Telehealth Login

|

Step 12 in the 12-Step Process

STEP TWELVE

“Having had a spiritual awakening as the result of these steps, we tried to carry this message to others and to practice these principles in all our affairs.”

Who do you think benefits more from an act of kindness, the giver or the recipient? Most people presume that the recipient receives greater benefit. This makes sense because they have been helped with some problem or their lives have been made easier in some way. Thus, they are likely left with a feeling of gratitude. The recipient must receive more benefit, right? Interestingly, this is not the case.

Studies have shown that, in fact, the giver of kindness receives greater benefit from the act. People have reported increased feelings of confidence, a greater sense of control, boosted self-esteem, decreased stress, and higher levels of overall happiness after performing acts of kindness and service towards others. Further, other studies have shown that kindness facilitates connection with others and reduced anxiety. Aside from inherent moral reasons to be kind, turns out there are a lot of other benefits!

In step twelve, we are essentially asked to carry forward in our recovery with kindness and acts of service. It is this step that is crucial to maintaining our recovery. As the adage in twelve-step programs goes, “to keep it you have to give it away.” In other words, to continue nurturing our sobriety and spirituality, we must assist others in doing the same. This is the premise behind becoming a “sponsor” of someone earlier on in their recovery journey.

In the same twelve-step meeting, you will find people at all different stages in their recovery. Perhaps one person has been sober a few days, another has been sober a few months, another has been sober a few years, and another has been sober a few decades. Some may wonder why people with years or decades of sobriety under their belts continue coming to meetings? Well, it typically has to do with step twelve.

One of the ways in which we can support others who are struggling is to attend meetings. At these meetings, if we show up as engaged, present, and kind, we can have a tremendously positive effect on others’ and ourselves. We may build a community, gain a sense of personal purpose, lead and inspire others in their recovery, feel motivated in our own recovery journey, and become a role-model for someone else in recovery.

I feel it is important to mention that acts of kindness should also extend beyond twelve-step circles. These acts of kindness can be big or small. It does not matter. The important piece is that you are working to make the world a better place. Whenever you have the opportunity, seize it. You could hold the door open for a stranger, pick up a stray piece of litter, give a friend a ride, or begin volunteering with an organization you care about. Once you begin doing it, you will feel the positive effects and seek out other service opportunities. This will help you immensely on your recovery journey. I guarantee it.

 

By Jonathan Fricke, MA

Step 11 in the 12-Step Process

THE TWELVE-STEP PROGRAM: STEP ELEVEN

 

STEP ELEVEN

“Sought through prayer and meditation to improve our conscious contact with God as we understood Him, praying only for knowledge of His will for us and the power to carry that out.”

In working with people that are not in twelve-step recovery programs, I often hear them say something to this effect: ‘twelve-step programs are not for me…I am not a religious person and there is too much emphasis on God and religion in twelve-step meetings.’ I completely understand where they are coming from.

In six of the twelve steps, there is some explicit reference to God or a higher Power. Also, many people in twelve-step programs rely on God and their religious beliefs in their personal recovery processes. I have written this in previous blog posts but feel it is important to readdress. Twelve-step programs are not inherently religious. Rather, twelve-step programs base recovery upon a foundation of spirituality.

You might wonder, ‘What’s the difference between spirituality and religion? Aren’t those two the same?’ Well, you’re not alone. These terms are often conflated with one another. While religion or a belief in God is spiritual, spirituality does not equate to a belief in God or other religious beliefs. Religion is comprised of organized beliefs and practices, whereas spirituality is unique to the individual. No one can dictate your spirituality to you. Spirituality is simply a belief or feeling that there is something greater than our individual selves. Spirituality is about personal meaning.

When we engage with our spirituality, it could mean doing some meditation, praying to our higher Power for guidance, journaling about our experiences, or going for a peaceful walk through nature, among others. There is no “right” or “wrong” way to engage with your spirituality. Like spirituality itself, it will vary from one person to the next. The important piece is that our spiritual practices encourage mindfulness and self-reflection. We pause to recognize where we are and how we are feeling. What is working for me? What is working against me? What fears do I hold? What am I excited about? It is about self-reflection.

