Sunday, November 29, 2020

How to Prepare When Your Loved One Comes Home from Treatment

How to Prepare When Your Loved One Comes Home from Treatment
When a loved one goes to rehab for drug or alcohol abuse, a lot can change in a short period of time. Welcoming your family member or friend home is a happy moment, but it can also be awkward. Many people struggle to trust that their loved one has changed, or to give them the space and grace to continue healing.When your loved one comes home from rehab, they need love and support more than ever. Yet, it’s important to deliver that without seeming overbearing. Here are 4 tips for helping a loved one who is returning home from rehab.Ask them what they want from you. The best way to know how to support your loved one is to ask them how you can best be there for them during this transition period. Everyone who completes drug or alcohol rehab is different, and there’s no one-size-fits-all way to help them feel at home after treatment.Instead of assuming that you know what your loved one wants at this time, have an open and honest conversation. This can be hard for people who have been in a caregiving role, particularly mothers or spouses. It’s tempting to just fall back into that caregiving role, but it might not be what’s best. Instead, your loved one might tell you that they need some space, or ask you to not ask them too many questions about their recovery.Set clear expectations. At the same time, you do have a right to understand what’s going on with your loved one, especially if they are living in your home. Chances are, they’ve broken your trust in the past during their active addiction, and it’s okay to still feel guarded because of that.During the conversation about how to support them, outline your boundaries. For example, you might have a curfew, or not want them using the car other than to go to work. Just remember — this conversation goes both ways. Your loved one might ask you to not go into their private space or tell others about their experience. Just like it’s important for them to respect your boundaries, you need to respect theirs, too.Give them space and privacy. Your life has been impacted by your loved one’s illness, so it’s natural to feel like you want to do everything possible to help them avoid a relapse. That’s understandable, but it’s important to remember that your loved one is an adult, and only they can take responsibility for their recovery.Try not to pester your loved one about their recovery — don’t monitor how many meetings they’re going to or whether they’re taking their medications (or course, if they ask you to take that role, it’s okay). Instead, support them by helping when they need it and demonstrating a healthy lifestyle throughout the household.Continue your own therapy. Loving a person with substance use disorder can be taxing. It’s easy to fall into your own unhealthy roles, like becoming codependent. That doesn’t go away when your loved one completes treatment.The best way for you to manage your expectations and master healthy communication is to continue with your own therapy. Work with a therapist who is experienced in helping families who are touched by addiction. Professional input will help you be able to navigate this delicate transition period with grace.Welcoming a family member home from treatment is tricky, not just for you, but for your loved one as well. Although they’re clean and sober now, you’re both actively working on healing the wounds that addiction brought into your life. Unfortunately, for many families, that takes longer than the 30 days spent in a treatment facility.However, if you can handle each other with love, respect and honesty during this transition time, you’ll have a great basis for moving forward together and continuing as a more healthy family.Sober Partners provides residential treatment in Newport Beach, California. Get more information at their website, by calling 855-982-3247, or on Facebook.

Thursday, November 26, 2020

Seconds and Inches

Seconds and Inches
(The following is an excerpt from a longer work)Chapter 19:Liar, LiarI called my mom and told her how horrible the college therapist was. “Mom, he wants me to sign a suicide contract.”“A what?”“He wants me to sign a contract promising I won’t kill myself.” I heard her catch her breath.“What is he going to do if I don’t follow through with the contract?”“Carly, how much are you using?”“I don’t know.”“Well, are you using a lot?”“What’s a lot?”“Are you using a lot? Like two times per week?”I am not a liar. I am a truth-teller. I was not using a couple of times a week. I was using every single day. From morning until night. Therefore, I was not using “a lot,” which is a couple times per week. “Not a lot,” I said.At the time, I believed I had answered her question honestly, but looking back, I was not capable of being honest. I wasn’t being honest with myself. I had to construct my own house of cards in order to be okay with all of my choices. I always had a justification in my mind, just in case someone asked.She never hesitated; she never kept quiet with the sobriety talk. “What about trying to not use anything at all? Could you do that?”I’d never tried to not use at all. Not since high school, and that sucked.“I’m just worried that the using is making your moods worse. You know, making you more depressed.”“Mom, I’m depressed because I’m not on the right medication. They can’t find the right medication.”“But what if you just tried to see if it helps to be off everything else?”I was sure her support group had told her there was nothing she could do for me, but she didn’t stop trying anyway. Instead, she sent me pamphlets and care packages and letters and called me and wrote to me and checked on me every single day. I would tell her how much I was struggling, and I would write plays in playwriting class about a young woman who couldn’t look in the mirror and was dying to get help but couldn’t take care of herself. I did not see the connection.“Are you asking God for help?” My mom had taught me to talk to God when she first got sober. She taught me the Serenity Prayer and to ask God for help when I needed it. Before she got sober, we never talked about God in our house.“I can’t hear God anymore. He can’t hear me.”I began snorting Special K, which is also used as a horse tranquilizer. Theo and our theater friend christened me with my first K bump one evening at his apartment. I heard Radiohead screaming in the background, and the cinder block walls of his basement started coming closer. The two of them pushed me into his tiny shower stall, saying that’s what you’re supposed to do your first time on K. So I stood there, fully clothed, dripping wet, clueless as to how I got into the shower or where my hands came from.On K, the dreamlike atmosphere inside my head accelerated. K removed the safety lever in my head and allowed every choice I made to be unfiltered—no more considerations of logic. I put every and any drug I got my hands on in my mouth. The world around me felt like a ride I couldn’t get off of. At night before I passed out, I would beg God to not let me wake up. And when I did, I felt betrayed. Chapter 20:Restless, Irritable & DiscontentIn the late fall of my sophomore year, my mom must have been tired enough of hearing me complain to offer me a challenge: “Can you go just three weeks without getting drunk or high?” Other than that pitifully short time in high school when I was dating the football player who didn’t like girls who drank, I had never tried to stop. “I don’t think you can,” she said. And that was it. I’d show her.Within the first few days of stopping, I could no longer sleep. If I did nod off, I was tortured with constant graphic nightmares. During the days, it was as though my skin had been removed and someone had pushed me out into the sun. I wanted to physically harm people who pissed me off, which was everyone. But that was rarely an issue because no one wanted to be around me.I clawed my way through those three weeks by staying mostly alone in my room, smoking, and watching TV. But I made it through three weeks with no drugs or alcohol, which convinced me that alcohol and drugs were not the problem. Because I felt so out of control without anything in my body, I knew there was something really wrong with my mental state. I decided I just needed to find the right medication to make me feel normal. And that until I found the right medication and the right doctor, I should have a little drink or a little hit off that bowl to calm down. What I felt when I got high for the first time after those three awful weeks was what it feels like when you’re swimming at night and you have to get out of the pool to go to pee, and you’re wet and freezing, and then you run back to the pool and jump in and feel the warmth all around you. That was how it felt when I came back to what I loved. It felt like someone had turned up Led Zeppelin, and the sun was shining on my face, and my feet were on the dashboard, and everything was perfect. After that first night back, I said that there was no reason to ever stop using again. And off I went.I’d been isolating, so I was cut off from the usual people I partied with. One night, I had a party at our apartment in an attempt to reconnect with the crowd. But during the party, something I took made me believe all the people were intruders trying to attack me, so I made everyone get out and locked the door. I curled up on the floor in the middle of the room, and trembled, and smoked. Someone banged on the door and shouted, “Carly! Let us in! Carly!”I covered my ears and curled tighter. I couldn’t get comfortable. No matter how I moved, it was as if I was lying on nails. There was nowhere I could place myself where I could rest.Copyright 2020 by Carly Israel, from the memoir SECONDS AND INCHES, to be published September 7, 2020 by Jaded Ibis Press, submitted with permission from Jaded Ibis Press. Available on Amazon and elsewhere.Tune in for a live discussion with the author on September 8, at 7 pm (EST) on FB Live.

