Rehabilitation Process

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The Battle Between the Autonomy & Belonging

What to expect in this episode:

  1. one of the most complex realms to navigate when were in recovery is the social, is the  interpersonal, is the areas that we get connected and disconnected
  2. One of the things we are working on within recovery, and it’s deeper work, is we’re working on these internal developmental splits
  3. How do you bridge these two conflicting desires? How do we stop leaning too hard into one or the other? Strength through compassion. Compassionate strength. A place where people feel the most whole. 

 

The tension between autonomy and belonging

 

There is a common meme that was floating around in recovery, I think it was in a ted talk based on this study, It said the opposite of addiction is not sobriety, the opposite of addiction is connection

 

And people love that, they love it because it holds truth. It holds a lot of truth.

 

Probably one of the most complex realms to navigate when were in recovery is the social, is the  interpersonal, is the areas that we get connected and disconnected, intrapersonally inside of ourselves, and interpersonally with each other.

 

What you see with people coming into recovery is you’ll see what I call splits. And splits are…. Dis-Integrated. They are areas of the self in the way that we interact that are not in communication with each other.

 

It’s often why when were talking about human beings we talked about our different parts. Our yin and our yang, our shadow, those kinds of things – the little devil on my shoulder, the angel on my shoulder,

 

You think about the start of these different… subpersonalities, these archetypal characters that exists inside of us often though subpersonalities are split

 

So, the person who is really mature and articulate – I can be very mature and articulate – and then one of my children spills the milk, then suddenly I’m my nine-year-old self. It kind of comes out. Or I have a trickster part of me. Different parts of myself.

 

So one of the things we are working on within recovery, and it’s deeper work, is we’re working on these internal developmental splits. These areas that are unintegrated because we’re shooting for some kind of Integrity.

 

One area were people are split, they are unintegrated that’s a really common and people struggle with it deeply, they’re in deep conflict when they come into recovery is…

 

The tension between autonomy and belonging

 

What that means is, as I’m growing and developing in my adolescence I’m trying to figure out how to become more autonomous.

 

More self-contained, more in myself. Especially as I’m moving away from my family system and then eventually I’m figuring out how to navigate the relationships in my friendship system in a way that doesn’t take too much for me.

 

So I can still have some sense of autonomy and self. So there is this tension that exists in being human between the pull of autonomy – living life as an embodied creature on my own – and belonging. We’re tribal familial creatures that crave deep connection.

 

But if I’m too much on either end I’m lost, right? If I belong too much I get swallowed up and lose my autonomy in my sense of self. We’ve seen that historically with great tragedy.

 

And if I’m too isolated, I’m disconnected from my environment, my Wi-Fi is not working – I don’t know what the hell is happening around me.

 

so what we see people coming into recovery is a split they’re usually afraid of connection because I don’t want to get swallowed up by belonging and they kind of lean heavy towards autonomy.

 

What does that look like?

 

Well, what it looks like psychologically is on the belonging end is over-accommodation. Which we commonly referred to as a people-pleasing, or co-dependence. I’m giving more and more to the people around me at a great cost to myself. I’m over accommodating.

 

It’s one of the most common traits you see addictive personalities. They over-accommodate more and more and more to their family system, to their work, socially. They’re social they’re smiley. They say,

 

“no problem, I love to do that all of this stuff, oh you want a cigarette – oh take two!”

 

They’re not connected with a part of them that gets resentful and frustrated at the cost to themselves when they choose to belong, so they get high. Getting high almost gives them the courage, so to say, to move in the other direction.

 

NO! They get drunk and say, “no – I’m not doing that! How dare you disrespect me”

 

So you see that very often, and then sometimes, I think it’s more rare honestly, maybe 10% of people, are so afraid of belonging that they’ve weighted deep on this other end of autonomy.

 

They’ve completely disconnected from everybody around them their self contained systems all on their own and you can feel that when it walks in the room.

 

And so one of the splits you are trying to navigate is becoming whole in that area. Recognizing the necessity to belong and the necessity to have some sense of autonomy while belonging

 

How that manifest inside the self, often, I think in the psyche is… the sort of… the strength and compassion poles

 

and so often in a conflict and I’m not sure how to be – where something has rubbed up against my ego defenses, I’ll my immediate reaction is “I need to be strong here” if I’m not a very deferential person

 

If I push back too hard and then feeling guilty and ashamed at having like pushed back too hard so I have this other mode

 

Which is compassion and understanding.

