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Junkie Worm Blues #1

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“What’s this thing about the barbershop? And who do you know hangs out there?” 
“Addicts do”! 
“Really”? 
Yeah, and when they hang out too long, they generally get a haircut!”
— Anonymous from one of the guys hanging out at the barbershop

One thing is for sure if you are an addict, you want to do it again and again. It is common for consequences to scare the shit out of you and freeze the junkie worm. But summer always comes and the junkie worm always thaws and pushes to be back in business again. You may run as hard as you can to escape the wolves that chase you through the woods but the junkie worm tells you there’s magic just one more time. So how do you deal with the junkie worm blues? 

During the next few blogs, I want to share short vignettes of reflection and suggestions of what I have learned over the past 35 years about managing the junkie worm blues.

1. Yesterday’s addictive actions were an aberration to who you are:  You were then and are now an unrepeatable miracle of the universe. Your behaviors are not who you are. It is important to realize that yesterday ended last night. Though no one can go back and make a brand new start, anyone can start from now and make a brand new ending. 

2. Practice healthy affirmation: It’s a nice thought, but it is usually the last idea you want to consider implementing if you have acted out, again! However, affirming your being, not the addictive behavior, and acting on the affirmation in spite of the critical voice that screams ‘You are a fake, a sham, and a piece of shit’ is the secret to ending addictive behavior for the long term.

3. Embracing your feelings is a paradox. There is a time to sit with your feelings and a time to ignore them and do the next right thing. Recovery wouldn’t be so hard if it wasn’t such a paradox. Addicts struggle to recognize and embrace any feelings. Yet, without being able to sit with feelings, they will never recover.  So, once you enroll in kindergarten to identify feelings, you also have to learn that when feelings, like shame and guilt, come up and demand that you wallow in the pig pen of failure,  you must learn to ignore those feelings and do the next right thing. It’s a moving dynamic that requires practice, consultation and accountability.

4. Commit to writing out and talking about your feelings every day. In the beginning, for an addict, the conversation about feelings will be short. It is always hard. Stay with them anyway. Your feelings will tell you what need must be met in a healthy way.

5. Practice deep breathing. Your breathing will open or block feelings that come from the heart. It doesn’t take much to breathe deeply from your diaphragm.  It will touch your anxiety and break through stress to help you know what you feel which will tell you how to take care of yourself under the duress of every day living.

Taking What Is and Making It Work

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Feelings in recovery can be like a pendulum that swings from one extreme to the other. There are times that we are oversensitive and other times we are not sensitive enough. Sometimes we seem to work very hard to make something out of nothing and other times we need to take what we think is nothing and make something from it. For example, you can perceive someone’s silence as rejection in an instant, and then build what Mark Nepo describes as a cold castle on that tiny imagined brick. In this way, you make assumptions about what can turn out to be nothing. Other times you might go to a 12-step meeting that lacks the chemistry you hoped for. You don’t know anyone, there’s no coffee and you honestly feel turned off by everyone who is present. This becomes the time that recovery would require you to make something out of nothing. How many times have you walked away from a meeting empty and how many times did you shift your attitude and walked away with insights of gold? It becomes about attitude and your willingness to shift your spirit. 

So much of recovery is about taking what is and spreading it around to make it enough. There are many things you don’t have to have to be successful in recovery. You don’t have to have the best addiction counselor in the field—you are not the best client, so why would you need the best counselor? It’s not imperative that you pay an exorbitant amount to the greatest guru or an arm and a leg for treatment that you really cannot afford. You don’t have to find a “kick-ass” sponsor. The list of imagined unnecessary requirements can be endless. 

There are some things you must have. You will need an attitude to do whatever it takes to be sober. You will need to employ the capacity to take what is spread it around and make it enough. These two ingredients will take you to where you need to go in order to access who you need to work with and to engage in what you need to face in order to be sober and find healing. Here are some considerations to help you cultivate these characteristics:

1. Embrace grit and grind in recovery: I am not a big fan of providing plush conditions for addiction recovery. I also don’t promote the opposite, that austere conditions are required for recovery. I just believe that what is needed to do sobriety is a willing attitude to embrace grit and grind. One of the spiritual virtues of the 12 steps in recovery is courage. Recovery does not happen by way of convenience. Addicts in recovery build their lives around recovery, not the other way around. Ninety meetings in ninety days require a commitment to a whatever-it-takes mentality. Recovery requires more than merely jumping through the hoops.  It demands that you tell on yourself at each meeting and that you not leave the meeting without getting one thing to help you remain sober and deepen recovery life. You then follow up with accountability by reaching out to someone to help you to incorporate in your recovery what you discovered in your last meeting. When you do these three things 90 times in 90 days, tell me you won’t get better!  Yet, it requires grit and grind because these things are simple but not easy to do. 