Monday, November 23, 2020

When Is the Right Time to Seek Treatment?

When Is the Right Time to Seek Treatment?
Even during a global pandemic, many people feel busier than ever. The idea of putting your life on hold for 30, 60, or 90 days can seem impossible. Because of that, it’s easy to delay treatment for drug or alcohol addiction even when you know that you have a problem.When you’re looking for a reason not to go to treatment, there are a million excuses. The kids need you home for the transition back to school. You’ll go as soon as you finish that big project at work. You’ll wait until being without you for weeks is more manageable for your spouse.The truth is, there’s never a convenient time to go to treatment. In almost every instance, now is the right time to go to treatment — as soon as you accept that you need help and find a treatment center that meets your needs. Here’s why:Addiction is a chronic, progressive disease. Substance use disorder, commonly called addiction, is a chronic, progressive disease. Chronic conditions are those that last a year or more — generally for a long time. For many people, addiction and alcoholism are chronic conditions. That doesn’t mean that you’ll be living in active addiction forever, but it does mean that you’ll be managing this condition for the rest of your life, through steps like staying sober.It’s also very important to recognize that addiction is progressive. Medically, that means it’s a condition that gets worse with time. If you found out that you had cancer or diabetes, you wouldn’t delay treatment hoping that you’d get better on your own — you would quickly take advantage of any treatment option available to you, and intervene before your disease got worse. You should approach addiction treatment with the same mentality.Addiction is fatal.It might seem dramatic to compare substance use disorder to cancer. But the truth is that, if left untreated, both are fatal diseases. Last year, more than 67,000 Americans died from overdoses. While opioids get a lot of attention, it’s estimated that an additional 88,000 Americans die each year from alcohol-related illnesses.That’s more than 150,000 lives lost each year because of substance use disorder. If you recognize your drinking or using drug use has become problematic, you could be one of them. Getting treatment for substance use disorder can quite literally be lifesaving.Acting now can save your reputation and relationships. It’s true that addiction is progressive on a physical level — as you use a drug or alcohol your body will need more and more just to function normally. This is known as dependency. But addiction is also progressive in the way it affects your relationships.As your addiction grows and becomes more powerful, it begins to have consequences in your life. You might be late from work; “borrow” money from a loved one to fund your habit; or miss your child’s birthday. Each of those actions chips away at the relationships that you have. Over time, there may be nothing left to lose.On the other hand, going to treatment builds relationships. It not only prevents you from doing further damage to the people who you love and respect, but it also shows them that you are taking responsibility for your actions. The work that you do in treatment can help you build thriving relationships in the real world.There used to be a saying that people needed to hit rock bottom before getting treatment for their addiction. However, that’s a dangerous approach — rock bottom could be death or the loss of everyone you love.Getting into treatment now, rather than waiting, is one way to fight back against the disease of addiction. It shows that you are able to take control of your illness and do the necessary actions to repair your life. Delaying treatment is a losing gamble — and in almost every case things will get worse before they get better. You have nothing to lose — and lots to gain — by enrolling in treatment today.Learn more about Oceanside Malibu at http://oceansidemalibu.com/. Reach Oceanside Malibu by phone at (866) 738-6550. Find Oceanside Malibu on Facebook.

