Category Archives: How I Did It
Like many busy moms, my wine habit began with a glass of wine to help me fall asleep at night. It helped smooth the edges off the one part of my day I dreaded: laying in bed, alone with my thoughts. I have written about this in several other posts, and spoken of it often on The Bubble Hour podcast.
Stillness was my enemy, because old memories would jab my brain until shame and regret became an unending loop. Eyes open or closed, I couldn’t look away: a teacher embarrassing me in elementary, the terrible way I sometimes treated my friends in high school. Inexplicable moments of scattered promiscuity, cruelty, apathy, or weakness. Shitty mom moments of being short tempered with my kids. Instances of insensitivity towards employees because I was overwhelmed myself. I never knew what old gem would come floating back if I laid my head on the pillow but it hardly mattered. They all affected me the same way – bringing tears and eventually long silent sobs into my pillow that I hoped my husband wouldn’t hear.
I drank to skip that. I drank to fall asleep the moment BEFORE my head hit the pillow, to avoid the torture of looking inward. I’d been raised to pray before I slept, to take a quiet moment to reflect and give thanks or ask for help to do better. Over time this morphed into self-loathing, until I no longer felt worthy of involving God in the conversation. The more I drank to avoid my inner landscape, the more I had to hate about myself. It was a vicious circle.
Navigating these thought patterns was daunting without a numbing agent, but I had no choice once I left alcohol behind. I’ve talked myself through it, revisited my old rItaly of prayer, and when all else fails I just allow myself to cry.
Thanks to a friend, I’ve learned a new technique that is proving to be the most effective tool yet for banishing those ruminating thoughts.
Memories, it turns out, are neither all that reliable nor accurate. Every time we yank one out of long-term storage, it is momentarily vulnerable to change. Plastic, if you will. So if we retrieve it in a moment of sadness or self-loathing, it will be affected by that perspective and highlighted or tweaked to conform. Likewise, it can also be altered in a more positive way.
My friend shared that her therapist had been helping her rewrite a traumatic memory from her childhood by imagining what characters she needed there with her in that moment – a protector, a nurturer, a companion. She learned to pause the story and bring in those characters, to change the outcome into a happier ending. If it’s all in her head anyway, what’s the difference? If she was remembering an inherently inaccurate version anyway that was painful, why not invent a better, safer version?
This is the basis of memory modification, and here’s how I’ve adapted it for myself. Now if I find myself fixating on an old memory that’s painful, I pause it like a photograph. Then I step into the memory as I am today, taking the form of my highest self – the nurturer, the grandmother, the mom, the wiser, kinder me. I step forward into the thought and face the old me in the memory, coming between she and the other person in the frame (and there’s always another person involved, it seems). I wrap a favourite blanket around the younger me’s shoulders, and I pull her close in a warm, strong hug. In that instant, I can feel in my chest everything that I had been needing in that moment (assurance, affection, acceptance, love, forgiveness) and I am able to transfer that very thing from me to her. I tell her she is safe, that everything will be okay.
Then I take her out of that moment and tuck her into the passenger seat of my car, still wrapped in the blanket. I drive her through Starbucks and buy her anything she wants, and we head for the mountains – then me and now me like the closet of friends. It’s a beautiful drive. She feels calm and safe in my presence. We arrive at our cabin, the stuning mountain home she doesn’t know she will one day own, and I usher her inside. There at a large dining table are three handsome young men playing a board game, laughing together. These are your sons. A blonde, fun-looking grandpa with two little boys. This is your husband and grandchildren. Three radiant young women: your daughters in law.
This is your family. This is your future. All this happiness awaits you. You are safe here. Stay and play.
Its amazing how this process deflates the negativity out of old memories. If the thought returns, I can say, It’s okay, she’s safe at the cabin having fun with the people who love her. She found what she was looking for. If a new memory surfaces, I know what to do: blanket, hug, Starbucks, cabin, future family. It works every time.
I’m not a therapist, I don’t pretend to be, but I hope my version of memory modification sparks your curiosity – especially if you are haunted by your past. Think of it like a photograph, one you keep pulling out to reexamine. It’s time to take a felt marker and draw a moustache, a bluebird, a rainbow. It’s time to stop carrying that photo in your wallet and cut it into a snowflake.
