Two Selves

Addiction

This is part of a series called “The Bottled Scream” A Disease of Self – Understanding Addiction, Trauma and Recovery. To go back to the introduction click here.

Chapter 11

In early recovery, it is like you have two selves fighting it out.

I went to my first meeting a couple of days after becoming sober.

I went to my first meeting sober and it was hellish.

I spotted a couple of guys from the first meeting and they said hello. They were glad to see me which was nice. I tried to talk to them for a bit but felt too self conscious and scampered inside. I sat as far away from the Chair as possible.

I was still partly in psychosis, everyone was trying not to stare at me and my jaundice and the green discolouration snaking around my neck.

 I sat beside the most fidgeting man who I was convinced was pulling faces scary faces and making menacing gestures towards me from out of the corner of my eye.

I couldn’t believe how slowly time was passing. Through my gauze-like eyes I was shocked how it always only 5 minutes later than the last time I looked.

It was tough being out in the world without the drink as a crutch.

 It was like I was wearing my nervous sytem inside out.

I was so full of self pity, it threatened to drown me. Thoughts were like poisoned darts piercing my heart with terror, thousands of them, relentlessly.

It was the same format as before. I liked how they read out the solution, the 12 programme of recovery.

It was reassuring this programme had helped all these guys and might me as well. Although it was difficult to see how it would. It did mention being restored to sanity which gave me some hope. Although it said we came to believe we could be restored to sanity and I was some way off that.

I tried to listen to proceedings. It was a bigger meeting than the previous one.

Some people addressed me when they started sharing, saying “welcome to the newcomer” whereby everyone smiled weakly at the jaundiced guy. The most alcoholic guy they had ever seen.

I started to wish they would stop doing it, okay I’m here no need to keep going on about it.

Ther were so many times when I just wanted to get up and get out of there but to where?

There was literally no where to go. To the treatment centre were they paraded me around like a jaundiced freak?

Back to drinking?

The attic?

Where?

Nowhere is where. There was nowhere but here.

I tried to listen but stuggled to at times.

The voice of lies was constantly chirping away in my head. It was saying I didn’t need to be here, with these losers. Stay off the drink for a bit, sure, until the liver got back into shape. Give the booze a rest. Hit those pills for a day or two.

That alcoholism, does it even exist? Do these people know what they are talking about? The book they read from was from the 1930 s and since then nothing?

It is a cult.

Why didn’t the doctor recommend them, nobody did? None of the medical professionals.

Is this the best they can do. Really?

Maybe it wasn’t so bad.

That last lie took some digesting. I noticed my lying voice had no shame whatsoever.

If you let it rant for a while it would often shoot itself in the foot by saying something ludicrous.

Also when I asked it did it want me to drink, it would go quiet?

It never really said wouldn’t you like a nice cool drink, it was more sneaky?

I had been spiked with ecstasy eleven months earlier so maybe that was the reason why I ended up in psychosis, it suggested?

Similar maybe to the way I ended up in psychosis due to too much cocaine. Maybe I was just subsceptible to it?

Maybe it wasn’t the drink at all. Maybe I was tipped into it via being spiked? It had changed something in my chemistry, my nervous system. I wasn’t this mad before the spiking, the last time I gave up drinking?

Just go back to that, get daily exercise, that sort of thing.

But this, what is it? Religious do gooders. Better going to the Pioneers. This lot seem Protestant!?

And middle class?

Is this the right place for you?

Maybe it was the cummulative effect of too many drugs, maybe it wasn’t the drink at all? Lots of people drunk more than you? For much longer.

And these peope in AA talking about being out of control drunks, you weren’t really, like you rarely were fall down drunk, only on special occasions when friends dropped by unexpectedly, you were never arrested or ended up in hospitals. You are not even like these people?

These guys are amateur drinkers they just couldn’t hold their liquor?

And this spiritual malady, that’s just sinning and that solution is just confession and repentance.

Sin doesn’t drive you insane. Spiking does, not knowing the effect it had on your brain?

And on and on.

Look for the similarities they said, but where are they?

Thee are sinners who couldn’t hold their drink.

These are do gooders. Religous zealots.

All these thoughts rumbled on in this first meeting.

Why?

If I wasn’t alcoholic then why was I juandiced from alcohol addiction

I knew one thing for sure, I had become addicted. SO even if I wasn’t alcoholic, whatever that was, I had become addicted. I was an addict at least?

I had also once tried a spiritual solution to my problems years ago, so I did have problems going way back. Over many years, mental health problems. But that solution, the Buddhism, led to psychosis too?

Or did it just unearth it? Was it really there waiting to erupt to the surface?

Maybe that is what I have and drunk to calm it down but couldn’t in the end?

That isn’t a sin disease like this?

This arguing went round and round on in my head relentlessly.

The other way to explain it was that my alcoholism was using my own voice to talk to me. That it wasn’t me but my addiction using my inner voice?

This thought nearly made be ill, I put this insight down to my lingering psychosis…

I stopped briefly to learn my calming heart was still with me, strangely smiling at me, unconcerned about the madness in my head.

The thought came to me, non alcoholics don’t have a constant chirping in their heads about being alcholic or not. I would ask Emma this question later.

Then as if by co-incidence one guy shared about his head telling him lies all the time and he had been in recovery some time. Years.

