4 Types of Alcohol Addiction Services You Can Turn To For Help by Rachelle Wilber

(image: free photo website)

Please note: this article relates to facilities and costs in Canada only.

For anyone struggling with alcohol addiction, many different types of addiction services can help. There are inpatient and outpatient programs and 12-step programs, and support groups.

Here are the four main types of alcohol addiction services and what they offer:

Inpatient alcohol addiction services

Inpatient services are typically offered in a hospital or rehabilitation center. Patients live at the facility and receive 24-hour care. This type of service is ideal for severe addictions or those struggling with other mental health issues.

Inpatient services offer a variety of therapies, including individual and group counseling, educational classes, and 12-step programs. Patients also have access to medical care and support 24 hours a day.

The average stay in an inpatient facility is 28 days, but some programs offer longer stays.

Cost: Ranging from $500 to $1500 per day. Many insurance companies will cover some or all of the cost of treatment.

Outpatient alcohol addiction services

The services are offered in hospitals and rehabilitation centers, but patients do not live at the facility. They visit for treatment day or evening, like a Male Alcohol Addiction Treatment Program. This service is ideal for those with mild to moderate addiction or who do not need 24-hour care.

Outpatient services offer a variety of therapies, including individual and group counseling, educational classes, and 12-step programs.

The average length of treatment is three months, but it can vary depending on the patient’s needs.

Cost: Outpatient alcohol addiction services typically cost between $50 and $200 per week.

12-step programs

12-step programs are self-help groups that offer support and guidance to those struggling with addiction. There are many different 12-step programs, but they all follow the same basic steps.

Admitting you have a problem and you need help is the first step.

The second step is finding a sponsor or someone who has been sober for a long time and can help guide you through the program.

The third step is making amends to those you have hurt due to your addiction.

The fourth step is maintaining your sobriety day by day.

12-step programs are free and open to anyone who wants to join them.

Cost: There is no cost associated with 12-step programs.

Support groups

Support groups are similar to 12-step programs, but they do not follow the same structure or steps. They are simply a place where people can come together to share their experiences and offer support to one another.

Support groups have no charges and are open to anyone who wants to join them.

There are many different alcohol addiction services available to those who need help. Inpatient and outpatient programs offer a variety of therapies, while 12-step programs and support groups provide support and guidance. Choose the service you or your loved one can benefit from and get started on the road to recovery today.

This article was written by freelance writer Rachelle Wilber and contains affiliate links.

Options for Improving Your Mental Health and Overcoming Alcohol Addiction by Rachelle Wilber

(image: R Wilber)

Alcohol addiction greatly impacts on your mental health and general wellbeing. Fighting addiction should be your ultimate goal, making it possible to take control of your life. There are numerous options available to help in overcoming addiction and improving your mental health. Here are several options.

Alcohol is extremely addictive and has the potential to ruin mental health and peoples lives. These are just a guide, please consult with professionals.


Connect with Others

A great place to start is it to get out and start meeting other people at support groups. It helps to share positive or similar experiences, which will aid your mental health and self esteem. . You can also consider others and build emotional support if able. Avoid people who want you to relapse back into addiction and who enabled it too! Seek support for you to move forward, even if slowly.

Be Active 

Exercising and getting involved in activities release the endorphin hormone, also known as the happiness hormone. This can also help your general health as you recover slowly. Get involved with community causes and help raise funds for 5k, to 10k walks once you feel able.

Learn New Skills 

Learning new skills helps connect with others and builds a sense of purpose. Try taking a responsible role when volunteering that has an immediate impact, be it at work or in the community like cooking for the homeless- as long as you are in recovery and feel able.

Be Mindful 

Getting into a male alcohol addiction treatment program (or a mixed program/ one for women) can help you in being mindful as it is one of the crucial aspects taught. It helps you consider yourself and the positive changes you have made while recovering from alcohol abuse. Being mindful helps you understand yourself better and take the necessary steps to ensure mental health is protected. 

Be Kind 

Being kind to yourself and placing your feelings first will make it easier to recover from alcohol addiction. Avoid comparing your progress with others and discard people’s opinions of your progress. Allow yourself to make mistakes while finding the right ways to be mentally free. 

