Intervene

A blog for parents concerned about their teens alcohol and drug use




The CRAFT Approach: Encouraging Healthy, Constructive, Positive Changes for Your Family
Monday, June 17th, 2013

By Jeff Foote, Carrie Wilkens and Nicole Kosanke

“My son is using drugs and it’s wrecking our family. I’ve tried to talk to him, but he just gets mad and then we just stop talking. What should I do?”

We often receive this kind of call here at Center for Motivation & Change (CMC). It’s a terrible call because of the anguish involved. It’s also a wonderful call, because we have the tools needed to help. A call like this provides our CMC clinicians the opportunity to invite the family member to learn about CRAFT.

Community Reinforcement and Family Training, or CRAFT, is an approach for families who have a loved one struggling with substances but who is not really interested in making changes or getting help. CRAFT is about learning a different method to communicate with and support your loved one. It’s about taking care of yourself, while also learning how to interact with your loved one in a way that increases the likelihood of making a real change.

The old method – either help them, or help yourself by distancing yourself from them – was never a choice you should have to make. CRAFT teaches you a series of strategies such as:

• Understanding how to communicate positively (even when things aren’t going so well)
• Using positive reinforcement to focus on what is working, while allowing for the bad stuff they are doing to impact them
• Taking real steps and developing real awareness of what it means to take care of yourself, not as an afterthought, but as a priority for the whole family

Parents have been told a number of things that are neither helpful nor practical: “Let them hit bottom, they have to figure it out for themselves”; “There’s nothing you can do, helping them is enabling their use and means you are ‘co-dependent.’” These “tough love” messages are often excruciating for many parents.

The good news? You can help your loved one without taking those steps. CRAFT works to change your interactions with your loved one so that sober behavior is more rewarding to them than continued alcohol and drug use.

CRAFT is “menu-driven.” This means that different components and procedures are selected from the CRAFT “menu” based on the family’s particular needs. Where the treatment starts depends on the substance user’s behavior, severity and openness to change. It also depends on your emotional state, experience and history as a family.

CRAFT research (and our clinical experience) has demonstrated that by learning skills and understanding what motivates your child, positive change can occur. Evidence shows that positive outcomes occur at a much higher rate with the CRAFT approach than with other, more well-known approaches, such as either the 12-Step Anon programs or Intervention approaches.

Why? Probably because CRAFT is positive, aimed at encouraging healthy, constructive changes, and is focused on helping your child develop or re-develop a life. In addition, CRAFT is a behavioral approach, interested in changing behaviors (theirs and yours), not just talking about them. And as we mentioned, it is geared toward improving your life as well. Research studies repeatedly find that family members feel much better throughout the CRAFT process, whether or not their loved one ultimately gets into treatment. Best of all, using the CRAFT approach, the substance user in the family seeks treatment at a rate of about 65-75%, 2-3 times higher than interventions or Anon approaches.

CRAFT works. It may require work, practice, stumbles, practice and more practice. But CRAFT also teaches you that “you can help.”

Perhaps most importantly, the skills, strategies and insight you gain through CRAFT are built for the long haul: what you will learn now will remain applicable beyond your current situation; it’s not just useful when “trying to get him to say yes to treatment.” Saying yes matters, but what matters more are the changes you can make in your family, because these changes are the ones that provide the fuel for lasting change, not just for putting out the immediate fire.

The Center for Motivation & Change is a unique, NYC-based private group practice of dedicated clinicians and researchers providing non-ideological, evidence-based, effective treatment of addictive disorders and other compulsive behaviors. CMC’s treatment approach is informed by a strong commitment to both the humanity and the science of change, providing a unique, compelling, and inspiring environment in which to begin the process of change. Staffed by a group of experienced psychologists, CMC takes pride in their collective record of clinical research and administrative experience but most of all are driven by an optimism about people’s capacity to change and a commitment to the science of change.

 Learn more about CMC and read about our unique and effective approach to treating addictive disorders, and meet CMC’s directorial staff and clinical staff. To find more resources for families, please see our Parent’s 20 Minute Guide, and our Family Blog.  And to find out more about CRAFT, see our CRAFT Family Services page.