When we are mindful, we come into closer contact with ourselves. We become intimately acquainted with our feelings, such that we may begin to understand them. Doing so enables us to let go of some of our existing beliefs that may be interfering with living a fulfilling life. It is our spirituality that we trust to guide us forward. Step eleven encourages us to integrate spiritual practices into our daily lives.

 

By Jonathan Fricke, MA

Step 10 in the 12-Step Process

STEP TEN

“Continued to take personal inventory and when we were wrong promptly admitted it.”

We have all been, at one point or another, in a situation in which we said something insensitive or insulting to someone else. Regardless of whether we had ill intentions or not, we immediately realize what we did. Internally, we recognize that our words were damaging. At this point, we reach a fork in the road. There are two paths that people tend to go down.

The first path is that of doubling-down. In efforts to protect our egos, we may try to see how our insensitive words were justified. In other words, we would rather hurt someone else than admit to ourselves that we can make errors and mistakes; that we are imperfect. We connect with our creative side to find any possible reasoning whatsoever that we were right to say what we did.

The second path is that of accountability. On this path, we recognize that we said something hurtful and, albeit difficult, own up to our behavior. We immediately apologize to the other for our insensitive words, acknowledging our transgression. In doing so, we accept that we are imperfect, for we are human beings capable of mistakes like anyone else. This is the path we continually choose to take in step ten.

It is important to note that, just as in step nine, we are owning up to our wrongs not solely for the other person, but for ourselves. When we are aware of the wrongs we have committed but do nothing to rectify them, we place a burden on our conscious. This burden festers and grows into resentments and anger, whether directed at ourselves or others. In recovery, it is not difficult to imagine how this slippery slope leads to relapse.

It is important to accept that some people may not forgive us or remain angry by our actions. While difficult to sit with, that’s okay. Even if the other person continues holding onto their anger, that is not your problem. You did your part to make things right.

Sometimes, you will not recognize a transgression in the moment. Perhaps you start thinking about it later that day, the next morning, or later that week. Regardless of when it happened, the important part in step ten is to reach out to the other person involved and apologize for your actions as soon as you come to realize how what you did may have hurt them.       It is difficult to admit when we’re wrong. Our ego works hard to maintain a narrative that we’re self-righteous and perfect. However, we’re not. Nobody is. Although difficult to admit when we’re wrong, we find in step ten that this type of admission helps maintain mental clarity and is essential to our continued recovery.

 

By Jonathan Fricke, MA

The Twelve-Step Program: Step Six

STEP SIX

“We are entirely ready to have God remove all these defects of character.”

Now that we have taken a personal moral inventory in step four and admitted our flaws to a trusted individual in step five, we are now ready for step six. In step six of the twelve-step program, we look at our defects of character, cultivate an acceptance of these defects, and then develop a willingness to let them go. These defects of character may be some of the ways be behave or cope that have contributed to our problems.

If you are reading this and think to yourself, ‘How on earth do I develop a willingness to let these defects go?’ You are not alone. It is certainly easier said than done.

One thing that gets in the way of developing a true willingness to let defects of character go is that human beings are creatures of habit. We find a behavior or coping strategy that seems to work and may continue to rely on that behavior or coping strategy for a long time, even when that behavior or coping strategy does not align with our personal values.

For example, we may value interpersonal connection and close relationships, yet we get angry when we start to feel rejected. Our anger thus pushes others away from us, which is directly at odds with our value of interpersonal connection and close relationships. However, we may continue to get angry because that is how we have historically coped with rejection. Something about this anger probably feels comfortable. It is an automatic response as this pattern has likely been a part of us for a long time. With individuals struggling with addiction, this pattern could be fertile ground for relapse.

