Counseling

I’ve Already Done My Work

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When I was a 9th-grade boy I got a summer job detasseling corn. Detasseling corn is removing the immature pollen—the tassel—from the tops of the corn and placing it on the ground. It is a form of pollination control, employed to cross-breed two varieties of corn. Every corn plant has both male and female parts. Removing the tassels from all the plants of one variety leaves the grain that is growing on those plants to be fertilized by the tassels of the other, resulting in a hybrid.

Today most of the tassels are removed by machine. However, when I was a kid it was done manually. Kids from my hometown would be hired and bussed to farms north of town. We worked all day detasseling and then bussed back home. If you were lucky you were able to ride on a detasseling machine which allowed you to pull the tassels off corn plants without having to walk through the rows of corn. It was much easier to ride than walk. When you walked the rows it was hot. Early in the morning corn plants gathered dew from the night before. If it rained the night before you would get soaking wet and the rows were a muddy mess.  The sunshine increased the humidity and it was suffocating.  

I never got a job on the machine. I always had to work with a crew of walkers. One guy on our crew named Chuck would always end his day by 9 am. Everyone else worked until 5 pm. Chuck would say “I’ve done my work, now it’s your turn.” He figured he had enough of detasseling and simply waited in the bus for everyone else to do their work. There were thousands of acres of corn that needed to be detasseled, but Chuck thought he had done his work. He was just waiting for the rest of us to do our work so he could go home. Sometimes he would impatiently prod us to hurry up so he could go home. Chuck believed that he had done his work!

As a therapist treating addiction, I hear this refrain all too often. I hear it from addicts who tell me they don’t need to do counseling or go to a 12-step group because they have “done all their work” even though they are mystified as to why they relapsed. I hear it from partners of addicts who don’t want to go to therapy or join a support group. They tell me they previously went to therapy and have done their work. Now their addict partner is the identified patient. It’s like they are waiting for Bozo Bill or Screwed Up Sally to get their act together and everything will be just fine! I wonder if they ever met Chuck from my detasseling days.

As a therapist, I approach treatment from a systemic point of view. Like the mobile over the baby’s crib, when you strike one butterfly, all the butterflies respond in movement. So it is in treating family dysfunction and addictive behavior. When one acts out there is a response by everyone in the family system and all need to be treated. 

Addictive families want to ignore the obvious and embrace the improbable. If Bozo Bill will just stop acting out, the rest of us in this family will be just fine! Even though his wife is depressed and acting out by binging on food and the kids are enmeshed with mom, getting high on drugs with their friends. 

A partner to a sex addict often thinks that the addict is the problem. The idea is to send the addict away and get him or her fixed with therapy. The partner is devastated by betrayal but doesn’t want to do therapy because the addict is the problem. Really? It’s sort of like a pedestrian being run over by a car while crossing the street.  Paramedics are rushed to the scene and pick up the driver and rush him to the emergency room because he doesn’t know how to drive and needs help! The partner has a broken heart and needs therapeutic care for healing, but argues they are fine.  It is common to hear a partner say “Just fix Bozo Bill. I  already did my work in the past!”

Don’t get caught becoming like my detasseling buddy Chuck. Here are some considerations for healing. 

1. The work of building healthy relationships never ends. There never is a time that addressing issues on your side of the street is over. That said, the work you will need to do is not about taking responsibility for your partner’s addiction or actions. That’s not about you. However, there is a need to gain support toward healing the painful aftermath and carnage created by your partner’s acting out. There is work to be done in addressing your contribution to intimacy problems in the relationship. You didn’t cause the addictive behavior, but you do make a contribution to intimacy distance. Focus on your self-care and your responses in the relationship. There’s always work to be done.

2. Don’t assign or become the “Identified Patient.” The relationship work that needs to be done requires work by both parties. There is no “Identified Patient.” It is like the analogy of the three legs to a stool. Two legs represent the two individuals’ issues and the third leg represents the couple’s issues. Without each issue being seriously addressed, the relationship will remain hobbled.

3. Sometimes when a partner in a relationship says they have done all their work, it is a way to avoid having to face the question of whether they want to be in the relationship at all. Many times partners focus on fixing the addict with recovery and therapy to avoid facing the decision to leave the relationship. When all the attention is placed on the addict in recovery, a partner sidesteps their own unhappiness and the fear of disrupting family dynamics with a separation or divorce.

4. It requires work to face painful decisions. Taking care of yourself in addiction and partnership requires making painful choices. Setting boundaries requires following through with consequences when a boundary is not honored. In order to have a secure relationship, you will need to let go of what you cannot control. This is always difficult. It engages recovery work. Surrender is never one and done. When your relationship is stuck in a painful, destructive place, there is always work to be done by both parties. When you truly have done all of your relational work, you will be at the end of your life. You will be dead. Don’t allow yourself to be disillusioned by my childhood buddy, Chuck. There’s always work for you to do in building a healthy relationship.

