The Cost of Silence

 

Today, I was doing my weekly skim of recovery related blogs and ran across a blog post on Drinking Diaries entitled “Whitney’s World-And Ours” written by author, Martha Southgate, famed for her truthful and passionate novels related to African American communities and experiences.

In her blog post, Southgate shared about the tragedy of Whitney’s death but also hit on the reluctance to acknowledge or discuss addiction in many of the African American communities. When you think of addiction among white Americans, chances are you think of people from all stages and walks of life: poor, wealthy, young, old.  However, when you think of addiction among black Americans, you typically think of “beat down, broke crack addicts or homeless bums.” She discussed her fear about the reluctance to be open and honest about addictions across all class lines, but also shared her hope that the death of such iconic and wealthy African American celebrities, such as Whitney and Michael Jackson, may result in more open communication.

I must admit that Southgate’s blog post really made me think about my own experiences growing up in a small, Appalachian town. I can relate in that I don’t ever remember anyone talking about the substance abuse in our communities. While it was a predominately white, lower to middle class community, there was an enormous amount of pride and religion in the families. It was not okay to air your “dirty laundry.” What would others think? What would that mean about you?

I myself grew up in a household littered with the affects of addiction, as both of my parents were children of alcoholics. However, interestingly enough, no one ever talked about it.  As I grew up and received degrees in psychology and counseling, I learned about intergenerational trauma and how the affects of addictions can be passed down from generation to generation. I began to reflect back on my friends, acquaintances and community as a whole and realized the damage that was occurring due to no one acknowledging and talking about the issues in the family.  An immense amount of shame, fear, and lacking-self worth had become a cornerstone, and ultimately, the belief that no one else could understand was what kept the silence and fostered more pain.

If you are a part of a family suffering from the affects of addiction or trauma, there is good news. You can break the cycle; I understand that first hand. The first step is talking about it in a safe space, like with a trusting friend or therapist. There are also many amazing support groups for family members. Here are some options in and around the Chattanooga area:

Families Anonymous: for anyone that has a family member struggling with addictions (substance abuse, eating disorders, sex addiction, or financial addictions).

Every Friday from 6-7pm at Focus Healthcare of Tennessee, 7429 Shallowford Road in Chattanooga.

Every Thursday from 8-9pm at Grace Episcopal Church at 20 Belvoir Avenue, Chattanooga. 423.886.6425

Forgiven Much: for spouses of men with sex addictions. It is held every other Wedensday at 6;30 at Woodlawn Park Baptist Church. 423.645.0596.

Al-anon: for family and friends of alcoholics (but can be supportive of other addictions)  Meetings occur at a variety of times and locations around South Eastern Tennessee. Check the website at http://al-anonchattanooga.com/Meetings.aspx for more information

Codependent Anonymous (CoDA): for those seeking to build healthy relationships (can be very supportive of those with unhealthy relationships due to addictions in the family)

Wednesday from 7:00-8:00pm at Grace Episcopal Church

Thursday from 7:00-8:00pm at Trinity Lutheran Church

 

To read more of Martha Southgate’s blog post: http://www.drinkingdiaries.com/2012/02/17/8636/

** Focus Healthcare of Tennessee does not necessarily endorse or support all themes, theories, or perspectives included in the entirety of blog.

Photo Credit: http://www.roserehab.com/blog/

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One of the things oldtimers tell newcomers is to “remember your last drink. Remember that last high. “ They caution you to never forget it. I think I know why.

It’s like waking up to the good intentions of the previous night. And hearing that terrified voice in your head that says “Well, it wasn’t really that bad “ followed by the relief that you don’t need to quit today. Alcoholics and addicts have selective memories; we tend to romance the drink and forget the paranoia and self loathing that inevitably come from “just one more.”


Addiction by “M.”

A drug addict at Focus, “M.” drew this picture. It is a drawing of a “powerless and unmanageable” life. And a very good drawing of bottoming out.  Oldtimers will tell “M.” to keep this drawing around to remind himself what active addiction is really like. Trapped in a pill bottle with a ball & chain around the ankle while all hell breaks loose.