Celebrate Your Small Wins 

Celebrate small wins even if you have milestone goals you want to achieve. Start with celebrating finishing the alcohol addiction treatment program. Celebrate your sober days!

Write it Down 

A great way to improve mental health and overcome addiction is by documenting everything. It helps in processing all emotions to gauge triggers to avoid them. It will also allow you to self-reflect on progress, relieve stress, and inspire creativity. 

Reach for Support

Remember to get into local support groups or even stay in touch with members of the alcohol addiction treatment program. Consult a professional (GP or psychiatrist) if the urge is unbearable to avoid relapsing into addiction and keep you on the road to your recovery.  

This article was written by Rachelle Wilber, freelance writer.

How to Battle Co-Occurring Mental Health and Substance Addiction by Holly

(image: overcoming-drug-addiction-and-mental-health-issues-blog)

What are co occurring mental health disorder and substance abuse?

A co-occurring disorder is when a person is battling some kind of mental health issue alongside substance abuse like drugs and alcohol addiction. Both SUDs and mental health issues share a strong link. In fact, it’s estimated that almost half the individuals suffering from one will develop the other at some time or another. 

It’s not uncommon for substance abuse to fuel a co-occurring disorder and vice-versa. The severity of both can also increase over time. 

The most common mental health issues to co-occur alongside SUD are – 

  • Anxiety Disorders –  Social anxiety and general anxiety share a strong link with marijuana abuse. Almost 19% of people in the US have some kind of anxiety disorder. GAD, social anxiety, and panic disorder can also increase the odds of co-occurring issues.
  • Personal Disorders – In terms of the general population, around 10-15% suffer from personality disorders. When we talk about those suffering from addiction and substance abuse, the rate is an astounding 35-70%. The commonest personality disorders in those battling SUD are – borderline, avoidant personality, paranoia, and antisocial behavior. 
  • Attention-Deficit/Hyperactivity Disorder – Studies tell us that ADHD comes with an increased risk of developing addiction-related issues during adulthood (mainly 20s and 30s.) There is a positive correlation in symptoms of ADHD like impulsiveness, hyperactivity, and inattention with substance use in adults. 
  • Mood Disorder – Around 30% of people suffering from SUD are likely to suffer from one of the mood disorders such as depression and bipolar.
  • PTSD – According to a survey, people with Post-traumatic Stress Disorder are 4x more likely to develop substance use disorder than those without.

What Causes Co-occurring and Substance Addiction?

It is estimated that over half the people with one disorder will eventually develop the other during their lifetime. While the exact set of reasons that can fuel these two conditions might be long, researchers have found the 3 most prevalent reasons as to why co-occurring disorders may take place.

Overlapping Risk Factors

Many of the risk factors behind SUD and mental health issues are overlapping. Generally, these include environmental factors like exposure to drugs or alcohol at an early age, early childhood trauma, and genetics. All of these factors can make a person more susceptible to developing mental health issues and requiring addiction treatment for drugs such as Cocaine or others.

Self-Medication

Dealing with a mental illness can be difficult. That’s why many people resort to alcohol and drugs as coping mechanisms. In medical terms, this is called ‘self-medicating’. However, it’s quite misleading as instead of fixing the problems, it only masks them. What’s more, in the long run, it exacerbates the symptoms and worsens the dependency on drugs/alcohol, making it more difficult to detox from alcohol or drugs, often requiring medically supervised detox.

Drug-Induced Brain Changes

Prolonged drug and substance use can change the brains ‘motivation and reward mechanism’. It can give a false sense of wellness causing one to develop a dependence on drugs beyond control. Eventually, it can lead to mental health issues by affecting the brain and neurotransmitters.

Drugs affect the areas of the brain associated with mood, impulse control, anxiety, and schizophrenia.

How to Battle Co-occurring Mental Health and Substance Use

Residential Treatment 

Residential rehab programs begin with an initial assessment to draw an individual treatment plan. This is followed by detox and several other therapies. The patient has to stay in a structured and highly supervised facility. Common inpatient treatment duration for drug addiction is 30 days. Residential programs put the entire focus on recovery as daily triggers and challenges are removed that often lead to relapses.