Recovery Conundrum When You Want What You Say You Don’t

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In 12-step meetings, I have listened to addicts reflect about times they adamantly proclaimed they never want to act out again, while secretly plotting how they would act out as soon as they got out of the meeting! Are these addicts insincere and crazy? Maybe, but for sure, they define the conundrum of cunning deceit that underlies addict behavior. It’s the double life. It’s the Jekyll and Hyde description that baffles those who love and care for the addict. 

It’s not all that difficult to comprehend. It is common to listen to people declare they are going to lose 10 pounds while they ask for a piece of delicious carrot cake. Do they really want to lose 10 pounds? Yes. But they also are powerless to the thought of carrot cake melting in their mouth. Take this dilemma and magnify it 10X and you gain insight about the powerful Catch-22 that exists with addictive behavior. 

How do addicts resolve the dilemma of wanting what they say they don’t want? 

1. Don’t bullshit yourself. Say it straight. When you are scheming to score, to get a hit, and plan to act out, tell on yourself. Make the disclosure raw and unedited. Put it on the table just as it is in your brain. If you made an inspirational statement about sobriety in a 12-step group and you are acting out even while in the group. Stop it with honest disclosure at that moment. I like to think of doing a 12-step MRI (Meaningful Revelation In Vivo). It’s the only way to nip in the bud what you say you don’t want.

2. Dialogue with the devil. Having a responsible conversation with your demons is a powerful way to manage addict-stinking thinking. Sit down with your sponsor or another addict in recovery. Let them be the devil or the voice of addictive craving. Tell them what your addictive rationale is saying about why it is OK to act out. Have them say it raw and rugged and argue with your sober thinking. Then practice being the mature responsible addict in recovery.  Be the assertive voice of sober reason. Each time the devil tells you why you need to act out, you respond with sober rationale and action until craving and urge dissipate and gives way to mature sober thoughts and behavior. It will move you to a more solid space and restore serenity.

3. Change the curse to a blessing. Don’t run from craving. Get out of the path of the whirlwind of illicit urge but don’t run from craving. Transform it into a blessing. Once you are out of harm’s way listen to the legitimate need that must be met in a healthy way. Be the mature adult that clarifies the need underneath the craving. Then parent yourself by reaching out to your relationship partner and others in recovery to meet the legitimate need. In this way, you transform the curse of addictive craving into the blessing of recovery intimacy.

Load up on recovery steroids. A play on words. Recovery steroids are a metaphor for affirmations. Most addicts don’t invest enough time working to change the way they think. What you think about expands. Hammering out deep belief statements is transformational. Practicing and meditating on these newly inspired beliefs will revolutionize the way you live. It infuses strength that enables you to work through powerful urges when you want what you say you don’t. Affirmations are an antibiotic to shameful mistaken beliefs. The more you steep yourself in affirmation the weaker the voice of addictive craving and mistaken belief. It requires ongoing daily conditioning.

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.

Dating Protocol Considerations to Avoid Painful Past Patterns

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According to the most recent data from the American Psychological Association, the divorce rate in the United States is around 40-50% for first marriages. As you might guess it is higher for second marriages and on up from there. You would think with those kinds of repeat numbers, you would slow the process down so that you don’t repeat the second time around the agony you experienced the first time. But, it doesn’t work that way. 

The relief of getting away from the agony of a relationship that hurts and the need to fill the emptiness of being alone, and without the intrigue of a romantic relationship, overpowers perspective and contemplative consideration. Add to all of that the rush of oxytocin, endorphins, and dopamine that comes with the honeymoon feeling of a new relationship, and you have a cocktail kick that blows past rational thought and deliberation. It all contributes to why the likelihood of failure in a second marriage is higher than the first. 

Analytically, we can figure it all out. Yet, even after enlightenment we go against what we know and plunge down the same rabbit hole we just escaped. 

Why is this? There are many reasons. People carry with them old tapes of mistaken beliefs learned from their family of origin that create relationship sabotage. Why consider something that might spoil the fantasy relationship I think I can have in the here and now? Many people choose to run from what hurts and never want to stop and scrub the wounds that come from betrayal and various forms of intimacy disability. All this makes sense. It’s just that doing the same thing you have always ever done, doesn’t work toward healing a broken heart that comes from a dysfunctional relationship. 

So, here are some considerations to think about regarding relationship healing, before engaging the next exclusive romantic relational experience.

