Commonly Asked Questions about Addiction and Treatment
What is the 12 step method for treating addiction?
"The 12-step method for treating addiction is a structured, peer-based approach that originated with Alcoholics Anonymous (AA) in the 1930s. Since then, it has been adapted for various other substance use disorders and behavioral addictions, including Narcotics Anonymous (NA), Gamblers Anonymous (GA), and Overeaters Anonymous (OA), among others. The method is based on a set of guiding principles, known as the 12 steps, that outline a path to recovery, personal growth, and spiritual development.
The 12 steps of the method are as follows:
- Admitting powerlessness over the addiction and recognizing that one's life has become unmanageable.
- Believing that a higher power (interpreted by each individual according to their beliefs) can restore sanity and provide support in recovery.
- Deciding to turn one's will and life over to the care of the higher power.
- Conducting a thorough and honest moral inventory of oneself.
- Admitting to oneself, the higher power, and another person the exact nature of one's wrongs and shortcomings.
- Being ready to have the higher power remove these defects of character.
- Humbly asking the higher power to remove one's shortcomings.
- Making a list of all the people harmed by one's addiction and being willing to make amends to them.
- Making direct amends to those harmed, whenever possible, except when doing so would cause harm to them or others.
- Continuing to take personal inventory and promptly admitting when one is wrong.
- Seeking to improve one's conscious contact with the higher power through prayer and meditation, asking for knowledge of the higher power's will and the strength to carry it out.
- Having experienced a spiritual awakening as a result of these steps, carrying the message to others struggling with addiction and practicing these principles in all aspects of life.
The 12-step method emphasizes the importance of peer support, mutual aid, and the sharing of personal experiences as a means of overcoming addiction. Participants typically attend regular meetings, where they share their stories, listen to others, and work through the steps at their own pace. Many 12-step programs also encourage members to find a sponsor, an experienced member who has worked through the steps and can provide guidance, support, and accountability during the recovery process."
If my mom and dad were substance abusers am I destined for the same?
While a family history of substance abuse can increase your risk of developing a similar issue due to both genetic and environmental factors, it does not mean you are destined to become a substance abuser. Genetics can make up about 40-60% of the risk for addiction, but the remaining percentage is influenced by environmental and personal factors.
Environmental influences can include your upbringing, your parents' behaviors, your exposure to drugs or alcohol, your social circle, and your experiences with stress and trauma. Personal factors involve your individual personality traits, your mental health, and your coping mechanisms. All these can significantly contribute to whether or not you develop a substance use disorder.
Importantly, risk is not destiny. Just because you are at a higher risk doesn't mean you will inevitably develop a substance abuse problem. Prevention strategies can be highly effective. These might include:
Education: Understanding the risks and consequences of substance abuse can deter initiation of drug use.
Healthy Coping Mechanisms: Developing healthy ways to cope with stress, such as through exercise, meditation, hobbies, or therapy, can reduce the need to turn to substances for relief.
Strong Support Networks: Having supportive and understanding friends, family, or mentors can provide a safety net when facing potential pitfalls.
Mental Health Care: Ensuring good mental health through therapy or counseling can reduce the risk, as mental health disorders can increase the likelihood of substance abuse.
Delaying Substance Use: The later in life a person first uses drugs, the less likely they are to develop a problem.
Remember, even if substance abuse does become an issue, it is not a life sentence. Effective treatments are available that can help individuals overcome addiction and lead healthy, productive lives. If you're worried about your risk, it might be helpful to discuss your concerns with a healthcare provider, a counselor, or a trusted person in your life.
How can I tell if I am an enabler?
"Enabling is a behavior often seen in the relationships of individuals struggling with addiction. An enabler, often without realizing it, may protect the individual with addiction from the consequences of their behavior, thus indirectly encouraging continued substance use. If you're unsure whether you might be enabling someone's addiction, consider the following signs:
- Rescuing: If you frequently find yourself covering up or making excuses for the individual's substance use or its consequences - like calling in sick to their job for them, paying their bills, or lying to others to conceal their addiction - this could be enabling.
- Denying: If you downplay the severity of their addiction, dismiss the negative impact it has, or avoid discussing it entirely, you may be enabling.
- Avoiding Conflict: If you consistently avoid confrontations or difficult conversations about their substance use out of fear it may cause tension or lead them to use more, this can be a form of enabling.
- Taking on Their Responsibilities: If you've taken on their duties - like household chores, parenting responsibilities, or work commitments - to compensate for their inability or unwillingness to fulfill them due to their addiction, you could be enabling.
- Providing Financial Support: If you're frequently giving them money, which they could be using to support their addiction, or bailing them out of financial problems caused by their substance use, this is often a clear sign of enabling.
- Ignoring Damaging Behaviors: If you tend to overlook or dismiss destructive or harmful behaviors associated with their addiction, you may be enabling.