You are that powerful, that creative….that free to change.
I’m cranking out today’s post from my iPhone. You might wonder why, with my laptop and iPad right here beside me, I chose to make things harder than necessary and my answer is BOREDOM.
So let the good times roll, I’m living it up here! Not only posting from my phone but once again only with the use of my right thumb since my left hand is in a splint.
Today I managed to unfurl my yoga mat and do a few cautious stretches, even with the broken leg, which felt wonderful. Then we wrapped my cast with a garbage bag so I could shower (I’ve been having “bird baths” all week at the sink). My husband’s “McGuyver” abilities came in handy. He set up a thoughtful system of seat, leg rest and handsprayer so that I could actually relax and take my time. It was glorious. I kept thinking of Survivor, when contestants win a shower as a reward after weeks of wearing the same clothes.
Here is an actual conversation I had with my husband yesterday, which was romantic in a “28 years of marriage” way:
Me: Hey I have to ask you something. (Long pause) Do I stink?
Him: No, not that I’ve noticed.
Me: (another pause) Would you tell me if I did?
Him: I would.
He said it so kindly that I swooned a little.
Me: You’re the sweetest.
Yoga, showers and tender moments aside, it’s been a quiet day. My leg aches. I read a lot. We are at the ski hill because the layout is easier for me to manage, but — and it’s a BIG BUT — there’s no tv. Just ancient DVDs and very slow wifi.
I’m full of gratitude because my husband is so helpful with fetching me things and reminding me my job is to rest while I heal. So technically I’m a workaholic here by laying with my foot up, reading for endless hours.
I’m glad I’m sober for this ordeal. Not only because, Hello?! Drunk on crutches?!! But also because have an alcohol-free life is a bonus for healing.
So my friends, my thumb must now return to flipping the pages of “The Flood Girls” by Richard Fifield, who is a person in recovery and sobriety is prominent in this funny book.
Reading and resting. Work, work, work!
While I am not a mental health professional, it feels like I’ve spent as much on therapy as a psychologist spends on education. To stretch the value for dollar, I like to tell others about some of the great strategies and lessons I’ve learned from my therapist – kind of like buying an album and making cassette copies for your friends. And truthfully, I am often so excited by how helpful the process is that I want to share it with others.
Sobriety is about not drinking, but recovery is about changing ourselves from within so that we can enjoy life without constantly feeling the need to numb out. I got sober on my own, but I am recovering with a lot of help.
Recently my therapist did some work with me around “Internal Family Systems”, which is a process developed in the 1990s by Richard Schwartz. It is an evidence-based practice that considers all the ways an individual can fragment into different parts of the self (think about how are you in different situations, how distinct aspects of yourself are more to the forefront at work, with family, in tense situations, at play, and so on).
First, my counsellor assigned me some homework: to list out all of the distinct part of myself. I filled an entire page! Even though I had never given much thought to them, I could quickly give names to distinct roles: The Critic, The Child, The Bad Me, The Entertainer, The Teacher, The Boss, The Mother and several more. The page filled so quickly that I re-wrote it in a new format, with my own notes of whether the parts were “good” or “bad”.
When we went through the list in session, the first thing I learned is that none of these aspects should be seen as bad. All of these parts emerge for a reason, to do a job. Maybe “The Bad Me” had done bad things, but her purpose was to protect and comfort me using any means necessary. When I feel scared, I might act in some immature ways, because The Child is the only part of me who is allowed to cry. The thing to understand is that it can be helpful to have all these aspects of ourselves, but they should be managed by what Schwartz calls the Self (I like to think of it as my Highest Self).
The Entertainer in me can charm a crowd and work the room because I created that part to overcome some natural shyness that wanted to hide in a corner. When I made the list, I identified this part as half bad because it feels fake when I am in The Entertainer role. Now I understand that it is not bad or fake, it is a useful tool. The key is to choose when to use a part and not be led by them, especially in extreme ways. It is good to have a little cry and allow myself to feel like The Child, as long as I don’t throw a tantrum in the grocery store. It’s fine to be The Entertainer in some settings, as long as it is by choice and appropriate.