My attention was pricked. He said that on a very good day his illness talks and he doesn’t Iisten and on a good day the illness talks and he listens and on a very bad day he listens and then talks back until his brain gets completely mangled and he doesn’t know one thing from another!

A few men and women laughed out loud or nodded their heads at this point in recognition.

They related to what he was saying so might have had the same problem too?

This guy was talking of something more than a sin disease, to my mind anyway, however reliable that was!?

He was talking about a mental health problem which was similar to mine. This mental health problem, this thinking disorder, made me drink, and drink and…

I listened for my illness to retort and it was quiet. For the first time I acknowledged a possibility that honest answers seemed to be an antidote to this lying voice. This would prove to be the case in Treatment also in the weeks and months to come.

If possible I would try to ignore it all together.

So for the first time this pithy adage gave me my first insight into this illness. It was my first experience of “hearing what you needed to hear” in an AA meeting.

It was a great way of putting it. I felt this guy was like me and me, him. I had real identification with another AA.

What he said didn’t come from the Big Book, however, it came from Treatment. Where there new things to learn there? Did they look at things differently ?

It was more an experiential wisdom, the cumulative knowledge gained from recovery, from the rooms of AA over the seventy years since the BB was written. It was from the lived in experience of AA members rather than from a book that seemed to be, in part, “frozen in time”.

I found this intriguing. It spoke my language.

I shared that I was glad to be there and was glad to get some response.

After the meeting people were friendly to me and all had an inner glow about them. They all told me to keep coming back.

It left nice to hear, to be asked to come back as if they wanted me too.

I had so little self esteem and l felt so worthless that any human kindness was welcomed. I felt like a freak, a monstrosity.

Any human kindenss melted that image a little.

I was so glad to see Emma when she arrived to take me home in what seemed like days later.

I would wait a few days before going back to AA

Maybe when I was less jaundiced and less crazy. ,

In my next meeting I called out during someone’s share “what do you mean by a spiritual awakening?” and was told he would tell me after the meeting. So much for less crazy?

He didn’t.

Probably took one look at me and thought it wasn’t worth the effort. I’d be gone soon enough.

I was none the wiser about this spirtual malady that was at heart of all my troubles and somehow made me this mentally ill.

People looked at me half in sympathy, half in pity, another half incongruity. How the hell do you get to be that alcoholic? Was it a World record?

I was the Steppenwolf of the AA meeting.

I have never seen any one in the rooms who looked as bad as me since?

I have never heard of anyome have alcoholic pyschosis for more than a few weeks and that was a tiny tiny percentage of alcoholics, less than .05%

They usually die before then.

At least, the early AA founders were like me. Maybe I wouldn’t have looked out of place then?

I asked someone to sponsor me, a guy I thought I could push around but who I later learnt had been inside twice for two separate attempted murders!

He didn’t look or act like a potential killer now, so he must be doing something right.

He must have had some sort of psychic change to go from that to the cuddly office worker he looked now!

He asked me how I got to meetings and I said Emma drove me.

He said get a bus to meetings from now on.

Maybe he wasn’t the right choice?

I did too, for the next meeting where I met a guy called Tony who offered to drive me there in future.

Although 5 days sober, the illness, the alcoholism, vocally active in my mind, somehow remained. It had somehow been embedded in my brain and still talked to me.

I was still troubled by these thoughts and more so, by the fact they wouldn’t go away. I had stopped drinking so why hadn’t my mind quietened down around thoughts of drinking?

Why was it still chirping way, day in day out? Although not always about drinking. Sometimes it just put me down, character assassinated me.

When I had stopped smoking, after twenty years of smoking, I didn’t have this incessant inner dialogue.

Or when I ceased my twenty year and daily cannibus use.

Why was the internal dialogue was incessant?

Life was too difficult without such questions to torture me. The illness centres in the mind as the Big Book says. Could we trust our own thoughts even. There was a lot more to this alcoholism, addiction than met the eye.

Anyway, I had my other voice, the one that was even harder to believe in, coming like a warm smile across my troubled heart with warm tidings that all will be well.

Day by day this voice coaxed me out into the world and guided my through it, however gingerly.

The doctor had said I needed to be outside in the sun light to reduce the jaundice. I went for more blood tests at the local hospital Pathology lab and people stopped to point at me and laugh.

It was fairly humiliating but fortunately I have experienced worse so put it into my “it’s all relative” filing system in my mind.

What if I’d had liver cancer!?

Ignorant people are never in short supply.

It struck me that much of early recovery was about memory and different memory systems in the brain.

My addiction would arise at times implicity from habit memory and almost compell me to do certain things, sometimes it would use explicit memories to provide an imagenery scene about drinking and sometimes my brain would just freeze and I couldn’t shake it off. It was a locked in attention to drinking that happened again without my volition.

Was there anyway I could change these realities? The only way was to change my memories somehow?

To look back at these memories and reappraise them. I had started doing this already with my sponsor. He told be Step one work in Treatment would be looking at this for a few months.

We would discuss something and reappraise the past to show how it was really. It illustrated my memories were unreliable and gave false readouts on the past.

My memory couldn’t be relied on either it seemed. My thoughts and emotions and memories and sometimes even my perception of things all seemed a bit faulty.

He assured me the memory problem would be fixed via the steps 1 then 4 and 5 especially. Other problems could be ironed via sponsorship. I was to ring him whenever I needed to. It was surprising how often this was as I kept getting the wrong end of the stick over so many things in life. I didn’t seem to have a clue about living life on life’s terms. It was as if I would have to learn again from stratch. I could see why they call newcomers “babies” in US AA.

