addiction recovery Archives - Colorado Medication Assisted Recovery

What are the Different Types of Medication-Assisted Treatment?

Posted on August 7, 2024August 7, 2024 by cmarnew

Did you know that medication-assisted treatment (MAT) has been shown to reduce the risk of fatal overdose in individuals struggling with opioid addiction? This statistic, backed by the National Institute on Drug Abuse, underscores the life-saving potential of MAT.

Medication-assisted treatment is a comprehensive approach that combines FDA-approved medications with counseling and behavioral therapies. This integrative method addresses the complex nature of substance use disorders and helps individuals achieve long-term recovery.

We want to explore along with you the different types of medication-assisted treatment, how each one works, and the unique benefits they offer. Whether you are seeking help for yourself or a loved one, we at Colorado Medication Assisted Recovery can help you take that first vital step toward addiction recovery.

What-are-the-Different-Types-of-Medication

Understanding Medication-Assisted Treatment (MAT)

Medication-assisted treatment (MAT) is a holistic approach that combines FDA-approved medications with counseling and behavioral therapies to treat substance use disorders. This method addresses both the physical and psychological aspects of addiction, providing a comprehensive pathway to recovery.

How MAT Works

Medications: MAT utilizes medications to normalize brain chemistry, block the euphoric effects of alcohol and opioids, relieve physiological cravings, and stabilize body functions. The medications used in MAT do not substitute one addictive substance for another; instead, they help manage withdrawal symptoms and reduce the risk of relapse.
Counseling and Behavioral Therapies: Alongside medications, MAT includes counseling and behavioral therapies to address the psychological aspects of addiction. These therapies help individuals develop coping strategies, improve their mental health, and build a support system.

Benefits of MAT

Reduces Cravings and Withdrawal Symptoms: MAT medications help alleviate the intense cravings and withdrawal symptoms that often lead to relapse.
Improves Treatment Retention: Individuals receiving MAT are more likely to stay in treatment compared to those who do not.
Enhances Overall Recovery Outcomes: By addressing both the physical and psychological aspects of addiction, MAT improves the chances of long-term recovery and reduces the risk of overdose.

Types of Medication-Assisted Treatment

Medication-assisted treatment (MAT) encompasses a variety of medications, each designed to aid in recovery from substance use disorders. Here, we explore the different types of medication-assisted treatment, detailing all you need to know in order to make an informed decision.

Buprenorphine (Suboxone, Subutex, Sublocade)

Overview: Buprenorphine is a partial opioid agonist that can be prescribed by certified physicians and dispensed at pharmacies, offering more flexibility than methadone.

How Buprenorphine Works:

Buprenorphine binds to opioid receptors in the brain, reducing cravings and withdrawal symptoms without producing significant euphoria.

Suboxone:

Contains: Buprenorphine and naloxone.
Benefits:
- Reduces misuse potential due to the inclusion of naloxone.
- Can be taken at home, increasing accessibility.

Subutex:

Contains: Buprenorphine only.
Benefits:
- Suitable for individuals who may be allergic to naloxone.
- Effective in reducing cravings and withdrawal symptoms.

Sublocade:

Contains: Extended-release buprenorphine.
Benefits:
- Monthly injection, improving adherence and reducing the need for daily dosing.

Naltrexone (Vivitrol)

Overview: Naltrexone is an opioid antagonist used to treat both opioid and alcohol addiction, available in both pill form and as a monthly injection (Vivitrol).

How Naltrexone Works:

Naltrexone works by blocking opioid receptors, preventing the euphoric effects of opioids and alcohol.

Benefits and Considerations:

Benefits:
- Non-addictive and has no potential for abuse.
- Reduces cravings for alcohol and opioids.
- Monthly injection (Vivitrol) improves adherence.
Considerations:
- Requires detoxification before starting treatment.
- Not suitable for individuals with liver issues.

Disulfiram (Antabuse)

Overview: Disulfiram is used to treat chronic alcoholism by causing unpleasant effects when alcohol is consumed.

How Antabuse Works:

Antabuse works by inhibiting the enzyme involved in metabolizing alcohol, leading to an accumulation of acetaldehyde and causing symptoms like nausea, vomiting, and headaches when alcohol is consumed.

Benefits and Considerations:

Benefits:
- Acts as a deterrent to alcohol consumption.
- Supports abstinence in highly motivated individuals.
Considerations:
- Requires strict adherence to avoid accidental alcohol consumption.
- Can interact with other substances containing alcohol.

