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      Today I realize that truth and beauty are at one with a Higher Power. There is so much more beauty in this world than I am able to take in. There are skies and meadows, oceans and rugged hills, animals, birds and people. Truth is everywhere in the symmetry of nature, in the perfection of [...]

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      One of the surest paths toward feelings of inadequacy and an inability to move forward in life is to set unrealistic goals for myself. That is, to have standards that represent “getting there” that are so high that I always fall short. More likely, the effect of these overly high standards will be to keep [...]

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    Twelve Step Programs and Neurobiology: How the Rooms Rewire Us

    Friday, October 22nd, 2010

    Why do we so often feel better after attending a twelve step meeting? Why, even on days when we don’t have any huge “ahas” do we still know we are somehow better off, calmer and more balanced emotionally just because we had our “soles” in the room?  Some of that answer lies in neurobiology. Because of the way our nervous systems are put together, going to meetings can actually restructure our limbic systems.

    We, as humans, are physiologically patterned to resonate to each other at a deep neural level through a phenomenon called limbic resonance. Like it or not, we are wired to pick up on and process other people’s emotions through our own neurological  networks. Daniel Stern, an American scientist working at the University of Geneva has long been exploring these subtle interactions. “Our nervous systems, says Stern, are constructed to be captured by the nervous systems of others, so that we can experience others as if from within their skin.”  Thomas Lewis, author of A General Theory of Love says, “Our neural architecture places relationships at the crux of our lives, where, blazing and warm, they have the power to stabilize. When people are hurting and out of balance, they turn to regulating affiliations: groups, clubs, pets, marriages, friendships, masseuses, chiropractors, the Internet. All carry at least the potential for emotional connection. Together those bonds do more good than all the psychotherapies on the planet”. He goes on to connect parenting with emotional stability and strength, “ a parent who rejects a child’s desire to depend raises a fragile person. Those children, grown into adulthood, are frequently those who come for help.”

    Those of us who have lived with addiction can find it difficult to allow ourselves to depend on other people. We have learned to go it alone. The idea of dependency brings up anxiety, resentment and fear of being disappointed or let down. It becomes fraught with fear and mistrust. Therefore, instead of being able to enter into a trusting and balanced sort of dependency, we may tend towards alternating between anxious clinging to relationships for respite and relief and avoiding emotional intimacy and closeness, a direct result of relationship trauma. The rooms let us take baby steps toward a new way of relating. In the rooms we can depend on the program and the healing energy of the group rather than any one person. This less threatening form of dependency can lead us gradually toward increased trust and  more manageable and meaningful connection with others.

    So how does that happen? As we come close to each other’s limbic worlds, we find ourselves subtly affected, drawn in by and even changed through limbic resonance. We sit, we are stirred emotionally, we listen, we identify or notice that we do not identify. We neither affirm nor deny what is said nor do we shout back, give advice, attack or run out the door. We’re aware of feelings long forgotten, we experience their effect on us as we move through them to the other side, as we peel away layers of the onion. Over time, as this process repeats and repeats itself, something within us shifts into a more aware and understanding position, a more healed place. As this process, quiet on the outside but often noisy on the inside reoccurs countless times, we slowly and over time become new on the inside. Gradually we feel more whole, capable and confident as we internalize new skills of emotional regulation from those around us until eventually, we’re ready for independence and self-regulation. We’ve been, in a sense, re-parented.

    Twelve step programs offer the opportunity to revise and re-pattern our limbic systems. Simply to experience powerful emotions in the presence of others and get from the beginning to the end of them without acting out or triggering a crisis or collapsing into helplessness is re-patterning and rewiring. Slowly, over time, it re-regulates our own emotional responses. It helps us to learn to listen to someone else while still tuning into our own inner voice; to be in connection with someone else while staying connected to ourselves. We learn how to be in the presence of other human beings without losing ourselves or wanting to annihilate someone else.

    The relational patterns encoded into the limbic system do not necessarily respond to insight alone. Instead they respond to the slow re-patterning or recoding of the complex brain and body systems that hold the story of who we are. We cannot rush our own limbic re-regulation. Wishing someone “a slow recovery” carries with it this innate program wisdom.

