Overcoming Relapse: Holistic Strategies for Staying on Track: Janelle Salo

Understanding Relapse

Relapse1 is when you slip back into old habits after working hard to change, and it can feel like taking two steps back after one step forward. But here’s the thing: it’s a normal part of growth, and every stumble teaches you something new about how to keep moving forward.

Relapse can feel like a setback, but it doesn’t erase all the progress you’ve made. Instead, it’s an opportunity to reflect, adjust, and grow even stronger in your recovery journey.

Importance of Holistic Approaches in Managing Setbacks

Holistic approaches2 mean focusing on all parts of you. Your mind, body, and emotions so you can tackle setbacks in a balanced way. It’s not just about fixing one problem; it’s about building a healthy, sustainable lifestyle that makes you feel good inside and out.

By combining things like mindfulness, exercise, healthy eating, and support from others, you can create a plan that helps you bounce back and stay on track. These strategies don’t just help with recovery, they make you stronger and more prepared for the future.

Recognizing the Signs of an Impending Relapse

Relapse often starts with small warning signs, like feeling more stressed, avoiding responsibilities, or losing interest in the things you love. Paying attention to these changes early can help you take action before things get out of control.

It’s like catching a storm before it hits. You can prepare and protect yourself if you know what to look for. Being aware of your emotions and habits is the first step in staying on track.

Differentiating Between a Lapse and a Full Relapse

A lapse is a one-time slip, like making a mistake or giving in to a moment of weakness, while a full relapse is falling back into old habits completely. A lapse doesn’t mean you’ve failed, it’s more like a bump in the road that you can overcome.

Think of it as the difference between tripping over a step and falling down an entire flight of stairs. A lapse is a chance to pause, reflect, and refocus before things escalate.

Emotional, Social, and Environmental Factors that can Trigger Relapse

  • Emotional triggers like stress3, sadness, or boredom can make it harder to stick to your goals. 
  • Social triggers, like being around certain people who encourage bad habits, a family member or an old friend may also cause a relapse.
  • Environmental triggers, like being in places linked to old behaviors, can also pull you off track.

Understanding what triggers you helps you prepare for those moments and create a plan to handle them. The more you know about what challenges you, the stronger you’ll be in overcoming them.

The Role of Mindfulness in Preventing Relapse

How Mindfulness Helps Build Self-Awareness and Emotional Resilience

Mindfulness is like a superpower that helps you notice what you’re thinking and feeling without getting stuck on it. By staying in the moment, you can understand your emotions better and handle tough situations without letting them overwhelm you.

It also makes you stronger emotionally, so when life gets hard, you can bounce back faster and stay in control. Practicing mindfulness4 is like training your brain to be your best teammate!

Meditation, Journaling, and Breathing Exercises

  • Meditation can be as simple as sitting quietly for a few minutes, focusing on your breath, and letting your thoughts come and go. It’s a quick way to reset your mind when you’re feeling overwhelmed.
  • Journaling is like having a conversation with yourself.  You can write down your thoughts and feelings to make sense of them and go back and review them later if you’re feeling a relapse coming on.
  • Breathing exercises, like slow, deep breaths, are an easy trick to calm down when stress hits, even in the middle of work, class or at home.

Nutrition and Relapse Prevention

The Connection Between Diet and Emotional Stability

What you eat can have a huge impact on how you feel5. Junk food and sugary snacks might give you a quick boost, but they often leave you feeling tired later.

On the other hand, eating a balanced diet with healthy foods keeps your energy steady and helps you handle stress better. Think of food as fuel for both your body and your brain.

Foods That Boost Mood and Reduce Cravings

Foods like bananas, nuts, and dark chocolate (in moderation) can improve your mood6 because they’re packed with nutrients like magnesium and serotonin7 boosters. Whole grains, fruits, and veggies also help keep your blood sugar stable, which means fewer cravings and mood swings.

Drinking water is super important too. It keeps you hydrated and focused. When you feed your body the right stuff, it’s easier to stay happy and in control.

The Role of Hydration in Maintaining Mental and Physical Balance

Staying hydrated is like giving your brain and body the fuel they need to work properly. When you’re dehydrated, you might feel cranky, or have trouble focusing, which can throw off your whole day.

Drinking enough water helps keep your energy up, your mood steady, and your mind sharp8. It’s a simple habit that makes a big difference in feeling your best. The average adult should drink between 2-3 liters of water9 per day. Once you develop the “good habit” of getting your water intake in, you will start to notice a change in how you feel and look!

Building a Supportive Environment

The Importance of Social Connections in Recovery

Having people who support you makes a huge difference when you’re trying to stay on track. Friends, family, or even just one trusted person can encourage you, listen when you’re struggling, and remind you that you’re not alone.

Recovery is easier when you have a team cheering you on10. Positive connections help you feel stronger, motivated, and understood.

Finding Support Groups or Accountability Partners

  • Support groups help connect you with people who’ve been through similar struggles and really get what you’re going through. 
  • An accountability partner, like a friend, family member or mentor, can check in with you, celebrate your wins, and help you stay focused on your goals.

Having someone to talk to makes the journey feel less overwhelming. It’s always easier to stick to your goals when you’re not doing it alone!

Removing Triggers From Your Living Space or Daily Routine

Your environment can make or break your recovery, so it’s important to get rid of things that tempt you to fall back into old habits. Whether it’s clearing out unhealthy snacks, avoiding certain apps, or rearranging your space, little changes can have a huge impact.

Creating a positive, supportive space helps you feel more in control and focused. When your surroundings match your goals, it’s easier to stay on track!

Physical Activity and Recovery

Exercise as a Tool for Stress Management 

When you exercise, your body releases endorphins11, natural mood lifters that help reduce stress and make you feel happier12. Whether you’re playing sports, running, or just dancing around your room, moving your body can be a great way to shake off bad vibes and stay positive.

Types of Physical Activities that Support Holistic Recovery

There are so many ways to stay active that can help your overall recovery, like yoga, swimming, or even hiking in nature. These activities not only keep your body healthy but also calm your mind and boost your emotional well-being.

How Consistency in Movement Can Reinforce Staying on Track

Sticking to a regular exercise routine helps build good habits that keep you focused and disciplined. When you make movement a part of your daily life, it becomes easier to stay on track with your goals and handle whatever challenges come your way.

The Importance of Self-Compassion

Reframing Relapse as a Learning Opportunity

Instead of seeing relapse as a failure, try to view it as a chance to learn more about yourself and what triggered the setback13. Each time you slip up, you get a better understanding of your strengths and weaknesses, helping you come back even stronger.

Forgiving Yourself and Maintaining Motivation

It’s important to remember that everyone makes mistakes.  Don’t be too hard on yourself when things don’t go as planned. Forgiving yourself helps you move forward without guilt, and staying motivated means focusing on your progress rather than perfection.

Setting Realistic Goals and Celebrating Small Victories

Setting small, achievable goals helps you stay focused and gives you a sense of accomplishment along the way. Celebrating those little wins, whether it’s a week of good habits or handling a tough situation, keeps you motivated and reminds you how far you’ve come.

Final Thought

Emphasizing the Journey of Progress Over Perfection

Recovery isn’t about being perfect; it’s about making steady progress and learning from each experience. Even if it’s not perfect, every small step forward gets you closer to your goal.

Encouragement to Seek Help and Use Holistic Strategies

Don’t be afraid to ask for help along the way whether it’s from friends, family, or professionals. 

Holistic strategies like mindfulness, exercise, and healthy eating can support you in ways that go beyond just the physical, helping you thrive mentally and emotionally, too.

Every Step Forward, No Matter How Small, Is Progress

It’s easy to get caught up in big goals, but remember that every tiny step counts. Even the smallest victories, like sticking to a routine or staying calm in a stressful moment, are proof that you’re moving in the right direction!

Nurturing Resilience: Guiding Your Child Through the Storm of Parental Addiction

Dear Parent,

Navigating the tumultuous waters of addiction in your family is challenging, not just for you but profoundly so for your child. As someone standing on the frontline of your child’s world, you hold a lantern of hope that can light their way through this storm. Here’s a heartfelt strategy to help you secure your child’s emotional and psychological well-being during these trying times.