How to Choose the Right Medication-Assisted Treatment

Selecting the most suitable Medication-Assisted Treatment (MAT) is a vital step in achieving successful recovery from substance use disorders. With several options available, it is important to consider various factors and work closely with healthcare providers to determine the best fit. Let’s examine the most important factors:

Type of Substance Use Disorder

The specific substance being abused (e.g., opioids, alcohol) can influence the choice of medication.
For opioid addiction, medications like methadone, buprenorphine, and naltrexone may be considered.
For alcohol addiction, naltrexone and disulfiram (Antabuse) are commonly used.

Severity of Addiction

The intensity and duration of the addiction can impact the effectiveness of different MAT options.
For severe opioid addiction, methadone may be preferred due to its long-acting properties.
For less severe cases, buprenorphine or naltrexone might be more appropriate.

Medical History

Existing medical conditions, such as liver disease, can affect the choice of medication.
Some medications, like naltrexone, may not be suitable for individuals with liver issues.

Lifestyle and Preferences

The patient’s daily routine and lifestyle can influence treatment adherence.
Medications like Sublocade, which require monthly administration, may be more convenient for some individuals.

Role of Healthcare Providers

At CMAR, we truly understand the importance of healthcare providers in guiding individuals to the right MAT. Through comprehensive assessments, we take the time to delve into each patient’s unique medical history, addiction severity, and individual preferences. We even make sure there the insurance verification process goes as smoothly as possible. This allows us to create personalized treatment plans that offer the best possible chance for successful recovery.

Individualized Treatment Plans

Creating personalized treatment plans is crucial as they cater to the specific needs and circumstances of each person. These plans frequently integrate the different types of medication-assisted treatment with behavioral therapies and counseling, offering a holistic approach to recovery. By prioritizing the overall well-being of each individual, we at CMAR can develop tailored plans that enhance treatment adherence and long-term results. This approach ensures that each person receives the best possible care for their unique situation.

Combining MAT with Behavioral Therapies

While medication-assisted treatment (MAT) addresses the physical aspects of addiction, combining it with behavioral therapies provides a comprehensive approach to recovery. This integrated method not only helps manage withdrawal symptoms and cravings but also addresses the underlying psychological factors contributing to substance use disorders.

How Does Behavioral Therapy Work in MAT

Behavioral therapies are designed to modify attitudes and behaviors related to drug use, enhance life skills, and support other forms of treatment. These therapies play a crucial role in helping individuals understand the root causes of their addiction and develop healthier coping mechanisms.

Benefits of Combining MAT with Counseling and Therapy

Holistic Treatment: Combining MAT with behavioral therapies addresses both the physical and emotional aspects of addiction, providing a more holistic treatment approach.
Improved Coping Strategies: Behavioral therapies help individuals develop effective coping strategies to deal with stress, triggers, and cravings.
Enhanced Motivation: Counseling sessions can boost motivation, helping individuals stay committed to their recovery goals.
Relapse Prevention: Therapies teach skills to manage triggers and prevent relapse, increasing the likelihood of long-term recovery.

Effective Behavioral Therapies Used with MAT

Cognitive Behavioral Therapy (CBT)

Overview: CBT focuses on identifying and changing negative thought patterns and behaviors. It is effective in treating various behavioral health disorders, including addiction, depression, and anxiety.
Benefits: Helps individuals recognize and manage triggers, develop problem-solving skills, and build healthier habits. CBT is versatile and evidence-based, making it a cornerstone of addiction treatment programs.

Contingency Management (CM)

Overview: CM uses positive reinforcement to encourage sobriety and adherence to treatment.
Benefits: Provides tangible rewards for meeting treatment goals, which can enhance motivation and engagement.

Motivational Interviewing (MI)

Overview: MI is a client-centered counseling style that enhances motivation to change.
Benefits: Helps individuals resolve ambivalence about recovery and strengthens their commitment to positive behavioral changes.

Family Therapy

Overview: Family therapy involves family members in the treatment process to improve communication and support.
Benefits: Strengthens family dynamics, provides a support system, and addresses any familial factors contributing to addiction.

12-Step Facilitation Therapy

Overview: This therapy encourages participation in 12-step programs like Alcoholics Anonymous (AA) or Narcotics Anonymous (NA).
Benefits: Provides a structured approach to recovery with peer support and a sense of community.

Your Next Steps

Medication-assisted treatment (MAT) is incredibly important in providing support to individuals struggling with substance use disorders. By combining FDA-approved medications with behavioral therapies, MAT offers a comprehensive approach that addresses both the physical and psychological aspects of addiction, providing a pathway to complete recovery. Unfortunately, many people still do not have access to this vital form of treatment. This emphasizes the critical need to comprehend the different types of medication-assisted treatment in order to effectively provide support to those in need.

