Sunrise Detox Blog

Sponsors In Recovery — More Questions

Our clients attend group sessions while in detox, and questions come up about sponsors in recovery. Since the subject seems to confuse some folks in the beginning, we like to mention it occasionally with a bit of an explanation. These were a couple of recent questions.

What is a sponsor?

Sponsors in recovery are people with experience in the particular program of recovery, who have completed the 12 steps, and who help newcomers understand and guide them through completion. Along with that, they make themselves available as supports outside of meetings. A sponsor should be of a gender preference that minimizes the possibility of outside entanglement, and the sponsee should remember that age is not a factor in these matters. That is, men sponsor men and women sponsor women, unless the parties are gay.

Most sponsors require that their sponsees call them every day, and want to meet with them on frequent occasions to discuss their program, things that may be on their mind, and help prepare them for the various steps. If they do not have time to do that — and there are many good reasons why that might be the case — then perhaps another choice would be wise.

A sponsor is not a moneylender, legal adviser  marriage counselor or therapist. Their purpose is to help the newcomer focus on the 12 Steps, and to help them come to an understanding of their program of recovery. These other things distract and change the focus of the relationship, and are generally considered detrimental. Furthermore, it is quite likely that they are not qualified in those areas anyway. Although most of us develop friendships with our sponsors, even that is not necessary.  What is required is experience on the part of the sponsor, and our ability to learn to trust them.

The person we choose does not have to like our kind of music, be a sports buff, or even close to our own age, but he or she must show through appearance, actions and words that they are not only working a solid program but are also living a healthy life. There is no such thing as a perfect sponsor, but the best bet is to check out the person at a few meetings or over a cup of coffee, and see that they are not just talking the talk, but walking the walk as well.

Finally, we need to remember that a sponsor’s purpose is to lead us through the steps. If that is not happening, or if they are taking us off on some tangent, we need to understand that we are not married to them, and that we are free to look for another sponsor. We do, however, need to be sure that the incompatibility is real, and not simply a matter of having heard something we did not want to hear. The nature of recovery is change, and a sponsor who is unwilling to dig a little is not doing the job right.

Is it okay to have a sponsor in AA and another in NA?

This is a matter of opinion, to a degree. Generally-speaking, when it comes to those two fellowships, we would suggest that it is best to settle on one or the other for our step work. Every sponsor learns sponsorship from their own sponsors, and styles of sponsorship thus vary quite a bit. Having two individuals risks confusion. For example, one may like to spend more time on a particular step than another, or put more weight on writing as opposed to talking. Neither of those is wrong, but they can conflict.

One of the best reasons for not having two sponsors, however, is the danger that we will play one against the other. In any endeavor, it is best to have only one leader at a time. We recommend that a newcomer choose one fellowship for in-depth work, and attend meetings of the other for identification with those issues as well.

The exceptions to the above occur in the case of specialized fellowships, such as Overeaters or Gamblers Anonymous, or sexual addiction groups. In those and some other cases, the primary purposes are so different (at least on the surface) that it is imperative to have a sponsor who can personally and comfortably address those issues.

Ambien Not Just A Mild Sleeping Aid

A new report shows that the number of emergency department visits involving adverse reactions to the sleep medication zolpidem rose nearly 220 percent from 6,111 visits in 2005 to 19,487 visits in 2010….

…Zolpidem is an FDA-approved medication used for the short-term treatment of insomnia and is the active ingredient in drugs such as Ambien, Ambien CR, Edluar and Zolpimist.

Read More at Science Daily

Potential Malnutrition In Pregnancy

Researchers have found that women of childbearing age who drink are less likely to take multivitamin supplements, and risk malnutrition in pregnancy.

No big surprise there.  However, it’s important to remember that alcohol consumption prevents the body’s proper absorption and utilization of nutrients, even if they are present in the diet.  So if pregnancy occurs, the baby gets a double-whammy: exposure to alcohol and a mom who could be suffering from malnutrition.  Not good.

Women Who Drink Before Pregnancy Less Likely to Take Multivitamins

Pure Truth

“Children have never been very good at listening to their elders, but they have never failed to imitate them.” – James Baldwin

Need More Proof That “Non-Alcohoic” Beer Is A Bad Idea?

The taste of beer, without any effect from alcohol itself, can trigger dopamine release in the brain, which is associated with drinking and other drugs of abuse, according to Indiana University School of Medicine researchers.