Create a Harbor of Safety

Imagine your home as a safe harbor against the world’s stormy seas. This is where your child can drop anchor and feel protected from outside turbulence. Offer a consistent, calm, and non-judgmental environment where they can freely share their thoughts and emotions. Establish a sense of normalcy and safety through clear boundaries and predictable consequences, ensuring they understand that home is a place of love and security.

Anchor in Routine

The sea might be unpredictable, but your ship must not be. A disciplined schedule brings stability—routine is like the compass that guides sailors through the fog. Regular meals, consistent bedtimes, and a structured daily schedule help impose a rhythm and order that can be incredibly reassuring to a child living in a chaotic environment. This predictability in their day-to-day life helps to foster a sense of control and normalcy.

Encourage the Voyage of Expression

Your child’s journey through their parent’s addiction is fraught with complex emotions. Encourage them to express their thoughts and feelings openly. Provide them with tools for expression like journals, art supplies, or music, which can be therapeutic outlets. Teach them that seeking help and expressing vulnerability are signs of strength, not weakness. Let them know their feelings are valid and they have a safe space to discuss anything without fear of judgment.

Chart the Waters of Understanding

Education is your child’s beacon in the night. Explain addiction in terms they can understand, emphasizing that it is a disease—a medical condition that needs treatment, just like diabetes or asthma. This understanding can demystify their parent’s behavior and relieve some of their fears and misconceptions. They must learn that their parent’s struggles do not define them and that they are not responsible for fixing the problem.

Build a Crew of Support

No ship braves the sea alone. Introduce your child to support groups like Alateen, where they can meet others navigating similar challenges. These peers can become part of their crew, sharing experiences and coping strategies to help them feel less isolated. This community can provide a critical support network, offering friendship and understanding to help them weather their storms.

Promote the Wellness of the Sea and Sky

Encourage your child to engage in physical and creative activities. Physical exercise, like sports or dancing, can significantly reduce stress and improve mood1, while creative outlets like drawing or writing provide a means for emotional release. Activities like these not only occupy their mind and body positively but also help develop confidence and a sense of accomplishment, which are vital during times of personal family crisis.

Seek the Guidance of Seasoned Captains

Sometimes, navigating through a storm requires the expertise of a seasoned captain. A professional therapist or counselor who specializes in addiction and family dynamics can provide your child with a safe space to discuss their feelings and learn healthy coping mechanisms. These professionals can offer guidance tailored to your child’s needs, helping them understand their emotions and develop resilience.

Guard Their Rights and Well-being

A guardian must sometimes stand up and fight the waves in tumultuous times. If your family’s situation puts your child’s well-being at risk, involving child protective services or seeking legal advocacy may be necessary. Ensuring that your child has a stable, safe living environment is paramount, and sometimes additional interventions are necessary to protect their mental and physical health.

In Closing

You are the captain of this ship, and your steadfast love and support are the guiding stars in your child’s sky. Remember, your efforts to provide stability, understanding, and compassion during this storm will shape their ability to navigate life’s challenges. With your guidance and the right support, your child can emerge stronger, more resilient from this storm and with a bright horizon ahead.

With warmth and support,

Dr. Mala

Prescription Drugs Misuse and Addiction

Prescription drugs are powerful tools in modern medicine, offering relief and healing for a wide range of conditions; however, when misused, these medications can lead to serious consequences, including addiction. 

By understanding the signs, treatment options, and proactive prevention measures, we can work together to promote safe use and support recovery for those affected.

If someone is overdosing, call 911 or your local emergency services number immediately. If you are qualified, administer CPR. Use Naloxone (Narcan) if available.

What Are Prescription Drugs?

Prescription drugs are medications that healthcare providers prescribe to treat specific health conditions. Unlike over-the-counter (OTC) medications available for purchase, prescription drugs are carefully selected and dosed by a medical professional to address unique health needs. 

Prescription drugs can range from antibiotics that fight infections to pain relievers for managing discomfort to medications that help control conditions like diabetes, anxiety, or high blood pressure. When used as prescribed, prescription drugs can significantly improve quality of life, but they must be taken correctly to ensure safety and effectiveness.

What Does It Mean to Misuse Prescription Drugs?

Someone may use prescription drugs in a way that isn’t aligned with a healthcare provider’s instructions—this could look like taking higher doses than prescribed, using the drug more frequently, or taking it for reasons other than intended, such as using a pain reliever to achieve a “high” rather than to manage physical pain. Some may even use someone else’s prescription, believing it will help with issues like studying or dealing with stress. 

Using prescription drugs outside their intended purpose can alter the body and brain’s functioning, leading to physical dependence, health risks, and addiction. 

Types of Commonly Misused Prescription Drugs

While prescription drugs are intended to support health, certain types are more prone to misuse and addiction due to their effects on the body and mind. 

Opioids

Opioids are powerful pain relievers, such as oxycodone, hydrocodone, morphine, and fentanyl. They are typically prescribed to manage severe pain, especially after surgery or for chronic pain conditions like cancer. When used as directed, opioids can provide relief by blocking pain signals to the brain.

Opioids affect the brain’s reward system, causing euphoria—factoring into their potential for misuse1. When misused—either by taking higher doses, using them more frequently, or combining them with other substances—opioid use can lead to dangerous consequences. Tolerance builds, meaning users may need more of the drug to achieve the same effect, leading to a cycle that ends in addiction. Opioid use also increases the risk of overdose, which can be fatal2, necessitating detoxing with professional medical care.

Benzodiazepines

Benzodiazepines, or “benzos,” are a type of sedative prescribed for anxiety, panic disorders, and sleep disorders. Medications like diazepam, alprazolam, and lorazepam calm the nervous system3, providing short-term anxiety and stress relief.

Similar to opioid misuse, benzodiazepine misuse can quickly lead to tolerance and dependence by increasing dopamine and GABA neurotransmitter release4, triggering the brain’s reward system. Long-term use may cause memory impairment, mood swings, and coordination issues. 

Benzodiazepine detox requires tapering and medical care, as abrupt cessation is extremely dangerous.

Stimulants

Stimulants, including medications like amphetamines (Adderall) and methylphenidate, are prescribed for attention-deficit hyperactivity disorder (ADHD) and certain sleep disorders like narcolepsy. These drugs enhance the release of dopamine, which can improve focus and concentration5.

When misused, someone may take higher doses of stimulants to increase energy and focus—which is commonly seen in academic or high-stress environments in an attempt to enhance performance. 

However, stimulant misuse can lead to serious side effects, such as increased heart rate, high blood pressure, paranoia, and even psychosis5. Over time, misuse may also result in dependency, as the brain relies on the increased dopamine levels for motivation and focus.

How Do People Misuse Prescription Drugs?

Taking medication differently from how it was prescribed leads to misuse:

  • Taking Higher Doses: Someone may take more than the recommended dose for enhanced effects, like stronger pain relief or a more intense sedative or stimulant effect. 
  • Using Them More Frequently Than Prescribed: Even if the dose is correct, taking medication more often than prescribed can lead to tolerance and dependence. For example, unnecessarily taking a pain reliever can reduce its effectiveness over time, leading to a cycle where the person feels they need even more of the drug.
  • Taking Someone Else’s Prescription: Prescription drugs are tailored to individual health needs, so using someone else’s medication can be risky. A medication that helps one person might have dangerous side effects for another.
  • Ingesting Them Differently Than Prescribed: To enhance drug effects, people may snort or inject prescription drugs to enter the bloodstream quickly. This behavior heightens the risk of addiction, overdoses, and severe physical damage, such as respiratory problems or infections.
  • Combining Them With Other Substances: Mixing prescription drugs with alcohol, over-the-counter medications, or illicit drugs can amplify side effects and lead to dangerous reactions. For example, someone may combine benzodiazepines with alcohol for a stronger effect; however, this severely slows the respiratory system, increasing the chance of negative health effects. Refer to your doctor for what you should avoid when taking prescription drugs.

All of these practices increase the risk of overdose, addiction, and adverse health effects. Taking medication strictly as prescribed and staying informed about its effects can help avoid these adverse reactions.