If you or someone you care about is struggling with addiction, it’s crucial to seek professional support. Medication-assisted treatment can provide the necessary help to overcome addiction and lead a healthier, more fulfilling life.

Take the first step toward recovery today by reaching out to Colorado Medication Assisted Recovery. Our team of experienced professionals is committed to offering personalized, compassionate care to help you or your loved one achieve lasting recovery. Don’t hesitate to take charge of your life. Begin your journey toward a brighter, healthier future. Our caring team is here to assist you every step of the way.

How to Plan for Long-Term Addiction Recovery

Posted on June 15, 2023August 26, 2024 by cmarnew

Addiction is a chronic disease that cannot be cured by simply quitting cold turkey. Those who are struggling with severe addiction might spend anywhere from six to 12 months in an addiction treatment program. For those that repeatedly return to opioids or alcohol after months or years of sobriety, a long-term recovery program will work to finally control your addiction. When you speak with one of our trained therapists, they will give you a complete program overview of what your long-term recovery will look like.

At our addiction treatment center in Colorado, we offer addiction treatment programs that will help you manage your addiction no matter how long it takes. When you are ready to begin, call 833.448.0127 to speak with a therapist about starting a long-term recovery program.

Three Stages of Long-Term Addiction Recovery

Most addiction treatment programs tailor toward the patient’s specific needs, but each treatment plan falls into three stages of recovery. When done correctly, these stages will run simultaneously so you can build healthy coping skills for sustainable recovery.

1. Medically Assisted Detoxification

Depending on how severe your addiction is and what substance you are abusing will determine how severe your withdrawal symptoms can be. Drugs like suboxone and buprenorphine can help ease some of the withdrawal symptoms you will experience while you detox.

Convulsions
Vomiting
Chills and shivering
Hallucinations
Depression

This first stage is physically punishing, and our supportive therapists will help you through this stage until you are ready to move on. Some detox programs can last from three to six months, depending on the severity of the addiction.

2. Rehabilitation Therapy

Once the drugs or alcohol are out of your system, now you will begin the stage of learning about the underlying causes of addiction and how you can avoid relapse in the future. Some of the therapies and programs you might participate in include:

Cognitive-Behavioral Therapy

Cognitive-behavioral therapy (CBT) focuses on identifying and changing negative thought patterns that are associated with addiction. This type of therapy helps people learn how to develop healthier coping skills, manage cravings, and recognize triggers in order to prevent relapse.

Multidimensional Family Therapy

Multidimensional family therapy (MDFT) combines individual, group, and family interventions. It focuses on the relationships between the addicted person and their family to address underlying issues related to substance use.

Case Management

Case management is a personalized approach to treatment that focuses on the individual needs of the patient. It includes helping patients obtain resources to support their recovery and establishing an appropriate aftercare plan. Case managers provide links between medical, social, legal, and mental health services so that people with substance use disorders can receive comprehensive care.

Individual Therapy

Individual therapy addresses the issues that contribute to substance use. This type of therapy helps people identify negative thought patterns and behaviors associated with their substance use, develop healthier coping strategies, and learn how to recognize triggers for relapse.

3. Continued Support

After you have gone through time in detox and cognitive-behavioral therapy, your support does not stop once you go back out into the world. You won’t be alone while you continue with your long-term recovery program.

Continued care is essential for a successful recovery, and many programs will help in your continued fight against addiction.

Telehealth – Remote counseling sessions can help when you can’t get to your treatment center.
Outpatient group therapy – Building lifelong bonds with those in your group will be a powerful tool to help you maintain your recovery.
Friends and family – Your loved ones want to see you healthy and happy and are there for you to help keep you focused on your goals.

Planning for Long-Term Addiction Recovery at Colorado Medication Assisted Recovery

Before you begin a long-term addiction recovery program, you will need to take care of several things, as your treatment can sometimes take several weeks or months. Financial and personal responsibilities will need to be addressed, so you do not have to worry about them during your treatment program. Some of the things we can help with include:

Power of attorney – Having someone responsible for your affairs while in recovery is crucial if you are responsible for property or a family.
Work responsibilities – Talk with your employer about your recovery and let them know how much time you will need. Many companies will hold your job and may offer financial assistance.
At-home responsibilities – If you are single and have pets, they will need to be cared for. You will want those fur babies happy and healthy when you return.