2. Practice gratitude: You will lose meaningfulness in recovery living if you do not practice gratitude. The challenges in recovery are so daily! Every day’s struggle to do the next right thing requires embracing the grit and grind. But, you won’t be able to remain consistent in this effort without practicing gratitude. Take your eyes away from the challenge and choose to be grateful for what is around you. Notice the birds around you, your kids, your pets, your neighbors, the intricacies of everything outdoors, your partner, and your job. The list of gratitude is endless. Yet, this practice will take what is and make it more. At the next meeting you attend, that doesn’t have what you are looking for, practice gratitude and see what you find in the meeting after doing so.

3. Practice being generative: Believe it or not, your recovery is not all about you! Living sober creates a foundation of living whereby you can become generative. Generativity means any activity that contributes to the development of others and to the life of the generations that come after you. It’s a way of living.  Addicts practice the 12 steps to end the crazy-making experience of addictive living. The power of healing is legendary. However, healing would be short-lived without the emphasis of Step 12.  Step 12 encourages addicts to pass along the hope for recovery to the next generation of addicts in need of healing. The 12-step program was never designed to be insular but inclusive.  Twelve-step generativity is about the mentality of sharing hope for transformation to those without hope. Addicts with experience in recovery point to promise and healing to the generations that come after them.  This is the nature of generativity spawned from the 12th Step. 

The story is told of a 10-year-old boy who loved peanut butter and jelly sandwiches. When he went to get the peanut butter jar to add to his jelly sandwich, he noticed daylight at the bottom of the peanut butter jar. Dejected, he threw away the peanut butter and walked out of the kitchen with nothing. His dad called him back to the kitchen, took the peanut butter jar from the trash, scraped the sides so that his son had 1/2” of peanut butter rather than the usual 1”, slapped it with the jelly slice and his son now had something where he otherwise would have had nothing. 

Recovery requires that we take what is when resources are less than ideal and make something from nothing. This art form of recovery will require your personal grit and grind, the magic of your grateful spirit, and a commitment to generative recovery living. 

Roommates? – Hello in There!

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Me and Loretta, we don’t talk much more

She sits and stares through the back door screen

And all the news just repeats itself

Like some forgotten dream that we’ve both seen. 

— Lyrics from John Prine song “Hello in There”

It didn’t seem all that long ago. The passion was strong! The love so deep. He was crazy about her and she the same about him. Then he got this job with more pay and was destined to be on the road frequently. Before long she became pregnant with their first child. The baby came and there was less time for sex, for him, and time alone for the two of them. They grew apart. Then the roof fell in. She discovered he was having an illicit affair with a co-worker while traveling.  He moved out and it looked like they would divorce. They did some counseling and he decided to end the affair and tried to repair the damage at home and began counseling with his wife. Her heart was broken and full of resentment. She couldn’t get over his deceit and broken trust. They decided to stay together for their son’s sake.  

He spent several months sleeping in the guest bedroom. After knee surgery to repair a torn ACL, he moved back into the bedroom where she currently sleeps. He’s back on the road for his work and she doesn’t trust him further than she can throw him. She spends a lot of time with the friends she met at the workout club and keeping up with their son who is now 6 and involved with many extracurricular activities. She complains about operating a taxi service but it does keep her connected to her friends. These days he spends weekdays traveling for his work and she tries to visit her parents and family on the weekend. These days they both have resentment toward the other, sex is non-existent and they have become like ships passing in the night. Essentially, their passionate relationship has degenerated to only being roommates. 

This story is all too familiar with addict relationships that I work with. It happens to many different couples, not just addicts. How do relationship dynamics disintegrate so quickly?