 

Which is: people are having their feelings and emotions and I’m compassionate understanding

 

If I’m too compassionate and understanding I end up feeling weak and deferential. Like I accommodated too much of this person’s being, thoughts, ideas, whatever it was. Behaviors.

 

So what’s the solution for that internally?

 

This is high-level work, this isn’t day-one work, this is 10 year 20 year work. And this is for everybody not just addicts. But for addicts, I think it’s crucial point.

 

Strength through compassion, I call it.

 

That there’s actually a space that exists inside human beings that is incredibly compassionate and incredibly strong at the same time.

 

Meaning, I go all it in compassion but not in a differential way.

 

I fight for compassion, reasonably inside of myself inside the world.

 

It’s really high-level work but when you find that space of strength through compassion. Strength AND compassion, all in one let’s call it frequency,  that’s when humans feel the most whole.

 

Strength through compassion.

 

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Therapy and the Subconscious

What to expect in this episode:

  1. Therapy is built on a particular premise: I don’t understand myself
  2. A lot of times, people don’t know how to do therapy, I think there are certain modalities of therapy where of instructing the client is helpful
  3. Approaching what’s happening in the background (unconsciously), a little more actively than people often do, you see much more profound effects.

 

Therapy can be aided by identifying unconscious thoughts

 

Therapy is built on a particular premise which is:

 

“I don’t understand myself”

 

and there are forces and drives inside of me that manifest in my feelings, my emotions, my behaviors, the thoughts and images inside of my mind that I’m not aware of.

 

That there is a hidden realm to the consciousness and Freud and Jung and the founders of analysis came along and that was a discovery.

 

Now everybody gets that and knows that, it’s seeped into modern culture and nomenclature. I think often people don’t give, this is a tricky thing to say – it’s actually not accurate, but worth thinking about

 

A lot of times, people don’t know how to do therapy right. Now sometimes that’s good, because the therapist wants to work with whatever is in the room, they don’t want to instruct the client.

 

But I think there are certain modalities of therapy where of instructing the client on the most helpful way to approach the therapeutic process is actually helpful. But I had to discover that on my own.

 

I never had a therapist say, “Hey it might be more helpful if you do this” – ever! Which is kind of incredible considering the variety of therapeutic approaches that exist

 

I’ve found that in therapy, for me at this phase of my life, that being conscious of the things that aren’t in the front of my mind but in the back of my mind and speaking them out loud is helpful.

 

I’ll give an example.

 

I’m sitting in the room with the therapist picks up on some hesitation or some resistance that I have and then says “what’s going on” and I say “I’m feeling frustrated right now”

 

  • “okay what’s that about”

 

and I say “I’m feeling helpless in this process of therapy.”

 

And she goes “oh. Are you concerned that I can’t help you? Is that what’s coming up in the room right now?”

 

I say something but actually, in the back of my mind, I have an image of myself picking up the chair this to the right of us and breaking it in front of her and just raging 🔥

 

So instead of just saying what I say, in the midst of therapy, I’ll say – “wait a minute, I just had an image flash in my mind of me breaking a chair right in front of you and raging” – and then we work with that

 

If one of the points of certain types of therapy is to gain access to the parts of ourselves that we’re not really conscious of then I think approaching what’s happening in the background, maybe a little more actively than people often do, you see much more profound effects. In terms of your own understanding, biases, belief systems that are buried real deep in the bottom of the mind.

 

There are plenty of therapists that will disagree with that and they are 100% correct and I’m just putting that out there for the one person who goes, “oh wow you know I have those images in my mind that I don’t share that with my therapist and I’ve had them for months or years”

 

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The Role of Psychology in Recovery

What to expect in this episode:

 

  1.  Psychology has taken a central role lately, but traditionally, it is not ideal for treating addiction. 
  2.  Commonly, after weeks, months, or years, therapists recommend AA or treatment because no progress can be made while in active addiction
  3.  People have to immerse themselves in a culture of recovery and integrate recovery as part of their identity as the primary task of recovery

 

The Role of Psychology in Recovery

 

Its a newer phenomenon that therapy has taken a central role in the world of recovery. Part of me is rubbed a little wrong by that. It’s not that I am anti-therapy, both my parents are psychologists I actually love psychology. I’m fascinated by it.

