Message of the day

Nothing inspires honesty like fear or trouble. - Steve Maraboli
~...

Can You Successfully Treat Addiction at Home?

Outpatient treatment for addiction is a feasible and often the only solution available for many people.  Rehab facilities aren’t always practical or even affordable. Choosing an outpatient approach is even more practical as we implement new technologies to allow the treatment necessities come into our immediate surroundings. Along with new medications that we have at our disposal today, we can open up choices to enable better success of an outpatient program. A program’s success is more reliant on a person’s commitment and discipline, than it is to the location where treatment is given. While it is never easy to rid oneself of any addiction, whatever manner a person chooses it requires one key element –“a moment of clarity” that leads us to a decision to take action.  Although many are discouraged to try this sort of treatment option at home, it can work and has many advantages, yet it does require that key commitment above all.

To reach a decision to stop an addiction, you need to have a moment of clarity.   A moment of clarity is a very small window of time in which the real you surfaces, the insanity of the addiction is held at bay, and in this moment a clear message surfaces that you must do something about your drinking or your addiction. That’s the moment you must maximize to make a decision to stop the addiction. The decision made, you now have to choose a treatment option.

For many, an outpatient treatment program is the only option, and although some may believe that they may need to go somewhere to make a change it really does rely on the commitment one is willing to make. How many stories have you heard of people after going to an elaborate and expensive facility, come out and go back to old habits? This is because they failed to fully engage what was necessary and maybe never had that moment of clarity. Someone else either forced them or they were left with few options while essentially they just following along to buy time, until the next explosion of events occurred. Yet once making a commitment to do a home recovery program it should be considered nothing less than an outpatient treatment program as along with the decision come responsibilities necessary to achieve a successful outcome.

Being an outpatient in recovery affords privacy, no time lost from work, it’s inexpensive, and non-intrusive allowing less expulsion of one’s intimate situation to an outside circle of others who may judge.  You can recover at your own pace and set your own goals.  However, as the name implies “outpatient” means that you are still a patient and you are in need of help and medical attention. A favorable approach is to utilize a personal coach to guide you through the changes you need to make and responsibilities that are required.

Find an addiction coach or therapist that will agree to work with you from home.  With the various forms of technology at our disposal today, you can use Skype video or even a simple phone call to bring your coach into your living room or office. It doesn’t matter if your coach is in Canada or Tokyo, the key is getting an experienced party involved to help you reach your goal.

Another element that is a crucial part of success for many and your coach should advise you on, is using anti-craving medications to help make your program successful. New research shows that some medications actually reverse the addiction. While other medications can help slow down and even stop binge drinking, there are also drugs that can help control cravings.

Once you find the person you feel can help you, your coach can take an honest assessment of your situation and help you start the healing process.  Here is what your recovery at home may look like and the order you may want to take:

  • Get a checkup from your doctor
  • Address any medical issues
  • Decide which anti-craving drug if any that you need to take
  • Set goals for recovery and have those goals set within a time frame
  • Check in with your coach daily for the first week or two until the medications start working
  • Keep a drinking diary so you can chart your progress
  • Take at least 1 hour per day that you set aside to get your “homework” done and work on yourself
  • Turn undisciplined into discipline
  • Start making small changes and step out of your comfort zone
  • Start adding healthy activities to your routine
  • Start improving your diet and eat regular meals
  • Work on your sleeping patterns

All these suggestions can be found in The Breakthrough Plan for Alcohol Addiction, by Deborah Morrow, a free e-book available to you at: http://www.debbiethecoach.com/subscribe/

"Bring it" Are these famous last words for Charlie Sheen?

