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A married couple works with their counselor in family therapy.

How to Maintain Accountability in Addiction Recovery

 

Recovering from addiction or substance abuse is never easy or straightforward. Parts of your brain have been rewired due to substance use, and getting things back to normal takes work and, oftentimes, some outside help. In the process, there will be certain things that you may be able to do or ways to go about recruiting others to help that will be instrumental in your journey to recovery.

Make a Plan

While it may seem obvious once you think about it, it is not always the first move we take to accomplish things. However, without a plan, recovery becomes significantly more difficult. A plan is important because it sets a standard; it tells you what the conditions of success and failure are, and it tells you this explicitly. Of course, it is easier not to plan because then you cannot fail the plan. This does not mean that you are not failing; however, you are not aware of it as clearly because you do not have a plan to show this to yourself. A plan gives you direction; it tells you step by step what direction to move. While this can be confining or overwhelming, it is an important step to recovery. Making the plan alone, however, is not sufficient.

Let Others Know About Your Plan

It would help if you let others know about your plan. Making the plan establishes a degree of accountability with yourself—you are telling yourself what you need to do. Letting someone else know about the plan establishes some outside accountability. Now, this other person also knows and has expectations of you. This can be a powerful source of motivation to work towards completing the plan you have created. However, it is important that the person you let know about your plan actually cares whether or not you stick to it. Ideally, this is someone who is not struggling with the same issue or in the same way as you.

Find an Accountability Partner

Closely related to the second method of maintaining accountability is this step of finding an accountability partner. This can potentially be the same person who knows about the plan, but the accountability partner goes further than just knowing about the plan and expecting you to stick with it. An accountability partner is someone you meet regularly and with whom you share details about what is going on as you attempt to stick with the plan. This should be someone who deeply cares and holds you to stick with your recovery goal and is understanding and empathetic. This must be someone with whom you feel comfortable being completely honest.

Do Not Be Afraid to Get Treatment

Sometimes these first three options are not quite enough to help you with the journey to recovery. It is not shameful or wrong to seek professional treatment through a rehab center or other treatment facility. This can be an important and effective way of getting further accountability. The professional team at a treatment facility provides an additional layer of structure and accountability that can be extremely beneficial on the journey to recovery. Sometimes, the addiction is so powerful and aggressive that you are unable to handle things alone. Do not keep going in circles with your recovery if you need more outside accountability and assistance.

Surround Yourself with Friends and Family

While this may not be an option that everyone has, it is ideal to surround yourself with family and friends if possible. Whether a family member or friend is your accountability partner or not, having support in this way can be central to your progress in recovery. This can be a difficult process since family and friends may not always fully understand the nature of your struggle, and there will sometimes be conflict; at the end of the day, though, these are the people who are on your side, rooting for your victory. Fostering good relationships with family and friends and allowing them into your journey can be an incredible source of accountability and foster your recovery.

Avoid Sources of Temptation

It is of great importance that any people or places that may be sources of temptation are avoided. For some individuals with an addiction, there are certain people whom they can hang around and find themselves pushed in bad directions, tempted toward the substance again, and so forth. These bad influences must be avoided at all costs. This is a difficult thing to do in many cases since there are often established relationships and the person may be reaching out and trying to encourage you to come to hang out and spend time with them. Unfortunately, this should not be done. No matter how you are pressured, you must avoid hanging with anyone who will lead you into temptation. The same can be said for places. There may be certain environments, locations, or activities, like bars or parties, which open the door for temptation and substance usage. Any time you encounter a temptation of this sort, it is imperative that you avoid it. It may seem reasonable to think that the person or place is not directly connected to substance abuse. It is not a real concern—or to full yourself into thinking that you will avoid certain situations after you go or that you will be strong enough in the moment. But none of these things are true. As humans, we have easily swept away at the moment; you cannot rely on your willpower when you are in the situation. You must prepare in advance by thinking about places and people that open doors of temptation and closing those directions beforehand.

Maintaining accountability is an essential part of addiction recovery. These steps will allow you to begin making headway towards recovery, but there may be other things you find to help you as well. Everyone has individual differences, so be on the lookout for things that you know help you in recovery or make things more difficult and include those in the plan you make. A sure way of never recovering is never preparing to recover. You do not fall into recovery; you work at it. You have to muster your strength and courage, make a plan, gather support around you, and then give it everything you have. It is hard work, but it is doable work, especially when you have the right people.

Family members work together to heal from addiction.