 

But traditionally, we have an understanding that individual Psychotherapy is not a very effective way to treat addiction.

 

What you’ll find most commonly is somebody’s afraid to enter into the world of recovery for a variety of reasons, so they go see a therapist – may be an addiction specialist or maybe just a therapist – and I think the most common story is somebody will see a therapist for months or even years while still continuing to engage in their addiction maybe with some improvement maybe with no improvement.

 

Eventually, that therapist will say – maybe in months maybe in years, “hey, I can’t continue in this therapeutic process until you do something about your addiction problem and I can’t help you with your addiction problem. You need to go to treatment or Alcoholics Anonymous.”

 

It’s kind of a shame to me that somebody might be in therapy for five, six, seven, eight years I would hope that therapists out there recommend that early, and I also understand that if the clients not willing to go into treatment or to seek out some recovery that the therapist is stuck.

 

Understanding the role of therapy and Recovery is a fascinating conversation.

 

In general, my belief (and this is complex in nuanced) is that people have to immerse themselves in a culture of recovery and integrate recovery as part of their identity as the primary task of recovery. And that’s up front.

 

Upfront I have to challenge myself to admit that I have an addiction problem that I’ve not been able to solve. Then I have to take on the task of saying “okay, I’m a person who suffers from Addiction” and in order to treat this condition, I need to be a person in recovery.

 

I need to be a person who identifies myself as someone in recovery from this condition just like I would if I diabetes. If I had a horrible case of diabetes then my recovery from that, or even a cancer survivor, I would identify as a cancer survivor. It almost killed me!

 

I have to know that deeply about myself and it is the first and primary core task of recovery

 

Then therapy comes along in order to help me to better understand myself and treat the underlying emotional conditions that existed, maybe prior to my addiction. In all different dramas in different ways of being different blocks that I had etc on that caused me to suffer that I then use drugs and alcohol to treat so I think of therapy as by and large the later stages of recovery.

 

At first, I have to be a person in recovery then I can work on this other stuff because if I’m not a person to recover, continue to use I’m not going to get any therapeutic work done.

 

There are exceptions. The exceptions to that are if I have trauma and it’s so severe it’s getting in the way of me being able to identify as somebody in recovery. So if the psychological problem or even psychiatric problem is so severe that I can’t engage.

 

An easy example is if I have a really hard time regulating my emotions. Incredibly impulsive. It will be impossible for me to engage in recovery because I can’t sit still, I can’t stop talking, I can’t take it in, take information and reality in, so a specialist, a therapeutic specialist would have to come in and treat my Emotion Regulation Impulse Disorder in order for me to engage in recovery.

 

But in general, I think that’s the exception

 

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The Traditional Social Model of Recovery

What to expect in this episode:

 

  1. The form of recovery nearest and dearest to my heart is the traditional social model of recovery
  2. It’s profound, to watch a room full of people, who were previously in active addiction, coming together to talk and help each other
  3. The future will see a mix, of the new, exciting, plnt medicine and medical techniques, with this old, traditional, beautiful social model

 

The Traditional Social Model of Recovery

I would  say the 4th and final, and probably the form of recovery that’s nearest and dearest to my heart, is the Traditional Therapeutic Social Model of Recovery

 

That is really, for me, it reaches me in a deep place. Which is not about science, it’s not all that fascinating it’s about human beings coming together in a thoughtful way to help each other figure out their lives and how to do that together

 

So that includes therapy, that includes groups, that include social support like Alcoholics Anonymous.

 

I’m a huge fan of Alcoholics Anonymous, I think it’s one of the most miraculous things that the United States has produced that is a very American phenomenon. I find it incredible, I could talk about AA all day, I’ll  give a little example:

 

Alcoholics Anonymous

If I go to a meeting on a Saturday night at 10 p.m. maybe somebody asked me to speak or something like that maybe I stumble into a young people’s meeting and the average age there is maybe 19 years old and there are a hundred people in the room in Los Angeles and they talking about their addictions, their problems, their relationships, their recovery in an honest way and they’re talking about their hope for the future may go outside and hang out together or something like that. 37 years old now so

 

I look at these young people on a Saturday night. These are the same people that weeks months or years ago were right the streets selling dope, using dump, doing Lord knows what kind of crime, Lord knows what to themselves, to other people, that are now sitting in a little room on chairs talking deeply and honestly about life

 

with no parents around no judges no counselors no therapist on their own and it sort of epitomizes the social model of recovery – how to become together solve our common problems. There’s something beautiful about that.

