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Does treatment have to cost a lot?
Addiction crosses all education level “from Yale to jail.” IQ has little to do with it. Some of the lucky ones recognize the problem early, swallow their pride, and seek help. The majority, though, are like me. By that I mean they have an attitude–an attitude that says, “No one is going to tell me what to do!” One person may need only a few counseling sessions. Another might need a few months in a residential setting. Many centers offer outpatient and intensive outpatient treatment as well as residential treatment.

Inpatient or residential treatment is one option, though it is the most expensive. Even at discounted rates many families cannot afford a 28- day program. However, this isn’t necessary for every drug-dependent person. In fact, more than half of all recovering people didn’t have the inpatient experience. As I make this point, please bear in mind that I’m not suggesting that inpatient treatment isn’t beneficial. It would be wonderful if this was available to everyone; but it’s not. There just aren’t enough facilities for the demand. Even if there were, many people can’t afford it.

Let’s talk about a few other ways to begin recovery. Determining which treatment is appropriate will depend on the drugs the addict has been using, how much, for how long, and his or her level of motivation. We will start with the simplest and work our way up.

Counseling
For those who experience intervention early, before the addiction has become severe, the recovery process might be less complicated. It may involve only a couple of counseling sessions with an addiction counselor and then committing to attend recovery group meetings. There will be some who commit to recovery sooner than others, and the sooner, the better. Some people are lucky enough to not have to hit a low bottom (see chapter 18).

Outpatient Treatment
For those with a moderate problem, outpatient treatment may be appropriate. This works well for the high-functioning addict/alcoholic. By high-functioning I mean the user still has a job and a home, pays his bills on time and is generally responsible, yet knows he has a real problem. Maybe a spouse or a friend has noticed his excessive drinking and mentioned something about it. If the dependent person is doing well on the job or in school and just can’t leave for a month, outpatient treatment may be the answer. This candidate would attend group meetings, typically in the evenings and maybe also see a counselor a few times a week.

Intensive Outpatient Treatment

The next level of treatment is what is called intensive outpatient treatment. This usually consists of two-hour group meetings three to five nights a week. A professional addiction counselor facilitates the meeting. Again, the advantage here is that the addict can continue going to school or work and return to his or her home at night. This is a long day, but is an ideal solution for some who need daily support to be successful in recovery. It also is much less expensive, than residential treatment because the treatment center does not have to provide housing and meals. This option usually lasts four to six weeks and tapers down to whatever is best for the individual.

Inpatient/Residential Treatment
For serious cases, inpatient or residential treatment may be the best option. Residential treatment is what worked for me. I believe it is exceptionally effective for several reasons. First, it pulls the patient completely out of their environment, removing them from their friends, who are usually other substance abusers. A family may also want to consider sending the user out of state to really move them to a different environment (at this point, we are talking about only a few hundred extra dollars for traveling expenses).

Inpatient treatment is very structured. The first few days are often referred to as detox, which means going through some physical withdrawal. This phase varies quite a bit from person to person. Believe me, this experience is not fun, but I made it through. The severity of a person’s detox experience depends on the drug or drugs a person has been using. I’ve heard a few people say it was no big deal at all. Others have described it as four or five days of living hell. There are some drugs available now that can help ease the discomfort of the first few days of withdrawal.

When I arrived at the treatment center in Atchison, Kansas, the intake person asked me about my drug use history. Along with everything else, I had been taking a high dose of Valium every day. I didn’t think it was going to be a big deal to give up. But stopping this drug all at once, after years of use, was a shock to my system. I had a couple of very difficult days. The feelings I had are not easy to describe. Along with the insomnia came some hallucinations. In some ways it was like having a nightmare while being awake. The rational part of my brain knew I needed to quit using, not just Valium, but everything else as well. But my body and part of my mind still wanted and needed that drug. There was a battle going on. A real fight. Had I tried to do this on my own, I seriously doubt that I would have stuck it out. Treatment centers want to move everyone through this stage as quickly as possible and get them involved in recovery work.

Most facilities post their regular schedule on their website. The lectures and groups that take place throughout the day shed light on every aspect of drug and alcohol dependency. The person learns in great detail what will happen (or has already happened) to them physically, mentally and spiritually. In addition to participating in groups, each person meets one-on- one with a professional counselor. Many facilities have a chaplain on staff. Few, if any, chaplains will get into debating religion or suggest that a person must adopt any certain belief-system. Regardless of this, people often come into treatment looking for answers to spiritual issues, and centers have found it beneficial to have a professional available to meet the spiritual needs of their patients.

I will always remember how meaningful it was to spend time during the evenings and weekends with others who shared the same struggles. There is a special bond among those who have been there. People are encouraged to take walks and to experience their feelings on a deeper level through journaling. Time allotted for reading, reflecting, prayer, and meditation are luxuries the addict did not have (and did not care about having) in his home environment. This experience can be a real turning point in a person’s life.

Specialized Treatment
Gender-specific (all-men or all-women) centers have recently be- come a great option. A patient who is in a gender-specific facility has the advantage of speaking more openly and gaining a more complete understanding from group members who share the same life experiences. There are certain issues that apply to men more than women, and vice-versa. When addiction issues are dealt with in a specifically male or female context, a very therapeutic and powerful camaraderie forms.

Men, for example, find it difficult to admit weakness and accept defeat. But if they are with a group of other men who have also had their lives destroyed by drug abuse, they are more likely to be humble and honest in a group setting. Having to admit to brokenness in a mixed group is much more difficult (it’s that whole macho thing). Even the reason men and women become users can be different. Men seem to take illicit drugs to get a high and as an adventure, whereas women take them more often to relieve stress and to self-medicate.

Women in treatment often have been taken advantage of by men, so they may be more likely to open up without men in the room. They are more sensitive to the social stigma of addiction, and therefore may have been more private about their substance use than men. Women also are more likely to be dealing with parenting issues. Lately, more and more inpatient treatment centers are opening their facilities to children so they can stay with their mothers for the duration of their treatment.

Depending on the severity of a person’s addiction, longer treatment can be more effective than a typical twenty-eight-day stay. Sixty-day and ninety-day treatments are becoming more common. Someone who was using large amounts of methamphetamine, cocaine, or heroin over a period of years may need ninety days of treatment. But regardless of the drug the person has been using, there can be varying reasons why extended treatment may be to their advantage. For example, some people will need more time to work on ways to resist drug use and develop replacements for drug-using activities. There are many factors to consider before a person leaves treatment; the center itself will make recommendations. I can’t think of any cases where a few extra weeks in treatment turned out to be a bad idea. There is a lot at stake here.

Cost of Treatment
In today’s unstable economy, the financial strain of recovery is a real issue for families. How much does treatment have to cost? Who pays? The average cost for a one-month program is about $20,000. Prices usually begin around $10,000 and go up to $40,000 or more. This is a lot of money seemingly out of reach for most families. But when you consider how much money the addict has blown on drug and alcohol use in the past, and how beneficial this treatment program will be, it may be well worth it.

There are ways to defray the cost of treatment. First of all, some employers are willing to help cover the cost; all you have to do is ask. Some insurance companies will cover the cost as well, so families need to find out what their insurance plan will and will not cover. However, many treatment facilities unfortunately do not accept insurance. Dealing with insurance companies is often a paperwork nightmare, and some centers do not have the staff to keep up with what it requires. Moreover, some insurance companies try to dictate just what type of treatment they will cover and for how long, and this may not fit with a treatment center’s philosophy or diagnosis. However, there are centers that do take insurance, and usually they will make all the phone calls concerning coverage and handle the details for you.

If the employer won’t help cover the cost of a treatment program, and the insurance plan doesn’t cover it or if it does but the treatment center won’t accept insurance money you should know that many facilities will take people for less than the standard fee–sometimes much less. Occasionally, patients are able to get ten to fifty percent off of the normal rate. Some centers will even let you make payments on a discounted price. In these cases, they are essentially loaning you the money in spite of credit history. How do you find out about these discounts? Ask. That’s right, simply ask if there is any way to get a reduced fee.