Outpatient Healing Programs

Under this program, a patient receives all the treatments and therapies as in residential rehab. However, they are not required to live in the facility. This is good for young teenagers, parents, and people with mild addiction who cannot sacrifice work commitments. 

Detox

This is usually the first step in most addiction treatment programs. Drug detoxification entails medical supervision to get the drugs out of the system. With a clean system, experts can begin further treatment. Generally, therapies and medication cannot begin unless detox is successfully over.

Integrated treatment

Integrated treatment often includes behavioral therapy and counseling as interventions. Rehab centers in Connecticut and other parts of the United States use integrated treatment coupled with medication. Integrated treatment encompasses several therapeutic techniques with proven results in treating substance abuse and mental health issues. Common integrated therapies are –

  • Cognitive-behavioural therapy aka CBT aims to understand negative behaviours, thinking patterns, and self-talk that might be causing addiction and other disorders. It then works on changing them.
  • Dialectical behavioural therapy is used for treating borderline personality disorder. It does so by working on negative actions and thoughts like self-harm, suicidal behaviour, and dependence on a substance to cope with daily stressors.
  • Contingency management is often used in upscale addiction treatment centres. It reinforces positive changes by utilising incentives for patients who can exhibit positive behaviours such as staying sober and meeting therapy guidelines.

Medication Treatment

Psychotherapeutic Medications are often integral to treating SUD and co-occurring disorders and are frequently used during alcohol treatment. The commonly prescribed medications include antipsychotics and antidepressants. The latter is used to mostly manage the uncomfortable withdrawal symptoms. Other than that, medications may also be used to lessen the cravings so that relapses don’t happen. 

Buprenorphine, naltrexone, methadone, disulfiram, and acamprosate are the common medications used for treating SUD.

Peer Support Clubs

It’s not uncommon for people with psychiatric issues to become antisocial. The withdrawal from social life exacerbates when you throw drugs and alcohol into the mix. By joining peer support groups/clubs like 12-step, Alcoholics Anonymous, and group counseling – patients can find solace in the presence of other people going through similar battles. 

They can draw inspiration from their stories and also learn some tips to maintain sobriety. Support groups are highly effective in fostering a long-term, sustainable drug-free lifestyle.

Education and Counselling for Families

Sometimes a toxic family environment or dysfunctional relationships may unknowingly be fuelling a person’s addiction. Family counselling educates people how to create a healthy living environment for a family member to support long-term recovery.

image: erson-holding-stop-drugs-sign-blog

Holistic Remedies

Medical science is embracing the effectiveness and importance of holistic/alternative treatment when it comes to treating drug addiction. Many rehab centres are now adopting a holistic treatment model. Common holistic therapies are – massage therapy, acupuncture, hypnotherapy, yoga, reiki, meditation, and music therapy.

In Conclusion

Co-occurring disorders may be a harsh reality in many people’s lives. But, know that if you or your loved one is going through this issue, help is always available.

Holly is a freelance writer who loves to help people who are struggling with a drug or alcohol addiction. Holly knows first-hand what it’s like to deal with substance addiction, and has now been sober for 5 years. Holly is a frequent contributor to many addiction-related blogs and organizations such as the Addiction Treatment Division and Inpatient-Rehab.org.

The Benefits of a Sober Living Home- Recovery from Alcohol or Substance Abuse.

(image: Unsplash)

The journey to recovery from alcohol or substance abuse is a long one and is never a straight line. While rehab and detox are the essential first step in sobriety, they’re just the beginning of the journey that can last for a very long time. Going straight back to your previous life and surroundings can be triggering and jeopardise your progress, leading to relapse. 

This is where a sober living home can be the perfect next step on your journey to recovery. These are interim, transitional steps that give you independence based on structure and support. They are designed to help you rebuild your life skills and relationships away from the temptations of drugs and alcohol. 

  1. Additional Time To Recover

The more time and energy you can devote to your recovery, the more successful you will be in maintaining it for the long term. In a sober living home, you will be in an environment where there are no drugs or alcohol to tempt you and find a support network of staff and other residents with which to share the experience. Giving yourself this additional time to recover could be the difference between success and failure.

