Depression – Opiate Nation

Why We Need to Learn to Grieve

Why Grieve? First, those who grieve well, live well. Second, and most important, grief is the healing process of the heart, soul, and mind. It is the path that returns us to wholeness. Until we do, we suffer from the effect of unfinished business.

~Elisabeth Kübler-Ross, On Grief and Grieving, pg. 229

(Translation into most languages at tab to the right)

Like most people in Western societies, I was never taught how to grieve the loss of someone I loved. My family had not suffered the untimely loss of anyone close to us. Elderly grandparents passed and we would miss them, but quiet tears and sad faces was all I ever saw at those rare funerals. And grief is not something one normally thinks about when we are young. Unless it is a very close relative or friend, the empty space left by a person doesn’t drag us down to the depths of our soul when we are young and resilient.

When my younger brother died of AIDS at 40, it was the first death of someone I loved dearly and it was the first time I felt my heart break. I couldn’t seem to function because life had suddenly become dark and unknowable. If this could happen, anything could happen. I was afraid. How could I survive this? I had very few tools to help navigate the grief and didn’t know anyone who could empathize with this tragedy other than my husband John. My parents were devastated but mostly unable to talk about it. There were other deaths that followed: When my sister died of breast cancer that metastasized to her brain at 56. And when my youngest brother died a death of despair from suicide at 52. The feelings were much the same but by then I had one thing that helped. I knew from experience that I would survive.

Then in 2014, John and I experienced the most painful event of our lives. Our 25-year-old son died of an accidental heroin overdose. Today, he would have been 37. For this, we needed survival skills that went beyond the love and care of family and friends. Thankfully, we were introduced to On Grief and Grieving: Finding the Meaning of Grief Through the Five Stages of Loss by Elisabeth Kübler-Ross and David Kessler.(1,2) Knowing that everything we were feeling was normal was a comfort in and of itself. It is a guide for the process of grieving that has helped millions of people understand that grieving well takes time and cannot be rushed. These five stages follow a predictable pattern but are not necessarily linear or progressive because each response to loss is as unique as each loss. I wrote in detail about how we navigated the grief from our son’s death in Opiate Nation: A Memoir of Love, Loss and Acceptance. (3)

The Five Stages of Loss are: denial, anger, bargaining, depression, and acceptance. Disbelief was perhaps a better way to describe our denial – feeling paralyzed by this sudden shock, and an inability and unwillingness to face what happened. Our bodies and our souls were in so much pain. We didn’t want to believe that our son was really gone from our lives, from this earth. But this stage is where many people get stuck. Moving out of denial and facing the facts will not happen until we feel safe and know that we are ready to handle what really is.

Once we are ready to face reality, anger surfaces. It is part of the process of loss because anger brings a sense of temporary control we once thought we had and that is now gone. Kübler-Ross stresses that to not allow anger may slow down the grieving process. Many people, especially people of faith, avoid anger because isn’t “acceptable” and it is unthinkable to be angry at God. And there is an added sense of unfairness that complicates grief when the young die.

Bargaining is negotiating with reality while we vacillate between thinking there is something we can do and realizing there isn’t. The overwhelming pain involved with accepting reality causes us to alternate between hope and despair. John and my journal entries are full of “if only’s” and regrets, evidence that we tried to negotiate and somehow change the past.

Truly feeling the overwhelming feelings of the reality of the loss leads to depression. This was the most difficult aspect of grief and the longest for us. We had to face the fact that the place our son occupied was now empty. Learning to sit with our feelings of deep sadness was not easy. It was a slow slog through each day and night.

The final stage of grieving is acceptance. It makes change possible and makes our present circumstances bearable and even good. For people of faith, we surrender to God’s ultimate plan and it can bring peace, forgiveness, healing, and a newfound freedom. That allowed us to move forward to a better, although different, future. This is where we begin to see some of the gifts that have accompanied the loss.

