This video provides a brief overview of diagnosing and treating substance use disorders. It was originally created for a training I conducted for mental health trainees and interns.
This video provides a brief overview of diagnosing and treating substance use disorders. It was originally created for a training I conducted for mental health trainees and interns.
Guest post by Jennifer Scott
When you’re newly sober, it feels like you’ll never be able to head to the beach again. In a culture where alcohol is advertised as an intrinsic part of getting away, from enjoying a cold one on the beach to sipping a martini in a resort pool, it’s hard to mentally separate drinking from the beach experience.
Despite the media’s depictions, it is completely possible to plan a sober beach vacation that’s just as fun as the trips you took before recovery. In fact, you’ll probably find that when you’re traveling clean, you’re more present and able to make the most of each getaway. Not sure where to start? These tips presented by counselorssoapbox for planning the beach vacation of your dreams, minus the drugs and alcohol.
Heading to an uncommon beach destination is a great way to forgo temptation and crowds. Instead of heading to the usual spots, pick a more secluded neighbor. For example, Alabama beaches are less busy than nearby Florida but just as beautiful. However, it’s possible to steer clear of the party scene on even the most popular beaches like those in San Diego, Tulum, Mexico, or Turks and Caicos. Instead of taking the usual route of all-inclusive resorts and nightclubs, you can hit the beach during the day, see live performances at night, and stay in a vacation rental to escape from the action
If you’re accustomed to beach vacations that are all about lounging on the beach, drink in hand, it might be hard to visualize the beach without the booze. Rather than trying to eliminate alcohol from your old routine, create new beach traditions that keep drugs and alcohol out of the picture entirely. Learn how to scuba dive, take a stand-up paddleboarding lesson, or head out on a dolphin-watching ship and you’ll be too entertained to think about using.
Tell your traveling companions about your sobriety. Friends who have your back can be the difference between resisting temptation and slipping up, so you should rethink any vacation with a known bad influence. When your friends know about your recovery journey, they can be supportive in the weak moments and help select activities that aren’t centered on drugs or alcohol. While you may not want to explain your sobriety to friendly strangers, it’s wise to have a plan for how you’ll decline drinks. Keep a white lie handy or practice saying “No, thanks,” as a complete sentence.
Maybe you’re at a point in your recovery where you don’t feel tempted when friends or family drink around you, but you don’t feel completely comfortable either. It’s normal to feel left out when your companions drink and you don’t, but there are other ways to stay involved. When everyone else has a drink in hand and you don’t, take the opportunity to become the vacation photographer. Capture landmarks, choreograph silly poses and snap candid shots. Everyone will love having pictures of the trip, and you’ll feel included without having a drop.
You’re bound to face different encounters that can be triggering. With this in mind, have a plan of attack. Before sobriety, you might have gotten so upset that you felt the need to go for a few drinks. Now, you can set your mind up for potential mishaps and have a way to manage them. For example, if you’re heading to a beach in Mexico, have an emergency plan in the event that you lose your wallet or purse. Stash extra cash and copies of your passport in a hotel safe, but also familiarize yourself with how to get money in a pinch. Friends and family can quickly send you money through a remittance service like Remitly, which offers fast and secure money transfers. Plus, you can pick up your cash at one of 40,000 locations in the country.
Forgoing sleep and food will only weaken your resolve in the face of temptation, so resist the urge to jam-pack your vacation itinerary. Give yourself plenty of time to rest each night and stick to healthy choices for most meals. Try to retain your normal routine as much as possible; if your sobriety routine includes morning jogs and 12-step meetings, so should your vacation schedule.
Vacationing sober is all about overhauling your travel habits. Yes, that may mean that days of lounging aimlessly on the beach are a thing of the past. But when you can have a vacation that’s filled with fun activities in beautiful destinations, that’s both memorable and will be remembered, what could be better than that?
Is nicotine a stimulant or a depressant? Video
A counselorssoapbox.com video by David Joel Miller, LMFT, LPCC.
Some people describe smoking as stimulating, others report that a cigarette calms them down. Is the nicotine in tobacco a stimulant or a depressant? This video examines why people sometimes experience tobacco as a stimulant and at other times as a depressant.