Signs and Symptoms of Misuse and Addiction

Wellness Resource Center describes the physical symptoms6 of those misusing sedatives like opioids or benzodiazepines, including drowsiness, confusion, or slowed breathing. For stimulant misuse, symptoms look like increased energy, rapid speech, reduced appetite, dilated pupils, and heightened blood pressure. 

Behavioral changes can be equally telling, including erratic behavior, social withdrawal, or unexplained financial troubles as the person attempts to obtain more medication. Drug use and addiction significantly impact an individual’s emotional and psychological state, causing heightened anxiety, irritability, mood swings, or depression. 

Addicted individuals may prioritize obtaining and using the drug over their responsibilities, relationships, and personal well-being. Developing a tolerance, needing increasingly higher doses to achieve the desired effect, and experiencing withdrawal symptoms like nausea or agitation also signal dependence. 

Prescription Drugs Misuse and Addiction Statistics

Prescription drug misuse is a significant concern in the United States. In 2021, approximately 14.3 million individuals ages 12+ reported misusing prescription psychotherapeutic drugs7 within the past year. Breaking this down, about 8.7 million people misused prescription pain relievers, 4.9 million misused tranquilizers or sedatives, and 3.7 million misused stimulants. Additionally, an estimated 5 million individuals had a prescription opioid use disorder during the same period. 

Alarmingly, there were approximately 16,706 overdose deaths involving prescription opioids, underscoring the critical need for effective prevention and treatment strategies.

Why Do People Get Addicted to Prescription Drugs?

Addiction is complex—while these medications are often prescribed with the best intentions, their misuse can lead to physical dependence and addiction. This happens not only because of their chemical effects on the brain but also due to psychological, societal, and environmental factors. 

Psychological Factors

Mental health disorders, such as anxiety, depression, and trauma, can be significant risk factors for prescription drug addiction. People struggling with mental health challenges may turn to prescription drugs as a form of self-medication to alleviate their emotional pain or manage symptoms. 

For example, someone with anxiety may misuse benzodiazepines to feel calmer, while a person with chronic depression might misuse stimulants for a temporary sense of energy or motivation. Over time, this reliance can create a cycle of misuse, tolerance, and dependence as the underlying mental health condition remains untreated.

Societal Influences

Societal pressures can play a powerful role in prescription drug addiction. Peer pressure could encourage the misuse of stimulants like Adderall to enhance academic performance or opioids to achieve a euphoric effect. 

Social media and film can further glamorize prescription drug misuse by showcasing it as a trend or coping mechanism. These societal influences can make it difficult to resist experimenting with prescription drugs, even when they understand the potential dangers.

Accessibility and Availability of Prescriptions

Many people have unused medications in their homes, making it easier for others to obtain them without a prescription. Also, healthcare systems sometimes overprescribe certain medications, such as opioids or benzodiazepines, which can unintentionally create opportunities for misuse. So, easy access lowers the barriers for initial experimentation and increases the likelihood of repeated use.

Misunderstanding of the Risks Associated with These Medications

Often, people assume that medications prescribed by a doctor are inherently safe, even when taken in ways not intended. This can lead to downplaying the risks of increasing their dosage, sharing medications, or using them for recreational purposes. 

Treatment Options for Prescription Drug Addiction

Recovering from prescription drug addiction requires a well-rounded approach that addresses both physical and emotional challenges. Medical detox is often the first step, helping patients safely manage withdrawal symptoms under professional supervision. While detox is essential, it’s only the beginning, as lasting recovery requires addressing the root causes of addiction.

Medication-assisted treatment (MAT) is particularly effective for opioid or benzodiazepine addiction8, using medications like buprenorphine or naltrexone to ease cravings and withdrawal symptoms. When combined with counseling, MAT helps individuals focus on rebuilding their lives. Therapists play a key role in offering tools like cognitive behavioral therapy (CBT) to identify harmful patterns and develop healthier coping strategies.

For those with co-occurring mental health issues, dual diagnosis treatment is essential, addressing addiction and mental health conditions simultaneously to reduce relapse risk and improve overall well-being. Support groups like Narcotics Anonymous (NA) or SMART Recovery also provide community and accountability, offering encouragement from others with shared experiences. 

Preventing Prescription Drug Misuse

Preventing addiction requires proactive measures—from yourself, healthcare providers, and communities. Patient education from healthcare providers can explain proper medication use, risks of misuse, and the importance of not sharing prescriptions. Safe prescribing practices, such as using prescription drug monitoring programs and prescribing the lowest effective dose, can also reduce misuse.

At home, secure storage and proper disposal of medications help prevent unauthorized access. You can look up your local community take-back programs to find a safe way to dispose of unused drugs. 

Especially for influential adolescents and young adults, awareness campaigns in schools and communities can educate about the risks of misuse. And encouraging open communication in the family and peer groups can support responsible medication use, creating a strong foundation for prevention. Together, these measures create a comprehensive approach to reducing prescription drug abuse before it begins.

Find Treatment for Prescription Drug Misuse

View treatment centers for prescription drug misuse in your area to see reviews, methods of care, and accepted insurances. 

Stepping into What’s Next: Starting the New Year with Intention

The start of every new year can bring a variety of emotions—hope, curiosity, and sometimes a little bit (or a lot) of pressure to make changes.

For anyone in recovery, whether that’s recovery from addiction, trauma, or simply unhealthy habits, the new year can feel like a fresh start. But it can also be a reminder of the work ahead, which can be intimidating. 

Can we really start the new year in a hopeful and healthy place?

Can we really make lasting changes?

I firmly believe that we can. I think that instead of viewing the new year as a moment for drastic resolutions or impossible goals that seem out of reach, why not see it as an opportunity to take a step forward? One step at a time.

In Beyond Addiction: How Science and Kindness Help People Change the authors share that change is not linear. Change happens “over time. With stops and starts, along a crooked line. With practice. With ambivalence […]. When the tradeoffs seems worth it. With a little help–sometimes a lot of help–from friends and family. With anguish. With effort. With joy.”

Progress in recovery isn’t about perfection—it’s about small, meaningful actions that add up over time. We can start the new year with intentional change.

How Far Have We Come?

Before going head first into change, it might be helpful to take a look back. Not focusing on the negative or the struggles, but on the moments we show up for ourselves. The days when we made even the smallest choices that have moved us toward a better place.

Did we set boundaries that protected our peace? Maybe we made healthier choices, even when it felt difficult. Or perhaps we simply stayed in the game, even when we felt like giving up would be easier. These moments matter, and they are the foundation for what comes next. We need to celebrate the small wins along the way as we prepare to make changes for the future.

Why Do Resolutions Often Fail?

The “New Year, New Me” mentality is everywhere. But it can be a trap. Recovery is already a deeply personal and intentional process and adding extra pressure to overhaul your entire life by February isn’t always helpful.

“Change is a process, not an event.”

Instead of resolutions, can we consider setting intentions for change? Intentions are more flexible and focused on the journey rather than the outcome or strict timeline. They are, in a sense, systems for living. As James Clear notes in his book Atomic Habits: “You do not rise to the level of your goals. You fall to the level of your systems.”

For example:

Instead of “I’ll exercise every day,” try “I’ll move my body in ways that feel good.”

Instead of “I’ll quit all my bad habits immediately,” try “I’ll work on one area at a time.”

Instead of “I’ll fix everything,” try “I’ll approach challenges with patience and self-compassion.” 

Focusing on more fluid systems of change can be a more compassionate way to approach change in the new year.

Celebrating the Journey

If there’s one thing recovery shows us, it’s that we are not meant to do this, including change, alone. People need connection and a healthy community for accountability and support. 

One powerful way to create connection is by reaching out to people who share your journey. A benefit of the internet is that there is an abundant of ways to do that. This could mean joining a recovery group, finding a mentor, or even just spending time with friends who make you feel revitalized and who are also committed to making positive changes in the new year. If in-person options are not accessible, online communities can be just as meaningful. Recovery thrives on shared experiences and mutual understanding.

