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From the category archives:

Addiction and Rehab

“Love Story,” the ultimate chick flick, was released in 1970 with a tagline that read, “Love means never having to say you’re sorry.” It was a popular film, but a bit contrived, and the catch line prompted some pretty cynical remarks.

John Lennon, for one, parodied the catch phrase when he said, “Love means having to say you’re sorry every 15 minutes.” And even the film’s co-star, Ryan O’Neal, mocked the trademark line when he said, “That’s the dumbest thing I ever heard.”

So for those of us with long histories of drug abuse that left a wake of ruined relationships behind us, the process of saying we’re sorry – even if we mean it – just doesn’t cut it. We’ve gone through long chunks of our lives saying we’re sorry, usually followed by, “I promise I won’t use again,” or “this is my last bindle of cocaine – and I mean it this time!”

Way too many words, not enough action.

In recovery, we discovered that love doesn’t mean we have to say we’re sorry, but we do need to correct whatever wrongs we committed in the first place. The Ninth Step of Narcotics Anonymous is an action step. It requires that we make direct amends to those we have harmed wherever possible, and nowhere in that step do the words “I’m sorry” appear.

When we were using drugs, we manipulated people and tried to control every segment of our lives and the lives of others. We lied, we stole, we cheated and we went to any lengths to obtain our drug of choice. And when we started to get clean and to take advantage of drug abuse resources such as treatment centers and 12-step programs, we were told that eventually we would have to make sincere amends to those we had harmed.

This is one of the most important things we’ll do in recovery, and we want to do it right. That means we don’t go out and make these amends fresh out of treatment or with just a couple of weeks or a month of clean time. First off, we’re not ready and neither are the victims of our addiction. Secondly, nobody’s going to believe us. They’ve all heard our stories before.

Eventually, as our families and close friends begin to see a change in us, it becomes easier for them to accept us. Like the book “Narcotics Anonymous” says: “Clean time speaks for itself. Patience is an important part of our recovery.”

Drug abuse resources such as a recovery home or an NA meeting teach us that we get to Step Nine when we get to Step Nine. Like our sponsor always says, “The steps are numbered for a reason.” This step, like all the others, is about growing up and staying out of our own way. The more time we have, the less of a mess we’re making in our neighborhoods as a result of our using.

And when our sponsor says we’re ready to take our amends on the road, we go to those people on our list and humbly ask them for their understanding for past wrongs. The book describes how we do this in detail, including how to make financial amends to those we borrowed – or stole – money from. The good news is, we often find that the people we love most are also the most forgiving. They just want us to quit doing what we were doing. To them, that’s amends enough.

Once we’ve made these amends – in person when possible and indirectly when appropriate – we find that we have not only helped ourselves with our guilt, but we’ve help others with their anger or disappointment. We’ve wiped the slate clean and we can once again look any man or woman in the eye.

Because, as drug addicts, we can’t afford to be uncomfortable in our own skins. The idea is to have a clear conscience about our past. And to stay comfortable, we try and avoid the things that cause us conflict. The truth is, we won’t experience as much pain if we can avoid the things that cause us pain.

We attempt and look at ourselves each night upon retiring, investigating our actions, attitudes and relationships to see where we might have stepped on someone else’s toes or acted inappropriately. And then we wake up the next morning and make an effort to correct those actions. We do this every day in order to keep our own side of the street clean.

That’s the growing up part. When we were scoring dope or taking money from our parents or spouses so we could score dope, we weren’t giving a lot of thought to how we could improve our lives or live in harmony with those closest to us. Now, as clean and sober members of society, we find ourselves living in the moment. And loving it.

Morningside Recovery in Newport Beach, California, offers treatment for alcoholism, drug abuse and mental disorders. For more information, call 949.725.8565.

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There’s a truism in recovery that suggests we shouldn’t be surprised when someone we know suffers a relapse. Instead, we should be surprised – and grateful – when our friends in recovery stay the course and remain clean.

The irony is that, in many cases, the person most surprised by the relapse is the person who has the relapse. They get up in the morning feeling just fine, and by noon they’re checked into a cheap hotel room with a bag of dope. What happened between 7 a.m. and noon to prompt this 180-degree turn in circumstances?

For one thing, we need to keep in mind that drug addiction is a disease that is marked by relapse. Like a small lump on the chest in a cancer patient or unusual heart palpitations in a person with a cardiac condition, relapse is often preceded by small, subtle changes that happen over a period of time, often going completely unnoticed by the addict.

For those of us in recovery, those small changes that lead to relapse often start with a change in our attitudes. When we first got clean, the feeling of being clear-headed and alert was a wake-up call. We reveled in it. And we vowed that we’d never again fuzzy up our heads with drugs.

Maybe we completed a program at a drug abuse treatment center and continued to attend 12-step meetings like our counselors suggested. We got a sponsor and we started writing our way through the Narcotics Anonymous Step Working Guides with the help of that sponsor. As we progressed through the steps and listened up at meetings, our lives seemed to improve.

