Archive for the ‘Addictions’ Category

The Excessity of Gambling

Thursday, July 15th, 2010

I wrote a whole book about this particular excessity years ago: Turning the Tables On Gambling. I continue to be surprised at how few resources are available for those struggling with compulsive gambling.

For those hooked, gambling is not a harmless hobby.

It is not a night at the casino twice a year with friends or the monthly poker get-together with the crowd from work and a three-raise, quarter limit. It’s not a yearly trip to Vegas with your high school buddies, mostly for the shows.

For those hooked, gambling is a serious activity; it is the exhilaration of the win and the agony of the loss. It is the promise of an end to all your problems or at least a temporary reprieve. It is the only activity where your desire and need to win somehow seem strong enough to bend the laws of chance and physics.

When gambling reaches this level, it isn’t about fun; it’s about faith: the faith that with this race, this game, this throw, this hand — this time — the world will right itself, and you’ll win once again.

SOURCE: Chapter 2, “Examine Your Excess,” in Gotta Have It! by Gregory L. Jantz, PhD., founder of The Center for Counseling and Health Resources Inc.

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The Excessity of Tobacco and Pharmaceuticals

Thursday, July 8th, 2010

TOBACCO

The nicotine in tobacco products is an additive substance. It alters in your body chemistry so that you’re different with it than you are without it. Without it, you can become irritable, anxious, hostile, depressed, impatient, and restless. Smoking, with its physical effects, is definitely a Gotta Have It! activity. But tobacco isn’t just smoked; it’s also snorted, dipped, and chewed. Whatever its form, tobacco has nicotine as a powerful, addictive hook.

PHARMACEUTICALS

I’m glad to live in a time when understanding and research have advanced to the point where so many chronic conditions and symptoms cna be relieved or even eliminated through the use of pharmaceutical medications. These pharmaceuticals are like a two-sided coin — each has its positive, beneficial side and its negative, harmful side. If something is strong enough to help you, it’s also probably strong enough to harm you if not used properly.

The National Institute on Drug Abuse (NIDA) says the following: “The nonmedical use or abuse of prescription drugs is a serious and growing health problem in this country.” Abuse comes when these wonder drugs are used outside of their narrowly defined prescribed-use parameters.

Any prescription drug has the potential for abuse, but there are certain categories that appear more at risk.

NIDA identifies the following: “Commonly abused classes of prescription medications include opiods (for pain), central nervous system depressants (for anxiety and sleep disorders), and stimulants (for ADHD and narcolepsy).” According to the same report, “In 2008, 15.2 million Americans age 12 and older had taken a prescription pain reliever, tranquilizer, stimulant, or sedative for nonmedical purposes at least once in the year prior to being surveyed.”

This study was based upon prescribed medications and did not even investigate the abuse that goes on with over-the-counter products and medications, such as sleeping aids, laxatives, and appetite suppressants. When dealing with these substances, a little may be good, but a lot is definitely not.

SOURCE: Chapter 2, “Examine Your Excess,” in Gotta Have It! by Gregory L. Jantz, PhD., founder of The Center for Counseling and Health Resources Inc.

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The Excessity of Electronics

Tuesday, June 29th, 2010

Some excessity comes in the form of electronics. By this I mean things like television, computers, the internet, and computer-type games. It also includes all kinds of cell phones and iPods.

For some of you, I just crossed over a line. You’re saying: “Wait a minute! I need my cell phone, and disaster will surely strike if I can’t access my email.”

In a confessional moment, I must admit that this category hits fairly close to home. I love all these gadgets! The days of driving without a portable GPS are a distant and good-riddance memory. The days of having to actually find a phone to make a call have been relegated to my own personal dustbin of history. The days of waiting for the morning paper or the evening news to know what’s happening in the world seem archaic and restrictive.

I simply cannot remember how I lived without electronics. The danger is when I start to believe I can’t.

Electronics can fall into two camps — gadgets that help you stay connected and gadgets that help you disconnect. Both have their place in our lives. As Ecclesiastes 3:1 says: “There is a time for everything, and a season for every activity under heaven.” There is a time to email and a time to refrain from emailing. There is a time to turn on the television and a time to turn it off. There is a time to be online and a time to be offline. Since none of us have the wisdom of Solomon, how do we know when that is?

