National Treatment Agency warns club drug users

I read this article with great interest. I have worked with many club drug users and it does demand a different approach insomauch as it is crucial to attend to the person in relation to their peer group as a fundamental part of treatment. Like with any other drug dependence, we have to help the person get abstinent, but for this to be sustainable, they must learn how to allow themselves to have fun, socialise, dance and meet people clean.  So many people relapse (or live miserably) because they just cannot function socially without the drug – it becomes a choice between sober isolation of drug affected interaction. It’s not easy to overcome social anxiety at the best of times, but when your ability has been propped up by years of drug use, it can feel impossible.  Working to develop a strong sense of who you are, your own sense of humour, a comfort in your skin so you can stand without feeling self conscious, dance without reservation, chat with less fear is fundamental to a successful and wholehearted recovery.

Read the full article:  http://www.nta.nhs.uk/Club%20drugs%20report%202012.aspx

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!

Recovery Awareness Reception

Our forthcoming Recovery Awareness Reception on October 2nd will be held in alliance with eating disorder experts, Montrose Manor who are based in Cape Town. With a long-standing relationship in collaboration of care we share similar views about addiction – what it is and how it should be treated – and similar frustrations around how the illness is perceived and therefore treated in the UK.

Charter is predominantly designed as a day programme where people can get well in the context of their lives. This is a deliberate design as those addicts I want to work with are not at the critical end of the continuum (though they may feel it) but somewhere in between, where denial still reigns and trouble usually follows. These people, these addicts, are living amongst us, on the tube, at work; they are serving you, picking up the kids, functioning at some level. These are my clients. I work where intervention happens in time for a full and happy life to be possible.

I believe that abstinence is not the goal, but the means, and thus at Charter we work with each client on the core characteristics of addiction rather than necessarily the drug of choice, reducing the risk of devastating relapse and cross addiction.

Addiction is a human condition, it’s relational and it operates on a continuum. Where you are on that continuum plays a huge part in what sort of treatment you will respond best to. The work we do here is extraordinary, consistently turning out sustainable recovery, as evidenced by our thriving aftercare community. It is possible not only to get clean, but also to live a happy and fulfilling life. Aim for the stars…(and don’t stop flapping your wings ‘til you get there!)

One of the reasons I was interested in hosting this event with Montrose was because we need challenging dialogue amongst the thinkers and decision makers who are interested in this incredibly difficult human condition so that addiction is not marginalised to the confines of the extreme cases, but seen in a broader light, often where an opportunity of early intervention lies. (Is this where I mention being able to spot an addict at age 7…?)

My perspective of addiction by SB Kent

A few days ago I discovered that a childhood friend of mine is an “alcoholic”. His family have been a part of my life forever and as a child I had been envious of the love in their house.  My memories of our families together were always “those were the days!”   I had been oblivious to the destruction that went on around me and as I tick into my 40’s I find myself being less and less tolerant of “the good old days” and start to recognise that there was very little good about any of it.

So here I am looking back at all my friends families that helped define who I am today and I realise that those comfy old rooms aren’t quite as comfy as I recall – the wallpaper is definitely peeling off!  It strikes me that there is no such thing as a functioning family.  Addiction captures every household in some shape or form.  For some it is nothing more than an eccentricity, a foible but for others it is entirely consuming.  We all approach it from a different angle, some of us will choose to ignore what’s happening – perhaps they’ll grow out of it, or they might need to just “get a grip or get out!”  Some of us will want to skirt around the issue and others will want to attack it head on.

But we all have one thing in common – we want change but without change!  We look at the person we love and the addiction we hate, we want to keep the person we love and lose the addiction we hate.  We are united in the terror that in losing the addiction we are also going to lose the person.  And so as they head off toward the first step of change we find ourselves siding with addiction. We become overwhelmingly fearful of change.  We’re so busy looking at who our loved one is going to become in the ensuing weeks, months or even years that we lose sight of who they are in the here and now. We’re terrified that this person who we love and know is going to become a happy-clappy-daisy-chasing-Moonie! Perhaps the drinking isn’t that bad, maybe this relationship will turn them around, possibly a little more time – after all doesn’t time heal? And let’s not hide from the financial aspects of curing addiction, that’s definitely on the list!

Several years ago my younger sister came to me to talk, I had long suspected that her world was spiralling out of control and so was relieved when she told me that she needed my help.  We sat at our kitchen table and she told me that she had regularly been using drugs, she had a serious eating disorder and that she could no longer hide the scars of her self-harming.   Over the next hour or so my relief that she was finally sharing gave way to horror (which I tried desperately to conceal from her).  When she was done telling me her life at that moment she asked “Can you help me?”   I panicked, I had suspected that she might have food issues and I thought she occasionally cut herself but I had always envisaged that when this day came I’d be able to help her out with a cup of tea, a little chat and maybe a visit to the doctor.  This was unbelievably out of my league!  I said the only thing that I could – “No, but I have a good friend who can!”

So in answer to all of the above – yes, my sister changed.  She became an incredible, amazing and beautiful being.  She is still vulnerable yet stronger with it, she still relies on friends and family yet she is independent, she’s accepted what she needs to change in herself and what she can’t change in others.  And she can still party without becoming someone she doesn’t like!

And as ugly as it is, I’m closing with the financial aspect.  The phrase “it never rains but it pours” comes to mind, if any of the above is relevant then let me tell you – right now it’s chucking it down and this is the rainy day you’ve been saving for, so get your feet wet!

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!

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