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‘I’m not an addict’

Jabberwocky

Frumious Bandersnatch
Joined
Nov 3, 1999
Messages
84,998
‘I’m not an addict’

Chaos, denial, rock bottom. Addiction is a hell of a disease.


Secrets and lies.

Life used to be awash with them.

There were the lies Amanda French told her husband. That she wasn’t drinking. The waiting for Monday morning when he went to work before she started, trying to stop before he got home. Though he pretty much always did know. He knew.

There were the lies she told at the bottle shop. Oh, I’m making red wine casserole, I just need a cheap bottle. When really you’ve scrounged coins because you told your husband to take away your cards, take your cash. Hide your car keys so you can’t get to the store.

And then there were the lies she told herself. I’m not an alcoholic. Why can’t I drink? Everybody drinks.

“I was pretending to be normal but every day I was drinking. I’d get up at four o’clock, have a drink, go to sleep for a bit, then I’d be up at eight o’clock, have a drink. I’d cook all this food and wouldn’t eat it.”

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The 50-year-old would run away to the beach. Sit in the sand dunes where no-one could find her. Disappear. Her family not knowing if she was alive or dead.

One night — a couple of nights — she jumped in her car at two in the morning, drink-driving. Went to Kmart, stayed all night.

“I lied and I lied and I lied. I can walk to two bottle shops five minutes from my house in Launceston. But I could go to a different bottle shop every day for a month and they wouldn’t see who you are.

“It’s just like being sneaky and cunning and I don’t want to be that person anymore. No. I just want to be myself. A good person. A good friend, wife, mother, daughter, sister.”

The spiral

Mandy always had a glass in her hand, as far back as she can remember.

When she was younger it was always wine or bubbly. You’d have a few drinks before a party to get a boost. To feel more confident, more attractive.

I’ll just have one more, you’d tell yourself. And then just one more. And then, by the time you looked, you’d have downed a whole bottle.

“I might not have any more that day but I always liked to have a reserve bottle just in case I needed it. I mean, it got to the stage where there was no wine in the fridge, my husband tipped out all his rum. I never drank scotch or bourbon because it made me sick, but five-dollar bottles of red wine, yeah. It’s like you’ll do anything to have a drink.

“For me, it really spiralled from being a social drinker to being a heavy drinker to being unable to stop drinking. I was just totally out of control.”
Why can’t you just stop? Her daughter, her son, her husband must have asked her a thousand times. Why do you do this? You make the choice to go buy a bottle of vodka. Make a different choice.

“I now realise it’s a disease. I cannot stop drinking on my own will.”

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She’s ridden that merry-go-round. Sipping non-alcoholic wine all through a party only to get home and drink. Sticking to mocktails all through a 12-day cruise and then finding herself at the bottle shop counter two days later.

It’s something addicts are told in rehab: your brains are wired differently to those who can drink or use drugs, even to excess, without ever developing an addiction. Recognising you are powerless over substances is the first step.

“Now I feel like I can admit, you know, I am an alcoholic, I cannot have a drink. So if I go to a barbecue or a party or whatever it’s just like, ‘I don’t drink’.”

Delay and distract

Rehab has been hellish. She’s hated every day of it.

“I know you’re not supposed to be here to break the cycle but that is one of the reasons I’m here: I can’t get any alcohol.

“I have therapy once a week and the counsellor’s really helped me get through a few childhood issues and stuff like that, so that’s been great. But generally it’s not what I expected.

“We have to do all the cooking and cleaning. I didn’t expect any of that. I’m paying 400 bucks a day — shit, can’t they get someone to clean the bathroom?”

It’s all by design, of course. Part of discipline and taking responsibility. But if Mandy had thought about it properly beforehand, she never would have come.

That’s the way most people arrive. In a chaotic whirl. Whether checked in of their own free will or by a loved one, it’s a point of desperation.

She’s wanted to leave countless times. It goes with the territory.

At almost any given time, at least one patient is threatening to walk out.

The local police are accustomed to Riverside clients marching up the road, fronting up to the station, demanding out.

“Mate, you’re in the best place you can be. Do what you’re told,” has been the response.

At Riverside, the strategy is delay and distract.

“We can’t prevent anyone from leaving but we put it off,” says rehab manager Cameron Leiper.