Another route, via memory, by which this illness trapped me was via my very negative self schema, which is a collection of memories and conditoning from the past which added to a condensed summary of how we feel about ourselves.

My self schema was very poor, full of shame and self loathing.

My illness fed on this, saying I wasn’t worthy of recovery.

This would have to be worked on too.

A possible clue to a solution was via an AA’s share, at this meeting, when he said his shame at being an alcoholic was relieved day by day by being proud of being an alcoholic in recovery, gradually through time, his shame lessened and his pride of being in recovery increased. His sense of self and his self schema and his esteem increased. He became more worth it. His self schema gradually changed and the illness had less to feed on.

It was a message of hope to think that changing how we felt about ourselves would help with recovery, that our twisted view of our past could be ironed out and that the habitual nature of addictive behaviour could be met with the habitual nature of recovery.

He was down the line from me, a beacon of how I could become, of how recovery could work for me too .

If I could only stay in recovery?

None of this was explicitly stated it the BB but it is there implicity in AA recovery and by product of it, if nothing else.

I would start working on my memories, they are what make us how we are, starting with my self schema with myself as an alcholic in recovery.

Chapter 7 – A Chemical Colonisation

This is part of a series called “The Bottled Scream” A Disease of Self – Understanding Addiction and Recovery. To go back to the introduction click here.

Trauma

Colonization

“…the process of settling and establishing control over the indigenous people of an area….appropriating a place for one’s own use. “

It is possible to view addiction as a chemical, then pyschological, colonising of a family. Valium and addicton entered our life under false pretences. It came to help my mother and us. It was going to help make things better. It did the opposite. It created turmoil and division and discord and scars that have not healed fully, decades later. It created denial about the past and opposing accounts of the past, different storylines. Although there may be a common understanding of the hurt of past, we still retreat into the primacy of our own pain and our own reading of the causes of this shared past. We apportion blame in different ways and create scapegoating rather than empathy, rather than common understanding of a similar human suffering. It turned people, with the most in common, against each other.

This was how power was maintained; by an emotional divide and rule. Some were favoured, and some discouraged, more than others. It created trauma, still unreckoned with decades later. Instead time and it’s progress, it march’s towards today, has glossed, superficially, over deep rooted pain, hurt, sense of injustice. These effects bleed into everyday life and propel behaviour, without knowing what is pushing them into each day, propelling them into attitudes and behaviours written by and enacted on behalf of, this invisble author, trauma. How can it not affect us? It is in our very fabric, our very make up. A silent director running the show. It is the toxic shame called self centredness in the Big Book of AA, the actor trying to run the show.

Even now writing this, I am in shame. How dare I share these private matters with the wider world. I do so, for me, and for some of you. For me, this is where most of my shame originates and, in these secrets, it is where it still festers. I have not properly investigated this puss filled wound in order to clean it out so it still seeps into my consciousness, propelling my behaviours and attitudes to myself and others. It still drives me forward. If I do not address it in public, air it, it will keep me ill and others will continue to play a role in my recovery although they are not part of my life. I will continue to protect the illness while misguidedly thinking I am protecting others and their versions of the past.

This is my recollection of the past and it’s effects, it belongs to me and no one else. I have to own it instead of falsely believing I share the exact same past as others. We see the past based on who we are and how life has affected us. Each sees it differently and I can only tell my story, which will be different to everyone else. Speaking as honestly as I can has been the antidote to the lies of addiction and trauma. Addiction is perpetuated by lies and shame filled secrets. Twelve step recovery implores me to look at my side of the street, not other people’s behaviour. For me, this has only told half my story and only addresses half my disease. It doesn’t address what happened to me, so is an incomplete recovery. Sins of omission make me, as well the sins I committed, in fact, most of the sins I committed were the result of previous sins I experienced from others. They are the result of my conditioning and most conditioning happens firstly in the family.

Addiction and trauma are often family born. Addiction is mostly a family disease. It not only wrecks havoc on families but often is the result of family dynamics. Of emotional neglect. This is where it mostly originates, genetically and environmentally. Most negative views of myself come not from my behaviour to others, my guilt, but from the behaviour and attitudes of others towards me, my toxic shame. It is others who have instilled in me a feeling of uselessness and unworthiness, not me. I have to clean up the other side of the street too. There is no blame apportioned here. Just a desire to understand how addiction and trauma shapes lives.

I have to explore that family history, that conditioning, to see where this negative conditoning comes from, if only to rescue myself from it. To rewrite this negative script that has produced this life. It seems more and more obvious that addiction generally flourishes in dysfunctional familes where primary emotional needs are not met. In society, we view addiction at the endpoint and rarely look at the origin of addiction. Addiction starts way before dependence on substances or behaviour. It starts at an early age when we use external means to solve an internal problem. When we look outside of ourself to fix our inner feelings. This is the start of it and it can be observed in early childhood and this offers a hope of prevention too.

Addiction is generally born and blossoms in family settings and more and more prevention and treatment needs to recognise this. We wait to the endpoint of addiction rather than foreseeing the conditions which lead to it’s blossoming in the first place. It is a family disease helped enormously by some form of family healing, some form of family treatment.