 

So, in the future of addiction, I see some mix of those different kinds of camps happening and I see them mixing in ways I couldn’t possibly predict or see.  It’s exciting, it’s it’s scary.

 

What’s exciting about it for me is I think we need to find much more effective ways of dealing with the issues of addiction of the large-scale so it’s exciting as these new ways come in, and hopefully, for me, still at the core is that traditional recovery which is human beings coming together to solve their problems.

 

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Plant Medicine, Ayahuasca, & the Right Relationship Model

What to expect in this episode:

 

  1. Plant Medicine like psilocybin and ayahuasca are a burgeoning underground addiction solution
  2. Much like diet, there is a sliding scale of harm – in food and drug – but most fall into a fuzzy middle
  3. The future will see movement away from the abstinence-based model toward more individual recovery care

 

Plant Medicine, the spectrum of harm, and the Right Relationship Model

Looking at the future of recovery, another phenomenon that we’re experiencing now, it’s underground and it’s on the horizon, at least in the United States. Is using plant medicine to treat addiction.

 

So there are some great studies with nicotine and psilocybin which is the psychoactive component in magic mushrooms.

 

They’re also using psilocybin to treat depression, which of often is an underlying condition addiction, there has also been a lot of fanfare about Ayahuasca, which is a powerful psychedelic from South America that was used traditionally for either hundreds or thousands of years.

 

And the thought behind plant medicine is to invoke a spiritual experience and to disrupt the default network of the brain, meaning the patterns of our thinking and feeling, in such a way that people can get a boost in breaking free from addiction. Something gets rewired, you know, in the shorthand.

 

Plant medicine is becoming popular in the underground and so if you go online you’ll find it kind of buried there amongst different ways to deal with addiction, I’ve come across a lot of clients, both successful and unsuccessful, who have either tried or use plant medicine to treat addiction

 

it’s it’s a fascinating area, my own general philosophy on if I’m speaking to a parent or a potential client who’s looking for recovery and looking for help is I don’t have a philosophy it’s whatever works

 

The Future is a Multiplicity of Approaches

 

The way that I think the future of addiction is going to break down is there’s going to be a multiplicity of approaches and in the end, I think the best parallel when looking at the future of addiction is looking at how human beings approach diet. There have been all these diet fads that come and go – everybody is on keto now –  where I think it’s going to go as modern science is getting there, is what specific diet is right for you.

 

so I think we’ll break away a little bit of overtime from an abstinence-base model meaning you can’t use any substances, to understanding your body and your neurochemistry better and specifically what substances in foods does your body and self react well to, and what substances and foods does is it not react well to

 

So I think about it on a spectrum write pretty much everybody knows that processed sugars and saturated fats really aren’t good for anybody hardly ever. You want to stay away from that stuff.

 

On the other side broccoli, celery. all these things we really don’t like,  are pretty much healthy for everybody. So we have the stuff that’s pretty much healthy for everybody and pretty much bad for everybody then there’s a spectrum of the middle

 

That has to do with your own body. For some people red meat, the iron in red meat is good, and for some people, it’s not. Trying to figure that out, I think will happen with drugs eventually is the same kind of approach.

 

The Right Relationship Model

 

I call it the “right relationship model’.

 

Which is pretty much for everybody crack cocaine, methamphetamine, heroin… is not good for your life!

 

And I think we can all pretty much agree on that. But there are a group of substance is over here, in the proper set and setting, that can be good for huge groups of people.

 

The way that I think about that is: there are certain substances that narrow our consciousness, right, when you use methamphetamine – people use it to, like Adderall,  it’s similar to methamphetamine, a stimulant, it helps you focus.

 

The problem with methamphetamine is that it narrows your consciousness! So, you’re actually not that connected to the things around you or the people around you, more important, over time.

 

Heroin narrows our consciousness in a different way, If you’ve ever seen somebody do a large dose of heroin, they just pass out, so it’s not focusing your consciousness, it’s obliterating your consciousness, and you pass out into oblivion. But they have the same general narrowing effect.

