‘Setting the Intention to Heal: The Starting Point of Mental Health Recovery’ by Douglas Bloch

dblochHere is such an important blog about healing and recovery. Thank you, Douglas.

‘“The readiness is all.” William Shakespeare

In my work facilitating depression support groups, I have discovered three essential factors to healing from depression, which I call ”the three pillars of mental health recovery.”  In my earlier blogs for Mad in America I wrote about two of these pillars  – connecting with community and using a holistic approach to treat symptoms. Now I would like to present the first and MOST IMPORTANT pillar – Setting the Intention to Heal.

I define setting the intention to heal as “making the decision that you want to get well, even if you don’t know how.”  Setting the intention to heal does not require that a person know the exact path that will heal him from a major depression or other mental health disorder. It just requires that he or she wants be well.

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Recovery and recovery-based care

“Never doubt that a small group of thoughtful, committed citizens can change the world; indeed, it’s the only thing that ever has.”
Margaret Mead, US cultural anthropologist

2007_0118walpole0118Here’s a little section I wrote for a book I am working on.

1. The Problems
Substance use problems represent a major concern in society today. These problems do not just arise from use of illegal drugs, but also from alcohol, solvents and addictive prescription drugs. They are intimately tied up with, and can be caused by, social, emotional and/or mental health problems. A person’s substance use problems impacts negatively on the wellbeing of family members and other loved ones.

Far too few people are recovering from the problems caused by drugs and alcohol, in large part because of shortcomings in the systems of care that society has developed. Many people circulate in and out of treatment, and much of the treatment system has become disempowering and lacking in hope.

The prejudice and stigma that exists in society towards individuals and families affected by substance use problems is also a strong barrier to recovery.

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‘Recovery resistance’ by djmac

Recovery resistance is futile because if we resist recovery we are resisting the clients or patients services are set up to help. As Professor Best makes clear in the quote above, the themes of recovery are connection, hope, meaningful lives and empowerment. Those resisting recovery are resisting these values and such resistance is futile. Better to go with it and deliver on recovery than stand against it.’

Boxing-glove-300x224Great blog from djmac about recovery in UK. Sadly, we are are a long way behind here in Australia. There is such a strong resistance to recovery and recovery-based care here. Why can’t people in need of help in Australia have ‘a meaningful and valued life’, which is what recovery is all about? Anyway, here is djmac’s blog.

‘When recovery became the bedrock of drugs policy in the UK there were objections. Some commentators were vociferous and condemnatory. Their words were reported prominently in the addictions press provoking a response from academics and clinicians working in the field.

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Veronica’s Story

I really like Veronica Unknown-1Valli’s website. Here is her Story which she has just uploaded. Powerful writing!

‘Many people have asked me for my drinking story, I wrote this some time ago and decided to publish it. This is me, this is who I was and who I am now….

I think there’s two ways you can become an alcoholic. I think you’re either born that way or, you simply need to drink enough alcohol and become one.

I believe I was born an alcoholic.

I believe this, because I’ve always felt ‘different’. My earliest memories are of feeling ‘odd’, ‘uncomfortable in my own skin’. I felt like I was looking out at the world through a glass screen, I was on one side and everyone else was on the other.

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‘Proposal From Italy: An International Collection of Recovery Stories’ by Giuseppe Tibaldi

UnknownPlease check out this important and interesting proposal.

‘Here is a new proposal from Italy: We want to start an international initiative to promote the writing of recovery stories in every country, with the ultimate goal of sharing at an international level the most compelling ones from each country.

Our proposal is born from an awareness that recovery stories are necessary today in order to give back to mental sufferance its meaning and transparency, to fight the biographical opacity of biological theories (the broken brain) and to guarantee decisional power to those who are offered (or imposed) mono-dimensional or dehumanizing treatments.

For me, personally, my interest in the writing of such stories came about from my reading just such a story more than a decade. The book, The Day the Voices Stopped. A Memoir of Madness and Hope, was written by Ken Steele.

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‘Recovery for a Higher Purpose’ by Bill White

Recovery for a higher purpose“The greatest danger for most of us is not that our aim is too high and we miss it, but that it is too low and we reach it.” Michelangelo

It is one of the most beguiling qualities of the experience of addiction:  it sucks up everything of importance in your life and casts those cherished assets into the remotest reaches of one’s heart, leaving nothing but itself. This all occurs an inch at a time and second by second – increments so small they escape the category of decisions.

