Posts

Addiction & Recovery – Family

/in , , , /by

Tips and coping strategies from week 5 of the Addiction Recovery workshop with therapist Nicki Line.

Family

Here are a few concepts that may be relevant to some of your experiences.

 

Differentiation of Self v Fusion

Differentiation of self– The ability to be in emotional contact with others yet still remain independent in your thoughts, feelings, and emotional functioning. People who are well differentiated from others are able to face difficult, emotionally charged problems, and not feel compelled to preach about what others should think, feel, not rush in to smooth the problem over immediately, and not pretend to be attached emotionally.

Fusion– This is essentially the opposite of a well differentiated self.  People who lack differentiation typically set aside individual choices, thoughts and feelings in order to achieve or maintain harmony in the relationship system (this can be a family system, friend system, etc). Fusion occurs when people form intense relationships with others, and their actions depend largely on the condition of this relationship at any given time. When experiencing fusion, an individual’s decisions largely depend on what others will think and how others will react, and if the decision will upset the intense bond of the relationship. People who are not well differentiated may feel that everyone in a relationship system needs to think and feel the same way or else the bonds will be broken. So either they must mold themselves to fit others, or pressure others to think feel and act the same way they do.

 

Transgenerational Trauma

We briefly discussed how trauma can be passed down through our families. Here is a brief overview of transgenerational trauma in families if this feels relevant to you, or you’d like to look more into it.

Transgenerational trauma refers to trauma that passes through generations. The idea is that not only can someone experience trauma, they can then pass the symptoms and behaviors of trauma survival to the next generation, who then might further pass these along the family line.

Transgenerational trauma can negatively impact families as a result of:

  1. Unresolved emotions and thoughts about a traumatic event
  2. Negative repeated patterns of behavior including beliefs about parenting
  3. Untreated or poorly treated substance abuse or severe mental illness
  4. Poor parent-child relationships and emotional attachment
  5. Complicated personality traits or personality disorders
  6. Content attitude with the ways things are within the family

 

Family Genograms

We discussed that not only trauma, but certain patterns of behavior and interaction can pass through families and influence families. One way to take a closer look at patterns in your own family is to construct a family genogram.  A family genogram is structurally similar to a family tree, but it includes information about relationships, interactions between family members, mental illness, substance usage, and more information.  We typically take a look at three generations using a genogram.

 

Here is a guide on family genograms:

https://www.therapistaid.com/therapy-guide/genograms

Addiction & Recovery – Daily Gratitude & Positivity

/in , , , /by

Tips and coping strategies from week 4 of the Addiction Recovery workshop with therapist Nicki Line.

Our brains are hardwired to find the negative in our lives. It is a survival mechanism to find the threats. But we can do a few small things daily to help rewire the brain to find more balance.  We can do this by taking note of some positive things in our daily lives and practicing gratitude daily.

Here are some prompt ideas for positivity and gratitude. We can practice by daily journaling, acknowledging these things with another person, or simply answering these prompts to ourselves!

What made you smile today?

What went well for you today?

What made you laugh today?

Did you accomplish something today?

Did something go better today than it did yesterday?

What are things you are grateful for?

Did you see someone else do something good for someone today?

What gave you hope today?

Did you have a moment of peace today?

What made you feel good about yourself?

Who is someone you are happy to have in your life?

What do you enjoy about your work?

What is something that makes your life easier?

What is a part of your daily routine that you enjoy?

 

Here’s a bit of information on the benefits of gratitude incase you’re interested:

https://www.forbes.com/sites/amymorin/2014/11/23/7-scientifically-proven-benefits-of-gratitude-that-will-motivate-you-to-give-thanks-year-round/#30cf8fb7183c

https://time.com/5026174/health-benefits-of-gratitude/

If you are interested in a daily guided journal for gratitude here are some options from amazon:

