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Most people in the world would say that nothing is more important than family. They say that you can choose your friends, but family is forever. If you subscribe to the philosophy of blood being thicker than water, then it makes sense that when those closest to you suffer, you suffer right along with them. For many, this concept is never more painfully clear than when living with an addict in the family. Even though plenty of people struggling with addiction say they are only hurting themselves, most of us know that addiction is a family disease.
While there are many obvious ways that addiction affects a family, like domestic violence, financial troubles or death, there are also some more subtle consequences. When someone is suffering, their loved ones will often develop specific family roles for dealing with addiction. Depending on the household, and how the addiction manifests itself, some people may take on multiple roles in order to try and create a balance at home. However, many of these family roles can cause adverse effects of personal development over time.
Here are 6 family roles people use when coping with addicted loved ones.
Addiction and its effects draw a lot of attention, so it may seem to the addict that the world revolves around them. They take on a victim mentality, often causing others in the family to feel the need to save them, or at least to avoid disturbing them.
The victim is central to all the other family roles that develop around it. As the roles are defined, the victims loved ones unconsciously take on other family roles to complete the balance after the problem has been introduced.
Although this person’s actions are the key to their own recovery and overcoming the victim mentality, it is important to remember they are not necessarily vital for a family to recover on its own.
In the family, there will be someone who tries to be the champion for the victim and the family. This is someone who needs the family to look good, and they will work hard to make it so. The problem with the Hero is that they try to ignore the addiction and its effects. Instead, they want to dress everything up and act as if all is well.
The Hero will present things in a positive manner as if the family roles don’t actually exist. They are often perfectionists and overachievers, who seek to unite the family and offer hope through their own accomplishments. But taking on all this pressure can cause a lot of stress and anxiety for this family member. Very often this is the child of an addict or alcoholic.
If the Hero is able to finally overcome this role, they can ultimately play a crucial part in the addiction recovery process, both for the individual and for the family.
The Mascot’s is often thought of as the comic relief. This is the member of the family who uses humor as a defense mechanism and a distraction tactic. They try to soften the impact of an addicts behavior or ease tensions between family roles through laughter.
On the bright side, the Mascot does bring humor to the family roles people use for coping with addicted loved ones. They have a talent for making others feel better, even in the worst situations. But ultimately, they are also people-pleasers to a fault, which can foster feelings of anxiety.
However, Mascots sometimes make inappropriate jokes about other family members or situations, which can causes friction. They also run the risk of avoiding their own feelings or being inconsiderate of the feelings of others. Sometimes their harmful humor can hinder addiction recovery.
Also, the Mascot is likely to self-medicate as they grow up, perpetuating the cycle of addiction.
The Lost Child
In every family that deals with an addicted loved one, there is usually someone who tries their best to disappear. They are silent, withdrawn, and avoid drawing much attention to themselves from other members of the family. This is the Lost Child.
The Lost Child is typically careful to not make problems. They avoid any kind of conflict, along with conversations regarding the addiction or the underlying family roles that take shape around the victim.
The Lost Child will spend as much time as possible in isolation or away from their family. They are the child who sits in their room playing video games or watching TV for hours without any interaction. The Lost Child will often develop feelings of neglect and resentment, which can lead to depression. They often grow up to have a very difficult time developing healthy relationships later in life.
The Scapegoat is a problem child. Usually, this is the black sheep of the family who often acts out in front of others. They take on this role, knowingly or subconsciously, to divert attention from the person who is addicted. They rebel home, get in trouble at school, make a lot of noise to mask the underlying issues in the family. Male scapegoats are often prone to violence, while female scapegoats frequently act out sexually.
This person may even adopt substance use in order to run interference for a parent or sibling. They may develop other issues as well, such as eating disorders or a tendency to self-harm.
The Scapegoat covers or draws attention away from the real problem. They grapple with feelings or anger and shame, and they often offer the other family roles a sense of purpose- being someone to watch out for or try to fix.
The Enabler is also commonly referred to as the Caretaker but is always the person who makes all the other family roles possible. Most often this is a spouse, but it can also be a child of an addict.
Caretakers will take it upon themselves to keep everyone happy, believing it is the best way to protect the family. Their mission is to maintain balance in order to make the family look good on the outside. They are notorious for minimizing the addiction, making excuses for all behaviors and actions. They have a knack for blaming everything on something else, without acknowledging the real problem.
This person protects the addict from consequences, while constantly cleaning up after their messes.
Additionally, the Enabler frequently embraces the other family roles when they are convenient for maintaining the family balance. They will laugh at the Mascots harmful jokes, or adamantly put the focus on the Hero’s achievements. They will support the Lost Child’s “independence”, and run interference for the Scapegoat, all while catering to and caring for the needs of the victim.