“We have you see the support workers, they delay you and support you. We try to get you in to see the counsellor. We use the community to try to support you to stay.”

Plus, you’ve signed your belongings over to Riverside and they don’t have to return them for seven days.

In Mandy’s case that included a driver’s licence, which she would need to board a plane back to Tasmania. She was stuck.

That, and the knowledge that she had paid $12,000 to be there, cooled her heels until the urge passed.

She lurched through her 30 days, the minimum-length stay.

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Smoking is generally not given up at the same time as drugs and alcohol, but caffeine is banned since it's been known to induce paranoid delusions and psychotic episodes in recently detoxed people.

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Surrounded by drug addicts — 80 per cent of Riverside’s clientele are ice users, mostly young men — Mandy has struggled.

“I’m a suburban housewife, legal secretary. They’re all drug dealers. I feel like I’m in an episode of Underbelly.”
Leiper says alcoholics typically present as “I’m going to control everything”, whereas ice addicts arrive totally out of control with no sense of time management. “Alcoholics, their rooms are immaculate, they’re always on time. Ice addicts, their room’s a mess, they’re never on time and they forget everything.”

He says alcohol can be a much more insidious addiction than ice.

It sounds strange to say, but in some ways, Leiper actually prefers ice, because it brings things to an undeniable head. It demands to be dealt with.

“If you’re using ice, you will end up running naked down the street, whereas you can drink in secret for years while keeping up the appearance of a normal life.

“We’ve all got the same problem,” says Leiper, himself a recovering ice addict. “We’re all addicts. In that sense there is a one-size-fits-all in terms of, you have an addiction.”

In its second year of operation, Riverside has a 67 per cent completion rate.

No sooner is a bed vacated than it’s filled by another addict. The centre can accommodate 19 people, but typically has 15 or 16 residents at once, mostly young men.

She’s been encouraged to spend longer in rehab, but she’s adamant.

“Thirty days is maybe not enough for some people but it’s all I’m doing. At home I will keep doing everything that I’ve been taught. You know, I wasn’t all that keen on going to AA meetings but now it’s like, ‘OK, I will do 90 meetings in 90 days’. I’ll get off the plane and I’ll go to a meeting. I already know where they are, there’s one every day.

“We’ll try to keep me away from situations where people are drinking alcohol for the first while. That’s probably the hardest thing, because it is so socially accepted. My mum likes to have a glass of wine pretty much every day. My daughter drinks.

“I can’t say what I’ll be like when I get out. Only that this time I’ve surrendered and I have the total willingness to change my life.”

Ash

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At 39, his body is a wreck.

One weekend, while Ashley Hobbins was on leave from rehab, there was a party. He picked up a stubbie of VB and held it to his head, against the two plates in his face.

“This is what you did to me,” he told it. Then he put it down.

It was the car smash that prompted him to book himself into rehab.

He’d jumped behind the wheel after a night at the bowls club. His team had won. He thought he was alright to drive. Came across the West Gate and slammed into a wall, five metres away from a shrine for five kids who died when their car hit a tree in the same spot two years earlier.

Ash escaped with a fractured face and broken ribs. It makes the hair on his arms stand up, how close he came.

“They say about a spiritual awakening. That was f***ing mine.

“To walk away from something like that, I knew if I didn’t get the help I needed probably within the week I’d be in jail, or I would have killed somebody or I would have been dead myself.”

It began 15 years ago.

Ash was 24 and a ship foreman at the wharf, running the night shift.

He was beneath a 20-foot shipping container when a workmate jibbed it down instead of up.

“I had just enough time to pull my body out of the way but it caught my hand,” he says.

“I can still picture it right now. I was running around the hatch and I went to climb up the ladder to get out and I thought, I can’t get out of here.

“I could see my hand with the pigskin glove on where it basically just burst out the side of the glove, all the meat, you know.

“That’s something that will probably never leave my mind and it’s probably why I’ve ended up where I am today.”

The surgeons told him he was going to lose his hand.

“It was the size of a football,” Ash remembers. “I just said, ‘Whatever you do, try to save the hand’.”

A dozen operations later — skin grafts, carpel tunnel — he kept the hand but ended up on a “crapload of medication”.