Kenny Chesney and Grace Potter sing a haunting duet about addiction that’s on the radio now- “You and Tequila”. It was written by Deana Carter. “Runs like poison in my blood. One more night will kill me baby; one is one too many, one more is never enough.” That’s a First step. When you admit that you CAN’T NOT DO IT you are taking a first step. When you seek treatment you are taking a first step. Life outside the pill bottle looks way better.

Copyright2012jasmilam

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The Beauty Myth

Some of you may be aware that National Eating Disorder Awareness Week is just around the corner. This is one of my favorite weeks since it revolves around prevention and education, and I always get a little giddy when I am asked to present to a group. One organization recently contacted me asking that I prepare a talk specifically related to our culture of “thin” and the affects it has on young women. In gearing up for this presentation, I have been reviewing one of the first texts I read many years ago related to this topic, The Beauty Myth- by Naomi Wolfe. This was the first book to introduce me to feminism and empowerment. Yes, yes, I used the “F” word, but hear me out. Feminism has really got a bad wrap over the years, but for me, reading this book woke me up. I was in the early stages of my recovery and found my own source of hope, understanding and empowerment after reading it. It was a pivotal moment in my desire to make a difference.

Since rereading this book over the last few days, I have become aware that it’s chopped full of dizzying facts and studies, some of the topics are a bit archaic, and it has a pretty angry undertone at times, but despite it being written over 20 years ago, many of Wolfe’s philosophies still greatly apply today.  The biggest being that as women have gained more power in social, political, and economic settings, the demands on their appearance have also risen.  To be acceptable by today standards of beauty, we are taught that we should be plucked, tanned, toned, waxed, whitened, dyed, and hungry.  Ultimately, the beauty demand leaves waning self-confidence and less money and time after visiting our hair stylist, clothing boutique, tanning salon, gym, Sephora, and vitamin retailer.

It is fascinating to look back at history and see the correlation between advancements made by women in our country and the increase in harder to achieve beauty standards.  For example, dieting and thinness first became a female preoccupation between the years of 1918 and 1925 when the flapper body type was introduced.   However, right in the middle of this marked dieting period, women received the right to vote. This thin obsession continued through World War II up until the late 1940’s and 1950’s when women were encouraged to leave the work force due to the post war baby boom. The regressive 1950’s popularized the “Leave it to Beaver” homemaking and suburban life, but also brought back the popularity of women’s natural fullness as seen in Marilyn Monroe, Sophia Loren, and Elizabeth Taylor. Wolfe shared that as long as women were preoccupied with domestic seclusion, then there was no need to preoccupy their minds with dieting.

However, yet again, women began to push for more rights. In the early 1960’s, second wave feminism (or the feminist movement) began in which legal inequalities, sexuality, rights in the workplace, and reproductive rights were tackled. In 1965, birth control hit the shelves ironically at the same time that super model icon, Twiggy, would hit the runway with her 31-23-32 figure. In many ways, she represented female weakness, asexuality, and hunger in a world in which women were becoming more assertive, open, and empowered. Wolfe explained, “her thinness, now commonplace, was shocking at the time; even Vogue introduced the model with anxiety: “Twiggy’ is called Twiggy because she looks as though a strong gale would snap her in two and dash her to the ground… Twiggy is of such a meager constitution that other models stare at her. Her legs look as though she has not had enough milk as a baby and her face has that expression one feels loners wore in the blitz.” Shortly there after, the recorded weight of Miss America’s and playboy bunnies plummeted and studies showed the number of high school girls who thought they were fat had risen.

In the 80’s and 90’s, the “can-do” attitude arose in which society was fed the message that we can be and do anything we want if we work hard enough. This attitude bolstered women’s attitude to change in the work place but also applied to their thoughts about changing themselves. As they were presented with diets and images of the “perfect woman” on magazines and television, they were telling themselves it was attainable if they wanted it enough. And, if they failed, it was a testament to their weakness and lacking willpower.