1. Corroded commitment. Most committed relationships begin with high intensity. It’s easy to be excited about the other, and the desire for intimacy is at an all-time peak. Of course, when the spectacular wears thin, everyday life dulls the desire for emotional intimacy. Responsibility increases with the arrival of children and life evolves with new career vistas and the kids’ activities. There is less focus on relational commitment. Sexual intimacy decreases, differences that create conflict go unresolved, and cutting invective goes without apology. Slowly 2 people become roommates trying to get through the day.

2. Corrosive trust.  Signs of broken trust begin early in a relationship. White lies to avoid conflict, insecurity around money, family, friends, and flirtation can accumulate like a thousand cuts to trust in a relationship. Often, the relationship collapses with the discovery of infidelity, betrayal around money, or a position taken around an in-law that threatens a partner.

3. Clogged arteries in communication. At some point, the only way relationships in trouble know how to communicate is to fight or play avoidance games. Long gone is the desire to build an environment that says “I care about you”. Unfair fighting and circular conversation mires communication patterns that promote distance that destroys the possibility of connection. 

Solution:

1. Clean up your conduct. When you are not true to your heart, you won’t be connected to your partner in a meaningful way. So if you’re an addict, commit to getting sober and work a program that enhances sobriety and serenity. If you are full of resentment and treat your partner with deceit and disrespect, clean it up. Sounds simple and is, but it’s not easy. Your attitude and behavior are what keep you stuck with intimacy-disabling behaviors. Changing your attitude and behavior toward your partner is the one thing that will help you deepen connection or will enlighten you if the relationship needs to end.

2. Re-connect by being real. Humility and vulnerability are the soft spot in human relationships that creates connection. Hard black-and-white statements that condemn or judge your partner will widen the gap between you. Being real is the answer to re-connect. Many partners in a relationship think their partner expects something they are not — more muscle, more macho, more sex, or more money. Yet, it has been proven that healthy relationships flourish when two people choose to be vulnerable and share openly with each other no matter the circumstances.

3. Be curious about your partner. It is common for partners in a relationship to presume that the other knows how they think, what’s important, what they don’t like, and how to be there for them emotionally. Yet, this is seldom true. It is critical to be curious about your partner. Curious about what makes them happy and what triggers frustration and disappointment. When commitment in a relationship begins to wane, so does curiosity. You make judgmental statements and conclusions without being curious about why your partner did what they did or even understanding what was said. The lack of curiosity fuels frustration, breaks connection, and accelerates complacency in a committed relationship.

4. Create and maintain a clear conduit for communication. An effective line of communication is like the carotid artery to the brain. When it becomes clogged, the life and health of the relationship is at risk. This includes establishing skills and ways to download everyday experiences and emotional expression within the relationship. It embraces conflict resolution skills. It recognizes circular fruitless arguments and shifts from them by invoking purposeful speaking and listening skills. Partners agree to commit to a fight-fair contract designed to preserve dignity and respect toward each other. 

At times I hear struggling couples minimize using the aforementioned tools. Of course, there are many ways to cultivate and maintain intimate connections. That said, couples who sincerely invest in the principles toward solution build a strong foundation for intimacy and fulfill a relationship destined to be more than just roommates.

Chaos and the Big Sleep

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“Everybody is somebody—but on any given day there is somebody who feels like nobody. At the end of the day, the question is “Does anybody care enough to walk alongside the one who feels like nobody long enough to help them feel that they are somebody again.” —KW

You can’t change the way you grew up. Mary Main, a professor at UCal-Berkeley suggests that people learn to engage in a cohesive coherent narrative of their life. What I think this suggests is that if you are an addict it is important to not just look back and identify all the acting out you have ever done. But dig in and look at the relationships with people in your life that connect to why you do what you do and who you are. It’s sort of like making sense of the chaos and learning to connect with yourself in this endeavor.

Chaos makes this hard to do. People who grew up with crazy chaos often carry a little crazy with them their entire lives. Chaos puts to sleep the awareness of living life through healthy alternatives. The way you survived is what you replicate later in life. Your habits for survival are tattooed on your bones.

