Renewing the Mind
August 25, 2009
Deeply ingrained patterns of thinking and responding have formed strongholds in our minds. Addiction is a stronghold!
Do we have to remain victims of the these mental strongholds for the rest of our lives? Absolutely not!
If we have been trained wrong, can we be retrained? If we have learned to believe a lie, can we now choose to believe the truth? If we have programmed our computers wrong, can they be reprogrammed? Absolutely!
But we have to want to renew our minds. How?
Our lives are transformed as we renew our minds through the hearing of God’s Word, Bible studies, personal discipleship and Christ-centered counseling.
Study offers insight into brain chemistry behind addiction
August 13, 2009
MONTREAL — Researchers at the Montreal Neurological Institute have gained fresh insight into the brain chemistry behind addiction by studying the least likely of addicts — Parkinson’s disease patients.
Typically, those suffering from the neurodegenerative disorder are the polar opposite of an addictive personality. Most patients with Parkinson’s are found to be introverted,
rigid and slow to anger — not the excitable, impulsive temperament that’s necessary for addiction, said Alain Dagher, lead author of the MNI study.
Yet paradoxically, some patients who are treated for the tremors associated with Parkinson’s disease do develop addictive behaviours. For example, the incidence of pathological gambling in treated Parkinson’s patients is eight per cent compared with one per cent in the general population.
What Dagher and his colleagues discovered is that some of these patients might have been given too much medication to stimulate dopamine, a neurotransmitter in the brain. People with the disease lack dopamine.
“In some instances, Parkinson’s disease patients become addicted to their own medication, or develop addictions such as pathological gambling, compulsive shopping or hypersexuality,” Dagher said.
So what does Parkinson’s have to do with addiction? Dagher, a neurologist, has found that people suffering from addiction have elevated levels of dopamine in their brains.
Thus, the link between some Parkinson’s patients under treatment and addicts is higher-than-normal levels of dopamine in their brains. Previously, some scientists had questioned whether too much dopamine in the brain could trigger addiction.
“People with addiction, we think, have an excess of dopamine,” Dagher explained. “And with Parkinson’s disease, you give a drug to increase dopamine in order to relieve symptoms, and some people get overdosed. One of the effects of this excessive dopamine stimulation from the drug appears to be the development of addictions — especially pathological gambling.”
The practical implications of the research means that doctors will have to be much more careful in prescribing medications to patients with Parkinson’s, Dagher said.
As for addiction, researchers will need to focus more on genes that predispose people to elevated dopamine.
Nearly 100,000 Canadians have Parkinson’s. Addiction prevalence is much higher. One out of every 10 Canadians, aged 15 and over, have symptoms consistent with alcohol or illicit drug dependence, according to the Centre for Addiction and Mental Health.
The MNI study was published Wednesday in the journal Neuron. Researchers from McGill and the University of Cambridge were also involved.
Montreal Gazette
© Copyright (c) The Montreal Gazette
World of Addictions
July 28, 2009
For many who suddenly wake one morning with the realization they are trapped in a bondage greater than themselves, the “world of addictions” has become very personal. It’s about their pain, their confusion, their hopelessness, their fear…their vulnerability to the enemy of their soul. Jesus describes this enemy – Satan – in John 10:10:
“The thief comes only to steal and kill and destroy; I have come that they may have life, and have it to the full.”
Francis Frangipane, author of The Three Battlegrounds, has made these statements regarding the enemy’s activity in our lives:
1. “God has given Satan legal right to access the realm of darkness.”
2. “Satan dines on whatever we withhold from God.”
Darkness in a human heart can be expressed in many forms: pride, lust, unforgiveness, hatred, jealousy, greed. There are few who would not identify in some manner with one or more of these expressions.
Why People Don’t Recover
June 29, 2009
Why People Don’t Recover
The reasons why people do not seek help for their problems are as many and varied as the people themselves. But here are some of the common obstacles to pursuing and maintaining recovery:
1. Problem behavior attracts longed-for attention.
2. The pain isn’t great enough—yet.
3. Fear of launching into the unknown.
4. Someone is enabling the addiction (message to the enabler: stop it!)
5. Fear of exposure. Guilt is private but shame is public. The only answer is openness and making amends for the past. This resolves the guilt and robs shame of its power.
6. Pride.
7. “Praying for a miracle” when God wants you to take some action.
8. Seeking a quick fix.
9. Despair.
10. Physiological or biochemical dependency.
11. Fear of failure.
12. Fear of rejection.
13. Fear of change.
14. Running from reality.
15. False sense of happiness. During an episode of addictive behavior, everything feels great.
16. False sense of power.
17. Fear of insanity if separated from your fix.
Addiction and the Road to Recovery
June 29, 2009
Road to Recovery
Road to Recovery
Addiction and the Road to Recovery
Steve Arterburn
New Life Ministries
Acceptance is the first principle of recovery. Recovery begins when an individual moves from denial to acceptance. It does not happen all at once, and it isn’t something that another person can do for the individual suffering from an addiction. Still, each time you confront a person with reality you help bring him closer to accepting his situation and seeing the need to change.
