Category: love addiction

  • How can you heal the trauma within?

    manhattan_bridgeTrauma changes you. You might not necessarily like that change. How can you heal the trauma within? You have the ability to transform yourself into a healthier person. You have enormous healing potential; the goal is learning to access it—and then to use that potential to heal the trauma, release the addiction(s), and obtain a glorious new life.

    Without your consent, trauma can change you, often into a person you’d rather not be.                                                -Michele Rosenthal

    Working through trauma can be scary, painful, and sometimes retraumatizing. Because of the risk of retraumatization, this healing work is best done with the help of an experienced trauma specialist. The clinical term for a therapist that has experience in treating trauma  is a trauma informed therapist. The therapist will be able to answer questions as to his/her experience in trauma informed care over the phone. You want to ask if they are experienced in EMDR, Light Entrainment or Somatic Experiencing.

    Treatment for Trauma

    When you are triggered by a trauma memory, your nervous system gets stuck in overdrive. Successful trauma treatment revisits these traumatic memories, and allows you observe the trauma and your “fight-flight-freeze” response. The therapist will establish a sense of safety and help you resolve the past traumas. The following therapies are commonly used in the treatment of PTSD, emotional and psychological trauma:

      • Somatic Experiencing:  Somatic processing of trauma takes advantage of the body’s unique ability to heal itself. The focus of therapy is on bodily sensations or movements (like excessive leg movement, wringing of your hands or profuse perspiration) rather than thoughts and memories about the traumatic event. By concentrating on what’s happening in your body, you gradually get in touch with trauma-related energy and tension. The therapist will encourage you to safely release this pent-up energy through shaking, crying, and other forms of physical release.
      • EMDR (Eye Movement Desensitization and Reprocessing): This practice incorporates two paddles that when held in your hands vibrate, and a headset that sends a low tone alternating from one ear and then to the other ear. The tones and the vibration of the paddles distract the conscience mind, allowing for the unconscious or sub-conscience memories to arise. The therapist and you explore these memories and discuss them to attempt to resolve the feelings around the trauma.
      • CLEAR Therapy (Colored Light Entrainment and Re-patterning) Clear Therapy is a method of releasing unresolved core emotional issues using colored light. When a flashing light is emitted into the eyes, the brain adopts the rhythm of the strobe. In the initial intake session, you will look at 11 different colors of flashing light and the therapist is able to pinpoint issues based on what you see in each color. In the following sessions, the feedback from your perception of the colors enables the therapist to uncover core beliefs that drive your thinking, feelings or behavior. CLEAR is coordinated with eye movement (see EMDR), breath work and meridian-based therapies (see EFT) to facilitate rapid resolution of the problem.
      • LST (Light Stimulation Therapy) LST enhances learning abilities and performance by stimulating the eye and brain with light. A LST session has you sitting comfortably in a darkened room, looking at a waveband of colored light which is focused directly on your eyes. It is advised to have 3 to 5 sessions per week until a total of 20 sessions is completed. At the end of the 20-sessions, there is a reevaluation to determine the necessity of further treatment.
      • The Brain and Brainwave Entrainment-The DAVID Device: The senses of sight and hearing, by their very nature, provide a favorable environment for affecting brainwaves. By presenting pulsed audio and visual stimulation to the brain, the brain begins to vibrate at the same frequency as the pulsed audio from the DAVID Device. The device sends flashes of lights into a pair of glasses, and pulsed tones through a pair of headphones to gently guide the brain into altered states of consciousness.
      • The Green Wave Therapy: The Green Wave Therapy is a technique that combines green laser light, micro current energy, and some of the principles of EMDR [Eye Movement Desensitization and Re-patterning], and EFT [The Emotional Freedom Acupressure Technique]. You will rest on a massage table, and a micro current device focuses on the region between your eyebrows. You hold the EMDR paddles in your hands as they pulse rhythmically. You also wear a headset that delivers audio tones in unison with the paddle’s vibrations. The practitioner stands back about 4-5 feet and circles the entire body with green laser light. With every 1-2 minute pass, the clinician checks the level of distress you are experiencing while thinking about the trauma.
      • Emotional Freedom Technique (EFT): Based on impressive new discoveries involving the body’s energies, EFT has been reported to be 80% clinically effective in relieving Trauma. The EFT procedure involves tapping with the fingers on points on the body that are associated with acupuncture pressure points. While doing the tapping sequence, distressful thoughts and/or events are targeted and healing statements are repeated out loud. EFT often works where nothing else will. It is rapid, long lasting and gentle. No drugs or equipment are involved. It is easily learned by anyone in less than an hour. EFT techniques can be taught and be self-administered.

