If You’re New!

Wow, it’s been 3 years since my last posting.  Dang!  And, its been nearly three years since I last logged on.  Things have changed here, there are many cool looking sites now.  I like it!

I am grateful to be sober!  I am connected and enjoying life in the present.  I use to be the biggest skeptic about that possibility.  I want to write a post and share the progression of my journey.  Hope to soon.  In the meantime, thought I’d cut and paste a couple of responses that I shared with other alcoholics that have just begun their sober journey:

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[Less than 30 days, can it be so hard]

It’s damn hard…so be kind to yourself!  What you’re doing is courageous.  Look up the word Courage and stare at the descriptions for a while.  Too many of us treat alcoholism as nothing more than the common cold.  That couldn’t be further from the truth. Alcoholism is a fatal illness.  I heard that before I got sober and I have watched the reality of that, over and over, for some time now.

Recovery does not happen alone, it can’t!  “We cannot solve our problems with the same thinking we used when we created them”. – Albert Einstein

Find a strategy that works for you to be in “face to face” contact with another alcoholic. Why go through something alone when someone else has already traveled that path.  We need each other.  It gets easier.  Connection/love is everything!

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[I’m a newly sober mom, looking for inspiration]

You’ll do great. Remember this…”every child deserves a sober parent!”  The time your child is with you in life is fleeting. They grow up in a flash and leave your home. Get all of them that you can, when you can!

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Alcohol was my solution.  It worked for a long time, until it didn’t!  Most people drink alcohol with impunity.  But they drink for the enjoyment.  We drank to numb out emotional pain.

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[It’s been four days and nothing is happening]

We want it “RIGHT NOW”!  We stop after years of drinking, drugging, or both, and we want everything fixed NOW!  I get it.  I certainly did too.  Arresting your addiction is a monumental accomplishment.  Less than 1 in 20 can achieve physical sobriety.  If you have stopped, you have accomplished much.  You have earned a ticket to the starting line, a new beginning!  That ticket came at a great cost to you and your loved ones.

You are on a new journey now.  A journey of discovery, recovery and connection.  It was never about the addiction, that was your solution.  It was always about the pain!   The emotional pain that caused you to seek relief through forms of self-medication.

Hey, it’s going to take some time.  And, recovery is not something that happens alone.  Find your posse, your peeps and your recovery plan.  We need the help of others, that’s fundamental.  It may (will) get worse, before it gets better.  You’re now moving forward in life without altering your state of consciousness.  If you’re like most of us who have taken this step, there are things in your past that you would just as well avoid.  Now its time to face them.  It all gets better “EVENTUALLY”.  I’ve not met one person in long-term recovery who regrets moving forward in life from that initial starting line.  Heed the definition of courage.  Involve yourself with others who have traveled the path before you.  A better life awaits!

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[How do I say no to a drink offer]

Say “No”.  If you want to sound more polite, say “No, thank you”.  Both responses are complete sentences.  That’s it!  There is no need to explain any further.  If they persist (most don’t) and say “why not”, you can repeat “No, thank you” or you can say “I feel better when I don’t”.  Then they’ll say, “uh, me too”, and go on talking about how they need to take more healthy steps.

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[A writer with Bipolar]

You’re going to be just fine in life.  You are reaching out and connecting through your talents.

Isolation isn’t healthy for anyone.  Being aware of the problem puts us into the solution. One of my favorite people, Clinical Researcher and author Brene Brown, says “We are neurobiologically wired for connection”.  Check out her TED Talk – The Power of Vulnerability.  An all time TED Talk favorite with 33 million views.

I “have” Bipolar 1.  I didn’t say that “I am” Bipolar 1 or “I’m Bipolar”.  Big distinction between the two.  Just like someone who’s living with a lifelong condition like diabetes doesn’t say “I’m diabetes”.  Those that have diabetes go through the process of educating themselves, putting together a manage plan, and then following that plan daily so that they can lead a normal and productive life.

The disorder dimension of Bipolar is preventable.  Deviate from my manage plan and I put myself at risk.  Stick to my manage plan and I get to enjoy the gifts of having Bipolar – intelligence, creativity, empathy, resilience…and more!