We can think of that addictive voice in our head the same way, as a part that emerged out of a situation and is trying to be useful. It truly believes that alcohol is necessary for our survival and works hard to convince us that drinking would be the correct response to a situation. I have learned that the goal is to spend the majority of our time the High Self role, to call on our parts if necessary and to relieve them of their duties if they emerge unexpectedly and want to run wild.
A good example of this would be the old patterns we can fall into with our family of origin. Funny how we can find ourselves behaving in ways around our parents and siblings that are so different from how we conduct ourselves as adults in the world. We slip into those darn old parts without even realising it, until we hear ourselves whinging or arguing or feeling wounded and wonder “What the hell just happened here? How do these people push my buttons so easily?” It isn’t them pushing our buttons, it is us following some well-worn neurological pathways, like emotional muscle-memory. The part can be trance-like.
My therapist suggested when I feel myself being a part, I should pause to consider if that role is necessary under the circumstance or if I am just following an old habit. When I am in the closet changing my clothes for the 8th time because nothing seems like the right thing, I can pause and say, “Hey Critic, thanks for showing up. I know you are worried about me going to that event today so you are trying to trying to be helpful by telling me everything I put on looks terrible. I have this under control so I need you to be quiet now. I promise I will take good care of myself so you don’t have to worry.”
Other internal conversations for me sound like this: “Hi Martyr, you are getting very upset about how other people are treating me. I appreciate you are feeling threatened but I am going to be protecting my boundaries so you don’t have to. Thanks, I am taking over now.”
“I am talking so much right now and sitting up straighter than normal, I am in my Entertainer part. That feels okay for now, seems like the right thing to be.”
“I can’t stop thinking about drinking today, my Addicted part is on high alert looking for ways to comfort me today. What is really bothering me? Hey Addict, I know you want me to feel better right now so I am going to take over and book myself a massage. How does that sound?”
The goal is to spend the majority of our lives in our Highest Self, and take charge of the parts as manageable tools.
I hope this explanation does justice to the theory. It is my layman’s perspective of a process that has been very insights and helpful to my recovery.
Mull it over and give some thought to your parts. How would it feel to be in charge of them all instead of a step behind? Does the prospect comfort or frighten you?
When the idea to quit drinking started sprouting in my pickled brain, I kept thinking What else IS there? What did I even DO every night before I became a daily drinker? What will I ever look forward to if I can’t drink? How will I relax, celebrate, or pass the time?
I understood that one purpose of recovery meetings is to fill the time previously spent drinking with other activity so, borrowing that concept, when I took the plunge into sobriety I knew I had to shake up my routine. Considering the extent of obsession with alcohol in addiction, it is not surprising that new behaviours took on an addictive-like pattern as well. That’s okay though, because they were easing me out of old ways and replacing them with better alternatives.
Here are some of the most helpful ones that seem to have stuck throughout this journey and continue to have positive effects:
- Blogging – On that precious first day, I decided I’d chronicle my experience in a blog (even though I had never read a blog before and wasn’t entirely sure how it worked). Setting it up was time consuming (good distraction), choosing the layout was creative and fun (hurray for creative fun!), and then finally hitting “post” was a leap of faith. Getting that first comment notification might as well have been fireworks, because my joy was that big. I told the truth and someone responded “me, too!” I started searching other sober bloggers – how exciting that lots of people out there are telling their truth! – and our comments became exchanges of encouragement, knowledge, and hope. Here we are more than years years later and this process continues to be a great tool for recovery. Consider giving it a whirl!
- Sugar – There are two benefits of using sugar as a tool in early recovery. One is that sugar can negate alcohol cravings by triggering the same pleasure/reward circuitry of the brain, so having a few sweets can help get you through the witching hour. (I kept a bucket of “Dibs” in the freezer, and popped one in my mouth whenever the cravings felt overwhelming.) The other thing sugar can help with is to shift your taste buds away from thoughts of alcohol. Since most alcoholic beverages pair better with savouries, it is more likely that eating cheese or nuts will make you long for a companion beverage than if you eat something sugary (even fruit – I sucked on orange slices constantly for the first few weeks). I now try to limit sugar, but in early recovery it was an enormous help. It is still helpful in some situations, for example if we go out to dinner and I feel surrounded by temptation to drink, I will allow myself cappuccino and dessert at the end of the meal as both a reward and an exercise in delayed gratification.