Friday, November 20, 2020

With Facemasks Politicized, Alcoholics Anonymous Faces a Conundrum

With Facemasks Politicized, Alcoholics Anonymous Faces a Conundrum
Gravity exists.Gravity exists whether or not Donald Trump questions its legitimacy on Twitter, triggering a right-wing media assault on the Radical Left theory of “what goes up must come down.” Despite any attempt to politicize it, gravity is a fact as sure as water flows downhill or a dropped stone plummets to the ground.Masks protect people from COVID-19, a virus whose combined contagiousness and lethality have caused the most devastating pandemic in a century. Expert simulations have shown that if 80 percent of the population wore masks, infection rates would plunge by more than 90 percent; a study published by the World Health Organization on June 1 aligns with these findings. Most recently, amid soaring coronavirus cases in mid-July, Centers for Disease Control Director Robert Redfield wrote a piece with the plain-as-day title “Universal Masking: The Time Is Now.”By guarding both wearers and those around them from potentially pathogen-rich respiratory droplets, masks steeply mitigate the risk of transmitting a deadly virus that has infected nearly five million Americans and killed more than 150,000. That’s a fact, as proven and indisputable as gravity, and attempts to politicize this fact make it no less true.So why, then, can’t I utter this fact in a place where I've come to value and benefit from honest, open dialogue?Why can't I declare this fact in a meeting of Alcoholics Anonymous?Much has been made about the pandemic’s impact on AA and other 12-step programs. Typically, these accounts discuss the obvious drawbacks of social distancing: the clunky awkwardness of meetings held online instead of in-person, and isolation’s erosion of the motivation and connectedness addicts and alcoholics feed upon to stay clean and sober.However, as businesses reopen and society emerges from lockdown, another COVID-related issue has adversely affected AA. And unfortunately, one of the organization’s well-intending, decades-old principles has allowed this fresh wound to fester.To explain: Alcoholics Anonymous and similar 12-step programs are, understandably, staunchly apolitical. AA’s Preamble, read aloud at the inception of most meetings, states that “AA is not allied with any sect, denomination, politics, organization or institution; does not wish to engage in any controversy, neither endorses nor opposes any causes.”This strict neutrality on outside matters has allowed AA to focus on its primary purpose: helping suffering alcoholics achieve and maintain sobriety. Since quitting drinking in 2011, AA’s life-saving single-mindedness has let me attend meetings with the “first things first” goal of furthering my recovery, recognizing that blessings accrued in sobriety would likely vanish should I return to alcohol.AA’s appropriate aversion to politics, then, is reinforced by success. It has served as a sturdy guardrail against outside influences, and played a sizable role in AA becoming the most proficient and prolific recovery program in history.And despite the creeping politicism of facts – the proven yet still-divisive issue of climate change is a prime example – no partisan dispute has been significant enough to put a noticeable chink in AA’s apolitical armor. Not even a fact-averse, race-baiting, violence-inciting president could do that.Until now. Until COVID-19.It has taken a combination of the worst pandemic in a century and the worst president in US history to profoundly penetrate AA’s apolitical bubble. That is as much a credit to AA’s effectiveness – the program works; I am living proof – as it is an indictment of any political figures or mask-refusing, virus-spreading fools fueling the contagion.Donald Trump, and the conservative media outlets that aid and abet him, have successfully convinced a significant set of Americans that a life-saving, science-backed fact – that masks are vital in the fight against COVID-19 – is instead a political issue. They have turned a plain piece of health-preserving fabric into the most hot-button symbol of a culture war, citing "personal freedom" as an excuse to infect and possibly kill others in the name of self-determination.AA is a part of society. Its meetings invariably include the substantial minority of people who think mask wearing is partisan subjectivity rather than common sense objectivity. They have been hoodwinked by an amoral president and agenda-driven, irresponsible conservative media, and I truly feel bad for them.That said, their ignorance has placed a pall over AA, the likes of which I've never experienced.Folks with long-term recovery, like me, are typically in no immediate danger of relapse. Rather, we continue to attend AA because the same program we used to arrest alcoholism also works to diminish the emotional issues – anger, fear, selfishness, envy – that drove our drinking in the first place. We came for our drinking, and stay for our thinking.AA is most effective – for recovery veterans and newcomers alike – when meetings are rooted in honesty. I need to be able to discuss the challenges I've been facing in the real world, so that others can help me apply AA principles in all my affairs – a pivotal part of AA's 12th Step.Here's the rub: as people emerge from lockdown, the most prominent challenges in my life – and, I'm sure, the lives of many others, AA members or not – involve the legions of maskless morons content to sacrifice my personal safety for their cherished personal freedom.In the age of COVID-19, the obstacle causing me the most fear, anxiety and stress isn't emotional but rather existential. I'm scared for my life, and the lives of my loved ones. And when I can't express that in an AA meeting for fear of violating the "no politics" rule, it significantly diminishes the program's effectiveness.It is a failure of society that we allow facts to be arbitrarily hijacked and fractured by politicians. These days, that generally means anything Donald Trump wants to turn into a wedge issue.But it is a failure of AA that it has allowed a straightforward health issue, mask wearing, to become a topic non grata due to this dangerous, disingenuous politicization. It is an act of communal cowardice playing out in nearly every meeting I've attended since the pandemic's inception, and has led me to significantly limit my participation.In doing so, AA is setting a terrible precedent. It is essentially giving members the equivalent of a self-declared trigger-warning – a means of shutting down honest, fact-based discussion on the basis that it might be considered political. This is a slippery slope to something an honesty-driven recovery program must avoid at all costs: phoniness. And phoniness by exclusion – the refusal to acknowledge an inconvenient truth, one that has swelled into an elephant in AA's COVID-caused cyber-rooms – is phoniness nonetheless.The result has dissuaded reality-residing individuals like myself from expressing our most pressing, protracted concern – contracting coronavirus through the irresponsibility of others – for fear of self-appointed politics police crying foul. I find myself walking on eggshells in an environment I've long considered an enclave of honesty, and therefore of healing.I got sober so I can live in the real world, not deny reality for the sake of preserving someone's right to be dangerously, irresponsibly wrong about matters of life and death. When one of the most important facts in recent history – masks save lives – isn't welcome in AA, many of its members, myself included, don't feel welcome either.

Wednesday, November 18, 2020

Preventing Opiate Dependency with Mindful Body Awareness

Preventing Opiate Dependency with Mindful Body Awareness
Understanding how our body becomes disordered is important information if we want successful recovery in a body that has been abused or becomes dependent on opiates or other pain-relieving substances.Connection and AttentionFrom a mindfulness perspective, we learn to connect to our body by paying attention. What are we paying attention to? Feedback.The body works on a feedback system and gives us signals and messages as to what it needs to maintain order and a healthy balance. The problem is we don't listen. The larger problem is we never learned to listen to the cues of our body. The body needs to be regulated. Things such as temperature, hydration, minerals, and nutrients need to be regulated. Systems such as the digestive system, nervous system, immune system, reward system, etcetera, are subsystems that support the body as a whole.The human body is similar to a car, in that the car has warning lights. If warning lights are left unattended, the lack of attention can lead to damage and can destroy the entire car. Not paying attention to the oil light, or to the steam coming from the engine; these subsystems that regulate the car can shut it down.In a car, if we hear a ticking sound, we listen – we may even get quiet, turning off the radio in order to listen more intently. If we feel something off when we are driving, we may slow down to give it our full attention. We keep an eye on the gas tank. We observe and notice if things are broken. This kind of paying attention matters.We can learn to pay attention to our physical body much in the same way as a car. We can get quiet, slow down, observe, notice, and keep a close eye on our body.Imagine that you were only given one car this lifetime. One. You would think twice about how you took care of it. Our physical body is this one vehicle.The Body SignalsPaying attention is an investment not only for your health but for your life. From a mindfulness perspective, attention and the process of learning to pay attention is one of the most worthwhile thing you could ever do. Paying attention; to pay, to give, to invest; at a cost. What you pay - what you give your attention to, or not give your attention to, costs you greatly in all areas of life. Not paying attention to the physical cues of the body is costing people their lives and the lives of loved ones, in most part, because we don't know what we desperately need to know. What do we need to know? How to prevent disorder and how to regulate the health of our physical body. Regulation and DisregulationIn the book, Full Catastrophe Living, Jon Kabat-Zinn shares a model of connectedness and health by Dr. Gary Schwartz, which looks at the regulation and disregulation of human systems. Dr. Schwartz’s model emphasizes that a major cause of disconnection in people is disattention, that is, not attending to the relevant feedback messages of our body and our mind.In regard to feedback loops, the example of hunger is used as a feedback cue from the body. When the body is hungry, it signals that it needs food. The body also will signal when it is full, which is our cue to stop eating. This is an example of self-regulation.If however, we eat for emotional reasons (non-biological) reasons such as anxiety or depression, we when we feel unfulfilled or bored - when we seek to "fill" ourselves with food when the body has not signaled, or fill ourselves with substances that the body does not need i.e. drugs, sugar, alcohol, we are feeding the system what it does not need. This lack of attention can throw the body out of regulation. [1]Learning to RespondMindfulness practices are designed to help us pay attention so we can learn to respond to ourselves. We can learn to respond to the cues of our physical body, our emotions, and the conditioning of our minds. This is a valuable life skill.Physical pain can be an obvious cue that the body is in need and reaching out for help. The body can benefit from prescribed opiates when it is in a healing state - stress of pain can hinder healing - however, many people will override healing cues and continue to override their feedback system. When we don’t teach people how to observe and regulate the body, many will continue to use opiates and other medications, overriding healing cues and initial cues of physical withdrawal. Overriding Feedback Messages.Pain is feedback from the body. With opiate withdrawal, the body is telling us that it's had enough and wants to purge itself- much like a child who eats too much Halloween candy and vomits and/or gets diarrhea. The body has systems in place to reject, remove, and purge what is not needed or wanted. In the early stages of opiate withdrawal, if the user was aware of what the body was doing and paying attention, they may be more apt to let the body purge, resume order, and stop any continued use.More often than not, they keep using the opiates as an attempt to override the pain. They don't know what is happening to the system and they keep overriding feedback messages, causing more havoc and dependency.We don't keep feeding the child candy to stop the pain- we let the body purge because we know what is happening. To help prevent physical dependency of opiate abuse, it’s helpful to teach people how to pay attention and listen to the feedback of their bodies.PreventionOpioid prevention can be supported with more awareness to the value of mindfulness skills. As teachers, parents, and healthcare professionals, we can find teachable moments to increase the practice of paying attention. Integrating mindfulness in classrooms, homes, and clinical offices can save lives.  Notes:Jon Kabat-Zinn, Full Catastrophe Living; Using the Wisdom of Your Body and Mind to Face Stress, Pain, and Illness (New York: Bantam Dell, 1990), 228, 229.