I have worked with people who experience unease, discomfort, and anxiousness if they are not able to stay digitally connected to the world or their work (which to some are the same thing). If they are out for an evening with family or friends, they’ll steal away in private to check their email on their BlackBerry. When they should be in bed asleep, they are instead blurry eyed in front of the computer screen. For these people there is no such thing as “downtime.” They experience a sense of dread and premonition of disaster if they stay too long without knowing exactly what’s going on in their corner of cyberspace.

I have also worked with people who consistently choose the mind-numbing effect of television, the computer, and all manner of games to escape the problems and the perils of the real world. Zoning out in front of the television is nothing new. However, when observing life becomes more important than living it, there’s a problem. When existing in cyberspace becomes more compelling than living life in the real world, there’s also a problem.

In some ways, electronic gaming combines the power of both the television and the computer. With games you have the visual punch and emotional story line of television along with the command and control features of the computer. With gaming, you become the storyline. When your avatars, alter egos, and digital doppelgangers are more present, more real, more engaging than anything real time has to offer, there’s a problem.

SOURCE: Chapter 2, “Examine Your Excess,” in Gotta Have It! by Gregory L. Jantz, PhD., founder of The Center for Counseling and Health Resources Inc.

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The Excessity of Caffeine

Friday, June 25th, 2010

Perhaps you don’t have an issue with alcohol. But what about caffeinated beverages? This includes coffee, flavored coffee, drinks, certain teas, and caffeinated sodas. People who will hide their flask of liquor in the drawer or their desk won’t think twice about their coffee consumption.

If you were to take a poll of your friends, family, coworkers, and acquaintances, I think you’d find many more were attached to their latte than their liquor. In our society, caffeine is acceptable.

But what happens when your caffeine consumption takes on an exaggerated position in your life? I’ve seen people who didn’t feel comfortable unless they carried their lidded hot cup — a security blanket wrapped in a cardboard sleeve.

I’ve seen people who experience anxiety if told they needed to cut down on their caffeine consumption and were fearful of what that would mean.

I’ve seen people who would rather give up food than this type of drink.

They consume to excess, and their consumption is considered excessity.

SOURCE: Chapter 2, “Examine Your Excess,” in Gotta Have It! by Gregory L. Jantz, PhD., founder of The Center for Counseling and Health Resources Inc.

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The Excessity of Alcohol

Tuesday, June 22nd, 2010

You’ve probably heard the term “drinking to excess.” For many who drink to excess, the drinking becomes a necessity, which becomes an excessity. When confronted with the choice to either drink — and bear the negative consequences of their alcohol use — or stop, they will look longingly at their drink and say Gotta Have It!

The dificulty with alcohol is the penchant for denial and underestimating the amount of alcohol consumed. People do not begin drinking assuming they will become alcoholics. Rarely does a person voluntarily come into our facility for alcohol treatment with eyes opened wide about his or her alcohol use.

More typically, something has caused them to get a chemical-dependency evaluation (which covers alcohol, illicit drugs, and prescription medications). Sometimes a DUI or alcohol-related arrest propels them through our doors in hopes of fulfilling a court requirement — right along with a personal determination not to have to give up their drinking.

With their families deserting them, their employment in jeopardy, their health deteriorating, and their hobbies reduced to a one-armed motion of hand to mouth, you would think that more people would recognize the problem alcohol has become in their lives. What starts out as a way to “have fun” or check out of life and its problems can quickly become something devastating.

Either through conscious intent or genetic predisposition, alcohol use can fast-track to abuse and dependence.

When alcohol reaches the dependence stage, it is indeed a necessity — a physical one. Withdrawal from alcohol is unpleasant at best and life threatening at worst, depending upon the length and severity of the alcohol use, as well as a person’s genetic and physical makeup. At this point, it’s not just a matter of willpower; it’s a matter of physical dependency. With prolonged and chronic alcohol use, withdrawal should be done in a medically supervised setting.

SOURCE: Chapter 2, “Examine Your Excess,” in Gotta Have It! by Gregory L. Jantz, PhD., founder of The Center for Counseling and Health Resources Inc.

