Category: behavioral health

  • Recovery Rising – A memoir of William L White

    Recovery Rising is the memoir of foremost recovery researcher and advocate, William L White. It has just been released on Amazon. White, for over five decades has had different roles in the addiction treatment field, beginning in Chicago’s inner city as a street worker working with addicts and the homeless, an addiction counselor, clinical supervisor, treatment administrator, educator, clinical and organizational consultant, and research scientist to being honored as the addiction field’s preeminent historian, one of the fields most visionary voices and a most prolific author.

    In Recovery Rising, William White’s ideas, methods, and organizational studies emerge to give the reader an idea on how dynamic a leader White is in the modern addictions field. These stories, sometimes poignant, sometime humorous always are revealing and informative. Williams White’s life work has been affirmed by this memoir and (hopefully) a younger generation of addiction advocates and professionals will be inspired by his story  to continue his good work.

    This link to his book on Amazon is:

    https://www.amazon.com/Recovery-Rising-Retrospective-Addiction-Treatment-ebook/dp/B07526ZDVD/ref=sr_1_1?s=books&ie=UTF8&qid=1506351061&sr=1-1&keywords=recovery+rising

  • What is a recovery coach?

    In 2013, I published Recovery Coaching – A Guide to Coaching People in Recovery from Addictions, since then the duties and responsibilities of recovery coaches, peer recovery support specialists and professional recovery coaches have expanded significantly.

    In this article, I hope to define some different recovery coaching titles for those interested in becoming a recovery coach, what certifications they should seek, the places they could work and what they can anticipate as compensation for their work.

    What kind of certification should a future recovery coach receive?

    Recovery coach training and certification is a requirement in this field. Coaching certification and training is one of the fastest growing aspects of the healthcare field. The number of recovery coaching training and certification courses has expanded to over 300 institutions nationwide. Many employers require recovery coach and peer recovery support specialist certifications. In the links section of this web site is a state by state listing of all the organizations that offer certifications for addiction recovery coaches. If you are reading this to receive basic recovery coaching information, first decide if you enjoy working with people in recovery from substance misuse or want to work with people in recovery from a mental health or behavioral health disorder.

    Are you interested in working with people in recovery from addictions or in recovery from a mental health or behavioral health diagnosis?

    A nearly universal definition of a peer recovery support specialist or a recovery coach is “an individual with the lived experience of their own recovery journey and wants to assist others who are in the early stages of the healing process from psychic, traumatic and/or substance misuse challenges, thus, this peer can aid and support another peer’s personal recovery journey”. Some certifications for a peer recovery support specialist give an individual the training necessary to work with individuals with a behavioral health disorder or a mental health diagnosis. These certifications include more training on the nature of behavioral health disorders, the medications used to treat these disorders, crisis interventions, life/occupational skills, and trauma informed care. A recovery coach working with people in addiction recovery does not necessarily need these types of training. In this article, I will focus on the recovery coach working with people in recovery from substance misuse.

    The individuals that work with people in recovery from substance misuse are called recovery coaches, as well as peer recovery support specialists (PRSS), peer recovery support practitioners (PRSP), recovery support specialists (RSS), sober companions, recovery associates or quit coaches. In all cases, they support individuals in recovery from addiction(s), which can include alcohol, drugs, gambling, eating disorders as well as other addictive behaviors.

    The basic recovery coaching credential is required. If you want recovery coaching certification, google this term with the region you live in. For addition recovery coaching education, I suggest: adding certification for treating co-occurring disorders, training on the application of Narcan which includes the certification for coaching persons detoxing from an opioid overdose, also certification for counseling individuals in Suboxone or Methadone treatment also called Medication Assisted Treatment (MAT) and Medication Supported Recovery (MSR), certification for spiritual recovery coaches and credentials for coaches working with individuals with behavioral addictions such as sexual compulsivity, internet gaming and gambling disorders. If you would like to work in an inpatient treatment center, drug and alcohol counseling certification maybe required.

    Recovery coaching credentialing has expanded to include coach supervision certification, which is training for individuals who want to manage other recovery coaches. Also there is an elevated level of certification called professional recovery coaching. A professional recovery coach is an individual that has been coaching for several years, has hundreds of coaching hours under their belt, manages other coaches and/or has received other coaching credentials. A professional recovery coach is sometimes referred to as a life recovery coach. A professional recovery coach can receive training from any of the organizations that train peers or recovery coaches, and in addition, they can receive training from the International Coach Federation’s accredited life coach training program or a professional recovery coach certification from Recovery Coaches International. Recently, Connecticut Community of Addiction Recovery (CCAR) has started developing a Professional Coaching Certification.

    Where do you want to work?

    Some recovery coaches seek to work at a recovery community organization (RCOs) or a recovery support center. An RCO is an independent, non-profit organization led and governed by representatives of local communities of recovery. The recovery coaches at these recovery community organizations work with people of all financial means, addicts that are homeless, offenders, even professionals like nurses, teachers, lawyers and highly educated individuals, who have hit bottom. Sometimes, the recovery coaches at these centers receive a salary from the RCO. RCO recovery coaches can also be volunteers, opting to perform their coaching duties for no reimbursement at all.

    Recovery coaches can be employed by treatment centers coaches, developing a coaching relationship with a client outside of the clinical treatment. They can escort a client home from a treatment center and stay with the client for a period of time, insuring they do not relapse after discharge. More half way houses or sober living environments are employing recovery coaches. In fact, many recovery coaches have opened a transitional living home or a supportive sober living environments. They act as a recovery coach and a house manager at the same time, their presence adds to the quality of the recovery experience for the residents. Recovery coaches can work in emergency departments in hospitals, detoxification centers or sobering centers; working with individuals in crisis, either detoxing from an alcohol or opioid overdose.

    Lastly, some recovery coaches run their own coaching business. They will visit clients or talk with them over the phone or on SKYPE. These recovery coaches market themselves by contacting a treatment center’s aftercare coordinator or will seek referrals from therapists. The client is billed directly for the coaching services, there is no insurance coverage for a recovery coach.

    How much do you want to be paid for your services?

    Recovery coaches are paid a variety of rates. A recovery community organization, a treatment center, sober living environment or social services agency recovery coaching rates are from $12-$18 per hour. If a recovery coach receives their salary from a social services agency, or a recovery community organization that agency may have received a grant to run a peer program from the State or Federal government.

    A professional life recovery coach can bill from $35 up to $100 an hour for their coaching services. These professional recovery coaches bill their clients directly and incur expenses for running their coaching practice such as insurance, travel and overhead. This ‘pie in the sky’ $100 per hour fee of a professional recovery coach is not for the inexperienced or newbie coach. There are significant responsibilities a recovery coach has for their client, primarily keeping them free from relapse or overdose, or in other words- keeping them alive.

    Soon, there will be reimbursement from health insurance companies for recovery coaching for individuals who are diagnosed as dependent on a substance. New York has an arrangement with the state’s Medicaid offices to reimburse for recovery coaching for individuals who are diagnosed as dependent on a substance. Other states, Tennessee, Pennsylvania, Maryland and Massachusetts, are formulating similar Medicaid payment plans, but these reimbursements are not yet in place. However, currently, private independent health insurance companies do not cover the services of a recovery coach working with an individual in recovery from an addiction.

    In less than five years the field of recovery coaching has grown significantly. With the advent of the Affordable Care Act and the legislation to fight addiction, the 21st Century CURES and the CARA Acts, recovery coaching is now recognized as one of the most important tools to initiate and maintain long term recovery. This recognition will continue as the benefits from recovery coaching continue to be realized.

     

  • Addicted to Porn: Chasing the Cardboard Butterfly

    Addicted to Porn: Chasing the Cardboard Butterfly is a new documentary by writer-director Justin Hunt and is narrated by Metallica’s James Hetfield.

    The movie is not about James Hetfield. Hetfield’s connection to the film is solely based on his connection with Hunt after the two worked on Hunt’s previous film Absent, a documentary about disengaged and absent fathers. Hetfield, who grew up without a father, spoke candidly in that movie—about his road to recovery.

    Hunt named the film as a nod to a scientific study where painted cardboard butterflies were used to see if male butterflies would be more attracted to the larger, more ornate butterflies. Guess what? They were. The analogy? Humans who choose a two-dimensional sexual exchange versus the real thing.

    There is no sex or porn education in schools, so porno films are serving as the only educator kids can find on sex. Then, guess what? Kids get into relationships and try to do what they see in porn, and think that is the way to be sexual, romantic or intimate. Well, it doesn’t work that way.

    Don Hilton, the neurologist in the film, explained that viewing porn can create the same chemical reaction as cocaine use—activating endorphins and the delta FosB. “The reason I wanted to include the portion about the brain in the film,” Hunt told writer, Dorri Olds for an exclusive interview published in theFix.com, “was because many try to discredit the idea of an addiction to porn.” He described naysayers who said porn is impossible to define. “An image I think is pornographic may not be to somebody else,” said Hunt, “so I had to come up with a common denominator. For the purpose of this film, the word ‘pornography’ refers to sexual images that cause the chemical reaction in the viewer’s brain.”

    It’s easy to draw parallels to alcohol and drug addiction. Another parallel is what Hunt called the shame cycle. Porn addicts use sexually explicit images to manage their mood. After indulging in the compulsive behavior, they then feel ashamed. That shame creates anxiety, so they watch more porn to calm their nerves. It is the same circular shame spiral that exists in substance abuse.

    Hunt said, “I’ve interviewed people who said, ‘The only way I knew how to stop feeling bad was to look at porn, but the reason I felt so bad was that I’d looked at too much porn.’ My first film, American Meth, was about drug addiction.

    “By the way, Absent wasn’t about James Hetfield—it was about the impact of absent fathers. You can have that father wound and turn it into something positive, like James did with his music. While we were making that movie, we built a friendship based on paternity—or should I say, the fraternity of fatherhood. [Laughs] We talked about our kids, parenting, being husbands, so when I discussed this project with him we both felt it was important to try to make a difference in the world. That’s why he decided to be a part of this and help me out. I commend him because he did this right as the band’s new album was coming out and touring. It’s not like he was sitting around with nothing to do.”

    There have been many movies about porn, but they’ve been about the industry, about adult film stars. Those weren’t about the brain or what Hunt calls the “porn progression.” Another remarkable aspect is that he created the whole movie without any provocative imagery. I asked him if that was intentional to avoid including any possible triggers for pornography addicts.

    “Yes, a big problem with documentaries about porn is that people struggling with that issue can’t watch those films because they become triggered. You can’t make a movie to help people with an addiction, and then fill it full of triggers. That’s like me saying, ‘Dorri, I think you have a drinking problem, let’s go have a beer and talk about it.’”

    The movie is not anti-porn. Hunt calls it “porn informative.” He believes the topic should be more openly talked about. Hunt said, “We’re just letting you know that porn addiction is a real thing and we need to start having conversations about it.”

    Another important issue the film raises is how technology is allowing people to be exposed at an earlier age and at a much higher rate. “We know how it affects the brain and we know that young kids’ brains are not ready for that. They get into public schools and public education, but there is no education on sex or porn so the porno films are serving as the educator. Then, guess what? They get into relationships and try to do what they see in porn, and it doesn’t work that way.”

    The movie shows one couple whose relationship is being destroyed by the husband’s addiction to porn. Hunt said this could have easily been a seven-hour movie. “There are so many different avenues that we could have gone down,” said Hunt. To fit everything into a movie-length film, Hunt said his goal was to expose people to the idea that kids are learning about intimacy and sexuality from porn. A doctor in the film points out, “Kids are learning about sex from ejaculations to the face. That’s what they’re learning about sex and romance and intimacy.”