 

Posted by Center for Motivation and Change  /  Filed under Addiction, Alcohol, CRAFT, Dealing with an Addicted Child, Drugs, Family members, Finding Treatment, getting help, parenting  /  Comments: 0



Announcing a New Collaboration: Exploring Alternative Approaches to Dealing with a Loved One’s Addiction
Friday, June 14th, 2013

Forty percent of the calls that we receive on the Parent Helpline are from despairing moms and dads looking for a sensible answers to help them deal with their teenagers’ and young adults’ drug abuse and dependencies. By the time parents find their way to us, the “conversation” with their teen hasn’t worked, the abstinence contract has been broken, and they have heard all about “tough love,” “letting them hit bottom” and “enabling” — with enough gratuitous advice and ideological claptrap about how to “fix” the problem, that their heads are reeling.

Yet, their loved one’s drug problem continues to worsen, family difficulties deteriorate along with increased school failures and dropout, drunk and drugged driving, delinquency, and early pregnancy becoming all too common. And, while we all agree that there are no easy answers, the conventional wisdom, stubbornly insists on telling parents that emotional detachment is the holy grail of family recovery, the magic ingredient that they have missed out on – that as parents of addicts, to truly help their children, and in order to retain their own personal, physical, emotional and spiritual health, they must love their drug addicted child enough to let them suffer so that they can get better. Some parents, desperate for answers, try this with mixed results, but most parents that we talk to tell us that they wish that there had been another way.

But, finding another way isn’t always that simple. The treatment and recovery landscape can be described as being dominated by a singular approach that proposes that “denial” must first be broken before the afflicted individual can find the road to recovery.

But through the hundreds of phone calls we receive from parents who have been there, we have come to understand a few things about this. That is that:

• Active positive family involvement as opposed to detachment works better
• Motivational styles in reaching loved ones are more effective than confrontational styles
• Parents feel better about themselves when they encourage vs. confront
• Parents like motivational approaches better than confrontational ones
• Positive reinforcement works

It is for this reason, we are proud to announce a very special Intervene blog collaboration with The Center for Motivation and Change (CMC) to provide Intervene’s readers with an ongoing series of professionally written articles proposing alternatives to the traditional approach of dealing with a loved one’s addictive problems.

The cornerstone of CMC’s treatment approach is motivational, helping each client find a path toward change they can truly embrace. By providing the structure and tools to pursue that path, and through the use of respectful, flexible, evidence-based approaches, CMC addresses a range of issues to help each individual clear the often difficult obstacles to effective, life-enhancing, and long-lasting change.

Be on the lookout for CMC’s first post on Intervene – “The CRAFT Approach: Encouraging Healthy, Constructive, Positive Changes for Your Family” – coming soon!

Posted by Intervene Staff  /  Filed under Addiction, Alcohol, CRAFT, Dealing with an Addicted Child, Drugs, Enabling, Family members, Finding Treatment, getting help, parenting, Recovery, Substance Abuse  /  Comments: 0



From Discovery To Recovery: My Emotional Journey As The Parent Of An Addict
Thursday, June 6th, 2013


What’s it like being the parent of an addict? I’m not talking about the day-to-day experience with a crisis and drama around every corner. I mean what is it like inside the mind of a parent who has gone from discovery (of a child’s drug use) to recovery (from a drug addiction)? As I take stock of my current emotional state – examining all of the emotions I have felt over the last 10 years – I wonder: Am I normal? Am I a survivor? Am I crazy? Maybe I’m just a composite of these experiences and it’s simply who I am now.

***

After reflecting on the last 10 years, here is my emotional inventory:

Hurt: Hurt is one of the emotions that never fully dissipates. Usually I am able to put the hurt aside and shield myself. Occasionally, however, it jumps out at me. I have never hurt like I had while suffering through my son’s active addiction. For me, it is a hurt that even overshadows the death of a loved one. I spent a long time with this emotion. For many years I couldn’t separate the disease in my son from my son himself. His addiction was a personal affront and I held onto very deeply. The pain from this emotion took me to places I wish I never would have seen. This was the hardest to reconcile within myself. Hurt was the most destructive emotion for me and it drove my life.

Anger: Anger was my defense mechanism against the hurt. Anger moved me to do things that I am not proud of: scream and curse at my son, scream and curse at my wonderful wife — in fact, at times, I attacked anyone who was within reach. For the most part, my anger wasn’t physical. Rather, I sliced people to bits with words. But one day my anger drove me to my lowest point in life — I struck my son in anger. My son taught me a lesson, however. Even though he was high and addicted, he did not strike back. His respect for me at that time was greater than my respect for him. Of this, I am ashamed. “You have a right to be angry,” he would say. I have heard those words before. But they are empty. Anger comes with the territory. Our response to life with anger is something we must find a way to live with, while not destroying ourselves.

