# Presentation: 409451

## Session 8:Families in Recovery

## Who Makes Up a Family?

- Members of your immediate family (parents, siblings, partner, children)
- Extended family
- Friends
- Colleagues from work
- Mentors
- Anyone who will support recovery

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## Addiction is a physical and emotional response to chemicals we put in our bodies.
Addiction is a medical disorder.
It is not helpful to think of addiction in terms of morality and willpower.

- Addiction is a medical disorder.
- It is not helpful to think of addiction in terms of morality and willpower.

**What Is Addiction?**

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## Development of Addiction

- Prefrontal Cortex

- Limbic System

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## Development of the Craving Response

- Cognitive process—Prefrontal cortex
- Conditioning process—Limbic system
- Obsessive thinking

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## Cognitive ProcessBeginning Stages of Addiction

**	**Depression relief
- 	Confidence boost
- 	Boredom relief
- 	Sexual enhancement

**Positive Aspects**

**	**Employment disruption
- 	Relationship concerns
- 	Financial problems

**Negative Aspects**

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## Cognitive ProcessDisenchantment

**	**Social currency
- 	Occasional euphoria
- 	Relief from lethargy

**Positive Aspects**

**	**Nosebleeds, infections
- 	Financial jeopardy
- 	Relationship disruption
- 	Family distress
- 	Impending job loss

**Negative Aspects**

**Cognitive Process*****Disenchantment***

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## Strength of Conditioned Connection:

**Conditioning Process*****Mild Cravings***

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## Strength of Conditioned Connection

**Conditioning Process*****Strong Cravings***

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## Strength of Conditioned Connection

_**Triggers**_

**	**Any feeling
- 	Day
- 	Night
- 	Unemployment
- 	Work

**Overpowering**

**Conditioning Process*****Overpowering Cravings***

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## Development of Obsessive ThinkingEarly Use

**FAMILY**

**ALCOHOL**

**METH**

**WORK**

**SPORTS**

**FOOD**

**BOYFRIEND**

**EXERCISE**

**GIRLFRIEND**

**SCHOOL**

**METH**

**METH**

**Development of Obsessive Thinking*****Early Use***

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## Development of Obsessive ThinkingContinued Use

**METH**

**METH**

**METH**

**METH**

**METH**

**METH**

**METH**

**METH**

**METH**

**METH**

**METH**

**METH**

**Development of Obsessive Thinking*****Continued Use***

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## Progressive Phases of Addiction

- Introductory
- Maintenance
- Disenchantment
- Disaster

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## Family Members’ Response to Meth UseIntroductory Phase

**Family Members’ Response to ****Meth Use*****Introductory Phase***

- Unaware of problem
- Confusion regarding occasional odd behaviors
- Concerned about occasional neglect of responsibilities

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## Family Members’ Response to Meth UseMaintenance Phase

**Family Members’ Response to ****Meth Use*****Maintenance Phase***

- Are aware of the problem
- Attempt to solve the problem
- Take on all responsibilities

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## Family Members’ Response to Meth UseDisenchantment Phase

- Avoidance of problem
- Blaming the person who is using
- Blaming selves
- Guilt and shame

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## Family Members’ Response to Meth UseDisaster Phase

- Separation
- Internalization of bad feelings
- Resignation and hopelessness
- Establishment of unhealthful family rules

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##  Benefits of Family Involvement

- Participation by family members is associated with better treatment compliance and outcome.
- Family members gain a clearer understanding of recovery.
- Family members and the person in recovery understand their respective roles and goals.
- Family members and the person in recovery get support in the recovery process.

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## Stages of Recovery

| Stage | Duration |
| --- | --- |
| Withdrawal | 1 to 2 weeks |
| Honeymoon | 4 weeks |
| The Wall | 12 to 16 weeks |
| Readjustment | 8 weeks or longer |

**Stages of Recovery**

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## Withdrawal

- Lasts 1 to 2 weeks
- Craving and depression
- Low energy, difficulty sleeping, increased appetite, and difficulty concentrating

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## Honeymoon

- Lasts about 4 weeks
- Increased energy, enthusiasm, and optimism
- People often feel they are “cured” when they reach this stage

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## The Wall

- Lasts about 12 to 16 weeks
- Hardest stage of recovery
- Depression and irritability
- Difficulty concentrating
- Low energy and loss of enthusiasm
- High risk of relapse

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## Readjustment

- 8 weeks or longer
- The person in recovery and the family begin returning to more normal lifestyle
- After extended abstinence, the person in recovery and family members begin working on marital, emotional, and psychological issues that will strengthen the family

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## Person in recovery
Discontinue use of meth
Learn specific techniques for avoiding relapse
Learn about the process of addiction and about drug effects
Family members
Decide to be part of recovery process
Recognize that addiction is a medical condition

- Discontinue use of meth
- Learn specific techniques for avoiding relapse
- Learn about the process of addiction and about drug effects
- Family members
- Decide to be part of recovery process
- Recognize that addiction is a medical condition

**Goals for Withdrawal**

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## Person in recovery
Improve physical health
Identify personal triggers and relapse justifications
Use targeted techniques to stay abstinent
Family members
Work to support recovery
Recognize and discontinue triggering interactions

- Improve physical health
- Identify personal triggers and relapse justifications
- Use targeted techniques to stay abstinent
- Family members
- Work to support recovery
- Recognize and discontinue triggering interactions

**Goals for the Honeymoon**

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## Goals for the Wall

- Person in recovery
- Maintain stable abstinence from all drugs
- Repair significant relationships
- Develop a recovery support system outside the treatment center
- Recognize and cope with dangerous emotions
- Family members
- Decide whether to recommit to the relationship
- Begin finding ways to enrich own lives
- Practice healthy communication skills

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## Goals for Readjustment

- Person in recovery
- Monitor components of successful recovery
- Recognize relapse indicators and prepare responses
- Clarify new roles in healthy relationships
- Set goals for continuing a new lifestyle after the program
- Family members
- Accept limitations of living with a person in recovery
- Develop an individual, healthy, balanced lifestyle
- Monitor self for relapses to former behaviors
- Be patient with the process of recovery

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## Key Relapse Issues for People in Recovery

- Friends who use meth
- Environmental cues associated with meth use
- Severe cravings
- Protracted abstinence—the Wall
- Connection between meth and sex
- Boredom

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## Key Relapse Issues for Family Members

- Fear of the person in recovery returning to meth use
- Fear of being alone
- Lack of individual goals and interests
- Inability to release responsibility for the person in recovery

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