    Trauma Recovery Tips

    Recovering from emotional and psychological trauma takes time. Give yourself time to heal and to mourn the losses you’ve experienced. During your trauma therapy here are some self-help strategies to keep you healthy and continue the healing between your therapeutic sessions:

               1: Don’t isolate

               2: Stay grounded

               3: Take care of your health

    Don’t try to force the healing process. Be patient with your pace of recovery. Finally, be prepared for difficult and volatile emotions. Allow yourself to feel whatever you’re feeling without judgment or guilt.

     

  • Is there a trauma-addiction connection?

    manhattan_bridgeIs there a trauma-addiction connection? Adverse childhood experiences (trauma) are well known to significantly increase the risk of psychiatric disorders in adulthood. Ample evidence has shown that childhood trauma endangers the brain’s development, structure and function. Several traumatic experiences could make a person susceptible, later in life, to problems related to memory, judgment, reasoning, and could affect emotional and decision-making skills. Psychiatric illnesses, including schizophrenia, major depression, bipolar disorder, Post-Traumatic Stress Disorder (PTSD), and addiction, are also linked to adverse childhood traumatic experiences.

    Traumatic life experiences, such as physical and sexual abuse as well as neglect, occur at alarmingly high rates in the United States and is considered a major public health problem. Other examples of traumatic life experiences could be witnessing family violence, parental separation and divorce, experiencing a catastrophic weather event such as Hurricane Katrina, losing your home as a result of a wild fire, moving several times in childhood or going hungry.

    The link between traumatic experiences and substance abuse has been well-established. For example, in the National Survey of Adolescents, teens who had experienced physical, or sexual abuse or assault were three times more likely to report they had abused a substance than those without a history of trauma.

    In surveys of adolescents receiving treatment for substance abuse, more than 70% of the adolescents reported a history of some sort of trauma.

    While experiencing a trauma doesn’t guarantee that a person will develop an addiction, research clearly suggests that trauma is a major underlying source of addiction behavior. Founder of HealMyPTSD.com and author Michele Rosenthal culled statistics from a report issued by the National Center for Post-Traumatic Stress Disorder and the Department of Veterans Affairs to show the strong correlation between trauma and alcohol addiction:

    • Sources estimate that 25 and 75 percent of people who survive abuse and/or violent experiences develop issues related to alcohol abuse.
    • Accidents, illness or natural disasters translate to between 10 to 33 percent of survivors reporting alcohol abuse.
    • A diagnosis of PTSD (post-traumatic stress disorder) increases the risk of developing alcohol abuse.
    • Female trauma survivors face increased risk for an alcohol-use disorder.
    • Male and female sexual abuse survivors experience a higher rate of alcohol- and drug-use disorders compared to those who have not survived such abuse.
    • 27 percent of veterans in Veterans Administration care diagnosed with PTSD also have Substance Use Disorder (SUD)

    Similar research linking trauma and addiction exists for other habitual behaviors, including sexually compulsive behavior and eating disorders. Delving deeper into the trauma-addiction connection tells us that addiction is a coping mechanism. Addictions often help reduce the sensation of the overwhelming anxiety, stress and fear that trauma triggers create. Individuals participating in the research confirm that addictions are implemented as an attempt to self-manage (or self-medicate) what comes up for them when unmanageable trauma memories appear. These forms of self-management or self-medication are used as a positive survival instinct, but have very negative consequences. The key is to recognize the use of substances to manage trauma responses and to choose another tool for self-management.

    Next week’s post will go further exploring the link of addiction and trauma.