OxyContins, Endones. Ganglion blocks infusing anaesthetic into his shoulder. A spinal cord stimulator implanted inside his stomach to interrupt pain messages to the brain. He was so rigged up he’d set off airport metal detectors.

“The stimulator was bulging out my stomach. It broke down three times. The third time I said, ‘I don’t want it in there’. So I went back to the ganglion blocks to see if that would work.

“My doctor basically said, ‘There’s not much more we can do for you. You’re going to have to be on this medication until it subsides,’ sort of thing. I couldn’t even function. I was all over the joint. I had a couple of seizures from having too much of it, fell down the escalators at the World Trade Centre and smashed the side of my face.”

There’s no point in blame, but Ash looks back and sees that’s where it all started. The slide into addiction.

Three or four years after the accident, he started smoking dope.

Life rolled on. He became a stay-at-home-dad after a split with his partner. Met a new partner. But in the evenings, he would drink.

A fight broke out at a party. Ash was hit over the head with a baseball bat, his skull fractured. Post-traumatic amnesia layered on top of the post-traumatic stress he was already suffering from his accident back in 2002.

Recovering from the injury, Ash pulled back on the drugs. But he was still drinking. Down to maybe four to six beers a night, instead of just smashing himself with half a slab. But drinking.

Who are you going to be?

Ash’s own father was a mad alcoholic. Five strokes in three years and another three after that. He was still alive but stuck in a nursing home bed.

“I’d only let Dad back in my life in my mid-20s. I remember my kids being around him and I don’t want to be that person where I’m on my deathbed and my kids or their kids are going to be seeing me, my grandchildren. So I use that as motivation.”

Ash remembers eying himself in the mirror on a daily basis, wondering. Who are you going to be today? What are you going to do?

Now in rehab, Ash hasn’t been this dry since the accident. A decade-and-a-half of his life. One big blur. Whether it was medication, or alcohol, or drugs of some type.

“I thought I was 29 but I’m 39. I don’t know where the last 10 years have gone. To actually stick my hand up and ask for the help was a massive turnaround for me.

“I know who I don’t want to be anymore, I just don’t know who I am right now. But this is a great stepping stone for me.”

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Residents are monitored by CCTV cameras. There are only four rules: no using drugs or alcohol, no threatening behaviour, no sexual conduct or fraternising and no theft or destruction of property. Breaking them spells expulsion

Triggers

Ash is scared to walk out those doors. Rehab is one thing, but the real world is full of triggers.

There are loads in the house where he’ll be living, where there are still holes in the walls from his fists.

“But now every hole I’m patching up, it’s patching up an old scar.”

He believes in AA’s 12 steps.

“I’m not one to believe in too many things, but these steps have actually given me a pathway. Instead of going right, I’m going straight. Before it was just like a figure eight, I just kept going around and I always kept coming back to the same point, which was daunting.

“I’d seen psychiatrists, psychologists and all that, but until I came in here and saw things clearly, it was very scary, very scary. I was only in survival mode, I was just getting by. I wasn’t living week by week, I was living day by day.”

Now, too, sobriety will be a daily proposition.

“I don’t think I’ve felt like this for a long, long time. I’m happy but scared at the same time, but I know we’ve got a brighter future. I’ve just got to keep the faith, as my nan would say. I’m doing it for my kids just as much as I’m doing it for myself.”

Giulia

Every Wednesday when she was 16, Giulia Condello’s dealer would pull into the driveway of her school.

She would say she had a stomach ache, walk out of class and jump in the car. From the car she would go straight to the toilets.

At one point during Year 11 she was smoking ice “just about every half hour”.

“You don’t realise it, but you create this monster of constant dissatisfaction. I can sit with myself now. I’m not constantly looking for something to put in me. Before, I felt lonely in a room full of 15 people.”

Stealing $400 a week from her parents’ business. Wasting down to 38 kilograms. When the school noticed and drug tested her she covered up, said she’d been abusing cold and flu tablets. They bought it. She went through the motions of seeing a psychologist for anorexia she didn’t have, to keep up the ruse — and continued to use.

Peeled off her face one time. Destroyed the lining of her stomach, she now knows, from using so much GHB.

There were two life bans at a Chapel Street club after they found her slumped under the bar, foaming at the mouth.