 

Alcohol is another substance that is like that, you drink alcohol and it lowers your inhibitions and your consciousness – which is what we appreciate about it – we don’t have to think so much and deal with all those feelings of anxiety.

 

So there’s a group of substance over there that narrow and dim consciousness, that’s why we like them, there’s a group of substances in the middle – people respond differently to marijuana and even wine or something at a smaller dose,

 

Although it dims your consciousness, it maybe connects you a little more, so there’s a little bit of space there in the middle. Which is why I think we have some agreement that they are kind of, KIND OF okay.

 

Plant Medicine | Expanding your Consciousness & Empathy

 

Then you actually have this group of substances, largely in the plant medicine world, but also MDMA, that have the capacity to expand your consciousness and empathy, and it’s real it is very well documented that it actually kind of lets filters down and allows you to have a wider awareness and vision

 

and anybody who’s done MDMA knows you have an incredible amount of empathy on MDMA and you rarely see people fight, you don’t get in a fistfight on the street, on MDMA. They are dancing together with glow sticks, it’s incredible.

 

So I think where it’s going, is into that kind of model were people, meaning people in society as a whole, is figuring out what kind of substances are good for us as a whole, and in what setting, and how we deal with that legally,

 

And what substances are really killing us and separating us?

 

I’m kind of optimistic about that vision, but every vision of the future is problematic. They are huge problems with that vision, just like they’re huge problems with the way we approach drugs and alcohol the abstinence-based model now,

 

It’s more just looking at what’s probable… as to what’s good, I never know what’s good in a complex phenomenon.

 

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Medical Approach to Addiction

What to expect in this episode:

 

  1. The medical approach. Treating addiction as a medical condition. The primary tool that we use for a medical condition is medicine.
  2. There are also non-harm-reduction, medical approaches to addiction.
  3. Predicting more and more complex pharmaceutical approaches to addiction in the future.

 

The Medical Approach to Addiction

 

The future of recovery I see it in 4 strands, 4 different areas. We’ve covered traditional recovery.

 

One that we’ve been in, but I think will become more sophisticated, is the medical approach. Treating addiction as a medical condition. The primary tool that we use for a medical condition is medicine.

 

A great example is Methadone, for opiate addicts, methadone is a substance that is similar to opiates, but reduces a lot of the harm that comes along with an opiate addiction.

 

So if you are using heroin, you need a drug dealer, you have to break the law. You don’t know exactly what you’re getting when you are buying a bag of black tar or powder from somebody’s probably not that trustworthy and you’re putting it in a needle and shooting it in your arm – its and incredibly harmful or dangerous habit to have, often deadly

 

The thought was, “can we come up with something  that is like heroin, but people can still function better, that we can distribute legally, to stop people from dying & falling apart?”

 

Methadone, in many ways, has been effective. There are huge downsides, whatever, it’s a medical harm reduction approach.

 

There are also non-harm-reduction, medical approaches to addiction.

 

Antabuse is an alcohol deterrent substance. If you’re taking Antabuse and you drink, you violently throw up. And it deters you from drinking – without getting you drunk.

 

Vivitrol is a blocker. Its been around a couple of decades, it’s not widely publicized enough.

 

But if you are an opiate addict and you are on Vivitrol, then even if you use opiates you can’t get high. It just blocks the effects of drug usage. It’s actually a great tool in the world of addiction.

 

I see more and more complex pharmaceutical approaches to addiction in the future.

 

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luxury living room of luxury private drug rehab in LA, Recover Integrity
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Why Choose Private Drug Rehab

The opioid epidemic and alcohol addiction have affected millions of Americans, in fact, most people can say they or someone very close to them, have been touched by the massive consequences of drug and alcohol addiction; with the likelihood of death by opioid overdose officially passing car accident deaths for the first time in 2018. Drug rehab programs provide individualized, expert care for those struggling with drug and alcohol addictions, giving them the platform and foundation to maintain long-term sobriety.

 

Smaller Sized Programs

Private or luxury drug rehabs tend to have smaller, more individualized programs.

 

Anonymity

At a larger facility, it is only possible to have a limited amount of privacy. The more people swirling around the patient, the more hesitant the patient may be about opening up about his or her issues. People might find it less intimidating to take the next steps to recovery if they don’t feel overwhelmed by the number of bodies on the premises.

