stress

Hangovers

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Fred has been a recovering sex addict for 5 years. Sexual acting out used to be an organizing principle in his life. He woke up everyday thinking of numbing out with porn and hooking up with whoever he could find on the internet. It nearly cost him his family, his job, and even his life. One day an escort and her pimp robbed him of everything he had. At gunpoint, they forced him to go to his bank and withdraw $10,000 from his account. He was told that there was a gun pointed at his head throughout the entire bank transaction and would be killed if he did not bring them the exact amount. This was hitting bottom for Fred. He promised that if he escaped this predicament, he would seek help and change his lifestyle. And he did. He sought out a certified sex addiction therapist. He began going to 12-step meetings, worked the steps, changed his life, and experienced healing within and in his marriage and family. That was 5 years ago! 

Moving forward he managed sexual addiction cravings with the tools that he had learned in therapy and 12-step groups. Things were headed in the right direction. Then COVID hit. He was laid off from his work and had to scramble, doing anything to pay the bills. There was a lot of stress and anxiety that persisted throughout the 2 years since the COVID lockdown. Eventually fatigue, stress, and anxiety wore him down. One night while driving home he pulled into the parking lot of a strip club, drank, and paid for several lap dances. The next morning he woke up with a hangover not only from the alcohol but from the reality that he surrendered all the vestiges of meaningful sobriety and serenity that he had accumulated in his recovery program the 5 years before. He was sick to his stomach, dulled with brain fog, and profound loneliness and emptiness. The emotional pain was indescribable. Alone, he screamed in despair. He was suffering from the hangover of relapse behavior. 
Hangovers suck! Hangovers always deliver what they promise—headaches, dizziness, fatigue, nausea, irritability, and other symptoms. Most people associate hangovers with drinking too much or other drug abuse. But, hangovers are the result of many behaviors. Other than its relationship to chemical abuse, the dictionary defines a hangover as something that remains from what is past. Its the letdown that follows great effort and excitement. Hangovers follow every act out and trigger further use of a substance or process.

Every addict knows the pain of a hangover that follows an addictive behavior. Addicts who succumb to relapse are highly susceptible to repeating the destructive behavior until the old addictive lifestyle is once again in place. It happens amazingly fast! Hangovers play a significant role in the reconstitution of addiction. Surprised by the relapse, addicts fall victim to the power of shame and the staggering emotional pain that is part of the hangover aftermath. 

Most addicts relapse in their attempts to gain control of their addiction. Listed below are suggestions to consider in working through the hangover that accompanies relapse behavior.

1. Get out of harm’s way. You may have to drag yourself away but don’t let the bus of addiction run over you repeatedly with added relapse behavior. Call someone in recovery. The risk of further addictive behavior increases exponentially on the heels of a hangover. Loneliness, shame, depression, failure, etc are intense feelings that overwhelm and tempt you to medicate with addictive behavior. You must take the power away from the junkie worm with a radical behavioral pattern interruption. Examples include going to a 12-step meeting, calling a recovery friend (even in the middle of the night), throwing your keys down a storm sewer to keep you from driving under the influence, or whatever you need to do to remove yourself from harm’s way.

2. Surround yourself with support. When you relapse, shame wants to force you into isolation. Rather than isolate, you must insulate yourself with people who you know love you, understand, and will support you no matter what. Addicts in recovery who engage in a 12-step meeting with openness and vulnerability create connections that are helpful during a time of crisis in their recovery. It is critical to reach out to other addicts in recovery when you face relapse. You will falter. Create a community that will be there and help you restore yourself to sanity and centered living.

3. Practice sitting with the pain that accompanies relapse failure. No matter what you do after a relapse, you cannot escape the pain of the hangover. You can mitigate its effects with self-care and reconnecting with your program. That said, relapse always produces intense emotional pain and disappointment. Rather than try to escape, which might increase the possibility of relapse, practice accepting and leaning into the emotional pain. Leaning into the pain of relapse differs from choosing to wallow in the failure of relapse which quickly becomes a way to escape and avoid doing the next right thing in self-care. It hampers a mature response to failure. Leaning into the pain is accepting what happened and moving forward with the next right recovery steps toward re-centering yourself in a healthy life balance. The good news is that the hangover does wear off in time.