“They took me in a back room for about four hours and I was, like, hitting myself and having fits and stuff. You don’t realise what your disease does until you get clean because as I was walking down the stairs I had another charge, thinking it was funny.”

In the space of one week at the height of her addiction Giulia lost her job and her licence, got withdrawn from her course studying specialist effects make-up and moved out of home.

Living with a stripper and a drug dealer.

Clarity

After detoxing, it took three weeks to see she had hurt those around her. To remember her father sitting on the end of her bed before dawn, crying. Her mother, in tears as she checked her daughter into rehab for every substance under the sun.

“I never actually lost my family. I just lost myself. You’re not you, it’s like mourning your own death without dying.”
Now 20, Giulia’s experiencing sobriety for the first time since she began messing with light drugs and alcohol at the age of 12. At 14 it was pills. The night before she came to rehab it was mushroom caps, G and ice.

The first time she tried crystal meth, she didn’t know what it was. Stole a baggie and a pipe and smoked it.

The switch was flicked.

Now, coming out the other side, she wants others to know that the moment you first pick up the drug doesn’t have to seal your fate.

“I think if more people publicised their recovery it would give others a different direction — as opposed to trying to stop people from trying it in the first place. Because people still make the choice to try it, but they trick themselves into thinking they have to keep going, to keep using. Especially with ice, I feel like everybody thinks that once you have it, you always crave it. It’s not like that, at all. Once you try the other way you see that you’re no longer held by something. It’s your choice at the end of the day, there is another option.”

The first thing Giulia said when she came into rehab was, “I’m not an addict”.

Talking gibberish, making no sense.

“I couldn’t really speak when I first came in. My dad said he was really scared because I kept looking over my shoulder because, I don’t know, I was probably tripping. But whenever I’d speak it’d just be like ‘uh, uh’, a bunch of noises. And then I would laugh and wait for everybody else to laugh but nobody knew what I was saying.”

They gave her four Valiums and she went to bed.

It’s the same for almost everyone. At first, you’re a zombie.

Then, as the drugs leave your system, the work begins.

“I think the biggest thing is your emotions. While you’re using, your emotions are completely deteriorated, they’re not there anymore. So when you first get clean you’re feeling all these things and your first reaction to that is a craving. You want to use drugs.”

For Giulia, the trigger is having a good time. The party scene.

It helps, though, if she reminds herself of the bad things that follow the good feelings.

“I always lose something. Whether it’s a friend, physical injuries, whatever it is.

“So now I just play out every memory to the end, and that’s when you stop the excitement and you get the sadness and you don’t want that.”

Cooked

Looking back, Giulia can see it.

“I think about me and my sister growing up, and you see addictive behaviour in you as a kid. And it’s not just things like overeating or stuff like that, it’s the dishonesty.”

You don’t just binge on the chocolate. You eat it in secret then hide all evidence of it.

“I used drugs to self-sabotage. Like, my potential. It was like, ‘If I fail, I’ve got a reason to, because I’m cooked’.”

When you’re using, you find yourself losing the basic principles of life without even knowing.

Even love is distorted.

In the grip of ice, Giulia thought she was being honest because she didn’t hide how off her head she was.

“I would openly be cooked at home. But then when I’d be asked why, I would say I wasn’t on drugs and I’d think, ‘No, no. I’ve got this. Nobody knows, like, it’s only affecting me’.

“You’re not actually hiding from anyone, you’re just hiding from yourself. Like, as soon as my parents knew what was going on, because people had approached them and stuff, I ended up in rehab and now I’m well.

“By hiding it, you’re just protecting that one thing that wants to kill you — your disease. I don’t know why we do that.
“Rehab is not just like a holiday for you to come and take some time off. People are here for three months to work out you — and who Giulia is. You just bring it back to how you’re supposed to be on this earth. You get taught again how to be a normal person in society.”

Low point

The night before she came into rehab, Giulia had one of her scariest experiences.

She was using with a close friend.

“I remember passing in and out and to this day I still can’t recall what happened. But I remember waking up and he was on top of me. And when I got myself out of the situation, I told someone about it, and it was the whole, ‘You’re too cooked, how dare you say that about him?’

“That was a big turning point for me because I was reaching out for help about a situation [but] I couldn’t even say whether it was true or not. If I was sober, there’s no way that would have happened and no way I would have been questioned.