Therapy teaches you to talk about your chaos. You can learn a lot intellectually about what happened—the abandonment, the disorganized attachment, and all the systemic dynamics about your dysfunctional past. But most of us who grew up in craziness will die with some of it still inside. Sometimes I wonder if this is why I will die an addict.

I, like many addicts, grew up in an environment that was so dysfunctionally complicated that it is exhausting just to talk about it, and I have been talking about it for years. Every abuse headline is connected to subheadings that guaranteed crazy living for mere survival. It’s been said that addicts learn to embrace the improbable and ignore the obvious. Is there any other way for an addict to survive a complicated abusive past? The web of instability is so complex that to endure required that you fall asleep to healthy behavioral options and live in a trance-like state to what is real.

For example, I grew up in a large family. The ubiquitous presence of sexual abuse impacted our family in every dimension. There was sexual abuse perpetrated by pastors and leaders at our church. There was sexual abuse that was pervasive in our family. The church I grew up in was a cult. There was patriarchal domination of men toward women in our home and church. In a cult, church life and home life environment become one. You must develop the capacity to fall asleep to the reality of what surrounds you just to survive. When I shared my sexual abuse by the pastor of our church to responsible leaders, they concluded that my parents who had attended the church for 40 years were troublemakers and shunned them for 3 months. You would have thought that victims treated in this way would sever relationships and find another church to attend. My parents didn’t. They went to sleep about the reality of what happened to their children and to themselves. Once, many years later I asked my mom about the church shunning her and my dad regarding the sexual abuse and she responded that it never happened. Of course, it never happened when you fall asleep to reality.

My parents fell asleep to the injustices that intruded their lives because they were overwhelmed with the history of abuses that took place in their own family of origin. If you don’t face and address injustice, the only way to survive is to fall asleep to the realities of abuse and domination that penetrate you and the people you love.

My parents ignored what was going on in their family by singing gospel songs like “When We All Get to Heaven” or “Victory In Jesus” in order to ignore the hell on earth that had pervaded every aspect of their lives. How is this so different than the way our society ignores the lies and deceit proffered by politicians, religious leaders, and cultural icons about what is real? Rather than sifting, sorting, and researching truth, most of us choose a media service to do our thinking and fall asleep to the incongruence of our own hypocrisy and those who lead us.

For those who choose to no longer ignore the emperor who wears no clothes, waking up takes commitment to truth and honesty. It also takes time. The effort to wake up requires that you stop doing what keeps you asleep. It’s no wonder you are sleepy if you keep taking sleeping pills.

You will need to stop your own crazy thinking like trying to do more to keep from being less. Slowing this locomotive down is no small task.

You will have to address your mistaken beliefs that exist and have created blocks to intimacy with yourself and others. Mistaken beliefs have been tattooed in your heart as a way of surviving the craziness of your childhood. When you do more and have more it is difficult to accept less and think you are more. Material gain is like booze. There’s nothing wrong with either one as long as you respect that both can make you drunk. Driving your life drunk is scary whether you are intoxicated with booze or the disease of more.

The only way to stop the chaos is to wake up from the big sleep. Nothing changes until it is real. When craziness is complex, waking up means to slow life to examine the inconsistencies, face your hypocrisy, and address your incongruence.

People talk about making America great again. Yet, if everybody, who knew somebody who felt like a nobody, was willing to walk alongside to wake them up from the chaos and craziness, maybe that would hold promise to a great future for the first time. Together, we can be somebody once again.

The Secret Life of Long-Term Sobriety, Part 1

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For many in recovery sobriety is a mystery.  A 12-step group usually starts with a prayer and often ends with clasped hands in a circle repeating in unison “It works if you work it and you’re worth it”. Over the years I have heard many addicts testify that in those same meetings, after all the good-declared intention, they acted out before they got home and sometimes even before they left the parking lot.

There is a great divide in reality at 12-step meetings. There are the haves and have-nots. Those who have sobriety and those who don’t. For many, sobriety is elusive. At times, after working hard to achieve sobriety, it can slip through the fingers in the blink of an eye, or so it seems. How are some able to achieve and maintain long-term sobriety while others cannot?

