sanity – Page 2 – Dr Affie Adagio

Silly season

This is the time of the silly season when there has been, for some, lot’s of drinking, drugging, eating, smoking, gambling and other excesses. At first it has to do with fun but memories come rushing back hooking in nostalgia and in some cases abuse in childhood or earlier relationships, so these excesses are then used as feelgoods. One of the most hidden addictions is pain-relieving pills. Whilst the intended relief is to ease physical pain the medication used can momentarily ease the emotional pain of life. Having the spirits lifted in that manner can lead to people using pain-relievers to make themselves feel better when they feel low or tired.

her injuries, sustained in a couple of serious accidents
caused immense pain now and then
but as a professional, experienced in addictions, she was
loathe to use pain-relievers unless absolutely necessary
and only for a short time under doctor’s supervision
recently she disclosed to me that she needed to
take some and she was afraid that it could be addictive
even though she avoided that before
I suggested that because she was aware of this
and her past experience
then perhaps that would not be a problem
next time I saw her we talked about the pain-relievers
and she mentioned that the last time she took any
was for the physical pain, then she got the urge to
take some to make her feel happier and when
she realised that was for the wrong reason
she didn’t take any more
it gave her great strength to be able to do just that
which also made her happy to be free of the need
this is possible for those who haven’t been addicted
but those who have been, and have managed to abstain,
then it’s too risky to even
contemplate strong pain-relievers

Male influence in the family

As a family therapist and as a woman, I am pleased to see the growing nurturing role of men in family relationships. A man nowadays does more than provide financial security and play with his children. Usually he takes more of an interest in the child’s choices in life and is more supportive of their achievements, apart from sport. A man is not ashamed to take on a more nurturing role which was once only attributable to a woman. Likewise, a woman has more of an active role in what was once considered only that of a man’s, so the sharing of responsibilities is both effective and welcomed for the progress of humanity. Therefore, male influence in the family can provide a more balanced foundation for childrearing.

he remembered that as a child his father was
emotionally unavailable to him
sure, he played with him and showed some
interest in his son’s sporting activities but
if they were lesser talents than that of his father’s
then the criticism and insults were extreme
what’s more his father did not show pride in his son’s
academic and chess playing achievements
fortunately, it can be said that the son is
a better father, more responsible and caring
and this sometimes happens in opposition to the
inappropriate behaviour of a dysfunctional parent

Addiction symptoms regardless of nationality

An interesting fact is that people suffer similar addiction symptoms regardless of nationality, that is, whether we are European or Australian or Chinese and so on. The need to use or self medicate increases as the illness of addiction progresses and the illness can only be arrested by abstaining. Some of the symptoms are: depression, aggression (violence), resentments, isolation, paranoia, neediness, self-pity, poor anger management, and disorders in sleeping, eating and sexual behaviour. When feelings or behaviours are exhibited to the extreme then people would do well to explore the extent to which they use substances or processes to cope with them – this only makes those feelings worse.

during the day he was a successful businessman
but his behaviour was becoming more and more
aggressive, dishonest and unbelievably mean
towards his family, friends and staff
during the day it did not appear as though
he was drinking alcohol, but he did at night
that was the only time he was jolly
then his doctor said that his drinking had to stop
or his damaged liver would cause his death
for a few weeks he was sober and went to AA
the change in him was amazing and once more
his wife saw the man she had fallen in love with
but he was bored with his authentic self and
he gave up his recovery and that lost him his wife
his only salvation has been that
he’s minimised his drinking, however
his behaviour is obnoxious and yet
he knows what needs to be done when he’s ready

Anger can heal

We run away from pain, that’s a normal human reaction to overwhelming feelings. Anger is one of the emotions that we don’t want to feel and so we often suppress it to the point that we think we don’t have it. Emotions that are buried will only explode like a volcano when we least expect them and often over insignificant events. Anger can heal if it’s reframed and used as positive energy – a popular strategy used in sports training. When feelings are ignored they cause us ill health and or lead to our need to self medicate with substances or processes which can eventually end in unmanageability and addiction.