- Walking and Podcasts – When I think of the first year of recovery, my strongest memory is of walking while listening to recovery podcasts. I walked before work. I walked after work. I walked after dinner. And I listened constantly to the voices of other people in recovery who were just like me, or not at all like me but still somehow telling my story. It soothes my soul and opened my heart and mind to new ways of thinking. It cleared my head and then filled it back up with better thoughts and new ideas. It made me challenge the things I considered “normal” and gave me pause. When I get this cast off my leg, going for a walk in the sunshine is the first order of business!
- Coffee and Tea – One thing I missed about drinking was all of the ritual – the choosing, opening, pouring, holding, yadayadayada. So I channelled some of that energy into coffee and tea. For me, it was evenings at home where I did my problematic drinking, so after dinner I would choose a lovely mug and a fragrant herbal tea (preferable one that promised to promote sleep) and suck back three or four mugs of the stuff through gritted teeth. Eventually I came to like it and now I can’t imagine an evening without my Sleepy Time tea. As a final “nightcap” I would set up the coffeemaker for morning, synchronising the timer with my morning alarm so that I would awake to the smell of a freshly brewed pot – the reward for making it to one more day alcohol free.
- Online Recovery Groups – (see my Resources page) – My online groups were my lifeline for a long time and continue to play an important role in my recovery. It gave me a place to share small victories with people who understood, ask questions, vent, help others (one of the best things you can do to stay sober is help someone else do it, too!), and post pictures of the my kooky habits like matching my travel mug to my outfit.
- Cleaning – With too much time on my (wineglass-free) hands in the evenings, I busied myself with housework. I had a cleaning company come to our house weekly until then, but with all that energy to burn I found that I no longer needed to have extra help with my chores. It felt good to look after things myself and putting my home in order was therapeutic. I listened to podcasts while I buzzed around the house, feeling productive and positive. (Sadly, this broken foot means I will be hiring a cleaner again for a few months. I am sure I will love the luxury of it once I have it back in my life again.)
- Beads – Some women from my online support group were getting together for meetup and I decided to bring a big bucket of beads so we could all make bracelets while we visited through the weekend. It was a hit and we all took home treasures that will forever remind us of a special gathering. I was left with the remaining supplies and an obsession with using them up. I couldn’t stop – it was so fun! I had forgotten the simple pleasure of making something to give away. If this is too girlie for you, stop by the craft store to see if something sparks your interest – paints, metals, or those intricate colouring books that cause you to accidentally meditate.
- Sudoku – Speaking of accidental meditation, that’s what seems to happen when I do Sudoku puzzles. I started doing these at bedtime (with my tea) to shush the voices in my head and force me to focus on something meaningless. It quiets my mind and shifts me into sleepiness quicker than any alcohol ever could. I have advanced to a pretty fierce puzzler (if there can be such a thing), so much so that my husband bought me a thick book of strategies as a Christmas gift and I didn’t hit him with it.
- Essential Oil – Er ma gerd! Oils are crazily addictive in a good way. I think there is a part of me that will always look for that “fix” to change how I feel, and oils are full of promises. I diffuse orange and grapefruit in my office while I work and clarey sage by my bed (while I drink tea and do puzzles before konking out), make custom rollerball blends for everything from skin irritations to immune boosters to headaches. Just fussing with them relaxes me and look at the fun rainbow of little bottles. Who could resist?