    Hunt has three children, 16 and 13, and a three-year-old daughter. I asked if he had broached the topics of drugs, alcohol, and pornography with the two teenagers.

    “Yeah,” said Hunt. “They’ve been with me through the entire process of working on these films, and they’ve been on stage with me and they’ve watched me speak. They’ve watched the newspaper and the magazine articles come out. They’ve gone to radio spots with me, so they’ve seen this. They’ve seen the impact that drug addiction has, and they’ve seen the four-year process of making this film and what porn can do. That’s one of the beautiful side effects of what I do for a living—my kids get to see and learn.”

    It seems his kids are open with him. “My daughter is in eighth grade and she told me that she knows of sixth graders who are texting nude photos of each other back and forth on Snapchat.”

    He pointed out that because of technology, “we’re choosing synthetic relationships over authentic relationships. We’re not seeing the beauty in the people before us because we’re buying into the myth of what we’re seeing on computers and smart phones and movies. That’s just sad because we’re missing out. We’re destroying the essence of women and we’re buying into this imitation beauty.”

    He said 88% of the scenes in porn have aggressive behavior of some kind, physically or verbally. The other thing to consider is how many of these films make people seem like objects. They’re objects for release. That’s all they are. And that’s what kids are learning when they’re watching porn in those formative years.

    Hunt said, “When young people are naturally going to want to learn about sex and relationships and sexuality and intimacy, instead of learning courtship and humanity, they learn a selfishness, a way to just get theirs. One of the guys that I interviewed who didn’t make it into the film, was a juvenile therapist. He said there’s a massive increase in anal sex and oral sex amongst teenagers because of porn. They are mimicking what they see.”

    Another part that had to be cut for length reasons was about a porn-addicted pastor. “We had an entire segment on how prevalent porn has become in the church,” said Hunt. “He was busted because his wife had gone away for the weekend at a time when he was really deep in his addiction. While she was gone he’d spent the entire weekend on the computer looking at porn. She got back when he was in bed reading. She tried to get on the computer but it crashed. When she rebooted it, all these sexual images came up. She said, ‘Hey, can you come here for a second?’ He got out of bed in his underwear and went over to her. She said, ‘What’s this?’ And that’s how he was busted; exposed. He’s standing there in his underwear exposed, at the moment his addiction was exposed.”

    At that point Hunt looked at his watch and said, “We’ve been talking for 36 minutes, right? That’s 120 million searches for porn that have happened since you and I began talking.”

    As our conversation was coming to a close, I asked him who his target audience for the film was. He laughed and said, “I’m going to go with a quote from the movie Argo: ‘People with eyes.’ The average age that people start actively looking for porn is about 10 years old. One in three porn addicts are women, 58% of divorces cite porn as one of the reasons, and 67% of men look at porn once a week at least. It affects the whole human demographic.

    “When you look at someone you can often tell if they’re an alcoholic or a drug addict, but you can’t look at anyone to see if they’re a porn addict. Also, getting back to the topic of the brain, your brain can purge coke when you stop using it. It can purge alcohol. But you can’t purge these pornographic images completely out of your mind.”

    I asked Hunt if he was in recovery from an addiction. “No,” he said, “never done a drug in my life and have never been addicted to anything else either.” So, why did he become interested in addiction? “I saw people facing problems. When we made American Meth, people weren’t talking about the topic all that much. Far Too Far came from what was left over in my brain from making American Meth. I turned it into a narrative that was based on a true story where a woman on meth pulls her ear drum out with pliers because she thinks the FBI is listening to her thoughts. When we made Absent, people weren’t talking about absent fathers like they are now. I hope that my new film will open up a conversation about porn addiction.”

    This article was written by Dorri Olds and was originally published at www.thefix.com on 02/05/17

  • Lions, Tigers, Bears and the Yellow Brick Road to Recovery

    This is a guest post by Steve Devlin, a recovery coach from Philadelphia PA, and a long time friend. I chose to post this over the Holiday weekend, because it brings me such joy, and brings back wonderful memories of watching the Wizard of Oz on TV during the 60’s. Thank-you Steve, and Happy Holidays to all of my readers.

    Over the past week, I have been thinking about the Serenity Prayer and its connection to the Wizard of Oz.  Some of you might be looking at your computer and wonder if I have lost my mind.  I beg for your patience and to hear me out.  First a caveat or two.  I represent only myself in this message.  The second caveat is this message was inspired by a share I heard at a 12-step meeting.  The person who said it gave me permission to use it.  So here we go!

    We all know the Serenity Prayer.  “May God grant me the serenity to accept the things I cannot change, the courage to change the things that I can, and the wisdom to know the difference.”  And almost everyone knows the story of the Wizard of Oz or at least the movie version of the story. Dorothy is not happy with life on the farm, runs away, is swept up in a tornado, lands in a strange place, and gathers three companions on her journey to the Emerald City to meet the Wizard.  On the way, she must deal with witches – good and bad – flying monkeys, and castle guards before she finds she always had the power to grant her wish of returning home.

    So what does this story have to do with the Serenity Prayer, let alone recovery?  We cannot find fulfillment, happiness, or peace in our lives. We run away and just when we realize that we have run too far, we are swept up in the tornado (or drug of our choice).  Its path of destruction destroys the landscape of our lives and carries us far away. Thankfully, when the storm passes we land in a new brightly-colored world filled with sober people singing about the blessings of recovery.  Yet our own work is just beginning.  There is a road we must follow with steps leading to the Emerald City of sobriety.  We also learn that we cannot walk the path alone.  There are still temptations, flying monkeys, people, places, and things calling us back to the darkness.  However, as we follow the path we first find the companion of serenity – the heart to love ourselves and others.  A new heart also gives us the gift of forgiveness and acceptance.

    The second companion is the courage to move forwards even when encountering lions, tigers, and bears.  It is courage which lets us turn over our lives, let go of character defects, and make amends.  It is also courage that lets us pick up the phone or go to a meeting.

    Finally, there is wisdom, which gives us the ability to see choices in our lives and to know what we can and cannot change.  After long periods of feeling tied up like a scarecrow on a post, we are set free to walk a brick road of new life.  Of course, finding these three companions to fight back addiction is only part of the story and the Emerald City is not the ultimate destination.  Our companions bring us to the shining light of recovery, but we must take the gifts back home and use them in our daily lives outside of the rooms.

    I wish recovery was as easy as clicking our heals together.  Finding our way home takes work but with heart, courage, and wisdom we can overcome all the flying monkeys and stay out of the way of tornadoes.  We also learn that the greatest companion of recovery is gratitude which was always just in our own backyard.

    Question: Who are your companions on the brick road?

  • What is a recovery coach?

    What is a recovery coach, a peer recovery support specialist or a professional recovery coach?

    In 2013, I published Recovery Coaching – A Guide to Coaching People in Recovery from Addictions, since then the duties and responsibilities of recovery coaches, peer recovery support specialists and professional recovery coaches have expanded significantly.

    In this post, I hope to help define for those interested in becoming a recovery coach what certifications they should seek, the places they could work and what they can anticipate as compensation for their work.

    What kind of certification should a future recovery coach receive?

    Recovery coach training and certification is a requirement in this field. Coaching certification and training is one of the fastest growing aspects of the healthcare field. The number of recovery coaching training and certification courses has expanded to over 300 institutions nationwide. Many employers require recovery coach and peer recovery support specialist certifications. In the links section of this web site is a state by state listing of all the organizations that offer certifications for addiction recovery coaches.

    If you are reading this post to receive basic recovery coaching information, first decide if you enjoy working with people in recovery from substance misuse or want to work with people in recovery from a mental health or behavioral health disorder.

    Are you interested in working with people in recovery from addictions or in recovery from a mental health or behavioral health diagnosis?

    A nearly universal definition of a peer recovery support specialist or a recovery coach is an individual with the lived experience of their own recovery journey and wants to assist others who are in the early stages of the healing process from psychic, traumatic and/or substance misuse challenges, thus, this peer can aid and support another peer’s personal recovery journey.

    Some certifications for a peer recovery support specialist give an individual the training necessary to work with individuals with a behavioral health disorder or a mental health diagnosis. These certifications include more training on the nature of behavioral health disorders, the medications used to treat these disorders, crisis interventions, life/occupational skills, and trauma informed care. A recovery coach working with people in addiction recovery does not necessarily need these types of training. In this blog, I will focus on the recovery coach working with people in recovery from substance misuse.

    The individuals that work with people in recovery from substance misuse are called recovery coaches, as well as peer recovery support specialists (PRSS), peer recovery support practitioners (PRSP), recovery support specialists (RSS), sober companions, recovery associates or quit coaches. In all cases, they support individuals in recovery from addiction(s), which can include alcohol, drugs, gambling, eating disorders as well as other addictive behaviors.

    The basic recovery coaching credential is very broad. If you want more specific training, one can add certification for treating co-occurring disorders, the application of Narcan which includes the certification for coaching persons detoxing from an opioid overdose, certification coaching individuals in Suboxone or Methadone treatment also called Medication Assisted Treatment (MAT) and Medication Supported Recovery (MSR), certification for spiritual recovery coaches and credentials for coaches working with individuals with behavioral addictions such as sexual compulsivity, internet gaming and gambling disorders.

    Recovery coaching credentialing has expanded to include training for individuals that want to supervise other recovery coaches, or an elevated level of certification called professional recovery coaching.

    A professional recovery coach is an individual that has been coaching for several years, has hundreds of coaching hours under their belt, manages other coaches and/or has received other coaching credentials. A professional recovery coach is sometimes referred to as a life recovery coach. A professional recovery coach can receive training from any of the organizations that train peers or recovery coaches, and in addition, they can receive training from the International Coach Federation’s accredited life coach training program. Recently, Connecticut Community of Addiction Recovery has started developing a Professional Coaching Certification.

    Where do you want to work?

    Some recovery coaches seek to work at a recovery community organization (RCOs) or a recovery support center. An RCO is an independent, non-profit organization led and governed by representatives of local communities of recovery. The recovery coaches at these recovery community organizations work with people of all financial means, addicts that are homeless, offenders, even professionals like nurses, teachers, lawyers and highly educated individuals, who have hit bottom. Sometimes, the recovery coaches at these centers receive a salary from the RCO. RCO recovery coaches can also be volunteers, opting to perform their coaching duties for no reimbursement at all.

    Recovery coaches can be employed by treatment centers coaches often escort a client home from a treatment center insuring they do not relapse in the first 30 days after discharge. More half way houses or sober living environments are employing recovery coaches. In fact, many recovery coaches have opened a transitional living home or a supportive sober living environments. They act as a recovery coach and a house manager at the same time, their presence adds to the quality of the recovery experience for the residents.

    Recovery coaches can work in emergency departments in hospitals, detoxification centers or sobering centers; working with individuals in crisis, either detoxing from an alcohol or opioid overdose.

    Lastly, some recovery coaches run their own business. They will visit clients or call them over the phone or use SKYPE. These recovery coaches market themselves by contacting a treatment center’s aftercare coordinator, maintaining a web site or will seek referrals from therapists. These coaches meet face to face with the client weekly and will work with them over the phone or face to face on a regular basis. The client is billed directly for the coaching services.

    How much do you want to be paid for your services?