Families and Addiction: Is There a Correlation?

Most people don’t get addicted to drugs or alcohol because they have nothing better to do with their lives. There is almost always a driving force that causes them to turn to substance abuse to cope with personal issues.

Sometimes, drug users are simply trying to mask mental health issues. In other cases, it is a matter of the drug user looking for ways to cope with everyday life against what seems to be insurmountable odds. We submit to you that family issues will often play a role in someone turning to drugs and alcohol.

How Family Interactions Can Lead to Addiction

For the most part, we all count on our family and friends to provide us with a safe environment to navigate everyday life. When things are good within the family unit, our families are a great source of support and care through tough times. Unfortunately, family members can also become a primary source of strife and stress in our lives.

To be clear, every family has its own way of dealing with each other. There are usually two or three family members that dominate the family unit, while the rest of the family members tend to be followers. Therein lies the potential problem.

More often than any of us would like to admit, we fall out of grace with our dominant family members when they start giving off negative vibes. They might be trying to drive or manipulate us to do as they dictate. Sometimes, they choose to pour their unhappiness into our laps and the laps of other family members, which almost always leads to family issues.

As we indicated above, it’s the submissive family members that usually end up turning to drugs or alcohol. They are the ones who feel overwhelmed by their more aggressive family members, seeing drugs or alcohol as the best way to cope with ongoing family issues.

To directly address the titled question, yes, there often is a correlation between families and addiction. However, the correlation can be negative, or it can be positive.

The Role Families Can Play in Recovery

When family members become part of the addiction problem, the entire family unit tends to suffer. Of course, it starts with the addiction sufferer who is left to struggle within the cycle of addiction. In time, their addictive behavior will start to permeate the family unit.

When addiction strikes, family members could be subject to:

  • Being victimized by their loved ones addictive behavior (stolen money, involvement in a DUI accident)
  • Becoming upset, causing isolation among family members and the addiction sufferer
  • Becoming codependent and supportive of the addictive behavior

No matter how badly the family gets fragmented due to an addiction issue within the family unit, there is always a way for the family to come back together. It is called communication. The best source for getting family members to communicate again is almost always family therapy, which we heavily promote.

When an addiction sufferer enters our rehab, they spend a good deal of their time working with a therapist as an individual. When family issues seem to be playing a role in the addiction sufferers addiction, the addiction sufferers therapist will usually suggest family therapy.

As part of family therapy, key family members are invited to come into our rehab facility for open and honest discussions. It is incumbent on the therapist in charge to watch the family interact. They would typically rely on their experiences to identify the potential sources of addiction sufferers’ family problems.

Ultimately, the therapist wants to help family members do three things.

  1. Mend Fences: Family therapy is a good environment for family members to get thoughts and feelings out on the table. When communication among family members starts to improve, healing can start.
  2. Learn the Truth About Their Loved One’s Addiction: Family members aren’t always aware of the extent or the reasons behind their loved one’s substance abuse issues. After learning about what drives the abuse, family members will often use that understanding to the basis for forgiveness and empathy.
  3. Learn How to Support Their Loved One in Recovery: After rehab, clients will need all the support they can get as they navigate recovery. If a lot of that support can come from family members, both the addiction sufferer and their family members would stand to reap great benefits in terms of bringing the family closer together.
If you come to us for treatment, we can assure you we will be looking at how your family might be playing a role in your addiction. If warranted, we might suggest family therapy as a way to get the family back on track. We often take this position because we know how important family is in all of our lives.
Art therapy can help with addiction recovery.

5 Stages of Recovery from Addiction

 

Awareness of a problem can happen in many different ways and over different amounts of time. There is a mistaken notion that knowledge is simply a matter of knowing the right words. This is not always the case. There are often cases where we may know someone is trustworthy or a situation is safe, yet we still have a hard time trusting and unafraid. Knowing the words “This is a safe situation,” sometimes even when you know there are good reasons to believe it, does not mean that you can fully latch on that knowledge. It may take time and reinforcement before those words sink deep within you as true.

The same is often true in cases of addiction and substance abuse. There may be early points in substance usage where someone mentions that there might be a problem or a thought in the back of the mind that something may be heading in the right direction. But it might take time before this becomes realized and reflected upon. In some cases, these realizations and believing the words “You have an addiction” may not happen until a crisis brings the truth home suddenly and harshly.

