Rehabilitation and Relapse
Relapse poses a significant problem for anyone
struggling drug addiction or alcoholism – not just
for the addict or alcoholic,
but for family, friends, and anyone connected. The costs – in terms of
emotional wreckage, frayed nerves, dashed hopes, money spent, and lost time –
can weigh heavily in our lives, and can feel like way too much to handle. But
we keep trying, because we want to conquer the specter of drug addiction. We
keep trying because we do not wish to let a life waste away under the heavy
burden of substance abuse. In short, we want to live and we want our friends
and loved ones to live as well. But relapse – and all the pain it brings – is part
of the nature of the beast. If it was easy to stop, there wouldn’t be a problem
in the first place.
While the consequences
can be dire, the first thing to realize is that anxiety on the subject is not really useful. The best approach
could be described as analytical. That
is not to say that you shouldn’t take it seriously, but by being objective, you can see the problem from
various points of view – and thus deal with it from different angles. That
applies to the person going through rehab, as well as his or her family and
friends. As the saying goes, hindsight is 20/20; we can look back at past
mistakes – and more importantly, take action to build a future. It is thus
vital to know what mistakes can lead to relapse and how to prevent them:
§ Friends, Places, Parties.
For an
addict, part of the appeal of drugs or alcohol could have been the “culture”
that goes along with it. Call it the “counter-culture,” the “drug culture,” or
some other name – it had an attraction that drew someone in. They had friends
who’d get high and invite them along for the ride. They could have started with
weed, moved to pills, and carried on to opiates. The story is different from
person to person, but the general course is often very similar. A social
drinker can move on to being a hard drinker, followed by compulsive drinking
and alcohol dependency. After rehabilitation, the former drug addict or
alcoholic who goes straight back into the same crowd or scene – the same
influences that led to their drug abuse – is making a big mistake. A recovering
addict must take a good hard look at who his or her friends really are.
§ Honesty and Willingness.
An individual
may show up reluctantly to rehab. For example, the cost may not be coming out
of their pocket. Their heart might not be in it. So, a person who lands in
rehab should examine the reasons why they’re there and what they have to gain.
If they are just going through the motions, they will NOT get everything out of
it that they should. One pertinent factor could be that it is not the right
program for them. Quite a few centers are based around the Twelve Step program.
Many people recover through Twelve Step, but not everyone. A holistic rehabilitation
program could encompass Twelve Step as just one of many possible modalities. Once
the correct program is established, someone should muster all their willingness
and really apply themselves to it. Perhaps it is too much to ask of someone
right away, but it should be asked. When one’s heart is in it, chances of
success are greatly improved.
§ Goals, Interests, Focus.
Addictive
behavior can also be described as habitual
or compulsive behavior, and
evidence exists of traits indicating an addictive personality. An addict who
kicks a habit will often have a need to replace that habit with new routines.
That is not to say they must be “compulsive” about it, but they must have new
ways to focus their energies, set new goals and reach for them. One famous
example is Robert
Downey Jr. After years of drug abuse, several arrests and some prison time,
he finally got clean. In addition to career and family, one path he has used to
channel his energies has been the martial arts discipline known as Wing Chung,
a branch of Chinese Kung Fu – he is now a black belt. If someone does not have
direction in life, they are just drifting with the tide, waiting to be swept
back into the jaws of addiction. By formulating new purposes and new interests,
the former addict or alcoholic reinforces their pledge to sobriety.
§ Problems, Problems, Problems.
A common
trait amongst addicts and alcoholics is that they repeatedly turn to drugs or
alcohol as a way of “dealing” with problems. Obviously, it’s a way of escaping
or “not dealing” with those problems, but nonetheless, that is the mindset.
It’s where they turn when things get rough. Of course, sooner or later, the
drugs and booze ARE the problem. An addict must learn how to handle life’s
problems without using powders, pills, needles, etc. This can be pretty rough.
Often it is some serious trauma they are dealing with, but these things must be
confronted. They must face the old ghosts and the new, as yet unseen dilemmas. Effective,
holistic rehabilitation should provide practical know-how for the recovering
addict or alcoholic to deal with his or her life.
§ Relapse Prevention.
A
comprehensive relapse prevention plan would compass all of the above and many
other factors. Such a plan is specific
to the individual, and is worked out
by that individual and members of the facility. It encompasses such things as: review
of previous steps; peers whom the person will come into contact with; new goals
and interests; how to deal with life problems; coaching on scenarios the person
is likely to encounter; help with job placement; and other steps including
establishment of a contact and support network. A person emerging from rehab
needs some serious back-up. Lack of an effective relapse prevention plan
accounts for a large percentage of relapse cases.
Summary
An individual battling drug abuse has a number of
things going on simultaneously. The holistic approach tackles the physical,
mental, personal, familial, social, societal and spiritual influences in a
person’s life.
A
Forever Recovery provides the holistic path of rehabilitation,
thus dealing with the full spectrum of factors associated with drug addiction
and alcoholism.
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