emotional growth, do not invest in and exercise their own resources, and so become dependent and resource-less.  It is vital for the strength of the nation as much as for the health and well being of the individual that a person build up their sense of self, strength, resilience and resourcefulness as they grow up, and this will not happen if the opportunity to learn is swerved.  When that coping mechanism is drugs then an even more pernicious dimension is added of chemical interaction with the brain. Drugs have a physical impact – and those who say they don’t are either lying or being ripped off.  The artificial high creates extreme mood swings, getting stoned increases anxiety and potential for depression, opiates shut a person down and all of them disturb a natural rhythm, that once out of sync will pitch and swing so that a person doesn’t know which way is up.  And that’s the best-case scenario.

I am angry because even in my small radius of contacts I know some excellent therapists: brilliant, inspiring people who are driven by vocation as much as practical need to earn, to do the best they can by the clients they support. Addiction treatment and good therapy works. This chronic relapsing condition is notoriously difficult to treat, but recovery IS possible. We need the country behind us to help train and resource us to field this emerging culture before it takes over our national climate.

With drug addiction comes low self-esteem, bullying, deceit and crime, fear, shame, guilt, obsession, control, isolation, resentment and suppressed emotion. A terrifying recipe for the UK on a grand scale.

I want the government to invest in treatment – not harm reduction, but to get behind a concept of abstinence. I believe we have become an indulgent nation and as a nation we need to learn how to self regulate. We need self-respect and a sense of identity and pride.

My relief is simply that I do believe the Government is seeking a solution. My relief is that Kenneth Clarke does not believe in de-criminalising drugs. My relief as a parent and as a therapist is that for now the message to my own children and the young adults I work with, remains one of integrity – I do not endorse something I know is harmful, and nor does our country.  But this is not enough.

More About Charter

Charter Day Care was launched in 2008 to provide intensive, effective and affordable addiction treatment in central London, where a person  can get well in the context of their lives. It has been hugely  successful in terms of client numbers as well as quality of recovery,  with a thriving aftercare service that is testament to this fact. Working from a psychodynamic approach and employing the 12 step  method alongside motivational interviewing, gestalt therapy, creative arts and body workshops, somatic experiencing (for trauma) and CBT techniques, Charter has a well rounded and successful treatment  programme.  In 2010 we opened Charter Residential, a 10 bed sober  living house in Primrose Hill with 24/7 on site residential support,  boundaries and community living. This is for people needing extra support either through treatment, some sort of transition ( e.g. geographical or relationship) or through a difficult period.

We treat most addictions including substance misuse, co dependence  and sex and love addiction, bulimia, over eating, work addiction and  crucially involve family members whenever appropriate. Many of our  clients are relapsers who haven’t been able to get well elsewhere, the costs are surprisingly affordable.  Our programme is flexible so  that minimum attendance is one full week after which we can agree a schedule of attendance according to assessment – containment is key  and we will never agree a care plan that we feel sets the client up to fail.

We mean business in terms of recovery and go the extra mile to ensure the quality of recovery gained is sustainable. This is a small and personal organisation where every team member, including admin, knows every client, and where the director and founder is hands on so that you are as likely to see her in group, in an intervention or making the team a cup of tea! We are FDAP accredited and approved with several different insurance companies.

Once you are part of the Charter family, the door is always open.