1. Take some time to catch your breath. You have been running so hard to fix the hurt of the old relationship in ways that did not work, or you are running as hard as you can to get away from the relational pain. Take a time out and catch your breath. Relationships in distress or pursuit burn a lot of emotional BTUs. How much time do you take? One size doesn’t fit all. Some people need 6 months; others need a year. The time you need is unique to you. After you have calmed the chaos, the amount of time you need to heal before engaging in a serious new relationship will vary. The point is to catch your breath before rushing ahead. 

2. You will need time to grieve. How much time? Again, it varies. The rule of thumb is that you will need more time than you are thinking about right now! You will need time to grieve what used to be and no longer is. You will need to grieve what never was that you hoped would have been. You will need to grieve the reality of what is. It’s hard to engage in grieving when the oxytocin, endorphins, and dopamine are rushing through your veins with someone new. Most of us don’t know how to grieve deeply. We cry, feel empty, might get drunk, and on we go to the next relationship. But, there’s the need to go deep and feel the hurt of the sadness of what will never be again. Relationship ties undone with family, the loss of the good times, the hurt of the pain, and the impact on others (kids particularly, friends, relatives, etc) all must be embraced experientially before moving on to something new in a serious relationship. The truth is that you will need to create space in your life to grieve and let go of what used to be periodically for the rest of your life. It isn’t meant to grovel in the pain of an old relationship. Yet, recognizing painful experiences in past relationships and letting go is a part of the pattern of being an adult. The time it takes you to sufficiently grieve will vary and you will be wise to consult with counsel and to live in consultation with support people. 

3. Learn to be with yourself. When you end a relationship there is an empty spot. There is a great temptation to fill it in with another relationship, work, travel, and a lot of other activities. Our culture provides so much stimulation that you can just go from one high to the next. But, you won’t heal yourself that way or know who you really are by doing a blitz on stimulants that come from dating and other activities. Embrace the winter of your life and learn from it.

4. Unravel the patterns that sabotage intimacy. If you don’t you will keep doing it and likely blame the other party for your relationship unfulfillment. Some people can date and unravel this self-sabotage behavior at the same time through counseling and group support. Most of us cannot. If you have never been in a riptide current at the beach, you would be wise to stop swimming and learn from those who have experienced and managed the riptide. Ignoring this suggestion is how many people drown in the next relationship doing the same things as before. Unraveling your self-sabotage pattern that contributes to relational failure is difficult. You will need to address unresolved family of origin issues that contribute to the way you do relationships today. Soren Kierkegaard was right when he wrote “Life is meant to be lived forward but can only be understood backward”. To move forward and not self-sabotage you will need to look backward and understand what brought you to where you are today. On the other hand, it’s easier to blame your past partner and keep truckin’ wondering why you keep hooking up with partners who hurt you.

5. Sex is always an issue: If you are stuck in the juggernaut of sexual addiction, sex has become an organizing principle of your life. Any reason is a good reason to be sexual. Most likely your behavior is about objectifying another person. Objectification is a way of using another person to get your needs met without dignity and respect or consideration of others. Non-addicted people can objectify as well. If you use another person’s space to meet your needs without proper scrutiny of that individual’s needs then you are objectifying that person. Some people say no sex for 6 months or 1 year after a breakup! Maybe so or maybe not! It makes sense to discipline your tendency to accelerate physical connection so that with moderate speed you are better able to distinguish the difference between intensity of feeling and true intimacy. All too often with oxytocin, adrenaline, and dopamine in control, people thicken the plot to an unhealthy relationship by mistaking intensity for intimacy. In this equation, addicts can’t get enough of what they don’t need and many non addicts adopt an unspoken mentality that my half plus your half will make us a whole! On the contrary, you take what is and make it less because the other person cannot supply your basic need for self-care, so 1/2 + 1/2 = 1/4, not a whole. 

6. Don’t forget the impact on other key relationships: This doesn’t mean you don’t date. It just means that you don’t date lacking sensitivity to the community of people who provide support and who respect and love you. This includes careful considerations about dating others who were once romantically involved with your friends, family, or workmates. Most companies have policies that govern romantic relationships at work. However, not all are the same and many people try to bend the rules to engage in romance. It’s important to be careful and considerate in comprehending the consequences of romance in these situational dynamics. Children need to be carefully considered. Bringing a new person in and out of their lives can be very destructive to them without thoughtful consideration of their care. Each of these impacts requires consultation and accountability with people who are in your support group. 

We are all designed to experience connection with others. How we engage romance requires thoughtful preparation and consideration so that the charm that wells up within does not become harm that hurts others.

Tire Tracks

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Alex had been cheating on Alice from day one. Secretly, he hired strippers at his bachelor party and never made it through his honeymoon without cheating with someone he met at the pool of the resort where he and Alice stayed during the week after the wedding. It didn’t stop. He slept with Alice’s best friend, hired hookers when on the road for his work, and was hooked on porn over the years.