  1. 24/7 Support

Most sober homes, including Bridgeway Sober Living, have specialist managers on-site 24/7 to give your support and encouragement during your recovery. They are there to help with issues such as feeling depressed right the way through to helping you find a job. 

A lot of the support staff in the sober living home have personal experience with addiction either through their own experience or that of a friend or loved one. 

  1. Meaningful Relationships

A sober living home can let your form bonds with others that aren’t rooted in alcohol. You’ll have lots of things in common and a shared sense of purpose. Your road to recovery will be anything but lonely. 

  1. Rebuilding Life & Social Skills

The basics of everyday life can be difficult for someone in the grip of addiction. Even dressing, washing, and taking out the trash can be beyond some people. Sober living homes allow you to put a structure back into your everyday life that can rebuild your life skills. You’ll relearn how to look after yourself and your surroundings. 

  1. Regain Your Independence

In rehab, your movements and activity are controlled tightly until you’re discharged. Often, going straight back to your former life can be overwhelming. Sober living homes give you the opportunity to start claiming your independence back gradually. You’ll be expected to go out and find your own job, attend social gatherings and look after yourself, all within the safe space of the sober living home. 

Final thoughts

Sober living homes are becoming a viable choice for many recovering addicts. You can find them in all major cities and highly populated areas. They are very well designed, as far away from the stereotype as you could imagine. As part of a successful recovery, they can be the transitional step you need to complete your recovery. 

This post was written by a freelance writer.

Can Alcohol raise stress levels and affect our mental health?: Guest post by Tomas Sanchez

This guest post was written by Tomas Sanchez and talks about Drinkaware, the UKs top alcohol education charity. For more and help and support, view their website at : https://www.drinkaware.co.uk/

Highly demanding jobs, family duties, money worries, relationships issues, they can all add up to make our stress levels go through the roof. The truth is, it can sometimes feel like we’re sat on a roller coaster, led by a high-pressure lifestyle that is ruining our health and happiness.

According to the Mental Health Foundation, 16 million people experience a mental health problem each year, and stress is a key factor in this. Which is why this year’s Mental Health Awareness Week is focused on understanding the impact stress has on our lives and how to tackle it effectively. The week took place last week between 14th and 20th May.

When it comes to coping with stress, reaching for booze might seem like a good idea to help you lift your spirits and relax. However, in the long run, alcohol can have the opposite effect and contribute towards raising your stress, affecting your mental health and wellbeing.

Wine, beer, cider or spirits, whatever your tipple of choice, the alcohol in your drink is a depressant, which means it can disrupt the delicate balance of chemicals your brain relies on for good mental health – especially when you drink above the alcohol unit guidelines.

In fact, while a pint or two may cheer you up, this is only a short-lived effect that will quickly wear off. But, in the long run, drinking too much too often can exacerbate your stress and contribute towards the development of mental health issues such as anxiety and depression.

Alcohol can also impact your sleep. You might think that drinking can help you nod off a stressful day at work, but in reality, alcohol can alter your sleep cycle and make it harder for you to get the rest you need to tackle the stress in your life.

If you’re struggling to deal with stress, there are more effective ways to cope with it than reaching for alcohol, such as:

Exercise, a great way to de-stress. Go for a run, swim or to a yoga class – or even a brisk walk can help clear your head of the day’s worries.

Talk to a friend about what’s worrying you. If you don’t feel comfortable talking to your friends or family, look for professional help – talk to your GP or an accredited counsellor. They will be able to help you manage your feelings and point you to the right resources to help you restore your wellbeing.

Take a hot bath or do some gentle stretches to relieve tension from your body.

If you do decide to have a drink, follow the UK Chief Medical Officers’ (CMO) advice – it’s safest not to drink more than 14 units of alcohol a week and spread your drinking evenly over three or more days.

If you’re drinking too much too often, cut back on it by:

 

  • Keeping track of what you’re drinking – use Drinkaware’s App to help you monitor your alcohol intake and change the way you drink.

 

  • Choosing low-alcohol drinks or mocktails.

