peace-of-mind – Page 2 – Dr Affie Adagio

Codependence or addiction?

I’ve been asked “which comes first codependence or addiction?”. As a therapist I speak professionally and from personal experience as a recovering codependent, as well as a food and nicotine addict in recovery. A codependent can be either a victim or a perpetrator of dysfunctional behaviour and as a result addictions manifest in an effort to self medicate the disturbing feelings. There’s a difference between giving service to others and becoming a martyr for their sake, which is also codependence. A recovering codependent is someone who has identified their condition and admitted it; staying vigilant about it; being a part of a recovery program; and giving service to maintain their recovery and that of others, in a loving fellowship. This recovery also involves being abstinent from addictive behaviours.

Pia Mellody (Facing Codependence), who is
a leader in the codependence recovery field
spoke on her recovery from codependence and addictions
her honesty moved me because society can scoff at
people being transparent about their shortcomings
and how they’ve taken the journey to recovery
this could be because the majority of people are
afflicted by codependence and addictive behaviours
so it’s easier to scoff than to take action
until they reach their rock bottom and only then
they become willing to find sanity and serenity
in a loving fellowship committed to recovery

Anxiety and addiction

Which comes first the chicken or the egg, they ask? Does anxiety create addiction or does addiction create anxiety? As I see it both apply. We become anxious over something and we reach out to self medicate with a substance or process (alcohol, smoking, pills, food, love, gambling, arguing) which we know will give us some relief, even though temporary and unhealthy. Then when the feelgood wears off we are faced with a double barrel situation – the unresolved anxiety from the first instance and the one created by the withdrawal from the feelgood. Damned if you do, damned if you don’t, they say. Better to resolve the problem creating the anxiety in the first place. Then the feelgood is kept manageable, for those who can.

I had some university work to attend to
and as it was not that of my choice
the procrastination set in fuelled by my anxiety
or vice versa, who cares?!
so I cleaned out the cupboards and took care
of other chores I had been putting off which
were less unpleasant than the uni work
then I turned to my drug of choice – food
a little of this and a little of that increased
my guilt and anxiety and then I tackled
the original culprit but as I finished the task
I wondered why I hadn’t spared myself the angst
the universal question!

Lift our spirits

There are clouds that are dark and gloomy and there are clouds that are light and fluffy which lift our spirits to look at. That is exactly how we can see some of life’s experiences. Some are dark and gloomy but once we have sat and experienced the depth of the gloominess then we need to reframe the experience and make the best of it. Even the worst experience can have a better outcome – one door closes and another opens.

he was so gloomy because he lost his job
as we sat and assessed the pros and cons
of the situation and its implications
he seemed to be more relieved
because he wouldn’t have to put up with
the stress he had faced before and
he had felt unappreciated too
as he realised that this was in fact
going to work out better for him
his spirits were lifted and he
looked forward to what the
new day would bring

Panic

Today I’m writing about panic as the cause of whether we handle situations well or not. Panic is fuelled by anxiety and different people react differently to stressful situations. The need to fight or flight is natural and some of us under such circumstances will appear cool, calm and collected making the necessary appropriate decisions which resolve the emergency. Others may become flustered and make mistakes that can be fatal. Then again people may experience both reactions at different times.

The best solution is to be prepared by developing relaxation techniques beforehand, like breathing evenly in a circular fashion; repetition of words to steady thought patterns, e.g. “I can do it, I can do it” over and over again (otherwise known as affirmations or self hypnosis); asking for help or making a loud noise, if possible and so on.

PANIC DEFINITION: in American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders, 4th Edition [DSM-IV]. Washington, DC, American Psychiatric Association, 1994, p. 394-403
The symptoms the DSM-IV list are:

palpitations, pounding heart, or accelerated heart rate
sweating
trembling or shaking
sensations of shortness of breath or smothering
feeling of choking
chest pain or discomfort
nausea or abdominal distress
feeling dizzy, unsteady, lightheaded, or faint
derealization (feelings of unreality) or depersonalization (being detached from oneself)
fear of losing control or going crazy
fear of dying
paresthesias (numbness or tingling sensations.
chills or hot flushes

This definition of panic is from (and for more information) (Ask Tog)

Maintain vigilance

One human weakness is the need to stop doing what works when things are going well. Usually people who have found their sanity by taking the relevant medication will, against medical advice, stop taking the medication when they feel well, with horrendous consequences. Others will find solutions to their problems through counselling and once the situation improves they stop doing what was necessary to achieve the results, again with horrendous consequences. We need to keep vigilant about unacceptable changes in our wellbeing and once we find solutions then also maintain vigilance to ensure that improvements are not lost.