4. Divorce yourself from the behavior. You are not your behavior. You will have to condition yourself during this moment of discouragement and shame. Put the shame on the behavior and not your sense of self. Separating the behavior from your personhood will help you nurture compassion for yourself and those you hurt with your destructive behavior. There is no greater prevention for further relapse than compassion and empathy.

5. Learn from every relapse failure. While you are not a failure, you can learn something about yourself that can cement future sobriety in every failed experience. The lessons you glean from your failed experience are the gold you create to fulfill your recovery destiny. Allow yourself to be a mistake-making person. Take away the treasure of wisdom from each mistake before you throw away the rind of failed behavior.

The loneliness and emptiness that is core to the experience of relapse hangover paralyze many addicts who have relapsed. The way through the hangover is to fix your eyes on re-centering your vision of recovery. Move through relapse behavior by anchoring your heart with actions of recovery practice. The hangover will wear off provided you do the necessary self-care. 

Managing Zone Outs and Destructive Hits

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Ever since the measure of time, moving through the Industrial Age and beyond, we have quantified life by the clock. We have burgeoned into a culture that has become obsessed with filling up time with endless busyness. In his book, Space, Time and Medicine, Larry Dossey coined the term “time sickness” to describe the obsessive belief that time is getting away, there is not enough of it, and you must pedal faster and faster in order to keep up with it.  It has germinated the disease of “more”, which rivets the mind with incessant thoughts that we have to do more to keep from being less.

In our culture, there is a race to be the best. The rush to be the best lessens quality control. Accidents all over the world like Chernobyl and the space shuttle Challenger demonstrate that driven rush and fatigue negatively affect quality control. Yet, our culture remains obsessed with doing more and more in less time. At some point, this frenzy demands a sedative for all. The human condition is not capable of living with a tightening scrutiny that squeezes more productivity from every waking second. We’re now seeing an uptick in stress-related diseases such as insomnia, hypertension, asthma, and gastrointestinal diseases.

Job stress contributes to untold numbers of Americans missing work. City life increases the pace by ramping up pressure to perform. All this pressure causes people to mistakenly believe that somehow doing more means being more. It is no wonder there is an uptick in zoning out from all the turmoil and stress. Zoning out while driving is a real problem. One out of every four car accidents in the United States is caused by texting and driving, mounting to 1.6 million crashes each year, and nearly 390,000 injuries according to the National Safety Council. Online porn during working hours is another zone out that threatens productivity during working hours. Some surveys suggest that more than 60% of men have looked at porn during work hours in the past 3 months at the risk of it being career-ending.  

To survive this rush of activity, booster drugs have become popular, even necessary for some. Through the years, I have seen a growing number of professionals who rely upon uppers and downers to get through their fast-paced day. Nursing and pharmaceutical students often fall prey to amphetamines such as Adderall, Ritalin, or Concerta in order to ignore the fatigue and get through their day. Then, they rely upon benzodiazepines such as Xanax, Klonopin, and Valium or alcohol to come down from the high. Opioid use in our country is even more widespread.

This perfect rendezvous fits most addicts like a glove. You can never do enough to keep from being less. This crazed thought pattern becomes the necessary fuel to numb out with the various cocktail of addictions that our mind creates . . . and we create many! Addicts who do not pay attention to hits and situations that trigger fantasy are vulnerable to engaging in their drug of choice. Relapse prevention requires conscious awareness in situations that trigger the temptation to zone out. Here are a few suggestions to manage destructive hits and zone outs every addict faces.

#1: Become aware of your mistaken beliefs that activate your zone out. Mistaken belief will trigger your desire to zone out in a destructive way. Addicts must know their mistaken beliefs like the back of their hand. Not if, but when triggered they must recognize what is happening around them that triggers the hit. Financial pressure, shame engaged because of relationship problems, loneliness, etc. are examples of issues that activate mistaken beliefs that lead to zoning out through addictive behavior. You will need to practice addressing those triggers with life-affirming positive beliefs that propel you toward connection and intimacy-abling behaviors.  