As we turn on the news each day, we’ve seen a shift in the focus from the pressing issues in the Middle East, the debates over health care and the union fight in Wisconsin to the self-destruction of Charlie Sheen.  What I find interesting is his portrayal in the media. He longs to not be judged; yet he opens his personal life to reporters, critiques, and TV talk shows.  He dares us to accept who he is and what some might call an unorthodox life style, but who is Charlie Sheen?  At this point does he even know?
On one hand, Charlie describes himself as old fashioned and chivalrous–chivalry being a lost art, he adds.  He’s a “nice guy” who believes in monogamy and traditional family values.  He admits he has his faults, but is trying to improve.  He claimed he was a people pleaser (but has recently changed), he used to let people kick him around (but not anymore), yet as he revises his persona he describes himself as “a peaceful man” as he exposes a sly smile, adding “with bad intentions”.  And there it is—that twinkle in his eye, that accompanies the self-deprecating remark leaving us to imagine what mischief is afoot.  This is the identity that keeps us coming back for more, what keeps us intrigued.  However, his rock star alter ego over shadows this identity.
What some might see as a rock star identity, I’ve come to understand is truly the Alcohol Identity, (or in Charlie’s case the Addiction Identity) showcasing a different version of who Charlie Sheen is.  In an abrupt shift, Charlie describes a completely different version of himself.  “I’m nobility, I’m cool, I’m a rock star and I have tiger blood.”  “I live in the moment of the moment.” he declares. This superior being that is the Alcohol Identity looks down on us normal and boring folk, and feels sorry that we “don’t feel the magic”; that we don’t have his wisdom and superior intelligence.   When asked if he is an angry person he states. “I have a passion for anger and I’m here to collect.”
Here is a man on the edge. I think of all the actors and entertainers that have lost their lives to addiction and I can only hope that this is not the fate of Charlie Sheen. And no, I am not here to judge him. My own experiences with alcohol addiction afford me to know better than to stand too tall. I understand the perspective as I too used to feel sorry for the normal and boring folk and vow I would never be like them. Although I wish I had thought of being a rock star.
The world can only wait and watch to see who will come out the winner. Will it be the Real Identity or the Addiction Identity?  Usually the gory details of addiction are left off centre stage. Although TV and movies depict winos sitting in dark alleys with bony fingers sticking out of fingerless gloves holding bottles wrapped in paper bags, this is what addiction looks like folks–gory details included.  We would rather think that Charlie Sheen is bi-polar or has psychiatric problems rather than face that this is what addiction looks like in real life. It is messy, it is heart breaking, it is dangerous, and it will take you down, losing everything you’ve worked for and if left untreated it will kill you.
Charlie’s hatred of AA, leaves him with few treatment options while the  Addiction Identity is running the show.  This identity will not allow any options except to keep the addiction going even if it kills it’s host.  If and when the “moment of clarity” comes for Charlie Sheen, there is another option open for him with Debbie the Coach. I invite him to take it.

Sleep – The Final Frontier Part 1: Sleep Tips

Do You Get a Good Night’s Sleep?
I can’t sleep! I hear this from so many people. Has the entire world stopped sleeping? Often we think there is nothing we can do about it, or has sleep become less important? Some people seem to accept being relegated to being “one of those people” who can’t sleep. Others seem to live with the excuse that they “don’t need as much sleep as other people do”. While others just won’t accept that they have a sleep disorder. So I decided to see what the National Sleep Foundation had to say about getting a good night’s sleep.


Sleep Affects our Health

Sleep is important to our health. Our immune cells don’t work very well if you keep waking up in the middle of the night. Among other health issues poor sleep patterns increase the risk of heart disease and high blood pressure. Sleep also affects our moods, and when we are irritable it can even impair our relationships. Sleep deprivation can cause lack of mental alertness that not only affects our job performance, but it can also affect our judgment when driving. The inability to sleep can affect our weight as well, and sleep deprived individuals are more likely to become obese as they are more likely to crave foods that are higher in calories and carbohydrates.The cycle continues as this pattern in turn could lead to diabetes. While finally sleepless nights also affect our aging process, as our body’s restorative capacity becomes depleted.