    References used in this post:

    Department of Veterans Affairs Teesson M, Ross J, Peters L (2006) Trauma, PTSD, and substance use disorders: findings from the Australian National Survey of Mental Health and Well-Being. American Journal of Psychiatry. 2006 Apr;163(4):652-8., http://www.ncbi.nlm.nih.gov/pubmed/16585440

    Public Interest Directorate- Children, Youth, and Families, An American Psychological Association Directorate-Advancing the creation, communication and application of psychological knowledge to benefit society and improve people’s lives. Activity Summary- August 2012 – August 2013Website: http://www.apa.org/pi/families/index.aspx

    Kilpatrick DG, Saunders BE, Smith DW.(2003). Youth Victimization: Prevalence and Implications [Electronic]. U.S. Department of Justice, Office of Justice Program, National Institute of Justice. Available at: http://www.ncjrs.gov/pdffiles1/nij/194972.pdf

    Michele Rosenthal (2015) Trauma and Addiction: 7 Reasons Your Habit Makes Perfect Sense, Published on March 30, 2015 in Behavioral Health, Living in Recovery, Living with Addiction and at Recovery.org website: http://www.recovery.org/pro/articles/trauma-and-addiction-7-reasons-your-habit-makes-perfect-sense/

    and  http://healmyptsd.com/


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  • What kind of credential do I need to be a Professional Recovery Coach?

    What kind of credential do I need to be a Professional Recovery Coach?

    manhattan_bridge_post_versionWhen I published my book Recovery Coaching – A Guide to Coaching People in Recovery from Addictions in 2013, the term professional recovery coach or professional recovery life coach was not in frequent use.

    A professional recovery coach is trained in professional coaching techniques, which means he or she has been educated in group dynamics (how people act in a group), how to develop high performing individuals (leadership) or how to facilitate change. Additionally, they have training in the addiction recovery models, motivational interviewing and Harm Reduction. They may use their experiential knowledge of their own recovery to augment their professional recovery coaching faculties. Professional coaches work in many fields: executive coaching, business coaching, finance coaching, wellness coaching or life coaching. Recovery coaching fits nicely into the life coaching model.

    International Coaching Federation (ICF)

    There is one worldwide organization that is recognized as issuing professional coaching credentials, the International Coaching Federation (ICF), http://coachfederation.org. There are three levels of ICF coaching credentials. The Associate Certified Coach (ACC) Credential is for the coach who is just beginning in the field, and is the first credential that can be completed with ICF. The Professional Certified Coach Credential (PCC) is for the more experienced coach and the Master Certified Coach (MCC) Credential is for the expert coach.

    When seeking to be credentialed as an Associate Certified Coach (ACC), the coach has to have completed an entire ICF Accredited Coach Training Program (ACTP). On the ICF website is a list of all of the accepted training programs from which the ICF will accept training credentials. The ICF does not offer a unique recovery coaching credential, nor a peer recovery-support credential.

    There is one organization, Family Recovery Resources, listed in the ICF Accredited Coach Training Program that offers a family-in-recovery coaching course for a family recovery coach certificate. There are no other recommended organizations that offer any recovery coach orientated courses. If a recovery coach has received training from any organization specializing in recovery coaching training, it is likely that the training would not be credited toward an ICF certificate. There is a very interesting selection of courses in the ICF Accredited Coach Training Program, such as executive coaching, end-of-life coaching, divorce coaching, Neuro-Linguistic Programming, wellness coaching, conflict coaching and several other excellent learning opportunities, on the ICF web site.

    The ACC applicants must work while they learn, and complete 100 hours of client-to-coach experience during their coach-specific training program. In addition the applicants are required to receive 10 hours of Mentor Coaching, and 100 hours (75 hours to be paid) of coaching experience with at least 8 clients, post training. There is a performance evaluation (audio recording and written transcript of coaching session) and a Coaching Knowledge Assessment (CKA) to complete the ACC credentialing application. The ACC credentialing process costs are dependent on the types of training courses a coach must take to complete the requirements for the certificate. The ACC credentialing process can take from 18 months to two years complete.

    It is my hope that the information transmitted in the past few posts will help a person interested in recovery coaching see the path to certification a bit more clearly. Please feel free to contact me with any questions you have about the path you should take in seeking your recovery coaching training and credentialing.

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  • What training and certificate do you need to be a peer recovery support specialist ?

    What training and certificate do you need to be a peer recovery support specialist ?

    manhattan_bridge_post_versionI published my book Recovery Coaching – A Guide to Coaching People in Recovery from Addictions in 2013. Since then, recovery coach or peer recovery support specialist training has become one of the fastest growing aspects of the coaching field. So, what kind of training and certificate do you need to be a peer recovery support specialist ?

    In 2013, the organizations that offered recovery coach or peer recovery specialist training numbered around 50. Today, the number has grown to 250. Many state certification boards have established recovery coach and peer recovery support specialist certifications.

