The topic of alcoholism may seem old hat, a topic that is common knowledge and easily spotted. It's protrayed in media:
Celebrities can make it look glamorous:
But the truth is that alcoholism is a terrible disease of addiction that wreaks havoc on entire family systems for multiple generations- even after the last drink has been drunk.
"Alcoholism" is the common umbrella term for what we in the biz call alcohol abuse or alcohol dependence. The two terms are different in that abuse is the misuse of alcohol in ways that negatively impact life and dependence means that there is physiological tolerance with an uncontrollable drive to continue use despite the negative impacts on life.
Risk of developing alcoholism is increased with certain age, gender, social environment, stressors and genetic predispositions. If you are a relative of someone with alcoholism, you could have the genetic marker that responds addictively to alcohol. And just because you have the genetic marker does not mean you will automatically become an alcoholic if you drink occasionally.
The brain becomes addicted to alcohol (or any substance) when physiological changes occur due to the substance you put into your body. Alcohol hurts more than the brain, it effects every organ in your body, because alcohol is a toxin.
Healthy liver:
Liver with severe cirrhosis: (ummm, gag)
As soon as alcohol enters your blood stream your body goes to work processing it and ridding the bloodstream of the chemical ethanol. A person becomes intoxicated when the level of ethanol in the blood is higher than the body can clean up, annnnnd drunk occurs.
Most of us have either felt the effects of ethanol in our blood stream, or at least seen someone in that state. And, it can be all fun and games in small doses. But when drinking becomes a habit and it interferes in a person's ability to function, take care of themselves, be in a relationship, or hold a job- its now called alcohol abuse. (P.S. binge drinking is alcohol abuse too.)
And then... well, its not so glamorous anymore.
While people do call me Dr. Mazzio while I'm at work, I'm not actually a doctor of the liver. I'm what one client calls me, "the Feelings Doctor" and that's what we are really here to talk about. feelings.
People who are suffering in alcoholism use the mind numbing substance as the ultimate escape hatch.
People want to feel good about themselves, to function well and experience love from others.
When, for whatever reasons, this does not happen a person finds ways to avoid the resulting negative feelings. The escape may be the temporary elation from drunkenness, or the slow empty numbing that alcohol can bring.
Restated simply: We often turn to drugs and alcohol when we don't want to deal with emotional pain.
Alcoholism is really difficult to treat and recover from because its a damn good band-aid. There are negative effects, which usually is what ends up forcing people to seek treatment (AKA hitting rock bottom), but all in all, alcoholics don't have to feel their emotional pain when they hang out with their best friend- ethanol. Convincing someone that its actually a good thing to face their demons, and feel their emotional pain is hard. And totally counterintuitive to someone who is suffering. Life is so painful for substance abusers that, while they choose to remain on earth, they choose to not live fully.
When you think about all that- what emotion does that prompt in you? Does it increase your empathy for people who suffer in alcoholism? it should. Alcoholics or any other substance abuser is not inherently "evil" "bad" or "worthless." They are broken and they need help.
Addiction usually feels like hell for the suffering person. It's easy to focus on the most obvious problem: the alcoholic. But like I mentioned earlier, this disease always occurs within a family system. That means the rest of the people (family and friends) around him or her suffer too.
Even though the surrounding people might not be drinking, they definitely are suffering.
Next up, effects of alcoholism on children and adult children of alcoholics.
examinations, discussions, thoughts and confessions from a perpetually evolving psychologist
Wednesday, June 29, 2011
Monday, June 27, 2011
A Declaration.
No, not like this...
A favorite professor of mine gave me this declaration a number of years ago. I loved it then and I still love it now.
My Declaration of Self Esteem
I am me.
In all the world, there is no one exactly like me. There are persons who have some parts like me, but no one adds up exactly like me. Therefore, everything that comes out of me is authentically mine because I alone choose it.
I own everything about me: my body, including everything it does; my mind, including all its thoughts and ideas; my eyes, including the images of all they behold; my feelings, whatever they may be: anger, joy, frustration, love, disappointment, and excitement. I own my mouth, and all the words that come out of it: polite, sweet or rough, correct or incorrect; my voice, loud or soft and all my actions, whether they be to others or myself.
