Addiction- Stuck on “Get More”

Our time celebrates affluence, personality, noise, and hyperbole. “Living out loud”, we seek not only to feel more pleasure and relief, but we are also stuck in the pursuit of it. We are chasing more than we are being. Silence, stillness, subtlety are attributes which we disdain and avoid. Humility is dead to us.

Simple truth and facts fall behind good storytelling, great acting and becoming (or following) an influencer. Adjectives describe only the extreme and sentences need an exclamation mark! Communication is lost in overstatement.

To catch attention, escalating quantities of emphasis are required. Attention is lost in the competitive bidding for it.

Addiction, with its manic swings to the edge, lands as “normal” amidst plummeting societal standards. “I became aware that I had a problem when I disintegrated faster than I could lower my standards.”

Dopamine, the pleasure/ relief chemical in our brain, heightens in the pursuit of the object of desire, as much as with its acquisition. To maintain the high, we must seek more. The magic is in the chase.

Whether our object of choice is vodka, meth, oxy, bud or crack, it is the fantasy and seeking of the substance that allures and spikes our pleasure centers. The sensation achieved by use is rewarding and secondary.

We addicts not only get stuck on “not enough” and “more”, but we also can’t shift out of “get more” and “use more”. Our brains receive rewards for imagining and pursuing the drug. Perhaps substance use disorders (alcohol and drug addiction) are as much process (behavioral) addictions as sexing and gambling. Our obsessions and our behavior are as much of the problem as the drug of choice (or du jour).

“Getting meth makes me feel alive, invincible!” “I can’t wait for that five-o’clock shot of vodka- everything becomes comfortable and I then fit in.” “It will be like crack to me!” “When I take oxy, I feel the most warmth- it’s sublime.” “It’s like I can finally breathe and settle in when I can get my bud!”

And then, for many alcoholics and addicts, ultimate desperation, degradation, deterioration arrest the fantastic. It all collapses like a dismantled Broadway set. The Titanic meets iceberg and no rearrangement of deck chairs can recreate comfort.

Sobriety slams us in the face as does the floor during a drunken collapse.

“I’m sorry Dear but we don’t see recreational users in the ICU.”

 so what to do? Sober up?

“I love my sobriety and my new friends (but I’m bored…).” After the excitement of arrests, accidents, arguments, illnesses, injuries, near-death adventures, threats of violence and violence, life without alcohol or drugs seems oh-so mundane.

If your amplifier has been stuck on deafening, pianissimo (quiet music) may be inaudible for a short while.

Stick it out and find friends who share your ups and downs. Dopamine gets a boost from social contact and connection. The boost is incremental at first and then grows. Eventually, the addiction is replaced by connection. The hole in your middle gets filled with the care of and for other people.

“Newcomers are such drama queens”. Having recently eliminated drugs and the pursuit thereof from life, exaggerated feelings and gestures can only be expected. Arriving without chemical influence where chaos was standard, our dance may seem a bit frenetic for a while. A new one will be slowly learned in tamer circumstances.

“I feel crazy- I’ve never gone this long without a drink/ hit/ blunt!!” What once was the best idea is now reconsidered. Listening to others (finally) you learn to become teachable. You learn that different directions produce better results. Change becomes possible.

And do we find salvation and live happily ever after? Thankfully no for, after all, we bore easily.

Life moves steadily forward. Better skills can now be trained and emotional upheavals can be better regulated. There is no end to this side of the game. At first, we run to stand still, and then we walk to maintain. Stopping does not result in homeostasis. Stopping results in falling and sinking.

We continue to seek. Recovery and spirituality need continuous practice and exploration. The thrill is in the search.

Stagnation results in back-sliding; relapse can equal death. Or worse, we can back-slide with a lack of motivation or complacency. We can revisit the floor slamming us in the face in a falling-down drunk. And then the cycle begins again. We roll recklessly and randomly. With luck, we are blessed with another interruption sponsored by humiliation, desperation, and pain.

The thrill is in the hunt. It is our choice for what we continue to look.