How are they able to charge less? There may be some scholarship money available, or sometimes a hospital or a graduate of the treatment program will help cover the cost. If a treatment center sees that a person is able to pay only a portion of the cost, and if it is obvious that the person is motivated to begin recovery, those at the center will be motivated to help as well. For people working in this field, drug treatment is both a business and a passion. A high percentage of counselors, staff and owners are also recovering people. For most, it’s not all about the money. Call around. Ask a lot of questions. You just might be surprised what you find out.

So far we’ve covered the more formal, structured treatment methods. So, what other forms of treatment or support are available?

Twelve-Step Programs
Probably the most obvious are the twelve-step programs. AA (Alcoholics Anonymous) and NA (Narcotics Anonymous) are literally everywhere, all the time, across the world, and they are free. Al-Anon is also available to the family member who needs support or information. These groups all have listed phone numbers and will give you information twenty-four hours a day.

Sadly, within the Christian Community there are some who see a conflict with The Twelve Steps (of AA and Al-Anon) and biblical principles. I’ve studied this at length and I have found none. For those who are followers of Christ, we can simply know that He is our Higher Power–our understanding of God.
As I mentioned earlier, many churches are now adding addiction counselors to their staff. Some churches even refer to themselves as Recovery Churches. Things are changing. An important point to keep in mind is that the addict or alcoholic must have daily support as they begin this road to recovery. In the beginning, a person in recovery is high-maintenance and needs daily support. This is why I believe that a twelve-step program must be part of early recovery. Are there rare exceptions to this? Yes. But remember how much is at stake. I personally know of many Christians who took advantage of what AA had to offer and are now glad they did.

Is AA or NA appropriate for everyone? This is a tough question. You can surely check it out for yourself. Discourage your friend or family member from making a judgment too quickly after visiting just one group. Each group has its own personality. Sometimes it takes visiting several to find a group that the addict will feel comfortable with. There are different meetings in all parts of town, including: men’s, women’s, open meetings (where a person doesn’t have to be an alcoholic to attend), and speaker meetings.

Some people in certain professional fields might not feel comfortable attending AA or NA meetings, even though the names of those attending, and the content of such meetings, are confidential. Why? Some people are very visible in their community. If a person is a doctor, dentist, police officer, city official, pastor, judge, lawyer, school-teacher, swim coach, school counselor, CEO, pharmacist, pilot, or bus driver, it might be very difficult to stay anonymous. Most people wouldn’t want to jeopardize their career to get support in such a potentially public manner. I wouldn’t want to meet my surgeon at an AA meeting! Some people may need to find a different resource, but more often than not, twelve-step groups are very beneficial.

Spin-offs of the traditional twelve-step groups include faith-based groups like Celebrate Recovery, Christians in Recovery and the Salvation Army. The Salvation Army also offers free in-patient recovery programs in some cities. There is help available for almost everyone. People that need recovery have choices, ranging from those that cost absolutely nothing to a multitude of deluxe high-priced options. Help is out there. Just ask.

Over the past two decades I’ve seen addicts and families recover from both mild and severe addiction problems. Sadly, there are others who give up the fight before they even get started. Finding a good support group or counselor doesn’t always happen overnight. Get referrals, talk to others who had similar problems, and be persistent. Determination always pays off.

“There is help available for almost everyone.
People that need recovery have choices.”

“We can’t afford treatment. What now?”
excerpted from revised edition (pg. 101) of
Why Don’t They Just Quit?
What families and friends need to know about addiction and recovery.

(click on title above to purchase)

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RESCHEDULED FROM LAST WEEK:

To our friends (and their friends) in the Front Range, Colorado area, I’ll be on The Jim Pfaff live call-in radio show on 560 AM, KLZ “The Source”
THIS MORNING Wednesday, May 5 at 11:00 AM–12:00 PM-Mountain Time

Other time zones:

• Pacific Time: 10:00 AM–11:00 AM
Central Time: 12:00 PM–1:00 PM
Eastern Time: 1:00 PM–2:00 PM

Call-in # is: (303) 477-5600

Go to: http://www.560thesource.com/
OR click this link to listen (live streaming) on your computer.

We’ll be talking calls and answering questions about how to deal with an addicted friend or loved-one. Please call with a question. I’d love to hear from you!

Grace and peace,
–Joe

Please forward this to friends and family who may be interested.
This broadcast reaches from Ft. Collins to Colorado Springs, CO—and you can listen to this worldwide via streaming internet.

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For those of you NOT watching the Hallmark special…. maybe you would want to listen to Joe on this live (Tampa Bay, FLA) call-in radio show: Prescription Addiction Radio.
(click here to listen online)

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STEP 7: Humbly asked Him to remove our shortcomings.

LISTEN TO JOE NOW (CLICK HERE)
Removing defects of character. Joe Herzanek, author of “Why Don’t They Just Quit?“,
discusses Step 7, (Humbly asked Him to remove our shortcomings) this week on Recovery Now!…

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I just noticed new privacy controls for Facebook, in which kids can let others see their posts—excluding their parents. Read more below:

Teens use Internet to share drug stories
By Donna Leinwand, USA TODAY

Ashley Duffy, 18, knew her parents wouldn’t tap into her online journal so she wrote freely about her drug use. She says she used the Internet to contact her dealer and connect at parties with people who had drugs.

“Kids are really open about it. I see posts from other people describing a night on acid or whatever,” says Duffy of West Chester, Pa., who underwent treatment and says she has been drug-free for 16 months. “I think they think their parents are clueless. And I guess they are.”

A study being released today of more than 10 million online messages written by teens in the past year shows they regularly chat about drinking alcohol, smoking pot, partying and hooking up. The Caron Treatment Centers, a non-profit program in Wernersville, Pa., that also funds research into drug addiction, commissioned the study by Nielsen BuzzMetrics.

Nielson analysts used a computer program to search blogs, public chat rooms, messages boards and other places that attract teens. About 2% of the posts specifically mentioned drugs or alcohol.

The study offers insight into what teens talk about online and classifies the messages into common themes. Many of the teens who posted messages about drugs or alcohol often traded information about using illicit substances without getting hurt or caught. Some teens debated drug legalization and the drinking age. Other teens recounted their partying experiences, including sexual liaisons while drunk or high, the study says.

Kids often use code words they believe their parents won’t understand, says Duffy, who was treated at Caron. “You can’t use any words like pot and mary jane and weed because your parents will know that.”

Lucky O’Donnell, 19, of New York, used to refer to cocaine as “yay” or “cocoa” and heroin as “skag” when he posted messages on friends’ sites on MySpace.

O’Donnell, who says he has been drug-free since Dec. 12, 2005, had used the Internet to research how much cocaine he could carry without risking arrest for drug dealing and how much he could take — and in what combinations with other drugs — without getting sick.

He says his research landed him in the intensive care unit just before his 17th birthday. He says his mother found him convulsing on the floor after he had combined cocaine with Tylenol PM and alcohol.

“One site said it was fine, one site said it wasn’t,” O’Donnell says. “I wasn’t able to differentiate the information. You want to believe everything you read.”

The misinformation on the Internet about drugs is staggering, says Carol Falkowski, director of research communications for Hazelden Foundation, an addiction treatment, education and research center in Center City, Minn. “What kids used to learn about drugs on street corners, they now learn online,” Falkowski says. The Internet “erases geographic and social boundaries,” she said. “Kids who live in remote areas can develop a camaraderie online of drug-abusing kids. They can share stories about drug experiences.”

Janice Styer, an addiction counselor at Caron, says the treatment center now urges parents to monitor their teens’ Web surfing and to keep the computer in a family room. “Five years ago, we weren’t even thinking about this,” Styer says.

Scott Burns, deputy director of the White House Office of National Drug Control Policy, said he had a blistering fight with his teenage daughter when he insisted on moving the computer to the family room. He also learned the acronym, “POS” — parent over shoulder.

“It’s a lot easier said than done, I know,” Burns says. “As a parent, it’s hard to keep up with your teens and their technologies. If you’re not tech savvy, if you don’t have Internet skills, you need to learn them.”

The study’s analysis of alcohol messages found that teens mentioned hooking up and having sex while drunk, being drunk at parties, getting help for a friend who drinks too much and drinking until getting sick. The most popular drinks mentioned in the messages were beer and vodka.