Trauma

Unresolved trauma around the world as the consequence and as the instigator of wars, and heinous brutality across this globe. Without healing generational trauma we are propelled forward in the same manner, decade after decade. This colonising and it’s long term effects in side a family mirrored the effects of British colonising in the North of Ireland. It too created turmoil and suffering, resentment and recrimination, argument, dissent and violence. Rebellion and a longing for healing, closure, reconcilliation.

I have been told to move on, many a time, or to do what I need to do, as if the effects of my upbringing are somehow exclusive to me. The past is the past. Not when it lingers on and influences the present. Their trauma and the trauma of thousands may not have brought them to the abyss like mine did, and created an urgent need to heal but it does not mean it isn’t there. Abuse, neglect and trauma are rife in our world and in society. Trauma perpetuates this from one generation to the next. It blindly pushed us forward.

I felt I was born into two conflicts, two wars, home at home and one outside the front door and in the television, in Northern ireland during the so-called “Troubles”. One seemed to mirror the other in many ways. A divide and rule existed inside the family as it did outside in our wider society.There was no justice, no recognition of past hurts, no peace.

Runs in the Family

My father was in the parlance of AA, a “dry drunk”, he was sober but an alcoholic nonetheless. He sobered up via the Pioneers, a Catholic church organsiation dedicated to temperance but not to recovery in the same way AA and other 12 step recovery is. Although he was more charitable than most AAs I have met, including me. He would become active in th St Vincent de Paul Society, taking pensioners on day trips to the seaside and in a local youth club for people with Down Syndrome. He would also become very active in the Church, more active than anyone else in our Parish. He demonstrated his Chrstianity via works of compassion and love. This would be the future, in my early childhood his alcoholism combined combustibly with my mother’s addiction.

My father remained unaware of the underlying factors that drove his sometimes immature emotional reactivity. He may have had  a spiritual awakening via the Church and been a much more loving and giving man than I am or ever likely to be but he struggled with this spiritual malady which like most alcoholics gave way to emotional immaturity, overacreactivity and attempts to etiher dominate or be emotionally dependent on my mother. Equally, he was often crushed by a low self esteem and a shame that he never got to know as the product of his alcoholism and his trauma. He also suffered the developmental trauma of being asked to leave his family home to live with his grandfather for some reason when he was a wee boy. He had been told by his parents there wasn’t even room in the house with him and seven other children.

That fear of abandonment followed him into his marriage and contributed to the problems in it, as did his undiagnosed and treated alcoholism.  This abandonment was at the heart of many of violent rows with his wife. It contributed to a turbulent life at home, a domestic life which was volatile, violent and, at times, traumatic. Although it was my mother who could have done with some from of recovery, even more so than my dad. This would contribute to violent rows and between my parents

Our family would be described as dysfunctional. Emotions were rarely acknowledged, never mind discussed. They were almost to be feared and avoided and in doing so would explode to the surface instead. The emotions of others were viewed suspiciously as causes of potential conflict rather than as common ground to empathise with, so we all grew up guarding ourselves from our, and others’, potentially dangerous emotions. It is strange to view something so fundamental to the human condition, emotions, as so dangerous and troublesome. They were viewed as suspect devices, ready to explode into rows and recrimination. Sometimes, in violent arguments; my mother would resort to hitting my father with pokers or frying pans. He would try not to hit her back as he was a former boxer and knew how to.

How he didn’t relapse and drink is beyond me. It seems a superhuman effort on his part. I can only conclude it was because of this love for us, his children who he doted on. We owe him that. He was a secure attachment for all of us, a consistent source of unconditional love. Sometimes the violence was so extreme, us kids would start screaming and run down the housing estate to my uncle’s house. We would drag him up the estate to our house to intervene with our rowing parents and calm the situation down. The times we ran to him for help! All of this could be seen in full view of our neighbours.

As we were reared in a Catholic family in a Protestant housing estate during the Troubles and this made us feel even more vulnerable and noticeable . Added a new layer of societal shame to our already toxic family and personal shame. There were only a ween of Catholic families and one of them was tearing around the housing estate fighting and half killing each other!

And it wasn’t just fights, Mum was so angry at daddy for not being home enough to help her with the wanes. He had an extra job in the evening packing cardboard boxes at a local factory on top of his day job as a postman. He wanted us to not go without anything, so he worked all the hours he could. It is hard not to see this as his addicted behaviour, workaholism instead of alcoholism. He also played darts in a local hotel twice  a week too which is difficult not to see as selfish behaviour especially when my mother would ask him for more help with the wanes, or for the odd night out among her own kind, fellow Catholics, instead of being cooped up in the house all day, surrounded by Protestants who made her feel alien.

She could have spent more time with his family who were living in two houses nearby but she had fallen out with them. She felt they were beneath her and had little to do with them. This was a real pity because she could have done with their help in rearing us. Mum just felt she needed to get out more, to the local Catholic Parish hall. She hated being stuck in the middle of Protestant families who she barely knew or had little in common with. She felt isolated from her own. She had been very popular growing up among Catholics and now they were all many miles away living in Catholic areas.  Her own mother and father were over 20 miles away! She just wanted to be around a Catholic culture that was familiar and reassuring to her. She just wanted to feel she belonged somwhere again. It was a Catholic culture my father hadn’t really grown up in, he had grown up among Protestants and thought most Catholics had looked down on this poor family of gamblers and loose morals. At least the Protestants only discriminated on the basis of religion. His upbringing was before the trouble when people mixed a lot more than in the 1970s when the constant violence polarised commuinities.