 

Sober Holidays Events Mission Viejo and Laguna Hills

Part of engaging in recovery is building clean and sober relationships and participating in sober activity. Learning to have fun with others sober replaces some of the behavior patterns practiced in addiction. Following are some sober holiday events and resources in Mission Viejo and Laguna Hills. Strengthen your recovery by participating in some of the following:

 

Orange County AA CENTRAL OFFICE VOLUNTEER

30011 Ivy Glenn Drive Ste 117, Laguna Niguel 92677, 949-582-2697 (24 Hours) email:

socsoaa@sbcglobal.net SatelliteManager@oc-aa.org, Office Hours: Weekdays: 10am – 5pm

 

Sawdust Winter Arts Festival December 13 – 16, Laguna Beach

 

Phoenix Multisport, 903 W 16th St0, Newport Beach, California, Phoenix Multi Sport Orange County

 

Movies on the Beach, 1131 Back Bay Dr, Newport Beach, CA 92660, (949) 729-3863, www.newportdunes.com

 

Boat Parade of Lights, December 14 34675 Golden Lantern, Dana Point, CA 92629, (949) 496-5794, www.danawharf.com

 

Twin Town Treatment Centers is immediately accessible to all Los Angeles and Orange County residents, is accredited by The Joint Commission, and is certified by the California DHCS. All network HMO/PPO/EPO insurance plans and Medi-Cal contract with Twin Town Treatment Centers to provide drug and alcohol rehabilitation. Our phone is answered by real people. We can see people on the same day you call. (866) 594-8844

Sober Holidays Events Orange and Anaheim

Having sober fun with others in recovery is an essential practice which is both fun and strengthening.  Behaviors and activities practiced in addiction need replacement. Building a sober support network of friends will sustain your recovery over time.

 

Following are some sober holiday events and resources in Orange and Anaheim. Participate in some of the following and strengthen your sobriety:

 

Potluck 2-4pm December 25, BBQ and Bingo 7-10pm December 29, Marathon Meetings 12pm December 31 thru 1:30pm January 1, Anaheim Alano Club, 202 W. Broadway

 

Orange County AA CENTRAL OFFICE, 1526 Brookhollow Dr., Ste 75, Santa Ana, CA 92705-5466, 714-556-4555 (24 Hours), email: Manager@oc-aa.org, Office Hours: Weekdays: 9am – 7pm, Saturdays & Holidays: 9am – 1pm

 

Maverick Theater, 110 E Walnut Ave, Fullerton, CA 92832, (714) 526-7070, www.mavericktheater.com

 

The Rinks, 5555 McFadden, Huntington Beach, CA 92707, (949) 673-1434, www.hbinline.com

 

K1 Speed, 1000 N Edwards Court, Anaheim, CA 92806, (714) 632-6999, www.k1speed.com

 

Twin Town Treatment Centers is immediately accessible to all Los Angeles and Orange County residents, is accredited by The Joint Commission, and is certified by the California DHCS. All network HMO/PPO/EPO insurance plans and Medi-Cal contract with Twin Town Treatment Centers to provide drug and alcohol rehabilitation. Our phone is answered by real people. We can see people on the same day you call. (866) 594-8844

 

Sober Holidays Events in Recovery, Las Alamitos and Long Beach

Remaining clean and sober through the holidays in Long Beach and Los Alamitos can be strengthened by participating in sober activities. Take a group of sober friends and build your sober support network. Try some of the following:

 

North Orange County Central Office AA CENTRAL  1661 E. Chapman Ave., Ste 1H, Fullerton, CA. 92831, (714) 773-4357 (24 Hours),  http://www.aanoc.com, Office Hours: Monday Thru Saturday: 9AM to 7PM Sunday: 9am – 1pm

 

Sober Bingo December 22, 2018 at 8 PM, The Snake Pit Alano Club House 9604 S Figueroa Paramount 90003

 

Christmas Eve and Day, New Years Eve and Day Holiday Marathon The Snake Pit Alano Club House 9604 S Figueroa Paramount 90003

 

The Nutracker Ballet December 15, Long Beach Theatre

 

Holiday Ice At The Pike LA Kings sponsored outdoor ice rink Long Beach

 

Whale and Sea life Cruises (562) 983-6880, Harbor Breeze Cruises – Dock #2, 12:00 PM to 3:00 PM, 100 Aquarium Way Long Beach, California 90802

 

Holiday Pops Concert December 22, Long Beach Arena

 