In a sample message included with the study, one unnamed teen wrote: “I’ve had alcohol once or twice (once to the point of being drunk) and sex is waaaaay better.”

In postings about marijuana, teens asked about possible addiction and whether it alleviated depression, the study shows. Teens also shared stories about cutting class, drinking alcohol, smoking cigarettes and mutilating themselves while getting high.

Another message from an unnamed teen included in the study asked about marijuana: “Has anyone ever passed out from smoking weed? I was at the beach and I just collapsed and I don’t remember that happening.”

In posts about other drugs, teens sought or offered information on Ecstasy, hallucinogenic mushrooms, LSD and heroin. They talked about experimentation with drugs and sought advice on taking drugs safely.

An unnamed teen in one post included in the study asked for information about DXM, a drug found in over-the-counter cough syrup:

“I tried DXM for the first time on Saturday (200mg) and it was interesting. Can I try it again … say tomorrow … or should I wait longer. I read somewhere you should give DXM at least a week until you try it again. Anyone know?”

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STEP 6: Became entirely ready to have God remove all our defects of character.

LISTEN TO JOE NOW (CLICK HERE)
Removing defects of character. Joe Herzanek, author of “Why Don’t They Just Quit?“,
discusses Step 6, this week on Recovery Now!…

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TO READ MORE REVIEWS AND VIEW TRAILER CLICK HERE

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Please join us this Thursday evening and tell your friends about this Workshop!

Almost everyone, “from Yale to Jail” has been affected by someone’s substance abuse. This seminar is for those who have friends, family or co-workers who are abusing drugs or alcohol and want to learn how to help that person. Straightforward answers from Chaplain Joe Herzanek, author, founder of Changing Lives Foundation, and an addiction professional who personally understands the powerful grip of addiction.

First Presbyterian Church, Boulder. (click for more details)
April 15th, 7:00-8:30
Open to the public.

Questions? Contact Joe Herzanek – 303-775.6493

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“Real Stories, Real People”
excerpted from revised edition (pg. 263) of

Why Don’t They Just Quit?
What families and friends need to know about addiction and recovery.

Never give up hope.
I’ve been inspired over and over by the testimonies
of those who have lived through the nightmare of addiction and managed
to regain control of their lives. When you find yourself discouraged
and ready to give up hope for someone you love, you may find
these accounts to be the inspiration you need.

This story comes to us from a woman I recently helped coach
through some very tough times. Little did I realize just
how tough. I like
to try to remember, “you never know just what someone might be going
through . . .”

Although it was difficult for her to revisit these experiences, she did
a superb job recounting the past and sharing her insights. But for the
grace of God and her wise but painful decisions about how to handle
Dan, she could so easily have had one more funeral to attend.

Daniel’s Story
A Mother’s Painful Lessons Learned

It is difficult to think back on the story of my son, Daniel, and his addiction.
It is hard to experience once again the pain of that time in my life. I
do so that I may remember more clearly the lessons I have learned and
perhaps help someone else who may be facing this destructive disease.

Although Daniel’s father and I divorced when Dan was seven, it was in Daniel’s
early middle school years when my family started on his painful
path of using. Perhaps Daniel’s use started because there was more friction
between his parents, or his best friend moved away in 6th grade, or that
in six months time Dan went from a little boy to looking like he was
eighteen years old. It really doesn’t matter how it began, the truth is Dan
used because he is an addict.

My relationship with my son was very strong and loving throughout
his young life,
so when there started to be some tension and fighting, it
seemed normal; it was important that he “break” from his strong ties
with his mom to search out his identification as a young man. I still think
that was a reasonable explanation initially but I held on to that explanation
long after I knew in my heart it was more than that.

My son was an athlete who excelled at all team sports. He had gone
through puberty early which gave him an advantage of size and coordination.
He was unassuming and coachable; his teams were successful
and his teammates looked up to him. For whatever reasons, he was attracted
to the wrong crowd. He said kids his age were boring and since
he looked older, he gravitated to older kids.

In eighth grade his behavior became erratic. He would get angry in
a split second over little things and he started punching walls and breaking
chairs. He got into some minor trouble at school and at the end of
his eighth grade summer, he and a friend stole a car. He went through
the diversion program and participated in a restorative justice program.
It seemed he really understood that he needed to change his ways.

Daniel’s first year of high school had many successes in academics
and sports.
Socially, he still had friends his age but once again, the older
crowd was becoming a big part of his life. Toward the end of his freshman
year something changed and he started shutting me out of his life
again. At the time I knew it was a red flag but could not convince his dad
or his counselor that he was using.

Sophomore year was difficult. Dan would not speak to me, he lived
full-time with his dad and was spiraling down. He was in therapy off
and on with someone who was highly respected in the community and
credible as an adolescent counselor. I kept insisting that I thought Daniel’s
behavior was indicative of substance abuse, but no one agreed.

In February, Dan came to my house after school drunk with marks
on his arms from hurting himself.
He said he wanted to die. I called
the police, Dan went to the ER and then was released to a psychiatric
hospital. When he was to be dismissed, he said he would not do any
outpatient care and his therapist recommended a wilderness program. I
knew I couldn’t watch him 24-7 and I knew that is what he needed. He
was there for two and a half months which gave me some hope and
some sleep, but the program did not emphasize the disease of addiction.
Dan had no 12-step skills, no understanding of his disease and the first
weekend home he went to a party and came home totally smashed.

I don’t remember specifics of junior year. It was a fog of sleepless
nights, days and nights of not knowing where he was or what he was
doing or who he was with. Daniel’s dad was still in denial and refused to
address the use issues.
Most high school kids drink and get in trouble,
right? “This is just normal high school stuff
” was the response I would
get from so many people. I knew it wasn’t; I knew Dan was one of those
people who could not drink alcohol. I heard rumors about the people he
was friends with and some of the criminal things they were doing. And
I was torn about what I should do. I consulted many different therapists
and was told there was nothing I could do. I called the police, I called
a parole officer whose son struggled with the same issues, I talked to
friends. It was the most frustrating, helpless, depressing time of my life.
I would wake in the middle of the night in panic. Was my son dead
somewhere? Was he lying passed out in the freezing cold? If I did something
now, would I save his life?
I would call his phone, not expecting him to pick up,
but believing that it might wake him and keep him from dying.
It was the most stressful and hopeless time of Daniel’s addiction for
me. He ended up in the psychiatric hospital in February. Again, I asked
the professionals if this could be a result of using and they said maybe,
but they were looking at mental illness diagnoses.

In the summer after his junior year, my family experienced a tragedy.
My oldest daughter’s husband was killed by an impaired driver.
It was devastating to the whole family and a turning point for Dan and
me. Dan, of course, stepped up his use. He started using hard drugs and
dropped out of school. For me, I had to turn my attention to my daughter
and granddaughter. It forced me to let go of Daniel’s use and abuse
issues and give them to him to figure out. I still prayed that he would
live and choose to live clean and sober
but I stopped trying to make it
happen
. My response changed from “You have to stop doing this to
yourself or you will die” to “I pray that you choose to live life clean
and sober and let me know what I can do to help you.” I was consumed
with grief over the loss of my son-in-law and with the need to help my
daughter as a single parent. I had to prioritize my use of energy with a
full-time job, my twenty-seven year old widowed daughter, my fatherless
granddaughter, my fifteen year old daughter, and my using addict
son. I just didn’t have the energy to continue worrying about him the
same way I had been. I had to “let it go” and trust that he would figure
it out.

Dan expressed survivor guilt after his brother-in-law was killed,
thinking he was the one who messed up,
he was the one who caused
so much pain to the family and he was the one who deserved to die
. He
ended up in jail the summer after what should have been his graduation
from high school. He had stolen a car again and was writing checks on
his dad’s account. When he got out of jail he came to live with me amid
promises of not using and following the terms of his probation. After a few
months his use escalated to using heroin and he attended a 30
day treatment program in December. His sisters and I came to family
week to support him in his recovery. We wanted to show him we cared,
but we also were resentful that he was asking more of us. We hoped for
the best for him this time, but we still saw signs that he didn’t take full
responsibility.

