Showing posts with label stigma. Show all posts
Showing posts with label stigma. 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. 

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)



Tuesday, April 29, 2014

Medication Stigma

This post is dedicated to Dr. Lorente - best.psychology.professor.EVER!

You know, it took me about five years after my therapist first recommended it before I finally agreed to take medication*.

Why did it take so long? Stigma. I had heard so many negative things about medication online and in the media that I assumed taking medication was dangerous and / or a cop out. 

After taking medication for a year and a half now, I have a better understanding of what it does and doesn't do. 

Medication, effectively and correctly administered to the appropriate patient, can turn a life around and in some cases, save a life.

Medication does not give you perma-grin nor does it make you happy-go-lucky all the time. Medication just levels the playing field. It enables you to experience the full range of emotions that a normal person feels. It breaks one out of the negative grip of mental illness - depression and fear - and opens you up to possibility. 

I still get angry, I still feel down and cry sometimes, and I still curse in traffic; but I am also able to move on from these feelings now. Negative feelings no longer cycle around in my head over and over like a broken record.

{I also find it interesting that some of the people I've met who are psycho-active medication opponents also happen to drink alcohol. Nothing psycho-active there...}

I do agree with some of the naysayers, however, in that I personally think that some cases are misdiagnosed. I am not a big fan of a patient walking into a primary care physician's office, telling them they are "depressed", and the PC doctor prescribing something on the spot. I think these cases can lead to over-diagnosis, misdiagnosis, and feed the misunderstanding about treatment. A PC doctor is not the right doctor to diagnose and prescribe. They have about 5 - 10 minutes with a patient and in no way is that enough time to accurately diagnose a mental illness! The PC should instead refer the patient to an expert - a therapist and / or psychiatrist.

That said, I do think there are also many cases of underdiagnosis because patients fear a stigma. I know I did. 

*Note: 'Medication' in this post refers to medication used in the treatment of depression and anxiety.

Friday, March 14, 2014

Coming Out!



A friend who also suffers from depression recently told me how amazed she is that I am able to share so openly and publicly about my illnesses. Well, this is why I do it:

1. To help those suffering from mental illness feel less alone;

2. To enlighten the loved ones, friends, family, colleagues, and caregivers of those suffering about what it feels like for someone with mental illness; 

and perhaps most importantly, 

3. To normalize mental illness as the biopsychosocial disease it is.

Number 3 is particularly important because for so long those suffering from various mental illnesses (which includes addiction) have suffered in the shadows. For fear of the stigma attached to mental illness and addiction, many have gone untreated and misunderstood rather than seek professional help.

The image we often hold of the alcoholic or the addict is not a particularly nice one: brown paper bags, dirty streets and alleys, wife beaters, drunk drivers, the dissatisfied house frau drinking her woes away with a martini in the afternoon while her baby cries unattended. Ask anyone in AA why the first step is so darned difficult yet powerful to take - saying, I'm an alcoholic. 

The image conjured up by the words mentally ill is no better: straight jackets, padded rooms, Nurse Ratched...

But, having depression, anxiety disorder, substance use disorder, bipolar disorder, schizophrenia, post-partum depression, etc. is not a character defect. They are brain diseases like diabetes is a metabolic disease or asthma is a respiratory disease. 

I am not ashamed to say in public, "I have asthma and I have to carry an inhaler." Nor should I be ashamed to say, "I am an alcoholic with depression and anxiety disorder and I carry my Where and When*."  

So that is why. The more of us that come out and say in a matter-of-fact way, e.g., I am an addict or I have bipolar disorder, the more we normalize mental illness and help it to be seen for what it is, and the more we help those who need it!



*Little book of Alcoholics Anonymous that lists local meetings - places, days, and times.