https://www.amazon.com/Gratitude-Journal-gratitude-mindfulness-productivity/dp/108063133X/ref=sr_1_1_sspa?dchild=1&keywords=daily+gratitude+journal&qid=1586183145&sr=8-1-spons&psc=1&spLa=ZW5jcnlwdGVkUXVhbGlmaWVyPUEzSzIxU0xQNkhCWFlJJmVuY3J5cHRlZElkPUEwMTQ2MDEwMzdNQ0YyVURZS05YTyZlbmNyeXB0ZWRBZElkPUEwOTE0MzgwMUtQT0s0TU5aOFkyQiZ3aWRnZXROYW1lPXNwX2F0ZiZhY3Rpb249Y2xpY2tSZWRpcmVjdCZkb05vdExvZ0NsaWNrPXRydWU=

https://www.amazon.com/Good-Days-Start-Gratitude-Cultivate/dp/1976436184/ref=sr_1_2_sspa?dchild=1&keywords=daily+gratitude+journal&qid=1586183159&sr=8-2-spons&psc=1&spLa=ZW5jcnlwdGVkUXVhbGlmaWVyPUE3TFZWWVFQMTE3OFgmZW5jcnlwdGVkSWQ9QTA5MDg5MjgyRzRSVzhMMFNXWldaJmVuY3J5cHRlZEFkSWQ9QTAzOTM1NzUyMUk5QlpFVlM1VklIJndpZGdldE5hbWU9c3BfYXRmJmFjdGlvbj1jbGlja1JlZGlyZWN0JmRvTm90TG9nQ2xpY2s9dHJ1ZQ==

 

ROLES IN THE ADDICT FAMILY

The addict

The Enabler- The enabler is the family member who steps in and protects the addict from the consequences of their behavior. The motivation for this may be to protect the addict, or to reduce anxiety, or avoid conflict within the family system.

The Hero- The hero is the family member who attempts to draw attention away from the addict by excelling and being exceptionally “good”. Through their own achievements, the hero tries to bring the family together and create a sense of normalcy. This role is usually taken on by the eldest child, as they seek to give hope to the rest of the family. Unfortunately, a driving need to “do everything right” tends to put an extreme amount of pressure on the hero, leaving them highly anxious and susceptible to stress-related illnesses later in life.

The Scapegoat- The scapegoat is just what you would expect: the one person who gets blamed for the whole family’s problems. This role tends to be taken on by the second oldest child; they offer the family a sense of purpose by providing someone else to blame. They voice the family’s collective anger, while shielding the addicted parent from a lot of blame and resentment.

The Mascot- The mascot tries to deflect the stress of the situation by supplying humor. This role is usually taken on by the youngest child. Providing comic relief is also the mascot’s defense against feeling pain and fear himself.

The lost child- The lost child role is usually taken on by the middle or youngest child. They’re shy, withdrawn, and sometimes thought of as “invisible” to the rest of the family. They don’t seek (or get) a lot of attention from other family member. Lost children generally may put off making decisions, have trouble with forming intimate relationships, and choose to spend time on solitary activities as a way to cope.

 

GROUNDING TECHNIQUES

Here are some ideas for grounding techniques:

  • Hold a piece of ice and focus on the sensations
  • Put a handful of salt in your mouth
  • Sour candy such as war heads, sour patch kids, etc.
  • Place your head in a bowl of cold water.
  • Rub some scented lotion on your hands, focusing on the way it feels and smells as you work it into your skin.
  • Use a water mister to spray your face and/or chest.
  • Pick a hand and tap each finger with your thumb, starting with your index finger and continuing down. Go back and forth until you feel grounded.
  • Keep a bead, pebble, stress ball, a small piece of cloth, or another object of your choice in your pocket and roll it around in your hand(s) when you need to get grounded. You can also use a bracelet or necklace.
  • Run your hand slowly and gently over the carpet or the fabric of a piece of furniture or clothing and notice how it feels when you rub it in one direction versus the other.
  • Put a piece of chocolate in your mouth. Experience the texture, flavor, and feel as it slowly melts.
  • Stretch your arms up over your head as high as you can, then out to your sides, finally pulling your elbows back as far as you can behind your back. Repeat. Think about your muscles flexing and feel their strength.
  • Hug your favorite stuffed animal, a comfy blanket, or a pillow.
  • Take off your shoes and push your toes into the floor or ground.
  • Bite into a lemon or take a sip of lemon juice.
  • Find something in the room that starts with A, then B, then C, and so on.
  • Count backward from 100.
  • Put on your favorite song and really concentrate on the words, the music, and the way it all makes you feel.
  • Write how you’re feeling in a journal that’s designated for grounding and use your favorite pen. Notice how the pen feels in your hand and the smoothness of how it writes on the paper.
  • Play a game on your phone or computer.
  • Breathe in through your nose slowly and deeply until your lungs are full. Slowly exhale through your mouth until your lungs are empty. Repeat, concentrating on the feeling of your lungs expanding and contracting.
  • Pull a mental picture into your mind of your favorite place and imagine you’re there. Think about what you’d be doing if you were really there.
  • Go outside and smell the air or the flowers, trees, or leaves.
  • Jump up and down.