Re-imagining What’s Meaningful in the New Year

The start of a new year is a perfect time to reimagine what’s meaningful and decide what changes you want to make and why. Maybe past traditions or routines don’t feel like they fit anymore. Maybe you are ready to take your recovery to the next level. Maybe you don’t identify as being “in recovery,” but you want to choose a substance-free life for other reasons, including health reasons. 

Think about what makes you feel alive. Is it spending time in nature? Learning a new skill? Reflecting on your goals? These new changes don’t have to be grand or complicated—they just have to feel right for you.

For example, you could start a weekly ritual of journaling about what you’re grateful for or reflecting on your progress. Or maybe you dedicate time each month to trying something new, like a hobby you’ve always been curious about. Playing guitar. Taking up knitting. Rock climbing. Writing. Cooking. The options are endless. Introducing new changes can anchor you and give you something to look forward to.

Stepping Into What’s Next

As we all move into this new year, carry this with you: recovery isn’t just about leaving things behind. It’s about building something new. It’s about finding purpose, creating connection, and continuing to make changes, even when it’s hard.

You don’t have to have it all figured out. You don’t have to be perfect. What matters is that you are here, willing to take the next step.

Let this year be one of progress, intention, and self-compassion.

A Team Effort: The Role of Recovery Coaches in Substance Use Disorder Treatment

Recovery from substance use disorder can be a complicated process that often requires help from a team of professionals. Recovery coaches play an important role on this team, working alongside other experts to offer support and guidance.

The Recovery Team

A recovery team may include:

  • Primary Care Physician: Monitors overall health, prescribes medication, and addresses medical concerns.
  • Psychiatrist or Psychologist: Diagnoses mental health conditions and prescribes medication if needed.
  • Therapist: Provides therapy to address underlying issues and build coping strategies.
  • Addiction Counselor: Offers counseling and guidance on addiction and recovery.
  • Recovery Coach: Provides ongoing support, accountability, and practical help.

How Recovery Coaches Fit In

Recovery coaches work with other team members to:

  • Bridge the Gap: They help connect treatment programs to ongoing recovery support.
  • Enhance Accountability: They support individuals in staying on track with their recovery goals through regular check-ins.
  • Promote Self-Sufficiency: Recovery coaches encourage individuals to develop skills and confidence to live independently.
  • Foster Positive Relationships: They assist in building healthy relationships and connecting with the recovery community.
  • Provide Practical Support: Recovery coaches help with housing, employment, transportation, and other practical needs.

The Benefits of a Team Approach

Working as a team provides several benefits:

  • Comprehensive Care: A team can address physical, mental, and social aspects of addiction.
  • Increased Support: Having multiple sources of help can keep individuals motivated and accountable.
  • Reduced Risk of Relapse: A team can help identify and manage triggers to prevent relapse.
  • Improved Quality of Life: By addressing challenges and providing support, the team helps individuals build a better life.

By working together, recovery coaches and other professionals can give the all-around care and guidance needed for long-term recovery success.

Sleeping Pills Misuse and Addiction

Sleeping pills help people get a good night’s sleep. But on the other side of the pillow is a potential for dependence and addiction.

Following prescription guidelines and staying in communication with your prescribing doctor can mitigate the risks of addiction, as can tapering off sleep medications as soon as you can. If you or someone you love develop an addiction to them, you have resources for healing.

Types of Sleeping Medications

Some sleeping medications you can buy over-the-corner, like melatonin and sleep aids with doxylamine or diphenhydramine (the active ingredient in Benadryl). These medications aren’t likely to cause addiction, though you can get used to your starting dose and need more and more to feel tired—signifying you’ve built a tolerance.

Prescribed sleeping pills are used to treat insomnia1, which is a sleep disorder that makes it difficult to fall asleep, stay asleep, or both. Behavioral treatments (therapy) can also treat insomnia by addressing what’s keeping you up, like stress, trauma, or racing thoughts related to a condition like attention-deficit hyperactivity disorder (ADHD).

Here are some common prescription sleeping pills:

  • Ambien
  • Lunesta
  • Sonata
  • Belsomra
  • Dayvigo

Sleeping pills broadly fall into these categories: sedative-hypnotics, benzodiazepines, and antidepressants, since some antidepressants have sedative effects. 

Statistics of Sleeping Pill Misuse and Addiction

Many people struggle with sleep, either in response to a stressor or chronically. A study by the Center for Disease Control (CDC)2 found these statistics in 2020:

  1. 8.4% of American adults took sleeping pills every day or most days over the past month.
    1. 6.3% took sleeping pills every day.
  2. Taking sleeping pills becomes more likely with age, from 5.6% in young adults to 11.9% in those 65 and older.
  3. While the percentage of people who become addicted to sleeping pills isn’t known yet, scientists have estimated an addiction percentage of nearly 20% for benzodiazepines3, which are often used as short-term sleeping pills.

Dangers of Sleeping Pill Misuse and Addiction

Using any medication outside its prescription guidelines can come with dangers, but they can be especially prevalent for sleeping medications due to their sedative effects.

Physical Dangers

Since sleeping pills sedate people, taking too many at once can dangerously enhance those effects. You may sleep much longer than intended, find it extremely difficult to wake up, or in extreme cases, die from your central nervous system slowing too much. Overdosing can lead to a coma and heart failure or stopped breathing.

If you think you or someone else has taken too many sleeping pills, call 911 for emergency medical care or contact Poison Control.

Emotional Dangers

Becoming reliant on anything, sleeping pills included, can lead to anxiety and an overall worsening of mental health conditions. If you can’t take the pills, you may become too anxious to sleep, leading to a cycle of use even if you want to stop. Tapering can help with this.

Depending on which kind of sleeping pill you take, like an antidepressant versus a hypnotic, you could also experience new or worsening mental health conditions as a side effect of the medication.

Harm to Relationships

Addiction can alter priorities, making substance use more important than spending time with loved ones and maintaining relationships, personal and professional. This can damage those relationships over time.

Can You Overdose on Sleeping Pills?

Yes, you can overdose on sleeping pills. You can take too many of almost any pill, but the effects of a sleeping pill overdose can be especially pronounced due to their sedative nature. The more potent they are, the more easy an overdose becomes—which is why following prescription guidelines is so important.

Sleeping pills can react to other substances, like alcohol, and have a much stronger effect. For example, alcohol is also a central nervous system depressant, so having alcohol and sleeping pills can create a dangerous double-strength effect4 even at your usual dose. Be sure to read the warnings on your prescription bottle and ask your doctor about potential drug interactions.

If you think you or someone else has overdosed on sleeping pills, call 911 or your local emergency number. 

Signs of Sleeping Pill Addiction

Someone who’s developed an addiction to sleeping pills typically will show a few key signs that you and other loved ones can look out for—or you might recognize these signs in yourself. In any scenario, identifying the need for help is the first big step in getting it.

Taking More Than The Prescribed Dose

For example, someone may have a prescribed dose of 10mg but take 50mg daily. Or, they might take 10mg throughout the day, multiple times daily. 

For a stronger effect some people may crush up their sleeping pills and snort the powder, dilute it in water and inject it, or dissolve it into a drink for a quicker impact.

Negative Consequences, But an Inability to Stop

Someone who’s unable to stop taking sleeping pills despite clear negative consequences has likely developed an addiction. These consequences could include job loss, damage to relationships, negative health effects, and stress.

Frequently Under The Influence

Overusing sleeping pills can mean someone often seems under their influence—sleeping or sleepy, disoriented, woozy, and disconnected from reality. They may go about daily life in this state or isolate themselves to hide symptoms.

New Habits and Friend Groups

As procuring and taking sleeping pills becomes more imperative due to an addiction, people’s habits and friend groups can change in turn. For example, they may adopt new habits to hide or excuse their drug use, like taking walks at night that could actually be private time to take substances unseen or meet dealers. 

New friend groups might include others in active addiction who can supply substances or connect people to more. At the least, these new friends may not discourage substance use, which can make them appealing substitutes for concerned friends and family.

Treatment Options for Misuse and Addiction

An addiction or dependence on sleeping pills can be treated, often with a tailored combination of behavioral therapies and medical care.