Over the next two blogs, I want to propose 11 keys that are vital to creating long-term sobriety:

1. A decision to stop no matter what it takes. This, like the ten other keys, seems like a no-brainer. Yet, through observance of the meetings I attend and the addicts I counsel, this key is often missing. I ask many addicts who come to do work at PCS if they are done with their addiction. I often get the reply “I’m here, aren’t I?” It’s almost as if somehow showing up to the PCS building would be magical and that the building and all the therapists will transform him or her from a raging addict to zen-like sobriety. Addicts can make a great therapist look inept or an average therapist into a rockstar. It all depends upon the attitude that he or she chooses. I recall my wife Eileen and I saying to each other that “we would hock our socks” to get healthy. That was about the reality that we had no funds for treatment. The decision was to do whatever it takes. Many addicts come to a 12-step meeting without a “white hot” intensity to transform their lives. They look for someone to give them something or to take care of them. It is common for some addicts to show up with an attitude of entitlement. Long-term sobriety requires something very simple: You must want to stop more than anything else in the world.

2. Be humble. You would think that an addict’s life of frustration and failure would result in humility. Yet, often this is not the case. Addicts present most frequently with arrogance. Some are full of conceit and presumption while others seem demure on the surface, but underneath are full of disdain and hubris. The truth is that practicing humility is a lifelong challenge. It requires charting a recovery course that includes holding your attitude and spirit accountable to group members. It demands that you put people in your life who role model humility. It is common for addicts in recovery to assume they won’t need to practice humility and lose their hunger for it. Often, addicts fall into a trap that they have done this work for so long that they do not need to embrace this fundamental component of recovery. This is where you fall into lapse or relapse behavior. You might not act out but for sure you will stop growing deep without humility.

3. Be coachable. I will never forget my earliest days in 12-step recovery. I would question the purpose of each step and present as cynical of the overall process. My sponsor, Chip, who was for the most part mild-mannered, cleared his throat and said “Ken, I think it would be in your best interest to shut up and just do what you were told to do”. This admonition hurt my feelings and was used to save my own life. It is rare to find an addict who is hungry to take guidance. Most of us think we can do this by ourselves. You can be inspired by others who testify about reaching out, but most of us don’t do this very well. This is true even though your best thoughts and actions got you into the addict-behavior mess you are in. With stubborn inflexibility, many addicts refuse to listen or take action from what they hear in a 12-step meeting. The doctor can write the prescription, but you have to take the medicine.

4. Live your recovery in consultation with accountability. There is an oft-repeated saying around 12-step groups, “If 8 or 9 people tell you that you have a tail . . .check your ass in the mirror!” Though humorous, there is important recovery wisdom here. Addicts don’t want anyone telling them what to do. They bristle with direct feedback. Yet there is no other way to establish long-term sobriety. It requires a shift in spirit and attitude. The reason a sponsor tells a sponsee to call them every day is to create the habit of living in consultation. Most addicts won’t do this. It contributes to shortsighted relapse. There is a difference between consultation and dependence. Recovery becomes a paradox. You are taught to consult, and in the end, every action you take in your life is about your choice and decision. Be accountable. Live in consultation with others. It cements long-term sobriety.

5. Don’t just do the steps. Learn to live them in commonplace experience. Addicts get overwhelmed trying to do the steps. Perfectionism is a contributing reason why some addicts stop before completing all the steps. Step 4 is particularly difficult. More addicts get stuck in Step 4 than any other step. Addicts think they have to do this monumental undertaking. It’s as if you must walk through burning coals and stay there until your sponsor permits you to step out. Step 4 is difficult. We don’t have to make it harder than it is. A thorough Step 4 is never complete. So, address a character flaw, even a few. Sit with it. Learn what you can in the moment of focus and then move on. It is important in recovery to understand we don’t do the 12 steps but we learn to embrace and apply them in the common places of everyday living. 

I Can’t Believe What I Just Did!—Relapse

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“Slowly I began to recognize that many of the boxes I found myself in were boxes of my own making.”— Melodie Beattie

Relapse isn’t a reality for every addict. Yet, for most, it has happened. Once sober you tell yourself ‘never again’ and you mean it. You’ve tasted the sweetness of sobriety and you shake your head wondering how did you ever think acting out was a better life? Yet, it happened! At first, it seemed like it was out of the blue. You had been doing so good. Then it felt like someone pulled the rug out from under you. Cravings hit you like a big Mac truck. It didn’t come out of the blue but it just as well had. You were not prepared nor paying attention to the details of your recovery life and there you were—acting out again!

