Showing posts with label mental health. Show all posts
Showing posts with label mental health. Show all posts

Thursday, August 13, 2020

Alcohol - How do I know if it's Substance Use Disorder vs. problem drinking?

In light of the recent article I shared on the Pink Hi-Top Adventures Facebook page, I thought I'd repost (with very minor edits) this one - originally published back in 2013. Please note - as always - this is based on my own personal experience.

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I'm often asked how it was that I knew I was an alcoholic when I first quit drinking. After all, I wasn't exactly the image most people have in their heads when they think "addict". I wasn't an angry drunk - I never beat my children. I held down a job. I didn't drink early in the day or in the morning. I didn't drink in bars - didn't do "happy hour". I didn't hide my wine - in fact I reveled in the notion that I was a connoisseur {or so I fancied myself.}

Me with my Ex...and a perm! - hey, it was the mid-90s!
But I did spend my adult life trying to pound a square peg into a round hole. I wanted to drink as I pleased AND be a happy, healthy, fit, confident, successful woman...but it wasn't working. 

In my mid-30s, I began to see a therapist for panic attacks, anxiety, and low self-esteem. I thought I'd be able to root up some childhood trauma, hold it up to the light of reason, and watch my anxiety turn to dust like a vampire at dawn. Instead, I began the long journey of peeling away the layers to expose the diseases within. 

Apparently, my therapist suspected a substance abuse problem early on. She challenged me on several occasions to forgo the drink, but I could never follow through with the commitment. In fact, though I heard her most of the time, I repressed her words almost instantly.

Finally, after failing yet another self-control challenge, I agreed to at least be evaluated by a substance abuse counselor. I thought I could finally put the discussion to rest, learn how to drink moderately, and continue my "hobby". 

The counselor asked several questions, and at the end of the evaluation, told me he thought I "could benefit from the program". I looked at him dumbfounded, so he handed me a sheet with the definitions of abuser vs. addict to see what I thought. {See bottom of post.} I was certain that I was an abuser and simply needed help getting back on track with "healthy drinking" - after all, wasn't I doing myself a favor in choosing red wine over beer? 

First, I read the traits of abuse and could relate to most. Then, I read through addiction and my world came crashing down. My eyes filled with unstoppable tears. The divorce proceedings had begun.

In early outpatient treatment, much of my "work" was spent examining the evidence that I was not a normal drinker. Diagnosis buy-in {admitting I had a problem} was step one.

Over the next few weeks, the evidence mounted. I'll share with you some of what I revealed to myself - in no particular order. 