Share your gifts with the world and do good things.  Just as others do with the talents they’ve been given.

Best!

 

Not God!

At two years into my sober journey, I had traveled to the zero point of my soul. I was so full of pain and self-induced suffering that I just stopped and sat down on the floor of my bedroom one day. I became paralyzed. The room felt too big, so I closed the door. That brought me no comfort. I went into the bathroom and closed the door. Still, no relief. So, I got into the shower. In great discomfort, I just dropped to my knees and curdle up into the upper left corner of the shower. It was just me, my tears, and my overwhelming thoughts of stopping the pain for good.

I have heard it said that you live your life forward and understand your life backwards. Makes sense. Hindsight is 20/20, right! Today, I can tell you that I was not alone in my shower six years ago.

I struggled most of my life with the concept of God. As far back as I can remember. Who is this all-knowing and almighty being! Someone that takes deep refuge in the clouds, watches over and protects you? Not buying that! Someone that is all around me that I just can’t see. Not buying that either. So how about just living in the mystery of not needing physical proof and just believing. Yeah, whatever! Maybe when things are going incredibly great. But…but…certainly not when things are going bad! Because then, I’m in charge!

Discomfort was my most comfortable state of being, growing up and well into adulthood. If the discomfort was too much, I eased that discomfort with alcohol. If I felt comfortable, I felt fearful. I never wanted to feel fear. I would always wait for the discomfort to return. But I would also use alcohol to ease that fear. You know, that’s what I believed I deserved…fear and discomfort. And damn it, I was in charge! Not any God. I would not be foolish enough to believe that someone could possibly run my life when things went bad.

Why did I not choose the long-term solution to my short-term problem that day on the floor of my shower. Looking back on that day today, it is clear to me that I was not alone. I remember passing thoughts about the collective souls of those who had passed, but stay in my thoughts, they were there. I also remember the collective souls of those who are living and were trying desperately to help me, they were there. It was my frightened but determined wife. It was my friends, who didn’t understand my pain, but cared about me and wanted to help me in any way possible, they were there. It was my children, all confused and not saying anything, they were there! And nature, the bright sun shining onto the shower floor. The song birds singing, there too!

Today, I am eight years into this sober journey. I am humbled. I am grateful. Happiness fills me daily. Everyday! “God is doing for me what I could not do for myself” (Quote from the Big Book of AA). Everyday! And, everyday, my faith continues to grow stronger. Everyday, the joy that I feel inside grows alongside my faith. And, everyday, I think less and less of my troubles and my needs, and more and more about helping others in need. My intentions become my actions to help others. Those that I can help.

Yes, I traveled to the zero point of my soul, figuratively driving that bus until it just stopped and shutdown. I realize that my seemingly control of everything and everyone was nothing but an illusion. There, beside me on that day was my God.

I know who I am today. I am enough! A husband, a father, a co-worker and a friend. And, I know who I am not today. Not God!

An Audible Voice Illuminates a Nations Shame

Childhood trauma, in whatever form it takes, extinguishes one’s voice. As the soul fractures and paralysis prevails, an audible voice can no longer be heard. It becomes cast in fear, shame, confusion and a sense of loss. Now, weighted under undefinable conflict and bound by shame, the child marches on in life. A veritable time bomb, highly susceptible to substance abuse and a wide spectrum of mental illness, awaits the adult.

A lunar eclipse has begun and is visible in our atmosphere. I am going to watch this event because I love nature and I love the universe. I love the innocence and the vulnerability that nature embraces. It too, has no voice, only beauty, innocence and awe.

Here is what NASA says about this cosmic event . “A lunar eclipse occurs when Earth is directly between the sun and the moon, blocking the sun’s rays and casting a shadow on the moon. As the moon moves deeper and deeper into Earth’s shadow, the moon changes color before your very eyes, turning from gray to an orange or deep shade of red,” the NASA website said.