I could go on and on, but you get the picture. Now, women have made huge advancements as we are represented in the political sphere, hold high-powered jobs, have increasing rights to reproductive health, and are a force to be contended with- in my opinion. However, negative body image, eating disorders, cosmetic surgeries, and the dieting industry is bigger than ever. Interestingly enough, this phenomenon can also been seen in the LGBT population. Eating disorders are on a huge rise, particularly with gay males, and I would venture to say that this is also in coloration to their increasing empowerment and social and legal rights. 

You may be asking, what does one have to do with the other. Well let me explain. Reserachers J. Polivy and C.P. Herman found that “prolonged and periodic calorie restriction resulted in distinctive personality traits of “passivity, anxiety, and emotionality.”  Sound like any descriptors of women you know? Also, like I said at the beginning, being obsessed with beauty takes a lot of time and energy. How much of the American woman’s day is spent thinking about calories, comparing themselves to friends, coworkers, celebrities, or how to make themselves more attractive. Just think about how much brain power is being reduced due to being fatigued, hungry, and stressed, yet how much women still accomplish. Now just think if half of that energy devoted to improving appearance was put towards positive change in their families, work, or communities. There would be a heck of a lot of change going on, right?  However, change is frightening. In our society, men have always had the majority of the power and control. Please be aware that I am not saying that men are behind the “beauty myth.” But, I do think that as women begin to infringe on our cultures way of being, there is backlash.

Now please don’t get me wrong. In no way am I saying that you should go throw out all of your cosmetics and give up your gym memberships. I hold to a very liberal idea of feminism. I love wearing make-up and heels just as much as the next girlie-girl, but I also feel comfortable going out in gym clothes, ratty hair, and no make-up. I simply wanted to share my recent rediscovery of Wolfe’s Body Myth as I find it incredibly interesting and empowering. My biggest take away, is that it is great to look nice and feel good about yourself; however, be aware of why you are doing it. There are forces in our culture whose only goal is to make you feel bad about yourself so you will buy more clothing, memberships, and make-up. And, as history has shown, this does seem to have an impact on our progression. The beauty myth is real, and none of us have experienced it unscathed. However, there are ways to find balance and change.

“ The next phase of our movement forward as individual women, as women together, and as tenants of our bodies and this plant, depends now on what we decide to see when we look in the mirror.”

What will you see?   – Amber

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Breathing Pattern; Art therapy and Eating disorders- by Jas Milam, MAA

I get excited when my Vera Bradley catalog comes. I don’t love the preppy aesthetic and have no need for a monogrammed tennis racquet cover. But still I do love my Vera Bradley catalog. The patterns. The palette. The combination … Continue reading

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The first few weeks of the New Year are always exciting as its traditionally a time full of goal setting, optimism, and reflection. I love this time of year because universally everyone is thinking of ways to make their lives better. I, too, have been spending a lot of time evaluating the successes and disappointments of my 2011, and it keeps bringing Aesop’s fable, The Boy and the Filberts, to mind.

Here’s the story:

“A boy put his hand into a pitcher full of filberts. He grasped as many as he could possibly hold, but when he tried to pull out his hand, he was prevented from doing so by the neck of the pitcher. Unwilling to lose his filberts, and yet unable to withdraw his hand, he burst into tears and bitterly lamented his disappointment. A bystander said to him, “Be satisfied with half the quantity, and you will readily draw out your hand.”

The moral I make of this story: Sometimes you have to let go in order to live life.

For fellow perfectionists, this story may hit home as you try to do too much at once. Unfortunately, this means that being present in the moment rarely happens and leaves you missing out on much of the joy from the things that matter the most. Or maybe you are struggling with an addiction, eating disorder, or anxiety that is getting in the way of being able to pull your hand out of the jar. You may feel stuck trying to hold on to your friends, job, family and your unhealthy behaviors. Or maybe, you are caught up in the comparison game and wanting to have everything. Our society stresses that the American dream is to achieve wealth, beauty, and success. If you are always comparing yourself to your neighbor, it’s also pretty hard to pull your hand out of the jar and enjoy life.

I encourage you this New Year to take a close look at your “filberts.” What’s most important to you? Is there something you need to let go of in order to experience more joy? Letting go can be incredibly frightening, but just as the boy experienced with the jar, it may be the only thing that will allow you freedom.