In step six, we focus intently on the behaviors or coping strategies, in this case anger, that contribute to an individual’s struggles. Below, I have included a step-by-step guide on how to work through personal challenges. Write down the answer to each question and repeat the steps as necessary for each challenge that comes to mind.

  • What is a struggle you face?
  • How does that struggle influence your behavior?
  • How does this struggle impact others?
  • How does this struggle impact you?
  • What feelings come up in thinking about this struggle?
  • What do you do to deal with these feelings?
  • What do you imagine your life would look like if you didn’t deal with the feelings this way?
  • What productive alternatives could you employ instead?

 

By reflecting upon and recognizing the ways in which our struggles, feelings, and actions interact, we are better able to do something different. We build a deeper relationship with ourselves, develop a motivation to change, and a willingness to try something new. It may be scary to break a longstanding pattern, but it opens up the possibility of meaningful, positive change.

 

By Jonathan Fricke, MA

VERIFY INSURANCE

Cortland Mathers-Suter

MSSA
Managing Partner

Cortland Mathers-Suter entered the treatment space after his own battle with addiction. He first worked as a peer mentor, before starting clinical work while completing his Masters of Science in social administration from Case Western Reserve University where he focused on policy and direct practice. Cortland moved to Colorado in 2015 to start his first addiction treatment program, AspenRidge Recovery. Under his tenure, AspenRidge Recovery became a two-location, nationally accredited organization. He has since spent the last two years researching and developing what is now Colorado Medication Assisted Recovery (CMAR).

According to Cortland, “Colorado Medication Assisted Recovery is the most important organization I have had the honor to help build. We’re offering a service that seeks to not only improve the lives of our patients but also evolve how we look at medication-assisted treatment in Colorado entirely. Most individuals receiving medication-assisted care only receive medication and urinalysis. Sure you can call that ‘treatment,’ but you can’t call that ‘recovery.’ Our model is about adding the missing recovery component, and thus affords an opportunity to achieve lasting change for each patient and the industry.”

Cortland and his treatment programs have received numerous honors. These include Colorado Business Magazine’s “GenXYZ” award, the 2020 “Titan 100” award, and his program AspenRidge Recovery was both a finalist for “Best Healthcare Company” and named in the “Company’s to Watch” by Colorado Business Magazine as well. He has been interviewed and quoted by numerous publications for his “addiction expertise”, including News Week, 5280 Magazine, the Denver Post, Elephant Journal, Colorado Biz Mag, and TheRecoverySource.org.

Tyler Whitman

Compliance/HR Administrator

Tyler is originally from Omaha, Nebraska. He worked in manufacturing administration for 18 years until he chose to pursue recovery from alcohol addiction, which led him to Chicago, Illinois. Since then, Tyler gained experience in retail, retail pharmacy, and healthcare as a vaccine coordinator for a local Colorado clinic. At the clinic, Tyler discovered that healthcare was the career change he had been looking for. His newfound passion for healthcare, combined with his lived experience with addiction, brought him to Colorado Medication Assisted Recovery as an Office Administrator.

In his free time, Tyler enjoys cooking, hiking, and skiing. He is currently pursuing a master’s degree in Health Services Administration from Regis University.

Simmeren Boanvala

BA
Outreach and Admissions Representative

Simmeren comes to CMAR after several years working admissions in inpatient psychiatry and addiction. A first-generation Colorado Native, Simmeren attended CU Boulder, where she earned a BA in psychology. Simmeren is currently completing her CAC III while working toward her master’s degree in marriage and family therapy.

According to Simmeren, “I joined CMAR because I believe in the quality and importance of the program whole-heartedly. My goal at CMAR is to guide each prospect who calls CMAR to find the best possible pathway to their recovery”. Simmeren currently lives in her hometown with her dog and cat.