Most importantly, during these family sessions I gained clarity about
what my boundaries needed to be and made a commitment to hold to
them. If I suspected that he was high, I
would not ask him to confirm or
deny it, I would ask him to leave. He could not live in my house if he
was using. And I learned to trust my intuition regarding whether he was
and I did not need someone else to agree with me. I had the confidence
to believe that I knew my son and his behavior well enough” to know
when he was clean and when he was not. I also came to the realization
that there was nothing I could have done to keep my son-in-law from
being killed and there was nothing I could do to keep my son alive if he
was determined to die.

A few weeks after he “graduated” from rehab, he started using again.
I told him I loved him and he was not following the rules we established.
He needed to leave. When I came home from work I began to realize
that he had been coming in the house through different windows. He
had done this in the past just to get in, but this time was different. This
time, he was coming in to steal from me. He stole gold jewelry, tools,
and musical instruments. I went to pawn shops in town and was able to
track down some of the items and get the names of the young men who
had pawned them for Dan. With this information, I filed a police report.
Although it was difficult to do, I was certain that my son was begging
me to do something drastic. He was out of control and could not stop
himself.
I was going to help him by keeping my boundaries.

The next time I talked with Dan I gave him a choice.
He could admit himself into a detox unit and make a commitment to
staying clean and sober or I was going to file charges against him for theft.
He choose detox. He worked with his probation officer on some different living
situations after he detoxed, but one required a year commitment and one was
not an option because Dan was on probation. Joe coached me through
this trying time. I had read Joe’s book and knew I needed to be clear
about my boundaries and the consequences. When my son got out after
3 days of detoxing, once again, he got high. I told him to leave again.
Joe had told me to tell Dan not to come back until after he was clean for
90 days. I told Dan that. Dan left the house and I broke down in tears.

The next day I called one of the counselors at the detox and told
him that I kicked Dan out because he used. The counselor said good. I
needed that support. I called Joe and asked if I should file charges, like I
said I would. Joe reminded me that my son would not die of an overdose
in jail.
I needed that reminder. I needed the support of these recovery
experts in order to do what I needed to do.

The next morning I went into the garage to let out the dog before I
went to work. My son was sleeping there, huddled up next to the dog.
It was one of the most heartbreaking sights for me. How could it have
come to this? My once sweet, loving boy” now a heroin addict who is
living like a dog?
Again, I told him I loved him and the agreement we
had was that if he used I would file charges. I told him that I would file
charges after work. That afternoon I got a call from Daniel’s probation
officer who said Dan had come and asked her to do something for him.
He needed help. She called a Christian sober living home and Dan could
come and live there, but needed to make a one year commitment. Dan
agreed. I did not file charges that afternoon, but there is no doubt in my
mind I would have. And I think there was no doubt in Daniel’s mind that
day that I would have.

The relief I felt for the next few weeks was unbelievable. I woke up
in the morning after a full nigh’s sleep. I rested with the assurance that
my son was in a safe and healthy place. The surrender that began when
I turned my son’s addiction over to him ended with complete relief. I
couldn’t talk with him the first month he was there and I was glad of
that. I knew I could get hooked back in and I knew it would not be good
for any of us.

I went to see him after about four weeks and he looked better than he
had in the last year. My son looked like himself, talked to me with love
and gentleness and wanted to stay where he was and be clean.

That was over twelve months ago and our relationship continues to rebuild.
I learned well that he was not trustworthy and I’m not sure how
long it will take for me to believe what he says. I have always believed
in him and I still do. The lying, deceit, and stealing destroyed the foundation
of our relationship. That is a reality of the using addict’s life. I
imagine it will take as many years to rebuild my trust as he spent destroying
my trust.

When I look back, it’s hard to say if I did the right thing or not all
those years. I have come to believe that life is a process and
I can only
know what I know when I know it.
I am grateful that Dan is where he is
now and I relish each day of his sobriety. I pray that he chooses life each
day and not the death that comes with using. Recovery is a marathon and
he is in the first mile. I am clear that my role is to support and not enable,
to have clear boundaries and to love him. Everything else is up to him.

I am grateful today not for the pain of these last few years of my life
but for the lessons I have learned from dealing with that pain.
Those lessons
include learning to trust my intuition, learning to set and maintain
clear boundaries with love and kindness, learning acceptance for what
is, and trusting the judgment of people like Joe.

Addendum:
As of this posting, Dan remains clean and sober, working and living out-of-state with his father.

“Real Stories, Real People”
excerpted from revised edition (pg. 263) of

Why Don’t They Just Quit?
What families and friends need to know about addiction and recovery.

(click on title above to purchase)

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Q. Isn’t addiction just a willpower problem?

A. No.
When men or women begin using alcohol or drugs, willpower does play an important role. Deciding to drink or use drugs the first few times is simply a choice. The person may find the initial experiences enjoyable and pleasurable, but that doesn’t make them an addict or alcoholic. Certain drugs can have a much more powerful effect than others, which the user may want to repeat. Just the same, it takes time to become physically and mentally dependent.

Over time, the brain and central nervous system will expect the drug to come in from the outside. This is where physical dependence begins: stopping the use now will result in some signs of withdrawal. Mental or psychological dependence also plays a role in addiction. Once the person develops a physical and mental dependency (i.e. an obsession), willpower becomes less effective. The longer a person continues to use and build tolerance, the more difficult it is to just quit with willpower alone.

There is much to be said regarding this subject of willpower, or lack of it. Many recovering people swear, If not for a power greater than myself, I would still be using. Many addicts who recognize their need to quit do not want to quit. Where then will this desire come from?

Whether this power comes from the person’s spiritual life, or the power of their group or caring friends, recovering people recognize that sheer willpower does not work for them. At some point in recovery, a desire to stop using manifests itself in a person’s consciousness.

Call it what you will; I call this a miracle.
–Joe Herzanek


~ Footprints in the Sand ~

One night I dreamed I was walking along the beach with the Lord.
Many scenes from my life flashed across the sky.
In each scene I noticed footprints in the sand.
Sometimes there were two sets of footprints, other times there was one only.
This bothered me because I noticed that during the low periods of my life, when I was suffering from anguish, sorrow or defeat,
I could see only one set of footprints, so I said to the Lord,
“You promised me Lord, that if I followed you, you would walk with me always.
But I have noticed that during the most trying periods of my life
there has only been one set of footprints in the sand.
Why, when I needed you most,
have you not been there for me?”
The Lord replied,
“The years when you have seen only one set of footprints, my child,
is when I carried you.”

–Author (still) unknown

This article is excerpted from the 2010 Revised and updated book “Why Don’t They JUST QUIT? What friends and families need to know about addiction and recovery.

Article photos by Judy Herzanek

January 14, 2010 by jherzanek | No comments

A great post by our friend and Addiction Chaplain Ned Wicker:

My friend Joe Herzanek wrote a terrific book, “Why Don’t They Just Quit” which is a fitting title because that’s the question people always ask. If somebody drinks, why don’t they just quit? The short answer is simply that’s it’s not that easy. Just because they do quit doesn’t mean they’re not a drunk.

Before you get all riled up and offended understand one important point—just because somebody isn’t using doesn’t mean they are not an addict. People who abstain from using alcohol for long periods of time, people who have been diagnosed as being alcoholics, may be dry, but they are still alcoholics. All of the pieces are in place for their lives to go out of control; it’s just that the triggering element, alcohol, is missing. That is why Alcoholics Anonymous strongly advocates for abstinence. Even people who have been in recovery for years understand that all it takes is alcohol for them to be right back on a destructive path.

Over the years I have known many people who have gone through the criminal justice system and served time for DUI. The police arrest them, the judge convicts them and they spend time behind bars. However, while in jail they do not receive treatment. Yes, they are dry, but that only lasts while they are physically prevented from getting a drink. They are still addicts, but they just aren’t using the drug alcohol at the time. Jason comes to mind. He was serving after being convicted yet again of DUI, but like his first time, he was receiving no treatment. There was a program, but a waiting list to get into it was a mile long. Jason got an early release and never did get into treatment. He was a dry drunk. The first opportunity that came along was all he needed to get a snoot full.