at a rehab hospital the group worked on
how they dealt with their feelings
the facilitator kept probing Joe
who always appeared calm yet he
suffered from an addiction
finally Joe raised his voice demanding
what was expected of him?
the facilitator responded “that!”
meaning that Joe needed to be more
in touch with his feelings and express himself,
a basic tool for assertiveness training and recovery

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

Soulmate

Successful relationships can take place between people who are not soulmates. This is because soulmates can sometimes be just good friends. Nevertheless, when a loving relationship involves a lover who is also a soulmate then it is considered by some to be ideal. So if you’re searching for the ideal partner make a list of all the pros and cons of such a person – it is important to show both what you want and what you don’t want in a relationship. In doing that you raise your awareness of the type of person that will suit you best. Everything in life needs a blueprint and likewise relationships do too. Make sure that you are meticulous in making your list and then affirm it by thinking positive about finding your soulmate and life partner.

he had been unlucky in his choice of partners
someone who had appeared to be a soulmate
turned out to be codependent hell
he wanted to stop repeating this mistake
his life coach suggested he make a written list
of the likes and dislikes he had about
a future loving relationship
she said it was a phenomenon that worked
but she stressed that he make sure he
does not leave anything out from the list
he laughed because he thought it stupid
but he did it because she’d been right before
about some important things
not long after he found his wife and soulmate
and ten years later they have a life
he wouldn’t have believed was possible
children, security, love, fun and
above all sanity and serenity

Amor junto al río, photo by Hernan Herrero, Capital Federal, Argentina

13th Step love

People who find recovery from addictions in a 12 Step program create close loving friendships together, which is the basis for this fellowship. It’s known that some members also find a soulmate or life partner in the 12 Step fellowship, when both partners have a strong recovery and are ready for an intimate relationship. In such cases a life partnership is rewarding because they share a way of life which they understand and which enhances their recovery choices. However, people need to be vigilant about 13th Step love. That’s what they call it when someone who is experienced with the 12 Step program gets involved with a member in recovery who is vulnerable and who is usually a new member (also see my other posts on the 13th Step which is the unofficial term for this involvement).

he resisted his feelings about her because
she was new in recovery and he was her guide
he had many years in the 12 Step fellowship
and was grateful for the sanity and serenity he had
but he was fooled about her level of recovery
because it was not her first time in the program
so when their relationship became intimate he had
hopeful plans for their future together
but then she relapsed and he realised
it had only been a 13th Step love
he took responsibility for the mistake as he was the more
experienced one and had needed to be more aware
she was now a ‘runaway train’ with her addiction and
they suffered in more ways than one
a painful lesson for both

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

Nothing is as it appears

The jaguar is popular and as people admire its beauty they forget how dangerous it can be. Nothing is as it appears. Within seconds it’s capable of ripping its prey apart, as many animals can do. To a certain degree the same can be said of the human animal. Usually humans try to present a persona which is attractive, lovable, and successful so that they can get what they want. Some though are dangerous because they can easily become violent, either emotionally or physically or both. Prevention is best – we need to go gently into a new relationship until we are sure of the other person’s temperament. We also need to be prepared to get out of the relationship fast if it proves inappropriate and not wait until it’s so dangerous that we can get hurt.

they came to see me and by the end of the session
it became apparent that he was not willing to change
even though he had violent tendencies
and she was not ready to leave him
when they came back to see me I made it clear
that I could not see them together any more
because it was as though I was holding her hand
while he continued to be violent with her
I recommended that she contact the Helpline
for this type of dangerous behaviour and
stressed that her life depended on
her taking urgent action, my words annoyed him
she came back months later and wanted
to undergo therapy on her own as
she had legally removed him from her life
she had a pattern of attracting similar types
and she wanted to stop, so we began the work
today she lives the life she’s always wanted