Part of the drug treatment field involves efforts to prevent drug use disorders or to reduce their impact. Counselors need to be knowledgeable about drug education, and the various types of prevention initiatives. Drug prevention includes primary prevention, secondary prevention, and tertiary prevention. There are three basic prevention models around which programs are built, the sociocultural model, the disruption of consumption model, and the prescriptive model. It’s important that drug prevention programs not end up being advertising for drugs. Prevention may include drug resistance training and life skills training. Other prevention initiatives include social host ordinances, worksite prevention programs (EAP) establishing college drinking norms, and harm reduction.
By David Joel Miller, MS, Licensed Therapist & Licensed Counselor.
Today is Veterans Day in the United States. Various countries will celebrate their military veterans on other days.
On each of those veteran’s days, there will be parades and speeches and sometimes a lot of saber-rattling on the part of politicians.
It’s appropriate for people who served in the military to be honored today. Some will march in parades, and some will be honored with flags placed on their graves.
What we shouldn’t do is forget about these veterans the other 364 days of the year.
The list of wars America has fought continues to grow. They used to be periods of peace between our wars, and we tried to believe that future generations wouldn’t have to fight. Unfortunately, across my lifespan, the periods of peace have grown shorter. We have reached the point where Americans have been fighting somewhere in the world continuously for the longest time in American history.
Many of the physical wounds of war today’s soldiers endure, traumatic brain injury, for example, are much more common today than they were in the past. It’s fashionable to spend money and manpower to win a war. It is a much lower priority to spend money and effort caring for the wounded warriors of America’s many conflicts across the remainder of these veteran’s lifespan.
PTSD and other psychological injuries are more common among today’s veterans than they were in past generations. At least that’s what the statistics tell us. It’s very likely that many cases of PTSD went unrecognized or underrecognized among veterans of World War II and Vietnam. It’s also probable that the more protracted wars, more frequent deployments, and the changing nature of warfare has made PTSD more common than it was before.
Politicians are far too willing to appropriate funds for new weapon systems to fight wars then they are to provide adequate resources for treatment and housing of those who have made the sacrifices to fight those wars.
Medical facilities, particularly the VA, see many patients who are former military and whose medical issues have been caused by or made worse by, untreated alcoholism or drug abuse.
Substance abuse treatment facilities encounter a significant number of former military personnel who have struggled with alcoholism and drug addiction during and after the military service. For some former military personnel, drugs and alcohol have been their way of coping with the traumatic experiences they encounter during their military career.
However you celebrate Veterans Day, I hope during the day of parades, speeches, and ceremonies you don’t lose sight of the long-term personal costs borne by those who served their country, their families and friends, and the rest of our society.
Next week’s post will pick up where we left off in the series of posts about what drug counselors do on the job and the core functions of substance use disorder counselors.
Staying connected with David Joel Miller
Seven David Joel Miller Books are available now!
My newest book is now available. It was my opportunity to try on a new genre. I’ve been working on this book for several years, but now seem like the right time to publish it.
Story Bureau is a thrilling Dystopian Post-Apocalyptic adventure in the Surviving the Apocalypse series.
Baldwin struggles to survive life in a post-apocalyptic world where the government controls everything.
As society collapses and his family gets plunged into poverty, Baldwin takes a job in the capital city, working for a government agency called the Story Bureau. He discovers the Story Bureau is not a benign news outlet but a sinister government plot to manipulate society.
Bumps on the Road of Life. Whether you struggle with anxiety, depression, low motivation, or addiction, you can recover. Bumps on the Road of Life is the story of how people get off track and how to get your life out of the ditch.
Dark Family Secrets: Doris wants to get her life back, but small-town prejudice could shatter her dreams.
Casino Robbery Arthur Mitchell escapes the trauma of watching his girlfriend die. But the killers know he’s a witness and want him dead.
Planned Accidents The second Arthur Mitchell and Plutus mystery.
Letters from the Dead: The third in the Arthur Mitchell mystery series.
What would you do if you found a letter to a detective describing a crime and you knew the writer and detective were dead, and you could be next?
Sasquatch. Three things about us, you should know. One, we have seen the past. Two, we’re trapped there. Three, I don’t know if we’ll ever get back to our own time.
For these and my upcoming books; please visit my Author Page – David Joel Miller
Want the latest blog posts as they publish? Subscribe to this blog.
For videos, see: Counselorssoapbox YouTube Video Channel
By David Joel Miller, MS, Licensed Therapist & Licensed Counselor.