I knew I was an alcoholic, because: 
  • I felt uncomfortable, nay, damn irritable at parties, weddings, or other events at which no alcohol was served; and I would limit time spent there.
  • And if I knew in advance that alcohol was not on the menu at the occasion, I would drink before and after.
  • I drank everyday - my dose was 1 - 3 glasses of red wine.
  • At special occasions {i.e., parties, weddings, funerals, holidays, Fridays, Saturdays...} I drank as much as I pleased. 
  • I could almost always drink more than any other {non-alcoholic} woman - and many men - the latter, a point in which I took great pride.
  • I felt uncomfortable and cranky almost nightly when my husband wouldn't have a drink with me at dinner.
  • If given the choice of food or wine at a party, I chose wine first.
  • I could never understand how some people can have just 1 or 2 drinks or leave behind a half-full glass. It made me uncomfortable and gnawed at my core.
  • If my husband or I went out to dinner and the place we chose had no alcohol on the menu, I would be irritable and bitch about finding another restaurant.
  • My dresser and night stand were littered with wine glasses almost all the time.
    ©Jenny Ondioline
  • My kitchen decor was a grapes / wine motif. 
  • If I thought, for example, that a piece of chicken I ate was a little too pink inside, I would take a shot of Stoli {vodka} that I kept in the freezer - to kill any salmonella bacteria I may have ingested, of course! [When I shared this in group, my counselor told me he had never in all his years heard this one before!]
  • If the weather forecast called for a possible hurricane or snowstorm, the first mental planning I did was an assessment of how much wine I had left, and how much I should pick up - forget the bread, milk, eggs, bottled water, and batteries that everyone else foolishly stocked up on!
  • Every day on my ride home, my thoughts would turn to how much wine I had in the house, and whether or not I needed to pick up any.
  • Once, we were invited to the wedding of a good friend; and it was held at a vineyard. Since it was a weekend wedding extravaganza, we rented a house with our other friends who drank as well. So...I brought from home five bottles of pricey red wine to have on hand...just in case, you know. I kept my stash in the car, however, since it was back-up. Just in case I ran out of booze...at a vineyard.
  • I had rules around my drinking, e.g., "I don't drink before the evening", "I only drink 1 - 3 glasses on week nights", "I only {mostly} drink red wine - it is healthy for the heart and prevents cancer", "I don't hang out in bars, unless it's a special occasion", "I don't drink and drive" {unless I have to...}, "I don't drink hard liquor" {unless I ate under-cooked meat, or unless there's nothing else to drink!}, "I don't hide my wine - only alcoholics hide their booze. Please note - normal drinkers do not need rules.
  • I always thought, "I'm not an alcoholic...I'm not like them...I can control my drinking"...yet I never really could. Every time I started a health / fitness program and challenged myself to forgo booze until the weekend, I could not do it. Here are three separate days in a row from my 2005 fitness log: 
 

I am very grateful to be 15 years sober on November 18, 2020. It was only through quitting drinking that I was able to heal my body and begin the long, long process of healing my mind and soul as well.

Chemical addiction does not go away without help, and will leave you empty, lonely, very sick, mentally ill, incarcerated, and / or dead. Please think about this - especiallyif you can relate to any of what I wrote. Seek assistance from a therapist or counselor. I promise that it is brighter on the other side - and waaaay more fun!!!

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*Handouts from that first recovery center interview - taken from the Diagnostic & Statistical Manual of Mental Disorders, 4th Ed. Copyright 1994, American Psychiatric Association:























*UPDATE: The above sheets are a good overview of addiction symptoms vs. abuse symptoms; howeveer, keep in mind they are older diagnostic sheets; the DSM-V (the Diagnostic and Statistical Manual of Mental Disorders {5th revision} of the American Psychiatric Association) has since categorize symptoms and diagnosis a little differently. 

Monday, February 12, 2018

Step Two: My Planner

As mentioned in the previous post, recently I caught myself sinking back into depression. I took Step One to get back on track, and now...

Step Two: 


WELLNESS TOOL SUPREME - MY PLANNER

I first encountered personal planners back in 1990. When placing an office supply order at work, one of my coworkers requested DayTimer refills, and I thought, "What the hell is 'day...timer'?". Now mind you, I'd always been the type who poured over office supply catalogs like porn, but I'd never seen a planner quite like this before. This was no ordinary calendar. This was a caramel-colored leather, pocket-sized, hyper-organized success Grail!


Since then, technology may have made it infinitely easier to reconnect with your 3rd grade crush, share ideas around the world, and overthrow a small nation, but for me, and millions of others, paper-based planning beats hi-tech any day! In fact, since partial hospitalization (PHP) five years ago, paper planning has not only remained my go-to for everyday time and life management (i.e., calendar, to do list, contacts, and key info), but has evolved into a valuable tool for maintaining mental health and addiction recovery.
  

MENTAL ILLNESS/ADDICTION MANAGEMENT

To maintain mental and physical wellness, I use my planner to:
  • List medications (dose, frequency, etc.);
  • Track physical activity/exercise (e.g., steps walked each day, exercise log);
  • Track daily water consumption;
  • Meal plan;
  • Maintain a food log; and,
  • Log doctor visits/results, lab work, vaccines, etc.
In addition, I now carry a copy of my "KWRAP"* in my planner for easy reference. 