Annual Parade Of 1,000 Lights December 15 2016, (562) 435-4093, 5:30 PM to 8:00 PM, Shoreline Village, Rainbow Harbor and from the Queen Mary

 

Naples Island Annual Holiday Boat Parade, December, 2016, Around Naples Island, Admission: Free Start at 6:00 PM and will assemble along Lido Lane and off the sea wall in front of Naples Plaza

 

Twin Town Treatment Centers is immediately accessible to all Los Angeles and Orange County residents, is accredited by The Joint Commission, and is certified by the California DHCS. All network HMO/PPO/EPO insurance plans and Medi-Cal contract with Twin Town Treatment Centers to provide drug and alcohol rehabilitation. Our phone is answered by real people. We can see people on the same day you call. (866) 594-8844

 

 

Sober Holiday Events in Recovery Los Angeles, West Hollywood, Hollywood

Strengthen your recovery and sober support network by taking sober friends in some of the following West Hollywood, Hollywood and Los Angeles events. Changing your behavior and activities will open new avenues for fun. Try some of the following:

 

West Hollywood Recovery Center Marathon Holiday/New Years Meetings,

December 24th-4pm-2AM, December 25th-9am-2AM, December 31st-4pm-2am, January 1st 2019   9am-2pm, 626 Robertson Blvd. West Hollywood, CA 90069.whrc.org

 

AA AT CENTER MARATHON MEETINGS, December 25 and January 1: 11:00pm – 11:00pm, AT Center, 1773 Griffith Park Blvd, Los Angeles, CA 90027

 

NA WESTSIDE ANNUAL NEW YEAR’S EVE MARATHON, Meetings: 10:00pm – 2:00am, Westside Hope Center, 11313 Washington Blvd, Los Angeles, CA 90066

 

#BOOM! Alcohol and Drug-Free New Year’s Event, December 31, 2016 8:00 PM – January 01, 2017, West Hollywood Park Auditorium, 647 N. San Vicente Boulevard

UNLOADED LA’s 1st Sober New Years Eve Party, December 31st 8:30PM Green Truck 9040 Lindblade St. Culver City, CA 90232. eventbrite.com

LACMA Cinema: Mary Poppins Returns December 15; Who’s Afraid of Virginia Woolf December 18, Pink Martini (Band…) December 31

Walt Disney Concert Hall Concerts: A Chanticleer Christmas December 19, Holiday Sing-A-Long December 22;

 

Twin Town Treatment Centers is immediately accessible to all Los Angeles and Orange County residents, is accredited by The Joint Commission, and is certified by the California DHCS. All network HMO/PPO/EPO insurance plans and Medi-Cal contract with Twin Town Treatment Centers to provide drug and alcohol rehabilitation. Our phone is answered by real people. We can see people on the same day you call. (866) 594-8844

 

Sober Holiday Events in Sherman Oaks, Van Nuys, Encino

Support your recovery by taking sober friends to holiday events in Sherman Oaks, Van Nuys and Encino. Replace the habits and relationships practicing during addiction. Not only will your recovery be enhanced, you’ll find new ways to have fun! I

Try some of the following:

 

NA SAN FERNANDO VALLEY ANNUAL NEW YEAR’S EVE MARATHON MEETINGS

Meetings: 9:00pm – 4:00am, Reseda United Methodist Church, 18120 Saticoy Methodist Church, Reseda, CA 91335

 

Radford Halls Marathon Meetings, December 24, 25 and December 31, January 1, 13627 ½ Victory Blvd.

 

LA Kings sponsored Outdoor Ice Rink, December 14 – January 6 Toganga, Woodland Hills

 

The Nutcracker Ballet, December 19, The Soroya, Northridge

 

Ballroom Dancing, December 20, Arthur Murray, 4633 Van Nuys Blvd

 

Holiday Concerts, December 15 and 22, 7pm, St. Francis De Sales, 13360 Valleyheart Dr., Sherman Oaks

December 14, Shepherd Church, 19700 Rinaldi St.