Addiction & Recovery – Boundaries

/in , , /by

Tips and coping strategies from week 2 of the Addiction Recovery workshop with therapist Nicki Line.

Quarantine

If you are having to stay home during this time, the isolation and idleness can be a trigger for mental health problems.  Here are some ideas of emotion focused coping activities you can engage in during this time if you find yourself triggered to engage in an unhealthy coping mechanism, or simply with some time to fill:

  1. Exercise
  2. Write in a journal
  3. Draw
  4. Listen to music
  5. Take a bath
  6. Play with a pet
  7. Spend time in nature (with social distancing!)
  8. Clean the house (or a closet, drawer, or area)
  9. Read a book
  10. Meditate
  11. Use aromatherapy
  12. Facetime a friend
  13.  Cook a meal
  14. Engage in spiritual exercises
  15. Practice breathing exercises
  16. List the things you feel grateful for
  17. Color
  18. Garden
  19. Do yoga
  20. Use progressive muscle relaxation
  21. Give yourself a pep talk
  22. Watch a movie series
  23. Invent a new game
  24. Look at pictures that remind you of the people, places, and things that bring you joy
  25. Take care of your body in a way that makes you feel good (paint your nails, do your hair, put on a face mask)
  26. Use a relaxation app such as Calm
  27. Go for a walk
  28. Use Netflix’s social feature to watch a movie with friends
  29. List your goals for the next month, the next six months, the next year
  30. Call the people you are grateful for and tell them why
  31. Learn a new skill via youtube

 

Resiliency & Coping strategies

Coping skills can lead to resiliency. Coping skills allow us to successfully get through tough or challenging experiences. Each time we have a bad experience, and we successfully get through it unharmed, we learn that we have the ability to face the challenge. Having this happen repeatedly builds resiliency and trust in ourselves. When we confront our triggers, with the help of coping skills rather than avoiding them, we build resiliency as well.

Here is a great resource for building new healthy coping skills:

https://www.therapistaid.com/worksheets/coping-skills-addictions.pdf

 

Here are some resources about resiliency:

https://www.psychologytoday.com/us/blog/talking-about-men/201802/three-simple-ways-enhance-mental-health-resilience

https://positivepsychology.com/resilience-activities-exercises/

 

Importance of boundaries

Boundaries are SO important in our lives. They set the stage for healthy relationships of all sorts, including healthy relationships with ourselves. Setting boundaries and maintaining them can be a difficult task so here are some resources on setting and maintaining boundaries in our lives! Remember, setting boundaries and doing what you need to maintain them is not rude or selfish. You are teaching people that you respect yourself, and simply asking them to do the same.

https://www.therapistaid.com/worksheets/healthy-boundaries-tips.pdf

https://www.therapistaid.com/worksheets/setting-boundaries.pdf

 

Locus of Control

External locus of control= People with an external locus of control generally believe that their lives are controlled by outside forces, for example luck, fate, the actions of others, etc. They feel little sense of empowerment to make changes in their lives.

Internal locus of control= People with an internal locus of control feel that they can guide and direct their lives, and feel empowered to make positive changes.