    Recovery coaches are paid a variety of rates. A recovery community organization, a treatment center, sober living environment or social services agency recovery coaching rates are from $12-$20 per hour. If a recovery coach receives their salary from a social services agency, or a recovery community organization that agency may have received a grant to run a peer program from the State or Federal government.

    A professional life recovery coach can bill from $35 up to $100 an hour for their coaching services. These professional recovery coaches bill their clients directly and incur expenses for running their coaching practice such as insurance, travel and overhead. This ‘pie in the sky’ $100 per hour fee of a professional recovery coach is not for the inexperienced or newbie coach. There are significant responsibilities a recovery coach has for their client, primarily keeping them free from relapse or overdose, or in other words- keeping them alive.

    Soon, there will be reimbursement from health insurance companies for recovery coaching for individuals who are diagnosed as dependent on a substance. New York has an arrangement with the state’s Medicaid offices to reimburse for recovery coaching for individuals who are diagnosed as dependent on a substance. Other states, Tennessee, Pennsylvania, Maryland and Massachusetts, are formulating similar Medicaid payment plans, but these reimbursements are not yet in place. However, currently, private independent health insurance companies do not cover the services of a recovery coach working with an individual in recovery from an addiction.

    In less than four years the field of recovery coaching has grown significantly. With the advent of the Affordable Healthcare Act and the newest legislation to fight addiction, the 21st Century CURES and the CARA Acts , recovery coaching is now recognized as one of the most important tools to initiate and maintain long term recovery. This recognition will continue as the benefits from recovery coaching continue to be realized.

  • Getting through the tough times

    As a recovery coach, I often see my clients need help getting through the tough times, without using, picking up or acting out. Recently, I personally encountered some rough patches in my life, so, I went to my library of recovery books. Several years ago, when I was experiencing trouble living life on life’s terms, I became an avid reader of Pema Chodron.

    Pema Chodron Celebrates her 80th Year

    Pema Chodron, is a Buddhist nun, she was born in 1936, in New York City, and is celebrating her 80th year. After a divorce, in her mid-thirties, Pema traveled to the French Alps and encountered Buddhist teacher Lama Chime Rinpoche, and she studied with him for several years. She became a novice Buddhist nun in 1974. Pema moved to rural Cape Breton, Nova Scotia in 1984, ­­­to be the director of Gampo Abbey and worked to establish a place to teach the Buddhist monastic traditions (waking before sunrise, chanting scriptures, daily chores, communal meals and providing blessings for the laity). In Nova Scotia and through the Chodron Foundation, she works with others, sharing her ideas and teachings. She has written several books, and in my time of deep spiritual need, I went to her book “When Things Fall Apart”.

    A Compassionate Tool

    Drawn from traditional Buddhist wisdom, Pema’s radical and compassionate advice for what to do when things fall apart in our lives helped me. There is not only one approach to suffering that is of lasting benefit, Pema teaches several approaches that involve moving toward the painful situation and relaxing us to realize the essential groundlessness of our situation. It is in this book, I discovered a simple breathing exercise, I can use during these chaotic times so I can move into a better space. Pema advocates this tool as a breathing exercise, although this exercise could also be considered a mindful meditation.

    I use Chodron’s tool whenever and wherever life hits me below the belt. I share this tool with my clients. It is all about breathing and consciously repeating words to yourself to accompany the breathing. Since we breathe every day, it is indiscernible whether you are using this tool as you travel on the bus commuting home from work, in a conference room with your boss, or when you are feeling low and want to curl up in a ball and die.

    Breathe

    Breathe. Pema explains in her book, when things get way too complicated; step back and breathe. When the force of the world, the politics of the U.S., Great Britain or Italy start weighing heavily on your mind, breathe. When you look at all the pain around you and feel powerless to do anything, breathe.

    Pema explains, inhale and say silently to yourself breathe in the pain, then exhale and say breathe out relief. Then, inhale, and say silently to yourself breathe in the relief, and exhale and say breathe out the pain. I find I need about 15 minutes of conscious breathing, breathing in the pain and breathing out relief, works for me. After doing this, I find I have new energy or something else crosses my path to move me into a more uplifting space.

    Chodron’s exercise places me in a space I need to be. If I continue to be in that “negative space” of worry or feeling powerless, then absolutely nothing will be accomplished that day. I know we all have something to accomplish every day, whether it is just getting out of bed, taking a shower and brushing our teeth or running a Fortune 500 company, this exercise gets us from zero to ten in fifteen minutes. It is the boost we need.

     So, I invite you to try this simple exercise…and remember…keep breathing

     

  • Is Recovery Coaching Effective?

    Is Recovery Coaching Effective?

    manhattan_bridgeTreatment professionals and researchers are calling for a change in the treatment model for substance use disorders (SUD). This change calls for shedding the acute care model (28 days of SUD treatment will fix you) to a continuum of care models, similar to how chronic diseases like diabetes or arthritis are treated. (Humphreys & Tucker, 2002; Institute of Medicine, 2005; McLellan et al., 2000; White, Boyle, Loveland, & Corrington, 2005).

    At the same time, the mental health and the substance abuse treatment fields have merged, creating the behavioral health field. With this merger, the recovery-oriented systems of care model (ROSC) has become the accepted approach to treatment for those with mental and substance use disorders. This holistic approach, rather than focusing on the addiction, considers the whole person and how they interact in real life. ROSC emphasizes that recovery depends on the connection of mind, body, and spirit, motivating addicts to choose to improve their mental health, their physical health, and to embrace a spiritual component of their recovery (SAMHSA, 2011). This multi-system approach has ROSC counselors encouraging visits to the general practitioner, the OBGyn and the dentist. They assess for co-occurring disorders and embrace one-on-one therapeutic treatment and group therapy. And ROSC practitioners embrace mutual support programs, such as AA, NA or even nontraditional mutual support groups like SOS, or Women for Sobriety. A spiritual program is also encouraged. Lastly, the newest introduction to the treatment field is the recovery coach.

    As mental health and addiction treatment services are adopting this recovery-oriented approach, the emphasis on incorporating various forms of recovery coaching or peer-based recovery support into treatment services is growing rapidly. Peer-based recovery support services are defined as

    “the process of giving and receiving nonprofessional, nonclinical assistance to achieve long-term recovery from mental health and substance use disorders” (Borkman, 1999)

    This support is provided by “peers,” “peer-recovery support specialists,” “recovery coaches,” “peer mentors,” or “peer support specialists” who have lived and experienced personal recovery (Borkman, 1999). The peers assist others in initiating, maintaining and embracing recovery from their mental health or substance use disorders.

    As recovery coaches and peers begin to infiltrate treatment centers and recovery support, community organizations, there is a needling question that arises: are recovery coaches effective in the recovery process?

    Studies have been completed on the effectiveness of recovery coaches aiding in individuals achieving long-term recovery since 2005. Many were small studies, some were not exactly scientific, nor could other studies stand up to researcher’s scrutiny. None of the studies had the critical mass to come to a clear conclusion. Ellen L. Bassuk, M.D., Justine Hanson, Ph.D., R. Neil Greene, M.A., Molly Richard, B.A., and Alexandre Laudet, PhD began examining the 1,221 studies that analyze the effectiveness of peer-delivered, recovery support services for individuals in recovery. They wrote a systematic review called Peer Delivered Recovery Support Services for Addictions in the United States: A Systematic Review.

    This compilation of all the current studies is to create an appraisal, and summarization of the success of peer-delivered, recovery support services, using strict scientific criteria. As part of their review process, the 1,221 studies were screened, but only nine studies were deemed to meet the strict review requirements.

    The nine studies examined the effectiveness of recovery support services that were delivered by a peer using a wide range of interventions and models. These studies also examined the variety of locations that offered peer support, including peer-run, drop-in centers (Ja et al., 2009), peer-run, recovery community organizations (Kamon & Turner, 2013), and Veteran’s Administration medical outpatient clinics (Bernstein et al., 2005).

    This review showed peer-delivered recovery support services accomplished the following successful outcomes:

    1. Decreased alcohol use
    2. Decreased drinking to intoxication by reducing the odds of drinking to intoxication by 2.9 percent (Smelson et al. 2013)
    3. Peer participation lowered re-hospitalization rates, meaning only 62 percent of participants from the peer based support group were re-hospitalized compared to 73 percent of those not receiving peer based support (Min et al. (2007)
    4. Increased post-discharge sobriety time was achieved by the individuals receiving the peer intervention (O’Connell et al. 2014)
    5. If peers led groups in life-skills training, those participants had 14.8 fewer days drinking
    6. Peer recovery support affected those discharged from inpatient treatment by maintaining a post-discharge sobriety rate of 43 percent to 48 percent as compared to 33 percent sobriety for those not receiving peer based support (Tracy et al. 2011)

    Overall, the review of these studies indicate that peers involved in recovery support interventions have beneficial effects on participants. While the reviewers can conclude that there is evidence supporting the effectiveness of peer-delivered, recovery support services, they acknowledge that additional research is necessary to determine the usefulness of peer support services. While this knowledge is encouraging, research in this area is just emerging, and there is a strong need to improve outcomes by completing future studies.


    References

    1. Humphreys, K., & Tucker, J. (2002). Toward more responsive and effective intervention systems for alcohol-related problems. Addiction, 97(2), 126–132.
    2. Institute of Medicine (2005). Improving the quality of health care for mental and substance use conditions. Washington, DC: National Academy Press.
    3. McLellan, A. T., Lewis, D. C., O’Brien, C. P., & Kleber, H. D. (2000). Drug dependence, a chronic medical illness: Implications for treatment, insurance, and outcomes evaluation. JAMA, 284(13), 1689–1695.
    4. White, W., Boyle, M., Loveland, D., & Corrington, P. (2005). What is behavioral health recovery management? A brief primer. (Retrieved from www.addictionmanagement.org/recovery%20management.pdf).
    5. Substance Abuse and Mental Health Services Administration (SAMHSA) (2011). SAMHSA’s Working Definition of Recovery. (Retrieved from http://www.samhsa.gov/recovery/).
    6. Borkman, T. (1999). Understanding self-help/mutual aid: Experiential learning in the commons. New Brunswick, NJ: Rutgers University Press
    7. Borkman, T. (1999). Understanding self-help/mutual aid: Experiential learning in the commons. New Brunswick, NJ: Rutgers University Press
    8. Ja, D. Y., Gee, M., Savolainen, J.,Wu, S., & Forghani, S. (2009). Peers Reaching Out Supporting Peers to Embrace Recovery (PROPSPER): A final evaluation report. San Francisco, CA: DYJ, Inc. for Walden House, Inc. and the Center for Substance Abuse Treatment, Substance Abuse and Mental Health Services Administration (Retrieved from http://www.dyja./com/sites/default/files/u24/PROSPER%20Final%20Evaluation%20Report.pdf).
    9. Kamon, J., & Turner,W. (2013). Recovery coaching in recovery centers: What the initial data suggest: A brief report from the Vermont Recovery Network. Montpelier, Vermont Evidence-Based Solutions (Retrieved form https://vtrecoverynetwork.org/PDF/VRN_RC_eval_report.pdf).
    10. Bernstein, E., Bernstein, J., Tassiopoulos, K., Heeren, T., Levenson, S., & Hingson, R. (2005). Brief motivational intervention at a clinic visit reduces cocaine and heroin use. Drug and Alcohol Dependence, 77, 49–59
    11. Smelson, D. A., Kline, A., Kuhn, J., Rodrigues, S., O’Connor, K., Fisher, W. Kane, V. (2013). A wraparound treatment engagement intervention for homeless veterans with co-occurring disorders. Psychological Services, 10(2), 161–167.
    12. Min, S. Y., Whitecraft, E., Rothbard, A. B., & Salzer, M. S. (2007). Peer support for persons with co-occurring disorders and community tenure: A survival analysis. Psychiatric Rehabilitation Journal, 30(3), 207–213. http://dx.doi.org/10.2975/30.3.2007.207.213.
    13. O’Connell, M. J., Flanagan, E., Delphin, M., & Davidson, L. (2014). Enhancing outcomes for persons with co-occurring disorders through skills training and peer recovery supports. Unpublished manuscript.
    14. Tracy, K., Burton, M., Nich, C., & Rounsaville, B. (2011). Utilizing peer mentorship to engage high recidivism substance-abusing patients in treatment. The American Journal of Drug and Alcohol Abuse, 37(6), 525–531
  • Why Can’t You Do the Dishes? Part 2

    This week’s guest blogger, Jeff Garson from Radical Decency Group, shares with us a very common example of a partner/spouse/husband/wife interaction. A husband and wife are about to leave for work and his wife, looking at a sink filled with breakfast dishes, says, “Why can’t you do the dishes?” A fight ensues.