    Why Limbic Re-patterning is So Important

    Our animal brain is part of what is referred to as our “limbic system” or that part of our brain/body network that governs moods, controls appetite and sleep cycles, promotes bonding, stores highly charged emotional memories, modulates motivation, and directly processes the sense of smell and libido. In short, our limbic system is central to how we feel, sleep, eat, operate in the world and relate to others. Our limbic systems are slowly nurtured and developed throughout childhood. A well regulated limbic system can allow us to live in balance, relate in balance, eat in balance, sleep in balance and feel in balance. Deregulation in the limbic system can lead to depression, anxiety, sleep disturbances and problems with self regulation. Addictions and deregulated behaviors; i. e. alternating between binging and being anorexic with food, money or sex, can reflect problems with limbic regulation. We can have trouble regulating these and other areas, such as emotions or our level of bonding when our limbic systems are stuck off kilter. We over do or we under do.

    Working in the addictions field over the past three decades has taught me endless lessons about limbic regulation. Healing trauma takes time because it is healing neurologically, it’s healing the body. Those who do poorly are often the ones who, for some reason or another, don’t like the idea of putting in the hours; the ones who want the grand “aha,” the quick fix, the flash of insight that will take all their pain away. Forever. And NOW. Maybe they go to Twelve-Step meetings and are bothered by what people do or don’t say, maybe the idea of groups annoys, threatens or makes them feel vulnerable. Or perhaps a one-to-one relationship brings up more fear and mistrust than they can face feeling. But sooner or later they will need to come to terms with their aversion to connection and join something.  Twelve step rooms have the advantage of teaching about the disease of addiction while offering community and Good Orderly Direction. Understanding that the limbic system carries our emotion and that healing our neurological body circuitry is a slow process, can allow us to surrender to the process rather than clamp down on it. It can allow us to give ourselves the time to appreciate each small limbic renewal and consolidation; to savor our ever expanding ability to “hold” our own emotions and experience a new piece of ourselves.

    Healing through the Holidays: Managing Grief Around the Holiday Season

    Friday, October 8th, 2010

    The holidays are a time of heightened reality. A time to reaffirm bonds of friendship and family. The general merriment of the season can make what we have in our lives resonate wonderfully with a sense of abundance and plenty, but it can also highlight what feels missing or never had a chance to be.

    Holidays make our senses come alive. Through treasured tunes, time honored rituals and the familiar sights, sounds and smells of the season, memories are called forward. They arise from deep inside of us; from our emotional/sense memory system, our “limbic brain” in other words, or that basic, human part of us that holds the vast and varied emotional and sense impressions that ground us in reality and give shape and meaning to our lives. That part of us that sees, hears, touches, smells and feels. These “limbic” memories are roused into consciousness by the many and memorable sights and songs of the holidays. They are “triggered” by the familiar flavors, scenes, sounds and scents that are part of the season of celebration. And each taste, each song, each sight, has accompanying emotion double coded right with it, woven alongside the mental and emotional meaning we have made of the whole, holiday gestalt throughout our lives. The holiday season is one, massive emotional trigger; it goes straight into our limbic system and catches us off guard, making us feel and “remember” whether we want to or not.

    Factoid: The limbic system actually sends many more messages to the prefrontal cortex than the prefrontal cortex sends to the limbic system, this means that feelings out power thoughts. Because of the pervasiveness of the limbic (read: sensorial/emotional) system, because our whole body is essentially wired to feel and sense, these recollections can push their way past our “thinking” brain and make us feel things we may have forgotten were even there.

    Holidays can cause us to experience emotion in the extremes. We can be drawn toward both exquisite pleasure and exquisite pain; our emotional bells so to speak, are triggered into high gear.
    Because limbic memories have such unconscious strength and because much of their feeling content can be at least partly unconscious, they can present a challenge for the person who is trying to stay physically sober or emotionally sober.