Most people have lived in denial for years before they come for help. Often they have been surrounded by “co-conspirators” who have enabled their dysfunctional behavior to continue and who have reinforced their denial system. Together they have constructed a delusional world where the full extent of the problem is never acknowledged, let alone dealt with. The first job of treatment, then—and the first step toward recovery—is to bring someone to the point of acceptance.
Sometimes people ask if a person can be helped who does not want help. Usually what they are really asking is whether they should wait until the person asks for help, or whether there is something they can do to help the process along.
Residential Aftercare – New Heart Place
June 26, 2009
New Heart Place gives men an opportunity to rebuild their lives with a new start in a safe environment while they learn how to re-engage into society. New Heart Place is an inpatient facility (Residential Aftercare) set out in a very quiet area in Snohomish outside of town. It offers a quiet and tranquil environment for these men to live.
The program lasts for one year and the focus is on living a Christ-Centered-life and learning to live without addictions. They attend regular groups and have to be able to make the commitment for the entire time. These men are given the opportunity to learn a trade and are placed in job opportunities as well once they are ready for this step.
There are so many treatment facilities out there, but none that have the opportunity’s that we offer. Many of the local Intensive Outpatient programs have low success rate. Most go back out and relapse quite soon after treatment. Our men are showing a good rate of success. They are not only staying clean from drugs and alcohol, but they are becoming strong men of God.
Effective Drug Abuse Treatment
June 23, 2009
Nearly three decades of scientific research has yielded 13 fundamental principles that characterize effective drug abuse treatment. These principles are detailed in NIDA’s Principles of Drug Addiction Treatment: A Research-Based Guide, from the National Institute of Drug Abuse.
1. No single treatment is appropriate for all individuals. Matching treatment settings, interventions, and services to each patient’s problems and needs is critical.
2. Treatment needs to be readily available. Treatment applicants can be lost if treatment is not immediately available or readily accessible.
3. Effective treatment attends to multiple needs of the individual, not just his or her drug use. Treatment must address the individual’s drug use and associated medical, psychological, social, vocational, and legal problems.
4. At different times during treatment, a patient may develop a need for medical services, family therapy, vocational rehabilitation, and social and legal services.
5. Remaining in treatment for an adequate period of time is critical for treatment effectiveness. The time depends on an individual’s needs. For most patients, the threshold of significant improvement is reached at about 3 months in treatment. Additional treatment can produce further progress. Programs should include strategies to prevent patients from leaving treatment prematurely.
6. Individual and/or group counseling and other behavioral therapies are critical components of effective treatment for addiction. In therapy, patients address motivation, build skills to resist drug use, replace drug-using activities with constructive and rewarding nondrug-using activities, and improve problem-solving abilities. Behavioral therapy also facilitates interpersonal relationships.
7. Medications are an important element of treatment for many patients, especially when combined with counseling and other behavioral therapies. Methadone and levo-alpha-acetylmethodol (LAAM) help persons addicted to opiates stabilize their lives and reduce their drug use. Naltrexone is effective for some opiate addicts and some patients with co-occurring alcohol dependence. Nicotine patches or gum, or an oral medication, such as buproprion, can help persons addicted to nicotine.
8. Addicted or drug-abusing individuals with coexisting mental disorders should have both disorders treated in an integrated way.
9. Medical detoxification is only the first stage of addiction treatment and by itself does little to change long-term drug use. Medical detoxification manages the acute physical symptoms of withdrawal. For some individuals it is a precursor to effective drug addiction treatment.
10. Treatment does not need to be voluntary to be effective. Sanctions or enticements in the family, employment setting, or criminal justice system can significantly increase treatment entry, retention, and success.
11. Possible drug use during treatment must be monitored continuously. Monitoring a patient’s drug and alcohol use during treatment, such as through urinalysis, can help the patient withstand urges to use drugs. Such monitoring also can provide early evidence of drug use so that treatment can be adjusted.
12. Treatment programs should provide assessment for HIV/AIDS, hepatitis B and C, tuberculosis and other infectious diseases, and counseling to help patients modify or change behaviors that place them or others at risk of infection. Counseling can help patients avoid high-risk behavior and help people who are already infected manage their illness.
13. Recovery from drug addiction can be a long-term process and frequently requires multiple episodes of treatment. As with other chronic illnesses, relapses to drug use can occur during or after successful treatment episodes. Participation in self-help support programs during and following treatment often helps maintain abstinence.
Spiritual Renewal (Part 5)
June 22, 2009
Addicts are spiritually immature by nature. They often search for black-and-white answers to their problems. If addicts have developmental issues it is easy to see that they will also have childish and adolescent beliefs about God (see May, 1988; Miller, 1987). They may have become angry with God for not “delivering” them of their cravings, longings, and lust.
There are several spiritual challenges for addicts when working with Christian counselors, pastors, and lay helpers:
1. Addicts must address their own need to control.
Many of them may have committed to Christ intellectually, but not emotionally. They may be angry with God for not healing or delivering them. They have a hard time letting go of the high and the mood alteration of their addictive activities. Addicts have become accustomed to their ways. Being enslaved to addiction is what they know.