Suspicion: I always thought of myself as a trusting person. My whole philosophy in life was that I was too lazy to distrust somebody. After all, trusting is easy. To distrust, on the other hand, requires a tremendous amount of work and energy. Yet, suspicion makes distrust easier. You begin to see the evil in a person. It is easy to forget that the symptoms of a disease can mask the reality of a situation. It is easy to allow suspicion to drive your life and behaviors. I’m not talking about the things the parent of an addict must do to protect themselves and the addict. I talking about learning to see evil in a person, when evil is not the intent. This outlook leads to negative consequences for all involved.

Contempt: Contempt is the culmination of hurt, anger and suspicion. Contempt is a terrible thing for parents to hold against their own children. Contempt can easily slide to a place where there is no caring. I felt once that I was entering that place. I can’t go there; it is a one way door. Thankfully, I did not go through that passage. It is a bad, bad place.

Joy: Joy is that emotion we all want. When I think of joy the picture of Snoopy dancing on top of his doghouse comes to mind. Joy comes from many places -– but it is immediate and temporary. However joy is a fix that I craved. I’d twist reality in order to experience that feeling. Too often my desire for joy allowed me to ignore realities to the detriment of myself and my son.

Hope: Hope was the most dangerous of positive emotions. Hope set me up for terrible lows. I misunderstood hope for most of the time that my son was using. It was an emotion that I transferred to others. My hope was based upon the actions — or lack thereof — by others. I would pass out hope to people like business cards at a conference. I placed my hope in the hands of rehabs, meetings, counselors…anyone. I allowed others to both build up my hope and pull it out from underneath me. Yet, hope is an emotion that must be internalized; it isn’t a wish. Hope is an awareness of life and the tender nature of what impacted me. Where there is life there is hope; it was only after I understood that simple phrase that I understood what hope really was, rather than what I wanted it to be.

Happiness: Happiness is so much more than joy. Joy is fleeting, happiness is an internal state of being. Happiness can be found in all things. Happiness can be obvious: the birth of wonderful grandchildren; the sound of, “Papa come here.” But happiness can be born of heartache and pain, like the happiness I feel to have known my father for 27 years of my life. Happiness isn’t the smile or grin you see on my face, it is the feeling inside. The smile is simply a physical response.

Appreciation: Appreciation is the dominant feeling I have today. Appreciation isn’t a “thank you,” but rather, it is a recognition of what “is.” Appreciation is taking it all in-the good, the bad and the ugly. The simple process of writing this post is a process of appreciation for me. The horrible emotions and actions I described above are just as valuable in shaping my well being as the wonderful feelings I experience today while my son is in recovery. Appreciation ALLOWS me to learn from what I have experienced over these past 10 years. If I choose not to learn then what has been the worth of a decade of my life? I wish that I had never experienced any of this and that my son had never been an addict. If there was a time machine I’d be on it right now to change it all, but that can’t happen. Ignoring the bad and only recognizing the good discounts my life and make me less than. I want to be the best I can be. In order to do so, I must learn from my terrible mistakes.

Love: Love is so much more than what we whisper at night before falling asleep. Love is a life preserver in a storm; it is a foundation that holds you up; it is something that makes you better than what you can be alone. I learned more about love in the last 10 years than I had learned all my life before. Love comes not just from those whom are close to you, but also from those who have enough in their life that they wish to share. All you have to do is ACCEPT it.

***

As the parent of an addict, I have learned that we are not perfect. In fact, we shouldn’t even strive for perfection. Trying to be perfect causes terrible control issues (speaking from experience here). It’s a hard lesson, but we all must do what we are capable of doing at any one time. Self assessment and learning isn’t something we do, it is a process we work through.

I wish that I could live the rest of my life experiencing only the positive emotions. But I know that hurt, anger and suspicion will at some time again enter my life. That’s the way life is. Yet after experiencing the extreme emotions brought about by parenting an addict – and acknowledging them — I believe that I will be better able to cope with any negative feelings that arise.