The description put forth by NASA sounds akin to the trauma and the ensuing shame that abandonment of the mind, body and soul experience during the act of abuse. Waxing poetically, the child could be likened to the moon in this instance.

I want to give an audible voice to childhood trauma and illuminate the devastating impact it has on the human soul. Who could possibly touch a child inappropriately if they knew, to any degree, what the long-term destructive impact most likely will be to that innocent child.

Our world is abuzz right now in conflict, watching the sexual abuse scandals unfold in two major college campuses. I can only imagine the gamut of emotions being felt by so many. Mulling over the actual physical act of violating an innocent child. Thinking about your own children, a relative, a neighborhood boy or girl walking past your house each morning with a smile. Maybe even the child that you once were.

The voice of childhood trauma has made an audible sound this past two months. Perhaps this might be the unifying force that reunites a fractured nation such as ours is at the present.

I believe that all human being’s yearn linkage and loyalty to a cause that defines us and gives us a sense of purpose. So, why not look into your own soul. Think about how you can help raise the tenor of the pitch, to a degree that we all can become more aware and act on what is often called “Our Nations Shame!”

Perhaps then we will mobilize as a nation, remove ourselves from partisan bickering and positioning that we all find disgusting, yet take part in, and we do something that is good for the soul.

The Prisoner and the Jailer

At one point during the Holocaust, the prison population grew so large that the Nazi’s had no choice but to turn some of the more trusted prisoners into jailers. They called them Capo’s. When historians began examining the Holocaust, it was baffling to learn that the most brutal jailers were, in fact, the Capo’s themselves. They sought the help of mental health professionals to understand this phenomenon.

It was explained to them that the jailers so resented internment, loss of self and never-ending stress, that they could not invoke normal human emotion and instead, wanted to destroy what they feared and hated most; being held in captivity. They channeled all their hatred back onto their fellow prisoners.

A Psychiatrist told me that story when I was telling him that the abuse that I had suffered as a child wasn’t as bad as other abuses that I was aware of. He explained to me that one, abuse is abuse! There are varying degrees but no delineation to the body and mind. And two, physical abuse “is” severely damaging. Kids learn and grow by connecting points A and B. He gave me an example. If a child wets their pants and they end up locked in their room all day with no food or water; that’s abuse. But the child is able to connect the points. A, if I soil my pants, B, I will be locked in my room. Their situation, albeit uncomfortable, has made an A/B connection and the ensuing emotional trauma may not be as impactful.

One time after a Little League game, when I went 0 for 4, my father beat me. I really didn’t know why, other than I must have done something wrong. I also concluded something must really be wrong with me. Most damaging, as the Psychiatrist would explain, is that I could not make any connection…A did not connect with a B. That hung state, according to the doc, is terribly damaging to the psyche. It’s the others person sickness (same with sexual abuse) that is in play. That’s why, according to doctors, a childs emotional development can be halted at this type of trauma point.

Coming full circle, like the rings on a tree that represent growth, our childhood experiences are hard-wired into us and they never leave. The prisoner (child) becomes the jailer (adult). I don’t know about you but I can be so critical of myself, so brutal. Other people notice and once in awhile will question my veracity. I don’t because it is something that I am often blind to.

As time marched on and I reached mid-life, I could no longer keep up the illusion of an idyllic childhood. So, I began to numb out through alcohol. And the rest, as they say, is history!

Today, nearly 4 years of sobriety have given me a clear head and a clear conscious. I have been able to dig in and do the hard work in recovery. Recovery to me is not only about the cessation. That’s the beginning, the warm-up, the entry fee for what is to come. I have done the hard work and the benefits are beginning to unfold. I love my life and I am beginning to love myself. I can hardly say that last part. Work in progress!

How Did This Happen To Me!

Posted 2/22/2010 8:20 AM CST on livestrong.com Community

I am a survivor of childhood abuse. I fell into substance abuse (alcoholism) as an adult, made it into recovery and have been sober for nearly 4 years. I stared down death a couple of times during this dark period of my life. Today, I feel very fortunate that I am alive and standing on solid ground. I cannot put into words how grateful I am for the unwavering support of my family, friends and psychotherapists. I have been on a journey of recovery and self-discovery for the past four years and could not be any happier with my opportunity to live a more enriched life, going forward.

