On March 10th, our son would have been celebrating his 33rd birthday. That day is now a painful reminder of all the potentials and possibilities that a young person should be experiencing in the 4th decade of their life.
After JL died of a heroin overdose in 2014, I began the dreaded process of sorting through his belongings – which included his computer and phone. Many of the photos on his phone I had never seen and some have now become permanently seared into my visual memory. One is of JL with a Boa wrapped around his shoulders and neck.
Boas are constrictors. Constrictors don’t chase their prey. They are ambush hunters. A boa grabs its prey with its teeth, then quickly coils its body around the prey and squeezes. It doesn’t break the bones – it constricts so tightly that its prey can’t breathe. With each exhale, it tightens its coils until its prey dies slowly from an overwhelmed circulatory system due to blood not getting to the brain. Once dead, the snake swallows its prey whole.
(Translation into most languages at tab to the right)
What is a recovery community and what should it look like?
The answer to these questions is not simple – real solutions to real problems rarely are.
To recover means to return to a normal state of health or strength. When someone is injured in an accident or undergone surgery, they usually recover in hospital for a period of time where they can receive the special medical care that is required to keep them alive. If the injury or illness was severe or life-threatening, after hospitalization they would be moved to a rehabilitation facility where they receive appropriate and specialized care and therapy as they convalesce – they wouldn’t just go home. Convalescing is the recovery process of returning to health.
Recovery can also refer to the process of regaining possession or control of something lost or stolen. In a real sense, those who have become addicted to a substance or damaging behavior have had something stolen. That’s not a cop-out if we consider what happens to a person’s brain when addiction takes over. The chemical changes that take place in the brain steadily decrease the individual’s original ability to think clearly and make logical choices. Especially with substances, I consider that capacity to have been stolen.
Translation into most languages at tab to the right.
A few weeks ago, John and I were interviewed by Jeff Simone for his Surviving the OpioidEpidemic podcast (see YouTube link). We had a really great conversation about our family living with a teenage son with opioid addiction and how his death from overdose affected us and changed our lives. Jeff serves the addiction community with a coaching service called Reaction Recovery.
Here are some insights into his recovery approach.
Reaction Recovery is a private coaching service designed to help individuals thrive in their life of recovery from substance use disorders. It is a one to one, intensive behavioral approach to help individuals identify areas to make focused and intentional lifestyle modifications. Dr. Simone has been formally trained in clinical pharmaceutical and dietary supplementation advisory and management. He has earned degrees in nutrition, physiology, is a certified life coach, and has personally worked with over 200 people recovering from substance addictions.
Why ‘Reaction’ Recovery? Who is reacting and to what?
Reaction Recovery was started as a “reaction” to the current treatment approach to addiction. The medical community is doing a good job offering short-term acute care crisis management for addictive disorders, but are doing poorly offering long-term treatment for those who have become abstinent but not yet stabilized. This describes our son’s – and most others we know – situation perfectly. Addiction needs long-term care and support.
The basic coaching approach addresses the physiology of the addiction, post-acute withdrawal syndromes, nutritional interventions, dietary supplementation, and how this all can safely integrate with other pharmaceutical treatment strategies that might already be on board.
Based on what Dr. Simone has called the ’12 Daily Rules for Recovery,’ their coaching techniques will systematically and methodically help the individual identify specific areas to be adjusted and then develop individually tailored strategies to affect real change.
The 12 Rules focus on building up a support community – first and foremost – then developing a healthy and consistent morning routine, understanding the importance of full-day nutrition, ensuring the body is receiving all nutrients necessary to support a strong and optimal brain and body, establishing a safe and appropriate dietary supplement regimen, expanding the mind with helpful books and information, developing a realistic exercise routine, carefully auditing the external distractions in our lives, constructing a regular nighttime routine, and more.
When these considerations get repeated across thousands of iterations, and with a little guidance and accountability, they become a foundation upon which the rest of the individual’s recovery will be built. Eventually – through ruthless repetition – new neural pathways begin to form until eventually this life of abstinence doesn’t feel so difficult and a sustainable, meaningful recovery is able to take shape.
Jeff’s approach of community as essential and creating new, healthy habits to replace old, destructive ones has been the topic of several of my blogs (see below). Whatever habits we create will become automatic and will serve us and our life-goals well as we go through each day.
Translation into most languages at tab to the right.
The need has never been more urgent to alert us all to the risk of overdose facing millions of people worldwide. During the 18 months of the Covid-19 pandemic, overdose deaths have risen approximately 30% in many parts of the world due to isolation, unstable drug sources, and lack of reliable medical and recovery help. Even the normal inadequate support services have been seriously disrupted and diverted. And the hope of C19 disappearing sometime soon is now seen as wishful thinking – it is a new deadly virus we will have to learn how to live with.
So, what can we do to help prevent further loss of lives for those already struggling with addiction?
(Translation into most languages is available to the right.)
During a recent podcast on Straight from the Source (1), David Higham (founder of The Well, a peer-run alcohol and other drug service in the northwest of England) spoke about his life.