Have any of you have experienced these same emotions? If you have, it is worth the reflection to examine what being the parent of an addict has done for you as much as it has done to you.

Maybe I’m normal, or maybe not. But no matter, quoting an old wise philosopher, Popeye the Sailor Man:

“I yam wot I yam. And that’s all wot I yam……”

Posted by Ron Grover  /  Filed under Acceptance, Addiction, Coping, Dealing with an Addicted Child, Drugs, Family members, Forgiveness, Hope, parenting, Recovery, Self-reflection  /  Comments: more



Renowned Psychiatrist Dr. John Sharp on Addiction, the Teen Brain and Early Intervention
Thursday, May 23rd, 2013

We’re thrilled to share the following video featuring Dr. John Sharp, a renowned psychiatrist, bestselling author and faculty member at both the Harvard Medical School and the David Geffen School of Medicine at UCLA.

In this video, shot by Clio award-winning director Lori Hoeft, Sharp discusses the genetics of addiction, the developing teen brain and the importance of early intervention.

Sharp encourages parents to take action early. “Your role is critical,” he says. “You can influence the behavior of your loved one. You want to continuously let him or her know how much you care and what your support can mean.”

Learn more about the teen brain and the steps you can take if you think or know your child is drinking or using drugs. For guidance, call our Toll-Free Parent Helpline at 1-855-DRUGFREE (1-855-378-4373) or visit Time To Get Help.

Want to hear more from Dr. John Sharp? Keep an eye out for his feature article on Join Together, coming out this summer.

Posted by Intervene Staff  /  Filed under Addiction, Confronting Teens, Dealing with an Addicted Child, Drugs, Family members, parenting, Uncategorized  /  Comments: more



Help Stop Urban Outfitters From Selling Products That Promote Medicine Abuse
Tuesday, May 21st, 2013

Earlier this month, The Partnership at Drugfree.org was alerted that Urban Outfitters, the national retail store popular with teens, is selling pint glasses, flasks and shot glasses made to look like prescription pill bottles. These products make light of prescription drug misuse and abuse, a dangerous behavior that is responsible for more deaths in the United States each year than heroin and cocaine combined.

In fact, medicine abuse has increased 33 percent over the past five years with one in four teens having misused or abused a prescription drug in their lifetime. Combined with alcohol, the misuse and abuse of prescription medications can be especially risky, making the Urban Outfitter merchandise even more disturbing.

Prescription drug abuse is no joke- it affects real people like Aaron, Mark, Chelsea, and their family and friends. Please join our fight in having Urban Outfitters remove these products from their shelves and website immediately.

Over the course of this past month, we have been working tirelessly to bring attention to this effort and have received an overwhelming amount of support from families, friends, government officials, strategic partners and the media. In fact,  we have collected nearly 4,000 signatures on our petition to stop Urban Outfitters from selling these items, surpassing our original goal of 500.

Gil Kerlikowske, Director of the Office of National Drug Control Policy; Congressman Hal Rogers (KY); Attorney General Jack Conway (KY); David Sheff, New York Times bestselling author; and Melissa Gilbert, The Partnership at Drugfree.org Celebrity Champion and actress, have joined our effort and sent letters or social media posts to the Urban Outfitters CEO to demand the items be removed. Hundreds of tweets have been sent to @UrbanOutfitters with similar demands. The culmination of these actions has generated significant media coverage from news outlets including ABC News, Associated Press, The Huffington Post, UPI and more. Together, we are making a real difference.

Despite all these actions, however, we still haven’t received a response from Urban Outfitters.

Tongue-in-cheek products that normalize and promote prescription drug abuse only serve to reinforce the misperception about the dangers associated with abusing medicine and put more teens at risk.

Please ask Urban Outfitters to remove these tasteless products from their stores now. Feel free to use the information above to help make your point.

Sign this Facebook Causes petition:
http://www.causes.com/drugfreeurbanoutfitters

You can also send an e-mail to:
Richard A. Hayne; CEO & Chairman
richard.hayne@urbanout.com

Write a letter:
Urban Outfitters, Inc.
5000 South Broad St
Philadelphia, PA 19112-1495

Join me and take action today!

What do you think about Urban Outfitter’s sale of these items? I’d love to hear from you, the Intervene community.

