Addiction to Alcohol/Please help...

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Question
Hello, this question is about my brother, he is 38 years old and is addicted to alcohol,marijuana,and cocaine. He's been an addict for about 20 yrs now. When he was 19 yrs old he was shot in the back of his head with a shotgun that left him blind in both eyes. He has been in and out of rehab numerous times but always relapses, and when he's high and/or drunk he becomes very violent and abusive, our parents are in their late sixties and dealing with his drama for years now and we've just grown tired of his abuse and how bad he treats our parents, we have tried helping him in every way we can think of but he just doesn't want it. I have heard of places that will take a person like my brother against their will to get treated and won't have any contact with anyone not even his family. Is there such a place? We're in desperate need of help, please let me know and your thoughts as well, it will be very much appreciated. Thank you.

Answer

Hello to you -

I don't have a lot of time to respond to your query as my wife is recovering from Cancer, but I did want to make sure I gave you some sort of response.    In California they have what is called a 5150 law (you might have already tried that) but here is the link:  http://en.wikipedia.org/wiki/5150_(Involuntary_psychiatric_hold)

I would also invite you to explore anti-craving medications.  My sense is that addiction is largely biochemical and that relapse is largely the result of cravings.  Check out Naltrexone, Campral, Revia, or Vivitrol - I like Vivitrol as it is a once-monthly injectable.   Most of my clients use some sort of anti-craving med.  For folks addicted to Cocaine or Meth I suggest you explore Prazosin.  Th drug was normed on people who have night terrors, but one of the side benefits for addicts is that it alleviates cravings and allows people time to develop supports that allows them to develop ease in their recovery.

I am so sorry I couldn't give you more time.


Todd
http://www.askanaddictioncounselor.com     this is a link to my site which includes bog posts and podcasts.  

Addiction to Alcohol

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Todd

Expertise

I sense it's important to let you know (upfront) that I don't have a 12-step orientation. I also want to let you know that this system won't allow us to make paragraphs, so I am using ** to separate my thoughts into paragraphs I can answer questions related to getting/staying sober, queries related to support for loved ones, questions on support groups, relapse prevention, communication skills, alcohol and drug pharmacology, spirituality, and finding ways to increase joy within sobriety. I see sobriety as a skill, understand that recovery looks different for everybody, and encourage people to find a sobriety mentor. **It has been my experience that in 12-step groups many people are seen to fail under the guise of a lack of willingness. When I used to attend meetings I'd see many people who were shamed and bullied over various medications they needed to take...telling people they can't take various medications is akin to playing God. I have yet to understand how taking MH meds is any different than taking any other medication which you need to thrive and support your health. **As there is so much shame, stigma, myths, and misinformation in this culture around CD (many of my clients will tell you that it is easier to be mentally ill than it is to have any sort of chemical dependency issue - in some way people are seen to be able to control their alcohol/drug using behaviors..not so with mental illness) folks first need to come to a place where they move beyond the stigma they internalize. **There is a term in social psychology called 'introjection'.....that is, when this culture views something in a certain way, we take on the facets of that stereotype...think about CD or folks who are gay/lesbian...this culture views these things in a negative way...we internalize this and feel poorly as a result.....as a mentor said, our culture fails gravely at being humane

Experience

I've been working in the field of addictions for nearly 30 years, within the inpatient and outpatient setting, as well as working in the Department of Corrections, the Director of Counseling for a large chemical dependency hospital, to where I'm currently employed doing in-home mental health and chemical dependency engagement with (mostly) seniors. I also have a contract gig running the entire CD program for a long-term transitional program to support people to overcome homelessness. As I've been doing this work for many years I am currently teaching a college class: intro to chemical dependency. It's been neat to see my students 'get it' and understand that they can have a huge impact on people and how they navigate their recovery. I've been sober for over 29 years and have a sense of what is required to maintain long-term sobriety and abstinence, and engage lasting change. **I am a huge fan of various anti-craving medications. In some recovery circles this is taboo, however, it's been my experience that there is no reward for suffering. **I also understand that as recovery looks different for everybody, perhaps someone's program could be riding a bike, spending time with family, doing yoga, swimming, writing in a journal, spending time with friends, therapy, playing with a pet, reading spiritual literature, etc....it seems to me that many paths have merit.

Organizations
National/state organizations relative to chemical dependency and addictive disorders.

Publications
http://www.askanaddictioncounselor.com

Education/Credentials
Degree/certification as a chemical dependency counselor, and state certification as an addiction professional.I'm working towards further graduate studies in clinical psychopharmacology.

Awards and Honors
Last year I was invited to do a five-hour presentation on various facets of addictive disorders as a very large behavioral health hospital. I was somewhat resistant as I was a bit nervous to speak in front of 2000 people. I had no idea my approach would be so welcome. I sense that it's hard to remember how much we know.

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