Happy New Year everyone

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Blake, Brittany, and Julie
The Winners of our Holiday Trivia: Bonnie, Joyce, Jenny, and Dusty
Our holiday trivia runner ups: Michael, Brittany, Monica, & Blake
Our awesome chef, Wes, and fantastic marketing director, Melissa
Our clinical team love celebrating! Sara, Julie, & Diane
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Maintaining Recovery Through the Holidays

Festive parties, family time, lovely presents, and a plethora of food; yes, it’s finally the holidays. And, while it can be a time marked by celebration, it can also be a highly stressful time, particularly for those in early recovery from an eating disorder, chemical dependency, or any other addictive behaviors. Besides the temptation to party it up or overeat at the Christmastime feast, there are also feelings of depression, anxiety, shame and loneliness that are intensified around the holidays.

The reality is that when faced with the emotional and mental stress of the season, old coping mechanisms can seem very tempting and harmful behaviors can return. At Focus Healthcare, we recognize the difficulties and vulnerabilities that can arise at this time of year, so we put together some tips to help support your recovery through the holidays:

  1. Make a plan & be prepared. Talk to your therapist, an understanding friend, or your sponsor about your holiday plans. Evaluate potential triggers that you may experience and role-play ways in which you may handle risky situations.  
  2. Take care of yourself. This one is often easy to skip over during the hustle and bustle of the season. However, stress is a known cause of relapse, and in the busyness of the holiday season, self care can go on the back burner.  Thus, it is important that you stay healthy, well rested, and eat regularly. It may be tempting to skip earlier meals in order to save room for the big feast or stay up late chatting with friends, but in the end being hungry and tired lends to irritable moods, snap judgments, an inability to think clearly, and increased risk in engaging in behaviors.
  3. Be selective. During this time of the year, there are numerous parties and events that beckon your attendance. However, it is a good idea to be selective about the invitations you accept. If you know your family members or friends are big drinkers, are overly critical, or engage in other triggering behaviors, it would be safest to steer clear of those celebrations and not put your recovery in jeopardy.
  4. Have support. This may be the biggest tip we can offer. It is very helpful to have a supportive friend or loved one who will go to celebrations with you or is available by phone. It has proven successful in relapse prevention to chat with your support system when feeling overwhelmed instead of returning to old patterns. Often times, you simply need someone to encourage the use of your healthy voice or validate that your brother’s comment was rude. If you don’t seem to have a supportive friend or loved one available that day, find a support group or meeting to attend. Often times, AA and NA have special holiday meetings to offer extra support during this potentially trying time. 
  5. Plan “B”. Determine a back up plan before arriving at a celebration, prepare a reasonable response for your potential departure, and be sure to take your own car.  If the event becomes uncomfortable, your preparation will lend to less stress. It is also helpful to identify a person you can call or a place you can go following the celebration so that you are not alone after experiencing the triggering situation.
  6. Arrive late leave early. Here is another simple tip that can be helpful. If you feel that it’s important to attend an event but are concerned it may be overwhelming, merely put in an appearance. Talk to the host, a few friends, or guests, then leave.
  7. Be Assertive and honest. It can be helpful to tell friends and loved ones ahead of time that you are abstaining from drinking, drugs, and negative food behaviors. During your time with them, if they make comments or have behaviors that make you uncomfortable, use the assertiveness formula: When you say or do____________, I feel ___________ because_____________. You may then choose to state a request or need.  Be careful not to engage in the Karpman drama triangle and shift into the role of the victim, persecutor or rescuer during these exchanges.
  8. Make lists ahead of time. Having something tangible that you can read during a difficult time can be very helpful. Make a list of contacts you can call if you are struggling, write a gratitude/ affirmation list, and make a list of the reasons you quit in the first place. Reflect on these lists if temptation seems overwhelming. 
  9. Stay positive and balanced. More than likely, you will experience some negative self talk during the holiday season. However, if you can push the pause button, and counter those negative thoughts with thoughts that are in service of your recovery, you will feel better and stronger. Connecting to your spirituality or higher power can also be very helpful. Pray, go to church or synagogue, be with nature, meditate, or do yoga. Last, remember to breathe.  Close your eyes focus on your breath- in and out- and clear your mind of your stressors. Belly breathing can be one of the most effective techniques in freeing yourself from stress and distractions. 
  10.  Focus on the celebration; get outside of yourself. It is easy to be consumed by shame and guilt during the holiday season due to being surrounded by the people that you hurt while you were engaging in behaviors. However, it is important to remember the efforts you have made in changing those behaviors. The purpose of the season is to celebrate with family and friends. Focus on that this season. If you become consumed with “I should have’s,” daunting regrets, or even racing thoughts about the food you have just consumed, redirect those thoughts. Enjoy where you are, who you are with, and how to have some healthy fun. 