    What could have happened is an honest, problem solving discussion; that is, mutual and authentic exchange. Instead, the typical outcome is a cycle of escalating attacks and counter-attacks.

    As a child of our fight or flight culture, the wife, ever vigilant to the possibility of attack, sees the dirty dishes as evidence of danger: That her needs are being ignored; that love is being withdrawn. With her fight or flight physiology activated, her words seek to deal with the perceived source of the attack: Her husband, evidenced by his past behaviors including, very particularly, the choices he’s made in the run-up to this current interaction.

    The husband is equally focused on the immediate past; moving into defense mode; judging and criticizing the words that just came out of her mouth. Why? Because in his culturally reinforced, overly vigilant state, he also feels under attack: Unappreciated, devalued, unloved.

    What is so sad in all of this is that there is nothing to defend – on either side. As a functioning couple, they have each put enormous amounts of time and energy into the relationship and are vitally invested in seeing it continue. Beneath the bickering is a vast reservoir of trust and love. So, the perceived attacker isn’t a source of danger at all. He/she is, instead, the other partner’s staunchest ally in life.

    Given this reality, the couple would be better served by focusing, not on illusory dangers from the recent past, but instead on the near future. Why? Because they each want to increase the love flowing back and forth between them, and the best way to do that is to focus on what they do next, rather than picking apart choices already made.

    Here’s how it would work.

    The wife wants to be loved in a specific way – by coming home to a clean kitchen. So she would ask for what she longs for: “Honey, it makes me feel great when you do the dishes before you leave in the morning.”

    Now, he is set up for a positive, loving response (“sure, I’ll do my best to do it”) rather than a defensive counter-attack (“I am not a bad person for forgetting to do the dishes this morning”). Alternatively, he might acknowledge her desire but say, “My mornings are really tight. Taking time to do the dishes is tough.”

    Importantly note this; that if this second alternative is his authentic response, the couple is still set up for a positive outcome. With defensiveness eliminated and the needs of both partners on the table – hers, for a completed chore (and a concrete expression of love); his, for a routine that accounts for the pressures he feels – creative problem solving can flow from the common goal, shared by both partners: How can I best meet my needs AND the needs of this partner I dearly love?

    A similar transaction can also be initiated from the husband’s end of the conversation. Instead of rising to the bait of her nascent reactivity ( “why can’t you do the dishes”) with a counter-attack, he can thank (yes, thank!) his wife for raising the issue. Why? Because he now has a more vivid roadmap for loving her. And in this frame of mind, he will be able, once again, to move toward a forward-looking outcome that attends, with equal attentiveness, to his needs and hers.

    While this different way of treating our intimate partner may seem a little unusual and strange, it is only because we are so relentlessly pushed toward very different ways of thinking, feeling and acting. The sad reality is that these more loving techniques are seldom taught and find precious little reinforcement in our culture.

    Hopefully, this post has introduced some healing correctives in your intimate relationships – and in all other areas of living as well.

    Jeff Garson, a Philadelphia based psycho -therapist and attorney, is the originator of Radical Decency and his weekly blog called Reflections.   If you want to contact Jeff or the Decency Group, or if you want to be added to the Reflections e-mailing list, contact Jeff at info@thedecencygroup.com.

    The Reflections, published weekly by The Decency Group, explore the philosophy’s application in all areas of living — from the most private and personal to the most public and political. Earlier Reflections are available at www.radcialdecency.com.

  • Why can’t you do the dishes?

    Guest blogger Jeff Garson from Radical Decency Group shares with us a very common example of a partner or spouse interaction. A husband and wife are about to leave for work and his wife, looking at a sink filled with breakfast dishes, says, “Why can’t you do the dishes?” His response: “Look, I have a really busy morning. I usually do them. Give me a break.”

    What happens next?

    A disagreement and argument.

    Jeff asks “Is our approach to living – are our habits of thinking, doing or saying allowing us, in every interaction, to express our needs in constructive ways and, equally, to hear the needs of others?” Jeff, a therapist and attorney from Philadelphia states we are innately, empathic beings, however, we need some skills that will allow us to more easily and instinctively move toward some more empathetic choices in our interactions.

    In this week’s post, Jeff helps us out with some new choices:

    The formulation sounds simple. But as I have discovered in my work as a psychotherapist and coach, and in my own relationships, its application is frustratingly difficult. The reason? Because, when disagreements arise, we are culturally wired to lapse into the fight or flight ways of being, or the culture’s “compete and win, dominate and control” mindset that has so deeply engrained in our habitual ways of being in the world.

    In this post, I work through one very common example of this phenomenon. A husband is about to leave for work and his wife, looking at a sink filled with breakfast dishes, says, “Why can’t you do the dishes?”

    Even assuming a relatively restrained tone in the “music” of these communications, their fight/flight motivation is unmistakable. Both partners remember the past hurts and will mix it with what just happened, the dirty dishes. Now they are locked into judgment mode; a hallmark of fight or flight mindsets.

    The wife, thinking her words were relatively neutral words, doesn’t realize they are words of judgment and attack: You didn’t do something – something you were supposed to do – and (by reasonable inference) something you all too frequently fail to do.

    nAnd how does the husband respond? Equally focused on the past, he counterattacks. Instead of dealing with the merits of the issue – who should do the dishes and when – a response that would invite further dialogue – he seeks to disqualify his wife’s position: You are wrong on the facts AND emotionally out of line in even raising the issue (“give me a break”).

    What very often happens next is – each person, being subtly attacked, feels disconnected and sore. But the interaction is, in their minds, too minor to be worthy of further discussion. Better to absorb the pain and head to work.

    What could have happened is an honest, problem solving discussion; that is, mutual and authentic exchange. Instead, the couple chooses to get into it, and the far more typical outcome is a cycle of escalating attacks and counter-attacks.

    Her: “You’re always have an excuse!”

    Him: “You never stop complaining, get off my back!!”

    And round and round it goes, until one or both of them goes cold and withdraws; that is, retreats into the flight part of fight or flight. They both go to work; mad.

    When it comes to our romantic partner, most of us have some sense of how to charm and seduce; an unsurprising fact given the endless stream of books, movies, and ads that promote and teach these ways of interacting. And yet, at the same time, we have little guidance in the art of lovingly engaging with our partner at our points of sensitive difference – even though much of the hard work of relationship needs to be done in precisely these small moments.

    So why does this strange dichotomy exist? Why do we, as a culture, neglect this vital relational skill even as we celebrate and promote romantic seduction? Because “charm and seduce” – a wonderful gift, when done with judgment and respect – is also entirely consistent with our culture’s predominant values. In this all too typical version, seduction is an effort, through a series of manipulative moves, to get our partner to feel and act in specific ways; ways that very much suit our purposes – but not necessarily theirs.

    By contrast, a loving engagement with our partner in tense times is the antithesis of this competitive/manipulative mindset. For this reason, the predominant culture has an unacknowledged but powerful interest in minimizing this skill; an interest unerringly reflected in the marginal attention it receives in popular culture.

    Thus, one of the key challenges, implicit in my approach to living is to learn to fight well, weaning ourselves from our current fight or flight ways, replacing them with more mutual and authentic ways of interacting.

    What would that look like? Check out my next post next week.

    Jeff Garson, a psycho -therapist and attorney, is the originator of Radical Decency and his weekly blog called Reflections.

    You can contact Jeff at: wjgarson@thedecencygroup.com or the Decency Group, if you want to be added to the Reflections e-mailing list, at info@thedecencygroup.com.

    The Reflections, published weekly by The Decency Group, explore the philosophy’s application in all areas of living — from the most private and personal to the most public and political. Earlier Reflections blogs are available at www.radcialdecency.com.

  • I am most vulnerable when I am naked

     

    As a recovery coach, I approach my clients as a peer, as someone who has gone through the slings and arrows of addiction and emerged on the other side, in recovery and sober from drugs, alcohol and some behavioral addictions. As a peer I have the experiential knowledge to help my clients walk the pathway to recovery.

    However, there are some clients, I do not seek to help. These clients are the ones that identify as having eating disorders. That is because (I have to be truthful here) I struggle with disordered eating. I am an overeater. Carbohydrates, dairy and processed sugars are my heroin and I have not overcome this addiction.

    I also spent my formative years, in fact up from age one until well into my thirties, in the grips of body dysmorphia. In Wikipedia, body dysmorphia is defined as Body dysmorphic disorder (BDD), also known dysmorphic syndrome, a mental disorder characterized by an obsessive preoccupation that some aspect of one’s own appearance, is severely flawed and warrants exceptional measures to hide or fix it. I saw myself as a fat person. When I looked in the mirror I saw a person three or more dress sizes larger than I really was. I thought I was fat, when all along I was a person with a normal sized body.

    What’s Underneath Project

    This blog will not go into my years of body dysmorphia, but on a recent awakening: how to accept me as I am. Just last week, I was viewing a www.thefix.com article on Tallulah Willis, Bruce Willis’ and Demi Moore’s daughter and her recent stay in a treatment center. There was a link to a video of Tallulah that I clicked on. I was introduced to a whole new way of seeing myself, through the “What’s Underneath Project”.

    Seven years ago, Elisa Goodkind, a veteran fashion stylist, and her daughter, Lily Mandelbaum, a former film student, created StyleLikeU as an alternative to the fashion culture’s crippling status quo. Launched in 2009, StyleLikeU is home to a series of intimate video portraits that redefine our culture’s notion of beauty, called the What’s Underneath Project. These simple videos, show unapologetic individuals who are true to themselves in both their style and in their lives. Individuals, gay, straight, recovering from breast cancer or transitioning to their true gender, exude confidence in their own skin. And the viewers are empowered to discover this same sense of confidence and beauty can be their own.

    As I was browsing through the videos, and I clicked on Olivia Campbell’s (a well-known British plus style model) video. I cried when I listened to her journey through bullying and sexual abuse. I came to the realization that I am still beautiful, even though I am over sixty, thanks to Jacky O’Shaughnessy’s video. I was transfixed that her story, was exactly my story, one of poor body image and how it affects my relationships. Jacky’s statement saying she feels the most vulnerable when she is naked in front of a man, and she feels the most beautiful when she is naked in front of a man, was so honest. Because underneath it all, I felt the same thing.