“You get to a stage where you can’t even look after yourself. People take advantage of that, you know. You can’t put your life in someone else’s hands.”

Clean and serene

The Narcotics Anonymous tag says it. Clean and serene. 90 days now.

“The way I feel at the moment is really important because it’s really enjoyable. It’s, like, everything. Physically I can walk, like, I can walk around the block and not need an asthma pump. I can spend time with my family.

“And, like I said to them, ‘I didn’t hate you, I just hated that you didn’t let me smoke a pipe in front of you, which is f***ing crazy to sort of want. But, I enjoy your company’. I’ve got no idea what next year has in store but I’ll get to choose and determine how my life goes.”

She knows she won’t be able to socialise the way she did.

“Before I came in here, if I had a mate who went to rehab and I saw them out I’d say, ‘Hey, do you want some stuff?’ because they’d just come out, it’s like a celebration kind of thing. But that’s not how I want to be right now.”

This New Year’s Eve was a revelation.

“This year, compared to last year, I don’t have my job and I mightn’t have money at the moment but I was present. I remember it ticking over. Little things, they start to give you happiness, which is good.”



Source: http://www.abc.net.au/news/2017-07-30/addiction-rehab-riverside/8576832
 
Reads like a LOT like self promotion for the recovery industry. I'm looking forward to finding more out about the author.
 
I know a lady who is similar to that first Lady Amanda French in the sense that she goes overboard on wine. A bottle a day, sometimes 2 or 3 bottles. The shit that comes out of her mouth after 2 or 3 bottles of wine is disgusting to hear, she starts being abusive and sometimes violent. I'd probably prefer to listen to an ice addicts talk about 50 topics in 30 mins than listen to her drunken verbal diarrhea. I wish she would get help but she doesn't wont to. Her liver must be very bad.
 
I know a lady who is similar to that first Lady Amanda French in the sense that she goes overboard on wine. A bottle a day, sometimes 2 or 3 bottles. The shit that comes out of her mouth after 2 or 3 bottles of wine is disgusting to hear, she starts being abusive and sometimes violent. I'd probably prefer to listen to an ice addicts talk about 50 topics in 30 mins than listen to her drunken verbal diarrhea. I wish she would get help but she doesn't wont to. Her liver must be very bad.

You should go to a bogan pub some time lol. Some of the shit you hear these yobo's go on about after a few beers is beyond trash.
 
Reads like a LOT like self promotion for the recovery industry. I'm looking forward to finding more out about the author.

Seriously. Makes it seem like holding your Driver's License and/or Passport and refusing to return it is a normal thing that medical facilities do. Fuck rehabs and their spokespeople. I knew at least 6 people who IV'd drugs for the first time because of the bullshit 12-step policies which rehab facilities use as the structure of their abuse. Many of them would have had a safe space to spend that night if they hadn't been kicked out of the rehab for 24 hours (to help you change your ways... somehow?) while also refusing to give your License or Credit cards. Fucking criminal. If I met the owner of that rehab in a dark alley I'd turn him into a cripple without a second thought.

I'll also mention that that rehab helped destroy my relationship with my parents. I'm a chameleon who believes in lying to get what's right, so I was able to make it through their program and build a more adult relationship with my parents... BUT it's made me basically say "Fuck em" about my parents and our overall relationship. Despite normally being very understanding people, they would never accept that that rehab was abusive, and most rehabs are trash and a waste of money. So if they can't trust me on that, why should I give a shit what they think/want/do in any other aspect of life? It's what helped me move across the country so I never see them, and it's what helps me not give a shit about not going to visit.
 
Never understood how someone can drink everyday....intestines of steel they must have ...alcohol is just too taxing on the body fo r me to use without breaks inbetween
 
These residential rehabs that charge an exorbitant amount of money who have little or no authoritive regulation so they can do what ever the fuck they want with limited training. Most centres do not even have a registered nurse or medic on duty at all times and there are people detoxing from potentially life-threatening withdrawal symptoms (alcohol and benzodiazepines for example). Most, if not all , of these centres are 12-step focused and that approach does not work for everyone... it certainly didn't work for me. The success rate percentages of the AA/NA fellowships are in the single digits! Yes they work for some people, but the very few.

