The Addicts World: Making Sense of It.
The addicted person's world seems strange, twisted and illogical to the outsider. I will not disagree that from a non-addicted person's rational view this is all true. But to the using person, almost everything they do makes perfect sense, according to THEIR logic and circumstances. The key word here is THEIR logic. If you try to figure it out using your brand of logic you will fail, but if you use THEIR logic you will break through to a new world of understanding.
Lets break the logic down into different small sections so it is easier to understand.
Much of the isolation, secretiveness, lying, change in friends and lack of communication is best explained by one simple, logical fact - DRUG USE IS ILLEGAL!!! Illegal activities require that you not tell others, or only hang around with those who cannot tell on you because they are doing the same thing. How many people would you tell about a crime you commit regularly? You might even be forced to lie about it to cover your crime and protect your using. Lying is not about lying, it is about protecting use! Drug use requires isolation, reduced communication and fosters a change in friends. The user often needs to be away from you so they can use or obtain the drug. They are also pulled towards using friends as a source of drugs, or as a source of customers if they are dealing. Using friends appreciate and support the drug-using lifestyle, so the user will tend to spend more time with them than the family who opposes their using. Would you want to spend a lot of time with someone who hated what you do for work and tells you that you are wasting your life doing it? When you add to this picture the shame and loss of self-respect the user may be experiencing, the isolation becomes even more understandable. The user often is dealing with a lot of shame and damaged self-esteem due to the lying, stealing, hiding, sneaking and loss of trust required by addict's usage.
Depression, loss of motivation and personality changes are also common/classic. This makes perfect sense from a using perspective because - MANY OF THE DRUGS USED ARE DEPRESSANTS!!! How could you not be depressed when you regularly consume depressants? Alcohol, marijuana ("pot"), barbiturates ("downers"), opiates (heroin, codeine), and tranquilizers are all depressants. All of these stay in your system for several days or weeks after use (except alcohol), so even when they haven't used today or this week they are still under the drugs influence.
Marijuana is an excellent example. Although often mistakenly thought of as a "mild" or "experimental" drug it is actually 5 to 15 times stronger than the pot from the 60's and 70's. Marijuana stays in the system for 7 days per dose ("joint"), and is detected in heavy users for up to 28-30 days after use is discontinued. Marijuana causes what is called "Anti-Motivational Syndrome," a severe drop in motivation and depression due to its depressant effects.
The person who uses these drugs generally finds themselves lacking motivation, and this strikes many areas. They may lack the motivation to go to school, do homework, participate in sports/activities, do chores around the house, family events, get up in the morning, to perform well at work, to shower, change clothes, or to carry on a real conversation. The lack of motivation and depression can become synergistic, as they "practice" being unmotivated and depressed they get better at it and come to accept it as their natural state. This thought of being depressed/unmotivated is enhanced by being around using friends who are probably experiencing the same lows and reinforce this state as normal of "everyone."
Arguments are going to occur with any using person. For one thing, they are likely experiencing some of the difficulties detailed above and are probably quite irritable, ashamed and self-absorbed. They may also be suffering from withdrawal, which can cause irritability, sleep disorders, paranoia and physical complaints (to name a few).
ARGUMENTS OFTEN OCCUR BECAUSE OF THE NEED TO USE! You will immediately get into an argument with a using person if you get between them and their using. Addicts feel they need to use to live!!! You would give someone the same resistance if they kept you away from food, water or air for too long! Addicts confuse using with survival - they don't feel they can live without their drug of choice. These people are craving and hurting for their drug and it is very real.
Arguments can also be used as a defense mechanism to help them get their way and have you back off. If you get an emotional outburst that seems a bit much for the situation, you are experiencing this strategy at work. Addicts use variations on this theme, some will use crying to get their way, guilt, divert attention onto someone else, or use bargaining. The goal is the same: to safeguard using or to avoid responsibility for their actions.