Behavioral Therapies

Therapy aims to reach the root of an addiction and pluck it. You’ll learn the purpose addiction serves in your life and how to address the issues and emotions that led to it, all in a safe and therapeutic space.

Common therapies for addiction include

Therapy occurs 1:1 with a therapist or in group settings. Many rehabs and outpatient addiction programs offer a structured daily routine of therapy and skill-building to address core issues and build relapse prevention skills.

Medical Interventions

Medical care can help people detox from substances like sleeping pills, safely removing them from their body. Detoxing without medical care can be dangerous and even fatal, so be sure to get your doctor’s advice on the level of care you need for your symptoms. You can ask questions like

  • “What treatments will make my recovery as safe and comfortable as possible?”
  • “How can I improve my sleep without sleeping pills?”
  • “Do I need medical detox? If so, what are my next steps for that?”
  • “What lifestyle changes can I make to improve my physical and mental health as I recover?”

Support Groups

“Connection is the opposite of addiction”5 has been touted and found true in many instances. One of the best ways to find connection is through peer support groups like Pills Anonymous (12-Step-based) or SMART Recovery groups (non-12-Step). These groups occur worldwide, in-person or virtually. You can also find connection and support through religious organizations, your workplace, and other community settings (like sports and craft communities). 

Find Help for Sleeping Pills Misuse and Addiction

With medical, therapeutic, and emotional support you can stop using sleeping pills, or cut down to a dose you and your doctor feel comfortable with. Your doctor can be your first point of care, guiding you to your various options and offering treatment.
You can also go to a rehab that treats sleeping pill addiction. Use Recovery.com to find sleeping pill rehabs by what insurance you have, your location, desired amenities and more.

Antidepressants Misuse and Addiction

Some people, especially those in recovery, may worry about developing an addiction to antidepressants. Thankfully, antidepressant addiction doesn’t occur often, but it is a possibility at non-therapeutic doses. This is due to how they can affect and change the brain, leading to a dependence then compulsory use. 

Anyone worried about their antidepressant use can bring their concerns to their doctor, who can start a tapering plan or even switch to a different type of antidepressant. Behavioral strategies, like therapy, can help people transition off antidepressants while still managing their symptoms.

What Are Antidepressants?

Antidepressants primarily treat depression1 and other mood disorders, plus conditions like obsessive compulsive disorder (OCD). They work by balancing disruptions in neurotransmitters and boost the reception of serotonin, which can make people feel happier. 

Most antidepressants work on serotonin and another neurotransmitter called norepinephrine1. When your brain can receive and process more of these neurotransmitters, symptoms of depression can fade. Depression can go fully into remission due to neuroplasticity1, where your brain changes and adapts to sustain these positive changes. 

Common Types of Antidepressants

Antidepressants can have a variety of formulas and interact with different parts and systems within the brain. Your doctor and/or psychiatrist will aim to find the best match for you. A genetic test can help you pinpoint good matches. Sometimes, people cycle through a few antidepressants to find the one that works best.

Interestingly, many antidepressants have off-label uses for conditions besides mood disorders. For example, trazodone can help people fall asleep1. Some other antidepressants help patients with chronic pain.

SSRIs

Selective serotonin reuptake inhibitors (SSRIs) are often the first line of defense against depression2 due to their low side effects and general effectiveness. Most people respond positively to them, and doctors can smoothly pivot to another if one doesn’t seem to have much effect.

Prozac, Zoloft, Lexapro, Paxil, and Celexa are all common SSRI antidepressants. Potential side effects of SSRIs1 include:

  • Weight gain.
  • Dizziness.
  • Nausea, especially for the first couple weeks after starting the medication. In most cases, it goes away.
  • Sexual dysfunction.
  • Headaches.

SNRIs

Serotonin/norepinephrine reuptake inhibitors (SNRIs) work similarly to SSRIs1, but also block the reuptake of norepinephrine, not just serotonin. Doing this helps various synapses in your brain access more of these neurotransmitters, making you feel better. Norepinephrine triggers the central nervous system’s fight-or-flight response, leading to anxiety and panic disorders if these triggers don’t come when needed. SNRIs can reduce symptoms of both depression and anxiety.

SNRI brand names include Cymbalta, Pristiq, Effexor, and Fetzima. They can cause most of the same side effects as SSRIs, like:

  • Nausea that typically goes away after a week or so.
  • Headaches.
  • Excessive sweating.
  • High blood pressure.

MAOIs

Monoamine oxidase inhibitors (MAOIs) are a less-commonly prescribed antidepressant3, often used when an SSRI or SNRI doesn’t work. They’re more likely to have side effects, drug-food interactions, and drug interactions, which is why they’re prescribed with caution.

Common MAOIs include Marplan, Nardinm and Emsam. They can have side effects like:

  • Serotonin syndrome (too much serotonin).
  • Dizziness.
  • Vomiting.
  • Constipation.
  • High blood pressure and potential death if foods with tyramine are consumed (cheese, alcohol, leftovers, certain fruits, and more).

TCAs

Tricyclic antidepressants (TCAs) also inhibit the reuptake of serotonin and norepinephrine4, which can boost mood and attention. Some versions of TCAs are also used off-label to treat obsessive compulsive disorder (OCD), insomnia, migraines, and chronic pain.

Common TCAs include Elavil, Silenor, and Asendin. Their side effects1 include:

  • Dry mouth.
  • Difficulty peeing.
  • Constipation.
  • Seizures.

How Are Antidepressants Misused?

An increase in feel-good neurotransmitters like serotonin can cause a reinforcing effect, though rare in antidepressants since this boost in mood is often subtle and feels natural. Misuse often happens outside prescribed doses5; for example, someone may take double or triple their prescribed dose (sometimes even 10x more) to achieve a ‘high’ similar to other drugs. This sensation only happens with high doses of certain antidepressants5, like bupropion.

Someone taking antidepressants for the sensation of being high may dissolve several pills in water and inject it using a syringe, take multiple pills orally, or crush them into a powder and snort it. To maintain their high dosing, they might request refills sooner than needed, take out prescriptions through multiple doctors, or request higher and higher doses without a demonstrated need.

Sadly, some people misuse antidepressants with the intent of taking their lives. In 2011 nearly every emergency room visit for a drug-induced suicide attempt came from prescribed medications; 20% of those overdoses involved antidepressants5, the highest percentage after prescribed opioids.

Can You Become Addicted to Antidepressants?

It’s very unlikely. One study answers this question6 with, “antidepressants do not have a clinically significant liability to cause addiction.” This is because most antidepressants don’t cause pleasurable or rewarding effects6, as addictive drugs like cocaine or alcohol do. And compulsive use of antidepressants, as seen in substance use disorders, is “exceptionally rare.”6

Antidepressants can cause withdrawal symptoms7, which raises an argument for their addictive potential since people may need to keep taking the substance to avoid withdrawals, similar to opioids and other addictive substances. Tapering plans can prevent uncomfortable withdrawals.

Factors Contributing to Antidepressant Misuse

Those who misuse antidepressants often have a history of substance use disorders5 or other comorbid conditions. And, as expected, people who misuse antidepressants typically have a mental health condition like depression. Since symptoms of depression can include suicidality8, these patients can be more likely to misuse their prescribed antidepressants in an overdose. 

Signs of Antidepressant Addiction

If you’re worried a loved one struggles with an antidepressant addiction, you can watch for signs and start an open-minded conversation. If you’re worried about your antidepressant use, you can bring your concerns to your doctor and look for signs of addiction in your own life.

Some key signs of an antidepressant addiction include:

  • Taking more than their prescribed dose. For example, you may notice they take three pills when the prescription bottle only says to take one. 
  • An inability to stop taking the pills, even if negative health, work, or relationship consequences arise.
  • Spending excessive time and money to procure antidepressants. 

Treatment Options for Addiction

If you’re struggling with an antidepressant addiction or any drug or alcohol addiction, you have resources available for recovery. Treatment options broadly fall into 2 categories: inpatient and outpatient care.