People are charged fortunes for treatment, and I have never met an addict at rock bottom in desperate help with bags of cash to spare. Maybe I have a slightly biased outlook as I like in the UK and we have the National Health Service who if you are lucky and after a long waiting period you may be admitted for free detox and if you are even more fortunate to a residential rehab. But to have to wait to receive someone's cash before they are given medication to stop them having an alcoholic related seizure is disgusting. I have said goodbye to NA and AA and I am doing well on methadone, peer support, and counselling, and my life is 100 times better, happier and more stable than it has ever been. The last time I went to an NA meeting, I proudly shared that I had not used heroin for 18 months and then I was interrupted saying that I'm on methadone and therefore I still an addict and that does not count as clean time! I have never returned. I try to do positive things in my life and make positive changes and try to help others who have also suffered from addiction. So I have no time at all for these AA nazis.
 
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That's the situation in the states in a nutshell as well. I cant imagine it's much different in Aus.
 
I have so many problems with 12 step groups, but it mostly stems from their anti cannabis stances. Don't get me wrong, I go to at least 3 meetings a week, but I mostly go to keep the AA/NA nazis from preying on new comers. I didn't get clean at meetings, I was so alone and isolated during my using I just needed to be around people. I got clean by removing myself from the people who encouraged my using. Just reconnecting with old friends who don't use and don't judge me for my past using was key. Slowly rebuilding those reward pathways by being ok to need help and finding pleasure in non drug using activities. There are a few phrases that are said in meetings I agree with- you really do need to find new playgrounds and play mates, and live and let live. Feel free to Anyone feel free to PM me if you wanna talk about navigating the pitfalls of 12 step meetings.
 
That's probably the most significant reason I continue to seek involvement in abstinence based type communities, because I like, respect and can learn from some of the individuals involved. But it's a very complicated relationship for me.
 
As previously stated I think that for some people abstinence-based recovery is necessary and if it helps them to adopt a framework that they can apply to their whole lives as well as being able to deal with their addiction problem then what the hell.... go for it! The problem I have is when these fellowships become cult-like as well as the fact that they cannot be accurately regulated because of their anonymity principle. I have witnessed discrimination in terms of a definite drug heirarchy in these groups as well as people being shunned for relapsing by those with the longest "clean-times". This approach is not beneficial for anyone's recovery and I also do not think that 99% of residential rehabs should just generically adopt a 12-step abstinence approach to treatment. For me, medication (methadone) played a crucial part in my recovery, I attempted abstinence-base recovery but I get relapsing but now I am also fortunate to be able to drink alcohol and smoke cannabis recreationally and socially with no issues. Prehaps I am able to do this because I do not feel like I need to drink or use compulsively or to oblivion anymore as I am now in a much better place that I was before in active addiction...
 
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^ great post. I think residential treatment needs to focus on helping people reengage with hobbies and also help avoid isolation. As well as CBT work. I personally like the 12 steps as good food for thought for contemplative meditation etc. but they really just boil down to love thyself, know thyself, love others, and of course the controversial love a power greater than yourself.
 
elvis_wears_nikes said:
But to have to wait to receive someone's cash before they are given medication to stop them having an alcoholic related seizure is disgusting.

I hate to sorta defend the expensive rehabs, but they do just call you an ambulance when you seize on them, whether your credit cards went through or not. Thing that bothered me, there with other drunks and benzo addicts, is how they don't warn other inmates about first-aid. A lot of people still think you're supposed to jam a stick in a seizing person's mouth so they don't swallow their tongues. Probably a few broken jaws out there because of that.

But if you mean getting medical booze detox, well, if you're a lucky member of certain counties, in certain states, with an open bed, maybe!

But the reason I think so many are 12-step based, is that it's free (besides materials). Otherwise they'd have to develop an actual curriculum, and train the felonious staff on it. And you get the added benefit of anonymity, so that your long-term success or failure rate is impossible to measure, and can't be audited. They could each invent a (more) half-ass system, but state boards would have to approve, and that takes time and comes with audits.

FWIW at least the NA big book reads better than the AA version. I have a few small problems relating to the 1930's drunkalogs in the back.
 
I would probably like NA more were it not for some of the stance they took toward ORT.