 

The role of shame

Deciding to go to rehab is humbling. The process is hard. Hard on your body, hard on your soul, hard on your mind. Shame can be an enormous hurdle for those reaching out for help. Even when a person is in a location where everyone else is going through similar circumstances, there can still be a sense of shame associated with being at a rehab facility. The privacy and general comfort of a luxury facility help to ease the tension in the mind, allowing healing to take the forefront. When a participant feels like he or she has room to breathe the impact of shame may be reduced drastically.

 

True family environment at Recover Integrity

In a smaller facility it is easier to connect on a one-on-one basis with other patients. Participants will have the benefit of connecting with his or her peers, developing friendships and a sense of family that will help remove the discomfort of recovery. Additionally, patients also will get to know the staff better, as there will likely be fewer employees present.

 

Beautiful, Luxurious Environment

 

Environment Affects Treatment

The serenity that comes with a luxurious rehab facility can greatly affect the effectiveness of the program. If a person who is already uneasy is put in a facility that is stressful, this will only exacerbate the feelings of anxiety that the patient is already experiencing. A lovely nature-filled environment can have an instantly calming effect on someone who has been through months or years of a very difficult addiction.

 

Comfort | Enduring Long Term Care

Because many patients will need to stay at a treatment center for a long period of time, comfort is of the utmost importance. People undergoing the recovery process will be tempted to return to their addiction over and over again. However, if they are in a new environment that they know will help them feel settled and at ease, they will be more likely to turn to those things that soothe them than to the addiction that has made life so difficult for them.

 

Amenities

Another aspect of environment is the amenities that are provided. Some of these amenities include mindfulness training activities such as yoga and meditation, which can have extremely positive effects on cognitive functions. Exercise programs are also often provided in a private rehab facility. Exercise has been consistently proven to have positive results, not only on the body, but also on the mind.  During aerobic activity, endorphins are released and the stress hormone, cortisol, is reduced. Even the cuisine at a private rehab facility has a re-energizing effect on patients. Those struggling with alcohol and drug addiction will often forgo a healthy diet, and being in a facility that provides balanced and nutritious meals will help restore the physical strength and stamina of the participants. Both exercise and healthy diet can also have a positive effect on self Image, which is crucial so that the patients will believe in their own ability to fully recover.

 

Individualized Programs

 

Tailored Treatment Options

Every patient needs a different plan for recovery that fits his or her particular needs and backgrounds. Private facilities ensure that each individual receives this type of tailored and extensive attention. A plan of action that is created specifically to address a patient can help staff to pinpoint things such as triggers, pre-existing psychological conditions and the effectiveness of different treatment options.

 

Family Input

Because the staff at a rehab facility is only slightly familiar with the incoming patients, they have a lot of catching up to do. They have limited access to a person’s deeply personal information, as a patient might not be comfortable releasing those tidbits to a stranger. Family members who have known the patient for his or her whole life can provide indispensable details that may have otherwise not been revealed. These details can be crucial to the development and updating of a patient’s individual program.

 

Personalized Attention

In a larger facility, it can be easy for a patient to fall through the cracks or to feel like they are just another number. In a private facility, every patient receives extensive individual attention. The staff becomes very well acquainted with every individual’s particular set of needs. Patients also receive very close supervision from the medical staff, enabling the staff to provide input into problems that are arising during treatment that may be hindering the recovery process.

 

No waitlist

Large facilities tend to have astronomical waitlists because of the low cost to enter.  This can be detrimental to someone who is currently experiencing an addiction. When someone is ready to receive treatment, it is important to strike while the iron is hot, so a waitlist is not an ideal situation to encounter for those who need help immediately.  A more costly, private facility naturally limits the number of patients, simply based on the ability to pay, resulting in little-to-no delay in enrollment.

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Traditional 12-Step Treatment

What to expect in this episode:

 

  1. Understanding the evolution of addiction rehab & recovery is important to understand where we are heading
  2. The 12-Step program is a spiritual program that evolved after psychotherapy failed to help
  3. This has become the foundation for most North American Treatment Programs, but the success rate could improve…

 

Traditional Addiction Rehab | The 12-Step Program

 

In terms of the future of recovery, I think we’re already in the midst of a rapid change in; let’s call it the recovery underground. To understand, first I think we need to understand traditional recovery and where that even comes from.