Inpatient Care

Inpatient treatment includes treatment in a hospital (often for acute withdrawal needs or overdoses) or attending a residential rehab. At rehab, you’ll live with peers and receive treatment from clinical staff, who monitor your health and emotional needs around the clock. 

Each day often follows a structure, with time for therapy (group therapy, 1:1 sessions with your therapist, and family therapy), fun activities, peer meetings, and downtime. Rehabs last 28+ days, aiming to treat both mental and physical needs for comprehensive healing. You’ll also learn relapse prevention strategies and get connected with outpatient levels of care, if desired, to continue your healing journey.

Outpatient Care

In short, outpatient care is the treatment you attend without living at a treatment facility. You return home after treatment and have more flexibility to work, attend school, and meet family needs. Outpatient care could include

  1. Day treatment, where you undergo therapeutic treatment and practice practical recovery skills for 5-7 days a week. Sessions often last 5-7 hours daily, making day treatment the most intensive version of outpatient care.
  2. In intensive outpatient programs (IOPs), you attend treatment 3-4 days weekly for about 3 hours a day. These also offer therapy, peer support, and an encouraging and supportive recovery environment but with a less intensive schedule.
  3. General outpatient can include 1-2 weekly group therapy sessions, lasting an hour or so each. 
  4. Regular 1:1 therapy sessions with a therapist. You may see them once a week, once every two weeks, or at the cadence best fit to your recovery needs.

Help from Your Doctors

As medication prescribers, your primary care physician (PHP) and/or psychiatrist can also help you. They can ensure that, going forward, all antidepressant prescriptions are carefully considered and that you have a clear plan for how to take them without risking addiction.

For example, your doctor may only prescribe a week’s worth and set up regular appointments to check in and monitor your use. Or you can work out a plan with loved ones, like a spouse or parent, to keep your medications locked in a safe. This can also be a preventative measure for people struggling with suicidal thoughts or with a history of suicidal ideation and attempts.

At your appointment, you can ask questions like,

  • “What is the addictive potential of this medication?”
  • “Are there other medications with less addictive potential that I could try first?”
  • “What signs should I look out for that mean this medication isn’t a good fit?”
  • “What can I do if I start to feel like I’m relying on it too much?”

Find Treatment for Drug Misuse

Recovery exists for all types of addictions, including antidepressant addiction. Treatment can help you navigate the underlying causes of addiction and address emotional struggles with healthy coping strategies and new behaviors. 
You can use Recovery.com to find prescription drug treatment centers and see their insurance information, reviews, photos, and more.

Barbiturate Misuse and Addiction

Barbiturates are sedative-hypnotic drugs primarily used for seizure disorders, anxiety, insomnia, and drug withdrawal symptoms in babies. Using them regularly (especially outside prescription guidelines) can lead to dependence and, eventually, addiction.

Like all other addictions, you can recover from a barbiturate addiction with the appropriate care and support. 

What Are Barbiturates?

Barbiturates are sedative-hypnotics1, meaning they cause sedation and sleepiness. They’re often used to control seizures and unwanted muscle twitches, treat insomnia, and relieve anxiety. Doctors prescribe them; you won’t find barbiturates for sale in grocery stores or pharmacies, like ibuprofen or Tylenol. You need a prescription, including instructions on when to take the pill, how much to take, and potential side effects.

Barbiturates work by slowing down the activity in your brain and depressing your central nervous system2, which can relieve intense anxiety, help you sleep, and control seizures. Some barbiturates are more focused on anxiety, sleep, headaches, pre-surgery calmness, or seizure treatment. Notably, only a tiny difference in dosage produces desired clinical results versus coma and death. It’s difficult to get the dose correct3, and many providers avoid barbiturates for this reason (and its addictive nature and life-threatening withdrawals.)

People may use them outside clinical bounds to feel more disinhibited and to self-medicate unwanted effects of illicit drugs4 like cocaine.

Are Barbiturates Addictive?

Barbiturates can be addictive, often for those who take more than their prescribed dose and for longer than they should. You can build a tolerance to their effects, meaning you need to take more and more to get the same impact. 

Studies have noted people can develop a physical dependence to barbiturates1, which can progress into an addiction requiring drug rehab. Closely monitoring how much people take and for how long can mitigate risks of dependence and addiction.

Factors Contributing to Barbiturate Misuse and Addiction

Certain factors can make addiction more likely, though not a guarantee in any sense. 

Higher Doses

If you’re on a notably high dose of a barbiturate, it can have a stronger effect that your brain more quickly adapts to and grows dependent on. The same goes for medications like opioids and benzodiazepines.

Social and Home Environments

Your environment and social life also play a role. High-stress environments can encourage mind-altering substance use as a way to escape the situation and cope with how it makes you feel. If other people in your social life regularly use substances you become more likely to use and grow addicted as well5.

Genetics

Your genes can predispose you to addiction. Epigenetics (changes to how your body reads genetic code) can account for this, or it could simply be the genes you inherit. But it’s vital to note many factors lead to addiction, not just your genes. 

Mental Health Conditions

Mood and brain changes related to mental health conditions like depression, anxiety, and post-traumatic stress disorder (PTSD) can make people more susceptible to substance use and addiction6. Or, conversely, substance use can make you more likely to develop a mental health condition. For these reasons addiction and mental health conditions often co-occur6

Signs of a Barbiturate Addiction

Signs of an addiction7 to barbiturates and other substances include

  • Continuing excessive use despite clear consequences, like job loss, financial issues, or broken relationships.
  • Compulsive use of the substance.
  • Taking more than you intended.
  • Developing secretive habits to hide or conceal your use.
  • Feeling anxious and preoccupied with procuring more.

Consequences of Barbiturate Addiction

With the line between safety and death so thin with barbiturates, developing an addiction to them and consequentially taking higher doses can prove deadly. Comatose and death are the top consequences of barbiturate addiction3.

Other more long-term consequences include job loss, homelessness, physical illness, new or worsening mental health conditions, and an inability to maintain good relationships with loved ones. As addiction takes a stronger hold, other areas of life inevitably fall away. 

Treatment can restore these aspects and your overall well-being.

Treatment for Barbiturate Addiction

The first step in getting treatment will likely be setting up an appointment with your primary care doctor; or, you can start by reaching out to drug rehab and admit to their program for detox services and therapies targeted at comprehensive recovery.

Detox

Medical detox removes toxins from your body. This step is especially important for barbiturates as their withdrawal symptoms can be deadly3. Providers will likely use a tailored blend of medications to make the detox process safe and comfortable, preparing you for the next step: therapeutic care.

Therapy

Therapy gets to the heart of addictions, helping you discover what drives it emotionally and how you can cope with distress in new ways. You’ll likely meet with a therapist 1:1 and with other patients in group therapy. Many drug treatment programs also offer family therapy, or you can seek it out yourself. Common therapies include

  1. Cognitive behavioral therapy, which often uses ‘homework’ and practical strategies to catch and challenge untrue thoughts leading to distress, retraining your brain to help you heal.
  2. Dialectical behavioral therapy focuses more on adapting to thoughts and adjusting how you react to them, rather than challenging them with another belief. Coursework and group support are key components.
  3. Therapies like eye movement desensitization and reprocessing (EMDR) and trauma-focused cognitive behavioral therapy (TF-CBT) focus on addressing and processing trauma at a comfortable pace.

Ongoing Support

Attending support groups can maintain your progress once you graduate from drug rehab or outpatient care for addiction. These types of peer support groups can include 12-Step-based groups, like Pills Anonymous (PA), or secular groups not associated with the 12 Steps.

Any social activity can also support your recovery by surrounding you with people who want you to get better and/or maintain your progress. For example, you could schedule regular meetings with friends and commit to calling a loved one every day.

Find a Prescription Drug Rehab Center

Many rehabs recognize barbiturates as one of the most addictive drugs and offer comprehensive care centered on long-term recovery. At a prescription drug rehab you’ll stay in a recovery-conducive environment for 28+ days, with each structured week filled with therapeutic care, activities, relapse prevention training, aftercare planning, and more.


You can use Recovery.com to find prescription drug rehabs, filtering by your insurance, location, reviews, and more to find the best treatment for you.