Created by Mary Ellen Copeland, PhD, Wellness Recovery Action Plan (WRAP) is a tool to which I was first introduced in PHP. They gave us handouts to work on in group, but I did mine on the computer at home - with movie clips. (See below. Obviously the meds were kicking in at that point!)





COGNITIVE BEHAVIOR THERAPY (CBT)

CBT is a tool for "modifying dysfunctional thinking and behavior"; and my planner has become a tool for CBT. My planner is a source of affirmations, visualizations, motivational quotes, gratitude lists, and other exercises designed to squash ANTs** and facilitate cognitive restructuring.








ART THERAPY

No, it is not imperative for staying on top of things, but pictures, stickers, and other colorful accents just plain pick me the hell up! The very act of doodling and adding Washi tape, scrapbook paper, and motivational quote stickers to a planner page relaxes me, much the way adult coloring books relieve stress for others.  





My raison d'ĂȘtre






MONEY MANAGEMENT


Needless to say, many of us coping with chronic mental illness and/or addiction struggle heavily with money management. In fact, the symptoms of our illnesses not only make managing finances difficult, but likely are the very things that dug us into our pecuniary pits in the first place. 

Fortunately, with the help of family, friends, and professionals, and a wealth of resources available in books and online now, we can begin moving forward in this area of our lives too. I've dedicated an entire section of my planner to this topic - a one-stop place for planning, tracking, and learning.  



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*If WRAP is pronounced, /rap/, then KWRAP is pronounced, well.../CRAP/. {Even cocooned in my bed by the Vortex, I still had a sense of humour at the time.}
**A.N.T.s - Automatic Negative Thoughts - coined by psychiatrist Dr. Daniel G. Amen, MD.

Saturday, October 10, 2015

Aparecium*

This post is dedicated to my friends in the planner community. 

Although it is not entirely mental health- and addiction recovery-related, as I mentioned before, creativity and the pursuit of healthy hobbies are great ways to foster mental health. ;) }

Here is a peek at my planner set-up for October.






















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*"Aparecium: a charm that forces invisible ink or other hidden messages to appear. It is also possible this spell can be used to make other invisible things reveal themselves." (Harry Potter WikiLike this charm, my personal planner is a tool which helps me reveal my life's map. :)

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Planner supplies shown:

Harry Potter tab dividers by:  Mrs. Modern Home on etsy:  https://www.etsy.com/shop/Mrsmodernhome

Planner charms by:  Crafters Retreat on etsy:  https://www.etsy.com/shop/CraftersRetreat?ref=l2-shopheader-name

Harry Potter wand for conjuring up my weekly plan and checking things off, by Olivanders Shop {Universal Studios, Orlando}

Hedwig, the planning owl, by Webkinz {Snowy Owl}


Wednesday, September 30, 2015

Mental Health: Plan on It!


The key is not to prioritize what's on your schedule, 
but to schedule your priorities. - Stephen R. Covey

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Art washes away from the soul the dust of everyday life. - Pablo Picasso

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When I'm depressed, I lose a sense of time and priorities. Everything in life is awash in grey. I get nothing done and as the days drip by, I become increasingly aware of a monster growing in the periphery: anxiety. All the appointments, tasks, projects, and people that have been neglected, await me at the entrance of my cave.


...happier days
I'm sitting here now, staring out - afraid to move forward, but knowing that if I don't do at least something, the monster will grow larger and larger. 

So, how do I get myself up and out when I feel so overwhelmed? How do I gain some control and get moving again back on my path? 



Among the many self-care tactics which I've written about before, there's one other tool in my kit: my personal planner. 


A personal planner keeps track of appointments, tasks, and contacts, yes; but it can also do so much more! {Those of you in the "planner community" (and yes, there is a planner community) know what I'm talking about!} A planner can be your road map and guide, as well as your creative outlet, mental health manager, and curator of your dreams!