At the end of the day, the family roles people adopt as part of coping with an addicted loved one are a kind of functional dysfunction. It is a system that people create in order to survive situations at home that can be toxic and unpredictable. Human beings by nature will behave in accordance with their surroundings. Out of self-preservation, we will get used to unhealthy strategies for dealing with unhealthy relationships. Even if they are not effective, if they help us get by there is a lot of damaging stuff we will get used to.
All of these family roles demonstrate how important it is for families to be supported and involved in a loved one’s recovery from addiction. Because we can see how addiction impacts the family, we know that the family also needs help in overcoming those adversities. Having a recovery program designed specifically for family members and loved ones of people with addiction can make all the difference. Not only does it help the family support their loved one, but it helps the family recover on its own. Family can also play a very important role in relapse prevention. It teaches them what their loved ones may experience during the medical detox phase of treatment. It helps them better understand the science of addiction and the process of recovery, while also showing them how their own behaviors have an impact.
The Palm Healthcare Family Program is all about helping the family come together to face addiction and overcome all the unique challenges that come with it. If you or someone you love is struggling with addiction, please call toll-free now. You are not alone. We want to help your family be stronger together.
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One of the most harmful myths about alcoholism that needs to be debunked is the idea that drinking does not affect anyone but the individual. People tend to be self-centered when lost in their cups, and so many believe the only person who has to deal with their drinking problem is them. No one else has to spend the money, or feel the hangover, or suffer the consequences… right?
But we know this isn’t true. The behavior of an alcoholic or a drug addict impacts others, especially the people closest to them. An alcoholics family can experience a great deal of pain and carry plenty of consequences as the result of their loved one’s drinking.
However, none are as vulnerable as the children of alcoholics. Frequently, the impact of parental alcoholism on a child can last the rest of that child’s life. Even as children, they may do their best to conceal the effects at the time, but one way or another it always leaves a mark. Here are just some of the ways that parental alcoholism affects children.
One way parental alcoholism affects children is by creating a lot of self-doubt and self-criticism in many children. Often, the children of alcoholics believe their own shortcomings are the cause of disturbances in the home. This can lead them to be extremely critical of themselves. They may believe they are not good enough, and frequently develop low self-worth and low self-esteem.
Even as adults, the children of alcoholics can feel inadequate.
Over time, the tendency to doubt themselves and be so critical can lead to other issues, including depression and anxiety disorders. Parental alcoholism can lead a young child to feel like they are unworthy or responsible for more than is actually under their control.
Fear or Abandonment
In most cases of parental alcoholism, the parent is emotionally unavailable or even physically not around. Sometimes a parent will be asked to leave due to their drinking by the other parent. Other times, the parent will get in trouble with the law and may go in and out of institutions. In some cases an alcoholic parent will have to be hospitalized, or even worse, they pass away.
All of these circumstances can lead the child of an alcoholic to develop a deep fear of being abandoned. Losing a parent, even if only periodically, can be devastating for young children.
When a child has developed low self-worth, is extremely critical of themselves and has a fear of being abandoned, it only makes sense that they will constantly seek approval from others. Growing up in a house with parental alcoholism as the norm, a child always trying to make others happier will become a people-pleasing adult.
This can be especially true if a child’s alcoholic parent was mean or abusive when they were drunk. It can intensify the fear of not being enough, or of being abandoned. As an adult, the children of alcoholics can grow up with a fear of confrontation. They may spend their lives avoiding any form of conflict. Furthermore, a child of an alcoholic might even sacrifice their own well-being in order to avoid making others angry.
Sadly, with people pleasing a child will learn to suppress their own emotions, making them an emotionally stunted adult.
Sometimes, the child of an alcoholic is so committed to people pleasing that they become a perfectionist. Parental alcoholism can cause a kid to become incredibly responsible, hoping to gain some control of the world around them. These children of alcoholic parents become overachievers or workaholics.
However, there is no guarantee that they will not try to overcompensate in the opposite direction. An alcoholic’s child may also become very irresponsible members of society. They may adopt a self-destructive lifestyle similar to their parents in order to try and escape the pressures of an alcoholic home. Thus, the cycle continues.
If parental alcoholism has played a key role in the household, it is hard for a child to determine what “normal” is. This inability to distinguish the good from the bad makes it much more difficult for children to decide which role models to follow. Not only that, it makes it hard to know the right way to treat other people.
If you grow up in a home where abuse and alcoholism are normal, you are likely to engage in that behavior and seek out relationships like that later on in life. By normalizing the harmful behaviors and the toxic relationships that a child of an alcoholic can be exposed to, they are also building a faulty foundation for future relationships.