Read more: http://www.sciencedaily.com/releases/2013/04/130415124710.htm

Sugar Addiction In Recovery

After we get clean and sober, many of us discover that we are still addicted to sugar: in our coffee, in our snacks, in our desserts and elsewhere. Sugar addiction is common, in and out of recovery. Our bodies have a natural attraction to sweet things. We need sugars and other carbohydrates in our diets, and we are pre-programmed to like them because they are good for us (in the right quantities). They are easily burned by the body for energy. In fact, every cell in our bodies are fueled by glucose, a form of sugar.

READ THE LABEL! This one's not bad

READ THE LABEL!
This one’s not bad

The problem with our modern lifestyle, however, is too much of one good thing and not enough of another. We get far too much of the wrong kind of sugar in our diet, and we don’t exercise enough to burn it up. Our metabolism, however, makes adjustments in order to insure that we have energy when we need it, so unburned sugars are converted to fat, which is sort of our bodies’ gas tank. Our lack of exercise insures that this fuel supply, too, remains mostly untouched, and so we gain weight.

As we put on weight, through too many calories and too little exercise, our bodies fall victim to a variety of health issues connected with excessive weight, including heart and arterial deterioration, pre-diabetes and diabetes, and several other metabolic diseases.

Our taste for sugar and the problems associated with it — along with poor eating habits in general — make maintaining a healthy lifestyle difficult. Food manufacturers and most cooks know that mediocre food can be made more palatable by adding sugars, and they do so in abundance. The great majority of the calories we get from sugars in our diet come from foods that, if questioned, we wouldn’t even identify as sweets! That’s because we become accustomed to sweet flavors, and don’t even notice them unless they are missing. Careful perusal of the labels on packaged foods will amaze!

Those of us addicted to sugar didn’t ask for it, any more than we asked to become addicted to alcoholor other drugs. For many of us, given too many sweets as kids, it became part of our lives when our brains were still developing. So if we have a “problem” with sweets, the first thing is to forgive ourselves and not beat ourselves up. Sugar is highly addictive to some of us, especially recovering alcoholics, and substitute addictions are common. Combined with any previous histories with sweets, it would be fairly amazing if we weren’t having some problems. Remember that you are on your side, you’re not the enemy!

For those with sugar addiction issues, we recommend finding a meeting of Food Addicts Anonymous or Overeaters Anonymous. FAA tends to fit best for sugar addicts, as their approach to controlling intake is more specific than that of OA. Overeaters Anonymous is a great program. Don’t get the idea that we’re saying one is better than the other. It’s just that FAA’s focus fits best when we are considering foods as an addiction.

Second, we try immediately to address substituting something else for the sugar when we have cravings for alcohol, other drugs — or sugar. Peanut butter and whole grain crackers are good, as they have protein and fats that help assuage hunger and that will not cause blood sugar swings that affect appetite.

We need to watch how we eat in general, and avoid getting hungry. We eat small, well-balanced meals and between-meal snacks of whole grain breads, proteins, beans, nuts,

Good Sugar!

Good Sugar!

bananas and so forth. If we balance things properly, we can probably get by eating less than we are now, because we’ll avoid getting really famished, which brings on the urge to binge.

We need to avoid white flour whenever possible. There are great similarities between it and sugar as far as the body is concerned, and it will only prolong and increase cravings. We try to stick with fruits and high-protein snacks, and we check ingredients carefully for their sugar content.

It is most important that we see a doctor for a checkup and lab work. There are metabolic issues that can affect cravings for both sugar and alcohol. If there, they need to be addressed.

Baaaaad Sugar! BAD!

Baaaaad Sugar! BAD!

We also avoid dieting — like the plague. Weight control is about developing new eating habits for a lifetime. Diets are reverse binges. They teach us nothing about proper eating, and do nothing to develop the lifetime habits that are necessary if we are to maintain good nutrition and healthy weight. Because they are regimens of deprivation, it is extremely likely (if not inevitable) that we will return to our old eating habits, gain the weight back, and enter a dieting and eating cycle that can only defeat us and cause us to decide that our efforts are useless.

As with any other addiction, we are likely to fall off the wagon and into the sugar bowl occasionally in the beginning. We are going to be learning how to manage our eating in a whole new way. Relapse is a symptom of addiction, and it’s going to happen in this case because it’s impossible to eat perfectly regardless of how hard we try. If we “slip,” we can be thankful that it isn’t as deadly as drinking or drugging would be, and decide that we will do better. We don’t think of ourselves as weak, or strong. It’s about powerlessness. It’s also about reality. We can’t expect to be perfect. If we make mistakes, we immediately return to our program. We can’t abstain from food, so if we slip, we just decide to do better. We try to be good to ourselves.