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Are You Spinning Your Wheels?

Tuesday, June 15th, 2010

Over the next few blog posts, we’re going to look at a montage of activities and behaviors I’ve seen used as someone’s “never enough”: food, alcohol, caffeine, electronics, work, shopping, tobacco, pharmaceuticals, exercise, hobbies, gambling, sex, relationships, money, anger, and guilt.

You may have grimaced slightly at the mention of things in this list that appear either spot on or a distinct possibility for you or someone you love. A sigh of relief may have accompanied any you’ve already relegated to the “not me” category. Before you get too far ahead, I’ll ask you to back up just a bit and really delve into each of these, attempting to withhold prejudgment.

Also, this is not an all-encompassing list. I’ve seen a great deal over the years, and one of the things I’ve observed is the ability for people to absolutely individualize their excessities.

For some, your own particular brand of “never enough” didn’t make my list. Is this because it isn’t a legitimate “never enough”? No, it just means it didn’t make my list — and perhaps there are even echoes of it swirling through others that did make it on the list. So open your mind to the rhythm of each of these, and see if you don’t dance to a similar, if slightly variant, tune.

Thursday’s Blog Post: Food.

SOURCE: Chapter 2, “Examine Your Excess,” in Gotta Have It! by Gregory L. Jantz, PhD., founder of The Center for Counseling and Health Resources Inc.

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The Addiction Checklist

Thursday, May 13th, 2010

The following are some fairly common addictive personality traits. Note the ones that apply to you. The more you identify with, the more you will see an addictive pattern in your life. Record in a private journal or notebook as many examples as you can for each item checked. The result will be a descriptive picture of your total addictive tendencies. Please, talk these over with a counselor or support group.

  • I tend to conceal certain behaviors
  • There is a slow deterioration of family “pride”
  • I protect the consequences of my behavior
  • I make secret pact(s) with other family members
  • I tend to deny what is obvious to others
  • I am feeling distant from other family members
  • I am increasing my use of alibis, excuses, and justification for my actions
  • There is a growing distrust within my family
  • I engage in self-righteous criticism and tend to judge others
  • I have more and more self-doubt and fear
  • I often feel superior to others
  • I neglect spiritual pursuits, including prayer and meditation
  • I tend to overlook my behavior
  • I sense changes in eating or sleeping patterns
  • I distrust those outside my family
  • I’m having more accidents, illnesses, and injuries due to increased stress
  • I often rationalize my behavior
  • I find there’s more loss of time on the job
  • I often fantasize and obsess about my problems
  • My ability to work or function is decreasing
  • I hold the belief that if others changed, most of my problems would vanish
  • I am having a conflict with my former value system — my once-clear set of personal ethics
  • I attempt to “catch” or “trap” others in some act of which I do not approve
  • I have made attempts at suicide or have nurtured suicidal thoughts
  • My mood swings are intense, moving from high to low
  • I have increasing financial problems
  • I have a list of ongoing resentments and disappointments
  • I feel I am over-extended and over-involved in my work and other outside activities
  • I find myself losing friendships
  • More and more I am engaging in self-defeating or degrading behavior

The alcoholic, workaholic, rageaholic, stimulusaholic, and foodaholic  all incorporate their addictive behaviors into a life pattern that seems to work for them — a pattern their friends, colleagues, and family members are at their wits end to understand, much less accept.

Drinking relaxes the drinker, over-eating creates a sensation of fullness for the overeater; creating nonstop frantic, out-of-control conditions gives the stimulus-seeker an opportunity to manage his or her crisis, thus providing an opportunity for manipulation and control. It’s management based on a negative premise, but it is nonetheless “management.”

What we are learning is that most of this kind of activity should not be given clinical labels. Many of these addictive personality traits are simply manifestations of obsessive-compulsive behavior, a problem that demands a different type of treatment and seldom requires medication.

SOURCE: Appendix One in Losing Weight Permanently by Gregory L. Jantz, PhD., founder of The Center for Counseling and Health Resources Inc.