Difficulty with Relationships
When growing up with parental alcoholism in the home, kids will experience things like:
Sadly, they may accept that these things are all normal. Thus, these children can develop severe trust issues. If you have grown up developing serious trust issues and/or a lack of self-worth, getting close to anyone can seem almost impossible.
In order to be intimate with others, you have to rely on others for emotional attachment, fulfillment, and interdependence. These things can be very hard to reconcile for the child of an alcoholic home. And if you are so critical of yourself, a strong fear of abandonment will definitely be very hard to overcome when trying to build relationships. Pretty much every issue we mentioned before this point makes it extremely difficult for these children to have healthy relationships.
Overcoming Parental Alcoholism
In truth, there are innumerable ways that parental alcoholism could affect a child. Because we are always trying to figure out what things mean as children, we could adopt completely different ideas based on a variety of experiences. Some people are more sensitive to certain kinds of problems, while others may use their bad experiences as motivation to set better standards for themselves. In short, not all children of alcoholics will be affected the same.
However, many of the issues on this list appear consistently in studies of adult children of alcoholics. For years, these are some of the most common characteristics identified in research on the families of alcoholics. Regardless, one thing remains the same- parental alcoholism can significantly influence a child’s development. Time and time again, we can see how the impact of growing up with parental alcoholism can shape an adult.
A large proportion of the people who seek help for substance use disorders like alcoholism or drug addiction have kids. Sadly, a large number of parents do not seek help because they are afraid of being away from their children. Some even worry they may lose their children. Still, every year countless children lose their parents to alcohol and drug use. That is why it is so important that parents and caregivers receive comprehensive and compassionate support in holistic addiction treatment.
If you or a loved one is looking for treatment, make sure the program you choose has ways for the family to be involved in the recovery process. Not only is it good for helping people understand what their families go through, but they also teach families about what the suffering individual goes through.
Treatment for alcoholism or addiction is not about taking families apart, but about bringing them together.
Palm Healthcare Company believes in uniting loved ones through the practice of healing mind, body and spirit. Our holistic addiction treatment program gives each individual an opportunity to create a personalized recovery plan that helps them to overcome their addiction and get back to what matters most. If you or someone you love is struggling, please call toll-free now.
CALL NOW 1-888-922-5398
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Bullying is a concept we are all familiar with. We each experience bullying at some point in life, to one extent or another. Even those who become bullies have often been bullied at some point. Technology and social media have created a whole new breed of cyberbullying, and too many people don’t take bullying very seriously. When you look at bullying statistics, the impact can lead to other real issues, including substance abuse and addiction.
To be a Bully
Firstly, let us look at what it is to be a bully. The title is typically described as the use of superior strength or influence to intimidate, typically to force someone to do what one wants. The site stopbullying.gov defines it as unwanted, aggressive behavior that involves real or perceived power imbalance. This behavior is repeated or has the potential to be repeated over time. It also concludes that both those who are bullied and those who bully often have serious, lasting problems.
Bullying statistics show three categories of behavior:
1. Verbal Bullying
This type of bullying is about the things we say or write. Verbal bullying includes:
- Inappropriate sexual comments
2. Social Bullying
This involves hurting someone’s reputation or relationships. Social bullying includes:
- Leaving someone out on purpose
- Telling other children not to be friends with someone
- Spreading rumors about someone
- Embarrassing someone in public
3. Physical Bullying
Physical Bullying involves hurting a person’s body or possessions. It includes:
- Taking or breaking someone’s things
- Making mean or rude hand gestures
Sadly, the prevalence of bullying often convinces people that it is just a rite of passage. A lot of people don’t take the issue seriously enough. Adults often justify the behavior as a sign of immaturity, without realizing the genuine harm that comes from it.
The Impact of Bullying
Being bullied can lead to many other adversities in life, including physical violence and mental health problems.
Because both behaviors are so common, it is difficult to correlate bullying and substance use. When looking at addiction and bullying statistics, according to 2016 Monitoring the Future survey:
- More than 17% of children have tried drugs by 8th grade
- Almost 50% have used illicit drugs by senior year in high school
- Childhood alcohol use rates are even higher
According to the CDC’s 2015 Youth Risk Behavior Survey:
- 20% of American high schoolers have been bullied in school in the past year
- More than 15% have been bullied electronically in the past year
Bullying can erode a child’s self-esteem. It can deplete their confidence, even for those who parents may believe are confident enough to endure a bully. Over time, they learn to question their self-worth. If a bully targets a specific attribute of the individual, they may begin to obsess over it.Some bullying statistics show that those who have been bullied are six times more likely to be diagnosed with mental health issues. It is extremely common for victims of bullying to develop progressive behavioral disorders such as:
Over time, they may turn to alcohol or drugs to ease the pain. Also, the desire to fit in and feel accepted can lead a child using drugs to connect with people. Several studies show the risk factors for psychological health problems, substance abuse, and bullying statistics often overlap.