I think I'll be digging mine out now to help me get rolling again.


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About My Personal Planner

There are an infinite number of ways to set one up. Mine typically features these familiar sections:
  • Calendar
  • To Do
  • Notes
  • General info and key contacts

In addition, I've added "Focus" and "Goals" sections which contain:

  • Inspiration: gratitude list, list of my accomplishments, life's highlights and lessons, quotes, affirmations, visualizations, etc.
  • Lists: various lists and key information from diverse areas of my life, in alphabetical order.
  • Other sections dedicated to life areas for which I have a lot of info to track: my job, college, college club, etc.
Aside from its functional, organizational, and motivational elements, my planner has also become a creative outlet.

Personal planner decorating has actually become quite popular. A quick Google search will yield post after post and video after video of planner set-up ideas and decorating tips. 

When I was in PHP (Partial Hospitalization Program) a few years back, one of the therapeutic activities our group did involved art. To help us relax, and express our emotions using our visual cortices, we drew, made collages, and yes, even colored. Decorating my planner has the same effect on me. It's a soothing, serotonin-raising hobby!

Some of my tools include:


a pretty planner,



sticky notes and stickers,


...the beaver's face cracks me up every time!

decorative clips,



washi tape,



colored pens,


decorative tab dividers 
with a great inspirational quote,



and finally, planner charms {see pics above and below}.



I've included just a few of the resources out there to get you started. Happy planning!




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Special thanks to all my friends in the US, the UK, and Australia who gifted me most of these planners and supplies! I appreciate your kindness and friendship, and I promise to pay it forward when I can!


Planners by Filofax USA and Filofax UK

Inspirational Dashboards by tweetiepiecollage on Etsy

Planner charms by CraftersRetreaton on Etsy

Canoe do it? sticky notes {with that beaver face!} by Hatley

Washi can be found on Etsy

Amazon.com and office supply stores are great places for sticky notes and pens.


Not shown, but also HIGHLY RECOMMENDED:

Planning pages, goals, and inspirational forms and lists by Life Is Crafted





















Monday, June 8, 2015

Changing Course

Feeling much better physically and mentally. 

I still occasionally have self-defeating thoughts, though. I overthink things. I'm constantly
examining and re-examining myself and my actions. I make assumptions about what others
think or will think about me and I base my self-worth on what I interpret that to be. 


Wow. I guess it sounds like I don't feel all that much better mentally after all.

Okay. I'm sitting here on a Monday morning. Fighting these demons. I can either give in to them, or I can work through them. 

What can I do today to change my course?
  1. DIET - I need to eat a healthy, balanced, properly portioned diet; and not just because I recently had my gall bladder out. Research is now supporting what we've all suspected: maintaining a healthy diet helps maintain a healthy mind. 
  2. EXERCISE - I cannot do strength or core training (e.g., yoga, Pilates) for a while, but I can get some oxygen in my blood and blood in my brain. 
  3. SLEEP!! - I need to get about 8 hours of quality sleep, falling asleep in the dark without the TV on or iPhone in hand.
  4. PRAYER/MEDITATION - There are mixed reviews in scientific literature about the link between prayer/meditation and mental health, but I believe it does work. When I have prayed regularly, I've been centered and less anxious.
"Rome wasn't built in a day", you know. I think I'll start small and gradually add on. First things first: sleep and diet. Then, later this week, add walking in the neighborhood for about twenty minutes and morning prayer and meditation.

I'll let you know how it goes.

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Here are some interesting reads if you want to know more:

DIET

EXERCISE



SLEEP





PRAYER/MEDITATION











Saturday, April 18, 2015

Favorites

I periodically post this for new readers. If you've already heard this spiel, you may want to go check your news feed again, or search for funny videos of cats. But do stop by again soon!

For those of you who are new to this blog, here's an overview.