    The definition of a recovery coach, and a peer recovery support specialist has changed significantly, as well. Now, the term peer-to-peer recovery support specialist defines a coach that works with people in mental health recovery and/or people that are in co-occurring recovery (co-occurring describes when a person has an addiction and a mental health diagnosis). Commonly the coach in this job is called a “peer.”

    Even though most of the state certification boards issue a certificate with the same “title,” (such as certified peer recovery support-specialist) the agencies that are looking for coaches to work with addicts advertise for recovery coaches and the agencies that are looking for coaches to work with people with behavioral or mental health disorders advertise for peers.

    In the treatment field it is common to have states use different terminology and acronyms for a certificate of the same job description. For example, the terminology for a certified recovery coach or peer in New Jersey is Certified Peer Support Practitioner (CRSP).The Alcohol and Drug Abuse Certification Board of Georgia calls this credential a Certified Peer Recovery Coach (CPRC). The Minnesota Certification Board offers a Certified Peer Recovery Specialist (CPRS) credential. There are several different terms for certificates for the same job description throughout the United States.

    As of March 2014, 38 states and the District of Columbia have established programs to train and certify peer-to-peer recovery support specialist working with people in mental health recovery. Eight states are in the process of developing and/or implementing a peer program. For information on locating these agencies go to the International Association of Peer Specialists at: http://inaops.org/training-and-certification/.

    The International Association of Peer Specialists web site features a PDF document that is downloadable, with a list of all of the peer training organizations. This document is entitled: Peer Specialist Training and Certification Programs: A National Overview, and was compiled by the Texas Institute for Excellence in Mental Health, in the School of Social Work at the University of Texas at Austin. This PDF breaks down the peer certifications for every state, gives a web site and email contact for the training organizations as well as the required domains to master, in order to receive the certification. As an adjunct to this PDF, an additional list of recognized peer support training providers is available. The link is: http://inaops.org/training-providers/. If your area is not served by training organizations featured in these two documents, email: training@naops.org to find training in your area.

    What are the peer recovery support specialist guidelines for receiving certification?

    The peer recovery support-specialist application for certification will vary from state to state but essentially the guidelines are similar. Individuals can qualify to become certified peer-to-peer recovery support specialist by meeting the following guidelines:

    • Have a minimum of one year demonstrated recovery time from a significant mental health and/or substance use disorder at the date of application.
    • Be at least 18 years of age.
    • Must have a minimum of at least a high school diploma or GED.
    • Have attended and successfully completed a recognized training curriculum (face to face in a classroom setting or on-line) that totals 40 hours at a minimum and have a valid certificate of completion from that training.
    • Have completed an additional 20 hours of training and have valid certificates verifying attendance and participation in the following training categories: Wellness Recovery Action Planning (WRAP), Person Centered Thinking, Personal Assistance in Community Existence (PACE), Crisis Prevention, Veteran supports and interventions. Applicants can also use other college coursework, if related to the work of a Certified Peer Support-Specialist, if it will enhance the ability to provide services to people with mental health and/or substance use disorders. The applicant must submit an official transcript for review with the application.
    • Acknowledge the peer will follow the ethical guidelines of a peer recovery support-specialist by signing a form stating they have read and comprehend the guidelines
    • Submit two (2) personal reference letters

    What are the costs of Certified Peer Recovery Support-Specialist Training?

    Costs for Certified Peer Specialist training range from $400-$1,000. There are several ways to pay for Certified Peer Specialist (CPS) training. There are a number of programs and organizations that sponsor free Peer Recovery Support-Specialists certification training, continuing education classes, and supervisor training classes. As follows, are some suggestions:

    Offices of Vocational Rehabilitation (OVR) help people with disabilities prepare for and achieve an employment goal. OVR has many offices located throughout United States. If you qualify for OVR services, OVR may pay up to $900 for you to receive certification training.

    County Mental Health and Developmental Services is another source of possible funding. Some county MH/DS offices contract with training vendors to provide a Certified Peer Specialist class in that county. When this happens, a county purchases an entire class (20 seats) from a training vendor. The county then accepts applications from people who want to attend the training. In these cases, the training is usually only open to people who reside in that county.

    The Mental Health Associations of your state may provide low cost Certified Peer Specialist training.

    Review the document, Peer Specialist Training and Certification Programs—A National Overview (http://www.dbsalliance.org/pdfs/training/Peer-Specialist-Training-and-Certification-Programs-A-National-Overview%20UT%202013.pdf ). There are many states, Alabama, Ohio, New Jersey and North Carolina, to name a few that offer free training and are listed in this document.