Mummy began to struggle badly, she felt her life was coming apart and felt alone and isolated with her workaholic husband rarely at home to share the burden of the child rearing.  Not many men did then. She felt miles from her own family. I remember the arguments, violence and the emotional, physical and spiritual abuse of my mother from a young age.  My parents would fight, physically, mum would use any metal implement she could get her hands on. My father would feel the effects of it. Neighbours became aware of that crazy Catholic family and my uncles, who were close by, would be fetched by one of us kids to intervene in our domestic violence and chaos. Mum would have to deal with my continuing to pee the bed by often beating me in the middle of the night and I would learn not to tell her and sneak in to my sisters room where my second eldest sister would change the bed sheets and replace them before mum ever noticed. I lived in fear of wetting the bed and a fear of falling asleep still haunts me today.

Mum would revolt against my father and his constant working, day time working as post man and evening work in a local factory, by dragging us kids through the countryside to the local Catholic parish hall, trying to remember and relive her own upbringing, to try and get a break. She never learnt to drive so we would have to rely on strangers picking us up in their cars as she thumbed lifts. They all knew my father as he was a rural postman, travelling in their rural townlands and farmland areas to deliver their post. They worried about his absence, about us being dragged up country roads in the wet nights. It was mortifying.  We waited for Dad to arrive some time later, at the parish hall to collect us and for my parents to row on the way home.

Sometimes Mum would take us on other thumbing expeditions, sometimes trying to thumb a lift to her parents which was over twenty miles away and much more dangerous as we would not be relying on those we knew and who knew us. No one else was doing this? No other mothers were dragging her kids around the streets and country lanes, just ours?  Just us?  The only Catholic family with the only crazy mother.  They felt synonymous and the pitying looks from our Protestant neighbours reinforced that idea. It felt like being Catholic increased the risk of craziness.

Chapter 5 – My Sobering Story

This is part of a series called “The Bottled Scream” A Disease of Self – Understanding Addiction and Recovery. To go back to the introduction click here.

Trauma My Sobering Story

My name is Seamas (James on my birth certificate) and I am an alcoholic. I am also recovering from Complex PTSD.

I grew in a dysfunctional Catholic family in a dysfunctional Protestant town in Derry, Northern Ireland during the so-called “Troubles”, the military conflict that raged for 30 years in the north of Ireland. The “Troubles” did not cause my alcoholism and addiction but it didn’t help them either. It did cause, however, my Complex PTSD; the C-PTSD that underpins and influences the severity and complexity of my addicton and alcoholism.

Recovery taught me not only that I am a chronic alcoholic but also that I have suffered trauma throughout my life, even in my active addiction, even in my recovery. It also taught me that I needed treatment for this just like I had for my addictive behaviour. I am not sure if I was born with an addicted brain or not. Or whether I was born with trauma or into trauma. It is still unclear whether my Valium-dependent mother was on the Valium when she was pregnant with me or not, or whether she went on them just after I was born. She confessed to me once that she had a nervous breakdown around my birth and the doctor prescribed the Valium, whether the GP had just upped the dose I wouldn’t know for sure.

All I know from talking to my mother is that she went to see him with a mental health problem and came back with a drug whose side effects that dwarfed those initial problems, by creating a whole host of other, even more profound mental health problems such as agrophobia, depression, social and generalized anxiety, suicidal thoughts, blurred vision, tingingly in her limbs, tremours, loss of feeling in her right side and so on.

She hadn’t gone to her local doctor asking for her problems to be magnified and multiplied but this is what she got. Doctors handed them out like they were smarties, increasingly so during “The Troubles”  as mothers, in particular, struggled to cope with the increasingly dangers to their children and themselves as the result of the conflict in the north of Ireland. Any attempts at giving up this medication seemed to increase these problems and the dosage of the medication to “deal” with them. 

I suppose it was not well known at the time that any type of benzodiazepine, of which Valium was one, was so addictive. This was because any research into the effects of it where based on studies covering short periods of usage. Many doctors knew and know they are highly addictive but still prescribed them, even today, when there is alot more known about their potential to become addictive.

It is difficult decades later and having witnessed “Big Pharma” manufacture so many mediactions such as tranquillisers, painkillers and antidepressants not to think they are often manufacturing addiction and creating vast profits from the subsequent human misery. They certainly created much misery from my mother and for her family. And for millions of other familes too. Addiction to Valium also seemed different to sticking a heroin needle in your arm or drinking bottles of whisky, it was surrepticious, a wee rummage in her hand bag, by the side of her chair, for her medication, which left us all wondering what the hell was wrong with our mummy? It wasn’t really an addicton to us but it’s effects on us were profound, as profound as any family living with addiction in a parent.

The denial that comes with addicton was almost increased in relation to mother’s medication perhaps even more so than if she was addicted to heroin or alcohol. It was not a drug to our young eyes but “mother’s helper” to quote the song title by the Rolling Stones.

We accepted it almost as an ally when it was the greatest enemy you could imagine. My mother struggled to understand what was going on with her and why it kept getting worse and not better, she struggled to explain the many deleterious effects of Valium and readily accepted a diagnosis Multiple Sclerosis (MS) in later life as they symptoms of Valium addiction where very similar to that of MS. It is common within Valium addiction and many Valium addicts end up with an MS diagnosis. We knew nothing of this at the time. We were glad she had been properly diagnosed and her suffering had been validated.