Saturday, November 14, 2020

Practicing the Pause: Writing and Publishing with Spiritual Intention

Chances are, if you’re a writer with spiritual inclinations, you’ll recognize this quote from Thomas Merton’s New Seeds of Contemplation.“If you write for God you will reach many men and bring them joy. If you write for men--you may make some money and you may give someone a little joy and you may make a noise in the world, for a little while. If you write for yourself, you can read what you yourself have written and after ten minutes you will be so disgusted that you will wish that you were dead.” Okay, so maybe that last sentence sounds a tad extreme. I’m not quite willing to admit that sometimes, when I write for myself, I wish I were dead. (This is not to say I don’t occasionally feel that way, only that I’m not willing to admit it.) But I know what it’s like to re-read a draft keyed in when my ego was doing the writing and feel plenty disgusted. This is so shallow. Maybe I should stop writing altogether. Is Trader Joe’s hiring? Whole Foods?That said, I also know what it’s like to connect spiritually before putting fingers to keyboard. I know what it’s like to pray, when writing a novel, an article or an essay, Please, help me help at least one person. And I know what it’s like to have that prayer answered.Here’s an example. After my first novel was released, I lectured to college students who had read the book. Many had jobs and took classes at night. No easy feat. They made a terrific audience, eager to learn, not just about the book, but about the writing life and how they might improve their own writing.When I gathered my things after the presentation, a woman approached. She diverted her eyes. At first, I thought she was shy. But when she started talking, she choked on her words, then cried openly. “When I read your book,” she said, “it was the first time I knew my son’s overdose wasn’t my fault.”Prayer answered! One woman’s life changed because she read the book, heard the message of forgiveness, and felt free. Testimony to how writing with spiritual intention can liberate at least one soul. Does it get any better than that? Not much.If you want your work to be guided by God or whoever/whatever you call your guiding creative force, you may already know the following premises (and promises) of writing as spiritual practice.Committing to the page every day—Just like praying/meditating every day, just like asking (as people in Twelve Step programs often do) to be “relieved of the bondage of self” on a twenty-four-hour basis—daily writing establishes discipline that can foster both spiritual development and creativity.Some days I ask for guidance and receive it quite boldly. Mostly this happens on my pre-dawn walks. When no other people, or very few, are out and about, when appreciating the moon or Orion or the clouds is almost effortless. It’s easier, then, for me to wonder—How does Daria (or any other character) get herself out of this mess? Or, why is Quinn hell-bent on ruining his business?—then release those questions while I walk, in the dark, waiting.The forward movement, my feet on the pavement, “kissing the earth” as Zen Master Thich Nhat Hanh would say, assures me I’m getting somewhere, even if I’m, literally and figuratively, still in the dark. As long as I don’t demand an answer (Yes, the answers come on God’s schedule), I either get clarity right then, or when I wake up the following day, or the next week, while I’m washing dishes or grocery shopping. And if no answers come on my schedule, I know to ask: what’s doing the asking? If it’s my desire or my ego, if I want it too badly, what does that say about my spiritual condition? I’m thinking here of A.A.’s Seventh Step, in which people in recovery “humbly ask” rather than demand relief from shortcomings.Learning to listen. This is easier when I’m writing nonfiction than fiction. Why? If I’m writing (or teaching) spiritual memoir, for example, I feel dishonest if I don’t practice the process I preach: practice the pause. But when writing fiction, I sometimes (think I) know where I’m going. This character needs to say this in order for that character to do that. Then, seemingly out of the blue, I hear The Voice: “She wants a divorce,” or “He wants to die.” Sometimes, I keep writing for a paragraph or two. If I’m feeling particularly defiant (No one’s going to questions my plan!) I continue for a couple pages, even a chapter.Then I read what I’ve written. The dialogue sounds flat. Or the tone is so disingenuous my ears hurt when I read the work aloud. Begrudgingly, I return to the chapter or paragraph where I heard The Voice. I don’t question; I just write. Maybe I’m annoyed that my plan has been interrupted. But, hopefully, that day I’m humble enough to remember that what I write isn’t mine, anyway. It belongs to the God who graces me with the willingness to sit at my keyboard, day after day, learning to listen more intently. Getting back to that Merton quote, If I write for God, I just may help someone find some joy, some release.Then I keep going. That’s not to say I won’t need an attitude adjustment before going back from chapter 17 to rework chapter 4. It just means I’ve written what I’m meant to write. And that, maybe, just maybe, by allowing my ego to be reduced, by listening more intently, I’ll bring joy or freedom to the person or people God wants me to.But now you may be asking, What Voice is she talking about? Or, how do I know for sure I’m hearing The (Right) Voice, and not some wild and crazy, ego-driven thought? Good questions. My answer? If you continue to ask for guidance, you “will intuitively know.”Dedicating writing time as an offering in gratitude for what has been freely given helps subdue the ego. This allows the work to express what, in a spiritual sense, it’s meant to communicate, not what the ego wants it to say or do. “I want this book to sell a lot of copies.” “I want stellar reviews.” “I want to leave a legacy.” “I want people to value me.” When I set those agendas, what am I saying about my self-worth, my spiritual condition? Am I so needy for attention, for love that I continue to look for it in all the wrong places? Inventory-taking helps.Pushing through the hard times, believing that the next word, the next page, the next book will speak truth, strengthens the writer’s faith as well as the writing. I’ve been working on an essay, one that I hope (and pray) will touch at least one aspiring writer. It’s coming off as pedantic and a bit desperate. But I’m wanting it done. Now. Even before the essence of what the essay has to say is revealed to me, I want results. So, what does that say about my spiritual condition? Who’s doing the talking? DESIRE, DEMAND. There’s a difference between this prayer (“Give me the words.”) and this prayer (“I’ll wait for you to give me the words, if and when