    Next week’s blog post will review what certification is required to be a professional recovery coach working as a coach that has a variety of coaching credentials.

  • What kind of training do I need to be a recovery coach?

    What kind of training do I need to be a recovery coach?

    manhattan_bridgeI published my book Recovery Coaching – A Guide to Coaching People in Recovery from Addictions in 2013. Since then, recovery coach or peer recovery specialist training has become one of the fastest growing aspects of the coaching field. So what kind of training do I need to be a recovery coach?

    In 2013, the organizations that offer recovery coach or peer recovery-specialist training numbered around 50. Today, the number has grown to 250. Many state certification boards have established recovery coach and peer recovery support specialist certifications.

    Many of the organizations that offer addictions recovery coach training or peer recovery support specialist training are listed on my web site: http://www.mkrecoverycoaching.com/recovery-coach-training-organizations/. For many people interested in being a recovery coach, the training costs, deciding on the best training organization and the training necessary to fulfill the certification requirements can be confusing. So I would like to attempt to clear up this confusion and will answer these questions in this post:

    • What are the guidelines I must meet to apply for recovery coaching training?
    • What kind of training do I need to be a recovery coach?

    What are the guidelines to apply for recovery coaching training?

    Applicants must meet the following guidelines to apply for a training course in order to be a recovery coach or a peer recovery support-specialist. These guidelines are shared by many training organizations and certification boards across the nation as a standard for what a potential recovery coach must have before applying for recovery coaching training:

    • High school diploma, GED or higher
    • Minimum of one year of direct knowledge of sponsorship and 12-step programs
    • Minimum one year of sobriety from substance use or one year sobriety in co-occurring mental health and substance use disorders (self-attestation)

    What kind of training should I look for?

    Certification boards require the coach to receive outside training that fulfills the requirements mandated by the state board. These requirements are often a certain amount of hours training in topics such as addiction recovery theory and models, coaching ethics, motivational interviewing, relapse prevention, nicotine cessation, suicide prevention and HIV-AIDS education. Each state and organization has different requirements. So first check with your state to ensure the course you take will be accepted by the state credentialing board.

    There are trainings offered that can give a coach more information that may not be on the state certification board list, but are very helpful. The kinds of training I found helpful as a new recovery coach were: conflict management, anger management, intervention training, co-occurring disorders, behavioral addictions, the pharmacology of addiction, and psycho-pharmacology as well as knowledge about coaching families in relationships with addicted persons. There are also training organizations that offer three different levels of recovery coaching training: novice, intermediate and master-level coaching certificates.

    The places in which you receive this training are quite diverse. In the links section of this web site, I list over 250 organizations offering recovery coach training. The courses can be online, or in a classroom. The costs for this training is diverse as well, from free (in Ohio) up to $4,000 per course. The length of the course could be three days or four months.

    At no time does taking a recovery coaching course give you an immediate state certification board recovery-coaching credential. It gives you a document (called a certificate) that says you completed the training. There are many coaches who do not seek state board certification, and use this document or certificate from a training organization as adequate proof they are knowledgeable in performing the duties of a recovery coach.

    There is one international credentialing organization, the International Certification and Reciprocity Consortium, commonly known as the IC & RC(http://internationalcredentialing.org/) that runs many state credentialing boards and has developed an exam for a Peer Recovery (PR) Certification. The IC & RC suggests applicants check with their state credentialing board for specific test taking guidelines.

    Are there any additional requirements for recovery coaching certification?

    NAADAC, the Association for Addiction Professionals, and the National Certification Commission for Addiction Professionals (NCC AP) http://www.naadac.org/NCPRSS offer the Peer Recovery Support-Specialist Certification. Similar to the requirements of the IC & RC, the NCC AP recommends, in order to receive certification, a coach read and sign a statement on the application affirming adherence to the Peer Recovery Support-Specialist Code of Ethics. Credentialing boards require supervisors of the coaches-in-training to sign a document verifying they have supervised the coach during the period of the coach’s training. Letters of recommendation are also items required by some credentialing boards. Other state boards require a recent photograph. As always, check with the state credentialing board for specific requirements for credentialing.

    Next week’s post will review what certification is required to be a peer-to-peer support-specialist working with people in mental health recovery.

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

  • What is the difference between a recovery coach, a peer recovery support specialist and a professional recovery coach?