At Colorado Medication Assisted Recovery, we understand the difficulties in planning for long-term addiction recovery. We will work with you as best we can to make your time with us productive and life-changing. When you are ready to start your recovery, call 833.448.0127 today to talk to a member of our team.

3 Benefits of Recovery Groups

Posted on June 13, 2023August 26, 2024 by cmarnew

If you are addicted to opioids or other substances and are beginning the road to recovery, it can be challenging to face your substance use issue head-on instead of hiding from it. Speaking to a stranger alone is not easy, and the thought of group therapy can keep others away from treatment. However, recovery groups can offer the support you need as you work to overcome addiction.

At Colorado Medication Assisted Recovery, we specialize in individual therapy and group therapy for addiction in a safe and encouraging environment. You are fighting a disease, and there is no shame in that. If you or someone you know needs help with substance abuse, please our team at 833.448.0127 and speak with one of our addiction treatment specialists today.

6 Key Benefits of Addiction Recovery Groups

Once you enroll in an addiction recovery group, it may take some time to feel comfortable sharing. However, once you begin to open up, you’ll find that these groups can help you heal.

1. Encouragement From Other Group Members

In one-on-one sessions, the only person encouraging you to interact is your therapist. While individual therapy sessions can be the right setting to work through deeply personal issues, in a group setting, you will be encouraged by everyone to share your story after hearing others in your group share theirs.

Hearing others speak up about their experiences will make it easier for you to follow suit.

2. Opening Yourself up to a New Perspective

You have a strong view of how you see the world and how others see you. However, by telling your story to your group, you hear how others react and give feedback. You will have an easier time trusting them because you know they are in the same boat. This beneficial technique helps you see through your disease and begin to heal.

3. A Sense of Belonging

The stigma of addiction still keeps many people from seeking treatment, leaving them feeling alone and afraid to ask for help. When you share your struggles with others in your group, you form a deep bond that only these shared experiences can build.

By surrounding yourself with your group and interacting with them, you build a powerful shield against your addiction.

4. An Opportunity to Practice New Coping Skills

When you share your story with the group, they can offer suggestions on how to better handle your triggers and thoughts. This is an invaluable opportunity to try out different coping skills in a safe environment before putting them into practice in real-life situations.

5. Receive Positive Reinforcement

Addiction recovery groups allow you to learn from the successes of others. In a group setting, you will receive positive reinforcement from other members when they see how far you have come. This can help to boost your self-confidence and motivate you to continue on your path of recovery.

6. Reduce Stress and Anxiety Levels

By actively engaging in a group setting, your stress and anxiety levels will be reduced. You’ll have the opportunity to form connections with other people going through similar experiences which helps create an emotional support system for yourself.

The Five Stages of Recovery

As you begin the journey to recovery, it can be helpful to know what to expect.

Pre-contemplation – The addiction has negative effects on your life, and you have yet to recognize the problem.
Contemplation – Recognizing the problem is a significant step.
Preparation – Deciding to start a group therapy program can require planning if you need to remain at a treatment center. It’s best to have someone help you prepare.
Action – Following up on your decision and actively working on your recovery takes effort.
Maintenance – After your treatment program ends, it is vital to avoid old triggers until you are more comfortable with your recovery.

A successful addiction recovery group involves action. One of the hardest things to do is openly talk about your disease. Being in a group of others going through the same problem can help make you feel more comfortable opening up.

How Can Colorado Medication Assisted Recovery Help You?

At Colorado Medication Assisted Recovery, we believe addiction recovery should involve group therapy sessions along with individual therapy to better treat the mental and physical aspects of this terrible disease.

Addiction recovery groups have many beneficial effects on your recovery that you would not get with individual therapy. Once you begin, you will quickly realize the benefits of your group therapy sessions as you start to gain control of your addiction. If you or someone you know is ready to begin the recovery process, call 833.448.0127 today and schedule an appointment.

The Stages of Addiction Recovery

Posted on April 26, 2023August 26, 2024 by cmarnew

Addiction recovery is not a simple process, but one that occurs over a period of time through several steps. To achieve sobriety, a person needs to recognize where they are right now, gaining an awareness of what’s happening to them. They may need to work through detox before receiving comprehensive treatment, aftercare, and relapse prevention. Colorado Medication Assisted Recovery offers a thorough process to guide individuals through the various stages of addiction recovery, ultimately leading to the most favorable long-term results. If you need help finding addiction treatment programs near you, call us at 833.448.0127, and one of our team members can help you or a loved one.

Understanding the Complexity of Addiction

While addiction can occur quickly, the damage it does to the brain is significant. It takes time for the brain to relearn and heal. A component of that is physical healing, but the other part is recognizing the challenges of recovery, gaining awareness, and creating a plan to manage the psychological damage that’s occurred. There are several steps or stages a person will go through during the addiction recovery process to achieve these goals.