Here are some blogs/  resources about cultivating an internal locus of control:

https://psychcentral.com/blog/cultivating-an-internal-locus-of-control-and-why-its-crucial/

https://www.verywellmind.com/develop-an-internal-locus-of-control-3144943

 

Social Media

We live in a social media driven world, and many of us depend on social media for work. So cutting out social media may not be feasible for all of us. However, what we can do is be more intentional about the way we use social media. This can be another example of setting boundaries. Each of us has the ability to decide and control what types of media we allow into our personal space. We can block, unfollow and mute any media that isn’t serving a positive purpose in our lives via informing us in a factual relevant way, inspiring us or motivating us. We can follow more people that inspire us, build our self esteem, motivate us, make us laugh, and give us some relief from every day life. Try to limit your social media exposure in general, and with the time you do spend on social media, make decisions about what type of media you want to influence your life. If a certain person or page consistently evoked negative emotions in you, take note! Maybe it’s time for an unfollow. This isn’t rude or unfriendly, it’s a form of self respect and asserting your right to control the things that influence you. Set those boundaries!

 

 

 

 

 

 

Links shared in the group:

https://recoverydharma.org/

https://instagram.com/clementinemorrigan?igshid=crmn7r98dotf

https://reason.com/2020/03/18/the-earn-it-act-is-the-new-fosta/

 

Addiction & Recovery – Codependency

/in , , /by

Tips and coping strategies from week 1 of the Addiction Recovery workshop with therapist Nicki Line.

Codependency: The Drama Triangle

 

Victim; The stance of the victim is “poor me”. Victims see themselves as victimized or powerless. They can deny responsibility for their negative circumstances and deny possession of the power to change those circumstances. A person in the victim role will look for a rescuer to save them (and if someone refuses or fails to do that they may perceive them now as a persecutor.) Victims typically have difficulties making decision, solving problems, or understanding their self-defeating behaviors.

Rescuer: The stance of the rescuer is “let me help you!”.  Rescuers work hard to take care of other people. Rescuers may need the help of other people to feel good about themselves, while neglecting their own needs.  Rescuers are codependent in terms of needing a victim to help, and they can often feel guilty or badly about themselves if they are not actively rescuing someone. Rescuers are also considered enablers because they remove responsibility from the victim to manage their own problems. Rescuers can find themselves overworked, burnt out, and often can begin to feel resentment festering.  Often this resentment can shift a rescuer into the role of a persecutor as they feel/ express things such as “ You don’t care about anything I do for you and you never do anything for me!”.

Persecutor: The stance of the persecutor is “it’s all your fault!”.  Persecutors often criticize and blame the victim. Persecutors may use threats and criticism to keep a victim feeling oppressed.  However, their criticism usually does not help or solve any problems.

* In a codependent situation, an individual can play all three of these roles at different points in time.

 

Codependency: The Empowerment Dynamic (TED)

The empowerment dynamic is the positive alternative to the drama triangle

Creator: Alternative to the victim. A creator is focused on a desired outcome, and sets goals that propel them towards their desired outcome.

Coach: Alternative to the rescuer. Uses compassion and questions to help guide a creator to developing their own vision and plan of action. Instead of stepping in and taking over as a rescuer may, a coach uses encouragement and support to help a creator put their plans into action.

Challenger: Alternative to the persecutor. A challenger is focused on learning and growth. They hold a creator accountable, but consciously builds them up and encourages them to keep moving and stay accountable to their goals.

 

Self Soothe Kits

Try to include something that engages each of the five senses. Some examples:

Sight: A postcard of somewhere you feel calm/ safe or somewhere you’ve always wanted to go. Photos of your favorite people. Affirmation cards.

Touch: slime or silly putty

Sound: a playlist on your phone with calming music

Taste: chocolate, citrus tastes, sour candies.

Smell: scented lotion or oils

 

Grounding Exercises

54321 Technique:

  1. Acknowledge 5 things you can see
  2. Acknowledge 4 things you can touch
  3. Acknowledge 3 things that you can hear
  4. Acknowledge 2 things that you can smell
  5. Recite 1 thing positive about yourself.

.