Posted by Candice  /  Filed under Addiction, Alcohol, Drugs, Medicine Abuse, Substance Abuse  /  Comments: 1



Finding Addiction Treatment for Your Child: A Q&A with Maia Szalavitz, Part II
Tuesday, April 9th, 2013


Recognizing that your child needs substance abuse treatment can be emotional and overwhelming; and you may feel that your child’s addiction has taken over your family’s life. Here, we present Part 2 of a 4-part series of my Q & A with award-winning journalist, Maia Szalvitz. Today, Ms. Szalavitz shares some advice on how parents can find the right addiction treatment for their teens and young adults — and what they should avoid.

JERRY OTERO: What do parents need to know about the differences between girls and boys when dealing with substance abuse issues?

MAIA SZALAVITZ: Mainly that everyone has individual needs and some of them relate to gender, like the fact that girls may be more likely to be depressed or that they may feel uncomfortable discussing issues of sexuality in mixed gender groups.  Mostly, it’s critical for everyone to be thoroughly evaluated before treatment is sought so that an independent assessment of these needs can be done by someone who doesn’t have a particular treatment in mind.  Note:  independent assessment should be done by a psychiatrist or psychologist, not an educational consultant who refers people to residential care.

JERRY OTERO: What should parents be cautious of when looking for the right treatment for their child? What about programs that “whip kids into shape?” And, is there a difference between boot camps and wilderness programs?

MAIA SZALAVITZ: Any treatment that wants to cut off or control communication between parent and child (outside of obvious abusive parents) for longer than a week or two should be viewed with extreme skepticism.  There is no therapeutic reason for this: love and support from family help treatment, they do not hinder it.

Any program that tells parents to expect bizarre complaints or reports of abuse and ignore them should be avoided.  A program that goes on about children being manipulative liars is not safe because health complaints will be ignored and this can and has been deadly.

Programs that require 12-step work for teens— admissions of addiction and powerlessness— are not the best; programs which suggest and support them are fine.

Programs that use physical punishment or restraint or isolation should be avoided; you can’t whip someone with heart disease into a cure, nor can you do this with addiction.

Wilderness programs are different from boot camps in that the harsh treatment takes place in the woods or wilds rather than in a more military style but both have had serious abuses and there is no evidence supporting the idea that they are better than safer alternatives.  If a child likes the woods, a voluntary Outward Bound program may be healing, but forcing someone into camping and hiking isn’t addiction treatment.  If a child goes to a wilderness camp for normal teens, he also will be believed when he has a health complaint — but in “troubled teen” programs the complaints are dismissed so callously that it has lead to dozens of deaths.  They’re also either unregulated or not well regulated.

JERRY OTERO: Thank you so much, for your insights, Maia.

Readers, for more information about adolescent and young-adult alcohol and other drug abuse treatment and how to find the most appropriate care for your child and family, download The Partnership at Drugfree.org’s Treatment e-book. This e-book will provide helpful and realistic information and advice to aid you in steering your child — and your family — toward recovery. Here, you will learn what alcohol and drug abuse treatment is, how to find the right type of treatment for your child, how to pay for treatment and the importance of taking care of yourself and your family.

Stay tuned next week for Part III of our Q&A“Changes in the Field, including Medication-Assisted Treatement”

Maia Szalavitz is a health writer at TIME.com and writes about addiction-related issues for The Fix.com . Find her on Twitter at @maiasz. She is co-author of Born for Love: Why Empathy is Essential — and Endangered, (Morrow, 2010), The Boy Who Was Raised as a Dog and Other Stories from a Child Psychiatrist’s Notebook: What Traumatized Children Can Teach Us About Loss, Love and Healing (Basic, 2007), and Recovery Options: The Complete Guide: How You and Your Loved Ones Can Understand and Treat Alcohol and Other Drug Problems (John S. Wiley, 2000) and the author of Help at Any Cost: How the Troubled-Teen Industry Cons Parents and Hurts Kids (Riverhead, 2006).

 

 

Posted by Jerry  /  Filed under 12-Step, Addiction, Assessment, Finding Treatment, getting help, Treatment, Uncategorized  /  Comments: more



The Language of Drug Addiction is Often Negative
Tuesday, October 11th, 2011

Tough LoveThe language of drug addiction is laced with many terms that seem to be designed to scare everyone. Many words and descriptors of addiction make me cringe “Hitting rock bottom,” is a term I have written about before. Another term that I have recently been exploring and considering is “Tough Love.”