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Families of Those With Eating Disorders: 12 Characteristics

Thursday, April 15th, 2010

We often think we cannot live without the ingrained patterns of our past — whether they be good or bad, positive or negative. But people who lose weight permanently know that if they are to grow in every area of their lives they must look at every area 0f their lives.

The following are characteristics of families of those with food-related problems:

1. Perfectionistic, including high expectations from the father, either verbal or nonverbal. This most often applies to the first-born.

2. Mother frequently dieted, accompanied by an over-emphasis on weight and appearance, compulsive dieting and fasting, diarrhetic use or laxative use.

3. Father distant, fueling an intense desire to to please the father who is typically emotionally unavailable.

4. Parent (0ften the mother) is co-dependent, often denying her own needs and assuming responsibility for everyone else.

5. Rigid discipline with severe punishment, including guilt and shame used as motivation, and perhaps humiliating or hurtful punishment.

6. Sexuality ignored or considered “dirty,” neglecting to give children basic information about sex or no opportunity to discuss sexual issues.

7. Daughters used as confidantes, perhaps with the father complaining to the daughter about the mother, and in fact the child may be used as the parent’s primary form of emotional support.

8. Children forced to be adults, especially daughters who “raised” siblings and children who are not allowed to be children themselves.

9. Children victimized in any way, which may include fondling, incest, neglect or verbal abuse.

10. Parent (often the father) addicted to prescription drugs, alcohol or street drugs.

11. Family members tend to ignore or deny negative emotions, often resulting in explosive anger, or anger and sadness never addressed, even to the point of covering up negative emotions just to please others.

12. Overuse of food for pleasure or reward, with food serving as the primary focus for pleasure and emphasis placed on sweets and rich desserts.

For your ongoing emotional growth and your permanent weight loss, it is important that you look at whether you have avoided — and may still be avoiding — intimacy on some level. Intimacy issues have interfered in your life and sabotaged your success at weight loss.

Now is the time to say, “I need help.”

There’s no point in blaming your past, your family, or even a former abuser, if any. You have simply had numerous unmet needs that you attempted to address through intimacy with food. Now you are moving away from such erroneous thinking and are moving toward joining the two percent of people who lose weight permanently.

SOURCE: Chapter 7, “Developing Intimacy With People,” in Losing Weight Permanently by Gregory L. Jantz, PhD., founder of The Center for Counseling and Health Resources Inc.

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How Brad Learned to SOAR: O is for Optimism

Wednesday, March 10th, 2010

Brad came to work with us at The Center as a young man in his twenties. He was struggling with self-esteem issues that translated into a dependence upon alcohol. Unable to hold a job, he continued to live at home, making constant demands upon his parents. These demands drained their emotional and financial resources and alienated him from the rest of his siblings. Everyone in the family, including extended family living nearby, seemed to have tried to help Brad but was burned in the process. Many family members had already given up on him, deeming him beyond help and not worth another chance. Others saw our mental health and chemical dependency treatment agency as his last chance.

We were able to address and treat Brad’s reliance upon alcohol as well as work with him to uncover the roots of his addiction. Brad’s answers and demeanor began to reveal that his drinking was fueled not by an attraction to alcohol but by repulsion from something else. Brad had turned to alcohol due to some pain he was attempting to self-medicate and numb. As we worked with him to dig deeper, we helped him discover how and when his world had turned upside down and he had lost his horizon line of hope.

Most people know the half empty/half full glass analogy. It goes something like this; when people look at a glass containing liquid up to the middle, some will see the glass as half empty and some will see the glass as half full. Those who see it as half empty are pessimists, and the half full people are optimists. I’ve used this analogy as a way to illustrate to clients how subtle perceptions can alter their worldview. When they look at the glass, they’re actually seeing their own reactions to life.

Now, when Brad’s parents looked at Brad, they expected to see a completely full glass. After all, they were prosperous, hard-working people themselves, and they could envision nothing less than a full glass for Brad at all times. Sometime around Brad’s early adolescence, however, his parents began to perceive that Brad’s glass was less than full, for he began to operate below their expectations. In their minds, they had worked hard to fill Brad’s glass all the way to the brim, and Brad kept behaving and performing in a way that made the contents of that full glass spill out. This produced feelings of frustration, anger, and disappointment in his parents.