Breathing Exercise

Square breathing:

  1. Slowly exhale all your air
  2. Gently inhale through your nose to a slow count of 4
  3. Hold in for a count of 4
  4. Gently exhale through your mouth to a slow count of 4
  5. Pause and hold for a count of 4
  6. Repeat

 

Useful Resources

 

The power of TED -Book by David Emerald Womeldorff

 

Brene Brown The Call To Courage- Netflix special

 

Brene Brown various Ted Talks about vulnerability – available on YouTube

 

The Body Keeps the Score- book by Bessel van der Kolk

Acknowledging my Addiction – by Rogan Damiana

/in , , , /by

Addiction has affected me in some way my entire life. Starting with family members who had problems with addiction to my own issues with substance control in my adult life. I didn’t used to think I had a problem. Drinking was a massive part of my social interaction. Alcohol allowed me to be “fun”. At least that is what I told myself. I didn’t drink during the day; I wasn’t missing work or life events. I just partied hard when I did socialize until the partying turned into an every evening event.

I would immediately start drinking most nights when I got home from work and continue until I could no longer stay awake. Binge drinking was something I had heard of but was not associating with myself.

This destructive path of using binge drinking to cope with my complete unhappiness with my life finally culminated in a very nearly successful suicide attempt in April 2018. I had decided I was done trying and overdosed on my anxiety meds plus a gross amount of alcohol. I will never forget the jarring feeling I had waking up in the ICU, then reading my discharge papers detailing my overdose. It was in that moment I knew I had to change my destructive behavior.

The sense of comfort alcohol provided was false. It was wrecking my body physically and causing more stress mentally than it was relieving. I had allowed alcohol to bring out the worst of myself, hurting the people around me who loved me. The amount of money I wasted on numbing myself is staggering. I can think of so many more meaningful ways I could have used that money. Getting unstuck from negative thought patterns like that has helped me to move forward.

Staying sober from alcohol has not been easy but forgiving myself for the mistakes I made helps with the process. We can not change the past. I can’t take back the hateful words I used or actions I took out of anger with myself. The effects of my actions will always be.

For me recovery is changing the way I live. Through therapy and my small circle of support, I work consistently to change my thinking. The biggest challenge I have faced in this process is liking myself. Redirecting my perspective to acknowledge the positive aspects of my life and accomplishments helps combat the negative self-talk. When I start to get overwhelmed, I remind myself that I am doing everything possible to fix my life and that change takes time. There is already a noticeable difference in how I handle adverse situations that come up. Instead of immediately intoxicating myself to avoid dealing with the negative, I think through what actions I can take to make things better.

My social life has changed considerably since stopping my alcohol use and I have learned to be ok with that. Watching people I used to spend a lot of time with drift away has been hard. I hold no bad feelings towards this, relationships shift and change all the time. While being around others who are drinking is not a trigger for me, I have found I do not enjoy those environments anymore. I don’t hold that in common with those people that were in my life previously.

I also found that I had to strengthen my confidence in letting people know I do not drink. While to me it isn’t an issue that I don’t drink, I have received a variety of reactions when telling others. When I started this journey I would feel uncomfortable turning down a drink when offered because of the follow up questions that frequently followed. The well meaning “oh, one drink won’t hurt”, “but you’re so fun when you drink”, and my least favorite to deal with the misguided pity responses. In my ideal world just saying no would be enough. When pressed I generally reply with “Alcohol and I do not agree anymore” and leave it at that. I still go out; I still like to see live music and art shows. Now I do it without masking my anxiety with alcohol. I take a minute to go outside if the crowd is overwhelming. Also, allowing myself to be ok with

leaving an outing earlier than others helps so much. I enjoy myself and when I’m out of social energy it is time to go home. Putting my health and well being first felt weird in the beginning, but soon became a habit I don’t even notice anymore.

Addiction looks and feels different for all of us. It is a very personal issue to deal with. I hope sharing my story and how I handle this continuing journey will bring some hope. It is possible to survive after addiction and while it isn’t always easy, keep going. There will still be days that suck and challenge you. Every small change you make to create a better life for yourself will pay off. The proof I have to offer is myself. I am still here, still breathing, still trying, and succeeding. I hope this gives you the energy to try too.

If you would like to contribute to addiction month, please submit your article or video to contact@pineapplesupport.org

Submissions can remain anonymous.