The Transtheoretical Model

When thinking about recovery, the Transtheoretical Model, which characterizes recovery in five stages, seeks to capture the intentional and multi-faceted nature of progress in recovery. The five stages are known as Precontemplation, Contemplation, Preparation, Action, and Maintenance.[i]

Precontemplation

The first stage of recovery on this model is contemplation and is at the stage at which an individual would be considered “not ready.” When it comes to an understanding ourselves, it is important to remember that we are not transparent. What that means is that we do not always fully realize the motivations for our actions or fully understand ourselves. If you have ever done something and then later sat back and wondered why then you understand this. In many cases, especially in the fast-paced world of the “West,” this happens because we are not taking time to think about ourselves and our lives. We are swept up at the moment, in responsibilities, in trauma from the past, in social media and television, or anything else. Not to say that all of these things are wrong, but it can be easy to miss what is going on within our heads if we do not consider ourselves.

Contemplation

The point at which we do begin to reflect is known as contemplation. This can be thought of as an exploratory phase. We begin to think about “if”; if there is a problem, if we can change, change, and so forth. This stage may take some time, as it can sometimes be difficult to tell the nature and extent of a problem. We may also become acutely aware of the consequences. There may be fear of judgment from family, friends, or society and simply a desire within not to give up the pleasure of the substance. The perceived enjoyment of drug use may not seem outweighed by the negative consequences in life.

Preparation

There will often come the point, though, where a decision is made to change. In most cases, this does not immediately result in doing something but rather in preparing. This means getting a plan for addressing problems and discussing the details with those around you. Even when you have decided you want to make a change, actually moving forward with it can be intimidating and difficult. This is okay as long as you face it directly and do not let the fear and difficulty derail you.

Action

This is the stage in which clear steps have been taken to change one’s life. In most cases, when we think of individuals in recovery, this is the step we think of because it is most visible. While this is a misunderstanding of the journey to recovery, it is important and helpful that this stage is visible. Seeing change and progress, steps begin taken, can be a rewarding and encouraging experience. This may mean a measurable decrease in substance usage, lifestyle changes in nutrition and exercise, beginning a treatment plan with a doctor or treatment facility, or any other steps.

Maintenance

While the Action stage can be exciting and invigorating in its measurable progress, this excitement and satisfaction can decrease over time. The sensation of progress and feelings of seeing recovery in action is not permanent. Maintaining the progress can be a significant challenge, especially as withdrawal can sometimes last years, and cravings may continue to appear even longer than this. Most researchers have suggested that the maintenance stage is often around six months to five years in length.[ii] This may seem disheartening, but it is simply the reality of the situation. It is important to realize this so that individuals can mentally prepare for the experience.

Hope

One of the most important things to keep in mind when reading about the transtheoretical model is that recovery is much more than the “Action” stage. Those who are currently struggling with substance abuse realize that all of the steps are part of the process. You cannot force these things. Knowing what it means to say “I have a substance abuse problem” is not easy. It will take reflection and contemplation; it will require you to come face to face with the reality of who you are, what you have done, and how you can respond.

Another grouping of words can be hard to fully believe and own for yourself as knowledge and truth: There is hope. It is so easy to discount these as meaningless and untrue, especially when you’re in the midst of the deepest darkness. It may seem like all hope is lost, like this is beyond your power like nothing will ever change. It will be easy to despair.

I often find strength in thinking about the dawn. Every single day, the sun goes down, and the world gets increasingly dark. It becomes difficult to see, and it becomes easier to get lost. There comes the point where it the darkest in the night. And then the sun begins to rise. Gently, along the horizon, little flickers of light and color, growing and growing. The sun rises, dawn arrives—a new day.

There is hope.

Sources:

trauma-informed care

The Benefits of Trauma-Informed Care

Trauma-informed care is an important part of therapy for many drug treatment clients. Whereas many treatment centers focus on using and addiction, there are many benefits of trauma-informed care. Many people come to recovery and treatment with unresolved issues related to something traumatic they have experienced in their life.

Some people may have anxiety or PTSD, which are both mental health disorders that are treatable and often require medication and talk therapy. For others, the effects of trauma may not be as noticeable but can often reveal themselves during therapy or recovery work.

Trauma and Coping Behaviors

In recovery, people often “peel back the layers” of their life and discover that their past trauma is a trigger to continue to use alcohol or drugs. They may learn that their poor coping behaviors were a result of dealing with trauma.

Oftentimes, an individual may have developed coping behaviors that worked well while in crisis but now need to be changed to live a happier, healthier life.