 

Twin Town Treatment Centers is immediately accessible to all Los Angeles and Orange County residents, is accredited by The Joint Commission, and is certified by the California DHCS. All network HMO/PPO/EPO insurance plans and Medi-Cal contract with Twin Town Treatment Centers to provide drug and alcohol rehabilitation. Our phone is answered by real people. We can see people on the same day you call. (866) 594-8844

 

 

 

Sober Holiday Events in South Bay, Torrance, Redondo Beach

Taking sober friends to holiday events in South Bay, Torrance, Redondo Beach will build your recovery and sober support network. Those practices and relationships from addiction need replacement. Your recovery be enhanced, and new ways to have fun will be learned!

 

NA WESTSIDE ANNUAL NEW YEAR’S EVE MARATHON, Meetings: 10:00pm – 2:00am, Westside Hope Center, 11313 Washington Blvd, West Los Angeles, CA 90066

 

Torrance Lomita AA Central Office, 1645 Arlington St. (310) 320-3861

 

Christmas Eve and Day, New Year’s Eve and Day Holiday Marathon, The Snake Pit Alano Club House 9604 S Figueroa Paramount 90003

 

The Night Sky Theater, December 16, 2pm, Torrance Theatre Company, 1316 Cabrillo Ave., Torrance

The Most Classical Holiday Music Ever, December 16, 8pm, James Armstrong Theatre, 3330 Civic Center Dr., Torrance

Big Band, Lou Giovannetti’s Holiday Show, December 16, 8pm, James Armstrong Theatre, 3330 Civic Center Dr., Torrance

The Nutracker Ballet, December 22, 7pm, December 16, 8pm, James Armstrong Theatre, 3330 Civic Center Dr., Torrance

Antique Street Market, December 23m 8am, Downtown Torrance, 1317 Sartori Ave.

LA Kings sponsored outdoor ice rinks, Redondo Beach and the Port of San Pedro

Twin Town Treatment Centers is immediately accessible to all Los Angeles and Orange County residents, is accredited by The Joint Commission, and is certified by the California DHCS. All network HMO/PPO/EPO insurance plans and Medi-Cal contract with Twin Town Treatment Centers to provide drug and alcohol rehabilitation. Our phone is answered by real people. We can see people on the same day you call. (866) 594-8844

Recovery at Home: Where Long-Term Sobriety Happens

Sober practices and recovery skills need to be applied directly at home and in real life. Recovery is much more than understanding the problem and helpful solutions. Recovery is behaving and practicing newly learned skills at home. Recovery is avoiding and/or coping with relapse triggers which occur in daily life.

 

The protection an inpatient or residential treatment program provides may eventually guard against necessary real-world practice of recovery. Early sobriety stresses, triggers and “wreckage” at home are best approached with the support and guidance of an intensive outpatient program and peer group.

 

Many people who have been discharges from an inpatient or residential setting without the continuing support of outpatient drug and alcohol rehab often relapse. They find that they aren’t prepared for sober independent decision making and action. Relapse triggers and wreckage are encountered without the support of a peer group or intensive outpatient treatment program (IOP).

 

Many people think that “drug and alcohol rehab” means spending a lot of time and money to move into a treatment center. The actual advantages of traveling a distance from home to start recovery is challenged by the evidence and experience with intensive outpatient treatment. Long-term recovery happens at home.

 

Rather than avoiding the daily triggers and wreckage which are part of drug or alcohol abuse (use disorders), intensive outpatient treatment (IOP) guides participants through the toughest times in the real world, when support is needed most. Rather than moving away from life’s problems, intensive outpatient treatment for addiction integrates recovery skill into real world, at-home practice.

 

Sometimes “containment” or submitting to the control of an inpatient setting is necessary. Once a person is medically and psychologically stabilized, the life-long practice of making sober choices begins. Reliance on environmental and supervisory constraints eventually needs to be surrendered as a free and sober life begins. In recovery, voluntarily making sober choices in the real world requires practice.

 

In intensive outpatient treatment (IOP) participants are coached to apply principals of recovery in their personal lives. The ultimate choice for sobriety eventually becomes an independent and growing drive for wellness. It becomes an essential ingredient in daily life.

 

Residential or inpatient treatment may be required where medical detox is needed, or to protect a participant encountering behavioral or psychiatric disorders. Sometimes the drive to use is so great that a sober living situation apart from the home environment becomes necessary. A sober living rental with others in recovery can be useful while people attend an intensive outpatient program (IOP) or while early recovery is being maintained.