    Holiday Grief Triggers

    Understanding what can trigger unconscious grief reactions can help us to figure out why we might be struggling emotionally or psychologically during the holidays. It can enlighten us as to where our free-floating sense of anxiety, irritation or depressive thoughts might be coming from so that they don’t fuel disturbing feelings, body sensations or negative behavior without our awareness. Following is a list of common life/holiday situations that can trigger grief reactions.

    Holiday/ “Anniversary” Reactions: Because holidays are a time of traditional ritual gatherings, they can heighten our awareness about what is missing or what has changed. Try: Creating some new holiday “memories” that “feel good”.  Code in some new sensorial and emotional impressions to counteract the old ones and be patient, the idea isn’t to create the perfect holiday but to (slowly, slowly) create some new limbic “memories” with more positive meaning attached to them. Decorate your home, play your favorite holiday music, have a holiday spa day, cook foods that bring you a sense of pleasure and even purpose and connection (you can give it away or share it).  Become willing to enjoy the sights, sounds and flavors of the season.

    Seasonal Reactions: Change of seasons can stimulate grief or be unconsciously associated with a loss, thus causing a type of depression during a particular season. Try: Remember what this season stimulates in you and do extra self care. Self care may take the form of more meetings, appointments with a therapist to process reactions, massages, sports or rest and relaxation. Or all of the above.

    Music-stimulated grief: Music can act as a doorway to the unconscious. It activates the right brain, drawing out associations and feelings that get stimulated by a particular song or sounds (“sleigh bells ring”?). The holidays are full of musical memories that carry a plethora of images and emotions in their wake. Try: Playing music that you know makes you feel calmed, cozy, uplifted or in the spirit.
    Ritual-Stimulated Grief: Significant shared rituals can stimulate grief if there has been a loss of some kind. For example, family dinners or gatherings can be a sad time for those who have experienced divorce or losses though addiction. The holidays are full of the kinds of family rituals that can bring back both memories of wonderful holiday moments or pain filled, empty or turbulent ones. Try: Creating your own recovery rituals. Start simply, whatever you feel will bring you pleasure, whether it be going out to a theatrical event, eating out with friends or cooking and having a holiday gathering. Attend your local faith institutions and participate in the wonderful celebrations of the season. Create new rituals to counter the old one, even if you have to push yourself in the beginning. Over time it will feel natural and these rituals will come to have meaning for you and for those around you, you’ll be forming new, positive “ holiday memories” to counter old ones.

    Smells and Scents: Smell is associated with the oldest part of the brain, the olfactory sense, and acts as a powerful stimulant of memories that are associated with a particular scent. The holidays surround us with every sort of aroma and most of them are associated with some memory or another. Turkey, cranberries, cookies, pine needles, holiday cakes; even the smell of cold air can all be part of the holiday aura. Try: This one is easy; fill your own home with the smells that you enjoy from the holidays be it cookies, cranberries, tree or turkey, enjoy making the foods of the season and surrounding yourself with sweet smelling decorations!

    This year put yourself on your holiday list! Give yourself a present; wrap your personal world in the simple sorts of holiday pleasures that bring you particular satisfaction and contentment, only you know just what these are. Now is a good time to practice self care and self love and to then share it with others. Get extra rest, stay relaxed and don’t fight those “sentimental” feelings when they come. If you have a melancholy moment, remember, it will pass. Sometimes by feeling the grief that blocks the joy, we’re giving ourselves a real holiday gift, a present that allows us to be more present to life. See the holidays as a time when grief is part of the gift, it can be hard to get to unconscious pain so that it can be felt and released. If the holidays stimulate old, painful emotions that are in the way of your serenity, surrender. Let the feelings of longing happen and then release them and allow yourself to heal at the holidays.

    Parity Act: Finally a Reality

    Sunday, September 26th, 2010

    For years the Mental Health Parity and Addiction Parity Act was just a dream. The law itself passed in 2008, but just two weeks ago it actually went into effect. Exactly what this means for our field has yet to take shape but the idea that mental health problems are finally understood to have the same if not more impact on things like quality of life, job performance and relationship health is an idea whose time has finally come.