It is at the end of such a process that one cluster of fears stands greater than the full awareness of what has been lost.  That is the terror of one’s own emptiness and the gaping nothingness of one’s future.  Those latter breakthroughs of consciousness can fuel unending cycles of oblivion and sickness and take damaged souls to, or beyond, the brink of suicide.

These same fears pose a significant obstacle to recovery initiation.  That’s why the promise of recovery must offer more than the removal of alcohol and other drugs from one’s life.  For the person staring into the abyss, the promise of recovery to a life of meaning and purpose may be far more potent than the promise of recovery from addiction.

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Overcoming Drug Addiction: Darren’s Recovery Story

Here’s one of a number of short films abut recovery that is worth checking out.

‘The Alcohol & Drug Service (ADS) has been transforming lives for more than 25 years. Here is one true story about Darren, a young man from Grimsby, who has battled back from addictions to drugs to reclaim his life and rebuild relationships with family.

Darren was supported in his recovery by The Junction, a service which The Alcohol & Drug Service delivers in partnership with Rotherham Doncaster & South Humber NHS Foundation Trust.’

‘Benzodiazepine Guidance’ by djmac

Diazepam-3‘SMMGP has published guidance for using benzodiazepines and benzo-like drugs in primary care. It’s a comprehensive 60+ page document which covers most (but not all) of the bases and reinforces the need for caution when prescribing the drugs.

The guidance is so long in coming because consensus could not be reached. Benzo prescribing is an issue where people have strong views.

The guidance sets out a major problem: that current prescribing guidance is that these drugs should not be used for more than 2-4 weeks, but in practice this is widely flouted with over one million people on these in the long term.

As I say the document is comprehensive, so I’ve just picked out a few nuggets here.

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Climbing out of addiction and depression: Margo Talbot at TEDxCanmore

Great talk and pics and one hell of a recovery!

‘Current research suggests that addiction and depression are symptoms of emotional distress, not causes of it, forging the link between childhood trauma and mental illness. Margo Talbot’s journey supports these studies.

Diagnosed Bi Polar at age twenty-two, Margo spent the next fifteen years in suicidal depression before discovering the healing power of presence as the antidote to emotional trauma. Being present to our thoughts and emotions, not running the other way or masking them. Where best to practice the art of presence than the frozen world of ice climbing…

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Stamp Out Stigma: “It Can Get Better” by Kelly

A wonderful film clip from an excellent website, StampOutStigma.

“Whatever happened to the sense of community where you actually cared about your neighbour?”

Being brave enough to seek help led Kelly to recovery.

“I get so much satisfaction because I see that when I share my story with others it empowers them.”

I Am Not Anonymous: Faith’s Story, “One More Chance’

Faith-Text-1024x681(pp_w1000_h665)Another wonderful story from I Am Not Anonymous, which helps us feel what addiction is like and experience the personal joys of recovery. Thank you, Faith.

‘Until I got clean and sober, I never knew that other people experienced the same pain and emptiness that I used drugs and alcohol to escape from. Even when I was a little girl I felt like a part of me was missing – I felt alone, afraid, uncomfortable, and incomplete.

I remember looking up in the sky at airplanes and wishing I could trade places with someone on them. It didn’t matter who it was or what the destination was, I just wanted to be anyone else and anywhere else… and I didn’t know why.

I started using drugs and alcohol in my early teens and they took me very temporarily to the place I thought I always wanted to be. They gave me relief from myself, my insecurities, my fears, and my loneliness. They made me feel “okay” with who I was, where I was, and who I was with, but they came with a price. At the time they seemed worth it.

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‘Gold standard addiction treatment’ by djmac

Arzt mit FlachmannHere’s an excellent blog on treatment from djmac.

Gold standard addiction treatment
Addiction to alcohol or other drugs is not easy to recover from. However there are many pathways to recovery, including through treatment. One group of patients does far better than most other groups. In fact their results are so impressive that many commentators have urged us to learn from what’s different about their treatment and follow-up to see if we can transfer learning and experience.

This group, claim researchers, sets the standard for addiction treatment. Indeed it represents gold standard addiction treatment. Who are this group? They are doctors.