     

    melissa-new-post

    I published my book Recovery Coaching – A Guide to Coaching People in Recovery from Addictions in 2013. A recovery coach, a peer recovery support specialist and a professional recovery coach’s job descriptions have expanded significantly since then. The organizations that offer recovery coach training numbered around 50 in 2013. Today, the number has grown to 250. Recovery coach certification training is one of the fastest growing aspects of the coaching field, with many states establishing recovery coaching and peer recovery support-specialist certifications. Yet, for many people who seek to achieve basic recovery coaching information, the process of training, certification, credentialing or licensing are baffling. With all of this growth and change, anyone who is interested in being a recovery coach is very confused about the necessary training, what to call this training and even what to call themselves! I want to make an attempt to clear up this confusion and answer these questions:

    • What is the difference between a recovery coach, a peer recovery support-specialist and a professional recovery coach?
    • On what kind of certification should a future recovery coach focus?
    • What are the guidelines for certification of a recovery coach?

    (Some of the answers to these questions will appear in upcoming posts.)

    What is a Recovery Coach?

    A recovery coach is a person that works with and supports individuals immersed in an addiction(s), and coaches people in recovery from the abuse of alcohol and drugs, gambling, eating disorders or other addictive behaviors. Sometimes recovery coaches who work with people with addictions have been referred to as a peer recovery support specialist, a recovery support specialist, a sober companion, recovery associate or quit coach. In all cases these terminologies describe the same job description; a person who meets with clients in order to aid in their recovery from addiction(s). Even though many certifications for recovery coaches are classified as peer recovery support practitioner certifications. I prefer to use the term recovery coach in describing a person coaching an individual in recovery from addiction, instead of using the term “peer,” mainly because there is no requirement that a recovery coach be a peer (meaning they are an addict in recovery). Although it may be believed having experiential knowledge is a best practice for a recovery coach, it could be a recovery coach has knowledge of addiction and recovery perhaps by knowing an addict, having a family member with an addiction or taking courses in the treatment field.

    I have kept the term “non-clinical” out of this definition of a recovery coach because over the course of several years, I have seen drug and alcohol counselors, family and marriage therapists (MFTs), licensed clinical social workers, interventionists (LCSWs), psychotherapists and psychiatrists, train to be recovery coaches and then add coaching to their resume. I hear from these individuals that they embrace the coaching approach, and merge the knowledge they have as a clinician or interventionist with recovery coaching methods.

    Some individuals seek recovery and sobriety from addictions by frequenting a recovery community organization (RCOs) or recovery support center. An RCO is an independent, non-profit organization led and governed by representatives of local communities of recovery. There are recovery coaches at these recovery community organizations. These coaches have very diverse backgrounds. I have met coaches that were addicts, homeless, offenders, teachers, lawyers and highly educated individuals, who choose to help another person in recovery. I have seen these coaches espouse 12-step ideologies as well as non-12-step recovery models such as Buddhist Recovery, Moderation Management, Kundalini Yoga or Harm Reduction. Sometimes, the recovery coaches at these centers receive a salary from the RCO, however, the client is not charged for the recovery coaching services. RCO recovery coaches can also be volunteers, opting to perform their coaching duties for no reimbursement at all.

    Lastly, recovery coaches can be employed by treatment centers or sober living homes and receive compensation from them. In cases such as this, the client is billed for the coaching services from the centers or homes. I know many a recovery coach who has opened a transitional living home or a supportive sober living environment. They coach the people who reside at these locations and their presence adds to the quality of the recovery experience.

    Is recovery coaching covered by insurance?

    Unfortunately, the answer to that question is no. No independent health insurance company covers the services of a recovery coach working with an individual in recovery from an addiction. There is currently only one state, New York, that 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, Maryland and Massachusetts, are formulating similar Medicaid payment plans, but these reimbursements are not yet in place.

    What is a peer to peer recovery support specialist?

    A nearly universal definition of a peer to peer recovery support specialist is an individual with lived experience who has initiated his/her own recovery journey and assists others who are in earlier stages of the healing process of recovery from psychic, traumatic and/or substance-use challenges and, as a result, can offer assistance and support to promote another peer’s own personal recovery journey. A peer to peer recovery support specialist is also called a peer, peer support-practitioner, peer mentor, or a certified peer. All of these terms basically describe the same job description. More and more, this job description is focused on the peer to peer recovery support specialist working with a person in mental health recovery.