    Named for the U.S. senators the late and loved Paul Wellstone and Pete Domenici who sponsored it,  the parity act, according to William Moyers VP of foundation relations at Hazelden, “eliminates discrimination by insurance companies by expanding access to treatment for people who want to use their coverage to get help for addiction to alcohol or other drugs, as well as depression, eating disorders and other mental illnesses…..[the new law] opens the door to hope and help for 112 million people with employer-sponsored group health plans. Now, those plans are required to match the financial benefits for mental illness and addiction like they do for all other medical or surgical benefits, including out-of-pocket expenses, deductibles and co-pays.”

    One can hardly open a newspaper, turn on the TV or log onto the internet without seeing yet another celebrity or public official being carted off to treatment in sunglasses and a floppy hat or standing boldly against the rush of negative press they are so likely to experience if they openly talk about their battle with depression.

    But now this issue has a chance to move from the tabloids to the clinics and treatment facilities where meaningful change actually has a chance to happen. Thanks to a more enlightened senate and congress, or maybe just a more honest one, mental health and addiction can come out of the closet as disorders that need and deserve the same sort of organized and aggressive treatment as say a spreading cancer, because that is just what they are.

    According to the most recent statistics from SAMSHA:

    • One of every eight Americans has a significant problem with alcohol or drugs, with 40 percent of the group having a “dual diagnosis,” or concurrent mental/nervous disorder;
    • Approximately 27 million Americans either use illicit drugs regularly or are “heavy drinkers.” Of these almost 16 million are estimated to need immediate treatment;
    • By age eighteen, almost 12 percent of all young people are illicit drug users;
    • An untreated alcoholic’s medical costs are approximately 300 percent higher than non-alcoholic’s medical costs;
    • Approximately 70 percent of illegal drug users are employed and contribute significantly to workplace absenteeism, accidents and injuries, decreased productivity, increased insurance expenses, employee turnover costs and on-the-job violence;
    • The estimated annual direct cost to our society resulting from substance abuse is more than 250 billion dollars;
    • It is generally accepted that chemical dependency, along with associated mental health disorders, has become one of the most severe health and social problems facing the United States.

    Happy people create happy people and happy homes. Depressed or addicted people share their moods as well, only in darker and more troubled hues. For every one person who suffers from mental illness or addiction there are easily (and probably conservatively) four more who suffer deeply and for decades. The emotional and psychological trauma that often times results from living with addiction and mental illness can and often does create a set of symptoms now known as PTSD, post traumatic stress disorder. PTSD not only troubles those who have it but those who live with that person who suffers from it. And so it goes, hand to hand, heart to heart, life to life. We pass on our pleasure or we pass on our pain. Perhaps mental health parity will help us to “break the chain” and free not only one, but several generations.

    Part of “Recovery Month” Series

    Tuesday, September 21st, 2010

    In the 1960s, when my Dad got treatment, we all thought that once the alcoholic got sober, the rest of us in the family would sort of get better automatically. Normalcy would be restored and we could all go on with our lives as if addiction had never really been there. We weren’t total idiots, that’s what everyone thought. That’s what a lot of people still think, in fact.

    If you happen to think this, I will save you a lot of time and heartache. It’s not true. It’s not true because addiction is not only about addiction, it’s about emotional and psychological trauma. People who use drugs and alcohol are often times attempting to numb disturbing emotional and psychological pain that they don’t want to feel.

    How Addiction Leads to Trauma

    Living with addiction often results in cumulative trauma that deeply affects family members. When addicts are using they are, for all intents and purposes, out of their minds. Their behavior mimics that of an variety of psychiatric disorders ranging from manic depression, to full blown psychosis in which the addict is totally out of touch with reality. To see the father you love turn into a raging, abusive monster, the mother who cooked you your favorite dinner become a raving lunatic, or simply disappear behind a closed door by 9:00 pm or the child you have raised and adored turn into someone you cannot recognize, is nothing short of terrifying. They look at you as if they never loved you, never knew you…as if you are simply in the way of what is really important to them, namely their drug of choice. The out of control and unpredictable nature of these behaviors can make family members feel helpless, enraged, and as if their sense of reality is being turned inside out and upside down. In short, it’s traumatizing.