#2: Pay attention to the way in which you mask anticipating rejection and victim posturing. It is easy to mask unwanted feelings and thoughts with compensating behaviors. You may be a great parent, professional, and person in a hundred different ways. This is great! That said, it is important that you don’t use these strengths to avoid addressing ways that you are dominated by mistaken beliefs that fuel anticipation of rejection from those you want approval from and times when you are stuck with “woe is me, I feel damned if I do and damned if I don’t.” Victim posture is a dynamic that ultimately leads to zoning out in destructive ways. Avoid your victim stance by reframing your experience so that you empower yourself with possibility rather than remaining stuck without power and with vulnerability to addictive urge. 

#3: Be alert to ways that you isolate and fantasize. It can be a good thing to step back and think of something pleasant after a particularly demanding and exhausting day. However, addicts must be on the alert to cravings and urges to escape discomfort and desires to medicate. Telling on yourself to another addict is a way to avoid isolation. Utilizing a 3-second rule, that requires interruption of addictive fantasy after 3 seconds, is a pattern interrupt that will help you ground yourself into reality in the moment.

#4: Be accountable and live in consultation toward your tendency to cruise and groom your thinking toward acting out. Cruising is putting yourself in harm’s way with your addiction. People, places, and mind-states trigger hits toward acting out. If you are sitting in the middle of a busy intersection and a bus is barreling toward you, first get your ass out of the road! No time to review How did I get here, and other questions. The same is true for managing an urge to addictively act out. Engage whatever pattern interrupt you must do to remove yourself from harm’s way. Have a list of support people you can call. Consult with another addict in recovery.  Once done, you can trace back to ways in which you groomed yourself with addictive rationale to place yourself in harm’s way.

Addicts must be alert to what disconnects them from feelings and relationship to self and others. Zoning out can be helpful but often is harmful for addicts who do not practice recovery awareness. It is important that addicts don’t forget the old adage “If you hang around the barbershop long enough, you will get a haircut!”

The Sweet Spot of Centered Living

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Every day presents a new set of circumstances and issues in addict recovery. Some days go smoothly without major conflict while other days are challenged with triggers, cravings, and stress that create feelings of insecurity, impatience, and overall struggle. There is no necessary rhyme or reason. It is the common thread of issues that addicts in recovery grapple with in order to remain sober. For sure, staying sober is a battle of resistance with the forces of life that tug and pull to numb out with a cocktail of addictive processes. 

Addicts in recovery learn to create a sweet spot which represents a center of balance in life to respond to life’s provocations. In racquetball, the sweet spot on the court is the space maintained that gives the best vantage to respond to the opponent’s shot. The sweet spot in recovery is the space that an addict creates that offers the best possibility to engage tests and temptations from an empowered position and with poise. Trauma professionals sometimes refer to this space as a window of tolerance. This is a place you are able to self-soothe. You are able to maintain emotional self-regulation. It’s the position that you are best able to access resilience and flexibility. In the midst of everyday fray, you are capable of being connected to your mind, body, and emotions anchored in the window of tolerance. 

Some days just don’t play out in the sweet spot. You scramble to keep up with a busy schedule. People criticize you for shortcomings. Life throws you one curve ball after another. The harder you try, the “behinder” you get. It’s just one of those days or one of those seasons in life. The build-up of stress with physical and emotional fatigue triggers cravings that push you to the precipice of relapse. It’s amazing how quickly you can be right on the edge of disaster.

This experience is what trauma professionals refer to as flooding which can be hyperarousal (fight or flight) or hypo-arousal (freeze). Addicts must pay attention to the warning signs to avoid the pitfalls of relapse. 

