Today marks 6 months since I quit heroin.
I can't believe I just wrote that sentence. For years (about 2 years) I was stuck in the revolving door of using, quitting, then relapsing. I really thought it was impossible that I could break that cycle. It was just last August that I felt so backed into a corner that I tried to kill myself. But after that I started to change, and by October I started having more success in keeping the drugs away. Since then, things have been dicey very often...I worry all the time about relapsing or doing some fucked, stupid shit. But dicey or not, things have gotten way better.
For my own clear thinking (and in case it helps anyone else), here are the things that I think have been instrumental in helping me make it this far.
1. I asked for help. I had to get humble and ask my family and friends to keep in close contact with me. I chose two people in particular (my best friend and my wife) to be very real with me. We talk every day, not just shooting the shit but really sussing out out how strong or weak I'm feeling. I also sought help from strangers--a medically-based intensive outpatient rehab (IOP) and an often-strained relationship with Narcotics Anonymous.
2. I realized there is no silver bullet, at least when it comes to my own addiction. This point is obviously in some tension with the point I just described. When I first started leaning on other people, I looked around for someone who could fix me, someone who could give me the keys to the kingdom. This was especially true of my time in that IOP and my attitude towards NA. It took me a long time to realize that, yes, I need help. But once I'm propped up by others, it's up to me to get better. To be honest, this is one point I'm still really working on understanding/remembering. But it's definitely the case that I have gotten much more benefit from IOP, NA etc. since I stopped kneeling at their altars waiting for enlightenment.
3. I found medication that worked for me. For many opioid addicts, ORT--especially suboxone these days--is the state of the art in terms of treatment. But for some reason, my own experience with suboxone was abortive; it just never touched my cravings. Meanwhile I had read a long time ago about the opioid blocker naltrexone. I intuited that, given what I know about my own thought processes, naltrexone might help me. It took a long time to get a doctor to Rx naltrexone to me, but since I started it, it has helped me greatly. N.B. My point here is
not to pimp naltrexone. My point is only to say that finding the medicine that was right for me was a big step.
4. I got invested in my recovery. Way back in the day, when I was first trying to clean up, the wonderful former SL mod named Priest (full handle, Priest they called him) urged me to do precisely this: get invested in your recovery. He was absolutely fucking right. It is taking me time to understand what that means to me. But it has been crucial for me to accept that my recovery is going to be a project for many years. It's something I need to cultivate and practice on a daily basis.
5. I got involved. I tend towards alienation, isolation and social anxiety. My instinct is to loll around depressed and pissed at myself. I learned to act like this over years of struggling with depression and my own daily adversities. But for now I need to extend myself a bit further. I'm so thankful that I was able to take on my current mod responsibilities on SL...but even before I became a moderator, just being an active member of SL gave me a sense of connection to other people that has been deeply therapeutic. Likewise at NA--I've taken on a few *small* service roles. I chair one meeting a week and I've designed a few t-shirts and event flyers. An important corollary here: I've also been careful to avoid getting too involved. I know that if I let my plate get too full, I'll get pissed, take my ball and go home. So there's a bit of a balancing act here. This part is still very much a work in progress.
6. I changed the changeable things that were hurting me. Over time it became clear to me that some aspects of my life were keeping me miserable. My career and the town that I live in because of it were high on this list. I'll be leaving my job and moving (with my wife and our adoring dog) to a new state soon; in fact I've only got ~3weeks left at work. It's time for me to spend some effort learning how to be OK with who I am, not relying on what I do and who knows about it to make me feel worthwhile. There have been other personal life changes recently, but that's another story.
I'm sure there are other points that belong on this list, but I feel like those are the biggies.
I feel great about staying off dope for 6 months, but I'm the first to admit that I'm still very early in recovery. And it's still *very* hard. But I'm proud of what I've been able to do so far.
Thanks so much to all my BL friends. You've helped me more than you know.

Sim