- Yoga – For a long time I rather prided myself on my disdain for yoga because it reflected my busy-ness, which reflected my importance, which validated my worth. Nothing sounded more agonising to me than slowing down and being alone with my thoughts. I worked hard to avoid that very situation and when I couldn’t avoid it I drank it away. I stumbled into yoga by attending a retreat for women in recovery and was surprised by how soothing and enjoyable it was to be led through every breath and movement by someone else’s voice. It was the opposite of agony – it was deeply calming and safe. It was also surprising challenging and I do so like a challenge. Now I go to yoga several times a week (and will return as soon as my broken foot is healed!) and I can’t imagine my life without this regular treat. I used to run to help burn my energy and keep me in shape, but yoga has improved my body in ways that running never could (more arm definition, a stronger core and more flexibility). The studio I go to has people of all ages, sizes, and abilities – there is no push to perfection – just progress. Sound familiar?
Have you tried any of these things and were they effective for you? What helpful habits helped you break up with booze? Can you feel your tendencies for addictive behaviour spark with these things, and do you find that to be a good thing? I look forward to your insights!
If you vowed to give up drinking as your New Year’s resolution, you are not alone. It is a great decision, wherever you find yourself in relation to alcohol. There is no magic level of “bad enough” required to choose sobriety, it is more a matter of being “ready” for a better way of life.
I felt conflicted when I gave up alcohol. I was scared by the strain of daily cravings, yet my drinking did not seem to interfere with my work or family responsibilities. I assumed (wrongly) that giving up alcohol was something people only did as a result of some dire consequence; if I could hide an addiction maybe it wasn’t so bad. Still, I was drinking more despite resolving regularly to drink less; the pattern was swiftly gaining momentum. I didn’t want to lose my license, wet the bed or pull my skirt over my head at a family wedding. The idea to quit while I was ahead was an epiphany.
Looking back now, I can’t believe I carried such a burden. Booze was a total nag, always demanding my attention and distracting me from everything. It took constant calculation to watch the clock, balance my intake, pace things just right, have enough on hand, and make excuses for the daily disappointment in myself.
If you are contemplating a change, I say this: Decide right now that you want things to be different, and then go after the life you want. Nothing bad will come of living without booze – you will be happier, healthier and free. Part of your brain – the addicted part – will freak out a bit and try to convince you to drink. It will invent all kinds of reasons why you should: you weren’t not that bad, you are more fun when you’re drunk, you are missing out, you just needed a break to reset, your friends will be disappointed, that wedding is coming up…….Don’t be fooled. Stick with it.
Thousands and thousands of people are searching the web for answers to their drinking fears right now. You might feel like the only one in the whole world, but you are not. And tens of millions have walked this path before you – there is lots of help along the way.
A question for readers: how many of you vowed to quit on New Years’ past and how did that work out? What suggestions do you have for others in the same position today?
If you’re new, please post your questions or comments below to receive encouragement from myself and other readers. Those of you who have been here a while, please help out by taking a moment to respond with a kind words for the many people who find themselves here today looking for insights.
Happy New Year!
Oh my goodness, July was a whirlwind of boxes, garbage bags, take out meals, and car rides!
We went to our niece’s wedding in Vegas, moved into a rental after selling our house with a lightening-quick possession, continued building our new home, and welcomed a new grandson into the world. On top of that, my parents just moved into assisted living so my sisters and I are tasked with helping to empty their old home of everything from sewing patterns to office files to endless doilies to memories.
I am not going to lie, there were many moments that I felt overwhelmed and weary. There were some quiet tears in my car and the bathroom stall at WalMart. Not sad tears, just exhausted ones. As if the thoughts I was too busy to think found a way out of my brain through my tear-ducts. I cried sorting the shoes and purses in my mom’s closet, oh dear Lord I am suddenly crying AGAIN NOW remembering it.
Sidebar: I have just had the realization that my mother’s closet holds such emotion for me because I used to hide there as a little girl and fantasize about the woman I might grow up to be as I touched each scarf, bead and fringe. I felt so close to the childhood version of myself this month as I returned to that place – a different closet with decades-different shoes but the same smell of roses and soap. We women define ourselves through our mothers, whether by contrast or copy. My tears that day were because I saw how I drove myself in so many ways to be the woman I wished my mother was – one that’s more assertive and domineering – and to be the mother I wish I’d had (more protective and informed). I became overwhelmingly aware that by forever trying to better her I have failed to fully appreciate her for who she is, and this will need to be a new focus of direction in the years ahead.