Recovery programs are not just limited to going to meetings and not drinking. They are about the rebuilding of one’s life and learning new skills and habits. People who have honestly and openly journeyed through the 12 Step process understand that recovery is about a return to wholeness. People are transformed from drunks, to dry drunks, to recovering drunks. I do not use the term drunks in the pejorative, but instead use it intentionally to illustrate an important point. No matter the addiction, no matter the human condition, just because one is not directly engaged in an activity does not exempt them from potential danger. What is needed to prevent relapse is a change of lifestyle and a commitment to healthy activity.

It wasn’t long after Jason was released that he was in trouble with the law for another DUI. This time the judge wasn’t at all understanding and the sentence was for four years or so. He was back on the waiting list for treatment, but with more time, he finally got in. He was given the opportunity to go from dry drunk to “recovering.” As he learned new ways of dealing with his life, with his cravings and with his out of control lifestyle, he began to realize that, like millions of others, he was in need of help and could get into recovery with the right kind of support and guidance.

It was a major turning point for him. He was not longer the “victim” of the criminal justice system, but a grateful recipient of treatment for his illness. Unlike others who were going through a prison 12 Step program to earn brownie points with the parole board, Jason was earnestly and actively working the program for its long-term benefits. He wasn’t merely going through the motions. When he was released, he continued his recovery program on the outside, this time with a new sense of purpose and direction. He was no longer a dry drunk.

Abstinence is good, but abstinence along does not get the alcoholic out of the woods. You can lock them up and deny them alcohol, but they are still drunks. Treatment and the right kind of support program is what makes the difference. Jason knows that difference.

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Are parents required to go to Al-Anon meetings?

This is worth sharing. I just received a request from a loving, concerned mother who wants to do the right thing to support her son, but is puzzled about some “information” she recently received.

Let us know what YOU think:

Hi ,
I have a son that is in rehab for alchohol for the third time. He seems to be doing well this time. He is choosing to live in another state and wants to keep in touch as little as possible. As his Mother this is difficult for me to accept but I want to do what is best for him. I have attended A-Anon and not found it helpful–only more depressing. I have a very strong faith and find strength through that. My son is hurt that his Father and I aren’t attending Al-Anon. Any suggestions?
RM

Dear RM,

It can be a challenge to find a good Al-Anon group but well worth it if you do.

You might also find it helpful to attend an occasional Open AA meeting.

Lots to learn there. Maybe it will help your son to see you want to be more involved. Anything that will encourage him is great.

Strong faith is a wonderful asset (-:

Blessings, Joe

Dear Joe,
Thank you for responding so quickly.
I am willing to try again and have wanted to attend an AA meeting , so I will look into doing that. My husband and I understand that he will feel supported if we go, but isn’t Al-Anon for us? We do not feel responsible or blame ourselves in any way for his choices. He is 27 and grew up in a loving supportive Christian home. His choices have been his and he owns up to them.

His fiance lives near us and has been close to us for 5 years. She attends our Bible study class we have in our home. However, we received an email telling us she can’t be around us unless we attend Al-Anon and work the program! We were hurt and are confused as to if they are being guided to separate from the family.

I love my son with all that I am and although it is so painful to be away from him and not talk to him it saddens me to no end. However, knowing he is working on getting healthy and staying sober is all I can ask for right now.

I lost my Mother this past summer, my daughter married and moved away and so did my son. I am currently looking for a counselor to help me with all of this loss in my life and understand my son’s addiction. Thank you for the email.
Sincerely,
RM

Hi RM,
I would ask your son where he came up with the idea that you must attend meetings. You could–if you felt a need for a therapy group but it is not written anywhere that you must.

Ask him if his sponsor agrees with him on this. (If so, he should look for another). I’m 31 years clean and sober and I haven’t read anything that REQUIRES family members to attend groups.

It may be helpful but is optional.

It’s like the patient/recovering person telling the Dr./healthy person how to get well. If anybody needs to cut anybody some slack it should be the other way around.

He’ll mature over time.

Best, Joe

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April 20, 2009 by jherzanek | 2 comments

Technology is wonderful—up to a point. The medical and pharmaceutical industries have made huge advances to help those suffering from all sorts of diseases. Most of these advances are genuine lifesavers.

Americans are enjoying longer and higher quality lives—so much so, that we have come to expect many things as normal (diseases cured, symptoms gone and less pain for those suffering the debilitating affects of certain health problems).

Much Too Popular
One class of drugs—opiate painkillers, has become much too popular. These meds will not only relieve physical pain but will also give the user a pleasant euphoric effect at the same time. For a significant and growing number if people this euphoric state of mind is becoming more and more difficult to let go of (similar to the popularity of Valium in the 70′s—which by the way, has been recently increasing as well).

So how and why is this happening? How do pain meds cause even more pain? Let me start by saying that these drugs are very necessary for genuine pain—such as pain experienced after a surgery, broken bones, dental work and more. When used as prescribed, for short periods of time these drugs make life manageable. In some very rare cases they may be appropriate for extended periods of time—especially when a person has a terminal disease. A very small percentage of people fall into this category. Thank God for these medications.

The majority of people who take these medications do not fall in this group. Here is where the problem starts. Rarely does anyone start out to become dependent on opiate pain meds. It happens slowly without being noticed. This is an insidious process. Usually, there comes a time when a person’s physical pain is gone. With regular use of painkilling drugs, the central nervous system has come to expect the drug and the sedative affect it produces—as normal.

Withdrawal
When a person stops using the drug, the body revolts. This is called withdrawal. It’s normal. Much less extreme, but nonetheless similar, a heavy coffee drinker who suddenly quits drinking coffee altogether will experience headaches for a few days. This is because their central nervous system has become accustomed to regular jolts of caffeine throughout the day. Withdrawal from caffeine is usually short-lived and not too difficult. Stopping opiate pain meds is similar, but much, much more intense. The withdrawal symptoms are often very painful—so much so that the person will start to think that their pain is not really gone and they must get and take more pain meds.

A Vicious Cycle
Not only is the body expecting this drug, but a person who is taking pain medication is also building a tolerance to it. Their body is requiring more, sometimes lots more—to feel better. This is a vicious cycle that feeds on itself and only gets worse over time. The person taking theses drugs will also become much more sensitive to all pain—as the normal ability to handle mild pain with over-the-counter medications is now diminished.

I’ve recently watched this problem arise close to home, as a family member needed surgery. He had been regularly taking large amounts of pain meds for back pain. While in the hospital for knee-replacement surgery, he found that he required a much larger dosage of pain meds than a normal person would need. After he was given the maximum safe dosage—excruciating pain still persisted. One feels helpless in these situations.

To ensure that this doesn’t happen, pain meds really should only be used when truly needed. Otherwise, when the time comes that a person genuinely needs them—these pain-relieving drugs may not work at all.

How large is this problem really? In 2007 there were a total of 3.7 billion prescriptions written in the United States. 182 million were for pain meds*! I have double-checked these numbers because I thought they couldn’t be correct. Pain meds are second only to prescriptions written for lowering cholesterol (192 million prescriptions). Anti-depressant prescriptions came in third with 158 million.

If you subtract people aged 21 and under from these numbers—that leaves 230 million adults. According to these calculations, over 15 million people are taking opiate pain medications every day. This is 5% of the entire adult population.

Do all these people need opiate pain medication every day? The only way to know for sure is to quit, go through withdrawal and see how you feel after a few months—drug-free. More and more people are unwilling to go through this process. Today, addiction to opiate pain medications is one of the main reasons people are checking into rehab centers.

So how does one avoid becoming dependant on pain medications? And once a person has become dependant on them, how do they learn to safely quit?

Read more about this topic—chapter 27, Why Don’t They JUST QUIT?

* IMS Health Services (2007 Research Statistics)

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The Internet Review of Books
Julie McGuire
October 2008

Why Don’t They Just Quit: What Family and Friends Need To Know About Addiction and Recovery
By Joe Herzanek

Joe Herzanek, former drug and alcohol abuser, has done more than get treatment for his addictions. Herzanek conquered his demons and has spent his sober life serving others suffering from addiction. He founded the Changing Lives Foundation (www.changinglivesfoundation.org) and has served as a chaplain and counselor at jails and prisons for fifteen years. Herzanek is currently the Chaplain at the Boulder County Jail in Boulder, Colorado.