I estimate that I have put over 200 hours into reading, researching and studying science and medical papers on the subject that I would like to share in this post. I find it tragic that with all the recent discoveries in neuroscience and the associated links to addiction and substance abuse; the medical community and, peripherally, the addiction treatment community, have yet to gain any sort of deep understanding that would allow them to adapt and deploy treatment options.

There is an age-old debate whether alcoholism is a disease. I ponder the thought that any evidence of this claim has not been found conclusive. With all the research money and time spent by drug companies, employing molecular biologist to hunt for genetic markers tied to alcoholism, it seems likely that any evidence would have emerged by now. I have read that drug companies have invested in excess of a billion dollar hunting for any sign of genetic markers that show a link to alcoholism.

To me, it seems more likely that some sort of “psychological stress”, seemingly leading to a wide spectrum of mental illnesses, is more aligned on a path that is conducive for substance abuse and addiction. I have read that there is an undeniable association of childhood stress, or varying degrees of abandonment, that link those who predominantly fall victim to substance abuse and addiction. In my readings, abandonment defined is a trauma experienced in the developmental years of our youth. Examples noted were childhood abuse, broken homes, domestic violence, molestation, incest and so on.

There are many forms of childhood abandonment that I read about. Pertaining directly to me, I was physically and emotionally abused by my father. I grew up in a corporal punishment environment that many times, went beyond spanking or your garden variety head slapping or ear flicking. For as long as I can remember, tracing back through my youth, I always had my guard up. I lived in a hyper-vigilant state of always being on guard. After much work, that internal churning is now gone. Free at last, after 48 years!

I have read a great deal about the devastating impact that a constant state of arousal (hyper-vigilance) can deliver to a developing brain. I learned about the HPA-axis, also called the “negative feedback loop”. The HPA-axis defined, is the hypothalamic-pituitary-adrenocortical axis that is part of the endocrine and autonomic systems within our body. In a nutshell, the HPA-axis gives us that “fight or flight” ability by producing the necessary amounts or more of adrenaline and cortisol hormones that will move us away from any real or perceived threat. There is evidence linking the constant state of arousal to mental illnesses that will never completely leave us. Here is an excerpt that I pulled from a study done on the neuroendocrinology of stress.

* Comprehending the mechanistic of the stress response and the increasingly serious sequelae of its deregulation is pivotal to recognize and combat any abnormalities in the stress system. To overcome pathologic hyperactivity of the stress response, it is essential to protect juveniles from trauma and abuse. The more secure the environment, the less likely an individual will experience a stress-related illness. A secondary measure is training stress-prone patients to improve their coping skills, minimizing their reactivity to future stress. In-depth understanding of the neuro-circuitry of stress has provided novel tools to manage hyperactivity of the stress system. Hundreds of original articles and many laboratories have repeatedly implicated corticotropin-releasing hormone (CRH) in enhancing the organism’s sensitivity to nocuous stimuli and in mobilizing almost the entire cascade of the stress response. By virtue of its broad interactions with the endocrine and autonomic systems, CRH virtually influences every cell in the body. Hyperactivity of CRH is a serious condition that is likely to underlie the pathophysiology of melancholic depression, anxiety, psychosexual disorders, diabetes mellitus, and functional gastrointestinal disorders.

Serotonin is important for adequate coping with stress. Aberrant serotonin function is implicated in the etiology of major depression and anxiety disorders. Dysregulation of the hypothalamic-pituitary-adrenocortical axis, involving raised corticotropin-releasing hormone activity, also plays a role in these stress-related illnesses.

I use to have a terrible problem with giving presentations to an audience or even just impromptu talks in front of a group. My problem and symptoms went well beyond the normal nervousness and presentation anxiety that are often present before speaking. The physical symptoms that I experienced were rapid heart beat, abnormal sweating, shortness of breadth and an overwhelming sense of confusion. My autonomic system went into overdrive. One day, after describing this scenario to a psychiatrist, he prescribed the drug Inderal to see if it made an impact toward combating my symptoms.