Tough Love is harsh. For a parent to do what is necessary isn’t “tough love” it is REAL LOVE. Real love is letting your child sit in jail (protective custody) when for only a few dollars you could get him out and spare him from the confines of jail. (Only to find them using again within two hours.) Real love is telling your child he cannot live in your home as he continue to use drugs. Real love is when you see your addict hungry, dirty and homeless, and you buy him a meal, give him information of people who can help and encourage him to seek help and not offering to “fix it” for him. Real love is selfishly taking the time to work on yourself so that when your addict has a “profound experience” you ARE able to help in the right way instead of just falling back on old habits of enabling.

Addiction is a disease. When we see a parent sitting bedside of a child with cancer taking chemotherapy, holding his hand, wiping his head, combing his hair as is falls out, holding the pan as he gets sick, we admire that parent and comment how much they must love their child to be by his side. That parent doesn’t love their child any more than you or I. That parent is only doing what they can and must to help their child get better; just like we are doing when we practice tough love real love.

Real Love is why you are here reading these essays written by parents and professionals who have walked this path before you.

Tough love is easy, throw them out and leave them to the world.

What words in the world of addiction make you angry? Share with us below.

Related Links
Moving Away From Enabling
How a Child’s Own Reasons for Change Lead to the Most Success
Losing Your Mind Doesn’t Help Anyone

Posted by Ron Grover  /  Filed under Addiction, Dealing with an Addicted Child, Enabling, parenting, Taking Care of Yourself, Uncategorized  /  Comments: more



My Son’s Drug Addiction: What I Learned About Myself
Tuesday, August 30th, 2011

Father and SonWhen I learned my son was addicted to drugs, my focus was on him and his addiction. Like many parents, I felt that his addiction was every bit my problem as it was his. I tirelessly tried to fix his addiction.  After a few years of repeated behaviors and strong reactions, no one got better.

I didn’t know what I was doing wrong.

It wasn’t until I realized that I had so much to learn about myself and how I was reacting to this disease did I begin to feel better. I realized that my son’s sobriety was not within my ability to control. The extent of my authority over this disease ended at the tip of my nose.

“What have I learned?” I think this is the most important question a parent of a teen with an addiction can ask him- or herself. This self-reflective question emphasizes you, the parent, and not the child with the drug problem.

In the midst of crisis and drama, it is difficult to figure out what to do to support a loved one with an addiction. A parent cannot deal successfully with the chaos this disease brings if he or she is feeling fear and anger within.

True education occurs when we can sit quietly and reflect upon the events and look critically at our own role as a loving and supportive parent.

Without quiet contemplation and analysis of my own actions, a parent can fall into the same traps and reactions. After a long period of doing the same thing over and over again, you many begin questioning, ‘who is the crazy one in this picture?’

Working through the layers of actions and experiences to figure out what one has learned may or may not be a solitary exercise. Counselors, therapists, fellow loved ones of addicts can be brought in to help with this deliberation.

However, in the end, the decisions lie with you and how you choose to internalize the learning. Following that, you begin to realize the truism of the saying, “Nothing changes, if nothing changes.”

“What have I learned?” is a recurring theme throughout parenting a loved one with an addiction.

What have I learned through the years? A better question would be what have I learned, unlearned and re-learned? This disease is not one that lends itself to a standardized treatment regimen that guarantees recovery. In fact, recovery is actually a misnomer in that there is a new normal.

Read the rest of this entry »

Posted by Ron Grover  /  Filed under Addiction, Hope, parenting, Recovery, Self-reflection, Taking Care of Yourself  /  Comments: more



Teens Only Listen to One Person…Themselves: How a Child’s Own Reasons for Change Lead to the Most Success
Monday, August 22nd, 2011

Beautiful Teen Girl In Hospital Gown Crying

This guest post is by Dr. Michael Pantalon, author of “Instant Influence: How to Get Anyone to Do Anything–Fast” (Little, Brown and Company).

Imagine you are in the Emergency Department (ED) with your 16-year-old daughter who was brought in for her second episode of alcohol poisoning in six months.  The doctor is about to discharge her because, medically, she’s fine, but you know she’s going to go right back to heavy drinking, if you don’t do something.  You and your husband feel you’ve tried everything to help your daughter, but you also believe that there has to be some way to take advantage of this dire emergency to motivate her to get into treatment and to stop drinking.