you decide what you want me to say.”) Now, in commercial terms, that second prayer—especially the "if"—may stop you cold. “Okay,” you might say. “I’ll wait until You want me to write this **&#$& thing.” It’s quite another to say, “Look, I’ve got an idea for a story. I want to write it. Help me, if you want me to get this message out into the world, at this time.” Step Six in Twelve Steps and Twelve Traditions states that “any person capable of enough willingness…—without any reservations whatever—has indeed come a long way spiritually,” and “is sincerely trying to grow in the image and likeness of his own Creator.”Now Comes the Hard PartLet’s say you’ve read the above, you know the difference between asking and demanding that your work take shape, and you’re willing to wait for the timing to be God’s, not yours.Let’s further say, you’ve found a publisher. The contract is signed. The final draft is (finally) final. Then, your book is up on Amazon! Look how that cover pops! And my author photo isn’t bad, either!You’ve alerted your friends and relatives. All the people you listed in your acknowledgments. All your acquaintances at church or temple, the gym. Your bank teller. Your hair stylist. “I’ll check it out,” they say. “Can’t wait to read it.”Then they don’t buy the book. Or they don’t review it. Or the reviews they post are lukewarm. Maybe worse, they review it, but miss the message you intended them to get. Where’s the spiritual opportunity in all that?, you might ask.Besides, all you want is to get on to writing the next book. You want your time with God, when he speaks to you, when he lets you know through your writing who you are and what your life’s purpose is. Instead, you need to market the book, you need to attend book club after book club, to talk about why this character did this and why that character did that, and you need to talk about your writing process. (Good luck putting that into words! Do you tell your readers you consume a jar of peanut butter by the tablespoonful when the words aren’t coming quickly enough? Or that you’d rather eat dirt than rewrite the fifth draft because your publisher wants the chapters longer or shorter? Your writing is perfectly clear to you, why can’t he see get what you’re trying to say?)That’s when publishing as spiritual practice comes into play. And when, in recovery rooms’ terms, those *(#)$ growth opportunities rear up. (Groan.)Why? Because, for those of us who are introverts, not inclined to promotion, and on the sensitive side, this is when we have the chance to be freed of hobbling sensitivities and dependence on the opinions of others to validate who we are. (Sounds like a bit like some promises you may have heard, doesn’t it? The ones about finding “a new freedom and a new happiness,” or freedom from “fear of people.”)This quote from Flannery O’Connor might say it best. “When a book leaves your hands, it belongs to God. He may use it to save a few souls or to try a few others, but I think that for the writer to worry is to take over God’s business.”In other words, after a book (or essay or article) is written, it’s time to “turn it over.”But not, I suggest, before, as Saint Paul writes in his Letter to the Ephesians, putting on “the whole armor of God.” In other words, preparing by remaining spiritually strengthened. Some people will like your work, some people won’t. In any case just barreling through criticism, by developing a thicker skin, doesn’t help answer questions like: why does it hurt so much when I’m criticized, even constructively? I’m thinking here of what recovery teaches in steps four, five, and sometimes ten. Inventory! Until I have a reasonable understanding of the causes of the pains that influence my reactions to reviewers, to friends, to family who inevitably disappoint. (They’re human, right?)When my first novel was released, I had more than a few sleepless nights. “Why did she say that?” “Why did he promise to buy the book, then not follow through?” “Maybe I’m not called to do this work anyway.” “Is Trader Joe’s still hiring?”After I sulked a while, though, new gifts presented themselves. I was able to:Discover where those sensitivities really emanated from. (Was it that C my high school journalism teacher gave me? The fact that, when my mother punished me by not speaking to me for days or weeks, it was best for me to stay mute until she inexplicably started talking to me again?)Ask for my sensitivities to be removed, all the while remembering that my writing is, fundamentally, spiritual practice.Ask for—and accept—the willingness to persist. I had to claim it. Not just hunker down in front of my laptop and succumb to the temptation to fill out that application at Trader Joe’s.Learn to listen to and evaluate criticism. I once traveled all the way to Italy to study with a woman whose work I adored. At the first session, she called my memoir a “one-note lament.” Talk about a stake through the heart! When two others in the class left in tears because of the feedback they received, I called a friend back home. He reminded me that I made the trip to learn to write, not to make friends. So, instead of booking the next flight to JFK, I “took what I liked, and left the rest.” (Sound familiar?) Not coincidentally, when I returned home, I found an acceptance letter from a respected journal for one of the pieces that teacher had excoriated. At first I felt justified. See, she didn’t know what she was talking about. When the piece was published, though, I saw how it did whine a bit. I saw how it could better communicate the message I felt it was to deliver. Did that mean the editor’s opinion was more or less valid than the teacher’s? Maybe. But the gift was I started to learn was that, if I am dependent on others’ opinions, I’ll write what I think they want me to write, I’ll write to publish, not to write what I’m intended to.In conclusion: If you’re a writer in recovery who is willing to believe in your craft as spiritual practice, I suggest that a plan is in place. You may not see it, not yet anyway. But if you rely on both your program tools and the messages from other spiritually centered writers to ask for guidance, you will receive it in a way that advances, not only your writing, but your spiritual maturity. That means you will be better prepared when you publish and receive both affirming praise and disappointing reviews and feedback. You will have the ability to keep your ego in check, and to be grateful for both the positive and negative input. Because, in the end, as long as you are centered, you will know both your work and your spirituality are progressing.Like the Talmud says, “Every blade of grass has its angel that bends over it and whispers, Grow, Grow.” As writers, we have our angels, too, always encouraging us to not just put words on the page, not just to publish, but to grow, grow, grow.

