Wednesday, February 27, 2008

The only true love is self love

One of my readers recently commented on my Valentine’s Day post, asking me to expand on the meaning of self love, a topic that’s important for anyone recovering from addiction.

Individuals can spend a lifetime looking for someone to love. Others remain in toxic, unhealthy relationships as adults because they do not love themselves. In order to keep the relationship afloat, they distort who they are and they deny their own needs. But the reality is that, until we accept, honor and truly love ourselves, it is very difficult to establish a loving relationship with another person.

Often times the concept of self-love is confused with selfishness and narcissism. Many of us were raised with the idea that love requires denying our own needs for the good of others. We have this false belief that in order to prove that we love someone, we must do what they want or need. This creates an obstacle to self discovery and self honesty. It is fertile ground for guilt and shame to be the prime motivators in our lives.

In a sense we are taught from early childhood to be dishonest and to deny who we are. If we feel resentment toward our loved ones we have to deny that feeling because we believe it is not loving. The resentment creates feelings of guilt and shame, so we try to cover it up by lying to ourselves and acting as if everything is “ok”. This behavior becomes second nature – just another automatic response that we engage in without thinking.

Love is something we share; it is a gift we give to others. When we give love away we often do it at our own expense. In order to achieve a measure of self love, an individual must believe that their needs are just as important as anyone else’s. Not more important, but certainly not less. If we don’t believe we are worthy of our own love, what value does that love have to others? How do we allow others to love us?

There is a difference between sharing love and giving it away. It’s impossible to share love or anything else unless we have enough for ourselves, and for that we must nurture ourselves and keep our love “reserves” full.

It is no easy task to practice self love. It requires that we be kind and gentle with ourselves and that we put forth the effort to learn who we are and what we need. We can start by identifying things that make us feel good about ourselves, like finally getting to read that book that’s been sitting on our night table, or embarking on that exotic vacation we’ve been dreaming about for years. Paying careful attention to the way we talk to ourselves and eliminating the negative voices in our head is another way we can be caring. Most of us are quick to criticize, but we forget to compliment, so we need to practice positive affirmations and compliment ourselves often.

Learning to love ourselves requires courage, self knowledge and self honesty. Working a twelve step program and/or talking to a qualified, dedicated professional are good ways to find out who we are and what our needs are. For this we need a willingness to get better, and an open mind to ask for help, two traits that will lead us on the path to a Sober Mind.

“You, yourself, as much as anybody in the entire universe, deserve your love and affection.” --Buddha

Saturday, February 16, 2008

Can celebrities recover on camera? I don't think so.

I’m not a big fan of movies or television but recently many of my patients have encouraged me to watch Dr. Drew’s show, Celebrity Rehab. Recovery is a serious and personal process and I have strong objections to programs that sensationalize an individual’s life-and-death struggle. Perhaps I am just out of the loop and behind the times but I don’t understand what if any potential benefit there is in commercializing a life-threatening illness.

The episodes of Celebrity Rehab that I watched were very confusing and distressing. It is not clear what treatment if any these patients are receiving. The environment appeared almost festive and chaotic. The casual nature of the intake did not communicate the seriousness of the illness. And taping the arrival of an addict to a rehab facility for a TV show can foster their sense of grandiosity, which is counterproductive to recovery.

Hollywood’s main purpose is to create fantasy, and success as an actor or performer requires being able to convince the audience of an altered reality. But in order to recover from addiction, a patient needs to begin to face his or her reality honestly, to acquire some sense of humility and to start to let go of their denial. It must be doubly hard for an artist be real and honest when they’re constantly praised for “putting on an act”. And then on top of that they’re being asked to show their vulnerabilities for the whole world to see.

There are a number of personality traits that are usually shared by persons suffering from addiction. Self importance, dishonesty, the love of drama and chaos are just a few. It is my professional judgment that these character flaws cannot be overcome in front of a camera on national television.

Addicts, whether they’re famous or not, need to be treated with the same dignity and respect as any other sick person. The recuperation process should be kept private and confidential, and should not be exploited for profit. At some point celebrities suffering from addiction need to be encouraged to be ordinary human beings, to be themselves, instead of the carefully crafted, false image that the industry wants them to fulfill. That’s how they get better, and that's how they can slowly attain a Sober Mind.

Wednesday, February 13, 2008

Happy Valentine's Day

On this day when many of us are feeling sad because we don't have that special Valentine, I would like to share one of my favortie quotes:

Pearl S. Buck:
"I love people. I love my family, my children . . . but inside myself is a place where I live all alone and that's where you renew your springs that never dry up."

The greatest love of all is the love you give to yourself.

Monday, February 11, 2008

Heath Ledger: A Preventable Tragedy

It is always unsettling to hear of a young person’s untimely death, especially when these deaths could have been prevented. This week the medical examiner confirmed that Heath Ledger died of an accidental drug overdose, but in my opinion, there is no such thing. His death was an accident in the sense that there is no way to know what was in Heath Ledger’s mind, and he may not have intended to kill himself. However, he clearly was not taking his medications as prescribed or this would not have occurred. Instead of trying to blur the problem, the media should focus on the reality. The man was not evil nor was he a hero - he was a sick person who suffered from at the very least substance abuse or at the most substance dependence. He was clearly unable to control his intake and as a result took more than required and died. Public awareness could be his legacy. Instead of trying to spin the reasons for Heath Ledger’s tragic death, we could use this opportunity to enlighten and inform the public about how to deal with the difficult issues that we face in life. The media should focus on how to save lives instead of trying to conceal the reality of his obvious suffering and subsequent death. Why did he have so many different prescriptions? What were they prescribed for? How could his problems been handled differently? These are the questions to be asked.