Similarity in Symptoms
When we look closer at bullying statistics and at the warning signs of substance abuse, we find that the symptoms are extremely similar.
Common Symptoms of Bullying
- Changes in sleep patterns
- Changes in eating habits
- Eating disorders
- Poor performance in school or work
- Loss of interest in activities
- Alcohol or drug use
Common Symptoms of Substance Use Disorder
- Mood swings
- Poor performance in school or work
- Withdrawal from social activities
- Health problems
Looking at some of the more general warning signs we can see how many are present concerning both issues.
Substances and Bullying Statistics
Ultimately, drugs can become a crutch for numbing the emotional pain of being bullied. While it is harder to predict whether being the victim of bullying will lead to substance abuse, with bullies there is also a very real risk of developing issues with drug use and addiction.
Bullying statistics often show that bullies themselves typically suffer from a variety of emotional and behavioral challenges. Sometimes a child lives in a home with domestic violence, and so they become aggressive with their peers to expel their frustration. Yet, they may still use drugs or alcohol to escape the painful life at home. Even the act of bullying itself is typically an indication of diminished self-worth, and just like with the victims, that lack of self-worth can lead them to use drugs.
Some even believe bullying could be comparable to an addiction itself. Some psychologists compare bullying to other ‘process addictions’ like gambling, overworking or shopping. While we do not recognize bullying as an addiction, many believe the comparison could be helpful to address the issue.
Compassion and Care
Whether or not someone is a victim or bullying, or has been a bully themselves, we all deserve respect and compassion. When it comes to providing care for those who struggle with substance use disorder, it should always be a priority to help people develop healthy coping skills, while gaining self-worth. As people struggle to deal with emotional and behavioral challenges, there should be resources there to help guide them toward personal development. Not just getting off of substances, but also to empower them as an individual.
One issue we have with facing bullying head-on is that people typically think of a “bully” as someone inherently bad. However, life is not so simple. A child who bullies isn’t a bad child, they are just interacting with their world in an unhealthy and aggressive way. They still deserve understanding and support.
We commonly see the same stigma with people struggling with addiction. Too often they are labeled as “bad” people, but the truth is that they are just dealing with things in a self-destructive and unhealthy way. Dealing with substance use disorder and with bullying means meeting it with love and care, not judgment and punishment.
Perhaps if focus more on supporting people, we have a better chance of changing addiction and bullying statistics for the betterment of everyone.
Palm Healthcare Company believes in the importance of compassionate and comprehensive care for those struggling with substance abuse and addiction. Providing a safe medical detox, a personalized recovery program and an innovative approach to holistic health, our mission is to help people transform into the person they want to be. If you or someone you love is struggling, please call toll-free now.
CALL NOW 1-888-922-5398
Maintaining Mental Health and Well-Being
by Thomas G. Beley, Ph.D., LCSW
Executive Director of Palm Healthcare Company
We hear a lot about the importance of mental health. However, exactly what is mental health. If one looks at the research literature there is not very much written about what constitutes mental health. Often times, by default, mental health has been referred to or alluded to as the absence of a mental illness. To complicate the situation further, the literature seems to be overly ripe with how to treat various mental disorders as well as how to reduce the specific symptoms a person may be experiencing. Unfortunately, our society has become overly preoccupied with treatment focusing on the reduction of a person’s symptoms as an indicator of a mentally healthy person. Although treatment and symptom reduction are important facets of a person’s mental health, neither treatment nor symptom reduction guarantees a sense of well-being.
In examining the various disorders as outlined in the DSM IV and the plethora of research that has been conducted on how to treat these disorders, there appears to be a common thread that seems to exist between all of these disorders and conditions. The common thread appears to be an on-going interrelationship between the biological or neuro-chemical make-up of a person; the existing stress factors that may be presented in a person’s life; and the actually coping skills or mechanisms that a person uses as a way of dealing with everyday life. Furthermore, it appears that all three of these influences have the ability to impact the other for the better or for the worse. This article will examine these various influences on a person’s mental health and how these influences are involved in maintaining a person’s sense of mental health and well-being.