Years after receiving mobility allowance to help her buy a new car for my father to drive her around in (the only addiction that does!) and access to disability car parking spots closest to shops, another Doctor said she didn’t have MS but ME. Anything other than Valium addicton, it appeared. Medicine often manufactures profound problems it then spends decades misdiagnosing and mistreating. While not taking responsibility for either.

So I grew up in a home where my mother went from a nervous breakdown to Valium to a myriad of Valium-related mental health problems, which to my young mind weren’t because of this drug but because she didn’t love us enough rather than her simply struggling to cope, to MS, which all it’s extra “medication” to Myalgic encephalomyelitis (ME) and in between a range of misprescribed drugs for MS that made her hallucinate! These new MS drugs would never have worked, mainly because my mother didn’t have MS. Or ME. She was addicted to Valium plus all the added opioid addiction in the form of solapadine addiction and other opoid dependence as a combination of tranquilliser and opoid medication was prescribed for MS too. So this misdiagnosis brought an extra susbtance addiction to go with the Valium prescription and addiction. Other opioid medication was also freely available in local pharmacies too if and when required, simply purchased by me over the counter as it didn’t require prescription.

 I was mummy’s unwitting supplier from young age.

Read More

Excellent resources page on Vallium / Benzodiazepine addiction and support groups Unfortunately not all the links work

Transcript of the Panorama program on Valium here

Read more about Complex PTSD here

Getting To The Roots of All Our Troubles

 

Below is my feature article for Keys to Recovery Newspaper.

This article address how 12 step recovery treats the emotional disorder which underpins the “spiritual malady” that drives alcoholism.

http://www.keystorecoverynewspaper.com/

 

“My alcoholism almost killed me. It was only when my wife withdrew from me after she had exhausted all possibilities to try and help me—taking me to mental health professionals but with no success—that I asked her for the first time for help and she took me to my first AA meeting and booked me into a treatment center.

The professionals would treat me for something other than alcoholism, wondering if my drinking was linked to some other mental health issue. They all failed to see that the mental health issue that I was suffering from, and that was going to kill me quicker than any other possible disorder, was my chronic alcoholism.

They had very little idea of what alcoholism is. Most people in the world do not know what alcoholism or addiction is. They do not believe it is a condition that worsens and progresses neurobiologically in the brain over time.

Many in recovery are not completely sure what they suffer from and many coming into recovery are put off by the imprecise definitions they are met with. We still use a definition of alcoholism from 1935. It works—and that is the main thing—in treating alcoholism. It saved my life and gave me all I have but it does not explain all I suffer from and all that has threatened my recovery via relapse.

The professionals thought that by treating my other conditions it would alleviate the severity of my drinking.
They seemed to have little idea that my drinking was also partly the result of my brain having been changed due to the chronically high consumption of alcohol and other drugs.

They appeared to have little awareness that copious amounts of neurotoxic substances alter and damage the brain. They seemed to be of the idea that my ‘alcohol abuse’ was the result of something else, although 50-60 % of alcoholism is genetically inherited, making it one of the most genetically inherited conditions there is! I am
not saying that there aren’t other conditions, co-occurring conditions, which have contributed to the severity of my
alcoholism and addiction, like various tributaries running
into the same river.

In fact, I suffer from other mental conditions that existed
prior to and still run alongside my alcoholism and addiction.
Namely, complex PTSD and attachment trauma.

Mental health professionals do not seem to successfully
treat the most urgent problem very well, the alcoholism
and addiction. They seem, like most of the world I believe,
to be unaware that addiction and alcoholism become
permanently ingrained in the brain.

“Once an alcoholic always an alcoholic,” I have found to be true and science, in particular, neuroscience, which is the study of the brain,
shows this too. Once you have become a pickled gherkin
you will never be a cucumber again!

Science is catching up with what AA and other 12 step
groups and treatment centers have known for decades.

It has caught up with the idea that the condition of addiction
is ‘progressive.’ It only gets worse, not better, over
time. However, it can be managed and treated.

People in recovery are doing this, sometimes very successfully and
have lives they could not have dreamt of, regardless of still having this permanent and ongoing condition of the brain.

I believe my condition of alcoholism and addiction is ingrained in various parts of the brain that are connected to self-regulation such as emotion, motivation, memory and so on. When we are in emotional distress, our addiction becomes activated and acts like a ‘parasite’ on these parts of the brain that deal with ‘self.’ Distress activates addiction like a parasite—via our genes—which activates, for example, our memories to remember the good times when we drank, or activates our motivation to want more, more, more.

It also activates our emotional networks to make us feel bad or our self-schema, to think we are worthless.

This is addiction and it reflects how our brains became conditioned by addiction. Addiction has shaped our brains to do its bidding. Our addiction became a compulsion, which is an automatic behavior to relieve distress. It was not the substance that did the ‘thinking’ at the end of our addiction—it was distress. The thrill had long gone!

In early recovery, in particular, it is distress that leads us back.
We have to find a way of dealing with this distress in recovery.
My way was the 12 step program of recovery.