Inderal is a beta-blocker that temporarily shuts down the adrenaline response. The impact was profound. When I take a very small dosage (5mg) before public speaking, I no longer have any problem nor suffer any of the symptoms that I once did. My “pathologic hyperactivity of the stress response” (but of course) is under control today, thanks to the drug Inderal. I just wish I would have figured this out 20 years earlier in my sales career.

Furthermore, during a routine CT scan of my abdomen, for an unrelated matter, doctors discovered that I have an adrenal cortical adenoma (huh), (benign tumor..oh!) on my adrenal gland. I have read evidence that an adrenal adenoma can develop as a result of over stressing the HPA-axis due to the constant hyperactive and prolonged exposure to cortisol. I believe that the environment that I grew up in had something, if not everything, to do with this adenoma.

Referencing a paper prepared by The Office of Trauma Services, Maine Department of Behavioral and Developmental Service’s State House Station, gives further illustration to the harmful and lifelong impact of childhood abuse:

Childhood abuse can result in adult experience of shame, flashbacks, nightmares, severe anxiety, depression, alcohol and drug use, feelings of humiliation and unworthiness, ugliness and profound terror. (Harris, 1997; Rieker&Carmen, 1986; Herman, 1992; Janoff-Bulman & Frieze, 1983; van der Kolk, 1987; Brown & Finkelhor, 1986; Rimsza, 1988)

Adults abused during childhood are more than twice as likely to have at least one lifetime psychiatric diagnosis almost three times as likely to have an affective disorder almost three times as likely to have an anxiety disorder almost 2 ½ times as likely to have phobias over ten times as likely to have a panic disorder almost four times as likely to have an antisocial personality disorder (Stein et al, 1988).

It appears conclusive that child abuse affects the neural pathways of a developing brain. The resulting effect appears to be damaging to the neuro-circuitry that can no longer efficiently carry the neurotransmitters that travel the connected network of the brain. In the neuro-circuitry, three mono-amine neurotransmitters cited as being affected were serotonin, dopamine and nor epinephrine….neurotransmitters that play a significant role in depression and anxiety.

On a personal level, I have worked with two doctors to come up with the right mix of therapy (Cognitive Beharioural Therapy – CBT) and medication. Currently, I go to therapy sessions with a Psychologist and I have a Psychiatrist that has worked with me to prescribe the right mix of medication. I take the antidepressant Pristiq, Deplin – which is a prescribed “medical food” that helps regulate all three mono-amines neurotransmitters, a GABA supplement, a highly concentrated form of Omega-3 supplement and a high-potency multivitamin supplement. All pills are directed at improving brain function as it relates to neurotransmitters. In addition, I exercise daily, manage my nutritional advice and make sure that I get plenty of sleep. It’s not easy. Working this regime has been a challenge. But, I am committed to it.

The results so far have been awesome. I have never felt better in my life and I have been depression free ever since going on the regiment that I described above. As I travel my sober journey, I look forward to living each day knowing that I am doing all the right things to support a healthy mental balance. I also take part in maintenance visits for psychotherapy, which I highly recommend adjunct to medical treatment.

* Neuroendocrinology of stress by Habib KE, Gold PW, Chrousos GP. Clinical Neuroendocrinology Branch, National Institute of Mental Health, National Institutes of Health, Bethesda, Maryland, USA. habib@codon.nih.gov
Endocrinol Metab Clin North Am 2001 Sep; 30(3):695-728

Something Personal to Me!

Posted 12/5/2010 9:22 AM CST on livestrong.com Community

I would like to share something that is deeply personal to me. It serves to illustrate what you can do when you work hard at getting the “yuck out”, and your life is given back to you.

I have a goal, or a “higher purpose”, as the folk’s in AA say. My higher purpose has been a guiding light to get sober, stay sober, and also serve as inspiration to reach outside of myself and give back in a small way.