Insomnia
Sometimes it just takes some concentration and slight behavioral changes to help you have a restful sleep. Some people may need a more aggressive approach, and while there are different kinds of sleep disorders, this article will focus on insomnia. Insomnia is when you have trouble falling asleep, have problems maintaining sleep or awaken too early unable to get back to sleep. Half the people with insomnia don’t even know they have an actual sleep disorder and many don’t believe anything can be done about it. There are many reasons for insomnia: among them would be stress, depression, perimenopause, and excessive consumption of caffeine.


Our Circadian Clock

One of the most important things you can do is to keep a regulated sleep schedule sticking to a regular bed and wake time. Although it might be difficult, try to keep the same bedtime even on the weekends, along with waking at your regular schedule. Our sleep-wake cycle is regulated by a “circadian clock”. Nature points the way. When your biological rhythms are aligned with the rhythms of nature, your mind/body systems will be in a more positive state of health. It is recommended that you sleep 6 – 8 hours each night. The hours you sleep before midnight are the most rejuvenating. Optimally, if you can be in bed by 10 or 10:30 and sleep until six, you will feel better than if you went to bed at midnight and slept until 8.


Sleep and Addictions

A sleeping problem can be a risk factor for substance abuse or depression. You have probably heard advice saying that having a drink before bed helps people sleep. This may lead to dependency on alcohol and thus it becomes a risk factor for substance abuse.
People with addictions, especially to alcohol or drugs, have difficulty sleeping. Addicts and alcohol dependent people are often nighthawks and actually fight sleep. Just walking into their bedroom can cause anxiety and worry, knowing they will toss and turn all night. I used to be one of those people that was afraid to go to bed. I used wine to help me get to sleep. The problem with alcohol is that it may initially help get you to sleep, but it will disrupt your ability to stay asleep as the alcohol wears off and your body begins to feel its withdrawal.


More Sleep Tips

  • Don’t drink any alcohol before going to bed. Drinking interrupts the sleep cycle, therefore disrupting your sleep.
  • Adopt a new routine. If you are used to going to bed well after midnight, for the first week try stepping up your bedtime slowly by going to bed one half hour earlier at night; then the next week and additional half hour earlier again. Continue this pattern until you can be in bed by 10 or 10:30p.m.
  • Avoid caffeine and nicotine. Both of these are stimulants and will most certainly add to your sleep dilemma. Choose milk or maybe a non-caffeinated herbal tea as your bedtime beverage. Smoking before going to bed also makes it more difficult to go to sleep as nicotine withdrawal can wake you up in the middle of the night. Yet another good reason to stop smoking.
  • Finish eating at least 2-3 hours before retiring for the night. You’ll be more comfortable if you aren’t full. Avoid spicy foods that can cause heartburn. Don’t drink too much liquid before going to bed to avoid nighttime trips to the bathroom.
  • Exercise regularly. Including exercise in your daily routine can help make it easier to fall asleep. One mistake people make is to exercise too close to bedtime. Exercise increases body temperature and you want your body to have cooled down with enough time before turning in, in order to be able to fall asleep.
  • Create a nice environment for sleeping. Have your room cool, quiet and dark. Your body’s natural melatonin process works better if you’re in a dark environment. Also be sure to have a good mattress and comfortable pillow. Some of us are still using the same mattress we have had for years, not realizing the difference it can make.
  • Use your bedroom only for sleep and sex. Keep your work out of the bedroom! Too often do we drag a laptop in the bedroom thinking it’s a matter of convenience where it is actually a source of over stimulation. Many experts also recommend that a television doesn’t belong here either, especially if you are over stimulated easily and have a sleep disorder.
  • Design a sleep ritual. A ritual will prepare your mind and body for sleep. Be sure to follow Part 2 of this series: Sleep-The Final Frontier to read more about sleep and bedtime rituals.

Sweet dreams!

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The material on our website is for informational purposes only, and is intended as a supplement, not a substitute for medical advice, diagnosis or treatment provided by a qualified health-care provider. Read more...