Precontemplation

During this stage, a person doesn’t recognize there’s a problem and is unlikely to have experienced any type of negative outcome yet. The substance use feels good. In this phase, people often experience one or several of the following:

They don’t recognize a problem
They don’t have any desire to change
They don’t want to be told what to do, and that keeps them using the substance
They are overwhelmed by their habits, and that’s made it feel impossible to change
The person believes they know the answers as to why substance abuse isn’t a factor for them

Contemplation

At this stage, a person comes to an awareness of the problem, though they have not made a decision to change. They may want it to change but cannot make the commitment to do so. However, they are more likely to want to learn about their options at this stage. This stage can last for years before a person decides to change.

Preparation

At this stage, often, something has changed. They are ready to take action to achieve sobriety. This is where addiction recovery begins to become more real. Many will reach out for help with an assessment at this point.

Action

This is the stage where something happens—they enroll in a detox program or move into a residential treatment program. They engage in some way with treatment for their addiction. They learn the tools and strategies necessary to cope with stress, deal with addiction, and maintain sobriety.

Maintenance

During maintenance, a person continues to receive care, but it is in the form of aftercare. They are working to maintain their sobriety, but this is also where relapse risk is the strongest.

Termination

In this area of recovery, the individual can maintain their sobriety without continual fear of relapse. This is the goal of addiction recovery—to not be weighed down by the addiction itself.

Why Is It Important to Understand Addiction Recovery Stages?

Understanding the stages of addiction recovery is crucial for several reasons:

Setting expectations – Knowing what to expect at each stage of recovery can help individuals and their loved ones prepare mentally and emotionally for the journey ahead. It helps one understand that recovery is a process, not an event.
Guiding treatment plans – Understanding these stages allows healthcare professionals to develop and adjust treatment plans according to the individual’s progress. Each stage requires different interventions and supports, so knowing where a person is in their recovery can guide the treatment approach.
Providing appropriate support – For families and friends, understanding these stages can help them provide the right kind of support when it’s needed most. Each stage presents unique challenges, and being aware of these can help loved ones offer meaningful assistance.
Promoting patience and compassion – Understanding that recovery is a process involving various stages can foster patience and compassion, both for the individual in recovery and those supporting them. This understanding underscores the fact that setbacks are part of the journey, not failure.

To effectively and compassionately manage the addiction recovery process and promote a sustainable recovery journey, it is important to have an understanding of the stages of addiction recovery. At Colorado Medication Assisted Recovery, we provide the guidance and support needed to navigate them successfully.

How Addiction Recovery Programs Can Help

Colorado Medication Assisted Recovery offers support for those who are ready to start on the recovery path to achieve long-lasting sobriety. Addiction recovery takes time—for some months or more years. However, our team can offer help and guidance with a range of treatment programs, including:

If you’re looking for addiction treatment programs near you or a loved one, our team can help. We offer discreet and compassionate care, personalized to meet the needs of each individual we work with.

Get the Help You Need at Colorado Medication Assisted Recovery

Understanding the stages of addiction recovery is a key part of addiction treatment. At Colorado Medication Assisted Recovery, addiction recovery starts with a call to our team. Let us help you with each stage of the process, including awareness, detox, and achieving sobriety. With programs such as aftercare and relapse prevention, it is possible to overcome these challenges with our comprehensive programs. Start now by calling 833.448.0127 or connecting with us online.

Opposite of Addiction

Posted on May 9, 2022 by cmarnew

THE OPPOSITE OF ADDICTION:

What is the opposite of addiction? If you posed this question to a random group of people, I would venture a guess that the vast majority would say that the opposite of addiction is sobriety. In other words, as long as you are abstaining from drug use, you are the opposite of addicted. I would argue that this stance is short-sighted and only partially true.

In addiction recovery, there is a common phenomenon referred to as “white knuckling.” “White knuckling” is when someone is not drinking or using their drug of choice by sheer willpower. They make a conscious decision to no longer drink or use drugs, which often leads to preventative measures like throwing out all the booze or drugs they have stashed around their home or deleting their drug dealer’s number from their phone. Although these are important behavioral strategies to employ in recovery, it is an incomplete take on recovery. As “white knuckling” suggests, the addict is clamping down, barely holding on to their own sobriety. To truly engage in the recovery process, the individual must delve deeper. They must examine underlying emotional components that lead them to use. One common driver of use across the board is loneliness.