The longer we are in recovery, the more subtle the addictive voice becomes. Sometimes it lives on via ‘workaholism’ or too much food, porn, shopping, eating. All activated by emotional distress acting like a parasite on the brain networks regulating our ‘self.’

One solution is thus to get out of ‘self,’ to get out of having this distress. This is at the heart of 12 step recovery. I suggest getting out of self is done via a number of methods in 12 step recovery
such as: helping others, prayer, meditation.

There are also some ways of getting out of self which address the condition that seems to underlie our ‘spiritual malady,’ what I
call my ‘emotional disease’ of alcoholism.

In recovery, I have been given a toolkit to deal with me, ‘my self’—a toolkit I never had before. I was never taught by my family how to cope with me, how to deal with my emotions. My emotions have always disturbed me and I have always sought to escape them, to control them externally, via external means such as sweets, cigarettes, girls, and gambling, sport, deviant behavior and
then, in my mid-teens, via drink, drugs, and sex.

I was always fixing my feelings via something outside of myself
and the substituting of negative emotion with positive feelings of pleasure. I had this constant feeling of emotional distress even then, because of not being able to deal with my emotions, which would always impulsively lead me to fix my feelings

I have always had a limited ability to identify, label, process and regulate my emotions. I do not really have the fully developed brain networks that deal with controlling my own emotions.

Emotions can be undifferentiated and distressing to me as I am not sure what I am feeling and this creates an unpleasant feeling I try to escape. I acted out on this through impulsive and then, later in life,
compulsive behaviors. This is also called alexithymia, the impaired ability to identify, label and process emotion.

This alexithymia can be influenced by growing up in a traumatic or abusive environment or it can be genetically inherited
by a combination of both.

The vast majority of alcoholics have alexithymia.

My spiritual malady, as mentioned in 12 step recovery, has always been there too. In fact, I think my spiritual malady grows out of my emotional disease. If I can’t control my emotions it is then difficult
to live life on life’s terms. When I came into recovery I was shocked by how I could not control, or even read, my emotions.

In AA they say that people stay at the same emotional age as when they started drinking. I used to think this about me too but now I am not of this view. I think I never had the ability to read my emotions and tell another person how I feel. Fortunately, much of the program of 12 step recovery can help with this alexithymia
as well as the resultant spiritual malady.

Although I would also recommend outside professional help for co-occurring disorders, as I have benefited from outside therapeutic help for complex PTSD. My co-occurring conditions have threatened
my recovery and needed to be addressed as a result.

The 12 steps clear away the ‘wreckage of the past’ and allow us to make amends for past wrongs which is a massive exercise
in emotion regulation of past events. It emotionally relieves us of the distress we carried from our past lives. It allows us to
forgive which also helps in processing the emotions attached to the wrongs we experienced. It gives us a clear slate emotionally.

Step Ten allows us to regulate emotions by keeping this slate clean on a daily basis.

Another excellent technique for regulating emotion is sharing at meetings which allow us to talk through emotional issues—often to emotional resolution—to trust in a Higher Power and accepting that
things are as they should be (not how we want them to be!) All these are vital to recovery.

‘Wanting’ brings a whole host of emotional difficulties such as distress, selfishness, greed, gluttony, as well as other negative emotions/sins/shortcomings as it activates the ‘parasite’ that feeds on motivation and wanting.

Another very important technique in 12 step recovery is the use of a sponsor.

I will now explain how talking to a sponsor on a regular basis helps perfectly with treating our alexithymia.

In alexithymia, we have only developed two levels out of five in the development of our ability to process emotion.

According to one model, these levels include: awareness of physical
sensations, sensorimotor reflexive (level 1); sensorimotor action tendencies (level 2); single emotions (level 3); blends of emotions (level 4); and the capacity to appreciate complexity in the experiences of self and others, (level 5).

Those with alexithymia are usually stuck on the first two basic levels, being moved into action by emotion, which ties in with me as a young person being compelled to fix unpleasant feelings via action, externally. This was partly because I could not get to level three, identifying emotion—not to mention blends of emotions—and certainly not their complexity.

The magic of recovery is that ringing my sponsor and discussing my feelings allows me to process all these levels. Levels I cannot always do by myself!

When we ring our sponsor it is usually because we have a resentment against someone or something and it has resulted in our thinking going awry. We are usually in emotional distress. When talking to our sponsor, we can often identify an emotion (level
3) or character defects like shame, pride or guilt.

We can explore what we actually feel and this can often be linked to other emotions and feelings we have had about related themes and incidents—incidents we were not aware of as related (level 4).
We can also discuss the other person’s perspective and increase our understanding of self and also of others (level 5). This can help with other matters like empathy and forgiveness.

When we process emotion properly, the events that inspired distress are lodged away in our memory banks and are no longer swirling around in our minds. Most of the 12 step program of recovery is about doing this: processing our troublesome emotions and filing away their related memories (cleaning the slate).

Talking to a sponsor is also like a step 5 or a daily step 10.
Gratitude also helps in the regulation of emotion. We are happy with what we have, not distressed by what we want.
Practically all 12 step recovery is a program for growing emotionally, changing our emotional brains in the process.

Belonging to a 12 step group helps with attachment issues, increasing our sense of belonging, which relieves distress and
helps to regulate our emotions too.

In spiritual terms, 12 step recovery ‘restores us to sanity’ by spiritual and psychological processes which allow us to fully process emotion. It is the emotional distress which activates our spiritual malady and addictive behavior.