Alice caught him looking at porn on his phone late one night and suspicioned there was more but was afraid to confront him. Then, one evening Alex’s phone rang and Alice picked it up thinking it was their daughter needing to be picked up from volleyball. But it wasn’t. It was a strange female voice who asked for Alex. When the person recognized that it was not Alex she hung up. Triggered with suspicion, Alice checked his texts and phone messages. She discovered a ton of graphic sexting texts between Alex and a woman named Lisa. She checked the phone number and figured there were over 75 phone calls to this one woman’s number. She called the number on Alex’s phone and the same voice of woman answered the call and Alice hung up without saying a word. She burst into tears because she knew what she had been dreading for quite some time. 

She confronted Alex about the call but he denied and lied about anything inappropriate. She stayed with it and laid out the enormity of detail that she uncovered and finally, after hours of adamantly denying and gaslighting Alice, Alex broke down and admitted that he had been having an affair with a woman named Lisa who worked at his company. He piecemealed his history of sexual misbehavior. It wasn’t till a month and a half later when through intensive therapy and an extensive sexual history polygraph that Alice learned that Alex was never faithful to her throughout their ten years of marriage. 

She determined that the only way she would remain in the marriage would be that he move out, go to inpatient treatment recommended by his therapist, and do whatever they recommended.

This is a common story for therapists who work with compulsive sexual betrayal. The stories vary and some relationships are able to heal betrayal brokenness while many are not. Addictive behavior is often concealed in deceit and secrets. In time, compulsive infidelity is discovered by partners and other family members. It is always traumatic for everybody.

Healing around betrayal is difficult and dicey.  The trauma that is incurred impacts both the betrayer and the betrayed. The hurt is multifaceted. 

Therapists treating broken trust have a number of considerations to assess when administering treatment. There are established guidelines for counselor support. However, while there are similarities that are common to all partner betrayal, no two betrayal responses are the same. Couples whose relationships have been riddled with compulsive infidelity with long-term dishonesty have a number of considerations to assess.

1. The compulsive betrayer must prioritize the following in order for healing to be effective: Cut off all contact with the affair partner immediately. This includes text, email, phone calls, and face-to-face visits. If the affair partner is in a working relationship with the compulsive betrayer, contact must be only about business with a commitment to gate all nonverbal energy communication. Preferred accountability about this dynamic would be with a recovering person who also is working a program. The betrayer must prioritize stopping the runaway train going down the track of their entrenched compulsive sexual behavior that has been in existence for a long period of time. Individual treatment is an absolute must. Promises to stop fade away all too frequently for the one who refuses treatment intervention. 

2. The partner must engage treatment for damage created by the betrayal. All too frequently the partner refuses treatment favoring that their betraying partner be the “identified patient”. It is familiar to hear “I am not the one who struggles with lying and infidelity. Focus on the betrayer. They are the culprit. This is like getting run over by a big mack truck and laying on the side of the road with tire tracks across your back. The paramedics are called and when they arrive they tend to the driver, put them in the ambulance, and whisk them to the emergency room for treatment, leaving the victim who was run over lying on the side of the road. It makes no sense. Betrayal breaks the heart and the spirit of every victimized partner. Induced trauma requires long-term partner treatment for recovery. Codependent responses are always triggered by underlying trauma. It must be treated and will not heal without it. 

3. The 3-legged stool approach. I prefer the 3-legged therapeutic approach. Every stool must have solid legs in order for the stool to be stable to safely sit. I find it most helpful that when treating betrayal trauma that each party in the relationship do individual therapy and that the couple also engage therapy as a couple, ideally with three different therapist involved (one for each of the 2 individuals and one for the couple together). I have experienced good success when it is done concomitantly.  There are exclusions when situations are exempt to this approach. That said a three-pronged approach has proven most helpful in healing. 

4. Triage priorities in treatment. Betrayal is chaotic and crisis is not uniform and predictable. Careful consideration and guidance is needed in treating the betrayer, the betrayed partner, family, friends, and extended community depending upon the roles people have in those communities. Both partners will need to embrace their wise-minded adult within, and if this is absent carefully accept the guidance from an experienced counselor to triage treatment based on your specific and unique needs. 

Destructive behavior, broken hearts, and tire tracks across the back caused by betrayal can heal. However, it is a long journey that insists that both partners embrace the healing journey. One or the other being the “identified patient” will impact prognosis for healing and will stymy healing. Addict betrayal is not only about relational infidelity. Addicts betray their own values and the trust of those around them who are counting on them to work a program for healing.  It is crucial that the entire family treat the addictive behavior from a family systems perspective. Each family member will need to address the impact of trauma that warps perspective and undermines trust.