So, let’s return to the question at hand, what is the opposite of addiction? Well, writer Johann Hari argues that the opposite of addiction is not sobriety. The opposite of addiction is connection. That’s not to say that sobriety is not important to recovery, it absolutely is. But importantly, so is connection.

In his TedTalk, Hari references a study conducted with lab rats that offers compelling evidence for this conclusion. In one trial, a researcher placed a single rat in a sterile cage with two bottles. One bottle had water in it, and the other had water infused with drugs. Unsurprisingly, the rat chose the bottle with the drugs and became addicted.

In a second trial, the researcher placed rats in a cage called “Rat Park.” This cage had both the water bottle and drug-infused bottle, as well as plenty of food, wheels for exercise, toys, and other rats to socialize and have sex with. This time, however, none of the rats chose the drug-infused bottle. None became addicted. Drawing on these results, the researchers concluded that positive social connection was the single most important predictor in whether someone will struggle with and recover from addiction.

Examining recovery programs, such as AA, NA, or CA twelve-step programs, it is no surprise that there is so much emphasis on group programming. Interpersonal connection is an essential human need, and these types of programs offer connection with other individuals in recovery. So, in your own recovery process, it is important to focus on sobriety, but also imperative that you focus on building a positive network of social support. How can we work to build our own version of “Rat Park?”

By Jonathan Fricke, MA

Step 5 in the 12-Step Process

Posted on March 23, 2022 by cmarnew

[vc_row][vc_column][vc_column_text]“Admitted to God, to ourselves, and to another human being the exact nature of our wrongs.”

I want you to think of a time that you kept something secret. Maybe it was a bigger secret, such as an affair or a time that you hurt someone, or maybe it was a smaller secret, such as a time that you were embarrassed. Whatever the case is, I want you to remember that secret. I want you to think about what drove you to keep this thing under wraps. I want you to reflect on how doing so impacted you. Really, take a moment to reflect before reading on.

Often times, we keep secrets in efforts to protect our egos. We think that if others were to know what it is we have done, they would see us as the person that we so desperately fear becoming. For example, if a partner were to find out about an affair, we fear they will see us as untrustworthy. If a friend were to find out about how we spoke ill of them behind their back, we fear they will see us as a bad person. Or, if a parent were to find out about our struggles with substance use, we fear they will see us as flawed. Therefore, we may elect to keep actions, feelings, and thoughts to ourselves in hopes that others will not see us in the same negative light we fear seeing ourselves in.

Makes sense, right? I mean, if we can hold onto our secrets, thus preventing others from knowing us fully, what is the problem?

Well, unfortunately secrets come with a toll. A toll that tethers irritability, anxiety, remorse, and depression, among others, to our lives. When we hide our wrongdoings from the world, we decide that we will carry the burden alone. We keep others away and place ourselves on an island where no one can get to us; we isolate. When we isolate, we do not even give others the chance to respond to our secrets. We cut off any possibility for compassion or love before we even have the opportunity to receive it. We cement in ourselves the very wretched feelings that we had hoped to avoid. For the addict, the toll means continued substance use or relapse.

Fortunately, there is another path to take. This is the path of connection, admission, and confession to another. Instead of putting ourselves on the island of isolation, we draw upon our moral inventory to share our secrets and wrongdoings with a trusted individual, whether that be a sponsor, friend, or therapist. In doing so, we share ourselves. We allow ourselves to be seen and understood. We open up the doors for compassion and love to enter. Often, we then begin to experience ourselves differently. Not as flawed creatures, but as a human beings.

Although this path is not a cakewalk, it is essential. It is perhaps the most important part of recovery.

By Jonathan Fricke, MA[/vc_column_text][/vc_column][/vc_row]

Step 3 in the 12-Step Process

Posted on February 14, 2022 by cmarnew

[vc_row][vc_column][vc_column_text]“Made a decision to turn our will and our lives over to the care of God as we understood Him.”

In the first two steps of the twelve-step program, we are asked to reflect on our own lives. In step one, we are asked to reflect on our powerlessness and the unmanageability in our lives. In step two, we are asked to reflect on what our higher power looks like; what we believe in. In step three, however, we shift from a stance of reflection to a stance of action. Step three is all about pushing away from our self-will and welcoming in a sense of willingness.

So, what does self-will and willingness mean? Self-will is all about stubbornness. It is about doing what an individual wants without regard for the wishes of others. It is a belief that you are right and will argue with anyone who disagrees. It is about a desire for independence, control, and is typically rooted in egotism. On the other hand, willingness is all about readiness and flexibility. It is rooted in trust outside the self.