From everyone at the Focus Family, we wish you a happy, healthy holiday season!

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*collage made by Chemical Dependency patient (K.) at Focus Healthcare of of Tennessee

Inpatient treatment is more than detox and support. Patients learn new coping skills and address family of origin issues, among other things. Perhaps most importantly, patients are introduced to the Twelve Steps of Alcoholics Anonymous and work the first few steps. Completing all Twelve Steps is the work of a lifetime; treatment focuses on the first three. Most important for a solid foundation is the first step – admitting powerlessness and recognizing the unmanagebility that accompanies the disease. This means coming out of denial and facing the truth about addiction and the impact it has on every aspect of the addict’s life. Art therapy may assist and clarify this task.

K. made this collage in response to this art therapist’s directive to do a compare/contrast collage. On a folded piece of paper, patients were asked to glue words and images that illustrate Drinking Me (on the left side) and Sober Me (on the right side). This collage assignment also works with drug addicts who may illustrate Using Me and Clean Me. Very often, the patients at Focus Healthcare struggle with both and can combine drinking and using in their left sided collage.

There are several significant things to notice in this therapeutic exercise. It is plain to see that her drinking life life literally centers around alcohol and is not fulfilling. Patients are sometimes surprised to find themselves grieving the loss of this “old friend”.  This patient represents her “bottom” with a skull and crossbones. Death is a low bottom and a very real eventuality for alcoholics and addicts. Here the patient sees the “unmanageability” of the active alcoholic/addict’s life as described in the first step of Alcoholics Anonymous.

The emptiness of the right hand side of the page and the lack of images speaks to how very new and almost impossible-to-imagine life can be without alcohol and drugs. K. can intellectually see how sobriety may look but has very little experience with how it feels. It is literally hard to picture. Sobriety means not only giving up an old lifestyle, but also replacing it with a more meaningful one. K. is in this process.

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A time to practice gratitude

With thanksgiving just a day away, I can’t help but think of all of the things that fill my heart with gratitude. In fact, I sat down this morning with a pen and a pad of paper to document any and everything that came to mind: my wonderful family, close friends, my healthy body… The list went on and on, and I when I was finished, I felt the overwhelming warmth of happiness. However, as I’m reflecting on my morning activity, I also feel a twinge of sadness. Yes, yearly, I count my blessings at the end of November, but what about the other 51 weeks in the year in which I have not taken the opportunity to count my blessings?

Well, with this in mind, I decided to do some research on gratitude journals and the benefits I discovered was astonishing. According to research done by Robert A. Emmons, a psychologist and professor at The University of California- Davis, “People are 25 percent happier if they keep gratitude journals, sleep 1/2 hour more per evening, and exercise 33 percent more each week compared to persons who are not keeping these journals. They achieve up to a 10 percent reduction in systolic blood pressure, and decrease their dietary fat intake by up to 20 percent.” He also found that people experienced more energy, higher levels of optimism and a greater sense of feeling connected to others.  Who knew that a simple gratitude journal could do so much?