The taste of acting out is bitter. There are times it makes your mouth dry as cotton. There is a sick feeling in your stomach. Sometimes you wonder how it could possibly have happened. Yet it did. There are cascading self-accusations that rattle in your brain like a machine gun. You feel overwhelmingly down and discouraged. The hangover from acting out leaves you feeling dull with brain fog. You walk through life activities hollow inside feeling dreamlike about the experience. You know you have to tell on yourself but you want to lie and keep it all a secret. How do I ever rebound from such an awful place?

Here are steps back to center that you must consider:

1. Admit the obvious. Addicts learn from their family of origin to embrace the improbable and ignore the obvious. They are great at pretending. When you relapse you must tell on yourself and be accountable to your support group including your partner. This is where you wobble. You can tell people in your 12-step group but my partner?! Are you kidding me? Secrets and dishonesty are breeding grounds for addiction behavior to flourish. Best to tell support people in 12-step recovery before you disclose to your partner so that you don’t minimize what you did in relapse. To do otherwise risks creating a disclosure disaster. Hold your feet to the fire and tell on yourself.

2. Do the next right thing. This is obvious but bears underscoring. The next right thing is to get yourself out of harm’s way. Address vulnerability to continue acting out by reaching out in a 12-step meeting and/or recovery friend. Lay it out in living color exactly what happen. Don’t piecemeal your truth. Let the love and acceptance of the group or support person become a shroud you wear. You have hurt yourself and are wounded. It doesn’t mean that you don’t need to face consequences. It is important that you surround yourself with love, support, and genuine care in the presence of white hot truth-telling.

3. Do an autopsy on your relapse behavior. Once you’re out of harm’s way and surrounded by support, figure out how relapse happened. If you don’t, be prepared to do it again. Examine program neglect: (1) stopped going to meetings: (2) isolated—not telling on yourself to group/sponsor or support; (3) stopped doing the steps because of busyness; (4) procrastinated facing a truth that you don’t want to face; (5) wallowed in shame, resentment, loneliness, anger, hate; (6) marinated in mistaken beliefs that block intimacy and sabotage recovery. Do the work of unpacking how you put yourself in the box that led to your relapse. If you can figure out how you got into the relapse box, you can figure out how to get out.

4. Fortify your commitment to recovery: Once clear about why you acted out, fortify taking the next healing steps. Create filters that will keep you from porn and acting out. Don’t just put a cork in the bottle, get rid of all alcohol in the house. These are examples of next right steps. How many times have I heard addicts confess to relapse with no plan for next right steps. When you fortify your commitment to recovery, next right steps become obvious.

5. Act on positive self-affirmation regardless of how you feel. When you relapse and feel like all hell has broke loose, it’s hard to take yourself by the nape of the neck and pull yourself from the mud hole you created. You can only do this with determination to act on treating yourself as you hope to be. It is painful but you must forgive yourself and let go of the negative feelings that accompany relapse behavior. These steps are always painful. As you act in the way your destiny beckons, the painful shameful messages will fall away in time. You will become congruent merging your behavior to positive beliefs about self.

6. Don’t let the little boy/little girl run your inner life. You cannot expect a small child to figure out addiction. Shame dominates in relapse behavior because we empower the little boy/girl to make adult decisions about recovery. Put in charge, the inner child will conclude that you are a piece of shit who is destined to never get it right so why try. This is because a little child is unable to navigate the narrows of addiction recovery. However, when you take the reins of responsibility and place them in the hands of the powerful adult in you, the results are dramatically different. As an adult, you can face consequences of destructive choices, choose to care for self, and hold your feet to the fire of bringing yourself back to center. It will require the adult-you to fend off the negative shameful messages and to embrace and act on positive affirmations that will fulfill the destiny of sobriety.

Relapse is always found in the box of your own making. Hopefully, these steps will help you step out of the box and take steps toward solid sobriety and deepened serenity.