Tyler Hale

Tyler Hale

Community Partnership Lead

Tyler Hale began his career in addiction treatment following a decades-long fight with his own substance abuse issues. Since achieving long-term recovery, Tyler has held various positions in direct care, client services, admissions and outreach departments at various addiction treatment organizations. From sober living program director to outreach director to admissions director at a drug and alcohol treatment program, Tyler consistently finds himself in leadership roles within the addiction treatment space.

Tyler is originally from Chicago, IL, where he graduated from Loyola University Chicago with a Bachelor of Arts in Sociology and Bioethics. Thereafter, Tyler built a successful career in the tech industry, before finding sobriety and a subsequent calling to help others. Tyler joined the team at CMAR because he believes in the efficacy of comprehensive and patient-centered outpatient treatment. In his free time Tyler enjoys camping, hiking and spending time with his newborn son.

Kirstin O’Carroll

MSW
Engagement and Relations Director

Kirstin O’Carroll started her career in addiction and mental health services 23 years ago after graduating with an MSW from The Oho State University. Hired directly from an internship program, she served as a case manager and vocational specialist on a community treatment team in Columbus, OH, working to help severely mentally ill adults remain at home and in a community setting. Within the same organization, she later transitioned to clinical assessment and crisis intervention services with children, adolescents, and adults. Through these experiences, she learned the importance of providing empathetic, high-quality care and the need to “start wherever the patient is” with regard to finding the best treatment & solutions for her patients.

After seven years, Kirstin made a career change to diagnostic sales and worked for several Fortune 500 companies as an acute care sales specialist. She is delighted to return “home” to her passion for helping others and believes her new role as community engagement coordinator for CMAR is the perfect alignment of both her clinical and sales skills. When not promoting CMAR, she can be found reading, running, hiking, watching movies, and spending time with her husband Dennis and senior canine son Reggie.

Thomas Mazzarella

LAC
Primary Therapist

Thomas is a Licensed Addiction Counselor (LAC) in the State of Colorado and a Licensed Addictions Specialist (LCAS) in the State of North Carolina with particular expertise in the treatment of chronic Substance Abuse Addiction and Dependency.

Thomas is dedicated to Individual, Couples, Family, and Group Counseling and Therapy for individuals with Substance Use and Mental Health issues and concerns.

James Jackman

CAS
Primary Therapist

James Jackman is a Certified Addiction Specialist and has been practicing addiction treatment in Colorado since 2015. James is pursuing his bachelor’s degree in psychology from Metropolitan State University Denver. James is a traditional CBT therapist specializing in childhood events that lead to adult addictions.

James has received special training in Family Systems, Inner Child, Maladaptive Schemas, and Adverse Childhood Experiences. James has worked in many treatment settings throughout his career and uses a client-centered treatment approach to help one recover from destructive patterns that facilitate addiction. In addition, James enjoys working with rescue animals and advocates for several local rescue organizations outside of work.

Outside of the office, Megan enjoys spending time with her two German Shepherds and her cat. She is passionate about fostering animals through various local rescues to find adoptive homes for dogs and cats in need.

Megan Hanekom

LPC, LAC, NCC
Therapist & Clinical Compliance Officer

Megan is a licensed counselor who has worked in various mental health and addiction treatment environments. She practices cognitive behavioral therapy and motivational interviewing and believes in pulling from various therapeutic approaches to best support each individual. Megan received her bachelor’s in psychology and Spanish from Concordia College. She relocated from North Dakota to Colorado where she earned a master’s in counseling psychology from the University of Denver.

Outside of the office, Megan enjoys spending time with her two German Shepherds and her cat. She is passionate about fostering animals through various local rescues to find adoptive homes for dogs and cats in need.

Maggie Coyle

MA, LPC
Primary Therapist

Maggie Coyle, MS, MA, LPP, LPCC has worked in the mental health and addictions counseling field for the past six years. She has extensive experience in working in the varying levels of mental health and addictions treatment as well as with diverse populations.