    A Viral Phenomenon

    The What’s Underneath Project strips everyday people and celebrity’s down to their bra and panties to open them up, exploring the power of genuine self-acceptance as they undress. Since its launch in 2014, the response has been monumental. The videos went viral, and has received over 9 million YouTube hits, international press, and fan-mail floods in from people wanting to help, donate funds and participate. The What’s Underneath Project has produced 70 plus videos, ranging from 5 to 15 minutes in length, and has posted them on YouTube.

    In November 2014, the What’s Underneath Project launched a Kickstarter campaign to support the production of a documentary film that will capture this viral video series. The campaign was a wild success and in just 18 days, exceeded the initial goal of $100k. By the end of the month-long campaign, the What’s Underneath Project raised a total of $135,655. The upcoming documentary film is in production and the What’s Underneath Project documentary film will be released in the Spring of 2017.

    The What’s Underneath Project is on the road to becoming a global movement for self-acceptance.

  • The Top Ten Warning Signs You Are Talking to an Online Catfisher-Part 4

     innocence-en-dangerHow can you protect yourself from a Catfisher or an online predator?

    Why do they do what they do? Catfishers want something from you. These are people that are not motivated by love, but are driven by money, perverse sexual desires and criminal intent.

    • Money is usually the first thing predators want from adult contacts
    • They want to win you over and manipulate you, so you begin to desire them in a sexual way and that means you will begin to trust them
    • They will use your photographs and distribute them to other online predators, they will re-post the pictures online in sexual forums or just enjoy your photographs themselves, privately
    • They want to have conversations with you, texting or otherwise, in order to get sexually aroused during the conversation
    • Any of the above contacts will enable these predators to black-mail, extort or rape you

    Scary Stats

    There are some scary statistics on Catfishers or online predators.

    • An estimated 725,000 people are aggressively pursued online for sex or extortion annually in the US
    • In 2005 alone, 25% percent of rapists used online dating sites to find their victims
    • In 2011, the FBI Internet Crime Complaint Center lodged 5,600 complaints from victims of “romance scams” or “catfishers”
    • Reports say victims of these romance scams have lost over fifty million dollars—however authorities know this figure is much higher because many victims are too embarrassed to report the incidents
    • Every 2 minutes a person in America is sexually assaulted
    • 1 out of 4 children in the U.S. have been sent pictures of people who were naked or having sex by an online predator
    • Each year Internet predators commit over 16,000 abductions, over 100 murders, and thousands of rapes
    • Over 39,000 verified Registered Sex Offenders have profiles on social media sites
    • 1 out of 5 kids have been solicited for sex on the Internet
    • 1 out of 4 kids have been contacted online by a person not representing themselves in a true or accurate way
    • Only 25% of kids tell parents or adults about any online encounters
    • 77% of the time, the targets for online predators are usually in the 11-14 year-old-age range
    • 25% of children that were surveyed were exposed to unwanted pornographic material

    Dating Safety Tips

    Online dating often leads to offline dates, which may end up as a successful relationship. However, before you meet someone in person, take all the time you need to get well-acquainted with this person, so there is hopefully nothing to worry about when you meet face-to-face. Sexual assault on a date is definitely not an everyday occurrence, nonetheless, you need to ensure your personal safety when planning to meet someone for a first date. Take the time to really get to know a person and dangerous incidents are less likely to occur.

    The predators need to be exposed, if you or anyone you know has been contacted by an online predator or has received unwanted solicitation from someone online, call the police and notify the social networking site on which the contact was made.

    • NEVER give out your personal information or home address online, even giving out the town you live in can reveal too much information to a predator
    • Don’t reply to social media messages from people you don’t know
    • NEVER meet face-to-face with someone you have just met online, give yourself and the contact at least 3 weeks to get to know each other before a face-to-face is planned
    • Never download image files from an unknown source, they could contain sexually explicit images that could put you in a compromising legal situation
    • Avoid chat rooms or discussion forums that are sexually proactive
    • If you receive uncomfortable or frightening material, end the communication, block the person from contacting you and report them to the dating site or the social networking site
    • If you receive an unwanted solicitation call 911, contact the dating site or the social networking site and report the perpetrator immediately

    Sexual assault and date rape are definitely not common occurrences when meeting an online date. Read and follow the safety advice for first date meetings that have been outlined on your online dating site, so you are well-prepared. In addition, here are some of tips that will be useful too.

    • Always take the time to get well-acquainted with someone before you plan a meeting. Talking to this person online or on the phone for three weeks is a good amount of time to ensure this person is safe to meet
    • Bookend the date, which means you notify a friend where the date is, whom the date is with and when the date starts and then again, contact the same friend when you leave the date, to ensure you are home and are safe
    • Meet in a public place, like a restaurant, coffee shop, and drive your own car or know the public transportation schedule in order to leave to catch the last bus. At no time should this first date drive you home
    • While on the date, always be very aware of your surroundings. Keep an eye on your drink at all times. Date rape drugs are very easy to drop into any drink. Drinking coffee with a lid on the cup is probably your best defense against this kind of occurrence
    • Getting a girl drunk is a common ploy for a predator, so watch how much alcohol you drink. In fact, many online dating site guidelines do not recommend going to a bar or having a drink on the first date
    • Be cautious during your first few meetings with this person. Have the dates in open public places and stay away from dark and deserted situations
    • Never go to this person’s home or to a hotel until months into your dating experience

    What do you do if you have been assaulted?

    If you believe you may be a victim of sexual assault, the first thing you should do is immediately contact the police and report the crime, no matter how small you might think the crime is. It is common for victims to blame themselves in a case of assault, however you must always remember that this predator had absolutely no justification to attack you. It is also very important to protect your health, go to the hospital and request to have a sexual assault forensic exam, the staff will administer some tests that are compiled into what is sometimes known as a “rape kit.” These exams will preserve possible DNA evidence and you will receive important medical care. You don’t have to report the crime to have this exam, but the process gives you the chance to safely store evidence, should you decide to report the crime at a later time.

    • If you feel you cannot handle going to the hospital alone, try asking an understanding family member or friend to escort you to the hospital.
    • If necessary, you can also speak with a rape hotline operator, an experienced therapist or social worker who can help you deal with it. For more information, reference the local hotlines and services that are featured below
    • If you choose not to have a sexual assault forensic exam, it is also a good idea to to go to a clinic or to see a doctor who can test you for sexually transmitted diseases (STDs)
    • To find a location near you that performs sexual assault forensic exams, call the National Sexual Assault Hotline at 800-656-HOPE (656-4673) or talk to your local sexual assault service provider

    Here are some National Resources for Victims of a Catfisher

    General Information:

    Internet Crime Complaint Center (IC3)                             https://www.ic3.gov/                                                                                                           A partnership between the Federal Bureau of Investigation (FBI) and the National White Collar Crime Center (NW3C).

    National Sexual Assault Hotline: National hotline, operated by RAINN, that serves people affected by sexual violence. It automatically routes the caller to their nearest sexual assault service provider. You can also search your local center here. Hotline: 800.656.HOPE (656-4673)

    National Sexual Violence Resource Center: This site offers a wide variety of information relating to sexual violence including a large legal resource library.

    National Organization for Victim Assistance: Founded in 1975, NOVA is the oldest national victim assistance organization of its type in the United States as the recognized leader in this noble cause.

    National Online Resource Center on Violence Against Women: VAWnet, a project of the National Resource Center on Domestic Violence hosts a resource library home of thousands of materials on violence against women and related issues, with particular attention to its intersections with various forms of oppression.

    U.S. Department of Justice: National Sex Offender Public Website: NSOPW is the only U.S. government Website that links public state, territorial, and tribal sex offender registries from one national search site.

    The National Center for Victims of Crime: The mission of the National Center for Victims of Crime is to forge a national commitment to help victims of crime rebuild their lives. They are dedicated to serving individuals, families, and communities harmed by crime.

    Child Abuse/Sexual Abuse:

    National Child Abuse Hotline: They can provide local referrals for services. A centralized call center provides the caller with the option of talking to a counselor. They are also connected to a language line that can provide service in over 140 languages. Hotline: 800.4.A.CHILD (800-422-2253)

    Darkness to Light: They provide crisis intervention and referral services to children or people affected by sexual abuse of children. Hotline calls are automatically routed to a local center. Helpline: 866.FOR.LIGHT (367.5444)

    Cyber Tip Line: This Tipline is operated by the National Center for Missing and Exploited Children. Can be used to communicate information to the authorities about child pornography or child sex trafficking. Hotline: 800.THE.LOST (800-843-5678)

    National Children’s Alliance: This organization represents the national network of Child Advocacy Centers (CAC). CACs are a multidisciplinary team of law enforcement, mental and physical health practitioners who investigate instances of child physical and sexual abuse. Their website explains the process and has a directory according to geographic location.

    Stop It Now: Provides information to victims and parents/relatives/friends of child sexual abuse. The site also has resources for offender treatment as well as information on recognizing the signs of child sexual abuse. Hotline: 888-PREVENT (888-773-8368)

    Justice for Children: Provides a full range of advocacy services for abused and neglected children.

    Domestic, Dating and Intimate Partner Violence:

    National Domestic Violence Hotline: Through this hotline an advocate can provide local direct service resources (safe-house shelters, transportation, casework assistance) and crisis intervention. Interpreter services available in 170 languages. They also partner with the Abused Deaf Women’s Advocacy Center to provide a videophone option. Hotline: 800-799-SAFE (800-799-7233)

    National Teen Dating Abuse Online Helpline: This online helpline assists teens who are, or may be, in abusive relationships. Call 1-866-331-9474, chat at loveisrespect.org or text “loveis” to 22522, any time, 24/7/365

    Americans Overseas Domestic Violence Crisis Center: The center serves abused Americans, mostly women and children, in both civilian and military populations overseas. In addition to providing domestic violence advocacy, safety planning and case management, the center assists victims with relocation, emergency funds for housing and childcare, and funds for payment of legal fees. International & Toll-Free 866-USWOMEN (866- 879-6636) (Available 24/7/365)

    National Coalition against Domestic Violence: The national coalition of Domestic Violence organizations is dedicated to empowering victims and changing society to a zero tolerance policy. Call the Nat’l #DomesticViolence Hotline 1-800-799-SAFE (799-7233) if you or someone you love is a victim and needs help

    Incest:

    (See also resources on Child Abuse/ Sexual Abuse above)

    Survivors of Incest Anonymous: They provide information on how to find incest survivor support groups in your area and empowers individuals to become survivors and thrivers.

    GirlThrive: Girlthrive Inc. honors teen girls and young women who have survived incest and all sex abuse through thriverships, opportunity and education.

    Stalking

    Stalking Resource Center: The Stalking Resource Center is a program of the National Center for Victims of Crime. Their website provides statistics on stalking, information on safety planning and other resources.

  • The Top Ten Warning Signs You Are Talking to a Catfisher—Part 3

    manhattan_bridgeAre you talking to someone on line? Do you trust them? Could they be a catfisher, a scammer, a scallawag or a con?

    Last week I outlined some typical characteristics and warning signs of interacting with an online scammer. I will continue outlining Tyler Cohen Wood’s indicators that the person you are speaking to online may be a catfisher.