But your absolutely right, other than the impact popular cults like Synanon have had solidify the warped application of a non-professional and experimental approaches to addiction and quasi-medical so-called therapeutic setting, the best things about 12 step modalities for most treatment providers (read:rehabs) is that they are incredibly cost effective. For the same reasons, it's commonplace to receive treatment from folks still getting enough supervised hours working towards a doctors or psychiatrists license.

Profit maximization baby, profit maximization... folks forget rehabs are business first and foremost, not healthcare providers in any substantive sense of the word.

It does still blow my mind that rehabs can operate without anyone trained in CPR on hand... there was a scandal not too long ago about a group of treatment centers in CA that ran into this little issue.
 
I hate to sorta defend the expensive rehabs, but they do just call you an ambulance when you seize on them, whether your credit cards went through or not.

That may be true. But the alcohol withdrawal related seizure would probably have been prevented in the first place if they were given their medications on time! I have been to two impatient detoxes and one residential 12-step abstained based rehab. I love their marking strategies buy advertise their success rate is 90-plus percent but what they actually mean is the percentage of people that complete their whole stay and complete the program... not how many stay clean! I'm not too sure what the percentages are for first proper attempt recoverymthrough detox and rehab without any lapses or relapses but I would have be extremely low. My personal experience is that lapses and relapses were extremely common in my early recovery and I did try to make a positive out of a megative by attempt to learn from my slip ups. The did luckily start become less frequent and less destructive over time. But I cannot say hand on heart that I will never use again as I know the nature of addiction (not NA's version of addiction)

Another issue I have with 12-step abstinence groups such as AA and NA is described quote from ukna.org:

"...prescribed medication for the treatment of specific medical or psychiatric conditions is neither encouraged nor prohibited by NA. While recognising numerous questions in these areas, Narcotics Anonymous feels they are matters of personal choice and encourages its members to consult their own experience, the experience of other members, and the opinions of qualified health professionals to help them make up their minds about these subjects."

I have attended numerous meetings at the start of my recovery and I was introduced to NA from my residential rehab where we were obliged to be present. I did used to like listening to the shares and stories told and found it quite cathartic. However, I was shocked to hear non-healthcare professional advising individuals to consider discontinuing their anti-depressants or psychiatric medication! This could lead to a potentially devastating and fatal outcome to someone who needs to be on these medications for their mental health condition. But I just generally dislike the abstinence or no way dislike the complete disregard for a holist approach to recovery when one could very well benefit from psychology, psychiatry and medication.

I am not completely against these 12-step fellowships but I am not personally in favour for them either, and I'm sure that have helped many lives and people swear by them. There are some positives that should be acknowledged and applauded for. With AA and NA.... It doesn't cost anything to attend a meeting, the coffee is even free and you can donate whatever you can afford if anything at all. Like I previously posted I've never met an addict in the depths of their addiction who has money to afford food let alone an extortionate residential program. NA and AA have approaches that can be applied to many aspects of an individual's life and this positive self-development is a wonderful thing if used right and not abused. They also stress the imperativeness in helping others in need through sponsorship for example, and the importance of the newcomer who is often the most vulnerable and scared person there.

So yeah. That's my take on it! Different strokes for different folks!

As long as no one is being abused, extortionated or taken advantage of (the 13th step). That that has to be paramount!


 
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That's the situation in the states in a nutshell as well. I cant imagine it's much different in Aus.
i don't know -my experience with detox in australia wasn't that bad. i know there are some bad ones, but i git a lot out of my brief stay in one of these places, to supervise me detoxing off a crazy benzo habit,
i've never been to rehab, but there were several being recommended by the place i went to.
one of the friends i made there ended up going to a long-stay residential rehab centre, and as far as i know, it didn't cost her anything.
i've no doubt there are expensive ones, but lots of them are government-subsidised.

the place i went to originally helped me kick opiates as an outpatient, then when my benzo use got out of hand, i went into the detox unit for a week.
i also saw a psychologist every week for over 3 years, a doctor when required and a social worker who sort of oversaw my treatment, and was available if ever i needed to talk to someone.

how much did all that cost?
it cost me absolutely nothing. i never got billed for any of it.
is the system perfect? no - far from it. there are pretty long waiting lists, and facilities are basic - but it really helped me get my life together, and i've since recommended the place to friends who have struggles with addiction.