 

  • Giving alcohol-free days a go. If you drink regularly, your body starts to build up a tolerance to alcohol. This is why many medical experts recommend taking regular days off from drinking to ensure you don’t become dependent on alcohol.

Guest Post: 5 Steps to control Anxiety and help Panic attacks by Katie Rose

katierose
(image: Kate Rose/ internet)

My name is Kate and just over 2 years ago I had my first panic attack. It was without a doubt, the scariest moment in my life and to think I’m at the point where now I can somewhat control my anxiety, feels like a miracle. Anxiety is not something that you can “just get over” which I’ve often heard those who don’t suffer from it, say. (So don’t worry if you’re struggling!) Though I’m a lot more stable now, I still experience mild anxiety every now and again. This post will tell you how I managed to tame my anxiety and help prevent my panic attacks.

#1 Stop Drinking Alcohol

Whether you agree alcohol is the reason for your panic attacks or not, it’s a proven cause to why people suffer from anxiety. Sadly for me, alcohol is the number one cause of why I would experience panic attacks and get myself into such an unstable state. As a result, I will no longer drink even a drop of alcohol and since, I haven’t experienced a panic attack. This is not the same for everyone- some people don’t drink but still experience high panic. It’s not that I don’t want to drink alcohol or that I don’t enjoy myself when I am drinking because I really do. However, the aftermath of it all just isn’t worth it.

In spite of that, it doesn’t mean I haven’t felt anxious since stopping drinking because I have and it’s still an ongoing battle. I’ve quite simply stopped having major panic attacks.

What Happens When I Drink Alcohol?

When I drink alcohol I end up going to bed with a racing mind (how on earth I end up sleeping I have no idea) and wake up in the early hours of the morning with major heart palpitations and breathlessness. It makes me feel like I’m about to die. Due to being tired from waking up early, I always feel extremely frustrated that my body has woken me up. No doubt that makes my anxiety worse and stops me from relaxing and calming down. So, what do I do?

Solution: Talk To Someone

Instead of going on my phone and surfing the internet to try and distract myself, I’m lucky enough to be able to wake my dad and sit and talk to him. I find that it helps me get back to sleep so much quicker than staring at a bright screen which actually makes me feel more awake. After all, it’s unlikely you want to be awake at 4 AM watching YouTube or scrolling through Instagram, instead of sleeping. By closing my eyes, yet having someone there to talk to, I’m able to slowly drift off back to sleep and thankfully not wake up again until the morning. It takes me an hour or two  to fall back asleep but compared to trying to cope alone, it’s a lot shorter. Try it – it might just work for you.

Don’t have someone at home to talk to? Perhaps you live alone and I assume for sufferers in an empty home it will feel a million times worse. Maybe it is time to take out your phone but instead of staring at the screen, call someone, even if its a helpline. That way you can lie with your eyes closed making you more likely to fall asleep and still be able to talk to someone for help.

 

#2 Breathe Using Your Stomach

It may sound slightly strange but after having the ambulance out to me on several occasions, I’ve learn that it’s my breathing that plays a huge part in being able to calm down or not. Breathing quickly and inhaling small amounts of air at a time can cause you to hyperventilate. Stop. Sit back and assess your situation. Think about how you’re breathing:

Are you breathing quickly? Are you breathing in through your nose? When I’m feeling breathless, instead of trying to take lots of little breaths that cause my chest and shoulders to move quickly, I take big, deeper breaths that’ll push my stomach out.

By concentrating on feeling my stomach move, I can focus my attention elsewhere from my racing heart and help me calm down. Use the below ‘calm breathing’ technique from Anxieties for more help:

 

  • Take a long, slow breath in through your nose, first filling your lower lungs, then your upper lungs. (You should feel your stomach push out slightly before your chest starts feeling full of air.)
  • Hold your breath to the count of “three.”
  • Exhale slowly, while you relax the muscles in your face, jaw, shoulders and stomach.

 

Remember: Listen to your body and analyse what you’re doing. Are your teeth clenched? How are you sitting? Give your body a little shake to relax yourself and even close your eyes if you wish and practice your breathing.