This old joke has been applied to drinking, smoking, and gambling, and has been attributed to Mark Twain, W.C. Fields, and others. It still rings true. While many people try to quit, relatively few stay quit. For most people who use substances, that use has become a habit, and under times of stress, good or bad stress, humans tend to revert to their usual default behaviors. For recovery skills to work, they need to be over practiced until they become automatic.
Three factors are involved in a return to using substances or to behaviors like gambling. We often call this return to old behavior relapse. Triggers are events or feelings which place the idea of using back into your consciousness. Urges are strong desires or impulses. Cravings are those intense feelings driving you towards a return to active use.
You may have heard the saying, “relapse begins in the mind,” which is sometimes referred to as stinking thinking. There has been a tendency recently to blame addiction or alcoholism on the substance. Certain drugs may have more severe withdrawal symptoms than others, but addiction is more complicated than merely getting the drug out of the body. Many people go through detox and then go without the drug for a long enough time. That the drug is no longer in their system, yet they still relapse. Without long-term treatment, most people, who go through detox, eventually returned to using the drug of choice. Sometimes this relapse happens after months or even years of being clean and sober.
Many people with a drug or alcohol problem try the approach of cutting down. Instead of finishing off a six-pack of beer each night, they try to limit themselves to two or three beers. Trying to control your use rarely works over an extended period. If your drinking or drug use has reached the point where you need to cut down, you’re far down the path to addiction.
Using alcohol and drugs instrumentally, to celebrate, to cope with emotions, is a dangerous path. Very few people stay “cut down” for very long. If you’re drinking or using, even a little, you’re at high risk to end up with a substance use disorder again.
Normal people don’t try to control their use of drugs and alcohol. If you are doing something enough that you need to cut down, that activity has become a problem. Loss of control is one of the characteristics of the disease of addiction.
Over time, as you use substances, you build tolerance, meaning it takes more and more of the substance to produce the same effect, or if you use the same amount you get less and less effects. Where you used to get a buzz on after one or two beers now, you need six.
When an addicting substance leaves the body, you will develop withdrawal symptoms. Even relatively mild substances such as caffeine have withdrawal effects. Go a couple of days without your coffee, and you will probably have headaches and be irritable. Withdrawal symptoms can be either physical or psychological, such as irritability or depression.
When you are deprived of your addicting substance, you’re likely to experience cravings. Giving in to those cravings reinforces addiction. Every time you give in to the cravings, the addiction grows stronger. The challenge in quitting is to go without the substance long enough for the cravings to subside.
If you’ve developed a problem with a substance, consider seeking help. Without help quitting and staying quit is a challenging task.
Staying connected with David Joel Miller
Seven David Joel Miller Books are available now!
My newest book is now available. It was my opportunity to try on a new genre. I’ve been working on this book for several years, but now seem like the right time to publish it.
Story Bureau is a thrilling Dystopian Post-Apocalyptic adventure in the Surviving the Apocalypse series.
Baldwin struggles to survive life in a post-apocalyptic world where the government controls everything.
As society collapses and his family gets plunged into poverty, Baldwin takes a job in the capital city, working for a government agency called the Story Bureau. He discovers the Story Bureau is not a benign news outlet but a sinister government plot to manipulate society.
Bumps on the Road of Life. Whether you struggle with anxiety, depression, low motivation, or addiction, you can recover. Bumps on the Road of Life is the story of how people get off track and how to get your life out of the ditch.
Dark Family Secrets: Doris wants to get her life back, but small-town prejudice could shatter her dreams.
Casino Robbery Arthur Mitchell escapes the trauma of watching his girlfriend die. But the killers know he’s a witness and want him dead.
Planned Accidents The second Arthur Mitchell and Plutus mystery.
Letters from the Dead: The third in the Arthur Mitchell mystery series.
What would you do if you found a letter to a detective describing a crime and you knew the writer and detective were dead, and you could be next?
Sasquatch. Three things about us, you should know. One, we have seen the past. Two, we’re trapped there. Three, I don’t know if we’ll ever get back to our own time.
For these and my upcoming books; please visit my Author Page – David Joel Miller
Want the latest blog posts as they publish? Subscribe to this blog.
For videos, see: Counselorssoapbox YouTube Video Channel