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  • TDS Moderators: AlphaMethylPhenyl | paranoid android

anxiety and insomnia causing increased drug use w is alarming my therapist?

While I would suggest you drop the drink, I don't know what type of effect this would be having on you. However, I would not be happy if my therapist was going to contact my GP without my consent. If you are a serious risk to yourself, yes the therapist can break confidentially, however, a lot of therapists differ on what constitutes a seriour risk.

If you have been doing this for a while and can make it to your session and engage in them, then whilst there may be a risk, it raises the question of how serious the risk is?

Again, I want to highlight that alcohol and drugs don't mix. However, I would not be happy with this behaviour from a therapist. My definition of therapy is a place where I can speak whatever I need to speak of without fear of any consequences. There are the 3 legal area where confidentially may be broken,
1.Serious risk to self,
2.Serious risk to others,
3.info relating to a child at risk.

However, there are different ways of looking at these, and it is important to discuss stuff like this at the start of therapy so that you know where you stand.

At least the therapist is talking to you prior to disclosing information, but I would not be happy with this and would be looking for a new therapist, but that is me. I would suggest if you stay with this therapist that you discuss this to the extent that you know what areas are unsafe to discuss if you want it to stay strictly between your therapist and you.

However, do try to cut out the alcohol use and if not try reducing it as much as you can.
 
Doody OD, Thanks for sharing your opinion. I did terminate with that therapist that day. I no longer felt safe, nor felt that I could be honest. Definitely going to work on the drinking. I am going to check out a SMART meeting tonight. I am tired of it messing up my sleep.
 
There is a thread started on smart.. hasn't gotten any play yet.. it would be great if you can post your experience with that group.. I know allot of people would be interested.. I have heard good things and here is a link to the smart thread.. they have a good resource section as well. Please let us know what your experience is. way to take the bull by the horns 2youngnot2;).
 
TooOldForThis said:
Doody OD, Thanks for sharing your opinion. I did terminate with that therapist that day. I no longer felt safe, nor felt that I could be honest. Definitely going to work on the drinking. I am going to check out a SMART meeting tonight. I am tired of it messing up my sleep.
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Sound in that case I would suggest you start looking fir a new therapist ASAP, I know if I was in your position I would try telling myself I will give myself a break for a few weeks and those weks would turn into months.

For myself I perfer a psychoanalytic session, will not suit others, however, the process of free association, basically just speaking what you think, word for word, as you think it works well for me. I need a space where I can speak freely and most importantly freely, that I don't have to censore anything. That's not to say I want my therapist to always agree with me, or "enable" me a term some people use. Far from it, but if I am going to allow someone access to my innermost thoughts and fantisies I want that space to be protected.

Don't allow yourself to use that therapist as a way out of therapy, you just need to find someone that works for you, and in some cases this can take time, however, it is worth it. Therapy is hard work none of us really want to do it, but it is usually positive.

Best of luck with tackling the drink.
 
Too

I also drank for a very short time while on Norco's. I got really scared one night when i thought i was on my way to an OD. Of course i didn't call a friend to help me i just kept drinking coffee to stay awake because i really thought i would not wake up! I would have a glass or two of wine sometimes & i guess i had a bit to much that night. Really scared me & i have not had a drink since. Two of my friends like to drink & when i am with them i just have coke, no one knows i don't have rum in the coke & my other friend gives me water in a wine glass with a slice of lemon. LOL

The meds i am on now give me anxiety. I get very speedy if i take to much or yo-yo my dosing. I have PTSD also & tried all types of alternative therapy. What i ended up doing is get a CD player for the bedroom & a clock radio with sounds. Depending on how i feel i either play calming Zen music or use the ocean or while noise on my clock radio. Believe it or not it really helps.

Have you found a new therapist yet? I hate that insurance rules are medical care now...


Em
 
Thanks for checking in! I wish I could say that I gave up drinking, or at least gave up mixing alcohol and drugs, but I can't. Once I start drinking while on the pain meds, all rational thought goes out the window. Of course if I didn't start drinking, then it wouldn't be a problem.... I read on here every day, people tells youngsters not to get started, and they don't listen. You would think that at 50 years old I would listen to the advice given. :|
And no, I have not found a new therapist... The excuses are endless.
 
mixing 3 CNS depressants at once is bad but if you know your limits it can be done but does the oxycodone you take have just oxycodone as the active ingredient or is it like percocet also having acetaminophen because drinking alcohol with acetaminophen WILL cause liver damage eventually causing death death is imminent when tylenol is mixed with alcohol with any frequency
 
How much alcohol mixed with how much Tylenol is a problem? I guess I could google that question, but thought I would ask you since you mentioned it. After my surgeries I was on straight oxy. Now I am on perc.
It is rare that I drink more than two beers these days, but there are days when I drink more.
 
I don't think there is necessarily a ratio we can give you. You get liver damage from alcohol or paracetamol/APAP when your liver runs out of enzymes to detox the chemicals. Your body runs out of, I think it's glutathione, to produce more.
 
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