Emotions and self-reflection continue to be one of the harder parts of life after alcohol for me – no numbing or checking out. I didn’t exactly feel triggered, but I had that heightened awareness: “It would be nice to not feel this right now.” I did yoga, ate things I shouldn’t, cleaned things that didn’t need cleaning, and walked the dog. Best of all, I’d visit our kids and grandkids and just soak their sweet presence into my soul. (I have grandkids! Plural! What else could even matter in this world?)
The first time I heard the acronym ‘H.A.L.T.” I cringed – I hate to see complex things reduced to mere acronyms – but there is so much truth to the notion that Hungry, Angry, Lonely, and Tired are four of the biggest triggers. I have spent most of the past month perpetually feeling all four simultaneously. Ironically, when I feel uncomfortable I’d rather work harder than take the break that I actually need. My go-to numbing is frenzy. Whirling dervish. I feel safe when I’m in constant motion, no one can hit me with a dart of criticism – even now that I *know better* I still subconsciously hustle to avoid some imagined critic.
Here are the good things that happened this month:
1 – Recording Bubble Hour interviews has been a balm to my soul. An hour once a week to get lost in someone else’s story and connect and share.
2 – Visitors – This is crazy! One of the kind strangers who encouraged me via Twitter when I first got sober emailed (5 years later) to say his family would be vacationing in this area and that we should meet up. Oklahoma and Alberta are 1600 miles apart – I never imagined we would ever meet in person. I had the pleasure of thanking this kind man and meeting his family and sharing lunch and looking into the eyes of someone who literally cheered me through those first few scary days. What a gift.
3 – Enjoying new spaces. Here is my new (temporary) home office, where I am writing this right now:
4 – My new neighbourhood, where I walk my dog 3x a day:
Gratitude is getting me through and helping to turn a rough month into a good month, and keeping me on the sober path along the way.
For me, this meant stopping my “perfectionist hustle” – the insatiable appetite for approval, the endless busy-ness of trying (dying) to *earn* my place on this earth through achievements and accolades. It’s meant tinkering under my own hood and challenging some of my long-held beliefs that were not so much truths but misinterpreted lessons from childhood.
What have you changed about yourself and your life to make numbing unnecessary?
Please share, and then stop back to see what others have written as well.
Thank you, Lotta, for all you to do encourage and inspire happiness in life after alcohol!
Ten days ago I came face to face with a problem that most of us in recovery eventually have to reconcile: pain management. In my case, the situation involved post-op pain from emergency gallbladder surgery that was thankfully short-lived, but even so I knew enough to be aware that prescription pain medication can be extremely dangerous for people in recovery.
When I quit drinking nearly five years ago, my only concern was to avoid alcohol. For years, I had started each morning with two extra-strength Tylenol (for aches and pains, I’d tell myself, because I certainly wouldn’t acknowledge I was hungover every morning). I had no worries about prescription painkiller addiction because I did not use them, and the need for morning Tylenol mysteriously (*wink*) disappeared within a few months of living alcohol-free.
I’ve since listened to enough Dr. Drew podcasts to know that prescription pain medication is a gateway to opiate addiction, and interviewed enough people on The Bubble Hour to be aware that kicking a pill habit is a serious bitch. I’ve learned so much about addiction basics – the hijacked pleasure-reward circuitry, the genetics, and the personality traits – to know that I am in a higher risk category, and respect that good protocol for me includes avoiding anything potentially harmfully addictive.
So when I found myself in the local emergency room, exhausted and weak from painful Choledocholithiasis (a big word I had to Google meaning gallstones in the bile duct), I mustered both courage and strength to appraise the attending doctor that as a person in recovery, I have to be careful with pain medication.
Whew. I get flutters just thinking about it! It was hard to utter those words because:
a) I had never seen that doctor before and had no idea how he would respond
b) I actually really wanted to escape from the pain
c) I was not 100% certain how to self-advocate.