Triggers are the memories, core beliefs, feelings, and body sensations which are connected to past traumatic experiences that have the potential to move you out of your sweet spot in recovery. Addicts benefit when they do the homework of identifying mistaken beliefs that block intimacy and monitor those beliefs daily. Rather than going all out to eliminate the belief, simply paying attention with a skillset to shift out of the mistaken belief that enervates and empowers addictive response, and shift into an intimacy-abling belief is all that is needed. It is important to become aware of life situations, relationship challenges, and mental states that fuel mistaken beliefs and address them daily. 

Flashback memories of old experiences are just that! They are not reality in the present moment no matter how powerful they seem. They trigger maladaptive responses and require the grounding skill of “acting as if”, meaning that in spite of the felt struggle, you commit to act doing the next right thing regardless of feeling. It may require ritual breathing, keeping your eyes open, and grounded conversation. It doesn’t mean I must act out in old destructive behaviors. 

Triggers can activate hyper arousal response including building anxiety, impulsivity, reactivity, anger, rage, nightmare, rigidity, and hyper-vigilance. You may notice difficulty in concentrating, obsessive-compulsive thoughts or behaviors or panic, and becoming easily irritated.  Many addicts do program work without ever paying attention to these critical signs of hyper arousal that take them out of their sweet spot.

A hypo arousal response is also a sign of flooding which pulls you from your window of tolerance. This response includes depression, fatigue, not being present, dissociation, feeling numb, going on autopilot, and disconnecting from feelings. You may experience increased aches and pains and not be able to think very clearly. 

It will be important for you to evaluate your typical response to the trials and tribulations of recovery living that pull you from your sweet spot. Managing your ability to return to the sweet spot in recovery requires that you discipline your awareness to recognize the warning signs of flooding. 

Do you most likely respond with freeze or fight/flight given the description of both responses? Many clients have told me that their body experiences periodic aches and pains without ever considering that the source of this discomfort might trace back to a hypo-aroused response to the stressors of life that pull them away from their window of tolerance. Others think medication is needed to quell the anxiety and panic that dominates them every day. Still others are stupefied wondering why they are having nightmares, being so reactive with anger and rage. One reason you may find yourself emotionally eating is because of the fight or flight response to the stress and tension that exists within your life. You may need a prescription to alleviate the intense edge of anxiety that triggers a rageful response. It can be helpful to attend an Overeaters Anonymous group to stop destructive out-of-control eating. Yet, for sure, it will be critical to recognize the warning sign that triggers the emotional flooding. You will need to address the stressful situation and recognize the flood in your life which pulls you out of your sweet spot in recovery. Consider these steps:

1. What expectations do you have in your life and your recovery? Be clear and specific. Are your expectations realistic? We all begin with enthusiasm and a lot of fire in recovery. It will flame out if your recovery goals are not realistic. Be clear and accountable for your bottom lines. A contract without accountability has no bite to it. 

2. Examine the Data. Project out a few weeks. When you get to a certain point in your recovery journey, evaluate if the results are what you intended. Like plays drawn up on the chalkboard at halftime in a football game, the way it works out on the field of recovery may be quite different than what you planned. Look at what you intended when you made your commitment to improve your behavior with your sponsor or in a recovery room. Are your results what you meant to be reality? Be honest, practical, and realistic in your assessment.

3. Make adjustments. This is key. Returning to your sweet spot will require that you work out of your rigidity and become flexible. Things never work out just the way you plan. What you thought would be easy will sometimes be hard. This is the way it is in life, not just recovery. Your working recovery from the sweet spot will require that you be flexible and make adjustments.  Embrace a sweet reasonableness about your expectations. Know when to apply the strict letter of the law to your recovery life and when to be gentle with what you expect from yourself and others. This is a practiced art form. 

The sweet spot for recovery growth requires gardening. Utilize your quiet time each day to recenter your focus. Know your tools for regulation and how to use them. I encourage addicts to create a plethora of recovery tools that are placed on the shelf for resources like a woodworker puts her tools on the shelf of her garage. Practice what you know. It will help you to return to your window of tolerance. It is the sweet spot that propels long-term growth and serenity.