Smart people are particularly
adept at rationalizing their substance abuse, for example:
"I can handle it." Are you sure?
Have people hinted that you might have a substance abuse problem? And look
inward: Is your motivation, drive, and yes, even brainpower, not what it was?
Might your substance use be contributing?
"I can stop whenever I want." For how long? Sooner rather than later, are you back
off the wagon?
"Drugs or alcohol so help me cope with life that it outweighs substance
use's liabilities." Might
you have less misery to cope with if you weren't so often under the influence?
"My life is unalterably miserable, so it doesn't
matter if I kill some more brain cells."
Most people's lives are alterable. Taking baby steps forward may help but it's
hard to take them if you're often high.
"I'm more creative when I'm high." When you evaluate your creative efforts when you're sober,
are they really better?
"I'm more likeable when I'm high." Would your
friends and family say that?
"I'm smarter than most people. I have brain cells
to spare." In this job market? With life ever more
complicated?
"My kids won't be affected." Do you really believe you're as good a parent when
you're under the influence? And we all know that kids imitate their parents, so
it's likely that your kids will follow in your substance-abusing footsteps. Is
that okay with you?
The most frequent
rationalization: "I must
satisfy my urge to feel good right now."
Really? Must you? And is there no better, less side-effect-ridden way to
feel good than to get drunk or high?
As a former drug counselor
and now a career and personal coach for 26 years, having worked with 3,900 clients,
I have so often seen substance abuse damage people's careers and personal
lives. Even a high IQ may not be enough to compensate. Sure, most Mensans have
enough brainpower to avoid being permanently unemployable, but many admit that
drugs or alcohol have made them so much less successful and happy than they
otherwise could have been. Yet most of
them can't kick the addiction for good.
How to know if you have a problem? So many people with a substance abuse problem claim
they don't have one. Take a step back and think about the complications that
substance use has brought into your life. It may also be helpful to ask those
who care about you for candid feedback on your use of drugs or
alcohol.
The following offer reasonable
prospects for getting clean and sober. One size does not fit all, but I'm
hoping you'll find at least one suggestion on this list that is worth trying. If
necessary, treatment should also address your mental and physical health
concerns.
Moderation? Some
people can be functional alcohol/drug users--if they have the discipline to
keep it moderate. Others cannot function well-enough with even modest drug/alcohol use.
12-Step programs.
These programs, for example,
Alcoholics Anonymous and Drug Addicts Anonymous tend to work better for people
of faith or who prefer a treatment that addresses emotions as well as the
rational. To find a 12-step program f or
yourself or someone you care about: http://en.wikipedia.org/wiki/List_of_twelve-step_groups.
Cognitive behavioral therapy helps correcting people erroneous thinking such as
those rationalizations listed above. It also includes teaching the person
abuse-prevention skills, for example, having a scripted response to, "Would
you like a drink or a joint?" "No, I've had enough." or,
"I'll have to drive," whatever. To find a non-12-step
self-help group, you might try SmartRecovery: www.smartrecovery.org.
Medication? A
physician can prescribe a medication that often is very effective in helping
you stop your abuse. Such pharmacotherapy can be particularly effective when
someone you're living with starts each day by thanking you for committing to
being clean and sober that day, then gives you the pill and a hug.
Picture how your life would be better? Keep front-and-center the ways your life would be
better if you stopped, and the price you've paid for your substance abuse. San Francisco cognitive-behavioral
therapist, Dr. Michael Edelstein recommends going further: "Five times
daily, without fail, vividly read and write the pros and cons of
kicking. Don't stop this discipline when you're doing better."
Can a relationship help? Sometimes, a partner's help is the most effective. If
your partner has a substance abuse problem, yes be a good listener, yes praise
their strengths, and don't be an enabler. For example, don't do their work for
them to keep them propped up. They do need to experience the consequences of
their abuse.
Some people stop only
because of a relationship: for example, they fall in love, get pregnant, or
their sibling stopped using drugs and the person didn't want to be the only
family member with a substance abuse problem.
Do you have to hit rock bottom? Alas, some people stop only when they've hit rock
bottom: They're so exhausted from the toll of living the addict lifestyle that
they just are sick and tired of being sick and tired. Edelstein urges,
"Refuse to give up. You can succeed on the 100th try."
Is there a better way to derive pleasure? At the risk of sounding like a goody two-shoes, there
really are ways to get high on life without drugs. For example, I get real
pleasure from helping my clients, writing, hosting my radio show, playing in
the garden, my wife and I having a couple over for dinner, walking my doggie,
Einstein, indeed in writing this column. How could you fill your
life with enjoyable activities that don't have negative side effects?
Another great job, Marty! On a related note, my next-door neighbor and carpool buddy, who works at a sizable automotive supply and repair company, tells me that his company is chronically understaffed (even today) because this company drug tests its new employees, and about a third of its new hires fail the drug tests. And that's the urine test, which detects recent drug use; another third fail the hair test, which detects long-term drug use.
ReplyDeleteWhen I heard this, I was quite shocked. Yes, I admit I've lived a somewhat sheltered life, but I had no idea that drug use was so widespread.
So, getting clean and sober is a key factor in getting and keeping jobs. Furthermore, in more prosperous times, people may have turned a blind eye, but not anymore.