Showing posts with label hitting bottom. Show all posts
Showing posts with label hitting bottom. Show all posts

Tuesday, May 2, 2017

Enabling and Motivation (Part 3)

The person with a Substance Use Disorder (SUD) is driven by many motivating factors, in order, to maintain their continued usage. One overwhelming motivation is the desire to avoid any of the pain and suffering in their life. Paradoxically, everything they do only increases their pain and suffering created directly by the consequences of their usage. Being unwilling to acknowledge that their alcohol or other drug (AOD) usage is the primary problem, they attempt to deflect responsibility from themselves, they seek to blame the world and particularly, those individuals closest to them for the reasons they suffer so much.
They will tell anyone willing to listen how their employer does not understand them and how they work hard all day without any appreciation. They tell their friends that their spouse cannot be trusted with money, relationships, household responsibilities, etc. and attempt to convince their friends that if their spouse only took better care of them, they would not have all those other problems. They will tell any story which makes them look good and places responsibily for their troubles upon others.
Drug dependent individuals seem to intuitively recruit others who are willing to enable their usage or accept the blame. Their behavior attempts to shift the responsibility away from them (where it should be) and give it to others who unknowingly might believe the responsibility might be upon them. Enabling is any action that removes, alters, or reduces the natural, harmful, often painful consequences of another's behaviors, decisions or choices. For example, if we pay the electric bill for our son's apartment because he spent the money on alcohol or drug purchases. Our action of paying the bill prevents him from dealing with the painful consequences of making payment arrangements, living in the dark, accepting personal responsibility, and/or facing his drug dependency.
Our enabling behavior only prevents our son from confronting his destructive lifestyle. We may view our actions as helpful and compassionate and typically they might be, except when related to drug usage behavior. Our enabling behavior only continues to allow the dependent individual to believe there is no problem, because any painful consequences were avoided. What they learn from our enabling is that they can make us responsible for their future harmful behaviors. When we finally decide to stop our enabling, either due to our inability to help or because we realize it might be counter productive, then the drug dependent person turns the blame on us for their painful consequences and continued problems. Rather than being helpful our actions simply establish a cycle of co-dependent behavior for the individual.
Intuitively, the AOD dependent person establishes a circle of family and friends whom they can call upon to help them avoid the major consequences of their addiction. They may use pleas, guilt, threats within this circle of family and friends to get what they believe they need to avoid the consequences of their poor choices and decisions. They frequently pit one enabler in their lives against another by asking them to keep the secret of their assistance from other family and friends. They may convince you that revealing the secret would cause pain to someone else within your family or friends.
Often, a necessary step to stopping enabling within a family system is for the family to have a discussion with outside assistance to begin the process of sharing the secrets. We enable, because we are fearful of exposing their problems to the world. We don't want their employer to know, their neighbors to know, or we don't want them to go to jail and have to live with a criminal record. Within most families stopping their enabling behavior cannot be achieved without outside assistance. Someone who can education, encourage and support the family through the process of changing their behaviors is vitally important to their finding a successful conclusion.
To help guide people with SUD into recovery requires others to stop enabling and end their repeated attempts at stopping the individual's descent toward hitting bottom. Witnessing someone descending to a point where they will accept help is an unpleasant and painful sight to witness and will break your heart, it is distressing, painful and a fearful moment in their life and in ours. Which is why, we should never do it alone.
Here are some questions to ask yourself when considering whether you are an enabler:
  • Do you often ignore unacceptable behavior?
  • Do you find yourself resenting the responsibilities you take on?
  • Do you consistently put your own needs and desires aside in order to help someone else?
  • Do you have trouble expressing your own emotions?
  • Do you ever feel fearful that not doing something will cause a blowup, make the person leave you, or even result in violence?
  • Do you ever lie to cover for someone else’s mistakes?
  • Do you consistently assign blame for problems to other people rather than the one who is really responsible?
  • Do you continue to offer help when it is never appreciated or acknowledged?
Above list based on Psychology Today article by Karen Khaleghi, Ph.D. and Morteza Khaleghi, Ph.D., co-founders of Creative Care, Malibu, a rehabilitation and recovery center.
Lee McDermott, Contributor

Saturday, April 29, 2017

Hitting Bottom (Part 1)

While conducting public speaking engagements on alcohol and other drug issues, I have been asked a wide range of questions. One common question was generally been phrased, “Is it true you cannot help someone until they hit bottom?” An accurate response to the question is tricky. There is both some truth and some myth contained in the phrase, “hit bottom” and what actions may help someone begin a life of recovery.
What it takes for an individual suffering from AOD (alcohol and other drugs) dependency to “hit bottom” is often defined differently for each individual. Hitting bottom implies that an individual has reached the point where the pain and suffering experienced is too great for them to endure any longer and they recognize the need to change. Everyone has a different threshold for their tolerance for pain and suffering.
I have often looked at some of the individuals I have worked with and wondered to myself, “they have got to believe their current painful state is too much to endure” and to my surprise realized I was not even close. For me, the pain and suffering I witnessed might have been enough, but I was not in the middle of suffering from AOD dependency. I came to understand that some individuals had developed such a high tolerance to pain and suffering, that for them to “hit bottom” meant descending to a very deep, dark valley. Just how deep they needed to go down into that valley, looked quite different from individual to individual. Some individuals descend so deeply in their pain and suffering, they mistake their current situation as normal existence and all they will ever have.
One of my colleagues told me a story, about a man he had worked with for several months for alcoholism after a DUI conviction. This man, like many others, simply was unwilling to see the damage his alcohol use had created for him and others and the consequences he could potentially experience in the future from DUI. One day, he came into the office looking very depressed and despondent. He declared he was ready to stop using alcohol. When he was asked why he had so suddenly arrived at this conclusion, he explained an experience from the day before.
Despite his court ordered conditions which stated he was not to use alcohol or drive, he had been doing both for several weeks. He described that he was intoxicated and got into his car. He backed out of his driveway, ran over his dog and killed him. He stated that while he held his dog's lifeless body in his arms, he realized that his careless disregard for his alcohol use and behavior had caused the death of the only creature on this earth who loved him. Everyone else he knew in life, he had driven away. This dog loved him without condition and was always there for him and now he had just killed his best and only friend. For this man, at this moment, he had hit bottom, the consequences and the pain had become too great.
The circumstances in any individual's life, if painful and harmful enough from that person's perspective, may produce the conditions we call “hitting bottom” and start them on the road to recovery. The danger is that most individuals will die, become imprisoned, or suffer serious mental or physical disability before they hit their bottom and some who do get there come to believe they are beyond hope, because they have “burned all their bridges.” Understanding and stopping enabling behavior among family, friends and other professionals can help get more people into recovery. In part two of our series we will talk about the difference between helpfulness and enabling.
This is the first of a three part series on enabling behavior with individuals suffering from AOD related problems.
Lee McDermott, Contributor