Stress is a constant in everyone’s life. Hans Selye, the father of the stress response, defined stress as “any change.” So the fact of the matter is that stress is a constant in one’s life. In essence, the moment a person opens their eyes in the morning, that’s stress. The moment that same person gets out of bed, that’s more stress. And, the moment that person jumps into the shower, even yet more stress. In most instances, our bodies are able to handle this stress much of which is attributed to a person’s balanced neurobiology and neurotransmission.
Much of this can be explained through the “fight or flight response” of a person. This mind-body connection, which has been a part of human evolution, has worked the same way over hundreds of thousands, if not millions, of years, the same way. Any time a person’s brain, either conscious or unconscious, senses any type of danger whether real or not, there are a whole host of stress hormones that are being released into the body (neurotransmission) gearing the person’s body up to do one of two things, to run away from that danger or to fight that danger. In either scenario, the body has to be an efficient machine. Although a person doesn’t necessarily have to hunt for their food any longer per se or run away from man-eating animals, a person is still faced with the everyday modern dangers of life such as unemployment, finances, marital problems, parenting, etc. The list is endless. The important point, here, is that regardless of what that perceived danger, the mind, and body via neurotransmission, kicks into action.
A problem that arises, however, is that once the mind and body have turned it up a notch to deal with the stress, it takes the body a longer time to calm down. The mind or more specifically the neocortex (the thinking part of the brain) is able to easily dismiss stress and false alarms of stress in a relatively short manner. A person can become instantly alarmed at the prospect of their electric being shut off from a notice received in the mail, however, instantly “feeling” a sense of relief realizing that the notice is not meant for them but for the neighbor. Although the mind has dismissed the danger, the stress hormones have already been released to key parts of the person’s body. Studies have shown that these stress hormones or the signaling of the mind to the body to calm down can take anywhere between six hours to seventy-two hours for the body to receive the signal of no danger. So what can actually happen is that a person can be walking around “feeling good” and the least little thing can happen, the proverbial straw that breaks the camel’s back, that can send a person into a stressed or panic state.
There are three key points that need to be remembered about stress.
The first key point is that stress is a constant in anyone’s life by virtue of the constant change a person is going through from the moment they wake up in the morning to the time they go to bed at night. All too often a person thinks of stress as “nothing bad has happened to me lately.” It is irrelevant to ask the question whether a person is stressed, it is more appropriate to think in terms of whether that person’s neurobiology is handling that stress in an appropriate manner.
Secondly, the body doesn’t really know the difference between “good stress” and “bad stress.” It may be more relevant for a person to think in terms of how much and to what extent has that person experienced change during the course of the week or the month regardless of whether that change has been “good” or “bad.” The more change the person has experienced, the more stress that has been absorbed into the body.
And, finally, the third key point is that the body is a very slow responder. It takes the body a much longer time to calm down than the cognitive processes that are occurring in the brain. A person needs to be mindful that just because they are “feeling relaxed” doesn’t necessarily mean that their body is relaxed.
It is not always feasible to assume that lowering the stressful situations in one’s life is the answer since many people may be unable to avoid a stressful lifestyle. Firefighters, police officers, emergency room medical staff, are all faced with potential chronic conditions of stress. It is not fair to say these individuals will be excluded from feeling a sense of well-being because they are in constant stressful situations. It is important for a person to be aware of trying to lower stress in their life where they can, but for those individuals who are in situations where stress is a constant, it will be more important for that person to develop the necessary coping skills to deal with stress such as exercise, nutrition, yoga, or meditation.
Research in the neurosciences in recent years has continued to shed new light on a person’s brain chemistry and how neurotransmission impacts a person’s sense of well being as well as behavior. There have been numerous studies conducted on certain neurotransmitters of well being such as serotonin, GABA (gamma-aminobutyric acid), dopamine, and others to suggest the necessity of these neurotransmitters for the person to function at an optimal level. This is where the explosion of new prescription drugs has come on to the market to solve the ills of the world. Needless to say, pharmaceutical companies have long since been proponents of this neurobiological research due to the ability to develop newer and more efficient drugs to attempt to balance a person’s neurochemistry. An important aspect that has evolved over the years, however, is the recognition of, not only the importance of a person’s neurobiological chemistry to be in balance for a sense of well-being, but also the fact that a person’s biochemical makeup can be extremely delicate and subject to a whole host of outside influences such as stress, medical conditions, nutrition, and behavior that can throw a person’s neurochemistry off creating a variety of symptoms. As a result, there continues to be a growing movement toward alternative methods of treatment to address brain chemistry issues such as acupuncture, nutrition, or chiropractic intervention to intervene and/or to enhance a person’s brain chemistry.