 

Traditional recovery is pretty much 12-step based in North America. Alcoholics Anonymous, Narcotics Anonymous everyone is familiar with that. The reason why traditional recovery developed in the first place is because the mental health and physical health systems that we’ve had historically weren’t helpful when it came to treating addiction.

 

So we knew very early on in 20s 30s 40s even before that, that Psychotherapy did not work with helping people to recover from addictions it’s a well-known historical fact. We’ve kind of forgotten that over time but it’s a well-known historical fact.  Alcoholics Anonymous came along as an interesting spiritual program with elements of therapy and morality and eventually community and literature that people started to get sober and people start to recover. That worked and works!

 

So traditional recovery in North America is 12-step and it was it was the dominant form of recovery for the… last eighty years let’s call it. The success rates that we see now, I think they’re controversial, to be honest with you, I think it’s a difficult question to ask, to talk about that, but let’s say the success rates are 15%. That might be generous that might be stingy,

 

it just isn’t good enough.

 

What are the Alternatives that are on the horizon for people in recovery?

 

 

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Marijuana Decriminalization | The Future of Addiction

What to expect in this episode:

  1. Exploring how marijuana fits in society
  2. Being Pro-decriminalization doesn’t mean there is no harm or side effects
  3. We’re in an interesting experiment to see what happens when we decriminalize a substance, the stigma goes away, & how that affects our society in general over time.

 

Marijuana Decriminalization | The Future of Addiction

 

I don’t think we really know over the long-term what it’s like to regulate self-medicating marijuana over 5 years 10 years 15 years 20 years and the impact that has on individuals and the impact that has on groups or productivity or our society as a whole.

 

So we’re in the midst of an interesting experiment to see what happens when we decriminalize a substance and the stigma goes away, which I think is a good thing, how does that affect our society in general over time.

 

So part of what will be understanding is what does society look like in relationship to mass consumption of marijuana over a long period of time.

 

Probably chill.

 

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Donald Trump & Addiction

What to expect in this episode:

  1. Donald Trump appears to suffer from Attention Deficit Disorder
  2. He has likely been prescribed methylphenidate, for decades
  3. Irritability, lack of sleep are side effects, so he likely has been taking benzos like Xanax to sleep, effectively putting him on a pharmaceutical cocktail long-term, locking in aspects of his personality as an addict would.

 

Donald Trump & Addiction

 

I have an interesting and controversial theory, I have no facts, this is just, shooting the breeze – I’m sure I’ll hear about it…

 

I look at Donald Trump, I look at his character structure, the little bit that we know about his history, and it’s clear that he suffers from some kind of attention deficit disorder.

 

He seems impulsive, not always so contemplative and thoughtful, and I imagine as a kid he was a lot to handle.

 

He also comes from a wealthy background, I’m assuming his parents probably had access to private doctors, psychiatrist, etc.

 

At some point in his development, his parents or whoever was in charge went, “this kid is pretty wild” and they put him on some kind of methylphenidate.

 

Something like a Ritalin or Adderall or something like that, and they used that to help him narrow his focus and be able to accomplish the task in front of him, school, etc.

 

I imagine him on this methylphenidate for 10, 20, 30 years – what happens if you consume methylphenidate, which is related to the class of drug that’s methamphetamine or speed, a stimulant, is… you begin to have side effects.

 

The side effects are irritation, lack of sleep, it stops working, you start to feel your focus starts to slip…

 

Usually what people do at that point if you’ve been on a methylphenidate for a long time, is you’ll take a benzodiazepine or sleeping pills and then you’ll begin to balance it out with different kinds of medication,

 

So my guess, when you look at Donald Trump, is that he’s been on a pharmaceutical cocktail for 40 years.

 

The reason why I think that is, most human beings in an interaction with the world would grow past some of the immature characteristics that we see in him.

 

The only way that somebody gets locked in that kind of way is either through extreme avoidance of yourself, which is hard to do or through some kind of addiction.

 

He also doesn’t drink and doesn’t get high. His brother was an addict and so he doesn’t medicate with those things.

 

So my guess is he actually got hooked on stimulants and then other drugs like benzos like Xanax and things like that to calm his nerves from the stimulants and it’s been locked in place for decades.

 

I think one day we’ll find that out.

 

 

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