Buddhists talk about “skillful” and “unskillful” behavior. In recovery, we want to become more skillful in our ways of living. When we’re learning, we’re apt to make occasional mistakes. That’s human, not weakness. Keep moving toward skillful. Forget perfection — that way lies more addiction.

Antidepressants In Recovery — Just Another Drug?

Depression is not uncommon in the first year or so of recovery. Some people manage to avoid it entirely, but many of us experience it to one degree or another. That’s because sometimes the ability of our brains to produce the chemicals that make us feel good has been damaged by the alcohol and other drugs, and it takes time for the necessary repairs to take place.

Unfortunately for many of us, the drugs that we used masked underlying problems.  For example, roughly 65% of alcoholics are known to suffer from pre-existing emotional problems, most of them brought about by imbalances in brain chemistry.  Those folks usually find that the removal of the drugs brings out the underlying conditions, often severely so.  Thus, the idea that all we have to do is stop drinking and straighten up is often — sometimes tragically — not the case at all.

Whatever the case, if we end up feeling that we’re worthless, that life is not worth living, and that it’s just not worth the effort, that’s bad. Depression kills people every day — far more than it should, because in most cases it’s treatable.  The problem is that, in some cases, it worsens so rapidly that the time to begin effective treatment can be quite short, so it doesn’t pay to wait around.  If you’re feeling depressed to the point of not caring about your life, see a doctor.  Right now!  If you’re having thoughts — even casual — of self-harm, then you’re already in crisis.

Many folks have been on antidepressants, felt that they didn’t work, and stopped taking them. Most antidepressants take from three to eight weeks to have their full effect, and sometimes in the early treatment period they seem to have no effect at all. Combine that with an addict’s conviction that taking a pill should make us feel good right now, and you have a good chance that the patient is going off the meds before they have a chance to help.  Others have found relief, and stop because they believe they’re cured.  AD’s are not like antibiotics.  They cure nothing, they simply reduce the effects of the depression and allow us to function.

Not all antidepressants work for all patients, and if we toss one before it has a chance to work, we run the risk of missing the one that was right for us. Second, and perhaps more important, is the fact that sometimes the medication was beginning to work and we just didn’t notice. In that case, if we quit suddenly, we can experience a rebound effect that throws us straight into deep depression.

This brings us to the big point we’d like to make here. Depression is nothing to fool with! There is an unfortunate attitude among some of the laypeople in the recovering community that antidepressant medications are just another drug. That is emphatically not true!

Antidepressants (ADs) are not the sorts of drugs that most recovering people mean when they say drugs. They are not addictive, in the sense of creating tolerance and cravings for more. They will not interfere with recovery by preventing our bodies and brains from repairing themselves — in fact, they assist in the process. They do not alter our mood, except for the better, and they do not interfere with our judgement. They do not trigger the addictive process, and they do not make our lives unmanageable.  Quite the opposite: antidepressants in recovery can lift the weight of the world off our shoulders, and contribute to our recovery by giving us the ability to be enthusiastic about it and enjoy its rewards.

The greatest danger of antidepressants is the danger of not taking them when we need to. Depression can not only lead to self-harm in its more severe forms, it can keep us from seeing the gains we are making in recovery, putting us at increased risk of relapse.

That said, there are some downsides. In some people, ADs affect the ability to feel and express emotion. Some have other side effects that can vary with the particular medication. However, none of these are as dangerous as suicidal thoughts or acting out, or as harmful to recovery as a relapse because “Life sucks, so I might as well just use.” And, as mentioned earlier, going off an antidepressant without a physician’s guidance can have devastating results. Any undesirable side effects should be discussed with a physician.  It may be necessary to change a dosage, or switch drugs, but do not stop on your own!

We’re not recommending that recovering folks run out and look for a doctor who will prescribe antidepressants, nor are we offering them up as some sort of magic pill. What we are trying to get across is that we need to listen to the experts, and we need to be careful about making medical decisions that we aren’t qualified to make.

For some of us, antidepressants in recovery can be a tool, but they are not the whole answer. The answer, as always, comes from remaining abstinent and learning how to live without addictive drugs through therapy, support groups, and an organized program of recovery, but it makes sense to utilize all the tools if we need them, especially if failure to do so can kill us.

Important Note: This article should not be taken as, nor is it offered as medical advice. You should consult with your personal physician or a specialist, as appropriate, before considering the use of, or ceasing the use of, any medication.