But a big problem for many of us is this: When things start looking up in our lives, that’s when we start looking for ways to screw things up. Maybe we think we don’t deserve these unexpected improvements in our lives, or maybe we’re just bored with the whole sobriety concept. Maybe somebody at a meeting said something that set us off and we began harboring a resentment.

Whatever the reason, we begin to lose the gratitude and successes that fueled our early recovery and we start reacting to triggers for relapse. Again, many of these are subtle. Personal affronts might keep us from attending a meeting that used to be our favorite. We drift farther and farther away from our new friends. We find it hard to call our sponsor on a regular basis – especially when we haven’t been doing our steps.

Some event triggers thoughts, feelings and then cravings for our favorite drug. And once those cravings have occurred, the addict might start having “permission thoughts” that rationalize the use of that drug. Often the addict isn’t even aware of this thought process.

But by that time, the addict has convinced himself or herself that it’s not going to kill them to take a short break from abstinence. And then they’re off and running again, fully involved in relapse and wondering who’s got the fire hose.

What we need – and what we need well before this point – is a relapse prevention plan, a personal strategy for derailing this sequence of events before we go out and use.

If drug addiction is a disease, as we contend, then there are actions we can take to prevent a relapse. A diabetic has insulin, a cancer patient has chemotherapy and a kidney patient has dialysis. What we addicts have is a warning system to look for the red flags that signal a relapse is on the immediate horizon.

First, we must enable our friends and family to call us out whenever they spot a change in our attitude. These changes might include demonstrating signs that we’re redeveloping a need to control outcomes. Or we show signs of becoming complacent in our program, or we begin hanging around with buddies who are still using.

Second, it’s easy to say, “I’ll just call someone if I get squirrelly,” but that’s vague. We must have the phone numbers of friends from drug abuse treatment or in the program – and our sponsor in particular – on speed dial in our cell phones.

All of us are susceptible to relapse, whether we have double-digit clean years or just a few days. That’s why we all need a plan that enables us to quickly identify the warning signs that might lead to a relapse. Although relapse is a problem of addiction, it is preventable.

Morningside Recovery in Newport Beach, California, offers treatment for alcoholism, drug abuse and mental disorders..  For more information, call .

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Battling Drug Abuse is Not Something You Do Alone

May 7, 2010

We get a little clean time under our belts and everything seems to be going smoothly and then some clown crowds into our lane on the highway and puts his brakes on!  Are you kidding me?  You cut me off, then you slam on your brakes?  What an idiot! And bam.  There goes our serenity.  [...]

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Honesty is Among the Spiritual Principles for Addiction Recovery

May 5, 2010

That first time you announced, “I’m an addict” at a meeting might have been the first time you’d been honest in a long, long while.  Honesty isn’t something that comes easy for those of us who have often had to resort to devious means in order to acquire what we want. Let’s face facts.  When [...]

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Drug Abuse and Drug Dependence: What’s the Difference?

January 28, 2010

We have a friend who comes from a very wealthy family, grew up in a privileged neighborhood, went to an exclusive high school and was surrounded by friends of substance. He also picked up a nasty little cocaine habit, but at that time, even cocaine was a pretty classy drug of choice. Unlike some of [...]

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If Cocaine’s Not Addictive, Why Can’t I Quit?

January 27, 2010

If Cocaine’s Not Addictive, Why Can’t I Quit? One of the most popular excuses for justifying an occasional recreational hit of cocaine is the myth that you can’t get addicted to the powdery substance. Here’s how the argument goes: Cocaine lacks the physical withdrawal symptoms of other drugs like heroin, benzodiazepines and alcohol. Therefore, no [...]

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Detox is Crucial to Any Successful Alcohol Treatment Plan

December 1, 2009

One thing certain about chronic alcoholics is this: They drink all the time. On a daily basis. Hard-core alcoholics drink when things are bad and they drink when things are good. They even drink when they’re sick – and they justify that action by quoting their doctors who tell them to drink lots of liquids. [...]

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There Are No Time Constraints on Recovery

November 30, 2009

  Evolving into a sober and productive member of society doesn’t happen overnight.  It’s a process.  You can’t commit yourself to a decade or two of alcohol-induced or drug-fueled mayhem and expect everything to be normal and back on track on your own timeline.   It’s like they say in recovery, “If you walk 10 [...]

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Why are 12-Step Programs Part of Rehab? Because They Work

November 29, 2009

Here you are, looking all over the place for a treatment center that matches your background and belief system and for the most part, all you’re finding are rehabs that support a 12-step philosophy. As if facing your own drinking and drugging problems weren’t enough, now you’re thinking you have to deal with a bunch [...]

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U.S. Government Provides Standards for Addiction Treatment

November 28, 2009

Depending on who’s counting, there are between 11,500 and 13,000 licensed addiction treatment providers currently offering their services throughout the United States.  With that many options, you’d think it would be an easy thing to find a treatment center that is a perfect fit for yourself or a loved one who suffers drinking or drug [...]

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