Treating this distress via effective processing of emotion allows us to root out the cause of all our troubles.”

 

About the author

Paul Henry lives in Wales, UK and has been in recovery for over 12 years. He completed various degrees in recovery, including
one in Psychology which led to him being a Ph.D. candidate in Neuroscience.

Paul is a published author in an academic journal and writes for ‘Inside the Alcoholic Brain’ and ‘The Alcoholic’s Guide to Alcoholism.’
He writes about how the brain is altered prior to, and after, addictive behavior; how this alteration remains in recovery and how it needs to be managed by spiritual practices, one day at the time.

For more information
please visit these websites: https://insidethealcoholicbrain.com/
https://alcoholicsguidetoalcoholism.com/

 

He’ll Be Back

 

This is an oil painting expressing emotional co-dependency in a dysfunctional relationship especially as it pertains to alcoholism.

I think there is a condition called para-alcoholism whereby the partners of alcoholics become emotionally drunk and deluded in their thinking. They believe they are better and more in control than their alcoholic partners whereas in reality the abnormal conditions of living with an alcoholic have existed for so long they become the normal state of affairs. The abnormal becomes normal.

We all get lost in alcoholism, partners, wives, husbands, children, family and friends. It is a fog thrown over many.

The partner in the painting is convinced her partner will return after yet another heated argument. That he has no where else to go.

She clings to this smug realisation. He Needs Her. Without realising he is her addiction.

That is alcoholism, para alcoholism and addiction – another slide into ever  degrading moral, spiritual,  emotional and psychological well being,.

We walk hand and hand into that hell.

 

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This Fleshy Hunger

This Fleshy Hunger refers to that craving that consumes a man and takes up all his thoughts and possesses him with one intent, to satisfy those desires.
The title is a term used to describe sex addiction but it could also describe various pathological yearnings.
The man is no longer in his home, or even in his own mind and body. He is elsewhere, in a manic reverie, in another imagined place.
He looks insane, possessed, in his imaginary relish and exquisite torture.

https://www.artfinder.com/product/night-falls-f0a8/

 

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Do we have to Hit Rock Bottom to Recover?

The Alcoholics Guide to Alcoholism

There has been much recent debate about whether a person has to hit rock bottom in under to surrender and start recovering, whether one has to go to the bitter end before surrendering to the recover process.

My own experience shows  that we have to concede to our inner selves that we are alcoholic and that we need help from others.

For me it was a “last gasper” rock bottom for many it was a low bottom, I had lost practically everything and for some they had lost little compared to me but they had seen the road ahead and realised it was not going to get any better without accepting help.

This shows there is more to alcoholism than alcohol, that these people realised their negative behaviours and their consequences were causing them as much distress as their drinking. They did not like who they were becoming or the…

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Nearly Everything Hari thinks He Knows About Addiction is Wrong!

The Legacy of Vietnam Re-examined

It is clear that the idea of addiction Hari forwards is without any foundation or substance in relation to the research carried out on Vietnam Veterans over the succeeding decades.

The vast majority of Vietnam Veterans did not come back to the US and suddenly give up drugs and their addictions. This is a myth pushed by Hari for whatever reasons, only he can say?

The vast majority of Vietnam veterans came back from Vietnam to a frequently hostile or indifferent homecoming, some 12% and then 25% continued to abuse illegal drugs, while many others suffered PTSD and drug and alcohol use disorders.

Added together, in even a conservative estimate, it appears that the majority of Vietnam veterans continued to not only have addiction issues but also cross addicted to other substances and alcohol and present as having co-morbid conditions such as PTSD. They also suffered more in terms of suicide ideation and actual suicide than the normal population, had more unemployment, divorce and family related difficulties….

Inside The Alcoholic Brain

The Rat Park of Vietnam and Beyond

rat-Park-01

The videos below have been doing the facebook and twitter rounds, often accompanied by this Ted talk by Johann Hari


Essentially these videos suggest addiction is caused solely by environment.

The idea that addiction is caused solely by environment will be critiqued here principally in relation to the example presented in these videos to support their theory of addiction, namely that the vast majority of Vietnam soldiers returning home to the US after service who were previously “addicted” to narcotics, mainly heroin, stopped using heroin when they returned home, never used heroin again and essentially become de-addicted as the consequence of changing environment.

Their “addiction”, in other words, was contextual and related to the environment in which they abused heroin and became “addicted”.  I put addicted in inverted commas as many people meet diagnostic criterion for substance use disorders at some stage in their life…

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Self Compassion Eases the Distress at the Heart of Addiction

This blog was just linked to by an article in The Huffington Post – so good enough for then, good enough to get a reblog! 🙂

Inside The Alcoholic Brain

I can change my brain and behaviour via neuroplasticity by behaving differently towards myself!

Here we look at one study on self compassion in relation to those who have alcohol  use disorders.

It will be a first in a series of blogs about the role of the heart in addiction and recovery.

Why the heart?

I thought this blog was about neuroscience and the brain which is the head? Not completely true. The heart has a role to play in stress and emotion regulation and in craving and helps prompt neuro transmission of various brain chemicals. The heart has a reciprocal relationship with the brain as we will see in later blogs.

We have had a neuroscientific “decade of the brain” so perhaps we need a “decade of the heart”? As we say in recovery circles, recovery is a journey from the head to the heart, which is so true whatever…

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