    How Trauma Leads to Addiction

    Living with the kind of unpredictable and damaging behaviors that surround addiction, often challenges our sense of a normal and predictable world. It undermines our trust and faith in relationships and their ability to nurture and sustain us. In interferes with our ability to communicate our needs and have them heard or to listen to another person communicate theirs. It is, in other words, traumatizing. Over time this “cumulative” trauma (it’s never just one time in the addicted home, right?) can engender trauma related symptoms such as depression, anxiety, hypervigilance, low self worth and somatic disturbances (head and body aches, chronic tension and so forth). These symptoms, if they go untreated in family members, can become full blown PTSD. They can lead to all sorts of life, learning, health, psychological and relationship complications and yes, you guessed it, a desire to self medicate. This is how the insidious baton of addiction gets handed down through the generations. Addiction engenders trauma symptoms and trauma symptoms engender addiction. Even if family members do not become alcoholics or drug addicts themselves, they are at increased risk for other forms of self medicating (food, sex or money, or hybrid combinations of two or three). They are also at increased risk for other types of trauma related symptoms. Who needs to locate an “alcoholic gene”? Understanding the trauma set up makes intergenerational dysfunction or “passing down the pain” clear enough as to make a gene only proof of what we already know.

    When the Addict Gets Sober Why Isn’t the Whole Family Better?

    The addict sobering up is only the first step in healing. Whether that’s because the addict was numbing emotional pain from living in a painfilled family or because the family has now become traumatized by living with addiction is more or less a moot point. It’s the old chicken and egg story, which came first doesn’t matter any more. Everyone in an addicted family system needs to get help and the sooner they get it, the sooner the family can start to heal. If this kind of healing doesn’t take place a few things might happen:

    The addict may relapse.

    The family may break up or polarize.

    The sober addict may have to leave the family in order to get and stay sober.

    The family may find a new “problem person” or “symptom bearer” to take the focus off the family illness.

    Because the addicted family becomes slowly sicker, they may experience one of their members going into recovery up as an assault to their now (or maybe always) dysfunctional equilibrium. They may silently collude in “not changing”, in maintaining their sick status quo. Having an “addict” in the family is a great way for the rest of the family to ignore their own state of emotional health. There is always someone to blame the family pain on. Namely, the addict. But when the addict gets sober, the family is left with their pain which they need to take responsibility for and work through whether it preceded addiction or was a direct result of living with addiction or, more likely, a very uncomfortable combination of both. After all, happy, well adjusted and well related people don’t tend to want to drown their pain with drugs and alcohol, something was likely engendering that pain to begin with.


    What if the Addict is Divorced, Leaves or Dies; Then Isn’t the Problem Over?

    Out of sight is unfortunately not out of mind. The unconscious of the family system is shared by all. Family dysfunction is sort of like a rash, it moves around the body of the family and reappears, in another location hot, red…..demanding to be scratched or soothed. But it is still the same virus whether it appears as a bump, series of lines or a fiery patch. The tentacles of trauma reach deep into both the body and the mind, they become part of us. If they remain unconscious they can shape and impact further ways of relating and life choices. They are just as likely to get worse not better on their own.

    Recovery Can Grip A Family Too

    Getting better is just as easy as getting worse. Healing is also cumulative. The pay offs of recovery are as easily quantified as symptoms of decline. Some “symptoms” of recovery are: enhanced self esteem, renewed energy for life, increased emotional literacy and emotional intelligence, increased emotional sobriety and balance and an ability to make healthier life choices. Awareness is a powerful tool and safeguard. Life will still be challenging, it always is, but with help and awareness, family member’s energy will be freed up to meet their own challenges rather than unconsciously throbbing from festering or turgid wounds from the past that are constantly bleeding into the present and future. Though admitting our need for recovery can feel like walking through a wall, once we walk through it we discover that the wall was a wall of fear, a mental construct, a dark imagining of our own making. On the other side of that wall is a new kind of freedom and self possession, a new lease on life.