    Ms. Wood is a Cyber Branch Chief for an Intelligence Agency within the Department of Defense (DoD). She is the author of the book, Catching the Catfishers: Disarm the Online Pretenders, Predators and Perpetrators Who Are Out to Ruin Your Life. Here are some more indicators you should be aware of when you are using an online dating service:

    1. Do their stories match up? Complete a reference check!

    If someone is pretending to be someone they’re not, they may have a difficult time keeping up with their fake persona. Colleges are the easiest reference to check. Call the alumni office to verify whether this person is in the alumni directory. When I wanted to check on one individual, I emailed his LinkedIn colleagues, and asked if they know “this person,” yes, I really did!  One scammer was so bold he had me speak with his daughter who was home visiting from college, and when I asked her how Boulder was, she blanked. She was supposedly attending the University of Colorado.

    1. Check the times of the calls. By the way, how is their spelling or their command of the English language?

    I have been contacted by many international catfishers, and for some reason, they will never call between 12:00am and 6:00am Sri Lanka time (2pm EST-8pm EST). We all make silly spelling mistakes, but if the person you are communicating with uses strange grammar and continuously makes odd spelling mistakes, maybe these writings are all coming from Google Translation, so proceed with caution.

    1. You will receive everything you would want to hear from a Prince Charming

    “You are so beautiful,” “I think you are someone special,” “I love you” or you receive a marriage proposal, sometimes all within the first twenty-four hours of meeting this person online. Need I say red flag to this one?

    1. In the first few days, are the communications hot and heavy with frequent emails, texting and contact? What happens next?

    My experience with scammers is that it takes five to seven days of hot and heavy intrigue, seduction, in pursuit of the development of trust. Then it is time for the “ask.” Some catfishers may take up to a month and work it very slow, all during which time, red flags are still appearing. Usually this period of time is accompanied by the building up of the “story.” This story could be a “colossal break,” a deal so big they can retire on it, or they are working on the opportunity of a lifetime. Once they know they have your trust, there then follows a disaster. A partner pulls out of the deal, leaving the scammer high and dry. Or they need to fly to Europe immediately, and they need some cash to finalize the deal. They may need large amounts of cash to be sent in order to complete business obligations. They need to bribe corrupt local officials, or they may have been “robbed” and lost all of their belongings. Just about any story will do, and it is usually a large amount of money that will satisfy them. What is totally amazing is that if you say no, it will not stop the scammer from asking again and again.

    There are a great variety of scripts scammers use to ask for money. The first step is appearing on a dating or social media site with a fake profile and credentials. Some scripts, or roles these scammers use portray them as an American soldier stationed overseas, a businessman from the United States who spends the majority of his time traveling internationally, or the entrepreneur who has the biggest international deal of a lifetime knocking at his door, usually involving oil, diamonds or gold.

    Catfishers follow similar scripts in regard to the role of their family members. The scammer is often a widower, spending too many years grieving for the dead partner, and you are the first person that really “gets” him. There are always kids, all very smart, but they are studying abroad. There are also possessions, more than one house, vacation timeshares, and an antique sports car. All plenty of stuff to check online, but there isn’t any record online, so beware!! Most important to remember, is that once the money is transferred, the scammer simply disappears, leaving you with a broken heart and an empty bank account. There is little chance of prosecution or recovery since these scammers are often located in other countries.

    Of course, not everyone is out to scam you. There are plenty of legitimate individuals seeking a partner on these dating sites. My sister and her husband met online. The intention of this post is not to make you paranoid. Ultimately, if you’re doubting this situation – you’re most likely right. If you encounter some of the scenarios and warning signs I have listed above, end the relationship immediately, never arrange a date and never, ever give this person any money. Be the fish that got away.

    Next week, I will discuss ways that you can protect yourself from online predators.

  • The Top Ten Warning Signs You Are Talking to an Online Catfisher-Part 2

    manhattan_bridge_post_versionAre you talking to someone online? Do you trust them? Could they be a catfisher, a scammer, a scallawag or a con?

    I recently returned to online dating after ending a long-term relationship. With a profile depicting a self-supporting, intelligent woman, I was contacted by ten men, and nine of those contacts were scammers or catfishers. Nine out of ten! That is why I am writing this blog post, to make people aware of the dangers of online catfishers or scammers.

    I will outline some typical characteristics and warning signs of an online scammer and offer suggestions on how to protect yourself from catfishers. The good news is that you can protect yourself by learning how to spot a phony while dating online. Tyler Cohen Wood is an expert in social media and cyber issues. She is a Cyber Branch Chief for an Intelligence Agency within the Department of Defense (DoD). She is the author of the book — Catching the Catfishers: Disarm the Online Pretenders, Predators and Perpetrators Who Are Out to Ruin Your Life, and has outlined these indicators that the person you are speaking to online, may be a catfisher.

    1.What if this person won’t video chat?

    Using SKYPE, FaceTime, Google Hangouts or even SnapChat with a person whom you meet online is normal practice in online dating. If a person makes excuses every time you want to SKYPE, consider it a red flag. Be concerned if the area code of their cell number is a not listed in the domestic list of area codes or they cannot come up with a good reason they have such a number. Areas codes that start with 473, 809, 284, 649, 654 and 876 are international, and are known to have been used for scams. Also be aware if there is a very bad connection every time you speak to them (such as a poor international connection) or no voicemail is attached to the number. This person is hiding something that they don’t want you to know.

    2. What happens when you Google them?

    Almost everyone in the United States has some sort of Internet presence. It is very rare that someone would have none at all. If you do basic research, such as conducting a search using a portal like www.WhitePages.com, www.Spokeo.com, or by looking through social media sites, and can’t find anything about this person, that is also a red flag. Most professionals will at least have a LinkedIn page. If you cannot find anything on the Internet about a person, they might not be telling you their real name, which again, is a red flag. However, anyone can very easily create a fake LinkedIn or Facebook page, so be cautious.

    3.Check public records.

    Do some reconnaissance by using search engines to find public records- www.intelius.com, or www.publicrecords.searchsystems.net. If a person says they own a house, you will be able to easily see where it is and how long they have lived there. You can also find legal documents like bankruptcy filings, divorce records and death records.

    4.Do they send real time photos of themselves?

    When people are communicating online, they will frequently send each other selfies, in real time. During a conversation, ask to see a photo of the person right then. If they refuse, or make some excuse, again, another red flag. If they have only sent you one or two photos, it is likely that they took those photos from someone else’s Facebook page or from somewhere else on the Internet. Don’t be fooled by photos of kids, or the snap of a potential romantic interest with his elderly Mom. We all post photos of our family members on our Facebook page! Do a reverse image Google search — right-click on their photos, copy the URL, and paste in the box at images.google.com. Google will then search for other sources of that image online.

    5.How many “real” friends and work colleagues are on this person’s social media sites? How many people communicate with this catfisher?

    You can get to know a lot about a person’s friends and family based on the banter they engage in on social media. How many posts are started by the potential catfisher? How many responses? Does the person seem to have real friends who carry on real conversations? Do they tag their photographs? On LinkedIn, do they have colleagues who have endorsed them? Contact a few friends for a reference check.

    6. Do they deflect or never answer your questions when you ask detailed, specific questions?

    Do they avoid answering your probing questions? Do you find that they deflect from your original question and the subject changes? Do you stop probing as a result? These too are warning signs. If you feel as if you are the only one sharing information and they are not giving away any details, consider this, yep, a red flag.

     

    Next week I will continue with Tyler Cohen Wood’s indicators that you are talking to a predator online and offer suggestions on how to protect yourself.

  • How Adverse Childhood Experiences affects long term health – a TED MED Talk by Dr. Nadine Burke Harris

    Dr. Nadine Burke Harris, during her TED-Med talk presents the benefits of the Adverse Childhood Experience study and the substantiated affects the study has brought forth on how childhood trauma can impact the quality of one’s health and length of a person’s lifespan. The San Francisco based pediatrician explains that the repeated stress of abuse, experience of neglect and living with parents struggling with mental health or substance abuse issues has real, tangible effects on the development of a child’s brain. The ACE study concludes that those who’ve experienced chronic, and high levels of trauma are at triple the risk for heart disease, addictions and lung cancer. She gives an impassioned plea for clinicians to use the Adverse Childhood Experiences questions during intake on all of their patients and confront the prevention and treatment of trauma, head-on.

     

  • Recovery Coaches to the Rescue

    Recovery Coaches to the Rescue

    FBI PhotoIt is 5:30 am and a band of FBI and local sheriff authorities pull up to a New Jersey suburban house in a development not far from Philadelphia. Adorning Kevlar vests, and windbreakers with the yellow letters FBI on their backs, they storm past a toy doll stroller in the sidewalk. They bang on the door with their fist, demanding “Open up this is the FBI”. After a few more wraps, a bleary eyed woman about 40 years old opens the door a crack and peers out. With a burst of energy, five FBI agents and two local police enter her foyer, issue her a search warrant and spew out demands, only one she actually hears, “Your husband is under arrest for child pornography, where are the computers?”

    Emily, (all real names in this story will be withheld for privacy purposes) is dazed. She is in her bathrobe, and slippers, her hair is mussed, her eyeglasses crooked. She is barely awake. She glances at the stairs. She sees her two children at the top of the stairs, as a troop of agents make their way up to them. The agents ascend, as her girls descend squeezing towards the wall making way for the army of six foot, 250 pound men barreling past them. They are asking “Mommy, what is happening?” A sheriff from the local police department asks where her husband is. She says he is at work; he works the midnight shift at a local hospital. The Sheriff gets on his walkie-talkie and bursts out some demands, heralding a similar event at her husband’s workplace.

    It is 6:00 am, and Tom is just wrapping up from his shift as a nurse. His supervisor walks up to him and a force of blue windbreakers flank him on either side. “Tom,” his supervisor says, “these gentlemen want to see you in my office”. As they turn to go to the office to FBI agents take Tom at the elbows and nearly lift him off his feet. He arrives in the supervisor’s office, is placed in an arm chair and the door slams. Tom hears the words he has feared for the past two decades. “You are under arrest for the possession of, and the suspected distribution, copying, or advertising of images containing sexual depictions of minors.” For some strange reason, Tom is relieved. He thinks “It’s over, it is finally over.”

    It is Monday night, a steady stream of middle aged men drift into a hospital conference room, and take a seat. One of them opens a gym bag and starts to place books, pamphlets and tri-fold fliers on the table. A clear plastic envelope stuffed with one dollar bills is placed next to a thin loose-leaf binder. He sits down, opens the binder, checks the time on his cell phone and says, “Welcome to the Monday night meeting of Sex and Love Addicts Anonymous, my name is Ken, and I am a sex and love addict.” The seemingly normal cohort of men reply, “Hi Ken”.

    The Monday night meeting of Sex and Love Addicts Anonymous begins. The reading is on Step Three; made a decision to turn our will and our lives over to the care of God, as we understood God. During the share a newcomer tells his story about what brought him into the rooms tonight. He is not sure he can be helped. He knows he has been a porn addict for all of his adult life. He says he has just been found out and he has no idea what will happen next, to his life, to his marriage, to his kids. He was advised to go to a 12 step meeting, and luckily he saw this meeting listed.

    The members of this unlikely band of brothers looks at Tom. His head is down. His focus is on the ravaged cuticles of his right thumb. As he raises his thumb to his mouth, a tear rolls down his cheek. They know how he feels. Each one of them have felt this same despair. Joe raises his hand to share. Joe is almost 45, yet one would think he is no older than 35. His Goorin Brothers Slayer cap is on backwards, his flannel plaid shirt is unbuttoned revealing an LA Dodgers vintage t-shirt. Appropriately ripped skinny jeans end in Vans pull ons. He gets current, talking about his therapist, his groups and what the third step means to him. Then he looks directly at Tom. “I know there is no cross talk in this meeting, so let me just say this, Tom, can we talk after the meeting?”

