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Posts Tagged ‘rehab’

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.

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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!

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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

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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!

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 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.

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I experience internal conflict when I state that quitting alcohol was the easy part.  There is nothing easy about putting down the bottle and getting sober.  It is the journey that awaits you that is also very difficult; in fact, I found it a lot more difficult.  I believe it is that way because we are now going forward in life sober and not numbed out to the world around us!  I wish someone would have given me a heads up about this because it was a rude awakening that I did not find inviting when I started to make this connection. (more…)

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All text is © Anita Roy 2004. All rights remain with the author.

Alice Miller’s book The Drama of the Gifted Child is such an affirmation of my belief that what we are modeled to as children – and what we model to our children – is the key to future happiness. When Alice Miller says “gifted” she doesn’t mean academically gifted, but rather the natural gift that we have as children to survive, to find a way to survive when we are confronted with pain, humiliation, anger and sorrow that we cannot express, because we are not safe in doing so. As children, we are neglected and abused in varying degrees, despite the best intentions of our parents. We have nowhere to escape to and so have no choice but to consider our situation a normal life. It becomes our reality as adults unless we become conscious of the process.

As children, we need our parents to survive physically, for food and shelter, and when they cause us pain and suffering, we cannot express ourselves honestly lest we lose those who can meet these most basic of needs. We grow to love our parents because we have not known any other reality, and the ties, the connections, are profound. We are bonded to them and the reality they present us, even if that reality is painful.

We survive by taking the happy times and suppressing feelings about the bad times. We focus on the good times and sometimes, glorify them. The bad feelings don’t go away however, they go underground, and later surface as compulsive behaviors and grandiosity. My father vacillated between delusions of grandeur and depressed alcoholism. These were the recurring themes in a man who was otherwise intelligent, generous and charismatic. He had not had an easy childhood. Being the oldest son of an East Indian family, he had alternately been doted on and pressured into inappropriate responsibilities.

We suffered as children because we were walking on eggs not knowing how he might be mood-wise at any given time. There was a tacit understanding that we had to keep up the illusion of being a successful family. My mother, the enabler, would be equally unpredictable. She was the steadfast backbone of the household, but sometimes, regularly, she would fall apart, emotionally, and lose herself in despair and grief. Loving though she was, she didn’t give the love we *needed*, but only the love she knew how to give, which was to be affectionate and to care for us. She did not see our pain, as no one had seen hers when she was a child. She was looking in all the wrong places for the love she never got from her parents. She was hoping for unconditional love from her husband, but he didn’t know how. The one place where she got close to that kind of love was her babies, but babies aren’t supposed to give their parents the love they never had. Babies have their own needs.

When I realized all this in my personal work I spent a lot of time being pretty angry at them. Furious actually. Both my parents were victims in their own right. It was an edifying time in my life when I realized that my parents were just people who happened to have made babies, and not perfect humans who understood everything. Nevertheless, I had been wounded and I needed to take care of myself.

Paraphrasing Miller, if we don’t become *mindful” of our pain and what happened, then we are condemned to repeat the pattern and make our kids suffer. This is not an easy path, it is fraught with pain and sorrow, but that is the only way to become conscious of which we are. It is “lonely work” and we have to deal with some pretty scary demons. Alternatively, we may look for parent figures in an authoritarian church, political party, domineering husband, Alcoholics Anonymous, or corporate career, so we can exchange personal power for protection just like when we were babies. That protection may be valuable, for a while, until we are stronger: a holding pattern to build courage. But in my experience, at some point, we can no longer stay away from seeking our true selves.

 Quoting Anais Nin:

“And the day came when the risk (it took),to remain tight in the bud was more painful, than the risk it took to blossom”.

All text is © Anita Roy 2004. All rights remain with the author.

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