I’ve seen hundreds of families in this very situation and their dilemma is always the same: they all want to influence their child to get on a better path, but they don’t know that there is a quick, easy and scientifically-proven way of getting the job done.  The approach I’m referring to is called “Instant Influence.”  It’s based on Motivational Interviewing, which in its briefest form, has been shown to reduce substance use among adolescents and young adults seen in the ED, as well as, my 20 years of experience motivating some of the most resistant to change substance abusing children and adults in a wide variety of settings.

People tend to only listen to one person — themselves.  And, as a result, they’re only influenced by one person …again — themselves.  So, as frustrating as this may be for a parent who would like to sternly say, “You have to stop!” and to have that be enough, the real trick to motivating someone is to get them to convince themselves to make a change for their own good reasons.

But how do you do this?  How might the mom in the example above motivate her daughter to finally accept treatment for her drinking problem?

The two most important things to do are:

1)    STOP trying to motivate your child by telling her about your feelings, thoughts or reasons for change, such as, “You’re worrying me to death!” “I think you HAVE to go to rehab right from the hospital” or “The best reason for you to stop drinking is for your health.”

2)    START asking your child questions that are specially-designed to evoke her own good reasons for change.

To help you remember what things you should vs. should NOT say, I’ve devised two simple lists for parents to follow:

DON’T…

Express your anger. Of course, as a parent, you are feeling angry, but expressing it doesn’t motivate your daughter.  Your anger is very likely legitimate, but if we stick to the idea that kids change when they hear themselves argue in favor of the change, yelling will NOT evoke such reasons – it may even make it harder for her to come up with good reasons to change.

Blame. It’s not a time to figure out who’s responsible for allowing the situation to get so bad, but instead, to garner some motivation to move forward with a better plan.

Confront her with admonitions to stop. Of course she knows you want her to stop drinking!  She doesn’t need to hear that, nor will it be motivating.  I know it feels almost irresponsible NOT to say that she HAS to stop drinking, but because of “reverse psychology,” it could be demotivating.

Read the rest of this entry »

Posted by Michael Pantalon, PhD  /  Filed under Addiction, Alcohol, getting help, Motivational Interviewing, tough love, Treatment  /  Comments: more



6 Things My Husband and I Did to Save Our Marriage
Tuesday, July 5th, 2011

Save your marriageMiraculously, my husband Matt and I have been married for 26 years.  We are raising the last of our 4 kids together and our marriage has survived some significant hits through the years.

In our early years, there was a physical injury that resulted in the loss of Matt’s career and financial calamity, we lost a baby due to a second trimester miscarriage, we have both lost our fathers in their old age and we have faced the disease of addiction as it insidiously wound its way through our family unit.

Dealing with our daughter’s addiction was by far the most difficult and the most painful thing we have had to navigate together as a couple. In our early years, we were both sort of shell shocked and in my mind I can see the two of us just standing there with our mouths open, asking each other, “What just happened?”  It was not good. Neither one of us could believe that one of our kids, to whom we had devoted our adult lives, would have, or could have, headed off in this direction.  We lived in denial for a long time.

There was a lot of frantic hand wringing and tears, as we tried to figure out what to do.  What was normal experimentation and what was really a problem? Our biggest obstacle was that we were not in agreement on how to handle anything. I was devastated and showed it through my endless crying and obsessing. Matt was trying to calm me down so I wasn’t a hindrance to the process of trying to figure out how big of a problem this really was and how we should proceed.

Eventually, after several years and many Al-anon meetings, we were able to build a cohesive team who can now face, at least on most days, the challenges that life brings to us in a healthier and more constructive fashion.

Here are some of the things we learned:

1.) Accept Each Other. We have to learn how to accept each other as we are. This means understanding that we are doing the very best we know how to do, and most of all, that our goals are the same and we have different ways of coping — to keep our daughter alive long enough to find a healthy recovery. It set us both free to process our thoughts with each other without the fear of criticism or verbal attack. After we accepted each other, we began to acknowledge that we are a team and no one on earth has our child’s best interest at heart the way the two of us do.

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Posted by Annette  /  Filed under Acceptance, Addiction, Dealing with an Addicted Child, Denial, Family members, getting help, Marriage, Shame  /  Comments: more






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