    The certified peer to peer recovery support specialist workforce is relatively new in the behavioral health field, with state-recognized certification programs first emerging in 2001. Within this short time frame, states have recognized the potential of peer specialists to improve consumer outcomes by promoting recovery. Many social service agencies pay the peer’s salary, and the client does not pay for the coaching. In the mental health/behavioral health field, when referred by a social services agency or mental health treatment organization, reimbursement for a peer to peer recovery support specialist is covered by a health plan or Medicaid.

    Peer to peer recovery support specialists can also work independently from an agency and be reimbursed by the client or a family. Peer to peer recovery support specialists can also choose to provide these services as a volunteer and receive no financial reward.

    What is a professional recovery coach?

    A professional recovery coach, is sometimes referred to as a recovery life coach. A professional recovery coach has experience and training in the recovery models, and training as a professional coach. These professional and credentialed coaching programs are sometimes referred to as life coaching training. A professional recovery coach can receive training from any of the 250 organizations that train recovery coaches, and select not to receive the certificate from a state certification board or the IC & RC (see the certification information in next week’s post). A professional coach can receive training from the ICF – International Coach Federation’s accredited coach training programs, and apply for a credential issued by the ICF.

    A professional recovery coach can assist a client with a variety of coaching interventions including, but not limited to recovery from addictions, dealing with mental health diagnoses, divorce, financial downturns, grieving, career change and even family relationship issues. The client is billed for the coaching services from the professional recovery coach. Again, healthcare plans do not reimburse for these coaching services.

    Stay tuned for next week’s post on certification for recovery coaches.

  • Every narcissist needs a codependent love addict

    manhattan_bridge_post_version

    “The most common toxic relationship is between the codependent love addict and the narcissist love addict. Opposites attract and love addicts are vulnerable to charming people.” -Author, therapist and founder of Love Addicts Anonymous, Susan Peabody.

    Narcissism is a personality disorder. It stems from childhood abuse. When these abused children are young, they decide that the world, and the people in it, are bad and they are the only ones that are good. These thoughts result in a distorted view of themselves. They are the ones that are perfect, and they should be catered to. They lack compassion for others, because everyone else is ‘less than’ or wrong. In general, narcissists are incapable of maintaining a healthy relationship because they have to be in control at all times. But really, a narcissist has to be in control so they are not abandoned, abused or hurt. These narcissistic behaviors find a home in any gender, male or female and in any relationship, heterosexual, gay or bi-sexual.

    If you keep your eyes open, you can detect a narcissist’s need for control and self-centeredness. If you make an error they will be critical and unsympathetic. And they will never forget a past mistake. They hold you to a high standard and exhibit disdain for what they consider weakness or vulnerability.

    Narcissists are very charming in order to seduce people into liking them. Their ability to impress people is amazing. They appear confident, exciting and are a “match made in heaven”. Love addicts fall for narcissists and bond with them. The narcissist is so good at their craft, that when their true colors emerge, they manipulate their codependent love addict partner to ensure they will not abandon them. It is as if the narcissist and codependent love addict are fighting for the same thing. The codependent love addict fears abandonment as much as the narcissist.

    Early abandonment of a child places that kid into a very harsh environment, forcing them to endure and grow up rapidly. They hate the fact they were abandoned but believe that they can endure, and if they work hard enough, abandonment will never happen to them again. A codependent love addict adult emerges from this traumatic childhood environment.

    A male codependent love addict is a survivor. He will scrape and do without in order for his offspring and family to survive. These men are self-effacing, excelling in sales, in service positions or dealing with the public. If he needs more money than his 9-5 career can provide, we will find him at a grocery store stocking shelves at midnight or a Home Depot directing others to purchase Sawzalls or mulch on a weekend. These codependent love addicts are constantly fulfilling their role as the primary enabler for their narcissist. A consummate “make doer”, he is unable to speak up for himself, selling himself short in order to avoid the pain of conflict with his loved one. He is strong, he is resilient, and he is a “mute coyote”.

    You might want to consider attending a 12 step mutual support group such as:

    http://www.loveaddicts.org/

    http://www.slaafws.org

    http://coda.org/

    http://www.adultchildren.org/

    To find a professional with counseling experience in love addiction go to the Society for the Advancement of Sexual Health (SASH), which is a nonprofit organization dedicated to scholarship and training of professionals certified in sex and love addiction treatment.

    http://www.iitap.com/certification/addiction-professionals

    We Codependent Men – We Mute Coyotes by Carrie C-B , Ken P, Bob T http://www.amazon.com/We-Codependent-Men-Inspiration-Addicted/dp/0578079704

  • I’m a guy, how can I be a love addict?