Wednesday, November 11, 2020

If Your Loved One Is Considering Sobriety or Newly Sober, Read This

If Your Loved One Is Considering Sobriety or Newly Sober, Read This
Having a loved one with an addiction comes with an immeasurable amount of strength. Whether it is your spouse, child, brother, sister, or best friend, chances are you have felt torn between helping them and letting them reach their rock bottom. Rock bottom can vary greatly from person to person. Not being able to make upgrades to your security system might be your version of hitting the bottom, while not having a home because you’ve spent all of your money on heroin was mine. Using people for a place to stay, or food, or money is very common for someone during and even after their addiction. It’s incredibly difficult to reintegrate yourself into society when you’ve destroyed your own support system.When dealing with a loved one who has expressed that they want to get clean, listen to them. They might have said this a thousand times and you are sick of hearing it. As someone on the other side of a long heroin addiction, I never had any desire to get clean until I was scraping along the bottom for a long time. I thought that everyone had abandoned me and that my family didn’t care. I could not have been more wrong. My friends and family still cared very much but they needed to keep their distance after years of helping me and hoping that I would get better. When I stopped using drugs, I was only fueled by the desire to not scrape by and to not be such a piece of garbage.It’s difficult to know when your help is actually hurting your loved one. As someone who has climbed out of the fourteenth level of hell and has also earned the trust of their family, I wanted to share a little bit of the advice that I wish someone had shared with my family when I was coming out of my addiction.1. If you can help financially, make sure you aren’t enabling. I used to get birthday cards with cash in them, but when my addiction was noticeable, those stopped. There was one occasion where my grandpa was passing out Christmas cards to all of the grandchildren and when I opened mine, there was $100. I was so excited because I had been sick and this was my cure to not feeling like garbage. Hell, maybe I might buy myself some makeup too. My dad came up to me and in front of my entire family said, “Now you’re going to give that to me to hold on to right?!” I was humiliated. We bickered back and forth in front of my family for the rest of the evening until I gave him my Christmas money. In that moment, I hated him. I hadn’t taken into account the ways that my father had helped me over the years. Thousands of dollars in treatment centers, payments on my repossessed car, new clothes, medication, and every other expense that an addict child racks up was all paid for by him. Having a loved one who is killing themselves with an addiction is heartbreaking, distressing, and financially exhausting. They will say, “This is the last rehab attempt mom, I promise. I’m ready to get clean now.” You want so badly to believe them, to pour money into your shiny new healthy child. Leaving rehab as I mentioned earlier can be very scary because a lot of people don’t have anything to come home to. If you aren’t comfortable having your son or daughter in your home but can afford it, then a sober living situation might be the best case scenario. A lot of these places (often called ¾ homes) accept Medicaid and are free for the addict. This is a structured environment with strict rules and mandatory drug testing. When living here, you are free to leave for the day, but are expected to comply with curfews and required meetings. If this is the best option, make sure to compare the different houses available. If your loved one is on medication for their addiction such as methadone or suboxone, the recovery house might not allow it. Do not force your loved one to get off of their medication, find another option. I cannot stress this enough. There are plenty of sober living environments that allow medication assisted treatment, you just have to look for them. They might not like it (I sure didn’t) but sometimes coming home isn’t an option. There has been too much destruction, theft, and heartbreak to have them home. There are other ways to help them get on their feet. If your loved one has to go to meetings or group therapy, take them. Having to network to find a ride to an NA meeting is daunting. Relying on the kindness of other struggling people is difficult for anyone, let alone someone new to sobriety. Be their constant, take them if it’s feasible for you.My dad bought me groceries at my recovery home every week and I never appreciated it at the time. He would pick me up every Friday afternoon and take me to the store and let me put whatever I wanted in my cart. I never appreciated how much energy and money this cost him until I actually got clean.2. Expect angerIf you are not handing them cash then you can expect anger, rage, hate, and resistance. If you are reading this article then you probably know exactly what I’m talking about. I used to come up with every excuse as to why I “needed cash.” I had to pay for this or that and they only accepted cash. I was the master of coming up with emergencies that required $200. I thought that I was a genius. We use the creativity learned by extreme desperation. Being dope sick is the most painful despair that I have ever experienced and I would do anything to make sure that I would be able to afford my next fix. Not giving me money was the same as saying that you didn’t love me. I hated everyone. I was mean and selfish and only cared about not coming back to reality because it was too painful. When I first stopped using, I still expected my dad to buy me a new car as he did ten years prior. I wanted to get on top of a bridge and scream, “I HAVEN’T GOTTEN HIGH IN A MONTH! I’M ALL BETTER!” I was even angrier when there was no financial assistance after I stopped using. I was angry at my stepmother whom my dad married during my addiction. She had a helping hand in him cutting me off. I directed all of my anger at her because it was all her fault, right? Surely my dad loved me enough to want to help but this woman was preventing him.When the pink cloud of new sobriety cleared, and then the haziness of less new sobriety stopped lingering, I was able to piece together their reasoning for letting me figure out life on my own. My heart began to soften, my words became nicer, and I was ashamed of the way that I had treated the people who loved me the most.Every addict and their actions are different. I was kicked out of the house before I could really steal anything of value. I had a “friend” who stole his deceased grandmother’s diamond ring from his mother. You know your child or loved one best. You don’t have to allow anyone in your home that you aren’t comfortable with. You don’t have to pay for whatever emergency they are claiming to have. Don’t set yourself on fire to keep someone else warm. If your loved one has been clean for a short period of time and is pressuring you for financial help or a home to stay in, explain that it will take time. Stay strong and stick to your decisions. Express your love for them every chance you get. If it’s an option, start with a meal out.The longer that they stay clean, the easier it will be for them to understand your reasoning for keeping your distance during their addiction and even after.3. Support their decision to be on medication if that’s what they need.There is a huge divide in the recovery community about medication assisted treatment, or MAT. There is confusion on whether or not someone who takes this kind of medication is truly clean. As a parent or support system for someone who is trying to take their life back from addiction, you are not in a position to decide how they recover. I’m sure my parents would rather that I had stopped using drugs without the help of methadone, but without it, I would not have recovered at all. Medication assisted treatment saves lives.If your son, daughter, brother, or sister is in a program that dispenses medication as part of their treatment and you can afford to help financially, then pay the program directly. It is mandatory that the addict take their medication daily and coming up with the money required daily can seem like an impossible hurdle. Being in recovery means eliminating the behaviors and actions that were common while in addiction, too. Sure, we could come up with $60 a day to get our drugs, but do you want to know how we came up with it? Theft is very common, borrowing money from a relative or friend with no intention of paying it back is, too. Some of us even had to resort to prostitution to acquire the money to get our drugs.When your loved one is right out of a program they might want to do the right thing but life still costs money. Medications like methadone and buprenorphine can cost up to $18 a day without insurance. Help them sign up for a state run Medicaid program as most clinics take this type of insurance. There are also indigent grants at some clinics for those who don’t have the ability to pay for their medication at all.Mental health issues don’t go away just because the substances do. Coming back to the world after deciding to live without drugs is rough and sometimes unbearable. The running around and eluding police is a type of excitement that most people don’t understand. Living a normal existence after making the decision to give up that lifestyle can manifest major depression too. It can seem like there is nothing to look forward to and that nothing will ever fill the void that going to get high created. There is also a lesser known needle addiction that intravenous drug users struggle to get over.When you live a certain way and have routine compulsive behaviours, it can be close to impossible to even know where to start after getting clean. For a while, everything seemed so bleak. I would count down the days until I got paid and then once I got clean, it seemed like there was nothing to look forward to. My favorite thing in the world was gone and I had nothing to replace it with. I had no hobbies, no goals, and no motivation. This cycle of boredom often leads to relapse after relapse.Supporting someone going through what you hope is the beginning of their new life means supporting their mental health treatment. There are various types of medication that treat depression, anxiety and other issues that a qualified mental health professional can help explain a little better. Transportation to therapy and doctors appointments can mean the world to someone who is unable to get there on their own. If you are unable to help your loved one financially, that does not mean that you love them any less. Simple and meaningful things like answering a phone call and sending messages are just as important as money. Let them know that you love them constantly because drug addiction doesn’t just go away once they walk out of rehab. There are tons of resources for family members that have a loved one who suffers from addiction, too. Nar-Anon is a group that meets (probably online now) that is specific to family members that have been affected.If anything is taken away from this article, I want it to be this: You cannot help anyone until you are whole. If this means cutting off contact from someone close to you because they have hurt you, lied to you, or stolen from you, then take the time that you need to heal. You are important too.