the last time I saw them they had after a few sessions
resolved their difficulties and made a checklist of what
they had done to sort things out so that they could
continue what worked and maintain the improvement
intelligent, successful, people meant commitment to
the system for success, or so you’d think
why should they be any different to the rest of us
a human frailty is becoming overconfident
and stopping what works
it can happen to me too if I don’t maintain
the vigilance and even then I am prone!
a year later they were back almost ready to divorce and
full of resentment, anger, defensiveness and vengeance
they had time to each tell their version of the problem
having expressed themselves we looked at their checklist
maybe one or two items had been maintained
but the rest had been grossly neglected
although it seemed hopeless we began again
and bit by bit things got turned around
after a few sessions they were back on track
back to basics always works yet we have
a tendency to complicate things

Seeing the light

Having experiences that are naturally blissful has been a favoured topic for me lately. Another such bliss is when we get an Ahaa at seeing the light about something. Good communication is one of life’s main assets. Getting it right when we wish to communicate our needs and wants means that our relationships are healthier, our work is more successful, and we have a more enjoyable life. Don’t settle for something that is not clear for fear of annoying another should you probe for more information. The reward of understanding something is priceless. Otherwise you suffer the stress brought on by confusion and misunderstanding.

she was crying her heart out when
I asked what was wrong and
she refused to explain
I paused, giving her time to cry a little more
as I waited she noticed that I was not
going to try and stop her and
she began explaining her predicament
of how her bills were greater than
the money coming in
I suggested that when she was
able to talk we might be able to
look at what options there were
then she became more settled and peaceful
so we considered what she could do
she made a list of those she could contact
and make a payment arrangement with
also what expenses she could do without
like a serious plan to give up smoking
things looked promising as can happen
when seeing the light occurs
that makes all the difference
at the worst of times

Life Strategies Workshop

Have you ever reached a stage that you look around and see people around you relating in a superficial manner – plastic and meaningless, dragging you into the same empty space? There are enjoyable ways to bring you back in touch with your true self and your passion which otherwise can just die away. Today I facilitated another Life Strategies Workshop. This one took place in the boardroom at the Crest Hotel at Kings Cross. There were 9 participants and we had fun unwinding from the stresses of life.

Those present already have experience in using effective life strategies and are involved in providing person-to-person services in corporate life. Today was their turn to take the focus off others and put it on themselves. It was also great to have such a good ratio of men and women.

We looked at how to identify different personality types so as to improve communication in the workplace and in personal relationships. Also how to find your passion which is so important to keep you motivated to achieve your goals. Then how to move on after a relationship has ended, with the least possible suffering. All vital life strategies which need honing now and then, no matter how good you are at dealing with life’s ups and downs.

The participants also experienced developing their skills in dealing effectively with a rebellious, difficult person without losing their sanity. For some, such a person is an adolescent child with unrealistic expectations.

Feedback from some participants was along the lines of:

more productive than other workshops

confronting, yet light and enjoyable

very different from what I expected, good work

interesting workshop, good group of people

enjoyable afternoon, a good learning curve

good to be with like minded people and unwind

great to refine my negotiation skills in a pleasant way

will remember this day for a long while, stress free

I liked the lots of humour for change

it mapped a path to my goals, back on track

more beneficial than I expected, cause I dealt with something new

The venue, atmosphere and delicious food and beverages created a moment in time that busy successful people could really appreciate. This is a reliable method of ensuring that your life is kept on an even keel.

The next Life Strategies Workshop will take place 1-5pm on Sunday January 28th 2007 [changed to February 4th]. So book early as only 9 or 10 participants are accepted.

Family of origin

When someone comes into recovery from addiction, dependency, emotional illness, or a loss of some kind, an important step is to share about their family of origin story. This is vital to recovery because some issues get buried unknowingly and can fester, affecting the person’s behaviour for years. On the other hand, also remembering the positive things about their family of origin can contribute to their recovery. This process can help a person improve the relationship with their family of origin, if appropriate to do so.

she used to hate going home for
important times such as Christmas
and as we spoke it became apparent that
the angst she felt was valid
but at other times unwarranted
nevertheless because she had
not dealt with these issues
resentments had be debilitating
both to her and her family
so she made a plan to
approach her family of origin
and be honest about how she felt
regarding certain past events
not forgetting to make amends too
when it was appropriate to do so
I reminded her not to be
attached to the outcome and
then the process could set her free

A white-knuckling recovery

It’s great to come into recovery from addiction. It means freedom from being compelled to do things we don’t want to do anymore. Such things which are harmful to us. Addiction recovery means serenity and peace of mind. However, there are some of us who experience a white-knuckling recovery – sometimes called a dry drunk. This means struggling with the demon of addiction. The only hope is to persist in the search for serenity and recovery will then be true freedom from compulsion.

they would ask me
why was it so hard to find
serenity in their recovery?
it felt like no matter what they did
it was a white-knuckling recovery!
I explained that for some
making the decision to be in recovery
is a smooth transition from insanity to sanity
and for others it is somewhat harder
but for all, the best outcome is to
persevere by sticking to the program
and eventually it works out – serenity
and that’s how it’s also sustained