For more than 20 years, David was a habitual heroin user more accustomed to life in prison than the outside world. He joined a 12-step program during his final stint. Upon release, he found that sustained well-being and recovery was rare and he knew he had to help change that. What interested me most from his story was this insight:
“Drug treatment is trying to find a solution for my solution…But what’s the solution for my problem?”
(Translation into most languages is available to the right.)
When I am doing research for an upcoming blog post, I can get lost. There is so much information now on drug addiction and the opioid epidemic that I suddenly look at the clock and realize I’ve been wandering virtually around the world and becoming more discouraged with each new article or report: Scotland has more drug overdose deaths per capita than any European country (1); Fentanyl is flooding California with overdose deaths skyrocketing (2); the use of over-the-counter codeine (an opiate) cough medicine among eighth graders in the US has increased (3); and, Australia now has the eighth-highest per-capita opioid consumption in the world (4).
(Thirty-fifth in a series of topical blogs based on chapter by chapter excerpts from Opiate Nation. Translation into most languages is available to the right.)
This week’s Story of Hope is from a friend of JL’s, Peter (not his real name). Here are some excerpts from his story in Opiate Nation (5 min read):
My name is Peter and I’m an alcoholic and addict. This is how I introduce myself at the AA meetings I attend several times every week, as I have done for over 10 years. I am from a fairly affluent family, raised with high moral standards, and attended the best schools. So how is it that I became an alcoholic by the time I was a senior in high school and an opioid addict and dealer by the time I was 20?
The first time I used alcohol was in my junior year in high school. I was new to the school and I felt like I didn’t get the playbook for how to be a part of the group. I had been raised with strong values against using drugs and alcohol – but I wanted to fit in with the popular kids.
I tried a capful of vodka—that was it. I hated the way it tasted. The next day I was sick—not so much from the alcohol, but with guilt. This would be a consistent theme in my drinking and using: I always felt guilt and the consequences of doing something soul-crushing and bending the moral line I had deep within me. Once that barrier had been crossed, then anything was permissible. Initially I only drank on weekends at parties so that I wouldn’t be the outsider.
(Thirty-fourth in a series of topical blogs based on chapter by chapter excerpts from Opiate Nation. Translation into most languages is available to the right.)
This week’s Story of Hope is from a young friend of ours, Anne (not her real name). Here are some excerpts from her story in Opiate Nation (5 min read):
I was eleven years old when I first experienced shooting heroin. Looking back, I can hardly believe it and I am so thankful to be alive, and to be sharing my story.
My boyfriend and I watched the movies Trainspotting and Requiem for a Dream and they really piqued our interest in drugs. The way it was portrayed in those movies made me think using heroin would be an amazing dream sequence, when in actuality, it made me violently ill. My boyfriend insisted we keep trying. He became obsessed with all drugs: ecstasy, LSD, cocaine, and various pills and so I tried them all.
(I am taking a break from the chapter by chapter topics from Opiate Nation to focus on the significance of this holy week. Translations into most languages available at tab to the right.)
Spring is the season of regeneration, freedom, new life. The time of year when the whole earth seems excited to be alive after being dormant all winter. For the northern hemisphere, March and April are Spring – for our friends and family in Australia, right now it is Autumn. Regardless of what season it is where you live on this planet, it is Easter Sunday and the end of Passover week. Both the Christian and Jewish traditions celebrate the freedom from bondage and the beginning of a new life, although from differing perspectives and beliefs. Both begin the time with reflection and prayer. (I don’t understand Islamic tradition well enough to comment on it except to say that Ramadan is observed around this same time of year with introspection and fasting in remembrance of Muhammad receiving the Quran.)
For Christians, the freedom is from the bondage to sin in one’s life; for Jews, it is the freedom from bondage that the Israelites suffered under in Egypt. Both faiths look to an historical event in the past. They also remind us that while bondage was dealt with symbolically once – whether personally or communally – it is an ongoing problem in this imperfect world.
(Fifteenth in a series of topical blogs based on chapter by chapter excerpts from Opiate Nation. Translation into most languages is available to the right.)
(This blog was posted on December 27, 2020, but due to technical glitches, it was not shared on some platforms – here it is again for those who missed it.)
For much of the world, Christmas and the holiday season this year has been nothing like our normal times of celebrating with family and friends. Togetherness is dangerous in most countries due to Covid-19. Yet, despite all the health and safety warnings, many have travelled and gathered with their loved ones. Why would people risk the well-being of themselves and their beloveds just to spend a few hours or days together?
Community. We all need it and ultimately cannot live without it. Communities may seem optional when all is well, but they become indispensable during hard times, whether personally or corporately. They can be small or large and most of us have several different sizes and types that we are part of: our family, school, sports, church, work, etc. What communities have in common are shared interests, beliefs, and needs, even while the individuals may have diverse characteristics. They are united and working towards a common goal and understand that they can achieve it because of, and with, the support and encouragement of others.