Lack of responsibility. More needs to be said about this feature of using. Addicts hate responsibility, it is part of the reason they use. DRUGS ARE OFTEN USED TO AVOID PAINFUL FEELINGS! Job or school too much to deal with? SMOKE UP! YOU'LL FEEL BETTER! Get a DWI recently? GET DRUNK WITH FRIENDS AND TELL THEM HOW THE COP WAS OUT TO GET YOU! Parents, teachers, boss or spouse getting to be a hassle? SNORT A LINE - YOU'LL FEEL BETTER! It is a vicious cycle where drugs are used to avoid the pain caused by the drugs themselves. During this whole process of avoidance they avoid something else...THEMSELVES. It has often been said that when a addict starts using they stop growing. This is quite true, although I do not hold that all growth stops, obviously some does occur. The mental age does slow considerably and maturity can even reverse in some. The simple fact is that no growth occurs while you are high or stoned or intoxicated. Addicts use drugs to avoid feelings because it works! It also causes them to avoid growth and responsibility. Addicts need to avoid blame and responsibility for their actions so that they can justify their using and feel as if they can live with themselves. Addicts would find their lives unbearable if they internalized all the guilt, shame and remorse their using has caused them.
ADDICTION WORKS BECAUSE DRUGS HAVE A LOT GOING FOR THEM! From both a pain and pleasure view point drugs have a lot going for them. First of all, drugs provide lots of pleasure, no question, drugs work! They also work every time and quickly. There is peer-pressure to use them and they become a pleasant part of the social environment. This is very much like when you relax over a cup of coffee or a glass of wine with a good friend (two other drugs). As we discussed earlier, drugs can help you avoid painful emotions and problems (for while). Conversely, not using the drug can cause painful withdrawal, insecurity, a loss of life-style, self-image and friends. You would also lose your main coping mechanism if you quit drugs - How would you deal with life?
To the addict using drugs means MASSIVE PLEASURE and quitting means MASSIVE PAIN! This is why an addict needs to have a lot of MASSIVE PAIN in their life that they can directly relate to their using in order to quit, otherwise the benefits don't match the loss, so why do it?
ADDICTION HAS A SELF-PRESERVATION MECHANISM NEARLY AS STRONG AS YOUR INSTINCTIVE SELF-PRESERVATION MECHANISM!!! Addiction can and will protect itself!!! Rational Recovery calls this addictive self-preservation mechanism "THE BEAST!" That's as good a description as I've ever heard of this process. The Beast tells the addict about all the pleasure using will provide, why they need it badly, why they deserve it, and why everybody who tells them to quit is wrong. The Beast also tells the addict about all the pain they will experience if they quit, how scary it would be, how alone they would be, and why they would fail if they even tried to quit. The Beast will use any means available to maintain its existence, ANY MEANS!!! This is why we must often use any means available to get our loved one's off drugs - even if they are difficult or seem hurtful. In growth, there is most often pain.
*SPECIAL NOTE!!!! It is best to THINK OF ADDICTION AS A SEPARATE ENTITY FROM THE LOVED ONE!!! This concept is clearly demonstrated in the disease model of addiction. You would not blame a cancer patient for having cancer. You would not think that a cancer patient WAS cancer. The person and the addiction are separate, but co-exist in the person.
Often it is helpful to imagine a large bandage on the forehead of the addicted person - to remind you that they are ill and the illness is often directing their actions and impairing their judgment. This is very similar to a patient with a head injury.
It is okay to LOVE THE PERSON, BUT HATE THE ADDICTION. It is possible to hate the addiction and battle it, while still loving and caring for the person. This is much of what is taught at Al-Anon and ToughLove meetings and is a strategy for helping the addicted person. Addicted people are NOT "bad people trying to get good," but rather are "sick people trying to get well."
Addiction is a very powerful illness, but it is also one of the most treatable. Motivation is the key. When the individual becomes sufficiently motivated to seek help and apply sustained efforts, recovery occurs. The A.A. Big Book says "Remember that we deal with alcohol (and other drugs) - cunning, baffling and powerful." This is an extremely confusing illness and it takes a lot of help and education to understand it - make use of all the resources you can.
This is of course only a partial insight into some of the more commonly perplexing features of addiction, but I hope it has been helpful. Below are a list of groups that will provide support, education, insight, understanding and resources.
Al-Anon Family Support Groups 1-800-344-2666
Nar-Anon Family Support Group 1-213-547-5800
ToughLove International 1-800-333-1069
A.A. (Ask for OPEN meetings)
Keene Area 357-4300
Concord Area 228-2558
Writer:
Paul J. Cline MA CAGS LMHC LADC
Owner of Advanced Counseling Services, Keene, NH (603) 357-1708
* Specializing in Addiction Treatment