Regardless of whether you are a proponent of Prozac or a devotee to acupuncture, the important point to emphasize is that a person’s neurochemistry plays an important role in a person’s sense of well-being and contentment. Furthermore, the imbalance of neurotransmission in the brain can interfere with that person’s overall level of functioning and well-being.
Coping with everyday life situations is another area which is an important influence on a person’s ability to achieve a sense of well-being. A person needs to feel a sense of satisfaction about how they handle given situations that confront them whether if it is with themselves or with others. However, in order to do this effectively, a person needs to have a repertoire of coping mechanisms to choose from. All too often, a person doesn’t develop or change the necessary coping skills needed to deal with life situations. An interesting point to make, here, is that the human species, which is supposed to be at the top of the so-called food chain of life, is the only species that will continue to do the exact same behaviors to problem solve a situation despite the fact that these problem-solving behaviors may have repeatedly failed in the past. For a variety of reasons, it appears that change is often difficult for a person to make. In order to effectively cope with a situation, it is of vital importance for a person to maintain a degree of flexibility, adaptation, and a willingness to change regarding any given situation.
In a sense, a person’s self-esteem can be viewed as being borne in a series of “failures.” Once a person makes a decision to do something, it is usually followed by a series of behaviors or actions. Often times these initial behaviors and actions are not going to be a success since doing something for the first time often leads to a number of miscues or possible “failures.” However, if a person is willing to persist at following through with these behaviors and actions or be willing to try something different in an attempt to reach their goal, there is a greater likelihood the person will develop a sense of competence in that area. Once that person achieves that level of competence, a person’s self-esteem will increase. Once a person’s self-esteem has increased, the easier it becomes for that person to make decisions and take action in other areas of life and the cycle begins all over again.
The important part of coping is that both coping mechanisms and skills need to be constantly reviewed and refined by a person. There is no guarantee that a particular coping skill or mechanism is going to work in all situations. As a person begins to adapt to the various complexities of life, the greater the need for a more complete range of coping skills to maintain that sense of well-being.
The Systemic Relationship of Neurobiology, Stress, and Coping
In considering these various influences on a person’s mental health and well-being, it is vital to understand the interrelationship that exists between them. One must comprehend that all three of these influences are constantly impacting one’s functioning and a person cannot focus on one of these areas without taking into consideration the ramifications it will have on the other areas. There is a cyclical force that each area has on the other areas and vice versa. For instance, if a person is experiencing an inordinate amount of stress, whether it is “good stress”
or “bad stress,”
the neurochemistry of the brain is going to be impacted. If the neurochemistry of the brain is affected, there is a greater likelihood that this imbalance is going to affect the neurotransmission which can result in symptomatic behaviors such as panic, anxiety, depression
, or other symptomatic behavior. As a result of the symptomatic behavior the person may be experiencing, the person’s coping mechanism and problem-solving abilities are probably going to be compromised at least to some degree. If the person is unable to cope with a given situation in an effective manner, there is the potential of the stress level increasing again. As a result, there is a cyclical process of impact.
Balance and Well-Being
It appears that a key factor for a person maintaining mental health and a sense of well-being is the ability to monitor and balance the areas of neurobiology, stress, and coping. The challenge, however, that confronts a person is the ability to maintain this balance on an on-going basis. One of the difficulties stems from the fact that it is not always clear as to what a person needs to attend to at any given time. For instance, let’s say that a person’s depression may simply be stemming from their genetic make-up. If this is the case, it would probably be more prudent for that person to be prescribed the appropriate anti-depressant medication to correct the neurobiological issue as opposed to getting involved in therapy or attempting to reduce stress. Although the latter two methods can be extremely effective in the long run, the more effective and efficient intervention may be from a pharmacological approach.
On the other hand, let’s say a person is depressed as a result of a great deal of existing stress that is occurring in their life, let’s say from being fired from their job, or the person has limited coping skills to deal with real-life traumas like the death of a loved one. In this scenario, a pharmacological intervention may be of little value, since the depression may be more a product of “normal” life situations that would be better addressed through support and the development of better and more appropriate coping skills for that given situation. In these situations, yoga, meditation, and exercise may be extremely efficient in addressing stressful situations whereas psychotherapy can be effective in developing better coping skills. In many instances, it is not necessarily the fact that a person’s anti-depressant or anti-anxiety medication is not working, the fact of the matter is that the person’s life is still a mess and they need to begin to put it in order. Unless the person is able to address these matters, the likelihood of a person responding effectively to a pharmacological intervention is going to be minimal.It is safe to say that one’s mental health and sense of well-being is not a given in anyone’s life. Just because a person has a positive outlook on life, doesn’t mean that their genetic make-up couldn’t play a factor in that person’s level of functioning. Or, the person who has savvy coping skills in dealing with incredible amounts of stress, doesn’t mean that the accumulative effects of those stressors will not take a physiological toll on that person via heart disease or cancer.