For more of my thoughts on this, listen to my podcast! I was interviewed this week regarding Heath Ledger by Take 12 Radio. To download the MP3 click here.

Thursday, January 31, 2008

Humility: Learning to Ask for Help

One characteristic of alcoholics/addicts is the need for perfection. One of the things we fear most is being wrong, or making a mistake, which makes it very difficult to ask for help. The notion that we should know things before anyone ever told us or taught us seems to be inherent in us. Often as children if we made a mistake we were cruelly criticized or ridiculed. This created a belief that we didn’t deserve help, and if we asked for it we were weak or stupid.

Many of us tend to put the needs of everyone else first. It is okay for others to need help but when it comes to us, often we believe that asking for help is an admission of failure. It is terrifying to be vulnerable and to expose our potential limitations. Putting the needs of others first and being the “go to” person helps us to feel powerful and in control.

In recovery we learn that we don't have to face life’s challenges on our own. Humility is about asking others for help with issues that trouble us. It should not be confused with humiliation; it is not a lack of self confidence or a weakness. To ask for help when we fear ridicule, to recognize that we have limitations and honestly reveal them, that is a testament to our strength and courage.

For us to recover we need to dare to be ordinary and to make mistakes, instead of being perfect and correct at all times. Twelve-step programs provide the tools and the support for this important process. However, many of us may gain insight and awareness but still remain resistant, unable to accept our humanness. Our life history and experience may be too painful to tackle alone, and our perfectionism may be keeping us stuck, unable to move forward in our recovery. Private or group counseling may be necessary to get us to face and let go of our past and the first step toward the practice of humility.

True humility is an essential ingredient to A Sober Mind. It enables us to honestly see the reality of who we are. It reminds us of where we came from, where we are now and all that is possible in the future.

Friday, January 18, 2008

Secrets: The Chains That Bind Us

I have often heard at 12 step meetings we are only as sick as our secrets. Some of the secrets we keep are purposeful and we keep them to protect ourselves or our loved ones. Things like over drinking or drug abuse in us or others and the consequences, like loss of job, verbal, emotional, sexual or physical abuse to name a few.

Some secrets we don’t even know we are keeping, like our childhood experiences or the quality of our lives or our relationships. Many of us have no frame of reference and believe that we had a great childhood or the relationship we have with our parents, partners or children is a close and happy one, or at the very least adequate. If any thoughts of dissatisfaction come to mind we push them away and feel ashamed and guilty for having them. What kind of a child hates their parents? Or what kind of parent is not pleased with their child? What kind of a partner is angry and disappointed with their relationship? Our conflicted feelings cause a progressive distortion in our thinking and reality. Many of us deny our feelings because often it’s the very people we should be able to trust who are hurting and betraying us. Allowing those secrets into our consciousness is shameful and painful.

The important thing is to be able to share our secret concerns, fears and shameful feelings in a safe environment. Confiding in a trusted friend or counselor is the first step to freeing ourselves from the denial that enslaves us. In the 12 step programs we learn that protecting loved ones from exposure and keeping their secret is enabling them to remain in their disease and prevents them from realizing they need help. We perpetuate the illusion that their harmful behavior as a result of drinking or using drugs is okay. Keeping secrets cause us to be lonely, isolated and in our own self imposed prison. By finding a safe place or person to reveal our secrets we can start to become aware of those secrets we don’t know we are keeping.
Shedding light on our secrets requires a great deal of courage but it is an essential step toward a sober mind, and personal liberation.

Monday, January 7, 2008

Grief and Loss: Learning To Sing In the Shower

When most people think about grief and loss it is usually associated with the death of a loved one, the breakup of a relationship, or the termination of a job. But living with alcoholism or addiction can also cause significant loss. Unfulfilled hopes and dreams, and the reality of who we are or who our loved one is can cause great sadness. A significant number of alcoholics or addicts also come from alcoholic homes, and we start grieving losses as small children, even though we may not be aware of it. Then, as adults, life becomes a continuous series of losses and disappointments, which we tend to minimize and accept as the norm.

This constant state of grief and loss is very real and never goes away. The disease of addiction deprives us of our confidence and self worth. It makes it difficult to anticipate anything good in life or to believe we have the right to be happy or feel proud of our accomplishments. In dealing with loss, alcoholics/addicts often use a great deal of energy to try to fix the pain and distance themselves from it. Some of us strive for perfection in all aspects of our lives or bury ourselves in work or keep buying the next thing that will make us happy. We aim to be joyous and free but are continuously frustrated in our attempts. For some the disappointment and sense of failure of those frustrated attempts can lead to relapse.

Because this type of grief is stressful and persistent, we need to be continuously taking care of ourselves. The HALT acronym can help us with this. Asking ourselves, am I Hungry, Angry, Lonely, or Tired, will give us a quick handle on what needs attention. Eating healthy meals and getting enough rest, as well as participating in a twelve step and/or other support group or professional counseling to share your feelings is crucial to accepting, surviving and ultimately overcoming the effects of grief and loss.

The twelve step programs have taught me that serenity is not the absence of pain; it is the acceptance of pain. It is necessary to accept our losses as real and not to minimize them or dramatize them. We need to learn to use our energy to embrace reality and not try to change it. The pain of our loss is real and sufficient and we are entitled to experience it. In so doing we will be free to enjoy the simple things in life, like singing in the shower.