Before continuing, I feel it is important to address the religious influence in step three with the use of the word “God.” As I had previously mentioned in my discussion of step two, twelve-step programs are not inherently religious and there is no requirement that the individual practice religion or believe in God. Rather, the important piece of step three is the last part, “…as we understood Him.” This piece reminds us that it is not about God, but about whatever the individual has identified as their higher power. Perhaps that higher power resides in nature, science, or the twelve-step program itself. In this step, the individual is asked to loosen their grip on the desire to control their lives and instead places faith, trust, and hope in their higher power. It is about aligning the will of the individual with their higher power. In this step the individual begins to experience serenity.

Step three also introduces a component of the twelve-step program that countless individuals have found monumental to their recovery: the Serenity Prayer.

God grant me the serenity to accept the things I cannot change, courage to change the things I can, and the wisdom to know the difference. Thy will, not mine, be done.

The Serenity Prayer introduces a key concept that extends far beyond recovery and has useful applications across life. In it, we examine and recognize the limits of our control. The prayer highlights the notion that there are some things we can control and some things we cannot. For example, we cannot control the behaviors of others but do have control over how we react to any given situation. When we attempt to control something that is uncontrollable, we are often left feeling angry or dejected when things don’t go our way. The Serenity Prayer encourages us to ask ourselves, ‘Is this situation something worth getting upset over or is it out of my control?’

By Jonathan Fricke, MA[/vc_column_text][/vc_column][/vc_row]

Step 1 in the 12-Step Process

Posted on February 7, 2022 by cmarnew

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STEP ONE
“We admitted we were powerless over our addiction – that our lives had become unmanageable.”

What does the word ‘powerless’ mean to you? What images or feelings does it conjure up? In my experience, it often brings about associations of weakness, inadequacy, and incapability. For those of us familiar with Greek mythology, perhaps you think of Sisyphus’ powerlessness in his eternal struggle of pushing the boulder up the hill, only for it to roll down every time that he approached the top of the hill. He was a prisoner to this task and, as such, the ensuing feelings of weakness, inadequacy, and incapability that came with it. That is exactly why Zeus punished Sisyphus with this hopeless task. Well, what if Sisyphus had realized and accepted his own powerlessness in this task? What if he accepted the hopelessness in getting the boulder to the top of the hill? How might that have changed things for him?

In step one of the twelve-step program, we are asked to admit a powerlessness over our substance or behavior, recognizing that our lives are currently ungovernable. Given the aforementioned associations to ‘powerlessness’, it is entirely understandable to respond to this step with resistance. Perhaps we think we can simply work harder to control our use. Or perhaps we deny the extent to which the substance or behavior influences our lives. (How many times have you said or heard the phrase: “I could stop my use if I really wanted to”?)

When we feel powerless, there is a natural and instinctual drive to tighten our grip, clamp down, and attempt to secure power and control. However, step one contends that, paradoxically, there is a certain power in admitting our powerlessness; that we are granted a hope in admitting our hopelessness. In recognizing our inability to control our use, we actually form a solid bedrock and foundation for working towards happy, fulfilling, and meaningful lives. In recognizing and accepting our own limitations, only then do we enable ourselves to look beyond our own beliefs. Only then do we open our minds to different ways of thinking. Only then are we truly willing to listen. Only then are we truly willing to try something different. Only then are we truly willing to change.

By Jonathan Fricke, MA[/vc_column_text][/vc_column][/vc_row]

The Misplaced Solution

Posted on January 24, 2022 by cmarnew

[vc_row][vc_column][vc_column_text]Think about a moment in your life that you wanted to bask in. You found a sense of peace, joy, or harmony that you wanted to fully take in and appreciate. Perhaps it was catching up and laughing with an old friend, perhaps it was feeling the warm sun shining down on your skin as you sat on a tropical beach, or perhaps it was the excitement you felt in your team winning the big game. When we encounter these moments, there is a natural tendency to want them to last. We want to appreciate what is happening for us here and now, while also doing what we can to hold onto these wonderful feelings. However, what happens when unpleasant feelings arise?

When feelings of anxiety, sadness, loneliness, and stress show up, we have a natural tendency in the opposite direction. We want to make them go away as they may feel unpredictable, uncontrollable, and unbearable. We want more of the “good” feelings and less of the “bad” ones. Makes sense, right? I mean, who in their right mind wants to feel anxious?

While there are a variety of things we can do to avoid these unpleasant feelings, a particularly common one resides in alcohol and drug use. The use of alcohol and other drugs triggers chemical reactions in our brains that numb unpleasant feelings and boost the pleasurable ones, thus, producing a sense of relief. However, this sense of relief is only temporary. Like all things, it does not last.