A 5 Tool Relapse Recovery Plan: Tool #4

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Coroners do autopsies when they think it is important to determine the cause of death. Autopsies can be very sophisticated and detailed. They determine the cause of death, the time the individual died, and a host of other specifics that are important. Sometimes performing an autopsy gives resolution and sanity to love ones while they grapple with the unknown. Answers to questions like “What and why did this happen” are often clarified from the results of a thorough autopsy. Science uses autopsy results to assist in the cure of disease. Healthcare workers utilize autopsy results to create protocols to keep others safe from toxic and high-risk infectious diseases. 

Millions of people suffer from the disease of addiction. Admitting that your life is powerless and unmanageable because of your drug of choice is a tough step to take. However, admitting relapse failure after getting into treatment is also difficult. Most addicts who relapse either don’t tell anyone or admit it to support people and try to distance themselves from the painful relapse as quickly as possible.

A lapse autopsy around addictive relapse is crucial to long-term sobriety. Admitting the relapse and moving forward with determination to abstain without insight into the build-up behaviors that triggered relapse is a guarantee to repeating destructive behavior. A lapse autopsy is a powerful tool to identify what happened that created relapse and what needs to change to avoid chronic failure. Consider the following steps toward completing a lapse autopsy. 

  1. Write out or tell someone what happened in complete detail. It is important to turn over every stone of your relapse behavior to help you see clearly what happened. When you minimize and gloss over thoughts and behaviors leading to and engaging in relapse behavior, you will miss what is needed to establish a strong intervention.
  1. Identify environmental influences. The environment you live in makes a big difference toward relapse prevention. Think about the relationship conflicts, stress factors, and physical experiences that contributed to your vulnerability to relapse. Unresolved tension in a partner relationship can trigger mistaken beliefs that lead to relapse. Stress build-up from relational, financial, sexual, physical, and parental struggles all influence the possibility of relapse. Take stock of the environment that encompassed you leading up to and including the time you relapsed. Assess the experience of deprivation that fuels entitlement. What were you deprived of? Were there successes that you experienced that were uncomfortable and triggered undeserving thoughts of self-sabotage? You will need to go slow and carefully examine the environment to learn of its influence toward your relapse.
  1. Examine your thoughts leading up to the time you relapsed. What you think about expands. It is critical to examine the mistaken beliefs that marinated in your mind before acting out. If you tell yourself that you are not enough or that you are a failure etc, then in time you will create the data to support that belief, which will convince you to produce more of the same behavior to support your inner thoughts. This is why it is crucial to be aware of negative cognitions so that you can change your thoughts which will help you change your life. 
  1. Be aware of the progression of thoughts and behaviors that lead you to acting out. When you anticipate someone rejecting you it triggers a victim-posture attitude. A mask is needed to hide your shameful thoughts and you seek to emotionally isolate to avoid the uncomfortable build-up. Fantasy helps you vacate discomfort which eventually triggers inappropriate addictive fantasy. Optimistically you begin to select a strategy to pursue your addiction while grooming yourself and others in ways that enable you to pursue your secret desires. After you relapse you tell yourself that you need to stop and misplace the responsibility for acting out on some person or force outside of your control. You then reconstitute with behaviors that would indicate to others and yourself that you are not the kind of person who would addictively act out. These steps toward relapse can happen as quickly as the snap of a finger. It is necessary to utilize the lapse autopsy to slow your thinking and to be aware of the negative progression of behaviors that gave birth to relapse. 

Map out what you will commit to doing differently to avoid relapse. This includes consideration at every level of activity. Some people think that it is necessary to go back and do all the steps again or to attend 90 meetings in 90 days because of their relapse. Maybe so. However, a lapse autopsy will help you clarify where you got off track so that you can specifically target interventions that will help you return to the space of relapse prevention. 

After you complete your lapse autopsy it is helpful to sit down and review each misstep with your sponsor or support friend and clarify what you will commit to do differently with each misstep. 

The lapse autopsy is necessary to create clarity in the presence of chaotic relapse behavior. It helps to create grounding and bring you back to center to continue your recovery journey. 

Essentially, a lapse autopsy is what every sports team does when they study film from a previous game. This is the way they learn and improve. It is true for businesses that take time for quarterly and yearly reviews. The lapse autopsy has proven to be an excellent tool for long-term sobriety.

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