Prior to falling off the rails and into alcoholism, I became involved with helping a child abuse prevention center get off the ground and running. Sadly, at a time when they needed me most, which is always the case in a non-profit, I resigned from my volunteer post. I did that because it was getting in the way of my drinking. We can all fill in the blanks in some way on that one!

Now here’s the good/fun stuff. I am getting back involved with my child abuse prevention interest and have found an even greater capacity to help, having walked through the trail of tears myself. That’s the good news!

The fun, is a video that I’d like to share with you that sums it all up. I made reference to this the other day. I am a big fan of Mary J. Blige. Not only because she is a great talent, but because of her own struggles with addiction and abuse that she has overcome. So, enjoy the music and lyrics if you care to take a look.

Go to http://www.vevo.com. Type in Mary J Blige at the Search and scroll down to the song “Each Tear”. There are multiple versions of the song but I am partial to the one that includes the Italian singer. So look for Each Tear (Italian version). May it inspire you today! I have no personal or promotional interest btw…other than fun and inspiration. Godere!

It’s a Progressive Illness

I was a weekend beer drinker. Until that is, a few beers suddenly became a became a six-pack at every instance. Then a six-pack became a 12 pack, which in turn became an excuse to get home later and then…when I chose.

Somewhere along the way I found Ketel One vodka. What a relief that was. No more beer for the burgeoning beer gut! In no time I was off and running with Ketel One. Yep, one martini became two martini’s, and two martini’s soon became tee martini’s and, on and on. Then I would hop in the car and drive home!

I remember the first time I drank a whole bottle of Ketel One. I proceeded to throw it up. Without missing a beat, I was struck with thought – “hey, I can drink again”. And so I did!! About that time I self-diagnosed myself as a “functional alcoholic”. That worked! My new label had a certain ring of self-control and dignity to it. Order was restored. Truth be told, my self-respect was beginning to wane. I was aware of it and by giving myself the “functional alcoholic” label, I seemingly could better cope with this awareness.

I know things were starting to look a bit out of control, but I still had a few basic rules that I was abiding by! For one, I never started drinking before 7:30am. But as soon as the family pulled out of the driveway for work and school (always at about 7:30) I was mixing a drink. Toward the end of my drinking, I would put away one bottle before noon, take about a two-hour break and then start in on another bottle. Of that bottle, I would leave about an inch so that I could have enough for an “eye opener” the following morning. After my “eye opener” I would wait around to about 9am and then hit the store for more booze.

My prodigious drinking had crossed that “invisible line” and I was completely unaware. I was physically and mentally addicted to alcohol. I had lost the power of choice. I was no longer in control. It didn’t matter how much feeling and belief that I put into my thousands of pledges to stop drinking, I would always break that pledge no matter what. Despite adverse consequences, which were occurring on a more frequent basis, I would always return to the bottle. I could no longer take it or leave it, for “it” had taken me!

Alcoholism is a slippery slope. It is a progressive illness. And it’s damn sneaky too!

About Me

“Experience has taught us that we have only one enduring weapon in our struggle against mental illness: the emotional discovery and emotional acceptance of the truth in the individual and unique history of our childhood.”

– Alice Miller (from her book The Drama of the Gifted Child)

For many years, I worked hard to build a charmed life. I had been living that life to the fullest until I took a precipitous fall into the abyss of alcoholism. Unwittingly, I claimed my family as hostages and took them right along with me.

I survived addiction and have been in recovery since February 9, 2007. Since that time, I have been working courageously, and sometimes not, to face the trauma/emotional pain that caused my addiction and ripples through my life today.

Writing My Story has been revealing and cathartic.  Glad that you stopped by!

 

Finding the Right Therapist

 I’m sure that you are aware that sobriety is a lot more than quitting alcohol or drugs.  Newly sober, it seems our human nature wants to make everything right as quickly as possible.  From my experience and from observing many others, I don’t believe that it is humanly possible to fast track recovery.  I tried to carry that out with all the strength I could muster and, in hindsight, I might have been better off by going down to the beach to try to stop a few waves from breaking.  This takes time!  And for me, it also took a village!