I own my fantasies, my dreams, my hopes and my fears.
I own all my triumphs and successes, all my failures and mistakes.
Because I own all of me, I can become intimately acquainted with me. By doing so, I can love me and be friendly with me in all my parts. I can then make it possible for all of me to work in my best interests.
I know there are aspects about myself that puzzle me and other aspects that I do not yet know. But as long as I am friendly and loving to myself I can courageously look for the solutions to the puzzles and for ways to find out more about me.
However I look and sound, whatever I say and do, and whatever I think and feel at a given moment in time is me. This is authentic and represents where I am at that moment in time.
When I review later how I looked and sounded, what I said and did, and how I thought and felt, some parts may turn out to be unfitting. I can discard that which is unfitting and keep that which proved fitting, and invent something new for that which is discarded.
I can see, hear, feel, think, say and do. I have the tools to survive, to be close to others, to be productive and to make sense and order out of the world of people and things outside of me.
I own me, and therefore, I can engineer me.
I am me, and I am okay.
Satir, V. (1988). The New Peoplemaking. Mountain View, CA: Science and Behavior Books, Inc.
What I love about this statement is that it provides real ideas of empowerment to people who struggle to appreciate their own value. I really believe what this declaration says: you are uniquely you, and you own your own life. Does that feel like good news or bad news to you? Consider this: you actually are responsible for everything about your life, AND you can choose to stay the same or you can effectively change the ways that you respond to the things that you don't like.
"I can courageously look for the solutions to the puzzles.."
Which parts of your life puzzle you? Honest consideration of what troubles you is the first step in correcting the areas that are really tough. And, lets be honest, we ALL have those rough times. It may be a relationship, a memory, or a situation that feels hopeless. Identify your "puzzles" and get started changing stuff.
The second step is courage.
Courage pushes us to move outside our comfort zone and take a risk in hopes of a new experience. Courage may have you stare down fear, intimidation or pain- but that's part of the deal. It's not supposed to be easy... it takes guts! Sometimes, when I struggle to have courage, I ask myself... what's the worst that could happen? This logic will often help me decide if responding with courage is worth the risk. How do you measure your own risk taking? The picture below is not courage, its stupidity. So, be smart about how you apply courage. Please, don't act stupidly.
"I have the tools.... to be close to others"
This last section is really beautiful. Being close to others is the essence of life. Without relationships, the emptiness of the heart can be devastating. Sadly, our negative emotions and messed up understanding of relationships sometimes keep us from being successful (in relationships). If this feels familiar to you, remember to have [smart] courage, use the tools you already have, seek counseling and most importantly believe in yourself.
You alone own your life. Be your biggest fan. Get out there, believe in yourself and make those changes you have always hoped you could change. Hope may be just around the corner for you.
Sunday, June 26, 2011
A preview
Dear blog friends,
Private practice is really busy. And, I have 2 two years olds. And a husband. And a house that gets really dirty, and two labradors. And 6 parents, and a bajillion friends and a yard and a Church...
le sigh.
My absence is excusable, but really when things settle down at the end of the day, I feel a small tug towards this wonderful hobby and clinical outlet. I love writing to you about what I love.
I dusted off the ol' blog this afternoon and renewed my commitment to writing weekly.
Just for fun, here is the list of the upcoming blog topics that have started to be formed in my draft folder:
- Alcoholism, part 1- Alcoholics
- Alcoholism, part 2- Children of Alcoholics
- Alcoholism, part 3- Grandchildren of Alcoholics
- Can a person really change? The five stages of change
- Radical Acceptance
- Why do bad things happen to good people?
- Social relationships and technology
- Negative emotions, we all have them so how do we deal with them?
- How therapy works
- Self- soothing
- Inside the psychiatric hospital
- Attachment
- Insert your psychology blog topic here... (leave me a comment with requests!!!)
It seems I have some writing to do. Check back soon, as in- this week! See you then.
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