    Joe knows what has happened to Tom. Tom need not even say the word ‘legal’ for the subliminal message to be delivered. Joe knows because it happened to him, less than two years ago. The Cop Knock. The end of life as he knew it. The opening up of a new world. A new life without any more hiding.

    Relief.

    Joe and Tom walk to the café and Joe buys Tom a coke and a sandwich. It is the first thing Tom has eaten in two days. The café is empty, so they find a corner table and sit down. After just a few minutes, Tom’s experience from the last week is told. Joe’s head was nodding the whole time, but he lets Tom talk.

    Before an hour was up, Joe had given Tom the name of three men, Michael, Steve and Mike. Also, the number of an attorney and of a therapist that specialized in treating offenders. As they walked out of the hospital, Joe said the first call should be to Michael. Michael will coordinate everything. And Joe was right, Michael coordinated everything.

    Michael answers the phone at 9:15, and Tom was on the line. Michael was already prepared by Joe’s call, just minutes before. By 10:00, Michael assembled the team and briefed us all. The attorney appointment will be made by Tom. The therapist introduction will be on the phone, and the first group therapy meeting is tomorrow and Joe will bring Tom. Mike and Steve will call Tom daily for support. I am assigned to work with the wife.

    Every one of us responds to this call. It initiates a recruitment effort that rivals the Avenger’s response to Ultron’s threat to eradicate humanity. This team is committed to  respond to any sexual addiction crisis- the family affected by a patriarch’s incest, the individual devastated by sexual abuse, or the man that has heard the “Cop Knock”. We know they feel alone, whether they have been abandoned by their family, abused by loved ones or in this case, arrested for an illegal act. Tom needs his Avengers team to help him, because this is territory he is not familiar with. But this team is very familiar with it; the family dynamics, the law, the courtroom, treatment and therapy, prison and re-entry. We have walked this path, and emerged on the other side, as healthier and better people for the experience. So we are there, in order to keep our sobriety, we are doing service to give back what we have freely received.

  • Why are Love Addicts and Love Avoidants or Love Ambivalents attracted to each other?

    The last person a love addict should be attracted to is a love avoidant or love ambivalent. But all love addicts are attracted to love avoidants or love ambivalents. Why? In order to answer this we have to go back and look at the relationships these addicts experienced with their primary caregivers.

    Childhood experiences

    The love addict has had a relationship with their primary caregiver that proved to them they can be abandoned at any time. That is a familiar fear, holding-hands1prompting love addicts to try harder to get the attention and love of their partners. Love avoidants have experienced a highly dependent caregiver. One who smothers the avoidant, requiring the attention that was difficult for an immature child to bring forth. As a result, the avoidant sees relationships as work. Love ambivalents have experienced both a smothering caregiver and an abandoning caregiver. For example, a father who left the family, resulting in a mother who uses the child as a surrogate spouse to take care of her emotional needs.

    Even though each of these addicts dislike the role they were given in childhood, it is a familiar role, and they feel comfortable in it. A role that when engaged in adulthood, feels like the same type of love that they had as a child for their caregiver. Because they were so young when experiencing these feelings, the child knew they had to love their caregiver, with the child thinking these feelings of being smothered or abandoned equaled a type of love.

    So a love addict, avoidant or ambivalent is attracted to the unconscious display of these traits from a new adult coming into their lives. After a few weeks, or months, these behaviors start to spark the feelings inside that the love addict, avoidant or ambivalent recalls, albeit unconsciously, from their youth. Their old frustrations with their caregiver are placed onto the new adult relationship. These feelings are akin to love for the love addict, avoidant or ambivalent, but actually just recreate the relationship they had with their parent or caregivers.

    The love addict, avoidant or ambivalent wants to heal these old childhood wounds and fix what wasn’t right with their first “love” (their parent or caregivers). In doing everything in their power to do this, they believe there is a possibility of fulfilling the childhood fantasy of having the perfect mate (cue the Cinderella or the Shrek DVD). Avoidants are programed to rescue, so when they see a damsel in distress, they move very powerfully, even seductively, to take up that challenge. I say seductively, because the avoidant wants unconsciously to rescue, and to be in control of the relationship. If they control, they cannot be controlled, as they were in their formative years. However, there is always a rear-exit door left open. Ambivalents were chastised for showing too much emotion in their youth, so in adulthood, they commit to being detached in emotional settings.

    What can these addicts do to change?

    As an adult, the love addict, avoidant or ambivalent may be able to realize these are not healthy behaviors and re-think these acts. Perhaps the love addict, avoidant or ambivalent has learned from the consequences of past, broken relationships. As adults, these addicts may be able to realize these are not healthy feelings and identify their actions, like acknowledging when the love addict grasps for more attention, it is in order to not be abandoned. Recognizing that when the avoidant flees from intimate relationships, they are reverting to childlike behaviors. And being aware of when the ambivalent starts feeling undecided about a lover does nothing for the relationship.

    These individuals want desperately to have a healthy, long-term relationship, so perhaps trying some new behaviors can be possible. I suggest taking more time in courting. Spend more non-sexual time with the prospective partner. Learn how to speak more about their feelings of fear and work out some common responses to the feelings of flight, fight or freeze. Every new relationship brings a new set of “situations” to resolve. Being more open to dating people who do not send the charge of electricity or chemistry through the addict’s body is another suggestion. These addictive feelings, thoughts and/or behaviors are not present in a healthy, non-addict adult. These healthy adults are often passed over by the addict, because they see them as boring, or the addict acknowledges the “chemistry” was not strong enough to capture their interests. I suggest giving these healthy adults another chance, another date or another month, or two, to develop the relationship further. The addict may be surprised in the result. Above all else, avoid sexual contact as long as possible during this courtship phase. I suggest embracing a healthy dating plan (Google it!) that includes a minimum of three months of non-sexual dating.

    A very intimate discussion is a conversation on why saying the word love is difficult or challenging, or perhaps too easy (as in the case of the love addict). Another intimacy exercise is the game of ‘In to me, I see’, which one person closes their eyes and says ‘When I look into myself, I see…’ and then explains what they see. This isn’t an after dinner game for a party, but is an interchange between two lovers, using a simple statement that will spark a similar response with the other.

    How does a healthy person think about love?

    A healthy person doesn’t compulsively fantasize about a white knight rescuing them or a beautiful girl on their arm making them a better person. Each of us have the potential within to feel whole and fulfilled. We are the ones who develop our own competence, our own self-esteem. We use self-love, self-nurturing, self-protection, self-awareness and self-care to build these strengths.

    Each of us finds the meaning of life for ourselves. The only part a partner can help with is sharing their search for the discovery of the meaning of their lives. Ultimately, no one can make us do anything. If they do, we will reject them. Don’t even go down that path. Allow your partner to do what he or she needs to do for themselves, and stop yourself when you feel you are falling back into old, addictive behaviors.

    A healthy relationship is not based on need, fear, compulsion or obsession. It does not thrive on that electrical bolt of energy or chemical reaction. It is like a little seed, in the fresh, spring earth, that needs nurturing to grow. Not too much water, not too firm earth. Get the picture?

    Healthy people love themselves. Shed the fear of ego or dread of being viewed negatively. Speak to your therapist about these fears. Allow yourself to grow emotionally and spiritually. It may take a few relationships to allow this self-nurturing and growth to happen, it’s not an overnight thing. During your development as a healthy person, someone will walk into your life, and both of you will experience a blossoming of growth, just like that little seed.

  • Child Pornography — Part Two

    The Child Pornography Industry

    manhattan_bridgeThe pornography industry nets approximately $13 billion dollars of revenue in the United States, alone. Illegal child pornography revenue is around $3 billion annually and is one of the fastest growing businesses online (Top Ten Reviews, 2005)[1]. In 2014, the Internet Watch Foundation found 31,266 individual child abuse domains or URLs, a 137% increase from 2013. Today, there are estimated to be more than one million pornographic images of children on the Internet, with 200 new images posted daily. The U.S. Customs Service estimates that there are more than 100,000 websites offering child pornography — which is illegal worldwide. The fastest growing demand is for images depicting the worst imaginable type of abuse and images of the youngest children. Of P2P users arrested in 2009, 33 percent had photos of children age three or younger and 42 percent had images of children that showed sexual violence. More than half of all illegal sites reported by the Internet Watch Foundation are hosted in the United States. Illegal sites in Russia have more than doubled from 286 to 706 in 2002 (National Criminal Intelligence Service, 8/21/03). One can only imagine how much free child pornography transfers hands on an annual basis. Who is possessing all of this child pornography?

    What does an Internet viewer of underage pornography look like?

    Federal child pornography charges are leveled against judges, politicians, doctors, teachers and other well-regarded members of society more frequently than you would ever imagine. If you remember in 2015 alone, Glee co-star Mark Salling, TV producer on Law and Order Jace Alexander, and the Subway spokesman, Jared Fogle were all arrested for possession of child pornography. National Juvenile Online Victimization Study found that men who view child pornography include those who are:

    • Sexually interested in prepubescent children (pedophiles) or young adolescents (hebephiles), who use child pornography images for sexual fantasy and gratification
    • Sexually compulsive, meaning they are constantly searching for new and different sexual stimuli
    • Sexually curious, downloading a few images to satisfy that curiosity
    • Interested in profiting financially by selling images or setting up websites requiring payment for access

    These offenders weren’t concentrated in any specific geographic location, and their levels of income and education varied widely. Two-thirds were single, about one-quarter lived with children under the age of 18 and about one-quarter had problems with drugs and alcohol. In 2009, similar to 2006, about 20 percent of the offenders were between the ages of 18 to 25; while the majority of men who viewed child pornography were 26 or older. The National Crimes against Children Research Center reported the great majority of those arrested were non-Hispanic white men and less than 1 percent were women.

    Possession of child pornography is a felony under federal law and in every state. If you know of anyone producing or promoting child pornography, please report them through the National Center for Missing & Exploited Children’s CyberTipline: 1 (800) 843-5678. If you are concerned about what you or a loved one has been looking at while online, seek the help of a professional who specializes in this area.

    References used in this blog:


    [1] Ropelato, Jerry. Top Ten Reviews. Top Ten Reviews, Inc. 5 December, 2005. http://internet-filter-review….pornography-statistics.html

    My Kid’s Browser: http://www.mykidsbrowser.com/internet-pornography-statistics.php

    International Watch Foundation 2014 Annual Report: https://www.iwf.org.uk/accountability/annual-reports/2014-annual-report

     Center for Problem-Oriented Policing, POP Center, The Problem with Child Pornography on the Internet, Guide No.41 (2006), by Richard Wortley and Stephen Smallbone

    Enough is Enough web site: http://www.enough.org/inside.php?tag=stat archives#3

    National Juvenile Online Victimization Study

    J Clark Baird, web site of a Kentucky criminal defense attorney, http://kyfederalcriminallawyer.com/practice-areas/federal-child-pornography-charges/

    SASH- Society for the Advancement of Sexual Health- http://sash.net/

  • Ten ways of Improving Your Chances of Keeping that New Year’s Resolution

    calvin-hobbes-new-year-resolution1Make a list and think it through

    It’s that time and everyone is thinking of New Year’s Resolutions. You’re itching to get rid of that bad habit right now, but consider this: think it through. I know you have heard that AA saying “Baby Steps” before…but sticking to a habit change is not trying to be perfect right out of the gate. So before you start trying to change a habit, consider thinking about it thoroughly for a month or two. First, list every reason you want to stop, figuring out what triggers or cues you react to, what routine you fall into as a result of that trigger and experiment with the types of rewards you are looking for from that habit. Write down and record every time you catch yourself doing the habit, and soon a pattern will appear. Maybe checking out a few twelve step programs or a therapy group can give you an idea of outside support options. You will be better prepared to conquer the habit after processing it during the next few weeks.