 And of course, as someone who is prone to addiction, it is completely foreign to seek help or to allow others to step in and row the oars for a bit.  But taking “contrary action” is critical.

 I have had good and bad experiences with therapy.  While chemically dependent, my experiences were mostly ineffective – go figure!  As I gained strength in sobriety, through time and effort, my experiences with therapy became more rewarding.

Here is what I learned.  Your therapist is critical.  I would focus less on one that has addiction counseling experience and focus more on finding one that has a good understanding of their own self.  Of course, if they have both, then you’re probably in good hands.  The best way that I know how to describe what I am referring to is to direct you to the website of Alice Miller, a wonderful psychologist and author.  The website address is www.alice-miller.com . 

I have found Alice Miller an incredible source.  Enter a search on her home page for “enlightened witness”.   That description would be my recommendation of how to find the right counselor.  Her book “The Drama of the Gifted Child” has changed my life.

 If you’re newly sober, my one caution would be that getting too deep into this material (with so much going on already in early sobriety) would be putting the cart WAY, WAY before the horse!    It has been my experience that tackling the subject that Alice Miller addresses is something that is better received when you have had some sobriety under your belt.  I was well into my third year of sobriety before I was able to fully absorb her material.  Before that, I was just too broken and too mentally weak. 

Strength in sobriety comes the old-fashioned way – by putting in the time.  And sometimes that’s just being sober and letting time heal you.

Our Nations Shame

What Can Happen to Abused Children When They Grow Up –           
 
If No One Notices, Listens or Helps?

  For purposes of this document, abuse and trauma are defined as: interpersonal violence in the form of sexual abuse, physical abuse, severe neglect, loss, and /or the witnessing of violence. 

Prepared by The Office of Trauma Services,Maine Department of Behavioral and Developmental Service’s State House Station, Augusta, ME 04333 Phone: 207 287-4250, TTY 207 287-2000, fax 207 287-757  January, 2001

 If no one notices, listens or helps, childhood abuse can lead in adult years to:

 SERIOUS MENTAL HEALTH PROBLEMS

The mental health system is filled with survivors of prolonged, repeated childhood trauma:

·50 to 70% of all women and a substantial number of men treated in psychiatric settings have histories of sexual or physical abuse, or both.  (Carmen et al, 1984; Bryer et al., 1987; Craine et al., 1988)

 ·As high as 81% of men and women in psychiatric hospitals with a variety of   major mental illness diagnoses have experienced physical and/or sexual abuse. 67% of these men and women were abused as children (Jacobson & Richardson, 1987)

 ·74% of Maine’s Augusta Mental Health Institute patients, interviewed as class  members, report histories of sexual and physical abuse. (Maine BDS, 1998)

 ·The majority of adults diagnosed with Borderline Personality Disorder (81%) or  Dissociative Identity Disorder (90%) were sexually and/or physically abused as children.  (Herman et al, 1989; Ross et al, 1990)

 ·Women molested as children are four times more at risk for Major Depression as those with no such history. They are significantly more likely to develop bulimia and chronic PTSD. (Stein et al, 1988; Root & Fallon, 1988; Sloane, 1986; Craine, 1990)

 ·Childhood abuse can result in adult experience of shame, flashbacks, nightmares, severe anxiety, depression, alcohol and drug use, feelings of humiliation and unworthiness, ugliness and profound terror. (Harris, 1997; Rieker&Carmen, 1986; Herman, 1992; Janoff-Bulman & Frieze, 1983; van der Kolk, 1987; Brown & Finkelhor, 1986; Rimsza, 1988)

 ·Adults abused during childhood are:- more than twice as likely to have at least one lifetime psychiatric diagnosis- almost three times as likely to have an affective disorder- almost three times as likely to have an anxiety disorder- almost 2 ½ times as likely to have phobias- over ten times as likely to have a panic disorder- almost four times as likely to have an antisocial personality disorder  (Stein et al, 1988)

 ·97% of mentally ill homeless women have experienced severe physical and/or sexual abuse. 87% experienced this abuse both as children and as adults.(Goodman, Johnson, Dutton & Harris. (1997)