For myself, I am going to be more diligent in engaging in emotions of joy and gratitude. Here are some tips I have put together if you would like to join along:

  1. Make it a habit. Find a time of day that you devote to gratitude. You may decide to take time to keep a gratitude journal in the evenings where you reflect on your day. Or if you aren’t particularly fond of writing, maybe you keep a sticky note on your bathroom mirror saying “what are you thankful for today” or simply make a habit of saying your thanks at the dinner table.
  2. 3 is the magic number. Research has shown that it is most effective to think of at least three things you are thankful for daily.
  3. Think outside the box. It is pretty easy to count your blessings of family, friends and your job, but it’s important to also appreciate the small day-to-day things like the feeling of riding with your windows down on a crisp afternoon or the yummy ice cream you enjoyed after dinner.
  4. Don’t forget about your hardships. While we are talking about gratitude, it is also helpful to remember the hardships you have endured in your life. It reminds you of your strength and resilience. It can also renew your confidence in your self.

Happy Thanksgiving Everyone!

Robert A. Emmons is professor of psychology at the University of California, Davis; editor-in-chief of the Journal of Positive Psychology; and the author of “Thanks! How Practicing Gratitude Can Make You Happier” (2008, Houghton Mifflin).

• Read more articles by Robert A. Emmons

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America the Beautiful

Last week, we were guests at Darryl Robert’s Atlanta viewing of his newest documentary, America the Beautiful 2: The Thin Commandments. Like the original America the Beautiful, Darryl touches on how women (and men) are being affected by our country’s obsession with beauty, image, and thinness, but he also heavily explores the dieting industry, the new obsession with the obesity crises, and the controversial BMI (body mass index). He gives a first hand account of how and why diets don’t work and how they can negatively affect self-esteem and self-worth. It really made me think about the messages that I, my friends, and the children right down the road from me are really taking in on a daily basis.

I immediately thought of the television ads, magazine articles, and billboards I see every day telling me either subliminally or right out that I need to be thinner, prettier, and more fashionable. It has seemed in the past that these messages are targeted more towards adults, but lately I have noticed that the efforts have even been shifted to children. In Georgia, the Children’s Health Alliance have started a billboard campaign using messages such as these; “Warning: Chubby Kid’s May Not Outlive Their Parents,” “Fat Kid’s Become Fat Adults,” and “Big Bones Didn’t Make Me This Way. Big Meals Did.” These billboards have been put in place to raise awareness of childhood obesity. However, I can’t help but think of those early middle school boys and girls going through puberty. For many, this is a time when they may naturally carry a few extra pounds until their body adjusts. But who is explaining this to them? Instead, they are getting messages that they are fat, flawed, inadequate, and unworthy. While the intentions may be good, the tactics seem stigmatizing, bullying, and down right mean lending to more and more individuals with negative body image.

Coincidentally today, I was also perusing through Gurze Books online and found a brief snippet of a research study that also further highlighted the consequences of negative body image in children.  The article, “UPDATE: Girl’s Happy with Their Body Image Don’t Binge-Eat”, was published in the Eating Disorder Review. The gist of the 11-year-follow-up study conducted by Dr. Kendrin Sonneville of Children’s Hospital of Boston was that girls initially interviewed who were satisfied with their bodies gained fewer BMI units and were “85 % less likely to develop a pattern of binge eating” than their counterparts that stated that they were slightly dissatisfied or completely dissatisfied with their body image.  Unfortunately, our society does not usually lend to body satisfaction, thus those children who grow up disliking their bodies are much more likely to grow up becoming diet obsessed, or even worse, meet the criteria for an eating disorder.

Good news is that there are many organizations out there that really get this dilemma and are doing amazing work in prevention. Here are some of the great organizations in our area I have come in contact with lately:

The Body, Beauty, & Bravery Project- www.bodybeautybravery.com

MCR Foundation- www.mcrfoundation.com

Authentic Beauty- www.Myimagejourney.com

Body  Matters Program- www.Bodymattersprogram.com

Eating Disorder Information Network- www.myedin.org

 Eating Disorder Coalition of Tennessee- www.edct.net

 What are your thoughts about our diet obsessed culture?

link to “Update: Girls Happy with Their Body Image Don’t Binge-Eat:” www.eatingdisordersreview.com/nl/nl_edr_22_6_2.html

Link to America the Beutiful 2: The Thin Commandments: http://americathebeautifuldoc.com/2/atb/the-thin-commandments/

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