    2.  Identify your triggers

    By doing this review you will see you do the same behaviors, in the same place, at the same time. If at 3:00, you go on a smoke break in your car, the time and the car itself can become a trigger (or cues as Charles Duhigg author of The Power of Habit calls them). These actions can become a cue to start a habit —sometimes these cues are very subtle to notice. As AA says “Avoid People, Places and Things.” Identify and understand your triggers. These triggers fall into one of the following five categories:

    1. Location, a bar, your ex-girlfriend’s neighborhood, a bakery
    2. Time, 3:00, happy hour, visiting family
    3. Emotional State, Hungry, angry, lonely or tired
    4. Other People, the ex, your Mom, Dad or that annoying co-worker
    5. An immediately preceding action, or what happened just before you picked up that joint? An argument with your spouse? Anticipating that your boss will ream your butt at work this morning for being late? Packing the car to see the folks for the holidays?

    3.  Delayed Gratification and Contingency Management

    There are some other simple psychological tricks you can employ as well, such as delayed gratification and contingency management. The 20-Second Rule is an example of delayed gratification: Make bad habits take 20 seconds longer to start. For example, move junk food to the back of the pantry, or leave the credit cards at home so you don’t over spend on lunch. A program sister suggests a Rule of Five, delaying the behavior until you have 5 glasses of water, or walk for 5 minutes or call five 12 step program people. Consider rewarding yourself for not relapsing, it’s called contingency management. Suggest this to yourself: if I don’t act out for 60 days, I can lead the Sunday night 12 step meeting or if I don’t drink now, later tonight, my wife and I can be intimate, or if I don’t use this week my IOP counselor will give me a free lunch coupon for the Olive Garden.

    4. Reframe that habit thought

    Even if we hate the habit we’re doing, like smoking or over eating, we tend to continue doing it because it provides us with some sort of satisfaction or psychological reward. Catch yourself thinking any positive thoughts or feelings about your bad habits (like: if I have a drink, I will not feel so nervous around my in-laws) and reframe these thoughts to remind you of the negative aspects of your habits. Maybe think this thought instead, “One drink is too many and a thousand drinks is not enough.” That is reframing the habit thought.

    5.  Willpower is in limited supply

    Research has shown that we don’t have unlimited willpower (it didn’t take scholarly research to confirm this for you!) The truth is we’re constantly exercising willpower and self-control. The problem is that willpower is like a muscle, capable of fatigue and a muscle can’t be flexed forever. Researchers placed some study participants in situations in which they had to practice self-control—like not eating chocolate-chip cookies in front of them. While another group could eat as many cookies as they wanted. Then both groups were given a second test that required self-control.

    The results? The group that had to resist the cookies did not perform as well on the second task. The group that was allowed to eat as many cookies they wanted, excelled at this second self-control test. The conclusion was that those who had to exert more willpower in the first task exhausted their willpower strength, and were unable to exert the self-control needed for the second task.

    Just place yourself in a similar situation, think of you controlling yourself from strangling your self-absorbed-narcissistic colleague during a staff meeting, then around to 3:00, a typical smoke break time for you, you are triggered. You want to not smoke, but low and behold, a cigarette seems like just the reward you need.

    6.  Make a plan for relapses

    Chances are you’re going to have bad days. Setbacks are normal and we should expect them. Have a plan to get back on track. Recovery coaches call this a relapse prevention plan (click here to link to Mary Ellen Copeland’s WRAP Plan). Coaches have the client write a relapse prevention plan directly after a slip as a way to understand what happened and how to avoid it next time.

    7.  Harm Reduction Option

    Every recovery coach anticipates a relapse, they acknowledge it will happen and attach no shame or guilt to a slip. Often, choosing an action based on Harm Reduction, (which is most often recognized as distributing clean needles to intravenous drug users to reduce HIV infection) is a good alternative. Some Harm Reduction ideas are: smoke a cigarette instead of a blasting a whole stick, limit yourself to buying a lottery ticket instead of logging on to a gambling web site or eat a cup of fruit yogurt instead of a chocolate chip cookie.

    8.  Change takes a village

    With making a resolution to change, don’t attach it to the ever failing New Year’s Resolution. Attach it to a positive change within you. Let people know about it. Ask for help, even if it is a nagging wife or over- bearing parent. Better yet, join a 12 step group. Research shows change happens when you have support from others.

    9.  Make a Plan

    Once you have figured out your ‘habit loop’, your cues/triggers, the routine you use, and the reward you expect, you can begin to shift your behavior. All you need is a plan. Open your-self up for improved, healthier routines; such as meditation, an afternoon walk, a talk with a co-worker or new way to drive home. These will become very good sources of generating your rewards and within 30, 60 or 90 days it will become a habit. Just give it time and

    10. Don’t give up! Keep trying!! It’s progress not perfection!

     

    Happy New Year!

    Special thanks to Charles Duhigg author of The Power of Habit for supplying all of this excellent information on changing a habit and to Calvin and Hobbes for making fun of it!

     

  • Believe Change is Possible

    manhattan_bridge_post_versionAs a recovery coach, I work with people trying to change a habit. We work on finding different ways of responding to a trigger. For some seeking recovery, they want to find an easier, softer way. Others think willpower is all they need to get sober. But that doesn’t always work. As Charles Duhigg describes in his book, the Power of Habit, for a habit to be changed, people must believe change is possible..

    Where does this belief come from? Habit change can emerge from a tragedy or from some kind of adversity. Many addictions have been successfully abandoned when an individual hits bottom and finally seeks treatment. Many people give up smoking after a diagnosis of heart disease or when a family member is being treated for lung cancer.

    A Harvard study in 1994 examined people that had radically changed their lives. Some had experienced the death of a loved one, divorce or life-threatening illness. Others radically changed their life from observing a friend experience a disaster. Tragedy plays an important part of having an impact on one’s life. But equal to tragedy facilitating change, the same amount of people made change happen in their life because they were surrounded by supportive friends that encouraged change. The Harvard study sites a woman that changed the direction her life when she took one psychology course at a local college and found a group of like-minded individuals. Another man came out of his introverted shell when he joined an acting group. So for change to happen for many, it didn’t take a life shattering event, it simply took a community of believers.

    “Change occurs among people”

    Todd Heatherton, Dartmouth College Lincoln Filene Professor

    A community of non-smokers talk about how great it feels like to be a non-smoker. How nice it is not to have your hair smell like an ashtray. Your spouse commented on how fresh his clothes smell, now that you have stopped smoking. And co-workers admire you for having the strength to stop smoking. These like-minded people can also resolve some negative feelings, as well. Such as what to do after a meal, when the habit of lighting up a Marlboro is the most strong. Or how to refrain from smoking in your car. These friends are there for you to call, text or email whenever the urge to smoke becomes unbearable. Support from a community and their confidence in you, bolsters the strength you need to believe you will not pick up a cigarette.

    For habits to change permanently, people must believe change is possible. This same process makes any mutual support group very effective – the power of a group to teach individuals that they can believe it is possible to change. This belief happens when people come together to help one another to change. Whether the group is Nicotine Anonymous, a grief support group or massive amounts of volunteers descending on New Orleans, post Katrina, to re-build the city to it’s former glory.

    Change is easier when it occurs within a community.

     

     

  • Changing a Habit

    Changing a Habit

    manhattan_bridge

    Quitting drinking or drugging is the same as developing an exercise program or winning a football game. Simply by changing a habit, you can succeed in staying sober.

    Charles Duhigg investigates this theory in his 2012 book, The Power of Habit. Duhigg uses the classic example of how Bill W., founder of Alcoholics Anonymous, stopped drinking. He expands on this tale, by adding current research verifying the power of believing that the 12-step concept gives an individual the strength to quit a habit.

    In his book, Duhigg outlines the addictive process for the reader and asks them to answer these questions:

    Identify the Craving

    Identify the Cue or Trigger

    What Routine does that kick in?

    What Reward do you receive from completing that routine?

    Yes, many recovering alcoholics will say the answer to #1 is “I am craving alcohol,” but that isn’t necessarily the correct answer. Perhaps the alcoholic is lonely and craves camaraderie, old friends, or being social. Perhaps the alcoholic doesn’t want to spend the evening in his apartment all alone, eating another microwave dinner. So for this recovering alcoholic, his answers to Duhigg’s questions may look like this:

    1. Identify the craving — Not being alone.
    2. Identify the Cue or Trigger — On my way home from work, I drive by my favorite bar, thinking about stopping in to see some friends.
    3. What routine does that kick in? — Stop into the bar, see my friends, and order dinner and a beer.
    4.  What reward do you receive from completing that routine? — Happy spending time with old friends, and having a better meal than a microwave dinner.

    So, we all know how that evening ends.

    Duhigg’s suggestions on changing a habit is as simple as substituting a new routine. Yes, the cravings and cues remain the same, and the reward remains the same, as well. The reward, for our alcoholic friend, is spending time with friends. Here is a suggestion for our friend:

    1. Identify the craving — Not being alone.
    2. Identify the Cue or Trigger — Thinking about seeing some friends.
    3. What routine does that kick in? — Go to an AA meeting which is on my way home, that starts at 6:00pm, and see some friends.
    4. What reward do you receive from completing that routine? — Happy spending time with friends.

    Let’s try this concept on another addiction, such as smoking. I personally have struggled to stop smoking since 2014. I found that I didn’t really crave the act of smoking, I hate the smell and the taste it leaves in my mouth. My craving was to be social. So this is my outline using Duhigg’s Theory of Habit Change.

    It is 3:00pm, and I am sitting at my desk. I would like to take a break, and see what my smoking buddy Chiquita is doing. Here is the scenario:

    1. Identify the craving — Time for a break from work to socialize.
    2. Identify the Cue or Trigger — Its 3:00pm, usually I have a smoke with Chiquita.
    3. What routine does that kick in? — Go to Chiquita’s office to ask her to come out to the smoking area, for a smoke.
    4. What reward do you receive from completing that routine? — Happy spending time socializing.

    What do I do to turn around that routine in order not to smoke?

    1. Identify the craving — Time for a break from work to socialize.
    2. Identify the Cue or Trigger — Its 3pm, usually I have a smoke with Chiquita.
    3. What routine does that kick in? — Option #1 Go to the cafeteria and get a cup of tea, or bottle of water and socialize with the people there. Option #2 — Pop a mint into my mouth, and go down the hall to say hello to a friend that I also have to ask a work question.
    4. What reward do you receive from completing that routine? — Happy spending time socializing.

    In all of these scenarios, the craving, cue and reward remain the same. The only thing that changes is the routine. As a recovery coach, this is one of the first lessons we teach our clients. Change your routine.

    Don’t drive by the bar

    Don’t dial the old girlfriend.

    Don’t hang out with a drugging buddy

    Don’t visit your smoking friend’s desk.

    Change your routine.

    I know, you are thinking about how difficult changing a routine is. Well, Duhigg knows a few more “tips” to ensure this routine sticks. I will be discussing these tips in my next post.