Maintaining mental health and well-being needs to be worked at on an on-going basis, not too different than an athlete needs to train to maintain peak performance. In the arena of mental health and well-being, a person needs to monitor and train how they are performing in the areas of neurobiology, stress reduction, and the development of more effective and positive coping skills. The ability of a person to attend to these areas through the use of yoga, nutrition, exercise, diet, meditation, stress reduction techniques, psychotherapy, hypnosis, just to name a few approaches, the greater likelihood the person will maintain that sense of well-being. A question that a person needs to ask themselves is what is it they are doing to ensure the balance of these three key areas of their life.
For over 25 year, Thomas G. Beley, PhD, LCSW has worked in the field of addictions and mental health. Over these two-and-a-half decades of helping people who struggle with mental health and substance use disorders, he has proven to be an expert clinician and innovative and compassionate leader. Palm Healthcare Company is proud to have an executive team with experience and incredible commitment to helping others. If you or someone you love is struggling, please call toll-free now. We want to help.
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Over the last 15 years, the suicide rate has climbed by an estimated 32%. While the overdose deaths in relation to the opioid crisis have become a constant issue around the country, some researchers suggest that the real suicide rates are even higher, but some of them are being misclassified as overdoses.
So, are more people dying due to drug abuse, or are more people taking their own lives using powerful street drugs and prescription narcotics?
Studying Suicide and Drugs
The idea that many of the deaths recorded as opioid overdoses may have been suicides, according to the researchers, is due to a significant gap between suicide rates and intoxication mortality rates.
A study from the Luskin School of Public Affairs at the University of California, Los Angeles, was published in the journal PLOS One. This study states that both suicide and drug intoxication death rates in the United States have risen over a period of 15 years. Researchers compiled data from the Center for Disease Control and Prevention (CDC) to show:
- 2000- The suicide rate was 10.40 per 100,000 people
- 2015- Suicide rate rose to 13.75 deaths per 100,000 people
- 2000- Drug intoxication mortality rate for those over the age of 15 was 7.81 deaths per 100,000
- 2015- Drug intoxication death rate for those over the age of 15 rose to 20.07 per 100,000 in 2015
This means that the drug intoxication death rate rose by 257% in those 15 years, while suicide rates only rose by 32%. While 32% is still a devastating number when it comes to such a tragic circumstance, there is still a huge difference between 32% and 257%. These researchers believe this major difference in the reports of mortality rates suggests a lack of suicide reporting.
Difficulties in Death Investigation
One of the big problems, according to the study’s author Mark Kaplan, is resources. Kaplan is a professor of social welfare at UCLA, and he stated to local news sources,
“Unfortunately, part of the problem is due to serious under-resourcing of state and local death investigation systems throughout most of the U.S.
“Many of these deaths were probably suicides, yet reported as accidental self-poisoning rather than intentional self-harm, particularly among the middle-aged.”
The study by Kaplan and his colleagues further explains that when it comes to suicide by overdose, things like an individual’s psychiatric history or the presence of a suicide note are crucial to helping professionals identify a death as a suicide.
“A suicide note, prior suicide attempt or affective disorder was documented in less than one-third of suicides and one-quarter of undetermined deaths,”
“Our incorporation of undetermined deaths, as well as registered suicides, not only provided a window on the nature of suicide misclassification within the undetermined death category but within the accident category—as a much larger reservoir for obscuring drug intoxication suicides.”
So by acknowledging that there is not always an obvious indication that a death is a suicide, even in cases that are classified in suicide, the researchers believe that many deaths that involved drugs have most likely been categorized as overdoses instead of making a deeper inquiry into the circumstances surrounding an individual’s death.
Opioids Causing Ambiguity
With the opioid crisis in America, it has become even more difficult to measure the suicide rates. And that isn’t just this research teams opinion either.
In 2015, the CDC hosted a meeting to address the challenges presented for medical examiners and coroners across the country. The primary focus was concerning cases of fatal intoxication due to opioids and other drugs. The summary of this meeting concluded that drug intoxication deaths may be among the most difficult to determine regarding the manner of death. The summary notes that reasons for such difficulty in having a more accurate manner of death include:
- Potentially equivocal evidence
- Intent to die
- Overlapping demographic groups affected
- Overlapping premorbid risk factors (e.g., substance abuse, mental health problems).