Sunday, November 8, 2020

A Match Made in Heaven

A Match Made in Heaven
We were a match made in heaven, a heaven with an open bar. I can't remember which therapist recommended Melanie Beattie's Codependent No More, but the book was a gentle way of (correctly) diagnosing what I have in spades. You see, I'm not at the open bar because I drink, I'm there because I love to take care of every conceivable need of men who do. Well, part of me does and another part of me doesn't. I'm not sure what Melanie would say about that, but my pattern is to get into intensely close relationships with alcoholic men, and then leave them because of their alcohol abuse (and all the attendant ills).If you're wondering why I was in therapy in the first place, I grew up with an alcoholic parent. I was younger than five years old when I learned the mirror trick -- I'd put a mirror under my mother’s passed out nose to make sure it fogged up.My sister found Al-Anon, I found Buddhism. After five years of Buddhist self-study, I upped my commitment. I made a three year vow of celibacy and swore off all intoxicants. Without disparaging sex and drug or alcohol use, I did this because I wanted to delve into what Buddhism is also called, "the great path of purification." In the last year of my vow, I meditated and studied the Dharma with a former Buddhist monk, and separately earned a meditation teacher training certification from a secular outfit in New York City. In the last six months of this exciting period of spiritual growth, I lost 52 pounds. I felt so great by time my vow was set to expire (August 2019), I went out and fell in the love with the cutest, sweetest problem drinker I could find! Nine months later, I dragged my battered heart out of his life and started a new one for myself. So here is one lesson learned: taking a break, even a three-year one, and even stuffing that break time with esteemed Buddhist teachings, teachers, and retreats, didn't "cure" my codependency.It’s now twenty weeks into the pandemic Pause in NYC, and I'm sitting on my new roommate's old couch in Brooklyn, trying to figure out how I went from Buddhism to Boozhism.After three years of total sobriety under my vow (and no personal history of alcohol abuse), I went to a bar three to four nights a week with "Las Vegas" (If you can't be honest when you write, it's not worth it to write, so fyi, my nickname for my ex is "Leaving Las Vegas," which I've shortened to "Las Vegas"). For the first few months, I drank excessively and only stopped myself from drinking more each night because I didn't want to imbibe too many calories. But around month five, I had a panic attack at a tacky open mic night in a dive bar.The next week NYC went on Pause because of the pandemic. My drinking nights out ended, and I soon realized I wanted to keep bars on Phase 1 lockdown for the rest of my life. Las Vegas, however, mourned the loss of his social drinking. He was always very clear that he did not have a drinking problem. Rather his drinking friends were surrogate family members, since he was estranged from his own, so he really just missed spending time with his family. Hmm.I would like to believe that we planned to get married because we were in love, but I think we were just co-fantasizing. I know that my codependency did as much harm to our relationship as his drinking. If he feels I bait and switched him, he’s right. If I feel like he chose drinking over me, I’m right (he did, without my having to ask, he told me as much).Remember Carrie from Sex and the City? She wrote her column in every episode to exorcise her deep inner sadness, and also to bridge the anonymous gulf between her and the people she knew were out there in the city, also hurting. My clothes aren't as nice, but I'm your Carrie tonight. I want you to know that you can have the best intentions for yourself, commit so much time, money, and energy to self-love, and still land up in an old pattern.I don't have new wisdom for you, but sometimes we just need to be exposed to the same old wisdom again and again until we can hear it. I have nothing to sell you, or convince you of. I am as lonely as the next person, I am as fearful and anxious as the most fearful and anxious among us, and yet there is a loving operator in me who stood up and not only left Las Vegas, but kicked a good sized hole in my co-dependency pattern.Maybe it’s all the Buddhist philosophy I’ve read and practiced, but I don’t berate myself for the months I spent engrossed in my codependency. Rather, I congratulate myself for the years I’m not going to spend in a marriage where I pathologically subsume my needs to another’s (and one who so rudely and continuously ignored my needs at that).I was a neglected child, but I don’t need to be a neglected adult.