The only optimism they had for Brad’s future was centered not around what Brad was capable of achieving on his own but rather on what they had provided. He was expected to mirror their success — a success that mirrored their definition. Brad’s future was not really about him and actually about them.

Somewhere around 15 years of age, Brad decided he wasn’t capable — that his glass without his parents refilling it was actually completely empty. He turned to alcohol to stem the growing fear and anxiety of reaching adulthood.

Now, I believe that everyone is responsible for their own behavior, especially as they arrive at adulthood. In fact, the R in SOAR is all about responsibility. But as we identified this pattern of behavior between Brad and his parents, what became clear to me was their total lack of belief in a bright future for Brad — as Brad. He certainly didn’t have it, and neither did his parents.

The only thing the three seemed able to initially agree on was a paralyzing fear of what Brad’s future held.

Because of their own achievements, Brad’s parents couldn’t see the true horizon line when they looked at Brad. They kept looking inward at themselves and refused to see Brad for who he was. As his struggles with life increased in adolescence, they began to avoid really looking at Brad at all. It was too painful, for they truly loved their son, but when they looked at Brad’s failures, they caught a glimpse of their own.

What this family desperately needed was a restored vision of optimism and hope for the future. Brad’s parents needed to believe in God’s power to help Brad overcome his drinking. Brad needed to trust God’s plan for his life and stop fearing the future. They all needed to grasp God’s grace and learn to forgive each other. Fortunately, they’ve been able to heal and reestablish their relationships, but it took years of diverted time and energy to bring their family back on the right track.

I applaud your decision to put your energies into your family now!

SOURCE: Chapter 3, “O is for Optimism,” in Healthy Habits, Healthy Kid: A Practical Plan to Help Your Family by Gregory L. Jantz, PhD., founder of The Center for Counseling and Health Resources Inc.

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How to Stress for Success: Dan’s Story Part II

Tuesday, February 9th, 2010

You can read Part I of Dan’s story here – a story he shares, in his own words, in hopes that his journey through depression will inspire others to seek help too.

I just could not figure out how to start feeling good. I had passed burnout and had moved on to emotional exhaustion. I went to several doctors who put me on antidepressants and other drugs that simply masked my symptoms. It was the classic story of knocking on all the right doors but never receiving the right kind of help. I knew I needed to take control of my life, but doing it was a joke. Most days, I used up the full amount of my energy just to breathe.

“On those days when I had my wits about me, I knew the alcohol that had become my friend was a faulty mechanism for coping with my stress. I was also aware that I wasn’t eating properly, wasn’t getting enough sleep, and was in a state of constant denial.

“Then it hit me: I was also dying spiritually.

“My love for God and the church was gone. Fellowship with other Christians meant nothing to me. I made sure I kept myself at a safe distance from those who might help me. I had to have my father intervene in helping me with my bookkeeping; I couldn’t even trust myself with my checking account. Without my father’s wise, practical counsel, I’m sure I would have been ruined financially. I had become incapable of making the most insignificant personal business decision.

I knew if I didn’t do something fast, it would be all over: business, marriage, and all my personal dreams for success. That’s when I finally decided to get help — not from a bottle of pills or alcohol but from those who still loved me enough to hang in there with me.

“Once again I started to believe what I have been telling clients for years: No one can make you happy without your approval…. If you believe that God is dead, something in you no longer lives…. Evil takes hold when self-neglect takes root.

My road back to sobriety and emotional well-being was not easy, and I assure you it didn’t happen overnight. It took time, prayer, energy, the love of a faithful — although often angry or distraught — wife, and the undying compassion of a merciful God. But eventually I was able to put the pieces back together and regain control of my life.”

Why do I tell you Dan’s story? Certainly not because he was proud of the fires he put himself and his wife through. If anything, it embarrasses him to tell it. But I have his permission because he hopes his tale of pain and denial will help someone else.

Perhaps this story can serve as a touchstone for you, regardless of your situation, to help you do what is necessary to learn to become strong again.

SOURCE: Chapter 1: “Coming Apart at the Seams” in How to De-Stress Your Life by Gregory L. Jantz, PhD., founder of The Center for Counseling and Health Resources Inc.

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