    For Further info on recovery and addiction log onto nacoa.org National Association for Children of Alcoholics

    When Love Is Not Enough: Lois W.’s Story on CBS

    Monday, September 13th, 2010

    An Interview with Writer William Borchert

    A story of Lois W.’s life and the roots of ALANON, When Love Is Not Enough is scheduled to air as a Hallmark Hall of Fame Presentation on the CBS Network on Sunday, April 25 at 9 p.m. EST.

    More than three years in the making, the movie is based on the book, The Lois Wilson Story: When Love Is Not Enough, written by William G. Borchert, who was a close personal friend of Lois Wilson for more than 15 years before her passing in 1988. Mr. Borchert was nominated for an Emmy for writing the highly acclaimed Hallmark film, My Name Is Bill W., starring James Woods and James Garner, which was based on the lives of Bill Wilson and Dr. Robert Smith and focused on the founding of Alcoholics Anonymous.

    When Love Is Not Enough will star Wynona Ryder as Lois Wilson and Barry Pepper as her husband, Bill Wilson, the co-founder of Alcoholics Anonymous.

    I recently spoke with William Borchert — or Bill, as he goes by — about his film.

    Tian: You wrote the film My Name is Bill W., which helped a lot of people to gain a better understanding about the roots of the Twelve-Step movement in America. Tell us why it is so important to you to tell Lois’s story.

    Bill: Without Lois Wilson, there would not be more than 300 recovery groups around the world based on the Twelve-Step program. It was Bill Wilson himself, the co-founder of Alcoholics Anonymous and author of the Twelve Steps, who often said that without Lois, he would have died a drunkard’s death long before he started AA with Dr. Bob Smith.

    My wife, Bernadette, and I had the privilege of being very close and personal friends of Lois for more than 15 years before she passed away. I came to know her very well and respected all she had done to help families of alcoholics by co-founding Al-Anon Family Groups. She grew to have great trust and confidence in me. This is why she gave me her permission and blessing to write the movie based on her and her husband and the founding of AA called My Name Is Bill W. But there was no time in that movie to tell the story of Al-Anon’s founding, which I also wanted to do.

    Lois and I spent much time together with a tape recorder, which then gave me the intimate knowledge I needed to write her story both as a book, The Lois Wilson Story: When Love Is Not Enough and then co-write the screenplay for the Hallmark Hall of Fame movie, When Love Is Not Enough with Camille Thomasson.

    Tian: Would Lois approve of this film?

    Bill: Lois was actually quite shy and demure and a genuine lady who didn’t enjoy flattery, fawning or the kind of adulation she received by so many. However, she was also the greatest advocate for carrying the message of recovery to both alcoholics and, particularly, their families — their spouses and their children. So, yes, I believe she would have enjoyed this movie because it carries her great message of hope and recovery, even though she might feel a bit uncomfortable about being in the limelight.

    Lois would have enjoyed this film for one other important reason. When writing about AA or Al-Anon, Lois always made me promise to “tell the truth of the story.” I believe I did in both Bill W. and now in When Love Is Not Enough.

    Tian: In a nutshell, what would you say Lois’s message is?

    Bill: It was simply that alcoholics and their families suffer from a spiritual malady, and there is hope and recovery in Al-Anon by working the Twelve-Step program. And there is one other message — a dream that Lois and Bill always shared — that one day the whole world would live by the Twelve Steps and there would be true peace upon the Earth.

    Tian: Why did you want to do a film on Lois W. and, for that matter, your previous film on Bill W.?

    Bill: According to the American Medical Association and government statistics, there are more than 40 million alcoholics in the United States alone. Facts say that every alcoholic affects at least five other people in their lives — wives, husbands, children, relatives, friends. That means more than 200 million people in America are touched by this plague, and few know what to do about it. That’s why this movie is so important, because the story of Lois Wilson offers an answer — an answer that works.

    Also, this movie is truly a great moving and dramatic love story — the story of a deep, passionate and unquenchable love that overcame pain and humiliation to flourish again in the sunshine of recovery.

    The gifts that Lois and Bill Wilson have left us continue to save millions of lives and restore families all over the world. As Aldus Huxley once said: “When the history of the 20th century is finally written, America will best be known for giving the world the Twelve-Step programs of Alcoholics Anonymous and Al-Anon.”


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