 

Financial, occupational and relationship damages have often been encountered during the progression of drug and alcohol abuse (use disorder). The time and expense of treatment should not add to these stressors. They can add to the challenge to stay sober.

 

Many people may not have the resources to pay for residential treatment costs not covered by insurance. Increasingly, insurers pay for only a portion of a residential treatment stay. If residential treatment is medically necessary, it’s vital that the participant and family get a written estimate of the likely costs they will encounter. Before you commit to inpatient treatment, make sure that you are informed and prepared for whatever payment and payment planning is required.

 

(1)   “Subjects benefited equally from outpatient and residential aftercare, regardless of the severity of their drug/alcohol problem.” Differential effectiveness of residential versus outpatient aftercare for parolees from prison-based therapeutic community treatment programs. William M Burdon1, Jeff Dang2, Michael L Prendergast1, Nena P Messina1 and David Farabee 1, *Corresponding author: William M Burdon wburdon@ucla.edu, 1University of California, Los Angeles, Integrated Substance Abuse Program, Substance Abuse Treatment, Prevention, and Policy 2007, 2:16 doi:10.1186/1747-597X-2-16 

“Previous reviews have concluded that there was no evidence for the superiority of inpatient over outpatient treatment of alcohol abuse, although particular types of patients might be more effectively treated in inpatient settings. We consider the implications of our findings for future research, especially the need to examine the conceptual rationales put forward by proponents of inpatient and outpatient treatment, i.e. mediators and moderators of setting effects.” The effectiveness of inpatient and outpatient treatment for alcohol abuse: the need to focus on mediators and moderators of setting effects, JOHN W. FINNEY, ANNETTE C. HAHN, RUDOLF H. MOOS Article first published online: 24 JAN 2006 DOI: 10.1046/j.1360-0443.1996.911217733.x Addiction Volume 91, Issue 12, pages 1773–1796, December 1996 

“Greater service intensity and satisfaction were positively related to either treatment completion or longer treatment retention, which in turn was related to favorable treatment outcomes. Patients with greater problem severity received more services and were more likely to be satisfied with treatment. These patterns were similar for patients regardless of whether they were treated in outpatient drug-free programs or residential programs. The positive association between … greater levels of service intensity, satisfaction, and either treatment completion or retention-and treatment outcome strongly suggests that improvements in these key elements of the treatment process will improve treatment outcomes.” Relationship between drug treatment services, retention, and outcomes. Hser YI, Evans E, Huang D, Anglin DM. Neuropsychiatric Institute, University of California-Los Angeles, 1640 South Sepulveda Boulevard, Los Angeles, CA 90025, USA. yhser@ucla.edu 

National studies indicate significant reductions in recidivism following outpatient treatment Pre-treatment Post-treatment, Drug Abuse Reporting Program (DARP), National Treatment Improvement Evaluation Study (NTIES), Treatment Outcome Prospective Study (TOPS) 

Outpatient treatment of probationers leads to fewer arrests at 12 and 24-month follow-up (Lattimore et al., 2005) vs. untreated probationers 

High-risk probationers receiving outpatient treatment experience 10-20% reductions in recidivism (Petersilia & Turner, 1990, 1993) 

Reductions in probationer recidivism durable for 72 months after outpatient treatment (Krebs et al., 2009) 

Outpatient treatment more effective than residential treatment for drug-involved probationers (Krebs et al., 2009) and during reentry (Burdon et al., 2004) 

Greater benefits for the cost for outpatient treatment in non-offender samples (CALDATA, French et al., 2000, 2002) 

Aftercare services among drug-involved offenders can significantly reduce substance use and re-arrest (Butzin et al., 2006) 

Outpatient aftercare services can reduce likelihood of re-incarceration by 63% (Burdon et al., 2004) 

Aftercare services provide $4.4 – $9 return for every dollar invested (Roman & Chafing, 2006) 