Why Don’t They JUST QUIT? is more than the typical self-help book. The winner of a Next Generation Indie Book Award, this book is gritty, honest, and full of practical tips, resources, and an Alcohol and Drug Addiction Self Test.

I loved the myriad quotes sprinkled throughout from such diverse individuals as Mother Theresa, Winston Churchill, Mark Twain, Abraham Lincoln, and Herzanek’s own family members. In the foreword, Joe’s wife, Judy, the Creative Manager for the Changing Lives Foundation says, “Joe speaks from firsthand experience, having survived shattered relationships, a life-threatening disease, physical and mental withdrawal, police problems, and raising two teenagers.”

It is the intimate way in which the author shares himself that lends what could be “just another addiction recovery book” a fresh and hopeful voice. I would recommend this for anyone who has been impacted by the effects of addiction.

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This story below was recently sent to us at Changing Lives. We share this candid and powerful account of one woman’s struggle and ultimate healing (with the author’s permission) with hope that it will provide inspiration to others who may be experiencing some of the same struggles. You are not alone.


I Was the Wife of an Alcoholic.

There are so many books out there about alcohol recovery, the addict, what addiction means and what family members are supposed to do. We are led to believe we need to be the addict’s personal cheerleader. Support them thru all the chaos they create in the lives around them.  Pick them up when they fall, as relapse is a part of addiction. They skirt around withdrawal. Maybe because the people writing these books were the ones going thru withdrawal and not seeing it from the perspective of the people actually witnessing the withdrawal.

My question was always “when does he start taking responsibility for his own actions? When does the disappointment stop?” This  tells a real life story about what family members go through on a daily basis living with an addict. I am not skirting around the withdrawal. The havoc it causes in your life. This is the story of my life.

I was the wife of an alcoholic.

I have two amazing children. I feel I am a very straightforward person. I try not to pull any punches- this tends to get me in trouble, as I have been known to hurt people by what comes out of my mouth. I usually remain calm and composed during difficult situations.

My husband could not be depended upon to be there for us. My son once described to me our family- “there is me you and Sarah who live upstairs and there is Dad who chooses to live downstairs”. Profoundly true. We have a dysfunctional family “true by every meaning of dysfunctional.” I have tried my hardest to make things as normal as possible for my children. I feel I have been a good mother. I know things haven’t been smooth sailing with them, but I feel our past has made us stronger people and we will be better people because of it.

My parents are still married. They have been my lifeline. When things were really bad and I knew I needed to get out of my house with the children I went to my parents. I did not have the financial means to get my own place. Without hesitation my father came up with a plan. We will convert the finished downstairs into two bedrooms with a small sitting area. Sarah could have my old bedroom because she only had a year before moving away to college. Within days the renovations started. My parents are both strong, opinionated people. My dad is the “take control of the situation” type person. My mom thinks nothing of helping with whatever needs to be done.

Sarah is my eighteen-year-old daughter. She has been an adult since she was a child. She loves to have fun and when you hear her laugh it brings a smile to your face. She doesn’t show her emotions. She is straightforward. Sarah loves life-she loves to try new things, she loves to be original and is truly comfortable with her uniqueness.

I have a sixteen-year-old son Greg. He too is old beyond his years. Prior to all the chaos in our lives, Greg would smile and laugh all the time. He loved to be hugged and give hugs. That all changed-partly because of the family situation and partly because of his age. Looking at him, he has this tough exterior. He is quiet and usually only talks when he is being talked to or needs something. He is such an observant kid. He takes everything in. He too is straightforward and always feels the need to protect himself from being hurt.

And so it began–

I met my husband when we were freshman in high school. We became friends. I was a cheerleader, he was a football player. When we were juniors in high school we started dating. I remember it like it was yesterday. I was cheering at a basketball game. He came to the game. At half time we were walking down the hallway, he put his arm around my shoulder and asked me to go to the party after the game with him. I should have seen it. He was drunk but we were in high school and everyone was drinking.

Fast-forward nineteen years- (more detail later)

July 28th, 2007

Hospital Stay #3: I was only out of the house for two weeks. My phone rings at 6:30AM. It was my husband. “Kim, I need you to come to the house. I’m sick and need to go to the hospital.” I tell him I’ll be right up. I arrived within minutes of his call. He was sitting in his recliner, smiling at me. I ask him what’s wrong, as if I don’t already know. He said with the faint smell of alcohol on his breath “I just need you to give me a ride to the bathroom.” I know this isn’t good. I am not a nurse or a doctor but I’ve been here before-he has encephalopathy again. I know that ammonia is going to his brain causing this confusion. I asked him if he called the ambulance yet, he said, “No I was waiting for you.”

Seconds later there is a knock on the door. The paramedics have arrived. I didn’t call them, they told me my husband did. (This has been a constant in my life these past few months. Asking him questions, getting a response from him, but never knowing whether or not to trust the answer that comes from his mouth.) He wanted to change his clothes before he went in the ambulance as he told them “I soiled myself a little”. The paramedics told him he was fine and were taking his vitals. I needed to walk out of the house. I was so angry. One of the paramedics came outside with me to ask some medical questions. They smelled the alcohol on him too. I just shook my head. My thought of “My God Greg you knew if you drank again you were going to die. Why???” I knew what we were all in for. I called his parents. I was crying and telling them that I had the ambulance at the house and their son needed to go to the hospital. I told them that this is exactly what I did not want to be doing, that I could not do this anymore. They reassured me they would meet me at the hospital. They lived twenty minutes from the hospital. Two and a half hours later they arrived. Of course, my own mother knew what was going on and immediately met me at the hospital. She walked into the ER room that my husband was in, talked to him like he was going to be OK. Thoughts of “Am I insane? Am I seeing something that nobody else is? Am I exaggerating his medical condition and what the GI doctor told me- if he drinks again he would die? My mom walked out in tears. She never showed him those tears; she wanted him to have hope.

I needed to leave the ER as I had a second job I needed to go to. I know this may sound cold of me to leave him alone, at the hospital; waiting for his parents to arrive but mine was the only income. I was responsible for the mortgage, utilities, food etc. I had no choice but to go to work. I was the responsible one. I had two teenage children to care for.

I just pulled into the parking lot for my job when, my husband’s GI doctor was calling my cell phone. He said, “Kim, I know we just worked really closely on your husband’s case a few weeks ago, but his parents are telling me that you are estranged and they will be making all the medical decisions.” I explained to him that I moved out two weeks ago, however, I was still his wife, knew what my husband wanted and that I would in fact be making any and all medical decisions if my husband could not. He asked me to please come to the hospital as soon as possible. I ran inside Bed Bath and Beyond where I worked, found my manager, trying to hold back my tears I explained to her that my husband was in ICU, and I needed to go to the hospital immediately and would be unable to work my shift. I told her I would call later as I didn’t know what the week would hold for me. Running out of the store and to my car my thoughts were “Damn you Greg! I can’t believe you are doing this to us again!”

So now I’m feeling anger at him, anger at his parents, fear for what’s ahead. It’s always been a feeling like getting punched hard in the stomach when you’re not looking. On the ride to the hospital, I played it out in my head, what I would say to his parents, what I would do, how I needed to keep composure. Falling apart was not a part of the plan.

By the time I arrived at the intensive care unit, the nurses were already giving him a blood transfusion. His parents were sitting in the waiting area. I stopped briefly, and calmly told them I knew that they told the doctor that I was the estranged wife and that they would be making the medical decisions. I told them that I have lived with their son for the past nineteen years, and lived the hell of his addiction. I told them that I was still his wife, I would include them in on any medical decisions that needed to be made, however my decision would be the final one. They of course, denied ever saying that to the doctor. My thought was “let it slide, Kim- just take a deep breath and let it slide.” The reality of it all was I knew my husband was dying; I didn’t need a doctor to come out and speak those words. I knew in my heart, that my in-laws could not make the tough decisions that were ahead. And I was his wife; it was my responsibility to make those decisions.