She practices cognitive-behavioral therapy and dialectical behavior therapy as primary intervention methods. She has earned a bachelor’s degree in sociology as well as a master’s degree in clinical mental health counseling both from Northern State University in Aberdeen, SD. She has also earned a master’s degree in addictions counseling from the University of South Dakota in Vermillion, SD. Maggie moved from South Dakota to Colorado in June 2020 and is excited to be a part of the CMAR team.

Michael Damioli

LCSW, CSAT
Clinical Director

Michael Damioli has been passionately working in the fields of addiction treatment and mental health since 2012. He has held a variety of different roles within the addiction recovery space, ranging from peer support to direct clinical practice. Notably, Michael was part of a leadership group that developed a small therapy practice into a nationally branded addiction treatment program, which offers multiple levels of care to recovering professionals. Michael is a strong believer in the family disease model of addiction and has focused much of his clinical work and training on supporting families impacted by addiction. He also specializes in treating individuals suffering from co-occurring chemical and process addictions.

Michael is honored to be leading the clinical care team at CMAR and believes that excellent clinical care begins by simply treating a patient with dignity and respect. Michael is a strong advocate for ethical reform within the addiction treatment field and is excited to promote CMAR as an ethical and thought leader throughout the treatment & recovery industry. Michael earned his master’s degree in social work from the University of Denver and is independently licensed as a clinical social worker with the state of Colorado. He holds an advanced post-graduate certificate in marriage and family therapy from the Denver Family Institute as well as an advanced certificate in sexual addiction counseling from the International Institute of Trauma and Addiction Professionals.

Dwight-Duncan

Dwight Duncan

Psy.D
Psychologist

Dr. Duncan was born and spent most of his early life in California. He received his doctorate in clinical psychology from the University of Denver in 1987. He is a licensed psychologist as well as a licensed addiction counselor. He has had extensive training and experience throughout his professional career in medical psychology, mindfulness, integrated behavioral healthcare, and substance abuse.

Dr. Duncan is married and has one daughter, a neurologic physical therapist in Los Angeles.

Susan-Miget

Susan Miget

NP
Medical Provider

Susan has been in healthcare for more than 20 years. She was an ICU nurse for nine years, then returned to school and completed her master of nursing and family nurse practitioner degree at the University of Missouri-St. Louis in 2007. She practiced pain management for many years before developing her current passion for addiction treatment.

Susan has transitioned her practice to focus entirely on addiction treatment. She has worked in residential treatment, partial hospitalization (PHP), and intensive outpatient (IOP) programs. Susan most enjoys working with patients one-on-one in a private office to protect their confidentiality and ensure top-rate care. Knowing that addiction can affect anyone, anywhere, and at any time, Susan continues to strive to make treatment more accessible and confidential.

Whitney-Grant

Whitney Grant

MSN, FNP-BC, ARNP, RN, CPN
Medical Provider

Whitney Grant is an experienced family nurse practitioner with experience and expertise in medication-assisted treatment. Whitney earned her BSN at the University of Miami before moving on to achieve a master of science in nursing degree there as well, becoming a nurse practitioner immediately thereafter.

Whitney has since achieved board certification from the ANCC as a family nurse practitioner. After spending her entire formative and educational years in South Florida, Whitney moved to Denver in 2018 to pursue a career as a provider in family practice, sub-specializing in addictions medicine. Whitney has worked under the guidance of Dr. Nathaniel Moore, CMAR’s medical director, since moving to Denver.

Nathaniel Moore

MD
Medical Director

Dr. Nathan Moore is board-certified by the American Board of Family Medicine. Dr. Moore attended Stanford University in Palo Alto, CA for his undergraduate work and then attended Duke University School of Medicine and obtained his M.D. in 1995. Dr. Moore then came to Colorado and completed his residency in family medicine at the University of Colorado’s Family Medicine Program at Rose Medical Center.

Dr. Moore practices primarily at our Aurora location. He provides comprehensive family medicine services and has a special interest in addiction medicine, treating patients with opioid use disorder as well as alcohol addiction.

Dr. Moore is married with three children. He enjoys mountain biking, running, and golf.