In the 13th and 14th chapters of the book of Numbers we find the story of how God is trying to prepare the people of Israel to go to the Promised Land. God has already done a mighty work in delivering them out of the land of Egypt. They are being led by one of greatest religious leaders of all time, Moses. Ten of twelve spies who have been sent to survey the new land give a negative report of how difficult it will be to go there because of “giants” in the land. In the opening of the 14th chapter, the people cry out for a new leader and declare that it would be better to go back to Egypt and die as slaves than to go to a place they don’t know.
This is how addicts often react. They don’t know a new place or a better way. They will want to hang on to the familiar. They are unable to trust God to see them through unknown and frightening future events. It is an issue of trust and total surrender. They will need to be guided to totally turn their lives over to God and face their own fears and need to control. In John 5, Jesus (our master psychologist) asks the paralyzed man at the pool of Bethesda, “Do you want to get well?” It seems like a silly question for a man who has been lying by this healing water for 38 years. The man, however, doesn’t answer affirmatively but instead gives excuses for why he hasn’t been able to get into the pool.
Christian counselors will also have to ask this hard question, “Do you want to get well and are you willing to take the risks, make the surrender, and do the hard work that will be necessary.” In Numbers 14, it is Joshua who says to the stubborn people, “We can do this with God’s help.”
Emotional and Cognitive Restructuring (Part 3)
June 18, 2009
Addicts come from families that might have wounded them emotionally, physically, sexually, and/or spiritually (Carnes, 1997). They have deep sadness, feelings of shame, and loneliness.
A. Protect against emotional triggers.
It is vitally important for these emotional issues to be addressed. Any stimulus that potentially triggers an addict into these feelings can provoke the old answers, addictive activities that were used to medicate and change these feelings. These rationalizations and lies are referred to as “stinkin’ thinkin’” in the AA vernacular. Cognitive restructuring involves identification, confrontation, and correction of this erroneous thinking and this requires a psycho-educational approach. One principle to remember is that unhealed wounds often yield a relapse.
The competent Christian counselor will either be skilled in this kind of work or will know whom to refer to who is. The process of healing requires several factors:
1. Understanding the nature of the harm that caused the woundedness.
2. Providing support for the importance of dealing with it.
3. Accepting any anger that will be a part of the experience.
4. Allowing the person to grieve the losses associated with the woundedness.
5. Helping the person find meaning in the suffering of the experience.
6. Guiding the person in the process of forgiveness of those who caused the harm.
This is a process and should not be avoided. It is irresponsible to suggest that a person should just “forgive and forget.” It is also irresponsible to suggest that a person who never let go of their anger so as not to get hurt again. Healing of life’s hurt can be a lifetime journey but there are ways to get stuck in sadness and anger.
B. Thought-stopping interventions.
Every addict starts his or her acting out behavior by obsessing or fantasizing about the substance or behavior. This very thought life is an attempt to alter mood, to relieve pain. Christian counselors will hear the fantasies of addicts and know that they are windows into the mind and heart of the addicted person. Substances and behaviors are often ways that addicts seek to heal wounds from the past. It is mostly useless to tell an addict to stop thinking about a substance or behavior. Seek understanding for what the thought life, the fantasies, mean. If healing can be achieved for the wound that the fantasy seeks to correct, the fantasy will eventually disappear.
Behavioral Change (Part 2)
June 17, 2009
Addicts have developed strong, highly programmed, even automatic behavior patterns in order to maintain their addiction. They will go to extraordinary lengths to deny, minimize, or rationalize this addictive behavior.
1. Focus honesty and behavior change.
This requires the therapist to maintain a strong initial focus on honesty and behavior change. When the addict seeks to divert discussion to family, emotional, or relationship concerns prematurely, the therapist must redirect attention to behavior. While effective treatment may address these issues, the clinician must help the addict stop using them to escape dealing with his or her addictive behavior.
One way of doing this is to link the tangential topics the client raises with the central issue of their addiction. For example, a counselor might refocus a client’s response toward the behavior in this way: “So how is the way you approach your anger toward your wife similar to the way you acted out your anger in your sex addiction?” “How is your tendency to denigrate yourself reflected in your addiction ritual?” The assumption here is that addiction has a life of its own and operates apart from other concerns. Unlike many other clinical issues, addiction is both symptom and disease.
2. Changing ritual behavior patterns.
All addicts will need to change certain behavior patterns. Even those who engage in substance addictions need to evaluate behaviors that lead them into their use. These behaviors are usually referred to in the addiction community as “rituals.” The competent Christian counselor will help an addict assess the cycle of how he or she acts out. What behaviors always seem to lead to the addictive behaviors? Taking detailed histories of usage and behavioral patterns will be helpful.
When this information has been sorted out, addicts must establish boundaries against those behaviors. Alcoholics will need to avoid certain friends, areas of towns, or stressful situations that lead them to drink. Food addicts may even need to avoid going to the grocery store in the early days of recovery, or they may need to schedule meals at regular times and find help to eat at those times religiously. Sex addicts will need to avoid people and places that trigger them into their fantasies or “connecting” rituals. For example, those sex addicts who use the computer to connect will need to become accountable for every minute of access to it.