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Pink Hi-Top Adventures is my first blog ever. I started it back in January 2013 as a chronicle of my ongoing recovery from depression, anxiety, and alcoholism. 

About 9.5 years ago, I entered treatment for alcohol addiction. At the time, I thought it would resolve my issues and help me move forward in life; however, it only drained the pond and uncovered the disease lurking at the bottom.

I had been anxious and depressed but functioning for years, and about two years ago, I totally imploded. I spent three weeks in bed - unable to work, unable to shower, unable to function. My thoughts were turning darker too. I fantasized about death and hurting myself; and for the first time ever, it felt comforting and logical.

When I shared this with my {wonderful!} husband, he reached out to my therapist; and I was admitted to a partial hospitalization treatment program {PHP} immediately. There I was diagnosed with major depression, dysthymia {long-term, low-grade depression}, and generalized anxiety disorder. Fortunately, I was treated by wonderful doctors and therapists; and, though I've experienced periodic set-backs along the way, I've been doing better overall since.

This blog is a chronicle of my continuous recovery and progress toward achieving my goals - one of which is graduating from college with a psychology degree. {I've been in college on and off since September 1984; and finally graduating is quite the achievement for me!} I also hope to inspire and inform you, dear reader, with personal stories, resources, and a little humor!

The blog title is inspired by my favorite pair of Converse Chuck Taylor’s that I wore in my youth - when I last felt happy and free.

And finally, Pink Hi-Top Adventures is a place for you too. Please feel free to comment and discuss - either in the comments section of this blog, or on the blog's Facebook page!

Thanks for reading!

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Here is an index of some of my favorite posts:

ADD:


One Step at a Time (9/28/13)


Addiction:

The Anonymous People (9/14/14)
The Raging River (3/13/14)
Thoughts from my addiction (2/27/13)
Alcoholic or problem drinker? (3/14/13)
How do you help and addict (6/19/13)
Take me out to the ballgame! (8/12/13)


Anxiety:

Carousel in the Crazy House (4/12/15)
Thoughts (7/7/14)
Obstacles (5/22/13)
Social Anxiety (5/29/13)



Depression:

Depression (10/7/14)
Depression Sucks! (11/24/13)
Symptoms of Depression (10/28/13)
Notes from the Vortex (2/11/13)
Life (3/7/13)
Lifeline (3/8/13)
Grey veil...again?! (3/16/13)
Overcoming...inertia! (3/19/13)
Can't sleep (4/23/13)
Do the next right thing - part II (4/25/13)
The daily struggle (6/6/13)
Taking down the wall (6/7/13)
Contained emotions (6/13/13)



Schizophrenia:

Schizophrenia (10/9/14)


Stigma:

It IS an Illness (10/7/14)
Medication Stigma (4/29/14)
"Nervous breakdown" (3/6/13)
Depression is not a character defect (3/27/13)



Wellness:

Renew and Refresh (4/5/15)

New Hobby (10/3/14)
CBT (6/29/14)
Physical Wellness - Getting Back on Track (5/3/14)
Pet Therapy (3/24/14)
Coming Out! (3/14/14)
The 7 Habits of Mental Wellness (about Stephen Covey's, 7 Habits of Highly Effective People):
 - Introduction to (1/25/14)
 - Habit 1: Be Proactive (2/2/14)
 - Habit 2: Begin with the End in Mind (2/12/14)
 - Habit 3: Put First Things First (6/23/14)
Trip to Roanoke, Virginia:
 - Rain Clouds (10/12/13)
 - Roanoke (10/12/13)
 - Heading Home (10/14/13)
Never underestimate your own power! (2/26/13)
Acceptance (3/1/13)
Recovery step #2: sleep, damn it! (3/5/13)
Rebirth (3/30/13)
Wellness part I: physical (4/26/13)
Change is possible part II (6/27/13)
Seven steps to mental health (8/2/13)
Take me out to the ballgame! (8/12/13)
Climbing back up (8/18/13)