Death is part of living as humans on this earth and death brings grief. It is one of life’s equalizers. Our learning to grieve well becomes a gift to others suffering through the death of a loved one as we also model how we mourn, which is the external part of loss. Learning to accept our humanness and our limitations helps us learn about grace and forgiveness, towards ourselves and others. When we experience grief, we have experienced the full cycle of being human. Greif transforms our broken and wounded souls and has the power to heal. Leo Tolstoy said, Only people who are capable of loving strongly can also suffer great sorrow, but this same necessity of loving serves to counteract their grief and heals them. And when we heal and continue to live after the loss of our loved one, this is the gift that grief gives us and that we can share with others.

The Elizabeth Kübler-Ross Foundation. https://www.ekrfoundation.org/elisabeth-kubler-ross/
David Kessler https://grief.com/the-five-stages-of-grief/
www.OpiateNation.com

Elisabeth Kübler-Ross Biography

The Paradox of Memories

(Twenty-eighth in a series of topical blogs based on chapter by chapter excerpts from Opiate Nation. Translation into most languages is available to the right.)

Memories are strange things. How much control do we have over them? What triggers bring up which memories? How do triggers differ with each individual personality? Does grief affect memory? I know it does mine because I continue to experience new associations and memories being formed from what were once familiar items with no particular memory attached before—which now, after my son’s battle with addiction and death, have a specific memory related to him.

Like aluminum foil.

Hopes & Dreams

(Twenty-first in a series of topical blogs based on chapter by chapter excerpts from Opiate Nation. Translation into most languages is available to the right.)

I know how men in exile feed on dreams of hope.

–Aeschylus, Agamemnon

After our son’s death from overdose, John and I truly felt like “men in exile,” forced into separation from our son, banished from each other’s’ lives. We are not just on different continents, but in different worlds, different dimensions. And hope? Any hope would have been just that—a dream, a mirage.

His untimely death took all hope of a sober and content son in this life away. Lost hope is what crushes parents when their child dies a needless death, an ignoble death to many. Had he fought in a war and been killed in action, to society it would have been a noble death. Most people who are separated from the life-and-death battle with addiction can’t see the struggle that this generation of young people are fighting on a moment-by-moment basis against an enemy that is in their brain, in their body—not outside it—one they can’t shoot and kill or put in prison. But we, as parents and friends, see it and wonder how much longer can they fight before they lose?

The Secret Keepers

(Twentieth in a series of topical blogs based on chapter by chapter excerpts from Opiate Nation. Translation into most languages is available to the right.)

National secrecy. Communal secrecy. Familial secrecy. Cloaked as “Discretion” it perpetuates problems. What it did for us when we found out that our son was addicted to heroin was to create a puzzle that we were forced to try to put together in the dark with many missing pieces. No one was talking – not friends, parents, school leaders. When the drug bust happened at his high school in the spring of 2005, and the administration didn’t call a meeting of all parents to alert us to what was going on, one wonders what motivation was behind that decision? Clearly, it wasn’t what was best for the rest of the students, families, or our community.

Years ago, while working through our angst with the systemic problems in organized Christianity, and continuing to run into absolute resistance, secrets, and denial, we came upon a quote that finally explained why we were not, and never would be, making headway: “If you speak about the problem, you become the problem.” This wisdom came from an important and insightful book, The Subtle Power of Spiritual Abuse. But the subtle power of abuse is not limited to churches: governments, schools, communities, families—no one wants to be seen as part of the problem, especially with drug addiction and alcoholism. So, if we just keep troublesome or messy things secret, if we don’t speak about them, we can all just get along.

Singing The Blues

(Eleventh in a series of topical blogs based on chapter by chapter excerpts from Opiate Nation. Translation into most languages is available to the right.)

Honesty is one of the main themes that ripple under the surface of “The Blues.” Expressions of honest feelings, whatever they may be at the moment – themes of lost love, painful relationships, dashed hopes, and heartache. The majority of us have or will experience heartache in our lives. Although it seems counterintuitive, most of us feel consoled by songs that express what we are feeling deep inside but may have a hard time putting into words. In order for me to be honest, I have to acknowledge that I am singing The Blues.

Woefully Unprepared

(Today begins a series of topical blogs based on excerpts from Opiate Nation, chapter by chapter, that will run for 28 weeks. Translation into most languages is available to the right.)

It’s a bit ironic that as I begin blogging through Opiate Nation we are in the midst of a pandemic. Ironic in several significant ways.