“…(M)ore severe patients experienced better alcohol and drug outcomes following in-patient/residential treatment versus out-patient treatment; on the other hand, patients with lower baseline ASI drug severity had better drug outcomes following out-patient treatment than in-patient treatment. Treatment setting was unrelated to alcohol outcomes in patients with less severe ASI alcohol scores. Conclusions Results provide some support to the matching hypothesis that for patients who have higher levels of substance use severity at intake, treatment in in-patient/residential treatment settings is associated with better outcomes than out-patient treatment.” Day Hospital and Residential Addiction Treatment: Randomized and Nonrandomized Managed Care Clients; Jane Witbrodt, Jason Bond, and Lee Ann Kaskutas Alcohol Research Group, Constance Weisner, University of California, San Francisco, Gary Jaeger; Kaiser Foundation Hospital, David Pating, Kaiser San Francisco Medical Center, Charles Moore Sacramento Kaiser Permanente, Journal of Consulting and Clinical Psychology Copyright 2007 by the American Psychological Association, 2007, Vol. 75, No. 6, 947–95 

“Compared to those receiving no treatment, those receiving nonresidential treatment took longer to fail or recidivate. However, those receiving residential treatment did not differ from those who received no treatment in time to failure. In the treatment-only model, nonresidential treatment participants took longer to fail than their matched residential treatment counterparts.” The impact of residential and nonresidential drug treatment on recidivism among drug-involved probationers: A survival analysis. Krebs, C. P., Strom, K. J., Koetse, W. H., & Lattimore, P. K. (2009). Crime & Delinquency, 55, 442-471. 

 

Orange County Thanksgiving Holiday Sober Events

Thanksgiving is the beginning of a season of celebration, yet a season which can be threatening to early sobriety. Maintaining a plan of recovery while others “party” can be challenging and strengthening if successful.

 

The seduction of trying “one drink”, “one toke” or “one line” can be overwhelming to someone new to recovery who hasn’t had the practice of avoiding these circumstances and using buddies. Building relationships with others in recovery and practicing recovery enhancing relationships is essential for establishing long-term sobriety.

 

Many recovery (Alano) clubs sponsor sober events during the holidays. Following are events in Orange County for this Thanksgiving Holiday, provided by the Orange County Alcoholics Anonymous Central Office:

 

 

Twin Town Treatment Centers is immediately accessible to all Los Angeles and Orange County residents, is accredited by The Joint Commission, and is certified by the California DHCS. All network HMO/PPO/EPO insurance plans contract with Twin Town Treatment Centers to provide drug and alcohol rehabilitation. Our phone is answered by real people. We can see people on the same day you call. (866) 594-8844

South LA County, South Bay, Hollywood Thanksgiving Holiday Sober Events

Thanksgiving can be the beginning of a season which is a challenge to early sobriety. Seeking recovery from addiction, people new to sobriety may find it difficult to avoid using or drinking while others celebrate.

 

Practicing the avoidance of the first use of alcohol or drugs is important but the temptation to rationalize that “it’s just one” is often too great. Sober support systems and activities where people new to sobriety relate with others who have been there is a vital ingredient to long-term sobriety.

 

Many Alano Clubs and sober groups sponsor events during the holidays which provide support for people who are engaged in a sober lifestyle. South LA County, South Bay and Hollywood are locations for the following events for a sober Thanksgiving Holiday.

 

Long Beach – MWA Alano Club – 1pm Pot Luck on Thanksgiving and all scheduled meetings

 

Paramount Alano Club (Snake Pit) – Marathon meetings 8am – 11pm

 

Cypress– Twin Town Alumni is hosting a “Tired of Turkey BBQ  on Saturday 11/24/18 12pm – 4pm at Veteran’s Park in Cypress – Corner of Ball Rd. and Denni St. under the pavillion

 

Hermosa Beach–  The South Bay Alano Club is provides dinner for those without family or Thanksgiving Plans. 1:00pm, 703 11th Pl, Hermosa Beach, CA 90254; 310.374.2131

 

Hollywood– Van Ness Recovery House, 1919 N. Beachwood Drive, LA, (323) 463-4266 is hosting a Thanksgiving Day Open House from 1pm-5pm to include food, drinks and fellowship. It is free of charge and open to all

 

 

 Twin Town Treatment Centers is immediately accessible to all Los Angeles and Orange County residents, is accredited by The Joint Commission, and is certified by the California DHCS. All network HMO/PPO/EPO insurance plans contract with Twin Town Treatment Centers to provide drug and alcohol rehabilitation. Our phone is answered by real people. We can see people on the same day you call. (866) 594-8844