The doctor was very positive, beginning with a slightly patronizing “Alright, high-five! Good for you!” Then, in a more serious tone, he said,”There’s some misinformation about that. When you have pain, the meds treat the pain and you don’t get high. It’s when people take more than they need or take them without pain that a euphoria occurs. But we have something that should work well for you and you don’t need to worry.”
I’d like to tell you that I sat up and asked a dozen insightful questions, but the truth is I just cried with relief and trusted. Sometimes that’s the best we can do.
Following my surgery, I was given a drug called Tramadol for pain. It was mixed with acetaminophen, like a T3 but without the opiate. Tramadol is said to behave opioid-like for pain relief but without the euphoric side effects, and is sometimes used to treat depression. (A quick internet search shows, however, that addiction to Tramadol is, in fact, a concern for many.) My experience was that it did relieve my pain and made me sleepy. I took it every 4 hours in hospital, and once I went home I took it only at night for the first two nights. After that I found that regular strength Tylenol was effective for my pain around the clock, and within a few days I needed nothing at all. I am not giving a recommendation or endorsement for any medication, but simply relating my experience for information.
In the days since, I have reflected on what I did to help me successfully navigate the dangerous waters of pain management in recovery. I was fortune that my situation was resolved within a matter of days, and recognize that this issue becomes much more complicated for chronic conditions and complex injuries.
Here are five things I did that contributed to my success:
- Be aware of the dangers. Simply understanding that some medications could pose a threat to my sobriety, especially narcotics for pain. Although the doctor I spoke with may have been correct in his assertions about pain negating euphoria, I’ve since discovered a recent study from McMaster University showed that 52% of female patients at Ontario methadone clinics indicated that their opioid dependence began with doctor-prescribed pain medication. It seems the problems begin after the pain begins to subside, and the patient is by then at home and left to figure out appropriate dosages without medical monitoring and guidance.
- Speak up. I told the doctor I was in recovery. I asked the nurses each time they brought me the meds to confirm that it was, in fact, Tramadol. I told my husband I was concerned about having pain medications in our home, even ones that the doctor had deemed to be a safe option. Yes, I felt vulnerable – especially with the nursing staff for some reason – but I also felt fiercely protective of my sobriety. I never EVER want to be dragged back into addiction and especially not into that death spiral of pills.
- Enlist an accountability partner. I kept the pills where my husband could see them and kept him posted when I used them. I have heard that some people even hand their meds over to someone else to administer them. I think the hole in the system is that patients are sent home with those little bastard pills to figure things out alone. No education, no written protocol, no follow up.
- Do not use them longer than absolutely necessary. Pain relief is proven to speed healing, but I made a conscious effort to get off of painkillers as soon as possible. Because much of my discomfort was from the gas that is put into the abdomen during surgery, often just a bit of gentle movement and walking around the house was enough to reduce pain. I rested more than I wanted to, whereas the old me would have tried to do too much too soon and then I would have medicated the resulting pain. Instead, I did relaxation exercises and short meditations which also alleiviated a surprising amount of pain.
- Get the leftovers out of the house. When I finished with the meds, there was more than half a bottle remaining. I knew those had to get out of the house, despite temptation to keep them around for the next migraine. Even though Tramadol is said to be less addictive and non-euphoric, I knew I might want to use them to escape a bad mood or feeling because they put me right to sleep. When I drank, it was to escape by falling asleep, and I did not want to have that possibility whispering to me from the medicine cabinet. It wouldn’t be a relapse or anything….Tricky thinking. Nope, get rid of it. I took them back to the pharmacy and asked my pharmacist to safely dispose of the remaining pills. He was somewhat taken aback, so I explained the situation and we had an interesting discussion about this very topic.
Although I am glad that I was granted what is considered a safer option than opiates, I see some flaws in the system. I wish I had been given more education on how to use and then discontinue use of pain meds when I was discharged from hospital. I wish I was given further information when the prescription was picked up. I wish someone touched base to follow up. I understand that there is no provision for these things in our current system, but imagine the lives that could be saved if those steps were taken.
The bottom line is, my sobriety is my priority and my responsibility. I guard it with the same passion and ferocity as I do my own children. Getting sober gave me whole new view on life, and I won’t let anything take that away from me!