Opiate Nation was written because of the opioid epidemic – which, in reality, is a pandemic. Every industrialized nation, and many emerging and third-world nations too, are dealing with the results from the ease of availability of opioids, whether natural and home-grown, or synthetic and imported. Or both, as is the case in America.

And like the Coronavirus pandemic that crept up on us so gradually that it’s deadliness caught us by surprise and mostly unprepared as nations, the opioid epidemic crept up on us too. In both cases, certain international players were unscrupulous for various reasons, causing delays in awareness when there might have been a chance for all of us to not be caught off balance.

The “inoculation” that should have happened, especially in the United States, by way of accurate scientific information disseminated by responsible leaders, didn’t happen. Instead, false information fueled by political agendas and financial motivation created a scenario that so crippled a timely public health response that, for many nations, it became too little too late.

Loneliness Pt. 2: Unemployment Anxiety & Isolation

We are a global community – like it or not. We are connected down to the minutia of life, from what we breathe, to what we eat, to what we think, to what infects us. And right now, the world, our world is in a life-or-death struggle with a microscopic enemy that seems to keep gaining the upper hand. The result in just one area is massive unemployment and the subsequent loss of access and funding for public and private support services.

I don’t want to get in to the politics of whether economies should be opened up regardless of Covid-19 and suffer the consequences in lives lost, verses lives ruined by no work and massive personal and societal debt. What I am concerned about are the consequences of what so many millions of people are facing from having lost their means of livelihood, and in particular, those whose lives were already balanced on a knife edge on a daily basis.

Loneliness in a Lonely Time

It has been said that the opposite of addiction is not sobriety, it is connection – to others, to a community. The Coronavirus pandemic has brought disconnection and magnified loneliness and stress for people the world over due to social isolation, economic instability, reduced access to spiritual communities, and overall national anxiety and fear of the future. “We certainly have data from years of multiple studies showing that social isolation and social stress plays a significant role in relapse…and relapsing to drug use can play a role in overdose.” Dr. Wilson Compton, deputy director NIDA.

The acronym HALT: Hungry, Angry, Lonely, Tired, is used in Alcoholics Anonymous and most recovery programs. It is a simple reminder that when our basic human needs are not met, one is susceptible to toxic thoughts and self-destructive behaviors including relapse and suicide.

A Lament and A Love Song – for Our Son

Lament for a Son is an intensely personal tribute by Nicholas Wolterstorff to his 25-yr-old son who died in a climbing accident. It is eloquent and unforgettable as he gives voice to a grief that is both unique and universal: the tortured pain of losing an individual, a child, your child.

We lost our 25-yr-old son to a heroin overdose six years ago on August 2, 2014. Lament for a Son has been one of our go-to books since that time. Wolterstorff expresses the incomprehension and sense of unfairness that, I believe, parents worldwide feel when they lose a child – someone who is supposed to bury you, not the other way around. It doesn’t fit with the cycle of life we expect – it is jarring, unsettling, bewildering, frustrating, disquieting.

In the Preface he relates:

A friend told me he gave a copy of Lament to all of his children. “Why?” I asked. “Because it’s a love song,” he said. That took me aback. But, Yes, it is a love-song. Every lament is a love song. Will love-songs one day no longer be laments?

Yet, while the book expresses the common feelings brought on by sudden unexpected death, what he doesn’t share with those of us who have lost a child to drug/alcohol addiction are the previous long years, sometimes decades, of turmoil, anxiety, fear, and depression that we experience on top of all the normal grief.

And shame.

There is no glory in being the parent of someone who is an addict or alcoholic.

If my son were alive today during the Covid-19 pandemic…..

I would fear for his life more than ever.

“Drug Overdoses Soaring: Suspected overdoses nationally jumped 18% in March, 29% in April, 42% in May, data from ambulance teams, hospitals, and police shows.”

As a young man in America who wanted more than anything to be free of his deadly heroin addiction, how would he be weathering the Covid-19 pandemic?

“The drug-overdose-and-death epidemic already was hurting communities before COVID-19, but during the pandemic there have been reports from every region of the country on spikes in opioid-related calls to first responders, visits to emergency rooms, fentanyl and tainted-drug-related overdoses. There also have been challenges to accessing sterile needle and syringe and exchange services.”