I met with the GI doctor. Based on my husband’s blood levels, he felt he was bleeding internally, and wanted to perform an endoscopy to see if there was varicies. I signed the consent for it, because my husband was incapable of signing. The doctor also informed me that he would like to wait until the next morning to do it, however, if things got worse today he might need to do it on an emergency basis.

I needed to go home and tell my two children what was happening. They were numb to what I was telling them. You tend to feel emotionless when you’ve been thru this enough times. How many times can you hear “you need to be prepared, your father probably won’t make it thru this time.” I have always been honest with my children about their father’s disease. I knew it was so important for them to be able to trust me with this, to know I was always going to be straight forward no matter what the outcome may be. This was one of the best decisions I have ever made.

My daughter was accepting of it. She was angry but wanted to see her father. It’s been a crazy year for her. Between her father going in and out of the hospital, leaving for rehab on her birthday, in June she left for an economics leadership program, she was home for a week, she spent a week at my brothers house taking care of his animals while they were on vacation and then she left for Washington DC to volunteer at the Hugh O’Brien World Leadership Congress. She arrived back home late on July 28th. On July 29th her father was admitted to the hospital and she hadn’t seen him in weeks. She was exhausted to say the least.  Another emotional roller coaster for her.

Can you imagine going from a World Leadership Congress with 400 plus teenagers from all over the World who excel in academics, leadership and volunteerism, a place where when you walk into a room with these teenagers you can’t help but feel their enthusiasm for life, their positive spirit and feel through your entire body the energy that radiates from them to a place where death is imminent? All I can say is she is a remarkable person.

My son was angry.  He told me he was not going to see his father at the hospital. I respected his decision. My family did not understand my acceptance of his decision. You see, they didn’t live in our house; they didn’t experience the day-to-day chaos that the alcohol brought into our lives. You need to experience it to truly understand it. I was told “he will regret this the rest of his life if you don’t make him go see his father.” I knew my son. I knew he absolutely needed to feel he controlled his own decisions. I was truly fine with his decision. In a lot of ways I envied him.

It’s funny now, how really “in control” I was during this time. I guess I had been preparing myself for years. During the last week of my husband’s life, I stayed calmly in control. I listened to people’s opinion; I saw their concern, their hurt, and their tears. I was able to take it all in and feel for them, be there for them. I was able to talk to doctors rationally about their expectations, plans, and reasoning’s behind certain tests. I amazed myself. I believe so much of this was due to me making a promise to myself and my family to do everything possible to help my husband with his addiction. I knew that this day would come and I was going to need to say “you have done all you could for him, it was in his hands and Gods hands.” As this promise came into play, I shared it with my children- always using the words “we are” or “we will”. Always letting them know I would be truthful with them. In the end, they too, were able to feel “we” did all we could for him. There was no guilt attached. What a good feeling.

There are a few parts of this that remain foggy to me. This next part is one of them.

My brothers and their wives arrived at the house. I sat downstairs with them, explained to them what was happening with my husband and we all held each other and cried together.

During this time, my father was walking around on crutches. He badly needed to get his hip replaced and was in agony from the pain. My father was angry with my husband for all he put us through. He had a difficult time accepting that my husband couldn’t just stop drinking. He made a lot of excuses for not going to the hospital to see him. My mom is a very forgiving person, and while her son-in-law hurt her daughter and grandchildren, she completely understood the disease and forgave him.

I went back to the hospital. I know I said I would not do the hospital scene ever again. But the truth was, I still loved this man. I hated the alcoholic but loved the man. I realized I was finally able to separate the two. He was going downhill fast. Blood transfusions had been running throughout the day, he still had brain confusion when he was awake.

My family (minus my father) arrived shortly after. (My father did eventually come up to the hospital and then we couldn’t get him to leave).

I remember walking into my husband’s hospital room with my twin brother and standing by him. His anger now gone. His compassion, immeasurable. He walked over and kissed his friend (my husband) on the forehead. My husband opened his eyes and smiled. I remember my brother walking out of the room, tears running down his face, and I hugged him. He has felt that blinded punch in the stomach that I have lived with for so long. As I write this, I have tears running down my cheeks. It is like opening newly healed wounds

Monday July 29th:

It’s early Monday morning and there is some confusion as to whether or not the endoscopy will be done. The resident doctor comes out to speak to me. We talk about a DNR. We talk about the expected outcome, it’s grim. I am confident with my answer to the DNR. I know, without a doubt, a DNR order needs to be in place. This is something my husband and I talked about in depth.

The doctor covering for our primary care physician arrives. We sit on the couch of the waiting room in the ICU. It’s eerily quiet. We talk about the lab results, the blood transfusion, and the encephalopathy. He explains to me what to anticipate. I told him I signed a DNR order. He said it was a good decision. I remember looking him straight in the eyes, hoping for an honest answer. I asked him, “When will I know it’s time to stop everything?” He said, “You will know that it is time when the blood transfusions are being hung one after another after another. When you see that he has had three or four transfusions and nothing has improved it will be time to consider stopping all help.

At this point all we will be doing is playing games with numbers. One transfusion brings the lab levels up only to drop again and another transfusion is given to bring numbers up again. Follow your heart, you will know.”

My husband’s GI doctor arrives. He sits and talks briefly to me. He said, “I understand there is some confusion as to whether you want this test done.” His GI doctor is all business. Bedside manner could be better, but he is the best in his field. So I ask him, “Why are we doing the endoscopy if there is little chance of him pulling thru this?” He said, “Kim, you brought him to a hospital, at a hospital we do what we can to give the patient a chance. I am not saying this will help anything but if there are varicies and we can clip them so they stop bleeding, maybe it will help. If you didn’t want to take these chances then you should have gone to hospice.”

I thought he was fair with his answer. I didn’t need him babying me with words. Short and sweet and to the point. Perfect for me. I said go ahead do the test.

The endoscopy was done right inside the ICU room. I remember my parents, my twin brother, and my best friend being there. (It seems like my best friend NEVER left my side during this week). It seemed like an eternity before the doctor came out. But he came out and called me over to the side away from everyone. I remember seeing his face how pale it was for a doctor, so I listened to him and looked down at his clogged feet. He told me to prepare myself for the worst; my husband was in congestive heart failure. My husband had minimal varices. That was good right? Wrong- Instead, the doctor explained to me that my husband’s entire GI tract was oozing blood. It was described as “kinda like when you scrape your knee and it just keeps oozing and stings.”

The doctor told me he put an oxygen mask on my husband to try to help him breathe a little easier, and I should go in and be with him. I called the family over and explained to them what was explained to me. I then walked into my husband’s room totally unprepared for what I was about to see. The hospital staff had my husband propped sitting straight up; his eyes were bulging as he was gasping for air. There was blood everywhere. On his face, on his Johnny coat, on the sheets. He then began to make a God-awful noise. It was loud, so very loud. I didn’t know what to do. He was looking at me with his bulging eyes looking for me to help him. I wanted to run. I needed to get out of that room. I am a strong person but I was not prepared for this.

I can’t tell you how many times I walked quickly away to the door leading to the hallway- the hallway where I could escape and not see that image any longer. At that moment I knew what it was like to be insane. I would walk away only to tell myself I couldn’t leave him alone like that, alone and scared. I think by the fourth time I just had to leave. The nurse actually came in and told me to leave she wanted to clean him up. She did this to save me from making the decision. I remember just barely being able to walk out of his room, my energy completely drained from my body.

Everyone was standing there wanting to know how he was, I couldn’t speak. Instead I let my knees give out and I slid down the wall in a crouched position, my hands covering my eyes, and I sobbed uncontrollably. While this was happening, his moaning increased in volume and everyone in the waiting area could hear him. I didn’t need to say anything else. They all cried along with me. I would not allow anyone to go in to see him like that, I wanted him cleaned up. I knew that vision was going to haunt me the rest of my life. No need for anyone else to experience it.