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    “Seeing her in the afternoon was like being in heaven, it took away all of my worries”

    “This is the only woman who has ever understood me.”

    “She is the woman I have dreamed of being with my whole life.”

    “She will fix me.”

    You are a guy—can you be a love addict? There are many men who have thought these thoughts. There are many men who are dedicated to their wives, yet, seek love in the arms of other women. There are other men who do, do, do for their wives and their families without ever considering their own needs. It is very hard for a man to admit he is a love addict. But there are many men in the 12-step rooms of Love Addicts Anonymous or Sex and Love Addicts Anonymous that recognize they have a behavioral addiction: love addiction. People fall into love addiction because the behavior is transformative. In this case, feelings of love, romance and fantasy are a “fix” or a sedative for the negative feelings of anxiety, despair, self-doubt, rage, fear of abandonment, etc. The problem is that the fix doesn’t last. Just like any sedative, it wears off. All healthy relationships transverse from euphoria to loving. Along that trail you receive the knowledge that your partner is a separate person with faults as well as gifts. You don’t feel rebuffed by your lover, for being you. You know she loves you, warts and all. Or does she? Love addiction is built on relationships that form heightened feelings of anxiety instead of feelings of safety and nurturing. Have you ever felt your relationship has moved from feelings of euphoria to feelings of doubt, depression or anxiety in a nanosecond? A love addict will often think “I love you, but, please stop hurting me.” I say think, because very often these thoughts are stuffed down and never verbalized after the first or second comments were met with a disdainful response. The love addict will deny reality, search for a flicker of the early magic, and tolerate anything in order to obtain a sense of security from their partner. But that sense of security rarely is obtained. The love addict’s dependency on another person is characterized as maintaining the connection, approval or fantasized attachment to the other person. Occasionally, the term fantasy addict is heard in the “S” rooms. How often has a love addict, hurt and emotionally abused by their wife or girlfriend, retreated into the computer fantasy world of porn to seek what they are really looking for in their relationship? The love addict can live in the non-reality or fantasy that their lives are working, because they have the outward trappings of success (the house, clothes, cars, kids doing well). The denial of reality for the love addict is based on their fear of being abandoned, so the love addict makes up in his head that his miserable, love-less life is a small sacrifice as compared to him being alone.

    Accepting crumbs

    One of the greatest losses a male love addict experiences is his loss of self. The constant acting out in an unhealthy relationship results in an increasingly devalued view of self by the love addict, and an increasing idealized version of his love interest. There is an increased need to depend on the wife, partner, boss or friend as the stakes get higher. It is, at times, as if reality has become obscured. A businessman complains:

    “I think she is trying to trick me to slip up, so she can leave me.”

    “I will lie to avoid conflict.”

    “I can last a year on just one compliment.”

    The ability to trust is absent in addictive relationships. The pattern of these relationships involves more and more dependence, less and less fulfillment and many negative consequences that can border on abuse. The cost of being a love addict can affect any part of a man’s life, all of his relationships, family as well as in his career. If a love addict actually loses his “fix,” he suffers not only psychological devastation; but a physical feeling of withdrawal which could include sleeplessness, eating difficulties, disorientation, sweating, cramps, anxiety, and nausea.

    Can I recover?

    It is often from these intense feelings of withdrawal that recovery begins. It begins with the end of denial and the recognition that these feelings could be an addiction. Withdrawal involves the wish to change, even when that wish comes from loss and pain. Recovery is not about finding another person or reclaiming your former lover, but about reclaiming yourself. Recovery from love addiction most often necessitates seeking professional help to regulate your feelings, grow your acceptance of self, improve your self-esteem, heal your past wounds, to look at your dependency issues and to forgive yourself. You might want to consider attending a 12-step mutual support group such as: http://www.loveaddicts.org/ http://www.slaafws.org http://coda.org/ http://www.adultchildren.org/ To find a professional with counseling experience in love addiction go to The Society for the Advancement of Sexual Health (SASH) web site. SASH is a nonprofit organization dedicated to scholarship and training of professionals certified in sex and love addiction treatment. http://www.iitap.com/certification/addiction-professionals