Thursday, November 5, 2020

What No One Wants to Say: The Truth About Change

What No One Wants to Say: The Truth About Change
I often find myself intersecting with families and their sons at a unique place in their journey. The program we run works with young adult men whose families are early in their understanding of the disease of addiction. Many of these families are only a few weeks into a brand-new set of diagnosis and they are eager to know how long it’s going to take for their son to recover and get back on with his (productive and healthy) life.The reality is, while some individuals can live productive and fulfilling adult lives when their treatment process ends, others may always experience long-term limitations to independence. This is not an either/or outcome but a spectrum on which every unique individual will fall. It can be complex to identify an accurate prognosis. This is because every young man’s addiction problem intersects with their personality, character, and mental health, all of which present their own limitations and challenges. Our transitional living often serves as a true tool for diagnosis – we have the chance to work with these young men once sobriety is established and they are re-engaging in society.In the middle of this process we get many frustrated parents who do not understand why, even after months of intensive clinical work, their sons do not have a grateful attitude, an unyielding drive for success, and healthy emotional regulation. We must be direct in explaining to them the complexity and limitations of the process of change.PERSONALITYWhat we can’t do:As funny as it sounds, I often must explain to parents that we cannot give their child a personality transplant. They have a specific God-given personality that is unique to them. They may be quiet, they may be boisterous, they may be funny, maybe they are serious, they may be driven, or they may be unmotivated – these are things that will not likely change. And unfortunately, let’s be honest, not everyone likes the personality of their family members. Maybe they are the “odd man out” with the family and do not connect and interact the way the others do. All the therapy in the world cannot change basic personality traits.What we can do:Most individuals seeking treatment have maladaptive patterns of thinking and behavior. Perhaps they tend to self-sabotage potential successes or use an overblown sense of ego to cover up for perceived inadequacies. For some people, they have been operating this way for so long it seems as though it might be a part of their personality. Through consistent and well-executed clinical intervention and 12 step work, we can help an individual begin to undo some of these thinking errors and behavior patterns. Once these issues are resolved, (and this really is the coolest part about recovery), it often releases an individual to be their best self, so hopefully the unique parts of their personality will again be experienced by those that love them.MENTAL HEALTHWhat we can’t do:Lots of clinical and therapeutic issues can be resolved or significantly improve through medications and targeted psychiatric interventions. Unfortunately, however, a significant number of individuals with mental illness, neurological disorders, or early childhood trauma will always have trouble relating to these diagnoses. Though we would like to believe that becoming a well-educated, consistently employed, and emotionally regulated member of society is just a matter of finding the right cocktail of medications and therapies, this hope often sends families in a near constant search for a cure that will never come. Complete remission from mental health difficulties is not possible for every individual.What we can do:There are incredible medications, specific skills-based therapies, neurofeedback, and numerous neuro-psychiatric interventions available today. Although not every client will be able to experience complete remission from their mental health complications, that does not mean they cannot experience significant relief and increased quality of life. Modern science and psychology have made incredible and progressive discoveries for many issues our clients face and we have seen that even serious mental illness can be improved to a degree.CHARACTERWhat we can’t do:If a person is committed to being dishonest, enjoys a life of crime, has no empathy, we cannot make them a “good” person. We cannot make someone motivated to be a better person if they truly have no interest. Parents who are investing in treatment want their child to show gratitude for their sacrifice, remorse for their behavior, and a genuine change in character. Unfortunately, this character change does not always happen on mom and dad’s timetable. Treatment staff literally cannot make an individual be nice no matter how hard we try.What we can do:Character issues is where the best opportunity for change exists. The Big Book of Alcoholics Anonymous states that the ideas, emotions and attitudes that are the guiding force in one’s life must be completely rearranged. This is where the 12 steps, therapy and spirituality really can produce real change. We all have a specific way that we see the world and through self-discovery and therapy, time and allowing God to work in our lives we can change the way we respond. What treatment programs can do is create the space and the appropriate environment for individuals to see the truth about their lives, repent and repair.Lastly, the other key conversation around what we can and cannot do relates to timing. The reality is that how quickly a person, even a very motivate one, experiences life change varies from person to person. We are not always in control of all the variables. While some clients do experience quick and drastic change in their life and behavior, others will experience a slower (but no less drastic) change over time. It is understandable that parents and loved ones yearn to see overnight change. Their families and their loved one have been hurting for years and they just want to put this all behind them. Therefore it is important to have this conversation with parents of young adults especially; we must replace the ideas of fixing and curing with more realistic and helpful concepts like growing and improving. This allows families to adjust their expectations, help create realistic goals, and focus on celebrating the progress that is being made. When this happens, there is a chance for real relationships to heal, even if the individual is not fully “cured.”With contributions and edits by KC Davis.

Monday, November 2, 2020

New Memoir Explores How Recovery Is Like Remodeling a House

New Memoir Explores How Recovery Is Like Remodeling a House
In How to Remodel a Life, reality makeover shows become the innovative model for helping a person find a sustainable path to long-term recovery from both destructive drinking and mental illness. A graduate of Wellesley College (B.A) and Yale Divinity School (M.A.R.), Hope Andersen came back from the brink to publish her first novel at the age of 60. Moving beyond her struggles with alcoholism and bipolar disorder, she found a way to put her life back together and express her inner voice.Wanting to help others struggling with the same challenges, Andersen constructs her new memoir as a how-to guide that looks at the recovery from a hopeless, three-fold disease as if a run-down house were being remodeled. The key is to return to the house's bones and find the beauty of the original build. After putting herself and her family through years of hell, Hope Andersen found the faith to put her life back together.In the epilogue to How to Remodel a Life (PipeVine Press), Andersen expresses a vibrant sense of hope when she writes, “Whatever your path, remember: you are never too young to start the journey; you are never too old to ask for help; it is never too late to start remodeling your life.”After being diagnosed with bipolar disorder in her early forties, Andersen’s life went off the rails. The chaos of the diagnosis sent her into a tailspin, and she began drinking hard and popping pills. Despite being in a loving marriage with grown children, she jumped into a maelstrom of sexual promiscuity and abusive relationships. Looking for anything to quiet the fear rising within, she came to the brink of suicide.What brought Hope Andersen back from the brink? Strangely enough, it was her husband’s brush with death that opened her eyes. Despite being given little chance to survive when he was diagnosed with stage four liver cancer, he received a new liver that came to them like a medical miracle. She was so grateful not to lose her beloved.Realizing what she almost threw away and what she could still lose, she chose to ask for forgiveness and remodel her life in a loving fashion. Embracing recovery and sobriety, she realized that she needed to rebuild her life. Stripping everything down to the bare bones, she had to look at herself honestly. It was time to take the reins of moving forward away from fear and rely on hope and faith.As Andersen writes in her new guide to recovery, “When you remodel a home, you must reach the point where the old structure simply does not fit your needs anymore. In rehabbing a life, the same is true. The first step to changing your life is recognizing that your old way of being is seriously flawed, non-functioning; you need help from someone, somewhere to create this new version of yourself.”Although recovery memoirs have become a dime a dozen in the 21st century, Andersen’s book stands out for two essential reasons. First, it speaks to older people in recovery that are finding a new path after middle age in the second half of their lives. There are not enough resources out there for these people as they embrace the path of recovery that often comes with more responsibilities and more complex avenues of shame. Hope Andersen’s volume is valuable because it is such a resource.Second, rather than being focused on just substance use disorder, including alcoholism, or just mental illness like bipolar disorder, How to Remodel a Life is a perfect example of the newfound memoir that’s entrenched in co-occurring disorders. Once referred to as dual diagnosis, co-occurring disorders are as common as apple pie in the church basements of 12-step programs and rehabs across the country. Smoothly moving back and forth between her dual challenges, Andersen shows that recovery from both is possible at the same time. It’s a crucial message that is needed. And Hope Andersen’s challenges are only just beginning. After publishing this latest book, she found out that she has third-stage kidney disease. Most likely, her doctors believe it was caused by the lithium she takes daily to manage her bipolar disorder. She realizes the only outcomes for her moving forward are dialysis, a transplant, or death. Suddenly, she has to apply the lessons she offers in her book to her health crisis.When the Coronavirus hit, she came to realize that her challenge was a reflection of the challenge being faced by the world. In the end, we all come together and remodel the microcosm of our individual lives and the macrocosm of the greater world, or we are doomed to perish sick and alone. Bravely, she moves forward, a spiritual warrior queen fighting for her life, family, and community. We wish her success and good health.