(image: Kate Rose/ internet)

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#3 Thought Journal

I think one of the main things that has helped me to conquer my anxiety was analysing the potential cause and the feelings I had, during the panic attacks. Sometimes it was going to bed with too much on my mind, sometimes eating too late. Even from doing absolutely nothing and other times from being rushed off my feet. It’s hard when there are so many different factors that can trigger panic attacks but trying to figure out what that cause is can help you to overcome your negative feelings.

Write them down. Making a note of the time you had your panic attack, what you were doing before, perhaps the foods you ate that day and so on, will help you to figure out if there is a pattern. Over time I began to learn that the main cause of mine was from alcohol and going to bed when I still had things to do. Ensuring I made time for cleaning my room, making my dinner for work and sorting my outfit for the following day, meant I could go to bed without worrying. I wouldn’t feel rushed and I gave myself peace of mind to improve my sleep which is so important for coping with anxiety.

#4 Do Some Exercise

One of the key factors in helping me beat my anxiety was a lifestyle change that involved getting active and eating healthy. By going to a fitness class or doing a home workout, I was able to relieve all of my built up stress and found trying to get to sleep or relax, a lot easier. I started by going the gym 2-3 days a week and currently go 3-4 times a week. I also realised that since getting a FitBit back in July 2017, it’s helped push past my panic attacks even further, by distracting me from feeling anxious with fun fitness challenges with my friends and family. What’s great with having a FitBit is, even if you don’t have friends or family who have one, there’s a whole community you can get involved with.

Not Interested In Exercise?

If you’re not into doing full-on fitness classes, why not aim to do a certain number of steps a day? My goal is 8,000 and find that whilst working 7AM to 4PM Monday to Friday, this is pretty achievable as long as I go for a stroll at dinner and again in the evenings. Doing this every day is keeping both me and my brain active and it’s these small changes that have helped me to channel my anxious thoughts, elsewhere. Here are some more tips on exercising to beat anxiety.

#5 Don’t Feel Ashamed

No matter how hard it is, you must not feel like a failure. Anxiety can affect anyone and everyone and when you least expect it. Before my panic attacks I was out partying all of the time, drinking copious amounts of alcohol and not having a care in the world. As unfortunate as they were, having panic attacks helped to show me that my body needed to be taken care of. Yet, for the troubles I have gone through, I wish I knew that sooner. I realised that during the time my anxiety was at its worst, I had an extremely negative approach to everything and often found myself using negative words a lot.

Solution: Take a time out to evaluate your attitude. As much as you may think you’re world is coming to an end, I found changing my mindset to try and think of even the worst times in a positive way, made me channel a stronger side to myself. This has been a major contributor to helping me get over my panic attacks. Replace words and phrases like “bad”, “I can’t”, “never” and “not now”, with “good”, “I can”, “always” and “yes”. You never know what good could come from it.

Alternatively, The Calm Clinic suggest something similar to a thoughts journal: a positivity journal. Fill it with positive things that have happened to you that day. Aim for at least 10 things so that no matter how bad the day may seem, you always have 10 great things to reflect back on.

Here’s their example:

Examples of good entries:

 

  • The barista gave me my coffee for free today because I was nice to her.
  • My boss complimented me on the project I finished.
  • I received a phone call from an old friend just because she wanted to catch up.

 

Examples of the types of entries you should avoid:

 

  • I woke up.
  • My mum didn’t call me which is good because I didn’t want to hear from her.
  • I didn’t screw anything up too badly.

 

Remember: If this seems too much of a chore to do, stop. Put the pen down and try something else instead, like yoga, listening to music or an audio book or reading a book yourself. If you feel pressure to write in the journal, it may make your anxiety worse. Yet by trying different methods of coping with anxiety you can find what works for you.

Why Medication Isn’t Always Right For You

I ended up being consumed by my anxiety and fears and feeling like the only way to get through it was to take medication. The doctors weren’t keen on prescribing me with any tablets at the time and I didn’t really want to take them anyway. Though, after a while I felt it all became too much. Me and my boyfriend went to Holland & Barrett to buy some calming pills.