Understanding how traumatic experiences can affect the individual and how they can learn to cope with their past trauma today are important parts of trauma-informed care.

Trauma-Informed Care and Addiction

Post-traumatic stress disorder is one way a person’s life can change when they have survived a traumatic experience. Professionals will often describe this mental health disorder as a “normal reaction to abnormal circumstances.” The brain often creates different ways of thinking as a result of a person’s life experiences.

Coping with trauma can change how a person acts, feels, and thinks, as they often go into “survival mode,” and their mind continues to return to that mode after the threat has passed. Trauma-informed care can help treatment providers address both addiction and triggers resulting from traumatic experiences.

Addiction is common among people who have experienced trauma. People who have been to war or survived sexual assault often are diagnosed with PTSD and other issues. It’s widespread for people who have unresolved or unexplored traumatic experiences in their past to self-medicate, especially during the holidays or even anniversaries of the event that caused them so much pain.

Addiction can make a bad situation much worse and puts further strain on your mental health.

Getting Help for Addiction and Trauma

Getting help for resolving past trauma and caring for mental disorders can help a person become more healthy and cope with their life instead of using substances.

At Cycles of Change Recovery Center, trauma-informed treatment helps us meet our clients where they’re at. Trauma-informed care encompasses a treatment framework that involves understanding, recognizing, and responding to the effects of all types of trauma.

Through this trauma-informed approach, we can help our clients by emphasizing physical, psychological, and emotional safety. This approach helps trauma survivors rebuild a sense of control and empowerment in their lives and provide new coping skills.

Get help for addiction and learn to cope with past trauma. We’re here to help you chart your path to recovery. Please call us at 855-604-1367 to learn more about our services and which insurance companies we accept.

cocaine addiction in california

How Fast Can You Get Addicted to Cocaine?

Unlike physically addictive drugs like alcohol and heroin, cocaine is psychologically addictive. In fact, aside from methamphetamine, cocaine is considered to create the most significant psychological dependence of any drug. CESAR (the Center for Substance Abuse Research) classifies cocaine as “highly addictive,” particularly when processed into the crack and smoked. According to CESAR, “A person can become addicted after his or her first time trying crack cocaine.”

Cocaine: The Basics

Cocaine is a stimulant drug made from the coca plant leaves native to South America and is considered illegal. As a street drug, cocaine looks like a fine, white crystal powder.

People use the drug in a few ways: they snort cocaine powder through their noses or rub it on their gums. Some mix it with water or heroin and inject it into the bloodstream (the combination of cocaine and heroin is called a speedball). Others smoke cocaine that has been processed into a crystal (crack cocaine).

When you use cocaine, it affects the brain almost immediately. You’ll have feelings of intense well-being and be very talkative, energetic, and confident (hence, it is often referred to as a party drug).

But the high you get from consuming cocaine only lasts a short while (about 15-30 minutes). That’s why so many people take it in binges, using it multiple times in a small window while increasing doses. Many people wonder, “is cocaine physically addictive?” which it indeed can be with heavy use.

The more you use cocaine, the stronger and faster the addiction becomes. Here are 6 warning signs of cocaine addiction. Consider treatment if you’re:

  • Suffering from anxiety and depression because of your cocaine use
  • Asking for money to buy cocaine without the ability to repay it
  • Regretting the decisions, you make while under the influence of cocaine.
  • Planning your day around cocaine use
  • Stealing, lying, or breaking the law to get cocaine.
  • Choosing cocaine over your interests

The Dangers of Cocaine Addiction

Side effects of cocaine use include:

  • Irritability and paranoia
  • Bizarre, unpredictable, and violent behavior
  • Constricted blood vessels
  • Increased body temperature, blood pressure, and heartbeat
  • Tremors and muscle twitches
  • Loss of sense of smell, nosebleeds, frequent runny nose, and problems swallowing.
  • Severe bowel decay from reduced blood flow
  • Higher risk of contracting HIV, hepatitis C, and other bloodborne diseases

Seeking Treatment

If you think you’re dependent on cocaine, seek treatment today. Our addiction recovery center in California is designed to help you gain the knowledge, courage, and determination you need to maintain a drug-free lifestyle while considering your individual needs to ensure you reach your goal of recovery. Facing your addiction alone can be overwhelming. Cycles of Change Recovery Services is here to help. Fill out this form or call us at (661) 630-4176.

Sources

https://www.drugabuse.gov/publications/drugfacts/cocaine

cycles

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