Casey’s Story: Celebrating Fatherhood and Recovery

Casey Steckling is a licensed social worker and addiction counselor in southwest Ohio who is passionate about working with people in recovery at Emerge Recovery. It is a treatment center as well as a trade school to help men get on track in recovery and take back their lives with a step into the trade schools leading them to job and financial security. 

He is also a person in long-term recovery for the last eighteen years, as well as a father of three children. He says:

“My children have been a grace that came directly out of my recovery, as I was ten years sober when my daughter was born. It has been possible for me to have great patience when changing diapers, dealing with tantrums, having hard conversations, and teaching them respect for life, because I’ve been living on borrowed time.” 

In Casey’s words: 

I am a person in long-term recovery for the last eighteen years, as well as a father of three. My kids would not be here if it weren’t for my recovery. I have a seven-year-old daughter, a five-year-old son, and a two-year-old daughter, and I recently lost a son at 24 weeks. 

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My kids would not be here if it weren’t for my recovery. 

My children have been a grace that came directly as a result of my choosing to get well and seek sobriety. 

I was ten years sober when my daughter was born. It has been possible for me to have great patience when changing diapers, dealing with tantrums, having hard conversations, and teaching them respect for life, because I’ve been living on borrowed time. 

I recognize I should not be here, and by proxy, neither should they. Recovery has afforded me every moment, every day, and hour I’ve been allowed to spend with them. It has also given me a perspective of peace that I pray is injected into my daily conversations and the loving care that I provide for them. I value nothing more than God, my wife, my children, and the precious time that I’ve been given because I chose to abstain. 

I’ve worked as a recovery counselor and social worker for more than a decade now, and I’ve seen countless men who are trying to reconcile with their kids. Many of those men have done difficult things, have abandoned their families, or allowed their shame to chase them away from who God created them to be. If those men cannot present as a stable and helpful force in the lives of their children, those kids may continue the unhealthy cycle of addiction. 

The most beautiful gift about my fatherhood is that it is something everyone can relate to.

They either had a dad, or wished they had (a good one). That means that when I am advocating for recovery, I always mention my fatherhood. This is a perfect picture of what society supports when they help save the life of a person-in-recovery. They (and God) have given the world the gift of my children, because they supported my recovery. 

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Take it Out of the Circle: 

Here are a series of practical applications based on Casey’s story. Share in the comments below what moves you or ideas you have, too! The circle widens when you share your recovery, wisdom, and hope. 

  • Surround yourself with other men or individuals in recovery who model the kind of life you want to live. Mentorship can be a powerful force that shares hope with us and motivates us to keep going when things get tough.
  • Set boundaries. It is simple to jump into intimate relationships, sometimes toxic ones, early in recovery. Taking time to get to know ourselves in sobriety and become the kind of people we want to be with someday can pay dividends for the future.
  • Access supports that provide family-centric and holistic support. Ensuring care and treatment for our loved ones, including children, can be a great way to involve the whole family in the recovery process.
  • Share your story. Maybe you feel moved to share your recovery story in a visible way. Make a post on social media or submit a story for the Circle of Chairs blog. Giving others hope can also help us continue on the path of health and healing.

My Personal Recovery Story: Matt Glowiak

I’m Matt Glowiak, a loving father, husband, and man who was very fortunate to escape the clutches of addiction, which has been a common struggle for many loved ones as far back as I can remember and carries forward to this day. This is the story of how I narrowly escaped the clutches of addiction and built a life around helping others who struggle with mental health and addiction disorders. 

Beginning My Story 

Some of my earliest memories involve the mental health struggles my maternal grandmother faced. While I couldn’t make sense of them as a child, my earliest memories are polarized: either she was the funniest person in the room or the one who could become quite scary if she was in a bad mood. Regardless, I always knew I was loved. What I didn’t know, however, was what to expect each time we went over to visit. Would she welcome us with open arms, or would she slam the door and start screaming at us?

As I continued to age and mature, I started to recognize how others around her would respond. My grandfather was avoidant unless pushed to the point of confrontation. My mother would dissociate as though nothing happened. My oldest uncle would oftentimes act out in anger, screaming at her in front of everyone. My middle uncle would often show up in the most jovial mood I’ve ever seen of everyone to crash several minutes later, passed out on the floor. And my youngest uncle was the intellect who would attempt explaining to me what was happening, though I never really got it at that point. My grandmother never struggled with addiction, but her challenges ultimately led to some of her kin using to cope, with ultimately one of them dying before his time. 

On my father’s side, get-togethers were more stable, though there were many riffs in the family—so much so that I would not meet many more family members until adulthood when I personally made the choice to reach out and connect with them. My earliest talk with my father about substance abuse was around Age 15 when he told me, “Matt, there’s a difference between a beer guy and a booze guy. Don’t be the booze guy.” I didn’t really know what that meant at the time, but as I gained more life experience in college, best believe I figured it out, and in reading between the lines as well as piecing stories together over the years, I learned that many members of my father’s family also struggled with significant mental health and substance use disorders.

Then came me … As an undergraduate student at what was heralded a top party school in the early 2000s, I began experimenting with alcohol and other substances. I had a close core group of friends who I cherished dearly; however, they continued pushing the boundaries we set with use, and one by one I saw many of them drop out of school, fail out, get arrested, enter rehab, and experience a plethora of otherwise undesirable consequences that I told myself I would never experience for myself. Easier said than done, however … 

The Turning Point

Though I did not give it much thought at first, what ultimately came to scare me with my substance use during undergraduate was how much I loved the party life. Many times we were of the mentality that we would achieve a more euphoric state than the one prior. We were immortal in our early 20s, right? Of course that was wrong. 

I remember the time when I first really thought about what I was experiencing with the withdrawal and cravings and how it was at a point of barely being within my control. I could outsmart addiction, right? Then, I recalled a time when I was 14 years old. I was a star student, athlete, and member of numerous extracurricular activities. I needed to have a procedure where the physician froze warts on my feet. Gross, right? 

Well, what was even worse, which never connected until many years later, was how without even realizing what I was doing, I began abusing the liquid hydrocodone I was prescribed. Given my high tolerance for pain at the time but loving the way I felt, I skipped the morning dose and doubled down in the evening. 

This reflection and connection I had in sophomore year of undergraduate led to me feeling even more depressed than I was, as I was also failing classes (a new experience for me) and grieving a break-up with my high school girlfriend who cheated on me. I thought it would help to distance myself from my primary group a bit, begin associating with those who abstained from use of any kind, and hoped a spiritual connection to Buddhism would be enough to save me. It helped a bit in that I did have some further distance from use and cleared my head a bit; however, I always knew where the fun was and returned to it every chance I could. 

Climbing Toward Clarity

Fortunately, I wound up dating my best friend—who I had known since I was 11 and is now my wife—who, along with my other best friend, intervened with me my senior year. Best believe I was resistant at first and even did all I could to convince them to go out partying with me the same night. They held firm, stressed their point, and after that night, I never experimented with anything again. From there, I loosened the grip from the more potent substances but still found pleasure in drinking and smoking but with limits such as not using until the end of the day, during hazardous situations, et cetera as to minimize the risk of legal implications, overdose, or physical harm to self or others. 

After a couple years out of undergrad and knowing that I wanted to do something with my psychology degree, I enrolled in a mental health counseling master’s program online. My intention was to ultimately open a private practice, which I one day did. Admittedly, though graduate school was a motivating factor, it was also stressful, especially atop a 10-hour a day job that I found soul wrenching. Throughout, I would convince myself that drinking and smoking minimized my stress while making me even more insightful. In a way, it worked. At the same time, it was the wrong type of enforcement for someone teetering on a diagnosable addiction disorder. Even here, I keep my concerns in the background, as in many ways, I was achieving all the success I desired.

As I tell my clients and students now, sometimes your life’s calling finds you instead of the other way around. My masters internship wound up being at a site where I counseling court-mandated clients who received DUIs and other drug violations. After, my first full-time job as a counselor was at a methadone clinic. THAT was my wake-up call. At both my internship and the methadone clinic, client after client would give me the same excuses I gave myself for at least the past decade. There, I realized for certain that I was nothing special. I was like anyone else struggling. Further, I had the genetic predisposition. Much of what led to my clients coming to see me, I possessed as well.