Opioid addiction, much like any other form of substance use disorder, is often closely connected to other issues, including anxiety, trauma and mental health disorders. Some individuals living with mental health conditions who abuse opioids may be self-medicating and accidentally overdose. But others may be suffering so severely, with conditions like depressive disorders or bipolar disorder, that they ultimately take their own lives intentionally with the powerful drugs. With opioid abuse being so widespread and devastating, the line between the two has begun to blur.
Both studies mentioned clearly indicate in order to truly comprehend an accurate number of suicides by overdose, more research is needed. Both also admit that the number may never be exact.
Even though we will probably never have a definitive answer, the question is still important to ask. By knowing whether opioid deaths are caused by accidents or intentional we can develop better strategies to provide education and prevention.
This is also why mental health should always be a priority when it comes to addiction treatment.
Substance use disorder and suicide are both connected to mental health and personal wellness. Too often they both lead to avoidable tragedies. Therefore, mental health and wellness should be a priority for addiction treatment. If you or someone you love is struggling with substance abuse or addiction, please call toll-free now.
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(This content is being used for illustrative purposes only; any person depicted in the content is a model)
Ladies and gentlemen, we have made it to the 12th Step of Christmas!
Those total lords have been jumping all around, the maids have stopped milking and are dancing with the other ladies. All the beautiful birds are flying around like crazy… but we have been waiting for the bass drop… BOOM! In comes the 12 drummers, and I mean they come in like the Ohio State Marching Band, just killin it!
Still don’t know why your true love brought so many birds, but hey it’s a party.
So to follow the classice sense of the song, we are going to rehash the other 12 Steps of Christmas for our final thought.
1. Admitting that I am powerless over the Holidays and they can make my life unmanageable.
2. Came to believe a Power Greater than myself could restore my holiday cheer
3. Made a decision to turn your Holiday over to the care of your Higher Power.
4. Made a Searching and Fearless Christmas List.
5. Admit to ourselves and another human when we are being a Grinch.
6. Become entirely ready to let go of the Ba Humbug.
7. Humbly asked our Higher Power to remove our shortcomings of holiday spirit.
8. Made a naughty list and checked myself twice; became willing to make amends and be nice.
9. Made amends when it wouldn’t ruin someone else’s Christmas.
10. Continued trying to stay off the naughty list, and when we are naughty we promptly get jolly.
11. Seek more of the Christmas spirit with through prayer or meditation.
Step 12: Carry the Christmas Spirit to others in all our affairs
This is what it is all about, really. This is why Christmas is such a beloved and cherished holiday for so many around the world. Without trying to take anything away from the vital role that religious faith plays in it for many, the spirit of Christmas is about sharing peace and love, goodwill toward others, compassion and connection.
We have talked about all of this through every step of the 12 Steps of Christmas. That is because love, peace, compassion, connection are all in the spirit of Christmas AND in the spirit of the 12 Steps of recovery. It isn’t hard to draw this relationship because at the core they give us inspiration and hope to build a better life, with fulfilled relationships and meaningful purpose.
In the 12th Step of most recovery fellowships they put a lot of emphasis on carrying the message of recovery. In Step 12 of Christmas let us say we can use the same idea; spread that love and connection to everyone. Of course there is the literal giving of gifts during Christmas when we try to bring joy to others with materials, but in the end these are just an offering or a gesture by which we communicate that love and connection to them.
It is just one way we give of ourselves to spread the love.
Practice the Christmas spirit in all things…
The truth is too often we forget that these attitudes and practices are not just meant to be done on the holidays. Too many people forget about acceptance, willingness and openness when the sleigh bells have come and gone. Many will make strong resolutions for the New Year, but few will remember to carry these principles on with them. Those who work the 12 Steps in recovery are actually very fortunate to have a program that provides a consistent practice of compassion and growth.
The 12 Steps remind us of the importance of self-awareness, reflection, humility and selfless action. They give us an outline for personal development while helping us try to mend damage done in active addiction.
So even if you are not in recovery from drugs or alcohol, you can learn a lot about yourself and about your impact on the people who matter most to you. Doing things like taking inventory, addressing your character defects and helping others is really just a path toward spreading the cheer, joy, love and connection that Christmas gives us.
This year, try to carry the spirit of Christmas in all things. Try to remind yourself to make every day count; to move away from the attitudes that hold you back and toward the wish list of a sober and fulfilled life.
Keep the Christmas party alive every day. Hey, you can even keep partrige. He’s not such a bad bird anyway.
Merry Christmas. Happy Holidays.
Remember, this time of year the best gift you can ever give is yourself. For those who suffering from addiction, that means the opportunity for a life of recovery. If you or a loved one is struggling with substance abuse or addiction, please call toll-free now.
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