It was an extremely long day of not knowing what was going to happen. My husband was not going to pull through this time. I called both of the kids and told them that I did not think their father was going to live much longer. Throughout the afternoon we all went in to say our good byes. At one point both families had encircled his bed and you could feel the love for him in the room. I remember holding his hand and telling him that it was okay to let go. I was trying to give him permission to die. We stood around and cried, and hugged one another and tried to console each other. I didn’t care who was in the room; he needed to know it was time to let go. I never thought I would actually know that he was dying. I always said he was going to die from the alcohol, I didn’t know that I would actually know when but I could feel it in every fiber of my being that my husband was going to die. I knew what I needed. I needed to turn back time and find a way to change the outcome of my husband’s addiction. That wasn’t going to happen.

Everyone was trying to support me the only way they knew how. You need to remember this was a new experience for all of us. No one planned on my husband dying at the age of 42.

During this stressful day, I took a few minutes to call my divorce attorney. I told her my husband was in the hospital and was not going to pull through this time. I needed to stop the proceedings. She didn’t really know what to say, so she told me she was there for me-anything I needed just call. When I look back at this, I wonder why I made this call from the hospital.

Later in the afternoon, my son called me. Mom I’m coming up. I’m not staying more than twenty minutes. I told him “whatever you want to do.” He was walking to the hospital. Everyone offered to give him a ride, but I know my son, walking is a kind of therapy; he can collect his thoughts and feelings. I called him back to see if he knew where to go, he didn’t so I met him at the elevators. He was so angry. But I know he came for me. We sat at the furthest waiting area, and we talked. I told him what was happening with his dad. He didn’t want to go in to see him. He told me he was leaving.

July 30th:

It’s now Tuesday morning. I arrive at the ICU room at approximately 630am

Slowly, the last day, he slipped in and out of consciousness.  When he was awake he kept asking for water. WATER

WAAAAAAAAAAAAAAAATER.

At some point on this day, the hospital social worker stopped by to see me. This is the same social worker that walked out on me when my husband was standing over me with his fist, the same social worker that told me I was speaking out of anger and would not get inpatient rehab the first time around. She came up to me and told me she was there for me and whatever I needed she would be there for me. I said thanks and walked away shaking my head laughing. Now she wants to help me? Now when there was no hope left. What help could she possibly be? I didn’t need a friend or support- I had my family.

On August 4, 2007 my husband passed away, quietly in his sleep. The death certificate read heart failure. The reality was his death was caused from alcohol dependency.

My daughter just recently graduated from high school.I am so proud of all that she has accomplished. Throughout the year after her father died, she maintained her high honor status, graduating as Valedictorian of her class. She was involved with HOBY, National Honor Society, Spanish Honor Society, United Way- to name a few. She will be leaving in August for The George Washington University.  She is looking forward to moving away and starting fresh. I can’t say I blame her. I just hope she isn’t trying to run away from memories.

My son is still struggling thru high school. He is such a smart kid, but lacks the motivation to use what he has. I see a more relaxed kid, someone who talks to me instead of yelling at me. I see him smiling a little more and every now and then I even get a semi- hug. To me this is huge. I still see a very protective teenager with his “walls up”- always ready to never let anyone hurt him again.

As for me- I struggle every single day. I have a difficult time trusting people. I don’t let people in easily. My philosophy on this is if people aren’t in your life they can’t hurt you. It’s hard to even let family members in. I don’t want them feeling sorry for me. I close my eyes and see the last week of my husband’s life. Sometimes it will be a vision of him after his endoscopy when he was in congestive heart failure, sitting straight up in his bed with an oxygen mask on his face, eyes bulging, and blood all over him AND HIS BED another time it may be him prior to his final hospital stay, bloated to the point where fluid was leaking thru his skin and running down his legs. He would take a sanitary napkin and put it inside his sock to soak up the fluid so it didn’t drench his sock. These are two memories that haunt me. This is what the other books don’t tell you. The insanity of living with an alcoholic.

It’s funny how the people around you judge you when they don’t know what’s going on in your life and then feels the need to feel sorry for you when they realize the hell you’ve been thru. I remember people I went to school with my entire life, making statements behind my back about my lack of participation in my children’s school events, sports, meetings etc. during the past year. It really hurt but in the grand scheme of things it just didn’t matter at the time. If they only knew the insanity in my life, my kids life, if they only knew I had all I could do to keep things together for the kids and myself.

I’ve learned a very important lesson thru all of this and that is not to judge people. When you think that someone is snubbing you off stop and think that maybe they have something going on in their own lives that they aren’t ready to share.” Walk away with a smile because if they are snubbing you off your smile will be an indication that it’s not really bothering you, and if they have something going on that smile may just brighten their day a little even if they don’t show it.

After my husband died, I began to hate these two simple phrases; “so how are you doing?? ” and “how are you?” The walls go immediately up. What I really want to say is “how the hell do you think I’m doing– I lost my husband, my house, my life”– but I realize that would be my anger being thrown at people who simply are just asking a question of concern. So I simply smile and say, “I’m fine”.

My life has been forever changed. But I am moving forward. I am currently enrolled in college. I am working toward obtaining a BS degree in psychology. My goal is to become a Substance Abuse and Behavioral Disorder Counselor.

What you read above, is a small section of the book I am in the process of writing. It is a slow process–mainly because it becomes too painful to write at times. But I have a goal to finish it.

I want other people to know they are not alone.

(I can be contacted at: kmtimp1@yahoo.com)

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After speaking to and emailing hundreds of parents, spouses and other family members, I know this is a lot easier said, than done. Raising the bottom is especially difficult for mothers and is one of the reasons I wrote the book Why Don’t They JUST QUIT? — to get the message to as many as possible.

Exactly what do I mean by”raising the bottom”? This whole idea of “hitting bottom” is out of date. Some people will wait years–even decades–for their friend to reach this mythical point in their alcohol and drug use. But why wait for them to “hit bottom”? Why not help them by raising their bottom? There are ways to encourage someone to reach for help much earlier. In doing so, we can avoid a lot of unnecessary pain and heartache and maybe even save their life. For some people, hitting bottom will be six feet underground.

So does everyone have to hit rock bottom? I would say no. Tough love can prevent a substance abuser from prolonging their usage. There are loving ways to refuse to rescue someone that in the long run will help him or her to choose recovery. Loving means doing the right thing to help. This can take all of our strength and energy at times. “We all hate to see someone suffer”even when the suffering is a consequence of their bad choices. This approach, or some form of it, is something you might consider: Raise the bottom. Whether it is a teenage son or daughter, a spouse, boyfriend, aunt or uncle, the same principles can apply. A few nights in jail could be the best thing that ever happens to them. The next time this person you care about appeals to you to get them out of a bind (loan them money, pay their electric bill, buy them gas, pay for a lawyer), think twice. You just might be prolonging their disease and robbing them of the natural consequences that they need to experience in order to seek help and begin to connect the dots.

I receive a lot of mail from family members who are searching for “Al-anon type” answers and information. Here’s a typical email and my response (I’ve changed the name and some of the details to protect the identity of this woman).

Dear Joe,
I have just ordered Why Don’t They JUST QUIT? as my last resort to get off the emotional rollercoaster my alcoholic husband has put me on! He has been an alcoholic since he was a teenager. It’s like living with Jekyl & Hyde! The physical & emotional rollercoaster is killing me. He has been incarcerated about 4 times and was in many different programs for alcohol, at least 5 or 6. He drives while drinking, and gambles when he drinks. I could go on forever. I constantly walk on eggshells and don’t know how much more I can handle. This book is my last resort before I suffer a mental breakdown.

Thanks Joe,
Sarah

Hi Sarah,
Thanks for your email. Sorry to hear about your current struggle. Your life does not have to be this way! The book will definitely help and give you some insights on the addiction problem. The difficult part will be sticking with the tough love that is necessary to motivate your husband to begin recovery. You can do it and so can he.

I don’t know your entire situation, but the number one issue must be dealt with, and that is HIS alcohol and or drug use.

Keep that in mind. You didn’t cause this problem and you can’t control or cure it. What you can do is confront it and perhaps give ultimatums. You can force him to see the light or feel the heat.

At some point he needs to choose which relationship is the most important–his relationship with you or his relationship with alcohol. Let him know there is a high cost to continue his current way of living. The pain of consequences is often the best teacher.

Hang in there.
Joe

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