The substance wears off, the chemical reaction subsides, and those unpleasant feelings reappear. Well, what happens when these feelings come back? When that sense of helplessness or powerlessness sets in again? You might think about how drinking alcohol or using drugs had previously made those feelings go away and think, ‘Hey, that worked last time! Why not do it again?’ This makes sense. Humans are excellent learners. When we encounter challenges, we look for solutions. In this case, alcohol and drug use seems like an effective solution to this discomfort. When we regularly rely on use to navigate these feelings, we cross into addiction.

With time and repeated use, our brain chemistry changes such that our drug of choice may feel like the only escape from unpleasant feelings. However, as I had mentioned before, the unpleasant feelings will always return. They are unavoidable. However, as we continue using to avoid said feelings, we wander further away from our ambitions, integrity, and sense of purpose. As we do this, the feelings of anxiety, sadness, loneliness, and stress grow. What initially seemed like a sound solution, turns out to have been a misplaced solution.
By Jonathan Fricke, MA[/vc_column_text][/vc_column][/vc_row]

What is Addiction?

Posted on January 24, 2022 by cmarnew

[vc_row][vc_column][vc_column_text]Hi there,
My name is Jonathan Fricke. I am a 4th year doctoral student studying clinical psychology at the University of Denver. Over the last several years, I have trained at community mental health clinics, a university counseling center, a hospital emergency department, and private practice settings, among others. Although I am relatively early on in my career, I began to notice some common themes come up in my clinical work across these varied settings. Those being: 1) clients experiencing challenges in relating to others (i.e. social anxiety, loneliness) and 2) the prevalence of both prescription and non-prescription substance use. Given these observations, I sought additional training in substance use treatment through didactic coursework in my graduate program and through clinical training at Colorado Medication Assisted Recovery (an intensive outpatient (IOP) and outpatient (OP) treatment facility in Thornton, Colorado). In this series of blog posts, I will be sharing what I have come to learn about both the etiology and treatment of addiction, as well as current events related to addiction and recovery.

Well, it seems like a reasonable place to start is with the question…

WHAT IS ADDICTION, TECHNICALLY SPEAKING?

The term addiction seems to be thrown around rather casually in much of our day-to-day lives. You might overhear a friend talking about their addiction to scrolling through TikTok, or perhaps a colleague that makes a comment about their addiction to the chocolate donuts at the bakery down the block. Are these seemingly flippant comments related to actual addictions?
Typically, addiction is associated with drugs and alcohol but may also include problematic behaviors related to food, exercise, sex, video games, and gambling, among others. Thus, scrolling TikTok or eating those chocolate donuts may qualify as addictions. However, we must first get a better understanding of what your friend’s and colleague’s relationships to TikTok and chocolate donuts, respectively, looks like. To get a better understanding, it is helpful to consult the Diagnostical and Statistical Manual of Mental Disorders, 5th Edition (DSM-V). Note: the DSM-V is the gold standard when it comes to diagnosing addiction and use disorders.

The DSM-V criteria for addiction falls into four overarching categories.

Impaired Control
Social Problems
Risky Use
Physical Dependence

Within these four categories, the symptoms of addiction include:

Using more of a substance or more often than intended
Wanting to cut down or stop using but not being able to
Devoting significant time to obtaining, using, and recovering from use
Strong desire to use
Use resulting in neglected responsibilities at work, school, or home
Use resulting in social and interpersonal issues
Giving up activities they used to care about because of their substance use
Using in risky settings
Continued use despite known problems
Needing more of the substance to get the same effect
Having withdrawal symptoms when a substance isn’t used

According to the DSM-V, the presence of between two and five of these symptoms qualifies as a mild to moderate substance use disorder, whereas the presence of six or more of these symptoms qualifies as a severe substance use disorder (i.e. addiction).

So, does your friend have an addiction to scrolling TikTok? Does your colleague have an addiction to the chocolate donuts down the block? Do you wonder if you may have an addiction to something? Whether it meets full criteria or not, my hope is that by reflecting on the aforementioned DSM-V criteria, we may become more aware of some of our own addictive tendencies.

By Jonathan Fricke, MA[/vc_column_text][dt_fancy_separator][vc_empty_space height=”15″][vc_column_text]References

American Psychiatric Association. (2013). Substance-Related and Addictive Disorders. In Diagnostic and statistical manual of mental disorders (5th ed.).[/vc_column_text][/vc_column][/vc_row]