I don’t want to promote the tablets I took in this post because I only used them once or twice. I think that trying to control my anxiety without medicine was a better solution for me and although was a challenge, made me feel strong and as though I was capable of anything. For others, taking medicine may work best for them and it really is down to the individual.

No matter how you deal with anxiety, just remember not to give up. I felt like my world was collapsing and I was so scared. Though with perseverance and time, I can now say I’m coping well with my anxiety, though the battle is still on.

This article is by Katie Rose, Lifestyle Blogger at ok Kate

ok Kate is a lifestyle blog about my life as a “normal”, young adult and the steps I’m taking to try and change my life from being boring and rather basic, to make the most of the world around me.

How I stopped Self Medicating my Post Traumatic Stress Disorder- PTSD and found Recovery by Peter Lang


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(image: sayquotable.com)

Peter Lang shares his amazing story of recovery from drug and alcohol addiction, homelessness and Post Traumatic Stress Disorder.  Trigger warning: please be careful when reading, talk of drug use. 
Most people think of veterans when they think of Post-Traumatic Stress Disorder (PTSD). Unfortunately, I know all too well that PTSD can also affect civilians. PTSD is defined as the psychiatric disorder that happens following a traumatic event. While war is a common traumatic event that causes PTSD, it’s not the only kind of trauma. Traumatic events can include abuse, life-threatening illnesses, and serious accidents.

As a homeless drug addict, I experienced my share of traumatic events. I spent most of my twenties without a home: couch surfing with acquaintances and strangers all over the country, living on the streets of Philadelphia, and living on the beach in Maui. Throughout this time, I used every substance you can think of: alcohol, heroin, cocaine, meth, prescription medication. I drank so much, I developed avascular necrosis in my hips, which later led to a bilateral hip replacement after a car accident at age 30.

After I got hit by a car when crossing a street in Philadelphia, my mom asked me to come down to Georgia to stay with her. I spent the next two years in a wheelchair. Though I tried periodically to stop drinking and using drugs—with some success—I still struggled. I know now that one of the main reasons I was struggling was that I was trying to self-medicate my PTSD.

On the street, I experienced many traumatic events. There were so many times I got beaten up or taken advantage of or almost died. Once in Hawaii, I did die, and they had to revive me in the hospital. The doctor told me with the amount of alcohol I had in my bloodstream, it was a miracle I was alive.

In early 2016, I met a woman who changed my life. We fell in love almost immediately after meeting each other, and we got married a year later. We are about to celebrate our one-year wedding anniversary.

She made me see that it was okay to ask for help with my PTSD. I didn’t have to feel like I had to take care of it all the time. She made me see that a great deal of my struggles with substances was because I was just trying to numb the pain from traumatic events I hadn’t dealt with.

At one point, I was prescribed benzodiazepines, which did help my PTSD. However, I was never able to take the medication the way I was supposed to, and they became just another substance for me to abuse as opposed to a helpful tool.

It was clear that in order to stop self-medicating, I was going to have to see a counsellor and confront my traumatic events. I started seeing a therapist regularly, and she has helped me immensely. She has helped me to open my eyes and stare the traumatic memories in the face, knowing that they don’t define me.

Another tool that was incredibly helpful for me was meditation. By meditating, I could learn how to become spiritually centered and stop identifying with the painful memories. I’ve also been greatly helped by Buddhist-based 12-step meetings, which have given me a unique perspective on the 12 steps of Alcoholics Anonymous.

Now, I’m doing better than ever. My wife and I are ridiculously in love, we just moved into a nice house, and I’m working full-time as a freelance writer and marketer. I wouldn’t be where I was today if I was unable to deal with my PTSD. I would have never been able to stay clean and sober if I kept self-medicating.

I still struggle with my PTSD frequently. It hasn’t gone away. But now I have the tools to handle any episodes that do come up.

Many people suffering from a substance use disorder are also suffering from a co-occurring mental health disorder. You can treat one without also treating the other. Luckily, you don’t have to. There are plenty of resources that will help you to seek the treatment that you need. All you have to do is ask for it and be open to it.

Peter Lang is a freelance writer from Atlanta, Georgia. He occasionally writes for The Recovery Village. In recovery himself, he has dedicated himself to helping others struggling with substance abuse.