In 2009, in the Journal of Substance Abuse Treatment, Robert DuPont and colleagues published a study that looked at how addicted doctors were cared for in the treatment system and also what their outcomes following treatment were.

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John Dolan: from homeless addict to street artist and author

John DolanHere’s a wonderful article about street artist John Dolan and his dog George which appeared recently in the UK Guardian.

Aged 10, John Dolan was told a family secret, which set him on the road to crime, addiction and homelessness. Now his life is transformed, thanks to his dog, George, and a gift for drawing

Anyone who has strolled down Shoreditch High Street in east London in the past few years will probably have seen John Dolan drawing, with a cup for coins on the pavement beside his dog.

A tourist from New Zealand browsing an art gallery nearby is typical of many of us: she stops in surprise when she sees a sketch by Dolan on display. “I saw this guy in the street the other day, just opposite,” she says. “I wish I’d stopped now and talked to him.”

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I Am Not Anonymous: Lucas’s Story, ‘Seconds and Inches’

Lucas-Text-1024x681(pp_w1000_h665)My name is Luke Mosley, and I am in long-term recovery from alcohol and drugs. By that, I mean that I haven’t found it necessary to pick up a drink, a drug, or any other mind or emotion altering substance since November 10, 2010. And for that I am truly blessed and eternally grateful.

I say “I haven’t found it necessary,” because for the first 27 years of my life, I lived in emotional and spiritual bondage. More than simply having a drug or alcohol problem, I had a problem dealing with life in general.

What seemed to be day-to-day challenges to most other people were crippling burdens to me. Call it social anxiety. Call it restlessness or irritability. Call it being overwhelmed.  Whatever labels my concerned family, friends, teachers, doctors, or therapists applied, they never quite identified that “thing” in me that just felt off.

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‘Experiencing Recovery – Part 9′ by William L. White: Recovery Advocacy and New Recovery Support

Bill talks about recovery as a new paradigm and its influence on treatment systems. He goes on to describe the new recovery advocacy movement and new recovery institutions and organisations. Most of this is occurring at a grassroots level.

I Am Not Anonymous: Adam’s Story, ‘An Open Book’

Adam-Text-1024x681(pp_w1000_h665)‘For the entirety of my addiction – many sad, painful years of car accidents, overdoses, barroom brawls and street fights, failed relationships, small-time legal skirmishes and stints at rehabs – everyone wanted me to admit I had a problem, to talk about it.

Then, after I got clean and sober and became a husband, father, hockey dad and a union president that negotiated my co-workers salaries and medical benefits, many people wanted me to put it behind me, to shut up about it.

The planet witnessed the train wreck, yet I was supposed to cover it up after I got that bad boy back on the rails, which was no small feat.

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‘Experiencing Recovery – Part 8′ by William L. White: History of Recovery Support

Bill introduces about the various types of recovery support that have existed historically: natural support, limited generalist support within the community, peer recovery (mutual aid) and treatment. He then goes on to describe how things have been changing in recent years.

I Am Not Anonymous: Mariel’s Story, ‘Together We Can’

Mariel-Text-1024x681(pp_w1000_h665)I’ll be finishing off Bill White’s talk this week, as well as highlighting some stories from the excellent website I Am Not Anonymous. Here’s the first of these stories.

‘My name is Mariel Harrison. I am 28 years old. I live in Point Pleasant, NJ. I am a daughter, sister, aunt, girlfriend and friend. I am also a consumer, a voter, a tax-payer, a home-renter, and a licensed/registered/insured driver.

I am a responsible, productive and valued employee. I am a diligent full-time student with a 3.9 GPA. I believe wholeheartedly in the healing properties of yoga and meditation, am a certified yoga teacher, lived in an ashram for 9-months, and hold nothing more sacred then my personal practice both on and off the mat.

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‘Experiencing Recovery – Part 7′ by William L. White: Family Recovery

Bill briefly describes how many families fall apart during the early stages of recovery and points out that as a society we do very little about this. Stephanie Brown describes this effect on family as the trauma of recovery.

‘Experiencing Recovery – Part 6′ by William L. White: Recovery Durability Set Point

When does recovery become durable? When does sobriety today predict sobriety for a lifetime? When does my risk of resuming alcohol and drug use and having a recurrence of a substance use disorder plummet?