They say that while in recovery one should focus on themselves only for the first year. After a year of success, focus on a plant. The next year, focus on a pet. And if all else goes well, you are ready for healthy human relationships. For me, the accountability to others really kept me in check. Though still not perfect, my entire perception and behaviors when it came to substance use changed. I had to live a better example for others, which ultimately helped myself.  

My Equilibrium and Closing Thoughts

As a youngster, I was raised with this negative view of addiction. While some of it came from my family as well as the church we attended, a lot of it came from the anti-drug campaigns they ran on TV. It appeared that most everyone addicted to drugs and alcohol was someone who didn’t care about theirself or others, had no regard for the law, and had no desire to stop. As someone who was mostly a straight-A student, in many prosocial activities, fairly popular, and from what I considered a healthy family dynamic (despite what I shared earlier); there was no way I could fall prey to addiction. Best believe, the only one I was outsmarting was myself.

Though I now have over a decade of experience as a clinician, professor, presenter, writer, advocate, and otherwise; I now know for certain that I am at risk. I hold firm boundaries, am open to constructive criticism, and continually remind myself that I am no different than anyone else struggling. The big difference is that I am fortunate to not only have woken up when I did but also having the positive support around me and now a career that keeps me accountable. 

The key to recovery, whether you are one who has gone through treatment or not (like me), it must be on the forefront of your mind to make it work. That is the key to life—being resilience while learning from your mistakes. It is true that it is not so much of what we have done or have had happen to us in the past that defines us as it is what we choose to do or not do with it. In my case, I am choosing to continue pushing forward while building my life around loving and helping other people. That is unwavering. 

Introduction to My Work and Passion for Mental Health

My work in mental health is quite diverse, as I love everything the field has to offer. I am a professor who teaches graduate level mental health and addiction counselors, a clinician who works with mental health and addictive disorders, a writer, a presenter, and perhaps most importantly, an advocate for prosocial change. While the path was not always linear, it seems as though the universe always had a way of guiding me in this direction. This is especially true when it comes to working with addictions. From my master’s internship, to the clients I worked with as a doctoral student, to my first full-time position in the field being a substance abuse counselor at a methadone clinic; the path found me. 

Since graduating with my doctorate in counselor education and supervision as well as masters in mental health counseling, I have built my life around not only helping others but improving myself. I do believe this is my life’s calling, and my intention is to help everyone else I meet find and follow theirs. While I cannot say that doing what I love feels like I never work a day in my life, as you can best believe I work nonstop, I can say that I finish every day—even the tough ones—feeling fulfilled. If I can do it, I know others can, too. 

Understanding the Stigma Around Addiction

While it is true that many people are focused on their health, a lesser spoken topic is mental health. Even lesser spoken is addiction. While there is so much stigma and misunderstanding around mental health, this is even more true with addiction. People are quick to personalize external challenges (e.g. institutionalized discrimination) while seeing personal flaws in individual hardship, the truth is that all of us go through challenges at one point or another in life. 

Addiction is the disease that knows no boundaries. Any person from any demographic can fall prey to addiction at any point in life. I have seen this both personally and professionally. Doctors, lawyers, police officers, firefighters, civic leaders, moms, dads, uncles, aunts, friends, loved ones, trusted colleagues—literally anyone—can fall prey at any time. The misconceptions that surround addiction leave many viewing it as a moral deficit when it is well within one’s control, when the truth couldn’t be more opposite. 

In the spirit of “an ounce of prevention is worth a pound of cure,” there is so much more we need to be doing at a societal level to prevent addiction before it starts. A big part of the equation is speaking openly and honestly about the issue. Scare tactics and fabrications do the opposite, especially with our youth. When some uses and the only consequence is a good time, it immediately invalidates arguments aimed to discourage use. The truth is that, for many substances, they begin as an enjoyable experience for those who use, but for some who struggle to stop, the consequences become gravely catastrophic over time.  

Lessons Learned from Addressing Addiction in My Career

A lot of the work that needs to be done to combat addiction, going well beyond typical treatment protocol, is what happens beyond the couch, so-to-speak. For example, while working at the methadone clinic, where my clients were all diagnosed with opioid use disorder (many with co-occurring disorders), there was a common theme. Most every client who wound up using heroin began doing so because of prescription painkillers going wrong. Many began taking them as prescribed at first, but over time, tolerance built while withdrawal set in, and they found themselves using in increasing amounts to the point where prescribed medications were no longer enough. At this point, they were hooked.

Legislation at the time would immediately pin the fault on individuals they deemed were “doctor shopping.” While, yes, many individuals struggling with addiction do this to get their fix, it is part of the symptomology of addiction. On the other hand, prescribing physicians have access to a prescription monitoring program in which they can see every prescription, filled and unfilled, for anyone coming to see them. Where is the physician’s responsibility in this? As a medical professional who is obligated to do right by their patients, many were doing the wrong things. Accordingly, my clinic and I would attend legislative advocacy events as well as writing letters until the physicians were also held accountable.

Another issue we have is where police officers inappropriately manage mental health calls. We see this in the news all the time, and I have experienced it in my work, where individuals with significant mental health disturbances are treated like criminals instead of mentally ill individuals who need treatment. The consequences have been devastating to the point where people have been injured or even killed while being in the middle of a crisis. 

To combat this, having police social workers or counselors who can assist police officers with mental health calls can go a long way. In the community where I had my private practice, my partner and I joined local mental health coalitions where we would discuss ways to address the problem. Ultimately, the community ultimately received a $50,000 grant to pay a police social worker 1-year salary as a test-run. Fortunately, there was such a positive response that, moving forward, the position became a permanent one.

Sometimes the most seemingly complicated issues have the easiest solutions. You only know, though, by talking about it and seeing that talk into action. Many great things begin slowly but build over time. In many municipalities where physicians have become held accountable while police departments focus on mental health, we see neighboring communities ultimately follow suit. The only way to make it happen, though, is by acting. Counseling is much more than therapy but a philosophy that serves the human spirit. 

Advocating for Change: Solutions Rooted in Experience

A key part of advocacy is empowering the voices that otherwise go unheard. It is true that we live in an unjust society where many people’s needs go unmet. Even worse is how we blame them for their circumstances. Rather, we need to recognize the realities of genetic predisposition, institutionalized oppression, intergenerational trauma, environmental stressors, and otherwise. When we take a moment to hear people’s stories, we can empathize. 

Most often, we realize that those with the most undesirable of life circumstances are there because of the hand they were dealt. Even for those who, perhaps, continue making unhealthy decisions, there is a reason for it. Every person deserves a fair chance, and we have the opportunity and ability to give it to them.

Advocacy need not be a lofty thing in which all the world’s problems are resolved with the wave of a wand. Rather, it can begin with the simplest of actions. Having the conversation, writing a blog, educating yourself, asserting yourself to others, joining community activities, establishing your own organizations, volunteering time, and so much more are all steps in the right direction. Again, efforts continue to grow and build over time. 

Reflections and Call to Action: Building a Better Future

It is important to recognize how sometimes the greatest things come out of the most challenging of situations. Sometimes, it requires something horrible to happen for people to take action. While it would be more desirable for that not to be the case, unfortunately, it is. Given that there is a lot warranting our attention in the world right now, rather than become angry, depressed, or remain stuck; take the first step toward doing something.

Most everyone, whether they realize it or not, has been touched by addiction. It may be a friend, loved one, colleague, neighbor, or otherwise. These are people we love who are worth our efforts. Take a moment to think … If you were the one in a bad situation, would you not want others to act? I think the answer is a resounding “yes.” 

Currently, we are aware of what addiction is. It is a biopsychosocial disease. That is, it negatively impacts our physiology, thoughts and feelings, and interpersonal relationships. The disease is so invasive that simply stopping often feels as though one is struggling to fulfill their basic needs for survival. In some cases, it can be deadly. Rather than pass judgment, realize that no one ever wants to experience addiction. No matter how much I speak on the topic, I cannot stress this enough.