from the people i met in there, i would definitely agree with the article and what it says about the insidious nature of alcoholism.
i really felt sorry for the alcoholics in there.
we weren't meant to talk about drugs or watch movies or tv shows that feature drug use or drinking - yet every second pagein the newspaper was an advertisement for a liquor store.
i have had my issues with drugs, but haven't had a drink in years. a few of my friends drink a lot, but i feel sort of glads that the drugs that tempt me are pretty highly stigmatised for the most part.
it takes effort to obtain them, unlike alcohol, which is absolutely everywhere in australian culture.

i thank the many acid trips i've taken in bars and nightclubs for totally turning me off alcohol, haha.
sometimes there is an upshot to being scarred for life by something like that. :)
 
However, I was shocked to hear non-healthcare professional advising individuals to consider discontinuing their anti-depressants or psychiatric medication! This could lead to a potentially devastating and fatal outcome to someone who needs to be on these medications for their mental health condition.

Yep. Had a half assed suicide attempt after someone in NA convinced me to cold turkey off my psych meds.

elvis_wears_nikes said:
the coffee is even free
I'm a cheap ass and I won't even drink the coffee. Blech!

elvis_wears_nikes said:
As long as no one is being abused, extortionated or taken advantage of (the 13th step).
I made the mistake of going out to lunch with some guys from NA after a meeting. The highly inappropriate, sexualized way they were talking about women that come to meetings (naming names, no less) was bad enough for me to say something to a female GSR. The response was basically, yeah, people hook up at meetings all the time and fuck like rabbits, it's been going on for a long time and it's probably not going to change. If your self-esteem is so low that you don't think you deserve anyone other than a POS ex-junkie, you need more help than a meeting can give.
 
elvis_wears_nikes said:
But the alcohol withdrawal related seizure would probably have been prevented in the first place if they were given their medications on time

Well, to be fair the two I saw and my own weren't going to get any meds anyway. Of course, a big part of that is the un-advertised cost of the medical part of the rehab. Whoops, did we leave out 40% of the cost somehow? For four thousand dollars, shit, for 100 bucks I'll find some Xanax for your taper.

I think the abstinence-only program just sets people up for relapse. Just look at it from a behaviorial view. How often can a person just stop an annoying habit, and start a new one? Like, "today Ima hit the gym and everyday at 5am before work!" Yeah, every one on Earth knows those things are unlikely to stick on the first try, it's not just "loser addicts and drunks" who can't start healthy living on a dime, FFS.

But 12-step cults teach you that the ultimate fear is relapse. So when one happens (because it will, face it, it'll take a couple shots) the member goes absolute ape-shit bender from hell, because everything she's worked for has been destroyed by her "disease". Instead of just saying "shit, I shouldn't have eaten that extra slice. Diet starts again tomorrow." I'm referring mainly to booze here, since relapse possibilities are all around you all the time, but I imagine it's similar for other drug addicts when you're forbidden weed or other substances.

And these places then profit with return patients. I saw people return to inpatient after being out for just a weekend. Yeah, 99% make it the full 28 days. Frame that and pretend it means anything.
 
Alcohol sucks. Even with me drinking low carb beers which aren't full strength I still can't stop drinking daily. I smash 12 beers (cans) in a 2 - 3 hour period then head to the local pub to polish off 5 - 7 schooners. I do this because it is so damn expensive just too drink at the pub.

I don't know what my options are, I haven't ever had a seizure but am afraid if I quit I will get one.

The government's response to alcohol addiction in Australia is to just jack up the prices which does very little for the addict but instead forces them to steal off family etc to fund their booze.
 
I think the abstinence-only program just sets people up for relapse. Just look at it from a behaviorial view. How often can a person just stop an annoying habit, and start a new one? Like, "today Ima hit the gym and everyday at 5am before work!" Yeah, every one on Earth knows those things are unlikely to stick on the first try, it's not just "loser addicts and drunks" who can't start healthy living on a dime, FFS.

Exactly.
There has to be a lot more than discipline and infrastructure to get someone off drugs or alcohol. One needs to understand his / her own addiction. Must want to be willing to go through the entire process, and obviously recognize that this is a problem that requires a lot of help. Group therapy, psychologist support, not only medical not to mention that you can't do it without a solid group therapy. The goal should be greater than getting through their time.
 
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