Archives for Treatments

Coping with Depression

Four reasons to exercise when you have depression

Shortly before my depression snapped me in half, I went to a spin class at the gym. Of all the exercise I have done - and I have done a lot - spin is the most intense aerobic workouts.

An hour of riding a stationary bike -mostly at your maximum heart rate - and my body is toast. However, my brain is on a pink cloud - awash in endorphins.

But on that day, the endorphins did not...
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Addiction treatment: Here’s the prescription for relapse

I met yet another addict who is taking benzos prescribed by a doctor who knew this woman is an addict trying to stay clean.

WTH? (I would like to say WTF? but I'm a lady.)

This addict said the doctor who prescribed her Klonopin and Ativan knows she is in recovery. In fact, he's the doctor who treats clients in her intensive outpatient program. (Again, WTH?)

I have two problems with this common scenario:

Doctors who prescribe benzos to patients...
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Chiropractic care for physical and mental health

My insurance company wants to know why I have been to the chiropractor so much recently. The company has asked my chiropractor for an explanation.

I've got an explanation: My back hurts. I did not injure it. I was not in a car accident. I'm 56-years old and sometimes it just goes out of whack. But here is the main reason I've been seeing my chiropractor so much. I am a recovered alcoholic and I have bipolar II.

You see, I can't and don't want to take muscle relaxers. I might abuse them. I don't want a shot of some steroid because if you take the pain away without correcting the problem, I will go back to my usual exercise routine and very likely hurt myself.

Exercise is a critical component of maintaining my mental health. It's not just the endorphins, it's the way I feel - energized, strong, capable. It builds my self-esteem and gives me confidence. It's the camaraderie and fun I have at the gym. It's my tribe.
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Drug treatment: How many times will you go to go to rehab before you realize it isn’t working?

This is going to make some people mad. I'm going to say it anyway.

Why do addicts and alcoholics go to rehab over and over and over if it doesn't work for them? If you had cancer and you did 10 rounds of treatments and they weren't working, would you keep going?

I know you are going to say relapse is part of the disease. But if you relapse over and over and over and over, why go back to the same treatment? At a certain point you have to stop blaming the disease for your relapse and realize the treatment you are doing for your disease simply isn't working.

Stop going to rehab. Stop paying tens of thousands of dollars for a treatment protocol that isn't working for you. I'm not saying that rehabs don't work. They do - for some addicts and alcoholics. Treatment will work for the highly motivated addict or alcoholic who won't be distracted by the cushy, resort-like facilities that offer massages, tai chi, golf "therapy" and meditation on a Florida beach.

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Why can’t we understand the link between teens, drugs and depression?

I just read an article that suggested teens with mental illnesses should be screened for substance abuse.

To which my inner teen said, "D'uh!"

The article also suggested that treatment for  SUD and MI in teens should be integrated and not on parallel tracks.

"Double D'uh!"

I can't believe that articles like this still are written. Did we learn nothing from Curt Cobain?

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How my depression nearly killed my sobriety

This month I celebrate 17 years of sobriety. Let me say that again. This month I celebrate 17 years of sobriety.

I can't believe I just said that because it seems so impossible and sounds so weird coming from my mouth.

17 years.

How the heck did that happen?

One day at a time. I also followed suggestions, especially from a doctor friend who told me about 12 years ago that I was in a major depression and needed antidepressants.
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Coping with Depression

Should I let a lovely day at the beach ruin my mental health?

I have a rash and it is messing with my head.

I have had this rash for three weeks now. Two trips to the dermatologist and a biopsy and still, its cause is unknown. It is definitely an allergic reaction but to what, no one knows. My diet, soaps, lotions, animals in my life have not changed.

Obviously, this rash is frustrating. Constant itching, little bumps and more itching. I have tried every anti-itch cream on the market and everyone's home remedies.

But here is the real problem with this rash - it has forced me to take and perhaps take away the medication I need to protect my mental health.
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Government scrubs substance-abuse data but doesn’t tell researchers

What if the government decided to withhold the data it gathers on an insidious mental illness that affects nearly one in ten Americans and did not bother to tell researchers it had done so?

It happened. The data are collected by the Centers for Medicare and Medicaid Services. The mental illness - substance abuse.

The New England Journal of Medicine exposed these shenanigans and explained the consequences in an article published in April: Protection or Harm? Suppressing Substance-Use Data, by Austin B. Frakt and Nicholas Bagley. According to the authors, the CMS began to withhold from its data sets, called the Research Identifiable Files, any Medicare or Medicaid claim with a substance abuse diagnosis.

Why? Patient privacy concerns. Why didn't the CMS tell researchers? Good question.
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My closet filled with little boxes of bad deeds

In my mind there is a closet. It has one shelf and I must stand on my tip-toes to reach the little brown boxes on it.

I don’t reach for those boxes often because what is in those boxes scares the hell out of me. Each box contains a memory of an event that I wish had never happened or that I pray never will happen.

I only pull one of those boxes down and unwrap it when I know I need to. One box hold the memory of a car accident I had while drinking more than 30 years ago. I wrapped a 1972 Gran Torino – a massive vehicle – around a telephone pole.
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